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ZfuerGerontologie+Geriatrie.80310193.eng.abstr
|
ZfuerGerontologie+Geriatrie.80310193.eng.abstr
|
[
{
"id": "ZfuerGerontologie+Geriatrie.80310193.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The aim of the present study was to describe the pattern of service use ( hospitals , homes , ambulatory services ) in the year before death . The results are based on administrative data for the elderly inhabitants of the city of Mannheim , who died during one year ( n=2507), as well as on a survey of the next of kin of a 40% random sample of the decedents ( n=958). Deaths occurred most frequently in hospitals ( 49.7% ) , followed by deaths outside of institutions ( 29.1% ) and deaths in residential or nursing homes ( 21.2% ) . 79.6% of the deceased had been admitted to hospitals in the last year of their lives , 28.6% were cared for in homes , and almost 40% were receiving care from home-help services . 9.3% of the last year of life were spent on average in hospitals and 20.5% in residential or nursing homes . Utilization of care was influenced by age at death , family conditions , living arrangements , and level of dependency . Hospital and nursing care use showed an opposite pattern . With increasing age at death , the utilization of homes and ambulatory services rose steeply , whereas the probability of hospital treatment decreased with more advancing age ."
],
"offsets": [
[
0,
1180
]
]
}
] |
[
{
"id": "ZfuerGerontologie+Geriatrie.80310193.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"aim"
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4,
7
]
],
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},
{
"id": "ZfuerGerontologie+Geriatrie.80310193.eng.abstr-s1-t2",
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68,
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"id": "ZfuerGerontologie+Geriatrie.80310193.eng.abstr-s1-t3",
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"hospitals"
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74,
83
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{
"id": "ZfuerGerontologie+Geriatrie.80310193.eng.abstr-s1-t4",
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"death"
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{
"id": "ZfuerGerontologie+Geriatrie.80310193.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"elderly"
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196,
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{
"id": "ZfuerGerontologie+Geriatrie.80310193.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"city"
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"db_id": "C0008848"
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"id": "ZfuerGerontologie+Geriatrie.80310193.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
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{
"id": "ZfuerGerontologie+Geriatrie.80310193.eng.abstr-s2-t4",
"type": "umlsterm",
"text": [
"Deaths"
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370,
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"id": "ZfuerGerontologie+Geriatrie.80310193.eng.abstr-s2-t5",
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"hospitals"
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{
"id": "ZfuerGerontologie+Geriatrie.80310193.eng.abstr-s2-t6",
"type": "umlsterm",
"text": [
"deaths"
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439,
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{
"id": "ZfuerGerontologie+Geriatrie.80310193.eng.abstr-s2-t9",
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"id": "ZfuerGerontologie+Geriatrie.80310193.eng.abstr-s3-t1",
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{
"id": "ZfuerGerontologie+Geriatrie.80310193.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"lives"
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614,
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"id": "ZfuerGerontologie+Geriatrie.80310193.eng.abstr-s4-t1",
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"id": "ZfuerGerontologie+Geriatrie.80310193.eng.abstr-s4-t2",
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770,
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] |
[] |
[] |
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ZfuerGerontologie+Geriatrie.80310209.eng.abstr
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ZfuerGerontologie+Geriatrie.80310209.eng.abstr
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[] |
[] |
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ZfuerGerontologie+Geriatrie.80310250.eng.abstr
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ZfuerGerontologie+Geriatrie.80310250.eng.abstr
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"Studies on the everyday life of the elderly often deal with visible behavior . In this study , the subjective experience of the everyday living environment was investigated , paying special consideration to the role of mobility impairment . Two approaches , one oriented toward the subject's experience of the home environment , another oriented toward the environmental specifics of the individual's favorite place , were employed . Is the experience of living at home different for individuals with various levelsults were found in the experience of cognitive , biographical , and spatial dimensions of the living environment . Similarities were found in the experience of emotional , social , and behavioral dimensions of one's home . Competence loss played an important role in how the subjects experienced living at home , yet even the mobility impaired experienced their home as a environment which could be shaped . The environment-oriented approach showed that the favorite place of mobility impaired persons was characterized by higher spatial density . Finally , an examination of four home environment profiles using cluster analysis illustrated the connection between both person- and environment-oriented approaches and offered insights into a transactional perspective of person and environment . Even though the subjective experience of one's home environment is not easily quantifiable in terms of maintaining everyday competence , it nonetheless imparts meaning to the elderly person's daily life ."
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ZfuerGerontologie+Geriatrie.80310257.eng.abstr
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ZfuerGerontologie+Geriatrie.80310257.eng.abstr
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[] |
[] |
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ZfuerGerontologie+Geriatrie.80310263.eng.abstr
|
ZfuerGerontologie+Geriatrie.80310263.eng.abstr
|
[
{
"id": "ZfuerGerontologie+Geriatrie.80310263.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Using a time-budget method in a 3 year longitudinal study with a control group design , substantial reductions in the engagement of non-obligatory instrumental , social , and leisure activities could be found in a group of mildly to moderately demented patients . Controlling these changes for differences in baseline paramters , the dementia-specific reduction was about 1,5 hours compared to a non-psychiatric control group . These clinically relevant changes in activity levels underscore the importance of these activity domains with regard to the development of diagnostically useful indicators at the early stages of dementia . Time-budget methods seem to be particularly useful to close the diagnostic gap with regard to the assessment of everyday competence indicators especially at early stages of the dementia illness ."
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ZfuerGerontologie+Geriatrie.80310271.eng.abstr
|
ZfuerGerontologie+Geriatrie.80310271.eng.abstr
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[
{
"id": "ZfuerGerontologie+Geriatrie.80310271.eng.abstr-passage-0",
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"text": [
"In the past the calculation for an in-patient special offer ( quantity of beds needed ) was mainly carried out by diagnosis-based statistics of hospital cases . The decision for an in-patient care within a geriatric unit is however influenced by factors as \" status of selfhelp abilities \" , \" social situation \" and \" co-morbidity \" . Those factors are investigated either directly by the help of the patient himself or by questioning the nurses and/or the medical staff . A new way of measuring will be introduced for this questioning . The crucial element is the Barthel-Index ( BI ) . Supporting measures are done by the inclusion of main datas concerning the social situation as well as recording the modified screening according Lachs . From the 6th of September until 14th of December 1997 the three-part measuring technique was used at seven hospitals in Hamburg ( amongst them one University hospital and one hospital with a geriatric unit ) within the framework of a representative sample survey . These collected datas register 18 admission days of all patients of sixty or over who at the time of questioning stayed for five days in one of those acute hospitals . In some hospitals some additional datas were collected at the third or 6th day after admission . Altogether a whole \" virtual day-admission \" of the 60 years old or older patients was collected for the City of Hamburg at the 5th day after admission . Out of 425 patients 137 were moved or exmitted before questioning , 4 had already died . Out of the rest of 284 patients two of them refused the questioning , whilst the datas of 6 patients were not feasible for evaluating . Finally 276 patients were questioned . Out of them 231 patients are \" not potential candidates for a geriatric hospital or a geriatric day-care unit \" , 8 are \" candidates for a geriatric day-care unit directly after discharge of primary care \" and 37 are \" candidates for an in-patient geriatric hospital \" . The presented three-part question-sheet shows a sensitivity of 89.2% and a specification of 92.2% . This measuring technique in the hands of a trained examiner appears to be a valid and manageable tool in the framework of geriatric consultation as well as for the investigation of own directly ascertained statistic datas for \" potential candidates for an in-patient geriatric hospital \" ."
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ZfuerGerontologie+Geriatrie.80310277.eng.abstr
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ZfuerGerontologie+Geriatrie.80310277.eng.abstr
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[
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"id": "ZfuerGerontologie+Geriatrie.80310277.eng.abstr-passage-0",
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"text": [
"To assess the situation of geriatric research and education at German universities , a questionnaire was sent out to all medical faculties ( n=37). The response rate was 91.9% ( n=37). There are five universities with a geriatric chair ( 14.7% ) , one with a department of geriatric medicine within internal medicine , and two departments of geriatric psychiatry . At 15 universities geriatric research is established ( 44.1% ) , but only 12 universities report that geriatric contents are implemented in the teaching of medical students . The comparison of universities with and without geriatric chairs and departments showed big differences . Whereas all universities with geriatric chairs or departments conduct geriatric research and offer education in geriatric medicine , the others failed to do so . Only 26.9% ( n=7) have geriatric research and 15.4% ( n=4) offer medical teaching in geriatrics ."
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ZfuerGerontologie+Geriatrie.80310286.eng.abstr
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ZfuerGerontologie+Geriatrie.80310286.eng.abstr
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ZfuerGerontologie+Geriatrie.80310313.eng.abstr
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ZfuerGerontologie+Geriatrie.80310313.eng.abstr
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[] |
[] |
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ZfuerGerontologie+Geriatrie.80310325.eng.abstr
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ZfuerGerontologie+Geriatrie.80310325.eng.abstr
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ZfuerGerontologie+Geriatrie.80310338.eng.abstr
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ZfuerGerontologie+Geriatrie.80310343.eng.abstr
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ZfuerGerontologie+Geriatrie.80310343.eng.abstr
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ZfuerGerontologie+Geriatrie.80310362.eng.abstr
|
ZfuerGerontologie+Geriatrie.80310362.eng.abstr
|
[
{
"id": "ZfuerGerontologie+Geriatrie.80310362.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Attachment representation was assessed in 48 elderly people with an average age of 69 years . The adult attachment interview was used plus an additional question about wishes for the future . Coherent correlations with subjective life satisfaction and individual future perspective were demonstrated . Elderly participants with secure attachment representation were more satisfied , they were also less anxious , and more often positive about their future . If their adult children had secure attachment representation , they were reported by their elderly parents to be socially , emotionally , and materially more supportive ."
],
"offsets": [
[
0,
628
]
]
}
] |
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ZfuerGerontologie+Geriatrie.80310398.eng.abstr
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ZfuerGerontologie+Geriatrie.80310398.eng.abstr
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ZfuerGerontologie+Geriatrie.80310407.eng.abstr
|
ZfuerGerontologie+Geriatrie.80310407.eng.abstr
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ZfuerGerontologie+Geriatrie.80310417.eng.abstr
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"Providing adequate care of the aged , geriatric caregivers take a key position for the transfer of gerontological knowledge into practice . However , little attention has been focussed on the work conditions and staff distress by gerontologists . The purpose of this paper is to review studies on occupational stress relating to professional geriatric caregivers . Based on relevant research concepts and paradigms , findings of the international literature are summarized . The review shows that occupational stress is affected by a number of work-related factors from behavior problems of the residents to time pressure and organizational deficits . The stress in turn can cause burnout , mental health problems , somatic complaints , and increased turnover . Social support and control at the workplace are supposed to contribute essentially to stress reduction . There are few empirical studies dealing with occupational stress among geriatric caregivers in Germany . Strengths and weaknesses of the studies will be analzyed and suggestions offered for future research in this area . Extending research is needed particularly on the work conditions in the increasing field of geriatric outpatient community services . Inspite of its theoretical and methodological shortcomings , the findings highlight the need for strategies to prevent physical and mental health problems , burnout , and job turnover . It is a challenge for gerontological research to obtain more knowledge on the work-related factors leading to stress as well as to establish effective intervention strategies to reduce its long-term consequences ."
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ZfuerGerontologie+Geriatrie.80310426.eng.abstr
|
ZfuerGerontologie+Geriatrie.80310426.eng.abstr
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"This study was designed to provide information to which extend home-based nursing care services for the elderly take part in the care for older people with mental disorders . Also of interest was the involvement of clinical facilities and services of the geropsychiatric treatment system in the health care for the clients . A one day data collection in 29 nursing care services in two North Rhine-Westphalian regions could raise informations about 1,246 clients aged 60 years and over 1 , 522 persons ( 41.8% ) had a mental disorder , diagnosed by a nursing and/or medical professional . 68% of the mental disordered clients had dementia or a demential disorder , 6% a functional psychoses , and 31% a neurotic , psychogenic disorder or substance abuse ( small number of clients with two and more diagnoses ) . 82% of clients with mental disorders had one or more additional somatic disease ( s ) . These diseases were mostly the cause for the involvement of home-based nursing care service . Barely 8% of clients with mental disorders were placed from clinical facilities and services of the geropsychiatric treatment system into the nursing care services . Beside the home-based care , only 12% of mental disordered received clients outpatient psychiatric treatment . Systematic cooperation between the nursing care services and the system of ( gero- ) psychiatric treatemnt was a rare exception ."
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ZfuerGerontologie+Geriatrie.80310448.eng.abstr
|
ZfuerGerontologie+Geriatrie.80310448.eng.abstr
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[
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"id": "ZfuerGerontologie+Geriatrie.80310448.eng.abstr-passage-0",
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"text": [
"Within the longitudinal study on nutrition and health status in an aging population of Giessen , Germany , baseline measurements with regard to antioxidant status were obtained in 85 free living elderly persons . The subjects were at least 60 years old , non-smoking , feeding themselves , and not supplementing any vitamins or minerals . Dietary intake of nutrients was assessed by means of a 3-day estimated food record , which was especially developed and validated for this study . Antioxidant status was evaluated by fasting plasma concentrations of vitamin C , E , -carotene , and selenium . The results show that in this study group self-determined nutrition provides enough nutrients to yield a good antioxidant status in the advanced age . Although no differences could be detected in dietary intake of vitamin C , E , and -carotene between males and females , significantly higher plasma concentrations of all substances investigated were found in females when compared to males ."
],
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]
}
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ZfuerGerontologie+Geriatrie.90320003.eng.abstr
|
ZfuerGerontologie+Geriatrie.90320003.eng.abstr
|
[
{
"id": "ZfuerGerontologie+Geriatrie.90320003.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The German social security legislation has recognized only recently the concern of quality assessment in the field of social and medical services . The legal frame for quality assessment in the field of medical treatment was enacted in the sickness insurance provision ( Social Code - Book V ) only in 1989. Quality assessment is considered to be a part of the production of medical services and , therefore , is regulated in the context of providing medical services . The legal provisions do not establish standards for quality and quality assessment . Due to the variety of medical services , quality assessment is not regulated in an exhaustive or systematic manner . According to the law , providers of medical services ( doctors , hospitals ) are bound to participate in quality assessment . As internal quality assessment prevails in the definition of the various measures of quality assessment and the control of quality in all fields of medical treatment , external quality assessment is also prescribed for hospitals . Because the establishment of quality assessment is considered to be a part of the service production organization , consumers ( patients ) or their representatives are not involved in the definition , establishment , and control of quality assessment . The participation of patients should be provided by law ."
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"We analyzed quality assurance protocol records of 532 geriatric hospital patients in comparison to an administration database concerning data on \" length of stay \" information ( LOS ) . Doctors handwritten quality assurance protocol records corresponded in 74.25% of cases to administration data . 14.47% of cases were registered with different LOS ; 11.28% of LOS information was missing . The increasing amount of documentation tasks in German geriatric hospitals is discussed . Conclusion : We assume that not only discrete well known information ( admission and discharge dates , LOS ) are contaminated by documentation failure but also data on functional status of geriatric patients which may have important influence on external data processing ."
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ZfuerGerontologie+Geriatrie.90320041.eng.abstr
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ZfuerGerontologie+Geriatrie.90320041.eng.abstr
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"Reference values , which would be related to the individual \" biological age \" and which would be needed for laboratory investigations of geriatric patients , are at the moment not usual . Thereafter , for rational interpretation of laboratory results , the knowledge of \" preanalytical variations \" is of crucial importance . These are systematically discussed in the present contribution . In principle , one distinguish between \" biological variations \" and \" preanalytical errors \" . The first are characterized by the following \" factors \" : \" permanent \" ( age , genetics ) , \" long time \" ( age ) , \" intermediate \" ( life style , climate , nutrition ) , and \" short time \" ( circadian , postprandial , and orthostatic effects ) . The significance of \" preanalytic errors \" is accentuated by the fact that many of \" geriatric institutions \" are serviced by the laboratories , which are not situated close to them ."
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ZfuerGerontologie+Geriatrie.90320047.eng.abstr
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ZfuerGerontologie+Geriatrie.90320047.eng.abstr
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"text": [
"According to Max Buerger ( 2 ) it is justified to speak of sexual divergence of biomorphosis . Morphometrical investigations have proved the existence of such sexual differences . The following results were obtained : The first example concerns the increase of fatty tissue in parathyroid glands which we measured on histological slides of 135 human samples by means of the point counting method . The fatty tissue of males was shown to increase continuously with statistic significance , whereas this process stops in females during their generative phase between the 2nd and 5th decade . Evidence for the sexual divergence was also obtained by investigating the fatty tissue between the bundles of muscle fibers of the tongue , however , without being able to statistically verify these results . We found the same sexual differences by measuring the muscle cell regression and connective tissue proliferation in the ciliary muscle of human eyes and tunica muscularis of the small intestine as well ."
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ZfuerGerontologie+Geriatrie.90320052.eng.abstr
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ZfuerGerontologie+Geriatrie.90320052.eng.abstr
|
[
{
"id": "ZfuerGerontologie+Geriatrie.90320052.eng.abstr-passage-0",
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"text": [
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],
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0,
260
]
]
}
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]
],
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}
]
}
] |
[] |
[] |
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}
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ZfuerGerontologie+Geriatrie.90320076.eng.abstr
|
ZfuerGerontologie+Geriatrie.90320076.eng.abstr
|
[
{
"id": "ZfuerGerontologie+Geriatrie.90320076.eng.abstr-passage-0",
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"text": [
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],
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[
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]
]
}
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],
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26
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],
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]
},
{
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"type": "umlsterm",
"text": [
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447,
457
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0027362"
}
]
}
] |
[] |
[] |
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ZfuerGerontologie+Geriatrie.90320083.eng.abstr
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ZfuerGerontologie+Geriatrie.90320083.eng.abstr
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[] |
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ZfuerGerontologie+Geriatrie.90320089.eng.abstr
|
ZfuerGerontologie+Geriatrie.90320089.eng.abstr
|
[
{
"id": "ZfuerGerontologie+Geriatrie.90320089.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The results of the determination of 24 basic blood chemistry variables from 262 men and 239 women , half of each group 44.4 +/- 0.9 and 63.0 +/- 0.9 ( men ) and 44.4 +/- 0.9 and 62.8 +/- 0.8 years old ( women ) , resp. , are compared . In men , only 6 analytes show significant differences between the age groups : Alanine aminotransferase , aspartate aminotransferase , iron with p 0.05 ; sodium , calcium , protein ( serum ) with p 0.001. In women , 16 analytes , compared between both groups , are significantly different : Urea , uric acid , creatinine , triglycerides , total cholesterol , LDL cholesterol , LDL-C/HDL-C ratio , alanine aminotransferase , alkaline phosphatase , gamma-glutamyltransferase , sodium and ferritin are increased in the older group , whereas HDL cholesterol , iron , transferrin , and total protein are decreased . The sex differences are more distinct in the group of 44 years old persons than in the 63 years old one . These results will be completed by the comparison with the evaluation of the stored laboratory values of 9923 patients between 20 and 89 years old ."
],
"offsets": [
[
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]
]
}
] |
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ZfuerGerontologie+Geriatrie.90320097.eng.abstr
|
ZfuerGerontologie+Geriatrie.90320097.eng.abstr
|
[
{
"id": "ZfuerGerontologie+Geriatrie.90320097.eng.abstr-passage-0",
"type": "abstract",
"text": [
"In 262 men ( about half of them 44.4 +/- 0.9 and 63.0 +/- 0.9 years old , resp. ) and 239 women ( about half of them 44.4 +/- 0.9 and 62.8 +/- 0.8 years olf , resp. ) the results of 12 clinical chemical analytes were used to calculate laboratory indices which were compared with the biological age in accordance with Ries . The indices were calculated by using concentrations of alkaline phosphatase , iron , total protein , total cholesterol , glucose , uric acid , urea , HDL cholesterol , creatinine , LDL cholesterol , transferrin , and triglycerides . Only in the younger group of women are the correlations between laboratory indices and biological age significant . In the same group , several single parameters also significantly correlate with pre-aging . Among them are alkaline phosphatase , the LDL-C/HDL-C ratio , bilirubin , triglycerides , and glucose ."
],
"offsets": [
[
0,
868
]
]
}
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ZfuerGerontologie+Geriatrie.90320104.eng.abstr
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ZfuerGerontologie+Geriatrie.90320104.eng.abstr
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[] |
[] |
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ZfuerGerontologie+Geriatrie.90320112.eng.abstr
|
ZfuerGerontologie+Geriatrie.90320112.eng.abstr
|
[
{
"id": "ZfuerGerontologie+Geriatrie.90320112.eng.abstr-passage-0",
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"text": [
"Biogerontology is defined by the interdisciplinary research on causes and mechnisms of biological aging - aiming to unravel the mystery of human senescence . Here the state of this research area is presented separately in two parts : ( 1 ) activities and appreciation of biogerontology as a scientific discipline in Germany compared mainly to the USA , ( 2 ) recent developments in the scientific content and progress in the research of aging ."
],
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0,
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}
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] |
[] |
[] |
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{
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}
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ZfuerGerontologie+Geriatrie.90320131.eng.abstr
|
ZfuerGerontologie+Geriatrie.90320131.eng.abstr
|
[
{
"id": "ZfuerGerontologie+Geriatrie.90320131.eng.abstr-passage-0",
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"text": [
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],
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0,
329
]
]
}
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0,
6
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] |
[] |
[] |
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{
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}
] |
ZfuerGerontologie+Geriatrie.90320153.eng.abstr
|
ZfuerGerontologie+Geriatrie.90320153.eng.abstr
|
[
{
"id": "ZfuerGerontologie+Geriatrie.90320153.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Behavioral disorders in dementia are common and are the most important symptoms with regard to socio-economic burden . Up to now there is no common international agreement of how to define and measure these disorders . Antidementia trials focus mainly on cognition . Investigations of neurobiological corrolaries of disturbed behavior in the dementias are rare . The same holds true for studies on the longitudinal course of behavioral disorders and their interrelation . Many symptoms may be the expression of variable conditions , e.g. , agitation may be related to anxiety or akathisia . In primary care , hospitals and nursing homes , antipsychotics are most often chosen for their treatment . The available data demonstrate at least a modest efficacy . New neuroleptics ( risperidone , clozapine , olanzapine ) offer some advantages with regard to the risk benefit ratio . Benzodiazepines are frequently prescribed , but seem to be superior to neuroleptics only for the treatment of sleep disorders ."
],
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0,
1005
]
]
}
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ZfuerGerontologie+Geriatrie.90320172.eng.abstr
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ZfuerGerontologie+Geriatrie.90320172.eng.abstr
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[
{
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"To investigate the feasibility of early assessment of preventable disabilities in primary care , we developed a geriatric preventive screening examination with various indicators of physical , emotional , and social functions as well as laboratory exams . Cognitive impairment was measured by the modified MMSE . Severe cases of dementia , who would deserve home visits were excluded . Results of the assessment procedure in 446 patients aged 70 and over ( 71.5 % females ) were compared to ratings of general practioners ( n = 67 ) . In these patients we found 4250 medical , 374 psychiatric , and 528 social problems . 45.4 % of medical , 61.8 % of psychiatric , and 56.8 % of social problems where hitherto unknown to the GPs . The prevalence of cognitive impairment was 4.6 % according to GPs diagnosis and 21 % according to the MMSE . The sensitivity of GPs diagnosis was 14 % , the specifity 98 % , and the overall agreement measured by kappa was 0.17. There were significant ( p 0.05 ) associations of cognitive impairment with poor health , vascular disease , syncope , weight loss , previous hospitalization , depression , and ADL and IADL-items . Hypertension , or pathological thyroid function , occurred more frequently in the cognitively impaired ( p > 0.05 ) . Only 19.5 % of dementia cases had severe functional loss , which substantiates our hypothesis that mild dementia was studied . Of all cases with newly identified cognitive impairment ( n = 83 of 446 patients ) , three ( 3.6 % ) had reversible disorder such as depression ( n = 1 ) , drug toxicity ( n = 2 ) 3 ( 3.6 % ) received counseling , and 5 ( 6 % ) further diagnostic assessment or treatment . One ( 1.2 % ) patient did not accept any treatment . In the remainder of 71 patients ( 85.5 % ) , the GPs adopted a wait and see strategy with no intervention . In conclusion , memory deficits seem to be underdiagnosed in general practice despite much treatable comorbidity or social problems , and some reversible conditions such as depression and drug adverse effects ."
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"In this four-part review article , an update of psychological gerontology since 1988 in German speaking countries is given als follows : Cognitive development in old age ( part I ) , personality development in old age ( part II ) , social relations in old age ( part III ) , tasks , burdens , and border situations in old age ( part IV ) . In part I of the update which is presented in this issue , the description of recent trends in cognitive research serves as a background to highlight , in a first step , the basic research in the field concerned with the mechanics as well as the pragmatics of intelligence in the later years . In a further step , research on memory processes including psychological work with relevance for the investigation of dementia is reviewed . Finally , cognitive intervention studies reflecting the impact of an applied cognitive gero-psychology and aimed to support the potential and limits of the plasticity of the intelligence and memory development in old age find consideration ."
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ZfuerGerontologie+Geriatrie.90320193.eng.abstr
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ZfuerGerontologie+Geriatrie.90320193.eng.abstr
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],
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ZfuerGerontologie+Geriatrie.90320200.eng.abstr
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ZfuerGerontologie+Geriatrie.90320200.eng.abstr
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ZfuerGerontologie+Geriatrie.90320207.eng.abstr
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ZfuerGerontologie+Geriatrie.90320207.eng.abstr
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ZfuerGerontologie+Geriatrie.90320225.eng.abstr
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ZfuerGerontologie+Geriatrie.90320225.eng.abstr
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ZfuerGerontologie+Geriatrie.90320238.eng.abstr
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ZfuerGerontologie+Geriatrie.90320238.eng.abstr
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"In a community sample of 165 elderly aged 61 to 96 years ( mean 69.65 years ) from East and West Germany , present diseases , subjective health , impairments , health-related control-beliefs , social support ( F-SOZU ; Sommer & Fydrich , 1989 ) , and health related coping-styles ( \" Bern Coping Styles Questionnaire \" BEFO ; Heim et al. , 1991 ) were assessed . By means of a stepwise multiple regression analysis , the differential impact of control beliefs , subjective morbidity , subjective health , social support , social integration , social burden , and socio-demographic variables ( age , sex , educational level ) was analyzed . Elderly with little health related impairments , emotional support , and a relatively high educational level tried to cope with diseases by lowering the affective burden by cognitive and behavioral strategies . A growing number of diseases , a high level of practical help by others , but also a high degree of social burden were the best predictors for a health related coping strategy that is characterized by avoiding the preoccupation with the disease and by searching for emotional support . A health related coping style that is characterized by lamentation , brooding , and resignation was predicted best by poor subjective health , a high degree of social burden , and a low educational level ."
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ZfuerGerontologie+Geriatrie.90320255.eng.abstr
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ZfuerGerontologie+Geriatrie.90320255.eng.abstr
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"It is not easy to diagnose the sequelae of organized violence as they might become manifest at older age . The concept of Posttraumatic Stress Disorder ( PTSD ) gives to little to hang on . A more specific diagnosis such as the DESNOS ( Disorders of Extreme Stress Not Otherwise Specified ) which was proposed for ( but not included in ) the DSM IV is lacking . In the ICD-10 we find the diagnosis \" Durable personality changes after catastrofic experiences \" based on five global criteria which are not validated yet . From a clinical point of view there is a need for a testable and operational concept of the enduring posttraumatic personality changes . The concept of the posttraumatic self disorder is chosen here . It consists of disorders of the physical self , the object relational self and the historical self . In this article the historical self is described in more detail . Different empirical findings are discussed to illustrate that experience of one's own life history might be disturbed after having been submitted to organized violence . This can lead to serious complaints and functional psychological interferences . Self disorders are part of these late and durable posttraumatic phenomenology ."
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ZfuerGerontologie+Geriatrie.90320307.eng.abstr
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ZfuerGerontologie+Geriatrie.90320307.eng.abstr
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[] |
[] |
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}
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ZfuerGerontologie+Geriatrie.90320312.eng.abstr
|
ZfuerGerontologie+Geriatrie.90320312.eng.abstr
|
[
{
"id": "ZfuerGerontologie+Geriatrie.90320312.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Objective : to examine mortality , mobility , pain , institutionalization rates six month after hip fractures ."
],
"offsets": [
[
0,
111
]
]
}
] |
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{
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],
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9
]
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],
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23,
32
]
],
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]
},
{
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],
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50
]
],
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}
]
},
{
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"type": "umlsterm",
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],
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[
53,
73
]
],
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]
},
{
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],
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96,
99
]
],
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}
]
},
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],
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100,
109
]
],
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]
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],
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96,
109
]
],
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"db_id": "C0019557"
}
]
}
] |
[] |
[] |
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}
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ZfuerGerontologie+Geriatrie.90320318.eng.abstr
|
ZfuerGerontologie+Geriatrie.90320318.eng.abstr
|
[
{
"id": "ZfuerGerontologie+Geriatrie.90320318.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The number of accidents caused by older car drivers increases annually in Germany . Typical errors of older drivers concern the right of way , changes of direction and conflicts with pedestrians at cross walks . These errors are attributed to deficient information gathering and processing caused by old age and illness . In many cases these deficiencies can be countered by appropriate strategies of compensation . The physician's task is to advise the older patient whose obligation it is to check his own ability to drive . In certain cases the physician's task is also to report to the traffic authorities on the patient's ability to drive a car . The physician is aided in this task by the \" Guidelines Concerning Disease and Motorized Traffic \" published by the German Transport Ministry ."
],
"offsets": [
[
0,
795
]
]
}
] |
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14,
23
]
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39
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],
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40,
43
]
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},
{
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74,
81
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],
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"db_id": "C0017480"
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102,
107
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],
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"db_id": "C0331059"
}
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},
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"type": "umlsterm",
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128,
133
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],
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"db_id": "C0035621"
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},
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"type": "umlsterm",
"text": [
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154,
163
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],
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},
{
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"text": [
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168,
177
]
],
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"db_id": "C0009671"
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},
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"type": "umlsterm",
"text": [
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],
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204,
209
]
],
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"db_id": "C0080331"
}
]
},
{
"id": "ZfuerGerontologie+Geriatrie.90320318.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"old"
],
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[
300,
303
]
],
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"db_id": "C0331059"
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},
{
"id": "ZfuerGerontologie+Geriatrie.90320318.eng.abstr-s3-t2",
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"text": [
"age"
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307
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],
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"db_id": "C0001792"
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"db_id": "C0001811"
}
]
},
{
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"type": "umlsterm",
"text": [
"deficiencies"
],
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342,
354
]
],
"normalized": [
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"db_id": "C0011155"
}
]
},
{
"id": "ZfuerGerontologie+Geriatrie.90320318.eng.abstr-s4-t2",
"type": "umlsterm",
"text": [
"compensation"
],
"offsets": [
[
401,
413
]
],
"normalized": [
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"db_id": "C0220808"
}
]
},
{
"id": "ZfuerGerontologie+Geriatrie.90320318.eng.abstr-s5-t1",
"type": "umlsterm",
"text": [
"physician's"
],
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420,
431
]
],
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"db_id": "C0031831"
}
]
},
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"type": "umlsterm",
"text": [
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],
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420,
431
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],
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ZfuerGerontologie+Geriatrie.90320358.eng.abstr
|
ZfuerGerontologie+Geriatrie.90320358.eng.abstr
|
[
{
"id": "ZfuerGerontologie+Geriatrie.90320358.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The further development of 162 stroke patients ( average age 77 years ) , who were geriatrically assessed during hospitalization , was evaluated ca. 18 months after stroke . Questionnaires were mailed to patients . 53% of the patients ( n = 86 ) returned the questionnaire duly filled in ; 20% ( n = 32 ) had died ; in the remaining 27% of cases ( n = 44 ) no information was obtained on further development . 80% of those patients who responded lived at home despite numerous medical problems . Family members assumed most of the care required . Follow-up treatment and pain therapy proved to be particularly problematic . The Barthel Index according to data collected was significantly lower compared to figures noted upon release from the hospital . Hardly anyone among those patients received follow-up treatment . 74% of patients complained of pain although the majority has regular contacts with the family doctor . For those patients who died in the 18 months interval , significantly lower values for the activities of daily living ( ADL ) has already been recorded upon hospitalization . They had a less favorable view of their state of health and were less satisfied with life in general ."
],
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ZfuerGerontologie+Geriatrie.90320364.eng.abstr
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ZfuerGerontologie+Geriatrie.90320364.eng.abstr
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ZfuerGerontologie+Geriatrie.90320384.eng.abstr
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ZfuerGerontologie+Geriatrie.90320384.eng.abstr
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ZfuerGerontologie+Geriatrie.90320390.eng.abstr
|
ZfuerGerontologie+Geriatrie.90320390.eng.abstr
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ZfuerGerontologie+Geriatrie.90320398.eng.abstr
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ZfuerGerontologie+Geriatrie.90320407.eng.abstr
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ZfuerGerontologie+Geriatrie.90320407.eng.abstr
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ZfuerGerontologie+Geriatrie.90320420.eng.abstr
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ZfuerGerontologie+Geriatrie.90320420.eng.abstr
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[] |
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ZfuerGerontologie+Geriatrie.90320425.eng.abstr
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ZfuerGerontologie+Geriatrie.90320425.eng.abstr
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ZfuerGerontologie+Geriatrie.90320456.eng.abstr
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ZfuerGerontologie+Geriatrie.9032s001.eng.abstr
|
ZfuerGerontologie+Geriatrie.9032s001.eng.abstr
|
[
{
"id": "ZfuerGerontologie+Geriatrie.9032s001.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The SENECA Study \" Nutrition and the elderly in Europe \" investigates men and women born 1913 - 1918 in 20 small traditional towns in Europe . At the age of 74-79 years subjective health was satisfactory or good in 95 % of 399 men and 93 % of 414 women in 6 study towns . In these subjects suboptimal nutritional blood values were virtually inexistent . Food intake was low in energy and rich in protein and fat . Lowest European recommended dietary allowances were not reached by all subjects . The even higher values recommended as potentially protective factors were not met by a substantial part of subjects with energy intakes below 6.3 MJ/d . Regularity of food intake was high and had increased over 4 years . Living alone did not adversely affect food intake while low economic situation did ."
],
"offsets": [
[
0,
801
]
]
}
] |
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"type": "umlsterm",
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230
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[] |
[] |
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ZfuerGerontologie+Geriatrie.9032s007.eng.abstr
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ZfuerGerontologie+Geriatrie.9032s007.eng.abstr
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[
{
"id": "ZfuerGerontologie+Geriatrie.9032s007.eng.abstr-passage-0",
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"text": [
"Malnutrition in ill elderly subjects is one of the most common and at the same time least heeded problems in hospitals , nursing homes , and home care . Depending on the type and composition of the group of patients under consideration , the prevalence of malnutrition is cited at up to 60 % . The elderly eat considerably smaller amounts of food than the young and mostly eat food of low nutrient density . Especially at times of high energy requirements such as acute or chronic illness , this results in an energy deficit and general malnutrition . Precise diagnosis of malnutrition can be facilitated by determination of a number of biochemical parameters . Knowledge of these permits individualized nutritional therapy . The most important deficits affecting ill elderly subjects are those relating to proteins , iron , zinc , selenium , and vitamins B12, B1, B6 and D. Malnutrition prolongs hospital stays , imposes enormous costs on health services , and causes considerable mortality . The present very rapid increase in the size of the elderly population will exacerbate the problem of malnutrition . More attention should therefore be paid to malnutrition by treating it as a disease in its own right and including it in the training of doctors and nurses ."
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ZfuerGerontologie+Geriatrie.9032s012.eng.abstr
|
ZfuerGerontologie+Geriatrie.9032s012.eng.abstr
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[
{
"id": "ZfuerGerontologie+Geriatrie.9032s012.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Malnutrition is a common finding amongst our elders . The causes of malnutrition are multifactorial and although they have been extensively studied , they are not entirely understood . Both physiological and pathological processes of aging put this population at a higher risk of being undernourished . These may be related to social , financial , psychological and/or physiological changes directly or indirectly associated to growing old ."
],
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0,
441
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]
}
] |
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"Malnutrition"
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[] |
[] |
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ZfuerGerontologie+Geriatrie.9032s020.eng.abstr
|
ZfuerGerontologie+Geriatrie.9032s020.eng.abstr
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[
{
"id": "ZfuerGerontologie+Geriatrie.9032s020.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Normal aging is associated with changes in body composition , thirst perception , renal function , and the hormonal regulatory systems involved in the maintenance of water and sodium balance . The presence of many diseases and drugs common in the elderly can interact with the impaired homeostatic systems to result in clinically significant disturbances of water and sodium with accompanying symptoms , morbidity , and mortality . These disorders , which include dehydration , hypernatremia , hyponatremia , urinary frequency , and urinary incontinence can either be prevented or promptly recognized and appropriately treated by understanding the physiological changes and clinical circumstances which put the elderly person at increased risk for deranged water and sodium balance ."
],
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[
0,
783
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] |
[] |
[] |
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ZfuerGerontologie+Geriatrie.9032s027.eng.abstr
|
ZfuerGerontologie+Geriatrie.9032s027.eng.abstr
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[
{
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"text": [
"Prolonged suboptimal intake of micronutrients leads via a series of mechanisms to impairment of cognitive performance . Supplementation can correct these deficits . Malnutrition impairs cognitive performance only when micronutrient levels fall below certain critical thresholds . Malnutrition in the elderly is commonly the result of preexisting mental impairment due to chronic diseases . These also lead to accelerated neuronal destruction via a stress response of the hypothalamic-pituitary-adrenal exis . Subtle dietary deficits can lead over many years to quantifiable impairment of cognitive performance . Severe dietary deficiency leading to major cognitive impairment is nevertheless rare ."
],
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]
]
}
] |
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],
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292
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],
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],
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},
{
"id": "ZfuerGerontologie+Geriatrie.9032s027.eng.abstr-s5-t2",
"type": "umlsterm",
"text": [
"stress"
],
"offsets": [
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]
],
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}
]
},
{
"id": "ZfuerGerontologie+Geriatrie.9032s027.eng.abstr-s7-t1",
"type": "umlsterm",
"text": [
"deficiency"
],
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]
],
"normalized": [
{
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"db_id": "C0011155"
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]
}
] |
[] |
[] |
[
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"type": "affects",
"arg1_id": "ZfuerGerontologie+Geriatrie.9032s027.eng.abstr-s7-t1",
"arg2_id": "ZfuerGerontologie+Geriatrie.9032s027.eng.abstr-s5-t2",
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ZfuerGerontologie+Geriatrie.9032s031.eng.abstr
|
ZfuerGerontologie+Geriatrie.9032s031.eng.abstr
|
[
{
"id": "ZfuerGerontologie+Geriatrie.9032s031.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Undernutrition , particularly protein undernutrition , contributes to the occurrence of osteoporotic fracture , by lowering bone mass and altering muscle strength . Furthermore , the rate of medical complications after fracture can also be increased by nutritional deficiency . The IGF-I system appears to be directly involved in the pathogenetic mechanisms leading to osteoporotic hip fracture in elderly and to its complications . In the presence of adequate calcium and vitamin D supplies , protein supplements increasing the intakes from low to normal , raises IGF-I levels , improves the clinical outcome after hip fracture , and attenuates the decrease in proximal femur bone mineral density in the year following the fracture . This nutritional approach is associated with a significant reduction of the stay in rehabilitation hospital . This underlines the importance of nutritional supports in preventing and healing osteoporotic fractures ."
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ZfuerGerontologie+Geriatrie.9032s038.eng.abstr
|
ZfuerGerontologie+Geriatrie.9032s038.eng.abstr
|
[
{
"id": "ZfuerGerontologie+Geriatrie.9032s038.eng.abstr-passage-0",
"type": "abstract",
"text": [
"In developed countries , medical conditions , rather than lack of food , are the main contributors to malnutrition . Undernutrition is especially common in older persons , occuring in 5-12 % of community-dwelling older persons , in 30-61 % of hospitalized older persons , and in 40-85 % of persons in long-term care institutions . The multi-factorial nature of undernutrition in the elderly forces a structured differential diagnostic approach to determine underlying causes . Heightened physician awareness of nutritional problems and prompt risk assessment is imperative to prevent the sequalae of undernutrition . This structured approach to the differential diagnosis is essential to evaluate potentially reversible causes of malnutrition ."
],
"offsets": [
[
0,
744
]
]
}
] |
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ZfuerGerontologie+Geriatrie.9032s055.eng.abstr
|
ZfuerGerontologie+Geriatrie.9032s055.eng.abstr
|
[
{
"id": "ZfuerGerontologie+Geriatrie.9032s055.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Though far more common , particularly in elderly people , than was previously assumed , marginal zinc deficiency does not lead to the classical manifestations of zinc deficiency and is therefore difficult to diagnose . There is therefore a need for sensitive parameters that can reliably demonstrate even marginal zinc deficiency , as suboptimal zinc status can seriously impair human health , performance , reproductive functions , and mental and physical development . The most important criteria for the diagnosis of zinc deficiency are critically discussed . The laboratory parameters currently considered to be the most useful indicators of marginal zinc deficiency are zinc-binding capacity and serum/plasma alkaline phosphatase activity before and after zinc supplementation ( zinc tolerance test ! ) . In order to obtain a reliable assessment of a patients zinc status , a number of different diagnostic parameters should always be measured ."
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ZfuerGerontologie+Geriatrie.9032s069.eng.abstr
|
ZfuerGerontologie+Geriatrie.9032s069.eng.abstr
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[
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"Malnutrition is known to be very common in geriatric patients . The incidence is ranging from 30 to 60 % of all patients . Therefore , indication for nutritional support via nasogastric or percutaneous tubes is frequently given . Since percutaneous endoscopic gastrostomy ( PEG ) has several advantages over nasogastric tube feeding including reduced risk of tube displacement and blockage , and higher patient acceptance , it has become the method of choice in enteral tube feeding . Complication rates are low provided that guidelines for enteral tube feeding are considered . Early home enteral nutrition contributes to patients quality of life ."
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ZfuerGerontologie+Geriatrie.9032s075.eng.abstr
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ZfuerGerontologie+Geriatrie.9032s075.eng.abstr
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[
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ZfuerGerontologie+Geriatrie.9032s080.eng.abstr
|
ZfuerGerontologie+Geriatrie.9032s080.eng.abstr
|
[
{
"id": "ZfuerGerontologie+Geriatrie.9032s080.eng.abstr-passage-0",
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"text": [
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],
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[
0,
317
]
]
}
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}
] |
[] |
[] |
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ZfuerHerzThoraxGefaesschirurgie.00140004.eng.abstr
|
ZfuerHerzThoraxGefaesschirurgie.00140004.eng.abstr
|
[
{
"id": "ZfuerHerzThoraxGefaesschirurgie.00140004.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Prosthetic valve endocarditis ( PVE ) is a severe complication after heart valve replacement . Incidence ranges in literature between 0.1% and 2.3% ( mean 0.4% ) per patient year ( pty ) . PVE is classified as \" early \" or \" late \" ( occurence within or after 60 days following heart valve replacement ) . In this review we present the clinical outcome of PVE as well as the most common diagnostic criteria ( Duke criteria ) , the potential etiologies and the most frequent bacteria . The spectrum of therapeutical alternatives is discussed and a special attention is directed to the development of prevention standards ."
],
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]
]
}
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{
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{
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{
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[] |
[] |
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ZfuerHerzThoraxGefaesschirurgie.00140013.eng.abstr
|
ZfuerHerzThoraxGefaesschirurgie.00140013.eng.abstr
|
[
{
"id": "ZfuerHerzThoraxGefaesschirurgie.00140013.eng.abstr-passage-0",
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ZfuerHerzThoraxGefaesschirurgie.00140023.eng.abstr
|
ZfuerHerzThoraxGefaesschirurgie.00140023.eng.abstr
|
[
{
"id": "ZfuerHerzThoraxGefaesschirurgie.00140023.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Introduction : In port-access cardio-surgical procedures , both intraoperative TEE and continuous fluoroscopy are used for placement of the catheters needed for extracorporeal circulation . Our study sought to clarify whether it is possible to rely exclusively on TEE for catheter placement without increasing the risk for the patient . Methods : 32 patients undergoing cardiac procedures employing the Port-Access technique were included in the study . Fluoroscopy as well as TEE were used for placement of the transjugular and transfemoral extracorporal circulation catheters . The time required for fluoroscopy was noted ."
],
"offsets": [
[
0,
625
]
]
}
] |
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{
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98,
109
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{
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140,
149
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{
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{
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{
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]
}
] |
[] |
[] |
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ZfuerHerzThoraxGefaesschirurgie.00140030.eng.abstr
|
ZfuerHerzThoraxGefaesschirurgie.00140030.eng.abstr
|
[
{
"id": "ZfuerHerzThoraxGefaesschirurgie.00140030.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Patients with unstable angina and reduced left ventricular ejection fraction ( LV-EF ) represent a high risk group for transmyocardial laser revascularization ( TMLR ) . One-hundred-twenty-six consecutive patients with endstage coronary disease were perioperatively evaluated . TMLR combined with the perioperative use of an IABP was performed in 16 patients ( IABP group ) with unstable angina , signs of congestive heart failure , and EF 40% . These patients are compared with 39 patients who had significantly fewer signs of congestive heart failure , unstable angina , and were treated with TMLR : Thirty-nine patients with EF > 40% ( EF > 40% group ) . Perioperative mortality in the IABP group ( 12.5% ) and EF > 40% group ( 5% ) was not different ( p=ns). Although IABP was preoperatively started , hemodynamic assessment revealed deterioration of LV function shortly after TMLR ( p=0.036) only in the IABP group . Nevertheless , IABP assistance helped to ameliorate LV function after 2 ( p=0.02) and further after 6 hours ( p=0.0003) post-TMLR . In all groups a significantly improved clinical status ( p =0 . 01 ) and treadmill tolerance ( p 0.05 ) was observed 6 and 12 months after operation , whereas cardiac metabolism , perfusion , and function were not significantly changed ( p=ns). The reported data support our concept of starting IABP preoperatively in patients with reduced LV contractile reserve . One year after TMLR , patients exhibited improvement in subjective , but not in objective parameters ."
],
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[
0,
1521
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]
}
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}
] |
[] |
[] |
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ZfuerHerzThoraxGefaesschirurgie.00140044.eng.abstr
|
ZfuerHerzThoraxGefaesschirurgie.00140044.eng.abstr
|
[
{
"id": "ZfuerHerzThoraxGefaesschirurgie.00140044.eng.abstr-passage-0",
"type": "abstract",
"text": [
"We report 9 patients who where treated for invasive pulmonary aspergillosis in our hospital between April 1995 and September 1999. Underlying diseases were acute myelogenous leukemia in 5 patients , acute lymphoblastic leukemia in 2 patients and multiple myeloma in 1 patient . Another patient had a history of alcohol abuse . In four cases , the aspergillus infection developed following chemotherapy , in 2 patients in the period of complete remission , and in two others in a state of aplasia . Chest x-ray and computed tomography showed uni- or multifocal pulmonary lesions . In most cases , the diagnosis was establihsed by physical examination , elevated antibody titers , bronchoscopy , and computed tomography of the chest . Antifungal therapy induced partial regression of the aspergillus lesions . For complete treatment , however , surgery was performed . In one patient , indication for surgery was an abscessprone pneumonia which persisted for several weeks despite antibiotic therapy . Intraoperatively , additional wedge resections and lobectomies were necessary . There were no intraoperative complications . In the postoperative period , one patient died from an ARDS syndrome following pulmonary bleeding which required a redothoractomy . Another patient developed a pneumothorax which was treated with a chest tube . There was no evidence for invasive pulmonary aspergillosis . One patient could undergo bone marrow transplantation . Another patient died from symptoms related to the underlying malignant disease six months after surgery . Invasive pulmonary asperillosis can be treated successfully by surgical intervention . Indication for lung surgery is unsuccessfull antifungal therapy combined with elevated antibody titers and typical radiological findings or potentially life-threatening pulmonary conditions ."
],
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[
0,
1837
]
]
}
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ZfuerHerzThoraxGefaesschirurgie.00140055.eng.abstr
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ZfuerHerzThoraxGefaesschirurgie.00140055.eng.abstr
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[
{
"id": "ZfuerHerzThoraxGefaesschirurgie.00140055.eng.abstr-passage-0",
"type": "abstract",
"text": [
"A floppy mitral valve is characterized by dilatation of the valve annulus , abnormal enlargement of the leaflet and elongation of chordae . This leads to prolapse of the leaflet in the atrium which consequently causes mitral valve insufficiency . Considered from an anatomic-pathological point of view , there is myxoid degeneration of the valve . Between April 1986 and June 1995 mitral valve reconstruction has been performed on 531 patients , whereby 171 ( 103 men , 68 women ; meang age : 55.8 years ) presented with mitral insufficiency caused by a floppy valve . In 141 cases reconstruction consisted solely of plication plasty with the Gerbode technique or in combination with strengthened through pericardial strip plasty or annuloplasty using the Paneth technique . The remaining reconstructions were more complex and included , among other techniques , shortening or transposing the chordae . Implants were not used in any of the cases . Early mortality was 1.7% ( 3 patients ) . Survival at two , five and eight years was 91 , 86 and 82% , respectively . During the early postoperative period seven patients ( 4% ) required mitral valve replacement due to a new chordal rupture or breakdown of the reconstruction plasty . During the follow-up period ( range : 1-108 months/mean 45.2 months ) 13 further valve replacements were made while two patients again underwent valve reconstruction . Postoperative echocardiographic examinations indicated no mitral insufficiency in 38% of the patients , negligible insufficiency in 35.0% and moderate insufficiency in 23% . Based on clinical observations 89% of the patients were assigned NYHA class I or II ( preoperatively 75% were in Class III or IV ) . Mitral valve reconstruction for floppy mitral valves showed acceptable early and intermediate results even without the use of rigid or flexible implants ."
],
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[] |
[] |
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] |
ZfuerHerzThoraxGefaesschirurgie.00140070.eng.abstr
|
ZfuerHerzThoraxGefaesschirurgie.00140070.eng.abstr
|
[
{
"id": "ZfuerHerzThoraxGefaesschirurgie.00140070.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Internal mammary artery ( IMA ) bypass grafts have a satisfactorily long lasting blood supply to the myocardium . Their initial flow capacity can be insufficient with subsequent regional myocardial ischemia . This study represents a feasable surgical method to evaluate the effectiveness of the IMA graft function by temperature measurement of the heart during warm reperfusion after hypothermic cardioplegia . Twenty-five patients with multi-vessel coronary artery disease underwent coronary artery bypass grafting using the IMA as an arterial graft to the left anterior descending coronary artery and saphenous vein grafts to the remaining coronary arteries . Distal anastomoses were installed during cold intermittent blood-cardioplegic arrest . After unclamping the aorta and IMA graft , the temperatures in cardiac front and rear sides were measured during the first five minutes of warm reperfusion . A sufficient IMA graft function was expressed by a typical rise of temperature : The cardiac front and rear sides showed a parabolic and exponential course , respectively . The rewarming speed expressed as the first derivative of temperature over time led to a sharp and early peak for the front side , and a smaller and delayed peak for the rear side . An insufficient IMA graft function could be recognized by atypical temperature courses ."
],
"offsets": [
[
0,
1349
]
]
}
] |
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}
]
}
] |
[] |
[] |
[
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] |
ZfuerHerzThoraxGefaesschirurgie.00140078.eng.abstr
|
ZfuerHerzThoraxGefaesschirurgie.00140078.eng.abstr
|
[
{
"id": "ZfuerHerzThoraxGefaesschirurgie.00140078.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Thirty two patients with 82 aortocoronary vein grafts and 23 mammaria interna grafts were interviewed 24 +/- 7 months postoperatively and their symptoms were classified according to NYHA and CCS . To determine graft patency , electron beam tomography ( EBCT ) was used , which was performed 27 +/- 8 months postoperatively . In 16 patients at least one graft was occluded , and in only 2 of these patients was there a clinical deterioration when compared with the preoperative status ( 2/16 : sensitivity : 12% ) . No clinical deterioration occurred in the group without graft occlusion ( 16/16 : specificity 100% ) . The conclusion of the study was that coronary graft occlusion on the one hand is rarely accompanied by clinical symptoms , but on the other hand if there were clinical symptoms graft occlusion was present ."
],
"offsets": [
[
0,
824
]
]
}
] |
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ZfuerHerzThoraxGefaesschirurgie.00140083.eng.abstr
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}
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ZfuerHerzThoraxGefaesschirurgie.00140093.eng.abstr
|
ZfuerHerzThoraxGefaesschirurgie.00140093.eng.abstr
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[] |
[] |
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ZfuerHerzThoraxGefaesschirurgie.00140100.eng.abstr
|
ZfuerHerzThoraxGefaesschirurgie.00140100.eng.abstr
|
[
{
"id": "ZfuerHerzThoraxGefaesschirurgie.00140100.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Atrial fibrillation is the most common complication after coronary surgery . Although not being life-threatening itself , atrial fibrillation ( AF ) is related to a significant increase in dangerous arrhythmias and postoperative stroke . The use of -blockers is the commonly accepted therapy , especially sotalol shows good results ."
],
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[
0,
333
]
]
}
] |
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],
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]
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{
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0,
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] |
[] |
[] |
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},
{
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"type": "uses",
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"arg2_id": "ZfuerHerzThoraxGefaesschirurgie.00140100.eng.abstr-s3-t1",
"normalized": []
}
] |
ZfuerHerzThoraxGefaesschirurgie.00140106.eng.abstr
|
ZfuerHerzThoraxGefaesschirurgie.00140106.eng.abstr
|
[
{
"id": "ZfuerHerzThoraxGefaesschirurgie.00140106.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The operative and anesthetic risk of patients suffering from sleep apnoea syndrome is generally considered to be elevated because of frequent concomitant disease such as obesity and hypertension and side effects of sedative , anesthetic and analgesic agents . Cardiac surgery with extracorporeal circulation leads to lung edema and may therefore aggravate complications of the respiratory tract . We performed this study to verify , if the operative and anesthetic risk of patients , suffering from sleep apnoea syndrome and undergoing cardiac surgery , is really elevated . Between September 1994 and December 1996 ten male patients suffering from sleep apnoea syndrome underwent aortocoronary bypass grafting with extracorporeal circulation . Preoperatively we analyzed symptomatology , predisposing factors , concomitant diseases and medication . Perioperatively we were interested in respiratory and hemodynamic function , anesthetic management and complications beside the common operative parameters . All patients were obese and four patients were treated medically for hypertension . The anesthetic management was the same as used in other routine cardiac patients . Neither induction of anesthesia nor weaning from the respirator led to respiratory complications . Postoperatively we had to implant an intraaortic balloon counterpulsation in two patients because of left ventricular dysfunction in order to stabilize hemodynamics . We removed it in both patients without complications on the second postoperative day after catecholamine therapy had been stopped . Patients suffering from sleep apnoea syndrome are not at increased risk for respiratory and hemodynamic complications when undergoing cardiac surgery with extracorporeal circulation ."
],
"offsets": [
[
0,
1756
]
]
}
] |
[
{
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"text": [
"anesthetic"
],
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[
18,
28
]
],
"normalized": [
{
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}
]
},
{
"id": "ZfuerHerzThoraxGefaesschirurgie.00140106.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"risk"
],
"offsets": [
[
29,
33
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0035647"
}
]
},
{
"id": "ZfuerHerzThoraxGefaesschirurgie.00140106.eng.abstr-s1-t3",
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"text": [
"patients"
],
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[
37,
45
]
],
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}
]
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{
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"text": [
"sleep"
],
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[
61,
66
]
],
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{
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"db_id": "C0037313"
}
]
},
{
"id": "ZfuerHerzThoraxGefaesschirurgie.00140106.eng.abstr-s1-t5",
"type": "umlsterm",
"text": [
"apnoea"
],
"offsets": [
[
67,
73
]
],
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{
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"db_id": "C0003578"
}
]
},
{
"id": "ZfuerHerzThoraxGefaesschirurgie.00140106.eng.abstr-s1-t6",
"type": "umlsterm",
"text": [
"syndrome"
],
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[
74,
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]
],
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]
},
{
"id": "ZfuerHerzThoraxGefaesschirurgie.00140106.eng.abstr-s1-t7",
"type": "umlsterm",
"text": [
"disease"
],
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[
154,
161
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],
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}
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{
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[] |
[] |
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ZfuerHerzThoraxGefaesschirurgie.00140117.eng.abstr
|
ZfuerHerzThoraxGefaesschirurgie.00140117.eng.abstr
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[
{
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"text": [
"The indications for magnetic resonance imaging ( MRI ) on prosthetic heart valve recipients remain critical . A generalized contraindication for MRI is doubtful . Some diagnostic questions such as interests in pathologies of the posterior cranial fossa , spinal abscesses , and internal derangements for the knee , strongly recommend the advantages of MRI versus all other radiological diagnostic techniques . MRI can directly affect patients with prosthetic valves in three ways by : 1 ) movement or dislodgment of the prosthesis , 2 ) heating , and 3 ) arrhythmias induced by electric currents , and indirectly by distortion of the image and its subsequent misinterpretation . Present literature that concerns the safety considerations of current values appears to be incomplete . Therefore , a survey of twenty-five valve manufacturers with regard to compatibility , safety or contraindication for MRI on their respective prosthetic heart valves was performed in 1998. Those manufacturers who distribute most of the valves in Europe confirmed the safety of MRI . However , some gave their assurances based on inadequate data , or assigned all responsibility to the physician . Some companies did not give any assurance for MRI safety or failed to respond to our enquiry . Two valve manufacturers warned against performing MRI on certain prostheses . Based on our 1998 questionnaire , the technical issues , the clinical circumstances , the prerequisites and criteria for and the definition of safety standards for MRI on prosthetic heart valve recipients are presented in this paper ."
],
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0,
1587
]
]
}
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ZfuerHerzThoraxGefaesschirurgie.00140137.eng.abstr
|
ZfuerHerzThoraxGefaesschirurgie.00140137.eng.abstr
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[
{
"id": "ZfuerHerzThoraxGefaesschirurgie.00140137.eng.abstr-passage-0",
"type": "abstract",
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"Objective : Patients in a surgical intensive care unit ( ICU ) have a high incidence of nosocomial infections which often lead to septic shock and death . Since calculated antibiotic treatment is often difficult , it was recommended to obtain routine nose/throat swabs in order to have a better idea of the causative agent when a systemic inflammatory response occurs in a given patient . Methods : In 1435 patients of our cardio-surgical ICU , routine nose/throat swabs were taken three times a week and tested for micro-organisms and resistance to antibiotics . Of these 86 patients developed clinical signs of systemic inflammation , and additional blood cultures were obtained . Antibiotic treatment was achieved to cover the microbes from the nose/throat swabs , or a calculated dosage was given to patients whose swabs had tested negative . Results : Of the 86 patients with systemic inflammation , 29 had blood cultures positive for microbes . Of these 29 patients , 18 received a calculated antibiotic coverage based on their positive nose/throat cultures prior to the return of the blood cultures from the lab . However , in only 11 of the 18 patients were routine swabs and blood cultures positive with the same microbes . While positive routine swabs are quite specific for sepsis when there is a systemic inflammatory response , routine swabs are not a suitable screening tool due to their low sensitivity . Conclusions : Routine nose/throat swabs led to earlier specific antibiotic treatment in only 22% of our patients with clinical signs of systemic inflammation . In addition , in almost 40% of the cases organisms detected in the routine swabs and blood cultures were not identical . As a result , we feel that routine swabs are only of limited value in instituting earlier , specific antibiotic treatment in septic patients ."
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] |
ZfuerHerzThoraxGefaesschirurgie.00140143.eng.abstr
|
ZfuerHerzThoraxGefaesschirurgie.00140143.eng.abstr
|
[
{
"id": "ZfuerHerzThoraxGefaesschirurgie.00140143.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The aim of this study was to determine the impact of prolonged single lung ventilation and intrathoracic insufflation of CO2 during computer-enhanced totally endoscopic bypass grafting on biventricular myocardial function . Methods : Transesophageal echocardiography was performed intraoperatively in 20 patients undergoing the above mentioned operation . At distinct time points during the intervention , a cine-loop of both ventricles was registered employing a mid short axis view . Simultaneously , oxygenation parameters as well as electrocardiographic data and intrathoracic CO2 pressure were taken . Wall motion analysis was done postoperatively . Results : With increasing duration of single lung ventilation , significant regional and global biventricular hypokinesia was detected . This was accompanied by a decrease in PaO2 and a marked increase in intrathoracic CO2 pressure . These alterations disappeared after weaning from extracorporeal circulation and reconstitution of double lung ventilation . Conclusion : These results show that computer-enhanced coronary artery bypass grafting leads to significant alterations in intraoperative biventricular myocardial function . This can be due to either an impact on oxygenation during single lung ventilation or due to intrathoracic CO2 insufflation . However , in our group , these alteration showed only small clinical relevance ."
],
"offsets": [
[
0,
1392
]
]
}
] |
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{
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{
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},
{
"id": "ZfuerHerzThoraxGefaesschirurgie.00140143.eng.abstr-s2-t2",
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"text": [
"Transesophageal"
],
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{
"id": "ZfuerHerzThoraxGefaesschirurgie.00140143.eng.abstr-s2-t5",
"type": "umlsterm",
"text": [
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],
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[] |
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ZfuerHerzThoraxGefaesschirurgie.00140155.eng.abstr
|
ZfuerHerzThoraxGefaesschirurgie.00140155.eng.abstr
|
[
{
"id": "ZfuerHerzThoraxGefaesschirurgie.00140155.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Objective : Elevated levels of interleukin-1 ( IL-1) and Interleukin-6 ( IL-6) have been reported after cardiac operation , during inflammatory process and cardiac allograft rejection . Although several groups proved the evidence of a negative inotropic effect , the actual mechanism is not completely understood . Speaking generally it is possible that low molecular weight proteins are capable of altering myocardial contractility on the level of the contractile apparatus . Therefore this study analyzes whether IL-1 and/or IL-6 influence myocardial contractility on the level of the contractile apparatus . Methods : During aorto-coronary bypass operation , human muscle fibers were excised ( n=32) and skinned using Triton-X-100. The experimental skinned fiber model excludes membrane-related factors such as receptor activation and provides direct examination of the contractile apparatus itself . Different concentrations of IL-1 and IL-6 were applied ( pIL-1/IL-6 1-2x10-5-10-11M). Force generation , calcium sensitivity , and velocity of force generation and relaxation were measured . ( Experiments were carried out at optimal length , bath temperature 23 °C, and isometric conditions . ) Results : None of the skinned muscle preparations of the human myocardium showed under the given experimental setup a significant change in contractility and relaxation after exposure to IL-1 and IL-6. Despite using nonphysiologic concentrations of IL-1 and IL-6 ( pIL-1/IL-6 10-5M) no significant effect occurred . Furthermore no difference in calcium-sensitivity of the contractile proteins following addition of IL-1 and IL-6 could be observed . Conclusions : Thus , there is no experimental evidence for direct modulation of the contractile apparatus by IL-1 or IL-6. Given these results it is possible to exclude some potentially negative inotropic cascades that are mediated on the level of the contractile apparatus as the molecular mechanism . These data show that therapies which support myocardial contractility during sepsis by stimulation of the contractile proteins do not seem to be very promising ."
],
"offsets": [
[
0,
2112
]
]
}
] |
[
{
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"type": "umlsterm",
"text": [
"Objective"
],
"offsets": [
[
0,
9
]
],
"normalized": [
{
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"db_id": "C0018017"
}
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] |
[] |
[] |
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] |
ZfuerHerzThoraxGefaesschirurgie.00140163.eng.abstr
|
ZfuerHerzThoraxGefaesschirurgie.00140163.eng.abstr
|
[
{
"id": "ZfuerHerzThoraxGefaesschirurgie.00140163.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Between October 1998 and December 1999 a mediastinoscopy was performed on 207 patients admitted to our institution , among them 147 with the diagnosis of bronchogenic cancer . Besides histology and location of the primary tumor , we particularly evaluated the detailed pattern of metastatic spread to mediastinal nodes and the assessed weight of the samples removed with the calculation of a normal distribution curve . It was not possible to sample lymph nodes in all regions accessible to the procedure ( subcarinal , paratracheal and tracheobronchial ) . A total of 94% of the samples were removed in the right tracheobronchial region , 92% subcarinal and 82% in the left tracheobronchial region . The average weight of the samples was quantified between 0.39 g ( left paratracheal ) and 1.12 g ( subcarinal ) . Of the 147 mediastinoscopies 49% revealed no evidence of tumor within the mediastinum . Depending on lymph node region , 19-27% of lymph nodes were found to contain metastases . One region was involved in 20% of all patients , two or more regions in 31% . Central lesions had more frequently positive mediastinal nodes than peripheral lesions . The most striking influence on ipsi- and contralateral involvement was found for histology of the primary tumor : at least one region was positive in 61.4% of adenocarcinomas and 41.1% of squamous cell carcinomas . Ipsilateral mediastinal nodes ( N2) were found to be positive in 26.8% of squamous cell cancer and in 41% of adenocarcinomas . A contralateral involvement ( N3) has been proved in 16.1% ( squamous cell carcinoma ) and 29.5% ( adenocarcinoma ) . The diagnostic value of mediastinoscopy reflects the wide indication to this procedure as well as the necessity of representative samples . Thus , we recommend weighing the samples removed mediastinoscopically to establish a database in order to compare mediastinoscopy at different institutions . Distribution curves can help to standardize the method as a quality measurement ."
],
"offsets": [
[
0,
1999
]
]
}
] |
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ZfuerHerzThoraxGefaesschirurgie.00140170.eng.abstr
|
ZfuerHerzThoraxGefaesschirurgie.00140170.eng.abstr
|
[
{
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"text": [
"Decreased lung opacity is one of the most common radiographic signs in cardiothoracic surgery . The most important clues to differential diagnosis are illustrated by two cases of reduced lung opacity from the cardiothoracic ward . Usually , the etiology can be defined in the supine chest film even before additional tests such as thoracic ultrasound , computed tomography , or decubitus films are requested ."
],
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[
0,
409
]
]
}
] |
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[] |
[] |
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ZfuerHerzThoraxGefaesschirurgie.00140177.eng.abstr
|
ZfuerHerzThoraxGefaesschirurgie.00140177.eng.abstr
|
[
{
"id": "ZfuerHerzThoraxGefaesschirurgie.00140177.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Venous bypass grafts undergo severe changes in their wall structure when introduced into arterial circuit . The Biocompound Graft , a compliant mesh tubing in which the patients varicose vein is sheathed , is used to improve the resistance of the tissue against the pressure-induced degenerative process . In this experimental animal study the investigation of morphological changes and biocompatibility of the Biocompound Graft after exposition to arterial pressure in the first 30 postoperative days was the aim . Histological section and investigation of different parts of each graft were taken . The trial shows the postoperative damage of the intimal layer . At the Biocompound Graft the development of graft sclerosis is seen in the first 30 days after exposure to the arterial pressure like in native vein graft sclerosis . These changes are local . Myocytial and intimal proliferation was found in all sections . There were parts with small wall thickness and slight damage of the intimal layer , but also parts with maximal changes , diminished myointimal proliferation and distinctive damage of intimal layer . The ultimately reason for these different endothelial damages changes are unknown ."
],
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[
0,
1205
]
]
}
] |
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ZfuerHerzThoraxGefaesschirurgie.00140184.eng.abstr
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ZfuerHerzThoraxGefaesschirurgie.00140184.eng.abstr
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"Pyoderma gangrenosum develops in most patients between the age of 25 and 54 years . It usually occurs in otherwise healthy persons or in association with a systemic desease . Several clinical variants of pyoderma gangrenosum have been described . Extremely painful ulcerations are characteristic and evolve rapidly . Malignant pyoderma , the variant described in our case report , is an aggressive variant of ulcerative pyoderma gangrenosum , rapidly progressive and a potentially lethal ulcerative disease . The diagnosis of pyoderma gangrenosum depends on recognition of the evolving clinical features because histopathologic changes are not specific and characteristically serological or hematological markers of the disease do not exist . Histopathologic findings , however , always include vasculitis , either in form of the necrotizing cutaneous vasculitis ( 7 ) , granulomatous ( 1 ) or lymphocytic vasculitis ( 2 ) . We report on a 36-year-old male patient , who underwent surgery for repair of an aneurysm of the aortic arch . The aneurysm occurred two months after exacerbation of a malignant variant of pyoderma gangrenosum with nearly lethal exit . An association of pyoderma gangrenosum with vasculitis has been described previously , but the present report is the first to describe an aortic arch aneurysm which seems to be associated with necrotizing angiitis of the vasa vasorum caused by a pyoderma gangrenosum . We could demonstrate successful perioperative treatment for prevention of exacerbation of pyoderma gangrenosum with prednisone and clofazimine"
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ZfuerHerzThoraxGefaesschirurgie.00140197.eng.abstr
|
ZfuerHerzThoraxGefaesschirurgie.00140197.eng.abstr
|
[
{
"id": "ZfuerHerzThoraxGefaesschirurgie.00140197.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Dissection of the ascending aorta ( type A ) develops in 0.6% of patients late after aortic valve replacement ( AVR ) and 15% of type A dissections reveal a history of AVR . Predictors of dissection at the AVR , however , have not been characterized . A study group of 33 type A dissections had aortic surgery 49 +/- 55 months after routine AVR . A group of 101 controls without morphologic progression of aortic diameters at least 6 years after AVR was utilized to identify predictors of postsurgical dissection . Multivariate analysis identified aortic regurgitation ( P 0.002 ) and fragility ( P 0.001 ) or thinning of the aortic wall ( P 0.007 ) at the AVR as predictors associated with a 14% , 22% and 7% probability of late aortic dissection , respectively . Duration of aortic clamping , types of valve prostheses , concomitant coronary artery bypass grafting and mean ascending aortic diameters of 43 +/- 10mm at AVR failed to predict late dissection . A separate analysis of 29 nondissecting aneurysms of the ascending aorta developing 104 +/- 64 months after routine AVR revealed younger age at the AVR ( P 0.003 ) and congenitally bicuspid aortic valves ( P 0.03 ) as predictors of late aneurysm formation . Aortic regurgitation and fragility or thinning of the aortic wall have the potential to predict late aortic dissection in patients with only moderate aortic dilation . Assessment of these predictors permits intraoperative stratification of aortic risk and may guide decisions for prophylactic surgery of the aortic root ."
],
"offsets": [
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0,
1540
]
]
}
] |
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ZfuerHerzThoraxGefaesschirurgie.00140204.eng.abstr
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ZfuerHerzThoraxGefaesschirurgie.00140204.eng.abstr
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[
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"In Germany about 75000 patients received the CABG operation last year , these are about 75% of all open heart operation procedures . The most frequently used conduit is the greater saphenous vein . In the last years a lot of new minimally invasive techniques for vein harvesting revolutionized the field of CABG operation procedures , nevertheless the most common technique today is the traditional , open technique with long , continuous incision for the open preparation of the saphenous vein . Using traditional open saphenectomy , wound healing disturbances are common and have been reported to occur in 5-25% of patients . The prevalence of wound healing disturbances varies widely , depending to some degree of definition , as well of the intensity of follow up . Minimal and less invasive vein harvesting studies have been shown to be effective in decreasing leg wound disturbances , resulting much superior cosmetic results . Advantages and disadvantages of minimally invasive vein harvesting techniques are today the topic of controversy discussions in heart surgery . We reported our experience of modified minimally invasive harvesting of the saphenous vein using the Aesculap retractor system with performing 3-4 small cutaneous incisions . According to our experience these results show that the use of modified minimally invasive harvesting of the great saphenous vein is an attractive alternative to the traditional open harvest technique with fewer wound complication , more patient satisfaction and excellent cosmetic aspects . Therefore , we hope that less or minimally invasive systems for harvesting of the saphenous vein will be established in the future in CABG operation procedures ."
],
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ZfuerHerzThoraxGefaesschirurgie.00140212.eng.abstr
|
ZfuerHerzThoraxGefaesschirurgie.00140212.eng.abstr
|
[
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"text": [
"Leiomyosarcomas of the heart and great vessels are extremely rare and highly lethal diseases . Diagnosis is difficult due to their unspecific symptoms , which are frequently confused with other clinical conditions such as pulmonary embolism . This report describes a 31-year-old man with leiomyosarcoma of the pulmonary artery originating at the pulmonary valve and involving right ventricular outflow tract and central pulmonary arteries . Early diagnosis and aggressive surgical therapy has led to long-term survival ; five years after the operation the patient is alive and disease free . The importance of a timely diagnosis and radical surgical excision is delineated and a review of the literature included ."
],
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0,
714
]
]
}
] |
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[] |
[] |
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ZfuerHerzThoraxGefaesschirurgie.00140218.eng.abstr
|
ZfuerHerzThoraxGefaesschirurgie.00140218.eng.abstr
|
[
{
"id": "ZfuerHerzThoraxGefaesschirurgie.00140218.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Intracardiac masses remain a challenge for imaging diagnosis . Although most lesions are initially detected by echocardiography , additional imaging studies , i.e. , magnetic resonance imaging and electron beam computed tomography , are commonly requested . Features and limitations of these two imaging techniques are illustrated and briefly analyzed ."
],
"offsets": [
[
0,
353
]
]
}
] |
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[] |
[] |
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] |
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