PubMed Health⌕ Search

Biomedical subjects

B Minnigerode

Publications and source records attributed to B Minnigerode.

At least 55 records · Page 3Linked to original sources
PubMed1978

[Obstructive emphysema--a typical late event after reconstructive surgery for laryngeal or tracheal stenoses (author's transl)].

Obstructive emphysema following reconstructive surgery for laryngeal and tracheal stenoses is a frequent occurrence which may well be a typical event. Four stages occur which can be differentiated according to their severity. These are specified and illustrated by the pathophysiological values of pulmonary function tests in 29 patients. A significant correlation exists between the degree of obstructive emphysema or physical irregularity of the airflow which occurs and the interval of time since operative reconstruction of the airway has taken place.

Constriction, Pathologic↗
PubMed1977

[The problems of electronystagmography in the clinical diagnosis of vestibular diseases (author's transl)].

The aim of a documentation in electronystagmography, that is to record as complete and definite as possible the information of a nystagmus relative to all its distinctive marks, hitherto has been reached just as little as the attempt, to develop a fine-quantitative investigatory method suitable for standardization for medical practice. The sources of error caused by the equipment and of physiological nature within a recorded nystagmus trace are exposed and illustrated by respective examples. Outgoing from the theory of the rotatory nystagmus based on the rotation test of the human vestibular system the fundamentels are developed for a complete evaluation method of an electronystagmogram including the elimination of artefacts by the authors' own research work in this field. However the pointed out problems of the electronystagmography are not yet answered in the clinical diagnostic of vestibular diseases, the systematic examination of spontaneous nystagmus and provoked nystagmus still represents the most important, most profitable and well-grounded part of the vestibular investigation in the medical practice.

Diagnostic Errors↗
PubMed1977

[Animal experiments on particulars of the time factor in the development and solving of pulmonary atelectasis caused by foreign body (author's transl)].

In literature are only older publications about the temporal beginning of the acute atelectasis after obstructive foreign body occlusion of the bronchial system which are operated at the open thorax. For this reason experiments on animals were made to find out the earliest beginning of an atelectasis by a simple bronchial occlusion as an imitation of a natural process of a foreign body aspiration. The alterations in each single phase of development showed regularly based on serial radiographies and by the autopsy macroscopic and microscopic that about 2 or 3 h after aspiration of an obstructive foreign body it will be reckoned with a complete atelectasis. Only now correlate the clinical result, the X-ray and the pathological-anatomical alterations. The histological picture of the complete atelectasis follows the macroscopic result only in longer temporal distance. Atelectasis occuring before the mentioned moment cannot be explained by an absorption of air from the alveolar tissue, but they depend on foreign body independent reflexes (= reflex contraction atelectasis). In other series of experiments the retroplasia of an atelectasis showed no regularity after the release of the bronchial occlusion, as the time of development, but it is possible to say that it takes more time of retroplasia the longer the atelectasis lasts. Dependent on that the respiratory exchange was jerky into the atelectatic lung after a resting period without prefering any lobes of lungs where localised atelectatic foci remain a longer time.

Animals↗
PubMed1977

The endoscopic picture of the intramural oesophageal diverticulosis.

On the basis of the results in 3 own observations the endoscopic picture of the intramural oesophageal diverticulosis has been described in detail. It is characterized by an increased tonus of the oesophagus inlet musculature, a conspicuously non-irritant oesophageal mucosa, the absence or only a slightly indicated and irregular course of the expansion peristalsis, a poor distinction of the respiratory luman variations and the occurrence of circumscribed spasms and, above them, of segmental relaxation bulging. Pathogenitically the disease is probably caused by a disturbance of the muscular activity with bulging of the functioning mucosa at points of an oesophagus wall weakness.

Diverticulum↗
PubMed1977

[The present status of vestibular testing (author's transl)].

Proceeding from the standard aims of every vestibular test, modern fine-quantitative investigatory methods with or without electronystagmographic recording in opposition to the systematic search for spontaneous and provoked nystagmus are presented with a view to their value for medical practice. Examination of spontaneous nystagmus and provoked nystagmus including the fistula symptom and coarse-quantitative excitability tests still represents the most important and most profitable part of the vestibular investigation. For modern research methods standardization of nomenclature and restriction of their plurality are as necessary as a method, which takes in not only single parameters but the whole data contents of vestibular reactions. The practicability of the method is documented by the author's own research work in this field.

Caloric Tests↗
PubMed1977

[Subglottic stenosis of the larynx following prolonged translaryngeal endotracheal and nasotracheal intubation in infancy (author's transl)].

Illness or injury prompting respiratory support, choice of size of the endotracheal tube, the extent of mechanical mucous membrane damage, the duration of intubation as well as additional bacterial and chemical toxins are the main factors for the development of subglottic stenosis following prolonged intubation. All this has to be considered when translaryngeal endotracheal or nasotracheal intubation has to be performed. The evaluation of 56 cases of postintubation subglottic stenoses showed an almost complete neglect of these decisive parameters as shown by the resulting serious consequenses for the somatic and intellectual development of the befallen children.

Age Factors↗
PubMed1977

[Direct laryngotracheobraonchoscopy (author's transl)].

The place of direct laryngotracheobronchoscopy since its introduction 80 years ago, and the necessary anaesthetic methods, lighting systems, magnification and recent use of flexible fibreoptic bronchoscopes are discussed and appraised. Its further development is dependent upon that of modern optical instruments, whilst the basic principles of its use diagnostically and therapeutically remain little changed.

Anesthesia, General↗
PubMed1975

[The legal situation of the physician in the treatment of under-age patients (author's transl)].

Legal questions relative to the common and special understanding of care, to the valid consent to diagnostic or operative procedures, and to the professional discretion involved in the treatment of under-aged patients are discussed. Consideration is given to the different applications of law which utilize either the patient's age group or his intellectual faculty as an underlying basis for a legal decision.

Adolescent↗
PubMed1975

[Principles of the burden of proof in medical liability proceedings (author's transl)].

The application of different ways of thinking - that is to say the juridical, human scientific evaluating and the medical, natural scientific establishing - next to each other can direct to difficultics and divergencies in the reply of expert questions in medical liability proceedings, although each way of thinking attains to correct and practicable results. Relative to the medical expert this presums on the one hand a distinct degree of juridical mentality and necessitates on the other hand a medical mind and scrutiny of the factual situation coordinated to the juridical train of thoughts and terms. A particular importance is due herein to the knowledge of the principles and directions of the burden of proof within the rules of criminal and civil procedure. Starting from the legal handling the forms observing are explained in detail and illustrated by means of competent laws and court findings. Therewith an estimation of the medical state of affairs should be rendered possible for the medical expert adequate coordinated to the juridical terms.

Expert Testimony↗