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Between 1969 and 1975 94 patients with fractures and pseudarthrosis of the diaphysis of the humerus were seen. During the summer of 1977 in 56 of these patients a follow-up study was done. The operations were performed only with strict indications. The best results were achieved with the osteosynthesis using compression plates, according to the recommendations of the AO (working group for problems of osteosynthesis). If the radial nerve was damaged, the fracture was revised and a neurolysis was done as early as possible; if necessary, the radial nerve was displaced to the flexor side of the bone. In short transverse and oblique fractures of the humerus the osteosynthesis with compression plates can be recommended; alternating these fractures can be treated with nails. 相似文献
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Sandrine Hild MD MPH Marion Johanet MD Anna Valenza MD Maïna Thabaud MD Flore Laforest MD MPH Emilie Ferrat MD PhD Cédric Rat MD PhD for the DEDICACES Group the French National College of General Practitioners 《Cancer》2020,126(12):2765-2774
Mammographic screening contributes to a reduction in specific mortality, but it has disadvantages. Decision aids are tools designed to support people's decisions. Because these aids influence patient choice, their quality is crucial. The objective of the current study was to conduct a systematic review of decision aids developed for women eligible for mammographic screening who have an average breast cancer risk and to assess the quality of these aids. The systematic review included articles published between January 1, 1997, and August 1, 2019, in the PubMed, Embase, Cochrane, and PsycInfo databases. The studies were reviewed independently by 2 reviewers. Any study containing a decision aid for women eligible for mammographic screening with an average breast cancer risk was included. Two double-blind reviewers assessed the quality of the selected decision aids using the International Patient Decision Aid Standards instrument, version 3 (IPDASi). Twenty-three decision aids were extracted. Classification of decision aid quality using the IPDASi demonstrated large variations among the decision aids (maximum IPDASi score, 188; mean ± SD score, 132.6 ± 23.8; range, 85-172). Three decision aids had high overall scores. The 3 best-rated dimensions were disclosure (maximum score, 8; mean score, 6.8), focusing on transparency; information (maximum score, 32; mean score, 26.1), focusing on the provision of sufficient details; and probabilities (maximum score, 32; mean score 25), focusing on the presentation of probabilities. The 3 lowest-rated dimensions were decision support technology evaluation (maximum score, 8; mean score, 4.3), focusing on the effectiveness of the decision aid; development (maximum score, 24; mean score, 12.6), evaluating the development process; and plain language (maximum score, 4; mean score, 1.9), assessing appropriateness for patients with low literacy. The results of this review identified 3 high-quality decision aids for breast cancer screening. 相似文献
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Wolfgang Hild Klaus Pollinger Andrea Caporale Chiara Cabrele Max Keller Nicola Pluym Armin Buschauer Reinhard Rachel Joerg Tessmar Miriam Breunig Achim Goepferich 《Proceedings of the National Academy of Sciences of the United States of America》2010,107(23):10667-10672
More selective interactions of nanoparticles with cells would substantially increase their potential for diagnostic and therapeutic applications. Thus, it would not only be highly desirable that nanoparticles can be addressed to any cell with high target specificity and affinity, but that we could unequivocally define whether they rest immobilized on the cell surface as a diagnostic tag, or if they are internalized to serve as a delivery vehicle for drugs. To date no class of targets is known that would allow direction of nanoparticle interactions with cells alternatively into one of these mutually exclusive events. Using MCF-7 breast cancer cells expressing the human Y1-receptor, we demonstrate that G protein-coupled receptors provide us with this option. We show that quantum dots carrying a surface-immobilized antagonist remain with nanomolar affinity on the cell surface, and particles carrying an agonist are internalized upon receptor binding. The receptor functions like a logic “and-gate” that grants cell access only to those particles that carry a receptor ligand “and” where the ligand is an agonist. We found that agonist- and antagonist-modified nanoparticles bind to several receptor molecules at a time. This multiligand binding leads to five orders of magnitude increased-receptor affinities, compared with free ligand, in displacement studies. More than 800 G protein-coupled receptors in humans provide us with the paramount advantage that targeting of a plethora of cells is possible, and that switching from cell recognition to cell uptake is simply a matter of nanoparticle surface modification with the appropriate choice of ligand type. 相似文献
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J. Dobroschke G. Schmidbauer P. Hild 《Langenbeck's archives of surgery / Deutsche Gesellschaft fur Chirurgie》1987,372(1):827-828
Zusammenfassung Von 1968–1972 wurde an der Chirurgischen Universitätsklinik Giessen bei 215 Pneumonektomien, bei 30 Bilobektomien und bei 352 Lobektomien der Bronchusstumpf durch Handnaht nach Rienhoff oder Klinkenberg verschlossen. Eine postoperative Insuffizienz trat bei 15 Patienten (2,5%) auf. Von 1978 bis 1986 wurde bei 76 Pneumonektomien, bei 30 Bilobektomien und bei 218 Lobektomien der Bronchusstumpf per Klammernaht versorgt. Die Insuffizienzrate lag bei 2,16% (n = 7). In den ersten 5 Jahren dieser Gruppe lag die Insuffizienzrate bei 3,4%, in den letzten 4 Jahren dagegen nur bei 0,7%. Seit 1984 wurden insgesamt 68 Pulmonalgefässe ohne postoperative Komplikation mit dem Klammernahtgerät verschlossen. 相似文献
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Grard Hild Rouzi Okasha Michel Macret Yves Gnanou 《Macromolecular chemistry and physics.》1986,187(9):2271-2288
The results displayed in the present paper deal with the scaling behaviour of various polymer networks swollen at equilibrium in good diluents. The scaling law, established by de Gennes, between the elastic modulus and the equilibrium segment concentration was tested using polystyrene networks, poly(ethylene oxide) networks, and poly(2,3-dihydroxypropyl methacrylate) networks. The experimental exponents s obtained are generally in agreement with the expected theoretical value (s = 2,25), especially for networks obtained at high conversion degrees whatever the nature of the polymer or the type of gelation. At incomplete conversions, the sol-fraction is important and the defects are numerous; in this case discrepancies are observed between the theoretical and experimental exponents. 相似文献
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Widder Randolf A. Lappas Alexandra Rennings Corinna Hild Matthias Roessler Gernot F. Dietlein Thomas S. 《Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie》2020,258(11):2581-2581
Graefe's Archive for Clinical and Experimental Ophthalmology - The published online version contains mistake as the author's first name and last name have been interchanged as "Hild... 相似文献