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  • 1
    ISSN: 1433-0385
    Keywords: Key words: Renal hyperparathyroidism ; Operative therapy ; Prospective follow-up study. ; Schlüsselwörter: Renaler Hyperparathyreoidismus ; operative Therapie ; prospektive Beobachtungsstudie.
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung. In einer prospektiven Beobachtungsstudie bei Patienten mit renalem Hyperparathyreoidismus wurden nach Eingriffen an den Nebenschilddrüsen der Verlauf und die Abhängigkeit der Symptomatik von präoperativ ermittelten Laborparametern analysiert. Zwischen dem 1. 8. 1987 und dem 31. 12. 1995 wurden 79 Patienten operiert. Bei 72 Patienten erfolgten erstmalige Eingriffe an den Nebenschilddrüsen. Bevorzugtes Operationsverfahren war die totale Parathyreoidektomie mit autologer Epithelkörperchenreplantation (n = 67). Informationen zum postoperativen Verlauf liegen von allen Patienten vor. Bei 74 der 79 Patienten erfolgten regelmäßige Nachuntersuchungen (1–9, Median = 4) mit einer Nachbeobachtungszeit von 1–60 Monaten (Median 18 Monate). Das Ausmaß der postoperativen Hypocalciämie, die bei 84,8 % aller Patienten auftrat, war negativ mit der Höhe der präoperativen Serumkonzentrationen der alkalischen Phosphatase sowie des intakten Parathormons korreliert. Juckreiz klang postoperativ bei über 60 % der betroffenen Patienten innerhalb von 4 Wochen ab, während sich das ossäre Syndrom längerfristig zurückbildete. Ein Jahr postoperativ war der Juckreiz in 75 % und das ossäre Syndrom in 79 % der Fälle abgeklungen. In der Patientengruppe nach totaler Parathyreoidektomie mit simultaner Epithelkörperchenreplantation waren Gelenkschmerzen bei präoperativ erhöhten Spiegeln der alkalischen Phosphatase (〉 200 U/l) rascher rückläufig als bei normalen Spiegeln (p = 0,0297). Die Rezidivrate nach totaler Parathyreoidektomie und Autotransplantation beträgt 4,5 %. Patienteneigene Faktoren beeinflussen die Morbidität des Eingriffs wegen eines renalen Hyperparathyreoidismus. Die postoperative Hypocalciämie korreliert negativ mit dem Grad der zum Operationszeitpunkt vorliegenden renalen Osteopathie. Die Höhe der präoperativen Konzentration der alkalischen Phosphatase beeinflußt den zeitlichen Verlauf der postoperativen Rückbildung von Gelenkschmerzen.
    Notes: Summary. A prospective long-term follow-up study in patients who had had surgical therapy for renal hyperparathyroidism was launched to investigate the results of surgical treatment and to evaluate possible correlations between preoperative laboratory values and the course of the symptoms. From August 1987 to December 1995, 79 patients underwent surgery for renal hyperparathyroidism. It was the first neck exploration for 72 patients. Total parathyroidectomy with autotransplantation to a forearm was our preferred procedure (n = 67). The postoperative course of all patients is known. We carried out one to nine reexaminations (median 4) in 74 of 79 patients. The follow-up period ranged from 1 month to 5 years with a median of 18 months. After the operation transient hypocalcaemia occurred in 84.8 % of patients. Postoperative hypocalcaemia correlated negatively with the preoperative levels of alkaline phosphatase and intact parathyroid hormone. Within the first month after surgery 60 % of the preoperatively affected patients completely recovered from pruritus, whereas the skeletal syndrome took longer to disappear. One year after surgery 75 % of the patients with pruritus and 79 % of those with skeletal syndrome had became asymptomatic. After total parathyroidectomy with autotransplantation, patients with preoperatively elevated concentrations of alkaline phosphatase ( 〉 200 U/l) experienced faster relief from joint pain than patients with preoperatively normal concentrations (P = 0.0297). To date 4.5 % of the patients developed recurrent hyperparathyroidism after total parathyroidectomy with autotransplantation. Morbidity of surgery for renal hyperparathyroidism is influenced by patients' risk factors. Postoperative hypocalcaemia correlates negatively with the grade of renal osteopathy at the time of operation. Preoperative concentrations of alkaline phosphatase influence the rapidity of the relief from joint pain.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 0173-0835
    Keywords: Chemistry ; Biochemistry and Biotechnology
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Biology , Chemistry and Pharmacology
    Notes: At day 11 of gestation, embryos and their extraembryonic tissues were isolated from the uterus of Him OF1/SPF mice and incubated in Dulbecco's modified Eagle's medium (DMEM) containing L-[35S]methionine. After 4 h of incubation, the embryos were dissected to obtain the heart, liver, limb buds, and brain. The latter was fragmented into the telencephalon, mesencephalon, and myelencephalon. These organs and the extraembryonic tissues such as chorion, yolk sac, and placenta were processed for two-dimensional (2-D) gel electrophoresis. About 1000 proteins with relative molecular weights (Mr) varying from 10 000 to 200 000 and isoelectric points ranging from 4 to 10 could be detected on these gels. The protein patterns of the various organs and tissues were analyzed for organ- and cell lineage-specific protein spots. We detected subtle differences in the protein patterns of the three cerebral areas when compared to each other. In addition, we found protein spots characteristic for the entire brain. We also found several heart-specific protein spots. Distinct protein synthesis was also detected in liver and limb buds. Several groups of protein spots seem to be differentially regulated in these organs. Substantial differences between the patterns of embryonic and extraembryonic tissues were observed. In addition, several clusters of protein spots of well-defined molecular weight could be detected only in extraembryonic tissues. We propose that organ- and tissue-specific differences in protein synthesis are linked to some of the morphogenetic and functional processes during mammalian embryogenesis. Identification of particular proteins will serve as a basis to search for the corresponding genes.
    Additional Material: 4 Ill.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 0173-0835
    Keywords: Chemistry ; Biochemistry and Biotechnology
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Biology , Chemistry and Pharmacology
    Notes: A database of DNA fingerprint profiles from permanently established human and animal cell lines was prepared with a computer program originally designed for numerical taxonomy of bacteria. Identifications of cell line DNA profiles were performed, both by the Pearson product-moment correlation coefficient and by band matching. Under the conditions used the Pearson product-moment correlation coefficient was consistently more reliable.
    Additional Material: 3 Ill.
    Type of Medium: Electronic Resource
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