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Poul J, Bajerová J, Starý D, Srámková L, Pavlík T. [Subtalar stabilization of pes equinovalgus by conventional open surgery using bicortical iliac crest bone graft (mid-term results)]. Acta Chir Orthop Traumatol Cech 2007; 74:392-396. [PMID: 18198089] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
PURPOSE OF THE STUDY The aim of the study was to analyze the results of subtalar stabilization of the foot by conventional open surgery with the use of bicortical graft in cerebral palsy patients with pes equinovalgus and to compare our results with those of other authors. MATERIAL A total of 193 operations were performed, with bilateral surgery in 84, surgery on the right foot in nine and surgery on the left foot in 16 patients. The average follow-up was 5 years and 2 months. METHODS Before and after surgery, the clinical presentation in each patient was evaluated according to our subjective, description- based classification using a I-to-III scale (I, normal foot; II, moderate deformity; III, severe deformity). On lateral radiographs of the foot in a standing position, the talocalcaneal (TC) angle and that between the longitudinal calcaneus axis and foot-supporting surface (CS) were measured. The data was analyzed by statistical methods. RESULTS The pre-operative findings were compared with the post-operative ones on the basis of our I-III classification system. In all results obtained with the McNemar test, p-values were lower than 0.001; therefore, at a 5 % level, the null hypothesis can be ruled out and a conclusion can be drawn that this surgery has an effect on the change in foot shape, as defined by our classification. Surgery failed in 13 feet (6.7 %), i.e., it did not produce any change in the degree of deformity. Similarly, values of the TC and CS angles were compared. The null hypothesis of Wilcoxon's test is that the patient's condition (TC and CP angles) remains the same before and after surgery. In all cases, the p-values were lower than 0.001; therefore, at a 5 % level, the null hypothesis can be ruled out, with the conclusion that differences between pre- and postoperative conditions were statistically significant. DISCUSSION The results of this study, as compared with the relevant data, show that, for correction of pes equinovalgus, subtalar stabilization with bicortical iliac crest graft is a sufficiently reliable method even without metal fixation. The failure rate is only 6.7 %. CONCLUSIONS The method described here achieves good results, the validity of which is supported by statistical analysis. Key words: cerebral palsy, pes equinovalgus, subtalar extra-articular arthrodesis.
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Affiliation(s)
- J Poul
- Klinika detské chirurgie, ortopedie a traumatologie FN, Brno
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Sedlácek P, Formánková R, Keslová P, Srámková L, Hubácek P, Król L, Kulich M, Starý J. Low mortality of children undergoing hematopoietic stem cell transplantation from 7 to 8/10 human leukocyte antigen allele-matched unrelated donors with the use of antithymocyte globulin. Bone Marrow Transplant 2006; 38:745-50. [PMID: 17041606 DOI: 10.1038/sj.bmt.1705524] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Human leukocyte antigen (HLA)-matched sibling donor hematopoietic stem cell transplantation (HSCT) is available for only approximately 30% patients needing HSCT. Use of alternative donors is associated with a high incidence and severity of graft-versus-host disease (GVHD). Here we report our experience with GVHD prophylaxis using pre-transplant rabbit antithymocyte globulin (rATG), in addition to post transplant cyclosporin A and methotrexate. Seventy-five children received unmanipulated grafts from 7 to 10/10 HLA allele-matched unrelated donors. Median follow-up was 25 months (range, 6-65 months). Only 2/75 patients (2.5%) developed acute GVHD grades III-IV, and 17/75 (25%) developed extensive chronic GVHD. Overall survival was 79%. It was similar in patients receiving grafts from 7 or 8/10 to 9 or 10/10 allele-matched donors, and similar in patients receiving peripheral blood stem cells and marrow. Six (11%) patients died owing to relapse, and 10 (13%) due to transplant-related complications. The addition of rATG appears to result in a low incidence of severe GVHD and overall mortality.
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Affiliation(s)
- P Sedlácek
- Department of Pediatric Hematology and Oncology, University Hospital Motol, Charles University Prague, Prague, Czech Republic.
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Bielaszewská M, Srámková L, Janda J, Bláhová K, Ambrozová H. Verotoxigenic (enterohaemorrhagic) Escherichia coli in infants and toddlers in Czechoslovakia. Infection 1990; 18:352-6. [PMID: 2076907 DOI: 10.1007/bf01646403] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
The results of the investigation indicate that verotoxigenic Escherichia coli (VTEC) belonging to enteropathogenic and other serogroups including Escherichia coli O157:H7 or H- are important enteropathogens in infants and toddlers in Czechoslovakia. As to enteropathogenic serotypes, verotoxin (VT) production was proved most frequently in strains of serogroup O26, and also O111 and O128. Diseases caused by them were as a rule manifested by febrile watery diarrhoea with mucus in the stool. In two of five infants with Escherichia coli O26 :H11 with VT1 production in titres of greater than or equal to 1:512 (blood was present) in the stool and one suffered from marked abdominal pain. In one infant haemorrhagic colitis due to Escherichia coli O157:H- was found. Haemolytic uraemic syndrome associated with VTEC of serogroups O157, O26, O18, O5 and O1 with VT1 and/or VT2 was observed in six children including five who contracted the disease during an outbreak in a small town, and the source of infection was probably contaminated water. Five children recovered and one died; the postmortem examination revealed haemorrhagic colitis and necrosis of the renal cortex. Haemorrhagic colitis caused by Escherichia coli O157 in infants and toddlers differed from the course hitherto described in older subjects by fever and the presence of mucus in the stools.
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Affiliation(s)
- M Bielaszewská
- Faculty of Pediatrics, Institute of Medical Microbiology, Prague, Czechoslovakia
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Srámková L, Bielaszewská M, Janda J, Bláhova K, Hausner O. Vero cytotoxin-producing strains of Escherichia coli in children with haemolytic uraemic syndrome and diarrhoea in Czechoslovakia. Infection 1990; 18:204-9. [PMID: 2210851 DOI: 10.1007/bf01643386] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
The presence of verotoxin-producing strains of Escherichia coli (VTEC) was examined in six children with haemolytic uraemic syndrome and one child with haemorrhagic colitis. Stools were screened for strains of serogroup O157 on sorbitol-MacConkey agar for VTEC of other serogroups by serotyping. Verotoxin (VT) was tested on Vero cell monolayers: the antigenic variant of VT was assessed by neutralization experiments. Strains producing verotoxin 1 or verotoxin 2 or both were detected in the stools of all seven children. Three strains belonged to serogroup O157 (two of them to serotype O157:H7, one was non-motile) and another five belonged to serogroups O26 (two strains), O1, O5 and O18. The faeces of five children available for testing contained free VT. Production of VT was also examined retrospectively in 32 E. coli strains of serotype O26:H11 isolated from children with diarrhoea; eight (25%) of them produced moderate to high levels of verotoxin 1 despite several years storage in vitro. In conclusion, VTEC including strains of serogroup O157 seem to be an important cause of haemolytic uraemic syndrome, haemorrhagic colitis and diarrhoea in children in Czechoslovakia.
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Srámková L. [Verotoxigenic (enterohemorrhagic) Escherichia coli]. Cesk Pediatr 1990; 45:26-9. [PMID: 2203547] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Affiliation(s)
- L Srámková
- I. infekcní klinika fakulty dĕtského lékarství Univerzity Karlovy, Fakultní nemocnice Bulovka, Praha
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Ambrozová H, Srámková L, Bielaszewská M. [Diseases caused by verotoxigenic Escherichia coli]. Cesk Pediatr 1990; 45:29-30. [PMID: 2203548] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Affiliation(s)
- H Ambrozová
- I. infekcní klinika fakulty dĕtského lékarství, Univerzity Karlovy, Praha-Bulovka
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Srámková L, Ambrozová H. [Rehydration of infants and toddlers with diarrheal disease using drip infusion through a nasogastric tube]. Cesk Pediatr 1988; 43:134-8. [PMID: 3365799] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
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Srámková L, Havlík J, Ambrozová H, Slárová J, Potuzník V. [Incidence and course of Campylobacter diarrheas in children]. Cesk Pediatr 1986; 41:14-6. [PMID: 3948268] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
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Srámková L, Rýc M. [New findings on viral gastroenteritis]. Cesk Pediatr 1985; 40:170-2. [PMID: 4005992] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
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Srámková L, Havlík J, Slárová J, Tichý V, Rýc M, Pesek J, Korych B. [Rotavirus gastroenteritis - the most frequent diarrheal disease of infants and toddlers]. Cesk Pediatr 1983; 38:385-9. [PMID: 6616690] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
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Korych B, Rýc M, Sobotková E, Pesek J, Prokesová L, Srámková L. [Comparison and evaluation of various methods of laboratory diagnosis of rotavirus infections (electron microscopy, counterimmunoelectrophoresis, enzyme immunoassay, coagglutination, immunofluorescence)]. Cesk Epidemiol Mikrobiol Imunol 1983; 32:185-96. [PMID: 6225533] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
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Wolfová J, Potuzník V, Lochmann O, Hausner O, Stastná J, Havlík J, Srámková L. [Experience in a cultivation proof of Campylobacter jejuni]. Cesk Epidemiol Mikrobiol Imunol 1982; 31:193-7. [PMID: 6214318] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
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Srámková L, Havlík J, Slárová J, St'astná J, Potuzník V, Volfová J, Lochmann O. [Campylobacter fetus ssp. jejuni - another cause of childhood diarrheal disease]. Cesk Pediatr 1982; 37:192-4. [PMID: 7094109] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
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Rýc M, Pesek J, Srámková L, Havlík J. [Electron microscopy in the diagnosis of rotavirus infection (author's transl)]. Cesk Epidemiol Mikrobiol Imunol 1979; 28:284-8. [PMID: 232009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
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Srámková L, Rýc M, Pesek J. [Rotavirus gastroenteritides in infants and toddlers]. Cesk Pediatr 1978; 33:670-1. [PMID: 216499] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
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Srámková L, Pesek J. [Virus-induced diarrheas]. Cesk Pediatr 1978; 33:348-51. [PMID: 357029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
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Srámková L, Vanista J, Poláková L, Cervová H, Klanica J. [Leptospiroses and their diagnostics (author's transl)]. Cesk Epidemiol Mikrobiol Imunol 1977; 26:363-9. [PMID: 147752] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
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Srámková L, Vanista J, Cervová H, Poláková L. [Serological diagnosis of leptospirosis]. Cas Lek Cesk 1977; 116:369-73. [PMID: 861991] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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Klanica J, Srámková L, Cervová H. [Immunofluorescent technique in serology of leptospiroses. II. Demonstration of specific IgM antibodies in acute leptospiroses (author's transl)]. Cesk Epidemiol Mikrobiol Imunol 1976; 25:280-6. [PMID: 136308] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
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Srámková L, Vanista J, Havlík J, Doutlík S. [Influenza myositis in children]. Cesk Pediatr 1976; 31:71-2. [PMID: 1260932] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
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Srámková L, Vanista J, Duníewicz M, Cerovová H, Lobkowicz F. [Differential diagnostics between leptospirosis and tick-born meningoencephalitis (author's transl)]. Cesk Epidemiol Mikrobiol Imunol 1974; 23:160-4. [PMID: 4280954] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
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Srámková L, Doutlík S, Cermáková D. Activation of lymphocytes in peripheral blood in parainfectious encephalitis associated with exanthema. Scand J Infect Dis 1974; 6:23-7. [PMID: 4828775 DOI: 10.3109/inf.1974.6.issue-1.04] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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Srámková L, Fortová D. Investigation of lymphocyte activation in peripheral blood in infectious diseases. Z Immunitatsforsch Exp Klin Immunol 1972; 144:129-39. [PMID: 4282934] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
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Doutlík S, Vacek Z, Jezková Z, Vepreková A, Kyselová M, Pekárek J, Srámková L, Harvánková D. [Sensitivity against brain tissue in patients immunized with the Hempt vaccine]. Dtsch Gesundheitsw 1972; 27:1263-6. [PMID: 5075400] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
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Srámková L, Vanista J, Tesarová J, Cervová H, Kárpenková H. [Contribution to the serodiagnosis of leptospiroses]. Dtsch Gesundheitsw 1972; 27:859-64. [PMID: 5037377] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
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Srámková L, Procházková E, Novák M. [Alkaline leukocyte phosphatase in meningitis and meningoencephalitis]. Med Klin 1969; 64:1748-52. [PMID: 5346111] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
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Srámková L. [Leukocyte alkaline phosphatase in pulmonary ornithosis]. Med Klin 1969; 64:1285-7. [PMID: 5799787] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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Srámková L, Procházková E. [Alkaline phosphatase in leukocytes in virus infections of childhood]. Cesk Pediatr 1969; 24:319-25. [PMID: 5768151] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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Srámková L, Lasovská J, Seidler L. [Alkaline phosphatase of leukocytes in bacterial intestinal infections]. Med Klin 1968; 63:1674-7. [PMID: 5725563] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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Srámková L, Procházková E. [Alkaline phosphatase in neutrophilic leukocytes in infectious diseases]. Schweiz Med Wochenschr 1968; 98:1325-9. [PMID: 4234608] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
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Vanista J, Srámková L. [Panmyelopathy following acute hepatitis]. Med Klin 1968; 63:757-759. [PMID: 5730196] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
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Srámková L, Vanista J, Tesarová J. [On the clinical picture of leptospiroses]. Munch Med Wochenschr 1968; 110:1127-9. [PMID: 5695546] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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Vanista J, Srámková L. [Experiences in corticosteroid treatment of epidemic hepatitis]. Ther Ggw 1967; 106:790-4. [PMID: 5600596] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Srámková L, Vanista J. [Botulism]. Ther Ggw 1967; 106:361-9. [PMID: 5594295] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Srámková L, Kocián J, Vanista J, Skvor P. [Leukocyte alkaline phosphatase in infectious hepatitis and bile duct diseases]. Med Klin 1966; 61:834-7. [PMID: 5988330] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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Srámková L, Vanista J, Masek K. [Alkaline phosphatase in leukocytes during infectious hepatitis. I. Influence of corticoid treatment and differentiation from other liver and biliary tract diseases]. Cas Lek Cesk 1966; 105:234-238. [PMID: 5910399] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
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Koclán J, Srámková L. [Alkaline phosphatase in leukocytes in biliary tract diseases and some chronic liver diseases]. Cas Lek Cesk 1966; 105:119-24. [PMID: 5906097] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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Srámková L, Kouba K, Bendová N. Alkaline phosphatase in neutrophil leukocytes of patients with infectious mononucleosis and the effect of corticosteroid therapy. Blood 1965; 26:479-88. [PMID: 5825008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023] Open
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