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the challenge of "gatekeeping". 20123347165
vectorcardiographic differentiation between right ventricular hypertrophy and posterobasal myocardial infarction. 20144249027
[experimental evaluation of urinary 3 alpha-hydroxysteroid determination by using 3 alpha-hydroxysteroid dehydrogenase]. 20154475881
resection of the inferior vena cava above the renal veins. 20165055980
sinus node suppression in acute strokes--case reports.the authors report on 5 patients, 4 of them observed over a period of only two months in one community hospital, who developed profound sinus node suppression in the early phase following acute strokes. this complication resulted in the death of 2; in the remaining 3, it was controlled by electrical cardiac pacing or intravenous atropine. in 3 patients, the strokes were due to subarachnoid hemorrhage, and in 2, they were secondary to vascular occlusion. in at least 4 patients, the prognosis seem ...20113189950
rehabilitation of juvenile psychosis. 20123503839
private duty nursing: part ii--refusal to permit employment on premises. 20123386950
ultrasound, angiography and fine needle aspiration biopsy in diagnosis of renal neoplasms.the diagnostic approach to a renal mass including ultrasound, angiography and fine needle aspiration biopsy is reviewed on the basis of 23 cases. the value of the combination of these methods is emphasized especially in tumors which appear without echoes at ultrasround and avascular-hypovascular at angiography. the findings are correlated and some differential diagnostic problems discussed as well as the possible risk of spreading tumor cells at fine needle aspiration biopsy.2004525406
support for 208 planning. 2004522207
role of surgical treatment in pancreatic carcinoma.from 1964 through 1984, we treated 810 patients for carcinoma of the pancreas. in 129 patients pde was possible (16%). up to 1977, we had performed whipple's procedures, while from 1978 through 1982 total pancreatectomy was our principal procedure. since 1983, partial pde again has been the procedure of choice for the potentially curative treatment of pancreatic cancer. comparing the results of both methods (60 partial/64 total), we did not find any advantages of total pancreatectomy. operative ...20123815874
anatomy and physiology of the gastrointestinal tract. 20143945583
reform and restructuring in nursing education: a necessity for nursing's future in florida. 20061563527
editorial: digoxin--the regulatory viewpoint. 20164813170
aspects of laboratory tests for pancreatitis. 20154651097
teacher training in sex education. 20154695504
[screening for cardiovascular risk factors in a large workplace].a screening investigation was carried out in a large industry in the copenhagen region and 1,472 of the employees were offered examination of blood cholesterol and measurement of blood pressure. at this examination the employees completed a one-page questionnaire about other cardiovascular risk factors. 45% of those invited participated in the investigation, the poorest participation was among women and the greatest among the male officials. on account of the limited number of female employees, ...20072238226
[screening for cardiovascular risk factors in a large workplace].a screening investigation was carried out in a large industry in the copenhagen region and 1,472 of the employees were offered examination of blood cholesterol and measurement of blood pressure. at this examination the employees completed a one-page questionnaire about other cardiovascular risk factors. 45% of those invited participated in the investigation, the poorest participation was among women and the greatest among the male officials. on account of the limited number of female employees, ...20072238226
non-germ cell testicular tumours in nigerians.non-germ cell testicular tumours are reported to be more common in peoples of negroid and asian descent than in caucasians. this group of tumours comprised seven of sixteen testicular tumours seen in a ten-year period at the university of benin teaching hospital, benin city, nigeria. however, unlike experiences elsewhere in africa and the west indies where paratesticular tumours accounted for a majority of these tumours, malignant lymphomas constituted over 70% of non-germinal testicular tumours ...20082635452
non-germ cell testicular tumours in nigerians.non-germ cell testicular tumours are reported to be more common in peoples of negroid and asian descent than in caucasians. this group of tumours comprised seven of sixteen testicular tumours seen in a ten-year period at the university of benin teaching hospital, benin city, nigeria. however, unlike experiences elsewhere in africa and the west indies where paratesticular tumours accounted for a majority of these tumours, malignant lymphomas constituted over 70% of non-germinal testicular tumours ...20082635452
platelet aggregation in transient global amnesia.we found a correlation between increased platelet aggregation parameters and transient global amnesia and no differences between patients with transient global amnesia and transient ischemic attacks. our findings support the theory of a vascular mechanism for transient global amnesia.20092737863
deer slaughter. 20133705401
stability of rolitetracycline in aqueous solution. 20144150946
[the excretory apparatus and diabetes]. 2005545627
[choroid plexus carcinoma with metastasis to bone (author's transl)].a very rare case of the choroid plexus carcinoma of the left lateral ventricle with metastasis to bone was reported. a two-month-old baby was suffering from irritability and vomiting. her vital signs became progressively worse. on admission she showed an increased head circumference and meningeal irritation signs. an emergency tapping of the right lateral ventricle at the anterior fontanel revealed the bloody csf and an opening pressure of over 700 mm of water. all laboratory findings were negat ...2004492463
[analysis of tuberculosis complicating silicosis at 5 metal mines, yunnan province]. 20133792158
openness to experience, identity flexibility, and life change in adults.the personality trait of openness to experience was used to predict identity flexibility, the tendency of adults to evaluate alternative identity commitments in the area of family and work. openness to experience was also used as an independent variable to predict the occurrence of actual life change 12 months after identity flexibility was ascertained. a sample of 57 adults (34 women and 23 men) ranging in age from 24 to 61 (m = 41 years) was tested twice over the 12-month period. age and openn ...20133701571
[the dipyridamole test. its place in the functional diagnosis of coronary insufficiency]. 20114036021
[the dipyridamole test. its place in the functional diagnosis of coronary insufficiency]. 20114036021
pelvic and perineal recurrence in patients with rectal cancer. 20143957742
the search for indices. 200091795
[postoperative esophageal stenosis (role of the laryngologist)]. 2002153373
detection of nonrandom clustering of colonies in agar culture.we report a quantitative method for the detection of clustering in agar cultures. a statistical model was constructed on the assumption that colony formation by a cell in agar culture was independent of its spatial relationship to other cells in the culture. deviation from this model was then tested by a chi-squared test of the actual observations compared with values obtained from the model. this method provides a technique that will identify interactions between cells of like or unlike type. u ...20134029296
[water electrolyte excretion disorders during dry erythroderma: hypersecretion of antidiuretic hormone?]. 2003161489
studies in muscle rigidity, nitrous oxide, and narcotic analgesic agents. 20165061718
biometeorological triggers in childhood asthma.the relationship between child asthma admissions and biometeorological factors was investigated over a 16-month period. no relationship was found with many commonly suspected precipitants such as temperature, humidity and wind. there was however a strong association with rainfall (p much less than 0.001). associations occurred with low barometric pressure and counts of coloured basidiospores and green algae, but no significant relationship was found with grass pollen.20123416418
[a new practice system for heart-lung resuscitation (dräger-laerdal]. 200193277
alveolar macrophage and its participation in the inflammatory processes of allergic asthma.purified alveolar macrophages (am) obtained by bronchoalveolar lavage of allergic asthmatic patients are stimulated by incubation with anti ige or the exposure to the related allergen. confirming the demonstration of a receptor for the fc fragment of ige on the surface of macrophages, ige was characterised on ams by a rosette-assay, showing an increased percentage of cells forming rosettes with red blood cells coated with anti-ige or the specific allergen. the ige-dependent secretion of arachido ...20102937475
[selection of newborns with birth injuries for after care in a special session].selection of birth-traumatical injured newborns for follow-up with special care.--premature newborns most will be in a special care during infancy and childhood. for all the mature infants this way is to expensive. we publish a compilation of abnormal neurological findings suitable for selecting with high risk of birth traumatical induced brain damage. the risk-group contains about 5% of all mature newborns. this number is small enough for a high expense within the bounds of the common care for ...1988210604
development of biclonal gammopathy in a patient with von recklinghausen's neurofibromatosis.a well established case of von recklinghausen's neurofibromatosis, in which a biclonal gammopathy developed, has been studied. one of the paraproteins was characterized as igg kappa, the other as igg lambda. this combination of anomalies has not been described previously in the literature.1998106627
ballot in scotland on proposed consultant contract. 199991768
con-a-activated t cells secrete factors with polyclonal b-cell-activating properties.concanavalin a induced polyclonal antibody synthesis in normal spleen cells in vitro. optimal responses were obtained by con a concentrations lower than those optimal for induction of dna synthesis. t cells, but not macrophages, were necessary for the effect. spleen cells from nude mice were not activated, whereas cells from the lps non-responder stain c3h/hej were activated to polyclonal antibody synthesis by con a. supernatants from con a activated spleen cells could by themselves induce polyc ...200088758
[does one have to be aggressive in the surgical management of diverticular disease of the colon (author's transl)].a series of 61 consecutive cases with diverticular disease and its complications is presented. fourteen cases with uncomplicated diverticular disease and 3 with massive gi tract hemorrhage underwent an uneventful (segmental) resection. of 6 cases operated for fistula formation 1 died. surgical therapy for abscessformation, peritonitis and "pseudo-tumoral" obstruction (38 cases) carried a high mortality (26.3%). the application of a one-staged aggressive and curative surgical approach lowers the ...200193359
[2 cases of sudden death of twins with idiopathic cardiomegaly]. 2002129892
renewed voluntary spirit needed, says blue cross;. 2002139559
treatment of spasmodic torticollis with dorsal column stimulation. 2004303442
kinetic measurement of bicarbonate in serum by thiocyanate inhibition of wheat germ phosphoenolpyruvate carboxylase.we describe a kinetic enzymic method for serum bicarbonate analysis, using wheat germ phosphoenolpyruvate carboxylase (ec 4.1.1.31) coupled through oxaloacetate reduction with nadh in the presence of malate dehydrogenase (ec 1.1.1.37). inhibition with potassium thiocyanate yielded first-order kinetics with respect to bicarbonate over the concentration range of 0-45 mmol/l. the inhibitor was chosen by evaluating reaction data in the presence of different anions, with use of a monoexponential mode ...20052253346
glycosidase activities in gingival crevicular fluid in subjects with adult periodontitis or gingivitis.specific glycosidase activities were determined in samples of gingival crevicular fluid (gcf) collected from eight predetermined sites in two groups, each of 20 adult patients, with either gingivitis or periodontitis. the total activities (as units of enzyme activity per sample) of alpha-l-fucosidase, sialidase, beta-n-acetylglucosaminidase, beta-galactosidase, beta-glucosidase and alpha-glucosidase were significantly greater in the periodontitis group. in contrast, the total beta-mannosidase an ...20061610303
[the psychopathological structure of paroxysmal psychoautonomic disturbances and its importance for the differential diagnosis and prognosis of different forms of neuroses and depressions].the psychopathological structure of vegetative paroxysms was studied in different patterns of neuroses (120 cases), endogenous depressions and organic cns lesions (160 cases). four types of paroxysms were distinguished depending on the predominance of the definite register of disorders: (1) simple vegetative paroxysms (crises) with the predominance of the vegetative manifestations proper, characteristic for organic cns lesions and somatogenic; (2) vegetoaffective paroxysms including the vegetati ...20072168633
portable multichannel recordings: a new screening approach for evaluating apnea in infants and children. 20082724063
managing vulnerability: nursing treatment for heroin addicts.grounded theory methodology was used to study nursing interventions in a methadone maintenance clinic. participant-observation as a clinic staff nurse over four months was the principal method of data collection. a substantive theory called "managing vulnerability" was developed to describe nursing treatment of heroin addicts during methadone maintenance. managing vulnerability has three parallel stages for the client and nurse. these stages are (a) learning to be vulnerable, (b) living with vul ...20092807328
endoscopic sclerotherapy for esophago-gastric varices: a critical reappraisal.amongst the many non-surgical techniques for the treatment of variceal bleeding, endoscopic sclerotherapy (est) has shown great promise. est can successfully obliterate esophageal varices and prevent variceal rebleeding. it is also very effective in the control of active bleeding from esophageal varices. the technique of est is simple and can be carried out with a conventional, forward viewing, flexible endoscope and a teflon injector. weekly intravariceal injections of an aqueous sclerosant are ...20092669716
[relation between c-reactive protein and fever during treatment of acute infections in children]. 20102950470
[preparation of a prothrombin complex concentrate (use of deae-cellulose and deae-sephadex)]. 20114036026
[preparation of a prothrombin complex concentrate (use of deae-cellulose and deae-sephadex)]. 20114036026
premature mortality by income level--multnomah county, oregon, 1976-1984. 20113126384
[individual preventive examinations of school-age children accompanied by their parents]. 20123502955
have you looked at your will lately? seven common mistakes in estate planning and how to avoid them. 20123373137
nabumetone in the treatment of active adult rheumatoid arthritis.one hundred patients were entered in a six-month, double-blind comparison of 1,000 mg nabumetone once daily and 250 mg naproxen twice daily. forty-two patients in each arm of the study were evaluable for efficacy; all were evaluable for safety. there was a low incidence of adverse experiences during this study, with no patients withdrawing from the study because of side effects from either drug. efficacy was equal, with both compounds sharing the same degree and rate of improvement. all of the p ...20123318429
heat acclimatization by controlled hypothermia. 20133837743
[status of children with frequent infections from an immunologic viewpoint]. 20133811397
[program for computing cardiac hemodynamics on the elektronika bz-21 program-controlled computer]. 20133754673
[working environment. how it is perceived by occupational health services]. 20133647641
[epidemiological characteristics of angola].the epidemiological analysis of infectious morbidity for recent years has been made and the main nosological forms existing in angola (malaria, tuberculosis, lepra, african trypanosomiasis, plague, intestinal diseases, etc.) have been briefly characterized on the basis of primary medical reports and the data provided by the literature and experimental work. this analysis creates the necessary prerequisites which enable the local public health organs to determine the regularities of the epidemic ...20143993283
effect of fetal neuroblastomas on the mother. 20144192108
[method of developing manual skills in dental cavity preparation]. 20154619433
the effect of vincular injury on the results of flexor tendon surgery in zone 2.from a consecutive series of 82 fingers (69 patients) that sustained flexor tendon lacerations in zone 2, 47 fingers (39 patients) had the status of the vincular system determined during primary repair. the vincula were intact in 22 fingers and not intact in 25. total active motion (tam) after rehabilitation and before a reconstructive procedure, such as repair of a rupture, tenolysis, or grafting of a tendon, was the end point of the study. the overall mean tam was 196 degrees. the mean tam was ...20144045137
[changes in the duodenum in chronic kidney diseases]. 20154468672
why patients select dental schools for treatment: effects of fee structure and student appearance. 20154529427
[the basilar vein. variations and semeiology]. 20165053504
the relationship of the maximum amplitude and the maximum and minimum slope of the intrauterine pressure waveform in late pregnancy and labor. 20165038395
sudden death from neurological causes in india. 20155025982
commonly adopted postures and their effect on the lumbar spine.the activity of the erector spinae muscles and the changes in lumbar curvature were measured in 11 subjects in a range of commonly adopted postures to see if there were any consistent trends. surface electrodes were used to measure back muscle activity and lumbar curvature was measured using electronic inclinometers. the results showed that many commonly adopted postures reduced the lumbar lordosis when compared with erect standing or sitting, even at the expense of increasing the back muscle ac ...20123406840
[reminiscence therapy with the elderly].extending the possibilities of psychotherapeutic treatment, reminiscence therapy and life review seem to be especially suited to help elderly patients cope with crisis or depression. however, there are still many differences in methods and techniques applied. in this article, the role of the past in depression, previous research on reminiscence therapy as well as its possible goals and methods are considered. an example of reminiscence group therapy in a psychogeriatric day hospital is presented ...20051287697
alternative first-line therapies in geriatric hypertension.between 45 and 60% of elderly persons have mild to moderate hypertension. in those with combined systolic/diastolic hypertension, blood pressure reduction significantly reduces morbidity and mortality. secondary causes of hypertension, particularly renovascular, should be considered in elderly patients with a recent history of hypertension. because of their proven efficacy and low cost, low-dose thiazide diuretics remain an important first-line therapy. angiotensin-converting enzyme (ace) inhibi ...20092647588
tumour antigens. 20144159818
[multiple follicular cyst of familial character]. 1992265282
determining the extent of coarticulation: effects of experimental design.the purpose of this letter is to explore some reasons for what appear to be conflicting reports regarding the nature and extent of anticipatory coarticulation, in general, and anticipatory lip rounding, in particular. analyses of labial electromyographic and kinematic data using a minimal-pair paradigm allowed for the differentiation of consonantal and vocalic effects, supporting a frame versus a feature-spreading model of coarticulation. it is believed that the apparent conflicts of previous st ...20082600314
different effects of the ionophore a-23187 and d-glucose on 45ca2+ fluxes in isolated islets of ob/ob-mice.fluxes of 45ca2+ were studied in beta-cell rich islets of non-inbred ob/ob-mice, using lacl3 to wash out extra-cellular and superficially bound 45ca2+. the ionophore a-23187 (10 microm) increased the 45ca2+ uptake in islets both at 3 and 20 mm d-glucose, the effect being more pronounced after 10 min than after 120 min of incubation. in incubations for 120 min, 20 mm d-glucose induced a higher uptake of 45ca2+ than did a-23187. the ionophore enhanced the unidirectional efflux of 45ca2+ from prelo ...1986362823
reflection on geriatrics. 1990267819
prenatal methylmercury poisoning. clinical observations over five years.thirty-two infants prenatally exposed to methylmercury and their mothers were examined over a five-year period after the iraqi methylmercury epidemic. severity of poisoning in mothers was related to the peak mercury concentration in their hair and in the infants to the maximum concentration in maternal hair during pregnancy. in nine cases of cerebral palsy, methylmercury exposure occurred only during the last trimester. all infants except three (two were orphaned soon after birth and one was bot ...199984530
study recommends extra clinical experience for nurses of two-year program. 20165030306
homogeneous immunoglobulins in the serum of irradiated and bone marrow reconstituted mice: the role of thymus and spleen.the influence of thymectomy and splenectomy on the frequency and class distribution of homogeneous immunoglobulins (h-ig) in serum was studied in lethally irradiated (dba/2 x c57bl/rij)f1 mice reconstituted with syngeneic bone marrow. during four follow-up periods in the first 9 months after transplantation, the sham-operated controls and splenectomized animals developed transient h-ig in an average frequency of 14.2 and 15.7% respectively. there were no marked differences in the incidence of h- ...2004387578
health expenditure 1978/79. 1998104698
the ada conference on increasing access to dental care. a report. 1985268525
better clinical diagnosis of contraction of the transverse brim. 20124825881
utility of leopold maneuvers in screening for malpresentation.malpresentation is a common complication of pregnancy. using ultrasound as the gold standard, we prospectively tested leopold maneuvers as a screen for nonvertex presentation in the third trimester. in our hands this technique performed poorly. values for sensitivity, specificity, positive predictive value, and negative predictive value were 28, 94, 24, and 95%, respectively, in a population with a 7% prevalence of noncephalic presentation. much of the correlation between the screening and diagn ...20071876372
children's literature on death and dying. 2004375165
[large saphenous vein as an arterial replacement]. 20154540450
cellular changes in the toad urinary bladder in response to metabolic acidosis.the urinary bladder of bufo marinus excretes h+ and nh+4, and the h+ excretion is increased when the animal is placed in metabolic acidosis. the mitochondria-rich (mr) cells mediate the h+ excretion by the bladder. the purpose of this study was to determine if there is a change in mr cells of the bladder during metabolic acidosis. bladders from normal toads and from toads that had been placed in metabolic acidosis were used. the bladders were mounted between plastic chambers and h+ excretion mea ...199996269
lectin binding to pseudoexfoliative material and the ocular zonules.lectin staining of pseudoexfoliative material on the lens capsule, zonules, and iris showed the presence of the beta-d-galactose (1-3) galactosamine sequence, alpha-d-galactosamine, beta-d-galactose, beta-(1-4)-d-glucosamine, and terminal sialic acid. mono and difucosyl binding sites were also found. the likelihood that the lectins were binding to two different galactosamine-containing moieties was supported by their different distributions in the photoreceptors. these affinities suggest a compl ...20133759368
[aging and appearance of intestinal metaplasia in chronic gastritis]. 20154675158
[impressions of posteriorly edentulous arches]. 20164871854
malignant melanoma. 20103768643
constant and variable regions in glycoprotein hormone beta subunit sequences: implications for receptor binding specificity. 1994201763
[surgical sciatica. study of 251 cases undergoing a single operation (author's transl)]. 2005544204
changes in body composition and energy expenditure after six weeks' growth hormone treatment. 20061796983
changes in body composition and energy expenditure after six weeks' growth hormone treatment. 20061796983
orchiectomy during herniorrhaphy: what should we tell the patient?although orchiectomy is rarely required during inguinal herniorrhaphy, it is frequently a topic of preoperative concern. our study disclosed a concomitant orchiectomy rate of 2 percent during 1,817 groin herniorrhaphies. the risk of orchiectomy was greatest in patients with incarceration (relative risk 22 times) but was also increased by herniorrhaphy for recurrence (relative risk 8 times) (table ii). on the other hand, patients undergoing repair of a primary reducible hernia were at low risk. o ...20123425809
effects of hexosamine derivatives and uronic acid derivatives on glycosaminoglycane metabolism of fibroblast cultures. 20144256179
[5-hyroxytryptamine in the central nervous system of the gold- fish (carassius auratus)]. 20144177370
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