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  • 1
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Science Ltd
    Alimentary pharmacology & therapeutics 20 (2004), S. 0 
    ISSN: 1365-2036
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: A sliding hiatus hernia disrupts both the anatomy and physiology of the normal antireflux mechanism. It reduces lower oesophageal sphincter length and pressure, and impairs the augmenting effects of the diaphragmatic crus. It is associated with decreased oesophageal peristalsis, increases the cross-sectional area of the oesophago-gastric junction, and acts as a reservoir allowing reflux from the hernia sac into the oesophagus during swallowing. The overall effect is that of increased oesophageal acid exposure. The presence of a hiatus hernia is associated with symptoms of gastro-oesophageal reflux, increased prevalence and severity of reflux oesophagitis, as well as Barrett's oesophagus and oesophageal adenocarcinoma. The efficacy of treatment with proton pump inhibitors is reduced. Our view on the significance of the sliding hiatus hernia in gastro-oesophageal reflux disease has changed enormously in recent decades. It was initially thought that a hiatus hernia had to be present for reflux oesophagitis to occur. Subsequently, the hiatus hernia was considered an incidental finding of little consequence. We now appreciate that the hiatus hernia has major patho-physiological effects favouring gastro-oesophageal reflux and hence contributing to oesophageal mucosal injury, particularly in patients with severe gastro-oesophageal reflux disease.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Science Ltd
    International journal of dermatology 39 (2000), S. 0 
    ISSN: 1365-4632
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Science Ltd
    Global change biology 6 (2000), S. 0 
    ISSN: 1365-2486
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Biology , Energy, Environment Protection, Nuclear Power Engineering , Geography
    Notes: Experiments were carried out to determine the effects of elevated atmospheric carbon dioxide (CO2) on phenolic biosynthesis in four plant species growing over three generations for nine months in a model plant community. Results were compared to those obtained when the same species were grown individually in pots in the same soils and controlled environment. In the model herbaceous plant community, only two of the four species showed any increase in biomass under elevated CO2, but this occurred only in the first generation for Spergula arvensis and in the second generation for Poa annua. Thus, the effects of CO2 on plant biomass and carbon and nitrogen content were species- and generation-specific. The activity of the principle phenolic biosynthetic enzyme, phenylalanine ammonia lyase (PAL), increased under elevated CO2 in Senecio vulgaris only in Generation 1, but increased in three of the four plant species in Generation 2. There were no changes in the total phenolic content of the plants, except for P. annua in Generation 1. Lignin content decreased under elevated CO2 in Cardamine hirsuta in Generation 1, but increased in Generation 2, whilst the lignin content of P. annua showed no change, decreased, then increased in response to elevated CO2 over the three generations. When the species were grown alone in pots, elevated CO2 increased PAL activity in plants grown in soil taken from the Ecotron community after nine months of plant growth, but not in plants grown in the soil used at the start of the experiment (‘initial' soil). In P. annua, phenolic biosynthesis decreased under elevated CO2 in initial soil, and in both P. annua and S. vulgaris there was a significant interaction between effects of soil type and CO2 level on PAL activity. In this study, plant chemical composition altered more in response to environmental factors such as soil type than in response to carbon supply. Results were species-specific and changed markedly between generations.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Science Ltd
    European journal of neuroscience 19 (2004), S. 0 
    ISSN: 1460-9568
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Many painful conditions are associated with alterations in the extracellular matrix (ECM) of affected tissues. While several integrins, the receptors for ECM proteins, are present on sensory neurons that mediate pain, the possible role of these cell adhesion molecules in inflammatory or neuropathic pain has not been explored. We found that the intradermal injection of peptide fragments of domains of laminin and fibronectin important for adhesive signaling selectively inhibited the hyperalgesia caused by prostaglandin E2 (PGE2) and epinephrine (EPI), respectively. The block of EPI hyperalgesia was mimicked by other peptides containing the RGD integrin-binding sequence. Monoclonal antibodies (mAbs) against the α1 or α3 integrin subunits, which participate in laminin binding, selectively blocked PGE2 hyperalgesia, while a mAb against the α5 subunit, which participates in fibronectin binding, blocked only EPI-induced hyperalgesia. A mAb against the β1 integrin subunit, common to receptors for both laminin and fibronectin, inhibited hyperalgesia caused by both agents, as did the knockdown of β1 integrin expression by intrathecal injection of antisense oligodeoxynucleotides. The laminin peptide, but not the fibronectin peptides, also reversibly abolished the longer lasting inflammatory hyperalgesia induced by carrageenan. Finally, the neuropathic hyperalgesia caused by systemic administration of the cancer chemotherapy agent taxol was reversibly inhibited by antisense knockdown of β1 integrin. These results strongly implicate specific integrins in the maintenance of inflammatory and neuropathic hyperalgesia.
    Type of Medium: Electronic Resource
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