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Biomedical subjects

B Griefahn

Publications and source records attributed to B Griefahn.

49 records · Page 3Linked to original sources
PubMed1976

[Results of polychemotherapy and immunotherapy in acute leukemias].

For the purpose of evaluating the efficiency of an unspecific immunostimulation in acute leukaemias the results of treatment obtained from two groups of patients (a total of 55 children) were compiled. In the first group an unspecific immunostimulation with vaccination (BCG, diphtheria-tetanus-pertussis, measles) could be observed after the induction of remission during a cytostatic maintenance therapy. In the second group a polychemical therapy and the CNS-irradiation was applied according to the treatment scheme developed by the working team of Donald Pinkel. The group of patients treated with unspecific immunostimulation involved a high percentage of surviving children. In total there was no essential difference between the treatment results of both schemes of therapy during our period of observation. As before, the treatment of hyperleukocytic forms of leukaemias will cause particular difficulties.

Acute Disease↗
PubMed1976

[Prefinal clinical findings and results of autopsy in 82 children with acute lymphatic leuckemia (ALL) under various courses of therapy].

At present 80...90 % of the patients with acute lymphatic leukaemia die in the blastic crisis. About 10% will come ad finem during full remission caused by side effects of the treatment and their complication. The leukaemic terminal crisis may be accompanied or overlapped by a number of complications, the most frequent among own patients being acute bleeding in the terminal phase. First of all the source of bleeding is to be found in the gastro-intestinal tract (80%). Other authors found infections to be the most frequent final cause of death. It is only under autopsy that leukaemic infiltrates, infections and bleeding are completely recognized to their full extent. After polychemo-therapy the patients showed a significant increase of complications including pulmonary oedema and a marked insufficiency of the bone-marrow with leukocytopenia and granulocytopenia in the peripheral blood. Among the biochemical parameters only a generally significant increase of alpha2 and gamma globulins could be found in the serum. A correlation towards a form of therapy could not be ensured.

Adolescent↗
PubMed1975

[Changes of pulse rate caused by sonic bomms during sleep (author's transl)].

In two experimental series (19 resp. 53 nights, 2 different persons in each series, test-time 10.30 p.m. to 3.00 a.m.) pulse rate after sonic booms had been recorded during sleep. In the first 3 nights the subjects slept undisturbed by noise. In the following 11 resp. 30 nights sonic booms were applied alternately 2 or 4 times. In the main series after 10 more nights without any noise 4 nights with 8 and 16 sonic booms alternately followed. The last 6 undisturbed nights in both series were used as comparison phase. The interval between two sonic booms was 40 min in nights with 2 booms, 20 min in nights with 4 sonic booms and in the nights with 8 and 16 sonic booms 8.6 resp. 4.6 min. Sound level of the sonic booms ranged from 0.48 mbar to 1.45 mbar, 1 mbar [83.5 dB (A)] in the average. The first sonic boom was applied if one of the two subjects had entered the deepest stage of sleep. Sonic booms induced a biphasic reaction in pulse rate. After an initial increase in frequency with a maximum in the 4th sec pulse rate decreased below the value before sonic boom; it was followed by a slow increase towards the baseline value. This reaction was analysed with special regard to the following factors: 1. Intensity. Due to very fast increase of noise intensity there was no significant correlation between the intensity of sonic boom and the pulse reaction. 2. Exogenic variables. There is no significant connection between postboom pulse rate and noiseless time before the sonic boom, the duration of the test series and the ambient temperature. 3. Endogenic variables. No correlation could be found between the stage of sleep and the reaction. On the contrary a very significant correlation was found between the maximum of postboom increase of pulse rate and the pulse rate before boom. With increasing pulse rate the extent of reaction becomes smaller.

Aircraft↗
PubMed1975

Disturbance of sleep by sonic booms.

After a pilot study (2 subjects, 19 nights) we tested two different subjects during 57 nights, administering sonic booms (1 mb, 300 ms; sound level of sonic boom in the bedroom 80-85 dB (A) and recording EEG and peripheral blood volume. After 7 nights without noise, 30 nights with either 2 or 4 sonic booms (alternately) were applied. After 10 more nights without noise, four nights with 8 and 16 bangs followed alternately. The last 6 nights were used as a comparison phase. Results showed that distrubance was obvious during all periods of noise. No adaptation could be observed during any of the experiments. On the contrary, during the night with 4 bangs there was a tendency for compensation, e.g., in the last two thirds of nights with 4 bangs, the total time of deep sleep was comparable with the nights without any noise.

Blood Volume↗
PubMedDate not supplied

[The problem of noise adaptation during sleep].

Within experimental series carried out till now habituation to noise during sleep was, as a rule, statistically insignificant, though most of the papers are reporting a decrease of awakening-reaction during the experiment. This discrepancy rises from the small number of experimental trials, so that statistical test fail. Summarizing the published data the decrease of reaction during test series is significant. Based on these data a function of habituation has been calculated demonstrating an increase of O-reactions (all reactions less than a change of one sleep stage) and a decrease of awakening-reactions caused by acoustical stimuli. The ascent of the curve of habituation becomes flatter and is about 0 within the 9th test night. As indicated by the calculated curve, it seems that a second process of habituation takes place but this further decrease of reactions could not be proven. The increase of 0-reactions as well as the decrease of awakening reactions is dependent on the content of information of the acoustical stimuli which decreases with the number of stimuli.

Acoustic Stimulation↗
PubMedDate not supplied

[Cavernoma of the medulla oblongata mimicking "Anorexia nervosa" - a case report].

An 11-year-old girl presented with recurrent vomiting, reduced food and fluid intake, weight loss and dizziness. In an external hospital she was diagnosed as having habitual vomiting and a beginning eating disorder. The physical examination revealed a very thin, malnourished child with abdominal pain on palpation but without neurologic deficits. Laboratory findings, X-rays, endoscopy and ultrasound revealed no pathological results either. Since the EEG and the cranial computed tomography (CT) were normal, we also suspected the beginning of an eating disorder especially due to some psychical peculiarities. The MRI which was done for ultimate exclusion of an infratentorial tumor showed a well defined displacing structure in the dorsal medulla oblongata and in the upper cervical spinal cord. A corresponding prolongation of the central conduction time was found in the median nerve SSEP whereas the BAEPs were normal. The tumor was excised in toto and the histological examination confirmed the suspected diagnosis of cavernous hemangioma (cavernoma). The post operative phase was without any complications and the intiated nutrition was well tolerated. Neurological deficits were not observed.

Abdominal Pain↗
PubMedDate not supplied

Disturbed sleep patterns and limitation of noise.

Due to the undisputable restorative function of sleep, noise-induced sleep disturbances are regarded as the most deleterious effects of noise. They comprise alterations during bedtimes such as awakenings, sleep stage changes, body movements and after-effects such as subjectively felt decrease of sleep quality, impairment of mood and performance. The extents of these reactions depend on the information content of noise, on its acoustical parameters and are modified by individual influences and by situational conditions. Intermittent noise, that is produced by air traffic, rail traffic and by road traffic during the night is particularly disturbing and needs to be reduced. Suitable limits are suggested.

Auditory Threshold↗
PubMedDate not supplied

Protection goals for residents in the vicinity of civil airports.

Based on extensive and detailed reviews the present paper suggests evaluation criteria for aircraft noise for the prediction of noise effects and for the protection of residents living in the vicinity of (newly constructed or extended) civil airports. The protection concept provides graded evaluation criteria: Critical loads indicate noise loads that shall be tolerated only exceptionally during a limited time. Protection Guides are central evaluation criteria for taking actions to reduce noise immission. Threshold values inform about measurable physiological and psychological reactions due to noise exposures where long term adverse health effects are not expected. Evaluation criteria are provided for various protection goals, for hearing, communication and sleep, for the avoidance of annoyance and of suspected cardiovascular diseases. As protection of the residents is understood as a dynamic process, these criteria must be repeatedly tested and adapted to new scientific findings.

Aircraft↗