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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Langenbeck's archives of surgery 364 (1984), S. 125-130 
    ISSN: 1435-2451
    Keywords: Haemorrhage ; Gastroduodenal ulcera ; Blutendes Ulcus duodeni et ventriculi
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Aus dem Zeitraum der letzten 15 Jahre werden 448 Patienten mit schwerer Blutung aus einem Ulcus ventriculi sive duodeni vorgestellt. In 3 Zeitperioden änderten sich Indikation, Organisation und Methodenwahl. Insbesondere kamen die endoskopische Diagnostik und Therapie mit guten Ergebnissen hinzu. Durch die Endoskopie erfolgte eine negative Auswahl für diese chirurgische Blutstillung, so daß die chirurgischen Leistungszahlen deprimiert wurden. Nach wie vor gilt die Forderung nach der Frühindikation und dies auch bei zusätzlicher Belastung.
    Notes: Summary 448 patients with severe haemorrhage from gastroduodenal ulcera during the last 15 years are presented. Within this period indication, organisation and the choice of method have changed in 3 phases. Included are the endoscopic diagnosis and treatment with very good results. As a result of endoscopy there is a negative selection of patients for surgery causing a depression of the results after surgical treatment. The propagation for early indication even in high risk patients still has validity.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1435-2451
    Keywords: Greater omentum ; Anatomical functional structures ; Großes Netz ; Anatomische Funktionsstruktur
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Die Studie befaßt sich mit der klinisch relevanten morphologischen Struktur des großen Netzes. Die Verletzlichkeit des Mesothels bei intraoperativer mechanischer Traumatisierung wird lichtmikroskopisch und rasterelektronenmikroskopisch dargestellt. Zu erheblichen Parenchymschäden des großen Netzes kommt es durch das Abschieben von Mesothellappen, das Zerreißen von Bindegewebsstrukturen und das Zerquetschen von Fettzellen; dabei können Lipidmassen in das Interstitium zwischen den Fettzellen und in die submesotheliale Bindegewebsschicht gedrückt werden. Die sog. Aktionsfläche des Netzes scheint zunächst die Unterfläche zu sein.
    Notes: Summary The study deals with clinically relevant morphological structures of the greater omentum. The vulnerability of the mesothelioma during intraoperative mechanical traumatization is shown with light-microscopic and grid electron-microscopic pictures. Important damage to the parenchyma of the greater omentum happens through shoving off the mesothelial layer, rupture of connective tissue structures, and the crushing of fat cells. In this way, the fat mass is pressed into the interstice between the fat cells and into the submesothelial connective tissue. The first action area of the omentum seems to be the dorsal layer.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Langenbeck's archives of surgery 362 (1984), S. 289-296 
    ISSN: 1435-2451
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    Langenbeck's archives of surgery 364 (1984), S. 295-298 
    ISSN: 1435-2451
    Keywords: Due diligence ; Standard of care ; Erforderliche Sorgfalt ; Standard der Medizin
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Das Recht verlangt vom Arzt die „erforderliche Sorgfalt” bei der Behandlung. Die Judikatur verweist dafür auf den dem Arzt bei zumutbaren Anstrengungen verfügbaren Stand der medizinischen Wissenschaft. Abzustellen ist auf den durchschnittlich sorgfältigen Arzt. Der Standard enthält normative und tatsächliche Elemente: „die gute ärztliche Übung”. Es stellt sich aber die Frage, wer den Standard für die Felder der chirurgischen Tätigkeit bestimmt. Das Recht verweist auf die medizinische Wissenschaft, setzt aber Mindesterfordernisse. Der bisherige Standard hindert nicht die Erprobung eines neuen Verfahrens mit zumutbaren Risiken.
    Notes: Summary German law requires “due diligence” of the physician. The courts refer to the state of medical science that is available to a physician who makes every reasonable effort to obtain it. The relevant qualification is to be the skill of an “average” physician. The standard contains normative and factual elements: “good medical practice” The question, however, arises, who establishes thestandards for the fields of surgery. The law refers to medical science but lays down minimum requirements. The prevailing standard does not prevent new techniques from being tested, but when they become the standard, cannot be determined in general.
    Type of Medium: Electronic Resource
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  • 5
    Electronic Resource
    Electronic Resource
    Brookfield, Conn. : Wiley-Blackwell
    Journal of Vinyl and Additive Technology 6 (1984), S. 147-151 
    ISSN: 0193-7197
    Keywords: Chemistry ; Chemical Engineering
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Mechanical Engineering, Materials Science, Production Engineering, Mining and Metallurgy, Traffic Engineering, Precision Mechanics , Process Engineering, Biotechnology, Nutrition Technology
    Notes: In this study, natural, delaminated and silane-treated micas were screened to give fractions passing 60 to 325 screen mesh sizes. The micas were used as fillers (to 80 wt. percent) in plasticized PVC compounds, their dispersion behavior and their effects on mechanical properties of compounds being noted, and compared with the performance of similarly compounded PVC with CaCO3 fillers. The fusion and dispersion performance of these solids was contrasted strongly. While fusion time and maximum torque in Brabender mixing responded only weakly to the presence of CaCO3, in the presence of ≳40 wt. percent mica both of these parameters increased sharply. The elastic modulus of filled compounds indicated little reinforcement by CaCO3, while mica raised the modulus as much as 150 percent, suggesting significant bonding at the filler-matrix interface. This bonding appeared unable to withstand shear strain, elongations at rupture of mica-filled compounds falling catastrophically when compared with CaCO3-filled controls. The tested micas appear of questionable value as substitutes for inexpensive commodity fillers. As expected, at given loading, finer-particle micas gave increased values of the elastic modulus, but particle size did not strongly affect ultimate mechanical properties. Torque maxima and equilibria in mixing correlated well with particle size. Silane-treated micas produced compounds with properties only mildly different from those using untreated versions. Thus, in PVC (and possibly in other chloride-group containing polymers) interfacial conditions seem only mildly influenced by conventional coupling technology.
    Additional Material: 5 Ill.
    Type of Medium: Electronic Resource
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  • 6
    Electronic Resource
    Electronic Resource
    Brookfield, Conn. : Wiley-Blackwell
    Journal of Vinyl and Additive Technology 6 (1984), S. 13-17 
    ISSN: 0193-7197
    Keywords: Chemistry ; Chemical Engineering
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Mechanical Engineering, Materials Science, Production Engineering, Mining and Metallurgy, Traffic Engineering, Precision Mechanics , Process Engineering, Biotechnology, Nutrition Technology
    Notes: The influence of thermodynamic interactions among the components of a polymer system on mechanical properties and their retention on aging has been investigated. The systems considered involve plasticized poly(vinyl chloride)(PVC), and CaCO3 fillers. Inverse gas chromatography was used to measure interaction parameters, and to express these in terms of acid-base concepts. Interaction data were obtained over a wide temperature range. It was shown that the volume of plasticizers retained by the PVC correlates with the measured interaction parameters. Similarly, the interaction parameters identify a CaCO3 filler preferred for reinforcing rigid PVC, and a different CaCO3 filler for use in given PVC-plasticizer combinations. The mechanical properties of filled PVC (up to 40 phr CaCO3), and particularly the ultimate properties of the compounds, correlate with interaction concepts, as do property retention data after accelerated aging of the compounds at 100°C. It is concluded that component interaction parameters may provide useful guidelines to the formulation of compounds with superior properties and reduced property losses due to aging.
    Additional Material: 6 Ill.
    Type of Medium: Electronic Resource
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