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Franz Volhard
Franz Volhard (2 May 1872 – 24 May 1950) was a German internist born in Munich. Academic career He studied medicine at the universities of Bonn, Strasbourg, and Halle. As a student his instructors included Eduard Friedrich Wilhelm Pflüger (1829–1910), Bernhard Naunyn (1839–1925), Oswald Schmiedeberg (1838–1921), and Joseph von Mering (1849–1908). From 1897 to 1905 he worked at the university medical clinic at Giessen under Franz Riegel (1843–1904). In 1905 he became head of the medical department at the city hospital in Dortmund, and in 1908 was named director of the ''Krankenanstalt'' in Mannheim, now University Hospital Mannheim. Afterwards, he served as a professor at the universities of Halle (from 1918) and Frankfurt (from 1927). Medical research Volhard made several important contributions in the fields of cardiology and nephrology. He is especially remembered for his collaborative work with pathologist Karl Theodor Fahr (1877–1945) in Mannheim, where th ...
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Pathologist
Pathology is the study of the causal, causes and effects of disease or injury. The word ''pathology'' also refers to the study of disease in general, incorporating a wide range of biology research fields and medical practices. However, when used in the context of modern medical treatment, the term is often used in a narrower fashion to refer to processes and tests that fall within the contemporary medical field of "general pathology", an area which includes a number of distinct but inter-related medical specialties that diagnose disease, mostly through analysis of tissue (biology), tissue, human cell, cell, and body fluid samples. Idiomatically, "a pathology" may also refer to the predicted or actual progression of particular diseases (as in the statement "the many different forms of cancer have diverse pathologies", in which case a more proper choice of word would be "Pathophysiology, pathophysiologies"), and the affix ''pathy'' is sometimes used to indicate a state of disease ...
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Lipase
Lipase ( ) is a family of enzymes that catalyzes the hydrolysis of fats. Some lipases display broad substrate scope including esters of cholesterol, phospholipids, and of lipid-soluble vitamins and sphingomyelinases; however, these are usually treated separately from "conventional" lipases. Unlike esterases, which function in water, lipases "are activated only when adsorbed to an oil–water interface". Lipases perform essential roles in digestion, transport and processing of dietary lipids in most, if not all, organisms. Structure and catalytic mechanism Classically, lipases catalyse the hydrolysis of triglycerides: :triglyceride + H2O → fatty acid + diacylglycerol :diacylglycerol + H2O → fatty acid + monacylglycerol :monacylglycerol + H2O → fatty acid + glycerol Lipases are serine hydrolases, i.e. they function by transesterification generating an acyl serine intermediate. Most lipases act at a specific position on the glycerol backbone of a lipid sub ...
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Blood Pressure
Blood pressure (BP) is the pressure of circulating blood against the walls of blood vessels. Most of this pressure results from the heart pumping blood through the circulatory system. When used without qualification, the term "blood pressure" refers to the pressure in the large arteries. Blood pressure is usually expressed in terms of the systolic pressure (maximum pressure during one heartbeat) over diastolic pressure (minimum pressure between two heartbeats) in the cardiac cycle. It is measured in millimeters of mercury ( mmHg) above the surrounding atmospheric pressure. Blood pressure is one of the vital signs—together with respiratory rate, heart rate, oxygen saturation, and body temperature—that healthcare professionals use in evaluating a patient's health. Normal resting blood pressure, in an adult is approximately systolic over diastolic, denoted as "120/80 mmHg". Globally, the average blood pressure, age standardized, has remained about the same since 1 ...
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Uremia
Uremia is the term for high levels of urea in the blood. Urea is one of the primary components of urine. It can be defined as an excess of amino acid and protein metabolism end products, such as urea and creatinine, in the blood that would be normally excreted in the urine. ''Uremic syndrome'' can be defined as the terminal clinical manifestation of kidney failure (also called ''renal failure''). It is the signs, symptoms and results from laboratory tests which result from inadequate excretory, regulatory, and endocrine function of the kidneys. Both ''uremia'' and ''uremic syndrome'' have been used interchangeably to denote a very high plasma urea concentration that is the result of renal failure. The former denotation will be used for the rest of the article. Azotemia is a similar, less severe condition with high levels of urea, where the abnormality can be measured chemically but is not yet so severe as to produce symptoms. Uremia describes the pathological and symptomatic manif ...
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Renovascular Hypertension
Renovascular hypertension is a condition in which high blood pressure is caused by the kidneys' hormonal response to narrowing of the arteries supplying the kidneys. When functioning properly this hormonal axis regulates blood pressure. Due to low local blood flow, the kidneys mistakenly increase blood pressure of the entire circulatory system. It is a form of secondary hypertension - a form of hypertension whose cause is identifiable. Signs and symptoms Symptoms of renovascular hypertension include the following: * High blood pressure (early age) * Kidney dysfunction * Narrowing of arteries elsewhere in the body * Pulmonary edema Cause The cause of renovascular hypertension is consistent with any narrowing/blockage of blood supply to the renal organ (renal artery stenosis). As a consequence of this action the renal organs release hormones that indicate to the body to maintain a higher amount of sodium and water, which in turn causes blood pressure to rise. Factors that may cont ...
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Pericardectomy
Pericardiectomy is the surgical removal of part or most of the pericardium. This operation is most commonly used to relieve constrictive pericarditis, or to remove a pericardium that is calcified and fibrous. It may also be used for severe or recurrent cases of pericardial effusion. Post-operative outcomes and mortality are significantly impacted by the disease it is used to treat. Uses Pericardiectomy is used to treat constrictive pericarditis, which is caused by a variety of conditions. It is also used to treat recurring cases of pericardial effusion. Contra-indications Pericardiectomy should not be used if more minor procedures are more appropriate, such as a pericardial window. Pericardiectomy may not be appropriate for patients who already have a poor prognosis, as its medical benefit is reduced. This is because pericardiectomy has a higher rate of complications and a higher mortality. More conservative treatment may use diuretics, digoxin, steroids, NSAIDs, or antib ...
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Viktor Schmieden
Viktor Schmieden (19 January 1874 – 11 October 1945) was a German surgeon born in Berlin. In 1897 he earned his medical doctorate from the University of Bonn, and subsequently worked in hospitals in Göttingen, Berlin and Bonn. Later he was a professor at the Universities of Halle (from 1913) and Frankfurt (from 1919). Schmieden is remembered for his work with Franz Volhard (1872-1950) in the establishment of pericardectomy for the treatment of constrictive pericarditis. Historically this procedure was referred to as "Schmieden's operation". He also made important contributions towards the treatment of hydrocephalus, and in 1926 identified that polyps of the colon were a precursor of colorectal cancer. He was a Generalarzt in the Wehrmacht during World War II. Written works Schmieden was the author of numerous works. With August Borchard (1864-1940), he was co-author of two books on war-related surgery; ''Lehrbuch der Kriegschirurgie'' and ''Die deutsche Chirurgie im ...
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Constrictive Pericarditis
Constrictive pericarditis is a medical condition characterized by a thickened, fibrotic pericardium, limiting the heart's ability to function normally. In many cases, the condition continues to be difficult to diagnose and therefore benefits from a good understanding of the underlying cause. Signs and symptoms Signs and symptoms of constrictive pericarditis are consistent with the following: fatigue, swollen abdomen, difficulty breathing (dyspnea), swelling of legs and general weakness. Related conditions are bacterial pericarditis, pericarditis and pericarditis after a heart attack. Causes The cause of constrictive pericarditis in the developing world are idiopathic in origin, though likely infectious in nature. In regions where tuberculosis is common, it is the cause in a large portion of cases. Causes of constrictive pericarditis include: * Tuberculosis * Incomplete drainage of purulent pericarditis * Fungal and parasitic infections * Chronic pericarditis * Postviral pericard ...
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Bright's Disease
Bright's disease is a historical classification of kidney diseases that are described in modern medicine as acute or chronic nephritis. It was characterized by swelling and the presence of albumin in the urine, and was frequently accompanied by high blood pressure and heart disease. Signs and symptoms The symptoms and signs of Bright's disease were first described in 1827 by the English physician Richard Bright, after whom the disease was named. In his ''Reports of Medical Cases'', he described 25 cases of dropsy ( edema) which he attributed to kidney disease. Symptoms and signs included: inflammation of serous membranes, hemorrhages, apoplexy, convulsions, blindness and coma. Many of these cases were found to have albumin in their urine (detected by the spoon and candle-heat coagulation), and showed striking morbid changes of the kidneys at autopsy. The triad of dropsy, albumin in the urine, and kidney disease came to be regarded as characteristic of Bright's disease. Sub ...
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Monograph
A monograph is a specialist work of writing (in contrast to reference works) or exhibition on a single subject or an aspect of a subject, often by a single author or artist, and usually on a scholarly subject. In library cataloging, ''monograph'' has a broader meaning—that of a nonserial publication complete in one volume (book) or a definite number of volumes. Thus it differs from a serial or periodical publication such as a magazine, academic journal, or newspaper. In this context only, books such as novels are considered monographs.__FORCETOC__ Academia The English term "monograph" is derived from modern Latin "monographia", which has its root in Greek. In the English word, "mono-" means "single" and "-graph" means "something written". Unlike a textbook, which surveys the state of knowledge in a field, the main purpose of a monograph is to present primary research and original scholarship ascertaining reliable credibility to the required recipient. This research is prese ...
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Sclerosis (medicine)
Sclerosis (from Greek σκληρός ''sklērós'', "hard") is the stiffening of a tissue or anatomical feature, usually caused by a replacement of the normal organ-specific tissue with connective tissue. The structure may be said to have undergone sclerotic changes or display sclerotic lesions, which refers to the process of sclerosis. Common medical conditions whose pathology involves sclerosis include: * Amyotrophic lateral sclerosis—also known as Lou Gehrig's disease or motor neurone disease—a progressive, incurable, usually fatal disease of motor neurons. * Atherosclerosis, a deposit of fatty materials, such as cholesterol, in the arteries which causes hardening. * Focal segmental glomerulosclerosis is a disease that attacks the kidney's filtering system (glomeruli) causing serious scarring and thus a cause of nephrotic syndrome in children and adolescents, as well as an important cause of kidney failure in adults. * Hippocampal sclerosis, a brain damage often seen in ...
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