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1.
Glob Chang Biol ; 30(5): e17307, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38709196

RESUMEN

Climate change effects on tree reproduction are poorly understood, even though the resilience of populations relies on sufficient regeneration to balance increasing rates of mortality. Forest-forming tree species often mast, i.e. reproduce through synchronised year-to-year variation in seed production, which improves pollination and reduces seed predation. Recent observations in European beech show, however, that current climate change can dampen interannual variation and synchrony of seed production and that this masting breakdown drastically reduces the viability of seed crops. Importantly, it is unclear under which conditions masting breakdown occurs and how widespread breakdown is in this pan-European species. Here, we analysed 50 long-term datasets of population-level seed production, sampled across the distribution of European beech, and identified increasing summer temperatures as the general driver of masting breakdown. Specifically, increases in site-specific mean maximum temperatures during June and July were observed across most of the species range, while the interannual variability of population-level seed production (CVp) decreased. The declines in CVp were greatest, where temperatures increased most rapidly. Additionally, the occurrence of crop failures and low seed years has decreased during the last four decades, signalling altered starvation effects of masting on seed predators. Notably, CVp did not vary among sites according to site mean summer temperature. Instead, masting breakdown occurs in response to warming local temperatures (i.e. increasing relative temperatures), such that the risk is not restricted to populations growing in warm average conditions. As lowered CVp can reduce viable seed production despite the overall increase in seed count, our results warn that a covert mechanism is underway that may hinder the regeneration potential of European beech under climate change, with great potential to alter forest functioning and community dynamics.


Asunto(s)
Cambio Climático , Fagus , Estaciones del Año , Temperatura , Fagus/crecimiento & desarrollo , Fagus/fisiología , Europa (Continente) , Semillas/crecimiento & desarrollo , Semillas/fisiología , Reproducción , Árboles/crecimiento & desarrollo , Árboles/fisiología , Polinización
2.
PeerJ ; 12: e17235, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38708337

RESUMEN

The low survival rate of leverets may significantly contribute to steep population declines and slow recovery of European hares (Lepus europaeus). However, the leveret survival rate in farmlands with different landscape structures is poorly understood, and the existing evidence comes mainly from Western Europe. In this study, we explored the survival of leveret hare dummies along linear semi-natural habitats in homogeneous Central European arable farmland during the main part of the European hare reproduction period (March-April) in 2019 and 2020. The survival rate of hare leverets during the 14-day period was only 22.2%, and all predation events were recorded during the first six days of the experiment. Mammalian predators were responsible for 53.1% of predation events, avian predators for 40.8%, and agricultural operations for 6.1%. The red fox (Vulpes vulpes) was the dominant predator in our study area and was the primary cause of leveret dummy mortality (32.7%), but it also had the highest use-intensity and visit frequency of all of the study plots. Predation by avian predators was associated with patches of lower vegetation height and cover (such as plowed fields) and during daylight hours, whereas the opposite was true for mammalian predators. We propose that improving the habitat quality of arable landscapes by increasing the proportion and quality of extensively used non-farmed habitats (e.g., set-asides, wildflower areas, extensive meadows, fallow land, and semi-natural habitats on arable land) providing cover and shelter for leverets could be an effective management measure for reducing predation risk on leverets.


Asunto(s)
Ecosistema , Liebres , Conducta Predatoria , Animales , Granjas , Dinámica Poblacional , Aves , Zorros , Europa (Continente) , Agricultura
3.
PeerJ ; 11: e15000, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-36967992

RESUMEN

The objective of this article is to evaluate economic profits along with return on investment and also the impact of newly designed agri-environmental measures (AEM) on the presence of bioindicator species-European hare and roe deer-in comparison to conventionally cultivated agricultural land. The abundance of European hare was, on average, 4.5-6.7 times higher on AEM compared to the standard agricultural regime and 3.5-6.4 times higher in the case of roe deer in 2020 and 2021. From an economic point of view, the highest incomes were found for extensive orchard alleys and standard conventional crops-wheat and rapeseed rotation. The cash flow from extensive orchard was 4.3 times larger and wheat and rapeseed were 3.5 times larger than from the clover grass mixture. Moreover, the lowest value of operational expenses was found in the case of extensive orchard alleys. The payback period ranged from 16.02 years (wheat and rapeseed rotation) to 53.6 years (clover grass mixture). It is crucial not to assess the economic parameters separately but optimize them with sustainable wildlife management and other benefits that provide ecological and efficient directions of AEM for future generations. However, the performed economic analysis highlights the significantly lower incomes of most components of AEM. We see a principal issue of AEMs usage in the lack of strong incentives for farmers to maximize conservation outcomes. Therefore, the AEMs are often placed in locations with presumed low agriculture profit, which is often related to insignificant conservation effects. Thus, the incomparable AEMs profitability compared to conventional agriculture has to be reflected by the agricultural policy at the European Union level and subsidy policy of particular member states.


Asunto(s)
Ciervos , Liebres , Animales , Ecosistema , Animales Salvajes , Conservación de los Recursos Naturales , Agricultura
4.
J Environ Manage ; 332: 117353, 2023 Apr 15.
Artículo en Inglés | MEDLINE | ID: mdl-36716544

RESUMEN

The ongoing global climate change is challenging all sectors, forestry notwithstanding. On the one hand, forest ecosystems are exposed to and threatened by climate change, but on the other hand, forests can influence the course of climate change by regulating the water regime, air quality, carbon sequestration, and even reduce climate extremes. Therefore, it is crucial to see climate change not only as a risk causing forest disturbances and economic consequences but also as an opportunity for innovative approaches to forest management, conservation, and silviculture based on the results of long-term research. We reviewed 365 studies evaluating the impact of climate change on European forest ecosystems, all published during the last 30 years (1993-2022). The most significant consequences of climate change include more frequent and destructive large-scale forest disturbances (wildfire, windstorm, drought, flood, bark beetle, root rot), and tree species migration. Species distribution shifts and changes in tree growth rate have substantial effects on ecosystem carbon storage. Diameter/volume increment changed from -1 to +99% in Central and Northern Europe, while it decreased from -12 to -49% in Southern Europe across tree species over the last ca. 50 years. However, it is important to sharply focus on the causes of climate change and subsequently, on adaptive strategies, which can successfully include the creation of species-diverse, spatially and age-wise structured stands (decrease drought stress and increase production), prolongation of the regenerative period, or the use of suitable introduced tree species (e.g., Douglas fir, black pine, and Mediterranean oaks). But the desired changes are based on increasing diversity and the mitigation of climate change, and will require significantly higher initial costs for silviculture practices. In conclusion, the scope and complexity of the topic require further comprehensive and long-term studies focusing on international cooperation. We see a critical gap in the transfer of research results into actual forest practice, which will be the key factor influencing afforestation of forest stands and forest growth in the following decades. What our forests will look like for future generations and what the resulting impact of climate change will be on forestry is in the hands of forest managers, depending on supportive forestry research and climate change policy, including adaptive and mitigation strategies.


Asunto(s)
Ecosistema , Árboles , Cambio Climático , Bosques , Agricultura Forestal/métodos , Especies Introducidas
5.
Plants (Basel) ; 13(1)2023 Dec 31.
Artículo en Inglés | MEDLINE | ID: mdl-38202429

RESUMEN

Forest ecosystems in Sri Lanka are under pressure from intensive human activity and climate change. Invasive species are one of the greatest threats to autochthonous species and ecosystems. In Bundala National Park of Sri Lanka, there are efforts to control and limit the spreading of unwanted invasive Prosopis juliflora (Sw.) DC. and Opuntia dillenii (Ker-Gawl.) Haw., which poses a significant risk to natural ecosystem conservation. Nine different treatment variants (four replications) were used to test which management approach provides the control of Prosopis juliflora. This research is based on nine repeated measurements from 2017 to 2021 on 36 permanent research plots (each 625 m2) with 27 observed plant species and a total of 90,651 recorded plant individuals. The results confirmed that the dynamics of species richness, heterogeneity, and evenness showed significant differences between treatments during the five years of dynamics. The lowest species diversity was found in the control variant, followed by treatments based on the hard pruning and thinning of Prosopis juliflora trees. In contrast, strategies emphasizing the complete uprooting of Prosopis juliflora trees, replanting, and support of the natural regeneration of native species showed high species diversity and a high overall number of plant species. Generally, treatments had a significant effect on species diversity and the number of individuals of Prosopis juliflora, while changes in the overall number of plant species were more affected by time and succession. Silvicultural treatments including pruning, uprooting, and thinning have proven to be essential tools for nature conservation across various sites, aimed at enhancing habitat diversity in the face of ongoing climate change.

6.
Sci Rep ; 11(1): 20791, 2021 10 21.
Artículo en Inglés | MEDLINE | ID: mdl-34675330

RESUMEN

Implementation of various restrictions to eradicate viral diseases has globally affected human activity and subsequently nature. But how can the altered routines of human activity (restrictions, lockdowns) affect wildlife behaviour? This study compared the differences between human and wildlife occurrences in the study forest area with acreage of 5430.6 ha in 2018 (African swine fever outbreak, complete entrance ban), 2019 (standard pattern) and 2020 (COVID-19 restrictions) during the breeding season. The number of visitors was lower by 64% in 2018 (non-respecting of the entry ban by forest visitors) compared to standard 2019, while in 2020, the number of visitors increased to 151%. In the COVID-19 period, distinct peaks in the number of visitors were observed between 8-11 AM and 4-7 PM. The peaks of wildlife activity were recorded between 4-7 AM and 9-12 PM. Animals avoided the localities that were visited by humans during the people-influenced time (24 h after people visit), which confirmed the direct negative impact of human activities on wildlife.


Asunto(s)
Fiebre Porcina Africana/epidemiología , Animales Salvajes , COVID-19/epidemiología , Control de Enfermedades Transmisibles/métodos , Brotes de Enfermedades , Actividades Humanas , Animales , Femenino , Geografía , Humanos , Masculino , Pandemias , Análisis de Regresión , SARS-CoV-2 , Porcinos , Temperatura , Virosis/epidemiología
7.
Animals (Basel) ; 11(2)2021 Jan 27.
Artículo en Inglés | MEDLINE | ID: mdl-33513947

RESUMEN

We evaluated the spatiotemporal patterns of predation risk on black grouse nests using artificial nests that were monitored by camera traps in mountain areas with a small extant (Ore Mts.) and already extinct (Jeseníky Mts.) black grouse population. The overall predation rate of artificial nests was 56% and we found significant differences in survival rate courses over time between both study areas (68% Ore Mts. vs. 41%, Jeseníky Mts.). Within the time required for successful egg incubation (25 days), nest survival probability was 0.32 in the Ore Mts. and 0.59 in Jeseníky Mts. The stone marten (Martes foina) was the primary nest predator in both study areas (39% in total), followed by common raven (Corvus corax, 25%) and red fox (Vulpes vulpes, 22%). The proportion of depredated nests did not differ between habitat types (i.e., open forest interior, clearing, forest edge), but we recorded the effect of interaction of study area and habitat. In Ore Mts., the main nest predator was common raven with seven records (37%). The Eurasian jay (Garrulus glandarius) was responsible for most predation attempts in Jeseníky Mts. (five records, i.e., 83%), while in the Ore Mts., most predation attempts were done by red fox (six records, i.e., 38%).

8.
Prev Vet Med ; 177: 104943, 2020 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-32172021

RESUMEN

African swine fever (ASF) is a fatal, infectious disease affecting wild boars and domestic pigs, mostly resulting in their deaths. Previous studies showed that carcasses of infected wild boars pose a serious threat for ASF virus transmission and leaving of dead bodies in the environment enables persistence of the disease in the given affected area. Therefore, the prompt finding and removal of the carcasses is crucial for effective ASF control. This study reveals habitat preferences of ASF-positive wild boars for their deathbeds, which could greatly improve the effectivity in the search for infected carcasses. The vast majority (71%) of carcasses were found in forests (although forests occupy only 26.6% of the high-risk area - Zlin region, Czech Republic), especially in young forest stands; 91.3% of infected wild boar carcasses, which were found in forests, were in stands of up to 40 years of age, where infected individuals search for calm and quiet places. The preference of younger forest stands is significantly higher for infected individuals (p < 0.001). On meadows, infected individuals preferred a higher herb layer (p = 0.002) compared to non-infected individuals. A higher preference of places more distant from roads and forest edges was observed for the infected individuals as well (p < 0.001 in both cases). No differences in deathbed habitat preference were observed between selected sex-age categories. The distance between carcasses and water source was observed to be dependent on current mean temperature. Carcasses were found closer to the water sources at higher mean temperature. Because of the comparable character of the landscape, presented models are applicable across Central Europe and have the potential to greatly facilitate the search for infected carcasses.


Asunto(s)
Fiebre Porcina Africana/mortalidad , Conducta de Elección , Muerte , Ambiente , Sus scrofa/psicología , Virus de la Fiebre Porcina Africana/fisiología , Animales , Animales Salvajes/psicología , República Checa/epidemiología , Femenino , Masculino , Análisis Espacio-Temporal , Porcinos
9.
PLoS One ; 14(8): e0221082, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31415638

RESUMEN

The aim of this study was to evaluate (1) effects of bark stripping and climatic factors on radial growth of Picea abies /L./ Karst., (2) production and structural differences between stands established on the forestland and abandoned farmland (afforested farmland-henceforth, farmland), and (3) interaction among the losses caused by ungulate damages, production, diversity, and soil types. Data acquired from four permanent research plots (PRPs) located on the forestland and eight PRPs on the farmland were used. A number of tree- and stand-level models, stand structural indices, tree-rings, and climate characteristics were analysed to evaluate the hypotheses. The results show significantly higher means of DBH, tree height and basal area on the forestland compared to those on the farmland. There was a larger mean standing stem volume on the forestland (466 m3 ha-1) compared to farmland (770 m3 ha-1). Significant difference was observed between the mean DBH and mean stem volume of healthy trees compared to those of the trees with substantial damage (girth damage >1/3 of stem circumference). A greater extent of the girth damage was found on 86% trees on the farmland, while 54% damage on the forestland. About 62% bark-strip damage was further deteriorated by rot infection on the farmland, while on the forestland such an infection was only for 39% trees. The precipitation significantly positively affected the radial growth of trees that were largely affected by ungulate damages on the farmland.


Asunto(s)
Clima , Ciervos/fisiología , Granjas , Bosques , Modelos Biológicos , Picea/crecimiento & desarrollo , Corteza de la Planta , Animales
10.
Environ Manage ; 62(5): 942-954, 2018 11.
Artículo en Inglés | MEDLINE | ID: mdl-30143821

RESUMEN

Windbreak is one of the key factors for making the agriculture systems successful through reduced wind erosion, improved microclimate, increased biodiversity, and production potentiality of timber and agricultural crops. Even though windbreak occupies only a small part of agricultural landscape, its advantages on the ecological and economical perspective are quite high. This study evaluated the effects of three windbreak types on the wind erosion control in relation to their structural diversities, wind-speed reduction, and optical porosities in the central part of the Czech Republic. Diversity in the windbreak was evaluated based on its species diversity, vertical structure, spatial pattern, and complexities. Wind speed was measured at the different distances on the leeward side of the windbreak and one station placed on the windward side as a control. Windbreak characteristics were described by terrestrial photogrammetry method using the values of optical porosity. The timber volume of the windbreaks with rich biodiversity species ranged from 224 to 443 m3 ha-1height of the windbreak on the. Results of the windbreak efficiency showed significantly closer relationship between optical porosity and structural indices. The optical porosity significantly correlated with wind-speed reduction, especially in the lower part of the windbreak. A significant dependency of the windbreak efficiency on the tree dominant height was also observed for each windbreak type. The most significant effect on the wind-speed reduction in terms of structural indices had total diversity index and Arten-profile index describing vertical structures, which are recommended together with the optical porosity to evaluate the windbreak efficiency in controlling wind erosion.


Asunto(s)
Agricultura/métodos , Conservación de los Recursos Naturales/métodos , Árboles/crecimiento & desarrollo , Viento , Ecología , Europa (Continente)
11.
PLoS One ; 12(10): e0186394, 2017.
Artículo en Inglés | MEDLINE | ID: mdl-29049391

RESUMEN

Height to crown base (HCB) of a tree is an important variable often included as a predictor in various forest models that serve as the fundamental tools for decision-making in forestry. We developed spatially explicit and spatially inexplicit mixed-effects HCB models using measurements from a total 19,404 trees of Norway spruce (Picea abies (L.) Karst.) and European beech (Fagus sylvatica L.) on the permanent sample plots that are located across the Czech Republic. Variables describing site quality, stand density or competition, and species mixing effects were included into the HCB model with use of dominant height (HDOM), basal area of trees larger in diameters than a subject tree (BAL- spatially inexplicit measure) or Hegyi's competition index (HCI-spatially explicit measure), and basal area proportion of a species of interest (BAPOR), respectively. The parameters describing sample plot-level random effects were included into the HCB model by applying the mixed-effects modelling approach. Among several functional forms evaluated, the logistic function was found most suited to our data. The HCB model for Norway spruce was tested against the data originated from different inventory designs, but model for European beech was tested using partitioned dataset (a part of the main dataset). The variance heteroscedasticity in the residuals was substantially reduced through inclusion of a power variance function into the HCB model. The results showed that spatially explicit model described significantly a larger part of the HCB variations [R2adj = 0.86 (spruce), 0.85 (beech)] than its spatially inexplicit counterpart [R2adj = 0.84 (spruce), 0.83 (beech)]. The HCB increased with increasing competitive interactions described by tree-centered competition measure: BAL or HCI, and species mixing effects described by BAPOR. A test of the mixed-effects HCB model with the random effects estimated using at least four trees per sample plot in the validation data confirmed that the model was precise enough for the prediction of HCB for a range of site quality, tree size, stand density, and stand structure. We therefore recommend measuring of HCB on four randomly selected trees of a species of interest on each sample plot for localizing the mixed-effects model and predicting HCB of the remaining trees on the plot. Growth simulations can be made from the data that lack the values for either crown ratio or HCB using the HCB models.


Asunto(s)
Fagus/crecimiento & desarrollo , Modelos Biológicos , Picea/crecimiento & desarrollo
12.
Acta Medica (Hradec Kralove) ; 53(1): 25-9, 2010.
Artículo en Inglés | MEDLINE | ID: mdl-20608229

RESUMEN

Cryptogenic multifocal ulcerous stenosing enteritis (CMUSE) is a rare condition characterised by chronic or relapsing moderate ileous episodes resulting from multiple small intestinal strictures, multiple shallow ulcers of the small bowel and favourable therapeutical effect of glucocorticosteroids. The aim of this paper was to evaluate three cases of CMUSE diagnosed within 10 years at a tertiary gastroenterology centre. Three females (35, 50, 60 years) were presented with colicky pain, repeated moderate ileous episodes and weight loss. Multiple fibrous strictures and ulcers of the small bowel were found. All three patients responded to glucocorticosteroid treatment. Tandem tight jejunal stenoses were dilated endoscopically by means of double balloon enteroscopy. In conclusion, CMUSE should always be considered when chronic moderate ileous episodes and multiple small intestinal strictures and ulcers of uncertain aetiology are found. Double balloon enteroscopy enables precise diagnostic work, possible endoscopic treatment of stenoses, may obviate the need for surgery and prevent excessive small bowel resections.


Asunto(s)
Enteritis/complicaciones , Obstrucción Intestinal/complicaciones , Úlcera/complicaciones , Adulto , Enteritis/patología , Femenino , Humanos , Obstrucción Intestinal/patología , Intestino Delgado/patología , Persona de Mediana Edad , Úlcera/patología
13.
J Gastrointest Surg ; 14(3): 578-81, 2010 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-19274480

RESUMEN

INTRODUCTION: Meckel's diverticulum is the most common congenital anomaly of the gastrointestinal tract. Authors present a 67-year-old woman treated for iron deficiency anemia for the past 5 years. Suddenly, her disease was presented with painless severe gastrointestinal bleeding (fresh melena). Inverted Meckel's diverticulum with ectopic pancreatic tissue as a source of severe gastrointestinal bleeding was diagnosed by intraoperative enteroscopy. CONCLUSION: A combination of inversion of Meckel's diverticulum with ectopic pancreatic tissue is extremely rare, particularly in elderly patient. Capsule endoscopy, double balloon enteroscopy, and ultimately intraoperative enteroscopy may be helpful in timely diagnosis.


Asunto(s)
Endoscopía Capsular/métodos , Coristoma/complicaciones , Hemorragia Gastrointestinal/etiología , Hemorragia Gastrointestinal/cirugía , Divertículo Ileal/complicaciones , Páncreas , Anciano , Biopsia con Aguja , Transfusión Sanguínea , Coristoma/patología , Endoscopía Gastrointestinal/métodos , Femenino , Estudios de Seguimiento , Hemorragia Gastrointestinal/diagnóstico , Hemorragia Gastrointestinal/patología , Humanos , Enfermedades del Íleon/diagnóstico , Enfermedades del Íleon/cirugía , Inmunohistoquímica , Divertículo Ileal/diagnóstico , Enfermedades Raras , Medición de Riesgo , Resultado del Tratamiento
14.
Hepatogastroenterology ; 49(46): 1045-7, 2002.
Artículo en Inglés | MEDLINE | ID: mdl-12143198

RESUMEN

BACKGROUND/AIMS: The prognosis of carcinomas of the subhepatic region is poor, and therapeutic efforts are limited mostly to palliation. The aim of this study was to retrospectively evaluate the effectiveness of transduodenal administration of intraluminal high dose rate brachytherapy in the palliative treatment of bile duct and pancreatic head carcinomas. METHODOLOGY: Twelve patients with inoperable bile duct and pancreatic head carcinomas were treated by transduodenal brachytherapy using high dose rate remote afterloading system. Eleven patients were treated by intraluminal brachytherapy inserted via a nasobiliary drain and one patient by intraluminal brachytherapy via a nasopancreatic drain inserted in the duct of Wirsung. RESULTS: After transduodenal intraluminal brachytherapy, a control of icterus was observed in all patients. The treatment was well tolerated with the mean survival of 284 days. CONCLUSIONS: Transduodenal intraluminal brachytherapy is technically feasible. The addition of intraluminal brachytherapy may be beneficial to patients in whom drainage can be established. Transduodenal insertion of brachytherapy is not competitive to the percutaneous approach but spreads the possibilities of the treatment of bile duct carcinoma. Intraluminal brachytherapy of pancreatic head carcinoma is feasible only via transduodenal approach.


Asunto(s)
Adenocarcinoma/radioterapia , Neoplasias de los Conductos Biliares/radioterapia , Braquiterapia/métodos , Colangiopancreatografia Retrógrada Endoscópica/métodos , Colestasis/radioterapia , Conducto Hepático Común , Cuidados Paliativos , Neoplasias Pancreáticas/radioterapia , Adenocarcinoma/diagnóstico por imagen , Adulto , Anciano , Neoplasias de los Conductos Biliares/diagnóstico por imagen , Colangiografía , Drenaje/métodos , Duodeno , Estudios de Factibilidad , Femenino , Estudios de Seguimiento , Conducto Hepático Común/diagnóstico por imagen , Humanos , Masculino , Persona de Mediana Edad , Dosificación Radioterapéutica , Resultado del Tratamiento
15.
Hepatogastroenterology ; 49(46): 916-7, 2002.
Artículo en Inglés | MEDLINE | ID: mdl-12143240

RESUMEN

BACKGROUND/AIMS: The prognosis of biliary tract carcinomas is poor, and therapeutic efforts are limited mostly only to palliation. The aim of this study was to retrospectively evaluate the effectiveness and tolerability of intraluminal high dose rate brachytherapy in the treatment of bile duct and gallbladder carcinomas. METHODOLOGY: Thirteen patients with bile duct and gallbladder carcinomas were treated by brachytherapy administered through high dose rate remote afterloading system. Five patients after Roux-en-Y hepaticojejunoanastomosis were treated by intraluminal brachytherapy inserted via a diahepatal drain, and 8 inoperable patients were treated by intraluminal brachytherapy via a percutaneous biliary drain. RESULTS: After intraluminal brachytherapy, a control of icterus was observed in all patients. The treatment was well tolerated and mean survival was 275 days. CONCLUSIONS: The addition of intraluminal brachytherapy may be beneficial to patients with carcinomas causing biliary obstruction in whom bile drainage can be established.


Asunto(s)
Adenocarcinoma/radioterapia , Neoplasias de los Conductos Biliares/radioterapia , Braquiterapia/métodos , Colangiocarcinoma/radioterapia , Colestasis/radioterapia , Neoplasias de la Vesícula Biliar/radioterapia , Adenocarcinoma/cirugía , Anciano , Anciano de 80 o más Años , Anastomosis en-Y de Roux , Neoplasias de los Conductos Biliares/cirugía , Colangiocarcinoma/cirugía , Colestasis/cirugía , Drenaje/métodos , Femenino , Estudios de Seguimiento , Neoplasias de la Vesícula Biliar/cirugía , Humanos , Yeyunostomía , Masculino , Persona de Mediana Edad , Cuidados Paliativos , Dosificación Radioterapéutica , Radioterapia Adyuvante , Estudios Retrospectivos , Resultado del Tratamiento
16.
Artículo en Checo | MEDLINE | ID: mdl-19569577

RESUMEN

We retrospectively reviewed the incidence of bronchopleural fistula after pneumonectomy. The records of 844 consecutive patients who underwent pneumonectomy within a period between the January 1962 and December 2000 either for the lung cancer or for benign diseases have been assessed. There were 12 cases of bronchopleural fistula representing an incidence of 1.42 %. All operations were performed using an uniform hand suture technique. Eight fistulas developed in patients who underwent pneumonectomy for lung cancer while four occurred in patients with benign diseases. Bronchial dehiscence was confirmed by bronchography or bronchoscopy in each patient. Resuturing of the stump and single completed muscle flap closure was performed in five patients. In three patients with very small fistulas we used the drainage of the pleural cavity and antibiotics only. Three other patients were treated by thoracoplasty. In one patient bronchoscopy closure by tissue adhesive and bone graft was done. The treatment was successful in nine patients from our set while the other three developed fatal complications.


Asunto(s)
Fístula Bronquial/etiología , Fístula/etiología , Enfermedades Pleurales/etiología , Neumonectomía/efectos adversos , Fístula Bronquial/diagnóstico , Fístula/diagnóstico , Humanos , Enfermedades Pleurales/diagnóstico
17.
Artículo en Checo | MEDLINE | ID: mdl-19569583

RESUMEN

Intrathoracic and intravascular migratory foreign bodies are a small but distinctive subgroup of injuries. The intravascular embolus can be treated like arterial or venous emboli of any other sort and removed as indicated. Wandering foreign bodies in the body cavities should be removed when they need to be, just like bodies imbedded in the body in a fixed position. Authors report an unusual case of migratory foreign body as a complication of osteosynthesis.


Asunto(s)
Hilos Ortopédicos , Migración de Cuerpo Extraño/cirugía , Atrios Cardíacos , Luxaciones Articulares/cirugía , Dispositivos de Fijación Ortopédica/efectos adversos , Articulación Esternoclavicular/lesiones , Adulto , Migración de Cuerpo Extraño/diagnóstico , Humanos , Masculino
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