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  • 1
    ISSN: 1442-2042
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Background: We retrospectively investigated the clinicopathological features and prognosis of patients who underwent surgical treatment at our department for renal cell carcinoma (RCC) less than 25 mm in diameter.Methods: Of the 158 patients who underwent surgical treatment between April 1975 and April 1998, 16 (17 kidney, 10.1%) were included in this study. The study included 11 men and 5 women (ratio: 2.2). The age range was 35–76 years (average: age 53). The right kidney was involved in 9, left kidney in 6 and bilateral kidneys in 1 patient. The follow-up period was 26–157 months (mean: 86 months).Results: Thirteen tumors (81.2%) were incidental carcinomas. No patients had a tumor of rapid growing type. Radical nephrectomy was performed for 12 kidneys (70.6%), simple nephrectomy for 2 (11.8%) and partial nephrectomy for 3 (17.8%). Seven patients (43.7%) received interferon-α as postoperative adjuvant therapy. All tumors were pathologically classified as expansive type; 11 (64.8%) as clear cell carcinoma; 3 (17.6%) cyst-associated, and 3 (17.6%) papillary. Nine (52.9%) tumors were grade 1, and 8 (47.1%) were grade 2. Fourteen patients were pNo and V(–). The 5- and 10-year survival rates were excellent (100%).Conclusion: The features of small RCCs less than 25 mm were as follows: many tumors were incidental to clear cell carcinomas; all tumors were low grade, low stage and expansive type; no tumors showed acute phase reactants; and few tumors were of the solid type. Thus, the prognosis seemed to be excellent.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Copenhagen : International Union of Crystallography (IUCr)
    Acta crystallographica 57 (2001), S. 941-947 
    ISSN: 1399-0047
    Source: Crystallography Journals Online : IUCR Backfile Archive 1948-2001
    Topics: Chemistry and Pharmacology , Geosciences , Physics
    Notes: The X-ray structure of bovine heart cytochrome c oxidase solved for orthorhombic crystals showed a dimeric structure stabilized by four subunit–subunit contacts, namely, subunit Vb–subunit Vb on the matrix side, subunit I–subunit VIa, subunit VIa–subunit I in the transmembrane region and subunit VIb–subunit VIb on the intermembrane side. The same intermonomer contacts as in the orthorhombic crystals were observed in both hexagonal and tetragonal crystals, the X-ray structures of which were determined by the molecular-replacement method. These results suggest that the dimeric structure also exists under physiological conditions. These contacts, especially the subunit IVa–subunit I contact, in which the N-terminal portion of subunit IVa is placed on the surface of subunit I near the dioxygen-reduction site, indicate that the function of the bovine heart enzyme is likely to be controlled by perturbation of the monomer–monomer association.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1436-2813
    Keywords: lung ; leiomyoma ; metastasis ; hormone receptor ; flow cytometry
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract A 36 year old woman was admitted to our department because of a chest X-ray which showed multiple developing shadows. She underwent bilateral exploratory thoracotomies and a total 5 tumors were resected and pathologically diagnosed as benign metastasizing leiomyoma, the largest of which was positive for the progesterone receptor and negative for the estrogen receptor. A histogram of this tumor using a flow cytometer showed a diploid pattern and 4.6 percent of the S phase which was not more than that of a leiomyoma of the uterus from another patient. Two months later, she underwent a hysterectomy and bilateral salpingo-oophorectomy for treatment of the positive progesterone receptor in the pulmonary lesions. The resected uterine myoma and normal myometrium showed positive estrogen and progesterone receptors. For the subsequent 28 months she has been free of any further symptoms. Benign metastasizing leiomyoma of the uterus is a rare disease and very interesting because of its histological benignity and hormonal dependency. However, according to the literature, it is often confused in entity due to the fact that normal lung tissue also possesses hormone receptors. Considering our data on hormone receptors, it is rational to think that multiple leiomyomatous lesions in the lung should only be diagnosed as benign metastasizing leiomyomas when they possess positive estrogen and progesterone receptors.
    Type of Medium: Electronic Resource
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  • 4
    ISSN: 1436-2813
    Keywords: elastase ; leukocyte removal filter ; myocardial protection
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract During myocardial ischemia, neutrophils and platelets exert negative effects on the myocardium. In this study, we used a leukocyte removal filter during cardioplegia, and investigated its effect on myocardial damage during reperfusion by measuring the plasma levels of granulocyte components, platelet components, and cardiac enzymes [creatinine phosphokinase (CK) and creatinine phosphokinase myocardial band (CK-MB)] in 24 patients who underwent cardiopulmonary bypass. The patients were divided into two groups of 12 according to whether or not a filter was placed in the cardioplegic route. Blood samples were drawn directly from the coronary sinus before aortic cross clamping, and at 1, 5, and 15 min after declamping. Group F, which had the filter, showed better cardiac enzyme and lipid peroxidation results than group N, which did not. The results of this study suggest that the application of a filter during cold blood cardioplegia may reduce myocardial damage.
    Type of Medium: Electronic Resource
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  • 5
    ISSN: 1436-2813
    Keywords: extracorporeal circulation ; membrane oxygenator ; bypass circuit ; artificial lung ; membrane lung
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract In the extracorporeal circulation with the use of Landé-Edwards membrane lung three different modes of circuit are presently available, i.e., modification of Thomas Buffes' (circuit A), Original Landé's circuit (circuit B) and venous drainage system (circuit C). When the circuit B is used, pressure in the membrane lung becomes higher than arterial blood pressure and in this case it is necessary for the membrane to be strong enough to withstand the high pressure. The great advantage of use of circuit B is minimal hemolysis of three circuits. Circuit A has recirculation system and oxygenation of blood is better than in the other two types, but hemolysis induced is greater than circuit B. Circuit C originally used by Carlson and Landé was found to cause remarkable blood damage and hence it is not to be used in clinical cases. With the membrane of better gas exchange capacity recirculation of blood would become unnecessary and undue hemolysis can be avoided. To improve gas exchange the membrane must be thinner while stong enough to withstand the pressure difference. To avoid excessive pressure difference across the membrane which may cause rupture of the membrane and blood damage, two pumps should be placed at the proximal and distal side of the membrane lung respectively and they must be synchronized precisely. Synchronization of two pumps with membrane lung between them will be left to further study. Among three different types of circuit available at present the best choice is circuit B in which least hemolysis occurs.
    Type of Medium: Electronic Resource
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  • 6
    ISSN: 1436-2813
    Keywords: intrapulmonary neurilemona ; S-100 protein ; immunohistochemistry
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract In this paper, we present an extremely rare case of a primary intrapulmonary neurogenic tumor, in which localization of S-100 protein, neuron specific γ-enolase (NSE) and CEA was investigated using immunohistochemical staining. The patient, who was a 39 year old man, experienced no symptoms, however, a routine chest X-ray revealed a round tumor like shadow in the infrahilar area of the right lung. As the tumor appeared to be gradually increasing in size, surgery was performed and histopathological examination of the excised tumor revealed it to be a primary intrapulmonary neurilemoma. Immunohistochemical staining demonstrated the presence of S-100 protein in the tumor cells but NSE and CEA were not detected. For the 2 years following his operation, the patient has been in good health and is now under careful observation.
    Type of Medium: Electronic Resource
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  • 7
    ISSN: 1438-8359
    Keywords: Coronary artery ; Calcium-induced contraction ; Hypothermia
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The effects of calcium and temperature on the tension of isolated canine coronary arterial strips were studied. In 20 mEq·l −1 K solution, the tension was significantly increased from 0 mg with 0 mEq·l −1 Ca to 33 ± 18 mg with 0.2 mEq·l −1 Ca at 37°C, from −40 ± 18 mg with 0 mEq·l −1 Ca to −17 ± 11 mg with 0.2 mEq·l −1 Ca at 30°C, from −77 ± 19 mg with 0 mEq·l −1 Ca to −52 ± 17 mEq·l −1 with 1 mEq·l −1 Ca at 25°C, from −88 ± 13 mg with 0 mEq·l −1 Ca to −41 ± 18 mg with 2 mEq·l −1 Ca at 20°C, from −125 ± 16 mg with 0 mEq·l −1 Ca to −116 ± 13 mg with 2 mEq·l −1 Ca at 15°C. Ca higher than 0.2 mEq·l −1 produced a dose-dependent increase in tension between 37°C and 15°C. In spite of the presence of 4 mEq·l −1 Ca, the development of tension was strongly supressed by lowering the temperature below 20°C, and completely inhibited at 10°C. The rate of a decrease in tension caused by cooling was about 5.5 mg·°C−1. This study demonstrated that Ca2+ produced a dose-dependent increase in tension in high-K solution, which was suppressed as the temperature was lowered. (Yoshida K, Fujii Y, Ina H, et al.: Effects of calcium and temperature on tension in isolated canine coronary artery. J Anesth 5: 172–176, 1991)
    Type of Medium: Electronic Resource
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  • 8
    ISSN: 1436-2813
    Keywords: basal cell carcinoma ; lung metastasis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract A forty-seven year-old man had a small ulceration on his left cheek. The ulcer had a repeated crust formation following removal, for ten years. The patient found a hard tumor in the deep site of the ulcer and the tumor was resected. The pathological diagnosis was basal cell carcinoma. The metastases to the regional lymph nodes developed one year later and these lymph nodes were resected. The histological picture was the same as seen in the primary tumor. Lung metastasis occurred three years later. The tumor was resected and the pathological diagnosis was basal cell carcinoma. Multiple lung metastases developed one year later and massive hemoptysis led to a sudden death two years after the thoracotomy. Thirty-seven cases of basal cell carcinoma with lung metastases were reported in the literature. This case is the thirty-eighth case and the third occurrence in a Japanese.
    Type of Medium: Electronic Resource
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  • 9
    ISSN: 1436-2813
    Keywords: deferoxamine ; reperfusion injury ; neonatal heart ; preservation ; free radical ; electron spin resonance
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The protective action of deferoxamine, an iron chelator, against reperfusion injury following hypothermic preservation was investigated in the Langendorff-perfused hearts of neonatal rabbits. Left ventricular function and radical generation were used as parameters to evaluate functional and metabolic changes. The free radicals in coronary effluents were measured with an electron spin resonance spectroscope using a spin trapping agent, 5,5-dimethyl-1-pyrroline-N-oxide (DMPO). The hearts were preserved in cold St. Thomas solution at 4°C for 6 h following cardiac arrest, then reperfused with oxygenated Krebs-Henseleit solution in a control. Deferoxamine (100 μM) was added to the perfusate just prior to reperfusion in group I, and 3 min after the start of reperfusion in group II. In the control group, the left ventricular developed pressure (LVDP) after 30-min reperfusion recovered up to 43.5±3.1% (mean ± SD, n=5) the preischemic value. Group I showed a significant improvement in LVDP recovery after 30-min reperfusion at 57.1±3.1% (P〈0.01 vs control), but group II did not (47.5±2.3%). When a burst of DMPO-OH signals was detected during the initial 5 min of reperfusion, the signal intensity in group I was significantly reduced to about 35–40% of the control value. Group II showed a similar intensity to the control group. Thus, we conclude that deferoxamine may exert a protective action against the dysfunction of neonatal mammalian hearts induced by preservation-reperfusion through an inhibition of iron-catalyzed radical formation.
    Type of Medium: Electronic Resource
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  • 10
    Electronic Resource
    Electronic Resource
    Springer
    Medical microbiology and immunology 103 (1924), S. 539-550 
    ISSN: 1432-1831
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Zusammenfassung 1. Injektion von lebenden oder erhitzten X 19-Bacillen veranlaßt keine Vermehrung des heterogenen Hammelbluthämolysins im Kaninchenkörper. 2. Heterogene Hammelbluthämolysine in normalem wie auch in X 19-immunem Kaninchenserum werden durch X 19-Bacillen gar nicht beeinflußt, während sie durch Hammelblut oder Meerschweinchenorgane völlig absorbiert werden. 3. X 19-Agglutinine in normalem sowie in immunem Kaninchenserum werden durch Hammelblut oder Meerschweinchenorgane nicht absorbiert, vollständig aber durch X 19-Bacillen. 4. Injektion von Meerschweinchenorganen veranlaßt bei Kaninchen eine starke Vermehrung der Hammelbluthämolysine, aber keine Titersteigerung der Agglutination gegen X 19-Bacillen im Blutserum. 5. Das wässerige Extrakt von X 19-Bacillen bindet in Gegenwart desForssmanschen Antikörpers kein Komplement. 6. Mit dem alkoholischen Extrakt von X 19-Bacillen fallen spezifische Bindungs-, Komplementbindungs- und Präcipitationsreaktion mit demForssmanschen Antikörper nicht positiv aus. 7. Bacillus X 19 hat also keinForssmansches Antigen. 8. X 19-Agglutinine im Serum mit Fleckfiebermeerschweinchengehirn immunisierter Kaninchen lassen sich nicht durch Meerschweinchenorgane absorbieren. 9. DieWeil-Felixsche Reaktion bei Fleckfieber hat also mit derForssmannschen nichts zu tun.
    Type of Medium: Electronic Resource
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