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  • 1995-1999  (5)
  • 1990-1994
  • 1996  (5)
  • 1
    ISSN: 1432-1084
    Keywords: Computer tomography ; Insufficiency fracture ; Sacral bone ; Vacuum phenomenon
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Sacral insufficiency fractures develop over a period of time and show time-dependent changes. We report on 15 CT examinations of 5 patients with early-stage insufficiency fractures of the sacrum. In 4 patients only irregular sclerosis without distinct fracture lines was present in 7 of 8 fractures. Of these 4 patients; 3 exhibited intraosseous gas inclusions in a ventral part of a lateral mass; 5 of 8 fractures disclosed a ventral cortical break. When distinct fracture lines had developed in 1 patient, intraosseous vacuum phenomenon had disappeared. Fracture lines evolve over weeks to months and show central bone absorption. The fractures can heal as demonstrated in 4 of 6 fractures in 3 patients, can persist over 1 year without significant changes or can progress to pseudoarthrosis with bone destruction similar to neuropathic joint disease. Intraosseous vacuum phenomena can persist to this stage. Intraosseous vacuum phenomenon is recognized as a potential finding in the early stage of sacral insufficiency fracture, which also is true for irregular sclerosis and ventral cortical disruption.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    European archives of oto-rhino-laryngology and head & neck 253 (1996), S. 329-335 
    ISSN: 1434-4726
    Keywords: Squamous cell carcinoma ; Selective neck dissection ; Upper digestive tract
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Selective neck dissection has been used clinically in elective treatment of carcinoma, although many surgeons continue to advocate modified radical or radical neck dissection for therapeutic management of the neck. In a retrospective study 167 previously untreated patients were reviewed following curative laser microsurgical resections of oral or pharyngeal primary tumors and a unior bilateral selective neck dissection. In all, 221 (54 bilateral) neck dissections were performed. In patients with oral primary disease lymph nodes of levels I–III were removed, while nodes in levels II and III were removed in patients with pharyngeal tumors. Level IV was dissected when several metastases were suspected during operation. The posterior triangle was not dissected. Lymph nodes were histopathologically negative in 73 patients and positive in 94 patients. Twenty-five of these latter cases had pN1 disease, 55 had pN2b disease and 10 had bilateral lymph node metastases. Twenty patients in the pN0 group and 63 patients in the pN+ group received postoperative radiotherapy (to 56.7 Gy to the primary site and 52.5 Gy to the neck). With a median follow-up interval of 34 months, recurrence in the dissected neck occurred in 3 of 73 patients (4.1%) with pN0 disease and 6 of 90 patients (6.6%) with pN+ necks. Four patients with pN+ necks had simultaneous recurrences at the primary site. The addition of adjuvant radiotherapy seemed to improve disease control in the neck and improve overall survival in patients with an unfavorable prognosis due to multiple metastases or metastases with extracapsular spread.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Rock mechanics and rock engineering 29 (1996), S. 211-246 
    ISSN: 1434-453X
    Source: Springer Online Journal Archives 1860-2000
    Topics: Architecture, Civil Engineering, Surveying , Geosciences
    Notes: Summary Squeezing rock conditions have posed and continue to pose a major obstacle to the construction of tunnels through mountains, as experience dating back more than a century shows. The paper deals with the study of past experiences in the light of present geotechnical engineering knowledge. Many of the transalpine tunnels were constructed before geotechnical engineering had been developed, and the principles underlying squeezing were not yet understood. Also construction techniques have changed with time. By studying past experience in the light of our present knowledge in geotechnical engineering (rock and soil mechanics), one may gain more insight into the nature and causes of squeezing ground behaviour. Here, a number of older and newer case histories are summarised, providing substantial insight into the phenomenon of squeezing rock. Squeezing rock behaviour is influenced by rock type and structure. Usually, in squeezing zones the rock is strongly jointed and fractured and has low strength. Overburden has also a significant effect and squeezing behaviour may occur abruptly in a tunnel once a limiting overburden has been exceeded. Water pressures in strongly jointed and often crushed rock are important and so are the adopted construction procedures and sequences. A support of substantial structural strength may be necessary to prevent long-term deformations and to withstand increased loading on the tunnel liner from the rock mass surrounding the tunnel.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    Der Onkologe 2 (1996), S. 346-351 
    ISSN: 1433-0415
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 5
    Electronic Resource
    Electronic Resource
    Springer
    Der Onkologe 2 (1996), S. 376-378 
    ISSN: 1433-0415
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
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