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Biomedical subjects

F Röder

Publications and source records attributed to F Röder.

At least 19 recordsLinked to original sources

Software for automated application of a reference-based method for a posteriori determination of the effective radiographic imaging geometry.

OBJECTIVES: Presentation and validation of software developed for automated and accurate application of a reference-based algorithm (reference sphere method: RSM) inferring the effective imaging geometry from quantitative radiographic image analysis. METHODS: The software uses modern pattern recognition and computer vision algorithms adapted for the particular application of automated detection of the reference sphere shadows (ellipses) with subpixel accuracy. It applies the RSM algorithm to the shadows detected, thereby providing three-dimensional Cartesian coordinates of the spheres. If the three sphere centres do not lie on one line, they uniquely determine the imaging geometry. Accuracy of the computed coordinates is investigated in a set of 28 charge-coupled device (CCD)-based radiographs of two human mandible segments produced on an optical bench. Each specimen contained three reference spheres (two different radii r1=1.5 mm, r2=2.5 mm). True sphere coordinates were assessed with a manually operated calliper. Software accuracy was investigated for a weighted and unweighted algebraic ellipse-fitting algorithm. RESULTS: The critical depth- (z-) coordinates revealed mean absolute errors ranging between 1.1+/-0.7 mm (unweighted version; r=2.5 mm) and 1.4+/-1.4 mm (weighted version, r=2.5 mm), corresponding to mean relative errors between 5% and 6%. Outliers resulted from complete circular dense structure superimposition and one obviously deformed reference sphere. CONCLUSIONS: The software provides information fundamentally important for the image formation and geometric image registration, which is a crucial step for three-dimensional reconstruction from > or =2 two-dimensional views.

Algorithms↗

Psychotropic drug use, falls and hip fracture in the elderly.

The use of benzodiazepines (BZD) or other psychotropic agents is an established risk factor for falls and hip fractures. The evidence supporting this association has been based solely on history and/or prescription data. In a case-control study we monitored the intake of BZD, tricyclic antidepressants (TCA) and barbiturates in patients with hip fracture by serum analysis, and compared this measurement with drug history and prescription records. The serum was BZD positive in 41% of 82 community-dwelling patients; an equivalent by history and/or prescription records, however, was detected in only 18% (p < 0.0001). In contrast, in 82 age- and gender-matched community-dwelling control patients, there was only a minor discrepancy (3%) in BZD use between anamnestic (N = 19) and analytical (N = 21) data. In 23 patients admitted from nursing homes, a similar trend was visible (39% serum positive for BZD vs 26% by drug history). Barbiturate use (N = 2) could be neglected, and TCA intake was minor (N = 7); in each case both assessments were in accordance. In conclusion, in patients with hip fracture, BZD use is substantially more frequent than reported and previously assumed, pointing to an underestimated risk factor for this injury.

Accidental Falls↗

[Chorea-like motor restlessness in clozapine].

Clozapine is an antipsychotic drug that has a very low incidence of extrapyramidal side effects. Only few dyskinetic and dystonic motoric alterations are described. This brief review describes three patients who developed chorea-like symptoms during a Clozapine therapy. The possible causal mechanisms of these side effect are suggested.

Adult↗

[Group psychotherapy for Turkish patients with a translator--a report with comments of the first, constituting session].

The needs of insufficiently treated Turkish patients motivated to offer a group-psychotherapy in cooperation with an interpreter. Only on a trickful way his expenses could be paid by the health insurance. While the plan for such a group was made, it was estimated just as a second-rate escape for such patients. But already during the course of the first group-session a therapeutic concept developed which overcame barriers of language and culture. So this experiment turned out to be an important step for developing suitable therapeutic structures for migrants.

Adult↗

[Existential analytic psychotherapy of conversion neurosis in migrant workers].

After a brief introduction into some existential-analytic points of view of the body and of conversion syndrome the actual socio-cultural situation of the migrant workers is explained with many details. For the understanding of the meaning of the conversion symptoms it is necessary to search for the existential concept of the patient which is actually in danger. The therapeutic procedure following this concept is demonstrated on the base of four clinical cases.

Acculturation↗

[The hemodynamics of the intestinal arteries of the dog with special reference to the flow rate].

Intestinal haemodynamics was examined invasively in 30 mongrel dogs. Beside registration of blood pressure values of the blood flow were evaluated especially. Measured flow values in the three main intestinal vessels - Truncus coeliacus, A. mesenterica superior and A. mesenterica inferior - were compared to aortal flow. Thereby the sum of intestinal arteries values was equal to intrarenal aortal flow. Two thirds of aortal flow may be expected in the portal vein. These relations make in possible to get informations about physiological intestinal circulation from single values without measurement of all intestinal vessels.

Animals↗

[Effect of the hodja (magic healer) on Turkish psychiatric patients in West Germany--an evaluation of clinical examples].

Turkish magic healers called hodjas are working in West-Germany today. Our knowledge about their influence on Turkish patients is poor. They are consulted at least from patients with psychogenous diseases. The degree and the multiple dimensions of their influence and the possibility for the doctor to master the conflicting cultural identity of these patients is demonstrated on the base of four clinical case-histories.

Acculturation↗

[A method for determining the hemodynamic behavior of the liver in vitro].

Hemodynamic parameters of livers--especially resistance of the sinusoids and of functional portosystemic shunts--are investigated using an electro-physical model. During liver perfusion the inflow conduit is compressed irregularly. The dynamic changes of pressure and flow allow a calculation of the volume passing the sinusoids and the functional shunts.

Animals↗

[Modification of hemodynamic parameters of the liver by preservation].

Perfusion of sinusoids and of functional portosystemic shunts was investigated before and after PPF-, Collins- and Ringer storage and in Ringer-trickle-perfusion of the liver using a physical-mathematical method. The increase of the sinusoidal resistance after PPF-storage is less than after preservation by electrolyte solutions. Accordingly the amount of volume passing the sinusoids is higher after PPF-storage. This fact is of great importance for haemodynamic integrity after transplantation.

Animals↗