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Insufflation Pressure Above 25 Mm Hg Confers No Additional Benefit Over Lower Pressure Insufflation During Posterior Retroperitoneoscopic Adrenalectomy: a Retrospective Multi-centre Propensity Score-matched Analysis
Abstract: Background Insufflation pressures of or in excess of 25 mm Hg CO2 are routinely used during posterior retroperitoneoscopic adrenalectomy (PRA) in most centres. A critical analysis of the surgical literature provides limited evidence to support this strategy. Objective To determine whether high pressure (≥ 25 mm Hg) compared with lower pressure ( 25 mm Hg) retroperitoneoscopy reduces operating time and complications.brbrMethodsbrA multi-centre retrospective cohort study was performed using data collected over a period of almost one decade (1st November 2008 until 1st February 2018) from surgical centres in Germany. A total of 1032 patients with benign adrenal tumours were identifi...
Restructuring Welfare Governance
This volume brings together cutting-edge scholarship on an under-researched and topical issue. Quasi-marketization and managerialization of welfare organizations are found to constitute common reform trends in many European countries and across social policy domains, following similar timings albeit with different intensities. The analysis, carried out at the meso and micro levels, reveals that ex-post control by states has been strengthened, managers are becoming relevant or even central actors, while professionals in public welfare institutions are seeing their role and autonomy challenged.' - Ana M. Guillén, University of Oviedo, Spain 'In the contemporary welfare state public management...
Human Fallibility
A curious ambiguity surrounds errors in professional working contexts: they must be avoided in case they lead to adverse (and potentially disastrous) results, yet they also hold the key to improving our knowledge and procedures. In a further irony, it seems that a prerequisite for circumventing errors is our remaining open to their potential occurrence and learning from them when they do happen. This volume, the first to integrate interdisciplinary perspectives on learning from errors at work, presents theoretical concepts and empirical evidence in an attempt to establish under what conditions professionals deal with errors at work productively—in other words, learn the lessons they contai...
The Law Journal
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The Law Times
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Breast Cytohistology
Each volume in this richly illustrated series, published in association with the Papanicolaou Society of Cytopathology, provides an organ-based approach to the cytological and histological diagnosis of small tissue samples. Benign, pre-malignant and malignant entities are presented in a well-organized and standardized format, with high-resolution color photomicrographs, tables, and lists of key specific morphologic criteria. Example vignettes allow the reader to assimilate the diagnostic principles in a case-based format. This volume provides comprehensive coverage of both surgical pathology and cytopathology of breast lesions. With a focus on malignant tumors, the full spectrum of inflammatory disorders, benign lesions, and hyperplasias are also covered in detail. Advantages and disadvantages of aspiration and core biopsy are discussed, as well as ancillary testing such as hormonal and molecular markers. With over 500 printed photomicrographs and a CD-ROM offering all images in a downloadable format, this is an important resource for all anatomic pathologists.
You Are My TRUTH
Willkommen zurück in Bibertal Lexie, Emma und Gideon dachten, sie würden für immer Freunde bleiben. Doch dann fand für immer ein Ende: Lexie lief davon. Heute lebt sie bunt, chaotisch und stets voller Koffein mit ihren unterschiedlichsten tierischen Mitbewohnern in Bibertal und steckt ihr Herz in die Arbeit des nahegelegenen Wildparks. Doch dann führt Gott Gideon ebenfalls nach Bibertal. Nach einem misslungenen Feuerwehreinsatz soll er sich hier erholen. Bald merken die beiden: Trotz der vergangenen Jahre sind immer noch Gefühle füreinander da. Und als im Wildpark ein Feuer ausbricht, steht plötzlich viel mehr auf dem Spiel als eine alte Freundschaft ... Der 2. Band der Way.Truth-Life-Serie von der beliebten Autorin Felicitas Brandt. Der christliche Roman aus dem neuen Genre Faithful New Adult enthält wieder jede Menge Romantik, Freundschaft, Humor und Glauben. Band 1: "You are my WAY" Band 2: "You are my TRUTH" Band 3: "You are my LIFE" (erscheint voraussichtlich im Herbst 2025) Wenn du diese Tropes gerne liest, ist "You are my TRUTH" genau richtig für dich: - Second Chance - Friends to Lovers - Found Family - Slow Burn
Gedankenreise
Geschichten und Bilder der Kinder der 4. Klassen der Regenbogenschule Seelze aus dem Jahr 2024
