43 research outputs found
Factors affecting assemblage attributes of freshwater Oligochaeta in Neotropical shallow floodplain lakes
Linking vein properties to leaf biomechanics across 58 woody species from a subtropical forest
Der einfluss verkehrsbedingter luftverunreiningungen auf die keimung und das schlauchwachstum bei pollen von Nicotiana sylvestris
Effects of sodium chloride on tobacco plants
The effect of salinity on the growth and ion concentrations in a number of tobacco cultivars is described. Sodium chloride, at a concentration of 200 mol m−3, hardly affected the fresh weight, but significantly reduced the dry weight. The difference in the response of fresh and dry weights to salt was due to a change in succulence (water per unit leaf area); the latter increased with increasing leaf Na+ and Cl− concentration. Under saline conditions, increasing the external Na+: Ca− ratio by decreasing the Ca2+ concentration increased the accumulation of Na+ and Cl− into the leaf tissue
Appropriateness of colonoscopy in Europe (EPAGE II). Surveillance after polypectomy and after resection of colorectal cancer.
BACKGROUND AND STUDY AIMS: To summarize the published literature on assessment of appropriateness of colonoscopy for surveillance after polypectomy and after curative-intent resection of colorectal cancer (CRC), and report appropriateness criteria developed by an expert panel, the 2008 European Panel on the Appropriateness of Gastrointestinal Endoscopy, EPAGE II.
METHODS: A systematic search of guidelines, systematic reviews and primary studies regarding the evaluation and management of surveillance colonoscopy after polypectomy and after resection of CRC was performed. The RAND/UCLA Appropriateness Method was applied to develop appropriateness criteria for colonoscopy for these conditions.
RESULTS: Most CRCs arise from adenomatous polyps. The characteristics of removed polyps, especially the distinction between low-risk adenomas (1 or 2, small [< 1 cm], tubular, no high-grade dysplasia) vs. high-risk adenomas (large [> or = 1 cm], multiple [> 3], high-grade dysplasia or villous features), have an impact on advanced adenoma recurrence. Most guidelines recommend a 3-year follow-up colonoscopy for high-risk adenomas and a 5-year colonoscopy for low-risk adenomas. Despite the lack of evidence to support or refute any survival benefit for follow-up colonoscopy after curative-intent CRC resection, surveillance colonoscopy is recommended by most guidelines. The timing of the first surveillance colonoscopy differs. The expert panel considered that 56 % of the clinical indications for colonoscopy for surveillance after polypectomy were appropriate. For surveillance after CRC resection, it considered colonoscopy appropriate 1 year after resection.
CONCLUSIONS: Colonoscopy is recommended as a first-choice procedure for surveillance after polypectomy by all published guidelines and by the EPAGE II criteria. Despite the limitations of the published studies, colonoscopy is also recommended by most of the guidelines and by EPAGE II criteria for surveillance after curative-intent CRC resection