Library

feed icon rss

Your email was sent successfully. Check your inbox.

An error occurred while sending the email. Please try again.

Proceed reservation?

Export
  • 1
    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: Several halogenated anaesthetic agents have been associated with hepatotoxicity. We report a case of fulminant, fatal hepatic necrosis after uneventful isoflurane anaesthesia in a patient without previous liver disease, who may have been sensitised by previous exposure to enflurane. Although no anti-trifluoroacetyl antibodies could be detected in the patient's serum, isoflurane hepatotoxicity seems very likely to be the reason for fulminant hepatic failure in this patient.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
  • 2
    ISSN: 1530-0358
    Keywords: Proctocolectomy ; Ileostomy ; Ulcerative colitis ; Familial adenomatous polyposis ; Aldosterone ; Renal function ; Acid-base balance
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract PURPOSE: Restorative proctocolectomy is a standard procedure in the surgical treatment of ulcerative colitis and familial adenomatous polyposis. The radical removal of the colorectum with construction of an ileostomy often results in high stoma losses. These may lead to changes in the electrolyte and acid-base balance and to alterations in renal and suprarenal gland function. METHODS: In this study 33 patients who received an ileoanal pouch before and after proctocolectomy were investigated at different time intervals for electrolyte changes, alteration of the acid-base balance, kidney function, and hormonal changes of the suprarenal glands. Measurements were performed before proctocolectomy, ten days after proctocolectomy with ileal pouch-anal anastomosis under protective loop ileostomy, before ileostomy closure, and 6 to 12 months after ileostomy closure. Neither acute renal failure nor other vital complications were observed. RESULTS: Statistical analysis showed a significant decrease of urine pH to 5.4±0.22 (before ileostomy closure) and metabolic acidosis (pH 7.32±0.04; base excess −1.3±5.6 (before ileostomy closure)). Likewise, we found a decrease in renal clearance to 86 ml/minute (before ileostomy closure) without signs of tubular damage. The most important change during the phase with ileostomy was a functional secondary hyperaldosteronism with aldosterone levels of 63.2±70.8 ng/dl (before ileostomy closure). In comparison with preoperative levels, there was a ten-fold increase in mineralocorticoid adrenal activity. Additionally, during the period with protective ileostomy, the hepatic synthesis of aldosterone-18-glucuronide was only slightly increased, and the cortisol/cortisone ratio was extremely decreased. CONCLUSIONS: These results show that restorative proctocolectomy with ileal pouch-anal anastomosis and protective loop ileostomy significantly influences fluid, electrolyte, and acid-base balance. Functional secondary hyperaldosteronism is of central importance for subsequent renal recompensation. Approximately one-half year after ileostomy closure, the endogenous hormones with mineralocorticoid effects returned to normal levels.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
  • 3
    Electronic Resource
    Electronic Resource
    Springer
    The European physical journal 218 (1969), S. 223-236 
    ISSN: 1434-601X
    Source: Springer Online Journal Archives 1860-2000
    Topics: Physics
    Notes: Abstract From Mössbauer effect measurements the magnetic momentμ=(+1.80±0.08) nm of the 83.4 keV rotational state of153Eu and the ratio of the changes of the mean square charge radiiΔ〈r 2〉 (153Eu, 83 keV)/Δ〈r 2〉 (153Eu, 103 keV)=+0.025±0.008 were determined. The results are interpreted on the basis of mixing of rotational bands by the Coriolis force.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
  • 4
    Electronic Resource
    Electronic Resource
    Springer
    The European physical journal 207 (1967), S. 505-510 
    ISSN: 1434-601X
    Source: Springer Online Journal Archives 1860-2000
    Topics: Physics
    Notes: Abstract The Mössbauer effect of theγ rays from the 74.5 keV state of Dy161 and the 80.7 keV state of Dy162 has been investigated. From hyperfine splitting patterns the magnetic moments μ(75 keV)=−(0.39±0.04) nm, μ(81 keV)=+(0.74±0.08) nm and the quadrupole momentQ(75 keV)=+(1.4±0.2)b have been determined. For the odd neutron nucleus Dy161 an effective spin g factorg s, eff=0.76 gs, free is deduced for the 75 keV level.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
  • 5
    Electronic Resource
    Electronic Resource
    Springer
    The European physical journal 207 (1967), S. 500-504 
    ISSN: 1434-601X
    Source: Springer Online Journal Archives 1860-2000
    Topics: Physics
    Notes: Abstract Mössbauer experiments were performed to determine the nuclearg-factor of the 82 keV 1/2+ state in Ir191 (g=+1.083±0.009) and the 73 keV 1/2+ state in Ir193 (g=+0.9400±0.0019). TheE2/M1 mixing parameters of the corresponding (1/2+) (E2/M1) (3/2+) transitions were found to be ¦δ¦ (Ir191, 82 keV)=0.80±0.06 andδ(Ir193, 73 keV)=−0.558±0.005.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
  • 6
    Electronic Resource
    Electronic Resource
    Springer
    The European physical journal 187 (1965), S. 67-84 
    ISSN: 1434-601X
    Source: Springer Online Journal Archives 1860-2000
    Topics: Physics
    Notes: Abstract The isomer shift of the 21.7 keVγ transition in Eu151 has been studied for various divalent and trivalent europium compounds using the Mössbauer technique. Theγ energy is lower by up to 1.1·10−6 eV in divalent compounds than in trivalent compounds. Using data from atomic spectroscopy it is estimated that the electron density at the nucleus is larger by about 1.9·1026cm−3 for the configuration 4f 6 than for 4f 7 due to different shielding of thes 2 shells. The difference of the mean square radii of the 21.7 keV state and the ground state is thenδ〈r2〉=+0.03 fm2. The measured isomer shift between trivalent and metallic europium and the relatives-electron densities in the rare earth metals measured by the positron annihilation rates are used to establish a calibration scheme for isomer shifts in rare earth metals. This calibration scheme is used to deduce a changeδ〈r 2〉=+0.0055 fm2 between the 26 keV state and the ground state of Dy161.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
  • 7
    Electronic Resource
    Electronic Resource
    Springer
    The European physical journal 199 (1967), S. 207-210 
    ISSN: 1434-601X
    Source: Springer Online Journal Archives 1860-2000
    Topics: Physics
    Notes: Abstract The Mössbauer effect of the second excited state of theK=1/2 rotational band in Yb171 at 75.9 keV withI=5/2 was studied to determine its magnetic moment μ=(1.01±0.01)nm. This value agrees well with the one predicted by the previously determined magnetic parameters of theK=1/2 rotational band, confirming the adiabatic separation of intrinsic and rotational wave functions.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
  • 8
    ISSN: 1434-601X
    Keywords: PACS:14.60.Cd Electrons and positrons – 23.20.Ra Internal pair production – 25.70.Bc Elastic and quasielastic scattering – 25.70.De Coulomb excitation – 25.70.Hi Transfer reaction – 29.30.Aj Charged-particle spectrometers: electric and magnetic
    Source: Springer Online Journal Archives 1860-2000
    Topics: Physics
    Notes: Abstract. We present the results of a Doppler-shift correction to the measured e+e−–sum-energy spectra obtained from e+e−–coincidence measurements in 238U +206Pb and 238U +181Ta collisions at beam energies close to the Coulomb barrier, using an improved experimental setup at the double-Orange spectrometer of GSI. Internal-Pair-Conversion (IPC) e+e− pairs from discrete nuclear transitions of a moving emitter have been observed following Coulomb excitation of the 1.844 MeV (E1) transition in 206Pb and neutron transfer to the 1.770 MeV (M1) transition in 207Pb. In the collision system 238U +181Ta, IPC transitions were observed from the Ta-like as well as from the U-like nuclei. In all systems the Doppler-shift corrected e+e−–sum-energy spectra show weak lines at the energies expected from the corresponding γ–ray spectra with cross sections being consistent with the measured excitation cross sections of the γ lines and the theoretically predicted IPC coefficients. No other than IPC e+e−–sum-energy lines were found in the measured spectra. The transfer cross sections show a strong dependence on the distance of closest approach (Rmin), thus signaling also a strong dependence on the bombarding energy close to the Coulomb barrier.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
  • 9
    ISSN: 1433-0385
    Keywords: Key words: Restorative proctectomy ; Coloanal anastomosis ; Pouch-anal anastomosis. ; Schlüsselwörter: Proktektomie ; restaurative ; Anastomose ; coloanale ; Anastomose ; colonpouchanale.
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung. Von 63 Patienten, welche eine tiefe anteriore Rectumresektion erhielten, wurden 39 mit einer direkten coloanalen Anastomose (CAA), 24 unter Zwischenschaltung eine Colon-J-Pouches als colonpouchanale Anastomose (CPA) rekonstruiert. Lokalseptische Komplikationen traten in 20,5 % aller Patienten nach CAA gegenüber 12,5 % nach CPA auf, die Stuhlfrequenz war nach zusätzlicher Pouchanlage 3,3 pro 24 h verglichen mit 5,2 pro 24 Std nach direkter coloanaler Anastomose (p = 0,053). Die postoperative Kontinenz war in der Pouchgruppe tendentiell besser (n. s.), die Analmanometrie zeigte lediglich einen signifikanten postoperativen Abfall des Ruhedruckes nach direkter coloanaler Anastomose. Die Ergebnisse sprechen für die Anlage eines primären Colonpouches, da die lokalseptische Komplikationsrate nach colonpouchanaler Anastomose niedriger und das funktionelle Ergebnis tendentiell günstiger ist.
    Notes: Summary. Thirty-nine of 63 patients undergoing deep anterior rectal resection received a straight coloanal anastomosis (CAA); the remaining 24 patients additionally had a colon-j-pouch (CPA) constructed. After pouch-anal anastomosis, local septic complications occurred in 12.5 % of patients compared to 20.5 % after coloanal anastomosis. Stool frequency after pouch-anal anastomosis was 3.3 per 24 h compared to 5.2 per 24 h after straight anastomosis within the first year after ileostomy closure (P = 0.053). Continence was slightly better in the pouch group (n. s.), and anal manometry showed a significant postoperative decrease only in resting pressure after straight coloanal anastomosis (P 〈 0.001). This study supports the construction of a colon-j-pouch after deep rectal resection, as the pouch-anal anastomosis has fewer local septic complications and seems to improve functional outcome.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
  • 10
    Electronic Resource
    Electronic Resource
    Springer
    Intensive care medicine 22 (1996), S. S67 
    ISSN: 1432-1238
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
Close ⊗
This website uses cookies and the analysis tool Matomo. More information can be found here...