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Biomedical subjects

D Ernst

Publications and source records attributed to D Ernst.

51 records · Page 3Linked to original sources
PubMed1982

The use of a rigid choledochoscope in exploration of the common bile duct.

In 62 consecutive explorations of the common bile duct during a 2-year period, a Storz rigid choledochoscope was used to visualize the lumen of the duct before its closure over a T tube. All patients had radiological abnormalities on cholangiography: 45 had stones and 17 apparent strictures. In those with stones, the instrument was introduced after apparent removal of the stones to confirm the completeness of the manoeuvre. This examination showed that 11 patients (25 per cent) still had stones present and needed further manipulation. When the duct was seen to be clear, a T tube was inserted and the validity of the choledochoscopic findings checked by postoperative T-tube cholangiography. This confirmed the visual accuracy in all but one patient, an accuracy of 98 per cent. Of the 17 patients explored for other radiological abnormalities, choledochoscopy correctly determined the aetiology or excluded abnormalities in all cases. No complications of the procedure were encountered.

Cholangiography↗
PubMed1981

Traumatic renal artery occlusion producing hypertension.

Traumatic renal artery occlusion is relatively rare. Prior to 1974 there were only 38 cases reported in the literature (1). The true incidence, however, is greater and the diagnosis is frequently missed at the time of the original injury. Less than 50 per cent of cases will develop hypertension. Early diagnosis is essential if this complication is to be avoided. Two cases of traumatic renal artery occlusion producing hypertension are described.

Adult↗
PubMed1978

The assessment of digital vessel disease by dynamic hand scanning.

A method of assessing hand and digital vessel perfusion is described. It involves an intravenous injection of Tc99m pertechnetate with monitoring of the isotope uptake in the hands and fingers by a gamma camera equipped with a small computer. The technique allows visual evaluation of the arterial supply and a means of quantifying digital perfusion. An evaluation of the technique in normal hands, in patients with digital vessel disease from vibration trauma, Raynaud's and embolism from an ulnar artery aneurysm is described. The potential of the technique in quantifying response to treatment is illustrated by sequential isotope hand scans in a patient treated for obliterative disease of the fingers.

Adult↗
PubMed1976

[Extrahepatic stenosis of the portal vein after infection or catheterization of the umbilical vein during the neonatal period (author's transl)].

147 children with high risk of developing a prehepatic portal vein obstruction were reexamined. The children had survived during their neonatal period:--Serious umbilical infection and sepsis (n=33)--Multiple exchange transfusion (n=55)--Long-term umbilical vein catheter treatment for at least 24 hrs (n=59). The reexamination at the age of 2--4 years revealed one case of total occlusion of the vena lienalis with partial obstruction of the vena portae in a child with former umbilical sepsis. Even though the etiologic relation of neonatal umbilical disorders and prehepatic portal obstruction is evident, the risk for the individual case seems to be low.

Catheterization↗
PubMed1975

[Extranuclear sites of action in UV-irradiated Fumaria hygrometrica (author's transl)].

Isolated filaments of Funaria hygrometrica have been treated by whole-cell UV irradiation (265 nm) as well as by microirradiation of the nucleus. 4 to 5 hrs thereafter the cells showed a depression in length growth. The intensity of this depression remarkably depends on the absorbed energy only. It does not matter whether the nucleus and its environcence or the whole cell are irradiated. The effect does not show photoreactivation and is rather independent from the cell cycle and hence from the DNA content of the nucleus. After X-irradiation supplying the same amount of absorbed energy no damage is detectable. The authors conclude that the site of the primary radiation effect is situated mainly outside the nucleus and that it may be a damage of the m-RNA, r-RNA or of membranes.

Cell Division↗
PubMed1975

Portal hypertension in children following neonatal umbilical disorders.

10 children presented pre-hepatic portal vein obstruction during their first 6 years of life. 8 of them had massive esophageal varices, 1 died from acute esophageal hemorrhage. The perinatal history of these childre was studied: All of them had an abnormal birth history and all had been hospitalized during their neonatal period. In 5 of them an umbilical infection had been diagnosed, one had an injection of THAM and one other an exchange transfusion through an umbilical vein catheter. Pre-hepatic portal vein occlusion in children is presumed to be mainly an acquired disease resulting from neonatal umbilical disorders.

Child↗
PubMedDate not supplied

The way to win in cross-border alliances.

Global competition has paved the way to new corporate combinations--and opened up new pitfalls along the way. In "The Way to Win in Cross-Border Alliances," Joel Bleeke and David Ernst offer the unconventional lessons of their study of 49 cross-border alliances. For example, alliances between a weak and a strong company usually don't work; but fifty-fifty ownership of joint ventures actually improves decision making.

Advertising↗
PubMedDate not supplied

[Cutis verticis gyrata, hypertrophic gastritis, motrice diarhea, and horse's tall syndrome, a new association an apudoma (carcinoid or chemodectoma) (author's transl)].

The authors report the observation of a 70 years male with Cutis Verticis Gyrata (without hypertrophying osteopathy), Menetrier's hypertrophic gastritis, motrice diarrhea of the endocrine type, flush syndrom, liver angiomatosis and a large sacral water clear cells tumor with horse's tail syndrom. The initial tumor was on the posterior wall of rectum, but was necrosed : bone metastasing chemodectoma, or locally invading carcinoid ? This new complex paraneoplastic disease seems to be associated with APUD tumor.

Acromegaly↗