Early influence of an ankle sprain on objective measures of ankle joint function A prospective randomised study of ankle brace treatment

The purpose of this study was to analyse objective modalities of ankle joint function after an acute ankle sprain and to see whether treatment with an air-cushioned ankle brace could enhance the restoration of function compared with a traditionally used compression bandage. The study included 73 consecutive patients between 15 and 55 years of age with an acute grade II or III ankle sprain, who sought medical care within 24 h of the time of injury. Patients with recurrent sprain were excluded. The patients were allocated at random to treatment with compression bandage or an air-cushioned ankle brace (Air-Stirrup, Aircast). The regimen included early motion and weight-bearing in both groups. The patients were examined initially within 24 h, after 3-5 days, 2, 4 and 10 weeks after the injury by the following tests: clinical examination including range of motion, recording of postural sway by stabilometry, joint position sense test, isokinetic eversion-inversion muscle torques and figure-of-eight running. A decreased active range of motion in eversion-inversion was observed during the entire follow-up period. Increased postural sway was registered when standing on the injured foot up to 4 weeks after the injury, as were a deficit in evertor muscle peak torque and an evertor-invertor muscle imbalance compared with the uninjured side. Women demonstrated a greater impairment in postural sway than men. A longer curve running time with the injured ankle at the outside of the curve was noted at the 10-week follow-up. With the exception of running in a figure of eight, these measures were not influenced by treatment with a semi-rigid ankle brace. The methods used in the present study are well suited for further studies of objective modalities of ankle joint function, with the possible exception of the joint position sense test.     

Relation between obesity and atherogenic risk factors in a longitudinal study

Since 1980 clinical, biochemical and anthropometric examinations have been performed annually on 46 adipose patients (25 males, 18 females) and 53 test persons (35 males, 18 females) at the age of 25 to 40 years. Several of the established parameters (e. g. cholesterol, triglycerides, uric acid, blood pressure among others) in the course of the 5 years within the known normal regions drew towards the adequate limiting value to the pathological. The results of the study clearly show the central role of the overweight for the formation of risk factors. Despite the partly only in a certain tendency recognizable behaviour of individual signs after 5 years from our point of view the longitudinal technique represents itself as a very well suitable method to realize dynamic processes and risk factors of ageing.     

Modulation of cytotoxicity of cytostatic drugs by hemodialysis in vitro and in vivo

For most cytotoxic substances there are no established guidelines on how to deal with overdosage. Little is known about the dialysability of cytostatic drugs. To obtain further information, human plasma was incubated with cytostatic drugs and dialysed in vitro, using 'minimodules' with capillaries identical to those in clinical use. Cytotoxicity before and after dialysis was measured in a biological test system using permanent human lymphoblast cultures (LS2). The 20 cytostatic drugs studied were categorized as follows: (1) Dialysability in vitro. Good: methotrexate (MTX), 5-fluorouracil (5-FU/5-FUdR), cytarabine (ARAC), actinomycin D (DACT), mitomycin C (MMC), 4-OH-cyclophosphamide (4-OH-CPM), ifosfamide (IFO), melphalan (L-PAM), dacarbazine (DTIC), cisplatin (DDP). Intermediate: Adriamycin (ADM), 4'-epi-doxorubicin (4'-EA), carmustine (BCNU). Ineffective: daunorubicin (DNR), vincristine (VCR), vinblastine (VBL), vindesine (VDS), etoposide (VP-16), teniposide (VM-26), mitoxantrone (MITOX). These in vitro results cannot be transferred automatically into the in vivo situation because of specific drug distribution and metabolic rates. Considering pharmacokinetic data from the literature, the following recommendations can be made for practical clinical purposes. (2) Detoxification by hemodialysis in vivo. Possibly effective: MTX, 5-FU, MMC, CPM, IFO, L-PAM, BCNU, DTIC. Ineffective: ADM, 4'-EA, DNR, MITOX, DACT, VP-16, VM-26, VCR, VBL, VDS, ARAC, DDP.     

Brain growth in man

25 male brains meeting the criteria for normativity and available in serial sections suitable for morphometric studies were selected from the Yakovlev Collection. Growth parameters were calculated based on the generalized logistic function. The ideal weight is 1,313 g (SD = 41), with a half value time of 387 (SD = 26) ontogenetic days and a growth factor of 4.0 (SD = 0.5). Comparison of growth parameters derived from a sample of 161 normative male brains collected at the Department of Neuroanatomy of the Medical School in Hannover revealed an ideal weight of 1,353 g (SD = 14), a half value time of 401 (SD = 10) ontogenetic days and a growth factor of 4.0 (SD = 0.2). The minor discrepancies in the corresponding parameters reflect the small sample size and a considerable lack of developmental data of the three first postnatal decades in the material derived from the Yakovlev Collection. It was, therefore, deemed necessary to analyze these data in combination with data derived from other sources of human material. A comparison of human with animal growth parameters derived from mice, cats and tree shrews reveals differences in brain development. Histological shrinkage of the 25 male brains of the Yakovlev Collection related to fixation, embedding, and staining was assessed. Fetal brains shrank by about 75%, and adult brains by about 50%. The degree of shrinkage was inversely proportional to the age of the brain and was also characterized by individual variations of up to 20%. Therefore, shrinkage had to be corrected on an individual basis in order to determine the true growth of brain regions as reflected by morphometric analysis of histological serial sections.     

双源CT冠状动脉血管成像的图像处理

多层CT能可靠地显示冠状动脉,但由于其时间分辨率只有165ms,故当心率大于65次/min时所产生的心脏搏动伪影将其应用范围限制在低心率的病人。对应用双源