38 research outputs found

    Randomized trial of thymectomy in myasthenia gravis

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    Zur kasuistik innerer hernien

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    Carbon Loss Affected By Fires On Various Forests And Land Types In South Sumatera

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    Forest and land fires are a high source of emissions in South Sumatera. In line with the national policy, South Sumatera Province commits in reducing emission, include emission from the forest and land fire. This research was aimed to assess carbon loss affected by fire in the year of 2015 that covered 3 districts in South Sumatera i.e Musi Banyuasin, Banyuasin, and Musi Rawas. The research was conducted by remeasurement of carbon stocks plots on 4 forests and land type i.e. secondary peat swamp forest, secondary dryland forest, bushes swamp, and forest plantation. Carbon stocks measuring are conducted on sample plots in a rectangular shape of 20 m x 50 m of size for various types of natural forest and a circle shape in the radius of 11.29 cm and 7.98 cm respectively for forest plantation of 4 years old. Furthermore, carbon stocks in each plot are measured for 3 carbon pools of above-ground biomass, deadwood and litter. The result shows that carbon loss was varying on each forest and land type. The largest number of carbon loss occur on secondary peat swamp forest of 94.2 t/ha that equivalent to the emission of 345.4 t CO2eq. The second largest of carbon loss occur on secondary dryland forest of 36.3 t/ha following by forest plantation and bushes swamp of 18.5 t/ha and 13.5 t/ha. The largest carbon loss on secondary peat swamp forest and forest plantation occur on above-ground biomass pool but secondary dry forest and bushes swamp occur on the dead wood pool

    Functional and oximetric assessment of patients after lung reduction surgery

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    AbstractObjective: The goal of this study was to clarify the issue of functional oxygen requirement by regimented exercise oximetry in patients undergoing lung reduction surgery.Methods: Thirty-seven patients underwent lung reduction surgery and were followed up for at least 3 months. Patients routinely completed a 6-week program of cardiopulmonary rehabilitation. Preoperative and postoperative spirometry, dyspnea scores, 6-minute walk distances, respiratory mechanics, and exercise oximetry were recorded.Results: After the operation, patients had a 37% increase in forced vital capacity and a 59% increase in forced expiratory volume in 1 second. Six-minute walk distance increased from 913 ± 310 feet before the lung reduction operation to 1202 ± 274 feet 6 months after the operation (p < 0.001). Maximal inspiratory and expiratory pressures were significantly increased in 16 patients after lung reduction surgery. Perceived dyspnea was significantly improved. Exercise pulse oximetry demonstrated that 83% of patients met American Thoracic Society criteria for supplemental oxygen use before lung reduction surgery. After the operation, 70% of patients continued to meet American Thoracic Society criteria for supplemental oxygen use. Notably, 10 patients with exertional desaturation while breathing room air discontinued supplemental oxygen use because of a reduction in dyspnea.Conclusions: These findings demonstrate significant subjective and functional improvements related to lung reduction surgery. Exercise-induced hypoxia was not reversed by lung reduction surgery. Discontinuance of supplemental oxygen use owing to reduction in dyspnea and improved physical performance may not be warranted in lieu of continued exertional desaturation. (J Thorac Cardiovasc Surg 1997;113:675-82
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