Laparoscopy in patients with suspected acute appendicitis.
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Biomedical subjects
Publications and source records attributed to J Jersky.
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The administration of metoclopramide (MET) increased human pancreatic polypeptide (hPP) levels in 17 of 18 male and female control subjects. In all the control subjects, the increase was from a mean (+/- SD) basal level of 96 +/- 60 pg/ml, to a peak of 221 +/- 170 pg/ml. The peak occurred at 30 min, and levels had decreased by 60 min in all subjects. Atropine pretreatment in five male control subjects significantly decreased basal hPP levels and completely abolished the response to MET. It thus likely that the hPP increase consequent to MET administration is related to the latter's cholinergic properties.
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Effective reconstructive techniques are available for immediate, primary repair of surgical defects caused by extensive ablation for malignant conditions of the head and neck. Primary repairs rely heavily on the principle of 'axial-based' skin flaps which can be transposed into the defects without delay. Three cases are presented to illustrate the method.
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Auxiliary liver allografts were inserted into baboons and allowed to undergo rejection. The incorporation of (14)C leucine into alkaline phosphatase was measured in both host and donor livers with the aid of an anti-alkaline phosphatase antibody. The results indicate that the increased serum alkaline phosphatase levels found under these circumstances are due to increased synthesis of the enzyme by both livers. Furthermore, it was shown that in the absence of biliary obstruction, this enhanced production of alkaline phosphatase is accompanied by an increase in the excretion of the enzyme into bile. It is suggested that the stimulus for the enhanced production of alkaline phosphatase is a substance which is normally produced in the liver and excreted into the bile.
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