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  • 1
    ISSN: 1520-4804
    Source: ACS Legacy Archives
    Topics: Chemistry and Pharmacology
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1365-2044
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: From a prospectively defined cohort of patients who underwent either general, regional or combined anaesthesia from 1 January 1995 to 1 January 1997 (n = 869 483), all consecutive patients (n = 811) who died within 24 h or remained unintentionally comatose 24 h after anaesthesia were classified to determine a relationship with anaesthesia. These deaths (n = 119; 15%) were further analysed to identify contributing aspects of the anaesthetic management, other factors and the appropriateness of care. The incidence of 24-h peri-operative death per 10 000 anaesthetics was 8.8 (95% CI 8.2–9.5), of peri-operative coma was 0.5 (0.3–0.6) and of anaesthesia-related death 1.4 (1.1–1.6). Of the 119 anaesthesia-related deaths, 62 (52%) were associated with cardiovascular management, 57 (48%) with other anaesthetic management, 12 (10%) with ventilatory management and 12 (10%) with patient monitoring. Inadequate preparation of the patient contributed to 30 (25%) of the anaesthesia-related deaths. During induction of anaesthesia, choice of anaesthetic technique (n = 18 (15%)) and performance of the anaesthesiologist (n = 8 (7%)) were most commonly associated with death. During maintenance, the most common factors were cardiovascular management (n = 43 (36%)), ventilatory management (n = 12 (10%)) and patient monitoring (n = 12 (10%)). In both the recovery and the postoperative phases, patient monitoring was the most common factor (n = 12 (10%) for both). For cardiovascular, ventilatory and other anaesthetic management, human failure contributed to 89 (75%) deaths and organisational factors to 12 (10%). For inadequate patient monitoring, human factors contributed to 71 (60%) deaths and organisational factors to 48 (40%). Other contributing factors were inadequate communication (30 deaths (25%) for all four aspects of the anaesthetic management) and lack of supervision (particularly for ventilatory management). Inadequate care was delivered in 19 (16%) of the anaesthesia-related deaths with respect to cardiovascular management, in 20 (17%) with respect to ventilatory management, in 18 (15%) with respect to patient monitoring and in 23 (19%) with respect to other anaesthetic management.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Science Ltd
    Anaesthesia 52 (1997), S. 0 
    ISSN: 1365-2044
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: In this noninterventional study, the implementation of ‘modern’ pain management in clinical practice was investigated by recording the regular prescription, administration and efficacy of analgesic drugs. This resulted in a reproducible and superficial quality control design for hospitals. One hundred and fifty surgical patients were followed during 5 days postoperatively. For every patient, pain, mood and sedation were measured using visual analogue and verbal descriptive scores; the prescription of analgesics at set times and administered doses of analgesics were also recorded. Only paracodeine and naproxen were administered regularly as prescribed, unlike paracetamol and morphine. The prescribed daily dose of morphine was only received by 4.2% of all patients. Although the postoperative pain treatment pathway was considered to be improved after better education and communication, in fact the opposite was found. This is probably caused by traditional thinking, lack of control and time pressure on the hospital staff and the subservient attitude of the patient.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Amsterdam : Elsevier
    Biochimica et Biophysica Acta (BBA)/Lipids and Lipid Metabolism 794 (1984), S. 435-443 
    ISSN: 0005-2760
    Keywords: (Rat) ; Bile flow ; Bile salt ; Biliary excretion ; ML-236B
    Source: Elsevier Journal Backfiles on ScienceDirect 1907 - 2002
    Topics: Biology , Chemistry and Pharmacology , Medicine , Physics
    Type of Medium: Electronic Resource
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  • 5
    Electronic Resource
    Electronic Resource
    Amsterdam : Elsevier
    Biochimica et Biophysica Acta (BBA)/Lipids and Lipid Metabolism 876 (1986), S. 494-499 
    ISSN: 0005-2760
    Keywords: (Rat hepatocyte) ; Cholesterol ; Fatty acid ; Lipid synthesis ; Lipoprotein lipid secretion ; Triacylglycerol
    Source: Elsevier Journal Backfiles on ScienceDirect 1907 - 2002
    Topics: Biology , Chemistry and Pharmacology , Medicine , Physics
    Type of Medium: Electronic Resource
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  • 6
    ISSN: 1432-0584
    Keywords: Kinetik der Granulozyten ; Kinetic of granulocytes
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary Two hematologically normal patients with glioblastoma and six patients with chronic lymphocytic leukemia received continuous3H-thymidine infusions for 3–10 days. In autoradiographs of blood cell smears taken for 25 days or more after the beginning of3H-thymidine administration the labeling index and the labeling intensity of granulocytes were determined. A sufficiently high labeling intensity, i. e. a sufficiently long autoradiographic exposure time was found to be critical for obtaining valid and reproducible results. On the basis of certain assumptions discussed in detail, complete labeling of cells with3H-thymidine followed by autoradiographic evaluation and mathematical analysis of the labeling patterns seems to be a suitable method for estimation of kinetic parameters of postmitotic granulocytes in vivo. The mean intramedullary maturation and storage time was observed to be 115 ± 7 h for neutrophils, 103 ± 4 h for eosinophils and 103 ± 11 h for basophils. The mean relative inflow rate into the blood (or relative turnover rate in the blood) was found to be 4.2 ± 0.4 %/h for neutrophils, 4.0 ± 0.4 %/h for eosinophils and 1.2 ± 0.3 %/h for basophils. The mean blood transit time (or blood sojourn time) was estimated to be 25 ± 2 h for neutrophils, 26 ± 3 h for eosinophils and 89 ± 21 h for basophils. Accordingly the half lifes (T 1/2) of granulocytes in the blood were 17.3 ± 1.4 h for neutrophils, 18.0 ± 2.1 foi eosinophils and 62 ± 15 h for basophils. Under the quasi steady state conditions of this study the kinetics of granulocytes in the present CLL patients appeared to be normal, despite a marked lymphocytic infiltration of the bone marrow. The apparent discrepancy between these findings and the data obtained with autotransfusion of DFP-labeled granulocytes is discussed.
    Notes: Zusammenfassung Zwei hämatologisch normale Patienten mit Glioblastoma multiforme und sechs Patienten mit chronischer lymphatischer Leukämie (CLL) erhielten3H-Thymidin-Infusionen von 3 bis 10 Tagen Dauer. In autoradiographierten Blutausstrichen wurden der Markierungsindex und die Markierungsintensität der Granulozyten bestimmt. Um optimale Markierungsverhältnisse zu erreichen, waren sehr lange autoradiographische Expositionszeiten erforderlich. Die mathematische Analyse der Markierungsindex-Kurven ermöglichte die Schätzung folgender kinetischer Parameter der postmitotischen Granulozyten: mittlere Reifungs- und Speicherungszeit im Knochenmark (115 ± 7 Std. für Neutrophile, 103 ± 4 Std. für Eosinophile und 103 ± 11 Std. für Basophile); mittlere relative Einstromrate ins Blut (4,2 ± 0,4%/Std. für Neutrophile, 4,0 ± 0,4%/Std. für Eosinophile und 1,2 ± 0,3%/Std. für Basophile); mittlere Blut-Transitzeit (25 ± 2 Std. für Neutrophile, 26 ± 3 Std. für Eosinophile und 89 ± 21 Std. für Basophile); mittlere Halbwertzeit im Blut (17,3 ± 1,4 Std. für Neutrophile, 18,0 ± 2,1 Std. für Eosinophile und 62 ± 15 Std. für Basophile). Unter den vorliegenden Bedingungen schien die Kinetik der Granulozyten bei den untersuchten CLL-Patienten trotz erheblicher lymphozytärer Infiltration des Knochenmarks normal zu sein. Der auffällige Unterschied der Bluthalbwertszeit für Neutrophile in dieser Studie und den früher publiziertem Werte aufgrund von Autotransfusionen DFP-markierter Granulozyten wird diskutiert.
    Type of Medium: Electronic Resource
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  • 7
    ISSN: 1432-0584
    Keywords: Chronische lymphozytische LeukÄmie ; T-Zellen ; Lymphatische S-Phase-Zellen ; DNA-synthetisierende Zellen ; Lymphatische T-Zellen in S-Phase ; Chronic lymphocytic leukemia ; T lymphocytes ; Lymphoid S-phase cells ; DNA-synthesizing cells ; S-phase T lymphoid cells
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary In 21 patients with chronic lymphocytic leukemia (CLL) and in 8 hematologically normal persons the number of DNA-synthesizing peripheral blood lymphocytes was investigated by autoradiographic techniques. The lymphocytes were differentiated by En-rosette tests into T and non-T lymphoid cells. The results show a normal number of proliferating T lymphoid cells and an increased number of proliferating non-T lymphoid cells in clinical stages O-I. Stages III–IV demonstrate a significant increase of the proliferation rate of both T and non-T lymphoid cells. The possible pathogenetic factors and the prognostic value of these results are discussed.
    Notes: Zusammenfassung Bei 21 Patienten mit chronischer lymphatischer LeukÄmie (CLL) und 8 Normalpersonen wurde die Anzahl der DNA-synthetisierenden peripheren Blutlymphozyten autoradiografisch untersucht. Die Lymphozyten wurden dabei mit Hilfe des EN-Rosettentests in T-Zellen und Nicht-T-Zellen differenziert. Es zeigt sich eine normale T-Zellproliferation und eine erhöhte Nicht-T-Zellproliferation im Stadium O-I. In den fortgeschritteneren Krankheitsstadien erfÄhrt die Proliferation für T- und Nicht-T-Lymphozyten eine signifikante Steigerung. Die Proliferation der T-Zellen ist im Stadium IV auf das ca. 20fache, die der Nicht-T-Zellen auf das ca. 50fache gesteigert. Auf die Möglichkeit zu prognostischen Aussagen wird hingewiesen.
    Type of Medium: Electronic Resource
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  • 8
    Electronic Resource
    Electronic Resource
    Springer
    Annals of hematology 40 (1980), S. 151-155 
    ISSN: 1432-0584
    Keywords: Bakterielle Infektionen ; T-Zellen ; lymphatische S-Phase-Zellen ; Bacterial infections ; T cells ; S-phase lymphoid cells
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary The results of autoradiographic determination of DNA-synthesizing lymphocytes (3H-thymidine) in 10 patients with bacterial infections were compared with results in 10 normal patients and contrasted with 23 CLL patients in different stages [12]. In patients with infectious diseases the absolute number of T cells was lower and the mean values of S-phase T cells and S-phase non-T cells was higher than in normal persons. In contrast to the patients with infections, CLL patients in stage 0–III have lower S-phase T cell values and higher S-phase non-T cell values. In stage IV, on the other hand, all DNA-synthesizing lymphocytes are increased.
    Notes: Zusammenfassung Es werden die Ergebnisse der autoradiographischen Bestimmung DNA-synthetisierender Lymphozyten (3H-Thymidin) bei 10 Patienten mit bakteriellen Infekten mit den Ergebnissen bei 10 gesunden Personen verglichen und den Resultaten bei 23 CLL-Patienten in verschiedenen Krankheitsstadien gegenübergestellt. Bei Patienten mit Infektionen lagen die Mittelwerte der T-Zellen niedriger, die der T-Zellen und Nicht-T-Zellen in der S-Phase höher als bei Normalen. Gegenüber Infektpatienten zeigen die CLL-Patienten früher Krankheitsstadien niedrigere S-Phase-T-Zellwerte und höhere S-Phase-Nicht-T-Zellwerte; im fortgeschrittenen Stadium sind alle DNA-synthetisierenden Lymphozyten vermehrt.
    Type of Medium: Electronic Resource
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