Acute bilateral amaurosis in sphenoid empyema caused by Streptococcus pneumoniae

PATIENT: A 14-year-old boy suffered from an acute bilateral blindness which occurred in 24-h time, accompanied by headache and raised temperature, with inconspicuous optic nerve head and fundus. After diagnosis of empyema with magnet resonance tomography (MRT) the sphenoid sinus was fenestrated and streptococcus pneumoniae isolated. Liquor and serology being inconspicuous, there was no evidence of leucaemic or autoimmune disease, intoxication or intracranial tumor. CLINICAL COURSE: The condition of the patient improved under systemic antibiotic therapy. The bilateral amaurosis remained and opticus atrophy developed. CONCLUSION: A bilateral amaurosis with descending opticus atrophy as a consequence of a sphenoiditis and spreading inflammation to the meninges and the optic nerve in the area of the chiasm is a rare event. The imaging technique of the MRT offers new opportunities for an early and more pointed diagnosis and therapy.     

Tracing the knowledge transfer from science to technology as reflected in patent indicators

The use of references of patent search reports as transfer indications needs a good theoretical understanding of the underlying examination procedures. On this background, different patent indicators based on sample patents and on respective references can be established and combined to a network which gives an interesting insight into the complex process of knowledge transfer from science to technology.     

Psychiatric evaluation in accordance with the transsexualism regulation. An experience-based plea for guidelines and against arbitrary bias

Today patients want to change their Christian names not so much for social support but in order to obtain sex change operations. For this reason among others we caution against casual and careless evaluations and plead for conscientiousness and thoroughness. The spectrum of 16 evaluation cases in the year 1995 is presented. Following this and looking for guiding principles, the most important aspects are discussed: the dilatable frame of the written law, the examiner's diagnostic process, the duty of being well informed, reconstruction of development as the first goal of examination, real-life self-testing and therapy, the obligation to report one's own findings, change of Christian name and indication of operation, evaluation for gender changing, problems of the judge-expert relationship and of future development.     

A new method of excitation control based on fuzzy set theory

The synthesis of the structure of the power system stabiliser (PSS) and its parametrization are based entirely on methods of linear system theory. Thus the desired effect of the PSS is limited to a bounded area around one system operating point. The use of a controller based on fuzzy set theory introduces an event controlled excitation of the synchronous machine taking into account the power system operation. The desired response of the fuzzy controller is given by a set of rules which are obtained from the limits of the voltage regulator and the undesired performance of the conventional excitation control. A fuzzy controller has been developed for which simulation results are provided. These results support the concept of a fuzzy controller for the purpose of excitation control. They show that a well designed fuzzy controller is superior to a fast excitation control with an additional PSS     

Solar UV radiation measurements at potsdam (52°22′N, 13°5′E)

The UV instruments described in part I of this paper have been applied for measurements of solar global UV radiation in three different wavelength regions (310–320 nm, 315–391 nm, and 296–388 nm). UV radiation values obtained since 1985 are analyzed. Different types of regression equations were compared as to how much information on UV radiation is contained in total global radiation measurements (400–2800 nm). Applying those regression equations allows us to estimate UV radiation from measurements of total global radiation, which are readily available.