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Biomedical subjects

G Birkenfeld

Publications and source records attributed to G Birkenfeld.

3 recordsLinked to original sources

[Last minute vaccinations].

Various vaccinations applied at short notice before a person leaves for a foreign country can still provide full protection from certain diseases. This applies in particular to the generally recommended vaccinations against diphtheria and tetanus; additionally, a booster shot against poliomyelitis also provides complete protection within a few days. Immunization against hepatitis A, yellow fever (in particular Africa), typhoid fever and, where appropriate, meningococci is available at the latest ten days before starting a journey. However, no last-minute protection is possible for hepatitis B, rabies, Japanese encephalitis or TBE.

Adult↗

Endoscopy of the gallbladder as control of gallstone therapy with methyl-tert-butyl ether.

We report on a 36-yr-old woman with six gallstones measuring 2.1 cm each. Within 21 h of methyl-tert-butyl ether (MTBE) treatment, the stones had dissolved to a small amount of residue. As could be seen from cholesterol concentrations of samples of aspirated gallbladder bile and MTBE fractions, the dissolution process was slow to begin with, and gained momentum during hours 6-11, after which it decelerated. We discontinued treatment after 20 h, since the stone residue showed no change. Cholecystoscopy performed with an Edwards angioscope via a catheter showed that there were no stone remnants, but that there were flat polyps on the gallbladder wall. One hour later, we stopped the therapy. Cholecystoscopy is a useful method of assessing the results of MTBE treatment.

Adult↗