Verhandlungen Ärztlicher Gesellschaften

Ohne Zusammenfassung     

Über den Enzymgehalt von Pankreas-Ersatzpräparaten

Ohne Zusammenfassung     

Rationelle Therapie der Rheumatischen Erkrankungen

Ohne Zusammenfassung     

Verhandlungen Ärztlicher Gesellschaften

Ohne Zusammenfassung     

Die Härte der krankhaften Concremente

Ohne ZusammenfassungVortrag in der XXVI. Wanderversammlung der ung. Aerzte u. Naturforscher in Kronstadt.     

MMR vaccine effectiveness in an outbreak that involved day-care and primary schools

Objective

In 2006, a large measles outbreak occurred in Catalonia (Spain), where the immunization schedule included two doses of MMR vaccine at 15 months and 4 years. The aim of this study was to investigate the vaccine effectiveness (VE) of MMR in children attending day-care and pre-school centres and to estimate the number of cases that would have been avoided by administering the first dose of MMR at 12 months.

Methods

A retrospective cohort study was carried out between October 2006 and January 2007 in day-care and pre-school centres with confirmed measles cases. VE was calculated in children aged ≥15 months without previous measles infection. Cases avoided by advancing the first dose of MMR to 12 months were estimated by calculating the basic and effective reproduction number in centres where transmission outside the class was observed.

Results

Fifteen centres and 1394 children were included. There were 77 confirmed cases (attack rate = 5.5%). Vaccination coverage of the 1121 children aged ≥15 months was 91.6% and VE was 96% (95%CI 89-98%).There were 33 (41%) cases in the 81 children aged 12-14 months. Advancing the first dose to 12 months would have prevented 74 cases (91.5%) and lowered the attack rate from 41% to 8.6%.

Conclusions

Over 90% of cases in children aged 12-14 months would have been avoided by MMR administration at 12 rather than 15 months. We strongly recommend advancing the first dose of MMR to 12 months in order to reduce the risk of measles outbreaks.     

Influence of aneurysm wall stiffness and the presence of intraluminal thrombus on the wall movement of an aneurysm - an in vitro study

The purpose of this in vitro study was to investigate the influence of aneurysm wall stiffness and of the presence of intraluminal thrombus (ILT) on aneurysm wall movement. Three latex aneurysms were used with different wall stiffness. The aneurysms, equipped with 20 tantalum markers, were attached to an in vitro circulation model. Fluoroscopic roentgenographic stereo photogrammetric analysis was used to measure marker movement during six cardiac cycles at three different systemic pressures. To investigate the influence of ILT on wall movement, we repeated the same experiment with one of the aneurysms. The aneurysm sac was then filled with one of two E-moduli differing thrombus analogues (Novalyse 8 and 20) or with perfusate as a control. It was noted that the amplitude of the wall movement (mm) increased significantly (P < 0.05) as the compliance of the wall increased. The mean amplitude of the wall movement decreased (P < 0.05) as the stiffness (E-modulus) of the ILT increased. In conclusion, ILT has a 'cushioning effect'. Wall movement (and theoretically wall stress) diminishes when the stiffness of the ILT increases. Compliance of the aneurysm wall influences wall movement. When the stiffness of the wall increases, the wall movement diminishes.     

Thermal Properties of Illite-Zeolite Mixtures up to 1100 °C

Illitic clays are the commonly used material in building ceramics. Zeolites are microporous, hydrated crystalline aluminosilicates, they are widely used due to their structure and absorption properties. In this study, illitic clay (Füzérradvány, Hungary) was mixed with natural zeolite (Nižný Hrabovec, Slovakia) with up to 50 wt.% of zeolite content. The samples were submitted to thermal analyses, such as differential thermal analysis, differential scanning calorimetry, thermogravimetry, and dilatometry. In addition, the evolution of thermal diffusivity, thermal conductivity, and specific heat capacity in the heating stage of firing were measured and discussed. The amount of the physically bound water in the samples increased along with the amount of zeolite. The temperature of the illite dehydroxylation (peak temperature) was slightly shifted to lower temperatures, from 609 °C to 575 °C (for sample IZ50). On the other hand, the mass loss and the shrinkage of the samples significantly increased with the zeolite content in the samples. Sample IZ50 reached 10.8% shrinkage, while the sample prepared only from the illitic clay contracted by 5.8%. Nevertheless, the temperature of the beginning of the sintering (taken from the dilatometric curves) decreased from 1021 °C (for illitic clay) to 1005 °C (for IZ50). The thermal diffusivity and thermal conductivity values decreased as the amount of zeolite increased in the samples, thus showing promising thermal insulating properties.