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Biomedical subjects

B Metzger

Publications and source records attributed to B Metzger.

29 records · Page 2Linked to original sources

[Cardiac pacemaker perforation of the transverse colon in the infected pacemaker system].

While perforations of pacemakers outside due to infection or pressure necrosis are no rarity on account of the constantly rising number of patients, perforations into the abdominal cavity are rarely observed. All infectious complications make great demands on the surgical therapy and often demand manifold correction operations. It is reported on the case of a pacemaker perforation into the transverse colon. Our therapeutic principles in infections and perforations of pacemakers are shortly explained.

Aged↗

[Wedge-lobe-resection of the bronchogenic cancer (author's transl)].

It is reported about 70 patients with bronchogenic cancer during the period of 1967 to 1978, which were treated by a wedge-lobe-resection of cardiorespiratory reasons. The results of this operation method don't stand behind those of lobe- respectively pneumonectomy. The reasons are the comparatively lower operation stress and the smaller loss of lung parenchyma. In critical use the economic method of treatment presents a true alternative treatment on patients with increased risk, though it should not remove the classic resection methods.

Adult↗

Plasma C-peptide and diagnosis of factitious hyperinsulinism. Study of an insulin-dependent diabetic patient with "spontaneous" hypoglycemia.

Factitious hyperinsulinism was suspected in a patient with an 11-year history of insulin-dependent, ketosis-prone diabetes mellitus who began to experience repetitive episodes of "spontaneous" hypoglycemia. Insulin mediation of the hypoglycemia was confirmed by documenting that urinary insulin and total extractable insulin in plasma increased during periods of hypoglycemia. Failure to detect significant amounts of human C-peptide by radioimmunoassay during periods of hypoglycemia or in response to stimulation with glucagon, leucine, or tolbutamide indicated that the insulin was not endogenous. The diagnosis of factitious hyperinsulinism was ultimately proved by the finding of radioactivity in the patient's urine after 131-I Hippuran was added to a vial of insulin found in the patient's room.

Diabetes Mellitus↗

Childhood obesity and risk of cardiovascular disease: a review of the science.

Childhood obesity has been connected to hyperlipidemia, diabetes, hypertension, and atherosclerosis (Klish, 1998). Both genetic and environmental influences play a role in the development of obesity. Prevention of obesity in childhood is the best chance of instituting lifestyle change for the reduction of cardiovascular morbidity and mortality. Children at high risk for obesity-related cardiovascular disease (CVD) should receive family-based individualized treatment. Nurse practitioners practicing in the primary care setting are in an ideal position to address children and families with regard to lifestyle modification of diet and exercise.

Adolescent↗