98 results on '"Kaulfersch, W"'
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2. Nichtrheumatische Ursachen von Gelenksschmerzen
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Kaulfersch, W., Huemer, Christian, editor, and Kaulfersch, Wilhelm, editor
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- 2008
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3. Reaktive und parainfektiöse Arthritiden
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Kaulfersch, W., Huemer, Christian, editor, and Kaulfersch, Wilhelm, editor
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- 2008
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4. Wichtige Begriffe
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Kaulfersch, W., Huemer, Christian, editor, and Kaulfersch, Wilhelm, editor
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- 2008
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5. Gendiagnostische Forschung an Kindern in Österreich: Spagat zwischen Meilensteinen der Medizin und Mühlsteinen der Bürokratie
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Zenz, W., Klobassa, D.S., Sonnleitner, A., Binder, A., Sellner, A., Sperl, M., Wintergerst, U., Huemer, C., Ausserer, B., Stelzl, W., Kaulfersch, W., Grigorow, I., Biebl, A., Wimmer, A., Ortner, D., Emhofer, J., Birnbacher, R., Mostafa, G., Ihm, U., Keck, B., Farr, S., Jaros, Z., Zaunschirm, H.A., Weingarten, C., Glennie, L., van Leeuwen, E., and Levin, M.
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- 2014
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6. The burden of pneumococcal meningitis in Austrian children between 2001 and 2008
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Klobassa, D. S., Zoehrer, B., Paulke-Korinek, M., Gruber-Sedlmayr, U., Pfurtscheller, K., Strenger, V., Sonnleitner, A., Kerbl, R., Ausserer, B., Arocker, W., Kaulfersch, W., Hausberger, B., Covi, B., Eitelberger, F., Vécsei, A., Simma, B., Birnbacher, R., Kurz, H., Zwiauer, K., Weghuber, D., Heuberger, S., Quehenberger, F., Kollaritsch, H., and Zenz, W.
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- 2014
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7. Plasma lipid profiles discriminate bacterial from viral infection in febrile children
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Wang, X. (Xinzhu), Nijman, R.G. (Ruud), Camuzeaux, S. (Stephane), Sands, C. (Caroline), Jackson, H. (Heather), Kaforou, M. (Myrsini), Emonts, M. (Marieke), Herberg, J.A. (Jethro A.), MacOnochie, I.K. (Ian), Carrol, E.D. (Enitan), Paulus, S.C. (Stephane C.), Zenz, W. (Werner), Flier, M. (Michiel) van der, Groot, R. (Ronald) de, Martinon-Torres, F. (Federico), Schlapbach, L.J. (Luregn), Pollard, A.J. (Andrew J.), Fink, C. (Colin), Kuijpers, T.T. (Taco T.), Anderson, S. (Suzanne), Lewis, M.R. (Matthew R.), Levin, M. (Michael), McClure, M. (Myra), Gormley, S. (Stuart), Hamilton, S. (Shea), Hourmat, B. (Bernardo), Hoggart, C. (Clive), Sancho-Shimizu, V. (Vanessa), Wright, V.J. (Victoria), Abdulla, A. (Amina), Agapow, P. (Paul), Bartlett, M. (Maeve), Bellos, E. (Evangelos), Eleftherohorinou, H. (Hariklia), Galassini, R. (Rachel), Inwald, D. (David), Mashbat, M. (Meg), Menikou, S. (Stefanie), Mustafa, S. (Sobia), Nadel, S. (Simon), Rahman, R. (Rahmeen), Thakker, C. (Clare), Coin, L.M.J. (Lachlan M. J.), Bokhandi, S. (S.), Power, S. (Sue), Barham, H. (Heather), Pathan, D.N. (Dr N), Ridout, J. (Jenna), White, D. (Deborah), Thurston, S. (Sarah), Faust, D. (Dominik), Patel, S.Y. (Smita Y.), McCorkell, J. (Jenni), Davies, P. (P.), Crate, L. (Lindsey), Navarra, H. (Helen), Carter, S. (Stephanie), Ramaiah, R. (R.), Patel, R. (Rekha), Tuffrey, C. (Catherine), Gribbin, A. (Andrew), McCready, S. (Sharon), Peters, M. (Mark), Hardy, K. (Katie), Standing, F. (Fran), O’Neill, L. (Lauren), Abelake, E. (Eugenia), Deep, A. (Akash), Nsirim, E. (Eniola), Willis, L. (Louise), Young, Z. (Zoe), Royad, C. (C.), White, S. (Sonia), Fortune, P.M. (P. M.), Hudnott, P. (Phil), González, F.Á. (Fernando Álvez), Barral-Arca, R. (Ruth), Cebey-López, M. (Miriam), Curras-Tuala, M.J. (María José), García, N. (Natalia), Vicente, L.G. (Luisa García), Gómez-Carballa, A. (Alberto), Rial, J.G. (Jose Gómez), Beiroa, A.G. (Andrea Grela), Grande, A.J. (Antonio Justicia), Iglesias, P.L. (Pilar Leboráns), Santos, A.E.M. (Alba Elena Martínez), Martinón-Torres, F. (Federico), MartinónTorres, N. (Nazareth), Sánchez, J.M.M. (José María Martinón), Gutiérrez, B.M. (Beatriz Morillo), Pérez, B.M. (Belén Mosquera), Pacheco, P.O. (Pablo Obando), Pardo-Seco, J. (Jacobo), Pischedda, S. (Sara), RiveroCalle, I. (Irene), Rodríguez-Tenreiro, C. (Carmen), Redondo-Collazo, L. (Lorenzo), Ellacuriagal, A.S. (Antonio Salas), Fernández, S.S. (Sonia Serén), Silva, M.S.P. (María del Sol Porto), Vega, A. (Ana), Trillo, L.V. (Lucía Vilanova), Salas, A. (Antonio), Reyes, S.B. (Susana Beatriz), León, M.C.L. (María Cruz León), Mingorance, Á.N. (Álvaro Navarro), Barrios, X.G. (Xavier Gabaldó), Vergara, E.O. (Eider Oñate), Torre, A.C. (Andrés Concha), Vivanco, A. (Ana), Fernández, R. (Reyes), Sánchez, F.G. (Francisco Giménez), Forte, M.S. (Miguel Sánchez), Rojo, P. (Pablo), Contreras, J.R. (J. Ruiz), Palacios, A. (Alba), Ibarrondo, C.E. (Cristina Epalza), Cooke, E.F. (Elizabeth Fernández), Navarro, M. (Marisa), Álvarez, C.Á. (Cristina Álvarez), Lozano, M.J. (María José), Carreras, E. (Eduardo), Sanagustín, S.B. (Sonia Brió), Neth, O. (Olaf), Padilla, M.C.M. (Ma del Carmen Martínez), Tato, L.M.P. (Luis Manuel Prieto), Guillén, S. (Sara), Silveira, L.F. (Laura Fernández), Moreno, D. (David), van Furth, A.M.T. (A. M. Tutu), Boeddha, N.P. (Navin), Driessen, G.J.A. (Gertjan), Hazelzet, J.A. (Jan), Pajkrt, D. (D.), Sanders, E.A.M. (E. A.M.), van de Beek, D. (D.), Ende, A. (A.) van der, Philipsen, H.L.A. (H. L.A.), Adeel, A.O.A. (A. O.A.), Breukels, M.A. (M. A.), Brinkman, D.M.C., de Korte, C.C.M.M. (C. C.M.M.), de Vries, E. (E.), Waal, W.J. (Wouter) de, Dekkers, R. (R.), Dings-Lammertink, A. (A.), Doedens, R.A. (R. A.), Donker, A.E. (A.), Dousma, M. (M.), Faber, T.E. (T. E.), Gerrit, G.P.J.M. (Gerardus), Gerver, J.A.M. (J. A.M.), Heidema, J. (Jojanneke), Veen, J.H.-V. (J. Homan-van der), Jacobs, M.A.M. (M. A.M.), Jansen, N.J.G. (N. J.G.), Kawczynski, P. (P.), Klucovska, K. (K.), Kneyber, M.C.J. (M. C.J.), Koopman-Keemink, Y. (Yvonne), Langenhorst, V.J. (V. J.), Leusink, J. (J.), Loza, B.F. (Bettina F.), Merth, I.T. (I. T.), Miedema, C.J. (C. J.), Neeleman, C. (C.), Noordzij, J.G. (Jeroen), Obihara, C.C. (Charlie C.), van Overbeek – van Gils, A.L.T. (A. L.T.), Poortman, G.H. (G. H.), Potgieter, S.T. (S. T.), Potjewijd, J. (J.), Rosias, P.P.R. (Philippe), Sprong, T. (Tom), ten Tussher, G.W. (G. W.), Thio, B.J. (B. J.), Tramper-Stranders, G.A. (Gerdien), Deuren, M. (Marcel) van, van der Meer, H. (H.), van Kuppevelt, A.J.M. (A. J.M.), van Wermeskerken, A.M. (A. M.), Verwijs, W.A. (W. A.), Wolfs, T.F.W. (T. F.W.), Agyeman, P. (Philipp), Aebi, C. (Christoph), Berger, C. (Christoph), Giannoni, P., Stocker, M. (Martin), Posfay-Barbe, K.M. (Klara M.), Heininger, U. (Ulrich), Bernhard-Stirnemann, S. (Sara), Niederer-Loher, A. (Anita), Kahlert, C. (Christian), Hasters, P. (Paul), Relly, C. (Christa), Baer, W. (Walter), Frederick, H. (Hannah), Jennings, R. (Rebecca), Johnston, J. (Joanne), Kenwright, R. (Rhian), Pinnock, E. (Elli), Agbeko, R. (Rachel), Secka, F. (Fatou), Bojang, K. (Kalifa), Sarr, I. (Isatou), Kebbeh, N. (Ngange), Sey, G. (Gibbi), Momodou, (), khan, S. (Saidy), Cole, F. (Fatoumata), Thomas, G. (Gilleh), Antonio, M. (Martin), Klobassa, D.S. (Daniela S.), Binder, A. (Alexander), Schweintzger, N.A. (Nina A.), Sagmeister, M. (Manfred), Baumgart, H. (Hinrich), Baumgartner, M. (Markus), Behrends, U. (Uta), Biebl, A. (Ariane), Birnbacher, R. (Robert), Blanke, J.-G. (Jan-Gerd), Boelke, C. (Carsten), Breuling, K. (Kai), Brunner, J. (Jürgen), Buller, M. (Maria), Dahlem, P. (Peter), Dietrich, B. (Beate), Eber, E. (Ernst), Elias, J. (Johannes), Emhofer, J. (Josef), Etschmaier, R. (Rosa), Farr, S. (Sebastian), Girtler, Y. (Ylenia), Grigorow, I. (Irina), Heimann, K. (Konrad), Ihm, U. (Ulrike), Jaros, Z. (Zdenek), Kalhoff, H. (Hermann), Kaulfersch, W. (Wilhelm), Kemen, C. (Christoph), Klocker, N. (Nina), Köster, B. (Bernhard), Kohlmaier, B. (Benno), Komini, E. (Eleni), Kramer, L. (Lydia), Neubert, A. (Antje), Ortner, D. (Daniel), Pescollderungg, L. (Lydia), Pfurtscheller, K. (Klaus), Reiter, K. (Karl), Ristic, G. (Goran), Rödl, S. (Siegfried), Sellner, A. (Andrea), Sonnleitner, A. (Astrid), Sperl, M. (Matthias), Stelzl, W. (Wolfgang), Till, H. (Holger), Trobisch, A. (Andreas), Vierzig, A. (Anne), Vogel, U. (Ulrich), Weingarten, C. (Christina), Welke, S. (Stefanie), Wimmer, A. (Andreas), Wintergerst, U. (Uwe), Wüller, D. (Daniel), Zaunschirm, A. (Andrew), Ziuraite, I. (Ieva), Žukovskaja, V. (Veslava), Wang, X. (Xinzhu), Nijman, R.G. (Ruud), Camuzeaux, S. (Stephane), Sands, C. (Caroline), Jackson, H. (Heather), Kaforou, M. (Myrsini), Emonts, M. (Marieke), Herberg, J.A. (Jethro A.), MacOnochie, I.K. (Ian), Carrol, E.D. (Enitan), Paulus, S.C. (Stephane C.), Zenz, W. (Werner), Flier, M. (Michiel) van der, Groot, R. (Ronald) de, Martinon-Torres, F. (Federico), Schlapbach, L.J. (Luregn), Pollard, A.J. (Andrew J.), Fink, C. (Colin), Kuijpers, T.T. (Taco T.), Anderson, S. (Suzanne), Lewis, M.R. (Matthew R.), Levin, M. (Michael), McClure, M. (Myra), Gormley, S. (Stuart), Hamilton, S. (Shea), Hourmat, B. (Bernardo), Hoggart, C. (Clive), Sancho-Shimizu, V. (Vanessa), Wright, V.J. (Victoria), Abdulla, A. (Amina), Agapow, P. (Paul), Bartlett, M. (Maeve), Bellos, E. (Evangelos), Eleftherohorinou, H. (Hariklia), Galassini, R. (Rachel), Inwald, D. (David), Mashbat, M. (Meg), Menikou, S. (Stefanie), Mustafa, S. (Sobia), Nadel, S. (Simon), Rahman, R. (Rahmeen), Thakker, C. (Clare), Coin, L.M.J. (Lachlan M. J.), Bokhandi, S. (S.), Power, S. (Sue), Barham, H. (Heather), Pathan, D.N. (Dr N), Ridout, J. (Jenna), White, D. (Deborah), Thurston, S. (Sarah), Faust, D. (Dominik), Patel, S.Y. (Smita Y.), McCorkell, J. (Jenni), Davies, P. (P.), Crate, L. (Lindsey), Navarra, H. (Helen), Carter, S. (Stephanie), Ramaiah, R. (R.), Patel, R. (Rekha), Tuffrey, C. (Catherine), Gribbin, A. (Andrew), McCready, S. (Sharon), Peters, M. (Mark), Hardy, K. (Katie), Standing, F. (Fran), O’Neill, L. (Lauren), Abelake, E. (Eugenia), Deep, A. (Akash), Nsirim, E. (Eniola), Willis, L. (Louise), Young, Z. (Zoe), Royad, C. (C.), White, S. (Sonia), Fortune, P.M. (P. M.), Hudnott, P. (Phil), González, F.Á. (Fernando Álvez), Barral-Arca, R. (Ruth), Cebey-López, M. (Miriam), Curras-Tuala, M.J. (María José), García, N. (Natalia), Vicente, L.G. (Luisa García), Gómez-Carballa, A. (Alberto), Rial, J.G. (Jose Gómez), Beiroa, A.G. (Andrea Grela), Grande, A.J. (Antonio Justicia), Iglesias, P.L. (Pilar Leboráns), Santos, A.E.M. (Alba Elena Martínez), Martinón-Torres, F. (Federico), MartinónTorres, N. (Nazareth), Sánchez, J.M.M. (José María Martinón), Gutiérrez, B.M. (Beatriz Morillo), Pérez, B.M. (Belén Mosquera), Pacheco, P.O. (Pablo Obando), Pardo-Seco, J. (Jacobo), Pischedda, S. (Sara), RiveroCalle, I. (Irene), Rodríguez-Tenreiro, C. (Carmen), Redondo-Collazo, L. (Lorenzo), Ellacuriagal, A.S. (Antonio Salas), Fernández, S.S. (Sonia Serén), Silva, M.S.P. (María del Sol Porto), Vega, A. (Ana), Trillo, L.V. (Lucía Vilanova), Salas, A. (Antonio), Reyes, S.B. (Susana Beatriz), León, M.C.L. (María Cruz León), Mingorance, Á.N. (Álvaro Navarro), Barrios, X.G. (Xavier Gabaldó), Vergara, E.O. (Eider Oñate), Torre, A.C. (Andrés Concha), Vivanco, A. (Ana), Fernández, R. (Reyes), Sánchez, F.G. (Francisco Giménez), Forte, M.S. (Miguel Sánchez), Rojo, P. (Pablo), Contreras, J.R. (J. Ruiz), Palacios, A. (Alba), Ibarrondo, C.E. (Cristina Epalza), Cooke, E.F. (Elizabeth Fernández), Navarro, M. (Marisa), Álvarez, C.Á. (Cristina Álvarez), Lozano, M.J. (María José), Carreras, E. (Eduardo), Sanagustín, S.B. (Sonia Brió), Neth, O. (Olaf), Padilla, M.C.M. (Ma del Carmen Martínez), Tato, L.M.P. (Luis Manuel Prieto), Guillén, S. (Sara), Silveira, L.F. (Laura Fernández), Moreno, D. (David), van Furth, A.M.T. (A. M. Tutu), Boeddha, N.P. (Navin), Driessen, G.J.A. (Gertjan), Hazelzet, J.A. (Jan), Pajkrt, D. (D.), Sanders, E.A.M. (E. A.M.), van de Beek, D. (D.), Ende, A. (A.) van der, Philipsen, H.L.A. (H. L.A.), Adeel, A.O.A. (A. O.A.), Breukels, M.A. (M. A.), Brinkman, D.M.C., de Korte, C.C.M.M. (C. C.M.M.), de Vries, E. (E.), Waal, W.J. (Wouter) de, Dekkers, R. (R.), Dings-Lammertink, A. (A.), Doedens, R.A. (R. A.), Donker, A.E. (A.), Dousma, M. (M.), Faber, T.E. (T. E.), Gerrit, G.P.J.M. (Gerardus), Gerver, J.A.M. (J. A.M.), Heidema, J. (Jojanneke), Veen, J.H.-V. (J. Homan-van der), Jacobs, M.A.M. (M. A.M.), Jansen, N.J.G. (N. J.G.), Kawczynski, P. (P.), Klucovska, K. (K.), Kneyber, M.C.J. (M. C.J.), Koopman-Keemink, Y. (Yvonne), Langenhorst, V.J. (V. J.), Leusink, J. (J.), Loza, B.F. (Bettina F.), Merth, I.T. (I. T.), Miedema, C.J. (C. J.), Neeleman, C. (C.), Noordzij, J.G. (Jeroen), Obihara, C.C. (Charlie C.), van Overbeek – van Gils, A.L.T. (A. L.T.), Poortman, G.H. (G. H.), Potgieter, S.T. (S. T.), Potjewijd, J. (J.), Rosias, P.P.R. (Philippe), Sprong, T. (Tom), ten Tussher, G.W. (G. W.), Thio, B.J. (B. J.), Tramper-Stranders, G.A. (Gerdien), Deuren, M. (Marcel) van, van der Meer, H. (H.), van Kuppevelt, A.J.M. (A. J.M.), van Wermeskerken, A.M. (A. M.), Verwijs, W.A. (W. A.), Wolfs, T.F.W. (T. F.W.), Agyeman, P. (Philipp), Aebi, C. (Christoph), Berger, C. (Christoph), Giannoni, P., Stocker, M. (Martin), Posfay-Barbe, K.M. (Klara M.), Heininger, U. (Ulrich), Bernhard-Stirnemann, S. (Sara), Niederer-Loher, A. (Anita), Kahlert, C. (Christian), Hasters, P. (Paul), Relly, C. (Christa), Baer, W. (Walter), Frederick, H. (Hannah), Jennings, R. (Rebecca), Johnston, J. (Joanne), Kenwright, R. (Rhian), Pinnock, E. (Elli), Agbeko, R. (Rachel), Secka, F. (Fatou), Bojang, K. (Kalifa), Sarr, I. (Isatou), Kebbeh, N. (Ngange), Sey, G. (Gibbi), Momodou, (), khan, S. (Saidy), Cole, F. (Fatoumata), Thomas, G. (Gilleh), Antonio, M. (Martin), Klobassa, D.S. (Daniela S.), Binder, A. (Alexander), Schweintzger, N.A. (Nina A.), Sagmeister, M. (Manfred), Baumgart, H. (Hinrich), Baumgartner, M. (Markus), Behrends, U. (Uta), Biebl, A. (Ariane), Birnbacher, R. (Robert), Blanke, J.-G. (Jan-Gerd), Boelke, C. (Carsten), Breuling, K. (Kai), Brunner, J. (Jürgen), Buller, M. (Maria), Dahlem, P. (Peter), Dietrich, B. (Beate), Eber, E. (Ernst), Elias, J. (Johannes), Emhofer, J. (Josef), Etschmaier, R. (Rosa), Farr, S. (Sebastian), Girtler, Y. (Ylenia), Grigorow, I. (Irina), Heimann, K. (Konrad), Ihm, U. (Ulrike), Jaros, Z. (Zdenek), Kalhoff, H. (Hermann), Kaulfersch, W. (Wilhelm), Kemen, C. (Christoph), Klocker, N. (Nina), Köster, B. (Bernhard), Kohlmaier, B. (Benno), Komini, E. (Eleni), Kramer, L. (Lydia), Neubert, A. (Antje), Ortner, D. (Daniel), Pescollderungg, L. (Lydia), Pfurtscheller, K. (Klaus), Reiter, K. (Karl), Ristic, G. (Goran), Rödl, S. (Siegfried), Sellner, A. (Andrea), Sonnleitner, A. (Astrid), Sperl, M. (Matthias), Stelzl, W. (Wolfgang), Till, H. (Holger), Trobisch, A. (Andreas), Vierzig, A. (Anne), Vogel, U. (Ulrich), Weingarten, C. (Christina), Welke, S. (Stefanie), Wimmer, A. (Andreas), Wintergerst, U. (Uwe), Wüller, D. (Daniel), Zaunschirm, A. (Andrew), Ziuraite, I. (Ieva), and Žukovskaja, V. (Veslava)
- Abstract
Fever is the most common reason that children present to Emergency Departments. Clinical signs and symptoms suggestive of bacterial infection are
- Published
- 2019
- Full Text
- View/download PDF
8. Plasma lipid profiles discriminate bacterial from viral infection in febrile children
- Author
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Wang, X, Nijman, R, Camuzeaux, S, Sands, C, Jackson, H, Kaforou, M, Emonts, M, Herberg, JA, Maconochie, I, Carrol, ED, Paulus, SC, Zenz, W, Van der Flier, M, de Groot, R, Martinon-Torres, F, Schlapbach, LJ, Pollard, AJ, Fink, C, Kuijpers, TT, Anderson, S, Lewis, MR, Levin, M, McClure, M, Gormley, S, Hamilton, S, Hourmat, B, Hoggart, C, Sancho-Shimizu, V, Wright, V, Abdulla, A, Agapow, P, Bartlett, M, Bellos, E, Eleftherohorinou, H, Galassini, R, Inwald, D, Mashbat, M, Menikou, S, Mustafa, S, Nadel, S, Rahman, R, Thakker, C, Coin, LMJ, Bokhand, S, Power, S, Barham, H, Pathan, N, Ridout, J, White, D, Thurston, S, Faust, S, Patel, S, McCorkell, J, Davies, P, Crate, L, Navarra, H, Carter, S, Ramaiah, R, Patel, R, Tuffrey, C, Gribbin, A, McCready, S, Peters, M, Hardy, K, Standing, F, O'Neill, L, Abelake, E, Deep, A, Nsirim, E, Willis, L, Young, Z, Royad, C, White, S, Fortune, PM, Hudnott, P, Alvez Gonzalez, F, Barral-Arca, R, Cebey-Lopez, M, Jose Curras-Tuala, M, Garcia, N, Garcia Vicente, L, Gomez-Carballa, A, Gomez Rial, J, Grela Beiroa, A, Justicia Grande, A, Leborans Iglesias, P, Martinez Santos, AE, MartinonTorres, N, Martinon Sanchez, JM, Morillo Gutierrez, B, Mosquera Perez, B, Obando Pacheco, P, Pardo-Seco, J, Pischedda, S, RiveroCalle, I, Rodriguez-Tenreiro, C, Redondo-Collazo, L, Salas Ellacuriagal, A, Seren Fernandez, S, Porto Silva, MDS, Vega, A, Vilanova Trillo, L, Salas, A, Beatriz Reyes, S, Leon Leon, MC, Navarro Mingorance, A, Gabaldo Barrios, X, Onate Vergara, E, Concha Torre, A, Vivanco, A, Fernandez, R, Gimenez Sanchez, F, Sanchez Forte, M, Rojo, P, Ruiz Contreras, J, Palacios, A, Epalza Ibarrondo, C, Fernandez Cooke, E, Navarro, M, Alvarez Alvarez, C, Jose Lozano, M, Carreras, E, Brio Sanagustin, S, Neth, O, Martinez Padilla, MDC, Prieto Tato, LM, Guillen, S, Fernandez Silveira, L, Moreno, D, van Furth, AMT, Boeddha, NP, Driessen, GJA, Hazelzet, JA, Pajkrt, D, Sanders, EAM, van de Beek, D, van der Ende, A, Philipsen, HLA, Adeel, AOA, Breukels, MA, Brinkman, DMC, de Korte, CCMM, de Vries, E, de Waal, WJ, Dekkers, R, Dings-Lammertink, A, Doedens, RA, Donker, AE, Dousma, M, Faber, TE, Gerrits, GPJM, Gerver, JAM, Heidema, J, Homan-van der Veen, J, Jacobs, MAM, Jansen, NJG, Kawczynski, P, Klucovska, K, Kneyber, MCJ, Koopman-Keemink, Y, Langenhorst, VJ, Leusink, J, Loza, BF, Merth, IT, Miedema, CJ, Neeleman, C, Noordzij, JG, Obihara, CC, van Overbeek-van Gils, ALT, Poortman, GH, Potgieter, ST, Potjewijd, J, Rosias, PPR, Sprong, T, ten Tussher, GW, Thio, BJ, Tramper-Stranders, GA, van Deuren, M, van der Meer, H, van Kuppevelt, AJM, van Wermeskerken, AM, Verwijs, WA, Wolfs, TFW, Agyeman, P, Aebi, C, Berger, C, Giannoni, E, Stocker, M, Posfay-Barbe, KM, Heininger, U, Bernhard-Stirnemann, S, Niederer-Loher, A, Kahlert, C, Hasters, P, Relly, C, Baer, W, Frederick, H, Jennings, R, Johnston, J, Kenwright, R, Pinnock, E, Agbeko, R, Secka, F, Bojang, K, Sarr, I, Kebbeh, N, Sey, G, Momodou, SK, Cole, F, Thomas, G, Antonio, M, Klobassa, DS, Binder, A, Schweintzger, NA, Sagmeister, M, Baumgart, H, Baumgartner, M, Behrends, U, Biebl, A, Birnbacher, R, Blanke, J-G, Boelke, C, Breuling, K, Brunner, J, Buller, M, Dahlem, P, Dietrich, B, Eber, E, Elias, J, Emhofer, J, Etschmaier, R, Farr, S, Girtler, Y, Grigorow, I, Heimann, K, Ihm, U, Jaros, Z, Kalhoff, H, Kaulfersch, W, Kemen, C, Klocker, N, Koester, B, Kohlmaier, B, Komini, E, Kramer, L, Neubert, A, Ortner, D, Pescollderungg, L, Pfurtscheller, K, Reiter, K, Ristic, G, Roedl, S, Sellner, A, Sonnleitner, A, Sperl, M, Stelzl, W, Till, H, Trobisch, A, Vierzig, A, Vogel, U, Weingarten, C, Welke, S, Wimmer, A, Wintergerst, U, Wueller, D, Zaunschirm, A, Ziuraite, I, Zukovskaja, V, Wang, X, Nijman, R, Camuzeaux, S, Sands, C, Jackson, H, Kaforou, M, Emonts, M, Herberg, JA, Maconochie, I, Carrol, ED, Paulus, SC, Zenz, W, Van der Flier, M, de Groot, R, Martinon-Torres, F, Schlapbach, LJ, Pollard, AJ, Fink, C, Kuijpers, TT, Anderson, S, Lewis, MR, Levin, M, McClure, M, Gormley, S, Hamilton, S, Hourmat, B, Hoggart, C, Sancho-Shimizu, V, Wright, V, Abdulla, A, Agapow, P, Bartlett, M, Bellos, E, Eleftherohorinou, H, Galassini, R, Inwald, D, Mashbat, M, Menikou, S, Mustafa, S, Nadel, S, Rahman, R, Thakker, C, Coin, LMJ, Bokhand, S, Power, S, Barham, H, Pathan, N, Ridout, J, White, D, Thurston, S, Faust, S, Patel, S, McCorkell, J, Davies, P, Crate, L, Navarra, H, Carter, S, Ramaiah, R, Patel, R, Tuffrey, C, Gribbin, A, McCready, S, Peters, M, Hardy, K, Standing, F, O'Neill, L, Abelake, E, Deep, A, Nsirim, E, Willis, L, Young, Z, Royad, C, White, S, Fortune, PM, Hudnott, P, Alvez Gonzalez, F, Barral-Arca, R, Cebey-Lopez, M, Jose Curras-Tuala, M, Garcia, N, Garcia Vicente, L, Gomez-Carballa, A, Gomez Rial, J, Grela Beiroa, A, Justicia Grande, A, Leborans Iglesias, P, Martinez Santos, AE, MartinonTorres, N, Martinon Sanchez, JM, Morillo Gutierrez, B, Mosquera Perez, B, Obando Pacheco, P, Pardo-Seco, J, Pischedda, S, RiveroCalle, I, Rodriguez-Tenreiro, C, Redondo-Collazo, L, Salas Ellacuriagal, A, Seren Fernandez, S, Porto Silva, MDS, Vega, A, Vilanova Trillo, L, Salas, A, Beatriz Reyes, S, Leon Leon, MC, Navarro Mingorance, A, Gabaldo Barrios, X, Onate Vergara, E, Concha Torre, A, Vivanco, A, Fernandez, R, Gimenez Sanchez, F, Sanchez Forte, M, Rojo, P, Ruiz Contreras, J, Palacios, A, Epalza Ibarrondo, C, Fernandez Cooke, E, Navarro, M, Alvarez Alvarez, C, Jose Lozano, M, Carreras, E, Brio Sanagustin, S, Neth, O, Martinez Padilla, MDC, Prieto Tato, LM, Guillen, S, Fernandez Silveira, L, Moreno, D, van Furth, AMT, Boeddha, NP, Driessen, GJA, Hazelzet, JA, Pajkrt, D, Sanders, EAM, van de Beek, D, van der Ende, A, Philipsen, HLA, Adeel, AOA, Breukels, MA, Brinkman, DMC, de Korte, CCMM, de Vries, E, de Waal, WJ, Dekkers, R, Dings-Lammertink, A, Doedens, RA, Donker, AE, Dousma, M, Faber, TE, Gerrits, GPJM, Gerver, JAM, Heidema, J, Homan-van der Veen, J, Jacobs, MAM, Jansen, NJG, Kawczynski, P, Klucovska, K, Kneyber, MCJ, Koopman-Keemink, Y, Langenhorst, VJ, Leusink, J, Loza, BF, Merth, IT, Miedema, CJ, Neeleman, C, Noordzij, JG, Obihara, CC, van Overbeek-van Gils, ALT, Poortman, GH, Potgieter, ST, Potjewijd, J, Rosias, PPR, Sprong, T, ten Tussher, GW, Thio, BJ, Tramper-Stranders, GA, van Deuren, M, van der Meer, H, van Kuppevelt, AJM, van Wermeskerken, AM, Verwijs, WA, Wolfs, TFW, Agyeman, P, Aebi, C, Berger, C, Giannoni, E, Stocker, M, Posfay-Barbe, KM, Heininger, U, Bernhard-Stirnemann, S, Niederer-Loher, A, Kahlert, C, Hasters, P, Relly, C, Baer, W, Frederick, H, Jennings, R, Johnston, J, Kenwright, R, Pinnock, E, Agbeko, R, Secka, F, Bojang, K, Sarr, I, Kebbeh, N, Sey, G, Momodou, SK, Cole, F, Thomas, G, Antonio, M, Klobassa, DS, Binder, A, Schweintzger, NA, Sagmeister, M, Baumgart, H, Baumgartner, M, Behrends, U, Biebl, A, Birnbacher, R, Blanke, J-G, Boelke, C, Breuling, K, Brunner, J, Buller, M, Dahlem, P, Dietrich, B, Eber, E, Elias, J, Emhofer, J, Etschmaier, R, Farr, S, Girtler, Y, Grigorow, I, Heimann, K, Ihm, U, Jaros, Z, Kalhoff, H, Kaulfersch, W, Kemen, C, Klocker, N, Koester, B, Kohlmaier, B, Komini, E, Kramer, L, Neubert, A, Ortner, D, Pescollderungg, L, Pfurtscheller, K, Reiter, K, Ristic, G, Roedl, S, Sellner, A, Sonnleitner, A, Sperl, M, Stelzl, W, Till, H, Trobisch, A, Vierzig, A, Vogel, U, Weingarten, C, Welke, S, Wimmer, A, Wintergerst, U, Wueller, D, Zaunschirm, A, Ziuraite, I, and Zukovskaja, V
- Abstract
Fever is the most common reason that children present to Emergency Departments. Clinical signs and symptoms suggestive of bacterial infection are often non-specific, and there is no definitive test for the accurate diagnosis of infection. The 'omics' approaches to identifying biomarkers from the host-response to bacterial infection are promising. In this study, lipidomic analysis was carried out with plasma samples obtained from febrile children with confirmed bacterial infection (n = 20) and confirmed viral infection (n = 20). We show for the first time that bacterial and viral infection produces distinct profile in the host lipidome. Some species of glycerophosphoinositol, sphingomyelin, lysophosphatidylcholine and cholesterol sulfate were higher in the confirmed virus infected group, while some species of fatty acids, glycerophosphocholine, glycerophosphoserine, lactosylceramide and bilirubin were lower in the confirmed virus infected group when compared with confirmed bacterial infected group. A combination of three lipids achieved an area under the receiver operating characteristic (ROC) curve of 0.911 (95% CI 0.81 to 0.98). This pilot study demonstrates the potential of metabolic biomarkers to assist clinicians in distinguishing bacterial from viral infection in febrile children, to facilitate effective clinical management and to the limit inappropriate use of antibiotics.
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- 2019
9. Hematological and Oncological Indications for Splenectomy in Children
- Author
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Urban, C., Höllwarth, M., Kaulfersch, W., Slavc, I., Bill, A. H., editor, Boix-Ochoa, J., editor, Ferguson, C. C., editor, Ghandi, R. K., editor, Gans, S. L., editor, Haller, J. A., editor, Hecker, W. Ch., editor, Kasai, M., editor, Knutrud, O., editor, Lister, J., editor, Myers, N. A., editor, Prévot, J., editor, Rickham, P. P., editor, Soave, F., editor, Spitz, L., editor, Stauffer, U. G., editor, Wurnig, P., editor, Wurnig, Peter, editor, and Klos, Ingrid, editor
- Published
- 1985
- Full Text
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10. Therapie des Wilms-Tumors: Vorläufiges Ergebnis eines gemeinsamen Therapieplans in Österreich
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Ch. Flamm, H. Sauer, K. H. Kärcher, J. Rücker, O. A. Jürgenssen, R. Kurz, Arnulf Hackl, R. Krepler, H. Haas, Ch. Urban, A. Rosenkranz, G. Reinartz, L. Howanietz, J. Hüttenberger, Krepler P, H. Hartl, Pichler E, H. Messner, P. Wurnig, W. Tulzer, U. Busch, Kaulfersch W, G. Menardi, E. Kahr, G. Hubmer, Ingomar Mutz, G. Brandesky, F. Helmer, and W. Esch
- Subjects
Pediatrics ,medicine.medical_specialty ,Lung ,Chickenpox ,business.industry ,Wilms' tumor ,General Medicine ,Stage ii ,medicine.disease ,Therapeutic approach ,medicine.anatomical_structure ,Initial phase ,Medicine ,Stage (cooking) ,business ,Survival rate - Abstract
Uniform treatment based on the therapeutic approach of the 1st and 2nd US National Wilms' Tumor Study was decided on in March 1976 by paediatricians, surgeons, urologists and radiotherapists in Austria. Wilms' tumour was diagnosed in 34 children between 1 january 1976 an 29 february 1980 (stage I: n = 11, stage II: n = 8, stage III: n = 8, stage IV: n = 7). Parents of two children refused treatments; both children have since died of metastases. Of the remaining 32 children 29 (90.6%) are alive, 10 for more than 4, 15 for more than 3 and 19 for more than 2 years after diagnosis. 21 children are without need of treatment. Three children have died, one due to postoperative complications, one due to haemorrhagic chickenpox, but free of tumour, and one after insufficient treatment. Two of the five children with a recurrence between 2 1/4 to 15 months after diagnosis had been treated inadequately in the initial phase. The tumour free survival rate in 74.2%. Two children with early occurring or recurrent lung metastases have survived for 53 1/2 and 54 months up to now.
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- 2008
11. Treatment for soft tissue sarcoma in childhood and adolescence
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Bernhard Meister, Helmut Gadner, Klaus Schmitt, Hans Haas, Martina Peham, Reinhard Moser, Karin Dieckmann, Ernst Horcher, Christian Urban, Ditha Modritz, Ulrike Pötschger, Regina Jones, Ewa Koscielniak, Ruth Ladenstein, Jörn Treuner, Olaf Stöllinger, Gabriele Amman, and Kaulfersch W
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Adult ,Male ,medicine.medical_specialty ,Adolescent ,medicine.medical_treatment ,Risk Assessment ,Disease-Free Survival ,Cohort Studies ,Risk Factors ,medicine ,Humans ,Child ,Survival analysis ,Chemotherapy ,business.industry ,Genitourinary system ,Incidence ,Soft tissue sarcoma ,Fibromatosis ,Infant, Newborn ,Infant ,Sarcoma ,General Medicine ,Prognosis ,medicine.disease ,Survival Analysis ,Surgery ,Radiation therapy ,Treatment Outcome ,Austria ,Child, Preschool ,Cohort ,Female ,business ,Cohort study - Abstract
OBJECTIVE: The aim of the CWS 96 Study was to achieve an optimal treatment in children and adolescents with soft tissue sarcoma (STS) implementing a further refinement of risk-adapted allocation to chemotherapy, surgery and radiotherapy. METHODS: Treatment stratification was based on tumour histology, TNM status, postsurgical stage, localisation and age. Local tumour control was ensured by surgery and risk-adapted radiotherapy. RESULTS: From 1995 to 2002, 89 patients were registered in Austria. The 3-year event-free survival (EFS) and overall survival rates (OS) were 63% ± 6% and 71% ± 6%, respectively. 59/89 patients had localised RMS-like (rhabdomayosarcoma) STS (EFS 73% ± 7%), 14 had localised Non-RMS STS (EFS, 54% ± 16%) and 15 patients had metastatic disease at diagnosis (EFS, 33% ± 12%), 1 patient had fibromatosis. The EFS rates at 3 years in patients with localised RMS-like tumours according to risk group were 92% ± 8% for low and standard risk (12 patients) and 67% ± 8% for high risk (47 patients). Favourable primary tumour sites of nonmetastatic RMS-like STS i.e. orbit, head/neck nonparameningeal or genitourinary non-bladder/prostate were diagnosed in 15 patients (1 of 15 patients died). In 44 patients with unfavourable localisation such as parameningeal, genitourinary bladder/prostate, extremity and others, 7 deceased. The 3-year EFS according to histology in patients with RMS-like STS was 61% ± 11% for RME (embryonal RMS ) (28 patients) and 71% ± 15% for RMA (alveolar RMS) (10 patients). The most common treatment failure was local relapse occurring in 21% of patients in the high-risk group. CONCLUSION: Risk-adapted individualisation of treatment led to a reduction of chemotherapy in the low- and standard-risk group without compromising survival. The outcome of RME and RMA was similar in this cohort of patients. These preliminary results after a median observation time of 2.5 years confirm the CWS 96 strategy.
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- 2005
12. Congenital B12-malabsorption without proteinuria
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Urban, Ch., Mutz, I. D., and Kaulfersch, W.
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- 1981
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13. Serum cytokines in juvenile rheumatoid arthritis: correlation with conventional inflammation parameters and clinical subtypes
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Wolfgang Muntean, Peter M. Liebmann, Harald Mangge, Kaulfersch W, Konrad Schauenstein, Gudrun Neuwirth, Friedrich Beaufort, Siegfried Gallistl, and Harald Kenzian
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Male ,musculoskeletal diseases ,Adolescent ,medicine.medical_treatment ,Immunology ,Arthritis ,Cell Separation ,Proinflammatory cytokine ,Rheumatology ,immune system diseases ,White blood cell ,medicine ,Humans ,Immunology and Allergy ,Pharmacology (medical) ,Child ,skin and connective tissue diseases ,Interleukin 6 ,biology ,medicine.diagnostic_test ,Interleukin-6 ,Tumor Necrosis Factor-alpha ,business.industry ,Receptors, Interleukin-2 ,Flow Cytometry ,medicine.disease ,Arthritis, Juvenile ,Cytokine ,medicine.anatomical_structure ,Solubility ,Child, Preschool ,Erythrocyte sedimentation rate ,biology.protein ,Cytokines ,Female ,Tumor necrosis factor alpha ,business ,Juvenile rheumatoid arthritis - Abstract
Objective To examine the usefulness of determining extended serum cytokine profiles in patients with juvenile rheumatoid arthritis (JRA), for the purpose of improving differential diagnosis and monitoring disease activity. Methods In a 2-year prospective study, serum levels of interleukin-1 beta (IL-1 beta), soluble IL-2 receptor (sIL-2R), IL-6, IL-8, tumor necrosis factor alpha (TNF alpha), and the p55 soluble TNF receptor (sTNFR) were repeatedly determined by enzyme-linked immunosorbent assay in 40 patients with JRA, 13 patients with postinfectious arthropathies, and 30 healthy controls. The data were compared with conventional parameters of inflammation, such as C-reactive protein (CRP), iron and hemoglobin levels, erythrocyte sedimentation rate (ESR), white blood cell (WBC) counts, and platelet counts. WBC subsets were analyzed by flow cytofluorometry. Results At the first visit and at the peak of inflammatory activity according to CRP levels and/or ESR, serum levels of sIL-2R, IL-6, and sTNFR in JRA patients correlated significantly with conventional inflammation indicators, whereas IL-1 beta, IL-8, and TNF alpha did not. No changes in leukocyte subset distribution were noted. Among the different clinical subtypes of JRA, sIL-2R, IL-6, and sTNFR values at the time of the initial visit showed a pattern similar to CRP, whereby patients with systemic disease exhibited by far the highest values. TNF alpha and IL-1 beta were variably elevated in certain JRA subtypes. Patients with postinfectious arthropathies showed elevated levels of CRP, sIL-2R, TNF alpha, and sTNFR, which did not differ significantly from levels in the various JRA subtypes with the exception of systemic disease. Detailed analysis of types I and II pauciarticular JRA revealed that levels of CRP, IL-1 beta, and TNF alpha were elevated in patients with type I disease. While these parameters were invariably normal in patients with type II disease, sTNFR and sIL-2R were still found to be significantly elevated. Followup studies suggested that persistently high sTNFR values are a better indicator of JRA activity than are measurements of other cytokines or CRP. Conclusion JRA is associated with significant and consistent changes in serum levels of inflammatory cytokines and soluble receptors. For the clinical monitoring of JRA, determination of levels of sTNFR, and to some extent sIL-2R, may be particularly useful, since these determinations yield information about subtype and/or activity of disease that is not available from conventional parameters of inflammation.
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- 1995
14. Migratory activity of blood polymorphnuclear leukocytes during juvenile rheumatoid arthritis, demonstrated with a new wholeblood membrane filter assay
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Stefan Spendel, Kaulfersch W, Christiane Klemt, G. Egger, and Harald Kenzian
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Male ,medicine.medical_specialty ,Adolescent ,Neutrophils ,Immunology ,Membrane filter ,Cell Movement ,Reference Values ,Internal medicine ,Healthy control ,medicine ,Humans ,Immunology and Allergy ,Child ,Whole blood ,Polymorphonuclear leukocyte ,Migration Assay ,business.industry ,Infant, Newborn ,Infant ,hemic and immune systems ,Chemotaxis ,medicine.disease ,Arthritis, Juvenile ,Rheumatology ,N-Formylmethionine Leucyl-Phenylalanine ,Endocrinology ,Child, Preschool ,Female ,business ,Filtration ,Juvenile rheumatoid arthritis - Abstract
Polymorphonuclear leukocyte (PMN) migration is measured in whole blood in a migration chamber consisting of a membrane filter (3-microns pores, 140 microns thick) with an integrated chemoattractant depot (FMLP in solid form) attached to a plastic container. Control chambers lack FMLP (blanks). One test unit requires 300 microliters blood. Numbers and distribution of the PMN immigrants into the filters are determined microscopically. Altogether 26 measurements of PMN migration in five juvenile rheumatoid arthritis (JRA) patients with varying disease activity were compared with the reactions of a healthy control group (N = 32). Correlations were calculated with conventional laboratory parameters (WBC, PLT, BSR, CRP, Hgb, serum Fe) and disease activity. In comparison with healthy controls, PMNs of JRA patients generally show a markedly increased penetration depth into the filters irrespective the presence of the chemoattractant or the disease activity. Increased migratory reactions to FMLP in comparison to blanks were found during high disease activity only. The PMN penetration depth correlates positively with the CRP, and reciprocally with the Hgb blood levels. The migration assay combines fast and simple processing with good preservation of the genuine PMN activation state.
- Published
- 1994
15. Hematological and Oncological Indications for Splenectomy in Children
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Urban, C., primary, Höllwarth, M., additional, Kaulfersch, W., additional, and Slavc, I., additional
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- 1985
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16. Treatment of Disseminated Malignant Histocytosis in First Remission with Intensive Chemotherapy and Cryopreserved Autologous Bone Marrow
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Kaulfersch, W., primary, Urban, C. H., additional, Slavc, I., additional, Maurer, G., additional, Teubel, I., additional, and Höcker, P., additional
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- 1985
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17. Nichtrheumatische Ursachen von Gelenksschmerzen
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Kaulfersch, W., primary
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18. Wichtige Begriffe
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Kaulfersch, W., primary
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19. Reaktive und parainfektiöse Arthritiden
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Kaulfersch, W., primary
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20. Therapie des Wilms-Tumors: Vorläufiges Ergebnis eines gemeinsamen Therapieplans in Österreich
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Pichler, E., primary, Jürgenssen, O. A., additional, Reinartz, G., additional, Kärcher, K. H., additional, Helmer, F., additional, Esch, W., additional, Krepler, R., additional, Urban, Ch., additional, Kurz, R., additional, Sauer, H., additional, Hubmer, G., additional, Hackl, A., additional, Kahr, E., additional, Kaulfersch, W., additional, Haas, H., additional, Menardi, G., additional, Hüttenberger, J., additional, Krepler, P., additional, Flamm, Ch., additional, Wurnig, P., additional, Rosenkranz, A., additional, Busch, U., additional, Messner, H., additional, Brandesky, G., additional, Mutz, I., additional, Tulzer, W., additional, Hartl, H., additional, Howanietz, L., additional, and Rücker, J., additional
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- 2008
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21. Riesen-Meckel-Divertikel kombiniert mit Ösophagusatresie Typ IIIb und beidseitiger Lippen-Kiefer-Gaumenspalte
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Pichler, E, primary, Kraschl, R, additional, Sinzig, M, additional, Fasching, G, additional, and Kaulfersch, W, additional
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- 2008
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22. Wernicke-Encephalopathie bei jugendlichen Patienten mit Colitis ulzerosa
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Edlinger, M, primary, Pichler, E, additional, Gasser, J, additional, and Kaulfersch, W, additional
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- 2008
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23. Reduction of the dose to the lens in prophylactic cranial irradiation: a comparison of three different treatment techniques and two different beam qualities
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Andrea Langmann, Hauer C, Arnulf Hackl, E. Poier, Kaulfersch W, B. Pakisch, Christian Urban, and G. Stücklschweiger
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medicine.medical_specialty ,Cancer Research ,Materials science ,medicine.medical_treatment ,Radiation Dosage ,Cataract ,law.invention ,Small field ,Radiotherapy, High-Energy ,Cranial Irradiation ,law ,medicine ,Humans ,Radiology, Nuclear Medicine and imaging ,Cobalt Radioisotopes ,Reduction (orthopedic surgery) ,Radiation ,Radiological and Ultrasound Technology ,business.industry ,Surgery ,Lens (optics) ,Posterior segment of eyeball ,Oncology ,Anthropomorphic phantom ,Prophylactic cranial irradiation ,business ,Nuclear medicine ,Beam (structure) ,Biomedical engineering - Abstract
Three treatment techniques using two beam qualities have been compared on the basis of dose to the lens in prophylactic cranial irradiation. The dose to the lens and the globe was measured with thermoluminescent crystals in an anthropomorphic phantom and calculated by a computer-assisted planning system. A comparison was made of large field and small field techniques using 60Co and 8 MV photons. Modifications to the basic techniques studied included angulation of the gantry, angulation of the couch, and placement of an additional eye block close to the surface. The dose to the lens could be reduced to four percent of the midplane dose by applying the small-field technique combined with the use of 8 MV energy photons, by placing an additional block close to the surface, and by five degree occipitally angling the gantry, as well as rotating the treatment couch to account for the divergence of the beam. The use of 60Co produced an underdosage of the posterior segment of the globe in angled treatment techniques.
- Published
- 1992
24. Cytofluorimetric analysis of mitogen-activated peripheral blood lymphocytes of non-leukemic lymphoma patients reveals an abnormal disease-related expression pattern of activation antigens
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Friedrich Beaufort, E. Rossipal, Konrad Schauenstein, Harald Mangge, and Kaulfersch W
- Subjects
Adult ,Antigens, Differentiation, T-Lymphocyte ,Male ,Cancer Research ,Adolescent ,Lymphoma ,Lymphocyte ,CD3 ,chemical and pharmacologic phenomena ,Lymphocyte Activation ,CD19 ,Antigen ,Antigens, CD ,Receptors, Transferrin ,medicine ,T-cell lymphoma ,Humans ,IL-2 receptor ,Phytohemagglutinins ,Aged ,biology ,hemic and immune systems ,Receptors, Interleukin-2 ,General Medicine ,HLA-DR Antigens ,Middle Aged ,medicine.disease ,Flow Cytometry ,Tumor Necrosis Factor Receptor Superfamily, Member 7 ,medicine.anatomical_structure ,Oncology ,Immunology ,biology.protein ,Female ,CD8 - Abstract
The purpose of this study was to examine patterns of peripheral T-cell-activation antigen expression after polyclonal in vitro stimulation in early stages of lymphoproliferative diseases. With 18 patients afflicted with recently diagnosed, non-leukemic stages of B and T cell lymphoma cytofluorimetric analysis was performed with peripheral blood lymphocytes (PBL) after 72 h in culture with and without phytohemagglutinin, using antibodies against the differentiation antigens CD3, CD8, CD4, CD16, CD19, CDw14, and the activation antigens interleukin-2 receptor (IL-2R, CD25), HLA-DR (DR), CD56 and transferrin receptor (TR). Compared to healthy controls and patients with other diseases, a very significant reduction of large T cells bearing activation markers was found in all lymphoma cases. Furthermore, a pronounced inhibition in the expression of the activation markers IL-2R and TR, but not of DR, was detected on CD3+ cells in phytohemagglutinin-stimulated PBL of all lymphoma cells independently of DNA synthesis, as measured by [3H]thymidine uptake. Determination of the natural-killer-cell-(NK)-associated antigens CD16 and CD56, available for our studies in a CD16 + CD56 combination kit, revealed, after phytohemagglutinin stimulation, significantly increased expression values in 8 lymphoma patients so far investigated, as compared to 12 healthy controls. Thus, polyclonal activation combined with cytofluorimetric screening of activation antigens seems to give useful information on the functional defect(s) of PBL in an early state of lymphoma, and may therefore be of considerable diagnostic value. The observed pattern of T cell activation antigen expression after phytohemagglutinin stimulation may give further clues to the understanding of immune dysfunction(s) associated with lymphoma.
- Published
- 1990
25. Percutaneous removal of a severed central venous catheter from the right heart in a 13-year-old girl
- Author
-
Kaulfersch, W., Urban, Ch., Gypser, G., Schober, P., and Zach, M.
- Published
- 1982
- Full Text
- View/download PDF
26. 156Pro-->Gln substitution in the light chain of cytochrome b558 of the human NADPH oxidase (p22-phox) leads to defective translocation of the cytosolic proteins p47-phox and p67-phox.
- Author
-
Leusen, J H, primary, Bolscher, B G, additional, Hilarius, P M, additional, Weening, R S, additional, Kaulfersch, W, additional, Seger, R A, additional, Roos, D, additional, and Verhoeven, A J, additional
- Published
- 1994
- Full Text
- View/download PDF
27. Lethal B. Burgdorferi encephalitis in severe rheumatoid arthritis
- Author
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Millner, Michael M., primary, Kaulfersch, W., additional, Muellegger, R.R., additional, and Stanek, G., additional
- Published
- 1992
- Full Text
- View/download PDF
28. Computertomographische und klinische Verlaufsuntersuchungen bei intraventrikulärer Hämorrhagie
- Author
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Fritsch G, Kopp W, Kaulfersch W, Schmidberger H, and G. H. Schneider
- Subjects
Gynecology ,medicine.medical_specialty ,Pediatrics ,Intraventricular hemorrhage ,Clinical events ,business.industry ,medicine ,Radiology, Nuclear Medicine and imaging ,medicine.disease ,business - Abstract
41 Kinder mit intraventrikularer Hamorrhagie (IVH) wurden untersucht und die computertomographischen Ausgangsbefunde entsprechend der Gradierung von Papile in 4 Schweregrade gegliedert. Der Verlauf wurde computertomographisch und klinisch kontrolliert. Mit zunehmendem Schweregrad nahmen sowohl die Letalitatsrate als auch das Ausmas der computertomographischen Folgeveranderungen und der Defektheilungen (psychomotorische Entwicklungsverzogerung und psychoneurologisches Defektsyndrom) zu. Anhand von 3 Fallen wird gezeigt, das der computertomographische Befund lediglich einen prognostischen Teilaspekt darstellt. The investigation comprises 41 children with intraventricular hemorrhage (IVH). The CT-findings were divided into 4 groups, according to Papile. A CT and clinical follow-up study was performed on the survivors. The grade of IVH correlated with the rate of mortality and with neurological deficits. It is demonstrated in 3 cases that the CT-scan is only part of a prognostic aspect which is remarkable influenced by clinical events.
- Published
- 1985
29. Congenital B12-malabsorption without proteinuria
- Author
-
Urban, Ch., Mutz, I. D., and Kaulfersch, W.
- Abstract
In zwei nichtverwandten Familien leiden drei Kinder an einer megaloblastären Anämie, die sich im Laufe des zweiten Lebensjahres manifestiert. Die Ursache der Anämie ist eine kongenitale Vitamin-B
12 -Malabsorption, keines der Kinder zeigt eine Proteinurie oder eine Aminoacidurie. Dadurch unterscheiden sich die von uns beobachteten Fälle von den meisten bisher in der Literatur berichteten Beobachtungen.- Published
- 1981
- Full Text
- View/download PDF
30. 156Pro-->Gln substitution in the light chain of cytochrome b558 of the human NADPH oxidase (p22-phox) leads to defective translocation of the cytosolic proteins p47-phox and p67-phox.
- Author
-
Leusen, J H, Bolscher, B G, Hilarius, P M, Weening, R S, Kaulfersch, W, Seger, R A, Roos, D, and Verhoeven, A J
- Abstract
Src homology 3 (SH3) domains have been suggested to play an important role in the assembly of the superoxide-forming nicotinamide adenine dinucleotide phosphate (NADPH) oxidase upon activation of phagocytes, which involves the association of membrane-bound and cytosolic components. We studied the translocation of the cytosolic proteins to the plasma membrane in neutrophils of a patient with a point mutation in the gene encoding the light chain of cytochrome b558. This mutation leads to a substitution at residue 156 of a proline into a glutamine in a putative SH3 binding domain of p22-phox (Dinauer, M., E. A. Pierce, R. W. Erickson, T. Muhlebach, H. Messner, R. A. Seger, S. H. Orkin, and J. T. Curnutte. 1991. Proc. Natl. Acad. Sci. 88:11231). In PMA-stimulated neutrophils and in a cell-free translocation assay with neutrophil membranes and cytosol, association of the cytosolic proteins p47-phox and p67-phox with the membrane fraction of the patient's neutrophils was virtually absent. In contrast, when solubilized membranes of the patient's neutrophils were activated with phospholipids in the absence of cytosol (Koshkin, V., and E. Pick. 1993. FEBS [Fed. Eur. Biochem. Soc.] Lett. 327:57), the rate of NADPH-dependent oxygen uptake was observed at a rate similar to that of control membranes. We suggest that the binding of an SH3 domain of p47-phox to p22-phox, and thus activation of the oxidase, does not occur in the neutrophils of this patient, although under artificial conditions, electron flow from NADPH to oxygen in cytochrome b558 is possible.
- Published
- 1994
- Full Text
- View/download PDF
31. Immunoglobulin and T-cell receptor gene rearrangement and expression in human lymphoid leukemia cells at different stages of maturation.
- Author
-
Davey, M P, Bongiovanni, K F, Kaulfersch, W, Quertermous, T, Seidman, J G, Hershfield, M S, Kurtzberg, J, Haynes, B F, Davis, M M, and Waldmann, T A
- Abstract
The use of probes to genes (IG and TCRB) encoding immunoglobulins (IG) and the beta chain of the T-cell antigen receptor (TCRB), respectively, have become a sensitive means to assess clonality and lineage in lymphoid malignancies. It has become apparent that some individual cases show rearrangements of both IG and TCRB genes. In an attempt to more accurately define cell lineage we have analyzed cells from patients with B- or T-cell leukemia (n = 26) at various stages of maturation with probes to two additional TCR genes, TCRG and TCRA (encoding the TCR gamma and alpha chains, respectively), as well as the IG heavy chain joining region (IGHJ) and TCRB genes. On Southern blot analysis, the mature T-cell leukemia cells studied had rearranged TCRG and TCRB while IGHJ remained as in the germ line. The mature B-cell leukemia cells studied had rearranged IGHJ with germ-line TCRG and TCRB. These data suggest that, in the majority of more mature leukemias, cells have rearranged IG or TCR genes but not both. In contrast, cells from five of nine precursor B-cell leukemia patients and cell lines from one of four precursor T-cell leukemia patients had rearranged both IGHJ and TCR genes. TCRG and TCRB mRNAs were expressed in the cells of precursor T- but not B-cell leukemia patients studied. The spectrum of leukemia cells studied within the T-cell series permitted an assessment of the order of TCR gene rearrangements. Two of 13 patients had cells with germ-line TCRG and TCRB, 2 patients had cells with rearranged TCRG alone, and the remainder had cells with rearranged TCRG and TCRB. TCRG and TCRB mRNAs were expressed in precursor T-cell leukemia cells, whereas TCRB and TCRA were expressed in mature T-cell leukemia cells. These results parallel observations from mouse studies on gene expression and support the view of a hierarchy of TCR gene rearrangements in T-lymphocyte ontogeny. TCRG genes are rearranged first, subsequently TCRB genes are rearranged, followed by TCRA gene activation.
- Published
- 1986
- Full Text
- View/download PDF
32. Percutaneous removal of a severed central venous catheter from the right heart in a 13-year-old girl
- Author
-
Maximilian S. Zach, P. Schober, G. Gypser, Kaulfersch W, and Ch. Urban
- Subjects
medicine.medical_specialty ,Percutaneous ,Adolescent ,media_common.quotation_subject ,medicine.medical_treatment ,macromolecular substances ,Catheterization ,Veins ,Foreign-Body Migration ,medicine ,Humans ,cardiovascular diseases ,Girl ,Foreign Bodies ,media_common ,business.industry ,Heart ,Surgery ,Catheter ,Right subclavian vein ,Pediatrics, Perinatology and Child Health ,Right heart ,cardiovascular system ,Female ,business ,Central venous catheter - Abstract
The distal tip of a catheter was accidentally severed in a 13-year-old girl when a polyethylene catheter was inserted into the right subclavian vein.
- Published
- 1982
33. Hematological and Oncological Indications for Splenectomy in Children
- Author
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Kaulfersch W, Slavc I, Christian Urban, and Michael E. Höllwarth
- Subjects
Pediatrics ,medicine.medical_specialty ,business.industry ,Anemia ,medicine.medical_treatment ,Spherocytosis ,Splenectomy ,Retrospective cohort study ,Disease ,medicine.disease ,Thrombocytopenic purpura ,Sepsis ,medicine ,Autoimmune hemolytic anemia ,business - Abstract
The most common hematologic and oncologic indications for splenectomy in childhood are hereditary spherocytosis, chronic idiopathic thrombocytopenic purpura, hypersplenism, and Hodgkin's disease. Because of the increased incidence of septic complications after splenectomy, benefits to be gained from the operation should be weighed against the risks. A retrospective study was done on the charts of 42 consecutive children with hematologic and oncologic disorders, who underwent splenectomy between 1967 and 1982. The incidence of septic complications after splenectomy was 12%; sepsis, however, only occurred in patients with severe underlying diseases (three patients with Hodgkin's disease, one patient with systemic lupus erythematosus, and one patient with chronic pseudo-malignant immunoproliferation). In contrast, none of the patients who were splenectomized for other reasons (mainly hereditary spherocytosis and chronic immune thrombocytopenic purpura) had a septic complication. Two patients with end-stage Hodgkin's disease (5%) experienced fatal septic complications. Although splenectomy is well established for diagnostic and therapeutic considerations in patients with Hodgkin's disease, not all of them might benefit from this operation, and studies with a more limited approach to splenectomy might prove to be of the same therapeutical value.
- Published
- 1985
34. Treatment of Disseminated Malignant Histocytosis in First Remission with Intensive Chemotherapy and Cryopreserved Autologous Bone Marrow
- Author
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I. Teubel, G. Maurer, P. Höcker, Kaulfersch W, C. H. Urban, and I. Slavc
- Subjects
Chemotherapy ,medicine.medical_specialty ,business.industry ,Malignant histiocytosis ,medicine.medical_treatment ,Disease ,Total body irradiation ,CHOP ,medicine.disease ,Gastroenterology ,Cryopreservation ,Internal medicine ,Medicine ,business ,Histiocyte ,Preparative Regimen - Abstract
Malignant Histiocytosis (MH) is a non hereditary rapidly fatal disease characterized by a neoplastic proliferation of atypical histiocytes, predominantly within lymphoid and haematopoeitic organs.Median duration of survival is two years after Adriamycin-based chemotherapy (CHOP) with complete remission rates from 57 % to 92 % (1). Despite early responsiveness of MH to Chemotherapy the disease is still frequently relapsing at the end or shortly after therapy. On the contrary Phillips et al.(2) report a disease free survival rate of 56+ months in a patient with MH who has been treated with cyc-lophosphamide, total body irradiation (TBI) and autologous bone marrow transplantation (ABMT).
- Published
- 1985
35. Congenital B12-malabsorption without proteinuria
- Author
-
Ch. Urban, Kaulfersch W, and I. D. Mutz
- Subjects
Vitamin ,Male ,medicine.medical_specialty ,Malabsorption ,Anemia, Megaloblastic ,urologic and male genital diseases ,Gastroenterology ,chemistry.chemical_compound ,Malabsorption Syndromes ,Internal medicine ,medicine ,Humans ,Anemia, Macrocytic ,Proteinuria ,Hematology ,business.industry ,nutritional and metabolic diseases ,Megaloblastic anaemia ,Infant ,General Medicine ,medicine.disease ,Vitamin B 12 ,Endocrinology ,chemistry ,Aminoaciduria ,Child, Preschool ,Female ,medicine.symptom ,business - Abstract
Three children of two unrelated families developed signs of megaloblastic anaemia during their second year of life. They were shown to suffer from congenital vitamin B12-malabsorption. In contrast to most known children with the Imerslund Grasbeck-syndrome our patients had no proteinuria or aminoaciduria.
- Published
- 1981
36. Treatment of relapsed all with conventional reinduction therapy, intermediate dose mtx (idmtx) and late intensification using high dose busulfan, cyclophosphamide and allogeneic bone marrow transplantation (BMT)
- Author
-
Urban, Ch., primary, Slavc, I., additional, Kaulfersch, W., additional, Hajek-Rosenmayr, A., additional, and Teubl, I., additional
- Published
- 1986
- Full Text
- View/download PDF
37. Computertomographische und klinische Verlaufsuntersuchungen bei intraventrikulärer Hämorrhagie
- Author
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Kopp, W., primary, Schneider, G., additional, Kaulfersch, W., additional, Fritsch, G., additional, and Schmidberger, H., additional
- Published
- 1985
- Full Text
- View/download PDF
38. Development of a human monoclonal antibody from a Graves' disease patient that identifies a novel thyroid membrane antigen.
- Author
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Baker, J R, primary, Saunders, N B, additional, Kaulfersch, W, additional, and Burman, K D, additional
- Published
- 1988
- Full Text
- View/download PDF
39. Bone marrow aspiration with a 22-gauge spinal needle
- Author
-
Christian Urban, Ingomar Mutz, and Kaulfersch W
- Subjects
medicine.medical_specialty ,business.industry ,Bone Marrow Examination ,medicine.anatomical_structure ,Needles ,Child, Preschool ,Gauge (instrument) ,Pediatrics, Perinatology and Child Health ,medicine ,Humans ,Bone marrow ,Radiology ,Child ,business - Published
- 1982
40. Primary non-Hodgkin's lymphoma of the liver, successful management with LSA2-L2chemotherapy and local irradiation in a 13-year-old boy
- Author
-
Kaulfersch W, Christian Urban, Irene Slave, Ingomar Mutz, Gertraud Maurer, and H. Becker
- Subjects
Chemotherapy ,medicine.medical_specialty ,business.industry ,medicine.medical_treatment ,Pediatrics, Perinatology and Child Health ,medicine ,Local irradiation ,Radiology ,medicine.disease ,business ,Non-Hodgkin's lymphoma - Published
- 1985
41. Treatment of relapsed all with conventional reinduction therapy, intermediate dose mtx (idmtx) and late intensification using high dose busulfan, cyclophosphamide and allogeneic bone marrow transplantation (BMT)
- Author
-
Kaulfersch W, A. Hajek-Rosenmayr, Ch. Urban, Teubl I, and Slavc I
- Subjects
Oncology ,Cancer Research ,medicine.medical_specialty ,business.industry ,Marrow transplantation ,Internal medicine ,medicine ,Busulfan/Cyclophosphamide ,Hematology ,Autogenous bone ,business - Published
- 1986
42. Extended phenotypes in a boy and his mother with oto-palato-digital-syndrome type II.
- Author
-
Kaissi AA, Kraschl R, Kaulfersch W, Grill F, and Ganger R
- Abstract
We describe additional phenotypic features in a boy and his mother. Both manifested the phenotypic/genotypic correlation of oto-palato-digital syndrome type II. The mother's radiographs showed wormian bones of the skull, and paranasal bossing, her feet showed bilateral fusion of the cuboid with the lateral cuneiform bone with subsequent development of metatarsus varus associated with dysplastic distal phalanges.
- Published
- 2015
- Full Text
- View/download PDF
43. Cryopyrin-associated periodic syndrome.
- Author
-
Posch C, Kaulfersch W, and Rappersberger K
- Subjects
- Antirheumatic Agents therapeutic use, Cryopyrin-Associated Periodic Syndromes drug therapy, Cryopyrin-Associated Periodic Syndromes genetics, Diagnosis, Differential, Humans, Infant, Interleukin 1 Receptor Antagonist Protein therapeutic use, Male, Cryopyrin-Associated Periodic Syndromes diagnosis
- Abstract
Cryopyrin-associated periodic syndromes (CAPS) are characterized by apparently unprovoked attacks of fever, rashes, and musculoskeletal and sensorineural inflammation accompanied by high acute-phase reactants. Excessive interleukin-1 (IL-1) signaling appears to be a constant feature in the pathomechanism of the disease, driven by a gain-of-function mutation in the NLRP3 gene. Herein, we present the case of a 9-month-old boy with recurrent nonpruritic rashes and episodes of fever. The difficulties of early diagnosis due to initially mild clinical symptoms and the dramatic response to anti-IL-1 therapy after diagnosis emphasize the practical relevance of considering CAPS as a differential diagnosis in these patients., (© 2012 Wiley Periodicals, Inc.)
- Published
- 2014
- Full Text
- View/download PDF
44. Nephropathia epidemica (puumala virus infection) in Austrian children.
- Author
-
Acham-Roschitz B, Aberle SW, Pirker N, Kaulfersch W, Boehm M, Roedl S, Zenz W, Ring E, and Mache CJ
- Subjects
- Acute Kidney Injury epidemiology, Adolescent, Austria epidemiology, Child, Female, Hemorrhagic Fever with Renal Syndrome complications, Humans, Male, Treatment Outcome, Hemorrhagic Fever with Renal Syndrome epidemiology, Hemorrhagic Fever with Renal Syndrome pathology, Puumala virus isolation & purification
- Abstract
From 2000 to 2007, 19 Austrian children (aged 6-18 years) had serologically verified nephropathia epidemica. Common clinical features were abdominal/flank/back pain, fever, nausea, vomiting, headache, and transient visual disturbances. Acute renal failure was present in 18 (95%) patients. All patients recovered completely. Childhood nephropathia epidemica in Austria takes a similar course to those reported for Northern European Puumala virus strains.
- Published
- 2010
- Full Text
- View/download PDF
45. Treatment for soft tissue sarcoma in childhood and adolescence. Austrian results within the CWS 96 study.
- Author
-
Modritz D, Ladenstein R, Pötschger U, Amman G, Dieckmann K, Horcher E, Urban C, Meister B, Schmitt K, Jones R, Kaulfersch W, Haas H, Moser R, Stöllinger O, Peham M, Gadner H, Koscielniak E, and Treuner J
- Subjects
- Adolescent, Adult, Austria epidemiology, Child, Child, Preschool, Cohort Studies, Disease-Free Survival, Female, Humans, Incidence, Infant, Infant, Newborn, Male, Prognosis, Risk Factors, Sarcoma diagnosis, Survival Analysis, Treatment Outcome, Risk Assessment methods, Sarcoma mortality, Sarcoma therapy
- Abstract
Objective: The aim of the CWS 96 Study was to achieve an optimal treatment in children and adolescents with soft tissue sarcoma (STS) implementing a further refinement of risk-adapted allocation to chemotherapy, surgery and radiotherapy., Methods: Treatment stratification was based on tumour histology, TNM status, postsurgical stage, localisation and age. Local tumour control was ensured by surgery and risk-adapted radiotherapy., Results: From 1995 to 2002, 89 patients were registered in Austria. The 3-year event-free survival (EFS) and overall survival rates (OS) were 63% +/- 6% and 71% +/- 6%, respectively. 59/89 patients had localised RMS-like (rhabdomayosarcoma) STS (EFS 73% +/- 7%), 14 had localised NON-RMS STS (EFS 54% +/- 16%) and 15 patients had metastatic disease at diagnosis (EFS 33% +/- 12%), 1 patient had fibromatosis. The EFS rates at 3 years in patients with localised RMS-like tumours according to risk group were 92% +/- 8% for low and standard risk (12 patients) and 67% +/- 8% for high risk (47 patients). Favourable primary tumour sites of nonmetastatic RMS-like STS i.e. orbit, head/neck nonparameningeal or genitourinary non-bladder/prostate were diagnosed in 15 patients (1/15 patients died). In 44 patients with unfavourable localisation such as parameningeal, genitourinary bladder/prostate, extremity and others, 7 deceased. The 3 year EFS according to histology in patients with RMS-like STS was 61% +/- 11% for RME (embryonal RMS ) (28 patients) and 71% +/- 15% for RMA (alveolar RMS) (10 patients). The most common treatment failure was local relapse occurring in 21% of patients in the high-risk group., Conclusion: Risk-adapted individualisation of treatment led to a reduction of chemotherapy in the low and standard risk group without compromising survival. The outcome of RME and RMA was similar in this cohort of patients. These preliminary results after a median observation time of 2.5 years confirm the CWS 96 strategy.
- Published
- 2005
- Full Text
- View/download PDF
46. [Scintigraphic findings in a patient with sickle-cell thalassemia and recurrent pain attacks].
- Author
-
Mikosch P, Jauk B, Kaulfersch W, Gallowitsch HJ, and Lind P
- Subjects
- Abdominal Pain diagnostic imaging, Abdominal Pain etiology, Anemia, Sickle Cell genetics, Arthralgia diagnostic imaging, Arthralgia etiology, Bone Marrow diagnostic imaging, Bone and Bones diagnostic imaging, Child, Diagnosis, Differential, Humans, Infarction genetics, Male, Pain etiology, Radionuclide Imaging, Superinfection diagnostic imaging, Thalassemia genetics, Anemia, Sickle Cell diagnostic imaging, Bone Marrow blood supply, Bone and Bones blood supply, Infarction diagnostic imaging, Osteomyelitis diagnostic imaging, Pain diagnostic imaging, Thalassemia diagnostic imaging
- Abstract
The case of an eight years old African boy who suffers from sickle cell-thalassemia is presented. In the course of the disease frequent pain attacks occurred within the abdomen and extremities, recently also within the trunk. Local pain, at some occasions in combination with local swelling and always positive laboratory parameters for inflammation, hindered a solely clinical differentiation between bone infarcts and osteomyelitis. Bone scintigraphy, eventually in combination with bone marrow scintigraphy, can assist the clinician in the differentiation of aseptic bone infarcts versus secondary osteomyelitis. Based on the presented case scintigraphic results for bone infarcts, osteomyelitis and special scintigraphic pattern seen in sickle cell disease are presented. Furthermore, problems regarding the interpretation of the scintigraphies in relation to the delayed time after the beginning of pain attacks are discussed.
- Published
- 2003
- Full Text
- View/download PDF
47. The Austrian version of the Childhood Health Assessment Questionnaire (CHAQ) and the Child Health Questionnaire (CHQ).
- Author
-
Huemer C, Ruperto N, Huemer M, Sailer-Hoeck M, Kaulfersch W, Schwarz R, Rettenbacher A, Kenzian H, Artacker G, Pilz I, Bernecker M, Huppertz HI, and Landgraf JM
- Subjects
- Adolescent, Austria, Child, Cultural Characteristics, Disability Evaluation, Female, Humans, Language, Male, Psychometrics, Quality of Life, Reproducibility of Results, Arthritis, Juvenile diagnosis, Cross-Cultural Comparison, Health Status, Surveys and Questionnaires
- Abstract
We report herein the results of the cross-cultural adaptation and validation into the Austrian language of the parentís version of two health related quality of life instruments. The Childhood Health Assessment Questionnaire (CHAQ) is a disease specific health instrument that measures functional ability in daily living activities in children with juvenile idiopathic arthritis (JIA). The Child Health Questionnaire (CHQ) is a generic health instrument designed to capture the physical and psychosocial well-being of children independently from the underlying disease. The Austrian CHAQ CHQ were adapted from the German version of the CHAQ-CHQ, and revalidated in this study. A total of 134 subjects were enrolled: 74 patients with JIA (9.5% systemic onset, 42% polyarticular onset, 9.5% extended oligoarticular subtype, and 39% persistent oligoarticular subtype) and 60 healthy children. The CHAQ clinically discriminated between healthy subjects and JIA patients, with the systemic, polyarticular and extended oligoarticular subtypes having a higher degree of disability, pain, and a lower overall well-being when compared to their healthy peers. Also the CHQ clinically discriminated between healthy subjects and JIA patients, with the systemic onset, polyarticular onset and extended oligoarticular subtypes having a lower physical and psychosocial well-being when compared to their healthy peers. In conclusion the Austrian version of the CHAQ-CHQ is a reliable, and valid tool for the functional, physical and psychosocial assessment of children with JIA.
- Published
- 2001
48. Serum cytokines in juvenile rheumatoid arthritis. Correlation with conventional inflammation parameters and clinical subtypes.
- Author
-
Mangge H, Kenzian H, Gallistl S, Neuwirth G, Liebmann P, Kaulfersch W, Beaufort F, Muntean W, and Schauenstein K
- Subjects
- Adolescent, Cell Separation, Child, Child, Preschool, Female, Flow Cytometry, Humans, Interleukin-6 blood, Male, Receptors, Interleukin-2 analysis, Solubility, Tumor Necrosis Factor-alpha analysis, Arthritis, Juvenile blood, Cytokines blood
- Abstract
Objective: To examine the usefulness of determining extended serum cytokine profiles in patients with juvenile rheumatoid arthritis (JRA), for the purpose of improving differential diagnosis and monitoring disease activity., Methods: In a 2-year prospective study, serum levels of interleukin-1 beta (IL-1 beta), soluble IL-2 receptor (sIL-2R), IL-6, IL-8, tumor necrosis factor alpha (TNF alpha), and the p55 soluble TNF receptor (sTNFR) were repeatedly determined by enzyme-linked immunosorbent assay in 40 patients with JRA, 13 patients with postinfectious arthropathies, and 30 healthy controls. The data were compared with conventional parameters of inflammation, such as C-reactive protein (CRP), iron and hemoglobin levels, erythrocyte sedimentation rate (ESR), white blood cell (WBC) counts, and platelet counts. WBC subsets were analyzed by flow cytofluorometry., Results: At the first visit and at the peak of inflammatory activity according to CRP levels and/or ESR, serum levels of sIL-2R, IL-6, and sTNFR in JRA patients correlated significantly with conventional inflammation indicators, whereas IL-1 beta, IL-8, and TNF alpha did not. No changes in leukocyte subset distribution were noted. Among the different clinical subtypes of JRA, sIL-2R, IL-6, and sTNFR values at the time of the initial visit showed a pattern similar to CRP, whereby patients with systemic disease exhibited by far the highest values. TNF alpha and IL-1 beta were variably elevated in certain JRA subtypes. Patients with postinfectious arthropathies showed elevated levels of CRP, sIL-2R, TNF alpha, and sTNFR, which did not differ significantly from levels in the various JRA subtypes with the exception of systemic disease. Detailed analysis of types I and II pauciarticular JRA revealed that levels of CRP, IL-1 beta, and TNF alpha were elevated in patients with type I disease. While these parameters were invariably normal in patients with type II disease, sTNFR and sIL-2R were still found to be significantly elevated. Followup studies suggested that persistently high sTNFR values are a better indicator of JRA activity than are measurements of other cytokines or CRP., Conclusion: JRA is associated with significant and consistent changes in serum levels of inflammatory cytokines and soluble receptors. For the clinical monitoring of JRA, determination of levels of sTNFR, and to some extent sIL-2R, may be particularly useful, since these determinations yield information about subtype and/or activity of disease that is not available from conventional parameters of inflammation.
- Published
- 1995
- Full Text
- View/download PDF
49. Migratory activity of blood polymorphonuclear leukocytes during juvenile rheumatoid arthritis, demonstrated with a new whole-blood membrane filter assay.
- Author
-
Egger G, Klemt C, Spendel S, Kaulfersch W, and Kenzian H
- Subjects
- Adolescent, Cell Movement drug effects, Child, Child, Preschool, Female, Humans, Infant, Infant, Newborn, Male, N-Formylmethionine Leucyl-Phenylalanine pharmacology, Neutrophils drug effects, Reference Values, Arthritis, Juvenile blood, Filtration methods, Neutrophils physiology
- Abstract
Polymorphonuclear leukocyte (PMN) migration is measured in whole blood in a migration chamber consisting of a membrane filter (3-microns pores, 140 microns thick) with an integrated chemoattractant depot (FMLP in solid form) attached to a plastic container. Control chambers lack FMLP (blanks). One test unit requires 300 microliters blood. Numbers and distribution of the PMN immigrants into the filters are determined microscopically. Altogether 26 measurements of PMN migration in five juvenile rheumatoid arthritis (JRA) patients with varying disease activity were compared with the reactions of a healthy control group (N = 32). Correlations were calculated with conventional laboratory parameters (WBC, PLT, BSR, CRP, Hgb, serum Fe) and disease activity. In comparison with healthy controls, PMNs of JRA patients generally show a markedly increased penetration depth into the filters irrespective the presence of the chemoattractant or the disease activity. Increased migratory reactions to FMLP in comparison to blanks were found during high disease activity only. The PMN penetration depth correlates positively with the CRP, and reciprocally with the Hgb blood levels. The migration assay combines fast and simple processing with good preservation of the genuine PMN activation state.
- Published
- 1994
- Full Text
- View/download PDF
50. [Stress and susceptibility to infection].
- Author
-
Kaulfersch W, Kurz R, and Hitzig W
- Subjects
- Child, Disease Susceptibility immunology, Disease Susceptibility psychology, Humans, Immune Tolerance immunology, Infections immunology, Psychoneuroimmunology, Risk Factors, Stress, Psychological immunology, Infections psychology, Stress, Psychological complications
- Abstract
The influence of various stressors upon the human immune system, was and presently is the subject of many clinically oriented as well as experimental studies. Even though it is not always clear how relevant the reported observations are in behalf to the beginning, the course and the outcome of infectious, neoplastic and autoimmune diseases, there is hardly any doubt, that stress may influence multiple aspects of the immune answer. The sensitivity of the immune system to stress factors is not merely fortuitous, but is an indirect consequence of the regulatory reciprocal influences between the immune system and the central nervous system. These interconnections seem to represent building blocks of a long-loop regulatory feedback-system, which plays an important role in the coordination of stressors and psychological influences upon the course of infections and inflammatory diseases.
- Published
- 1992
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