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  • 2005-2009  (4)
  • 1945-1949  (2)
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  • 1
    Digitale Medien
    Digitale Medien
    Oxford, UK : Blackwell Science Ltd
    Alimentary pharmacology & therapeutics 21 (2005), S. 0 
    ISSN: 1365-2036
    Quelle: Blackwell Publishing Journal Backfiles 1879-2005
    Thema: Medizin
    Notizen: Background : Acute diverticulitis is increasingly being recognized in younger patients, but its management remains controversial.Aim : To compare long-term outcomes of young patients treated with surgery vs. medical therapy for their first episode of diverticulitis.Methods : A retrospective chart analysis at a university and an affiliated community hospital between 1991 and 2002 revealed 149 patients ≤40 years of age with confirmed diverticulitis. Forty-nine patients (38 males, 11 females) were contacted at least 1 year after their first episode of diverticulitis. Outcomes were compared based on initial therapy – antibiotics or surgical resection. The groups were compared by outcomes, gender, age, white blood cell count, temperature and diet.Results : Three (15%) of 20 surgical patients (mean follow-up 6.89 years), and 16 (55%) of 29 medical patients had a recurrence of diverticulitis (mean follow-up 5.72 years; P = 0.01). The treatment groups did not differ in age, white blood cell count, or temperature.Conclusions : (i) Surgical treatment is effective initial therapy but disease may recur in a minority of patients; (ii) medical treatment is less effective initial therapy, with recurrence in half of the patients; (iii) initial presentation is not a strong predictor of disease recurrence.
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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  • 2
    Digitale Medien
    Digitale Medien
    Oxford, UK : Blackwell Science Ltd
    Alimentary pharmacology & therapeutics 21 (2005), S. 0 
    ISSN: 1365-2036
    Quelle: Blackwell Publishing Journal Backfiles 1879-2005
    Thema: Medizin
    Notizen: Background : The effect of ageing on oesophageal motility in patients with achalasia is not well described. Oesophageal contraction amplitude is decreased in otherwise healthy elderly subjects.Aim : To evaluate whether ageing influences the motor function of the oesophagus in achalasia.Methods : Initial manometry studies of patients with achalasia were reviewed and findings (lower oesophageal sphincter basal and residual pressures and oesophageal body contraction amplitudes) were compared between two groups of patients, those 65 years of age or older (49 patients) and those younger than 65 years (68 patients). The older group was further divided into those ≥70 years and those 〈70 years.Results : Patients 65 years and older had significantly higher lower oesophageal sphincter basal pressures compared with younger patients (65.6 ± 4.9 vs. 52.3 ± 2.7, P = 0.02). At an age cut-off of 70 years, older patients had significantly higher basal (70.7 ± 1.6 vs. 53.0 ± 2.4, P = 0.02) and residual (19.7 ± 1.6 vs. 15.9 ± 0.7, P = 0.03) lower oesophageal sphincter pressures compared with younger patients. Amplitude of oesophageal contractions was not different between the groups. Across all age groups, there was no linear correlation between age and basal or residual lower oesophageal sphincter pressures (r = 0.28 and 0.12, respectively).Conclusions : Older patients with achalasia have higher lower oesophageal sphincter pressures, however there is no linear correlation between age and lower oesophageal sphincter pressures. Unlike healthy subjects, advanced age is not associated with a decrease in oesophageal contraction amplitude in patients with achalasia.
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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  • 3
    Digitale Medien
    Digitale Medien
    Oxford, UK : Blackwell Science Ltd
    Alimentary pharmacology & therapeutics 22 (2005), S. 0 
    ISSN: 1365-2036
    Quelle: Blackwell Publishing Journal Backfiles 1879-2005
    Thema: Medizin
    Notizen: Background:  The effect of gastro-oesophageal reflux on sleep and sleep quality is highly controversial.Aim:  To determine the temporal relationship of abnormal objective sleep parameters to gastro-oesophageal reflux during acid suppression in patients with self diagnosed sleep disorders.Methods:  Polysomnography during oesophageal pH monitoring was conducted in 16 subjects with and without gastro-oesophageal reflux as determined by a standardized questionnaire. Subjects were studied before and after omeprazole.Results:  All reflux events were followed by a sleep arousal or awakening. Nocturnal acid reflux events were not predicted by the Carlsson score. Omeprazole reduced acid reflux-associated arousals from 11.6 ± 3.8 to 1.5 ± 0.8 (P 〈 0.01) and awakenings from 7.7 ± 1.2 to 3.7 ± 0.5 (P 〈 0.05). Sleep efficiency improved from 70.2% to 81.6% in a small subset of subjects with decreased sleep (P 〈 0.05); rapid eye movement sleep increased from 55.0 ± 4.5 to 94.5 ± 18.9 min (P 〈 0.05); total sleep time increased from 294.0 ± 15.9 to 345.6 ± 55.6 min (P 〈 0.05). Apnoea, hypopnoea and hypoxaemia were not associated with reflux.Conclusions:  In subjects with gastro-oesophageal reflux, sleep arousals and awakenings are closely related to acid reflux events. Reflux-related arousals and awakenings are decreased by acid suppression. Acid suppression in selected subjects with reflux events and reduced sleep efficiency is associated with increased total sleep time, rapid eye movement sleep and sleep efficiency.
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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  • 4
    Digitale Medien
    Digitale Medien
    Oxford, UK : Blackwell Science Ltd
    Alimentary pharmacology & therapeutics 21 (2005), S. 0 
    ISSN: 1365-2036
    Quelle: Blackwell Publishing Journal Backfiles 1879-2005
    Thema: Medizin
    Notizen: Background : Oligofructose is metabolized by bifidobacteria, increasing their numbers in the colon. High bifidobacteria concentrations are important in providing ‘colonization resistance’ against pathogenic bacteria.Aim : To reduce the incidence of antibiotic-associated diarrhoea in elderly patients.Methods : Patients over the age of 65 taking broad-spectrum antibiotics received either oligofructose or placebo. A baseline stool sample was cultured for Clostridium difficile and tested for C. difficile toxin. A further stool sample was analysed for C. difficile if diarrhoea developed.Results : No difference was seen in the baseline characteristics, incidence of diarrhoea, C. difficile infection or hospital stay between the two groups (n = 435). Oligofructose increased bifidobacterial concentrations (P 〈 0.001, 95% CI: 0.69–1.72). A total of 116 (27%) patients developed diarrhoea of which 49 (11%) were C. difficile-positive and were more likely to be taking a cephalosporin (P = 0.006), be female (P 〈 0.001), to have lost more weight (P 〈 0.001, 95% CI: 0.99–2.00) and stayed longer in hospital (P 〈 0.001, 95% CI: 0.10–1.40). Amoxicillin (amoxycillin) and clavulanic acid increased diarrhoea not caused by C. difficile (P = 0.006).Conclusion : Oligofructose does not protect elderly patients receiving broad-spectrum antibiotics from antibiotic-associated diarrhoea whether caused by C. difficile or not. Oligofructose was well-tolerated and increased faecal bifidobacterial concentrations.
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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  • 5
    Digitale Medien
    Digitale Medien
    [s.l.] : Nature Publishing Group
    Nature 161 (1948), S. 475-476 
    ISSN: 1476-4687
    Quelle: Nature Archives 1869 - 2009
    Thema: Biologie , Chemie und Pharmazie , Medizin , Allgemeine Naturwissenschaft , Physik
    Notizen: [Auszug] INDIUM has two stable isotopes, In115 (95.5 per cent) and In113 (4.5 per cent). In115 can be excited by an (n,n) process to a metastable-level (In115*) at 340 keV. and returns to the ground-state by a strongly internally converted ...
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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  • 6
    ISSN: 0022-3832
    Schlagwort(e): Chemistry ; Polymer and Materials Science
    Quelle: Wiley InterScience Backfile Collection 1832-2000
    Thema: Chemie und Pharmazie , Physik
    Notizen: In the polymerization of ally1 methacrylate in the presence of benzoyl peroxide at 75°C., gelation occurs after about 6% reaction. By carrying out the polymerization a t 1°C. to 25°C. in the presence of biacetyl or benzoyl peroxide and photoflood or ultraviolet radiation, we have been able to postpone gelation until 19 to 39% reaction. In the presence of biacetyl the extent of reaction a t the gel point is increased as the temperature is lowered and as the light intensity is raised.Biacetyl is activated by radiation in the 400-460 mμ region; benzoyl peroxide is activated by radiation in the 350-380 mμ region.Hydrolysis and bromination of the soluble polymer did not indicate any marked difference in the composition of the samples prepared at 75°C. and 15°C. The soluble polymer which is prepared at 75°C. appears to have an intrinsic viscosity which may be three to twenty times as great as that of the polymer which is prepared at 1-25°C.The polymerization of methyl methacrylate and allyl acetate under the two sets of conditions indicated that the reaction of the methacrylate was affected more than that of the allyl compound by the change in conditions. The copolymerization of methyl methacrylate and allyl chloroacetate indicated that somewhat more allyl monomer was incorporated into the copolymer at the lower temperature than a t the higher temperature.The increased extent of reaction at the gel point at the lower temperatures appears to be due almost entirely to diminished molecular weights. The decrease in molecular weight a t low temperatures is probably due to the decreased rate of chain growth, the rate of initiation remaining high because of irradiation, and the rate of termination being little dected because of its low activation energy. The effects of temperature on the composition of the copolymer, and of molecular weight on the point of gelation, are discussed briefly.
    Zusätzliches Material: 3 Ill.
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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