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  • 1
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    Contact dermatitis 36 (1997), S. 0 
    ISSN: 1600-0536
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Der Unfallchirurg 102 (1999), S. 298-304 
    ISSN: 1433-044X
    Keywords: Key words Pancreas-injury • Damage-control • Treatment-outcome • Retrospective-studies • Injuries-morbidity ; Schlüsselwörter Pankreasverletzungen • Schadensbegrenzung • Behandlungsergebnisse • Retrospektive Studie • Morbidität
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Die Behandlung von 18 Patienten mit Pankreastrauma in den letzten 15 Jahren wurde retrospektiv analysiert; 13 waren Opfer von stumpfen Verletzungen; 17 waren polytraumatisiert mit einem ISS 〉 15. Sie hatten durchschnittlich 2,4 intraabdominal und 2,7 extraabdominal assoziierte Verletzungen. Der mediane Pankreasverletzungsgrad war gemäß dem OIS II. Es wurden eine partielle Duodenopankreatektomie und 5 distale Resektionen durchgeführt. Bei den anderen Patienten erfolgte eine äußere Drainage. Es wurden bei der Primäroperation im Mittel 3 zusätzliche Organe mitversorgt, 2 davon intraabdominal. Der Ersteingriff erfolgte bei 13 Verletzten in den ersten 6 h nach dem Unfall; 7 Patienten (39 %) verstarben während der Hospitalisation. Keiner verstarb intraoperativ, einer in den ersten 48 h. Bei 12 Patienten traten abdominale Komplikationen auf, wobei 5 daran verstarben. 4 von 5 Patienten mit begleitenden Verletzungen der großen Gefäße verstarben. Die mittlere Hospitalisationsdauer war 49 Tage. Die mittlere Drainagedauer und Nahrungskarenzdauer betrug 26 respektive 21 Tage. Die Priorität bei der Erstoperation gilt der Versorgung von Blutungsquellen, der Behebung weiterer Kontamination, der Feststellung des Verletzungsausmaßes am Pankreas und der großzügigen Drainage. Beim Schwerverletzten soll in einer geplanten möglichst frühzeitigen Zweitoperation die Pankreasverletzung durch einen in der Pankreaschirurgie erfahrenen Operateur definitiv versorgt werden.
    Notes: Summary This is a retrospective analysis of the treatment of 18 patients with pancreatic injuries at our institution. 13 were victims of blunt abdominal trauma. 17 sustained a polytrauma and had an ISS 〉 15. They had 2.4 associated intraabdominal and 2.7 associated extraabdominal injuries. The mean pancreatic organ injury scale was II. A partial duodenopancreatectomy was performed in one case. In 5 cases a distal pancreatic resection was necessary. In the remaining patients drainage procedures were applied. 3 additional injured organs had to be treated during the first operation. 2 of them were situated intraabdominally. The primary operative procedure was performed in 13 cases during the first 6 hours after the trauma. 7 patients (39 %) died during the hospitalisation. None deceased during an operation. 5 patients (28 %) died because of abdominal complications. 4 of 5 patients with injuries to the great vessels died. 12 had abdominal complications. The mean hospitalisation time was 49 days. The mean drainage time was 26 days. The patients sustained parenteral nutrition for 21 days. The priority in the primary operative approach is damage control. This consists of bleeding control, control of enteral spillage, assessment of pancreatic damage, especially recognition of any ductal injury and generous drainage of the injured pancreas. Definitive treatment in the severly injured patient has to be performed after hemodynamic stabilisation without delay by an experienced surgeon.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Naunyn-Schmiedeberg's archives of pharmacology 354 (1996), S. 173-178 
    ISSN: 1432-1912
    Keywords: Key words Felbamate ; Pentylenetetrazol (PTZ) ; Kindling ; Convulsions ; Dizocilpine ; NMDAreceptors ; GABAA receptors ; Picrotoxin ; Isoniazid
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract  The present study was designed to examine the ability of felbamate, a novel antiepileptic agent, to antagonize the increase in seizure severity (i.e., chemical kindling) produced by chronic treatment with initially subconvulsant doses of pentylenetetrazol (PTZ). Rats were treated with PTZ (30 mg/kg, i.p., three times a week) for 8 consecutive weeks. Two other groups of rats received felbamate (300 or 400 mg/kg, i.p.), 90 min before each dose of PTZ. Pretreatment with felbamate at either dose prevented the progression of rank of seizures during chronic treatment with PTZ. Thus, the mean seizure score by the end of the chronic treatment (0–5 scale) was 0 in vehicle treated controls, 3.3 in rats treated with PTZ alone, 1.5 in rats treated with PTZ plus felbamate (300 mg/kg, i.p.) and 0.9 in the group treated with PTZ plus felbamate (400 mg/kg, i.p.). Felbamate also antagonized the long-term increase in the sensitivity to the convulsant effects of GABA function inhibitors observed in PTZ-kindled rats. Thus, the administration of a challenge dose of isoniazid (120 mg/kg, s.c.), picrotoxin (1.5 mg/kg, i.p.) or PTZ itself (15 mg/kg, i.p.), 15 to 45 days after the end of the chronic treatment regimen, induced convulsions in 〉80% of PTZ-kindled rats and in 〈20% of rats treated with PTZ+felbamate (400 mg/kg). The results are discussed in terms of the multiple mechanisms that can contribute to the anticonvulsant action of felbamate in the PTZ kindling model of epilepsy.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    Naunyn-Schmiedeberg's archives of pharmacology 354 (1996), S. 173-178 
    ISSN: 1432-1912
    Keywords: Felbamate ; Pentylenetetrazol (PTZ) ; Kindling ; Convulsions ; Dizocilpine ; NMDA receptors ; GABAA receptors ; Picrotoxin ; Isoniazid
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The present study was designed to examine the ability of felbamate, a novel antiepileptic agent, to antagonize the increase in seizure severity (i.e., chemical kindling) produced by chronic treatment with initially subconvulsant doses of pentylenetetrazol (PTZ). Rats were treated with PTZ (30 mg/kg, i.p., three times a week) for 8 consecutive weeks. Two other groups of rats received felbamate (300 or 400 mg/kg, i.p.), 90 min before each dose of PTZ. Pretreatment with felbamate at either dose prevented the progression of rank of seizures during chronic treatment with PTZ. Thus, the mean seizure score by the end of the chronic treatment (0–5 scale) was 0 in vehicle treated controls, 3.3 in rats treated with PTZ alone, 1.5 in rats treated with PTZ plus felbamate (300 mg/kg, i.p.) and 0.9 in the group treated with PTZ plus felbamate (400 mg/kg, i.p.). Felbamate also antagonized the long-term increase in the sensitivity to the convulsant effects of GABA function inhibitors observed in PTZ-kindled rats. Thus, the administration of a challenge dose of isoniazid (120 mg/kg, s.c.), picrotoxin (1.5 mg/kg, i.p.) or PTZ itself (15 mg/kg, i.p.), 15 to 45 days after the end of the chronic treatment regimen, induced convulsions in 〉 80% of PTZ-kindled rats and in 〈 20% of rats treated with PTZ + felbamate (400 mg/kg). The results are discussed in terms of the multiple mechanisms that can contribute to the anticonvulsant action of felbamate in the PTZ kindling model of epilepsy.
    Type of Medium: Electronic Resource
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  • 5
    ISSN: 1432-1076
    Keywords: Key words Hyperbilirubinemia ; Neonatal jaundice ; Glucose-6-phosphate dehydrogenase
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The pathogenesis of neonatal hyperbilirubinemia has not yet been completely defined in normal and glucose-6-phosphate-dehydrogenase (G6PD)-deficient newborns. The recent identification of a variant promoter in the gene encoding for the bilirubin uridine-diphosphoglucuronosyl-transferase (UGT-1 A) associated with Gilbert's syndrome, allowed us to explore whether the presence of this variant promoter is a risk factor for the development of neonatal hyperbilirubinemia in normal newborns and in association with G6PD deficiency. We found that the variant (TA)7/(TA)7 promoter shows no statistically significant difference in normal or G6PD-deficient newborns developing severe hyperbilirubinemia and in control subjects from the same population. This finding indicates that the variant promoter of UGT-1 A does not contribute to the development of hyperbilirubinemia in the newborn.
    Type of Medium: Electronic Resource
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