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  • 1
    ISSN: 1432-1262
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé Un bilan hydro-électrolytique a été établi chez 31 patients porteurs d'une recto-colite ulcéro-hémorragique et 22 porteurs d'une polypose familiale; tous avaient subi plusieurs temps chirurgicaux comprenant une colectomie et la confection d'une anastomose iléoanale avec une pochen en J. Les dosages ont été réalisés à 4 péeriodes au cours du suivi chirurgical, en particulier en préopératoire, après la colectomie avec confection d'une iléostomie terminale, après l'anastomose iléo-anale sous couvert d'une iléostomie de protection et après fermeture de l'iléostomie de protection. Les taux sériques d'électrolytes ne diffèrent pas entre les 4 périodes chirurgicales. Après iléostomie terminale ou après iléostomie de protection, le volume urinaire quotidien et les pertes de sodium urinaire étaient significativement plus basses alors que le poids fécal quotidien et les pertes de sodium fécales étaient significativement plus élevées qu'en préopératoire. Après fermeture de l'iléostomie, les valeurs d'excrétion du sodium urinaire et fécal étaient voisines à celles de la valeur pré-opératoire. L'élimination journalière de potassium par les urinaires était plus élevée et les pertes fécales plus basses après iléostomie terminale et iléostomie de protection que celles observées en préopératoire; ces valeurs ne changeaient pas de manière significative après fermeture de l'iléostomie. Le rapport sodium/potassium urinaire après fermeture de l'iléostomie est abaissé par rapport à la valeur pré-opératoire mais demeure plus élevé qu'après iléostomie terminale et iléostomie de protection. Le taux d'aldostérone et le taux de rénine plasmatique étaient significativement augmentés après une iléostomie de protection. Ces données tendent à démontrer qu'une iléostomie terminale ou une iléostomie de protection favorisent une déshydratation chronique avec une perte sodique compensée par l'activation du mécanisme rénine-aldostérone.
    Notes: Abstract The water and electrolyte balance was studied in 31 patients with ulcerative colitis (UC) and 22 with familial adenomatous polyposis (FAP) who underwent staged surgery involving colectomy and ileal J pouch-anal anastomosis (IAA), preoperatively, after terminal ileostomy, after high ileostomy, and after ileostomy closure. Serum electrolytes did not differ between each surgical stage. After terminal or high ileostomy, daily urine volume and urinary sodium loss was significantly lower, and daily fecal weight and fecal sodium loss was significantly higher than preoperatively. After ileostomy closure, urinary and fecal sodium loss became closer to preoperative value. Daily urinary potassium loss was significantly higher and fecal loss was lower after terminal and high ileostomy than preoperatively and did not show a significant change after ileostomy closure. The urinary sodium to potassium ratio after ileostomy closure was lower than preoperatively, but was higher than that after terminal and high ileostomy. Plasma aldosterone and renin levels were only significantly increased after high ileostomy. These findings indicate that high or terminal ileostomy caused chronic dehydration, which was compensated for by activation of the renin-aldosterone axis, while the water and electrolyte balance became closer to normal after ileostomy closure following ileoanal anastomosis.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    s.l. ; Stafa-Zurich, Switzerland
    Key engineering materials Vol. 164-165 (July 1998), p. 67-72 
    ISSN: 1013-9826
    Source: Scientific.Net: Materials Science & Technology / Trans Tech Publications Archiv 1984-2008
    Topics: Mechanical Engineering, Materials Science, Production Engineering, Mining and Metallurgy, Traffic Engineering, Precision Mechanics
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    s.l. ; Stafa-Zurich, Switzerland
    Key engineering materials Vol. 164-165 (July 1998), p. 303-308 
    ISSN: 1013-9826
    Source: Scientific.Net: Materials Science & Technology / Trans Tech Publications Archiv 1984-2008
    Topics: Mechanical Engineering, Materials Science, Production Engineering, Mining and Metallurgy, Traffic Engineering, Precision Mechanics
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    s.l. ; Stafa-Zurich, Switzerland
    Key engineering materials Vol. 164-165 (July 1998), p. 133-136 
    ISSN: 1013-9826
    Source: Scientific.Net: Materials Science & Technology / Trans Tech Publications Archiv 1984-2008
    Topics: Mechanical Engineering, Materials Science, Production Engineering, Mining and Metallurgy, Traffic Engineering, Precision Mechanics
    Type of Medium: Electronic Resource
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  • 5
    Electronic Resource
    Electronic Resource
    s.l. ; Stafa-Zurich, Switzerland
    Key engineering materials Vol. 164-165 (July 1998), p. 141-144 
    ISSN: 1013-9826
    Source: Scientific.Net: Materials Science & Technology / Trans Tech Publications Archiv 1984-2008
    Topics: Mechanical Engineering, Materials Science, Production Engineering, Mining and Metallurgy, Traffic Engineering, Precision Mechanics
    Type of Medium: Electronic Resource
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  • 6
    ISSN: 1437-7772
    Keywords: Key words p53 ; Lymph node metastasis ; Colorectal cancer
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Background. Lymph node metastasis has been recognized as the most reliable prognostic factor for colorectal cancer. Of late, the clinical significance of p53 as a prognostic factor has been reported. The purpose of the current study was to elucidate the significance of these two factors in combination as a prognostic indicator for colorectal cancer. Methods. One hundred forty-four patients with colorectal cancer were examined. The expression of p53 was determined by immunohistochemical staining. Patient data, lymph node metastasis, p53 expression, recurrence rate, 5-year survival, and disease-free survival were studied. Results. The recurrence rate for patients with p53− and n1 in combination was 21%, and that for patients with p53+ and n1 in combination was 63%, a significant difference. The 5-year survival rate for patients with p53− and n1 in combination was not significantly different from that for patients with p53+ and n1 in combination (78.7% vs. 57.5%); however, the 5-year disease-free survival rate for patients with p53− and n1 in combination was significantly better than that for patients with p53+ and n1 in combination (78.6% vs. 38.2%). Conclusion. The combination criterion of lymph node metastasis and p53 expression should be a useful prognosticator for colorectal cancer.
    Type of Medium: Electronic Resource
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  • 7
    ISSN: 0021-9304
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: A dense, uniform, and highly biologically active bone-like apatite layer can be formed in arbitrary thickness on any kind and shape of solid substrate surface by the following biomimetic method at ordinary temperature and pressure: First, a substrate is set in contact with particles of bioactive CaO—SiO2-based glass soaked in a simulated body fluid (SBF) with inorganic ion concentrations nearly equal to those of human blood plasma so that a number of apatite nuclei are formed on the substrate. Second, the substrate is soaked in another solution with ion concentrations 1.5 times those of SBF (1.5SBF) so that the apatite nuclei grow in situ. In the present study, organic polymer substrates were treated with glow-discharge in O2 gas atmosphere, then subjected to the above-mentioned biomimetic process. The induction periods for the apatite nucleation on all the examined organic polymers were reduced from 24 to 6 h, with glow-discharge treatment. The adhesive strengths of the formed apatite layer to the substrates increased from about 4 to 10 MPa for poly(ethylene terephthalate) and poly-ether sulfone, and from 1 ∼ 2 to 6 ∼ 7 MPa even for poly(methyl methacrylate), polyamide 6 and polyethylene. It is supposed that highly polar groups such as carbonyl, ester, hydroxyl, and carboxyl ones formed by glow-discharge treatment increased the affinity of a silicate ion with the substrates to decrease the induction period, and also increased the affinity of the apatite with the substrate to increase the adhesive strength. The apatite-organic polymer composites thus obtained are expected to be useful as bone-repairing materials as well as soft tissue-repairing materials. © 1995 John Wiley & Sons, Inc.
    Additional Material: 6 Ill.
    Type of Medium: Electronic Resource
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