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Sökning: WFRF:(Leva E.)

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  • van der Steeg, H. J.J., et al. (författare)
  • The impact of perioperative care on complications and short term outcome in ARM type rectovestibular fistula : An ARM-Net consortium study
  • 2019
  • Ingår i: Journal of Pediatric Surgery. - : Elsevier BV. - 0022-3468. ; 54:8, s. 1595-1600
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: The impact of perioperative care interventions on postreconstructive complications and short-term colorectal outcome in patients with anorectal malformation (ARM) type rectovestibular fistula is unknown. Methods: An ARM-Net consortium multicenter retrospective cohort study was performed including 165 patients with a rectovestibular fistula. Patient characteristics, perioperative care interventions, timing of reconstruction, postreconstructive complications and the colorectal outcome at one year of follow-up were registered. Results: Overall complications were seen in 26.8% of the patients, of which 41% were regarded major. Differences in presence of enterostomy, timing of reconstruction, mechanical bowel preparation, antibiotic prophylaxis and postoperative feeding regimen had no impact on the occurrence of overall complications. However, mechanical bowel preparation, antibiotic prophylaxis ≥ 48 h and postoperative nil by mouth showed a significant reduction in major complications. The lowest rate of major complications was found in the group having these three interventions combined (5.9%). Multivariate analyses did not show independent significant results of any of the perioperative care interventions owing to center-specific combinations. At one year follow-up, half of the patients experienced constipation and this was significantly higher among those with preoperative mechanical bowel preparation. Conclusions: Differences in perioperative care interventions do not seem to impact the incidence of overall complications in a large cohort of European rectovestibular fistula-patients. Mechanical bowel preparation, antibiotic prophylaxis ≥ 48 h, and postoperative nil by mouth showed the least major complications. Independency could not be established owing to center-specific combinations of interventions. Type of study: Treatment study. Level of evidence: III
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  • Tai, F, et al. (författare)
  • Abdominal Wall Miscellaneous
  • 2015
  • Ingår i: Hernia : the journal of hernias and abdominal wall surgery. - 1248-9204. ; 19 Suppl 1, s. S5-S12
  • Tidskriftsartikel (refereegranskat)
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  • Buchholt, Kristina, 1978-, et al. (författare)
  • Electrochemically Synthesised Pd- and Au-nanoparticles as sensing layers in NOx-sensitive field effect devices
  • 2008
  • Ingår i: Smart Sensors and Sensing Technology. - Berlin, Heidelberg : Springer. - 9783540795896 - 9783540795902 ; , s. 63-75
  • Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
    • An environmental pollutant of great concern is NOx (nitrogen monoxide and nitrogen dioxide). Here we report the utilisation of electrochemically synthesised gold and palladium nanoparticles as catalytically active gate material on gas sensitive field effect sensor devices. The synthesised nanoparticles have been characterised by TEM and XPS, and the morphology of the thermally treated nanostructured sensing layers has been investigated using SEM and XPS. Measurements on the gas response of the palladium as well as the gold nanoparticle sensors towards a number of analytes found in automotive gas exhausts were performed and their response patterns were compared. The initial gas response measurements show interesting sensing properties for both the gold and the palladium nanoparticle sensors towards NOx detection.
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  • Fanjul, María, et al. (författare)
  • Tethered cord in patients affected by anorectal malformations : a survey from the ARM-Net Consortium
  • 2017
  • Ingår i: Pediatric Surgery International. - : Springer Science and Business Media LLC. - 0179-0358 .- 1437-9813. ; 33:8, s. 849-854
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose: The goal of this study was to determine the degree of consensus in the management of spinal cord tethering (TC) in patients with anorectal malformation (ARM) in a large cohort of European pediatric centers. Methods: A survey was sent to pediatric surgeons (one per center) members of the ARM-Net Consortium. Results: Twenty-four (86%) from ten different countries completed the survey. Overall prevalence of TC was: 21% unknown, 46% below 15, and 29% between 15 and 30%. Ninety-six agreed on screening all patients for TC regardless the type of ARM and 79% start screening at birth. Responses varied in TC definition and diagnostic tools. Fifty percent of respondents prefer ultrasound (US), 21% indicate either US or magnetic resonance (MRI) based on a pre-defined risk of presenting TC, and 21% perform both. Discrepancy exists in complementary test: 82% carry out urodynamic studies (UDS) and only 37% perform somatosensory-evoked potentials (SSEP). Prophylactic untethering is performed in only two centers (8%). Conclusions: Survey results support TC screening in all patients with ARM and conservative management of TC. There is discrepancy in the definition of TC, screening tools, and complementary test. Protocols should be developed to avoid such variability in management.
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  • Maurichi, A, et al. (författare)
  • Reply to E. Hindié
  • 2020
  • Ingår i: Journal of clinical oncology : official journal of the American Society of Clinical Oncology. - 1527-7755. ; 38:27, s. 3238-
  • Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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