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Biomedical subjects

F Bäumer

Publications and source records attributed to F Bäumer.

At least 19 recordsLinked to original sources
PubMed1997

[Doxycycline-induced ulcerous esophagitis].

Since 1972, a number of publications, in particular in the Anglo-American literature, have reported the occurrence of drug-induced esophagitis. Among the causative agents under discussion, tetracyclines and their derivatives play a leading role. We now report on a case with the aim of describing the typical course and clinical symptoms, diagnosis and treatment of such ulcerative esophagitis, and also consider the pathophysiological basis for its development.

Adult↗
PubMed1996

[Not Available].

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General Surgery↗
PubMed1993

[Seat-belt syndrome. Is "securing" children in back seats of cars exclusively with a lap belt defensible?].

In automobile accidents the "seat belt syndrome" describes a combination of injuries involving the thoraco-lumbar vertebrae and intraabdominal organs. This may result from wearing of only a pelvic seatbelt. Children are often involved. Analysis of two separate cases showed the "assurance" of children as passengers on the backseat with a pelvic belt to be dangerous and not longer justifiable. Anatomical proportions and posture in childhood necessitate backseats especially designed for children. They should include the possibility of installing a three point safety belt system.

Abdominal Injuries↗
PubMed1993

[Post-traumatic expert assessment of the shoulder joint in pre-existing os acromiale].

It often is difficult to assess a posttraumatic status if there is a skeleton anomaly in the region involved. A rare case of contusion of a shoulder joint with an os acromiale is presented. The os acromiale itself is unimportant in respect of the posttraumatic evolution. Posttraumatic damage can only be accepted if it can be verified objectively.

Acromion↗
PubMed1992

[Gunshot injuries--their incidence and surgical problems].

Since the time when firearms became readily available, surgeons have had to deal with the gunshot wounds which have presented for treatment. In middle europe, in peace time, gunshot wounds account for only a small percentage of the total number of trauma cases seen. This is reflected in our patient census in which a mere 0.065% of cases were associated with such injuries. It would seem that a relevant knowledge of the technical and physical attributes of firearms is important. With this understanding, the formulation of an according treatment plan is made easier. Gunshot wounds are frequently not confined to the extremities. The trauma surgeon, who largely deals with limb injuries, is now confronted with an increasing number of chest and trunk wounds and their particular therapeutic consequences.

Abdominal Injuries↗
PubMed1992

[The value of Ender nailing in hip para-articular femoral fractures in gerontologic traumatology. Ender nailing--hip para-articular femoral fractures--gerontologic traumatology].

Nailing according to Ender is one of several competing methods of osteosynthesis for treating per- and subtrochanteric fractures of the femur in geronto-traumatology. Within 5 years we have treated 62 geriatric patients by this procedure. The average-age of our patients was about 76 years. Only 20 of them were able to be examined after a time of ca. 37 months post operationem. Intraoperative complications were backing out of the femur corticalis at the entry hole, followed by perforations of the head or neck of the femur. In one case we saw a supracondylar fracture. In the postoperative period we mostly found dislocations of the nails to cranial or caudal. Moreover there were one wound infect and one pseudarthrosis. The mortality rate came to 6.5% and was never caused by the method. When leaving the hospital the majority of the elderly patients was mobilized and able to walk. In spite of reduction of function of hip and knee and external rotation deformity and shortened legs the patients declared to be content with the result of the operation. Important geronto-traumatological aspects of the Endernailing-method could be seen in the simple procedure, the short operating time, a minimal surgical trauma and a diminishing of the risk of the mostly multi-morbid patients. Regarding the great number of specific complications competing methods are going on to be preferred. Meanwhile the application of Endernails is an exception in geronto-traumatology.

Aged↗
PubMed1992

[Use of the dynamic condylar screw in fractures of the coxal end of the femur--are there advantages in gerontologic traumatology?].

Till now instable fractures of the upper end of the femur were treated by using the 95 degrees fixed angle blade in gerontotraumatology, too. As an alternative treatment within 16 month we used the dynamic condylar screw (DCS) in 87 cases of patients elder than 65 years. The results were compared to 81 patients, who had been treated by implantation of 95 degrees fixed angle blades. As to gerontotraumatology it was interesting, that there were no DCS-specific complications, which demanded operative revision. Advantages of the DCS are easy insertion, firm fixation, increased strength and resistance to stress failure, short times of operation and hospitalisation. The most important disadvantage--as to gerontotraumatology--however is the not existing primarily load capacity.

Aged↗
PubMed1991

[Polytrauma in automobile drivers--on the coincidence of adolescents and the elderly].

In traffic severe accidents accompanied by polytraumata reach more and more importance to traumatology. We explored our own patients with regard to the coincidence of such accidents with juvenile and senior age and found out a very high risk in the age groups between 16 and 25 years. The causes could be little experience, readiness for risks and overrating their own talent. Elder persons driving motor vehicles are also very often involved in traffic accidents. In this group polytraumata however are not so frequent compared to many accidents without severe consequences. Polytraumatisized patients are very important as to the costs in the health and social system. In any case they cause a considerable economical loss.

Accidents, Traffic↗
PubMed1991

[Is there a noticeable temporary protective function of homologous skin grafts of variable thickness in deep burns against the effect of atmospheric oxygen?].

The injurious influence of atmospheric oxygen upon healing of large wound areas for instance of burn wounds is well known, in differently thick skin grafts different protective functions can be demonstrated. Experiments show the isolation functions of the full-thickness on the one and split skin grafts on the other hand in burn wounds by measuring the subcutaneous pO2: under temporary full-thickness grafts there are with regard to the atmospheric oxygen clearly lower oxygen partial pressures than under split skin grafts.

Animals↗
PubMed1991

[Peritoneal lavage in the diagnosis of blunt injuries of hollow intra-abdominal organs].

In some cases of blunt abdominal trauma lesions of gastrointestinal tract are occasionally found. The difficulty with these injuries lies in establishing the diagnosis. Clinical examination alone does not reliable evidence, particularly if the patient is unconscious and therefore unable to respond subjectively. Although abdominal sonography ist becoming increasingly important in the diagnosis of blunt abdominal trauma lesions of the gastrointestinal tract frequently remain undetected or are diagnosed to late where this method of examination is used exclusively. In the retrospective analysis of our patients we have encountered serious complications such as peritonitis and even cases resulting in death. On the other hand when peritoneal lavage was employed, no false negative results occurred. Consequently the value of this method in the diagnosis of blunt abdominal trauma and possible lesions of the gastrointestinal tract is indisputable.

Abdominal Injuries↗
PubMed1990

[Problems and incidence of abdominoperineal impalement injuries].

In our population of trauma patients abdomino-perineal impalement injuries are very rare. With reference to our own patients we demonstrate the problems that arise with impalement injuries: infection, hemorrhage, intraabdominal organ lesions and difficulty in recognizing these. The necessity for elicitation of a precise history and meticulous diagnostic examination is undisputed. In our own patients we have always tried to achieve definitive therapy as a primary procedure. There have been no lethal complications.

Abdominal Injuries↗
PubMed1989

[Not Available].

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Burns↗
PubMed1989

[Traumatic diaphragmatic ruptures in an accident surgery patient sample].

The problems of the direct and indirect diaphragm lesions are discussed based on the own collective of patients. The most common trauma pattern was the direct immediate rupture of the left half (Strug). All ruptures were combined with additional trauma including lesions to the abdomen, pelvis, thorax and cranium. Diagnosis could usually be made by conventional X-ray techniques. The high rate of lethality is explained by the extensive additional trauma that is seen with rupture of the diaphragm.

Adult↗
PubMed1989

[Ability to transport oxygen of temporary full and split-skin transplants].

The influence of atmospheric oxygen upon the healing of large wound areas has once more become a matter for discussion. Local vasoconstriction and the production of oxygen-derived free radicals have now been demonstrated. Recent experiments have shown the different isolation functions of temporary full-thickness and split-skin grafts with regard to topical oxygen.

Animals↗