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Köckerling F, Jacob D, Adolf D, Zherdyev V, Riediger H, Scheuerlein H. Laparoscopic total (Nissen) versus posterior (Toupet) fundoplication for gastroesophageal reflux disease: a propensity score-matched comparison of the perioperative and 1-year follow-up outcome. Hernia 2024:10.1007/s10029-024-02988-z. [PMID: 38493409 DOI: 10.1007/s10029-024-02988-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2023] [Accepted: 02/08/2024] [Indexed: 03/18/2024]
Abstract
INTRODUCTION The debate continues as to whether laparoscopic total Nissen (LNF) versus partial posterior Toupet fundoplication (LTF) leads to better outcomes in the surgical treatment of axial hiatal hernia with gastroesophageal reflux disease. In the most recent meta-analysis including 13 RCTs with 1564 patients, no significant difference was found between the two procedures in terms of perioperative complications and recurrent reflux rates. Further comparative analyses are urgently needed. METHODS This retrospective analysis of prospectively recorded data from the Herniamed Registry compared the perioperative and 1-year follow-up outcomes after total Nissen versus partial Toupet fundoplication. Propensity score matching was chosen as the statistical method. Matching was performed for n = 2290 pairs. RESULTS No systematic discrepancy was found between the Nissen and Toupet fundoplication for any of the outcome parameters (intraoperative complications LNF 2.10% vs LTF 1.48%, general complications 2.27% vs 2.88%, postoperative complications 1.44% vs 1.18%, complication-related reoperation 1.00% vs 0.91%, recurrence on 1-year follow-up 6.55% vs 5.33%, pain on exertion on 1-year follow-up 12.49% vs 9.52%, pain at rest on 1-year follow-up 10.44 vs 9.52% and pain requiring treatment on 1-year follow-up 9.61% vs 8.17%). Also the postoperative dysphagia rate showed with 5.34% after LNF and with 4.64% after LTF no significant difference. CONCLUSION The findings presented here did not show any significant difference up to 1 year after Nissen or Toupet fundoplication. This is in concordance with the findings of the meta-analyses. However, the perioperative and 1-year follow-up outcomes demonstrate that both operation techniques should be carried out by experienced surgeons.
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Affiliation(s)
- F Köckerling
- Hernia Center, Vivantes Humboldt Hospital, Academic Teaching Hospital of Charité University Medicine, Am Nordgraben 2, 13509, Berlin, Germany.
| | - D Jacob
- COPV-Berlin, Kaiser-Wilhelm-Strasse 24-26, 12247, Berlin, Germany
| | - D Adolf
- StatConsult GmbH, Am Fuchsberg 11, 39112, Magdeburg, Germany
| | - V Zherdyev
- Pleissental-Hospital, Ronnenburger Str. 106, 08412, Werdau, Germany
| | - H Riediger
- Hernia Center, Vivantes Humboldt Hospital, Academic Teaching Hospital of Charité University Medicine, Am Nordgraben 2, 13509, Berlin, Germany
| | - H Scheuerlein
- St. Vincenz-Hospitals Paderborn, Academic Teaching Hospital University Göttingen, Am Busdorf 2, 33098, Paderborn, Germany
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Raghavendra KJ, John J, Jacob D, Rajendran T, Prusty AK, Ansari MA, Ravisankar N, Kumar S, Singh R, Shamim M, Punia P, Nirmal, Meena AL, Kashyap P, Shivaswamy GP, Dutta D. Unraveling determinants of integrated farming systems adoption for sustainable livelihood and dietary diversity. Front Nutr 2024; 11:1264658. [PMID: 38406187 PMCID: PMC10884160 DOI: 10.3389/fnut.2024.1264658] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2023] [Accepted: 01/08/2024] [Indexed: 02/27/2024] Open
Abstract
Introduction Over the years, smallholder farmers have faced more vulnerability to risk and uncertainty in India due to their dependence on cereal crops. One way to reduce this risk is through diversified agriculture, integrating different practices for efficient resource utilization, and adopting a farming systems approach. An integrated farming system (IFS) is one such technique that provides year-round income from different components of enterprises. However, the decision to adopt IFS may be determined by several characteristics of farmers, which needs to be delineated through impact analysis to harness the benefits of a systems approach. Methods This study analyzes the economic effects of integrated farming systems and assesses their determinants, as well as the dietary diversity patterns of farmers in two states of southern India, i.e., Kerala and Tamil Nadu. A multistage sampling technique was used to obtain cross-sectional data from 367 farmers randomly chosen from one district in Kerala and two districts in Tamil Nadu. The participants have Crop + Horticulture + Animal husbandry (45.45%) as their major system, whereas non-participants have Crop + Animal husbandry (44.35%) as their predominant system. Coarsened exact matching and logit regression methods were used to evaluate the economic impacts of IFS and its influencing factors. Results The findings of the study indicate that age, education, livestock holding, access to credit, and plantation area have a positive and significant effect on participation by farmers in the program. The matching results show that adoption of IFS resulted in a significant economic impact, generating an additional gross income of Rs. 36,165 ha-1 and a net income of Rs. 35,852 ha-1 and improving the dietary diversity of farm households by 8.6% as compared to non-adopters. Discussion This study suggests that IFS is a promising approach for improving farmers' livelihoods, economic gains, and nutritional security. Therefore, the integrated farming systems models need to be upscaled through the convergence of government schemes in other regions of India to support smallholder farmers' farming.
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Affiliation(s)
| | - Jacob John
- AICRP-IFS, Kerala Agriculture University, Thiruvananthapuram, India
| | - D. Jacob
- AICRP-IFS, Kerala Agriculture University, Thiruvananthapuram, India
| | - T. Rajendran
- AICRP-IFS, Tapioca and Castor Research Station, Tamil Nadu Agricultural University, Salem, India
| | - A. K. Prusty
- ICAR-Indian Institute of Farming Systems Research, Meerut, India
| | | | | | - Sunil Kumar
- ICAR-Indian Institute of Farming Systems Research, Meerut, India
| | - Raghuveer Singh
- ICAR-Indian Institute of Farming Systems Research, Meerut, India
| | - Mohammad Shamim
- ICAR-Indian Institute of Farming Systems Research, Meerut, India
| | - Peyush Punia
- ICAR-Indian Institute of Farming Systems Research, Meerut, India
| | - Nirmal
- ICAR-Indian Institute of Farming Systems Research, Meerut, India
| | - Amrit L. Meena
- ICAR-Indian Institute of Farming Systems Research, Meerut, India
| | - Poonam Kashyap
- ICAR-Indian Institute of Farming Systems Research, Meerut, India
| | | | - D. Dutta
- ICAR-Indian Institute of Farming Systems Research, Meerut, India
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Krane N, Turco E, Bernhardt A, Jacob D, Gandus G, Passerone D, Luisier M, Juríček M, Fasel R, Fernández-Rossier J, Ruffieux P. Exchange Interactions and Intermolecular Hybridization in a Spin- 1/ 2 Nanographene Dimer. Nano Lett 2023; 23:9353-9359. [PMID: 37819646 DOI: 10.1021/acs.nanolett.3c02633] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/13/2023]
Abstract
Phenalenyl is a radical nanographene with a triangular shape hosting an unpaired electron with spin S = 1/2. The open-shell nature of the phenalenyl is expected to be retained in covalently bonded networks. As a first step, we report synthesis of the phenalenyl dimer by combining in-solution synthesis and on-surface activation and its characterization on Au(111) and on a NaCl decoupling layer by means of inelastic electron tunneling spectroscopy (IETS). IETS shows inelastic steps that are identified as singlet-triplet excitation arising from interphenalenyl exchange. Spin excitation energies with and without the NaCl decoupling layer are 48 and 41 meV, respectively, indicating significant renormalization due to exchange with Au(111) electrons. Furthermore, third-neighbor hopping-induced interphenalenyl hybridization is fundamental to explaining the position-dependent bias asymmetry of the inelastic steps and activation of kinetic interphenalenyl exchange. Our results pave the way for bottom-up synthesis of S = 1/2 spin-lattices with large exchange interactions.
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Affiliation(s)
- N Krane
- nanotech@surfaces Laboratory, Empa - Swiss Federal Laboratories for Materials Science and Technology, Ueberlandstrasse 129, 8600 Dübendorf, Switzerland
| | - E Turco
- nanotech@surfaces Laboratory, Empa - Swiss Federal Laboratories for Materials Science and Technology, Ueberlandstrasse 129, 8600 Dübendorf, Switzerland
| | - A Bernhardt
- Department of Chemistry, University of Zurich, Winterthurerstrasse 190, 8057 Zurich, Switzerland
| | - D Jacob
- Departamento de Polímeros y Materiales Avanzados: Física, Química y Tecnología, Universidad del País Vasco UPV/EHU, Av. Tolosa 72, E-20018 San Sebastián, Spain
- Basque Foundation for Science, IKERBASQUE, Plaza Euskadi 5, E-48009 Bilbao, Spain
| | - G Gandus
- Integrated Systems Laboratory, ETH Zürich, Gloriastrasse 35, 8092 Zürich, Switzerland
| | - D Passerone
- nanotech@surfaces Laboratory, Empa - Swiss Federal Laboratories for Materials Science and Technology, Ueberlandstrasse 129, 8600 Dübendorf, Switzerland
| | - M Luisier
- Integrated Systems Laboratory, ETH Zürich, Gloriastrasse 35, 8092 Zürich, Switzerland
| | - M Juríček
- Department of Chemistry, University of Zurich, Winterthurerstrasse 190, 8057 Zurich, Switzerland
| | - R Fasel
- nanotech@surfaces Laboratory, Empa - Swiss Federal Laboratories for Materials Science and Technology, Ueberlandstrasse 129, 8600 Dübendorf, Switzerland
- Department of Chemistry, Biochemistry and Pharmaceutical Sciences, University of Bern, Freiestrasse 3, 3012 Bern, Switzerland
| | - J Fernández-Rossier
- International Iberian Nanotechnology Laboratory (INL), Avenida Mestre José Veiga s/n, 4715-330 Braga, Portugal
| | - P Ruffieux
- nanotech@surfaces Laboratory, Empa - Swiss Federal Laboratories for Materials Science and Technology, Ueberlandstrasse 129, 8600 Dübendorf, Switzerland
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Greenstein LS, Daya R, Jacob D, Bayat Z. A case of hyponatraemia secondary to vitamin D deficiency. Journal of Endocrinology, Metabolism and Diabetes of South Africa 2023. [DOI: 10.1080/16089677.2023.2178155] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/06/2023]
Affiliation(s)
- LS Greenstein
- Division of Geriatric Medicine, Department of Internal Medicine, Helen Joseph Hospital, Johannesburg, South Africa
- Division of Geriatric Medicine, Department of Internal Medicine, School of Clinical Medicine, University of the Witwatersrand, Johannesburg, South Africa
| | - R Daya
- Division of Endocrinology and Metabolism, Department of Internal Medicine, Helen Joseph Hospital, Johannesburg, South Africa
- Division of Endocrinology and Metabolism, Department of Internal Medicine, School of Clinical Medicine, University of the Witwatersrand, Johannesburg, South Africa
| | - D Jacob
- Department of Chemical Pathology, National Health Laboratory Services, Helen Joseph Hospital, Johannesburg, South Africa
- Department of Chemical Pathology, School of Pathology, University of the Witwatersrand, Johannesburg, South Africa
| | - Z Bayat
- Division of Endocrinology and Metabolism, Department of Internal Medicine, Helen Joseph Hospital, Johannesburg, South Africa
- Division of Endocrinology and Metabolism, Department of Internal Medicine, School of Clinical Medicine, University of the Witwatersrand, Johannesburg, South Africa
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Aubonnet R, Shoykhet A, Jacob D, Di Lorenzo G, Petersen H, Gargiulo P. Postural control paradigm (BioVRSea): towards a neurophysiological signature. Physiol Meas 2022; 43. [PMID: 36265477 DOI: 10.1088/1361-6579/ac9c43] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2022] [Accepted: 10/20/2022] [Indexed: 02/07/2023]
Abstract
Objective.To define a new neurophysiological signature from electroencephalography (EEG) during a complex postural control task using the BioVRSea paradigm, consisting of virtual reality (VR) and a moving platform, mimicking the behavior of a boat on the sea.Approach.EEG (64 electrodes) data from 190 healthy subjects were acquired. The experiment is composed of 6 segments (Baseline, PRE, 25%, 50%, 75%, POST). The baseline lasts 60 s while standing on the motionless platform with a mountain view in the VR goggles. PRE and POST last 40 s while standing on the motionless platform with a sea simulation. The 3 other tasks last 40 s each, with the platform moving to adapt to the waves, and the subject holding a bar to maintain its balance. The power spectral density (PSD) difference for each task minus baseline has been computed for every electrode, for five frequency bands (delta, theta, alpha, beta, and low-gamma). Statistical significance has been computed.Main results.All the bands were significant for the whole cohort, for each task regarding baseline. Delta band shows a prefrontal PSD increase, theta a fronto-parietal decrease, alpha a global scalp power decrease, beta an increase in the occipital and temporal scalps and a decrease in other areas, and low-gamma a significant but slight increase in the parietal, occipital and temporal scalp areas.Significance.This study develops a neurophysiological reference during a complex postural control task. In particular, we found a strong localized activity associated with certain frequency bands during certain phases of the experiment. This is the first step towards a neurophysiological signature that can be used to identify pathological conditions lacking quantitative diagnostics assessment.
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Affiliation(s)
- R Aubonnet
- Institute of Biomedical and Neural Engineering, Reykjavik University, Reykjavik, Iceland
| | - A Shoykhet
- Institute of Biomedical and Neural Engineering, Reykjavik University, Reykjavik, Iceland
| | - D Jacob
- Institute of Biomedical and Neural Engineering, Reykjavik University, Reykjavik, Iceland
| | - G Di Lorenzo
- Laboratory of Psychophysiology and Cognitive Neuroscience, Department of Systems Medicine, University of Rome Tor Vergata, Rome, Italy.,IRCCS Fondazione Santa Lucia, Rome, Italy
| | - H Petersen
- Department of Anatomy, Faculty of Medicine, School of Health Sciences, University of Iceland, Reykjavik, Iceland.,Akureyri Hospital, Akureyri, Iceland
| | - P Gargiulo
- Institute of Biomedical and Neural Engineering, Reykjavik University, Reykjavik, Iceland.,Department of Science, Landspitalin, National University Hospital of Iceland, Reykjavik, Iceland
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Paramesh V, Ravisankar N, Behera U, Arunachalam V, Kumar P, Solomon Rajkumar R, Dhar Misra S, Mohan Kumar R, Prusty AK, Jacob D, Panwar AS, Mayenkar T, Reddy VK, Rajkumar S. Integrated farming system approaches to achieve food and nutritional security for enhancing profitability, employment, and climate resilience in India. Food Energy Secur 2022. [DOI: 10.1002/fes3.321] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Affiliation(s)
| | - Natesan Ravisankar
- ICAR‐ Indian Institute of Farming System Research Modipuram, Meerut India
| | - UmaKant Behera
- CAU‐ College of Agriculture Kyrdemkulai, Meghalaya India
| | | | - Parveen Kumar
- ICAR‐ Central Coastal Agricultural Research Institute Goa India
| | | | | | | | - A. K. Prusty
- ICAR‐ Indian Institute of Farming System Research Modipuram, Meerut India
| | - D. Jacob
- On Farm Research Centre Kerala Agricultural University Thiruvananthapuram India
| | - A. S. Panwar
- ICAR‐ Indian Institute of Farming System Research Modipuram, Meerut India
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Abstract
Abstract
A 25 yrs old female patient came to our department for routine antenatal ultrasound. Sonography revealed presence of a 24 week live intrauterine pregnancy. During routine screening for congenital anomalies, multiple highly echogenic foci were seen on the visceral peritoneal surface of liver and the parietal peritoneum. However no evidence of dilated bowel/ fetal ascites was detected. No other anomaly was detected.
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Affiliation(s)
- A T Kharat
- Department of Radio diagnosis, Dr Padm D.Y.Patil Medical College. Pimpri - 18., India
| | - R Prathima
- Department of Radio diagnosis, Dr Padm D.Y.Patil Medical College. Pimpri - 18., India
| | - A Singh
- Department of Radio diagnosis, Dr Padm D.Y.Patil Medical College. Pimpri - 18., India
| | - D Jacob
- Department of Radio diagnosis, Dr Padm D.Y.Patil Medical College. Pimpri - 18., India
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Köckerling F, Heine T, Adolf D, Zarras K, Weyhe D, Lammers B, Mayer F, Reinpold W, Jacob D. Trends in Emergent Groin Hernia Repair-An Analysis From the Herniamed Registry. Front Surg 2021; 8:655755. [PMID: 33859994 PMCID: PMC8042323 DOI: 10.3389/fsurg.2021.655755] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2021] [Accepted: 03/08/2021] [Indexed: 11/13/2022] Open
Abstract
Introduction: While the proportion of emergency groin hernia repairs in developed countries is 2.5–7.7%, the percentage in developing countries can be as high as 76.9%. The mortality rate for emergency groin hernia repair in developed countries is 1.7–7.0% and can rise to 6–25% if bowel resection is needed. In this present analysis of data from the Herniamed Registry, patients with emergency admission and operation within 24 h are analyzed. Methods: Between 2010 and 2019 a total of 13,028 patients with emergency admission and groin hernia repairs within 24 h were enrolled in the Herniamed Registry. The outcome results were assigned to the year of repair and summarized as curves. The total patient collective is broken down into the subgroups with pre-operative manual reduction (taxis) of the hernia content, operative reduction of the hernia content without bowel resection and with bowel resection. The explorative Fisher's exact test was used for statistical assessment of significant differences with Bonferroni adjustment for multiple testing. Results: The proportion of emergency admissions with groin hernia repair within 24 h was 2.7%. The percentage of women across the years was consistently 33%. The part of femoral hernias was 16%. The proportion of patients with pre-operative reduction (taxis) remained unchanged at around 21% and the share needing bowel resection was around 10%. The proportion of TAPP repairs rose from 21.9% in 2013 to 38.0% in 2019 (p < 0.001). Between the three groups with pre-operative taxis, without bowel resection and with bowel resection, highly significant differences were identified between the patients with regard to the rates of post-operative complications (4% vs. 6.5% vs. 22.7%; p < 0.0001), complication-related reoperations (1.9% vs. 3.8% vs. 17.7%; p < 0.0001), and mortality rate (0.3% vs. 0.9% vs. 7.5%; p < 0.001). In addition to emergency groin hernia repair subgroups female gender and age ≥66 years are unfavorable influencing factors for perioperative outcomes. Conclusion: For patients with emergency groin hernia repair the need for surgical reduction or bowel resection, female gender and age ≥66 years have a highly significantly unfavorable influence on the perioperative outcomes.
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Affiliation(s)
- Ferdinand Köckerling
- Department of Surgery and Center for Minimally Invasive Surgery, Academic Teaching Hospital of Charité Medical School, Vivantes Hospital, Berlin, Germany
| | | | | | - Konstaninos Zarras
- Department of Visceral, Minimally Invasive and Oncologic Surgery, Academic Teaching Hospital of University of Düsseldorf, Marien Hospital, Düsseldorf, Germany
| | - Dirk Weyhe
- Pius Hospital, Department of General and Visceral Surgery, University Hospital of Visceral Surgery, Oldenburg, Germany
| | - Bernhard Lammers
- Department of Surgery I, Section Coloproctology and Hernia Surgery, Lukas Hospital, Neuss, Germany
| | - Franz Mayer
- Department of Surgery, Paracelsus Medical Private University Salzburg, Salzburg, Germany
| | - Wolfgang Reinpold
- Department of Surgery, Wilhelmsburger Hospital Groß Sand, Academic Teaching Hospital of University Hamburg, Hamburg, Germany
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Köckerling F, Zarras K, Adolf D, Kraft B, Jacob D, Weyhe D, Schug-Pass C. What Is the Reality of Hiatal Hernia Management?-A Registry Analysis. Front Surg 2020; 7:584196. [PMID: 33195390 PMCID: PMC7642514 DOI: 10.3389/fsurg.2020.584196] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2020] [Accepted: 09/21/2020] [Indexed: 12/05/2022] Open
Abstract
Introduction: To date, the guidelines for surgical repair of hiatal hernias do not contain any clear recommendations on the hiatoplasty technique with regard to the use of a mesh or to the type of fundoplication (Nissen vs. Toupet). This present 10-years analysis of data from the Herniamed Registry aims to investigate these questions. Methods: Data on 17,328 elective hiatal hernia repairs were entered into the Herniamed Registry between 01.01.2010 and 31.12.2019. 96.4% of all repairs were completed by laparoscopic technique. One-year follow-up was available for 11,280 of 13,859 (81.4%) patients operated during the years 2010–2018. The explorative Fisher's exact test was used for statistical calculation of significant differences with an alpha = 5%. Since the annual number of cases in the Herniamed Registry in the years 2010–2012 was still relatively low, to identify significant differences the years 2013 and 2019 were compared. Results: The use of mesh hiatoplasty for axial and recurrent hiatal hernias remained stable over the years from 2013 to 2019 at 20 and 45%, respectively. In the same period the use of mesh hiatoplasty for paraesophageal hiatal hernia slightly, but significantly, increased from 33.0 to 38.9%. The proportion of Nissen and Toupet fundoplications for axial hiatal hernia repair dropped from 90.2% in 2013 to 74.0% in 2019 in favor of “other techniques” at 20.9%. For the paraesophageal hiatal hernias (types II–IV) the proportion of Nissen and Toupet fundoplications was 68.1% in 2013 and 66.0% in 2019. The paraesophageal hiatal hernia repairs included a proportion of gastropexy procedures of 21.7% in 2013 and 18.7% in 2019. The recurrent hiatal hernia repairs also included a proportion of gastropexies 12.8% in 2013 and 15.1% in 2019, Nissen and Toupet fundoplications of 72.7 and 62.7%, respectively, and “other techniques” of 14.5 and 22.2%, respectively. No changes were seen in the postoperative complication and recurrence rates. Conclusion: Clear trends are seen in hiatal hernia repair. The use of meshes has only slightly increased in paraesophageal hiatal hernia repairs. The use of alternative techniques has resulted in a reduction in the use of the “classic” Nissen and Toupet fundoplication surgical techniques.
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Affiliation(s)
- Ferdinand Köckerling
- Department of Surgery and Center for Minimally Invasive Surgery, Academic Teaching Hospital of Charité Medical School, Vivantes Hospital, Berlin, Germany
| | - Konstantinos Zarras
- Department of Visceral, Minimally Invasive and Oncological Surgery, Marien Hospital Düsseldorf, Düsseldorf, Germany
| | | | - Barbara Kraft
- Department of General and Visceral Surgery, Diakonie Hospital, Stuttgart, Germany
| | - Dietmar Jacob
- Chirurgisch-Orthopädischer PraxisVerbund (COPV)-Hernia Center, Berlin, Germany
| | - Dirk Weyhe
- Department of General and Visceral Surgery, University Hospital of Visceral Surgery, Pius Hospital Oldenburg, Oldenburg, Germany
| | - Christine Schug-Pass
- Department of Surgery and Center for Minimally Invasive Surgery, Academic Teaching Hospital of Charité Medical School, Vivantes Hospital, Berlin, Germany
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Katz A, Karvonen O, Di Caro A, Vairo F, Ippolito G, Grunow R, Jacob D, Salminen M. SHARP Joint Action – Strengthening International Health Regulations and preparedness in the EU. Eur J Public Health 2020. [PMCID: PMC7543434 DOI: 10.1093/eurpub/ckaa166.606] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Although the preparedness to health emergencies of biological, chemical, environmental and unknown origin across the Europe is at high level, gaps do exist across the EU Member States and European countries. The previous coronavirus epidemic, SARS in 2002, showed that countries responded largely individually to this emerging threat. EU wide, joint responses were not taken. SARS epidemic showed that strengthening of the common EU efforts was needed. Many actions were taken, and since 2013 the European Commission Decision 1082/2013/EU on serious cross-border threats to health has provided a framework to improve preparedness and to strengthen the response capacities in Europe to health threats. SHARP Joint Action is a 3-year collaborative action of 26 countries and 61 partners, co-funded by the EC and coordinated by the Finnish Institute for Health and Welfare, Finland, and co-coordinated by Robert Koch Institute, Germany and National Institute of Infectious Diseases Lazzaro Spallanzani, Italy. SHARP started it's actions in June 2019, and it aims to strengthen implementation of the International Health Regulations (IHR) and the Decision 1082/2013/EU. SHARP consists of ten work packages covering core public health capacities, including: IHR core capacity strengthening and assessment, preparedness and response planning, training, laboratory preparedness and responsiveness, chemical safety and threats, and case management, infection prevention and control preparedness. Through this cross-sectoral approach, SHARP supports the Member States and partner countries in strengthening their capacities. In response to the COVID-19 outbreak, SHARP has also supported the EC and the Member States, and especially work packages for laboratory preparedness and responsiveness (WP7) and for case management and infection prevention and control preparedness (WP10) were activated. The activities regarding laboratory preparedness and response have been coordinated with the ECDC.
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Affiliation(s)
- A Katz
- Department of Health Security, Finnish Institute for Health and Welfare, Helsinki, Finland
| | - O Karvonen
- Department of Health Security, Finnish Institute for Health and Welfare, Helsinki, Finland
| | - A Di Caro
- National Institute for Infectious Diseases Lazzaro Spallanzani, Rome, Italy
| | - F Vairo
- National Institute for Infectious Diseases Lazzaro Spallanzani, Rome, Italy
| | - G Ippolito
- National Institute for Infectious Diseases Lazzaro Spallanzani, Rome, Italy
| | - R Grunow
- Robert Koch Institute, Berlin, Germany
| | - D Jacob
- Robert Koch Institute, Berlin, Germany
| | - M Salminen
- Department of Health Security, Finnish Institute for Health and Welfare, Helsinki, Finland
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Corpechot C, Chazouillères O, Belnou P, Montano-Loza AJ, Mason A, Ebadi M, Eurich D, Chopra S, Jacob D, Schramm C, Sterneck M, Bruns T, Reuken P, Rauchfuss F, Roccarina D, Thorburn D, Gerussi A, Trivedi P, Hirschfield G, McDowell P, Nevens F, Boillot O, Bosch A, Giostra E, Conti F, Poupon R, Parés A, Reig A, Donato MF, Malinverno F, Floreani A, Russo FP, Cazzagon N, Verhelst X, Goet J, Harms M, van Buuren H, Hansen B, Carrat F, Dumortier J. Long-term impact of preventive UDCA therapy after transplantation for primary biliary cholangitis. J Hepatol 2020; 73:559-565. [PMID: 32275981 DOI: 10.1016/j.jhep.2020.03.043] [Citation(s) in RCA: 31] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/19/2019] [Revised: 03/06/2020] [Accepted: 03/23/2020] [Indexed: 12/11/2022]
Abstract
BACKGROUND & AIMS Recurrence of primary biliary cholangitis (PBC) after liver transplantation (LT) is frequent and can impair graft and patient survival. Ursodeoxycholic acid (UDCA) is the current standard therapy for PBC. We investigated the effect of preventive exposure to UDCA on the incidence and long-term consequences of PBC recurrence after LT. METHODS We performed a retrospective cohort study in 780 patients transplanted for PBC, between 1983-2017 in 16 centers (9 countries), and followed-up for a median of 11 years. Among them, 190 received preventive UDCA (10-15 mg/kg/day). The primary outcome was histological evidence of PBC recurrence. The secondary outcomes were graft loss, liver-related death, and all-cause death. The association between preventive UDCA and outcomes was quantified using multivariable-adjusted Cox and restricted mean survival time (RMST) models. RESULTS While recurrence of PBC significantly shortened graft and patient survival, preventive exposure to UDCA was associated with reduced risk of PBC recurrence (adjusted hazard ratio [aHR] 0.41; 95% CI 0.28-0.61; p <0.0001), graft loss (aHR 0.33; 95% CI 0.13-0.82; p <0.05), liver-related death (aHR 0.46; 95% CI 0.22-0.98; p <0.05), and all-cause death (aHR 0.69; 95% CI 0.49-0.96; p <0.05). On RMST analysis, preventive UDCA led to a survival gain of 2.26 years (95% CI 1.28-3.25) over a period of 20 years. Exposure to cyclosporine rather than tacrolimus had a complementary protective effect alongside preventive UDCA, reducing the cumulative incidence of PBC recurrence and all-cause death. CONCLUSIONS Preventive UDCA after LT for PBC is associated with a reduced risk of disease recurrence, graft loss, and death. A regimen combining cyclosporine and preventive UDCA is associated with the lowest risk of PBC recurrence and mortality. LAY SUMMARY Recurrence of primary biliary cholangitis after liver transplantation is frequent and can impair graft and patient survival. We performed the largest international study of transplanted patients with primary biliary cholangitis to date. Preventive administration of ursodeoxycholic acid after liver transplantation was associated with reduced risk of disease recurrence, graft loss, liver-related and all-cause mortality. A regimen combining cyclosporine and preventive ursodeoxycholic acid was associated with the best outcomes.
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Affiliation(s)
- Christophe Corpechot
- Reference Center for Inflammatory Biliary Diseases and Autoimmune Hepatitis, ERN Rare-Liver, Saint-Antoine Hospital, Assistance Publique - Hôpitaux de Paris; Inserm UMR_S938, Saint-Antoine Research Center, Sorbonne University, Paris, France.
| | - Olivier Chazouillères
- Reference Center for Inflammatory Biliary Diseases and Autoimmune Hepatitis, ERN Rare-Liver, Saint-Antoine Hospital, Assistance Publique - Hôpitaux de Paris; Inserm UMR_S938, Saint-Antoine Research Center, Sorbonne University, Paris, France
| | - Pierre Belnou
- Public Health Unit, Saint-Antoine Hospital, Assistance Publique-Hôpitaux de Paris; Pierre Louis Institute of Epidemiology and Public Health, Sorbonne University, Paris, France
| | - Aldo J Montano-Loza
- Division of Gastroenterology and Liver Unit, University of Alberta, Edmonton, Canada
| | - Andrew Mason
- Division of Gastroenterology and Liver Unit, University of Alberta, Edmonton, Canada
| | - Maryam Ebadi
- Division of Gastroenterology and Liver Unit, University of Alberta, Edmonton, Canada
| | - Dennis Eurich
- Department of General, Visceral and Transplantation Surgery, Charité University Hospital, Berlin, Germany
| | - Sascha Chopra
- Department of General, Visceral and Transplantation Surgery, Charité University Hospital, Berlin, Germany
| | - Dietmar Jacob
- Department of General, Visceral and Transplantation Surgery, Charité University Hospital, Berlin, Germany
| | - Christoph Schramm
- Department of Medicine I and Martin Zeitz Center for Rare Diseases, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Martina Sterneck
- Department of Medicine I and Martin Zeitz Center for Rare Diseases, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Tony Bruns
- Department of Medicine III, University Hospital RWTH Aachen, Aachen, Germany; Department of Internal Medicine IV, Integrated Research and Treatment Center for Sepsis Control and Care, University Hospital, Jena, Germany
| | - Philipp Reuken
- Department of Internal Medicine IV, Integrated Research and Treatment Center for Sepsis Control and Care, University Hospital, Jena, Germany
| | - Falk Rauchfuss
- Department of General, Visceral and Vascular Surgery, University Hospital Jena, Jena, Germany
| | - Davide Roccarina
- University College London Institute for Liver and Digestive Health, Royal Free Hospital, London, United Kingdom
| | - Douglas Thorburn
- University College London Institute for Liver and Digestive Health, Royal Free Hospital, London, United Kingdom
| | - Alessio Gerussi
- University College London Institute for Liver and Digestive Health, Royal Free Hospital, London, United Kingdom
| | - Palak Trivedi
- National Institute for Health Research, Centre for Liver Research, University Hospitals Birmingham, Institute of Immunology and Immunotherapy, University of Birmingham, United Kingdom
| | - Gideon Hirschfield
- National Institute for Health Research, Centre for Liver Research, University Hospitals Birmingham, Institute of Immunology and Immunotherapy, University of Birmingham, United Kingdom; Department of Gastroenterology, University Hospitals Birmingham National Health Service Foundation Trust, Queen Elizabeth Hospital, Birmingham, United Kingdom; Toronto Centre for Liver Disease, University Health Network, University of Toronto, Toronto, Canada
| | - Patrick McDowell
- Department of Gastroenterology, University Hospitals Birmingham National Health Service Foundation Trust, Queen Elizabeth Hospital, Birmingham, United Kingdom
| | - Frederik Nevens
- Division Liver and Biliopancreatic Disorders, University Hospitals KU, Leuven, Belgium
| | - Olivier Boillot
- Transplant Hepatology Unit, Edouard Herriot Hospital, Hospices Civils de Lyon, Claude Bernard University, Lyon, France
| | - Alexie Bosch
- Transplant Hepatology Unit, Croix Rousse Hospital, Hospices Civils de Lyon, Claude Bernard University, Lyon, France
| | - Emiliano Giostra
- Hepatology and Gastroenterology Department, Geneva University Hospitals, Geneva, Switzerland
| | - Filomena Conti
- Transplant Hepatology Unit, Pitié-Salpêtrière Hospital, Assistance Publique-Hôpitaux de Paris, Sorbonne University, Paris, France
| | - Raoul Poupon
- Reference Center for Inflammatory Biliary Diseases and Autoimmune Hepatitis, ERN Rare-Liver, Saint-Antoine Hospital, Assistance Publique - Hôpitaux de Paris; Inserm UMR_S938, Saint-Antoine Research Center, Sorbonne University, Paris, France
| | - Albert Parés
- Liver Unit, Hospital Clínic, University of Barcelona, The August Pi i Sunyer Biomedical Research Institute, Biomedical Research Networking Center in Hepatic and Digestive Diseases, Barcelona, Spain
| | - Anna Reig
- Liver Unit, Hospital Clínic, University of Barcelona, The August Pi i Sunyer Biomedical Research Institute, Biomedical Research Networking Center in Hepatic and Digestive Diseases, Barcelona, Spain
| | - Maria Francesca Donato
- Transplant Hepatology Unit, Division of Gastroenterology and Hepatology, Maggiore Hospital Policlinico, Milan, Italy
| | - Federica Malinverno
- Transplant Hepatology Unit, Division of Gastroenterology and Hepatology, Maggiore Hospital Policlinico, Milan, Italy
| | - Annarosa Floreani
- Department of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy
| | - Francesco Paolo Russo
- Department of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy
| | - Nora Cazzagon
- Department of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy
| | - Xavier Verhelst
- Department of Gastroenterology and Hepatology, Ghent University Hospital, Ghent, Belgium
| | - Jorn Goet
- Department of Gastroenterology and Hepatology, Erasmus University Medical Center, Rotterdam, The Netherlands
| | - Maren Harms
- Department of Gastroenterology and Hepatology, Erasmus University Medical Center, Rotterdam, The Netherlands
| | - Henk van Buuren
- Department of Gastroenterology and Hepatology, Erasmus University Medical Center, Rotterdam, The Netherlands
| | - Bettina Hansen
- Department of Gastroenterology and Hepatology, Erasmus University Medical Center, Rotterdam, The Netherlands; Toronto Centre for Liver Disease, University Health Network, University of Toronto, Toronto, Canada
| | - Fabrice Carrat
- Public Health Unit, Saint-Antoine Hospital, Assistance Publique-Hôpitaux de Paris; Pierre Louis Institute of Epidemiology and Public Health, Sorbonne University, Paris, France
| | - Jérôme Dumortier
- Transplant Hepatology Unit, Edouard Herriot Hospital, Hospices Civils de Lyon, Claude Bernard University, Lyon, France
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Karatuna O, Dance DAB, Matuschek E, Åhman J, Turner P, Hopkins J, Amornchai P, Wuthiekanun V, Cusack TP, Baird R, Hennessy J, Norton R, Armstrong M, Zange S, Zoeller L, Wahab T, Jacob D, Grunow R, Kahlmeter G. Burkholderia pseudomallei multi-centre study to establish EUCAST MIC and zone diameter distributions and epidemiological cut-off values. Clin Microbiol Infect 2020; 27:S1198-743X(20)30384-0. [PMID: 32653660 DOI: 10.1016/j.cmi.2020.07.001] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2020] [Revised: 06/26/2020] [Accepted: 07/01/2020] [Indexed: 12/26/2022]
Abstract
OBJECTIVES Melioidosis, caused by Burkholderia pseudomallei, requires intensive antimicrobial treatment. However, standardized antimicrobial susceptibility testing (AST) methodology based on modern principles for determining breakpoints and ascertaining performance of methods are lacking for B. pseudomallei. This study aimed to establish MIC and zone diameter distributions on which to set epidemiological cut-off (ECOFF) values for B. pseudomallei using standard EUCAST methodology for non-fastidious organisms. METHODS Non-consecutive, non-duplicate clinical B. pseudomallei isolates (9-70 per centre) were tested at eight study centres against eight antimicrobials by broth microdilution (BMD) and the EUCAST disc diffusion method. Isolates without and with suspected resistance mechanisms were deliberately selected. The EUCAST Development Laboratory ensured the quality of study materials, and provided guidance on performance of the tests and interpretation of results. Aggregated results were analysed according to EUCAST recommendations to determine ECOFFs. RESULTS MIC and zone diameter distributions were generated using BMD and disc diffusion results obtained for 361 B. pseudomallei isolates. MIC and zone diameter ECOFFs (mg/L; mm) were determined for amoxicillin-clavulanic acid (8; 22), ceftazidime (8; 22), imipenem (2; 29), meropenem (2; 26), doxycycline (2; none), tetracycline (8; 23), chloramphenicol (8; 22) and trimethoprim-sulfamethoxazole (4; 28). CONCLUSIONS We have validated the use of standard BMD and disc diffusion methodology for AST of B. pseudomallei. The MIC and zone diameter distributions generated in this study allowed us to establish MIC and zone diameter ECOFFs for the antimicrobials studied. These ECOFFs served as background data for EUCAST to set clinical MIC and zone diameter breakpoints for B. pseudomallei.
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Affiliation(s)
- O Karatuna
- EUCAST Development Laboratory, Växjö, Sweden.
| | - D A B Dance
- Lao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit, Vientiane, Lao People's Democratic Republic; Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK; Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UK
| | - E Matuschek
- EUCAST Development Laboratory, Växjö, Sweden
| | - J Åhman
- EUCAST Development Laboratory, Växjö, Sweden
| | - P Turner
- Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK; Cambodia Oxford Medical Research Unit, Angkor Hospital for Children, Siem Reap, Cambodia
| | - J Hopkins
- Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK; Cambodia Oxford Medical Research Unit, Angkor Hospital for Children, Siem Reap, Cambodia
| | - P Amornchai
- Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
| | - V Wuthiekanun
- Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
| | - T-P Cusack
- Lao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit, Vientiane, Lao People's Democratic Republic; National Infection Service, Public Health England, London, UK
| | - R Baird
- Royal Darwin Hospital, Darwin, NT, Australia
| | - J Hennessy
- Royal Darwin Hospital, Darwin, NT, Australia
| | - R Norton
- Townsville Hospital, Townsville, QLD, Australia
| | - M Armstrong
- Townsville Hospital, Townsville, QLD, Australia
| | - S Zange
- Bundeswehr Institute of Microbiology, Munich, Germany
| | - L Zoeller
- Bundeswehr Institute of Microbiology, Munich, Germany
| | - T Wahab
- Public Health Agency of Sweden, Stockholm, Sweden
| | - D Jacob
- Robert Koch Institute, Berlin, Germany
| | - R Grunow
- Robert Koch Institute, Berlin, Germany
| | - G Kahlmeter
- EUCAST Development Laboratory, Växjö, Sweden
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Köckerling F, Krüger C, Gagarkin I, Kuthe A, Adolf D, Stechemesser B, Niebuhr H, Jacob D, Riediger H. What is the outcome of re-recurrent vs recurrent inguinal hernia repairs? An analysis of 16,206 patients from the Herniamed Registry. Hernia 2020; 24:811-819. [PMID: 32086633 PMCID: PMC7395905 DOI: 10.1007/s10029-020-02138-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2019] [Accepted: 02/06/2020] [Indexed: 11/25/2022]
Abstract
INTRODUCTION The proportion of recurrent repairs in the total collective of inguinal hernia repairs among men is 11.3-14.3% and among women 7.0-7.4%. The rate of re-recurrences is reported to be 2.9-9.2%. To date, no case series has been published on second and ≥ third recurrences and their treatment outcomes. Only case reports are available. MATERIALS AND METHODS In an analysis of data from the Herniamed Registry the perioperative and 1-year follow-up outcomes of 16,206 distinct patients who had undergone first recurrent (n = 14,172; 87.4%), second recurrent (n = 1,583; 9.8%) or ≥ third recurrent (n = 451; 2.8%) inguinal hernia repair between September 1, 2009 and July 1, 2017 were compared. RESULTS The intraoperative complication rate for all recurrent repairs was between 1-2%. In the postoperative complications a continuous increase was observed (first recurrence: 3.97% vs second recurrence: 5.75% vs ≥ third recurrence 8.65%; p < 0.001). That applied equally to the complication-related reoperation rates (first recurrence: 1.50% vs second recurrence: 2.21% vs ≥ third recurrence 2.66; p = 0.020). Likewise, the re-recurrence rate rose significantly (first recurrence: 1.95% vs second recurrence: 2.72% vs ≥ third recurrence 3.77; p = 0.005). Similarly, the rate of pain requiring treatment rose highly significantly with an increasing number of recurrences (first recurrence: 5.21% vs second recurrence: 6.70% vs ≥ third recurrence 10.86; p = < 0.001). CONCLUSION The repair of re-recurrences in inguinal hernia is associated with increasingly more unfavorable outcomes. For the first recurrence the guidelines should definitely be noted. For a second and ≥ third recurrence diagnostic laparoscopy may help to select the best possible surgical technique.
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Affiliation(s)
- F Köckerling
- Department of Surgery and Center for Minimally Invasive Surgery, Academic Teaching Hospital of Charité Medical School, Vivantes Hospital, Neue Bergstrasse 6, 13585, Berlin, Germany.
| | - C Krüger
- Immanuel Hospital Rüdersdorf, Seebad 82/83, 15562, Rüdersdorf, Germany
| | - I Gagarkin
- Spital Riggisberg, Inselgruppe,, Eyweg 2, 3132, Riggisberg, Switzerland
| | - A Kuthe
- DRK-Krankenhaus Clementinenhaus, Lützerodestr. 1, 30161, Hannover, Germany
| | - D Adolf
- StatConsult GmbH, Halberstädter Strasse 40 a, 39112, Magdeburg, Germany
| | - B Stechemesser
- Pan Hospital, Hernia Center, Zeppelinstraße 1, 50667, Köln, Germany
| | - H Niebuhr
- Hansechirurgie, Niebuhr, Marleschki & Partner, Alte Holstenstr. 16, 21031, Hamburg, Germany
| | - D Jacob
- COPV-Hernia Center, Kaiser-Wilhelm-Str. 24-26, 12247, Berlin, Germany
| | - H Riediger
- Vivantes Humboldt Hospital, Am Nordgraben 2, 13509, Berlin, Germany
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Hoegh-Guldberg O, Jacob D, Taylor M, Guillén Bolaños T, Bindi M, Brown S, Camilloni IA, Diedhiou A, Djalante R, Ebi K, Engelbrecht F, Guiot J, Hijioka Y, Mehrotra S, Hope CW, Payne AJ, Pörtner HO, Seneviratne SI, Thomas A, Warren R, Zhou G. The human imperative of stabilizing global climate change at 1.5°C. Science 2019. [PMID: 31604209 DOI: 10.1016/b978-1-78548-051-5.50007-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/11/2023]
Abstract
Increased concentrations of atmospheric greenhouse gases have led to a global mean surface temperature 1.0°C higher than during the pre-industrial period. We expand on the recent IPCC Special Report on global warming of 1.5°C and review the additional risks associated with higher levels of warming, each having major implications for multiple geographies, climates, and ecosystems. Limiting warming to 1.5°C rather than 2.0°C would be required to maintain substantial proportions of ecosystems and would have clear benefits for human health and economies. These conclusions are relevant for people everywhere, particularly in low- and middle-income countries, where the escalation of climate-related risks may prevent the achievement of the United Nations Sustainable Development Goals.
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Affiliation(s)
- O Hoegh-Guldberg
- Global Change Institute, University of Queensland, St. Lucia, QLD 4072, Australia.
- School of Biological Sciences, University of Queensland, St. Lucia, QLD 4072, Australia
| | - D Jacob
- Climate Service Center Germany (GERICS), Helmholtz-Zentrum Geesthacht, Hamburg, Germany
| | - M Taylor
- Department of Physics, University of the West Indies, Kingston, Jamaica
| | - T Guillén Bolaños
- Climate Service Center Germany (GERICS), Helmholtz-Zentrum Geesthacht, Hamburg, Germany
| | - M Bindi
- Department of Agriculture, Food, Environment and Forestry (DAGRI), University of Florence, 50144 Firenze, Italy
| | - S Brown
- Faculty of Engineering and Physical Sciences, University of Southampton, Boldrewood Innovation Campus, Southampton SO16 7QF, UK
- Department of Life and Environmental Sciences, Faculty of Science and Technology, Bournemouth University, Fern Barrow, Poole, Dorset BH12 5BB, UK
| | - I A Camilloni
- Centro de Investigaciones del Mar y la Atmósfera (UBA-CONICET), UMI-IFAECI/CNRS, and Departamento de Ciencias de la Atmósfera y los Océanos (FCEN), University of Buenos Aires, Buenos Aires, Argentina
| | - A Diedhiou
- Université Grenoble Alpes, French National Research Institute for Sustainable Development (IRD), CNRS, Grenoble INP, IGE, F-38000 Grenoble, France
| | - R Djalante
- United Nations University-Institute for the Advanced Study of Sustainability (UNU-IAS), Tokyo, Japan
- Halu Oleo University, Kendari, South East Sulawesi, Indonesia
| | - K Ebi
- Center for Health and the Global Environment, University of Washington, Seattle, WA, USA
| | - F Engelbrecht
- Global Change Institute, University of the Witwatersrand, Johannesburg 2193, South Africa
| | - J Guiot
- Aix Marseille University, CNRS, IRD, INRA, Collège de France, CEREGE, Aix-en-Provence, France
| | - Y Hijioka
- Center for Climate Change Adaptation, National Institute for Environmental Studies, Onogawa, Tsukuba, Ibaraki 305-8506, Japan
| | | | - C W Hope
- Cambridge Judge Business School, University of Cambridge, Cambridge, UK
| | | | - H-O Pörtner
- Alfred Wegener Institute, Helmholtz Centre for Polar and Marine Research, Bremerhaven, Germany
| | - S I Seneviratne
- Institute for Atmospheric and Climate Science, ETH Zurich, Zurich, Switzerland
| | - A Thomas
- Climate Analytics, 10961 Berlin, Germany
- Environmental and Life Sciences, University of the Bahamas, Nassau 76905, Bahamas
| | - R Warren
- Tyndall Centre for Climate Change Research and School of Environmental Sciences, University of East Anglia, Norwich NR4 7TJ, UK
| | - G Zhou
- State Key Laboratory of Severe Weather, Chinese Academy of Meteorological Sciences, Beijing 100081, China
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15
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Hoegh-Guldberg O, Jacob D, Taylor M, Guillén Bolaños T, Bindi M, Brown S, Camilloni IA, Diedhiou A, Djalante R, Ebi K, Engelbrecht F, Guiot J, Hijioka Y, Mehrotra S, Hope CW, Payne AJ, Pörtner HO, Seneviratne SI, Thomas A, Warren R, Zhou G. The human imperative of stabilizing global climate change at 1.5°C. Science 2019; 365:365/6459/eaaw6974. [DOI: 10.1126/science.aaw6974] [Citation(s) in RCA: 271] [Impact Index Per Article: 54.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2019] [Accepted: 08/01/2019] [Indexed: 12/13/2022]
Abstract
Increased concentrations of atmospheric greenhouse gases have led to a global mean surface temperature 1.0°C higher than during the pre-industrial period. We expand on the recent IPCC Special Report on global warming of 1.5°C and review the additional risks associated with higher levels of warming, each having major implications for multiple geographies, climates, and ecosystems. Limiting warming to 1.5°C rather than 2.0°C would be required to maintain substantial proportions of ecosystems and would have clear benefits for human health and economies. These conclusions are relevant for people everywhere, particularly in low- and middle-income countries, where the escalation of climate-related risks may prevent the achievement of the United Nations Sustainable Development Goals.
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Addad A, Carrez P, Cordier P, Jacob D, Karato S, Mohiuddin A, Mussi A, Nzogang BC, Roussel P, Tommasi A. Anhydrous Phase B: Transmission Electron Microscope Characterization and Elastic Properties. Geochem Geophys Geosyst 2019; 20:4059-4072. [PMID: 31762710 PMCID: PMC6853247 DOI: 10.1029/2019gc008429] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 05/03/2019] [Revised: 07/19/2019] [Accepted: 07/19/2019] [Indexed: 06/10/2023]
Abstract
Anhydrous phase B and stishovite formed directly from olivine in experiments at 14 GPa and 1400 °CThe structure of anhydrous phase B is determined ab initio from precession electron diffraction tomography in transmission electron microscopyElastic and seismic properties of anhydrous phase B are calculated.
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Affiliation(s)
- A. Addad
- Université de Lille, CNRS, INRA, ENSCL, UMR 8207 ‐ UMET ‐ Unité Matériaux et TransformationsLilleFrance
| | - P. Carrez
- Université de Lille, CNRS, INRA, ENSCL, UMR 8207 ‐ UMET ‐ Unité Matériaux et TransformationsLilleFrance
| | - P. Cordier
- Université de Lille, CNRS, INRA, ENSCL, UMR 8207 ‐ UMET ‐ Unité Matériaux et TransformationsLilleFrance
| | - D. Jacob
- Université de Lille, CNRS, INRA, ENSCL, UMR 8207 ‐ UMET ‐ Unité Matériaux et TransformationsLilleFrance
| | - S.‐I. Karato
- Department of Geology and GeophysicsYale UniversityNew HavenCTUSA
| | - A. Mohiuddin
- Department of Geology and GeophysicsYale UniversityNew HavenCTUSA
| | - A. Mussi
- Université de Lille, CNRS, INRA, ENSCL, UMR 8207 ‐ UMET ‐ Unité Matériaux et TransformationsLilleFrance
| | - B. C. Nzogang
- Université de Lille, CNRS, INRA, ENSCL, UMR 8207 ‐ UMET ‐ Unité Matériaux et TransformationsLilleFrance
| | - P. Roussel
- Université de Lille, CNRS, Centrale Lille, ENSCL, Université d'Artois, UMR 8181 ‐ UCCS ‐ Unité de Catalyse et de Chimie du SolideLilleFrance
| | - A. Tommasi
- Université de Montpellier, CNRS, Geosciences MontpellierMontpellierFrance
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Krause C, Schawitzke A, Grunow R, Jacob D, Röcken C, Egberts JH. Seltene Differenzialdiagnose PET-positiver pulmonaler Raumforderungen. Chirurg 2019; 90:493-495. [DOI: 10.1007/s00104-019-0803-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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18
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Zelinski M, Ting A, Bishop C, Lawson M, Liang L, Hobbs T, Jacob D, Lee D. Vitrified macaque ovarian cortical tissue transplanted to heterotopic sites produces fertilizable oocytes. Fertil Steril 2018. [DOI: 10.1016/j.fertnstert.2018.07.172] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Friesecke S, Träger K, Schittek GA, Molnar Z, Bach F, Kogelmann K, Bogdanski R, Weyland A, Nierhaus A, Nestler F, Olboeter D, Tomescu D, Jacob D, Haake H, Grigoryev E, Nitsch M, Baumann A, Quintel M, Schott M, Kielstein JT, Meier-Hellmann A, Born F, Schumacher U, Singer M, Kellum J, Brunkhorst FM. International registry on the use of the CytoSorb® adsorber in ICU patients : Study protocol and preliminary results. Med Klin Intensivmed Notfmed 2017; 114:699-707. [PMID: 28871441 DOI: 10.1007/s00063-017-0342-5] [Citation(s) in RCA: 39] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2017] [Revised: 07/10/2017] [Accepted: 07/10/2017] [Indexed: 12/13/2022]
Abstract
INTRODUCTION The aim of this clinical registry is to record the use of CytoSorb® adsorber device in critically ill patients under real-life conditions. METHODS The registry records all relevant information in the course of product use, e. g., diagnosis, comorbidities, course of the condition, treatment, concomitant medication, clinical laboratory parameters, and outcome (ClinicalTrials.gov Identifier: NCT02312024). Primary endpoint is in-hospital mortality as compared to the mortality predicted by the APACHE II and SAPS II score, respectively. RESULTS As of January 30, 2017, 130 centers from 22 countries were participating. Data available from the start of the registry on May 18, 2015 to November 24, 2016 (122 centers; 22 countries) were analyzed, of whom 20 centers from four countries provided data for a total of 198 patients (mean age 60.3 ± 15.1 years, 135 men [68.2%]). In all, 192 (97.0%) had 1 to 5 Cytosorb® adsorber applications. Sepsis was the most common indication for CytoSorb® treatment (135 patients). Mean APACHE II score in this group was 33.1 ± 8.4 [range 15-52] with a predicted risk of death of 78%, whereas the observed mortality was 65%. There were no significant decreases in the SOFA scores after treatment (17.2 ± 4.8 [3-24]). However interleukin-6 levels were markedly reduced after treatment (median 5000 pg/ml before and 289 pg/ml after treatment, respectively). CONCLUSIONS This third interim report demonstrates the feasibility of the registry with excellent data quality and completeness from 20 study centers. The results must be interpreted with caution, since the numbers are still small; however the disease severity is remarkably high and suggests that adsorber treatment might be used as an ultimate treatment in life-threatening situations. There were no device-associated side effects.
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Affiliation(s)
- S Friesecke
- Klinik und Poliklinik für Innere Medizin B, Universitätsmedizin Greifswald, Greifswald, Germany
| | - K Träger
- Kardioanästhesiologie, Universitätsklinikum Ulm, Ulm, Germany
| | - G A Schittek
- Klinik für Anästhesiologie, Intensivtherapie und Palliativmedizin, Carl-Thiem-Klinikum Cottbus, Cottbus, Germany
| | - Z Molnar
- Department of Anesthesiology and Intensive Care, University of Szeged, Szeged, Hungary
| | - F Bach
- Klinik für Anästhesiologie, Intensiv‑, Notfallmedizin, Transfusionsmedizin und Schmerztherapie, Evangelisches Krankenhaus Bielefeld, Bielefeld, Germany
| | - K Kogelmann
- Klinik für Anästhesiologie und Intensivmedizin, Hans-Susemihl-Krankenhaus gGmbH, Emden, Germany
| | - R Bogdanski
- Klinik für Anästhesiologie, AG Hämodynamik, Klinikum rechts der Isar TU München, München, Germany
| | - A Weyland
- Universitätsklinik für Anästhesiologie/Intensiv‑/Notfallmedizin/Schmerztherapie, Klinikum Oldenburg gGmbH, Carl von Ossietzky Universität, Oldenburg, Germany
| | - A Nierhaus
- Klinik für Intensivmedizin, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany
| | - F Nestler
- Anästhesie und Intensivmedizin, Kliniken Erlabrunn gGmbH, Breitenbrunn, Germany
| | - D Olboeter
- Anästhesie und Intensivmedizin, Krankenhaus Herzberg, Elbe-Elster-Klinikum GmbH, Herzberg, Germany
| | - D Tomescu
- Fundeni Clinical Institute, Bucharest, Romania
| | - D Jacob
- Klinik für Allgemein‑, Viszeral- und Gefäßchirurgie, Universitätsklinikum Magdeburg, Magdeburg, Germany
| | - H Haake
- Klinik für Kardiologie und Intensivmedizin, Kliniken Maria Hilf GmbH, Mönchengladbach, Germany
| | - E Grigoryev
- Institute for Complex Issues of Cardiovascular Diseases, Kemerovo, Russian Federation
| | - M Nitsch
- Klinik für Anästhesie, Intensiv‑, Notfallmedizin und Schmerztherapie, Krankenhaus St. Elisabeth und St. Barbara Halle, Halle, Germany
| | - A Baumann
- Klinik für Anästhesie, Intensiv‑, Palliativ- und Schmerzmedizin, Berufsgenossensch. Uniklinik Bergmannsheil, Bochum, Germany
| | - M Quintel
- Zentrum Anästhesiologie, Rettungs-und Intensivmedizin, Universitätsklinikum Göttingen, Göttingen, Germany
| | - M Schott
- Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie, Klinikum Region Hannover Nordstadt, Hannover, Germany
| | - J T Kielstein
- Medizinische Klinik V, Klinikum Braunschweig, Braunschweig, Germany
| | - A Meier-Hellmann
- Anästhesie, Intensivmedizin und Schmerztherapie, HELIOS Klinikums Erfurt, Erfurt, Germany
| | - F Born
- Herzchirurgische Klinik und Poliklinik, LMU München, München, Germany
| | - U Schumacher
- Center for Clinical Studies Jena (ZKS), Jena, Germany
| | - M Singer
- Intensive Care Medicine, University College London, London, UK
| | - J Kellum
- Department of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, USA
| | - F M Brunkhorst
- Center for Clinical Studies Jena (ZKS), Jena, Germany. .,Center for Sepsis Control and Care (CSCC), Jena, Germany. .,Department of Anaesthesiology and Intensive Care Medicine, Jena University Hospital, Erlanger Allee 101, 07747, Jena, Germany.
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Jacob D, Deborde C, Lefebvre M, Maucourt M, Moing A. NMRProcFlow: a graphical and interactive tool dedicated to 1D spectra processing for NMR-based metabolomics. Metabolomics 2017; 13:36. [PMID: 28261014 PMCID: PMC5313591 DOI: 10.1007/s11306-017-1178-y] [Citation(s) in RCA: 108] [Impact Index Per Article: 15.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/10/2016] [Accepted: 02/06/2017] [Indexed: 11/21/2022]
Abstract
INTRODUCTION Concerning NMR-based metabolomics, 1D spectra processing often requires an expert eye for disentangling the intertwined peaks. OBJECTIVES The objective of NMRProcFlow is to assist the expert in this task in the best way without requirement of programming skills. METHODS NMRProcFlow was developed to be a graphical and interactive 1D NMR (1H & 13C) spectra processing tool. RESULTS NMRProcFlow (http://nmrprocflow.org), dedicated to metabolic fingerprinting and targeted metabolomics, covers all spectra processing steps including baseline correction, chemical shift calibration and alignment. CONCLUSION Biologists and NMR spectroscopists can easily interact and develop synergies by visualizing the NMR spectra along with their corresponding experimental-factor levels, thus setting a bridge between experimental design and subsequent statistical analyses.
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Affiliation(s)
- D. Jacob
- UMR1332 Fruit Biology and Pathology, INRA, Univ. Bordeaux, Plateforme Métabolome Bordeaux-MetaboHUB, 71 avenue Edouard Bourlaux, 33140 Villenave d’Ornon, France
| | - C. Deborde
- UMR1332 Fruit Biology and Pathology, INRA, Univ. Bordeaux, Plateforme Métabolome Bordeaux-MetaboHUB, 71 avenue Edouard Bourlaux, 33140 Villenave d’Ornon, France
| | - M. Lefebvre
- UMR1332 Fruit Biology and Pathology, INRA, Univ. Bordeaux, Plateforme Métabolome Bordeaux-MetaboHUB, 71 avenue Edouard Bourlaux, 33140 Villenave d’Ornon, France
| | - M. Maucourt
- UMR1332 Fruit Biology and Pathology, INRA, Univ. Bordeaux, Plateforme Métabolome Bordeaux-MetaboHUB, 71 avenue Edouard Bourlaux, 33140 Villenave d’Ornon, France
| | - A. Moing
- UMR1332 Fruit Biology and Pathology, INRA, Univ. Bordeaux, Plateforme Métabolome Bordeaux-MetaboHUB, 71 avenue Edouard Bourlaux, 33140 Villenave d’Ornon, France
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Hassan Y, Head V, Jacob D, Bachmann MO, Diu S, Ford J. Lifestyle interventions for weight loss in adults with severe obesity: a systematic review. Clin Obes 2016; 6:395-403. [PMID: 27788558 DOI: 10.1111/cob.12161] [Citation(s) in RCA: 47] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/08/2016] [Revised: 06/24/2016] [Accepted: 07/21/2016] [Indexed: 11/26/2022]
Abstract
Severe obesity is an increasingly prevalent condition and is often associated with long-term comorbidities, reduced survival and higher healthcare costs. Non-surgical methods avoid the side effects, complications and costs of surgery, but it is unclear which non-surgical method is most effective. The objective of this article was to systematically review the effectiveness of lifestyle interventions compared to standard or minimal care for weight loss in adults with severe obesity. MEDLINE, EMBASE, CENTRAL, databases of on-going studies, reference lists of any relevant systematic reviews and the Cochrane Library database were searched from inception to February 2016 for relevant randomized controlled trials (RCTs). Inclusion criteria were participants with severe obesity (body mass index [BMI] > 40 kg/m2 or BMI > 35 kg/m2 with comorbidity) and interventions with a minimal duration of 12 weeks that were multi-component combinations of diet, exercise and behavioural therapy. Risk of bias was evaluated using the Cochrane risk of bias criteria. Meta-analysis was not possible because of methodological heterogeneity. Seventeen RCTs met the inclusion criteria. Weight change in kilograms of participants from baseline to follow-up was reported for 14 studies. Participants receiving the lifestyle intervention had a greater decrease in weight than participants in the control group for all studies (1.0-11.5 kg). Lifestyle interventions varied greatly between the studies. Overall lifestyle interventions with combined diet and exercise components achieved the greatest weight loss. Lifestyle interventions for weight loss in adults with severe obesity were found to result in increased weight loss when compared to minimal or standard care, especially those with combined diet and exercise components.
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Affiliation(s)
- Y Hassan
- Norwich Medical School, University of East Anglia, Norwich, UK
| | - V Head
- Norfolk Public Health, Norfolk County Council, Norfolk, UK
| | - D Jacob
- Norwich Medical School, University of East Anglia, Norwich, UK
| | - M O Bachmann
- Norwich Medical School, University of East Anglia, Norwich, UK
| | - S Diu
- Norfolk Public Health, Norfolk County Council, Norfolk, UK
| | - J Ford
- Norwich Medical School, University of East Anglia, Norwich, UK
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Karolak M, Jacob D. Effects of valence, geometry and electronic correlations on transport in transition metal benzene sandwich molecules. J Phys Condens Matter 2016; 28:445301. [PMID: 27605217 DOI: 10.1088/0953-8984/28/44/445301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
We study the impact of the valence and the geometry on the electronic structure and transport properties of different transition metal-benzene sandwich molecules bridging the tips of a Cu nanocontact. Our density-functional calculations show that the electronic transport properties of the molecules depend strongly on the molecular geometry which can be controlled by the nanocontact tips. Depending on the valence of the transition metal center certain molecules can be tuned in and out of half-metallic behaviour facilitating potential spintronics applications. We also discuss our results in the framework of an Anderson impurity model, indicating cases where the inclusion of local correlations alters the ground state qualitatively. For Co and V centered molecules we find indications of an orbital Kondo effect.
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Affiliation(s)
- M Karolak
- Institut für Theoretische Physik und Astrophysik, Universität Würzburg, Am Hubland, 97074 Würzburg, Germany
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Lodes U, Tröger U, Jacob D, Meyer F. Klinisch-pharmakologisches Counseling („Drug Interaction Stewardship“ – DIS) als Teil des interdisziplinären perioperativen Patientenmanagements. Zentralbl Chir 2016. [DOI: 10.1055/s-0036-1586273] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Granero D, Candela-Juan C, Vijande J, Ballester F, Perez-Calatayud J, Jacob D, Mourtada F. SU-F-T-63: Dosimetric Relevance of the Valencia and Leipzig HDR Applicators Plastic Cap. Med Phys 2016. [DOI: 10.1118/1.4956469] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Sharma A, Jacob D, Atluri H, Nanda A. PS249 Incidence of New Wall Motion Abnormalities on Transthoracic Echocardiogram in Non ST Elevation Myocardial Infarction and its Role in the Likelihood of Revascularization. Glob Heart 2016. [DOI: 10.1016/j.gheart.2016.03.192] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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Granero D, Candela-Juan C, Vijande J, Ballester F, Perez-Calatayud J, Jacob D, Mourtada F. Technical Note: Dosimetry of Leipzig and Valencia applicators without the plastic cap. Med Phys 2016; 43:2087. [DOI: 10.1118/1.4944784] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Taylor M, Gregory R, Tomlins P, Jacob D, Hubble J, Sahota T. Closed-loop glycaemic control using an implantable artificial pancreas in diabetic domestic pig ( Sus scrofa domesticus ). Int J Pharm 2016; 500:371-8. [DOI: 10.1016/j.ijpharm.2015.12.024] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2015] [Revised: 11/30/2015] [Accepted: 12/09/2015] [Indexed: 01/30/2023]
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Singh D, Jacob D, Ahmed I. Role of computed tomography perfusion imaging in the diagnosis of migraine. J Neurol Sci 2015. [DOI: 10.1016/j.jns.2015.08.1450] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Köckerling F, Jacob D, Wiegank W, Hukauf M, Schug-Pass C, Kuthe A, Bittner R. Endoscopic repair of primary versus recurrent male unilateral inguinal hernias: Are there differences in the outcome? Surg Endosc 2015; 30:1146-55. [PMID: 26139485 PMCID: PMC4757618 DOI: 10.1007/s00464-015-4318-3] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2015] [Accepted: 06/08/2015] [Indexed: 11/24/2022]
Abstract
Introduction
To date, there are no prospective randomized studies that compare the outcome of endoscopic repair of primary versus recurrent inguinal hernias. It is therefore now attempted to answer that key question on the basis of registry data. Patients and methods In total, 20,624 patients were enrolled between September 1, 2009, and April 31, 2013. Of these patients, 18,142 (88.0 %) had a primary and 2482 (12.0 %) had a recurrent endoscopic repair. Only patients with male unilateral inguinal hernia and with a 1-year follow-up were included. The dependent variables were intra- and postoperative complications, reoperations, recurrence, and chronic pain rates. The results of unadjusted analyses were verified via multivariable analyses. Results Unadjusted analysis did not reveal any significant differences in the intraoperative complications (1.28 vs 1.33 %; p = 0.849); however, there were significant differences in the postoperative complications (3.20 vs 4.03 %; p = 0.036), the reoperation rate due to complications (0.84 vs 1.33 %; p = 0.023), pain at rest (4.08 vs 6.16 %; p < 0.001), pain on exertion (8.03 vs 11.44 %; p < 0.001), chronic pain requiring treatment (2.31 vs 3.83 %; p < 0.001), and the recurrence rates (0.94 vs 1.45 %; p = 0.0023). Multivariable analysis confirmed the significant impact of endoscopic repair of recurrent hernia on the outcome. Conclusion Comparison of perioperative and 1-year outcome for endoscopic repair of primary versus recurrent male unilateral inguinal hernia showed significant differences to the disadvantage of the recurrent operation. Therefore, endoscopic repair of recurrent inguinal hernias calls for particular competence on the part of the hernia surgeon.
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Affiliation(s)
- F Köckerling
- Department of Surgery and Center for Minimally Invasive Surgery, Academic Teaching Hospital of Charité Medical School, Vivantes Hospital, Neue Bergstrasse 6, 13585, Berlin, Germany.
| | - D Jacob
- Department of Surgery and Center for Minimally Invasive Surgery, Academic Teaching Hospital of Charité Medical School, Vivantes Hospital, Neue Bergstrasse 6, 13585, Berlin, Germany
| | - W Wiegank
- Department of Surgery and Center for Minimally Invasive Surgery, Academic Teaching Hospital of Charité Medical School, Vivantes Hospital, Neue Bergstrasse 6, 13585, Berlin, Germany
| | - M Hukauf
- StatConsult GmbH, Halberstädter Strasse 40 a, 39112, Magdeburg, Germany
| | - C Schug-Pass
- Department of Surgery and Center for Minimally Invasive Surgery, Academic Teaching Hospital of Charité Medical School, Vivantes Hospital, Neue Bergstrasse 6, 13585, Berlin, Germany
| | - A Kuthe
- Department of General and Visceral Surgery, German Red Cross Hospital, Lützerodestrasse 1, 30161, Hannover, Germany
| | - R Bittner
- Hernia Center, Winghofer Medicum, Winghofer Strasse 42, 72108, Rottenburg am Neckar, Germany
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Köckerling F, Bittner R, Jacob D, Schug-Pass C, Laurenz C, Adolf D, Keller T, Stechemesser B. Do we need antibiotic prophylaxis in endoscopic inguinal hernia repair? Results of the Herniamed Registry. Surg Endosc 2015; 29:3741-9. [PMID: 25786905 PMCID: PMC4648957 DOI: 10.1007/s00464-015-4149-2] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2014] [Accepted: 02/06/2015] [Indexed: 11/29/2022]
Abstract
Introduction The use of antibiotic prophylaxis in inguinal hernia repair is a controversial issue. Accepted randomized controlled trials or registry data with specific analysis of endoscopic repaired patients do not exist. Patient and methods The data presented in this study compared the prospectively collected data from the Herniamed Registry on all patients who had undergone unilateral, bilateral or recurrent repair of inguinal hernias using either endoscopic or open techniques between September 1, 2009, and March 5, 2014. In total, 85,033 patients were enrolled. Of these patients, 48,201 (56.7 %) had an endoscopic and 36,832 (43.3 %) an open repair. The target variables analyzed were impaired wound healing and deep infections with mesh involvement within 30 days after the operation. Results Analysis of the patient group with endoscopic/laparoscopic inguinal hernia repair (n = 48,201) did not identify any significant influence of antibiotic prophylaxis on postoperative impaired wound healing, which occurred in 53 cases (p = 0.6431). Nor was it possible to identify any significant impact of antibiotic prophylaxis on the deep infections seen in 27 cases (p = 0.8409). Analysis of the open inguinal hernia repair group revealed that, unlike the laparoscopic/endoscopic group, antibiotic prophylaxis had a significant impact on the postoperative impaired wound healing and deep infection rates. The risk of postoperative impaired wound healing with antibiotic prophylaxis was significantly lower [OR 0.677 (0.479; 0.958), p = 0.027]. Conclusion The positive impact of the endoscopic/laparoscopic technique on avoidance of impaired wound healing and deep infections with mesh involvement is already so great that antibiotic prophylaxis has no additional benefit. In contrast, antibiotic prophylaxis should be administered for open inguinal hernia repair.
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Affiliation(s)
- F Köckerling
- Department of Surgery and Center for Minimally Invasive Surgery, Academic Teaching Hospital of Charité Medical School, Vivantes Hospital, Neue Bergstraße 6, 13585, Berlin, Germany.
| | - R Bittner
- Winghofer Medicum, Hernia Center, Winghofer Straße 42, 72108, Rottenburg am Neckar, Germany
| | - D Jacob
- Department of Surgery and Center for Minimally Invasive Surgery, Academic Teaching Hospital of Charité Medical School, Vivantes Hospital, Neue Bergstraße 6, 13585, Berlin, Germany
| | - C Schug-Pass
- Department of Surgery and Center for Minimally Invasive Surgery, Academic Teaching Hospital of Charité Medical School, Vivantes Hospital, Neue Bergstraße 6, 13585, Berlin, Germany
| | - C Laurenz
- Department of Surgery and Center for Minimally Invasive Surgery, Academic Teaching Hospital of Charité Medical School, Vivantes Hospital, Neue Bergstraße 6, 13585, Berlin, Germany
| | - D Adolf
- StatConsult GmbH, Halberstädter Straße 40 a, 39112, Magdeburg, Germany
| | - T Keller
- StatConsult GmbH, Halberstädter Straße 40 a, 39112, Magdeburg, Germany
| | - B Stechemesser
- Hernia Center Cologne, PAN - Hospital, Zeppelinstraße 1, 50667, Cologne, Germany
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Zasada AA, Formińska K, Zacharczuk K, Jacob D, Grunow R. Comparison of eleven commercially available rapid tests for detection of Bacillus anthracis, Francisella tularensis and Yersinia pestis. Lett Appl Microbiol 2015; 60:409-13. [PMID: 25598285 DOI: 10.1111/lam.12392] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2014] [Revised: 01/08/2015] [Accepted: 01/08/2015] [Indexed: 11/30/2022]
Abstract
UNLABELLED Yersinia pestis, Bacillus anthracis and Francisella tularensis cause serious zoonotic diseases and have the potential to cause high morbidity and mortality in humans. In case of natural outbreaks and deliberate or accidental release of these pathogens rapid detection of the bacteria is crucial for limitation of negative effects of the release. In the present study, we evaluated 11 commercially available rapid test kits for the detection of Y. pestis, B. anthracis and F. tularensis in terms of sensitivity, specificity and simplicity of the procedure. The results revealed that rapid and easy-to-perform lateral flow assays for detection of highly pathogenic bacteria have very limited sensitivity. In contrast, the immunofiltration assays showed high sensitivity but limited specificity and required a too complicated procedure to be applied in the field by nonlaboratory workers (e.g. First Responders like fire, police and emergency medical personnel). Each sample - whether tested negative or positive by the rapid tests - should be retested in a reference laboratory using validated methods. SIGNIFICANCE AND IMPACT OF THE STUDY Rapid detection of highly pathogenic bacteria causing anthrax, plague and tularemia is crucial for the limitation of negative effects of a potential release (natural, accidental or deliberate). In the study, commercially available rapid tests for detection of Bacillus anthracis, Yersinia pestis and Francisella tularensis were investigated in terms of sensitivity, specificity and ease-to-perform. The study showed problems which could be faced during testing and results interpretation. Conclusions from this study should be helpful not only in selection of the most appropriate test for particular group of First Responders but also in undertaking decisions in situation of a contamination suspicion which have high social and economical impacts.
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Affiliation(s)
- A A Zasada
- Department of Bacteriology, National Institute of Public Health - National Institute of Hygiene, Warsaw, Poland
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Pusset R, Gourdin-Bertin S, Dubois E, Chevalet J, Mériguet G, Bernard O, Dahirel V, Jardat M, Jacob D. Nonideal effects in electroacoustics of solutions of charged particles: combined experimental and theoretical analysis from simple electrolytes to small nanoparticles. Phys Chem Chem Phys 2015; 17:11779-89. [DOI: 10.1039/c5cp00487j] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
The electric signal induced by an ultrasonic wave in aqueous solutions of charged species is measured and modeled without any adjustable parameter.
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Affiliation(s)
- R. Pusset
- Sorbonne Universités
- UPMC Univ Paris 06
- UMR 8234
- PHENIX
- Paris
| | | | - E. Dubois
- Sorbonne Universités
- UPMC Univ Paris 06
- UMR 8234
- PHENIX
- Paris
| | - J. Chevalet
- Sorbonne Universités
- UPMC Univ Paris 06
- UMR 8234
- PHENIX
- Paris
| | - G. Mériguet
- Sorbonne Universités
- UPMC Univ Paris 06
- UMR 8234
- PHENIX
- Paris
| | - O. Bernard
- Sorbonne Universités
- UPMC Univ Paris 06
- UMR 8234
- PHENIX
- Paris
| | - V. Dahirel
- Sorbonne Universités
- UPMC Univ Paris 06
- UMR 8234
- PHENIX
- Paris
| | - M. Jardat
- Sorbonne Universités
- UPMC Univ Paris 06
- UMR 8234
- PHENIX
- Paris
| | - D. Jacob
- Cordouan Technologies
- 33600 Pessac
- France
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Grunow R, Ippolito G, Jacob D, Sauer U, Rohleder A, Di Caro A, Iacovino R. Benefits of a European project on diagnostics of highly pathogenic agents and assessment of potential "dual use" issues. Front Public Health 2014; 2:199. [PMID: 25426479 PMCID: PMC4227464 DOI: 10.3389/fpubh.2014.00199] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2014] [Accepted: 10/03/2014] [Indexed: 11/13/2022] Open
Abstract
Quality assurance exercises and networking on the detection of highly infectious pathogens (QUANDHIP) is a joint action initiative set up in 2011 that has successfully unified the primary objectives of the European Network on Highly Pathogenic Bacteria (ENHPB) and of P4-laboratories (ENP4-Lab) both of which aimed to improve the efficiency, effectiveness, and response capabilities of laboratories directed at protecting the health of European citizens against high consequence bacteria and viruses of significant public health concern. Both networks have established a common collaborative consortium of 37 nationally and internationally recognized institutions with laboratory facilities from 22 European countries. The specific objectives and achievements include the initiation and establishment of a recognized and acceptable quality assurance scheme, including practical external quality assurance exercises, comprising living agents, that aims to improve laboratory performance, accuracy, and detection capabilities in support of patient management and public health responses; recognized training schemes for diagnostics and handling of highly pathogenic agents; international repositories comprising highly pathogenic bacteria and viruses for the development of standardized reference material; a standardized and transparent Biosafety and Biosecurity strategy protecting healthcare personnel and the community in dealing with high consequence pathogens; the design and organization of response capabilities dealing with cross-border events with highly infectious pathogens including the consideration of diagnostic capabilities of individual European laboratories. The project tackled several sensitive issues regarding Biosafety, Biosecurity and "dual use" concerns. The article will give an overview of the project outcomes and discuss the assessment of potential "dual use" issues.
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Affiliation(s)
| | - G. Ippolito
- Spallanzani National Institute for Infectious Diseases, Rome, Italy
| | - D. Jacob
- Robert Koch Institute, Berlin, Germany
| | - U. Sauer
- Robert Koch Institute, Berlin, Germany
| | | | - A. Di Caro
- Spallanzani National Institute for Infectious Diseases, Rome, Italy
| | - R. Iacovino
- Spallanzani National Institute for Infectious Diseases, Rome, Italy
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Zhang L, Zhu H, Davis JJ, Jacob D, Wu S, Teraishi F, Gutierrez A, Wang Y, Fang B. Lack of p38 MAP Kinase Activation in TRAIL-Resistant Cells is Not Related to the Resistance to TRAIL-Mediated Cell Death. Cancer Biol Ther 2014; 3:296-301. [PMID: 14749540 DOI: 10.4161/cbt.3.3.696] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
Activation of MAP kinases is involved in various cellular processes, including immunoregulation, inflammation, cell growth, cell differentiation, and cell death. To investigate the role of p38 MAP kinase activation in the signaling pathway of TRAIL-mediated apoptosis, we compared TRAIL-mediated MAP kinase activation in TRAIL-susceptible human colon cancer cell line DLD1 and TRAIL-resistant DLD1/TRAIL-R cells. TRAIL-mediated activation of ERK occurred in both cell lines. In contrast, both DLD1 and DLD1/TRAIL-R cells showed no obvious JNK activation after treatment with TRAIL. Interestingly, TRAIL-mediated activation of p38 MAP kinases was observed in DLD1 cells but not in DLD1/TRAIL-R cells. However, activation of p38 MAP kinases was observed in both DLD1 and DLD1/TRAIL-R cells after treatment with anisomycin. Furthermore, inhibiting activated p38 MAP kinases with known inhibitors or with an adenovector expressing dominant negative p38alpha did not block TRAIL-mediated cell death in DLD1 cells. Moreover, activation of p38 MAP kinases by adenovectors expressing constitutive MKK3 or MKK6 (Ad/MKK3bE or Ad/MKK6bE) did not induce cell death in either DLD1 or DLD1/TRAIL-R cell lines. Our results suggest that activation of p38 MAP kinases does not play a major role in TRAIL-mediated apoptosis in DLD1 cells and that lack of TRAIL-mediated p38 MAP kinase activation may not be the mechanism of TRAIL-resistance in DLD1/TRAIL-R cells.
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Affiliation(s)
- Lidong Zhang
- Department of Thoracic and Cardiovascular Surgery, The University of Texas M. D. Anderson Cancer Center, The University of Texas Graduate School of Biomedical Sciences, Houston, Texas, USA
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Mitchell A, Jacob D, Andreou K, Raben A, Chen H, Koprowski C, Mourtada F. SU-D-19A-07: Dosimetric Comparison of HDR Plesiotherapy and Electron Beam Therapy for Superficial Lesions. Med Phys 2014. [DOI: 10.1118/1.4887870] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Köckerling F, von Rosen T, Jacob D. Modified plug repair with limited sphincter sparing fistulectomy in the treatment of complex anal fistulas. Front Surg 2014; 1:17. [PMID: 25593941 PMCID: PMC4287161 DOI: 10.3389/fsurg.2014.00017] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2014] [Accepted: 05/13/2014] [Indexed: 12/28/2022] Open
Abstract
PURPOSE New technical approaches involving biologically derived products have been used to treat complex anal fistulas in order to avoid the risk of fecal incontinence. The least invasive methods involve filling out the fistula tract with fibrin glue or introduction of an anal fistula plug into the fistula canal following thorough curettage. A review shows that the new techniques involving biologically derived products do not confer any significant advantages. Therefore, the question inevitably arises as to whether the combination of a partial or limited fistulectomy, i.e., of the extrasphincteric portion of the fistula, and preservation of the sphincter muscle by repairing the section of the complex anal fistula running through the sphincter muscle and filling it with a fistula plug produces better results. METHODS A modified plug technique was used, in which the extrasphincteric portion of the complex anal fistula was removed by means of a limited fistulectomy and the remaining section of the fistula in the sphincter muscle was repaired using the fistula plug with fixing button. RESULTS Of the 52 patients with a complex anal fistula, who had undergone surgery using a modified plug repair with limited fistulectomy of the extrasphincteric part of the fistula and use of the fistula plug with fixing button, there are from 40 patients (follow-up rate: 77%) some kind of follow-up informations, after a mean of 19.32 ± 6.9 months. Thirty-two were men and eight were women, with a mean age of 52.97 ± 12.22 years. Surgery was conducted to treat 36 transsphincteric, 1 intersphincteric, and 3 rectovaginal fistulas. In 36 of 40 patients (90%), the complex anal fistulas or rectovaginal fistulas were completely healed without any sign of recurrence. None of these patients complained about continence problems. CONCLUSION A modification of the plug repair of complex anal fistulas with limited fistulectomy of the extrasphincteric part of the fistula and use of the plug with fixing button seems to increase the healing rate in comparison to the standard plug technique.
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Affiliation(s)
- Ferdinand Köckerling
- Department of Surgery, Center of Minimally Invasive Surgery, Vivantes Hospital, Academic Teaching Hospital of Charité Medical School , Berlin , Germany
| | - Thomas von Rosen
- Department of Surgery, Center of Minimally Invasive Surgery, Vivantes Hospital, Academic Teaching Hospital of Charité Medical School , Berlin , Germany
| | - Dietmar Jacob
- Department of Surgery, Center of Minimally Invasive Surgery, Vivantes Hospital, Academic Teaching Hospital of Charité Medical School , Berlin , Germany
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Lambert A, Jacob D, Hansen S. Intracranial hypotension. Diagn Interv Imaging 2014; 95:347-50. [PMID: 24388603 DOI: 10.1016/j.diii.2013.10.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- A Lambert
- Service de radiologie, clinique de Fontaine, 1, rue des Créots, 21121 Fontaine-Lès-Dijon, France.
| | - D Jacob
- Service de radiologie, clinique de Fontaine, 1, rue des Créots, 21121 Fontaine-Lès-Dijon, France
| | - S Hansen
- Chirurgie du rachis, clinique de Fontaine, 1, rue des Créots, 21121 Fontaine-Lès-Dijon, France
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Lambert A, Jacob D, Hansen S. Spinal MRI after sacco-radiculography. Diagn Interv Imaging 2014; 95:345-6. [PMID: 24388601 DOI: 10.1016/j.diii.2013.10.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- A Lambert
- Service de radiologie, clinique de Fontaine, 1, rue des Créots, 21121 Fontaine-Lès-Dijon, France.
| | - D Jacob
- Service de radiologie, clinique de Fontaine, 1, rue des Créots, 21121 Fontaine-Lès-Dijon, France
| | - S Hansen
- Chirurgie du rachis, clinique de Fontaine, 1, rue des Créots, 21121 Fontaine-Lès-Dijon, France
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Dimri AP, Yasunari T, Wiltshire A, Kumar P, Mathison C, Ridley J, Jacob D. Application of regional climate models to the Indian winter monsoon over the western Himalayas. Sci Total Environ 2013; 468-469 Suppl:S36-S47. [PMID: 23411117 DOI: 10.1016/j.scitotenv.2013.01.040] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/29/2012] [Revised: 12/25/2012] [Accepted: 01/11/2013] [Indexed: 06/01/2023]
Abstract
The Himalayan region is characterized by pronounced topographic heterogeneity and land use variability from west to east, with a large variation in regional climate patterns. Over the western part of the region, almost one-third of the annual precipitation is received in winter during cyclonic storms embedded in westerlies, known locally as the western disturbance. In the present paper, the regional winter climate over the western Himalayas is analyzed from simulations produced by two regional climate models (RCMs) forced with large-scale fields from ERA-Interim. The analysis was conducted by the composition of contrasting (wet and dry) winter precipitation years. The findings showed that RCMs could simulate the regional climate of the western Himalayas and represent the atmospheric circulation during extreme precipitation years in accordance with observations. The results suggest the important role of topography in moisture fluxes, transport and vertical flows. Dynamical downscaling with RCMs represented regional climates at the mountain or even event scale. However, uncertainties of precipitation scale and liquid-solid precipitation ratios within RCMs are still large for the purposes of hydrological and glaciological studies.
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Affiliation(s)
- A P Dimri
- School of Environmental Sciences, Jawaharlal Nehru University, New Delhi, India.
| | - T Yasunari
- Hydrospheric Atmospheric Research Center, Nagoya University, Nagoya, Japan
| | - A Wiltshire
- Met Office Hadley Centre, Fitzroy Road, Exeter, Devon, EX1 3PB, UK
| | - P Kumar
- Max Planck Institute for Meteorology, Hamburg, Germany
| | - C Mathison
- Met Office Hadley Centre, Fitzroy Road, Exeter, Devon, EX1 3PB, UK
| | - J Ridley
- Met Office Hadley Centre, Fitzroy Road, Exeter, Devon, EX1 3PB, UK
| | - D Jacob
- Max Planck Institute for Meteorology, Hamburg, Germany
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Fazel A, Fargeaudou Y, Le Dref O, Pelage J, Barranger E, Jacob D, Soyer P. Long Term Follow Up after Combined Embolization and Selective Minimally Invasive Myomectomy after MRI (CESAM). J Minim Invasive Gynecol 2013. [DOI: 10.1016/j.jmig.2013.08.226] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Grunow R, Klee SR, Beyer W, George M, Grunow D, Barduhn A, Klar S, Jacob D, Elschner M, Sandven P, Kjerulf A, Jensen JS, Cai W, Zimmermann R, Schaade L. Anthrax among heroin users in Europe possibly caused by same Bacillus anthracis strain since 2000. Euro Surveill 2013. [DOI: 10.2807/ese.18.13.20437-en] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Injection anthrax was described first in 2000 in a heroin-injecting drug user in Norway. New anthrax cases among heroin consumers were detected in the United Kingdom (52 cases) and Germany (3 cases) in 2009-10. In June 2012, a fatal case occurred in Regensburg, Bavaria. As of December 2012, 13 cases had been reported in this new outbreak from Germany, Denmark, France and the United Kingdom. We analysed isolates from 2009-10 and 2012 as well as from the first injection anthrax case in Norway in 2000 by comparative molecular typing using a high resolution 31 marker multilocus variable-number tandem repeat analysis (MLVA) and a broad single nucleotide polymorphism (SNP) analysis. Our results show that all cases may be traced back to the same outbreak strain. They also indicate the probability of a single source contaminating heroin and that the outbreak could have lasted for at least a decade. However, an additional serological pilot study in two German regions conducted in 2011 failed to discover additional anthrax cases among 288 heroin users.
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Affiliation(s)
- R Grunow
- Robert Koch Institute, Centre for Biological Threats and Special Pathogens, Berlin, Germany
| | - S R Klee
- Robert Koch Institute, Centre for Biological Threats and Special Pathogens, Berlin, Germany
| | - W Beyer
- University of Hohenheim, Institute of Environmental and Animal Hygiene, Stuttgart, Germany
| | - M George
- Robert Koch Institute, Centre for Biological Threats and Special Pathogens, Berlin, Germany
| | - D Grunow
- Robert Koch Institute, Centre for Biological Threats and Special Pathogens, Berlin, Germany
| | - A Barduhn
- Robert Koch Institute, Centre for Biological Threats and Special Pathogens, Berlin, Germany
| | - S Klar
- Robert Koch Institute, Centre for Biological Threats and Special Pathogens, Berlin, Germany
| | - D Jacob
- Robert Koch Institute, Centre for Biological Threats and Special Pathogens, Berlin, Germany
| | - M Elschner
- Friedrich-Loeffler-Institut, Institute of Bacterial Infections and Zoonoses, Jena, Germany
| | - P Sandven
- Norwegian Institute of Public Health, Department of Bacteriology and Immunology, Oslo, Norway
| | - A Kjerulf
- Statens Serum Institut, National Institute for Health Data and Disease Control, Copenhagen, Denmark
| | - J S Jensen
- Statens Serum Institut, National Institute for Health Data and Disease Control, Copenhagen, Denmark
| | - W Cai
- Robert Koch Institute, Department for Infectious Disease Epidemiology, Berlin, Germany
| | - R Zimmermann
- Robert Koch Institute, Department for Infectious Disease Epidemiology, Berlin, Germany
| | - L Schaade
- Robert Koch Institute, Centre for Biological Threats and Special Pathogens, Berlin, Germany
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Grunow R, Klee SR, Beyer W, George M, Grunow D, Barduhn A, Klar S, Jacob D, Elschner M, Sandven P, Kjerulf A, Jensen JS, Cai W, Zimmermann R, Schaade L. Anthrax among heroin users in Europe possibly caused by same Bacillus anthracis strain since 2000. Euro Surveill 2013; 18:20437. [PMID: 23557972] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/02/2023] Open
Abstract
Injection anthrax was described first in 2000 in a heroin-injecting drug user in Norway. New anthrax cases among heroin consumers were detected in the United Kingdom (52 cases) and Germany (3 cases) in 2009-10. In June 2012, a fatal case occurred in Regensburg, Bavaria. As of December 2012, 13 cases had been reported in this new outbreak from Germany, Denmark, France and the United Kingdom. We analysed isolates from 2009-10 and 2012 as well as from the first injection anthrax case in Norway in 2000 by comparative molecular typing using a high resolution 31 marker multilocus variable-number tandem repeat analysis (MLVA) and a broad single nucleotide polymorphism (SNP) analysis. Our results show that all cases may be traced back to the same outbreak strain. They also indicate the probability of a single source contaminating heroin and that the outbreak could have lasted for at least a decade. However, an additional serological pilot study in two German regions conducted in 2011 failed to discover additional anthrax cases among 288 heroin users.
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Affiliation(s)
- R Grunow
- Robert Koch Institute, Centre for Biological Threats and Special Pathogens, Berlin, Germany.
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Hossain KG, Islam N, Jacob D, Ghavami F, Tucker M, Kowalski T, Leilani A, Zacharias J. Interdependence of Genotype and Growing Site on Seed Mineral Compositions in Common Bean. Asian J Plant Sci 2013; 12:11-20. [PMID: 30271428 PMCID: PMC6159228 DOI: 10.3923/ajps.2013.11.20] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Essential minerals are considered as key determinants of optimum health and nutritive quality of common bean seed. This study aimed to identify genetically stable essential minerals in common bean. Eleven diverse common bean genotypes were grown in three distinct growing environments and 17 essential minerals were analyzed by Inductively Coupled Plasma-Optical Emission Spectroscopy. Genetic control of mineral composition in common bean seed was demonstrated by large (p<0.01) genotypic differences in Ca and Sr contents and moderate genotypic difference was observed in Fe content. Significant influence of genotype and environments (G×E) interaction was observed in the content of all minerals. The ratios between genetic and environmental variances and between genetic and G×E variances indicated the greater influence and stability of genetic factor on the concentration of Ca and Sr in common bean seed. Significant positive correlations among important minerals such as Zn with S, P, Fe and Na and Cu with K, Mg, Ni, P were identified. The stability of genetic effects on Ca and Sr concentration in common bean has been identified in this study. Calcium is one of the most important minerals which regulates many cellular processes and has important structural roles in living organisms. Further studies to characterize Ca physiology in common bean may identify genetic or biochemical markers to expedite breeding common bean with enhanced Ca concentration.
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Affiliation(s)
- K G Hossain
- Mayville State University, Mayville, North Dakota, United States
| | - N Islam
- University of Maryland College Park, MD, United States
| | - D Jacob
- North Dakota State University, Fargo, North Dakota, United States
| | - F Ghavami
- North Dakota State University, Fargo, North Dakota, United States
| | - M Tucker
- Mayville State University, Mayville, North Dakota, United States
| | - T Kowalski
- Mayville State University, Mayville, North Dakota, United States
| | - A Leilani
- Mayville State University, Mayville, North Dakota, United States
| | - J Zacharias
- Mayville State University, Mayville, North Dakota, United States
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Bilski J, Jacob D, Soumaila F, Kraft C, Farnsworth A. Agronomic biofortification of cereal crop plants with Fe, Zn, and Se, by the utilization of coal fly ash as plant growth media. Adv Biores 2012; 3:130-136. [PMID: 30288015 PMCID: PMC6168202] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
The implementation of agronomic biofortification of cereal crops with Fe, Zn, and Se appears to be a rapid and simple solution to the deficiency of these elements in soils and plants. These deficiencies are a reason for serious public health concerns. Low levels of Fe, Zn, and Se are important soil constraints to crop production, especially in the developing world. In our study we planted six cereal crops on soil control and different coal combustion residues, naturally rich in these micronutrients. Plants were harvested and chemically analyzed for Fe, Zn, and Se concentration using ICP. Six plant species have been tested including barley (Hordeum vulgare), Jerry oats (Avena sativa), rye (Secale cereale), wheat (Triticum aestivum), perennial ryegrass (Lolium multiflorum), and ReGreen (wheat x wheatgrass hybrid (Triticum aestivum x Thinopyrum intermedium). All tested plants were able to establish growth on coal ash based growth media, and accumulated significant amounts of Fe, Zn, and Se. It supported our hypothesis, that phytoremediation of coal ash piles may serve also as agronomic biofortification of plants, especially cereal crops cultivated on coal fly ash (FA).
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Affiliation(s)
- J Bilski
- Valley City State University, 101 College Street. Valley City, ND 58072
| | - D. Jacob
- Valley City State University, 101 College Street. Valley City, ND 58072
| | - F. Soumaila
- Valley City State University, 101 College Street. Valley City, ND 58072
| | - C. Kraft
- Valley City State University, 101 College Street. Valley City, ND 58072
| | - A. Farnsworth
- Valley City State University, 101 College Street. Valley City, ND 58072
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Palatinus L, Klementova M, Jacob D, Cuvillier P, Sinkler W, Marks L. Structure refinement against precession electron diffraction data. Acta Crystallogr A 2012. [DOI: 10.1107/s0108767312098844] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Morniroli JP, Ji G, Jacob D. A systematic method to identify the space group from PED and CBED patterns part I--theory. Ultramicroscopy 2012; 121:42-60. [PMID: 22770661 DOI: 10.1016/j.ultramic.2012.04.008] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2012] [Revised: 04/18/2012] [Accepted: 04/28/2012] [Indexed: 11/19/2022]
Abstract
This systematic method allows the unambiguous identification of the extinction and diffraction symbols of a crystal by comparison of a few experimental Precession Electron Diffraction (PED) patterns with theoretical patterns drawn for all the extinction and diffraction symbols. The method requires the detection of the Laue class, of the kinematically forbidden reflections and of the shift and periodicity differences between the reflections located in the First-Order Laue Zone (FOLZ) with respect to the ones located in the Zero-Order Laue Zone (ZOLZ). The actual space group can be selected, among the possible space groups connected with each extinction symbol or diffraction symbol, from the identification of the point group. This point group is available from observation of the 2D symmetry of the ZOLZ on Convergent-Beam Electron Diffraction (CBED) patterns.
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Affiliation(s)
- J P Morniroli
- Université Lille 1 and Ecole Nationale Supérieure de Chimie de Lille, Cité Scientifique, 59655 Villeneuve d'Ascq, France.
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Jacob D, Ji G, Morniroli JP. A systematic method to identify the space group from PED and CBED patterns part II--practical examples. Ultramicroscopy 2012; 121:61-71. [PMID: 22749238 DOI: 10.1016/j.ultramic.2012.04.015] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2012] [Revised: 04/18/2012] [Accepted: 04/28/2012] [Indexed: 11/19/2022]
Abstract
Precession Electron Diffraction and Convergent-Beam Electron Diffraction are used in a complementary way to determine the space group of three known structures following the general method described in the first part of this paper. The selected structures concern a monoclinic example (coesite SiO(2) with space group C2/c) and two cubic examples (γ-Al(4)Cu(9) with space group P43[combining overline]m and pyrite FeS(2) with space group Pa3[combining overline]). For each case, a minimum number of zone axis patterns are used to determine the space group without ambiguity, which illustrates the simplicity and reliability of the method.
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Affiliation(s)
- D Jacob
- Unité Matériaux et Transformations (UMET) CNRS UMR 8207, Université Lille 1, Bât C6, 59655 Villeneuve d'Ascq, France.
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Kleo K, Schäfer D, Klar S, Jacob D, Grunow R, Lisdat F. Immunodetection of inactivated Francisella tularensis bacteria by using a quartz crystal microbalance with dissipation monitoring. Anal Bioanal Chem 2012; 404:843-51. [DOI: 10.1007/s00216-012-6172-7] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2012] [Revised: 05/10/2012] [Accepted: 05/30/2012] [Indexed: 11/29/2022]
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Jacob D, Strasser J. SU-E-T-236: Brachytherapy for Breast Cancer Patients with Implanted Pacemeker, Using Multi Lumen Partial Breast Applicator. Med Phys 2012; 39:3757. [PMID: 28517320 DOI: 10.1118/1.4735299] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
PURPOSE Discuss optimised Accelerated Partial Breast Irradiation (APBI) using a Strut-Adjused Volume Implant (SAVI) applicator for patients with implanted pacemeker, without overdosing or relocating the pacemaker. METHODS A right breast cancer patient with an in situ pacemaker (Medtronic model ADDR01) on the right side underwent breast conservative surgery and was referred for Partial Breast Irradiation (PBI) using Ir-192 High Dose Rate Brachytherapy. Preliminary estimation of the pacemaker dose from a pre-insertion CT study was about 8 % of the prescribed dose which exceeded the generally accepted dose of 2Gy. The challenge was to use a suitable applicator to treat the tumor bed and 1cm margin without exceeding the 2Gy limit to the pacemaker and the leads. A seven catheter SAVI device was selected and implanted in the right breast in an optimal direction and a 3D treatment plan was generated following a post insertion CT scan, using the Oncentra Brachy treatment planning system. Optimization tools namely anatomy based Inverse Planning Simulated Annealing (IPSA), and graphical optimization were utilized to load and optimize the dwell time in the catheters and reduce the dose received by the pacemaker. Device interrogation was conducted before and after the treatment. All operational parameters of the pacemaker were found to be normal.No change in the baseline reference values were observed. RESULTS Using the SAVI device it was possible to limit the pacemaker/ leads dose to less than 2 Gy. Target V100, V95 and V90 were 90.1%, 95.5% and 98.5% respectively. V150 and V200 being 18.6cc and 10.6cc respectively.Calculated average point doses on pacemaker assembly for ten fractions was 140cGy. CONCLUSIONS By combining the optimization tools of today's Brachytherapy planning system and a multilumen SAVI applicator, HDR partial breast irradiation can be safely delivered for breast cancer patients with in situ pacemaker, with out the fear of interrupting pacemaker functionality.
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Affiliation(s)
- D Jacob
- Christiana Care Hospital, Newark, DE
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Klein F, Bahra M, Glanemann M, Faber W, Warnick P, Andreou A, Gül S, Jacob D. Matched-pair analysis of postoperative morbidity and mortality for pancreaticogastrostomy and pancreaticojejunostomy using mattress sutures in soft pancreatic tissue remnants. Hepatobiliary Pancreat Dis Int 2012; 11:89-95. [PMID: 22251475 DOI: 10.1016/s1499-3872(11)60130-6] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
BACKGROUND After pancreaticoduodenectomy, the incidence of postoperative pancreatic fistula remains high, especially in patients with "soft" pancreatic tissue remnants. No "gold standard" surgical technique for pancreaticoenteric anastomosis has been established. This study aimed to compare the postoperative morbidity and mortality of pancreaticogastrostomy and pancreaticojejunostomy for "soft" pancreatic tissue remnants using modified mattress sutures. METHODS Seventy-five patients who had undergone pancreaticogastrostomy and 75 who had undergone pancreaticojejunostomy after pancreaticoduodenectomy between 2002 and 2008 were retrospectively compared using matched-pair analysis. A modified mattress suture technique was used for the pancreaticoenteric anastomosis. Patients with an underlying "hard" pancreatic tissue remnant, as in chronic pancreatitis, were excluded. Both groups were homogeneous for age, gender, and underlying disease. Postoperative morbidity, mortality, and preoperative and operative data were analyzed. RESULTS There were no significant differences between the groups for the incidence of postoperative pancreatic fistula (10.7% in both). Postoperative morbidity and mortality, median operation time, median length of hospital stay, intraoperative blood loss, and the amount of intraoperatively transfused erythrocyte concentrates also did not significantly differ between the groups. Patient age >65 years (P=0.017), operation time >350 minutes (P=0.001), and intraoperative transfusion of erythrocyte concentrates (P=0.038) were identified as risk factors for postoperative morbidity. CONCLUSIONS Our results showed no significant differences between the groups in the pancreaticogastrostomy and pancreaticojejunostomy anastomosis techniques using mattress sutures for "soft" pancreatic tissue remnants. In our experience, the mattress sutures are safe and simple to use, and pancreaticogastrostomy in particular is feasible and easy to learn, with good endoscopic accessibility to the anastomosis region. However, the location of the anastomosis and the surgical technique need to be individually evaluated to further reduce the incidence of postoperative pancreatic fistula.
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Affiliation(s)
- Fritz Klein
- Department of General, Visceral, and Transplantation Surgery, Charite-Campus Virchow, Universitatsmedizin Berlin, Berlin, Germany.
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