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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Monatsschrift Kinderheilkunde 145 (1997), S. 798-801 
    ISSN: 1433-0474
    Keywords: Schlüsselwörter Persistierender Ductus arteriosus (PDA) ; Katheterinterventioneller PDA-Verschluß ; Raskind-occluder ; Key words Patent ductus arteriosus (PDA) ; Transcatheter closure of PDA ; Rashkind occluder ; Front-loading-technique
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary Transcatheter closure of patent ductus arteriosus Botalli (PDA) has become a routine procedure. Only PDA in low birth weight infants, and short and wide open PDA in small children could not be closed by means of catheter technology. Different transcatheter closure systems are available now. We report on a premature infant now 16 month old weighting 6,8 kg were surgery seemed inadvisable. After angiography a funnel- shaped PDA seemed to be suitable for closure by a Ductocclud spiral coil (PFM company). The spiral coil could not be set in place safely because meanwhile the pulmonary PDA month had widened after angiography. Transcatheter closure then was successful using a 17 mm Rashkind double umbrella (Bard company) in modified implantation technique with a 8 french introduction set, and special attention to avoid the isthmus of the aorta and pulmonary artery stenosis. Discussion: Ductal reactivity at an age of 16 months seems unusual. Even at this age one has to be aware of possibly dramatic changes of the shape of the ductus during examination. Experience with several transcatheter PDA-closure systems is necessary for the successful closure even in cases of unexpected changes of shape of PDA.
    Notes: Zusammenfassung Der katheterinterventionelle Verschluß eines persistierenden Ductus arteriosus Botalli (PDA) ist heute eine Routinemethode, für die eine ganze Reihe von verschiedenen Verschlußsystemen zur Verfügung steht. Eine Ausnahme für die Intervention stellen nur noch Frühgeborene und kleine Kinder mit kurzen, weit offenen Duktus dar. Wir berichten über ein 16 Monate altes, 6,8 kg schweres ehemaliges Frühgeborenes mit relativen Kontraindikationen zu einer Operation, bei dem nach Angiographie ein trichterförmiger Duktus zum Verschluß durch eine Ductocclud-Spirale (Fa. PFM) geeignet erschien. Die Spirale war jedoch nicht sicher zu plazieren, da sich die pulmonale Duktusmündung durch die mit der Intervention verbundenen Manipulationen zwischenzeitlich erheblich geweitet hatte. Der Verschluß des PDA gelang dann mit einem 17-mm-Rashkind-Doppelschirm (Fa. Bard) in modifizierter Implantationstechnik mit einer 8-Fr.-Schleuse unter besonderer Berücksichtigung der Schonung der Aortenisthmusregion und der Pulmonalarterienstrombahn. Diskussion: Die Empfindlichkeit des Duktusgewebes noch im Alter von 16 Monaten erscheint ungewöhnlich. Der Untersucher muß auch in diesem Alter auf drastische Änderungen der Duktusmorphologie vorbereitet sein. Bei entsprechender Erfahrung mit verschiedenen Verschlußsystemen kann die Intervention trotz „Duktusspiel” gelingen.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Naunyn-Schmiedeberg's archives of pharmacology 356 (1997), S. 788-796 
    ISSN: 1432-1912
    Keywords: Key words 17β-Estradiol ; Action potential ; Transient ; outward currents ; Calcium current ; Rat ventricular ; myocyte
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract This study describes electrophysiological effects of estrogens in isolated male rat ventricular myocytes. According to the literature these cells do not express the nuclear estrogen receptor. Action potentials or membrane currents were recorded in the whole-cell configuration with standard techniques. Action potential durations (APD) measured at a level of 0 mV (APD 0) and –70 mV (APD –70) were prolonged by 17β-estradiol (0.5 Hz stimulation frequency, 24–26° C). Threshold concentration was 1 μmol/l. At the highest concentration used (30 μmol/l) no saturation of the response was reached and APD 0 was 162% and APD –70 was 230% of the respective control. The resting potential remained unaffected in most cells. The prolongation induced by 17β-estradiol developed rapidly and reached a steady state 10 min after start of hormone superfusion. Effects of estrogen were completely reversible during 10–15 min wash-out with hormone-free solution. The extent of prolongation (10 μmol/l 17β-estradiol) was frequency dependent. Expressed as percentage of the respective control APD 0 (or APD –70) was 115% (188%) at 0.05 Hz, 118% (163%) at 0.5 Hz and 99% (129%) at 5 Hz stimulation frequency. The response was stereoselective, because 30 μmol/l 17α-estradiol did not prolong action potentials (APD 0: 101%, APD –70: 104% of the respective control, 0.5 Hz stimulation frequency). The endogenous estrogens estrone and estriol were less effective than 17β-estradiol. With 30 μmol/l estrone (0.5 Hz stimulation frequency) APD 0 was 103% and ADP-70 148% of control and with 30 μmol/l estriol APD 0 was 135% and APD –70 137% of control. The prolongation of action potentials can be explained by inhibition of transient outward current which, in rat ventricle, is composed of fast (i to,f) and slowly (i to,s) inactivating components. At 30 μmol/l 17β-estradiol i to,f was reduced to 50% and i to,s to 43% of their maximal amplitudes. The voltage sensor of i to,f or i to,s was hardly affected. Additionally, 17β-estradiol decreased the calcium current (i Ca,L) to 76% (10 μmol/l) and 38% at 30 μmol/l. The inwardly rectifying potassium current (i K1) was reduced partly with 30 μmol/l 17β-estradiol and its amplitude was 72% of control at –90 mV (inward current flow) and 65% at –40 mV (outward current flow). These results show that 17β-estradiol is active in cardiac cells which do not express the nuclear estrogen receptor. The hormone exerts class III activity and reduces calcium inward current. These effects, however, occur in vitro with concentrations above the physiological level and therefore may be without significance in vivo.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1569-8041
    Keywords: autologous transplant ; lymphoma ; mantle cell ; peripheral stem cells
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Background: Despite improved detection of mantle cell lymphoma (MCL),results of its treatment with conventional therapies remain disappointing andthe survival rate poor. The role of high-dose chemotherapy has recently beeninvestigated but no potential benefit has been clearly established. We reporthere our experience with MCL patients treated with intensive chemotherapy andautologous stem cell transplantation (ASCT). Patients and methods: Of the 16 MCL patients who received high-dosechemotherapy and ASCT beginning in 1989, six were treated in first-line and10 in sensitive relapse. Twelve of 16 patients received regimens whichincluded total body irradiation. All patients received peripheral blood stemcells (PBSC) with the exception of one, who underwent bone marrowtransplantation. Results: Three patients died of toxic effects of treatment. Three monthsafter transplant, seven achieved complete responses (CR) and two partialresponses (PR), two were stable and two had progressed. With a medianfollow-up after transplant of 22 months, five of the six surviving patientswere without progression, and three were in CR. The median times forevent-free survival (EFS) and overall survival (OS) were, respectively, 249and 317 days. The expected three-year EFS and OS were 24%. The mediansurvival after diagnosis was only 29 months. None of the criteria appeared tobe significantly associated with a better outcome, but first-lineintensification and a short delay after initial diagnosis may be favorable. Conclusion: In this study we were not able to confirm the hypotheticalbenefit of high-dose chemotherapy and PBSC transplantation in mantle celllymphoma, even though this approach may be promising in a subgroup of patient.
    Type of Medium: Electronic Resource
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  • 4
    ISSN: 1435-1803
    Keywords: Sheep cardiac Purkinje fibers ; action potentials ; automaticity ; β1-β2- ; adrenoceptors-(−) ; isoproterenol ; (−)-noradrenaline ; procaterol ; bisoprolol ; ICI 118,551
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The electrophysiological effects mediated by β1- and β2- in spontaneously active sheep cardiac Purkinje fibers were investigated using the non-selective agonist (−)-isoproterenol (IPN) and the selective agonists (−)-noradrenaline (β1) and procaterol (β2) in the absence and presence of the selective antagonists bisoprolol (β1) and ICI 118,551 (β2). IPN (0.01 μmol/l) increased the spontaneous rate by 54% and the slope of diastolic depolarization by 68% of the respective control values. Further, IPN increased the action potential duration at −20 mV (APD −20 mV) from 96 to 154 ms, reduced the APD −70 mV by 17% and the duration of the diastole by 39% and slightly hyperpolarized the maximum diastolic potential. These effects were partially inhibited by ICI 118,551 (0.03 μmol/l), diminished by bisoprolol (0.1 μmol/l) and almost completely blocked by the combination of both antagonists. Concentration response curves of IPN were influenced by the selective antagonists as follows: ICI 118,551 (0.03 μmol/l) shifted the curves to the right by 0.2–0.4 log units and increased the slope factor. Bisoprolol (0.1 μmol/l) induced a greater shift to the right by 1.1–1.5 log units. Combination of bisoprolol with ICI 118,551 shifted the curves to the right by 1.5–1.7 log units. Noradrenaline (0.3 μmol/l) elicited similar actions as IPN. Bisoprolol (0.1 μmol/l) shifted the concentration response curves of noradrenaline to the right by 1.1–1.9 log units. Actions of procaterol (0.1 μmol/l) were weak, attained only 15–35% of the maximal effects of IPN and could be blocked by ICI 118,551 (0.03 μmol/l). These results show that the increase of pacemaker activity induced by catecholamines in sheep cardiac Purkinje fibers is predominantly mediated by stimulation of β1. However, contribution of β2 mediated effects could be demonstrated.
    Type of Medium: Electronic Resource
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  • 5
    Electronic Resource
    Electronic Resource
    Springer
    Colloid & polymer science 275 (1997), S. 681-688 
    ISSN: 1435-1536
    Keywords: Key words Adsorption ; anionic surfactants ; hydrophobic surfaces ; layered double hydroxide ; swelling
    Source: Springer Online Journal Archives 1860-2000
    Topics: Chemistry and Pharmacology , Mechanical Engineering, Materials Science, Production Engineering, Mining and Metallurgy, Traffic Engineering, Precision Mechanics
    Notes: Abstract  The external and internal surface area of the calcium aluminum double hydroxide [Ca2Al(OH)6] NO3 ⋅ 2H2O were hydrophobized by the anionic surfactants sodium dodecylsulfate and sodium dodecyl-benzene sulfonate. The adsorption behavior towards liquid mixtures (benzene/n-heptane and n-propanol/ toluene) was studied by determining the surface excess adsorption isotherms, the heats of immersion in these liquids, and the basal spacing, i.e. the expansion of the interlayer space. Both hydrophobic layered double hydroxides (LDHs) adsorbed n-hep-tane, benzene, toluene, and n-pro-panol between the layers with considerable increase of the basal spacing. Interlamellar swelling of the hydrophobizised LDHs in n-heptane was fundamentally different to the behavior of hydrophobized 2 : 1 clay minerals (smectites, vermiculites). The surface excess isotherms for benzene/ heptane mixtures were U-shaped and indicate preferential adsorption of benzene. Dodecylbenzene sulfonate double hydroxide preferentially adsorbed propanol from n-propanol/ toluene mixtures but the dodecyl-sulfate derivative adsorbed both compounds.
    Type of Medium: Electronic Resource
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  • 6
    ISSN: 1435-1803
    Keywords: Key words Sheep cardiac Purkinje fibers – action potentials – automaticity –β1-adrenoceptors –β2-adrenoceptors – (–)-isoproterenol – (–)-noradrenaline – procaterol – bisoprolol – ICI 118,551
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The electrophysiological effects mediated by β1- and β2-adrenoceptors in spontaneously active sheep cardiac Purkinje fibers were investigated using the non-selective agonist (–)-isoproterenol (IPN) and the selective agonists (–)-noradrenaline (β1) and procaterol (β2) in the absence and presence of the selective antagonists bisoprolol (β1) and ICI 118,551 (β2). IPN (0.01 μmol/l) increased the spontaneous rate by 54% and the slope of diastolic depolarization by 68% of the respective control values. Further, IPN increased the action potential duration at –20 mV (APD –20 mV) from 96 to 154 ms, reduced the APD –70 mV by 17% and the duration of the diastole by 39% and slightly hyperpolarized the maximum diastolic potential. These effects were partially inhibited ICI 118,551 (0.03 μmol/l), diminished by bisoprolol (0.1 μmol/l) and almost completely blocked by the combination of both antagonists. Concentration response curves of IPN were influenced by the selective antagonists as follows: ICI 118,551 (0.03 μmol/l) shifted the curves to the right by 0.2–0.4 log units and increased the slope factor. Bisoprolol (0.1 μmol/l) induced a greater shift to the right by 1.1–1.5 log units. Combination of bisoprolol with ICI 118,551 shifted the curves to the right by 1.5–1.7 log units. Noradrenaline (0.3 μmol/l) elicited similar actions as IPN. Bisoprolol (0.1 μmol/l) shifted the concentration response curves of noradrenaline to the right by 1.1–1.9 log units. Actions of procaterol (0.1 μmol/l) were weak, attained only 15–35% of the maximal effects of IPN and could be blocked by ICI 118,551 (0.03 μmol/l). These results show that the increase of pacemaker activity induced by catecholamines in sheep cardiac Purkinje fibers is predominantly mediated by stimulation of β1-receptors. However, contribution of β2-receptor mediated effects could be demonstrated.
    Type of Medium: Electronic Resource
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  • 7
    Electronic Resource
    Electronic Resource
    Springer
    Colloid & polymer science 275 (1997), S. 876-882 
    ISSN: 1435-1536
    Keywords: Key words Adsorption ; multilayers ; binary mixtures ; layer thickness ; surface layer composition ; adsorption capacity ; free enthalpy of adsorption
    Source: Springer Online Journal Archives 1860-2000
    Topics: Chemistry and Pharmacology , Mechanical Engineering, Materials Science, Production Engineering, Mining and Metallurgy, Traffic Engineering, Precision Mechanics
    Notes: Abstract  The multilayer adsorption on the solid/liquid interface in binary mixtures was studied by adsorption space filling with constant and variable layer thickness. Adsorption from benzene/n-heptane mixtures was examined on hydrophilic and hydro-phobic surfaces. The free enthalpy of adsorption, Δ21 G=f (x 1), was calculated from the adsorption excess isotherm by integration of the Gibbs equation. Supposing that the free enthalpy is mainly due to adsorption in the first layer, the composition of this layer can be calculated from the Δ21 G=f (x 1) function. It was established that the adsorption layer thickness in benzene/heptane mixtures increases significantly with increasing benzene content. This statement was supported by X-ray diffraction on hydrophobic clay minerals.
    Type of Medium: Electronic Resource
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