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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Langenbeck's archives of surgery 345 (1977), S. 648-648 
    ISSN: 1435-2451
    Keywords: Thromboembolism, prevention ; Thrombolysis ; Thrombectomy ; Thromboembolieprophylaxe ; Thrombolyse ; Thrombektomie
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: ZusammenfaBung Problem: Alter, Adipositas, Immobilisation und orale Kontrazeption disponieren zu venösen Thromboembolien. A Thromboembolieprophylaxe: Verfahren, Vor- und Nachteile bewährter perioperativer Thromboembolieprophylaxe mit: Heparin (schwach), Heparin-Cumarinen (Marcumar®), Dextran 60 (Macrodex ®) und Acetylsalicylsäure (Colfarit®). B Thrombolyse: Mit Streptokinase (Streptase®) grundsätzlich vor Thrombektomie. (Verfahren, Technik, ErgebniBe). C Thrombektomie: Technik und ErgebniBe. Mit B 80% Erfolge. D Folgen fehlender Thromboembolieprophylaxe und -therapie.
    Notes: Summary Posing the problem: Age, obesity, immobility, and oral contraceptives dispose one toward venous thromboembolism. A. Venous thromboembolism prophylaxis: Method, advantages, and disadvantages of experienced postoperative prevention of venous thromboembolism with low doses of heparin, heparin and cumarines (Marcumar®), dextran 60 (Macrodex®), and acetylsalicylic acid (Colfarit®). B. Thrombolysis with administration of Streptase regularly before thrombectomy (method, technique, and results). C. Thrombectomy: Technique and results (B & C, 80% succeB). D. Consequences of miBing prevention and therapy of thromboembolism.
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  • 2
    ISSN: 1432-2307
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Bericht über 2 Patienten mit einseitigen Fibrinabscheidungen und Nierenrindennekrosen im Verlauf eines akuten Nierenversagens. Im ersten Fall trat bei einem 62jährigen Mann nach thrombotischem Verschluß eines Aneurysma der rechten Arteria poplitea mit Gangrän und nachfolgender Amputation des rechten Beines ein akutes Nierenversagen auf, als dessen morphologisches Substrat sich auf der rechten Seite ausgedehnte Fibrinpräcipitate in den Glomerulumcapillaren und kleinen Rindengefäßen sowie umfangreiche Nierenrindennekrosen fanden, während in der linken Niere Fibrinpräcipitate fehlten, hier nur eine osmotische Nephrose und wenige Nekrosen ganz vereinzelter Tubuluszellgruppen vorhanden waren. Es wird angenommen, daß die Läsion des rechten Beines der bestimmende Faktor für die schweren morphologischen Nierenveränderungen auf der rechten Seite war. Im zweiten Fall trat bei einem 65jährigen Mann mit rechtseitiger Nephrolithiasis und Hydronephrose bei Steinverschluß des Ureters eine Pyelonephritis auf dieser Seite auf, der sich unter dem Bilde eines Sanarelli-Shwartzman-Phänomens ein akutes Nierenversagen anschloß, an dessen Folgen der Patient nach 5 Tagen verstarb. Bei der Obduktion fanden sich in der linken, primär nicht geschädigten Niere sehr viel ausgedehntere Fibrinpräcipitate und Nierenrindennekrosen als in dem rechten, hydronephrotischen und pyelonephritisch veränderten Organ. Offenbar ist es hier in der Phase der Fibrinpräcipitation zu einer vermehrten Einschwemmung gerinnungsaktiver Substanzen in die kleinen Blutgefäße des gesunden Organs mit Verstopfung der Gefäßlichtungen gekommen, in dem so ausgedehntere Nekrosen als in der anderen Niere auftraten.
    Notes: Summary As demonstrated in two cases, disseminated intravascular precipitation of fibrin with renal cortical necrosis in acute renal failure may be limited to one kidney although the main renal arteries are symmetrical and patent. Case 1. A 62 year old man developed acute renal failure after amputation of the right leg which was gangrenous owing to thrombotic obliteration of an aneurysm in the right arteria poplitea. Clots of fibrin were fond generally in the glomerular capillaries and smaller vessels with extensive cortical necrosis of the right kidney, whereas in the left kidney there was only an osmotic nephrosis and necrosis of only a few tubular cells without intravascular clots of fibrin. The lesions of the right leg presumably were the determining factor for the severe renal lesions on the right side. Case 2. A 65 year old man with nephrolithiasis, hydronephrosis after occlusive ureterolithiasis and pyelonephritis on the right side developed acute renal failure in the course of a Sanarelli Shwartzman phenomenon. At autopsy many more fibrin clots and much more extensive cortical necrosis were found in the formerly unaffected right kidney than in the left hydronephrotic organ. Obviously more coagulative material was carried into the smaller renal vessels of the unaffected organ during fibrin precipitation; that led to more extensive necroses than in the contralateral kidney.
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Applied physics 13 (1977), S. 123-129 
    ISSN: 1432-0630
    Keywords: 74
    Source: Springer Online Journal Archives 1860-2000
    Topics: Mechanical Engineering, Materials Science, Production Engineering, Mining and Metallurgy, Traffic Engineering, Precision Mechanics , Physics
    Notes: Abstract For both, the σ-phase and the A-15 phase structure of Nb−Al binary alloys the superconducting properties were investigated in connection with measurements of normal state electronic properties like resistance and NMR-frequency and line width. The A-15 phase shows a transition temperature ofT c ≈17.5 K. The σ-phase shows only weak transitions at the same temperature which can be explained by A-15 inclusions in a non-superconducting σ-matrix. The Al27-Knight shift at room temperature is reduced from 0.162% for pure Al to (0.024±0.002)% and (0.026±0.0025)% for the A-15 and the σ-phase, respectively. The corresponding temperature coefficients differ in sign: positive for the A-15 and negative for the σ-phase; this may have a relation to the different superconducting properties. The NMR line width and the resistance show no different behaviour for the two phases. In general, the electronic properties seems to be less important for the occurance of superconductivity in the Nb−Al system than the lattice structures.
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    Applied physics 19 (1979), S. 231-235 
    ISSN: 1432-0630
    Keywords: 74
    Source: Springer Online Journal Archives 1860-2000
    Topics: Mechanical Engineering, Materials Science, Production Engineering, Mining and Metallurgy, Traffic Engineering, Precision Mechanics , Physics
    Notes: Abstract The superconducting properties of A15-, σ-, and tetragonal phases of the system Nb−Ir were investigated. The alloys were prepared by sintering and arc melting. They were subjected to optical and scanning electron microscopy. The lattice parameters were determined by x-ray diffraction technique. Superconducting transition temperatures,T c , as well as upper critical fields,H c2, were measured inductively and resistively. TheT c -values of the σ-phase vary between 2.15 and 2.40 K whereas for the A15-phase they vary between 1.83 and 2.73 K. TheT c -value of the tetragonal phase is 3.81 K. The upper critical fields of the tetragonal and the A 15-phase are nearly the same (≈13 kG) and lower compared with that of the σ-phase (≈18 kG). Several theoretically predicted values ofH c2(0) are evaluated and compared with the experimental ones.
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  • 5
    Electronic Resource
    Electronic Resource
    Springer
    Applied physics 15 (1978), S. 307-313 
    ISSN: 1432-0630
    Keywords: 74
    Source: Springer Online Journal Archives 1860-2000
    Topics: Mechanical Engineering, Materials Science, Production Engineering, Mining and Metallurgy, Traffic Engineering, Precision Mechanics , Physics
    Notes: Abstract The superconducting properties of A 15- and σ-phases of the system Nb−Pt were investigated. Alloys of compositions Nb3Pt, Nb2Pt, and Nb62Pt38 were prepared by arc melting and subjected to optical microscopic and x-ray analysis for structure determination. The transition temperatures were measured inductively as well as resistively. The temperature dependences of critical fields were measured up to 35 kG. The A 15-phase has aT c value of 8.97K and a zero temperature upper critical fieldH c2(0) of 100 kG as compared to aT c value of 2.14K and anH c2(0) value of 14kG for the σ-phase. A comparison with theoretical upper critical field values seems to indicate that a spin-orbit coupling mechanism is responsible for the higher value ofH c2(0) in the case of the A 15-phase alloy. The temperature dependent resistance up to 300 K is also measured and discussed for both the phases.
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  • 6
    Electronic Resource
    Electronic Resource
    Springer
    European journal of applied physiology 27 (1969), S. 283-291 
    ISSN: 1439-6327
    Keywords: Body Temperatures during Hypoxia ; Peripheral Vasomotor Changes in Hypoxia ; Sauerstoffmangel und Körpertemperatur ; Periphere Vasomotorik im Sauerstoffmangel
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Es wird über je vier Versuche mit vierstündiger Atmung eines N2O2-Gemisches von 12 bzw. 17,5% O2 berichtet. Die Ergebnisse der 1. Std stimmten mit früher schon an derselben männlichen Versuchsperson vorgenommenen einstündigen Hypoxieversuchen überein. AMV, O2- und CO2-Gehalt der Exspirationsluft, Rectaltemperatur und 11 verschiedene Hauttemperaturen wurden fortlaufend gemessen. — Unter 12% O2 war die O2-Aufnahme in den ersten 60 min bei erhöhtem AMV (110%) erniedrigt (97%), die RT fiel um 0,3 °C. Von der 2. Std an erreichte die O2-Aufnahme bei erhöhtem AMV (106%) und erniedrigter RT (−0,2 °C) den Wert bei Luftatmung. Die acralen Hauttemperaturen der unteren Extremität waren vom Beginn der Hypoxie an um 1,5 °C (Zehe) bzw. 0,9 °C (Fuß) gestiegen und begannen noch während der Hypoxie wieder zu fallen. Unter 17,5% O2 war die O2-Aufnahme bei erniedrigtem AMV (96%) schon in der 1. Std etwas erhöht und stieg langsam weiter auf 105%. Die RT lag von der 30.–170. min um 0,15 °C unter dem Ausgangswert. Die Zehentemperatur war in den ersten 60 min um 0,45 °C gestiegen und fiel dann — wie auch die Fußtemperatur — noch während der Hypoxie unter den Ausgangswert. Die aus den gemessenen 11 Hauttemperaturen berechnete mittlere Hauttemperatur änderte sich nur wenig (knapp −0,1 °C), stimmte aber während der Hypoxie in Verlaufsrichtung und zeitlicher Lage des Minimums mit der RT überein. — Die im Mittelpunkt der akuten Sauerstoffmangelwirkung stehende gesetzmäßige Beziehung zwischen Sauerstoffspannung, Sauerstoffaufnahme und Körpertemperatur wird diskutiert. Aus den Versuchen ergibt sich, daß Änderungen der peripheren Vasomotorik beteiligt sind. In nur einstündigen Hypoxieversuchen läßt sich die Koordination der verschiedenen Größen nicht angemessen beurteilen.
    Notes: Summary Ventilation, O2 and CO2 content of expired air, rectal temperature and 11 skin temperatures were measured in one male subject, while breathing 4 h a low-oxygen mixture (12% and 17.5%, respectively), resting in a comfortable environment (30.0–30.5 °C). The values recorded during the first hour confirmed the results of earlier experiments with the same subject. With 12% oxygen content of inspiratory air, oxygen consumption was lowered during the first 60 min (97% of pre-exposure level), respiration volume was raised (110%), and rectal temperature decreased by 0.3 °C. Beginning from the second hour, oxygen consumption reached pre-exposure values, respiration volume remaining elevated (106%) and rectal temperature lowered (−0.2 °C). Acral skin temperatures of the lower extremities increased by 1.5 °C (toe) and 0.9 °C (foot), and decreased later during hypoxia. With 17.5% oxygen content, oxygen consumption was slightly increased during the first hour, respiration volume being lowered (96%). Then oxygen consumption rised slowly to 105%. Rectal temperature fell by 0.15 °C. Skin temperature of toe, at first rising by 0.45 °C, fell after 160 min below the pre-exposure level. Minor changes in mean skin temperature (even −0.1 °C) paralleled during hypoxia the course of rectal temperature. The relation between rectal temperature and oxygen consumption in acute hypoxia is briefly discussed. With decreasing deep body temperature and increasing oxygen consumption a new equilibrium level is obtained. The equilibrium oxygen consumption in a certain degree of hypoxia may be lowered, normal or raised according to the individually varying metabolism/body temperature relationship The results reported suggest the involvement of peripheral vasomotor changes.
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  • 7
    Electronic Resource
    Electronic Resource
    Springer
    Journal of low temperature physics 105 (1996), S. 1703-1708 
    ISSN: 1573-7357
    Keywords: 74.62.Fj ; 74.70.Wz
    Source: Springer Online Journal Archives 1860-2000
    Topics: Physics
    Notes: Abstract In BaxC60 superconductivity (sc) at Tc=(6.8±0.2) K is associated with the x=4 phase. Here we present pressure studies of Tc of a BaxC60 sample (dTc/dp= −1.9 K/GPa) which exhibits a large volume fraction of the x=4 phase. In the alkali-fullerides K60C60 and Rb3C60 Tc is governed by the electronic density of states N(EF) (Tc ∝exp{−1/N(EF)V}). The dependence of N(EF) on volume can be approximated by N(EF)=N0 d eff 3, where deff is the surface to surface distance of neighboured C60-molecules. This relationship is corroborated by (TC,d)-data of various compounds of the form A3−xBxC60 (A: K, Rb; B: K, Rb, Cs; x≤2). Strong deviation from this behavior is found for the alkaline-fulleride superconductor Ba4C60. This deviation is attributed to the hybridization of alkaline-metal s-, d-states and C60 π-states.
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  • 8
    Electronic Resource
    Electronic Resource
    Springer
    Langenbeck's archives of surgery 347 (1978), S. 705-706 
    ISSN: 1435-2451
    Keywords: Anastomosis, sleeve-like ; Anastomosis, esophagus ; Stomach, substitution ; Anastomosis, technique ; Muffenanastomose ; Oesophagusanastomose ; Magenersatz ; Anastomosentechnik
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Einscheidung des Oesophagusendes in einen endständig mukosalos gemachten Dünndarmabschnitt. Hierdurch wird für die innere Oberfläche der Anastomose der Vorteil einer stenosearmen Stoß-auf-Stoß-Technik erreicht. Der das äußere Oesophagusende übergreifende Serosa-Muscularis-Mantel des Dünndarmes trägt dem Fehlen einer Serosa des Oesophagus Rechnung und sichert die Anastomose durch breitflächige Kongruenz zwischen innerer Dünndarmmuscularis und äußerer Oesophagusmuscularis. - Erfolgreiche Demonstration dieser Technik an 21 End-zu-End-Anastomosen zwischen Oesophagus und Jejunuminterponat des Schweines.
    Notes: Summary Invagination of the end of the esophagus in the end segment of the mucosaless small gut represents the development of an end-to-end technique, without stenosis, for the inner surface of the anastomosis. The small gut sleeve without mucosa overlaps the end part of the esophagus. In this way, the lack of serosa of the esophagus is compensated completely. The serosa-muscularis layer of small gut without mucosa is spread widely on the external surface of the muscularis layer of the esophagus. Thus one can avoid leakage of the endangered anastomosis between esophagus and small gut. - Successful demonstration of this technique.
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  • 9
    ISSN: 1573-7357
    Keywords: 61.16.Ch ; 74.50.+r
    Source: Springer Online Journal Archives 1860-2000
    Topics: Physics
    Notes: Abstract The superconducting energy gap distribution of poly crystalline HgBa2CuO4+δ samples of differing oxygen doping levels (Tc = 94 K and Tc = 96 K) is determined by scanning tunneling spectroscopy (STS) using a low temperature scanning tunneling microscope (STM). From histograms of energy gap values the presence of two distinct energy gaps is inferred (Δ1=8.5±1.6meV and Δ2=15.1±1.4meV). We attribute the different gaps to different crystallographic faces, implying a non-BCS electron-electron pairing mechanism.
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  • 10
    Electronic Resource
    Electronic Resource
    Springer
    Langenbeck's archives of surgery 349 (1979), S. 453-457 
    ISSN: 1435-2451
    Keywords: Day case surgery ; Hospitalism ; Saving of expenses ; Tageschirurgie ; Liegezeiten ; Hospitalismus ; Kosteneinsparung
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Es gibt viele Vorteile wie Bewahrung des sozialen Bezuges der Patienten zu ihren Familien, Vor-, operative und Nachbehandlung in einer Hand, Vermeidung von Hospitalismus, Kostenersparnis, die für Programme ambulanten Operierens sprechen. RVOKassen müssen aber kostendeckende Leistungssätze zur Verfügung stellen. Operationen, die sich für Tageschirurgie eignen oder nicht eignen, werden vorgestellt. Im eigenen Krankengut sind Nachteile ambulanten Operierens nicht zu erkennen. Eindrucksvolle Kosteneinsparungen sind allerdings eher durch die vorgestellten Verkürzungen prä- und postoperativer Liegezeiten zu erzielen.
    Notes: Summary There are many advantages of day case surgery: one can keep out — patients remaining in the social circle of their families; the fact that the same surgeon treats his patient before, during and after operation; the avoidance of hospitalism; saving of expenses. — The health insurances ought to refund the expenses of day case surgery. In our own hospital we did not find disadvantages in day case surgery. But saving of expenses is most efficient by dismissing patients from hospital in time.
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