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recurrent stress incontinence. causes and treatment in the female patient.recurrent urinary incontinence after surgery requires complete evaluation, including urodynamic testing, to make an accurate diagnosis. documented genuine stress incontinence, if mild to moderate, may respond to nonsurgical treatment, but more severe cases require surgery. numerous effective surgical procedures have been developed.20113368417
treating erythema chronicum migrans of lyme disease.the efficacy of antibiotic treatment of 117 patients with erythema chronicum migrans of lyme disease was evaluated in terms of the necessity for retreatment and the prevention of the late manifestations of lyme disease. fifty-six patients with a minor form of the illness did not require retreatment and did not develop late manifestations following antibiotic treatment. three pregnant patients were included in this group. fourteen of sixty-one patients with a major form of the illness required re ...20113093544
[primary transport of acute patients. optimal use of rescue resources exemplified by the canton of graubünden]. 20113927607
participation of endothelial cells in murine schistosomiasis.the endothelial cells participate in the morphological events occurring during murine schistosomiasis, taking part in the development of hepatic periovular granuloma. the cells also show an increase in the expression of factor viii-related antigen in the portal vessels and hepatic sinusoids during the infection. endothelial cells are suggested to play an important role in the pathogenesis of the disease and in the balance of the coagulant-anticoagulant mechanisms which favor the intravascular su ...20113150298
[identification of the chemical components of two alpinia species]. 20113203437
protein variants in hiroshima and nagasaki: tales of two cities.the results of 1,465,423 allele product determinations based on blood samples from hiroshima and nagasaki, involving 30 different proteins representing 32 different gene products, are analyzed in a variety of ways, with the following conclusions: (1) sibships and their parents are included in the sample. our analysis reveals that statistical procedures designed to reduce the sample to equivalent independent genomes do not in population comparisons compensate for the familial cluster effect of ra ...20113195587
serum ferritin as the most sensitive measure of iron stores in pregnant women. 20113149686
temperature changes caused by mr imaging of the brain with a head coil.tissue heating caused by exposure to rf radiation is a primary safety concern in mr imaging. therefore, to determine temperature changes caused by high field strength mr imaging of the brain with a head coil, we measured body and skin temperatures in 35 patients immediately before and after clinical mr imaging. mr imaging was performed with a 1.5 t mr system using a 28-cm, open-bore rf transmit/receive head coil specifically designed for examinations of the brain. the average body temperature wa ...20113128077
nephrotoxic drugs.the nephrotoxic effects of cyclosporine, aminoglycoside antibiotics, cisplatin, amphotericin b, beta-lactam antibiotics and indomethacin are reviewed. these drugs were chosen because they are among the most frequent causes of renal injury in children. in addition, their nephrotoxicity is caused by different mechanisms. several generalizations can be made, however. first, agents which cause tubular damage tend to be synergistic in their toxic effects. this synergism is seen when several nephrotox ...20113153061
[current problems of infant mortality]. 20113239215
hla-drw6 antigen linkage in chronic congestive heart failure secondary to coronary artery disease (ischemic cardiomyopathy). 20113262304
hla-drw6 antigen linkage in chronic congestive heart failure secondary to coronary artery disease (ischemic cardiomyopathy). 20113262304
colon polyps and carcinomas: prospective comparison of the single- and double-contrast examination in the same patients.single-contrast (sc) and double-contrast (dc) colon examinations were compared in 425 consecutive patients for detection of polyps and stricturing carcinomas. each patient was examined with both sc and dc during the same session. in patients with carcinoma, there was no significant difference between the two modalities. dc was far superior to sc for detection of rectal or colonic polyps (p less than 0.05); however, the techniques appeared to be complementary in the sigmoid and cecum. the authors ...20113964926
a new management system for glaucoma based on improvement of the appearance of the optic disc or visual field. 20113065170
obstetric complications among chinese parturients with extreme prepregnancy ponderal indices. 20113233076
abdominal complications of ventriculoperitoneal shunts. case reports and review of the literature.ventriculoperitoneal (vp) shunting of cerebrospinal fluid (csf) is the standard therapy for the management of hydrocephalus. before the advent of silastic, early abdominal complications were frequent and finally led to the abandonment of this technique for management of hydrocephalus. with the use of silastic shunt tubing, vp shunts have once again gained favor as the procedure of choice. although there are now considerably fewer complications from vp shunts, the presence of an intraperitoneal c ...20113276260
intestinal parasitism of children and mothers in rural somalia.a survey on intestinal parasitism was carried out by microscopic examination of stool specimens from 517 children (0 to 16 years old) or from mothers living in two rural towns in somalia. burao represented the hot and dry region in the north and kismayo the more humid area in the south. the overall prevalances of intestinal parasitism were 48 and 88%, respectively. protozoal infestation was found in 46% (potentially pathogenic protozoa in 20%) in burao and 37% (potentially pathogenic protozoa in ...20113261415
intestinal parasitism of children and mothers in rural somalia.a survey on intestinal parasitism was carried out by microscopic examination of stool specimens from 517 children (0 to 16 years old) or from mothers living in two rural towns in somalia. burao represented the hot and dry region in the north and kismayo the more humid area in the south. the overall prevalances of intestinal parasitism were 48 and 88%, respectively. protozoal infestation was found in 46% (potentially pathogenic protozoa in 20%) in burao and 37% (potentially pathogenic protozoa in ...20113261415
intermittent positive pressure ventilation by nasal mask: technique and applications.intermittent positive pressure ventilation delivered non-invasively through a well-fitting nasal mask has been used to control nocturnal hypoventilation in three patients with severe, combined cardiorespiratory and skeletal disease. the advantages of this approach to domiciliary ventilation are described and the requirements of the ventilator are defined.20113283191
serum diamine oxidase in the neonate.serum diamine oxidase (dao) activities were measured in 9 pregnant women and in 33 neonates during the 1st week of life. the radiometric method was used. very high values were found in the mothers (mean +/- se: 720 +/- 143 pmol ml-1 h-1). neonates showed significantly elevated values (mean +/- se: 178 +/- 54 pmol ml-1 h-1) on the 1st postnatal day when compared to the 7th day values (mean +/- se: 27 +/- 5.7 pmol ml-1 h-1). serial determinations showed a progressive decline from day 1 to day 7 af ...20113091095
physiology of alpine skiing.physiological profiles of elite alpine skiers reveal the importance of muscular strength, anaerobic power, anaerobic endurance, aerobic endurance, coordination, agility, balance, and flexibility. on-hill snow training and dryland training programmes should focus on the elevation of these fitness components. physical characteristics of elite skiers reveal an average height and body mass. today, successful skiers are taller and heavier than their predecessors. slalom skiers tend to be leaner than ...20113067309
[segmental dilatation of the ileum: presentation of a case]. 20113232888
[a sliding compressive screw for synthesis of the femur neck]. 20113176799
[igg index: its role in the diagnosis of neurologic disorders]. 20113175400
measurement of gingival swelling from dental casts by generation of a moiré pattern with laser light.the aim of the study was to develop a sensitive measuring method enabling direct evaluation of gingival swelling to be made as registered on dental casts. on two separate occasions, when different degrees of severity of gingival inflammation were present in the same subject, reversible hydrocolloid impressions were taken of the mandible. the casts obtained were located successively in identical three-dimensional relationships in a field of interference fringes generated by two intersecting beams ...20113165406
redefining interferon: the interferon-like antiviral effects of certain cytokines (interleukin-1, interferon-beta 2, interferon-gamma) may be indirect or side effects. 20113125790
surgery for intractable epilepsy. clinicopathologic correlates in 60 cases. 20113146451
the perrault syndrome: clinical report and review.we report on two japanese sisters with perrault syndrome, i.e., autosomal recessive ovarian dysgenesis associated with sensorineural deafness. they also had ataxic gait, pes equinovarus, nystagmus, limited extraocular movements, and short stature. one older affected sister had partial growth hormone deficiency. our review included 21 patients from 8 families, including our patients; 16 are women with ovarian dysgenesis and deafness, 3 deaf males without gonadal defect, one a woman with ovarian d ...20113067578
multis putting more effort into md relationships. 20123338782
ct measurement of lung density: the role of patient position and value for total body irradiation.to obtain more precise data on pulmonary doses in preparation for total body irradiation, the lung density of patients was systematically analyzed in treatment positions using data obtained by computed tomography (ct). with the patient supine, the lung density was not significantly different for the right and left lungs. in contrast, considerable differences were noted between the two lungs in lateral decubitus positions owing to variations in ventilation and perfusion. the relative electron den ...20123294765
a novel mitotic spindle pole component that originates from the cytoplasm during prophase.several unique aspects of mitotic spindle formation have been revealed by investigation of an autoantibody present in the serum of a patient with the crest (calcinosis, raynaud's phenomenon, esophageal dysmotility, schlerodacytyly, and telangiectasias) syndrome. this antibody was previously shown to label at the spindle poles of metaphase and anaphase cells and to be absent from interphase cells. we show here that the serum stained discrete cytoplasmic foci in early prophase cells and only later ...20123536956
a novel mitotic spindle pole component that originates from the cytoplasm during prophase.several unique aspects of mitotic spindle formation have been revealed by investigation of an autoantibody present in the serum of a patient with the crest (calcinosis, raynaud's phenomenon, esophageal dysmotility, schlerodacytyly, and telangiectasias) syndrome. this antibody was previously shown to label at the spindle poles of metaphase and anaphase cells and to be absent from interphase cells. we show here that the serum stained discrete cytoplasmic foci in early prophase cells and only later ...20123536956
[composition and properties of mineral waters in storage]. 20124036054
[use of adaptation to the conditions of medium-height mountains as a means of secondary prevention of ischemic heart disease]. 20124036046
policymaking cycles in mental health: critical examination of a conceptual model.analysts have frequently used the concept of a cycle to describe the historical development of mental health policy in the united states. according to the "cyclical" perspective, the mental health system alternates between crests of high policy and program activity and troughs of stagnation and decline. analysts also observe that past policy themes are periodically rediscovered, only to eventually lose favor and recede into the background once again. this article critically examines the cyclical ...20123367023
co-existent hypoadrenalism in an asymptomatic patient with multiple trauma. 20123362086
prophylactic cytological investigation for cervical cancer in relation to stage at diagnosis: a study of 420 women in denmark.despite widespread cervical smear testing 500-600 cases of cancer of the cervix are still diagnosed each year in denmark, with over 200 deaths. the distribution of the different stages of cancer among 420 women who were diagnosed during 1983 was correlated with the number of previous cervical smears, whether done purely for screening reasons or for minor gynaecological problems. of the women with cancer 56% had never been screened, and among these 42% were diagnosed at stage 1; 19% had been scre ...20123256647
[role of the house physician]. 20123358034
[role of the house physician]. 20123358034
[scintigraphy of cerebral blood flow with n-isopropyl-p-(i-123)-iodoamphetamine in brain tumors]. 20123493377
corneal graft survival: a retrospective australian study.four hundred and forty-eight consecutive corneal grafts are analysed and their survival calculated using the actuarial life-table method. overall survival at two years is 81 +/- 4% and at five years is 65 +/- 5%. within diagnostic subgroups keratoconus has the best prognosis. previous graft failure and recipient corneal vascularization are shown to have a negative effect on graft survival. sex of patient, urgency of operation and use of combined procedures do not affect survival and second regra ...20123541978
ear trauma.ear trauma, a common problem in emergency medicine is discussed in this review. although injuries of the ear are not life threatening, they may account for significant morbidity. patients may experience severe pain, hearing loss, tinnitus, or vertigo. poor healing of injuries to the external ear may result in a cosmetic deformity as well. ear trauma may occur secondary to a number of mechanisms, including loud noises, penetrating or blunt trauma, blast injury, chemical exposure, and thermal inju ...20123325273
[use of desmopressin in the treatment of mild forms of hemophilia a and von willebrand's disease]. 20123494893
[burns in workers in the electrical industry]. 20123430982
a new two-dimensional contrast echocardiography using vitamin b, c complex. 20123458870
the chemical peel.the spectrum of chemical peeling encompasses a diverse group of peeling agents with the ability to produce a wide range of cutaneous burns. the most spectacular peels are produced by the phenol formulas. the physician, however, is restricted in the number of potential candidates as determined by skin color and potential toxicity. while not as impressive, trichloroacetic acid peels are an excellent modality for treatment of actinic keratoses, actinic dermatitis and lentigoes. improvement of rhyti ...20123328645
effect of digoxin on the heart in normal subjects: influence of isometric exercise and autonomic blockade: a noninvasive study.1. eight healthy subjects were studied before digoxin and after successive therapy periods of 1 week 0.125, 0.25 and 0.50 mg of digoxin. the mean serum concentrations (+/- s. d.) were 0.4 +/- 0.2, 0.6 +/- 0.3 and 1.4 +/- 0.5 nmol l-1, respectively. the effects of digitalis were studied by echocardiography and systolic time intervals at rest and after 3 min handgrip exercise. effects of simultaneous autonomic blockade induced by atropine and propranolol were also examined. 2. digoxin in increasin ...20123358896
structure of arthropodan hemocyanin.the x-ray structure of spiny lobster deoxy-hemocyanin has been determined at 3.2 a resolution. this oxygen-carrying type iii copper protein is a hexamer with a molecular weight of approximately 460,000. each subunit is folded into three domains, of which the structure is qualitatively described. the oxygen binding dinuclear copper site is located in the second domain. each copper is surrounded by three histidines. an analysis of inter subunit contacts shows that the hemocyanin hexamer is best de ...20123406030
[unilateral spinal anesthesia with hyperbaric local anesthetic solutions]. 20123442584
stabilization of acetylcholine receptors at neuromuscular junctions: analysis by specific antibodies. 20123479925
[subcutaneous rupture of tendons and muscles of the extremities].under study there were 278 patients with 285 subcutaneous ruptures of tendons and muscles of the upper and lower extremities. the tendon of the long head of the humeral biceps muscle and achilles tendon are most liable to subcutaneous ruptures (123 patients--43.2% and 97 patients--34% respectively). pathohistological examinations have shown that subcutaneous ruptures of tendons and muscles usually take place against the background of dystrophic alterations reducing their mechanical strength. the ...20123303625
[surgical treatment of primary chronic pancreatitis].surgical methods of treatment of chronic alcoholic pancreatitis must be chosen with special reference to the state of the duct and parenchyma of the pancreas. treatment of alcoholic patients should be performed with the participation of psychiatrists.20123424549
[patients with multiple trauma with involvement of the extremities and/or the pelvis]. 20123387798
minorities and new york medical schools. past failures and the prospect for future successes. 20133857490
influence of antibiotics on the faecal excretion of bile pigments in healthy subjects.we have evaluated the effects of 10 antibiotics, given orally for 6 days to healthy subjects, on faecal excretion of urobilinogen. intake of bacitracin, vancomycin, clindamycin, erythromycin, and ampicillin resulted in a pronounced suppression of the faecal excretion of urobilinogen (p less than 0.05). intake of doxycycline, metronidazole, nalidixic acid, ofloxacin, and trimethoprim/sulphamethoxazole had no significant effect. the effects of three antibiotics-ampicillin, clindamycin, and metroni ...20133775264
spinal stabilization. an introduction to cotrel-dubousset instrumentation. 20133650047
varied appearance of cardiac pseudoaneurysms on blood pool images.three cases of cardiac pseudoaneurysms were presented, with findings at the time of gated blood pool imaging. in only one of three was there the finding of a small neck connecting the ventricular cavity with the pseudoaneurysm. in the other two patients, there was a considerably larger communication. the size of the pseudoaneurysm itself was also of little diagnostic assistance. in one case it was small, while in a second patient it was larger in size. the third case revealed a pseudoaneurysm of ...20133595025
gastrointestinal mucosal lesions. a drug formulation problem. 20133553832
hip dysplasia or congenital subluxation. 20133705407
interpretation and classification of bone scintigraphic findings in stress fractures.a new system for classification of stress fractures identified by bone scintigraphy was developed and divided into four grades according to lesion dimension, bone extension, and tracer accumulation. the scintigraphic findings were evaluated for severity of lesions by extent of the visualized bone response, ranging from ill-defined cortical lesions with slightly increased activity (i) to well-defined intramedullary transcortical lesions with intensely increased activity (iv). bone scintigraphies ...20133572532
why the problem of reductionism in biological science will not go away. 20133623192
improved preservation of facial nerve function with use of electrical monitoring during removal of acoustic neuromas.continuous spontaneous electromyographic activity and responses to electrical stimulation of the facial nerve in the surgical field were monitored in 48 patients undergoing primary removal of an acoustic neuroma. the operative and postoperative results in these patients were compared with the results in 48 patients who were matched for age and size of tumor and who underwent the same surgical procedure without intraoperative monitoring. eighty-three percent of the patients had preoperative evide ...20133807440
imaging metastases of thyroid carcinoma. 20133668671
evaluation of gastrointestinal function with isotopic tracers.nuclear medicine is the application of tracer methodology mainly to clinical diagnosis. we use chemical compounds labelled with radioisotopes as tracers. the examinations provide us with the information on regional function of tissues and organs. in this review we describe the nuclear medicine procedures for the diagnosis of gastrointestinal diseases based on our experiences. the emphasis is put on the evaluation of the functional aspect of the gastrointestinal tract. the procedures to be descri ...20133566168
[mycology technics]. 20133847144
genetic toxicology in industry: perspectives and initiatives. 20133960894
computer programs for the analysis of cellular survival data.four programs have been written to enable radiobiologists to build a computer data base of cellular dose-survival data, calculate cell survival with a correction for cell multiplicity at the time of irradiation, fit various survival models to the data by iteratively weighted least squares, and calculate the ratio of survival levels corresponding to specified doses or the ratio of doses that produce specified survival levels (e.g., oxygen enhancement ratio or relative biological effectiveness). t ...20133685260
[various features of the course of severe forms of botulism]. 20133821034
ruptured papillary muscle, a complication of myocardial infarction: clinical presentation, diagnosis, and treatment.ruptured papillary muscle due to myocardial infarction was encountered in 14 patients during the period 1975-1983. five of the 14 patients had a history of angina pectoris and two had a history of prior myocardial infarction. eleven patients with myocardial infarction developed additional pain due to myocardial ischemia and/or a murmur of mitral regurgitation and pulmonary edema within a week, 3 others had a prolonged course with intermittent pain due to myocardial ischemia and breathlessness fo ...20133971608
right ventricular infarction mimicking extensive anterior infarction.two patients with inferior infarction complicated by right ventricular infarction are presented. both manifested electrocardiographic changes involving the anterior chest leads with initial s-t segment elevation followed by loss of r waves and the development of qs complexes mimicking anterior infarction. cardiac catheterization showed right coronary artery occlusion with normal left coronary system and anterior wall motion in each case. radionuclide angiocardiography showed dilated poorly contr ...20133757576
[peridural analgesia with morphine in oncologic patients]. 20133726634
[significance of sudden infant death (sids) for otorhinolaryngology].the high frequency of proven extensive infection in the upper respiratory tract, particularly the nose and pharynx, of infants with sids, suggests that the latter may be due to upper airway obstruction. in view of the particular vulnerability of the early infant, the widespread term "common cold" does not seem justified. the constant incidence of sids should stimulate study of the extension and effects of infection of the upper respiratory tract, including careful investigation, follow up and ad ...20133679898
radionuclide localisation of parathyroid abnormality. 20133749495
threatening life events in the onset of schizophrenia, schizophreniform psychosis and hypomania.in a study of cases of recent onset of schizophrenia, schizophreniform psychosis and hypomania (dsm-iii criteria), threatening life events were significantly related to the onset of schizophreniform psychosis but not schizophrenia. the results also suggest that threatening events may precipitate hypomanic episodes.20133779250
eskimoes and caucasians have the same sce levels both in greenland and in denmark. 20133818340
studies on the optimal dose and the mode of action of alpha-interferon in the treatment of hairy cell leukemia.the therapeutic efficacy and side effects of alpha-2c-interferon (ifn-alpha 2c) treatment of hairy cell leukemia were compared between two different dose regimen: 10 patients received maximum tolerable doses of ifn-alpha 2c for 1 year (group a), and 11 patients received minimum doses of ifn-alpha 2c, which induced an optimal biological response (group b). induction of neopterin excretion was chosen as the marker to define biological response and the dose of ifn-alpha 2c applied was on average on ...20133669762
renal fraction of cardiac output cleared of radioactive indicator in 123iodine-hippuran gamma camera renography.the renal images recorded during 1-2 min post-injection in 123i-hippuran gamma camera renography were used for determination of the total cleared renal fraction (tcrf) of cardiac output with respect to the radioactive indicator. in a study of sixty-seven normal children over two years old tcrf was 0.178 +/- 0.026 (mean +/- 1 see). this was in agreement with the estimation of tcrf from values of renal fraction of cardiac output and renal extraction ratio of hippuran in the literature. the left an ...20133568583
a rare case of anastomosis between the dorsal pancreatic and inferior mesenteric arteries. 20133785871
a rare late complication of first trimester induced abortion requiring hysterectomy-subinvolution of the placental bed. case report. 20133730350
wave propagation in the early stages of aggregation of cellular slime molds. 20144325172
[late schizophrenias]. 20144248687
bacterial drug resistance in the community and in hospitals. 20144010835
chemical sensitivity at different temperatures of the br-type, bimodal pace-maker neurone in the cns of the snail helix pomatia l. 20144155588
[consistent dichotomous reaction pattern of heart and respiratory rate in laboratory and field situations]. 20144060779
adriamycin does have a potentially depressant effect on left ventricular contractility. 20143988381
individual patterns of immunoglobulin development in ten infants. 20144187147
[value of aspiration cytology in the diagnosis of adrenal neoplasms]. 20144059628
blood and neoplastic diseases. myelomatosis. 20144434121
[2 cases of mixed ectopic salivary tumors]. 20144317059
objective evaluation of py-108-068, a new calcium channel inhibitor for the treatment of chronic stable angina pectoris.py-108-068 (py) has calcium antagonist and coronary dilatory activity in animals, suggesting that it may be useful for the treatment of angina pectoris. we have studied its effects in 19 patients with stable exertional angina. after a 2-week single-blind placebo run-in phase, patients were randomised double-blind to either 75 mg or 150 mg of the drug (in three divided doses) daily for 2 weeks, crossing over to the alternate dose for a further 2 weeks. maximal treadmill tests with computer-assist ...20144054138
predictive value of disopyramide provocation in chronic bifascicular block--long-term follow-up with a bradycardia indicating pacemaker. 20144029986
a medical emergency communications net for nebraska. 20144250934
[back measuring device for mass examination]. 20144250060
vectorcardiographic differentiation between right ventricular hypertrophy and posterobasal myocardial infarction. 20144249027
[magnesium content of laryngeal precancerous conditions and laryngeal cancers].the content of magnesium in tissues, erythrocytes and serum was analysed by atomic absorption spectrometry. a higher concentration of magnesium was found in malignant laryngeal tissue and in lymph nodes of the neck compared to homologous pre-cancerous tissue. in pre-cancerous lesions of the larynx the magnesium concentration of the erythrocytes and serum lay at the lower limit of normal. in patients with cancer of the larynx, the magnesium concentration was considerably below the normal levels a ...20143957730
[conservative therapy of chronic arterial occlusive diseases using subcutaneous administration of the rheologically effective snake venom arwin]. 20154450660
abolition of percentage requirement for accreditation of hospitals. et tu brute. 20154507335
treatment of cardiogenic shock. i. 20154510160
management of catastrophic postoperative breakdown after massive oropharyngeal cancer surgery. survival in a perilous situation. 20154551237
standards for somatotyping children: ii. the prediction of somatotyping ponderal index from children's growth data. 20154418817
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