Lung volume reduction surgery versus conservative treatment in severe emphysema

Lung volume reduction surgery (LVRS) has been proposed for patients with severe emphysema to improve dyspnoea and pulmonary function. It is unknown, however, whether prognosis and pulmonary function in these patients can be improved compared to conservative treatment. The effect of LVRS and conservative therapy were compared prospectively in 57 patients with emphysema, who fulfilled the standard criteria for LVRS. The patients were divided into two groups according to their own decision. Patients in group 1 (n=29, eight females, mean+/-SEM 58.8+/-1.7 yrs, forced expiratory volume in one second (FEV1) 27.6+/-1.3% of the predicted value) underwent LVRS. Patients in group 2 (n=28, five females, 58.5+/-1.8 yrs, FEV1 30.8+/-1.4% pred) preferred to postpone LVRS. There were no significant differences in lung function between the two groups at baseline; however, there was a tendency towards better functional status in the control group. The control group had a better modified Medical Research Council (MMRC) dyspnea score (3.1+/-0.15 versus 3.5+/-0.1, p<0.04). Model-based comparisons were used to estimate the differences between the two groups over 18 months. Significant improvements were observed in the LVRS group compared to the control group in FEV1, total lung capacity (TLC), Residual volume (RV), MMRC dyspnea score and 6-min walking distance on all follow up visits. The estimated difference in FEV1 was 33% (95% confidence interval 13-58%; p>0.0001), in TLC 12.9% (7.9-18.8%; p>0.0001), in RV 60.9% 32.6-89.2%; p>0.0001), in 6-min walking distance 230 m (138-322 m; p<0.002) and in MMRC dyspnoea score 1.17 (0.79-1.55; p<0.0001). In conclusion, lung volume reduction surgery is more effective than conservative treatment for the improvement of dyspnoea, lung function and exercise capacity in selected patients with severe emphysema.

The CONSORT statement checklist in allergen-specific immunotherapy: a GA2LEN paper

The methodology of randomized clinical trials is essential for the critical assessment and registration of therapeutic interventions. The CONSORT (Consolidated Standards of Reporting Trials) statement was developed to alleviate the problems arising from the inadequate reporting of randomized controlled trials. The present article reflects on the items that we believe should be included in the CONSORT checklist in the context of conducting and reporting trials in allergen-specific immunotherapy. Only randomized, blinded (in particular blinding of patients, health care providers, and outcome assessors), placebo-controlled Phase III studies in this article. Our analysis focuses on the definition of patients' inclusion and exclusion criteria, allergen standardization, primary, secondary and exploratory outcomes, reporting of adverse events and analysis.

Pharmacovigilance of drug allergy and hypersensitivity using the ENDA-DAHD database and the GALEN platform. The Galenda project

Nonallergic hypersensitivity and allergic reactions are part of the many different types of adverse drug reactions (ADRs). Databases exist for the collection of ADRs. Spontaneous reporting makes up the core data-generating system of pharmacovigilance, but there is a large under-estimation of allergy/hypersensitivity drug reactions. A specific database is therefore required for drug allergy and hypersensitivity using standard operating procedures (SOPs), as the diagnosis of drug allergy/hypersensitivity is difficult and current pharmacovigilance algorithms are insufficient. Although difficult, the diagnosis of drug allergy/hypersensitivity has been standardized by the European Network for Drug Allergy (ENDA) under the aegis of the European Academy of Allergology and Clinical Immunology and SOPs have been published. Based on ENDA and Global Allergy and Asthma European Network (GA(2)LEN, EU Framework Programme 6) SOPs, a Drug Allergy and Hypersensitivity Database (DAHD((R))) has been established under FileMaker((R)) Pro 9. It is already available online in many different languages and can be accessed using a personal login. GA(2)LEN is a European network of 27 partners (16 countries) and 59 collaborating centres (26 countries), which can coordinate and implement the DAHD across Europe. The GA(2)LEN-ENDA-DAHD platform interacting with a pharmacovigilance network appears to be of great interest for the reporting of allergy/hypersensitivity ADRs in conjunction with other pharmacovigilance instruments.

Within-Season Homing Movements of Displaced Mature Sunapee Trout (Salvelinus Alpinus) in Floods Pond, Maine

Tagging, displacemenat nd recapture, and ultrasonict racking of displaced mature Sunapee trout (Salvelinusa Ipinus) in Floods Pond, Maine, demonstrated that rapid within-season homing occurs in this relict form of Arctic char. Of the trout displaced about 1.8 km from their spawning ground from 1972 to 1975, 9% to 32% were recaptured one to four times within the same spawning season in trap nets set on the spawning ground. Eight of 14 trout tracked ultrasonically in 1975 homed in 2.5 to 10.0 h. Movements of the homing fish were variable; some trout homed paralleling the shoreline, others homed in open water or used a combination of near-shore and open-water movements. Behavior was similar between the sexes and during day and night, although two fish did begin to move just at sundown. Swimming speeds ranged from 15 to 35 cm s- 1 and averaged about 0 .6 body lengths s -1•. Swimming directions were not influenced by wind and wave direction, nor were swimming speeds within individual tracks influenced by cloud cover, wave height, or water depth. Heavy overcast at night m&y have inhibited movement. Sunapee trout are apparently familiar with the entire lake and travel widely within it. Visual features are postulated as orientational cues, though use of such cues is not clearly demonstrated by our experiments.

Acoustic Detection of Organic Enrichment in Sediments at a Salmon Farm Is Confirmed by Independent Groundtruthing Methods

Acoustic backscatter contrast in depositional sediments under salmon farm cages in the Bay of Fundy, Canada, was correlated with localized changes in (unknown) sediment geotechnical properties, as indicated by 4 independent measures of organic enrichment. Sediment total sulfides and redox potentials, enzyme hydrolyzable amino acids, sediment profile imaging and macrofaunal samples, taken at mid-cage positions, each rejected the null hypothesis that salmon cage footprints, defined acoustically as high backscatter areas, were indistinguishable from nearby reference areas. Acoustic backscatter imaging appears capable of mapping organic enrichment in depositional sediments caused by excessive inputs of salmon farm wastes associated with intensive aquaculture.

Judaeorum medicorum clypeus : daß ist: gründliche Wiederlegung deß, zu deren jüdischen Medicorum Nachtheil neulich hrsg. Tractätleins, worinnen ... bewiesen wird, dass denen Jüdischen Medicis die in medicinae Doctorem Promotio nicht allein niemahls wiedersprochen, sondern auch von denenselben dazu vor fähig u. würdig, sind erkennet u. gehalten worden

entworffen von D. G. W.

Jesus der Messias und der Judaismus : eine historisch-exegetisch-dogmatische Abhandlung ; hervorgerufen durch e. Beschwerde-Schriftlein d. Rabbiners Rosenfeld zu Bamberg an die Stände-Versammlung in München

von G. Riegler

Persecution of the Jews at Damascus : the result of personal inquiry on the spot

statement of G. W. Pieritz

Kurzgefasste Grammatik der Hebräischen Sprache für den Schul- und Universitäts-Gebrauch nach neuen Grundsätzen bearbeitet

von G. W. Freytag

Der hisṭorišer maṭerializm un zaine kegner

G. W. Plechanow (N. Beltow). (Jidd. D. B. Malkin)

Die Wirksamkeit der Dresdner Stadtverordneten im Jahre 1848 : nebst eingeschaltetem Geschäftskatechismus für deren Amtsnachfolger ; der Reinertrag ist zur Unterstützung des, in Dresden für verarmte Bürger zu errichtenden Hospitals bestimmt

Boberach: Aus Anlaß der bevorstehenden Neuwahlen nach einem neuen direkten Wahlverfahren geben die bisherigen 60 Stadtverordneten Auskunft über ihre Beschlüsse und Maßnahmen

Pädagogische Arbeitsgemeinschaft der Ortsgruppe München des jüdischen Frauenbundes

G. W.

Tending the Vineyard: Maritime Religion on Martha's Vineyard from 1824-1978

The first part of this paper will give a brief introduction to maritime missiology, the second section will trace the beginnings of the Boston Seaman’s Friend Society in the nineteenth century and the third will focus on the Vineyard Haven branch of that work well into the twentieth century. Using source material from the American Seamen’s Friend Society - there is a 5,000 document collection of the ASFS papers in the G.W. Blunt White Library at Mystic Seaport, the Boston Seaman’s Friend Society - whose papers are mostly in the Congregational House on Beacon Hill in Boston, and other secondary works from the nineteenth and twentieth century. I am especially indebted to George Wiseman’s book, They Kept the Lower Lights Burning, Wiseman was the pastor of Trinity Methodist Episcopal Church in Oak Bluff during WWII and the son-in-law of Austin Tower. This presentation will look at the many facets that made up religious work among seafarers.

Über materialistische Geschichtsauffassung

G. W. Plechanow