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  • Book
    Kyriakos Anastasiadis, Stephen Westaby, Polychronis Antonitsis, editors.
    Summary: This book provides an up-to-date and comprehensive overview of the etiology, diagnosis, and treatment of conditions affecting the structure and function of the right heart, comprising the right atrium, right ventricle, tricuspid valve, and pulmonary circulation. The right ventricle works against a reduced afterload as compared to the left ventricle, and the clinical picture of heart failure is generally dominated by the symptoms of left heart failure and hence initially neglected until they evolve into overt right heart failure with splanchnic congestion. When picked up at the very late stage, medical management and mechanical support of right heart failure are considered ineffective, and heart transplantation offers the only treatment option. The Failing Right Heart will be an essential reference for cardiac surgeons, cardiologists, cardiac anesthesiologists and cardiac intensivists on the diagnosis and treatment of patients with congenital or acquired right heart disease. The book deals with anatomy and physiology of the right heart, the etiology and the role of imaging of right heart failure, as well as the treatment options, from pharmacological regimes to surgery. Algorithms and flow diagrams are included to provide the reader with illustrated snapshots of the decisions involved in the management of these patients.

    Contents:
    Introduction
    Anatomy of the failing right heart
    Physiology of the failing right heart
    Pharmacologic approach to the failing right heart
    Echocardiographic evaluation of right heart failure
    Right heart catheterization for the failing right heart
    Magnetic Resonance Imaging of the failing right heart
    The failing right heart in congenital diseases
    Surgery of the tricuspid valve in right heart failure
    Pulmonary embolism and right heart failure
    Anaesthetic consideration and perioperative management in right heart failure
    Mechanical support and the right heart
    Special considerations.
    Digital Access Springer 2015
  • Article
    Stradley RP, Stern RJ, Heinhold NB.
    Am J Vet Res. 1979 Aug;40(8):1201-5.
    Exocrine pancreatic function was evaluated in 13 dogs, using the chymotrypsin-labile peptide N-benzoyl-L-tyrosyl-p-aminobenzoic acid (BT-PABA). This peptide releases p-aminobenzoic acid (PABA) in the presence of pancreatic chymotrypsin. The amount of PABA in blood or urine after BT-PABA administration then served as an index of pancreatic function. Similarly, a xylose absorption test has been described in the literature to evaluate absorptive function of the small intestine. Here, the pentose sugar d(+)xylose was given orally, and blood xylose concentrations were then measured at intervals. Since both tests were performed in nearly the same way, they were combined into a single test. A solution containing BT-PABA (30 mg/ml) and xylose (100 mg/ml) was administered perorally to dogs with and without pancreatic duct ligation. In the unoperated (control) dogs, peak blood concentrations for PABA occurred between 60 and 120 minutes and xylose concentrations were maximal between 30 and 90 minutes. Pancreatic duct ligation reduced PABA concentrations at 90 minutes to one-sixth of the values in control dogs. Xylose absorption, however, was not altered by pancreatic duct ligation. In this way, digestive and absorptive functions were both evaluated, using a single 90-minute test.
    Digital Access Access Options
  • Book
    the report prepared for the City Council by J.Paton Watson and Patrick Abercrombie, ... Show More with appendices on agriculture and soil by Dudley Stamp and G.W.Robinson. Introduction by the Lord Mayor of Plymouth, the Right Hon. the Viscount Astor, with a foreword by His Excellency the American Ambassador to the Court of St.James, the Hon. John G.Winant.
    Print 1943