Langenbecks Archiv fur klinische Chirurgie ... vereinigt mit Deutsche Zeitschrift fur Chirurgie最新文献

{"title":"Assessment of Nasal Obstruction Symptoms and Pulmonary Function Following Functional Endoscopic Sinus Surgery (FESS) in Chronic Rhinosinusitis with Nasal Polyps.","authors":"Usama Abdelnaseer, Ayman El Sayed Salem, Bola Hosny Shawky, Ahmed Yousef","doi":"10.1007/s12070-023-03898-9","DOIUrl":"10.1007/s12070-023-03898-9","url":null,"abstract":"<p><p>The upper and lower airways are typically subjected to identical inflammatory stimuli and comprise a single organ that is functionally connected. 40 patients with chronic rhinosinusitis with nasal polyps who had failed medical treatment and undergone FESS participated in our study. Prior to surgery and three months after surgery, nasal obstruction symptoms were measured using the NOSE score system and pulmonary function tests were evaluated using spirometry. The mean Nose Score was 70 before surgery but dropped to 4 afterward, with a <i>p</i> value < 0.001 showing a statistically significant improvement in the nasal symptoms following FESS. The mean pre-operative FVC, FEV1, and FEV1/FVC% values were 3.19, 2.53, and 78.81%, respectively, while the mean post-operative values were 3.14, 2.5, and 79.01%. Following FESS, there wasn't a statistically significant change in lung function tests. Our study showed that percentage of change of total NOSE score has a statistically significant Negative correlation with percentage of change of pulmonary function tests parameters. This study demonstrates the positive effects of FESS on nasal polyposis patients' quality of life and nasal obstruction symptoms without having any negative impacts on the lower airways.</p>","PeriodicalId":86104,"journal":{"name":"Langenbecks Archiv fur klinische Chirurgie ... vereinigt mit Deutsche Zeitschrift fur Chirurgie","volume":"260 1","pages":"3235-3241"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10646092/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73063586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inequality and the social construction of urban disaster risk in multi-hazard contexts: the case of Lima, Peru and the COVID-19 pandemic.","authors":"Allan Lavell, Angel Chávez Eslava, Cinthya Barros Salas, Diego Miranda Sandoval","doi":"10.1177/09562478221149883","DOIUrl":"10.1177/09562478221149883","url":null,"abstract":"<p><p>This field note examines the disaster risk construction process in Lima, Peru. More commonly experienced hazard contexts are considered in the light of the COVID-19 pandemic. We provide an empirical analysis based on Lima-wide data and using findings from a single case study settlement to illustrate more general conclusions. We attempt to reveal how exposure and vulnerability factors signify that very different hazards, including COVID-19, predominantly affect the same population groups. Underlying causes and drivers, all related to different expressions of urban inequality, include problems of access to suitable urban land, land trafficking and invasion, State exclusion from social housing and basic services, unsafe building practice and corruption. The research confirms the usefulness of a social construction approach to disaster risk, based on the notion of underlying causes and drivers, and the need to reconfigure urban planning processes, breaking sector silos and encouraging integrated intersectoral and interspatial approaches.</p>","PeriodicalId":86104,"journal":{"name":"Langenbecks Archiv fur klinische Chirurgie ... vereinigt mit Deutsche Zeitschrift fur Chirurgie","volume":"284 1","pages":"131-155"},"PeriodicalIF":3.7,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9988616/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73314178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Einleitende Worte","authors":"H. Seemen","doi":"10.1007/BF02435396","DOIUrl":"https://doi.org/10.1007/BF02435396","url":null,"abstract":"","PeriodicalId":86104,"journal":{"name":"Langenbecks Archiv fur klinische Chirurgie ... vereinigt mit Deutsche Zeitschrift fur Chirurgie","volume":"298 1","pages":"912-914"},"PeriodicalIF":0.0,"publicationDate":"2021-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02435396","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41719501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Bile].","authors":"L. Loffler","doi":"10.32388/rwmwpn","DOIUrl":"https://doi.org/10.32388/rwmwpn","url":null,"abstract":"Our Bile Esculin Agar (BEA) is used as a differential medium for the isolation and presumptive identification of group D streptococci and enterococci from clinical specimens and food. This medium is also useful for differentiating Klebsiella, Enterobacter, and Serratia species from other Enterobacteriaceae. Swan was the first to describe the formulation and use of a bile esculin medium, although Rochaix (1924) was the first to note the value of using esculin hydrolysis to identify enterococci. During their comparative studies, Facklam and Moody demonstrated that Bile Esculin Agar was a reliable method of presumptively identifying group D streptococci and differentiating them from other streptococci. Lindell and Quinn as well as Edberg’s group showed that Bile Esculin Agar could also be used for the rapid differentiation of Enterobacteriaceae based on esculin hydrolysis later showed it. Gelatin peptone and beef extract provide the essential elements needed for growth. The inclusion of esculin allows for detection of esculi nhydrolysis by the bacterial enzyme, esculinase. Esculin hydrolysis liberates esculetin, which in turn reacts with ferric ions (ferric citrate) in th e medium to produce a black iron-complex giving esculinase-positive colonies a brown-black halo. Selectivity is accomplished by the addition of bile (oxgall), which inhibits the growth of most grampositive cocci other than enterococci and group D streptococci.","PeriodicalId":86104,"journal":{"name":"Langenbecks Archiv fur klinische Chirurgie ... vereinigt mit Deutsche Zeitschrift fur Chirurgie","volume":"7 1","pages":"880-2"},"PeriodicalIF":0.0,"publicationDate":"2020-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76294104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of the first U.S. staple foods ordinance: impact on nutritional quality of food store offerings, customer purchases and home food environments.","authors":"Melissa N Laska, Caitlin E Caspi, Kathleen Lenk, Stacey G Moe, Jennifer E Pelletier, Lisa J Harnack, Darin J Erickson","doi":"10.1186/s12966-019-0818-1","DOIUrl":"10.1186/s12966-019-0818-1","url":null,"abstract":"<p><strong>Background: </strong>Many lower-income and racially diverse communities in the U.S. have limited access to healthy foods, with few supermarkets and many small convenience stores, which tend to stock limited quantities and varieties of healthy foods. To address food access, in 2015 the Minneapolis Staple Foods Ordinance became the first policy requiring food stores to stock minimum quantities and varieties of 10 categories of healthy foods/beverages, including fruits, vegetables, whole grains and other staples, through licensing. This study examined whether: (a) stores complied, (b) overall healthfulness of store environments improved, (c) healthy customer purchases increased, and (d) healthfulness of home food environments improved among frequent small store shoppers.</p><p><strong>Methods: </strong>Data for this natural (or quasi) experiment were collected at four times: pre-policy (2014), implementation only (no enforcement, 2015), enforcement initiation (2016) and continued monitoring (2017). In-person store assessments were conducted to evaluate food availability, price, quality, marketing and placement in randomly sampled food retailers in Minneapolis (n = 84) and compared to those in a nearby control city, St. Paul, Minnesota (n = 71). Stores were excluded that were: supermarkets, authorized through WIC (Special Supplemental Nutrition Program for Women, Infants, and Children), and specialty stores (e.g., spice shops). Customer intercept interviews were conducted with 3,039 customers exiting stores. Home visits, including administration of home food inventories, were conducted with a sub-sample of frequent shoppers (n = 88).</p><p><strong>Results: </strong>Overall, findings indicated significant improvements in healthy food offerings by retailers over time in both Minneapolis and St. Paul, with no significant differences in change between the two cities. Compliance was low; in 2017 only 10% of Minneapolis retailers in the sample were fully compliant, and 51% of participating Minneapolis retailers met at least 8 of the 10 required standards. Few changes were observed in the healthfulness of customer purchases or the healthfulness of home food environments among frequent shoppers, and changes were not different between cities.</p><p><strong>Conclusions: </strong>This study is the first evaluation a local staple foods ordinance in the U.S. and reflects the challenges and time required for implementing such policies.</p><p><strong>Trial registration: </strong>NCT02774330 .</p>","PeriodicalId":86104,"journal":{"name":"Langenbecks Archiv fur klinische Chirurgie ... vereinigt mit Deutsche Zeitschrift fur Chirurgie","volume":"295 1","pages":"83"},"PeriodicalIF":5.6,"publicationDate":"2019-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6751624/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73318651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"De vuelta a la clínica. Métodos I. Diseños de investigación. Mayor calidad de información, mayor certeza a la respuesta.","authors":"Juan O Talavera, Ivonne Roy-García, Lino Palacios-Cruz, Rodolfo Rivas-Ruiz, Irma Hoyo, Marcela Pérez-Rodríguez","doi":"10.24875/GMM.19005226","DOIUrl":"10.24875/GMM.19005226","url":null,"abstract":"<p><p>Research designs refer to the way information is obtained and are limited by ethical, economic and temporal viability. Research designs are standardized strategies to reduce biases, which in the architectural model of research are identified in the baseline state, the maneuver and the outcome; hence, there are no specific designs for each question. The design with the lowest probability of bias is the clinical trial, followed by cohort and case-control studies and, finally, by cross-sectional surveys. Among the main characteristics that give merit to research designs are the following: population inquiry, which refers to the situation of the population in relation to the clinical course/natural history of the disease; the maneuver, or action that is expected to modify the baseline state, which can be observational or experimental; follow-up, or documented monitoring that is given to each subject, which can be longitudinal or cross-sectional; and directionality, which can prolective or retrolective and refers to the timing of data collection for research purposes. It will always be better having a valuable question, even when answered with a design with higher risk of bias, than a question that is irrelevant or has no applicability.</p>","PeriodicalId":86104,"journal":{"name":"Langenbecks Archiv fur klinische Chirurgie ... vereinigt mit Deutsche Zeitschrift fur Chirurgie","volume":"316 1","pages":"399-405"},"PeriodicalIF":0.8,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7446753/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73347499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erste Generalversammlung","authors":"","doi":"10.1007/BF02659229","DOIUrl":"https://doi.org/10.1007/BF02659229","url":null,"abstract":"","PeriodicalId":86104,"journal":{"name":"Langenbecks Archiv fur klinische Chirurgie ... vereinigt mit Deutsche Zeitschrift fur Chirurgie","volume":"319 1","pages":"19-25"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02659229","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51933850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rundgespräch Trichterbrust","authors":"K. Vossschulte","doi":"10.1007/BF02659336","DOIUrl":"https://doi.org/10.1007/BF02659336","url":null,"abstract":"","PeriodicalId":86104,"journal":{"name":"Langenbecks Archiv fur klinische Chirurgie ... vereinigt mit Deutsche Zeitschrift fur Chirurgie","volume":"2672 1","pages":"548-554"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02659336","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51934097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rundgespräch","authors":"F. Linder","doi":"10.1007/BF02659382","DOIUrl":"https://doi.org/10.1007/BF02659382","url":null,"abstract":"","PeriodicalId":86104,"journal":{"name":"Langenbecks Archiv fur klinische Chirurgie ... vereinigt mit Deutsche Zeitschrift fur Chirurgie","volume":"319 1","pages":"800-806"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02659382","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51934349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"181. Ergebnisse der operativen Behandlung der verschiedenen Hypospadieformen mit einer modifizierten Denis Brown-Technik","authors":"H. Wenderoth, H. Baur","doi":"10.1007/BF02659429","DOIUrl":"https://doi.org/10.1007/BF02659429","url":null,"abstract":"","PeriodicalId":86104,"journal":{"name":"Langenbecks Archiv fur klinische Chirurgie ... vereinigt mit Deutsche Zeitschrift fur Chirurgie","volume":"319 1","pages":"997-998"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02659429","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51934985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}