Wiener klinische Wochenschrift
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Wien. Klin. Wochenschr. · Jan 2010
Editorial CommentPreoperative carbohydrate loading in contrast to fasting.
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Wien. Klin. Wochenschr. · Oct 2009
Management of snake bites in the tropics - based on the example of Papua New Guinea.
Snake bites by venomous snakes are a widely neglected topic despite the fact that they may cause severe tissue damages and lead to life threatening situations resulting in death mostly due to the lack of adequate medical help. Papua New Guinea hosts one of the most venomous snakes worldwide - the taipan. Medical facilities are limited, the one and only real hospital being located in Port Moresby. ⋯ This product is extremely expensive therefore there is only a very limited supply (mostly by products which have already passed the expiry date). Since in addition these products must be kept in a fridge vast areas lacking energy supply don't have storage facilities. Conclusions drawn from the experience in Port Moresby therefore cannot be extended to the rest of the country.
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Wien. Klin. Wochenschr. · Jan 2009
Comparative StudyThe influence of insulin pump treatment on metabolic syndrome parameters in type 2 diabetes mellitus.
The aim of our study was to evaluate the influence of long-term insulin pump treatment (CSII) on the parameters of metabolic syndrome in insulin-resistant patients with poorly controlled type 2 diabetes mellitus. ⋯ Six months of CSII treatment led to decrease in insulin resistance and improvement in parameters of lipid metabolism, blood coagulation and endothelial dysfunction independently of glycemic control and weight.
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A positive relationship between patient volume and outcome has been demonstrated for a variety of clinical conditions and procedures, but the evidence is sparse for critically ill patients. ⋯ Our results provide evidence for a relationship between patient volume and outcome in critically ill patients. Besides the total number of patients, diagnostic variability plays an important role. The relationship between volume and outcome seems, however, to be complex and to be influenced by other variables, such as workload of nursing staff.