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Biomedical subjects

D Lehmkuhl

Publications and source records attributed to D Lehmkuhl.

At least 19 recordsLinked to original sources

Determination of paclitaxel in biological fluids by micellar electrokinetic chromatography.

A method has been developed for the determination of paclitaxel (Taxol) in plasma and urine using capillary electrophoresis with sodium dodecyl sulfate as additive in the run buffer. The samples are extracted and preconcentrated with tert.-butyl methyl ether. Taxotere has been used as the internal standard. The limit of detection of paclitaxel is 20 ng/ml. In comparison to high-performance liquid chromatography, the capillary electrophoresis method is simple and needs less organic solvents.

Acetonitriles↗

[Reduction of complete inpatient treatment by a system of partial hospitalization, ambulatory and complementary services].

This study aimed at investigating whether psychiatric care and especially partial hospitalisation programmes would achieve a reduction in time and cost of inpatient care. Frequency and duration of hospital treatments were studied in chronic psychotic patients (mean duration of illness = 8.7 years) before and after admission to a comprehensive community care system. The system includes partial hospitalisation programmes, out-patient care and various community services. Frequency and duration of hospital treatments were found to be lowered to less than 50%. However, since there were long periods of partial hospitalisation in addition to in-patient treatment, the remaining time of out-patient care was reduced. This result can be found mainly during the first year after admission and applies in particular to elderly and particularly chronic patients. In discussing the findings, treatment costs were also considered.

Adult↗

[Younger psychiatric patients in homes for the aged and nursing homes].

All 77 residents aged under 65 in geriatric nursing homes and homes for the elderly in the Berlin (W) district of Charlottenburg were assessed in regard to mental illness and impairment. Additionally, data were collected covering psychopathology, clinical and personal data, medical and social care as well as the extent of contacts to nonresidents and institutional setting. 85% of these younger residents-8% of the total residential population-proved to be mentally ill. Primarily, they suffered from addiction, schizophrenia or mental retardation. Projecting our results to the total residential population of Berlin living in such homes, 728 younger mentally ill or retarded patients or 0,5%o of the population aged under 65 would live in such institutions. These residents had histories of unfavorable living conditions and a long psychiatric case history with frequent hospitalization. Distinct differences in regard to patient data as well as settings were found among public, welfare and private institutions. Results are discussed and arguments for improving care of this population are presented.

Adult↗

Electrophysiological characteristics of lumbosacral evoked potentials in patients with established spinal cord injury.

Surface electrodes positioned over the S1 and T12 vertebrae and referenced to T6 were used to record spinal potentials evoked by unilateral stimulation of the posterior tibial nerve at the knee. Data were collected on 24 patients who received spinal cord injuries 2 months to 31 years previously. The recording sites were below the level of spinal injury. The lumbosacral evoked potentials (LSEPs) were compared with the results of measurements obtained from 19 neurologically healthy subjects. Additional data were collected on each patient to characterize segmental reflex responses and preservation of sensory and motor functions associated with the L5 through S2 segments of the spinal cord. Assuming that the LSEP reflects the activity of spinal cord interneurons, the results demonstrate a degree of spinal cord dysfunction caudal to the area of injury in a substantial number of the patients with spinal cord injury which we studied.

Adolescent↗

Motor control in man after partial or complete spinal cord injury.

The essential features of motor control in spinal man can be understood in terms of segmental reflexes interacting with, and controlled by, the influence of distant segments and even by the brainstem. Thus, overall motor control in patients with spinal cord lesions can be classified according to structure as: (1) simple segmental stretch and withdrawal reflexes; (2) plurisegmental gross reflex movement of paralyzed muscles; or (3) propriospinal processes with partial brain influence (i.e., severe spasticity and traces of position and postural control). Because of the variable nature of the injuries, there may be exceptions to this rule. However, the basic mechanisms can be understood by studying stretch reflex responses to various stimuli. The segmental reflexes are under a powerful influence of the propriospinal interneuron system which conducts impulses up and down the spinal cord. Finally, the apparently "isolated" spinal cord in which clinical signs indicate complete motor paralysis and lack of sensation below the lesion is not always isolated from supraspinal control of involuntary motor activity. In a significant proportion of the clinically complete spinal injuries we studied, it was possible to demonstrate the presence of preserved bulbospinal influences on spinal reflex responses.

Electromyography↗

Techniques for locating, filing, and retrieving scientific information.

Guidelines for improving the effectiveness and efficiency of conducting a search of scientific literature are presented. Initial leads can be gained by contacting a local expert or consulting a textbook. An impression of advances being made in a particular field can be gained efficiently by scanning weekly issues of Current Contents, containing the tables of contents of most scientific journals. Recent review articles on most topics can usually be found listed in the Index Medicus. With at least one significant reference dealing with a specific topic of interest, the Science Citation Index may be used to identify articles published during a particular indexing period which cited the article as a reference. Practical guidelines are also presented for establishing a simple but comprehensive personal system for filing and retrieving on demand reprints, pamphlets, and notes.

Abstracting and Indexing↗

Ionic interconversion of pacemaker and nonpacemaker cultured chick heart cells.

Trypsin-dispersed cells from hearts (ventricles) of 7 to 8 day chick embryos were cultured 3 to 21 days. The cells became attached to the culture dish and assembled into monolayer communities. By means of a bridge circuit, one microelectrode was used for simultaneously passing current and recording membrane potentials (V(m)). The input resistance, calculated by the measured DeltaV(m) for a known step of current, averaged 10 M ohm. Electrotonic depolarization of nonpacemaker cells had no effect on frequency of firing. Within 2 min after addition of Ba(++) (5 to 10 mM) to the Tyrode bath, the cells became partially depolarized and quiescent nonpacemaker cells developed oscillations in V(m) which led to action potentials. With time, the depolarization became nearly complete and the input resistance increased 2 to 10 times. During such sustained depolarizations, action potentials were no longer produced and often tiny oscillations were observed; however, large action potentials developed during hyperpolarizing pulses. Thus, the automaticity of the depolarized cell became apparent during artificial repolarization. Sr(++) (5 to 10 mM) initially produced hyperpolarization and induced automaticity in quiescent nonpacemaker cells. Elevated [K(+)](o) (20 to 30 mM) suppressed automaticity of pacemaker cells and decreased R(m) concomitantly. Thus, Ba(++) probably converts nonpacemaker cells into pacemaker cells independently of its depolarizing action. Ba(++) may induce automaticity and depolarization by decreasing g(K), and elevated [K(+)](o) may depress automaticity by increasing g(K). The data support the hypothesis that the level of g(K) determines whether a cell shall function as a pacemaker.

Animals↗