[Control of diabetes mellitus].
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Biomedical subjects
Publications and source records attributed to H Daweke.
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80 patients (P) (68 men and twelve women) with the diagnosis of delirium tremens were retrospectively analyzed and reexamined over a period of ten years (1974 to 1984). Included were only patients who--after failure of oral medication--required intravenous therapy with Chlomethiazol and thereby intensive care treatment. Mean age was 46.2 (26 to 75) years. During the observation period delirium tremens increased in frequency by 11% each year. Nine patients had two, six patients three and two patients four episodes of delirium tremens. In 86.7% delirium tremens occurred with fatty liver and alcoholic hepatitis, epileptic seizures, cirrhosis and hepatic coma, gastrointestinal hemorrhage and pancreatitis. Eight patients (10%) died in hospital at a mean age of 53.2 years. None of the deceased had less than three (on average four) complicating or associated diseases. These were mostly pneumonia, cirrhosis, hepatic coma, and gastrointestinal hemorrhage. The mean duration of intravenous Chlomethiazol therapy was 4.7 (0.25 to 20) days, the applied dose 26.2 (0.8 to 78.6) grams, there being no significant difference between survivors and non-survivors. Of the 72 survivors 62 were invited for follow-up examination after an average of five years. During this period another twelve patients (15%) died of pneumonia, gastrointestinal bleeding, cardiocirculatory failure and accidents. Life expectancy was only 9.3 years. Of 29 patients who came for follow-up, 55% showed clinical evidence of alcohol dependency, 65% had elevated gamma-glutamyl-transferase.(ABSTRACT TRUNCATED AT 250 WORDS)
Familial plasmocytoma in mother and son is documented in three cases, we can add one more. The review of the pertinent literature and our case disclose 40 reports of familial plasmocytoma. It seems that genetic factors may play a role in the pathogenesis of plasmocytoma.
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Problems concerning the radiological diagnosis of bleeding, malignant, small bowel tumours are discussed with reference to two cases. The need for early selective visceral angiography is stressed; the significance of contrast pooling is pointed out and the value of recognising the tumour in arriving at a diagnosis and prognosis is discussed. In the presence of negative angiographic findings the small bowel enema has proved a very valuable method of examination. The vascular leiomyosarcomas of the small bowel are best demonstrated angiographically, whereas the avascular adenocarcinomas are best shown by small bowel enema.
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In a sample of 1.033 diabetic patients characteristics of 10 group specific systems (ABO, MNS, Rh, P, K and Fy blood groups and Hp, Gc and Gm serum types) were tested in order to verify any association of hereditary group specific traits and diabetes. The patients were subgrouped for sex, seriousness of diabetes, age of manifestation and body type. The frequencies of the group specific traits were statistically compared with those of an appropriate control group using the chi2 test. Resulting from that investigation an increase of blood group 0 was found in diabetes below average in corpulence (basing upon the Rohrer index), and a confirmation was found for an already suspected association of diabetes and the Gm (a plus x plus) type.
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