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Biomedical subjects

J Bendix

Publications and source records attributed to J Bendix.

At least 19 recordsLinked to original sources

Seasonality of weather and tree phenology in a tropical evergreen mountain rain forest.

Flowering and fruiting as phenological events of 12 tree species in an evergreen tropical mountain rain forest in southern Ecuador were examined over a period of 3-4 years. Leaf shedding of two species was observed for 12 months. Parallel to the phenological recordings, meteorological parameters were monitored in detail and related to the flowering and fruiting activity of the trees. In spite of the perhumid climate of that area, a high degree of intra- and inter-specific synchronisation of phenological traits was apparent. With the exception of one species that flowered more or less continuously, two groups of trees could be observed, one of which flowered during the less humid months (September to October) while the second group started to initiate flowers towards the end of that phase and flowered during the heavy rains (April to July). As reflected by correlation coefficients, the all-time series of meteorological parameters showed a distinct seasonality of 8-12 months, apparently following the quasi-periodic oscillation of precipitation and related cloudiness. As revealed by power spectrum analysis and Markov persistence, rainfall and minimum temperature appear to be the only parameters with a periodicity free of long-term variations. The phenological events of most of the plant species showed a similar periodicity of 8-12 months, which followed the annual oscillation of relatively less and more humid periods and thus was in phase or in counter-phase with the oscillations of the meteorological parameters. Periods of unusual cold or dryness, presumably resulting from underlying longer-term trends or oscillations (such as ENSO), affected the homogeneity of quasi-12-month flowering events, fruit maturation and also the production of germinable seeds. Some species show underlying quasi-2-year-oscillations, for example that synchronise with the development of air temperature; others reveal an underlying decrease or increase in flowering activity over the observation period, influenced for instance by solar irradiance. As Ecuador suffers the highest rate of deforestation in South America, there is an urgent need for indigenous plant material for reforestation. A detailed knowledge of the biology of reproduction in relation to governing external factors (mainly climate) is thus required.

Altitude↗

Coagulation, inflammatory, and stress responses in a randomized comparison of open and laparoscopic repair of recurrent inguinal hernia.

BACKGROUND: In previous comparisons of inflammatory and stress responses to open (OR) and laparoscopic (LR) hernia repair, all operations were performed under general anesthesia. Since local anesthesia is widely used for OR, a comparison of this approach with LR seemed relevant. METHODS: Patients with recurrent inguinal hernia were randomized to OR under local anesthesia (n = 30) or LR under general anesthesia (n = 31). The magnitude of the surgical trauma was assessed by measuring markers of coagulation (prothrombin fragment 1 + 2), endothelial activation (von Willebrand factor), inflammation [leukocytes, interleukin-6, -8 and -10, granulocyte macrophage colony-stimulating factor, and C-reactive protein (CRP)], and endocrine stress (cortisol) in blood collected before operation, 4 h postincision, and on postoperative day 2. RESULTS: Leukocyte counts and interleukin-6 and CRP levels increased in both groups, with the CRP increase being significantly greater in the OR group. The other markers did not increase significantly. CONCLUSION: The acute phase response was more pronounced after OR, even when this was done under local anesthesia. Both techniques seemed rather atraumatic.

Adult↗

Prospective nationwide analysis of laparoscopic versus Lichtenstein repair of inguinal hernia.

BACKGROUND: According to a Cochrane review, laparoscopic inguinal hernia repair compares favourably with open mesh repair, but few data exist from surgical practice outside departments with a special interest in hernia surgery. This study compared nationwide reoperation rates after laparoscopic and Lichtenstein repair, adjusting for factors predisposing to recurrence. METHODS: Some 3606 consecutive laparoscopic repairs were compared with 39 537 Lichtenstein repairs that were prospectively recorded in a nationwide registry between 1998 and 2003. Patients were subgrouped according to type of hernia: primary or recurrent and unilateral or bilateral. Overall reoperation rates and 95 per cent confidence intervals were calculated. Long-term reoperation rates were estimated using the Kaplan-Meier method. RESULTS: The overall reoperation rates after laparoscopic and Lichtenstein repair of unilateral primary indirect hernia (0 versus 1.0 per cent), primary direct hernia (1.1 versus 3.1 per cent), unilateral recurrent hernia (4.6 versus 4.8 per cent) and bilateral recurrent hernia (2.6 versus 7.6 per cent) did not differ. However, laparoscopic repair of a bilateral primary hernia was associated with a higher reoperation rate than Lichtenstein repair (4.8 versus 3.0 per cent) (P = 0.017). CONCLUSION: Laparoscopic repair compared favourably with Lichtenstein repair for primary indirect and direct hernias, and unilateral and bilateral recurrent hernias, but was inferior for primary bilateral hernias.

Adolescent↗

Randomized clinical trial of virtual reality simulation for laparoscopic skills training.

BACKGROUND: This study examined the impact of virtual reality (VR) surgical simulation on improvement of psychomotor skills relevant to the performance of laparoscopic cholecystectomy. METHODS: Sixteen surgical trainees performed a laparoscopic cholecystectomy on patients in the operating room (OR). The participants were then randomized to receive VR training (ten repetitions of all six tasks on the Minimally Invasive Surgical Trainer-Virtual Reality (MIST-VR)) or no training. Subsequently, all subjects performed a further laparoscopic cholecystectomy in the OR. Both operative procedures were recorded on videotape, and assessed by two independent and blinded observers using predefined objective criteria. Time to complete the procedure, error score and economy of movement score were assessed during the laparoscopic procedure in the OR. RESULTS: No differences in baseline variables were found between the two groups. Surgeons who received VR training performed laparoscopic cholecystectomy significantly faster than the control group (P=0.021). Furthermore, those who had VR training showed significantly greater improvement in error (P=0.003) and economy of movement (P=0.003) scores. CONCLUSION: Surgeons who received VR simulator training showed significantly greater improvement in performance in the OR than those in the control group. VR surgical simulation is therefore a valid tool for training of laparoscopic psychomotor skills and could be incorporated into surgical training programmes.

Cholecystectomy, Laparoscopic↗

Molecular and electronic structure of nitridocyanometalates of chromium(V) and manganese(V): a combined experimental and DFT study.

The six-coordinate complexes [M(N)(CN)5]3- (M = Cr, Mn) have been isolated as salts of robust rhodium amine complexes. [Rh(en)3][Mn(N)(CN)5].H2O (1) and [Rh(tn)3] [Cr(N)(CN)5].2H2O (2) have been characterized by single-crystal X-ray crystallography: 1 crystallizes in the hexagonal space group P6(3) with a = b = 15.810(2) A, c = 13.844(3) A, V = 2996.8(8) A3, and Z = 6; 2 crystallizes in the orthorhombic space group Pbcn with a = 9.723(1) A, b = 14.564(2) A, c = 31.498(4) A, V = 4460.3(8) A3, and Z = 8. In 1, all the anions are oriented with their Mn identical to N directions almost coparallel to the crystallographic 3-fold axis. Polarized single-crystal UV-vis spectroscopy of 1 confirms the validity of the Jørgensen-Ballhausen-Gray d-orbital splitting scheme with the lowest energy transition being dxy-->[dyz,dzx]. Single-crystal EPR spectroscopy of [Cr(N)(CN)5]3- diluted into 1 shows the hyperfine (53Cr) and super-hyperfine (14N) tensors to be quite anisotropic with different major axes. For the hyperfine interaction we observe A Parallel > A Perpendicular, whereas, for the super-hyperfine interaction to the terminal nitrido ligand, the reverse ordering is found: A Perpendicular > A Parallel. The complexes [M(N)(CN)5]3-, trans-[M(N)(CN)4(py)]2-, and [M(N)(CN)4]2- (M = Cr, Mn) were investigated by DFT methods. Good reproduction of the molecular structures, vibrational, and UV-vis spectra was obtained. However, pronounced differences between local density and gradient corrected functionals were observed in the description of the weak bonding to the ligands trans to the nitrido ligand. For the five-coordinate [M(N)(CN)4]2- complexes the LUMO is predicted to be a strongly admixed dz2(M)-pz(M) hybrid.

Journal Article↗

The Mixed-Valent (µ-Nitrido)dimanganese Complex Anion

Localized valencies are displayed by the Mn(V)-Mn(II) complex ion 1. This is the key finding from X-ray structure analysis, as well as vibrational and EPR spectroscopic invesigations on 1 obtained by the reaction of manganese(II) and [Mn(v)(N)(CN)(5)](3-) salts in aqueous 1 M NaCN solution. Remarkably, the asymmetry is induced by the nitrogen atom bridge.

Journal Article↗