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  • 1
    Electronic Resource
    Electronic Resource
    Oxford UK : Blackwell Science Ltd
    Alimentary pharmacology & therapeutics 12 (1998), S. 0 
    ISSN: 1365-2036
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: In the field of gastrointestinal disease, productivity costs are highly relevant because work loss is substantial in dyspeptic patients. Productivity costs are normally calculated by multiplying days absent valued by gross earnings. This, however, might lead to an overestimation.〈section xml:id="abs1-2"〉〈title type="main"〉Aim:To use a conservative approach to calculating productivity costs, taking absence compensating mechanisms into account.〈section xml:id="abs1-3"〉〈title type="main"〉Methods:Patients who visited their general practitioner for the first time with dyspeptic complaints and patients who were known to have persistent dyspeptic complaints were enrolled in two studies. In total, 136 patients completed a questionnaire about their employment situation, absence from work and absence compensating mechanisms.〈section xml:id="abs1-4"〉〈title type="main"〉Results:Sixty-six of the respondents had a paid job, of which 25 (38%) reported absence from work during the previous 4 weeks (average 3.0 days, 1.9 days related to dyspeptic complaints). More than 50% of the employed respondents answered that absence could be compensated for by colleagues, and only in 8% of the cases was absence compensated for by overtime. Using our conservative approach, only one-quarter of the productivity costs remained, compared to the current approach of valuing each day absent as a loss of productivity.〈section xml:id="abs1-5"〉〈title type="main"〉Conclusions:We suggest using both the current and the conservative approaches, analogous to the principles of sensitivity analysis, to avoid overestimation of productivity costs.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    [S.l.] : International Union of Crystallography (IUCr)
    Acta crystallographica 54 (1998), S. 91-101 
    ISSN: 1600-5724
    Source: Crystallography Journals Online : IUCR Backfile Archive 1948-2001
    Topics: Chemistry and Pharmacology , Geosciences , Physics
    Notes: In X-ray crystallography, a least-squares structure refinement is used to two purposes: to prove the correctness of the proposed model and to improve it. In electron crystallography, the same tool would be desirable. However, the standard programs for least-squares structure refinement used in X-ray diffraction may give wrong results using electron diffraction data because the kinematically calculated diffracted intensity is not valid for the interaction of electrons and crystals thicker than about 20 Å for strong scatterers. In this paper, a new approach is presented that overcomes this problem and in addition takes into account all the advantages contained in dynamic scattering. The multislice method, well known in high-resolution electron microscopy (HREM), was combined with a least-squares algorithm, resulting in the multislice least-squares (MSLS) procedure. Experiments show that the atomic positions obtained by the new procedure are of the same accuracy as those obtained from single-crystal X-ray diffraction. However, the size of the single crystals used is much smaller (diameters down to ±100 Å). Also, light-atom positions can be determined with high precision by using data sets from crystal areas with different thicknesses. The multislice refinement gave good results up to 150 to 400 Å depending on the composition of the crystal, with R values based on the intensities of less than 5%. An additional advantage of the approach is that some extra quantities (e.g. crystal thickness, crystal orientation) can be refined at the same time.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    European journal of clinical pharmacology 54 (1998), S. 355-357 
    ISSN: 1432-1041
    Keywords: Key words Tiagabine ; Digoxin
    Source: Springer Online Journal Archives 1860-2000
    Topics: Chemistry and Pharmacology , Medicine
    Notes: Abstract Objective: To assess the possibility of any clinically relevant pharmacokinetic interactions between tiagabine, a novel antiepileptic drug, and digoxin. Methods: Potential pharmacokinetic interactions between tiagabine and digoxin were investigated in an open-label, two-period cross-over study in healthy male volunteers. Thirteen volunteers, aged between 18 and 43 years, were randomised to receive digoxin (0.5 mg twice a day for 1 day, then 0.25 mg once a day for 8 days) either alone or co-administered with tiagabine (4 mg three times daily for 9 days). Following a 7-day wash-out period, volunteers crossed over to the other dosing regimen. Peak serum concentration, time to maximum serum concentration, area under the serum concentration–time curve from zero to 24 h and steady state serum concentration were calculated for digoxin and compared between treatment groups. Results: No statistically significant differences between treatment groups were observed for any of the derived digoxin pharmacokinetic parameters. The most common adverse events reported during digoxin alone and in combination with tiagabine were somnolence and headache; an overall greater frequency of adverse events was reported during combined treatment. Adverse events were generally mild in nature; no serious adverse events were reported. Conclusions: At the doses administered, there is no evidence of a pharmacokinetic interaction between digoxin and tiagabine in healthy male volunteers.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    Intensive care medicine 24 (1998), S. 821-828 
    ISSN: 1432-1238
    Keywords: Key words (Best) PEEP ; Haemodynamics ; Oxygen transport ; Pulmonary edema
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Objective: The aim of this study was to show the feasibility of a slow, continuously increasing level of positive end-expiratory pressure (PEEP) (ramp manoeuvre) in selecting best PEEP and to evaluate whether best PEEP, as definded by maximal oxygen transport, coincides with best systemic arterial oxygenation or best compliance. Design: In 11 anaesthetized piglets, PEEP was increased between 0 cmH2O (zero end-expiratory pressure; ZEEP) and 15 cmH2O (PEEP15) with a constant rate of 0.67 cmH2O · min−1. This ramp manoeuvre was performed both under normal conditions and after induction of an experimental lung oedema. During the ramp manoeuvre, haemodynamic and pulmonary variables were monitored almost continuously. Results: During the rise in PEEP, cardiac output declined in a non-linear way. In the series with normal conditions, best PEEP was always found at ZEEP. In the series with experimental lung oedema, best PEEP, as defined by maximum oxygen transport, was found at PEEP1–6, as defined by maximal compliance, at PEEP7.5 and by maximal arterial oxygen tension (PaO2) at PEEP10–14. Conclusions: Best PEEP according to oxygen transport is lower than best PEEP according to compliance and PaO2; the use of PEEP as a ramp might prevent unnecessarily high levels of PEEP.
    Type of Medium: Electronic Resource
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  • 5
    ISSN: 1432-1084
    Keywords: Key words: Hip ; Inguinal hernia ; Abdomen ; Neoplasms
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract. The inguinofemoral region is a crossroads of numerous vascular, nervous and muscular structures. As even the most astute clinician can have difficulty in correctly diagnosing the cause of complaints or a mass in the groin and thigh region, radiological investigation is frequently warranted. For the radiologist involved, knowledge of the anatomy and specific pathology of the groin is essential. This paper deals with the imaging characteristics of the various diseases in the inguinofemoral triangle. Furthermore, this article provides an overview of the role of the various imaging modalities in the evaluation of disease in the groin and upper thigh. A sound working knowledge of groin anatomy and pathology is mandatory. The various imaging modalities used should be considered complementary.
    Type of Medium: Electronic Resource
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  • 6
    Electronic Resource
    Electronic Resource
    Springer
    Journal of materials science 33 (1998), S. 3371-3376 
    ISSN: 1573-4803
    Source: Springer Online Journal Archives 1860-2000
    Topics: Mechanical Engineering, Materials Science, Production Engineering, Mining and Metallurgy, Traffic Engineering, Precision Mechanics
    Notes: Abstract Radio-frequency magnetron sputtering deposition was used to produce calcium phosphate sputter coatings with three different thicknesses (0.1, 1 and 4 μm) on titanium discs. Half of the as-sputtered coatings were subjected to an additional heat treatment for 2 h at 500°C. X-ray diffraction demonstrated that annealing at 500°C changed the amorphous 1 and 4 μm sputtered coatings into an amorphous–crystalline structure, while the amorphous 0.1 μm changed in a crystalline apatite structure. Further, scanning electron microscopy (SEM) inspection demonstrated that annealing of the 1 and 4 μm coatings resulted in the appearance of some cracks. The dissolution behaviour of these Ca–P coatings was determined in a simulated body fluid. It was found that after incubation for 4 weeks the dissolution was determined by the crystallinity of the deposited coating. SEM and Fourier transform infrared evaluation showed that all the heat-treated sputter coating appeared to be stable under the test conditions and a Ca–P precipitate was always deposited on the coating surface. On the other hand, the amorphous 0.1 and 1 μm coatings dissolved completely within 4 weeks, while the amorphous 4 μm coating showed only signs of surface dissolution. Scratch testing demonstrated that there is a linear correlation between the critical load, L c, and the coating thickness. A heat treatment for the CaP-4 coating resulted in an additional decrease in the critical load. On the basis of these findings, we conclude that already a 0.1 μm heat-treated Ca-P sputter coating is of sufficient thickness to show in-vitro adequate bioactive and adhesive properties.
    Type of Medium: Electronic Resource
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  • 7
    Electronic Resource
    Electronic Resource
    Springer
    Journal of materials science 9 (1998), S. 523-528 
    ISSN: 1573-4838
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine , Technology
    Notes: Abstract The tissue reaction to a percutaneous access device, applicable as a carrier for an implantable glucose sensor, was evaluated in goats. Titanium fibre mesh structures were used for anchorage of the device in superficial as well as deeper soft-tissue locations. The percutaneous part was subcutaneously anchored with a fibre mesh sheet. The distal part was placed intraperitoneally and anchored in deeper soft-tissue layers using a fibre mesh cuff. All implants showed good healing with the surrounding tissue. Histological evaluation showed that the subcutaneous fibre mesh sheets and peritoneal fibre mesh cuffs were filled with immature connective tissue, generally free of inflammation. Problems concerning disconnection of the silicone catheter from the titanium holding element and filling of part of the peritoneal fibre mesh cuff with silicone glue have to be overcome by more appropriate preclinical testing and improved implant design. Our results demonstrate that titanium fibre mesh structures can be used effectively for soft-tissue anchorage of percutaneous access devices. A sufficient ingrowth of connective tissue was obtained in superficial as well as in deeper soft-tissue layers. The access device could have application as a carrier for an implantable glucose sensor for glucose monitoring in different tissue compartments.
    Type of Medium: Electronic Resource
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  • 8
    Electronic Resource
    Electronic Resource
    Hoboken, NJ : Wiley-Blackwell
    Journal of Biomedical Materials Research 40 (1998), S. 464-474 
    ISSN: 0021-9304
    Keywords: calcium phosphate coatings ; magnetron sputtering ; osteoblast ; in vitro ; bone ; Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: In previous studies we developed a RF magnetron sputter technique for the production of thin Ca-P coatings. With this technique coatings can be produced that vary in Ca/P ratio as well as in structural appearance. The aim of this investigation was to obtain more understanding of the biological behavior of these coatings by way of in vitro experiments. The effect of noncoated titanium (Ti) and three different Ca-P-sputtered surfaces on the proliferation and differentiation (morphology and matrix production) of osteoblast-like cells was studied. Proliferation was determined using counting procedures; morphology was studied by scanning electron microscopy (SEM) and transmission electron microscopy (TEM). Fluorescent markers and energy-dispersive X-ray microanalysis (EDX) were used to obtain quantitative and compositional information about the resultant calcified extracellular matrix (ECM). Results demonstrated that proliferation of the osteoblast-like cells was significantly (p 〈 0.05) higher on noncoated than on Ca-P-coated samples. On the other hand, more mineralized ECM was formed on the coated surfaces. In addition, TEM confirmed that the cells on the coated substrates were surrounded by ECM with collagen fibers embedded in crystallized, needle-shaped structures. On the basis of these findings, we concluded that: (1) the investigated Ca-P sputter coatings possess the capacity to activate the differentiation and expression of osteogenic cells, and (2) bone formation proceeds faster on Ca-P surfaces than on Ti substrates. Further, this bone-inductive effect appeared to be dependent on the Ca-P ratio of the deposited coatings. © 1998 John Wiley & Sons, Inc. J Biomed Mater Res, 40, 464-474, 1998.
    Additional Material: 14 Ill.
    Type of Medium: Electronic Resource
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  • 9
    Electronic Resource
    Electronic Resource
    Hoboken, NJ : Wiley-Blackwell
    Journal of Biomedical Materials Research 41 (1998), S. 624-632 
    ISSN: 0021-9304
    Keywords: calcium phosphate coatings ; interface strength ; RF magnetron sputter deposition ; Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: In previous studies, an RF magnetron sputter technique was developed for the production of thin calcium phosphate coatings. Several deposition parameters were found to influence the growth rate and the stoichiometry of the coatings. For instance, deposition with additional oxygen pressure decreased the Ca to P ratio of the coatings to 1.67. For application of these coatings on actual Ti implants, it is important to know their adhesive tensile strength with the implant surface and how it varies with the deposition parameters. Motivated by these goals, the aim of this study was to measure the adhesive tensile strength of these coatings with Ti substrates and to study its variation with the deposition parameters. Since most mechanical characterization methods are incapable of providing a direct measure of the interface's fundamental strength, a novel laser spallation experiment was used to accomplish this task. In this experiment, a compressive stress pulse is generated on the back side of a substrate by impinging a 3-ns long Nd:YAG laser pulse. The stress pulse propagates through the substrate and is reflected into a tensile stress wave from the free surface of the coating deposited on its front surface. The returning tensile pulse pries off the coating if its amplitude is high enough. The peak interface tensile stress is computed by using the optically recorded free surface displacement of the coating. Because interface decohesion is accomplished at a strain rate of almost 107 s-1, all inelastic processes essentially are suppressed and the measured value essentially is the intrinsic tensile strength of the interface. Tensile strength values in the range of 500-900 MPa were recorded for the interfaces between sputter-deposited calcium-phosphate coatings and Ti substrates. To confirm the locus of failure, the spalled spots were examined using SEM and EDS. The variation in the measured values was related to the changes in the deposition conditions. © 1998 John Wiley & Sons, Inc. J Biomed Mater Res, 41, 624-632, 1998.
    Additional Material: 8 Ill.
    Type of Medium: Electronic Resource
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  • 10
    Electronic Resource
    Electronic Resource
    Hoboken, NJ : Wiley-Blackwell
    Journal of Biomedical Materials Research 43 (1998), S. 270-276 
    ISSN: 0021-9304
    Keywords: magnetron sputtering ; calcium phosphates ; subperiosteal ; oesteogenesis ; Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: The aim of this study was to obtain more information about the initial biological events around RF magnetron sputtered calcium phosphate (Ca-P) coatings. Therefore, uncoated and coated disks were inserted subperiosteal into the tibia of a goat. The coatings were deposited on commercially pure titanium. The thickness of the coating was 0.1 or 2.0 μm. All the as-sputtered coatings were subjected to an additional heat treatment for 2 h at 500°C. After 1 and 3 weeks of implantation the experimental disks were retrieved and prepared for histological and physicochemical analysis. The histological results demonstrated that the periosteum covered the specimens after both implantation periods. In between the periosteum and implant an acellular layer and a collagen matrix was observed. Energy dispersive spectrometry revealed that the acellular layer consisted of C, Ca, and P ions for the 0.1 μm thick Ca-P coatings. The 2 μm thick Ca-P coatings also showed the presence of sulfate ions in this layer. Only organic material was found on the titanium disks. Further, SEM showed that even after 3-week implantation, a substantial thickness of both coatings was still maintained. Thin film X-ray diffraction demonstrated that after both implantation periods, the CaP-0.1 coating was still present. FTIR of the retrieved specimens demonstrated on the coated disks the formation of additional carbonate apatite (CO3-AP) associated with an organic phase (NH2 groups). On basis of these findings we conclude that our experimental approach is very suitable for the investigation of the healing process around Ca-P coatings. Further, we again demonstrated that the initial interfacial response to Ca-P materials differs from titanium. © 1998 John Wiley & Sons, Inc. J Biomed Mater Res (Appl Biomater) 43: 270-276, 1998
    Additional Material: 10 Ill.
    Type of Medium: Electronic Resource
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