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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    European journal of pediatrics 151 (1992), S. S55 
    ISSN: 1432-1076
    Keywords: Heart-lung transplantation ; Cystic fibrosis ; Survival
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Heart-lung transplantation for cystic fibrosis has become an established form of treatment over the last few years. This paper considers the assessment and preparation of patients, the surgical procedure, immunosuppression, post-operative care and the results of surgery. The best survival rates to 1 year are 70%–80% with possibly a less favourable survival for younger patients. Major problems include shortage of donor organs, postoperative management of patients with multisystem disease and obliterative bronchiolitis. The majority of patients, however, do well with a greatly improved quality of life and the medium-term results are encouraging.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    European journal of clinical pharmacology 46 (1994), S. 261-265 
    ISSN: 1432-1041
    Keywords: Cystic fibrosis ; Cyclosporin ; pharmacokinetics
    Source: Springer Online Journal Archives 1860-2000
    Topics: Chemistry and Pharmacology , Medicine
    Notes: Abstract Cyclosporin (CsA) is currently the main immunosuppressive agent used in organ transplantation with considerable improvement in graft survival. Oral CsA solution is highly lipophilic, and its bioavailability may be reduced in cystic fibrosis (CF) heart-lung transplant recipients with pancreatic, gastrointestinal, and hepatic insufficiency. The bioavailability of oral CsA solution in 7 CF transplant recipients (5 male and 2 female with a mean age of 27 years and a mean weight of 49 kg) and 3 non-CF heart-lung recipients (1 male and 2 female with a mean age of 41 years and a mean weight of 60 kg) was studied. Following intravenous CsA administration, the kinetic curves were similar with no significant difference in the volume of distribution and clearance of CsA demonstrated between the CF and non-CF groups. The mean daily dose of oral CsA in 7 CF subjects (23.3 mg·kg−1) was significantly higher than the 3 non-CF heart-lung recipients (4.8 mg·kg−1). The mean maximum blood concentration of CsA for the oral dose was 776 ng·ml−1 for the 7 CF subjects, which was comparable with the mean peak values of 789 ng·ml−1 for the 3 non-CF control subjects. Poor enteral absorption of CsA probably accounts for the significantly lower mean bioavailability in the 7 CF subjects (14.9%) compared with the 3 non-CF control subjects (39.4%). The effects on the bioavailability of oral CsA solution by pancreatic enzymes (Creon) and histamine-2 antagonist (ranitidine) were also evaluated in the 7 CF subjects. No significant difference was demonstrated.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Contributions to mineralogy and petrology 127 (1997), S. 46-56 
    ISSN: 1432-0967
    Source: Springer Online Journal Archives 1860-2000
    Topics: Geosciences
    Notes: Abstract In the Western layered syenite stock of the Kûngnât complex, close to the intrusion wall, there are two groups of regularly spaced, horizontally aligned, stacks of infilled troughs. These features resemble, to some extent, the trough layering within the UZa trough zone of the gabbroic Skaergaard1 intrusion. Such features have never before been described in syenitic rocks. The lower group comprises six stacks of infilled troughs; the upper group comprises seven. The two groups are vertically separated by about 10 m of sparsely layered syenite. The infilled troughs in the upper group are stacked vertically; those in the lower group gradually shift laterally and appear to converge over an antiformal structure. It is not possible to measure the plunge of the troughs due to outcrop geometry. Troughs are up to about 80 cm deep. The material filling the troughs is more melanocratic than the syenite that surrounds them. Individual troughs exhibit normal grading. The syenite within the troughs contains large amphibole and biotite oikocrysts. Faintly layered syenite occurs laterally between stacks. Minerals in the host syenite are more ferroan than those in the troughs, this is thought to represent re-equilibration with residual melt. Feldspar textures, irregular pyroxene and apatite zoning, and the presence of irregular shaped amphibole patches within pyroxene grains all imply alteration by a pervasive deuteric fluid in both troughs and host syenite. We suggest the following hypothesis for the formation of the troughs. A mafic crystal sheath which grows on the walls of the magma chamber becomes detached and flows downwards. The descending slurry forms a series of regularly spaced streams which erode trough shaped channels into the crystal pile at the base of the chamber. Uneroded crystal material separates the channels. Crystals are deposited from these streams. Successive streams flow over each other to generate stacks of troughs.
    Type of Medium: Electronic Resource
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  • 4
    ISSN: 1573-2932
    Source: Springer Online Journal Archives 1860-2000
    Topics: Energy, Environment Protection, Nuclear Power Engineering
    Notes: Abstract The release of base cations from chemical weathering is the fundamental process by which base cations lost through leaching or biological uptake are replenished. Soils with a high content of easily weatherable minerals will, in general, be readily able to neutralise incoming acidity and satisfy biological requirements through this supply of base cations from weathering. Conversely those soils with a low content of such minerals will be unable to buffer acid inputs or meet biological demands and will be vulnerable to acidification. It is evident therefore that an accurate estimate of the rate of chemical weathering is a prerequisite for any assessment of ecosystem sensitivity to acidification. The principal methods by which these calculations are made can be grouped into those based on element depletion in soil horizons calculated against a conservative element reference, catchment fluxes, laboratory studies and the use of mathematical models which utilise data from each of these sources. A review of the published data has been undertaken to determine if a systematic variation in weathering rates can be observed for a range of parent materials and/or methods used. Variations of 0.03–0.8 keq ha−1yr−1 for K+, 0.0–1.0 keq ha−1yr−1 for Na+, 0.01–1.39 keq ha−1yr−1 for Mg2+ and 0.0–5.8 keq ha−1yr−1 for Ca2+ were found. In general individual cation weathering rates determined from catchment fluxes, and also the model MAGIC, are dominated by Ca2+, with Mg2+ being the next most significant release rate. However it has not been possible to determine any other systematic variations due to the limited number of sites where weathering rate has been determined by more than one method.
    Type of Medium: Electronic Resource
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