103,560 research outputs found
Randomized trial comparing episiotomies with Braun-Stadler episiotomy scissors and EPISCISSORS-60®
No full textGanpat Sawant, Divya Kumar Dr DY Patil Medical College and Hospital, Nerul, Navi Mumbai, India Introduction: Episiotomy angle is a crucial factor in causation of obstetric anal sphincter injuries (OASIS), which are the major cause of female bowel incontinence. Sutured episiotomies angled too close to the midline (<30 degree) or too far away from the midline (.60 degree) fail to unload the perineum sufficiently and predispose to OASIS. A 25-degree post-delivery episiotomy suture angle has a 10% risk of OASIS while 45-degree episiotomy is associated with 0.5% risk. To account for perineal distension at crowning, a 60-degree episiotomy incision is required to achieve 43–50 degree suture angles. We compared episiotomy suture angles with commonly used Braun-Stadler episiotomy scissors with the new fixed angle EPISCISSORS-60®. Methods: Ethical approval was obtained. A prospective cluster randomization design was chosen. Thirty-one patients were required in each group for a 12-degree difference with power at 90% and 5% significance. Sutured episiotomy angles and post-delivery linear distance from caudal end of the sutured episiotomy to the anus were measured with protractors and rulers. Two-tailed t-tests were used to compare the two groups. Results: Thirty-one nulliparae had episiotomies with EPISCISSORS-60®, 32 with Braun-Stadler. Mean age (25 versus 24.8 years) was similar. EPISCISSORS-60® episiotomies were angled 12 degrees more laterally away from the anus compared to Braun-Stadler (40.6 degrees, 95% confidence interval [CI] ±2, interquartile range [IQR] 35–45 versus 28.3 degrees, 95% CI ±2, IQR 25–30, P<0.0001). The post-delivery linear distance from caudal end of the sutured episiotomy to the anus was 15 mm more with the EPISCISSORS-60® compared to Braun-Stadler (35 mm, 95% CI ±2.2, IQR =30–39 versus 19.5; 95% CI ±1.3, IQR =14.75–22.25 P<0.0001). EPISCISSORS-60® episiotomies measured longer (47 mm versus 40 mm, P<0.0001). There were no OASIS cases in the EPISCISSORS-60® group versus one in the Braun-Stadler group. Conclusion: The EPISCISSORS-60® sutured episiotomies are much further away from the midline in angular and distance measures, hence at lower OASIS risk. Keywords: episiotomy, EPISCISSORS-60®, obstetric anal sphincter injuries (OASIS), perineal tears 
Empleo de abejas melíferas [Apis mellifera L.] para el biomonitoreo de contaminantes ambientales
No full textabstrac
'Auch Steine können Blumen sein'. Stein, Pflanze, Tier und das Menschliche als konkreative Weltursprünge bei Heinrich Rombach'
No full textIn „Die Welt des Steins“, einem seiner spätesten Texte, kontrastiert Rombach die westliche Kategorisierung des Steins als eines genuin leb- und weltlosen Naturobjekts mit der Gegenwelt des Östlichen, in welcher die sich verschließende Plumpheit und Schwere des Steines einer offenen Einstellung weicht, die sowohl vom Stein selbst als auch vom Menschen in seinem Verhalten zum Stein ausgeht. Diese Gegenüberstellung geht mit einer Kritik der europäischen Beherrschbarkeits- und Nutzbarmachungsattitüde einher, die jede Hochachtung vor der Natur als einer heiligen und nicht zuletzt uns selbst umfassender Räumlichkeit in einen (anthropozentrisch orientierten) „Naturschutz“ verkehrt
Dataset for the Publication with the title: "Realistic Simulation of GPR for Landmine and IED Detection Including Antenna Models, Soil Dispersion and Heterogeneity" by Stadler et al.
No full text<p>This Zenodo repository contains measured and simulated data that were acquired and produced for the following publication:</p><p>Stadler, S., Schennen, S., Hiller, T. & Igel, J. (2023) Realistic simulation of GPR for landmine and IED detection including antenna models, soil dispersion and heterogeneity. Near Surface Geophysics, 00, 1–18. https://doi.org/10.1002/nsg.12282</p>
An automated digital image processing for film thickness measurements of EHL point contacts using white light interferometry
No full textFilm Thickness Analysis for EHL Contacts under Steady-State and Transient Conditions by Automatic Digital Image Processing
No full textMolecular Diagnostics in cutaneous T-Cell Lymphomas - Identification of new potentially therapy-relevant Biomarkers
No full textHain C, Cieslak C, Mentz A, Stranzenbach R, Kalinowski J, Stadler R. Molekulare Diagnostik bei kutanen T-Zell Lymphomen – Identifizierung neuer potentiell therapierelevanter Biomarke. JOURNAL DER DEUTSCHEN DERMATOLOGISCHEN GESELLSCHAFT. 2019;17(Suppl. 1):1
Letter, [Author unclear] to Paulina T. Merritt
No full textHandwritten letter to Paulina Merritt from an unknown author, October 1, 1876.
Eating and growing grains in virginia
No full textKathleen M. Stadler, Amanda Joy T. Holsinger and Daniel Bran
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