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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Archives of toxicology 71 (1996), S. 112-122 
    ISSN: 1432-0738
    Keywords: Key wordsp-tert-Octylphenol ; Toxicokinetics ; Bioaccumulation ; Glucuronidation ; Sulphation
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Only weak oestrogenic activity has been reported for p-alkylphenols compared with the physiological hormone 17β-estradiol. Despite the low potency, there is concern that due to bioaccumulation oestrogenically efficient blood levels could be reached in humans exposed to trace levels of p-alkylphenols. To address these concerns, toxicokinetic studies with p-tert-octylphenol [OP; p-(1,1,3,3-tetramethylbutyl)-phenol] as a model compound have been conducted in male Wistar rats. OP blood concentrations were determined by GC-MS in rats receiving either single oral (gavage) applications of 50 or 200mg OP/kg body wt or a single intravenous injection of 5mg/kg body wt. The OP blood concentration was ∼1970ng/ml immediately after a single intravenous application, decreased rapidly within 30 min, and was no longer detectable 6–8h after application. The curve of blood concentration vs time was used to calculate an elimination half-life of 310min. OP was detected in blood as early as 10min after gavage administration, indicating rapid initial uptake from the gastrointestinal tract; maximal blood levels reached 40 and 130ng/ml after applications of 50 and 200mg/kg, respectively. Using the area under the curve (AUC) of blood concentration vs time, low oral bioavailabilities of 2 and 10% were calculated for the 50 and 200mg/kg groups, respectively. OP toxicokinetics after repeated administration was investigated in male Wistar rats receiving daily gavage administrations of 50 or 200mg OP/kg body wt for 14 consecutive days. Profiles of OP blood concentration vs time determined on day 1 and day 14 were similar, indicating that repeated oral gavage administration did not lead to increased blood concentrations. Another group of rats received OP via drinking water saturated with OP (∼8mg/l, corresponding to a mean daily dose of ∼800μg/kg) over a period of up to 28 days. OP was not detected in any blood sample from animals treated via drinking water (detection limit was 1–5ng/ml blood). OP concentrations were also analysed in tissues obtained from the repeated gavage (14 days) and drinking water groups (14 and 28 days). In the 50mg/kg group, low OP concentrations were detected in fat and liver from some animals at average concentrations of 10 and 7ng/g tissue, respectively. OP was not detected in the other tissues analysed from this group. In the 200mg/kg group, OP was found in all tissues analysed except testes (fat, liver, kidney, muscle, brain and lung had average concentrations of 1285, 87, 71, 43, 9 and 7ng/g tissue, respectively). OP was not detected in tissues of animals receiving OP via drinking water for 14 or 28 days, except in muscle and kidney tissue of one single animal receiving OP for 14 days. Using rat liver fractions it was demonstrated that OP was conjugated via glucuronidation and sulphation in vitro. A V max of 11.24 nmol/(min * mg microsomal protein) and a K m of 8.77μmol/l were calculated for enzyme-catalysed OP glucuronidation. For enzyme-catalysed sulphation, a V max of 2.85nmol/(minT15*mg protein) and a K m of 11.35μmol/l were calculated. The results indicate that OP does not bioaccumulate in rats receiving low oral doses, in agreement with the hypothesis of a rapid first-pass elimination of OP by the liver after oral ingestion, via glucuronidation and sulphation. Only if these detoxification pathways are saturated may excessive doses lead to bioaccumulation.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-1076
    Keywords: Key words Cerebral blood flow ; Preterm infants ; Neurological outcome ; Brain development ; 133Xenon method
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Cerebral blood flow (CBF) studies have provided some insight into pathophysiological mechanisms of cerebral damage in newborn children; their value in predicting brain damage, however, remains elusive. The purpose of our study was to evaluate the role of CBF measurements in predicting developmental outcome in preterm neonates at 18 months. Preterm babies with a gestational age of less than 34 weeks and a birth weight of less than 1500 g (n = 71) were enrolled in the study. CBF was measured by the nonivasive intravenous 133Xe method on three different occasions. We classified our measurements into three groups: depending on the time when performed group 1: between 2 and 36 h (n = 52); group 2: between 36 and 108 h (n = 44); group 3: between 108 and 240 h (n = 41). At the age of 18 months neurodevelopment testing was performed according to the Bayley mental and motor scales. Surviving infants had a higher mean CBF over the three groups than non surviving children (15.2 ± 3.5 ml/100 g brain tissue/min vs 13.0 ± 2.1 ml/100 g brain tissue/min, P 〈 0.05). There was no correlation of CBF with mental or motor development in our study population in either of the three groups. Conclusion In preterm infants basal CBF is higher in surviving than in non surviving infants, but there is no correlation of resting CBF and later neurological outcome.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Zeitschrift für Herz-, Thorax- und Gefässchirurgie 14 (2000), S. 212-217 
    ISSN: 0930-9225
    Keywords: Schlüsselwörter Leiomyosarkom – Pulmonalklappe – Pulmonalarterie – Ausflusstrakt des rechten Ventrikels ; Key words Leiomyosarcoma – pulmonary valve – pulmonary artery – right ventricular outflow tract
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary Leiomyosarcomas of the heart and great vessels are extremely rare and highly lethal diseases. Diagnosis is difficult due to their unspecific symptoms, which are frequently confused with other clinical conditions such as pulmonary embolism.¶   This report describes a 31-year-old man with leiomyosarcoma of the pulmonary artery originating at the pulmonary valve and involving right ventricular outflow tract and central pulmonary arteries. Early diagnosis and aggressive surgical therapy has led to long-term survival; five years after the operation the patient is alive and disease free. The importance of a timely diagnosis and radical surgical excision is delineated and a review of the literature included.
    Notes: Zusammenfassung Leiomyosarkome des Herzens und der großen Gefäße sind sehr seltene hochmaligne Tumoren, die meist rasch zum Tode führen.¶   Wir berichten über einen 31-jährigen Patienten mit einem von der Pulmonalklappe ausgehenden Leiomyosarkom, das beide Pulmonalarterien und den Ausflusstrakt des rechten Ventrikels miteinbezog. Infolge der raschen Diagnosestellung und nachfolgenden radikalen Resektion ist der Patient nach mehr als 5 Jahren weiterhin tumorfrei. Nur die frühzeitige Diagnose und komplette chirurgische Excision können die Überlebenschance für Patienten mit Pulmonalissarkomen erhöhen.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    College Park, Md. : American Institute of Physics (AIP)
    The Journal of Chemical Physics 112 (2000), S. 9289-9300 
    ISSN: 1089-7690
    Source: AIP Digital Archive
    Topics: Physics , Chemistry and Pharmacology
    Notes: This paper presents ion yields resulting from multiphoton ionization and fragmentation of gaseous toluene (C7H8) in the focus of an 80 fs Ti:sapphire laser beam (λ=800 nm) with a sufficiently small B-integral [Siegman, Lasers (University Science Books, Mill Valley, CA, 1986)]. The peak intensity was varied between 1.9×1013 and 2.8×1014 W cm−2, and both linear and circular polarization were used. Over the whole range of intensities studied, only the singly charged parent ion and its fragment, C7H7+, are found. Although the Keldysh adiabaticity parameter equals 0.86 for the saturation intensity of ∼1×1014 W cm−2, there is no indication of tunneling. The parent ion yield is found to be effectively proportional to the sixth power of the peak intensity. This is shown to be in good agreement with a multiple lowest-order perturbation multiphoton ionization model which takes into account successive channel closing for increasing peak intensities and orders up to 11 inclusive. On the assumption that the excess energy acquired by the toluene cation as a result of the interaction with the electromagnetic field is of the order of the ponderomotive energy for the intensity prevailing at the moment of the ionization, the internal energy distribution of the toluene cations created that is brought about by this multiple-order multiphoton ionization model is calculated. This internal energy distribution is in perfect agreement with the measured C7H7+ yield, if the rate-energy curve for the fragmentation of excited toluene cations as given by Golovin et al. [Sov. J. Chem. Phys. 2, 632 (1985)] is moderately reduced by a factor of 4.5. © 2000 American Institute of Physics.
    Type of Medium: Electronic Resource
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  • 5
    Electronic Resource
    Electronic Resource
    Springer
    Inventiones mathematicae 97 (1989), S. 159-193 
    ISSN: 1432-1297
    Source: Springer Online Journal Archives 1860-2000
    Topics: Mathematics
    Notes: Summary We prove that the quantum mechanical ground state energy of an atom with nuclear chargeZ can be bounded from below by the sum of the Thomas-Fermi energy of the problem plusq/8Z 2 plus terms of ordero(Z 2 ).
    Type of Medium: Electronic Resource
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  • 6
    ISSN: 1434-3924
    Keywords: Schlüsselwörter Osteochondrosis dissecans ; Osteonekrose ; Kniegelenk ; Spongiosaumkehrplastik ; Retrograde Anbohrung ; Key words Ostechondritis dissecans ; Osteonecrosis ; Knee joint ; Cancellous bone cylinder ; Indirect drilling
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Operative techniques for osteochondritis dissecans can be divided into direct and indirect types: The arthroscopic minimally invasive techniques of indirect drilling and refilling by use of a reversed cancellous bone cylinder are described. The therapeutic aim is early intervention before dissection in order to prevent secondary arthritic changes of the joint surfaces. The time for intervention refers mainly to the stage and dimension of the disease, its clinical appearance and the progression of the osteonecrotic process in X-ray and MR imaging.
    Notes: Bei der operativen Therapie der Osteochondrosis dissecans des Kniegelenks wird zwischen anterograden und retrograden Techniken unterschieden: Die arthroskopischen, minimalinvasiven retrograden Techniken der Anbohrung mit Kirschner-Drähten bzw. die Spongiosaumkehrplastik werden beschrieben. Das Therapieziel ist hierbei die frühzeitige Intervention vor Dissektion zur bestmöglichen Prävention von sekundär-arthrotischen Gelenkflächenschädigungen. Der Zeitpunkt für eine retrograde Defektanbohrung ergibt sich in Abhängigkeit vom Erkrankungsstadium bzw. -ausmaß aus dem klinischen Beschwerdeverlauf sowie aus einem Fortschreiten der osteonekrotischen Prozesse im nativ-radiologischen Bild und/oder im Gadolinium-MRT.
    Type of Medium: Electronic Resource
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  • 7
    ISSN: 1434-3924
    Keywords: Schlüsselwörter Gonarthrose ; „Knieschule“ ; Krankengymnastik ; Postarthroskopische Behandlung ; Key words Gonarthrosis ; “Knee school” ; Physiotherapy ; Postarthroscopic treatment
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: The “knee school” concept combines guidelines for knee-friendly behavior in everyday conditions and a comprehensive program of muscle strengthening exercises that gonarthrosis patients can perform at home. Groups of patients are instructed on the basics of relevant anatomy, the development of arthrosis, and knee-friendly conduct. They train easy-to-grasp patterns of movement that help them to improve coordination and relieve their knee joints of unphysiological strain. A prospective randomized study proved the „knee school” concept to be successful in treating gonarthrosis after arthroscopy.
    Notes: Die „Knieschule“ zielt auf ein kniegelenkschonendes Verhalten im Alltag in Verbindung mit einem selbständig durchzuführenden Muskelkräftigungsprogramm ab. Sie umfaßt Verhaltensregeln und zur Verbesserung der muskulären Situation ein spezielles Übungsprogramm, das auch gefahrlos als Heimtraining durchgeführt werden kann. In einer Gruppenunterweisung werden Koordinationsverbesserung und Gelenkschonung durch Einübung einfacher Bewegungsabläufe trainiert und grundlegende Kenntnisse zur Anatomie, Arthroseentstehung und zu kniefreundlichen und entlastenden Verhaltensweisen vermittelt. Die Effizienz der „Knieschule“ als Behandlungskonzept bei arthroskopisch behandelter Gonarthrose wurde in einer prospektiv randomisierten Untersuchung belegt.
    Type of Medium: Electronic Resource
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