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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Langenbeck's archives of surgery 347 (1978), S. 499-503 
    ISSN: 1435-2451
    Keywords: Metabolic disturbances ; Adequate caloric and protein intake ; Preoperative Stoffwechselstörung ; Defizitausgleich
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Stoffwechselstörungen wirken sich nachteilig auf den postoperativen Heilverlauf aus. In der gastroenterologischen Chirurgie gibt es zahlreiche entzündliche, tumoröse und iatrogene Veränderungen, die mit erheblichen Defiziten einhergehen. Das Ausmaß der Störung ist abhängig von Organlokalisation, Krankheitsdauer Bowie Schwere und Ausdehnung des Befundes. Entscheidend ist der präoperative Defizitausgleich. Wichtig sind quantitativ und qualitiv ausreichendes Aminosäurenangebot (1,5 g Aminosäuren/kg KG in 24 h) und hohe Energiezufuhr (160–200 Joule/kg KG in 24 h).
    Notes: Summary Metabolic disturbances are one of the main reasons for complications in gastroenterologic surgery. There is a large number of inflammatory, neoplastic, and iatrogenic illnesses that cause considerable deficiencies. The intensity of disturbances depends on localization, duration, and extension of the pathologic alterations. Important for the postoperative outcome is the preoperative compensation of caloric and protein deficiencies: 1.5 g of amino acids per kg body weight/24 h and energy 160–200 joule per kg body weight/24 h.
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    The European physical journal 34 (1979), S. 399-408 
    ISSN: 1434-6036
    Source: Springer Online Journal Archives 1860-2000
    Topics: Physics
    Notes: Abstract Monte Carlo simulation and “series expansion” shows the radius of gyration of large clusters withs sites each to vary ass ρ withρ≃0.56 in two andρ≃0.47 in three dimensions at the percolation threshold, and withρ(d=2)≃0.65 andρ(d=3)≃0.53 for random lattice animals (zero concentration). Clusters up tos=100 were used. The perimeter of random animals approaches 2.8s for larges on the simple cubic lattice. Monte Carlo simulation of the Eden process (“growing animals”) up tos=5,000 indicates a systematic variation of about ±0.05 for the effective exponentρ=ρ(s) and thus suggests that the true asymptotic exponents may be compatible with the predictions of “hyper”-scaling.
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Naunyn-Schmiedeberg's archives of pharmacology 296 (1977), S. 131-137 
    ISSN: 1432-1912
    Keywords: Glucocorticoids ; PGE release ; Cyclic AMP levels ; Glycosaminoglycan synthesis ; Fibroblast cultures
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Glucocorticoids (GCs) reduced cyclic AMP levels and inhibited glycosaminoglycan (GAG) synthesis in secondary embryonic mouse fibroblast cultures, when cells were incubated for short periods (30 min). The order of potency was dexamethasone 〉 prednisolone 〉 hydrocortisone. The effect was more marked, when cyclic AMP levels and GAG synthesis were increased by addition of PGE1. Glucocorticoids exerted no longer an inhibitory effect on cyclic AMP and GAG synthesis in cultures pretreated for 48 h with the steroids. Addition of PGE1 caused a stronger rise in cyclic AMP and GAG synthesis than in controls without GC-preincubation. This enhancement was even more pronounced, when PGE1 was added together with the GCs. The reversal of the inhibitory effect of the GCs into a potentiating effect following preincubation correlated to a reduction of endogenous PGE formation in the cultures. Short-term treatment with GCs did not reduce endogenous PGE levels, but prolonged incubation markedly decreased PGE levels. PGE formation recovered following addition of fresh medium after the 48 h incubation with the steroids, but the amount of PGE formed remained significantly lower than in untreated cultures. Non-glucocorticoid steroid hormones did not decrease PGE levels. The results indicate that the apparent loss of inhibitory activity of GCs on cyclic AMP and GAG synthesis observed after prolonged incubation may result from a reduction of endogenous PGE formation which renders the cells more sensitive to the stimulatory effect of exogenous PGE1.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    Urological research 3 (1975), S. 55-59 
    ISSN: 1434-0879
    Keywords: Ureteral colic ; spasmolytic agents ; ureteral resistance
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The effects of various drugs on the partially obstructed ureter were investigated in a new model experiment which permitted the calculation of peripheral resistance. After the administration of noradrenaline, the local spasm of the ureter in the region of the obstruction was increased and the urinary flow fell. After administration of the α-blocker phentolamine and of the β-receptor stimulant orciprenaline there was a reduction of the peripheral resistance and an increase in urinary flow due to spasmolysis. Because of its lower side-effect rate, phentolamine is worth investigating in further clinical studies.
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  • 5
    Electronic Resource
    Electronic Resource
    Springer
    Research in experimental medicine 172 (1978), S. 277-286 
    ISSN: 1433-8580
    Keywords: Prednisolone ; Gastric acidity ; Stress ulcer ; Prednisolon ; Magensekretion ; Streßulkus
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung In 5 Untersuchungsgruppen (46 Hunde) wird die Wirkung einer einmaligen hohen Dosis Prednisolon (40 mg/kg i.v.) auf die Magensekretion untersucht. Ein Akuteffekt ist nicht nachweisbar. Die Kombination der gleichen Dosis mit einer Betazolstimulation (5 mg/kg s.c.) ergibt eine signifikante Potenzierung der Betazolwirkung. Der Potenzierungseffekt ist durch trunkuläre Vagotomie aufhebbar. Als Wirkungsmechanismus sind eine cholinergische Reaktion und eine Beeinflussung des Histaminstoffwechsels zu diskutieren.
    Notes: Summary In a total of 46 dogs divided into 5 groups the acute effect of a high dose of prednisolone (40 mg/kg i.v.) on betazol stimulated gastric secretion (5 mg/kg s.c.) was investigated. There was no effect of prednisolone alone. The combination of betazol and prednisolone showed a significant potentiation of betazol stimulation. This effect was not seen after truncal vagotomy before stimulation. The mechanism is either cholinergic or an interaction in the metabolism of histamine.
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  • 6
    Electronic Resource
    Electronic Resource
    Springer
    Naunyn-Schmiedeberg's archives of pharmacology 293 (1976), S. 75-80 
    ISSN: 1432-1912
    Keywords: Dopaminergic stimulants ; Cyclic nucleotides ; Stereotyped behaviour ; Dose and time dependency ; Medial forebrain ; Cerebellum
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Dopaminergic stimulants (amantadine, amphetamine, apomorphine, nomifensine and L-dopa plus benserazide) increased cyclic GMP levels in the medial forebrain and cerebellum of mice. Cyclic AMP levels were not significantly altered under these conditions. Drug-induced stereotyped behaviour correlated in intensity and duration to the changes in cyclic GMP levels in the medial forebrain. Amantadine, apomorphine and nomifensine showed a linear dose response relationship, but differed as to the extent and time course of the increase in cyclic GMP. Amantadine and apomorphine were more effective in elevating cyclic GMP in the medial forebrain than in the cerebellum. Amphetamine produced an exponential dose-related elevation of cyclic GMP in both parts of the brain, being more effective in the cerebellum than in the medial forebrain at high doses, thus indicating a complex mechanism of action. L-Dopa (50 mg/kg) and benserazide (40 mg/kg) alone did neither significantly increase cyclic GMP levels nor induce stereotyped behaviour. However, in animals pretreated with benserazide (15 min prior to L-dopa) L-dopa produced a significant elevation of cyclic GMP and stereotyped behaviour.
    Type of Medium: Electronic Resource
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  • 7
    Electronic Resource
    Electronic Resource
    Springer
    Naunyn-Schmiedeberg's archives of pharmacology 297 (1977), S. S89 
    ISSN: 1432-1912
    Keywords: Prostaglandins ; cAMP ; glycosaminoglycan synthesis ; proliferation ; glucocorticoids ; fibroblasts
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Prostaglandins (PGs) are synthesized by cultured fibroblasts. PGs regulate specific cellular functions by influencing cyclic nucleotide levels. PGE1 increases cAMP levels, thus enhancing glycosaminoglycan (GAG) synthesis and reducing proliferation. Exogenous cyclic nucleotides, on the other hand, affect PG formation. Glucocorticoids (GCs) decrease cAMP content, GAG synthesis and PG formation in fibroblasts, the latter effect occurring only after prolonged incubations. The decrease in endogenous PG levels causes a sensitization of the cells to exogenous PGE1, thus counteracting the initial inhibitory effect of GCs on cAMP content and GAG synthesis. Cell proliferation shows an inverse relationship to PG-induced changes in cAMP levels.
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  • 8
    ISSN: 1432-0851
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Patients with different types of cancer received treatment PO or IV with the new immunostimulating compound, 2-[2-cyanaziridinyl-(1)]-2-[2-carbamoylaziridinyl-(1)]-propane, BM 12.531 (Prop. INN azimexon). After IV administration of 200 mg on 5 consecutive days or oral administration of 300 mg on 7 consecutive days a significant increase in the percentage of active T lymphocytes was seen. After in vitro incubation of different concentrations of BM 12.531 with blood from healthy donors there was a significant increase in the percentage of active T lymphocytes. No clear influence of BM 12.531 on the lymphocyte transformation caused by various concentrations of PHA could demonstrated because of the scatter. No side effects attributable to treatment with BM 12.531 were found, so that BM 12.531 is a good candidate for clinical trials.
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  • 9
    Electronic Resource
    Electronic Resource
    Springer
    Naunyn-Schmiedeberg's archives of pharmacology 289 (1975), S. 29-40 
    ISSN: 1432-1912
    Keywords: cAMP ; Anti-Inflammatory Drugs ; Glycosaminoglycan Synthesis ; Fibroblasts ; Regulation
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The effect of non-steroidal anti-inflammatory drugs on formation and release of glycosaminoglycans (GAG) and cyclic 3′,5′-AMP levels was studied in embryonic mouse fibroblasts. The results were compared and correlated with the action of these drugs on cyclic 3′,5′-AMP-dependent as well as independent protein kinase obtained from bovine diaphragm. 1. Phenylbutazone dose-dependently decreased cyclic 3′,5′-AMP levels and GAG secretion both in unstimulated and PGE1 stimulated cells. 2. Indometacin decreased cyclic 3′,5′-AMP levels and GAG secretion only in cells with elevated cyclic 3′,5′-AMP levels after stimulation by PGE1. 3. Sodium salicylate decreased cyclic 3′,5′-AMP levels in the presence and absence of PGE1. However, GAG secretion was reduced only in cells with elevated cyclic 3′,5′-AMP levels, since the drug activated cyclic 3′,5′-AMP-independent protein kinase activity, thus presumably precluding changes in GAG formation at low levels of cyclic 3′,5′-AMP. 4. Mefenamic acid decreased cyclic 3′,5′-AMP levels in cells stimulated by PGE1, whereas GAG secretion was increased both in the absence and presence of PGE1. This increase in GAG secretion was closely correlated to an enhanced cyclic 3′,5′-AMP-dependent and independent protein kinase activity. The results indicate that non-steroidal anti-inflammatory drugs may exert their effects on GAG formation by interfering with cyclic 3′,5′-AMP formation or function.
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  • 10
    Electronic Resource
    Electronic Resource
    Springer
    Langenbeck's archives of surgery 347 (1978), S. 591-592 
    ISSN: 1435-2451
    Keywords: Large bowel, surgical preparation ; Diet, elemental ; Darmvorbereitung ; chemisch-definierte Diät
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Ein ,steriler” Darm ist mit keinem der gebräuchlichen Vorbereitungsregime zu erreichen. Ziel der Vorbereitung ist die quantitative Reduktion der Darmkeime. Qualitative Anderungen sind unerwünscht. Das kann durch alleinige mechanische Darmreinigung erreicht werden. Da bei fehlender Substratzufuhr wahrend der Vorbereitungsphase die grunderkrankungsbedingte Katabolie zunimmt, muß wahrend dieser Zeit ,kiinstlich” ernährt werden. Bei Anwendung von chemisch-definierter Diät erhält der Patient ausreichend Energie und Eiweißbausteine. Der Dickdarm bleibt infolge der im Dünndarm komplett absorbierten Nahrung jedoch sauber und keimarm.
    Notes: Summary None of the usual methods of bowel preparation guarantee an aseptic large bowel. The intention is to reduce intestinal flora quantitatively, which can be achieved by mechanical cleansing alone. During the preparation period caloric and amino acid intake is insufficient. Therefore alimentation with elemental diet is necessary. The patient gets an adequate caloric and protein supply. The diet is totally absorbed in the small intestine, the large bowel remains clean, and the bacterial flora is reduced.
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