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  • 1
    ISSN: 1432-2277
    Keywords: Key words Liver transplantation ; Living donor ; Adult patient ; Right lobe graft ; Small-for-size graft ; Complications
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-2277
    Keywords: Key words Small bowel transplantation ; Small intestinal transplantation ; Living donor ; Short bowel syndrome ; Portal drainage ; Liver dysfunction ; Pediatric patient
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract A living-related small bowel transplantation (SBT) was performed in two pediatric patients with short bowel syndrome. In both cases, the donor was the patient's mother. The distal ileum (100 cm, 120 cm) was harvested and the ileocolic vessels, ileocecal valve, and terminal ileum were left intact. The two donors were discharged from the hospital on postoperative days 15 and 6, respectively. Recipient 1 was a 2 year 6 month-old boy with short bowel syndrome who underwent SBT due to loss of venous access. The graft vein was anastomosed to the recipient's infrarenal inferior vena cava. Despite triple immunosuppression (tacrolimus, steroid, and azathioprine), there were four episodes of rejection. The patient had been on total parenteral nutrition for almost his entire post-transplant course. He died from Pneumocystis carinii pneumonia 16 months after the transplantation. Recipient 2 was a 4 year 5 month-old girl with short bowel syndrome who underwent an isolated small bowel transplantation because of recurrent line sepsis. Her pretransplant bilirubin was 8.0 mg/dl and a biopsy showed severe fibrosis. The graft vein was anastomosed to the recipient's inferior mesenteric vein. After transplantation, her bilirubin level became normal within 10 days. Triple immunosuppression (tacrolimus, steroid, and cyclophosphamide) together with a 3-day course of OKT-3 made her post-transplant course feasible. After overcoming a single episode of rejection she left the hospital 4 months after SBT. The patient is currently (10 months after transplantation) hospitalized due to rejection, which is being successfully controlled, and she is off total parenteral nutrition. From our experience, harvesting of the distal ileum for use as a bowel graft can be safely performed. The advantages of living-related grafts, optimal graft length, and choice of vascular reconstruction in SBT are yet to be explored.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1432-2277
    Keywords: Key words One-way matching ; Human leukocyte antigen ; Graft-versus-host disease ; Living donor ; Liver transplantation
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Although one-way matching between an HLA-homozygous donor and a haploidentical recipient is a recognized risk factor in transfusion-associated graft-versus-host disease (GVHD), its impact in living-related liver transplantation (LRLT) has so far not been investigated. We present a case of fatal acute GVHD in our LRLT program that was attributed to one-way HLA matching between donor and recipient. Although the disappearance of donor cells in peripheral blood was suggested by genetic analysis, severe septicemia led to a fatal outcome. We further reviewed 280 LRLT cases and correlated one-way HLA matching with outcome. A total of 8 out of 280 donors (2.9 %) and 11 out of 278 recipients (4.0 %) were completely HLA homozygous in our LRLT program. Complete one-way HLA matching linked to GVHD was observed in four cases, including the present case. Although other contributing factors also need to be clarified, one-way HLA matching is a definite risk factor for GVHD in LRLT. We advocate caution before proceeding with one-way HLA donor-recipient combinations.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    New York : Wiley-Blackwell
    Journal of Polymer Science Part A-2: Polymer Physics 9 (1971), S. 2043-2060 
    ISSN: 0449-2978
    Keywords: Physics ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Chemistry and Pharmacology , Physics
    Notes: In order to elucidate the relations between morphological habits and chemical structure of polymers, poly(ethylene sebacate), poly(hexamethylene sebacate) and poly(decamethylene 1,16-hexadecanedicarboxylate) were crystallized from dilute solutions in n-hexanol, isoamyl acetate etc., and were studied with the electron microscopy and x-ray diffraction. The crystal structure of these polyesters are tentatively determined. Morphological “regularity” and “simplicity” of the single crystals are correlated with the chemical structure of the polymers. The crystallization conditions under which “regular” and “simple” single crystals are obtained are relaxed with increase of methylene sequence length in chemical repeat unit. The Bragg extinction bands in the single crystals of poly(hexamethylene sebacate) and poly(decamethylene 1,16-hexadecanedicarboxylate) suggest nonplanar nature of these crystals. The molecular chains in the poly(ethylene sebacate) single crystals are inclined from the normal of the basal plane; the fold surface corresponds to the (001) plane.
    Additional Material: 14 Ill.
    Type of Medium: Electronic Resource
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  • 5
    Electronic Resource
    Electronic Resource
    New York : Wiley-Blackwell
    Journal of Polymer Science: Polymer Physics Edition 15 (1977), S. 605-616 
    ISSN: 0098-1273
    Keywords: Physics ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Chemistry and Pharmacology , Physics
    Notes: Molecular motions in a series of linear aliphatic polyesters [poly(ethylene adipate), poly(ethylene sebacate), poly(hexamethylene sebacate), and poly(decamethylene 1,16-hexadecanedicarboxylate)] were studied by dielectric measurements. Two loss maxima were observed for each polymer in the temperature range from -196 to about 60°C and in the frequency range from 110 to 105 Hz. The loss maxima of these polyesters, lying between -17 and -38°C at 110 Hz (β-relaxation), are due to the micro-Brownian motions of amorphous main chains. It was found that these β-relaxations are well described by the WLF equation. The loss maxima in the range from -88 to -109°C at 110 Hz (γ-relaxation), are attributed both to local mode motions of main chains in the amorphous region and to motions of the polar groups involved at the chain ends. For the β-relaxation, no simple relation between the methylene sequence length and the loss peak temperature was found. Furthermore, as the methylene sequence length decreased, the effective dipole moment of the polyesters increased gradually. These facts were explained in terms of interchain dipole attraction.
    Additional Material: 11 Ill.
    Type of Medium: Electronic Resource
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  • 6
    Electronic Resource
    Electronic Resource
    New York : Wiley-Blackwell
    Journal of Polymer Science: Polymer Physics Edition 16 (1978), S. 1435-1446 
    ISSN: 0098-1273
    Keywords: Physics ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Chemistry and Pharmacology , Physics
    Notes: The effects of Chemical structure on the molecular motions in linear aliphatic polyesters have been investigated with a free-oscillation torsion pendulum. Broad-line NMR provided supplementary information. In the γ relaxation which corresponds to the local-mode motions of main chains in the noncrystalline region, the polyesters which are composed of two methylene units in the diol part of the chemical repeat unit showed an extremely asymmetric loss curve with a relatively high-loss peak temperature compared with that of the other polyesters. In addition to the two relaxations (β,γ) which have been observed in earlier dielectric measurements, a new relaxation (α) was found on the high-temperature side of the glass transition of the polyesters. The α relaxation was assigned to molecular motions of methylene segments in the crystalline region. The α and β relaxations of the two-dimensional series are situated close to the temperatures found for other polyesters with rather long methylene sequence in the chemical repeat unit. The results were explained in terms of a difference on the chain mobility in the noncrystalline regions which may be related to the difference of chemical structure of the polyesters.
    Additional Material: 7 Ill.
    Type of Medium: Electronic Resource
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  • 7
    Electronic Resource
    Electronic Resource
    New York : Wiley-Blackwell
    Journal of Polymer Science: Polymer Physics Edition 23 (1985), S. 429-435 
    ISSN: 0098-1273
    Keywords: Physics ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Chemistry and Pharmacology , Physics
    Additional Material: 2 Ill.
    Type of Medium: Electronic Resource
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  • 8
    Electronic Resource
    Electronic Resource
    New York : Wiley-Blackwell
    Journal of Polymer Science: Polymer Physics Edition 21 (1983), S. 2299-2309 
    ISSN: 0098-1273
    Keywords: Physics ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Chemistry and Pharmacology , Physics
    Notes: Proton spin-spin relaxation times have been measured as a function of temperature for ultradrawn polypropylene with draw ratios λ up to 24. The three relaxation times T2a (the longest), T2i (intermediate), and T2c (the shortest), observed for all the samples, have been ascribed to the relaxations of the amorphous, constrained amorphous, and crystalline components, respectively. T2i and T2a, which reflect the changes in structure and mobility in the noncrystalline regions, decrease with increasing λ; T2i becomes saturated at λ 〉 9, whereas T2a shows a substantial decrease up to λ = 24. The continued decrease in T2a indicates that the constraint on the amorphous segments keeps increasing up to the highest λ. The associated mass fractions Fa, Fi, and Fc also change with λ. At λ 〈 9, the increasc in Fi with increasing λ is accompanied by a decrease in Fa, with Fc remaining unchanged. At higher λ, however, Fa is almost constant, and stepwise rises in Fc at about λ = 12 and 24 are accompanied by corresponding drops in Fi. It seems that, in this high draw ratio range, some of the taut molecules are fully extended and are in sufficiently good lateral register to transform into crystalline bridges. This conjecture is supported by the similarity in the λ dependence of Fc and the mass-fraction crystallinity obtained from the heat of fusion.
    Additional Material: 6 Ill.
    Type of Medium: Electronic Resource
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