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  • Springer  (31)
  • Blackwell Science Inc  (2)
  • Blackwell Futura Publishing, Inc.  (1)
  • 2000-2004  (17)
  • 1970-1974  (17)
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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Journal of molecular medicine 52 (1974), S. 719-721 
    ISSN: 1432-1440
    Keywords: Aldosterone ; renin ; pheochromocytoma ; Aldosteron ; Renin ; Phaechromocytom
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Sieben von 8 Patienten mit einem Phäochromocytom zeigten eine über die Norm erhöhte Plasma-Renin-Aktivität (〉3 ng/ml/3 h). Bei 4 der 7 Patienten mit Hyperreninismus konnte gleichzeitig auch ein abnorm hohes Plasma-Aldosteron nachgewiesen werden (〉120 pg/ml). Seitengetrennte Bestimmungen der Plasma-Renin-Aktivität im Nierenvenenblut zweier Patienten zeigten, daß als Ursachen des Hyperreninismus sowohl eine Verringerung der Nierendurchblutung durch Tumorkompression im Sinne eines Goldblattmechanismus als auch eine Stimulation der renalen Reninsekretion durch Katecholamine in Frage kommen können. Bei 2 unserer Patienten mit einem Phäochromocytom fand sich eine über die Norm gesteigerte Cortisolsekretion.
    Notes: Summary Seven of eight patients with pheochromocytoma showed elevated plasma renin activity (〉3 ng/ml/3 hr). Four of these seven patients simultaneously had abnormally high plasma aldosterone (〉120 pg/ml). It was found by selective determinations of plasma renin activity in both renal veins that two different mechanisms may be responsible for the observed hyperreninism. Firstly, the pheochromocytoma can lead mechanically to a reduction in renal blood flow inducing an increased renin secretion. Secondly, catecholamines are known to stimulate renin secretion. Two of the eight patients with pheochromocytoma showed an increased cortisol secretion.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1591-9528
    Keywords: Mean arterial blood pressure ; Heart rate ; Renal transport system ; Mittlerer arterieller Blutdruck ; Herzfrequenz ; Renales Transportsystem
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Bei der narkotisierten vagotomierten Ratte wurde über 2 Std die Wirkung von intraperitoneal injiziertem Guancydin auf den mittleren arteriellen Blutdruck und die Herzfrequenz beobachtet. Hier konnte ein dosisabhängiger blutdruck- und frequenzsenkender Effekt nachgewiesen werden. Nephrektomierte Tiere oder Tiere mit doppelseitiger Ureterligatur und ureteroabdomineller Fistel sowie Tiere, die mit Probenecid vorbehandelt waren, zeigten im Vergleich zu den Normaltieren eine deutlich stärkere Ansprechbarkeit auf die gleiche Guancydindosis. 2 Std nach der Guancydingabe konnte zwischen den Blutdruckwerten der vorbehandelten Kollektive und dem mittleren Druckwert des Normalkollektivs eine hochsignifikante Differenz ermittelt werden (p〈0,001). Aus diesen Befunden wird gefolgert, daß Guancydin rasch durch die Nieren ausgeschieden wird und daß auf Grund der deutlichen Potenzierung der Guancydinwirkung durch Probenecid eine aktive Ausscheidung des Antihypertensivums in der Niere wahrscheinlich ist.
    Notes: Summary In anesthetized and vagotomized rats the effect of intraperitoneally injected guancydine on the mean arterial blood pressure and heart rate was observed over a time of 2 hrs. A dose-dependent hypotensive and heart rate lowering effect could be recorded. Nephrectomized animals or animals with bilateral ureteral ligature and ureteroabdominal fistula and animals, which were pretreated with probenecid, showed a significantly increased sensitivity to guancydine compared to the normal rats. 2 hrs after application of guancydine a highly significant difference could be observed between the mean blood pressure of the pretreated and the normal animals (p〈0.001). These results suggest, that guancydine is rapidly excreted through the kidneys, and that the secretion of this antihypertensive agent is an active process.
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  • 3
    ISSN: 1591-9528
    Keywords: Mean arterial blood pressure ; Heart rate ; Renal transport system ; Mittlerer arterieller Blutdruck ; Herzfrequenz ; Renales ; Transportsystem
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Bei Ratten, die mit Furosemid oder Mefrusid vorbehandelt worden waren, wurde über einen Zeitraum von 2 Std die Wirkung von intraperitoneal injiziertem Guancydin (25 mg/kg) auf den mittleren arteriellen Blutdruck und die Herzfrequenz beobachtet. Im Vergleich zu nichtvorbehandelten Tieren konnte eine deutliche Potenzierung der blutdruck- und herzfrequenzreduzierenden Guancydinwirkung nachgewiesen werden. Der Effekt war dosisabhängig, da 2 Std nach der Guancydingabe die mit 25 mg/kg Furosemid oder 50 mg/kg Mefrusid vorbehandelten Tiere einen signifikant niedrigeren Blutdruck aufwiesen als diejenigen, die vorher 12,5 mg/kg Furosemid oder 25 mg/kg Mefrusid erhalten hatten (p〈0,01). Es konnte wahrscheinlich gemacht werden, daß die Ursache für diesen Effekt weniger in einer diuretikumbedingten Veränderung des Wasser- und Elektrolythaushalts als darin liegt, daß Furosemid, Mefrusid und Guancydin über dasselbe renale Transportsystem ausgeschieden werden. Als Ausdruck einer Konkurrenz der Substanzen um dieses Transportsystem kam es möglicherweise zu einer Verzögerung der Guancydinausscheidung und somit zu einer verstärkten Wirkung des Antihypertensivums auf den Blutdruck und die Herzfrequenz. Diese Auslegung der Ergebnisse wird außerdem dadurch bestätigt, daß in weiteren Versuchen der diuretische und natriuretische Furosemideffekt durch Vorbehandlung mit Guancydin signifikant herabgesetzt werden konnte (p〈0,01). Dieser Effekt war gleichfalls dosisabhängig.
    Notes: Summary In rats, which were treated, with furosemide and mefruside, the effect of intraperitoneally injected guancydine (25 mg/kg) on the mean arterial blood pressure and the heart rate was studied over a period of 2 hrs. In comparison with, normal animals, a significant potentiation of the depressant effect of guancydine on heart rate and blood pressure was observed. This effect was dose dependent, since the animals, which were pretreated with 25 mg/kg furosemide or 50 mg/kg mefruside, showed a significantly lower blood pressure than rats, which received 12,5 mg/kg furosemide or 25 mg/kg mefruside (p〈0.01). It is suggested, that the causes of these effects were not the saluretic-induced alterations of the water and electrolyte balance but the fact, that furosemide, mefruside and guancydine are excreted by the same renal transport system. These findings were strongly supported by the fact, that in other experiments pretreatment with guancydine significantly lowered the diuretic and natriuretic action of furosemide (p〈0.01). This effect was also dose dependent.
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  • 4
    Electronic Resource
    Electronic Resource
    350 Main Street , Malden , MA 02148-5020 , USA and 9600 Garsington Road , Oxford OX4 2XG , England . : Blackwell Science Inc
    Journal of cardiac surgery 19 (2004), S. 0 
    ISSN: 1540-8191
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Abstract  Background: The object was to evaluate the long-term effectiveness of strategies for managing the aortic root and distal aorta in type A dissections. Methods: From 1990 to 1999, 50 patients (32 men (64.07%); 18 women, (36.0%); mean age 57.4 ± 11.1 years) underwent operation for ascending aortic dissection. Surgical strategies included aortic root replacement with a composite graft (21/50; 42.0%), valve replacement with supracoronary ascending aortic graft (3/50, 6%), and valve preservation or repair (26/50; 52.0%). Results: Overall hospital mortality rate was 18.0%. Follow-up was completed for 47 patients (94.0%) and ranged from 1 month to 10.5 years (mean 28.8 months). Actuarial survival for patients discharged from the hospital was 84% at 1 year, 75% at 5 years, and 66% at 10 years. There was no significant difference between the various procedures regarding mortality, neurological complications, long-term survival, and proximal reoperations. The ascending aorta alone was replaced in 8 of 50 patients (16%), ascending and hemiarch in 30 of 50 patients (60%), and arch and proximal descending aorta in 12 of 50 patients (24%). Hospital mortality (11.5%, 20.0%, and 16.7%, respectively; p 〉 0.05) and 5- and 10-year survival (p 〉 0.05) were not statistically dependent on the extension of the resection distally. Residual distal dissection was not associated with a decrease in late survival. With regard to emergency surgery (36/50) there was no significant difference in hospital mortality (p 〉 0.05) and 5-year survival (p 〉 0.05) between those who had undergone coronary angiography (19/36; 52.8%) on the day of surgery with those who had not (17/36; 47.2%). Conclusions: Preservation or repair of the aortic valve can be recommended in the majority of patients with type A dissection. Distal extension of the resection does not increase surgical risk. Residual distal dissection does not decrease late survival. Preoperative coronary angiography may not affect survival in patients undergoing emergency surgery. (J Card Surg 2004;19:240-245)
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  • 5
    Electronic Resource
    Electronic Resource
    350 Main Street , Malden , MA 02148-5020 , USA and 9600 Garsington Road , Oxford OX4 2XG , England . : Blackwell Science Inc
    Journal of cardiac surgery 19 (2004), S. 0 
    ISSN: 1540-8191
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Abstract  Background: The Edwards MIRA™ mechanical heart valve is designed to optimize hemodynamics, reduce thrombogenicity, and avoid mechanical failure with a special hinge mechanism. The purpose of the study was to investigate the clinical performance and postoperative hemodynamic results of the first European patients receiving Edwards MIRA™ mechanical heart valves. Methods: From March 1998 to March 1999 a total of 54 Edwards MIRA™ valves model numbers 3600 (aortic, n = 44) and 9600 (mitral, n = 10) were implanted in 52 (36 male, 16 female; mean age 61 ± 10.1 years) consecutive patients undergoing mechanical valve replacement in a prospective study. Follow-up of the patients including physical examination, ECG, blood tests, and Doppler were performed prior to discharge, at 6 months, at 1 year, and at least 2 years postoperatively. Results: Through October 2001 a total of 172 follow-up examinations were completed (51 patients at discharge, 46 patients at 6 months, 43 patients at 12 months, 32 patients at 2 years or beyond). All patients were in NYHA class I and II at the 6-month and 2+-year follow-up. All the patients stated an improved quality of life. Hospital mortality was 1.9%. There were no complications related to anticoagulation. Mean international normalized ratio at 6 months was 3.2 (range 1.9 to 4.3); lactate dehydrogenase was slightly increased with 264 ± 103 U/L on average (normal value 80 to 240 U/L). No signs of valvular dysfunction or paravalvular leakage were observed. Mean pressure gradients were related to valve diameter: after mitral valve replacement (size 27, 29, 31 mm: 4.8, 3.2, 2.1 mmHg); after aortic valve replacement (size 19, 21, 23, 25 mm: 12.1, 13.1, 9.3, 8.2 mmHg). Conclusions: These preliminary data suggest good hemodynamic function and a low rate of valve-related complications of the Edwards-MIRA™ mechanical prosthesis. (J Card Surg 2004;19:226-231)
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  • 6
    ISSN: 1540-8159
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: BREUR, J.M.P.J., et al.: Pacemaker Therapy in Isolated Congenital Complete Atrioventricular Block. The aim of this study was to evaluate the effect of pacemaker (PM) therapy in patients with isolated congenital complete atrioventricular block (CCAVB). Patients with CCAVB eventually qualify for PM implantation, however, timing remains controversial. Retrospective evaluation of left ventricular end-diastolic diameter (LVEDD), shortening fraction (SF), and cardiothoracic ratio (CTR) in 149 CCAVB patients, before, at, and after PM implantation was carried out. LVEDD shows an average increase of 0.48%/month in non-PM patients, and an average decrease of 0.88%/month in PM patients. SF shows an average increase of 0.10%/month in non-PM, and an average decrease of 0.32%/month in PM patients. CTR shows an average increase of 0.02%/month in non-PM, and an average decrease of 0.19%/month in PM patients. The difference between the non-PM and PM groups is significant (P = 0.05) for all variables. Symptomatic patients show no significant change in LVEDD after PM therapy (from 66.5% before to 68.5% after PM therapy). Asymptomatic patients do show a significant (P 〈 0.001) decrease in LVEDD after PM therapy (from 78.4% before to 73.3% after PM therapy). CTR does not differ significantly between symptomatic and asymptomatic patients before PM therapy (58% and 57%, respectively). CTR does differ significantly (P 〈 0.001) between symptomatic and asymptomatic patients after PM therapy (52% and 48%, respectively). Heart size and SF are increased in most patients with isolated CCAVB. PM implantation is associated with a decrease in heart size and normalization of SF in most patients. Indications for PM therapy in children may require reevaluation in asymptomatic patients with increased cardiac size and decreased cardiac function.
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  • 7
    Electronic Resource
    Electronic Resource
    Springer
    European food research and technology 211 (2000), S. 346-348 
    ISSN: 1438-2385
    Keywords: Key wordsCraterellus ; Gomphidius ; Higher fungi ; Hydnum ; Hygrophorus, Laccaria ; Trypsin inhibitors
    Source: Springer Online Journal Archives 1860-2000
    Topics: Process Engineering, Biotechnology, Nutrition Technology
    Notes: Laccaria and Hygrophorus species, Craterellus cornucopioides, Gomphidius glutinosus, Macrolepiota rhacodes and Hydnum repandum. The inhibiting activities found were higher than those of cereals but lower than those of some fabaceous plants.
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  • 8
    Electronic Resource
    Electronic Resource
    Springer
    Archives of gynecology and obstetrics 216 (1973), S. 81-90 
    ISSN: 1432-0711
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The incidence of galactorrhea in an unselected group of 5597 outpatients of our gynaecological department was 0.89%. Only one patient had amenorrhea simultaneously (0.02%). There is no age dependency of galactorrhea during the period of sexual maturity (between the age of 20 and 50). A few cases can be observed in the postmenopause. The percentage of galactorrhea ocouring after a previous pregnancy is extremely small. Based upon the chemical analysis of secretions from galactorrhea and of normal human breast milk it is obvious that the two fluids are not identical. Irregularities of the menstrual cycles are present mainly in the form of monophasic cycles. There is a high incidence of pathological fasting plasma glucose concentrations (approx. 20%). An attempt is made to detect the different causes for galactorrhea. In more than 50% of the patients morphological alterations of the mammary tissue can be found. Six times there were intracanalicular papillomas. A procedure for the diagnosis of an uncomplicated galactorrhea is suggested.
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  • 9
    Electronic Resource
    Electronic Resource
    Springer
    Bulletin of environmental contamination and toxicology 6 (1971), S. 311-312 
    ISSN: 1432-0800
    Source: Springer Online Journal Archives 1860-2000
    Topics: Energy, Environment Protection, Nuclear Power Engineering , Medicine
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  • 10
    Electronic Resource
    Electronic Resource
    Springer
    Anatomy and embryology 130 (1970), S. 153-176 
    ISSN: 1432-0568
    Keywords: Alkaline phosphatases ; Blood vessels ; Lymphatic system ; Mast cells ; Nucleotidase
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Bei der Ratte wurden die Arterien und lymphgefäße, die Blut- und Lymphcapillaren sowie die Gewebsmastzellen der Zunge hinsichtlich des Gehaltes an unspezifischer alkalischer Phosphatase, 5′-Nucleotidase und Polyphosphatasen (ATP'asen) untersucht. Der Nachweis der Enzyme erfolgte über einen größeren pH-Bereich (pH 9,4; 8,8; 8,4; 8,0; 7,6 und 7,2). Unspezifische alkalische Phosphataseaktivität fand sich in den innersten Bezirken der Adventitia von Arterien oberhalb eines Durchmessers von 120 μ, im Endothel des Abgangsbereiches von Arterien mit Durchmessern von 25–50 μ, im Endothel der Arteriolen, in den Endothelien der Blutcapillaren sowie in den Gewebsmastzellen. In den Blutgefäßcapillaren konnte immer ein höherer Gehalt an unspezifischer alkalischer Phosphatase in arteriellen als in venösen Schenkeln nachgewiesen werden. Die Gewebstmastzellen zeigten nur eine sehr schwache unspezifische alkalische Phosphataseaktivität. Durch Zusatz von 0,0025 M L-Cystein ließ sich die unspezifische alkalische Phosphatase vollkommen hemmen. Weder 0,0025 M p-Chloromercuribenzoesäure (PCMB) noch 10−4M Nickelionen beeinflußten die nachweisbare unspezifische alkalische Phosphataseaktivität. 5′-Nucleotidaseaktivität fand sich in der glatten Muskulatur der Lymphgefäße, in den Endothelien der Blut- und Lymphcapillaren sowie in den Gewebsmastzellen. Die Abgrenzung gegen die unspezifische alkalische Phosphatase gelang durch das unterschiedliche Reaktionsoptimum (pH-Optimum) beider Enzyme und durch die starke Aktivierbarkeit der 5′-Nucleotidase durch Nickelionen. Eine deutliche Polyphosphataseaktivität konnte von uns in der glatten Muskulatur der Arterien und Lymphgefäße, in den Blut- und Lymphcapillaren sowie in den Gewebsmastzellen nachgewiesen werden. Die Polyphosphatase der glatten Muskulatur der Arterien und Lymphgefäße ließ sich gegen die Polyphosphatase der Blut- und Lymphcapillaren (Endothelpolyphosphatase) durch das unterschiedliche Reaktionsverhalten beider Polyphosphatasen gegen ATP und ADP abgrenzen. Beide Polyphosphatasen zeigten eine deutliche Steigerung der Aktivität durch Zusatz von 0,0025 M PCMB. Dieser Effekt war jedoch mit Ausnahme der Muskelcapillaraktivität erst bei pH 8,0; 7,6 und 7,2 nachweisbar. Von diesen Polyphosphatasen unterschied sich die Polyphosphatase der Gewebsmastzellen durch ihre Hemmbarkeit mittels 0,0025 M PCMB. 0,0025 M L-Cystein beeinflußte die beschriebene Polyphosphataseaktivität nicht. Die Rolle dieser Enzyme im Stoffwechsel der Blut- und Lymphgefäße sowie der Gewebsmastzellen wurden diskutiert.
    Notes: Summary In the tongue of the rat the arteries and lymph vessels, the blood and lymph capillaries and the tissue mast cells have been examined with respect to their content of unspecific alkaline phosphatase, 5′-nucleotidase and polyphosphatases (ATP'ases). The histochemical investigation of these enzymes was carried out at pH 9.4; 8.8; 8.4; 8.0; 7.6 and 7.2. Unspecific alkaline phosphatase was found in the inner parts of the adventitia of arteries with diameters above 120 micra, in the endothelium of arteries with diameters from 25 to 50 micra at the origin from the parent vessel, in the endothelium of arterioles, in the endothelium of blood capillaries and in the tissue mast cells. A regularly, higher activity of unspecific alkaline phosphatase could be demonstrated in the arterial than in the venous parts of blood capillaries. In the tissue mast cells there was only a very weak activity. By adding 0.0025 M L-cystein to the incubation medium the unspecific alkaline phosphatase activity was completely abolished. The activity of the unspecific alkaline phosphatase was not influenced by addition of either p-chloromercuribenzoic acid 0.0025 M (PCMB) or 10−4M nickel ions to the incubation medium. 5′-nucleotidase activity was found in the smooth muscle of lymph vessels, in the endothelium of blood and lymph capillaries, as well as in the tissue mast cells. The differentiation against unspecific alkaline phosphatase was accomplished by making use of the different reaction optimum (pH-optimum) of both enzymes and the strong activation of 5′-nucleotidase by nickel ions. Polyphosphatase activity was demonstrated in the smooth muscle of arteries and lymph vessels, in the endothelium of blood and lymph capillaries, and in the tissue mast cells. The polyphosphatase of the smooth muscle of arteries and lymph vessels could be differentiated from the polyphosphatase of the blood and lymph capillaries by means of their different behaviour against ATP and ADP. Both polyphosphatases showed an increase of activity following the addition of 0.0025 M PCMB to the incubation medium. Except for the polyphosphatase activity of blood capillaries of the striated muscle, this activation could be demonstrated only at pH 8.0; 7.6 and 7.2. From these two polyphosphatases at least the polyphosphatase of the tissue mast cells could be differentiated because the reaction was inhibited after addition of 0.0025 M PCMB to the incubation medium. L-cystein (0.0025 M) had no influence on the polyphosphtase activity. The role of these enzymes in the metabolism of the blood and lymph vessels and the tissue mast cells is discussed.
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