Development of a heart monitoring system with high-Tc DC-SQUID gradiometers

We investigated different types of high-T_c DC-SQUID gradiometers with the aim to develop an one-channel heart monitoring system for non-invasive measurements in unshielded environment. This system could be used to obtain information about the patients condition in serial examinations and in emergency cases fast and stable. Step-edge and bicrystal Josephson junctions were used to prepare planar galvanically coupled thin film gradiometers and magnetometers. These sensors were used to carry out measurements in well-shielded and non-shielded environment and we compared the different noise properties and field gradient resolutions. With different types and sizes of high-T_c DC-SQUID sensors magnetocardiograms were measured in a magnetically shielded room. The influence of antenna configurations, SQUID parameters, and cooling conditions on the measurement of magnetocardiograms will be discussed. We investigated possibilities to suppress the earth magnetic field (with pairs of Helmholtz coils) and for noise field compensation in unshielded environment.     

13C-urea breath test in Helicobacter pylori diagnosis and eradication. Correlation to histology, origin of ''false'' results, and influence of food intake

Obliterative or constrictive bronchiolitis is characterized by narrowing of the small airways, due to submucosal and peribronchiolar fibrosis, with chronic obstruction. The vast majority of cases of bronchiolitis obliterans are associated with other diseases and only few cases are idiopathic. We report on the main computed tomography (CT) methods used study obliterative bronchiolitis, the CT findings and the differential diagnosis with other diseases. The dynamic study of alveolar ventilation with CT uses inspiratory and expiratory CT or high-resolution CT (HRCT), spiral dynamic CT or HRCT with advanced image display, ultrafast CT. In abnormal cases HRCT shows direct and indirect signs of small airways disease. The most common (> 80%) sign of obliterative bronchiolitis is the so-called mosaic oligohemia, with low attenuating lobules, caused by air trapping and best seen on expiratory CT, associated with blood flow redistribution to more normal lobules; this finding simulates the ground-glass pattern from infiltrative lung disease. Differential diagnosis is more difficult in the presence of true ground-glass patterns associated with diffuse bronchiolar obstruction and also with mosaic oligohemia due to pulmonary vascular disease and pulmonary emphysema. HRCT can distinguish these diseases and dynamic CT is more sensitive than functional tests in detecting regional abnormalities and air trapping. The combination of HRCT, rapid volumetric scanning and advanced image display is a powerful tool study the normal and abnormal features of bronchiolar function and alveolar ventilation.     

Non-contact methods of measuring moisture concentration in external layers of building partitions: III—Water vapour condensation on the cementitious surfaces

This paper presents the results of the larger study into a potential application of laser radiation for the detection of phase transition processes in low temperatures occurring on the surface layers of cementitious materials. An attempt was made to identify relationships between the environmental conditions—temperature and air humidity, and the selected parameters of the reflected light. Onset of the condensation process and formation of water microdrops on the surface of the material leads to the phase displacement of individual laser rays, which are represented by different speckle images.

Although the analysis of parameters of the reflected light are very difficult in the case of porous materials because of highly developed roughness of the surface structure it has been proved that a dynamic study of the phase transition phenomena can be successfully carried out without mechanical intervention.     

Hospital ambulatory pediatric surgery

Since 1990, we have been conducting ambulatory pediatric surgery in an unit established solely for this purpose, supported by a team of kindergarten teachers, pediatric nurses, anesthesiologists and pediatric surgeons. This prospective investigation includes all ambulatory pediatric operations performed in our department from 1990 to 1995. In this time 3665 infants and children between the ages of 6 weeks and 18 years underwent an ambulatory operation. The ratio male to female was 4.1 to 1. The series consists of 1400 inguinal hernias, 722 inguinal testes, 191 hydroceles/funiculoceles, 75 umbilical hernias, 667 phimoses, 70 meatotomies, 59 hemangiomas, 217 endoscopies and 264 other surgical procedures. Postoperative complications defined as secondary hemorrhage, fever, obvious vomiting, urine retention and laryngospasm upon terminating anesthesia accompanied by subsequent vomiting occurred in 59 (1.6%) of all infants and children. Wound infections were seen in 0.48% (17/3517) of all patients. The recurrence rate for inguinal hernias were 0.79% and 1.12% for inguinal testes. Our experience enables us to summarize that a variety of pediatric operations can be performed today as ambulatory procedures. Nevertheless one must be prepared for the occurrence of complications and always have capacities free for inpatient care where adequate observation and treatment are available. Further improvement is necessary in quality management. In the last 20 years only a few data have been published about recurrence rates after pediatric ambulatory operations for inguinal hernias and inguinal testes. Therefore we started a prospective long- term study.