Wiener klinische Wochenschrift
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Wien. Klin. Wochenschr. · Nov 2013
Comparative Study Controlled Clinical TrialTotally endoscopic congenital heart surgery compared with the traditional heart operation in children.
Totally endoscopic surgery compared with the conventional heart operation in children is described in this article to find a preferable treatment for congenital heart diseases. ⋯ Totally endoscopic closed chest congenital heart surgery in children was feasible and safe. The results were similar or even superior to the traditional operations due to the decreased use of blood products and shortened hospital time. Degree of satisfaction with cosmetic result and postoperative comfort were very high. Therefore, endoscopic surgery will become a new popular choice for some congenital heart disease patients in the future.
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The interdisciplinary group of experts has compiled a clinical guidance for manifest dabigatran-induced haemorrhage and envisaged invasive interventions on patients under dabigatran. It recommends an escalation of treatment measures as summarized in a pocket guide (see electronic supplementary material online and insert in the print issue).
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Wien. Klin. Wochenschr. · Oct 2013
Randomized Controlled TrialProvocative discography screening improves surgical outcome.
The objective of this study was to compare the surgical outcomes of patients operated on, with or without discography prior to operation. ⋯ DDD treated surgically without discography did not reach the clinically significant improvement of 15 ODI points for the patients treated with fusion. Provocative discography screening with psychological testing in the trial group made improvement following fusion clinically significant.
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Wien. Klin. Wochenschr. · Oct 2013
Multicenter StudyHuman papillomavirus in high-grade cervical lesions: Austrian data of a European multicentre study.
The purpose is to present the Austrian data of an observational, cross-sectional, multicentre study conducted in 13 European countries. This study was undertaken to assess human papillomavirus (HPV) type distribution in high-grade cervical lesions. ⋯ These Austrian data clearly demonstrate that HPV 16 is the predominant type in high-grade CIN, the immediate precursor lesions of cervical cancer. More than 60 % of the lesions were associated with HPV 16 and 18 and more than 85 % with HPV 16, 18, 31, 33 or 45. The prevalence of adenocarcinoma in situ is underestimated, since its detection is difficult with the current cytology screening.