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1.
J Med Case Rep ; 12(1): 289, 2018 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-30270815

RESUMEN

In the publication of this article [1], there are reference errors in four positions the respective references are missing since reference Fischer [26] was omitted.

2.
J Med Case Rep ; 12(1): 233, 2018 Aug 21.
Artículo en Inglés | MEDLINE | ID: mdl-30126441

RESUMEN

BACKGROUND: The focus of this case report is on the role of inflammation as a contributor to pain in plantar fasciitis and its cure by the injection of local anesthetics. CASE PRESENTATION: This is a case report on a 24-year-old white man, a middle-distance runner, with chronic unilateral plantar fasciitis and perceived heel pain for almost 1.5 years. He was treated with neural therapy (that is, injection of < 1 ml procaine 1% which is a local anesthetic with strong anti-inflammatory properties) of the surgical scar and along the surgical puncture channel. The follow-up period from the time of first presentation until publication was 2.5 years. At admission, pain intensity (visual analog scale) in the affected leg was severe (10 cm, visual analog scale; range 0-10 cm) when walking and moderate (5 cm, visual analog scale) when standing. After the first session of injections he could stand pain-free and pain when walking was markedly reduced (- 90%). After the third session, he reported no pain in the affected leg and could return to sports at his former level (no difference in training load compared to non-injured state). There was no recurrence of inflammatory signs or heel pain despite intense athletics training up to the date of publication. CONCLUSIONS: In prolonged cases of plantar fasciitis, inflammation is an important component in the development of persistent pain. The results of our case describe the effects of three neural therapy sessions that abolished inflammation and associated heel pain. Neural therapy might be an effective and time-efficient approach in the treatment of plantar fasciitis, enabling an early return to sports.


Asunto(s)
Anestésicos Locales/administración & dosificación , Antiinflamatorios/administración & dosificación , Fascitis Plantar/tratamiento farmacológico , Inflamación/tratamiento farmacológico , Dolor/tratamiento farmacológico , Procaína/administración & dosificación , Traumatismos en Atletas/diagnóstico , Traumatismos en Atletas/tratamiento farmacológico , Traumatismos en Atletas/etiología , Traumatismos en Atletas/cirugía , Fascitis Plantar/complicaciones , Fascitis Plantar/cirugía , Fasciotomía , Talón , Humanos , Inflamación/diagnóstico , Inflamación/etiología , Inflamación/cirugía , Masculino , Dolor/diagnóstico , Dolor/etiología , Dolor/cirugía , Manejo del Dolor , Dimensión del Dolor , Carrera/lesiones , Resultado del Tratamiento , Adulto Joven
3.
Unfallchirurg ; 118(3): 233-9, 2015 Mar.
Artículo en Alemán | MEDLINE | ID: mdl-25783692

RESUMEN

The influence of the transport mode, i.e. Helicopter Emergency Medical Service (HEMS) versus ground-based Emergency Medical Service (EMS) on the mortality of multiple trauma patients is still controversially discussed in the literature. In this study a total of 333 multiple trauma patients treated over a 1-year period in a level I trauma center in Switzerland were analyzed. Using the newly established revised injury severity classification (RISC) score there was a tendency towards a better outcome for patients transported by HEMS (standardized mortality ratio 1.06 for HEMS versus 1.29 for EMS). Overall a short preclinical time and the presence of an emergency physician (EP) were associated with a better outcome.


Asunto(s)
Ambulancias Aéreas/estadística & datos numéricos , Automóviles/estadística & datos numéricos , Puntaje de Gravedad del Traumatismo , Traumatismo Múltiple/mortalidad , Traumatismo Múltiple/terapia , Centros Traumatológicos/estadística & datos numéricos , Servicios Médicos de Urgencia/estadística & datos numéricos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Traumatismo Múltiple/diagnóstico , Programas Nacionales de Salud/estadística & datos numéricos , Evaluación de Resultado en la Atención de Salud , Prevalencia , Factores de Riesgo , Tasa de Supervivencia , Suiza
4.
Urologe A ; 48(10): 1203-5,1207-9, 2009 Oct.
Artículo en Alemán | MEDLINE | ID: mdl-19636526

RESUMEN

Recurrent urinary tract infections are a frequent problem in urological practice. Long-term antibiotic prophylaxis can cause resistance of some intestinal bacteria, and after therapy is stopped, infections often resume. In controlled studies, general recommendations for prophylaxis were shown to inhibit reinfection. One of these recommendations is the consumption of cranberries. A review of the literature in PubMed as well as the recently published Cochrane database systematic review confirmed that daily consumption of cranberries prevents recurrent urinary tract infections. In vitro studies have shown that binding of the P fimbriae of Escherichia coli to the uroepithelial tissue can be inhibited in the presence of proanthocyanidins, the active ingredient of cranberries. In clinical studies, the evidence is not so pronounced. Many other bacteria have fimbriae, but only a few subpopulations have P fimbriae. P fimbriae are frequent in E. coli, so this adhesion can be prevented. However, in a subanalysis of randomized and controlled studies, it was shown that women with recurrent urinary tract infections might profit from consuming cranberries.


Asunto(s)
Bebidas , Frutas/química , Fitoterapia/estadística & datos numéricos , Extractos Vegetales/uso terapéutico , Infecciones Urinarias/epidemiología , Infecciones Urinarias/prevención & control , Vaccinium macrocarpon/química , Ensayos Clínicos como Asunto , Medicina Basada en la Evidencia , Humanos , Prevalencia , Prevención Secundaria , Resultado del Tratamiento
5.
Dtsch Med Wochenschr ; 134(28-29): 1457-63, 2009 Jul.
Artículo en Alemán | MEDLINE | ID: mdl-19572244

RESUMEN

BACKGROUND AND OBJECTIVE: Allergic skin and respiratory diseases show a high prevalence in most industrial countries. In addition, during the last years ragweed colonization has increased in Europe. Ambrosia pollen ( AMBROSIA ARTEMISIIFOLIA L. - common ragweed) are highly allergenic. Due to the late flowering time (august/September) of ragweed this can result in increasing health threats for allergic populations. This is of particular importance for those who already are sensitive to some grass or tree pollen. These individuals can then suffer from allergies during nearly the whole year. The present study examined the prevalence of sensitization to ragweed in German children and possible health implications. METHODS: Between 2004 and 2007 sera of 1323 10-years old children in Baden Württemberg were tested in-vitro for specific IgE-antibodies against common aeroallergens including ragweed pollen. RESULTS: Specific IgE-antibodies to extracts of common ragweed pollen were present in 10 - 17 % of the tested sera depending on the year of investigation. CONCLUSION: The determined specific IgE-antibodies may be the result of a direct sensitization to ragweed pollen or correspond to cross-reactivity to other plants of the asteraceae subfamily or some nutritional allergens. The detection of sensitization to ragweed pollen does not prove actual allergic disease. However, a ragweed derived allergy should be considered in the differential diagnosis when allergic symptoms are present in direct connection to the flowering-time of ragweed. Ragweed plants should be removed and the spread of the plant 'restricted', as experiences in other countries with already wide spreading show.


Asunto(s)
Alérgenos/efectos adversos , Ambrosia/efectos adversos , Polen/efectos adversos , Rinitis Alérgica Estacional/etiología , Alérgenos/inmunología , Ambrosia/inmunología , Niño , Femenino , Alemania/epidemiología , Humanos , Inmunoglobulina E/sangre , Masculino , Polen/inmunología , Prevalencia , Rinitis Alérgica Estacional/epidemiología
6.
Epilepsia ; 42(3): 406-16, 2001 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-11442161

RESUMEN

PURPOSE: To compare self-regulation of low-frequency EEG components (slow cortical potentials, SCPs) with other methods of seizure control for patients with drug-refractory partial epilepsy and to separate the real anticonvulsive effect from placebo effects. METHODS: Results of a treatment program of SCP self-regulation (experimental group) are compared with two groups of patients, one of which learned self-control of respiratory parameters (end-tidal CO2 and respiration rate: RES group); the other received medication with new anticonvulsive drugs (AEDs) in combination with psychosocial counseling (MED group). Clinical, cognitive, behavioral, and personality measures were assessed before and after treatment. In addition, to control for placebo responses, patients repeatedly estimated their beliefs in the efficiency of the respective treatment, their satisfaction and expectations, and the quality of the relationship with their therapists. RESULTS: SCP and MED groups showed a significant decrease of seizure frequency, but the RES group did not. Clear positive changes in the sociopsychological adjustment were obtained in all three groups, with the maximal improvement being attained in the RES group. CONCLUSIONS: All kinds of therapy result in considerable improvement of patients' emotional state, which may in part be due to potential placebo effects: however, this improvement is not related to the quality of the therapeutic effect proper (i.e., seizure reduction). Traditional double-blind control group designs are inappropriate for behavioral interventions or treatments with psychoactive pharmacologic drugs. Rather, specific tests can be developed to control the placebo effect and to separate it from the genuine therapeutic effects.


Asunto(s)
Anticonvulsivantes/uso terapéutico , Terapia Conductista/métodos , Biorretroalimentación Psicológica/métodos , Corteza Cerebral/fisiopatología , Electroencefalografía/estadística & datos numéricos , Epilepsias Parciales/diagnóstico , Epilepsias Parciales/terapia , Adolescente , Adulto , Actitud Frente a la Salud , Epilepsias Parciales/fisiopatología , Femenino , Estudios de Seguimiento , Humanos , Masculino , Persona de Mediana Edad , Relaciones Médico-Paciente , Efecto Placebo , Placebos , Proyectos de Investigación/normas , Fenómenos Fisiológicos Respiratorios , Resultado del Tratamiento
7.
Proc Natl Acad Sci U S A ; 98(15): 8756-61, 2001 Jul 17.
Artículo en Inglés | MEDLINE | ID: mdl-11438682

RESUMEN

We have cloned a fusion partner of the MLL gene at 11q23 and identified it as the gene encoding the human formin-binding protein 17, FBP17. It maps to chromosome 9q34 centromeric to ABL. The gene fusion results from a complex chromosome rearrangement that was resolved by fluorescence in situ hybridization with various probes on chromosomes 9 and 11 as an ins(11;9)(q23;q34)inv(11)(q13q23). The rearrangement resulted in a 5'-MLL/FBP17-3' fusion mRNA. We retrovirally transduced murine-myeloid progenitor cells with MLL/FBP17 to test its transforming ability. In contrast to MLL/ENL, MLL/ELL and other MLL-fusion genes, MLL/FBP17 did not give a positive readout in a serial replating assay. Therefore, we assume that additional cooperating genetic abnormalities might be needed to establish a full malignant phenotype. FBP17 consists of a C-terminal Src homology 3 domain and an N-terminal region that is homologous to the cell division cycle protein, cdc15, a regulator of the actin cytoskeleton in Schizosaccharomyces pombe. Both domains are separated by a consensus Rho-binding motif that has been identified in different Rho-interaction partners such as Rhotekin and Rhophilin. We evaluated whether FBP17 and members of the Rho family interact in vivo with a yeast two-hybrid assay. None of the various Rho proteins tested, however, interacted with FBP17. We screened a human kidney library and identified a sorting nexin, SNX2, as a protein interaction partner of FBP17. These data provide a link between the epidermal growth factor receptor pathway and an MLL fusion protein.


Asunto(s)
Proteínas Portadoras/metabolismo , Cromosomas Humanos Par 9 , Proteínas de Unión al ADN/metabolismo , Leucemia Mielomonocítica Aguda/metabolismo , Proto-Oncogenes , Factores de Transcripción , Proteínas de Transporte Vesicular , Fusión Artificial Génica , Secuencia de Bases , Proteínas Portadoras/genética , Núcleo Celular/metabolismo , Transformación Celular Neoplásica , Mapeo Cromosómico , ADN Complementario , Proteínas de Unión al ADN/genética , Proteínas de Unión a Ácidos Grasos , N-Metiltransferasa de Histona-Lisina , Humanos , Hibridación Fluorescente in Situ/métodos , Lactante , Leucemia Mielomonocítica Aguda/genética , Leucemia Mielomonocítica Aguda/patología , Masculino , Datos de Secuencia Molecular , Proteína de la Leucemia Mieloide-Linfoide , Distribución Tisular
8.
Planta Med ; 61(1): 82-3, 1995 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-17238062

RESUMEN

In addition to aucubin, 6beta-hydroxyboschnaloside, and 6-O-(8"-hydroxy-2",6"-dimethyl-2"(E), 6"(E)-octadienoyl)-6beta-hydroxyboschnaloside, the new iridoid glucoside ovatuside has been isolated from the aerial parts of Penstemon ovatus. This iridoid was shown to be 6-O-(8"-hydroxy-2",6"-dimethyl-2"(E),6"(Z)-octadienoyl)-6beta-hydroxyboschnaloside.

9.
Planta Med ; 59(3): 264-8, 1993 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-17235969

RESUMEN

Flavanols and oligomeric proantho-cyanidins were isolated from oak bark ( QUERCUS PETRAEA) and characterized by acid hydrolysis, gel permeation chromatography, haemanalysis, and complete as well as partial thiolytic degradation. The proantho-cyanidins had an average polymerization degree of 6.1 and a procyanidin: prodelphinidin ratio of 6:4. The prevailing units of the oligomeric chains were (+)-catechin, (-)-epicatechin, and (+)-gallocatechin, minor units were (-)-epicatechin 3- O-gallate and (-)-epigallocatechin 3- O-gallate. The bark contains both hydrolyzable and condensed tannins. Although only 23% of the water-soluble oak bark tannins consisted of oligomeric proanthocyanidins, these contributed with 55% to the astringency of the total tannin fraction.

10.
Hautarzt ; 41(2): 102-4, 1990 Feb.
Artículo en Alemán | MEDLINE | ID: mdl-2318639

RESUMEN

Four cases of lymphangioma circumscriptum cysticum are reported that developed 3-43 years after surgical or radiological therapy. Clinically, recurrent vesicles occurred in the treated areas. Manifest lymphatic edema was observed in only one case. The histologic picture showed papillary ectatic lymph vessels with no indication of proliferation or malignancy. Because of the postoperative tendency to recidivism, extensive excisions are not indicated. Manual lymph drainage was found to be effective.


Asunto(s)
Linfangioma/patología , Neoplasias Inducidas por Radiación/patología , Neoplasias/radioterapia , Neoplasias/cirugía , Complicaciones Posoperatorias/patología , Neoplasias Cutáneas/patología , Adulto , Terapia Combinada , Femenino , Humanos , Linfedema/patología , Masculino , Piel/patología
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