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Biomedical subjects

H Schade

Publications and source records attributed to H Schade.

At least 19 recordsLinked to original sources

["Ultrasound tonsillectomy" in comparison with conventional tonsillectomy].

BACKGROUND AND OBJECTIVE: The postoperative convalescence after tonsillectomy is difficult because of a high rate of secondary hemorrhages and severe pain. The Ultracision Harmonic Scalpel cuts in the longitudinal direction and coagulates simultaneously by means of a 55.500 Hz vibrating blade. A randomized prospective simple blind study was conceived to compare the advantages and disadvantages of the "Ultrasound Tonsillectomy" with the conventional method. PATIENTS: Between 8/1999 and 3/2000 25 tonsillectomies were performed with the Ultracision (TEuc-group) and 25 with conventional methods (TEkonv-group). The age of the patients was between 18 and 65 years. RESULTS: The median intraoperative blood loss in the TEuc-group was significantly lower than the TEkonv-group (19.0 g/176.0 g), the pain symptoms were comparatively less. On the other hand postoperative blood losses of the TEuc-group were clearly higher (7/25 vs. 3/25), wounds healed more slowly, the development of the wound covering and the swelling of the uvula were significantly larger. CONCLUSIONS: Based on the results of the study the ultrasound technique is not superior to the conventional tonsillectomy.

Adolescent↗

[Evaluation of the immunomagnetic beads separation technique as a routine method for HLA typing].

We analyzed the HLA data of 1,427 patients and healthy blood donors from Hamburg and Hessen, to evaluate the reliability of the immunomagnetic beads method (IMB), compared to the standard NIH and the twocolor fluorescence (TCF) typing method. Concerning HLA class I, the IMB method and the NIH-method yielded almost identical results, whereas the determination of class II HLA-DR/DQ antigens required a higher rate of retyping (20%), compared the TCF method. Hence, the IMB method should not replace the standard typing procedures, particularly in organ-donor crossmatching, unless quality controls, e.g. of HLA-genotyped families have rendered unanimous results.

HLA Antigens↗

[Inpatient, day clinic and ambulatory care of children and adolescents with chronic kidney disease].

Based on personal experience in caring for about 2,500 children with various kidney disorders, the role of individual factors such as age, diagnosis, and origin of patients for the type of medical care is discussed. Most patients can be cared for in an outpatient or day-clinic setting. Major interventions such as renal biopsy requiring hospital admission are exceptions. For a successful therapy a constant flow of information between medical practitioners or non specialised hospital services and the pediatric nephrology centre is needed. Daytime care in a clinical setting today is feasible in a number of situations, e.g. for performing renal function tests and for introducing parents into certain diagnostic or therapeutic procedures such as measurement of blood pressure, manual bladder expression and dietary manipulations. Training for home dialysis as well as centre dialysis are preferably performed under outpatient conditions. The recent introduction of continuous ambulatory peritoneal dialysis for outpatients has allowed to reduce the number of patients requiring hospital dialysis which is more expensive.

Acute Kidney Injury↗

[Special hormone-determined constitutional types in women from the anthropological viewpoint].

The question is examined, whether in females hormonal determined constitution types are present which would require a different dosage of the estrogen respectively gestagen portion in the compound of ovulation inhibitors. Various aspects of constitution biology as well as of hormone physiology connected with this question are discussed in detail. Provided that a coherence between the hormonal balance and the constitutional type would be present, ovulation inhibitors could be dosed for the estrogen respectively gestagen portion. However, until now such a coherence could not be proved convincingly.

Androgens↗