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  • 1
    ISSN: 1248-9204
    Keywords: Hiatal hernia ; Fundoplication ; Recurrences ; Mechanisms
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The conventional hiatal hernia repair is a tension repair. Large defects such as those associated with an intrathoracic stomach can have a high rate of recurrence resulting in esophageal symptoms and in some instances gastric strangulation. Numerous additive procedures are used to secure the stomach in the abdominal cavity including mesh buttressing, fundoplication, anterior abdominal wall gastropexy and fundus diaphragmatic suture fixation. The optimal repair is unknown primarily because crura closure failure is poorly understood. A literature review was used to determine the proven causes of hiatal hernia recurrence. Early postoperative vomiting, surgeon inexperience, short esophagus and no crus closure are documented causes. In a series of 19 hiatal hernia recurrence repairs from our institution, additional causes such as suture pull-out and trauma have been established as additional mechanisms of recurrence. Increased intra-abdominal pressure associated with motor vehicle accidents was the precipitating factor in 2/19 patients. Suggested methods for prevention of hiatal disruption and resultant hernia are proposed which include: a postoperative antiemetic regimen, restricted activity in the early postoperative period, an assessment technique for the short esophagus when utilizing a laparoscopic approach, crus closure calibration and inclusion of the diaphragmatic fascia when performing hiatal closure for large paraesophageal hernias and the short esophagus.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Amsterdam : Elsevier
    International Journal of Radiation Applications & Instrumentation. Part 39 (1988), S. 465-470 
    ISSN: 0883-2889
    Source: Elsevier Journal Backfiles on ScienceDirect 1907 - 2002
    Topics: Energy, Environment Protection, Nuclear Power Engineering
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Palo Alto, Calif. : Annual Reviews
    Annual Review of Astronomy and Astrophysics 31 (1993), S. 265-293 
    ISSN: 0066-4146
    Source: Annual Reviews Electronic Back Volume Collection 1932-2001ff
    Topics: Physics
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Palo Alto, Calif. : Annual Reviews
    Annual Review of Public Health 13 (1992), S. 1-30 
    ISSN: 0163-7525
    Source: Annual Reviews Electronic Back Volume Collection 1932-2001ff
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 5
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    Journal of fish biology 48 (1996), S. 0 
    ISSN: 1095-8649
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Biology
    Notes: The effects of dissolved oxygen (DO) on incubating salmonid embryos have been studied extensively in the laboratory but there is little information on levels experienced by salmon embryos in complex natural channels. We monitored 33 natural egg pockets of chum salmon Oncorhynchus keta, from shortly after spawning until emergence, and found that DO levels varied considerably among and within egg pockets over time. Egg pocket DO levels varied from 2–10 mg l−1 at the time of spawning and generally declined during incubation but the declines did not occur in all pockets and were not always steady. Much of the variability may be attributed to local channel topography. Pool tailouts had the highest and least variable DO levels whereas levels in lateral bars were generally lower and more variable. Levels in glides and riffles tended to be intermediate between those in pool tailouts and lateral bars. In spite of the variation in DO levels and habitats used by chum salmon, DO levels were not correlated with egg pocket sediment composition (per cent of the sample〈1.0 or 4.0 mm diameter) or with the egg pocket's depth.
    Type of Medium: Electronic Resource
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  • 6
    Electronic Resource
    Electronic Resource
    Oxford, UK; Malden, USA : Blackwell Science Ltd
    Journal of fish biology 66 (2005), S. 0 
    ISSN: 1095-8649
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Biology
    Notes: The growth rates of naturally sympatric juvenile pink Oncorhynchus gorbuscha and sockeye Oncorhynchus nerka salmon were compared in a common lacustrine environment in south-west Alsaka, an unusual opportunity given the normal disparity in freshwater residence time of these two species. Fork length (LF) frequency distributions of juvenile pink salmon caught in the lake during the summer in 1991 and 1999–2003 indicated a growth rate of 0·54 mm day−1, 54% greater than the estimated growth rate of juvenile sockeye salmon sampled from 1958 to 2003 (0·35 mm day−1). Examination of daily growth rings on otoliths indicated that pink salmon in Lake Aleknagik grew an average of 1·34 mm day−1 in 2003 but sockeye salmon grew only 0·63 mm day−1(average specific growth rates were 3·0 and 1·8% day−1, respectively). Pink salmon increased from c. 32 mm LF and 0·2 g at emergence to 78 mm LF and 3·0 g within 3–4 weeks. After experiencing these rapid growth rates, the pink salmon appeared to leave the lake by late July in most years. The diets of pink and sockeye salmon in the littoral zone of the lake were very similar; 〉80% of the stomach contents consisted of adult and pupal insects and the remainder was zooplankton. This high degree of diet overlap suggested that the observed differences in growth rate were not attributable to variation in prey composition.
    Type of Medium: Electronic Resource
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  • 7
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    Journal of fish biology 58 (2001), S. 0 
    ISSN: 1095-8649
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Biology
    Notes: Free-swimming coho salmon fry Oncorhynchus kisutch of some families showed preference (relative to the behaviour of naïve sibs) for the odours of similarly aged non-sibs to whom they had been exposed during the post-hatch (alevin) stage and the early free-swimming (fry) stage, but not the embryo (egg) stage, indicating that odour-learning had occurred during the later developmental periods. Recognition (i.e. preference) of sib- pecific odours was evident after a month, and in one case 5 months, of separation from those odours. Thus, young salmon incubating in their gravel nests in streams appear to have the capacity to learn the chemical characteristics of conspecifics and retain this memory for at least several months without reinforcement. However, in addition to the general attractiveness of sibs and familiar non-sibs over unfamiliar non-sibs, some non-sibs were consistently more attractive than others. Preference between two different non-sib odours could be reversed by changing their relative concentrations, indicating that relative attractiveness is a function of both familiarity and odour concentration. Therefore, although juvenile coho salmon learn, remember, and are subsequently attracted by sib-specific odours in early life, familiar odours are not always preferred over unfamiliar conspecific odours. Preference in dyadic assays is therefore an insensitive measure of recognition.
    Type of Medium: Electronic Resource
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  • 8
    Electronic Resource
    Electronic Resource
    [s.l.] : Nature Publishing Group
    Nature 250 (1974), S. 218-218 
    ISSN: 1476-4687
    Source: Nature Archives 1869 - 2009
    Topics: Biology , Chemistry and Pharmacology , Medicine , Natural Sciences in General , Physics
    Notes: [Auszug] The value for the gas constant thus obtained is R0 =.8,315.59 ±0.18 JK?1 kmol?1 The uncertainty quoted here is the standard error in the result, which stems from the standard error in c02 arising from random errors in the measurements of sound velocity. It is equivalent to a standard error ...
    Type of Medium: Electronic Resource
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  • 9
    Electronic Resource
    Electronic Resource
    [s.l.] : Macmillan Magazines Ltd.
    Nature 392 (1998), S. 359-361 
    ISSN: 1476-4687
    Source: Nature Archives 1869 - 2009
    Topics: Biology , Chemistry and Pharmacology , Medicine , Natural Sciences in General , Physics
    Notes: [Auszug] The discovery of a population of young galaxies at a redshift when the Universe was about a tenth of its current age has shed new light on the question of when and how galaxies formed. Within the context of popular models, this is the population of primeval galaxies that built themselves up to ...
    Type of Medium: Electronic Resource
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  • 10
    Electronic Resource
    Electronic Resource
    [s.l.] : Macmillan Magazines Ltd.
    Nature 401 (1999), S. 841-841 
    ISSN: 1476-4687
    Source: Nature Archives 1869 - 2009
    Topics: Biology , Chemistry and Pharmacology , Medicine , Natural Sciences in General , Physics
    Notes: [Auszug] Sir We should make use of new technology to improve on the poor state of knowledge of the constancy of the Sun's output. In 1994, the National Research Council of the US National Academy of Sciences called for improved accuracy in measurements that monitor the Sun's output. In ...
    Type of Medium: Electronic Resource
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