[Bilateral malignant tumors of the testicles].
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Biomedical subjects
Publications and source records attributed to A Kowalski.
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Treatment of patients with fulminant liver failure is a challenge of contemporary medicine. Liver transplantation, in this group, is presently the only reasonable alternative, but in many patients the disastrous condition of the patient results in serious life-threatening complications, including neurological sequelae, which may influence the quality of life after transplantation, and in some cases even cause death. From 1990 to 2004, we performed 241 liver transplantations in children, including 20 transplanted due to fulminant liver failure (8.2%). Serious neurological complications followed liver transplantation in five cases (20%), three of which were fatal. The analysis revealed that the duration of pretransplant coma (grade III or IV) strongly correlated with the incidence of neurological complications (P < .05). Also a suboptimal quality of the donor liver and poor early graft function may contribute to these posttransplant complications.
The long-term observation of ingestive and excretory behaviors in freely ambulating and non socially isolated pigs is an important tool in the investigation of the physiological determinants of these behaviors. A computer-controlled laboratory setup for the recording of feeding, drinking, and defecation behavior in minipigs was developed, allowing for the observation of two pigs at a time for weeks. Four minipigs (29-52 kg) were conditioned to operate feeders with a precise food release per response and were then fed ad lib. The animals had up to 50% of their daily energy intake during the night. Meal size and time spent eating was highly correlated, meal size and the preprandial intermeal interval was moderately correlated, whereas meal size and the postprandial intermeal interval was not. Feeding facilitated defecation, supporting the assumption that the gastrocolonic response is present in the pig. The system has been shown to be highly reliable and valid, and thus provides an excellent tool for the investigation of the rhythmicity of ingestive and excretory behaviors in minipigs.
The insulin receptor appears as a tetrameric glycoprotein consisting of two Mr 130,000 subunits (alpha), and two Mr 95,000 subunits (beta) in a disulfide-linked complex. Insulin bound to its specific cell surface receptors in its target cells leads to a complex array of molecular events resulting in insulin effects. It is now generally believed that protein phosphorylation-dephosphorylation reactions represent an important mechanism by which a variety of extracellular stimuli regulate cellular functions. Insulin mediates such reactions, but it is not known whether these are the biochemical link between the binding of insulin to its receptor and its final cellular effects. In search of initial post-binding events which might play a role in insulin action, we looked for phosphorylation of insulin receptors. We show that the insulin receptor displays two functional domains, an insulin binding alpha-subunit, and an insulin responsive protein kinase contained in the beta-subunit. We envisage the insulin receptor as an integrated system for transmembrane signal transmission in which hormone binding to the alpha-subunit leads to activation of the beta-subunit via conformational changes.
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