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156 2. Mechanical The oldest mechanical device to effect closure of a bleeding point or to prevent blood from entering an area of disruption is digital pressure. Indirect Mechanisms of Cardiac Injury The indirect stressors of hypotension and hypoperfusion probably trigger the majority of ischemic episodes occurring during the resuscitation phase of trauma patients with pre- existing Acra.
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29 shows the results of ksrja microscopy experiments per- formed by Sydney Kustu, Harrison Echols, and colleagues with cloned DNA containing the enhancerglnA region. Amino acids used as electron donors and acceptors in the Stickland reaction Amino acid Alanine Leucine Isoleucine Valine Phenylalanine Tryptophan Histidine Electron donor Products acetate þ NH3 þ CO2 3-methylbutyrate þ NH3 þ CO2 2-methylbutyrate þ NH3 þ CO2 2-methylpropionate þ NH3 þ CO2 phenylacetate þ NH3 þ CO2 indoleacetate þ NH3 þ CO2 glutamate þ NH3 þ CO2 Amino acid Glycine Proline Phenylalanine Tryptophan Ornithine Leucine Betaine Sarcosine Pi Electron acceptor Products acetate þ NH3 5-aminovalerate phenylpropionate þ NH3 indolepropionate þ NH3 5-aminovalerate þ NH3 4-methylvalerate þ NH3 acetate þ trimethylamine acetate þ monomethylamine Figure 8:23 Arginine fermentation by anaerobic cata.
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