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| 1 | Matched-pair analysis of postoperative morbidity and mortality for pancreaticogastrostomy and pancreaticojejunostomy using mattress sutures in soft pancreatic tissue remnants显示文摘BACKGROUND:After pancreaticoduodenectomy,the incidence of postoperative pancreatic fistula remains high,especially in patients with 'soft' pancreatic tissue remnants.No 'gold standard' surgical technique for pancreaticoenteric anastomosis has been established.This study aimed to compare the postoperative morbidity and mortality of pancreaticogastrostomy and pancreaticojejunostomy for 'soft' pancreatic tissue remnants using modified mattress sutures.METHODS:Seventy-five patients who had undergone pancreaticogastrostomy and 75 who had undergone pancreaticojejunostomy after pancreaticoduodenectomy between 2002 and 2008 were retrospectively compared using matched-pair analysis.A modified mattress suture technique was used for the pancreaticoenteric anastomosis.Patients with an underlying 'hard' pancreatic tissue remnant,as in chronic pancreatitis,were excluded.Both groups were homogeneous for age,gender,and underlying disease.Postoperative morbidity,mortality,and preoperative and operative data were analyzed.RESULTS:There were no significant differences between the groups for the incidence of postoperative pancreatic fistula (10.7% in both).Postoperative morbidity and mortality,median operation time,median length of hospital stay,intraoperative blood loss,and the amount of intraoperatively transfused erythrocyte concentrates also did not significantly differ between the groups.Patient age >65 years (P=0.017),operation time >350minutes (P=0.001),and intraoperative transfusion of erythrocyte concentrates (P=0.038) were identified as risk factors for postoperative morbidity.CONCLUSIONS:Our results showed no significant differences between the groups in the pancreaticogastrostomy and pancreaticojejunostomy anastomosis techniques using mattress sutures for 'soft' pancreatic tissue remnants.In our experience,the mattress sutures are safe and simple to use,and pancreaticogastrostomy in particular is feasible and easy to learn,with good endoscopic accessibility to the anastomosis region.However,the location of the anastomosis and the surgical technique need to be individually evaluated to further reduce the incidence of postoperative pancreatic fistula. | Fritz Klein Marcus Bahra Matthias Glanemann Wladimir Faber Peter Warnick Andreas Andreou Safak Gül Dietmar Jacob | 2012 | Hepatobiliary & Pancreatic Diseases International2012，11，1： | 9 |
| 2 | Femtojoule electro-optic modulation using a silicon– organic hybrid device显示文摘Energy-efficient electro-optic modulators are at the heart of short-reach optical interconnects,and silicon photonics is considered the leading technology for realizing such devices.However,the performance of all-silicon devices is limited by intrinsic material properties.In particular,the absence of linear electro-optic effects in silicon renders the integration of energy-efficient photonic–electronic interfaces challenging.Silicon–organic hybrid(SOH)integration can overcome these limitations by combining nanophotonic silicon waveguides with organic cladding materials,thereby offering the prospect of designing optical properties by molecular engineering.In this paper,we demonstrate an SOH Mach–Zehnder modulator with unprecedented efficiency:the 1-mm-long device consumes only 0.7 fJ bit^(-1) to generate a 12.5 Gbit s^(-1) data stream with a bit-error ratio below the threshold for hard-decision forward-error correction.This power consumption represents the lowest value demonstrated for a non-resonant Mach–Zehnder modulator in any material system.It is enabled by a novel class of organic electro-optic materials that are designed for high chromophore density and enhanced molecular orientation.The device features an electro-optic coefficient of r33<180 pm V^(-1) and can be operated at data rates of up to 40 Gbit s^(-1). | Sebastian Koeber Robert Palmer Matthias Lauermann Wolfgang Heni Delwin L Elder Dietmar Korn Markus Woessner Luca Alloatti Swen Koenig Philipp C Schindler Hui Yu Wim Bogaerts Larry R Dalton Wolfgang Freude Juerg Leuthold Christian Koos | 2015 | Light(Science & Applications)2015，4，1： | 4 |
| 3 | 显示文摘 | Dietmar A L Auke M | 1996 | J Organomet Chem1996，511，： | 1 |
| 4 | Integration of system dynamics modeling with descriptive process modeling and goal-oriented measurement显示文摘 | Dietmar P Karl L | 1999 | The Journal of Systems and Software1999，46，： | 1 |
| 5 | Crystal Structure of Pseudomonas aeruginosa Lipase in the Open Conformation 显示文摘 | Marco N Dietmar A Lang K L | 2000 | The journal of biological chemistry2000，275，31： | 1 |
| 6 | An ISFET-algal (Chlamydomonas) hybrid provides a system for eco-toxicological tests显示文摘 | Dietmar S Mirko L Werner B | 1999 | Biosensors and Bioelectronics1999，14，： | 1 |
| 7 | No evidence for an associ- ation between serum cholesterol and the course of depression and suicidality 显示文摘 | Eberhard A Karin KR Dietmar L | 2004 | Psychiatry Res2004，121，3： | 1 |
| 8 | No evidence for an association between serum cholesterol and the course of dep- ression and suicidality显示文摘 | Eberhard A Karin KR Dietmar L | 2004 | Psychiatry Res2004，121，3： | 1 |
| 9 | Plasma levels of IL-6 correlate with hemodynamic abnormalities in acute pancreatitis in rabbits显示文摘 | Zoltán Jambrik Mariann Gy?ngy?si Péter Hegyi László Czakó Tamás Takács András Farkas Yvette Mándy Csaba Góg Dietmar Glogar Miklós Csanády | 2002 | Intensive Care Medicine2002，，12： | 1 |
| 10 | Chemical modification of preceramic polymers:their reactions with transition metal complexes and transition metal powders显示文摘 | DIETMAR S HEINRICH L CHRISTINE A S | 1992 | J Inorganic and Organometallic Polymers1992，2，1： | 1 |
| 11 | Triaging Pap cytology negative, HPV positive cervical cancer screening results with p16/Ki-67 Dual-stained cytology显示文摘 | K. Ulrich Petry Dietmar Schmidt Sarah Scherbring Alexander Luyten Axel Reinecke-Lüthge Christine Bergeron Friedrich Kommoss Thomas L?ning Jaume Ordi Sigrid Regauer Ruediger Ridder | 2011 | Gynecologic Oncology2011，，3： | 1 |
| 12 | Dermal fibroblast infiltration of poly(ε-caprolactone) scaffolds fabricated by melt electrospinning in a direct writing mode显示文摘 | Brooke L Farrugia Toby D Brown Zee Upton Dietmar W Hutmacher Paul D Dalton Tim R Dargaville | 2013 | Biofabrication2013，，2： | 1 |
| 13 | A Morphological Approach for Distinguishing Texture and Individual Features in Images显示文摘 | Lgor Z Dietmar S Karsten L | 2014 | Pattern Recognition Letters2014，47，10： | 1 |
| 14 | Chemical modification of preceramic polymers: their reactions with transition metal complexes and transition metal powders显示文摘 | Heinrich L Christine A S | 1992 | J Inorganic and Organometallic Polymers1992，2，1： | 1 |
| 15 | The texture and anisotropy of magnesium-zinc-rare earth alloy sheets 显示文摘 | Bohlen J Marcus R Nurnberg Jeremy W Dietmar L Agnew S R | 2007 | Acta Materialia2007，55，6： | 1 |
| 16 | Simulating the mind and applications-a theory-based chance for understanding psychic transformations in somatic symptom disorders显示文摘With the new category of somatic symptom disorder/bodily distress disorder in ICD-11,research into pathogenetic and therapeutic pathways is stimulated.By turning away from the definition of somatoform disorders as“the lack of something physical explaining everything”,this new classification might offer a way to put the focus on the individual patient’s psychodynamic balance and conflicts and their condensation in the symptom.Modelling and simulation have a long history in science to gain insight also into complex phenomena.Considering the evolution of precision medicine many different parameters are meanwhile operationalised and ready for consequent process research.Calculation models have to fit to the complexity of this disorder category.In an interdisciplinary discourse between computer and medical/psychoanalytic scientists a multilayer,fine grained calculation model is elaborated.Starting from a clinical case history,within iterative discussion,by acknowledging the demand for interdisciplinary synergy and cooperation in science,psychoanalytic theory served as the basis for computer-scientific information technique.A parallelisation with the Mealy model helped to establish a meaningful calculation possibility for further process research.How psychic transformations can be understood properly in order to provide meaningful treatments,the respective training,and to conduct appropriate process-and outcome-research is established in simulating the mind and applications. | Henriette Löffler-Stastka Dietmar Dietrich Thilo Sauter Martin Fittner Dagmar Steinmair | 2021 | World Journal of Meta-Analysis2021，9，6： | 0 |
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