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  • 11
    ISSN: 1420-9071
    Keywords: Acute ischemic renal failure ; angiotensin converting enzyme inhibition ; enalapril ; tubulo-glomerular feedback/proximal tubular pressure ; renal histology ; medullary capillary congestion
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Medicine
    Notes: Summary The influence of the renin-angiotensin system on renal hemodynamics, tubular pressure and tubulo-glomerular feedback was investigated with the angiotensin converting enzyme inhibitor MK 421 (enalapril), in uninephrectomized rats with and without ischemia-induced acute renal failure. In animals with normal renal function proximal tubular pressure and tubulo-glomerular feedback response were lowered by enalapril long-term treatment, whereas glomerular filtration rate and renal blood flow were not influenced by the drug. After 45 and 70 minutes ischemia there was no difference between treated and untreated animals in the severely impaired glomerular filtration rate. Renal blood flow remained unaffected by the treatment. The histological damage due to ischemia (tubular casts, tubular necrosis and medullary capillary congestion) was not influenced by enalapril. As tubulo-glomerular feedback had been significantly inhibited during renin-angiotensin inhibition, its importance in mediating acute renal failure remains doubtful; other factors such as tubular obstruction and medullary congestion may be crucial.
    Type of Medium: Electronic Resource
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  • 12
    Electronic Resource
    Electronic Resource
    Springer
    European food research and technology 105 (1957), S. 89-98 
    ISSN: 1438-2385
    Source: Springer Online Journal Archives 1860-2000
    Topics: Process Engineering, Biotechnology, Nutrition Technology
    Notes: Zusammenfassung Die Frage, ob Natriumchlorid allgemein — und welcher Reinheitsgrad der geprüften 5 Salzsorten im besonderen — geeignet sei, bei der gravimetrischen Butterwasserbestimmung (Trockenschrankmethode) das üblicherweise verwendete Ver teilungsmittel Seesand mit Vorteil zu ersetzen, bzw. ob unter Umständen bei dieser Arbeitsweise — vergleichsweise zur Schnellmethode — ebenfalls auf ein Verteilungsmittel verzichtet werden kann, wurde durch statistisch ausgewertete Vergleichsuntersuchungen beantwortet. Es ergab sich, daß die geprüften Salze: Natriumehlorid zur Analyse a) — reinst, getrocknet, fein gepulvert b) — reinst, getrocknet c) — reinst, kristallisiert DAB. 6. d) sowohl im Hinblick auf die „Genauigkeit” der Arbeitsweise, als auch in bezug auf die statistisch „gesicherte” Gleichartigkeit der Ergebnisse, ferner hinsichtlich der Troeknungszeit dem Verteilungsmittel Seesandgleichwertig sind. Diese Feststellung trifft bei Verwendung eines Kochsalzes mit nicht definiertem Reinheitsgrad [Salz e)] nurmehr beschränkt zu: Trotz ausreichender Genauigkeit ergibt sich bei dessen Verwendung ein niedrigerer Wassergehalt der Butter als mit Seesand, eine Unterschiedlichkeit, die statistisch „gesichert” ist. Auch eine vergleichsweise fast doppelt so lange Trocknungsdauer spricht gegen dessen Verwendung. Welchem von den geeigneten Salzen der Vorzug einzuräumen ist, kann nur bei gegenseitiger Abwägung verschiedener Faktoren entschieden werden:Nicht erforderlich ist es, sich einseitig auf die Verwendung von Natriumchlorid mit dem höchsten Reinheitsgrad; NaCl pro anal., festzulegen, vielmehr scheint in bezug auf Genauigkeit, Gleichartigkeit, Troeknungszeitund Preis das Natriumchlorid reinst, getrocknet, fein gepulvert b) das Salz derWahl zu sein. Bei der gravimetrischen Methode (Trocknung in einstündigen Intervallen bei 103–105°C im Trockenschrank bis zur Gewichtskonstanz) ist der Arbeitsweise mit Verteilungsmitteln gegenüber der Arbeitsweise ohne Verteilungsmitteln in bezug auf „Genauigkeit” und Zeitaufwand der Vorzug zu geben. Die Notwendigkeit eines Verreibens der Butter mit dem Verteilungsmittel besteht bei der Wasserbestimmungnicht, vielmehr erwies sich — vergleichsweise dazu — die Arbeitsweise des Nichtverreibens im Hinblick auf die Genauigkeit und Zeitdauer der Bestimmunggleichwertig, arbeitstechnisch gesehen aber überlegen.
    Type of Medium: Electronic Resource
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  • 13
    ISSN: 1432-1440
    Keywords: Cyclosporin A ; Steroid ; Cadaveric renal transplantation ; Nephrotoxicity
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The actual survival rate of 25 primary cadaveric kidney grafts in recipients treated initially with cyclosporin A (CyA) alone was 84%. The survival rate in 37 patients under conventional immunosuppression was 76%. The mean number of dialyses required in the first 4 weeks after transplantation was 1.2 per patient in both groups. At 15–28 months posttransplant, mean serum creatinine levels have remained stable at 175 µmol/l in the CyA group. The mean daily dose of steroids (including methylprednisolone i.v.) in the first two months was 2.07 mg/kg/d in patients under conventional immunosuppression and 0.76 mg/kg/d in the patients receiving CyA (p〈0.001). The combination of CyA with low-dose steroids enabled the dose of CyA to be rapidly tapered off in once-weekly steps. CyA levels were monitored by determination of whole blood trough concentrations (target level: 300–800 ng/ml). At 60 days posttransplant the average dose of CyA was 6.0±0.5 mg/kg/d compared with an average daily dose of 11.4±0.9 as recommended for CyA alone in the protocol for the European multicentre study. This more rapid reduction in the CyA dose reduced nephrotoxicity (serum creatinine levels 174±14 as compared with 289±31 µmol/l) (p〈0.05) and almost halved the number of methylprednisolone pulses given up to the end of the second month. We conclude from these results (1) that previously the dosage of CyA administered at this centre was probably too high, and (2) early adjustment of dose levels on the basis of blood concentrations and with low-dose prednisone cover appears to be safe and effective, but requires further verification.
    Type of Medium: Electronic Resource
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  • 14
    Electronic Resource
    Electronic Resource
    Amsterdam : Elsevier
    Optics Communications 18 (1976), S. 91 
    ISSN: 0030-4018
    Source: Elsevier Journal Backfiles on ScienceDirect 1907 - 2002
    Topics: Physics
    Type of Medium: Electronic Resource
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  • 15
    ISSN: 1433-2965
    Keywords: Key words:Bisphosphonate – Bone mineral density – Bone strength – IGF-I – Osteoporosis – Ovariectomy – SERM
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract: Selective estrogen receptor modulators (SERMs) can prevent the bone loss induced by ovariectomy (OVX), but it is not established whether they can increase bone mass and strength in a curative protocol in ovariectomized osteopenic animals. We investigated the influence of a SERM of the new generation, MDL 103,323, on areal bone mineral density (BMD), as measured by dual-energy X-ray absorptiometry, bone strength and remodeling in OVX osteopenic rats. Nine weeks after OVX, 8-month-old rats were divided into six groups of 10 animals. MDL 103,323 was given by gavage at doses of 0.01, 0.1 or 0.6 mg/kg body weight, 5 days a week. The effect of MDL 103,323 was compared with that of the bisphosphonate pamidronate (APD), which was injected subcutaneously at a dose of 1.6 mmol/kg body weight for 5 days every 4 weeks. Lumbar spine (LS), femoral neck (FN), proximal tibia (PT) and midshaft tibia (MT) BMD, bone strength, and proximal tibia histomorphometry, serum osteocalcin, urinary total deoxypyridinoline and serum insulin-like growth factor I (IGF-I) were measured. After 16 weeks of treatment, BMD changes (means ± SEM) were −11.4 ± 2.2, +4.0 ± 2.1 and +6.4 ± 1.0% respectively in OVX controls, in rats treated with 0.1 mg/kg MDL 103,323 (p〈0.05) and in APD-treated rats (p〈0.02) at the level of LS; −0.4 ± 1.1, +6.7 ± 1.4, +7.2 ± 1.8% (p〈0.01 and NS) at the level of FN; and −2.6 ± 1.2%, +5.8 ± 1.2, +6.9 ± 1.4% (p〈0.03 and 0.01) at the level of PT. MDL 103,323-treated animals had a higher trabecular bone volume, a higher number of trabeculae and smaller intertrabecular spaces compared with OVX controls. Vertebral body ultimate strength was 186 ± 13, 292 ± 16, 249 ± 23 N (p〈0.05) in OVX controls, MDL 103,323-treated rats and APD-treated rats, respectively. The administration of 0.6 mg/kg of MDL 103,323 did not further increase BMD or bone strength, indicating a bell-shaped dose–response curve. MDL 103,323 lowered plasma osteocalcin concentration and urinary deoxypyridinoline excretion. In rats treated with 0.1 mg/kg MDL 103,323, plasma IGF-I was increased as compared with OVX controls (664 ± 36 ng/ml vs 527 ± 39 ng/ml, p〈0.05). In conclusion, these results indicate that this new SERM positively influences BMD and lumbar spine bone strength in estrogen-deficient rats.
    Type of Medium: Electronic Resource
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  • 16
    ISSN: 1432-2277
    Keywords: Cyclosporin A, alkaline phosphatase ; Alkaline phosphatase, CyA ; Kidney transplantation, CyA ; Osteodystrophy, kidney transplantation
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract In 1981 cyclosporin A (CyA) became available and replaced azathioprine (Aza) as the immunosuppressive agent in kidney transplantation at the University Hospitals in Basel, Switzerland. Patients on CyA and prednisone (CyA/p) therapy frequently demonstrated an isolated rise in bone-derived serum alkaline phosphatase (aP) concentration, but patients on Aza and prednisone (Aza/p) therapy did not. On the basis of long-term aP concentration and using noninvasive means, the present retrospective study was designed to investigate biochemical markers and radiographic signs of bone disease after successful kidney transplantation in patients on Cya/p treatment. Similar investigations were performed in patients on Aza/p and the results were compared. Follow-up examinations included clinical examination, radiography of the hand, and biochemical analysis of serum and urine. In 139 renal transplant patients on CyA/p, aP increased transiently after successful grafting (at transplantation 84±43 U/l; on day 90, 112±82 U/l). In 50 patients aP levels were higher at the time of transplantation (120±80 U/l) and aP peaked after 8±6 months, at a mean concentration of 242±103 U/l. In these patients aP concentrations exceeded the normal range for 16±10 months. None of the patients on CyA/p showed symptoms of bone disease when aP was increased. Radiological surveys revealed more pronouced osteodystrophy in patients at the time of transplantation, which increased aP to above the normal range after transplantation. Despite this rise in aP, over the long term bone lesions improved radiographically while bone mass remained stable. In constrast, patients treated with Aza/p demonstrated a significant decrease in aP level after transplantation from 75±33 U/l to 54±29 U/l on day 90. In addition, radiographic bone changes persisted and bone mass decreased significantly. After a 2-year follow-up, serum parathyroid hormone, 1,25-(OH)2-vitamin D3, calcium, and phosphorus concentrations, urinary excretion of hydroxyproline, and tubular reabsorption of phosphate did not differ between patients on CyA/p and controls on Aza/p. We conclude that after successful kidney transplantation and initiation of CyA/p therapy, a transient increase in bone-derived aP frequently occurred. These patients more often demonstrated radiographic signs of pre-existing osteodystrophy. However, over the long term, these changes improved.
    Type of Medium: Electronic Resource
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  • 17
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    Woodstock, Md., etc : Periodicals Archive Online (PAO)
    Theological Studies. 21 (1960) 334 
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  • 18
    ISSN: 1432-198X
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 19
    ISSN: 1432-198X
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 20
    ISSN: 1432-2072
    Keywords: Key words Serotonin receptor ; 5HT2A ; M100907 ; [11C]M100907 ; Positron emission tomography ; PET ; Human brain ; Schizophrenia
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract  Rationale: Selective drugs are required to test the hypothesis whether antipsychotic effects may be induced or modulated by 5HT2A receptor antagonism. M100907 (previously known as MDL 100,907) is a highly selective 5HT2A antagonist in clinical development. Objective: To test if the suggested clinical dose of 20 mg M100907 daily induces high 5HT2A receptor occupancy in patients with schizophrenia. Methods: The 5HT2A receptor occupancy was determined in two patients with schizophrenia treated with M100907, 20 mg once a day. Positron emission tomography (PET) with 11C-labeled M100907, was performed prestudy and under steady state conditions. Clinical ratings were performed weekly. Results: Clinical treatment with M100907, 20 mg daily induced a very high 5HT2A receptor occupancy in the frontal cortex of both patients (〉90%). M100907 was well tolerated. One patient improved minimally and one patient became minimally worse during treatment. Conclusions: The results confirm that an oral dose of 20 mg per day ensures adequate 5HT2A receptor occupancy for clinical proof of concept. The sample is too small to allow conclusions about the clinical effect.
    Type of Medium: Electronic Resource
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