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  • 2000-2004  (1)
  • 1970-1974  (2)
  • 1965-1969  (1)
  • Bone  (3)
  • Key words Vascular complications  (1)
  • 1
    Electronic Resource
    Electronic Resource
    Vascular complications following bladder drained, simultaneous pancreas-kidney transplantation: the University of Miami experience (2000)
    Springer
    Transplant international 13 (2000), S. S187 
    Details
    ISSN: 1432-2277
    Keywords: Key words Vascular complications ; Pancreas-kidney transplant ; Thrombosis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Vascular complications remain a significant nonimmunologic source of pancreas allograft loss. From February 1993 through January 1998, we performed 98 simultaneous pancreas-kidney transplantations (SPK) using pancreatic exocrine bladder drainage in patients with type 1 insulin-dependent diabetes mellitus and end-stage renal disease. They originally received quadruple immunosuppression, and since May 1997 triple immunosuppression protocol (tacrolimus, mycophenolate mofetil, and steroids). The patients' mean age was 37 years (range 24–53 years), including 50 women and 48 men with a mean follow-up of 42 months. The overall rate of vascular complications was 6 % (5 patients). The vascular complications were as follows: late thrombosis of the Y with persistent pancreas allograft function (n = 1), rupture of a pseudoaneurysm of the superior mesenteric artery (PSMA) with an arteriovenous fistula (AVF) (n = 1), thrombosis of the splenic vein (SV) (n = 3), complete thrombosis of the superior mesenteric vein (SMV) and splenic vein (n = 1). The patient with PSMA underwent surgical correction of the AVF and PSMA with preservation of the allograft pancreas function. The other patient with late thrombosis of the Y-graft required no treatment. All 3 patients with SV thrombosis were systemically heparinized followed by oral anticoagulation. The patient with complete thrombosis required surgical thrombectomy of the SMV and SV followed by heparinization and oral anticoagulation. All 6 patients including the 4 with thrombosis had preservation of the pancreas function. Serial pancreas ultrasound showed resolution and improvement with recanalization of the splenic vein and superior mesenteric vein in those patients with thrombosis. We describe our vascular experience with salvage of the pancreatic allograft function. Surgery seems to be the best treatment option in the case of AVF or complete thrombosis of the allograft. Intravenous heparin followed by oral anticoagultion could be a conservative approach for SV thrombosis.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s001470050322
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  • 2
    Electronic Resource
    Electronic Resource
    The effect of insulin on bone resorption (1973)
    Springer
    Calcified tissue international 12 (1973), S. 8-15 
    Details
    ISSN: 1432-0827
    Keywords: Insulin ; Bone ; Calcium ; Resorption ; Orthophosphate
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Medicine , Physics
    Description / Table of Contents: Résumé L'administration d'insuline cristallisée à des rats thyroparathyroidectomisés provoque une augmentation de la calcémie et de la phosphorémie. Le calcium plasmatique s'élève de façon linéaire entre 31 et 250 m Unités d'insuline/100 g de poids corporel. La courbe obtenue n'est guère différente de celle obtenue par extrait parathyroidien. L'administration simultanée d'insuline et d'extrait parathyroidien à des rats thyro-parathyroidectomisés agit sur la calcémie et la phosphorémie par un effet additif. Lorsque des os frontaux d'embryons de poulet sont cultivésin vitro en présence d'insuline cristallisée, le taux de résorption augmente. L'insuline augmente le taux de consommation en glucose des explants et induit une accumulation de citrate dans le milieu de culture. L'insuline stimule donc la résorption osseuse.
    Abstract: Zusammenfassung Der Plasmagehalt an Calcium und Phosphor bei thyroparathyreoidektomierten Ratten wurde durch die Verabreichung von kristallinem Insulin erhöht. Das Plasmacalcium verhielt sich zwischen 31 und 250 m Einheiten Insulin pro 100 g Körpergewicht linear. Die Steigung der erhaltenen Kurve ist nicht signifikant verschieden von derjenigen, die nach Parathyreoidea-Extrakt erhalten wird. Die gleichzeitige Verabreichung von Insulin und Parathyreoidea-Extrakt von thyroparathyreoidektomierten Ratten hatte eine kumulative Wirkung auf den Gehalt von Calcium und Phosphor im Plasma. Wenn Stirnbeine von Kükenembryos mit kristallinem Insulinin vitro kultiviert wurden, erhöhte sich die Resorptionsrate. Das Insulin steigerte den Glucoseverbrauch der Explantate und verursachte eine Anreicherung von Citrat im Kulturmedium. Die Ergebnisse deuten auf eine Stimulation der Knochenresorption durch Insulin.
    Notes: Abstract the administration of crystalline insulin to thyroparathyroidectomized rats raised their calcium and phosphorus plasma levels. The plasma calcium gave a linear response between 31 and 250 mU of insulin/100 g body weight. The slope obtained is not significantly different from that obtained with parathyroid extract. The simultaneous administration of insulin and parathyroid extract to thyroparathyroidectomized rats affected the calcium and phosphorus plasma levels in an additive fashion. When chick embryo frontal bones were cultivatedin vitro with crystalline insulin the rate of resorption increased. Insulin increased the rate of glucose consumption by the explants and induced the accumulation of citrate in the culture medium. It is concluded that insulin stimulates bone resorption.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02013717
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  • 3
    Electronic Resource
    Electronic Resource
    The effect of androgens on the carbohydrate metabolism of bone (1970)
    Springer
    Calcified tissue international 6 (1970), S. 133-142 
    Details
    ISSN: 1432-0827
    Keywords: Testosterone ; Dehydroepiandrosterone ; Glucosephosphate-dehydrogenase ; Glucose ; Bone
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Medicine , Physics
    Description / Table of Contents: Résumé Les effets des androgènes (déhydroépiandrostérone et testostérone) sur le métabolisme des hydrates de carbone ont été étudiés en utilisant deux modèles expérimentaux. Le premier fait appel à la culturein vitro d'os embryonnaires d'oiseaux. Dans le deuxième modèle, on utilise des os non embryonnaires de mammifères, en cours d'ossification enchondralein vivo. Dans les deux cas, on note une augmentation de l'activité de la glucose-6-phosphate déhydrogénase et une oxydation différente de la glucose-1-14C et glucose-6-14C. Ces faits indiquent un changement dans le métabolisme du glucose allant vers la voie oxydative directe. En plus, le traitement provoque une hyperplasie de la couche hypertrophique dans l'épiphyse osseuse chez les souris prépubères.
    Abstract: Zusammenfassung Es wurden die Wirkungen von Androgenen (Dehydroepiandrosteron und Testosteron) auf den Kohlenhydratumsatz von Knochen mittels 2 experimenteller Modelle untersucht: einerseits anin vitro gezüchteten Bindegewebsknochen von Hühnerembryonen und andererseitsin vivo an nichtembryonalen Säugetierknochen mit endochondraler Ossifikation. In beiden Modellen läßt die Aktivitätszunahme der Glucose-6-phosphat-dehydrogenase und die unterschiedliche Oxydation von Glucose-1-14C und Glucose-6-14C eine Verschiebung des Glucosemetabolismus gegen den direkten oxydativen Abbau vermuten. Weiterhin erzeugt eine Behandlung mit diesen Hormonen eine Hyperplasie der hypertrophen Zellschicht an der Epiphysenplatte von vorpubertären Mäusen.
    Notes: Abstract An investigation on the effects of androgens (dehydroepiandrosterone and testosterone) on the carbohydrate metabolism of bone was carried out with two experimental models: avian embryonic membranous bone cultivatedin vitro, and mammal non-embryonic bone of endochondral ossificationin vivo. In both models, the increase in glucose-6-phosphate dehydrogenase activity and the differential oxidation of glucose-1-14C and glucose-6-14C suggest a shift in glucose metabolism toward the direct oxidative pathway. In addition, treatment with these hormones produces hyperplasia of the hypertrophic cell layer at the epiphyseal plate of prepubertal mice.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02196192
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  • 4
    Electronic Resource
    Electronic Resource
    Effect of dehydroepiandrosterone sulfate on the mineral accretion of chick embryo frontal bones cultivatedin vitro (1969)
    Springer
    Calcified tissue international 4 (1969), S. 39-47 
    Details
    ISSN: 1432-0827
    Keywords: Dehydroepiandrosterone ; Calcification ; Embryo ; Tissue Culture ; Bone
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Medicine , Physics
    Description / Table of Contents: Résumé Les modes d'utilisation de glucose, le contenu de calcium et d'hydroxyproline et la densité cellulaire du perioste de les os frontaux d'embryons de poulet de 12 et 13 jours de developpement, cultivés sur coagulum de plasma, se presentant différenment à chaque âge. Cultivés avec sulfate de déhydroèpiandrostérone en concentration 1 mM, les frontaux de 12 jours montrent un synthese augmentée du matrice osseuse, celle de 13 jours se calcifient à une vélocité significativement plus grande que celle des os contôles. Le degré de calcification au quatrième jour de culture measuré par la relation calcium/hydroxyproline, suit un fonction lineáire avec le logarithme des doses de sulfate de dehydroepiandrostérone employées (0.5, 1,0 et 2,0 mM). Les renseignements obtenus indiquent que les frontaux de 13 jours, cultivés “in vitro” constituent modeles experimentaux appropriés pour étudier l'effet des androgénes sur le tissue osseux.
    Abstract: Zusammenfassung Stirnbeine von Hühnerembryonen an ihrem 12. und 13. Entwicklungstag entnommen und in vitro kultiviert zeigen verschiedene Arten der Glucoseverwertung der Periostzellendichte, des Calcium- und Hydroxyprolingehaltes. Wird Dehydroepiandrosteronsulfat dem Medium in einer 1 mM-Konzentration zugegeben, so beteiligen sich die 12tägigen Stirnbeine vorwiegend an der Knochengewebesynthese, während die 13tägigen signifikant stärker verkalken als die Kontrollen. Gemessen an der Calcium/hydroxyprolin Ratio bildet die Verkalkung der 13tägigen Stirnbeine eine lineare Funktion mit den Logarithmen der verwendeten Dosen von Dehydroepiandrosteronsulfat (0,5, 1,0 und 2,0 mM). Das in vitro kultivierte 13tägige Stirnbein schein ein geeignetes Experimentiermodell zur Studie der Dehydroepiandrosteronsulfatwirkung auf das Knochengewebe zu sein, weil es das grundlegende Phänomen (erhöhte Verkalkung) wiedergibt, welches man auch bei mit Androgenen behandelten Menschen und Tieren beobachtet.
    Notes: Abstract Chick embryo frontal bones at 12 and 13 days of development cultivatedin vitro exhibit different patterns of glucose utilization, periosteal cellular density and calcium and hydroxyproline content. When dehydroepiandrosterone sulfate is added to the medium at a concentration 1 mM, 12-day frontals engage primarily in osteoid tissue synthesis while 13-day frontals calcify at a significantly greater rate than controls. Measured with the ratio calcium/hydroxyproline, the calcification of 13-day frontals follows a linear function with the logarithm of the doses of dehydroepiandrosterone sulfate employed (0.5, 1.0 and 2.0 mM). The 13-day frontal bone cultivatedin vitro seems to be an adequate experimental model for the study of the effects of dehydroepiandrosterone sulfate on bone tissue because it reproduces the basic phenomenon (increased calcification) observed in man and animals treated with androgens.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02279104
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