Publications by authors named "P Juenemann"

Objectives: Sacral neuromodulation represents chronic stimulation of the sacral (S3) nerve. So far, the mode of action and neuro-anatomical basis is unclear. Sacral reflex mechanisms as well as pontine or cortical centers of modulation have been postulated.

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Purpose: Neuromodulation of sacral roots is an alternative mode of therapy for patients with urge incontinence or detrusor hypocontractility. We investigated the effects of sacral (S3) nerve stimulation in patients using a new surgical approach for sacral neuromodulator implantation. Modification of the implantation method with sacral laminectomy and bilateral electrode placement led to distinct improvement of stimulation, positioning and dislocation.

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Superimposition of nuclear medicine scintigrams and standard radiographs provides a unique opportunity for merging functional information intrinsic to nuclear medicine images with the high resolution anatomic detail of radiographs. A newly developed image processing system allows the merging of two separate films of greatly varying sizes to form a single composite image. Subsequent quantitative analysis of the composite image may be performed.

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With recent technical advances in aerosol technology, the study of regional ventilation using [99mTc]DTPA aerosol has become increasingly popular. Using a cascade impactor, we have assessed droplet size distribution from a newly designed nebulizer. Delivery efficiency of [99mTc]DTPA aerosol to normal subjects was improved 70% with a 10% concentration of ethanol in the nebulizer.

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