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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Langenbeck's archives of surgery 356 (1982), S. 141-149 
    ISSN: 1435-2451
    Keywords: Acute pancreatitis ; Computed tomography ; Ultrasound ; Operative treatment
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Die „stadiengerechte Therapie” der akuten Pankreatitis, die jedem Schweregrad der Erkrankung angemessen ist, besteht neben der konservativen Basistherapie und Intensivmedizin im richtigen Einsatz operativer Maßnahmen. Voraussetzung dafür ist die frühe Diagnose und Beurteilung des Schweregrades der akuten Pankreatitis. Neben klinischen und klinisch-chemischen Befunden und dem Verlauf unter konservativer Therapie ermöglichen die Sonographie und die Computer-Tomographie eine bessere Beurteilung der jeweiligen Verlaufsform. Die für die Klinik der Erkrankung so wichtigen morphologischen Veränderungen der Bauchspeicheldrüse und ihrer Umgebung werden durch diese neuartigen Untersuchungsmethoden transparenter. Wäh rend bei der leichten Pankreatitis die Sonographie als erstes morphologisches Untersuchungsverfahren eingesetzt wird, besteht bei den schweren Verlaufsformen eine klassische Indikation zur Computer-Tomographie. Durch Einsatz von Sonographie und Computer-Tomographie läßt sich die Indikation zur frühzeitigen oder verzögerten Operation der hämorrhagisch-nekrotisierenden Pankreatitis, die bisher nach klinischen Kriterien erfolgte, in den meisten Fällen exakter stellen.
    Notes: Summary Adequate stage-depending therapy of acute pancreatitis includes basic conservative treatment, intensive care measurements, and operative interventions depending on the grade of severity. Prerequisites are early diagnosis and accurate clinical assessment of the stage of severity. Beside clinical and laboratory findings, as well as the development of acute pancreatitis under conservative treatment, sonography and computed tomography allow a better prediction of the underlying morphological changes, thus leading to an exact staging of the patient's individual situation. Sonography is regarded a screening procedure of high accuracy in mild forms of acute pancreatitis. Computed tomography is the method of choice in all severe forms of this disease. The indication for immediate or delayed operative treatment of hemorrhagic necrotising pancreatitis, heretofore depending on clinical findings solely, is supported by these new-invasive diagnostic modalities.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Oecologia 73 (1987), S. 401-413 
    ISSN: 1432-1939
    Keywords: Gambusia affinis ; Fat storage ; Life history strategy ; Reproductive cycles ; Comparative life histories
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology
    Notes: Summary We argue, based on reviewed literature covering reptiles, amphibians, birds, and fish, that fat storage may represent a life history adaptation because it enables an organism to shift in time when resources are allocated to reproduction. We applied these arguments to fat and population cycles in three populations of the mosquito fish, Gambusia affinis. For males, there appeared to be a constant size at maturation during the reproductive season. Mature males became scarce late in the summer. At the same time, immature males delayed maturity and attained much larger sizes; they matured in large numbers in the fall. The amount of stored fat tended to be equal for immature and mature males at all times except in the late summer. In the August samples, when mature males were relatively rare, they also had the lowest level of fat reserves. It appears that the older generation of mature males did not store fat and did not overwinter. At the same time, immature males registered a two to three fold increase in fat reserves. These differences in fat content between mature and immature males disappeared by September, probably because of the recruitment of a new generation of mature males. The reserves were gradually utilized during the winter. Females reproduced from the late spring through mid- to late-summer. They stopped reproducing in the late summer, when there was ample time to produce an additional litter of young. There was an inverse relationship between resources devoted to reproduction and fat reserves. As reproductive allotment decreased in the late summer, fat reserves increased. The magnitude of the change in fat reserves was similar to that displayed by males. The reserves were depleted over the winter. Significant reserves remained at the beginning of the reproductive season the following spring. Reproducing females utilized the remaining reserves significantly more rapidly than non-reproducing females. An analysis of resource availability revealed an overall decrease in food availability in the late summer, coincident with the increase in fat reserves. These cycles are therefore not attributable to changes in resource availability. They instead indicate a change in how resources are allocated by the fish. The trends in the data indicate that fat reserves are used to shift investment in reproduction from the late summer to the following spring. In males, deferring maturity, rather than maturing in August, allows them to store the necessary reserves to survive the winter so that they can mate the following spring. In females, a subset of the fat reserves is intended for producing the first clutch of eggs the following spring. The female pattern corresponds to those reported for a diversity of organisms. The possible advantages of shifting reproductive effort from the fall to the following spring include higher fecundity and higher offspring fitness. The limitations of the methodology and potential directions for future research are discussed.
    Type of Medium: Electronic Resource
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