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First experience in laparoscopic surgery in low and middle income countries: A systematic review

World Journal of Gastrointestinal Surgery 2024年第2期16卷 546-553页

作者： rebekka troller Jasmine Bawa Olivia Baker James Ashcroft Department of Surgery Medway Maritime HospitalGillingham ME75NYKentUnited Kingdom Department of Surgery University Hospital CambridgeCambridge CB20QQUnited Kingdom

BACKGROUND Laparoscopic surgery has reduced morbidity and mortality rates,shorter post-operative recovery periods and lower complication rates than open *** is routine practice in high-income countries and is becoming increasingly common in countries with limited ***,introducing laparoscopic surgery in low-and-middle-income countries(LMIC)can be expensive and requires resour-ces,equipment,and *** To report the challenges and benefits of introducing laparoscopic surgery in LMIC as well as to identify solutions to these challenges for countries with limited finances and *** MEDLINE,EMBASE and Cochrane databases were searched for studies reporting first experience in laparoscopic surgery in *** studies were published between 1996 and 2022 with full text available in *** criteria were studies considering only open surgery,ear,nose,and throat,endoscopy,arthro-scopy,hysteroscopy,cystoscopy,transplant,or bariatric *** Ten studies out of 3409 screened papers,from eight LMIC were eligible for inclusion in the final analysis,totaling 2497 *** reported challenges were related to costs of equipment and training programmes,equipment pro-blems such as faulty equipment,and access to surgical ***-related challenges were reliance on foreign trainers and lack of locally trained surgeons and theatre *** benefits of introducing laparoscopic surgery were economic and clinical,including a reduction in hospital stay,complications,and morbidi-ty/*** introduction of laparoscopic surgery also provided training opportunities for junior *** Despite financial and technical challenges,many studies emphasise the overall benefit of introducing laparoscopic surgery in LMICs such as reduced hospital stay and the related lower cost for *** many of the clinical centres in LMICs have proposed practical solutions to the challenges reported,more support is critical

关键词： Laparoscopic surgery Low and middle income country First experience Training in laparoscopic surgery

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Disentangling the role of management, vegetation structure, and plant quality for Orthoptera in lowland meadows

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Insect Science 2019年第2期26卷 366-378页

作者： Jens Schirmel rebekka Gerlach Constanze Buhk Institute for Environmental Sciences University of Koblenz-Landau Landau Germany

Seminatural grasslands provide habitats for various species and are important for biodiversity conservation. The understanding of the diverse responses of species and traits to different grassland managenient methods is therefore urgently needed. We disentangled the role of grassland management (fertilization and irrigation), vegetation structure (biomass, sward height) and plant quality (protein and fiber content) for Orthoptera communities in lowland hay meadows in Germany. We found vegetation structure to be the most important environmental category in explaining community structure of Orthoptera (species richness, total individuals, fiinctional diversity and species composition). Intensively used meadows (fertilized, irrigated, high plant biomass) were characterized by assemblages with few species, low functional diversity, and low conservation value. Thereby, the relatively moderate fertilizer inputs in our study system of up to -75 kg N/ha/year reduced functional diversity of Orthoptera, while this negative effect of fertilization was not detectable when solely considering taxonomic aspects. We found strong support for a prominent role of plant quality in shaping Orthoptera communities and especially the trait composition. Our findings demonstrate the usefulness of considering both taxonomic and functional comp on ents (functio nal diversity) in biodiversity research and we suggest a stronger involvement of plant quality measures in Orthoptera studies.

关键词： biomass fertilization: functional diversity grasshoppers grassland protein content

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草地灌溉对土壤性质和植物物种组成的影响

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Journal of Plant Ecology 2023年第2期16卷 174-188页

作者： rebekka Gerlach Constanze Buhk Jens Schirmel Hermann F.Jungkunst iES Landau Institute of Environmental SciencesGeoecology and Physical Geography/Ecosystem AnalysisUniversity of Koblenz-LandauLandauGermany

草地是欧洲范围内生物物种最为丰富的动植物栖息地之一;为了对大面积的草地开展有效的保护,必须要采取具有针对性和可持续性的管理措施。虽然如今大都已被弃用,但传统上的灌溉却有可能是一种具有可持续性的管理策略。然而,对于一般的湿... 详细信息

草地是欧洲范围内生物物种最为丰富的动植物栖息地之一;为了对大面积的草地开展有效的保护,必须要采取具有针对性和可持续性的管理措施。虽然如今大都已被弃用,但传统上的灌溉却有可能是一种具有可持续性的管理策略。然而,对于一般的湿润性生态区域,人们还不太了解灌溉、土壤特性以及植物物种这3者之间的相互影响。我们旨在将传统的草地灌溉对植物群落的影响从传统的低施肥量效应中分离出来,从而获得植物生态学方面的新知识。我们的考察对象是植物的组成和多样性以及它们与土壤特性(有机态碳、总氮、持水性/保水力、中型土壤动物活力)和土壤养分(无机态氮、磷、钾、镁、硼)指标之间的潜在联系。在田间研究中,我们对过去长期灌溉的13块草地以及未经灌溉的13块草地(其中17块草地经过施肥,9块未经施肥)进行了比较。分析这些草地在一整年时间内的植物多样性和物种组成情况以及土壤养分和土壤特性指标,并且假设不同年份之间的差异不大。研究结果发现,灌溉和施肥使土壤特性和土壤养分发生了改变,但它们对植物物种多样性并无影响,只影响植物的物种组成。淤积土具有更细的粒度,因而拥有更高的保水力和养分储量。因此,需要获取水分和养分资源的禾本科植物在经过灌溉的草地上占据优势。本研究的结果表明,对于中欧地区大量的已开发草地,灌溉不仅能保护其生物多样性,而且还有可能使其植物具有不同的植物功能性状。

关键词：草场洪水灌溉施肥土壤养分植物多样性物种组成土壤模式

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The mirror’s curse: Weight perceptions mediate the link between physical activity and life satisfaction among 727,865 teens in 44 countries

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Journal of Sport and Health Science 2021年第1期10卷 48-54,I0001页

作者： Silvia Meyer rebekka Weidmann Alexander Grob Department of Psychology University of BaselMissionsstrasse 62Basel 4055Switzerland

Purpose:The present study aimed to examine the link between physical activity(PA)and life satisfaction in a large international study of *** also aimed to test whether overweight and underweight perceptions act as mediators and whether age and sex acted as ***:For this purpose,we analyzed data from the Health Behavior in School-aged Children study,which comprises 727,865 observations from 44 nations at 4 measurement ***:Multilevel analyses revealed a positive link between PA and life *** addition,underweight and overweight perceptions mediated the effect of PA on life *** further found that age and sex acted as *** older adolescents,stronger effects were found in the links between PA and life satisfaction,PA and overweight perception,and both weight perceptions and life *** addition,in female adolescents,the link between overweight perception and life satisfaction was ***,the links between PA and both weight perceptions were stronger for ***:The results suggest that weight perception explains part of the relationship between PA and life satisfaction in adolescents and that these effects vary as a function of age and sex.

关键词： Adolescent health Life satisfaction Multinational evidence Physical activity Weight perceptions

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High prevalence of urinary schistosomiasis in a desert population: results from an exploratory study around the Ounianga lakes in Chad

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Infectious Diseases of Poverty 2022年第1期11卷 86-87页

作者： Wendelin Moser Annour Adoum Batil rebekka Ott Moussa Abderamane Ruth Clements Rahel Wampfler Sven Poppert Peter Steinmann Fiona Allan Helena Greter Swiss Tropical and Public Health Institute BaselSwitzerland 不详

Background Researching a water-borne disease in the middle of the Sahara desert might not seem the most relevant ***,nomadic Sahelian pastoralists health concerns regarding their livestock and anecdotal reports about trematode infections of Fasciola *** Schistosoma *** desert-raised animals justified an exploratory study focusing on the lakes of Ounianga in Northern *** aim was to test whether trematode parasites such as Schistosoma *** in human populations living around the Sahara desert lakes of Ounianga Kebir and Ounianga Serir in northern *** The study was carried out in January 2019 and comprised of three ***,a cross sectional survey based on a random sample drawn from the population to detect infections with *** and ***;second,focus group discussions exploring disease priorities,access to health and health seeking behaviour;and third,surveying water contact sites for intermediate host *** of trematode parasites and snails were confirmed on species level by molecular genetic *** parasitological and malacological surveys descriptive statistics were *** data analysis included the full review of all transcripts,followed by a descriptive and explorative thematic *** Among 258 participants,the overall *** prevalence using urine filtration was 39.2%[95%confidence interval(CI):33.5–45.1%],with 51.5%of the infected suffering from heavy *** intermediate host snail of ***(Bulinus truncatus)occurred at water contact sites near both study villages,revealing the potential for local *** a positive *** point-of-care circulating cathodic antigen(POC-CCA)test result was obtained from 8.6%(95%CI 5.7–12.8%)of the samples,no intermediate host snails of *** were found,and the relevance of *** remains *** findings underline the importance of morbidity caused by urinary schistosomiasis

关键词： Bulinus truncatus Chad Malacology Ounianga POC-CCA Prevalence Sahara Schistosoma bovis Schistosoma haematobium Schistosomiasis

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How competitive is the‘pioneer-climax’tree species Nothofagus alpina in pristine temperate forests of Chile?

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Journal of Plant Ecology 2019年第1期12卷 144-156页

作者： rebekka Bögelein Cecilia APérez Philipp Schäferand Frank M.Thomas Faculty of Regional and Environmental Sciences GeobotanyUniversity of TrierBehringstraße 2154296 TrierGermany Present address:Thünen-Institut Institut für WaldökosystemeAlfred-Möller-Straße 116225 EberswaldeGermany Departamento de Ecología de Ecosistemas Instituto de Ecología y Biodiversidad(IEB)Alameda 340SantiagoChile

Aims Nothofagus species are constitutive elements of the temperate forests along the Southern Andes *** deciduous Nothofagus alpina is a fast-growing,but long-lived opportunistic pioneer spe-cies(‘pioneer-climax species’)and co-occurs with the evergreen *** tested whether *** is competitively superior to *** in mature stands and whether intra-specific competition in *** is stronger than inter-specific competition with *** In a pristine old-growth forest in South-Central Chile,we compared the growth of *** trees in pure stands and in mixture with *** to the growth of *** and calculated compe-tition *** related growth variables to climate data and weather *** Findings In ***,juvenile basal area increment was signifi-cantly higher in pure than in mixed *** to our hypothesis,*** exhibited larger radial stem increments than *** in the most recent 40 *** the most recent two decades,this was caused by high growth rates of large *** *** both Nothofagus species,stem growth was negatively related to temperature,but *** responded more sensitively to weather conditions than *** ***,stem increment was negatively related to the intensity of competition,but the size of the competition effects on this species was similar in pure and mixed ***,compared to ***,the‘pioneer-climax species’concept is even more appropriate for *** with its relatively high growth rates even in the early stages of its life.

关键词： competition index dendroecology growth-competition relationship pointer year productivity tree-ring analysis

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Comparison of short- with long-term regeneration results after digital nerve reconstruction with musclein-vein conduits

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Neural Regeneration Research 2015年第10期10卷 1674-1677页

作者： Jennifer Lynn Schiefer Lukas Schulz rebekka Rath Stéphane Stahl Hans-Eberhard Schaller Theodora Manoli Department of Hand Plastic and Reconstructive Surgery with Burn Center BG Trauma Center University of Tuebingen

Muscle-in-vein conduits are used alternatively to nerve grafts for bridging nerve defects. The purpose of this study was to examine short- and long-term regeneration results after digital nerve reconstruction with muscle-in-vein conduits. Static and moving two-point discriminations and Semmes-Weinstein Monofilaments were used to evaluate sensory recovery 6–12 months and 14–35 months after repair of digital nerves with muscle-in-vein in 7 cases. Both follow-ups were performed after clinical signs of progressing regeneration disappeared. In 4 of 7 cases, a further recovery of both two-point discriminations and in another case of only the static two-point discrimination of 1–3 mm could be found between the short-term and long-term follow-up examination. Moreover, a late recovery of both two-point discriminations was demonstrated in another case. Four of 7 cases showed a sensory improvement by one Semmes-Weinstein Monofilaments. This pilot study suggests that sensory recovery still takes place even when clinical signs of progressing regeneration disappear.

关键词： peripheral nerve regeneration muscle-in-vein conduits digital nerves sensory recovery Semmes-Weinstein two-point discrimination outcome short-term long-term

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Complementary and alternative medicine in pediatrics in Turkey

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World Journal of Pediatrics 2014年第4期10卷 299-305页

作者： Candan Ozturk Hulya Karatas Alfred Längler Tim Schütze rebekka Bailey Tycho Jan Zuzak Istanbul Sabahattin Zaim University Faculty of Health SciencesHead of Nursing DepartmentIstanbulTurkey Harran University School of HealthPediatric Nursing DepartmentSanliurfa Turkiye Gemeinschaftskrankenhaus Department for Integrative Pediatric and Adolescent MedicineHerdeckeGermany University of Witten/Herdecke Faculty of HealthCentre for Integrative MedicineWittenGermany University Children's Hospital Department of Pediatric Oncology and HematologyEssenGermany

Background:Complementary and alternative medicine(CAM)is applied both to children and adults widely throughout the world.A previous pan-European survey showed a surprisingly high CAM-use in Turkish *** review aimed to survey information on the use of CAM in pediatrics in *** sources:A narrative,non-systematic review was conducted by melding expert opinions with a thorough and balanced review of available *** unrestricted literature search using the key words,"alternative","complementary","integrative","prevalence"and"pediatric"or"children"and"Turkey"was performed by internet search in March,2012 using PubMed and Google ***:CAM use was examined in general pediatrics,pediatric oncology,patients with asthma,and patients with diabetes.A frequency of CAM use was 87%in Turkish pediatric patients,with a mean of 60%.The primary sources of information about CAM are family and *** with patients/parents and health care professionals showed that most parents do not speak about CAM use with their physicians or ***:CAM is extensively used in Turkish pediatric *** might be due to Turkey's status as a developing country in which a traditional medical system still dominates in comparison to developed ***,larger studies are required to prove an extensive use of CAM in Turkey,as this review article does not have the capacity for in-depth *** about CAM and its related topics is essential for physicians and nurses in order to meet the patients'wish for a competent consultation concerning all aspects of a possible therapy.

关键词： acupuncture alternative medicine herbal medicine homeopathy mind-body

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降钙素原指导下的诊疗决策显著减少了疑诊新生儿早发型脓毒症的抗生素疗程和住院时间

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英国医学杂志中文版 2019年第3期22卷 159-160页

作者： Meret Merker rebekka BoUiger Philipp Schuetz 张春雨(译) University Department of Internal Medicine Kantonsspital Aarau Aarau Switzerland Department of Clinical Research University of Basel Basel Switzerland 北京大学第一医院儿科

由于缺少敏感的和特异的微生物学检测方法,新生儿脓毒症的诊断是一项有挑战性的难题,从而导致了新生儿中抗生素的过度使用。血液中的感染标志物有可能成为指导抗生素使用的更好指标。对成人的研究显示,降钙素原(PCT)的应用可以减少抗生... 详细信息

由于缺少敏感的和特异的微生物学检测方法,新生儿脓毒症的诊断是一项有挑战性的难题,从而导致了新生儿中抗生素的过度使用。血液中的感染标志物有可能成为指导抗生素使用的更好指标。对成人的研究显示,降钙素原(PCT)的应用可以减少抗生素的使用,对于改善患者预后有积极作用1。本研究中,Stocker等评估了 PCT指导下的抗生素使用是否也适用于新生儿2。

关键词：降钙素原抗生素新生儿脓毒症住院时间早发型疗程疑诊

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麻醉与镇痛 2011年第4期7卷 46-55页

作者： Matthias Haenggi, MD Heidi Ypparila-Wolters, PhD Sarah Buerki, cand. med rebekka Schlauri, cand. med Ilkka Korhonen, PhD Jukka Takala, MD, PhD Stephan M. Jakob, MD, PhD 马競(译) 王焱林(校) Department of Intensive Care Medicine Bern University Hospital and University of Bern Bern Switzerland VTF Technical Research Centre of Finland Tampere Finland 不详

背景包括镇静评分和常规镇静暂停在内的镇静方案，有助干减少机械通气时间和重症监护病房（ICU）入住时间。因临床上对于镇静深度的评估工作量大、仅能间断进行且干扰镇静和睡眠，所以通过脑电生理信号评估镇静深度的替代方法已经开始... 详细信息

背景包括镇静评分和常规镇静暂停在内的镇静方案，有助干减少机械通气时间和重症监护病房（ICU）入住时间。因临床上对于镇静深度的评估工作量大、仅能间断进行且干扰镇静和睡眠，所以通过脑电生理信号评估镇静深度的替代方法已经开始倍受青睐：我们想明确听觉诱发相关电位（ERPs）、脑电双频指数（BIS）和墒（Entropy）是否也能够评估临床镇静深度。方法选择10例择期全麻下行胸部或腹部手术的患者。手术后进入ICU，逐渐减少丙泊酚和瑞芬太尼靶控镇静程度[采用Rickmond Agitation镇静评分（RASS），-5分极深镇静，-4分深度镇静，-3～-1分中度镇静，0分清醒]期间，记录脑电图、BIS、状态熵（SE）、反应墒（RE）和ERPs。手术前或手术后数天测量指标的相关基础水平。结果基线、PASS-5分、RASS-4分、RASS-3至-1分和PASS-0分，对应的BIS值分别是94[4]（中位数，四分位数间距）、47[15]、68[9]、75[10]和88[6]；对应的SE值分别是87[3]、46[10]、60[22]、74[21]和87[5]；对应的RE值分别是97[4]、48[9]、71[25]、81[8]和96[3]（P〈0．05，Friedman检验）。BIS和墒都有高变异度。当单独考虑ERP振幅100时，各个镇静水平的ERPs值差异无显著性：但是、复括双参数主要变量分析的ERP辨别分析显示区别深度镇静、中度镇静和清醒状态的推算概率PK大约是0．89。与PK对应的RE，SE和BIS值分别是0．88、0．89和0．85。结论ERPs、BIS和熵均不能替代基于标准评分系统的临床镇静评估。全麻后对于极深镇静、深度到中度镇静和清醒的辨别，ERPs和脑电图仅能提供相似的PK值。BIS和熵存在较高的个体间和个体自身变异度，使其难以确定预测镇静水平的目标值范围，因而在危重患者中的使用受到限制。ERPs的变异度还不清楚。

关键词：脑电双频指数重症监护病房镇静评分危重患者相关电位听觉诱发状态熵 Friedman

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