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A case of interhemispheric subdural hematoma. 1994 Koumtchev, Y., Department of Neurosurgery, University of Medicine, Plovdiv, Bulgaria.
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Print(0)
Ref Type
Journal Article
Periodical, Full
Folia medica
Periodical, Abbrev.
Folia Med (Plovdiv)
Pub Date Free Form
/
Volume
36
Issue
1
Start Page
59
Other Pages
61
Notes
Place of Publication
ISSN/ISBN
0204-8043
Accession Number
Language
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
The interhemispheric subdural hematoma is a rare condition. We present a case of interhemispheric subdural hematoma in a patient aged 65 years. A day prior to admission he was struck with a water-pipe on the head. He went to sleep the same evening complaining of a slight headache. At about two o'clock in the morning the headache increased in intensity. By the morning he lost consciousness. On examination by a neurosurgeon the patient was found to be comatose. The physical examination revealed blue eyelids of the left eye, paraplegia of the right leg, paresis of the left leg and arms. Bilateral Babinski's reflex was present, the abdominal reflexes were absent, the tendon and periosteal reflexes were hyperactive. The pupils were equal in size and slowly reactive to light. The patient exhibited symptoms of meningoradicular irritation. An emergency CT scan revealed high-density area in the interhemispheric sulcus extending frontally to parietally. The patients was operated on in an emergency. At operation, extensive rupture of the sagittal sinus was identified. Later the patient died. The presented case was interesting with the extensive rupture of the sagittal sinus and the relatively long lucid interval until clear manifestation of the clinical picture becomes evident.
Descriptors
aged, article, case report, cranial sinus, human, injury, male, pathophysiology, rupture, subdural hematoma
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Book Title
Database
MEDLINE
Publisher
Data Source
Embase
Authors
Koumtchev,Y., Petkov,S., Gozmanov,G.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Experimental based experiences with the introduction of a water safety plan for a multi-located university clinic and its efficacy according to WHO recommendations 2007 Kramer, A., Institute for Hygiene and Environmental Medicine, Ernst-Moritz-Arndt-University, 17489 Greifswald, Germany
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Print(0)
Ref Type
Journal Article
Periodical, Full
BMC Public Health
Periodical, Abbrev.
BMC Public Health
Pub Date Free Form
2007/
Volume
7
Issue
Start Page
Other Pages
Notes
Place of Publication
ISSN/ISBN
1471-2458
Accession Number
Language
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
Background. Due to the high number of immunosuppressed and other predisposed patients hospitals have to control and ensure the microbiological water quality. The origin for the occurrence of pathogenic microorganisms in water pipes is the formation of biofilm. Methods. For the permanent control of water safety a water safety plan (WSP) was realized as recommended by the WHO following the principle "search and destroy". The WSP is based on an established HACCP concept due to the special focus. The most important measures include the concept for sample taking depending on patient risk. 3 different categories) are distinguished: risk area1 (high infection risk), risk 2 (moderate infection risk), and risk area 3 (not increased infection risk). Additionally to the threshold value of the German law for the quality of drinking water (TrinkwV) three more limiting values were defined (warning, alert, and worst case) for immediate risk adapted reaction. Additional attention has to be focussed on lavatory sinks, which are an open bacterial reservoir. Therefore continuous disinfecting siphons were installed as part of the WSP in high risk areas. If extended technical equipment is not available, especially for immunocompromised patients the following measures are easy to realize: boiled (or sun exposed) water for nursing procedures as well alimentary use, no showering. Results. Comparing data over 3 years the microbial water quality was significantly improved resulting in no new case of nosocomial Legionella pneumoniae and decrease in neonatal sepsis. Conclusion. According to average situations with highly contaminated water system the management must be defined with implementation of water task force, immediate providing of special equipment, information of patients and staff and control of the water quality, an example for successful decontamination of the hospital within 24 hours is given. © 2007 Dyck et al; licensee BioMed Central Ltd.
Descriptors
drinking water, water, article, bacterium, disinfection, hospital infection, immunocompromized patient, infection risk, Legionella, newborn sepsis, risk, safety, sun exposure, university hospital, water quality, water sampling, world health organization
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Book Title
Database
Embase; MEDLINE
Publisher
Data Source
Embase
Authors
Dyck,A., Exner,M., Kramer,A.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
A LABORATORY RUBBER "WATER PIPE". 1963 Krasnovskaia, T.I.
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Print(0)
Ref Type
Journal Article
Periodical, Full
Zdravookhranenie Belorussii
Periodical, Abbrev.
Zdravookhr Beloruss
Pub Date Free Form
/
Volume
21
Issue
Start Page
67
Other Pages
Notes
Place of Publication
ISSN/ISBN
0044-1961
Accession Number
Language
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
Descriptors
rubber, devices, article, laboratory, water supply
Links
Book Title
LABORATORNY I REZINOVY I "VODOPROVOD".
Database
MEDLINE
Publisher
Data Source
Embase
Authors
Krasnovskaia,T. I., Martsinkevich,R. G.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Thermus scotoductus, sp.nov., a pigment-producing thermophilic bacterium from hot tap water in Iceland and including Thermus sp. X-1 1994 Kristjansson, J.K., Institute of Biology, University of Iceland, 108 Reykjavik, Iceland
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Systematic and applied microbiology
Periodical, Abbrev.
Syst.Appl.Microbiol.
Pub Date Free Form
1994/
Volume
17
Issue
1
Start Page
44
Other Pages
50
Notes
Place of Publication
ISSN/ISBN
0723-2020
Accession Number
Language
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
Thermophilic, aerobic heterotrophic bacteria, producing a water soluble dark brown melanin-like pigment, were isolated from a hot water pipeline in a small town in southern Iceland. The bacteria stained Gram-negative, are short rods, 1.5 μm long and 0.5 μm in diameter. The cells are usually single or in pairs. A very dense peptidoglycan layer was seen as well as cytoplasmic membrane and an outer membrane. The bacteria are nonmotile and do not form spores. They could grow at 42-73°C with optimum growth temperature of 65°C and optimum pH at 7.5. The bacteria were oxidase and catalase positive, sensitive to the antibiotics penicillin, erythromycin, tetracyclin, chloramphenicol and streptomycin but resistant to polymyxin B and rifampicin. The GC was about 64.5%. The isolates were compared to other known aerobic, heterotrophic bacteria and turned out to resemble to colourless Thermus strain X-1, which was also found to produce the brown pigment. The DNA:DNA similarity between the new isolates and Thermus X-1 was about 83%, whereas the similarity with Thermus aquaticus was about 46%. The new isolates together with strain X-1 are therefore considered to represent a new species, Thermus scotoductus.
Descriptors
ampicillin, antibiotic agent, carbenicillin, catalase, chloramphenicol, erythromycin, gentamicin, kanamycin, meticillin, oxidoreductase, penicillin G, peptidoglycan, polymyxin B, rifampicin, streptomycin, tap water, tetracycline, antibiotic resistance, article, bacterial cell wall, Iceland, nonhuman, priority journal, thermophilic bacterium, Thermus, water contamination
Links
Book Title
Database
Embase
Publisher
Data Source
Embase
Authors
Kristjansson,J. K., Hjorleifsdottir,S., Marteinsson,V. T., Alfredsson,G. A.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
The spring-fall variations in the prevalence of environmental mycobacteria in drinking water supply system 1995 Kubalek, I., 779 00 Olomouc, Czech Republic
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Central European journal of public health
Periodical, Abbrev.
Cent.Eur.J.Public Health
Pub Date Free Form
1995/
Volume
3
Issue
3
Start Page
146
Other Pages
148
Notes
Place of Publication
ISSN/ISBN
1210-7778
Accession Number
Language
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
The fluctuation in the prevalence of environmental mycobacteria in relation to nutritional conditions in nature was repeatedly described in literature. The seasonal difference in potable water supply system had not yet been documented. Potable water samples from water supply systems of 16 localities were analyzed. The samples of running water, and tap swabs or tap scrapings were collected twice a year, in the spring and in the autumn. McNemar's test was used to analyze the difference of the occurrence of environmental mycobacteria between the vernal and the autumnal samples. A significant change in the presence of environmental mycobacteria in the potable water supply system was observed: the vernal samples yielded more positive results. This finding supports other observations of superficial water. We infer that this effect in potable water supply system may be caused by the change in temperature. Contamination rates were similar with no statistically significant difference between running water samples and that of swabs or scrapings. No time trend in the period 1984 - 1989 in the prevalence of myobacteria was detected. Direct microscopy showed massive colonisation with environmental mycobacteria of potable water supply system. Public health consequences of these findings should be further evaluated, as colonisation of water pipes can be associated with outbreaks of mycobacterial disease in immunocompromised patients. These has been also an increase in the incidence of mycobacterioses in North Moravian Region in recent years.
Descriptors
drinking water, article, Czechoslovakia, mycobacteriosis, seasonal variation
Links
Book Title
Database
Embase; MEDLINE
Publisher
Data Source
Embase
Authors
Kubalek,I., Komenda,S., Mysak,J.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Seasonal variations in the occurrence of environmental mycobacteria in potable water 1995 Kubalek, I., 77900 Olomouc, Czech Republic
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
APMIS
Periodical, Abbrev.
APMIS
Pub Date Free Form
1995/
Volume
103
Issue
5
Start Page
327
Other Pages
330
Notes
Place of Publication
ISSN/ISBN
0903-4641
Accession Number
Language
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
A fluctuation in the prevalence of environmental mycobacteria in relation to nutritional conditions in nature has been repeatedly described in the literature. A seasonal difference in the potable water supply system has not yet been documented. Potable water samples from the supply systems of 16 identical localities were analyzed. Samples of running water and tap swabs or tap scrapings were collected twice a year, in the spring and in the autumn. The samples were processed as stipulated by the international standards. McNemar's test was used to analyze the difference in the occurrence of environmental mycobacteria between the vernal and the autumnal samples. A significant change in the presence of environmental mycobacteria in the potable water supply system was observed, the vernal samples yielding more positive results, This finding supports other observations respecting surface water. We suggest that this effect on the potable water supply system may be caused by the change in temperature. Contamination rates were similar, with no statistically significant differences between running water samples and those from swabs or scrapings. No time trend in the period 1984-1989 respecting the prevalence of mycobacteria was detected. Direct microscopy showed massive colonization with environmental mycobacteria of the potable water supply system. The public health consequences of these findings should be further evaluated, as colonization of water pipes can be associated with outbreaks of mycobacterial disease in immunocompromised patients. There has also been an increase in the incidence of mycobacterioses in the North Moravian region in recent years.
Descriptors
water, article, environmental sanitation, Mycobacterium, nonhuman, priority journal, seasonal variation, water contamination
Links
Book Title
Database
Embase; MEDLINE
Publisher
Data Source
Embase
Authors
Kubalek,I., Komenda,S.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
The lead content in teeth as a maker of environmental exposure to lead 2002 Kuchenbecker, D., Inst. fur Arbeitsmed./Sozialmedizin, Universität Leipzig, 04107 Leipzig, Germany
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Print(0)
Ref Type
Journal Article
Periodical, Full
Arbeitsmedizin Sozialmedizin Umweltmedizin
Periodical, Abbrev.
Arbeitsmed.Sozialmed.Umweltmed.
Pub Date Free Form
2002/
Volume
37
Issue
8
Start Page
388
Other Pages
393
Notes
Place of Publication
ISSN/ISBN
0944-6052
Accession Number
Language
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
Aim of the study: The aim of the study was to investigate whether the lead concentration in teeth is influenced by the lead content of the material of drinking water pipes. Collective and method: The lead contents of 235 permanent teeth extracted from 190 inhabitants of Leipzig aged 16-93 years, some of whom had lived in houses with water pipes containing lead from birth, were determined with a graphite furnace atomic absorption spectrometer. Results: The lead levels in tooth roots were in the range from 0.5 to 31.1 μg/g dry weight (median 7.0 μg/g). Significant differences were found in the lead concentrations in teeth between people living in houses with water pipes containing lead and those in houses without. Furthermore, the lead content depends on the age of the patient. The tooth lead of younger adults (aged 16-40 years) without additional lead exposure was in the range from 0.5 to 4.6 μg/g dry weight (median 2.2 μg/g), the range for the tooth lead of older dental patients (aged 61-93 years) was found to be from 6.6 to 6.8 μg/g dry weight (median 6.7 μg/g). In the case of patients living in houses with water pipes containing lead, the median lead concentrations in teeth were 7.2 μg/g for younger adults and 14.5 μg/g for older adults. Conclusions: Both previous occupational exposure to lead and non-occupational exposure can be detected in teeth many years after the end of exposure.
Descriptors
drinking water, lead, adolescent, adult, aged, article, atomic absorption spectrometry, environmental exposure, heavy metal poisoning, household, human, lead poisoning, major clinical study, tooth extraction, water contamination
Links
Book Title
Bleigehalt in zähnen als marker einer umweltbedingten bleibelastung
Database
Embase
Publisher
Data Source
Embase
Authors
Kuchenbecker,D., Schaffernicht,H., Raddatz,M.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Lead levels in bone samples as a marker of environmental exposure to lead 2001 Kuchenbecker, D., Institut für Arbeitsmedizin, Sozialmedizin der Univ. Leipzig, 04107 Leipzig, Germany
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Arbeitsmedizin Sozialmedizin Umweltmedizin
Periodical, Abbrev.
Arbeitsmed.Sozialmed.Umweltmed.
Pub Date Free Form
2001/
Volume
36
Issue
9
Start Page
435
Other Pages
439
Notes
Place of Publication
ISSN/ISBN
0944-6052
Accession Number
Language
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
The blood lead and bone lead concentrations in the tibia and femur were determined by graphite furnace atomic absorption spectrometry (GFAAS) in patients who were undergoing endoprosthesis surgery of the hip joint and knee joint, respectively. 85 persons from Leipzig were included in the study (58 women and 27 men, 45 to 86 years of age), some of whom lived in old houses with lead water pipes. The influence of the cumulative long-term exposure to environmental sources (water pipes containing lead) on the bone lead level was investigated. Blood lead was found to be in the range from 10 to 101 μg/l, with medians of 41 μg/l in men and 31 μg/l in women. The lead concentrations in the femur were in the range from 0.4 to 6.8 μg/g dry weight with a mean of 2.7 ± 1.3 μg/g dry weight. The concentrations in the tibia were found to be higher, between 1.0 and 29.7 μg/l dry weight with a mean of 8.4 ± 6.8 μg/g dry weight. The tibia lead levels of the participants in this study closely correlated with the length of time they had lived in old houses with lead water pipes. By determining the level of lead in the tibia, it is possible to estimate both previous occupational exposure to lead and non-occupational exposure.
Descriptors
lead, adult, aged, article, atomic absorption spectrometry, controlled study, endoprosthesis, environmental exposure, female, femur, hip surgery, human, knee surgery, lead blood level, lead poisoning, major clinical study, male, occupational exposure, tibia
Links
Book Title
Bleigehalt in knochenproben als marker einer umweltbedingten bleibelastung
Database
Embase
Publisher
Data Source
Embase
Authors
Kuchenbecker,D., Schaffernicht,H., Krämer,D.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Determination of the blood lead concentration in blood donors from the City of Leipzig and its vicinity 1999 Kuchenbecker, D., Institut fur Arbeitsmedizin, Sozialmed. der Universitat Leipzig, 04107 Leipzig, Germany
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Arbeitsmedizin Sozialmedizin Umweltmedizin
Periodical, Abbrev.
Arbeitsmed.Sozialmed.Umweltmed.
Pub Date Free Form
1999/
Volume
34
Issue
1
Start Page
32
Other Pages
35
Notes
Place of Publication
ISSN/ISBN
0944-6052
Accession Number
Language
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
Aim of the study: Blood lead concentrations of a population are usually used as indicator of lead exposure. The purpose of this investigation was to determine the blood lead levels of the general population in Leipzig. Moreover, the influence of the water pipes from lead on blood lead levels was investigated. Methods and subjects: Blood lead determinations were performed by atomic absorption spectrometry with a graphite furnace. Lead concentrations in venous blood were measured in 681 volunteers (18 to 68 years of age). Of these persons, 98 men and 94 women lived in houses with lead water pipes. Results: Median values of blood lead levels were significantly higher in participants with lead pipes than in those without lead pipes. The median values of blood lead levels were 68 μg/l for men with lead pipes and 47 μg/l for men without lead pipes. For women, the corresponding median values were 57 and 34 μg/l, respectively. Conclusion: In spite of the relatively high percentage of persons with water pipes lead- containing, the geometric means of the blood lead levels for males (54 μg/l) and females (42 μg/l) obtained in the present study were similar to the values reported in other studies.
Descriptors
lead, adult, article, atomic absorption spectrometry, blood donor, blood transfusion, drug determination, female, fluid intake, Germany, human, lead blood level, lead poisoning, major clinical study, male, occupational exposure, pipeline, population research, venous blood
Links
Book Title
Bestimmung der blutbleikonzentrationen bei blutspendern in der Stadt Leipzig und ihrer umgebung
Database
Embase
Publisher
Data Source
Embase
Authors
Kuchenbecker,D., Schaffernicht,H., Edel,E., Grau,H.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Chemical reactions in double-stranded nucleic acids. IX. Directed introduction of substituted pyrophosphate bonds into DNA structure 1990 Kuznetsova, S.A.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Bioorganicheskaia khimiia
Periodical, Abbrev.
Bioorg.Khim.
Pub Date Free Form
/
Volume
16
Issue
2
Start Page
219
Other Pages
225
Notes
Place of Publication
ISSN/ISBN
0132-3423
Accession Number
Language
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
An effective synthesis of oligodeoxyribonucleotides containing a substituted pyrophosphate bond in the definite position of the sugar-phosphate backbone has been developed by template-directed condensation of two heptanucleotides. One of them containing 5'-phosphate group to be activated and 3'-phosphate group of the other being substituted with ethoxy-, buthylamino-, morpholino- or ethyl glycinate residues. Water-soluble carbodiimide (EDAC) proved to be more efficient in the phosphate group activation than N-hydroxybenzotriazole ester (yields of substituted pyrophosphates 35-80 and 10-15% respectively). The substituted pyrophosphate bong is quite stable in neutral aqueous solution. Mild conditions of selective cleavage of this bond yielding the initial oligonucleotides were found.
Descriptors
DNA, oligodeoxyribonucleotide, pyrophosphate, article, chemistry, molecular genetics, nucleotide sequence, synthesis
Links
Book Title
Khimicheskie reaktsii v dvuspiral'nykh nukleinovykh kislotakh. IX. Napravlennoe vvedenie zameshchennykh pirofosfatnykh sviazei v strukturu DNK.
Database
MEDLINE
Publisher
Data Source
Embase
Authors
Kuznetsova,S. A., Ivanovskaia,M. G., Shabarova,Z. A.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors