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  • 1
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    Berlin : Periodicals Archive Online (PAO)
    Deutsche Zeitschrift für Philosophie. 28:12 (1980) 1463 
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Primates 29 (1988), S. 91-105 
    ISSN: 0032-8332
    Keywords: Behavior ; Thermoregulation ; Habitat selection ; Biometeorology ; Microclimate ; Papio ; Amboseli National Park
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology
    Notes: Abstract This paper examines the effect of thermal environment on movement patterns of free-ranging yellow baboons (Papio cynocephalus). For Amboseli baboons, one source of potential thermal stress is intense midday heat, and a plausible thermoregulatory response is for animals to simply move into the shade. I therefore examined the hypothesis that baboons would choose quadrats with higher shade availability (as measured by vegetation cover) in response to increasing midday heat loads (as measured by air temperature and solar radiation). Surprisingly, this was not the case—neither ambient air temperature, ambient solar radiation, nor quadrat plant species composition had a significant effect on shade availability of quadrat selected. Instead, thermal conditions affected a different aspect of baboon movements; namely, spatial displacement rates. At high air temperatures, baboons as a group traversed woodland habitats more slowly, and bare pans more quickly, than at lower air temperatures. I surmised that this relationship might reflect thermal effects on movement patterns at a smaller scale: if individuals exposed to high heat loads spent more time resting in shade under clumps of vegetation, they would thereby traverse densely-vegetated (hence shaded) quadrats more slowly. To address this question directly, I obtained focal sample data on activity and microhabitat budgets of individual baboons in relation to environmental temperature. The frequency of most combinations of activity state (e.g., grooming, social behavior) and microenvironment state (e.g., elevation, proximity to vegetation) did not vary monotonically with air temperature. However, baboons in shaded locations (but not those in unshaded locations) spent more time resting and less time moving at high air temperatures than low. In other words, baboon activity budgets depended on both microclimate and microhabitat—animals reduced their activity, particularly movement, when they encountered shade under hot conditions. This pattern of microhabitat choice in turn led to temperature-dependent changes in travel rate at the habitat level. These observational studies of movement patterns suggest that Amboseli baboons employ opportunistic thermoregulation—they do not seek out densely-shaded habitats or individual patches of shade at high air temperatures. Instead, they respond to environmental heat loads by resting, and thereby slowing down, when they happen to encounter plant shade. Aspects of baboon ecology that favor such an opportunistic mode of thermoregulation include large body size and non-thermal constraints on movement patterns.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Primates 27 (1986), S. 449-463 
    ISSN: 0032-8332
    Keywords: Behavior ; Thermoregulation ; Biometeorology ; Microclimate ; Baboon ; Papio ; Amboseli National Park
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology
    Notes: Abstract This report describes thermoregulatory behavior of free-ranging yellow baboons (Papio cynocephalus) in Amboseli, Kenya. While resting in trees during early morning hours, baboons are directly exposed to thermal effects of wind and sun. We hypothesized that these animals would respond to microclimatic changes by altering their posture and body orientatio so as to minimize thermal stress. The results of this study indicate that air temperature, solar radiation, and wind velocity interact in their effect on behavior as predicted by this hypothesis. Specifically, the most salient cue for trunk orientation choice is wind direction, while posture is primarily influenced by air temperature. In sum, our results clearly demonstrate that when baboons are unable to minimize thermal stress by selecting a more favorable microenvironment, they do so by altering their posture.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    Langenbeck's archives of surgery 353 (1980), S. 71-74 
    ISSN: 1435-2451
    Keywords: Colorectal surgery ; Prophylactic antibiotics ; Septic complications
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Vor colorectalen Operationen wurde mit 3 g Neomycin und 3 g Erythromycin eine eintägige, orale Antibioticaprophylaxe durchgeführt (n = 36). Die Patienten der Kontrollgruppe hatten kein Antibioticum erhalten (n = 24). Die Rate septischer postoperativer Komplikationen konnte durch die Antibioticaprophylaxe signifikant gesenkt werden. Es traten zwei Bauchdeckenabscesse, eine Stuhlfistel und zwei tödliche Nahtinsuffizienzen in der Kontrollgrupppe und lediglich zwei Bauchdeckenabscesse in der Antibioticagruppe auf. Wesentliche Nebenwirkungen der Antibioticaprophylaxe wurden nicht beobachtet.
    Notes: Summary On the preoperative day before colorectal operations (n = 36), 3 g neomycine and 3 g erythromycine were administered as oral prophylactic antibiotics. No antibiotics were administered to the controls (n = 24). The number of postoperative septic complications was reduced after preoperative prophylactic antibiotics. There were two abscesses of the abdominal wound, one fecal fistula, and two anastomotic disruptions in the control group but only two abscesses of the abdominal wound in the antibiotic group. No toxic effects were observed during this trial.
    Type of Medium: Electronic Resource
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  • 5
    Electronic Resource
    Electronic Resource
    Springer
    Langenbeck's archives of surgery 364 (1984), S. 387-391 
    ISSN: 1435-2451
    Keywords: Acute cholecystitis ; Early cholecystectomy ; Akute Cholecystitis ; Frühcholecystektomie
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Eine absolute Indikation zur Sofortoperation sind die schweren und lebensbedrohlichen Komplikationen einer akuten Cholecystitis. Aufgrund der bisher vorliegenden Untersuchungen ist die Früh-Cholecystektomie innerhalb von 24–48 h bis maximal 4 Tage nach stationärer Aufnahme die Operation der Wahl. Die Frühoperation ist bei gleicher diagnostischer Treffsicherheit wie die Spätoperation durchführbar. Bei akuter Cholecystitis ist die Sonografie die überlegene diagnostische Methode. Durch die Frühoperation wird die Verzögerung bzw. Verweigerung der Operation verhindert und somit späteren Komplikationen vorgebeugt. Die Liegezeit und die Kosten der stationären Behandlung vermindern sich deutlich. Die Letalität der Frühoperation ist in einem unselektionierten Krankengut geringer als bei der Spätoperation.
    Notes: Summary In acute cholecystitis different therapeutic approaches according to the individual situation are required: urgent (emergency) cholecystectomy is necessary in patients with acute life-threatening complications such as empyema and suspected or confirmed perforation. In uncomplicated cases early operation is recommended within 24 to 72 h. The reliability of diagnosis, technical complications and lethality are not different in patients undergoing early (〈 72 h) as opposed to delayed (〈 2 months) cholecystectomy. Early cholecystectomy prevents the complications of delayed operation and decreases costs for hospital care and is therefore the treatment of choice for most patients with acute cholecystitis.
    Type of Medium: Electronic Resource
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  • 6
    Electronic Resource
    Electronic Resource
    Springer
    Langenbeck's archives of surgery 374 (1989), S. 303-314 
    ISSN: 1435-2451
    Keywords: Rectal carcinoma ; Ultrashort resection of the rectum ; Lymphatic valves ; Pelvic anatomy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Für Rectumcarcinome in den letzten 8 cm wird eine kontinenzerhaltende Operation empfohlen; sie wird knappe Kontinenzresektion genannt. In ausgewählten Fällen garantiert die Entfernung der Hauptmetastasenstraße mit den Grenzlamellen eine gründliche Excision des Tumors. Klappen in den Lymphgefäßen erlauben nur einen Lymphstrom nach abdominal. Das Fehlen von Lymphknoten distal der hinteren Grenzlamelle und die Lokalisation des Tumorwachstums mit dem sichtbaren Tumorrand gestatten Radikalität auch mit einem 2 cm Abstand der distalen Resektionsgrenze von der Geschwulst. Die transabdominale Resektionstechnik wird empfohlen. Von 156 Nachuntersuchten betrug die 5-Jahresheilung bei der Rectumamputation 50%, bei der abdominalen Kontinenzresektion 62%, für die knappe Kontinenzresektion 69%.
    Notes: Summary Ultrashort resections of the rectum have been recommended for rectal carcinomas extending below eight cm from the dentate line in order to preserve anal continence. Resection of the main lymphatic pathways together with the adjacent lamellae is important for radical removal of all tumor cells. Valves in the rectal lymph vessels allow lymph fluids to drain only in a cranial direction. There are no lymph nodes below the dorsal adjacent lamella. Thus, a distal margin of two cm from the tumor is sufficient to minimize the risk of recurrence. We recommend a transano-abdominal approach for very low rectal carcinomas. During the past years, we have operated on 156 patients with rectal carcinomas and found five-year-survival rates of 50 percent with rectum resections with colostomies, 62 percent with low anterior resections and 69% with ultra-short sphincter-preserving resections.
    Type of Medium: Electronic Resource
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  • 7
    Electronic Resource
    Electronic Resource
    Springer
    Langenbeck's archives of surgery 372 (1987), S. 525-526 
    ISSN: 1435-2451
    Keywords: Carcinoma of the colon and rectum ; Hepatic metastases ; Therapy ; Colorectales Carcinom ; Lebermetastasen ; Therapie
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Die chirurgische radikale Entfernung eines colorectalen Carcinoms mit der Entfernung anhängender Eingeweide ist im Moment der einzige Weg für eine endgültige Heilungschance. Die Radiotherapie, die Herausnahme von Lebermetastasen und lokale und generelle Chemotherapie haben nur einen palliativen Effekt.
    Notes: Summary Radical surgical removal of colorectal carcinomas with removal of adherent related viscera and abdominal patients is today the only way for ultimate survival. Radiotherapy, excision of liver metastases and local or general chemotherapy have only an auxiliary palliative effect.
    Type of Medium: Electronic Resource
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  • 8
    Electronic Resource
    Electronic Resource
    Springer
    Langenbeck's archives of surgery 358 (1982), S. 259-263 
    ISSN: 1435-2451
    Keywords: Prevention of disruption ; Intestinal anastomosis ; Darmanastomosen ; Verhütung der Nahtinsuffizienz
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Die Anastomosenheilung ist am Dünndarm viel besser als am Dickdarm. Viele Faktoren sind für die Nahtinsuffizienz verantwortlich. Die vorliegende Untersuchung schließt 417 Kranke mit Colonresektionen ein. Eine sich selbst verschließende Coecostomie mit einem 12 mm weiten Kunststoffrohr für eine Woche vermindert die gefährliche Nahtinsuffizienz. Sterblichkeit 1,9 %.
    Notes: Summary Anastomotic healing in small intestine resections is much better than in large intestine surgery. A wide variety of factors may be involved in the aetiology. The present study of 417 patients with colon resections shows that performing a self-closing coecostomy with a 12-mm tube over a 1-week period decreased the incidence of anastomotic dehiscence; mortality was 1.9 %.
    Type of Medium: Electronic Resource
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  • 9
    Electronic Resource
    Electronic Resource
    Springer
    Langenbeck's archives of surgery 361 (1983), S. 771-772 
    ISSN: 1435-2451
    Keywords: Oesophageal varix haemorrhage ; Liver cirrhosis ; Sclerosis therapy ; Oesophagusvaricenblutung ; Lebercirrhose ; Sklerosierungstherapie
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Es wurde eine retrospektive Analyse der Therapieergebnisse blutender Lebercirrhotiker (1970–1982) an zwei Kliniken mit unterschiedlichem Behandlungskonzept durchgeführt. 790 sklerosierten Lebercirrhotikern wurden die Verläufe von 143 konservativ Behandelten gegenübergestellt. Die durchschnittliche Überlebensrate nach Sklerosierung (n = 790) betrug 37 Monate; bei konservativer Behandlung (n = 143) 13 Monate. Dieses Verhältnis war auch in den Child-Stadien Il und III in beiden Gruppen vorzufinden. Sklerosierte Patienten leben im Mittel 3 x länger als konservativ therapierte Patienten. An beiden Zentren ist die Sklerosierungstherapie das Verfahren der Wahl.
    Notes: Summary From 1970 to 1982 retrospective analysis of the treatment results for patients suffering from bleeding liver cirrhosis was carried out at two hospitals with different concepts of treatment. The progress made by 790 sclerosed liver cirrhosis cases was compared with that of 143 conservatively treated liver cirrhosis patients. The average survival rate after sclerosis therapy (n = 790) was 37 months as compared to 13 months after conservative treatment (n = 143). This ratio was also the same in both groups for child stages II and III. On average, with patients sclerosis therapy live three times longer than conservatively treated patients. Sclerosis therapy is thus the treatment of choice at both centres.
    Type of Medium: Electronic Resource
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  • 10
    ISSN: 1435-2451
    Keywords: Upper oesophageal sphincter ; Aganglionic segment
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Am Oesophagusmund ist, wie beim anorectalen Kontinenzorgan, eine hypo- bzw. aganglionäre Zone entwickelt. Sie bewirkt den dauernden Abschluß. Da die Oesophagusmundmuskulatur aus schraubig angelegten Fasern entwickelt ist, liegt die ganglienzellose Zone schräg zur Längsachse der Speiseröhre. Der Abschluß wird durch eine Art Schwellkörper unterstützt, der dem Corpus cavernosum recti ähnlich ist. Auch bei diesem Schwellkörper im Pharynx läuft das Blut zwischen den Muskelfasern ab und wird bei deren Kontraktion angestaut zurückgehalten. Dies vollendet auch hier den Abschluß. Der M. constrictor pharyngeus hat einen ähnlichen Verlauf wie der M. puborectalis, der am Analkanal eine Abknickung neben seinem Dauertonus bewirkt. Somit liegt auch am Beginn des Gastrointestinaltraktes ein arterielles angiomusculäres Verschlußsystem vor, in dessen Mittelpunkt ein aganglionärer Abschnitt auffällt.
    Notes: Summary At the mouth of the oesophagus there is an aganglionic zone similar to that in the anorectal organ of continence. This is part of the system of permanent closure. Since the musculature at the oesophageal entrance is arranged in a screw-like fashion the aganglionic zone lies obliquely to the longitudinal axis of the oesophagus. Closure at the oesophageal entrance is further supported by a kind of corpus cavernosum similar to that in the rectum. In this pharyngeal corpus cavernosum blood is drained between the muscular fibres and their contraction prevents its drainage, thus facilitating the closure of the musculature. The constrictor pharyngeus muscle takes a similar course as does the puborectalis which leads to a bend in the anal canal. Thus also at the entrance to the gastrointestinal tract an arterial angiomuscular system of closure exists in the center of which an aganglionic segment is conspicuous.
    Type of Medium: Electronic Resource
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