Notes

Outside of orchid flowers and dandelions: Susceptibility to ecological influences is just not bimodal.
Sie beurteilten den Fragebogen als gut verständlich und einfach auszufüllen. Die finale Version wurde von den Entwicklern des Originals als offizielle deutsche Übersetzung anerkannt. DISKUSSION Die Messeigenschaften der deutschen Version wurden in dieser Studie nicht untersucht, das Original zeigt jedoch sehr gute Reliabilität, Validität und Responsivität. Zusammenfassend kann man sagen, dass der PRTEE ein schnell und einfach auszufüllender Fragebogen für Patienten mit Epicondylitis lateralis ist. Daher ist er im klinischen Alltag gut anwendbar, um den subjektiven Gesundheitszustand oder den postinterventionellen Verlauf eines Patienten quantifizieren zu können.in English, German HINTERGRUND Interdisziplinäre Aortenkolloquien (iAK) gelten als wertvolle Instrumente in der Konzepterstellung für die Therapie aortaler Pathologien im Bereich der Krankenhausmaximalversorgung. Ziel der Arbeit ist die Evaluation eines universitären iAK (Universitätsklinikum Heidelberg; beteiligte Kliniken Gefäßchirurgie und Endovaskuläre Chirurgie [GCH]/Kardiochirurgie [KCH]/Radiologie) unter den Gesichtspunkten Gesamtpatientenvolumen, fachspezifische Vorstellungen, konservativer/operativer Therapieentscheid und interdisziplinäre fachrichtungswechselnde Therapieallokation (GCK nach KCH und vice versa). METHODIK Es erfolgte eine retrospektive monozentrische Datenerfassung aller im iAK vorgestellten Patienten im Zeitraum 01/2014 – 12/2018. ERGEBNISSE Insgesamt wurden in 5 Jahren 344 Patienten (Median 71 Patienten/Jahr) im iAK evaluiert. Davon wurden 262 von der GCH (76%), 63 von der KCH (18%) und 19 (6%) von anderen Disziplinen vorgestellt. Bei 153 von 344 Patienten (45%) wurde eine OP-Indikaigt die vergleichbare relative Verteilung auf GCH/KCH eine gute Interdisziplinarität. Die hohe Rate fachfremder Fälle im Indikationsvolumen der KCH spiegelt den nach wie vor hohen Stellenwert des Faches wider. Kritisch zu hinterfragen ist die Effizienz des iAK in Bezug auf die tatsächliche Umsetzung der gestellten OP-Indikationen.BACKGROUND  Various surgical effects have previously been studied in an attempt to improve the functional outcome of the functioning free muscle transplantation (FFMT). However, the effect of the recipient arterial inflow on the FFMT has remained uninvestigated. This study was to investigate whether or not high flow versus low flow will affect the functional outcome of FFMT. METHODS  Rat's left gracilis FFMT model was devised and the nutrient arterial inflow was modified. Twenty-four Lewis rats were divided evenly into relatively high (0.071 mL/min) and relatively low (0.031 mL/min) blood flow groups (p  less then  0.001). The unoperated right sides served as the controls. Cases resulting in poor function were additionally grouped as functional failure group for comparison. Regular swimming exercise was implemented at 1 month postoperatively for 3 months. Gracilis muscle functions were then evaluated. Torin 1 nmr RESULTS  Compared groups were control (n = 13), low blood flow (n = 10), high blood flow (n = 8), and functional failure (n = 5). The control group showed superior functional results over the experimental groups (p  less then  0.0001). In the experimental group, successful group showed superior over the poor function group (p  less then  0.01). However, there was no significant difference between the high- and low-flow groups. CONCLUSION  This is the first study to evaluate the effect of arterial inflow on the FFMT. The rate of blood flow (relatively high vs. low) has little effect on the functional outcome of transferred muscle. Survival of FFMT is the major concern while performing FFMT surgery. Arterial inflow while choosing the recipient artery is not the factor for consideration. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.BACKGROUND  The distinction between supraclavicular and infraclavicular acute brachial plexus injuries (BPIs) could be challenging in cases of combined shoulder and elbow paresis. The reliability of several preoperative predictors was investigated to avoid unnecessary dissection, prolonged operation time, increased postoperative morbidity, and long scars. METHODS  Between 2004 and 2013, 75 patients, who sustained acute BPI and presented with motor paresis of shoulder and elbow with preservation of hand function, were included and studied retrospectively. Various predictors including muscles function, sensation, fractures, Tinel's sign and nerve conduction velocity (NCV) studies were reviewed. RESULTS  The highest odds ratio (OR) values for infraclavicular BPI were healthy clavicular head of pectoralis major and biceps, presenting with OR = 36.5 and 31.76, respectively, which were identified the most important predictors. CONCLUSION  A combination of functioning pectoralis major or biceps, scapular fracture, an infraclavicular Tinel's sign, and normal NCV in the musculocutaneous nerve was highly predictive of an infraclavicular level. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.BACKGROUND  This study aimed to demonstrate the feasibility of endoscopic hand-suturing (EHS) and attainability of sustained closure after colorectal endoscopic submucosal dissection (ESD). METHODS  EHS was defined as uninterrupted endoscopic suturing of the mucosal defect after colorectal ESD using an absorbable barbed suture and a through-the-scope needle holder. Following individual EHS training using an ex vivo porcine colonic model, two experienced endoscopists performed EHS. Repeat colonoscopy was performed on the third or fourth day after ESD to examine the EHS site. The primary end point was the complete EHS closure rate, and secondary end points were sustained closure and post-ESD bleeding rates. RESULTS  11 lesions were included. Median size of the mucosal defect was 38 mm (range 25 - 55 mm) and the lesion characteristics were as follows lower rectum/upper rectum/ascending colon/cecum = 3/3/2/3, and 0-IIa/0-Is + IIa/others = 5/4/2. EHS was not attempted in two patients owing to difficulty in colonoscope reinsertion after ESD and intraoperative perforation, respectively.
Read More: https://www.selleckchem.com/products/torin-1.html