Finland framstäldt i teckningar

Zacharias Topeliuksen (1818-1898) Finland framstäldt i teckningar oli ensimmäinen kokonaisesitys Suomen maisemista lounaissaaristosta tunturimaisemaan. Sen esikuvana olivat muissa Euroopan maissa julkaistut vastaavat teokset, jotka lisäsivät lukijoiden tietoisuutta oman maan kauneudesta ja historiallisesta merkityksestä. Myös Topeliuksen teoksella oli suuri merkitys suomalaisten isänmaakäsityksen kehittymiseen. Teokseen liittyy 120 historiallisesti, maantieteellisesti tai muuten merkittävää paikkaa tai rakennusta esittävää kivipiirrosta, joiden tekijöinä olivat tunnetut taiteilijat, kuten Lennart Forstén, Magnus von Wright, P. A. Kruskopff ja Johan Knutson. Kirjan laaja teksti on Topeliuksen seikkaperäinen kuvaus maisemakohteista, maan ja kansan historiasta.

Om åkerjordmonernes rätta känning och förbättring

Invocatio: M.G.H.

[Jens Christian] Christensen, ministre [des cultes] danois (Gross) : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 59327

SHORT-TERM EFFECTS OF PHENYLEPHRINE ON SYSTEMIC AND REGIONAL HEMODYNAMICS IN PATIENTS WITH SEPTIC SHOCK: A CROSSOVER PILOT STUDY

Clinical studies evaluating the use of phenylephrine in septic shock are lacking. The present study was designed as a prospective, crossover pilot study to compare the effects of norepinephrine (NE) and phenylephrine on systemic and regional hemodynamics in patients with catecholamine-dependent septic shock. In 15 septic shock patients, NE (0.82 +/- 0.69 mug.kg.min) was replaced with phenylephrine (4.39 +/- 5.23 mug.kg.min) titrated to maintain MAP between 65 and 75 mmHg. After 8 h of phenylephrine infusion treatment was switched back to NE. Data from right heart catheterization, acid-base balance, thermo-dye dilution catheter, gastric tonometry, and renal function were obtained before, during, and after replacing NE with phenylephrine. Variables of systemic hemodynamics, global oxygen transport, and acid-base balance remained unchanged after replacing NE with phenylephrine except for a significant decrease in heart rate (phenylephrine, 89 +/- 18 vs. NE, 93 +/- 18 bpm; P < 0.05). However, plasma disappearance rate (phenylephrine, 13.5 +/- 7.1 vs. NE, 16.4 +/- 8.7%.min) and clearance of indocyanine green (phenylephrine, 330 +/- 197 vs. NE, 380 +/- 227mL.min.m), as well as creatinine clearance (phenylephrine, 81.3 +/- 78.4 vs. NE, 94.3 +/- 93.5 mL.min) were significantly decreased by phenylephrine infusion (each P < 0.05). In addition, phenylephrine increased arterial lactate concentrations as compared with NE infusion (1.7 +/- 1.0 vs. 1.4 +/- 1.1 mM; P < 0.05). After switching back to NE, all variables returned to values obtained before phenylephrine infusion except creatinine clearance and gastric tonometry values. Our results suggest that for the same MAP, phenylephrine causes a more pronounced hepatosplanchnic vasoconstriction as compared with NE.

Prodromus Florae Hispanicae seu synopsis methodica omnium plantarum in Hispania sponte nascentium vel frequentis cultarum quae innotuerunt /

Contiene: Vol.1 - Vol. 2 - Vol. 3.