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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    World journal of urology 14 (1996), S. 236-238 
    ISSN: 1433-8726
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary From October 1988 to December 1993, 148 kidney transplants were carried out at our institution. An extravesical ureteral reimplantation technique resulting in a submucosal tunnel in the bladder wall was performed on 101 of the patients. For this technique, two small incisions are made at the outer part of the bladder wall until the mucosa is seen. then a submucosal tunnel is dissected between them and the graft's ureter is introduced and advanced in it (Alférez-Barry). Afterward the bladder mucosa is opened at the distal incision and the ureter is introduced into the bladder and fixed by a single direct anchorage stich (Taguchi). The minimal patients' follow-up is 18 months. Complications deriving from ureter reimplantation with this technique were present in 12.8% of the patients and included 4 cases of stenosis (3.9%), 4 cases of urinary fistula (3.9%), and 5 cases of hematuria (4.9%). We conclude that submucosal tunnelled ureteroneocystostomy with direct anchorage is a technique that simplifies kidney transplant surgery with good results. Ureteral direct anchorage can be used in any kind of ureteral anastomosis.
    Type of Medium: Electronic Resource
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  • 2
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    AMER SOC LIMNOLOGY OCEANOGRAPHY
    In:  EPIC3Limnology and Oceanography, AMER SOC LIMNOLOGY OCEANOGRAPHY, ISSN: 0024-3590
    Publication Date: 2016-06-01
    Description: Microplankton community structure and particulate matter stoichiometry were investigated in a late summer survey across the Subantarctic and Polar Front in the Indian sector of the Southern Ocean. Microplankton community structure exerted a first order control on PON:POP stoichiometry with diatom-dominated samples exhibiting much lower ratios (4–6) than dinoflagellate and ciliate-dominated samples (10–21). A significant fraction of the total chlorophyll a (30–70%) was located beneath the euphotic zone and mixed layer and sub-surface chlorophyll features were associated to transition layers. Although microplankton community structure and biomass was similar between mixed and transition layers, the latter was characterized by elevated Chl:POC ratios indicating photoacclimation of mixed layer communities. Empty diatom frustules, in particular of Fragilariopsis kerguelensis and Pseudo-nitzschia, were found to accumulate in the Antarctic Zone transition layer and were associated to elevated BSi:POC ratios. Furthermore, high Si(OH)4 diffusive fluxes (〉1 mmol m2 d−1) into the transition layer appeared likely to sustain silicification. We suggest transition layers as key areas of C and Si decoupling through (1) physiological constraints on carbon and silicon fixation (2) as active foraging sites for grazers that preferentially remineralize carbon. On the Kerguelen Plateau, the dominant contribution of Chaetoceros Hyalochaete resting spores to microplankton biomass resulted in a three-fold enhancement of POC concentration at 250 m, compared to other stations. These findings further highlight the importance of diatom resting spores as a significant vector of carbon export through the intense remineralization horizons characteristing Southern Ocean ecosystems.
    Repository Name: EPIC Alfred Wegener Institut
    Type: Article , isiRev
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