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排序方式: 共有264条查询结果,搜索用时 46 毫秒
261.
262.
Georg Osterhoff José Spirig Jürgen Klasen Stefan P. Kuster Annelies S. Zinkernagel Hugo Sax Kan Min 《Medical principles and practice》2014,23(4):302-306
Objective
To determine the integrity of microscope covers and bacterial contamination at the end of lumbar spinal decompressive surgery.Materials and Methods
A prospective study of 25 consecutive lumbar spinal decompressions with the use of a surgical microscope was performed. For detection of perforations, the microscope covers were filled with water at the end of surgery and the presence of water leakage in 3 zones (objective, ocular and control panel) was examined. For detection of bacterial contamination, swabs were taken from the covers at the same locations before and after surgery.Results
Among the 25 covers, 1 (4%) perforation was observed and no association between perforation and bacterial contamination was seen; 3 (4%) of 75 smears from the 25 covers showed post-operative bacterial contamination, i.e. 2 in the ocular zone and 1 in the optical zone, without a cover perforation.Conclusions
The incidence of microscope cover perforation was very low and was not shown to be associated with bacterial contamination. External sources of bacterial contamination seem to outweigh the problem of contamination due to failure of cover integrity.Key Words: Surgical infection, Operation microscope, Spine, Decompression 相似文献263.
Dimitris C. Anagnostopoulos Johannes Heberbrand Stephan Eliez Maeve B. Doyle Henrikje Klasen Sofie Crommen Fusun Cetin Cuhadaroğlu Milica Pejovic-Milovancevic Oscar Herreros Ruud Minderaa Andreas Karwautz Carl Goran Svedin Jean Philippe Raynaud 《European child & adolescent psychiatry》2016,25(7):673-676
264.
Angela?Plass-ChristlEmail authorView authors OrcID profile Christiane?Otto Fionna?Klasen Silke?Wiegand-Grefe Claus?Barkmann Heike?H?lling Michael?Schulte-Markwort Ulrike?Ravens-Sieberer 《European child & adolescent psychiatry》2018,27(7):867-876
Children of parents with mental health problems (CPM) have an increased risk for behavioral and psychological problems. This study investigated the age- and gender-specific course as well as predictors of mental health problems in CPM using the longitudinal data (baseline 1- and 2-year follow-ups) of a German general population sample from the BELLA study. Children and adolescents aged 11–17 years (at baseline) who had a parent with mental health problems (n = 325) were analyzed. The mental health problems of the children were assessed by the self-reported version of the strengths and difficulties questionnaire (SDQ). We used individual growth modeling to investigate the age- and gender-specific course, and the effects of risk as well as personal, familial and social protective factors on self-reported mental health problems in CPM. Additionally, data were examined differentiating internalizing and externalizing mental health problems in CPM. Results indicated that female compared to male CPM showed increasing mental health problems with increasing age. Mental health problems in CPM were associated with lower self-efficacy, worse family climate and less social competence over time. Internalizing problems were associated with lower self-efficacy, less social competence and more severe parental mental health problems. Externalizing problems were associated with lower self-efficacy, worse family climate and lower social competence. The main limitations of the study are the short time period (2 years) covered and the report of mental health problems by only one parent. Our findings should be considered in the development of treatment and prevention programs for mental health problems in CPM. 相似文献