近红外乳腺扫描对早期乳癌的诊断价值(附1500例病例分析)

近红外线乳腺扫描对诊断乳腺癌,特别对早期乳癌具有高度的敏感性和诊断特异性,根据1500例证实的分析,近红外线乳腺扫描诊断率T1—T2期为95％;T1期直径<1cm及TO期乳癌诊断率为85％。 作者首先提出近红外线乳腺扫描的所见15种分型,本文叙述了近红外线乳腺检查的诊断原则及其诊断价值。 由于近红外线乳腺扫描具有高敏感性而且是无损害的简易的检查方法,我们认为应作为乳腺的常规检查及普查时的首选检查方法。     

中医灸与人体穴位红外辐射光谱特性研究

本文通过锁相放大技术测到人体不到1cm^2面积的体表红外辐射光谱。通过对这些光谱的归一化处理后发现，不同人体和同一人体的不同穴位，尽管其红外辐射绝对光谱及强度相差很大，但归一化光谱都有相当的一致性与可比性。进一步将人体发射的平均归一化光谱与中医艾条灸、隔姜灸、隔蒜灸及隔附子饼灸点燃过程中的光谱比较发现，后面三种间隔灸与人体自发辐射的光谱有着惊人的一致性，而艾条灸等的光谱却相差甚远。     

红外多波长无创人体血糖检测阵列模型的研究

无创血糖监测不仅可以减少患者的痛苦，还能进行连续测量，从而降低并发症的发生，它是一种不需收集血样进行体内血糖浓度测量的新技术。本文根据朗伯-比尔定律(The Lambert—Beer Law)原理，为克服无创血糖检测研究中的难点和缺陷，详细分析了血糖红外光谱的吸收特性，利用阵列技术设计了红外多波长无创血糖检测传感器阵列模型，对关键技术进行了讨论。用ME算法建立了信号检测和标定数学模型，结合了人体各种影响因素，使红外无创血糖检测的精度和稳定性得到了改善。列举了详细的实验实施步骤，同时叙述了系统调试的详细过程，讨论了无创血糖检测中需要注意的问题。     

传统中医艾灸疗法的热辐射光谱特性的研究

采用间接测量方法研究传统中医艾灸热辐射光谱的特性，即采用光电色度计测量自燃状态下艾条的三刺激值，并在计算出色度坐标基础上，使用内插法得到艾条的色温，最后由plank公式计算得到艾条热辐射光谱特性。由测量结果得知自燃状态下艾条的热辐射光谱主要是以靠近近红外的远红外为主的光谱，其中包含可见光成份，其谱峰大约在2、8μm。     

Development of oculomotor functioning in preadolescence, adolescence, and adulthood

We examined developmental differences in smooth pursuit eye tracking proficiency in a large sample of preadolescent, adolescent, and adult males. Smooth pursuit was quantified using general measures of oculomotor functioning and by examining the frequency and dynamic characteristics of specific saccadic events. Examination of age effects using general measures indicated that, by late adolescence, the smooth pursuit system reached adult levels of functioning. No significant differences were found between the adolescent and adult groups on most global measures. However, both groups had better eye tracking than the preadolescent group, suggesting that during preadolescence the oculomotor system is still developing and is not yet capable of optimal performance. Examination of the frequency and dynamic characteristics of the saccadic events yielded additional information regarding the nature of the smooth pursuit eye tracking differences of the three age groups.     

Experimental evaluation of eye-blink parameters as a drowsiness measure

Drowsiness and increased tendency to fall asleep during daytime is still a generally underestimated problem. An increased tendency to fall asleep limits the efficiency at work and substantially increases the risk of accidents. Reduced alertness is difficult to assess, particularly under real life settings. Most of the available measuring procedures are laboratory-oriented and their applicability under field conditions is limited; their validity and sensitivity are often a matter of controversy. The spontaneous eye blink is considered to be a suitable ocular indicator for fatigue diagnostics. To evaluate eye blink parameters as a drowsiness indicator, a contact-free method for the measurement of spontaneous eye blinks was developed. An infrared sensor clipped to an eyeglass frame records eyelid movements continuously. In a series of sessions with 60 healthy adult participants, the validity of spontaneous blink parameters was investigated. The subjective state was determined by means of questionnaires immediately before the recording of eye blinks. The results show that several parameters of the spontaneous eye blink can be used as indicators in fatigue diagnostics. The parameters blink duration and reopening time in particular change reliably with increasing drowsiness. Furthermore, the proportion of long closure duration blinks proves to be an informative parameter. The results demonstrate that the measurement of eye blink parameters provides reliable information about drowsiness/sleepiness, which may also be applied to the continuous monitoring of the tendency to fall asleep. Electronic Publication     

Erbium-YAG and holmium-YAG laser ablation of bone

Results are presented for the latent heat of ablation of bone using an erbium-YAG laser operating at 2.9m, and a holmium-YAG laser operating at 2.1m. The values are 8.2±1.0 kJ cm^–3 and 18±2.0 kJ cm^–3, respectively. Secondary damage to surrounding tissue is found to extend approximately 5m with the erbium laser and is greatly increased to 80m with significant charring in the case of holmium. These secondary damage zones are much smaller than those produced by the CO₂ laser.     

红外线短波紫外线照射对感染伤口愈合的影响

目的：探讨红外线、短波紫外线照射对感染性伤口愈合的影响。方法：用随机方法将７２例感染伤口病人分为Ａ、Ｂ两组,每组３６例,Ａ为治疗组：在消炎、伤口换药基础上加用红外线、短波紫外线照射伤口７天,Ｂ为对照组：单纯消炎、伤口换药。结果：Ａ组治愈２８例,显效８例,有效率１００％。Ｂ组治愈１４例,显效１２例,无效１０例,有效率７２％,统计学处理Ｘ＾２＝１５．４７Ｐ〈０．０１,两组有显著差异。结论：红外线、短波     

Periventricular- intraventricular hemorrhage in the premature infant- A historical perspective

The objective of this chapter is to trace the evolution of intraventricular hemorrhage in the premature infant highlighting the importance of the germinal matrix, a critical role for cerebral blood flow changes in the genesis of hemorrhage, clinical factors that increase the bleeding risk, and potential preventative strategies. In 1976, neuropathological studies demonstrated capillary rupture within the germinal matrix as the precursor of hemorrhage. In 1980, introduction of cranial ultrasound facilitated diagnosis of intraventricular hemorrhage. In 1979, loss of cerebral autoregulation in sick newborn infants was demonstrated. In the 1980’s, studies demonstrated the importance of intravascular factors in provoking hemorrhage. In 1983, the association of cerebral blood flow velocity fluctuations and subsequent hemorrhage was demonstrated. In 1994, antenatal steroids use to accelerate lung development was recommended. This was associated with an unanticipated reduction in hemorrhage. In the mid 1990’s early indomethacin administration was associated with a reduction of severe hemorrhage.     

Über Melanin und Melanosomen im ZNS im Vergleich zu extracerebralen Erscheinungsformen und synthetischem Melanin aus Dopamin und Serotonin

Summary Melanosomes and isolated melanosomal fragments (melanin particles) originating from gangliocytes (substantia nigra), astroglia (melanosis cerebelli), and melanocytes (melanotic meningeoma; metastases of melanoblastoma; melanosis thalami of the goat) were compared with synthetic melanins prepared from dopamine and serotonin, respectively. Samples were examined by electron microscopy, X-ray diffraction analysis according to Debye-Scherrer and by infrared spectrophotometry, and the results were evaluated with regard to characteristic features as they may relate to specific cell types or chemical structures.On electron microscopy all three types of melanosomes could be differentiated unequivocally as could the two synthetic melanins. Thus, there were similarities between synthetic melanin from dopamine and the gliogenic melanins of the cerebellum; the synthetic melanin from serotonin resembled melanin of melanocytes.X-ray diffraction analysis yielded 2-4 Debye diffraction rings with all human and synthetic samples, suggesting short range orders between 3.8 to 5 Å the sample obtained from a goat with thalamic melanosis showed a specific reflex pattern. While diffraction patterns of some melanins were partially identical, in particular that of melanin from dopamine and melanin of substantia nigra and dentate nucleus, respectively, they were different for the various melanocytic melanins. Further investigations are required to determine whether these differences are due to disparities in basic chemical structures or conformations or else, to particular compositional features of the various types of melanocytes as they arise from benign or malignant tumors or a specific species.Infrared spectrophotometry at higher wave numbers revealed the well known patterns of melanins, which are not, however, very suitable, for their further differentiation. At lower wave numbers (fingerprinting) melanin of substantia nigra and the glial melanin in melanosis cerebelli yielded additional absorption bands of identical configuration. In contrast to melanin from dopamine, melanin from serotonin exhibited a closely similar absorption pattern in this spectral range, suggesting that the neuroectodermal melanins may contain a component possibly arising from serotonin.

Herrn Prof. Dr. Wilhelm Doerr zum 25. 8. 1979