TY - THES A1 - Wichelmann, Christian T1 - Epidemiologie und Kosten der Sepsis auf der chirurgischen Intensivstation : Teilnahme an einer europäischen Querschnittstudie zur Sepsis-Epidemiologie im Mai 2002 T1 - Epidemiology and costs caused by sepsis in the surgical ICU Participation in an European study on sepsis-epidemiology in may 2002 N2 - Bei hohen Inzidenz- und Sterblichkeitsraten ist die Sepsis eine ernstzunehmende Erkrankung mit zugleich ernormer volkswirtschaftlicher Relevanz. Anhand der Vorstellung der Ergebnisse einer Teilnahme an einer europäischen Querschnittstudie zur Sepsis-Epidemiolgie, die 2002 von der ESICM initiiert wurde und an der Intensivstationen ganz Europas teilnahmen, darunter auch die ITS der Chirurgischen Universitätsklinik Würzburg, sollen Schwierigkeiten bei der Erfassung dieses Krankheitsbildes aufgezeigt werden. Es wird die Entwicklung in der Definition des Sepsis-Begriffes diskutiert. Ferner wird das Augenmerk auf die verschiedenen, durch die Sepsis verursachten und dem öffentlichen Gesundheitswesen entstehenden Kosten gelegt und diese werden ihrer Gewichtung nach aufgeführt. N2 - With high incidence- and mortality-rates sepsis is a severe illness with enormous relevance to public health. By presenting the results of an european study on sepsis-epidemiology, which was launched in 2002 by the ESICM and several European ICUs took part in (also the ICU of the Department of Surgery of the University of Würzburg/Germany) difficulties and pitfalls in recording this illness are discussed. Changes in the definition of this illness as well as different aspects of cost caused by sepsis are presented. KW - Sepsis KW - Epidemiologie KW - Inzidenz KW - Definition KW - Kosten KW - sepsis KW - definition KW - epidemiology KW - incidence KW - costs Y1 - 2006 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-21208 ER - TY - JOUR A1 - Rychlik, Michael A1 - Humpf, Hans-Ulrich A1 - Marko, Doris A1 - Dänicke, Sven A1 - Mally, Angela A1 - Berthiller, Franz A1 - Klaffke, Horst A1 - Lorenz, Nicole T1 - Proposal of a comprehensive definition of modified and other forms of mycotoxins including “masked” mycotoxins JF - Mycotoxin Research N2 - As the term "masked mycotoxins" encompasses only conjugated mycotoxins generated by plants and no other possible forms of mycotoxins and their modifications, we hereby propose for all these forms a systematic definition consisting of four hierarchic levels. The highest level differentiates the free and unmodified forms of mycotoxins from those being matrix-associated and from those being modified in their chemical structure. The following lower levels further differentiate, in particular, "modified mycotoxins" into "biologically modified" and "chemically modified" with all variations of metabolites of the former and dividing the latter into "thermally formed" and "non-thermally formed" ones. To harmonize future scientific wording and subsequent legislation, we suggest that the term "modified mycotoxins" should be used in the future and the term "masked mycotoxins" to be kept for the fraction of biologically modified mycotoxins that were conjugated by plants. KW - definition KW - mycotoxins KW - masked mycotoxins KW - modified mycotoxins KW - hidden mycotoxins KW - mycotoxin derivates KW - mycotoxin metabolites KW - conjugated mycotoxins Y1 - 2014 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-121240 VL - 30 IS - 4 ER - TY - JOUR A1 - Matthes, Niels A1 - Diers, Johannes A1 - Schlegel, Nicolas A1 - Hankir, Mohammed A1 - Haubitz, Imme A1 - Germer, Christoph-Thomas A1 - Wiegering, Armin T1 - Validation of MTL30 as a quality indicator for colorectal surgery JF - PLoS One N2 - Background Valid indicators are required to measure surgical quality. These ideally should be sensitive and selective while being easy to understand and adjust. We propose here the MTL30 quality indicator which takes into account 30-day mortality, transfer within 30 days, and a length of stay of 30 days as composite markers of an uneventful operative/postoperative course. Methods Patients documented in the StuDoQ|Colon and StuDoQ|Rectal carcinoma register of the German Society for General and Visceral Surgery (DGAV) were analyzed with regard to the effects of patient and tumor-related risk factors as well as postoperative complications on the MTL30. Results In univariate analysis, the MTL30 correlated significantly with patient and tumor-related risk factors such as ASA score (p<0.001), age (p<0.001), or UICC stage (p<0.001). There was a high sensitivity for the postoperative occurrence of complications such as re-operations (p<0.001) or subsequent bleeding (p<0.001), as well as a significant correlation with the CDC classification (p<0.001). In multivariate analysis, patient-related risk factors and postoperative complications significantly increased the odds ratio for a positive MTL30. A negative MTL30 showed a high specify for an uneventful operative and postoperative course. Conclusion The MTL30 is a valid indicator of colorectal surgical quality. KW - surgical care KW - discharge definition KW - definition KW - mortality KW - pancreatectomy KW - complications KW - superior KW - capture Y1 - 2020 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-230530 VL - 15 IS - 8 ER - TY - JOUR A1 - Groll, J A1 - Burdick, J A A1 - Cho, D-W A1 - Derby, B A1 - Gelinsky, M A1 - Heilshorn, S C A1 - Jüngst, T A1 - Malda, J A1 - Mironov, V A A1 - Nakayama, K A1 - Ovsianikov, A A1 - Sun, W A1 - Takeuchi, S A1 - Yoo, J J A1 - Woodfield, T B F T1 - A definition of bioinks and their distinction from biomaterial inks JF - Biofabrication N2 - Biofabrication aims to fabricate biologically functional products through bioprinting or bioassembly (Groll et al 2016 Biofabrication 8 013001). In biofabrication processes, cells are positioned at defined coordinates in three-dimensional space using automated and computer controlled techniques (Moroni et al 2018 Trends Biotechnol. 36 384–402), usually with the aid of biomaterials that are either (i) directly processed with the cells as suspensions/dispersions, (ii) deposited simultaneously in a separate printing process, or (iii) used as a transient support material. Materials that are suited for biofabrication are often referred to as bioinks and have become an important area of research within the field. In view of this special issue on bioinks, we aim herein to briefly summarize the historic evolution of this term within the field of biofabrication. Furthermore, we propose a simple but general definition of bioinks, and clarify its distinction from biomaterial inks. KW - bioink KW - biomaterial ink KW - definition Y1 - 2019 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-253993 VL - 11 IS - 1 ER -