Library

X
feed icon rss

Your email was sent successfully. Check your inbox.

An error occurred while sending the email. Please try again.

Proceed reservation?

Export
  • 11
    Electronic Resource
    Electronic Resource
    Limitation of life support: Frequency and practice in a London and a Cape Town intensive care unit (1996)
    Springer
    Intensive care medicine 22 (1996), S. 1020-1025 
    Details
    ISSN: 1432-1238
    Keywords: Critical care ; Ethics ; Resuscitation orders ; Advance directives ; Life support withdrawal ; Prognosis ; Severity of illness index
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Objectives To examine the frequency of limiting (withdrawing and withholding) therapy in the intensive care unit (ICU), the grounds for limiting therapy, the people involved in the decisions, the way the decisions are implemented and the patient outcome. Design Prospective survey. Ethical approval was obtained. Setting ICUs in tertiary centres in London and Cape Town. Patients All patients who died or had life support limited. Interventions Data collection only. Results There were 65 deaths out of 945 ICU discharges in London and 45 deaths out of 354 ICU discharges in Cape Town. Therapy was limited in 81.5% and 86.7% respectively (p=0.6) of patients who died. The mean ages of patients whose therapy was limited were 60.2 years and 51.9 years (p=0.014) and mean APACHE II scores 18.5 and 22.6 (p=0.19) respectively. The most common reason for limiting therapy in both centres was multiple organ failure. Both medical and nursing staff were involved in most decisions, which were only implemented once wide consensus had been reached and the families had accepted the situation. Inotropes, ventilation, blood products, and antibiotics were most commonly withdrawn. The mean time from admission to the decision to limit therapy was 11.2 days in London and 9.6 days in Cape Twon. The times to outcome (death in all patients) were 13.2 h and 8.1 h respectively. Conclusions Withdrawal of therapy occurred commonly, most often because of multiple organ failure. Wide consensus was reached before a decision was made, and the time to death was generally short.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01699222
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
    Paper (German National Licenses)
    Fulltext
  • 12
    Electronic Resource
    Electronic Resource
    Posterior urethral valves as a cause of neonatal uriniferous perirenal pseudocyst (urinoma) (1978)
    Springer
    Pediatric radiology 7 (1978), S. 29-32 
    Details
    ISSN: 1432-1998
    Keywords: Uriniferous perirenal pseudocyst ; Urinoma ; Posterior urethral valves
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Two neonates with uriniferous perirenal pseudocysts (urinomas) secondary to posterior urethral valves are presented. Early diagnosis was achieved and both patients survived. The characteristic roentgenographic appearance of the pseudocyst is described. An investigation for lower urinary tract obstruction should always be undertaken when pseudocyst or ascites is seen in the neonate. Prompt diagnosis and treatment is essential to avoid irreversible renal damage, electrolyte or fluid imbalance, or respiratory compromise.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00975334
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
    Paper (German National Licenses)
    Fulltext
  • 13
    Electronic Resource
    Electronic Resource
    Cosmic ray exposure ages of features and events at the apollo landing sites (1975)
    Springer
    Earth, moon and planets 13 (1975), S. 259-276 
    Details
    ISSN: 1573-0794
    Source: Springer Online Journal Archives 1860-2000
    Topics: Geosciences , Physics
    Notes: Abstract Cosmic ray exposure ages of lunar samples have been used to date surface features related to impact cratering and downslope movement of material. Only when multiple samples related to a feature have the same rare gas exposure age, or when a single sample has the same81Kr-Kr and track exposure age can a feature be considered reliably dated. Because any single lunar sample is likely to have had a complex exposure history, assignment of ages to features based upon only one determination by any method should be avoided. Based on the above criteria, there are only five well-dated lunar features: Cone Crater (Apollo 14) 26 m.y., North Ray Crater (Apollo 16) 50 m.y., South Ray Crater (Apollo 16) 2 m.y., the emplacement of the Station 6 boulders (Apollo 17) 22 m.y., and the emplacement of the Station 7 boulder (Apollo 17) 28 m.y. Other features are tentatively dated or have limits set on their ages: Bench Crater (Apollo 12) ⩽99 m.y., Baby Ray Crater (Apollo 16) ⩽2 m.y., Shorty Crater (Apollo 17) ≈ 30 m.y., Camelot Crater (Apollo 17) ⩽140 m.y., the emplacement of the Station 2 boulder 1 (Apollo 17) 45–55 m.y., and the slide which generated the light mantle (Apollo 17) ⩾50 m.y.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00567518
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
    Paper (German National Licenses)
    Fulltext
  • 14
    Electronic Resource
    Electronic Resource
    Force and Determinism (1891)
    [s.l.] : Nature Publishing Group
    Nature 43 (1891), S. 558-558 
    Details
    ISSN: 1476-4687
    Source: Nature Archives 1869 - 2009
    Topics: Biology , Chemistry and Pharmacology , Medicine , Natural Sciences in General , Physics
    Notes: [Auszug] DR. OLIVER J. LODGE has reminded us, in your issue of March 26 (p. 491), that under physical constraint or control the direction of motion of material particles may be changed without expenditure of energy or performance of work. It does not follow from this that the direction of motion ...
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1038/043558b0
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
    Paper (German National Licenses)
    Fulltext
  • 15
    Electronic Resource
    Electronic Resource
    Force and Determinism (1891)
    [s.l.] : Nature Publishing Group
    Nature 44 (1891), S. 249-249 
    Details
    ISSN: 1476-4687
    Source: Nature Archives 1869 - 2009
    Topics: Biology , Chemistry and Pharmacology , Medicine , Natural Sciences in General , Physics
    Notes: [Auszug] I DO not think there are many non-physicists who will attempt to gainsay the fact that, under physical constraint, the direction of motion may be determined without affecting the quantity of the energy concerned, and without expenditure of energy. This is seen when the earth and sun revolve ...
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1038/044249a0
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
    Paper (German National Licenses)
    Fulltext
  • 16
    Electronic Resource
    Electronic Resource
    Protective Habit in a Spider (1893)
    [s.l.] : Nature Publishing Group
    Nature 49 (1893), S. 102-102 
    Details
    ISSN: 1476-4687
    Source: Nature Archives 1869 - 2009
    Topics: Biology , Chemistry and Pharmacology , Medicine , Natural Sciences in General , Physics
    Notes: [Auszug] MR. R. I. POCOCK'S interesting paper in your issue of November 16, leads me to place on record an observation I made last summer in the island of Arran. Sitting by a little clear pool in the granite of Glen Sannox, I noticed a spider whose web was spun in the heather which partly overhung the ...
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1038/049102a0
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
    Paper (German National Licenses)
    Fulltext
  • 17
    Electronic Resource
    Electronic Resource
    Limitation of life support: frequency and practice in a London and a Cape Town intensive care unit (1996)
    Springer
    Intensive care medicine 22 (1996), S. 1020-1025 
    Details
    ISSN: 1432-1238
    Keywords: Key words Critical care ; Ethics ; Resuscitation orders ; Advance directives ; Life support withdrawal ; Prognosis ; Severity of illness index
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Objectives: To examine the frequency of limiting (withdrawing and withholding) therapy in the intensive care unit (ICU), the grounds for limiting therapy, the people involved in the decisions, the way the decisions are implemented and the patient outcome. Design: Prospective survey. Ethical approval was obtained. Setting: ICUs in tertiary centres in London and Cape Town. Patients: All patients who died or had life support limited. Interventions: Data collection only. Results: There were 65 deaths out of 945 ICU discharges in London and 45 deaths out of 354 ICU discharges in Cape Town. Therapy was limited in 81.5% and 86.7% respectively (p=0.6) of patients who died. The mean ages of patients whose therapy was limited were 60.2 years and 51.9 years (p=0.014) and mean APACHE II scores 18.5 and 22.6 (p=0.19) respectively. The most common reason for limiting therapy in both centres was multiple organ failure. Both medical and nursing staff were involved in most decisions, which were only implemented once wide consensus had been reached and the families had accepted the situation. Inotropes, ventilation, blood products, and antibiotics were most commonly withdrawn. The mean time from admission to the decision to limit therapy was 11.2 days in London and 9.6 days in Cape Town. The times to outcome (death in all patients) were 13.2 h and 8.1 h respectively. Conclusions: Withdrawal of therapy occurred commonly, most often because of multiple organ failure. Wide consensus was reached before a decision was made, and the time to death was generally short.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01699222
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
    Paper (German National Licenses)
    Fulltext
  • 18
    Electronic Resource
    Electronic Resource
    Yohimbine facilitated acoustic startle in combat veterans with post-traumatic stress disorder (1995)
    Springer
    Psychopharmacology 117 (1995), S. 466-471 
    Details
    ISSN: 1432-2072
    Keywords: Yohimbine ; Noradrenergic ; Anxiety PTSD
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Preclinical and clinical studies have suggested that the acoustic startle reflex (ASR) is a useful model to investigate the neurochemical basis of anxiety and fear states. This work has revealed that the anxiogenic alpha-2 receptor antagonist, yohimbine, increases the amplitude of the ASR in laboratory animals and in healthy human controls. Because of the growing body of data that support the hypothesis that severe stress results in substantial alterations in noradrenergic neuronal reactivity, the present investigation evaluated the effects of yohimbine on the ASR of 18 patients with PTSD and 11 healthy combat controls. Subjects received IV yohimbine (0.4 mg/kg) or saline placebo on 2 separate days in a randomized double blind placebo control design. A trial of two tone frequencies with varied intensity (90, 96, 102, 108, 114 dB) white noise and instantaneous rise time, was delivered binaurally through headphones. Tones were delivered every 25–60 s, for a 40-ms duration. Startle testing was performed 80 min post-infusion and lasted 15–20 min. Yohimbine significantly increased the amplitude, magnitude and probability of the ASR in combat veterans with PTSD, but did not do so in combat controls. Overall startle was significantly larger in the PTSD subjects; however, this did not account for the differential effect of yohimbine, since yohimbine had no significant effect in the control group. This study demonstrates an excitatory effect of yohimbine on the amplitude, magnitude and probability of the ASR in PTSD patients that is not seen in combat controls. In the context of the key role of this reflex in the alarm response, this finding adds to the array of documented behavioral, biochemical and cardiovascular effects of yohimbine in humans which support the relationship between increased noradrenergic function and exaggerated startle symptomatology of PTSD.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02246220
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
    Paper (German National Licenses)
    Fulltext
  • 19
    Electronic Resource
    Electronic Resource
    Imperforate anus and colon calcification in association with the prune belly syndrome (1978)
    Springer
    Pediatric radiology 7 (1978), S. 19-21 
    Details
    ISSN: 1432-1998
    Keywords: Prune belly ; Intraabdominal calcification ; Ano-rectal malformation ; Urethral occlusion
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Two patients with the prune belly syndrome demonstrated colon calcifications and anorectal malformations. Bladder outlet obstruction was present in both cases. Calcifications were also found in the renal collecting system and bladder of one patient. No fistula was demonstrated between the genitourinary tract and bowel in either infant at autopsy. The calcification in the colon and urinary tract is probably secondary to stasis.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00975332
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
    Paper (German National Licenses)
    Fulltext
  • 20
    Electronic Resource
    Electronic Resource
    Sink or swim? Copepod population maintenance in the Columbia River estuarine turbidity-maxima region (1997)
    Springer
    Marine biology 129 (1997), S. 309-317 
    Details
    ISSN: 1432-1793
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology
    Notes: Abstract Maintenance of estuarine zooplankton populations in large river-dominated estuaries with short residence times has been an intriguing subject of investigation. During three different hydrological seasons, autumn 1990, summer 1991, and spring 1992, we intensively sampled zooplankton populations in the estuarine turbidity maxima (ETM) region of the Columbia River estuary of Oregon and Washington, USA. One of the principal objectives was to investigate retention mechanisms of the predominant zooplankton species, the harpacticoid copepod Coullana canadensis and the epibenthic calanoid copepod Eurytemora affinis. In the ETM, C. canadensis densities mirrored those of turbidity gradients and were almost always greater at the river bed, while E. affinis densities were greater higher in the water column during the flood and lower in the water column during the ebb. Cross-correlation and time-series analyses determined that C. canadensis densities were highly positively correlated with turbidity and that most of the variability was explained by the lunisolar diurnal (K1) and principal lunar (M2) tidal components occurring once every 23.93  h and once every 12.42 h, respectively. This indicates that C. canadensis populations are most probably maintained in the estuary through the same near-bottom circulation features that trap and concentrate particles in the ETM. In contrast, densities of the more motile species E. affinis were highly correlated with negative velocities, or ebb tide, and most of the variability in population densities could be explained by the principal lunar tidal component; therefore, we hypothesize that this species is probably vertically migrating on a tidal cycle into different flow layers to avoid population losses out of the estuary.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s002270050171
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
    Paper (German National Licenses)
    Fulltext
Close ⊗
This website uses cookies and the analysis tool Matomo. More information can be found here...