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  • Digitale Medien  (2)
  • Anti-inflammatory activity  (1)
  • Diagnostic variables  (1)
  • 1
    ISSN: 1420-908X
    Schlagwort(e): Meloxicam ; Non-steroid anti-inflammatory drugs ; Anti-inflammatory activity ; Analgesic activity ; Gastrointestinal tolerance
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract The anti-inflammatory, analgesic and antipyretic properties of the new non-steroidal anti-inflammatory agent, meloxicam, were investigated in a variety of animal models and compared with the properties of piroxicam, diclofenac, indomethacin and several other NSAIDs. With respect to the total effect of a single oral dose, the anti-exudative effect of meloxicam on carrageenaninduced oedema in the rat exceeded that of all the NSAIDs included in the comparison. Additionally, meloxicam showed the greatest potency of all the compounds examined with respect to adjuvant-induced arthritis in the rat, the granuloma pouch model and the cotton pellet test in the rat. Unlike indomethacin, in the carrageenan pleurisy model in the rat, meloxicam caused both a dose-dependent reduction in exudate volume and also inhibition of leucocyte migration. Meloxicam showed a strong and lasting effect on inflammatory pain in the rat. Like other NSAIDs, but unlike dipyrone, meloxicam had no effect in the hot plate and tail clamp tests, which are used to identify weak central analgesic effects. Unlike dipyrone and like indomethacin, meloxicam had no effect in a model of visceral distention pain. In common with other NSAIDs, meloxicam had no influence on the body temperature of normothermic rats in the anti-inflammatory dose range, but did reduce yeastinduced fever in the rat in a dose-dependent manner. Like piroxicam, meloxicam had a uricosuric effect on rats treated with oxonic acid. Low-dose meloxicam inhibited both bradykinin-induced and PAF-induced bronchospasm in the guinea-pig, but had no effect on acetylcholine-induced bronchospasm. Piroxicam had greater ulcerogenic effects in the rat stomach than meloxicam. The therapeutic range of meloxicam in the rat, with regard to inhibition of adjuvant arthritis, was several times greater than that of piroxicam, indomethacin, diclofenac and naproxen.
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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  • 2
    Digitale Medien
    Digitale Medien
    Springer
    Langenbeck's archives of surgery 369 (1986), S. 782-783 
    ISSN: 1435-2451
    Schlagwort(e): Diagnostic variables ; Accuracy ; Predictive value ; Diagnosekriterien ; Treffsicherheit ; Vorhersagewahrscheinlichkeit
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Beschreibung / Inhaltsverzeichnis: Zusammenfassung Ca. 100 Jahre nach der ersten elektiven Appendektomie bestehen weiterhin oft Unsicherheiten in der Diagnose der Appendicitis, erkennbar an zu häufigen fehlinduzierten Laparotomien. Mittels einer prospektiven Untersuchung bei 75 Patienten wurden die üblichen diagnostischen Tests und anamnestischen Angaben untersucht (Sensivität, Spezifität, pos. Vorhersagewahrscheinlichkeit). DieKombination von 〉 10,000 Leukocyten/μm und Übelkeit zeigte eine hohe Treffsicherheit: Sensitivität 83%. Spezifität 87%, positiv 77%. Von nur 6 falsch positiven Fällen bestand bei 5 hingegen dennoch eine anders begründete Operationspflicht.
    Notizen: Summary About 100 years after Morton's first elective appendectomy, it is still desirable to achieve greater accuracy in the diagnosis of appendicitis and thus avoid unnecessary laparotomies. A prospective study of 75 patients evaluated the common diagnostic tests and variables (e.g. sensitivity, specificity, and predictive values) in patients' histories. Thecombined presence of 〉 10,000 leukocytes/gmm and nausea was found to be most valuable: (sensitivity, 83% ; specificity, 87% ; positive predictive value, 77%). Of only six incorrectly diagnosed cases, five still required operative therapy for other conditions.
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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