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  • 1995-1999  (3)
  • 1990-1994
  • 1998  (3)
  • 1
    ISSN: 1433-0458
    Keywords: Schlüsselwörter Tracheobronchoskopie ; Ösophagoskopie ; HNO ; Komplikationen ; Key words Tracheobronchoscopy ; Esophagoscopy ; Surgical complications
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary It is the task of each medical specialty to develop guidelines for diagnosis and therapies. Examinations done by several specialties should follow a common consensus. A randomized survey at 70 German ENT departments investigated the current position of tracheobronchoscopy and esophagoscopy at each institution. Sixty questionnaires were evaluable. Altogether 8,295 tracheobronchoscopies and 10,404 esophagoscopies were performed. Thirty-six percent of all tracheobronchoscopies and 6% of all esophagoscopies were done with a flexible system. Approximately 58% of all tracheobronchoscopies and 55% of all esophagoscopies were performed for tumor staging. Complications during tracheobronchoscopy occurred in 0.8% of cases and in 0.58% of the esophagoscopies. Using these data an interdisciplinary quality assurance concept was developed for tracheobronchoscopy and esophagoscopy. Current experience has shown that a otolaryngologists in Germany mainly perform rigid tracheobronchoscopy and esophagoscopy. Although endoscopy is mostly done in cases with varied anatomic structures, complications are very rare and comparable to flexible techniques. Greater experience with flexible systems also is to be encouraged in ENT departments.
    Notes: Zusammenfassung Hintergrund: Es muß Aufgabe jedes einzelnen Fachbereichs sein, Leitlinien für die von ihm behandelten Erkrankungen und durchgeführten Untersuchungen zu erstellen. Für fachübergreifende Behandlungen ergibt sich die Forderung nach einem gemeinsamen Konsens. Material und Methoden: Durch eine anonymisierte Umfrage an 70 HNO-Kliniken und Belegabteilungen sollte ein Ist-Stand der Tracheobronchoskopie und Ösophagoskopie in der Hals-Nasen-Ohren-Heilkunde erhoben werden. Ausgewertet werden konnten insgesamt 60 Fragebögen. Unter Berücksichtigung dieser Ergebnisse wurde ein Leitlinienentwurf „Tracheobronchoskopie und Ösophagoskopie” erarbeitet. Ergebnisse: Insgesamt wurden 8295 Tracheobronchoskopien und 10404 Ösophagoskopien durchgeführt; 36% der Tracheobronchoskopien und 6% der Ösophagoskopien erfolgten mit einem flexiblen System. In 58% der Fälle erfolgte die Tracheobronchoskopie zum Tumorstaging, bei der Ösophagoskopie betrug die Anzahl der Untersuchungen zum Tumorstaging 55%. Die Komplikationsrate bei der Tracheobronchoskopie betrug 0,8%, bei der Ösophagoskopie 0,58%. Aufbauend auf diesen Strukturdaten wurde ein interdisziplinär erarbeiteter Leitlinienentwurf in einem Delphiverfahren abgeglichen. Schlußfolgerungen: Die Hals-Nasen-Ohren-Ärzte in Deutschland führen mehrheitlich die starre Tracheobronchoskopie und Ösophagoskopie durch. Obwohl größtenteils bei veränderten anatomischen Strukturen endoskopiert wird, geschieht dies mit Komplikationsraten, die vergleichbar sind mit internationalen Studien bei Einsatz flexibler Systeme. Trotzdem sollte sich der HNO-Arzt vermehrt auch um die flexiblen Techniken bemühen.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Acta mechanica 127 (1998), S. 155-163 
    ISSN: 1619-6937
    Source: Springer Online Journal Archives 1860-2000
    Topics: Mechanical Engineering, Materials Science, Production Engineering, Mining and Metallurgy, Traffic Engineering, Precision Mechanics , Physics
    Notes: Summary For the simulation of large amplitude motions of thin, visco-elastic tethers connecting two satellites several numerical algorithms were developed recently. However, since we are dealing with highly nonlinear, nearly Hamiltonian multiple degree of freedom systems we typically will have to expect transient chaotic motions if the motion starts in the neighborhood of a saddle point. For tethered satellite systems we have two stable radial and two unstable tangent-to-orbit equilibria. By simulation with a specially adapted finite-element program we show that the asymptotic behaviour of the system strongly depends on the choice of the initial conditions. Thus, starting in the vicinity of an unstable equilibrium, we cannot predict in which of the attractors it settles down finally. A simple tether model by V. Beletsky and D. Pankova is used to demonstrate the fractal nature of the basin boundary of the two attractors.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1573-6776
    Source: Springer Online Journal Archives 1860-2000
    Topics: Process Engineering, Biotechnology, Nutrition Technology
    Notes: Abstract The production of a highly thermostable mannanase by Rhodothermus marinus was increased 16.5-fold by optimising the concentrations of locust bean gum and yeast extract using central composite designs. The optimised medium and culture conditions yielded mannanase activity at 495 nkat ml−1 (248 nkat mg−1 protein). In addition, α-L-arabinofuranosidase, β-xylanase, β-xylosidase, β-glucosidase, β-mannosidase, α-galactosidase, β-galactosidase and endoglucanase activities were detected at 32 nkat ml−1, 30 nkat ml−1, 16 nkat ml−1, 15 nkat ml−1, 0.1 nkat ml−1, 1 nkat ml−1, 0.5 nkat ml−1 and 8 nkat ml−1, respectively. No filter paper cellulase activity could be detected. The optimum pH of the mannanase was 5.0–6.5 and it showed high stability from pH 5 to 10 after 16 h incubation at 50 °C. The enzyme activity was maximum at 85 °C, with half lives of 45.3 h at 85 °C and 4.2 h at 90 °C. This is the first report on the production of such a high activity of extremely thermostable mannanase by an extreme thermophilic bacterium. © Rapid Science Ltd. 1998
    Type of Medium: Electronic Resource
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