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The present thesis is concerned with molecular beam epitaxy of magnetite (Fe3O4) thin films on semiconducting substrates and the characterization of their structural, chemical, electronic, and magnetic properties. Magnetite films could successfully be grown on ZnO substrates with high structural quality and atomically abrupt interfaces. The films are structurally almost completely relaxed exhibiting nearly the same in-plane and out-of-plane lattice constants as in the bulk material. Films are phase-pure and show only small deviations from the ideal stoichiometry at the surface and in some cases at the interface. Growth proceeds via wetting layer plus island mode and results in a domain structure of the films. Upon coalescence of growing islands twin-boundaries (rotational twinning) and anti-phase boundaries are formed. The overall magnetization is nearly bulk-like, but shows a slower approach to saturation, which can be ascribed to the reduced magnetization at anti-phase boundaries. However, the surface magnetization which was probed by x-ray magnetic circular dichroism was significantly decreased and is ascribed to a magnetically inactive layer at the surface. Such a reduced surface magnetization was also observed for films grown on InAs and GaAs. Magnetite could also be grown with nearly ideal iron-oxygen stoichiometry on InAs substrates. However, interfacial reactions of InAs with oxygen occur and result in arsenic oxides and indium enrichment. The grown films are of polycrystalline nature. For the fabrication of Fe3O4/GaAs films, a postoxidation of epitaxial Fe films on GaAs was applied. Growth proceeds by a transformation of the topmost Fe layers into magnetite. Depending on specific growth conditions, an Fe layer of different thickness remains at the interface. The structural properties are improved in comparison with films on InAs, and the resulting films are well oriented along [001] in growth direction. The magnetic properties are influenced by the presence of the Fe interface layer as well. The saturation magnetization is increased and the approach to saturation is faster than for films on the other substrates. We argue that this is connected to a decreased density of anti-phase boundaries because of the special growth method. Interface phases, viz. arsenic and gallium oxides, are quantified and different growth conditions are compared with respect to the interface composition.
Background: The adequate choice of perioperative antibiotic prophylaxis (PAP) could influence the risk of surgical site infections (SSIs) in general surgery. A new local PAP guideline was implemented in May 2017 and set the first-generation cefazolin (CFZ) instead the second-generation cefuroxime (CXM) as the new standard prophylactic antibiotic. The aim of this study was to compare the risk of SSIs after this implementation in intra-abdominal infections (IAIs) without sepsis. Methods: We performed a single center-quality improvement study at a 1500 bed sized university hospital in Germany analyzing patients after emergency surgery during 2016 to 2019 (n = 985), of which patients receiving CXM or CFZ were selected (n = 587). Propensity score matching was performed to ensure a comparable risk of SSIs in both groups. None-inferiority margin for SSIs was defined as 8% vs. 4%. Results: Two matched cohorts with respectively 196 patients were compared. The rate of SSIs was higher in the CFZ group (7.1% vs. 3.6%, p = 0.117) below the non-inferiority margin. The rate of other postoperative infections was significantly higher in the CFZ group (2.0% vs. 8.7%, p = 0.004). No other differences including postoperative morbidity, mortality or length-of-stay were observed. Conclusion: Perioperative antibiotic prophylaxis might be safely maintained by CFZ even in the treatment of intra-abdominal infections.
No abstract available.
Purpose
The trauma centre of the Wuerzburg University Hospital has integrated a pioneering dual-room twin-CT scanner in a multiple trauma pathway. For concurrent treatment of two trauma patients, two carbon CT examination and intervention tables are positioned head to head with one sliding CT-Gantry in the middle. The focus of this study is the process of trauma care with the time to CT (tCT) and the time to operation (tOR) as quality indicator.
Methods
All patients with suspected multiple trauma, who required emergency surgery and who were initially diagnosed by the CT trauma protocol between 05/2018 and 12/2018 were included. Data relating to time spans (tCT and tOR), severity of injury and outcome was obtained.
Results
110 of the 589 screened trauma patients had surgery immediately after finishing primary assessment in the ER. The ISS was 17 (9–34) (median and interquartile range, IQR). tCT was 15 (11–19) minutes (median and IQR) and tOR was 96.5 (75–119) minutes (median and IQR). In the first 30 days, seven patients died (6.4%) including two within the first 24 h (2%). There were two ICU days (1–6) (median and IQR) and one (0–1) (median and IQR) ventilator day.
Conclusion
The twin-CT technology is a fascinating tool to organize high-quality trauma care for two multiple trauma patients simultaneously