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  • 11
    ISSN: 1432-0584
    Keywords: Adriamycin ; Toxocity ; Autologous bone marrow transplantation
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary We investigated the toxicity of adriamycin (ADM) in dogs with regard to autologous bone marrow transplantation (BMT). Gastrointestinal toxicity limited the dose of ADM in single administration (3.0 mg/kg) and chronic cardiotoxicity in repeated administration (9×1.5 mg/kg every two weeks). The recovery of hemopoiesis was complete within 25 days after single and repeated doses of ADM as indicated by the restoration of blood counts and concentration of hemopoietic precursors (CFUc) as well as proliferate activity of bone marrow. At this time bone marrow was obtained and reinfused after total body irradiation (TBI) with 10 Gy. Single and repeated doses of 1.5 mg/kg ADM did not delay recovery of blood counts after autologous BMT as compared to transplantation of untreated marrow — in contrast a single dose of 3.0 mg/kg ADM did. Our results indicate that toxicity of ADM is not influenced by autologous BMT. Previous shorter therapy with conventional doses of ADM does not preclude autologous BMT.
    Type of Medium: Electronic Resource
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  • 12
    Electronic Resource
    Electronic Resource
    Springer
    European journal of clinical pharmacology 20 (1981), S. 219-224 
    ISSN: 1432-1041
    Keywords: triamterene ; folate antagonism ; triamterene metabolites ; dihydrofolate reductase ; DNA metabolism ; human leucocytes ; BJAB-B95-8 ; lymphoma cell line
    Source: Springer Online Journal Archives 1860-2000
    Topics: Chemistry and Pharmacology , Medicine
    Notes: Summary The inhibitory effect of triamterene and its metabolites on human leucocyte dihydrofolate reductase has been studied. Under test conditions with dihydrofolic acid 0.5×10−5 M, triamterene 7×10−5 M produced total enzyme inhibition, whereas the metabolites hydroxytriamterene and the sulphate ester of hydroxytriamterene were less effective inhibitors; at their maximum attainable concentration of 5×10−5 M, dihydrofolate reductase was inhibited by 80% and 50%, respectively. Cultures of the BJAB-B95-8 human lymphoma cell line were incubated with various concentrations of triamterene. Because of their increased specific activity of dihydrofolate reductase, the cells were able to maintain normal DNA metabolism, as measured by the ratio of the incorporation rates of 3H-deoxyuridine and 3H-thymidine, as well as normal cell growth at 1×10−6 M, and in some cases at 1 × 10−5 M triamterene. At 8×10−5 M triamterene, the strong inhibitory effect caused severe impairment of DNA metabolism and subsequently dissolution of the cell culture. The results are discussed in relation to the possible toxic side effects of long-term triamterene treatment in patients suffering from alcoholic cirrhosis, who may have impaired metabolism of triamterene and a concomitant severe folate deficiency.
    Type of Medium: Electronic Resource
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  • 13
    Electronic Resource
    Electronic Resource
    Springer
    European archives of psychiatry and clinical neuroscience 234 (1984), S. 264-267 
    ISSN: 1433-8491
    Keywords: RDC schizoaffective disorder ; Dexamethasone suppression test ; Thyrotrophin releasing hormone test ; DSM-III
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The dexamethasone suppression test (DST) brought to light significantly more non-suppression of cortisol secretion in RDC schizoaffectives of the depressed (89%) and of the manic type (67%) than in RDC schizophrenia (25%). However, only in the RDC endogenous depressives, whose pathological DST rate was 57%, was the thyroid stimulating hormone (TSH) response to thyrotrophin releasing hormone (TRH) found to be significantly “blunted”. It is suggested that the DST results can be interpreted as partially validating DSM-III's wide major affective disorder since this concept also encompasses all cases with mood-incongruent psychotic features. Furthermore, it is hypothesized that the coupling of DST non-suppression and TSH “blunting” may be important for defining a valid depressive subgroup within these extended clinical boundaries for affective illness.
    Type of Medium: Electronic Resource
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  • 14
    Electronic Resource
    Electronic Resource
    Springer
    Infection 11 (1983), S. 104-113 
    ISSN: 1439-0973
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Die Untersuchung zellulärer und humoraler immunologischer Parameter (T- und B-Lymphozyten und Immunglobuline) im Hinblick auf post-operative Infektionen bei Kindern ließ vorwiegend Veränderungen der T-Lymphozyten erkennen. Präoperative Komplikationen (Ileus, Schock, Infektionen), Narkose und Operation führen zu einer vorübergehenden Immunsuppression. Diese T-Zell-Suppression ist altersabhängig; sie hält am längsten bei Neugeborenen an (im Mittel bis drei Wochen) und am kürzesten bei älteren Kindern (im Mittel eine Woche). Die IgA- und IgG-Konzentrationen zeigen nur geringe abnorme Veränderungen; IgM dagegen steigt während der postoperativen Periode in allen Altersgruppen signifikant an. Prophylaktische und therapeutische Überlegungen zur Prävention und Behandlung postoperativer Infektionen lassen sich von den immunologischen Veränderungen im Zusammenhang mit Operationen ableiten.
    Notes: Summary The investigation of cellular and humoral immunologic parameters (T and B lymphocytes and immunoglobulins) with respect to postoperative infection in children revealed changes in the T lymphocytes in particular. Preoperative complications (ileus, shock, infection), anesthesia and surgery lead to transient immunosuppression. The duration of this T cell suppression is age-dependent; suppression is longest in newborns (up to three weeks on the average) and shortest in older children (one week on the average). IgA and IgG concentrations show only slight abnormal changes; IgM concentrations, however, increase significantly during the postoperative period in all age groups. Prophylactic and therapeutic measures for the prevention of post-operative infections can be considered on the basis of immunologic changes related to surgery.
    Type of Medium: Electronic Resource
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  • 15
    Electronic Resource
    Electronic Resource
    Springer
    Fresenius' Zeitschrift für analytische Chemie 126 (1943), S. 382-385 
    ISSN: 1618-2650
    Source: Springer Online Journal Archives 1860-2000
    Topics: Chemistry and Pharmacology
    Type of Medium: Electronic Resource
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  • 16
    Electronic Resource
    Electronic Resource
    Springer
    Fresenius' Zeitschrift für analytische Chemie 124 (1942), S. 70-71 
    ISSN: 1618-2650
    Source: Springer Online Journal Archives 1860-2000
    Topics: Chemistry and Pharmacology
    Type of Medium: Electronic Resource
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  • 17
    Electronic Resource
    Electronic Resource
    Springer
    Langenbeck's archives of surgery 354 (1981), S. 19-29 
    ISSN: 1435-2451
    Keywords: Bile acids ; Diethylnitrosamine ; Hepatocarcinogenesis ; Cholestyramine
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Der Einfluß von Cholestyramin in der Hepatocarcinogenese wurde an Wistar—Ratten untersucht. Nach 14wöchentlicher intragastraler Applikation von 50 mg Diäthylnitrosamin/kg entwickelten bei simultaner Verabreichung von 1,3 % Cholestyraminzusatz im Futter die Hälfte der Versuchstiere Lebertumoren. Dagegen kam es unter ähnlichen experimentellen Bedingungen, aber ohne Cholestyramin im Futter bei fast allen Tieren der Kontrollgruppe zu Tumorentstehung. Die Sequestration von Gallensäuren und die verminderte Bildung der toxischen Lithocholsäure konnte als Erklärung herangezogen werden, warum im Experiment die Induktion von Lebercarcinom durch Diäthylnitrosamin reduziert wird.
    Notes: Summary The influence of cholestyramine on hepatocarcinogenesis was investigated in the Wistar rat. After 14 weekly gastric instillation of 50 mg diethylnitrosamine/kg and simultaneous administration of diet supplement with 1.3 % cholestyramine, half of the animals developed hepatic tumors. In contrast, nearly all the animals in the control group under similar experimental conditions, but without the cholestyramine supplement in their diet, developed hepatic tumors. The sequestration of bile acids and the reduction of the noxious lithocholic acid could be considered as an explanation for the modification of hepatic tumors induced by diethylnitrosamine in the Wistar rat.
    Type of Medium: Electronic Resource
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  • 18
    Electronic Resource
    Electronic Resource
    Springer
    Langenbeck's archives of surgery 350 (1980), S. 255-262 
    ISSN: 1435-2451
    Keywords: Bile acids ; Colonic cancer ; Preternatural anus ; Pathogenetic considerations
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung 120–200 Tage nach Anlage einer doppelläufigen Colostomie entwickeln Wistar-Ratten im Bereich des Anus praeter spontan Adenocarcinome. Im Hinblick auf die mögliche Bedeutung von Gallensäuremetaboliten für die Pathogenese des Coloncarcinoms wurde an colostomierte Ratten Chenodesoxycholsäure verfüttert. Bereits 60 Tage nach Colostomie fand sich bei 3 von 10 Ratten eine maligne Transformation der Dickdarmschleimhaut im Bereich des Kunstafters. Die an diesem neuartigen Tiermodell gewonnene Beobachtung läßt eine cocarcinogene Aktivität der Gallensäuren bzw. ihrer bakteriellen Metaboliten vermuten.
    Notes: Summary Wistar rats spontaneously develop adenomatous polyps with cell dysplasia (Figs. 2 and 3) and finally, adenocarcinomas (Fig. 1) at the preternatural anus 120–200 days after the formation of a double loop colostomy. With respect to the potential significance of bile acid metabolites in the pathogenesis of colonic cancer, the effect of continuous oral administration of chenodeoxycholic acid (CDCA) on the rate of carcinomas at the preternatural anus was examined. This animal model gained special interest because until now the possible cocarcinogenic rule of bile metabolites was generally demonstrated only after additional administration of chemical carcinogens like dimethylhydracin or nitrosoguanidin. Of ten rats in the CDCA-treated group, three already showed a malignant transformation to adenocarcinomas at the preternatural anus 60 days after a colostomy (Fig. 4). Apparently the alteration of natural ecologic conditions diminishes the resistance against external and internal carcinogenic or cocarcinogenic agents. The rule of bile acid metabolites is discussed under these circumstances.
    Type of Medium: Electronic Resource
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  • 19
    Electronic Resource
    Electronic Resource
    Springer
    Langenbeck's archives of surgery 351 (1980), S. 111-118 
    ISSN: 1435-2451
    Keywords: Fractures of the neck of the radius ; Childhood ; Conservative treatment results
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Der Radiushalsbruch ist eine typische und häufige Frakturform des Kindes. Meist handelt es sich um metaphysäre Frakturen, selten nur um Epiphysenverletzungen. Anläßlich der Nachuntersuchungsergebnisse konservativ behandelter Radiusfrakturen im Kindesalter werden therapeutische Alternativen diskutiert. — Das Vorgehen richtet sich nach dem Grad der Fragmentdislokation. Frakturen des Dislokationsgrades 1 und II nach Judet sollten überwiegend konservativ behandelt werden. Dislozierte Frakturen des Schweregrades III sollten bei Repositionsschwierigkeiten, Frakturen des Schweregrades IV weitgehend ausnahmslos notfallmäßig operiert werden
    Notes: Summary In childhood fractures of the head of the radius are typical and frequent. Generally these fractures are in the metaphysis, but a few cases are in the epiphysis. In the follow-up of conservatively treated fractures of the radial head in childhood, the therapeutic alternatives are discussed. The therapeutic procedure must take into account the degree of fragment displacement. Fractures of type I and II according to Judet are treated conservatively, predominantly by means of exact reduction and fixation in a plaster cast. If reduction fails for type 111, however, type III and type IV fractures must be operated on at once for sufficient results.
    Type of Medium: Electronic Resource
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  • 20
    Electronic Resource
    Electronic Resource
    Springer
    Langenbeck's archives of surgery 358 (1982), S. 393-398 
    ISSN: 1435-2451
    Keywords: Osteogenic sarcoma ; Adjuvant chemotherapy ; Interdisciplinary approach ; Osteosarkom ; Adjuvante Chemotherapie ; Interdisziplinäre Therapie
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Das interdisziplinäre Vorgehen bei der Therapie der osteogenen Sarkome im nicht metastasierten Stadium läuft heute optimal nach der Reihenfolge: 1. Probebiopsie zur Diagnosesicherung; 2. präoperative cytostatische Polychemotherapie (cyclische Anwendung von Adriamycin, hochdosiertem Methotrexat oder Cis-Platin, BCD = Bleomycin + Cyclophosphamid + Dactinomycin), 3. möglichst extremitätenerhaltende, onkologisch radikale Operation mit histologischer Beurteilung des Effekts der präoperativen Chemotherapie; 4. Weiterführung der präoperativen Chemotherapie als postoperative adjuvante Chemotherapie. Durch dieses kombinierte Vorgehen kann die 5-Jahres-Überlebensrate von früher ca. 20 auf 80'/ heute verbeccert werden
    Notes: Summary The interdisciplinary approach in the combined modality treatment of nonmetastasized osteogenic sarcoma follows now well-established guidelines: (1) diagnostic biopsy; (2) pretherapeutic cytostatic polychemotherapy (cyclic administration of adriamycin, high-dose methotrexate or cis-platinum, BCD = bleomycin + cyclophosphamide + dactinomycin); (3) limb-saving oncological radical operation with histological evaluation of the effectiveness of the preoperative chemotherapy; (4) continuation of the preoperative chemotherapy as postoperative adjuvant chemotherapy. This interdisciplinary approach in the treatment of localized osteogenic sarcoma has improved the 5-year survival rate from 20 % to 80%.
    Type of Medium: Electronic Resource
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