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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Abdominal imaging 19 (1994), S. 325-329 
    ISSN: 1432-0509
    Keywords: Budd-Chiari syndrome ; MR study ; Liver, MR
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract A retrospective study was undertaken to reassess the various magnetic resonance imaging (MRI) features of Budd-Chiari syndrome (BCS). MRI examinations of 22 patients with pathologically confirmed BCS were studied. Spin-echo (SE) T1- (TR = 300–450 ms/TE = 12–15 ms), and SE T2-weighted (TR = 1600–2000 ms/TE = 30–60/90–120 ms) MRI images were obtained in all patients. Gradient-recalled-echo (GRE) images (TR = 7–60 ms/TE = 3–19 ms, flip angle = 10–40°) were obtained in 14 patients. MRI showed thrombosis of three or two hepatic veins in 19 (86%) and 3 (14%) patients, respectively. Spontaneous intrahepatic anastomoses was depicted in five (23%) patients. Ascites appeared in 15 patients (68%). Thrombosis or external compression of the inferior vena cava (IVC) by an enlarged caudate lobe was depicted in six (27%) and five (23%) patients, respectively. Prominent azygos and hemiazygos veins were demonstrated in seven (32%) patients (six of whom had thrombosis of the IVC). MRI showed hepatomegaly in all patients and enlarged caudate lobe in 18 (82%) patients. SE T1- and SE T2-weighted MRI images revealed inhomogeneous signal intensity of hepatic parenchyma in 14 (64%) patients. SE T1- and SE T2-weighted MRI images showed homogeneous signal intensity of hepatic parenchyma in eight (36%) patients. Our results demonstrate that BCS displays various features on MRI images, and such information is important for diagnosis.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    International journal of colorectal disease 8 (1993), S. 29-33 
    ISSN: 1432-1262
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé 440 malades ont été inclus prospectivement dans un essai multi-centrique randomisé afin de comparer 4 types de sutures manuelles avec un fil lentement résorbable (84 sutures termino-terminales à points séparés, 77 termino-terminales par sujet, 82 latéro-terminales à points séparés et 91 termino-latérales par sujet) et une variété d'anastomoses mécaniques (106 sutures latéro-latérales aux pinces GIA + TA). Il s'agissait d'anastomoses iléo-coliques après hémicolectomie droite pour cancer. L'essai a été réalisé selon la formulation pragmatique de Schwartz. Tous les 5 groupes étaient bien appareillés à l'exception du plus petit taux de suppuration dans le groupe par anastomose mécanique (P〈0.02). Le principal résultat était le lachâge d'anastomose détecté cliniquement ou par un lavement de routine aux produits hydrosolubles au 8–10ème jour post-opératoire. Les résultats montraient que les anastomoses mécaniques étaient associées avec moins de lachage d'anastomose (2,8%) que toutes les autres techniques (8,3%). En dépit du fait que les anastomoses mécaniques sont approximativement 10 fois plus chères, nos résultats suggèrent qu'il faut réaliser des anastomoses latéro-larérales (GIA + TA) mécaniques après hémi-colectomie droite pour cancer.
    Notes: Abstract 440 patients were prospectively enrolled in a randomized, multicenter trial to compare 4 types of manual (84 interrupted end-to-end, 77 continuous end-to-side) 82 interrupted end-to-side, and 91 continuous end-to-side (polyglycolic derived suture) and 1 type of stapled (106 side-to-side with GIA + TA devices) ileocolonic anastomosis after right hemicolectomy for carcinoma. The trial was designed according to Schwartz' pragmatic formulation. All 5 groups were well-matched, except for a lower rate of intraoperative sepsis in the stapled group (P〈0.02). The main end point was anastomotic leakage detected clinically or by routine sodium diatrizoate enema on the 8–10th postoperative day. Results showed that stapled ileocolonic anastomosis was associated with less anastomotic leakages (2.8%) than all the other techniques combined (8.3%). In spite of the fact that staples are approximately ten times more expensive, our results suggest performing side-to-side (GIA + TA) mechanical anastomosis after right resection for carcinoma.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    [s.l.] : Nature Publishing Group
    Nature 216 (1967), S. 790-791 
    ISSN: 1476-4687
    Source: Nature Archives 1869 - 2009
    Topics: Biology , Chemistry and Pharmacology , Medicine , Natural Sciences in General , Physics
    Notes: [Auszug] Three possible surface reactions can be considered. (a) Acetylene reacts with water on the surface. Although acetylene and water will react to give acetaldehyde on surfaces1, no acetaldehyde was formed during 1 h from a mixture of acetylene, 100 mm mercury partial pressure, and water, 20 mm mercury ...
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    [s.l.] : Nature Publishing Group
    Nature 347 (1990), S. 177-179 
    ISSN: 1476-4687
    Source: Nature Archives 1869 - 2009
    Topics: Biology , Chemistry and Pharmacology , Medicine , Natural Sciences in General , Physics
    Notes: [Auszug] The tuatara is almost universally regarded as "a single species... Sphenodon punctatus"1. However, the genus has a complex taxonomic history involving four phases: (1) two extant and one extinct species were named last century (Table 1); (2) in 1904, a catalogue of all New Zealand terrestrial ...
    Type of Medium: Electronic Resource
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  • 5
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    Unknown
    Cambridge : Periodicals Archive Online (PAO)
    Macmillan's magazine. 92 (1905:May/Oct.) 268 
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  • 6
    ISSN: 1432-1238
    Keywords: Postoperative pulmonary function ; Blood gas tensions ; Abdominal surgery
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Respiratory function in the first four days after elective cholecystectomy has been compared in 15 women in whom the upper abdominal incision was transverse and 15 in whom it was median vertical. Ventilatory function (vital capacity and forced expiratory volume in one second) and blood gas tensions (partial pressures of oxygen and of carbon dioxide in arterial blood, arterial whole-blood carbon dioxide, and alveolo-arterial oxygen tension difference) were determined on the day before operation and on the first, second and fourth postoperative days. Ventilatory function was depressed postoperatively in all the patients, but the depression was significantly less, and of significantly shorter duration, after the transverse than after the median vertical approach. Significant changes in blood gas tensions were noted postoperatively after both incisions, but without significant difference between the two groups.
    Type of Medium: Electronic Resource
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  • 7
    Electronic Resource
    Electronic Resource
    Springer
    Radiation and environmental biophysics 17 (1979), S. 67-83 
    ISSN: 1432-2099
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Physics
    Notes: Summary Tests of surgical treatments (graft of small intestine, and partial enter ectomy before or after irradiation) and dietetic treatments (continuous parenteral feeding) were carried out on 80 pigs irradiated over the posterior half of the body with doses of between 950 and 1750 rad at mid plane. The results relate to clinical symptoms, survivals, haematology, and histopathology; nutritional aspects were studied by means of evaluation of balances (nitrogen, lipids, and minerals) and absorption tests (58Co - Vit. B 12 and iodised lipids). Above 1200 rad recuperation of the digestive system did not in general make prolonged survival possible; in addition to intestinal lesions, renal and especially pancreatic atrophy appeared, whose consequences appeared to be determinative as regards the nutrition and hence the survival of the animals.
    Type of Medium: Electronic Resource
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  • 8
    Electronic Resource
    Electronic Resource
    Springer
    World journal of surgery 9 (1985), S. 258-268 
    ISSN: 1432-2323
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé La dérivation portale chez les enfants atteints d'hypertension portale constitue une méthode immédiate et définitive de prévention des hémorragies digestives récidivantes. Les conditions les plus favorables sont les suivantes: a) foie normal; b) veines disponibles dans le secteur porte pour l'anastomose; c) gradient de pression suffisant entre le système porte et le système cave et d) équipe entraînée à la chirurgie portale. Lorsque l'hypertension portale est un épiphénomène au cours d'une affection hépatique sévère, d'autres méthodes d'hémostase des varices oesophagiennes rompues doivent être envisagées. La décision du choix thérapeutique à adopter est difficile lorsqu'il existe une atteinte hépatique, sans altération hépatocellulaire majeure, mais de pronostic incertain à long terme. Quelques années encore seront nécessaires avant de pouvoir affirmer que la dérivation représente la meilleure opération pour traiter ce type d'hypertension portale.
    Abstract: Resumen La cirugía derivativa (“shunts” portosistémicos) en los niños que sufren de hipertensión portal es considerada como una forma inmediata y definitiva de prevenir la hemorragia gastrointestinal recurrente. Ciertas condiciones deben existir para su realization: (a) hígado normal; (b) venas disponibles dentro del sistema porta; (c) suficiente gradiente en las presiones portosistémicas; y (d) disponibilidad de un equipo quirúrgico con experiencia en cirugía venosa portal. Otros medios de hemostasis de las várices esofágicas sangrantes deben ser utilizados en aquellos pacientes en quienes la hipertensión portal es un epifenómeno de enfermedad hepática severa. La decisión más difícil se presenta en el niño con alteraciones hepáticas específicas pero sin mayor disfunción hepatocelular en quien no se puede determinar con precisión el pronóstico. Todavía serán necesarios unos años más antes de poder afirmar que la cirugía derivativa representa la mejor escogencia para esta categoría de pacientes.
    Notes: Abstract Shunt surgery in children suffering from portal hypertension (PH) is considered as an immediate and definite mode of prevention of recurrent gastrointestinal hemorrhage. Certain conditions must be met: (a) normal liver; (b) normal veins available within the portal system; (c) a sufficient portosystemic gradient of pressure; and (d) a surgical team with experience in portal venous surgery. In patients in whom PH is an epiphenomenon of severe liver disease, other means of hemostasis for bleeding esophageal varices should be sought. The difficult decision is in the child with specific liver alterations without major hepatocellular dysfunction but in whom the prognosis cannot be precisely foreseen. A few more years will be needed before one can tell if shunt surgery is the best choice for this category of patient.
    Type of Medium: Electronic Resource
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  • 9
    Electronic Resource
    Electronic Resource
    Hoboken, NJ : Wiley-Blackwell
    AIChE Journal 6 (1960), S. 373-381 
    ISSN: 0001-1541
    Keywords: Chemistry ; Chemical Engineering
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Chemistry and Pharmacology , Process Engineering, Biotechnology, Nutrition Technology
    Notes: The performance of sieve trays in the rectification of the methanol-water system without entrainment or leakage from the perforations was studied in an 8-in.-diameter five-tray column. The trays had a 2-in. weir height and 4-in. length of liquid path. Three tray geometries were studied: 1/4-in. diameter holes on 3/4-in. triangular spacing, 1/8-in. holes on 3/8-in. triangular spacing, and 3/16-in. on 7/16-in. triangular spacing. The superficial vapor velocity was varied from 2.2 ft./sec. to the limit of stable operation, which for this apparatus was 4.4 ft./sec. The ratio LM/VM within the column was varied from 1 to 0.5. The Murphree plate efficiency varied greatly from 105% at low concentration to 82% at high concentrations of methanol. Variations of 10 or 12 efficiency % were noted owing to changing velocities and tray geometries. Measurements of concentration gradients, foam heights, and gas pressure drops are also reported. This paper proposes a method of calculating the point efficiency and the number of individual-phase mass transfer units independent of the actual concentration gradient on the tray.The method is applied to the methanol-water data, and calculated point efficiencies range from 50 to 65%. The value of 1/NL for the methanol-water system is found to be small. The values of NG and the effect of the velocity on NG are believed to be the first in the literature for a tray in distillation operation. The effect of velocity is shown to be in agreement with the theory proposed by Gerster and co-workers. It is shown that kG' aG decreases for increasing free area and increasing hole size. Finally variation in LM/VM is shown to have little effect on EMV.
    Additional Material: 12 Ill.
    Type of Medium: Electronic Resource
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