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  • Crotalaria orchroleuca  (1)
  • EMG-Control  (1)
  • EMG-Kontrollen  (1)
  • Follow-up studies  (1)
  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Intensive care medicine 21 (1995), S. 475-481 
    ISSN: 1432-1238
    Keywords: Tracheostomy ; Methods ; ICU ; Postoperative complications ; Follow-up studies
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Objective Percutaneous dilatational tracheostomy is increasingly practiced in intensive care units and has a low incidence of early complications. The late effects of this procedure are still poorly known and were the focus of this study. Design Prospective descriptive clinical study. Setting Interdisciplinary intensive care unit in a 300-bed teaching hospital. Patients A consecutive group of critically ill patients who underwent percutaneous tracheostomy between Nov. 90 and March 93, surviving at least 2 months after decannulation. Measurements and results There were 17 patients fulfilling the inclusion criteria and 16 of them were seen and examined. The follow-up protocol required a formal standar dized patient interview, a physical examination of the stoma site and a fiberoptic laryngotracheoscopy. Results of these sub-tests and overall outcome rating were standardized and expressed as good, moderate or poor. Subjective rating was good in all patients. All denied suffering from any side effects of their tracheostomy. Clinical examination revealed neither stridor nor hoarseness in any of the patients. Most of the scars were whitish and less than 1 cm in length, a few were sunken in, none had adhesions. In 15 patients the clinical result was good and in one, moderate (whitish, sunken-in scar, longer than 2 cm). Ten patients underwent tracheoscopy, while 6 did not. There were no signs of significant stenosis or tracheomalacia. In 8 patients with minor findings results were scored as good, while 2 were classified as moderate (combination of swelling and scar formation of a string-like membrane). The overall rating was good in 13 patients (81%) and moderate in 3 patients (19%). There were no poor outcomes. Conclusions Late outcome of percutaneous dilatational tracheostomy in critically ill patients is mostly good. Pending further studies, the use of this technique in intensive care units appears justified.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    European archives of psychiatry and clinical neuroscience 219 (1974), S. 223-229 
    ISSN: 1433-8491
    Keywords: Homologeous Nerve Grafts ; EMG-Control ; Homologe Nerveninterponate ; EMG-Kontrollen
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Bei acht Patienten mit peripheren Nervenverletzungen (5 N. ulnaris, 2 N. medianus, 1 N. peronaeus communis), die klinisch und elektrophysiologisch mehrfach kontrolliert worden waren, wurden durchschnittlich 2–16 Monate nach der Verletzung interfasciculäre homologe lyophilisierte Interponate operativ eingesetzt. Die Mindestlänge der Interponate betrug 30, die maximale Länge 100 mm. Die maximale Entfernung des Interponats vom Muskel betrug 40–50 cm, die minimale 6–8 cm. Nur in einem der Fälle war auch nach Über-schreiten des zu erwartenden minimalen Zeitraums Reinnervation durch den verletzten Nerven selbst zustande gekommen. Diese Reinnervation wurde durch Reizung des betroffenen Nerven und des benachbarten bewiesen, sie war jedoch klinisch bedeutungslos. In den anderen Fällen war es z. T. ebenfalls zu Reinnervation gekommen, jedoch nicht vom verletzten Nerven her, sondern durch kollaterale Sprossung vom Nachbarnerven.
    Notes: Summary A clinical and electrophysiological study was made of 8 patients in whom lyophilized homologeous nerve grafts were implanted. Five patients had experienced ulnar nerve injury, 2 had injury of the median nerve and 1 peroneal nerve dissection. The operation was performed between 2 and 16 months after the injury. Graft length varied from 3–10 cm. Maximum distance from proximal end of graft to endplate zone was 40–50 cm, minimum distance was 6–8 cm. In only one instance (ulnar nerve injury) was reinnervation of the muscle via the graft accomplished, as was demonstrated by stimulating the ulnar and median nerves. The amount of reinnervation was, however, without any functional significance. Reinnervation also occurred in other instances, but was achieved through collateral nerve fiber growth.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Agroforestry systems 47 (1999), S. 123-138 
    ISSN: 1572-9680
    Keywords: Canavalia ensiformis ; Crotalaria orchroleuca ; Dolichos lablab ; farmer participatory research ; Mucuna pruriens ; soil fertility management
    Source: Springer Online Journal Archives 1860-2000
    Topics: Agriculture, Forestry, Horticulture, Fishery, Domestic Science, Nutrition
    Notes: Abstract Researchers worked with farmers in eastern Uganda to develop alternatives for soil management using crotalaria (Crotalaria ochroleuca), mucuna (Mucuna pruriens var. utilis), lablab (Dolichos lablab), and canavalia (Canavalia ensiformis) as green manures in short-term fallows. The participatory research was part of a community-based approach for systems improvement. Grain yields of maize (Zea mays) and bean (Phaseolus vulgaris) following one season of crotalaria fallow were 41% and 43%, respectively, more than following a two-season weedy fallow. Grain yields of maize following a one-season fallow with mucuna and lablab were 60% and 50% higher, respectively, as compared with maize following maize. Maize and bean yield were more, although effects were small, during the second and third subsequent seasons, indicating probable residual effects of the green manures. Mucuna and lablab were successfully produced by intersowing into maize at three weeks after sowing maize, although the yields of the associated maize crop were reduced by 24% to 28%. Farmers estimated the labor requirements for mucuna and lablab to be less than for crotalaria. Farmers independently experimented on how these species can be integrated into banana (Musa spp.), coffee (Coffea robusta), sweet potato (Ipomoea batatas), and cassava (Manihot esculenta) production systems. Farmers reported that the beneficial effects of the green manures included higher food-crop yields; weed suppression; improved soil fertility, soil moisture, and soil tilth; and erosion control. Mucuna and lablab were preferred because of reduced labor requirements and increased net benefits compared with continuous cropping. Farmer participation in the green manure research resulted in efficient generation and adaptation of green manure technology now being promoted in eastern and central Uganda.
    Type of Medium: Electronic Resource
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