New, low estimate for carbon stock in global forest vegetation based on inventory data

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Percutaneous drainage versus emergency cholecystectomy for the treatment of acute cholecystitis in critically ill patients: does it matter?

Background The aim if this study was to compare percutaneous drainage (PD) of the gallbladder to emergency cholecystectomy (EC) in a well-defined patient group with sepsis related to acute calculous/acalculous cholecystitis (ACC/AAC).Methods Between 2001 and 2007, all consecutive patients of our ICU treated by either PD or EC were retrospectively analyzed. Cases were collected from a prospective database. Percutaneous drainage was performed by a transhepatic route and EC by open or laparoscopic approach. Patients' general condition and organ dysfunction were assessed by two validated scoring systems (SAPS II and SOFA, respectively). Morbidity, mortality, and long-term outcome were systematically reviewed and analyzed in both groups.Results Forty-two patients [median age = 65.5 years (range = 32-94)] were included; 45% underwent EC (ten laparoscopic, nine open) and 55% PD (n = 23). Both patient groups had similar preoperative characteristics. Percutaneous drainage and EC were successful in 91 and 100% of patients, respectively. Organ dysfunctions were similarly improved by the third postoperative/postdrainage days. Despite undergoing PD, two patients required EC due to gangrenous cholecystitis. The conversion rate after laparoscopy was 20%. Overall morbidity was 8.7% after PD and 47% after EC (P = 0.011). Major morbidity was 0% after PD and 21% after EC (P = 0.034). The mortality rate was not different (13% after PD and 16% after EC, P = 1.0) and the deaths were all related to the patients' preexisting disease. Hospital and ICU stays were not different. Recurrent symptoms (17%) occurred only after ACC in the PD group.Conclusions In high-risk patients, PD and EC are both efficient in the resolution of acute cholecystitis sepsis. However, EC is associated with a higher procedure-related morbidity and the laparoscopic approach is not always possible. Percutaneous drainage represents a valuable intervention, but secondary cholecystectomy is mandatory in cases of acute calculous cholecystitis.

Confidential report on lake restoration projects, Iowa conservation plan,1932

This report contains findings on 52 lake restoration projects. It summarizes the interpretation of the detailed project reports, maps, and cost estimates.

Cost-plus-loss analyses of forest inventory strategies based on kNN-assigned reference sample plot data

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Variation in soil nutrient concentrations and bulk density within peatland forest sites

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State Forest Nursery 2013-2014 Seedling Catalog, 2013

The State Forest Nursery welcomes the opportunity to help you with your tree planting needs. Our goal is to provide low cost, native seedlings in order to help make your tree planting successful and affordable. We strive to produce the best stock in the industry, and our staff will do everything they can to help you achieve your planting goals. We want your tree planting to be successful, so please let us know how we can help! You can contact us www.iowatreeplanting.com By planting trees today you will leave a legacy for your children and grandchildren, as well as a legacy for your home state, its people and its habitat. Let us help you leave your mark on the state you love- your children and grandchildren will thank you!

Salon d'art décoratif moderne : [Catalogue] / [Couv.ill. par Henry de Waroquier]

[Exposition internationale. Gand. 1913]

Nature conservation efforts by forest owners : intentions and practice in a Swedish case study

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Heavy-metal pollution and remediation of forest soil around the Harjavalta Cu-Ni smelter, in SW Finland

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