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  • calcium  (2)
  • Arterial gas embolism  (1)
  • Brown trout  (1)
  • Cancer  (1)
  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Der Anaesthesist 49 (2000), S. 302-316 
    ISSN: 1432-055X
    Keywords: Schlüsselwörter Tauchunfall ; Dekompressionserkrankung ; Dekompressionskrankheit ; arterielle Gasembolie ; Hyperbare Sauerstofftherapie ; Key words Diving accident ; Decompression illness ; Decompression sickness ; Arterial gas embolism ; Hyperbaric oxygen therapy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Abstract Decompression injuries are potentially life-threatening incidents, generated by a rapid decline in ambient pressure. Although typically seen in divers, they may be observed in compressed air workers and others exposed to hyperbaric environments. Decompression illness (DCI) results from liberation of gas bubbles in the blood and tissues. DCI may be classified as decompression sickness (DCS) or arterial gas embolism (AGE), depending on where the gas bubbles lodge. DCS occurs after longer exposures to a hyperbaric environment with correspondingly larger up-take of inert gas. DCS may be classified into type 1 with cutaneous symptoms and musculoskeletal pain only or type 2 with neurologic and/or pulmonary symptoms as well. AGE usually results from a pulmonary barotrauma, and with cerebral arterial involvement, the symptoms are similar to a stroke. The most important therapy, in the field, is oxygen resuscitation with the highest possible concentration and volume delivered. The definitive treatment is rapid recompression with hyperbaric oxygen therapy. Additional therapeutic measures are discussed.
    Notes: Zusammenfassung Der schwere Tauchunfall ist ein potentiell lebensbedrohliches Ereignis, verursacht durch raschen Abfall des Umgebungsdrucks, der bei Tauchern und anderweitig überdruckexponierten Personen beobachtet wird. Hervorgerufen durch die Bildung freier Gasblasen im Blut und Geweben kann die Dekompressionserkrankung (DCI) abhängig vom Entstehungsmechanismus in Dekompressionskrankheit (DCS) und arterielle Gasembolie (AGE) unterschieden werden. Die DCS tritt nach längerem Aufenthalt im Überdruck und entsprechender Inertgasaufsättigung auf. Die AGE ist typischerweise die Folge eines pulmonalen Barotraumas, die Symptomatik ist bei zerebralem Befall der eines Schlaganfalls ähnlich. Wichtigste Sofortmaßnahmen sind die schnellstmögliche Gabe von Sauerstoff in höchstmöglicher Konzentration und die Volumentherapie. Wichtigste weiterführende Maßnahme ist die schnellstmögliche Rekompression in einer Therapiedruckkammer mit hyperbarem Sauerstoff. Der Transport der Verunfallten sollte möglichst erschütterungsfrei, bei Lufttransport ohne weitere Reduktion des Umgebungsdrucks erfolgen. Weitere, ergänzende Therapiemaßnahmen werden kontrovers diskutiert.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 0942-0940
    Keywords: Cancer ; spinal cord compression ; occurrence ; symptoms ; diagnosis ; treatment and prognosis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary We reviewed all medical records concerning patients suffering from spinal cord or cauda equina compression (SCC) secondary to cancer, in the eastern part of Denmark, from 1979 through 1985. During the period the incidence of SCC in cancer patients went up from 4.4% to 6%. However, this increase was not significant. The series comprised 398 cases, with carcinoma of the prostate (19%), lung (18%), breast (14%) and kidney (10%) accounting for 61%. The symptoms were evaluated in accordance with the patients rating of pain, motor deficits, sphincter control and paraesthesia, whereas the clinical manifestations were classified on the basis of motor deficit and bladder dysfunction. During the period preceding the diagnosis of SCC, 83% of the patients suffered from back pain, 67% from deteriorating gait and 48% had retention of the urine. In 35% of the patients there was no sphincter disturbance and 10% had normal sensory function. The outcome of treatment was estimated by changes in motor deficits and sphincter function, and depended primarily on the patients condition at the time of the diagnosis. Of the patients who were able to walk before treatment, 79% remained ambulatory, wheras only 18% of the non-ambulatory patients regained walking ability. Patients treated by decompressive laminectomy followed by radiotherapy apparantly had a better response than patients treated with surgery or irradiation alone, but when the patients pre-treatment motor function was taken into account, no significant difference was observed. The study may call for a properly randomized trial with careful stratification of tumour biology, performance status and neurological deficits.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Fish physiology and biochemistry 16 (1997), S. 157-170 
    ISSN: 1573-5168
    Keywords: acid-base regulation ; pH compensation ; hypercapnia ; calcium ; bicarbonate ; chloride ; ventilation ; bicarbonate accumulation
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology
    Notes: Abstract The influence of ambient calcium, bicarbonate and chloride levels on acid-base regulation was investigated in rainbow trout acclimated and exposed to hypercapnia in five different water types. In soft water (low [Ca++] and [HCO3 −]), compensation of the respiratory acidosis was slow and incomplete within 72h. High ambient [HCO3 −] clearly improved extracellular HCO3 − accumulation, and pH recovery was accomplished within 24h. This may result from stimulation of branchial HCO3 − (influx)/Cl− (outflux) exchange. Elevation of ambient [Cl−] had a small, positive effect on pH compensation. High ambient [Ca++] improved the degree of pH compensation. Plasma [HCO3 −] and [Cl−] showed an inverse 1:1 relationship in all acclimation groups, revealing an ubiquitous chloride-mediated acid-base regulation. Ventilation activity was increased by hypercapnia and only returned to control values in hard water (high [HCO3 −]and [Ca++]). During progressive hypercapnia (up to 3% CO2), hard water acclimated fish obtained significantly higher plasma [HC03 −] (51.2 mM) than fish acclimated to low [Ca++]/high [HCO3 −] (44.7 mM). This suggests an additive effect of ambient Ca++ on plasma HCO3 − accumulation. At levels of CO2 above 1%, some mortality was induced in low [Ca++]/high [HCO3 −] water. Dying fish could be distinguished from surviving fish by an excessive Cl−loss and increasing extracellular anion gap.
    Type of Medium: Electronic Resource
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  • 4
    ISSN: 1573-2932
    Keywords: acidification ; Brown trout ; calcium ; density ; juveniles ; streams
    Source: Springer Online Journal Archives 1860-2000
    Topics: Energy, Environment Protection, Nuclear Power Engineering
    Notes: Abstract We examined the relationship between young brown trout ( Salmo trutta) density in lake tributaries, and water chemistry and habitat variables. The study was carried out during the autumn in three acidic, softwater river systems in western and southwestern Norway; Gaular and Vikedal (1987–1993) and Bjerkreim (1988–1993). The streams had mean calcium concentrations of 0.35 mg L-1 (Gaular), 0.52 mg L-1 (Vikedal) and 0.84 mg L-1 (Bjerkreim). The concentration of inorganic Al was generally low, with mean values of 8.40 (Gaular), 22.22 (Vikedal) and 43.36 μg L-1 (Bjerkreim). In multiple regressions that involved different water chemistry variables, brown trout density correlated best with calcium concentration and with a combination of calcium and pH; the Ca2+:H+ ratio. In Vikedal and Gaular, calcium explained 51 and 57%, respectively, of the variability in brown trout densities. Althoug alkalinity exhibited the best correlation with brown trout density in Bjerkreim ( r2=0.33), it was similar to that of the model that included all major ions plus pH. The Ca2+:H+ ratio had a larger effect for variability in brown trout density in Gaular (r2=0.66) than calcium alone. In Vikedal and Bjerkreim, the Ca2+:H+ ratio also correlated with brown trout density, but considerably less than in Gaular. The predictive power of habitat variables was much lower than that of water chemistry; the single most important factors were altitude in Gaular (r2=0.22), mean water temperature in Vikedal (r2=0.11) and depth SD (index of heterogeneity) in Bjerkreim (r2=0.07). Models that included both habitat and water chemistry variables showed that the density of young brown trout was predicted primarily by calcium concentrations in Gaular (r2=0.75) and Vikedal (r2=0.54), as opposed to pH in Bjerkreim (r2=0.25). Habitat had low effect in all three river systems (r2=0.01–0.04). The final model explained 86, 68 and 32%, respectively, of the variability in brown trout density in the three catchments. Thus, water chemistry variables seem to be factors that limit the density of young brown trout in acidic softwater streams.
    Type of Medium: Electronic Resource
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