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Abstract
Wir berichten hier über die Chemotypen serologisch verschiedener pathogener und saprophytärer Leptospiren. Alle Leptospiren, pathogene und saprophytäre (L. biflexa Patoc), wie deren Polysaccharid-Fraktionen sind in der Zusammensetzung der Zuckerbausteine fast identisch. Das gleiche gilt für die Aminosäuren.
Das bedeutet, daß das Genus Leptospira, das 13 Haupt-Serotypen besitz, durch nur einen Chemotyp charakterisiert ist; ebenso ließ sich nur ein Infrarottyp nachweisen.
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Affiliation(s)
- J. Parnas
- Akademie der Medizin, Institut für Mikrobiologie und Epidemiologie, Lublin, Polen
| | - S. Poplawski
- Akademie der Medizin, Institut für Mikrobiologie und Epidemiologie, Lublin, Polen
| | - M. T. Cybulska
- Akademie der Medizin, Institut für Mikrobiologie und Epidemiologie, Lublin, Polen
| | - A. Książek
- Akademie der Medizin, Institut für Mikrobiologie und Epidemiologie, Lublin, Polen
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Birkmeyer N, Share D, Hawasli A, Poplawski S, Birkmeyer J. Real World Outcomes of Bariatric Surgery. J Surg Res 2010. [DOI: 10.1016/j.jss.2009.11.177] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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3
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Salajegheh M, Lin Y, Nazareno R, Liao A, Parker K, Pinkus J, Poplawski S, Amato A, Greenberg S. 113. Identification of candidate antigens in inclusion body myositis. Clin Neurophysiol 2008. [DOI: 10.1016/j.clinph.2007.11.163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Abstract
Recovery of phosphates from ferrous and/or ferric residues as a result of chemical precipitation was investigated. The product of biological reduction of sulphates--sulphides and free hydrogen sulphide--can react with iron ions forming ferrous sulphide which are less soluble then ferrous phosphates, releasing phosphates into solution. Laboratory scale experiments have confirmed the possibility of phosphates recovery. It was found that strict anaerobic conditions are required and that the process is COD/S ratio dependent.
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Tsang T, Neal C, Walker A, Taylor D, Sosnowski T, Poplawski S, Shragge D, Catellier D, Montague T, Teo K. Patterns of practice in emergency department management of chest pain of suspected cardiac origin: clinical utility of single stat creatine kinase (CK). J Emerg Med 1995; 13:471-80. [PMID: 7594364 DOI: 10.1016/0736-4679(95)80003-4] [Citation(s) in RCA: 3] [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: 01/26/2023]
Abstract
The patterns of practice and the clinical utility of a single stat creatine kinase (CK) level in the emergency department management of chest pain of suspected cardiac origin were examined by a prospective observational study using a two-part questionnaire, completed by physicians before and after availability of CK results. The results showed that of the 776 patients in the study, 135 were admitted to hospital with acute myocardial infarction (AMI), 285 were admitted for reasons other than AMI, 343 were discharged, and 13 died or were transferred to another hospital. Although initial and final diagnoses in the emergency department did not differ in 597 patients (77%), initial decisions to admit or discharge were made in only 244 (31%) patients without waiting for CK results, and in 401 (52%) cases, decisions on patient disposition were deferred. Of 218 patients who had elevated CK levels, 193 (89%) were admitted, 121 for AMI. Only five (< 1%) patients who would otherwise have been discharged were admitted because of elevated CK levels. Of the 343 discharges, 245 (71%) occurred after the physicians knew the CK results. It is concluded that emergency department physicians routinely make changes in their diagnostic and management decisions based on current information and as it becomes updated. This study also suggests that there appears to be a heavy reliance on a single CK assay, although the relative importance of this diagnostic test compared to other factors is not known. Further studies are necessary.
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Affiliation(s)
- T Tsang
- Epidemiology Coordinating and Research (EPICORE) Centre, University of Alberta, Canada
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Doblar DD, Lim YC, Frenette L, Poplawski S, Ranjan D, Ronderos J. The effect of acute hypocapnia on middle cerebral artery transcranial Doppler velocity during orthotopic liver transplantation: changes at reperfusion. Anesth Analg 1995; 80:1194-8. [PMID: 7762851 DOI: 10.1097/00000539-199506000-00022] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.3] [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: 01/27/2023]
Abstract
This study examines the effects of acute hypocapnia, instituted prior to reperfusion of the graft liver, on the middle cerebral artery (MCA) Doppler blood flow velocity response to reperfusion during orthotopic liver transplantation in humans. Seventeen patients with chronic liver disease underwent continuous, noninvasive Doppler imaging of the MCA. Hyperventilation to an end-tidal Pco2 of 25 +/- 1 mm Hg was associated with a decrease in mean MCA flow velocity (FVm) from 51.6 +/- 5.7 to 37.0 +/- 3.3 cm/s (P < 0.05). After reperfusion, the Paco2 increased from 32 +/- 1 to 40 +/- 1 mm Hg (P < 0.05), mean arterial pressure (MAP) decreased from 76 +/- 3 to 60 +/- 2 mm Hg, and the FVm increased from 37.0 +/- 3.3 to 54.0 +/- 4.7 cm/s (P < 0.05). FVm increased postreperfusion despite prior hyperventilation, decreased MAP, and abrupt increases in central venous and pulmonary artery pressure, but FVm did not exceed the prereperfusion level. In 10 of the 17 patients, the baseline FVm versus Paco2 response slopes and Paco2 measured postreperfusion were used to predict the FVm response to Paco2 after reperfusion. The slopes were similar to those reported for anesthetized patients without liver disease. Predicted FVm exceeded measured FVm in 9 of the 10 patients. We conclude that mild hyperventilation prior to reperfusion of the graft liver prevents FVm increases above prereperfusion baseline level.
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Affiliation(s)
- D D Doblar
- Department of Anesthesiology, University of Alabama at Birmingham 35244, USA
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Lim YC, Doblar DD, Frenette L, Fan PH, Poplawski S, Nanda NC. Intraoperative transesophageal echocardiography in orthotopic liver transplantation in a patient with hypertrophic cardiomyopathy. J Clin Anesth 1995; 7:245-9. [PMID: 7669317 DOI: 10.1016/0952-8180(94)00049-a] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.5] [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: 01/26/2023]
Abstract
With improvements in the surgical technique for orthotopic liver transplantation, patients with significant underlying systemic disease are considered candidates for transplantation, thus increasing the complexity of the medical management of these patients and necessitating additional monitoring in order to minimize the anesthetic risk. We describe the anesthetic management of orthotopic liver transplantation for a patient with severe hypertrophic cardiomyopathy and mitral insufficiency. In this case, transesophageal echocardiography proved useful in the management of the postreperfusion period of the surgical procedure.
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Affiliation(s)
- Y C Lim
- Department of Anesthesiology, University of Alabama at Birmingham 35233-6810, USA
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Frenette L, Doblar DD, Singer D, Cox J, Ronderos J, Poplawski S, Ranjan D. Gastric intramural pH as indicator of early allograft viability in orthotopic liver transplantation. Transplantation 1994; 58:292-7. [PMID: 8053049] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
The determination of the viability of OLT grafts has relied upon metabolic tests of the liver, which take several hours to evaluate and therefore are only conclusive in most patients well into the postoperative period. Earlier diagnosis of graft failure or nonfunction would allow intraoperative reassessment of surgical technique and, in the case of graft failure, earlier planning for retransplantation. Since gastrointestinal mucosal ischemia is one of the earliest manifestations of impaired core tissue in the critically ill, a tonometric nasogastric tube (Tonomitor) was used in our patients to measure intramucosal gastric pH (pHi) during the preanhepatic (stage I), anhepatic (stage II), and neohepatic (stage III) phases of OLT in 35 patients as an indicator of graft liver function and viability. Based on the results of the pHi measurement 30 min after reperfusion during stage III, patients were divided into 2 groups using a pHi of 7.30 as the dividing point. Patients with a pHi equal or higher than 7.30 were assigned to group 1 (n = 24) and patients with a pHi lower than 7.30 were assigned to group 2 (n = 11). The pHi in group 1 patients averaged 7.37 +/- 0.5 30 min after reperfusion and throughout surgery. The pHi in group 2 patients was lower than that of the group 1 patients 30 min after reperfusion, 7.23 +/- 0.04 (P < 0.001). The pHi in 10 group 2 patients returned to normal within 3 hr after reperfusion and the pHi values for these patients were not significantly different from those of group 1 at 3 hr after reperfusion. The pHi in 1 group 2 patient remained lower than 7.30 and never returned to normal; this patient underwent retransplantation the following day. Utilizing the tonometric nasogastric tube to sample intramucosal pH allowed early detection of graft function and intermittent trending of pHi in patients with questionable graft function during the operative period. It also provided a means of assessing graft function independent of enzymatic criteria, which provide little information in the early phase of transplantation.
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Affiliation(s)
- L Frenette
- Department of Anesthesiology, University of Alabama at Birmingham 35233-6810
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Doblar DD, Frenette L, Poplawski S, Gelman S, Boyd G, Ranjan D, Halsey JH. Middle cerebral artery transcranial Doppler velocity monitoring during orthotopic liver transplantation: changes at reperfusion--a report of six cases. J Clin Anesth 1993; 5:479-85. [PMID: 8123274 DOI: 10.1016/0952-8180(93)90065-m] [Citation(s) in RCA: 24] [Impact Index Per Article: 0.8] [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: 01/28/2023]
Abstract
STUDY OBJECTIVE To determine the effect of reperfusion of the grafted liver on transcranial Doppler blood flow velocity in the middle cerebral artery in humans during orthotopic liver transplantation. DESIGN Clinical study. SETTING University hospital. PATIENTS 6 patients scheduled for orthotopic liver transplantation. INTERVENTIONS Middle cerebral artery blood flow velocity (MCAVm) was monitored continuously using a transcranial Doppler (TCD) probe. The TCD measurements were noninvasive. MEASUREMENTS AND MAIN RESULTS The EME TC2000S TCD probe (Nicolet, Inc., Memphis, TN) was secured to the head using a strap providing continuous measurement of MCAVm. All other data were recorded by a patient monitoring system and a respiratory gas analyzer. Averaged MCAVm increased significantly in 5 of 6 patients (p < 0.001) when pre-reperfusion and post-reperfusion values were compared. Maximum post-reperfusion values for MCAVm, pulsatility index (PI), and systolic Doppler velocity (Vs) were greater than the corresponding immediate pre-reperfusion values (p < 0.05, p < 0.05, and p < 0.001, respectively). The increases in MCAVm cannot be explained on the basis of hypercarbia alone and were observed in the presence of systemic arterial hypotension and abrupt increases in central venous pressure, particularly at the time of graft reperfusion. CONCLUSIONS MCAVm increased with reperfusion of the grafted liver. These data suggest that multiple factors--including hypercarbia, lactic acidosis, or multiple vasoactive substances released by the grafted liver--may contribute to the observed increases in MCAVm, Vs, and PI.
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Affiliation(s)
- D D Doblar
- Department of Anesthesiology, University of Alabama at Birmingham 35233
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Frenette L, Poplawski S, Gelman S, Boyd G, Doblar D, Ranjan D. Hepatic oxygen supply and uptake during anesthesia for orthotopic liver transplantation. Transplant Proc 1993; 25:1807-8. [PMID: 8470174] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
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Klintmalm GB, Ascher NL, Busuttil RW, Deierhoi M, Gonwa TA, Kauffman R, McDiarmid S, Poplawski S, Sollinger H, Roberts J. RS-61443 for treatment-resistant human liver rejection. Transplant Proc 1993; 25:697. [PMID: 8438442] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Affiliation(s)
- G B Klintmalm
- Department of Surgery, Baylor University Medical Center, Dallas, Texas
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Tillery W, Demetris J, Watkins D, Goldstein R, Poplawski S, Husberg B, Klintmalm G. Pathologic recognition of preservation injury in hepatic allografts with six months follow-up. Transplant Proc 1989; 21:1330-1. [PMID: 2652439] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Affiliation(s)
- W Tillery
- Baylor University Medical Center, Dallas, Texas
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Gonwa TA, Poplawski S, Paulsen W, Brajtbord D, Goldstein R, Husberg B, Klintmalm GB. Pathogenesis and outcome of hepatorenal syndrome in patients undergoing orthotopic liver transplant. Transplantation 1989; 47:395-7. [PMID: 2645724] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Affiliation(s)
- T A Gonwa
- Department of Internal Medicine, Baylor University Medical Center, Dallas, Texas 75246
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Gonwa TA, Poplawski S, Paulsen W, Brajtbord D, Goldstein R, Husberg B, Klintmalm G. Hepatorenal syndrome and orthotopic liver transplantation. Transplant Proc 1989; 21:2419-20. [PMID: 2652790] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Affiliation(s)
- T A Gonwa
- Transplant Services, Baylor University Medical Center, Dallas, TX 75246
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Poplawski S, Gonwa T, Goldstein R, Husberg B, Klintmalm G. Long term nephrotoxicity in liver transplantation. Transplant Proc 1989; 21:2469-71. [PMID: 2652809] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Affiliation(s)
- S Poplawski
- Baylor University Medical Center, Dallas, Texas 75246
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Parnas J, Pleszczynska E, Poplawski S, Tuszkiewicz M, Mardarowicz C, Hencner Z, Cybulska MT. [Proteins and polysaccharides; their constituents in relation to the chemotypes and serotypes of certain bacteria]. Zentralbl Veterinarmed B 1968; 15:658-84. [PMID: 5687443] [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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Parnas J, Poplawski S, Cybulska MT, Ksiazek A. [Sugar units, chemotypes and serotypes of Leptospira]. Z Naturforsch B 1968; 23:993-6. [PMID: 4387667] [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: 01/10/2023]
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Parnas J, Tuszkiewicz M, Pleszczynska E, Poplawski S, Mardarowicz C. The sugars and amino acids "building blocks" in S and R strains of different Brucella Serobiotypes, their cell walls and endotoxins. Z Naturforsch B 1968; 23:348-50. [PMID: 4385721 DOI: 10.1515/znb-1968-0313] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
This paper presents the research of the sugars and aminoacids composition of all Brucella serobiotypes in S and R phase, by differents methods of chromatography; the glycolipoproteins and lipolysaccharides were also examined 1-3.
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Parnas J, Poplawski S, Tuszkiewicz M. [The UV-spectrophotometry analysis of Brucella substances]. Arch Hyg Bakteriol 1967; 151:381-4. [PMID: 4973297] [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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Parnas J, Pleszczyńska E, Mardarowicz C, Poplawski S. [On the characteristics of S- and R-forms of Brucellaceae: sugar building stones and amino acids]. Z Immunitatsforsch Allerg Klin Immunol 1967; 133:302-12. [PMID: 4232283] [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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Parnas J, Tuszkiewicz M, Zalichta S, Poplawski S, Pleszczynska E. [The immunochemical and biological role of proteins, saccharides and polysaccharides in Brucella]. Rev Immunol Ther Antimicrob 1967; 31:361-75. [PMID: 4964934] [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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Parnas J, Tuszkiewicz M, Poplawski S. [Infrared spectrophotometric analysis of the complete antigen, endotoxins and lipopolysaccharides of Brucellae]. Arch Hyg Bakteriol 1967; 150:759-63. [PMID: 5597730] [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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Parnas J, Poplawski S, Cybulska M. Investigations on serotypes of Leptospirae by infrared spectrophotometry. Z Immunitatsforsch Allerg Klin Immunol 1967; 132:218-24. [PMID: 4232735] [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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Parnas J, Poplawski S, Cybalska M. [Chemotypes, serotypes and infrared types of leptospirae]. Arch Hyg Bakteriol 1966; 150:565-9. [PMID: 5991785] [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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Parnas J, Poplawski S, Cybulska M. Research on the antigenic structure of leptospira by infrared spectrophotometry. Zentralbl Veterinarmed B 1966; 13:377-87. [PMID: 5975113 DOI: 10.1111/j.1439-0450.1966.tb00914.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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Poplawski S. [Application of intra-red absorption analysis to the study of bacterial antigens]. POSTEP HIG MED DOSW 1965; 19:731-8. [PMID: 5326019] [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: 01/14/2023] Open
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