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  • 1
    ISSN: 1432-055X
    Keywords: Schlüsselwörter Akutes Leberversagen ; Extrakorporale Leberersatzverfahren ; Filtrationstechniken ; Hybride Leberunterstützungssysteme ; Zellkultur ; Klinische Studien ; Keywords Acute liver failure ; Extracorporeal liver assist device ; Filtration techniques ; Hybrid liver assist device ; Cell culture ; Clinical trials
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary The acute liver failure (ALF) is a complex syndrome resulting from loss of synthetic and metabolic functions of the liver. Despite recent advances in intensive care medicine patients with severe ALF have a very high mortality and the orthotopic liver transplantation still remains the only proven effective treatment of ALF. Numerous attempts have been made to improve survival by using various extracorporeal support techniques, but none of these therapeutic approaches was able to increase the survival rate. Liver support systems based on detoxification procedures only could not influence the deleterious course of the disease. It is certain that an ideal liver support system should be capable to fulfil the liver's essential synthetic and metabolic functions as well as detoxification and excretion. Over the last years the development of hybrid liver assist devices has aimed at replacing these liver functions and therefore might give an advantage over earlier systems based on detoxification techniques only. This article gives a short review of the various liver support systems and focuses then on the hybrid liver support systems, their construction and the remaining problems after the first clinical applications.
    Notes: Zusammenfassung Das akute Leberversagen (ALV) ist trotz der Weiterentwicklung der Intensivmedizin mit einer hohen Sterblichkeit belastet. Nur durch die orthotope Lebertransplantation gelang es, die Überlebensraten signifikant zu verbessern. Aufgrund des Spenderorganmangels und der reduzierten Lebenserwartung nach Transplantationen wird seit Jahren versucht, die Leberfunktion im ALV durch verschiedene extrakorporale Verfahren zu ersetzen. Da Filtrationsverfahren mit rein entgiftender Funktion zu keiner Steigerung der Überlebensrate führten, werden seit einiger Zeit sogenannte hybride Leberunterstützungssysteme erprobt. Hierbei geht man davon aus, daß eine Leberzellkultur im künstlichen System die vielfältigen Synthese-, Biotransformations- und Stoffwechselaufgaben der Leber am besten ersetzen kann. Der folgende Artikel gibt zunächst einen Überblick über das Spektrum der bisher eingesetzten Leberersatzverfahren und konzentriert sich dann auf die Grundlagen, Probleme und ersten klinischen Anwendungen hybrider Leberunterstützungssysteme.
    Type of Medium: Electronic Resource
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  • 2
    Publication Date: 2023-09-19
    Description: The dissolved organic phosphorus (DOP) pool in marine waters contains a variety of different compounds. Knowledge of the distribution and utilization of DOP by phyto- and bacterioplankton is limited, but critical to our understanding of the marine phosphorus cycle. In the Baltic Sea, detailed information about the composition of DOP and its turnover is lacking. This study reports the concentrations and uptake rates of DOP compounds, namely, adenosine triphosphate (dATP), deoxyribonucleic acid (dDNA), and phospholipids (dPL), in the Baltic Proper and in Finnish coastal waters in the summers of 2011 and 2012. Both areas differed in their dissolved inorganic phosphorus (DIP) concentrations (0.16 and 0.02–0.04 μM), in the C:P (123–178) and N:P (18–27) ratios, and in abundances of filamentous cyanobacteria and of autotrophic and heterotrophic picoplankton. The mean concentrations of dATP-P, dDNA-P, and dPL-P were 4.3–6.4, 0.05–0.12, and 1.9–6.8 nM, respectively, together contributing between 2.4 and 5.2% of the total DOP concentration. The concentrations of the compounds varied between and within the investigated regions and the distribution patterns of the individual components are not linked to each other. DIP was taken up at rates of 10.1–380.8 nM d-1. dATP-P and dDNA-P were consumed simultaneously with DIP at rates of 6.9–24.1 and 0.09–0.19 nM d-1, respectively, with the main proportion taken up by the size fraction 〈3 μm and with DIP to be the dominant source. Groups of hydrographical and biological parameters were identified in the multiple regression analysis to impact the concentrations and uptake rates. It points to the complexity of the regulation. Our results indicate that the investigated DOP compounds, particularly dATP-P, can make significant contributions to the P nutrition of microorganisms and their use seems to be not intertwined. Therefore, more detailed knowledge of all DOP components including variation of concentrations and the utilization is required to understand the roles of DOP in marine ecosystems.
    Type: Article , PeerReviewed
    Format: text
    Format: image
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  • 3
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    In:  [Talk] In: International Workshop „Marine research and management“, 12.06.2015, University of Riga, Latvia .
    Publication Date: 2019-09-23
    Type: Conference or Workshop Item , NonPeerReviewed
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