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941.
942.
Ohne ZusammenfassungZum Schluss sagen wir gern unseren verehrten Chefs, Herren Prof. Meyer und Herrn Prof. Gerber, für die Erlaubnis der Publikation der Fälle unseren besten Dank. 相似文献
943.
944.
Privatdocent Dr. Kurt Goldstein 《European archives of psychiatry and clinical neuroscience》1908,44(3):1036-1106
Ohne ZusammenfassungMeinem sehr verehrten Chef, Herrn Prof. E. Meyer, möchte ich auch an dieser Stelle meinen herzlichen Dank aussprechen für die Ueberlassung der mitgetheilten Fälle und die freundliche Durchsicht des Manuskriptes. 相似文献
945.
Dr. Kurt Laubenheimer 《Medical microbiology and immunology》1908,58(1):64-78
Ohne ZusammenfassungHierzu Taf. IV. 相似文献
946.
947.
We review research on psychosocial interventions to improve outcomes for youth with type 1 diabetes mellitus. Specifically,
we discuss individual- and small group–focused, family-focused, group-focused, and other interventions. After reviewing extant
research in each area, we discuss how the current evidence base may be used to inform clinical practice. Finally, we conclude
by discussing variations in effects of interventions on different outcomes (eg, glycemic control, family functioning) and
how to consider this evidence when selecting treatments to transport into clinical settings. 相似文献
948.
Gunther O. Hofmann Julia Marticke Ralph Grossstück M. Hoffmann Matthias Lange Holger K.W. Plettenberg Rainer Braunschweig Oliver Schilling Ingmar Kaden Gunter Spahn 《Pathophysiology》2010,17(1):1-8
Background and aims: MRI and arthroscopy are important methods in the evaluation of cartilage pathology. But frequently initial changes of cartilage in combination with chronic knee pain cannot be detected by employing these two methods. Better diagnostic tools for the detection of the early stages of osteoarthritis (OA) are required. The objective of this study was to show that near-infrared spectroscopy (NIRS) can be incorporated into routine arthroscopy to improve detection and assessment of the initial cartilage pathology. Furthermore correlations between findings in MRI, arthroscopy and NIRS in patients with initial symptoms of OA have studied. Methods: Patients (n = 21, 12 women, 9 men, age: 15–59 years, mean 34.19 years) with knee pain lasting for at least half a year without any trauma of the knee in their history were interviewed (body weight, smoking behaviour) and clinically evaluated using the Knee Injury and Osteoarthritis Outcome Score (KOOS). Also serum parameters (cholesterol, lipids) were analysed, conventional X-rays in three directions (evaluated according to Kellgren and Lawrence) and MRI (evaluation of cartilage damage according to the ICRS-score) were performed preoperatively in all patients. During subsequent arthroscopy cartilage damage was evaluated according to the ICRS-score. In addition the spectral reflection of cartilage was investigated in all knees using a special micro-glass-fiber probe in the near-infrared light region (spectral range between 1150 and 1475 nm). To characterize relations between the investigated parameters the Spearman's rank correlation coefficient was used. Inter-observer variance was calculated employing the Cohens–Kappa-test. Results: MRI demonstrated a strong inter-observer variance with no significant correlations to other parameters. The same was observed for arthroscopic findings. Only NIRS showed significant correlations with three out of five KOOS subscores. Within the general parameters only smoking behaviour showed a significant correlation with two of the KOOS-scores. NIRS therefore seemed to be a sensitive diagnostic tool in detection of initial pathology in human cartilage. The additional necessary time for the spectroscopic investigation as part of the routine arthroscopy ranged between 3 and 7 min (mean: 4 min 18 s). Conclusion: Particularly for early-stage cartilage lesions (ICRS 0/I) MRI and arthroscopy have rather low predictive value. The inter-observer variance is very high (Cohens–Kappa < 0.4). Correlations found between NIRS and KOOS suggest that NIRS potentially can be used for detection of initial cartilage pathology and may be helpful in the evaluation of the benefit of different medical or surgical interventions at early-stage of articular cartilage damage. 相似文献
949.
Kurt Weidner 《Journal of molecular medicine (Berlin, Germany)》1948,26(27-28):441-442
950.
Candidal vertebral osteomyelitis represents an extremely rare invasive mycosis and can be difficult to treat due to poor drug penetration into bony tissue. We report on a case of vertebral osteomyelitis caused by Candida krusei in a patient who had neutropenia as a result of chemotherapy for acute myelogenous leukaemia. The patient received prophylactic liposomal amphotericin B during chemotherapy but became febrile and experienced severe lumbar pain. Magnetic resonance imaging revealed vertebral osteochondrosis. C. krusei was recovered from blood cultures and voriconazole monotherapy was initiated but proved unsuccessful. The patient was then started on caspofungin monotherapy, which was discontinued after Candida krusei was no longer recoverable from blood cultures. However, as lumbar pain increased and spinal biopsy confirmed the presence of Candida krusei, caspofungin therapy was resumed. Oral posaconazole was added to the regimen when the patient did not improve after 30 days of caspofungin therapy. Combined antimycotic therapy resulted in a successful outcome. 相似文献