Welcome to our book review site go-pdf.online!
You may have to Search all our reviewed books and magazines, click the sign up button below to create a free account.
Beneficial Long Term Effect of a Phosphodiesterase-5-inhibitor in Cirrhotic Portal Hypertension
Abstract: Non-selective beta-blockers are the mainstay of medical therapy for portal hypertension in liver cirrhosis. Inhibitors of phosphodiesterase-5 (PDE-5-inhibitors) reduce portal pressure in the acute setting by > 10% which may suggest a long-term beneficial effect. Currently, there is no available data on long-term treatment of portal hypertension with PDE-5-inhibitors. This case of a patient with liver cirrhosis secondary to autoimmune liver disease with episodes of bleeding from esophageal varices is the first documented case in which a treatment with a PDE-5-inhibitor for eight years was monitored. In the acute setting, the PDE-5- inhibitor Vardenafil lowered portal pressure by 13%. The portal blood flow increased by 28% based on Doppler sonography and by 16% using MRI technique. As maintenance medication the PDE-5-inhibitor Tadalafil was used for eight consecutive years with comparable effects on portal pressure and portal blood flow. There were no recurrence of bleeding and no formation of new varices. Influencing the NO-pathway by the use of PDE-5 inhibitors may have long-term beneficial effects in compensated cirrhosis
Esophageal Lichen Planus: Current Knowledge, Challenges and Future Perspectives
Abstract: Lichen planus (LP) is a frequent, chronic inflammatory disease involving the skin, mucous membranes and/or skin appendages. Esophageal involvement in lichen planus (ELP) is a clinically important albeit underdiagnosed inflammatory condition. This narrative review aims to give an overview of the current knowledge on ELP, its prevalence, pathogenesis, clinical manifestation, diagnostic criteria, and therapeutic options in order to provide support in clinical management. Studies on ELP were collected using PubMed/Medline. Relevant clinical and therapeutical characteristics from published patient cohorts including our own cohort were extracted and summarized. ELP mainly affects middle-...
Close Relationship Between Systemic Arterial and Portal Venous Pressure in an Animal Model with Healthy Liver
Abstract: It is unclear to what extent systemic arterial blood pressure influences portal pressure. This relationship is clinically important as drugs, which are conventionally used for therapy of portal hypertension, may also influence systemic arterial blood pressure. This study investigated the potential correlation between mean arterial (MAP) and portal venous pressure (PVP) in rats with healthy livers. In a rat model with healthy livers, we investigated the effect of manipulation of MAP on PVP. Interventions consisted of 0.9% NaCl (group 1), 0.1 mg/kg body weight (bw) Sildenafil (low dose), an inhibitor of phosphodiesterase-5 (group 2), and 1.0 mg/kg bw Sildenafil (high dose, group 3) i...
Comprehensive Lifestyle Intervention Vs Soy Protein-based Meal Regimen in Non-alcoholic Steatohepatitis
Abstract: BACKGROUND Non-alcoholic steatohepatitis (NASH) has become one of the leading causes of liver disease in the western world. In obese patients weight reduction is recommended. Up to now there are no specific guidelines for weight loss in order to reduce hepatic fat content. AIM To investigate the effects of a 24-wk guided lifestyle intervention program compared to a meal replacement regimen based on soy protein. METHODS Twenty-six subjects with NASH participated in a randomized single-center study. They were randomly assigned to either meal replacement group (MR-G) with soy-yogurt-honey preparation or to guided lifestyle change group (LC-G) with endurance activity and nutrition coun...
Objetos celestes para prismáticos (2ª Edición)
En esta guía, pensada para acompañarnos en la aventura de descubrir el cielo y concebida y organizada para ser utilizada durante la propia observación, los objetos celestes aparecen agrupados por constelaciones, y estas, a su vez, por la época del año en la que son visibles. En cada constelación se sitúan y describen los objetos de mayor interés y belleza, con comentarios muy prácticos para identificarlos y apreciar sus características más notables. Además de los llamados objetos de cielo profundo (cúmulos, nebulosas y galaxias), también se incluyen las estrellas dobles que pueden ser separadas con prismáticos y una selección de estrellas variables de carbono. La información acerca de las referencias históricas y mitológicas de cada constelación añade un conocimiento cultural que complementa la pura contemplación de los astros. Al final del volumen se abordan otros aspectos de interés científico y se ofrecen numerosas tablas con datos de utilidad para las observaciones.
Jane's Fighting Ships 2009-2010
Jane's Fighting Ships is your essential reference to the world's navies. Country by country, you will find authoritative commentaries for each ship, complete with comprehensive details of: displacement and dimensions, main machinery, speed and range, weapons systems, construction and modernisation programmes, latest operational status and strength of fleet including sales to other navies.
