bigbio/muchmore · Datasets at Hugging Face

id stringlengths 22 50	document_id stringlengths 22 50	passages list	entities list	events list	coreferences list	relations list
DerChirurg.70680718.eng.abstr	DerChirurg.70680718.eng.abstr	[ { "id": "DerChirurg.70680718.eng.abstr-passage-0", "type": "abstract", "text": [ "The unreamed femoral nail ( UFN ) system , with its numerous proximal interlocking options , allows a minimal invasive surgical procedure for the treatment of nearly all femoral fracture patterns . Sixty-six fractures , 5 cases of osteolysis or pathologic fractures , 2 limb shortenings and 1 lengthening ( monorail technique ) and 3 cases of pseudarthrosis were stabilised with the UFN from July 1994 to December 1996. The fractures were analysed according to the AO classification . We found 31 polytrauma patients with an mean ISS of 21.8 and a mean PTS of 25.4. Most of the multiply injured patients ( n = 26 ) were stabilised with the UFN primarily . Follow-up of 44 patients ranged from 4 to 18 months postoperatively . According to our clinical and radiological score the results were excellent in 34 % of cases , good in 36.3 % , poor in 20.4 % and bad in 9 % . Average fracture healing time was about 9.8 weeks ." ], "offsets": [ [ 0, 921 ] ] } ]	[ { "id": "DerChirurg.70680718.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "surgical" ], "offsets": [ [ 119, 127 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70680718.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "procedure" ], "offsets": [ [ 128, 137 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0184661" }, { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.70680718.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "treatment" ], "offsets": [ [ 146, 155 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerChirurg.70680718.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "fracture" ], "offsets": [ [ 178, 186 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016658" } ] }, { "id": "DerChirurg.70680718.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "surgical procedure" ], "offsets": [ [ 119, 137 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0543467" } ] }, { "id": "DerChirurg.70680718.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "femoral fracture" ], "offsets": [ [ 170, 186 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015802" } ] }, { "id": "DerChirurg.70680718.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "fractures" ], "offsets": [ [ 208, 217 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016658" } ] }, { "id": "DerChirurg.70680718.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "osteolysis" ], "offsets": [ [ 231, 241 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0029435" } ] }, { "id": "DerChirurg.70680718.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "pathologic" ], "offsets": [ [ 245, 255 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0205469" } ] }, { "id": "DerChirurg.70680718.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "fractures" ], "offsets": [ [ 256, 265 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016658" } ] }, { "id": "DerChirurg.70680718.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "limb" ], "offsets": [ [ 270, 274 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015385" } ] }, { "id": "DerChirurg.70680718.eng.abstr-s2-t6", "type": "umlsterm", "text": [ "technique" ], "offsets": [ [ 316, 325 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.70680718.eng.abstr-s2-t7", "type": "umlsterm", "text": [ "pseudarthrosis" ], "offsets": [ [ 343, 357 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0033785" } ] }, { "id": "DerChirurg.70680718.eng.abstr-s2-t8", "type": "umlsterm", "text": [ "fractures" ], "offsets": [ [ 424, 433 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016658" } ] }, { "id": "DerChirurg.70680718.eng.abstr-s2-t9", "type": "umlsterm", "text": [ "classification" ], "offsets": [ [ 468, 482 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0008902" }, { "db_name": "UMLS", "db_id": "C0008903" } ] }, { "id": "DerChirurg.70680718.eng.abstr-s2-t10", "type": "umlsterm", "text": [ "pathologic fractures" ], "offsets": [ [ 245, 265 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016663" } ] }, { "id": "DerChirurg.70680718.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "polytrauma" ], "offsets": [ [ 497, 507 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021501" }, { "db_name": "UMLS", "db_id": "C0043251" } ] }, { "id": "DerChirurg.70680718.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 508, 516 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680718.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 595, 603 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680718.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 672, 680 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680718.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "fracture" ], "offsets": [ [ 878, 886 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016658" } ] }, { "id": "DerChirurg.70680718.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "time" ], "offsets": [ [ 895, 899 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040223" } ] }, { "id": "DerChirurg.70680718.eng.abstr-s6-t3", "type": "umlsterm", "text": [ "fracture healing" ], "offsets": [ [ 878, 894 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0162542" } ] } ]	[]	[]	[ { "id": "DerChirurg.70680718.eng.abstr-s1-r1-t5.1-t6.1", "type": "associated_with", "arg1_id": "DerChirurg.70680718.eng.abstr-s2-t5", "arg2_id": "DerChirurg.70680718.eng.abstr-s2-t6", "normalized": [] }, { "id": "DerChirurg.70680718.eng.abstr-s1-r2-t1.1-t3.1", "type": "conceptual_part_of", "arg1_id": "DerChirurg.70680718.eng.abstr-s6-t1", "arg2_id": "DerChirurg.70680718.eng.abstr-s6-t3", "normalized": [] }, { "id": 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DerChirurg.70680727.eng.abstr	DerChirurg.70680727.eng.abstr	[ { "id": "DerChirurg.70680727.eng.abstr-passage-0", "type": "abstract", "text": [ "After a latency period of 20 years , in a 39-year-old Austrian citizen of Chinese origin , a surgically removed rectal carcinoma , as well as the neighboring chronic inflammatory rectal mucosa with various degrees of dysplasia and one positive neighboring lymph node , showed helminthiasis in the histopathological examination , convincing us of a link between carcinoma and chronic helminthiasis . Whereas the etiological context between chronic infection by Schistosoma haematobium and endemic frequent urinary bladder carcinoma is considered a matter of fact , whether of not the incidence of intestinal carcinoma is increased in connection with chronic intestinal schistosomiasis is controversial . The etiological and pathogenetic link between helminthiasis and carcinoma should be considered in the same way as for other related inflammatory large-bowel diseases . In the sequence chronic inflammation - severe dysplasia , the formation of carcinoma could possibly occur . Besides a survey of trematodes parasitology and pathology , the link between rectal carcinoma and Schistosomiasis japonicum is pointed out by means of appropriate literature investigations ." ], "offsets": [ [ 0, 1169 ] ] } ]	[ { "id": "DerChirurg.70680727.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "period" ], "offsets": [ [ 16, 22 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025344" } ] }, { "id": "DerChirurg.70680727.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "Chinese" ], "offsets": [ [ 74, 81 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0152035" } ] }, { "id": "DerChirurg.70680727.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "origin" ], "offsets": [ [ 82, 88 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0079946" } ] }, { "id": "DerChirurg.70680727.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "carcinoma" ], "offsets": [ [ 119, 128 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007097" } ] }, { "id": "DerChirurg.70680727.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "mucosa" ], "offsets": [ [ 186, 192 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026724" } ] }, { "id": "DerChirurg.70680727.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "lymph" ], "offsets": [ [ 256, 261 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024202" } ] }, { "id": "DerChirurg.70680727.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "helminthiasis" ], "offsets": [ [ 276, 289 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0018889" } ] }, { "id": "DerChirurg.70680727.eng.abstr-s1-t8", "type": "umlsterm", "text": [ "histopathological" ], "offsets": [ [ 297, 314 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243140" } ] }, { "id": "DerChirurg.70680727.eng.abstr-s1-t9", "type": "umlsterm", "text": [ "link" ], "offsets": [ [ 348, 352 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0208973" } ] }, { "id": "DerChirurg.70680727.eng.abstr-s1-t10", "type": "umlsterm", "text": [ "carcinoma" ], "offsets": [ [ 361, 370 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007097" } ] }, { "id": "DerChirurg.70680727.eng.abstr-s1-t11", "type": "umlsterm", "text": [ "helminthiasis" ], "offsets": [ [ 383, 396 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0018889" } ] }, { "id": "DerChirurg.70680727.eng.abstr-s1-t12", "type": "umlsterm", "text": [ "latency period" ], "offsets": [ [ 8, 22 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023103" } ] }, { "id": "DerChirurg.70680727.eng.abstr-s1-t13", "type": "umlsterm", "text": [ "lymph node" ], "offsets": [ [ 256, 266 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024204" } ] }, { "id": "DerChirurg.70680727.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "infection" ], "offsets": [ [ 447, 456 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021311" } ] }, { "id": "DerChirurg.70680727.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "Schistosoma" ], "offsets": [ [ 460, 471 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0036315" } ] }, { "id": "DerChirurg.70680727.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "endemic" ], "offsets": [ [ 488, 495 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243130" } ] }, { "id": "DerChirurg.70680727.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "bladder" ], "offsets": [ [ 513, 520 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005682" }, { "db_name": "UMLS", "db_id": "C0005684" } ] }, { "id": "DerChirurg.70680727.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "carcinoma" ], "offsets": [ [ 521, 530 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007097" } ] }, { "id": "DerChirurg.70680727.eng.abstr-s2-t6", "type": "umlsterm", "text": [ "incidence" ], "offsets": [ [ 583, 592 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220856" }, { "db_name": "UMLS", "db_id": "C0021149" } ] }, { "id": "DerChirurg.70680727.eng.abstr-s2-t7", "type": "umlsterm", "text": [ "carcinoma" ], "offsets": [ [ 607, 616 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007097" } ] }, { "id": "DerChirurg.70680727.eng.abstr-s2-t8", "type": "umlsterm", "text": [ "schistosomiasis" ], "offsets": [ [ 668, 683 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0036323" } ] }, { "id": "DerChirurg.70680727.eng.abstr-s2-t9", "type": "umlsterm", "text": [ "Schistosoma haematobium" ], "offsets": [ [ 460, 483 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0276926" }, { "db_name": "UMLS", "db_id": "C0036316" } ] }, { "id": "DerChirurg.70680727.eng.abstr-s2-t10", "type": "umlsterm", "text": [ "urinary bladder" ], "offsets": [ [ 505, 520 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005682" } ] }, { "id": "DerChirurg.70680727.eng.abstr-s2-t11", "type": "umlsterm", "text": [ "intestinal schistosomiasis" ], "offsets": [ [ 657, 683 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0242497" } ] }, { "id": "DerChirurg.70680727.eng.abstr-s2-t12", "type": "umlsterm", "text": [ "infection by Schistosoma" ], "offsets": [ [ 447, 471 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0036323" } ] }, { "id": "DerChirurg.70680727.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "link" ], "offsets": [ [ 736, 740 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0208973" } ] }, { "id": "DerChirurg.70680727.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "helminthiasis" ], "offsets": [ [ 749, 762 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0018889" } ] }, { "id": "DerChirurg.70680727.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "carcinoma" ], "offsets": [ [ 767, 776 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007097" } ] }, { "id": "DerChirurg.70680727.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "large-bowel" ], "offsets": [ [ 848, 859 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021853" } ] }, { "id": "DerChirurg.70680727.eng.abstr-s3-t5", "type": "umlsterm", "text": [ "diseases" ], "offsets": [ [ 860, 868 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0012634" } ] }, { "id": "DerChirurg.70680727.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "inflammation" ], "offsets": [ [ 895, 907 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021368" } ] }, { "id": "DerChirurg.70680727.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "carcinoma" ], "offsets": [ [ 946, 955 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007097" } ] }, { "id": "DerChirurg.70680727.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "survey" ], "offsets": [ [ 989, 995 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038951" } ] }, { "id": "DerChirurg.70680727.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "trematodes" ], "offsets": [ [ 999, 1009 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040818" } ] }, { "id": "DerChirurg.70680727.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "parasitology" ], "offsets": [ [ 1010, 1022 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0205468" }, { "db_name": "UMLS", "db_id": "C0030504" } ] }, { "id": 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DerChirurg.70680732.eng.abstr	DerChirurg.70680732.eng.abstr	[ { "id": "DerChirurg.70680732.eng.abstr-passage-0", "type": "abstract", "text": [ "The primitive neuroectodermal tumor is a rare soft tissue neoplasm occurring in children and young adults . It derives from a carcinogeneic alteration of pluripotent neural crest cells , caused by a balanced reciprocal translocation t ( 11 ; 22 ) ( q24;q12). Treatment of this undifferentiated , extremely malignant small cell tumor is carried out in compliance with the soft tissue trail ( CWS ) from the German Society of Pediatric Oncology . Biopsy-proven diagnosis is followed by primary chemotherapy , which in 95 % of cases leads to remission , allowing excision of the remainder of the tumor without mutilation and avoidance of intraoperative tumor cell dissemination . After excision , irradiation of the tumor site and two further sequences of chemotherapy are performed . If PNETs of the paravertebral region cause symptoms of paralysis and immediate surgery is required , postoperative chemotherapy , a second-look operation and irradiation are mandatory . Between 1986 and 1994 , in cooperation with our pediatric and radiotherapy colleagues , we treated ten patients . In four patients ( median age , 14 years ) the PNET originated from the chest wall , in six patients from the paravertebral and retroperitoneal region . Five patients died after 20 months on average , while the remaining five patients are in full remission after 31 , 46 , 50 , 51 and 91 months , respectively ." ], "offsets": [ [ 0, 1393 ] ] } ]	[ { "id": "DerChirurg.70680732.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "tumor" ], "offsets": [ [ 30, 35 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" } ] }, { "id": "DerChirurg.70680732.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "tissue" ], "offsets": [ [ 51, 57 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040300" } ] }, { "id": "DerChirurg.70680732.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "neoplasm" ], "offsets": [ [ 58, 66 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" }, { "db_name": "UMLS", "db_id": "C0036210" } ] }, { "id": "DerChirurg.70680732.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "children" ], "offsets": [ [ 80, 88 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0008059" } ] }, { "id": "DerChirurg.70680732.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "adults" ], "offsets": [ [ 99, 105 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0001675" } ] }, { "id": "DerChirurg.70680732.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "neuroectodermal tumor" ], "offsets": [ [ 14, 35 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0206093" } ] }, { "id": "DerChirurg.70680732.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "primitive neuroectodermal tumor" ], "offsets": [ [ 4, 35 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0206663" } ] }, { "id": "DerChirurg.70680732.eng.abstr-s1-t8", "type": "umlsterm", "text": [ "soft tissue neoplasm" ], "offsets": [ [ 46, 66 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0037579" } ] }, { "id": "DerChirurg.70680732.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "crest" ], "offsets": [ [ 173, 178 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0206138" } ] }, { "id": "DerChirurg.70680732.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "cells" ], "offsets": [ [ 179, 184 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007634" } ] }, { "id": "DerChirurg.70680732.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "translocation" ], "offsets": [ [ 219, 232 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0599893" }, { "db_name": "UMLS", "db_id": "C0040715" } ] }, { "id": "DerChirurg.70680732.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "Treatment" ], "offsets": [ [ 259, 268 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerChirurg.70680732.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "malignant" ], "offsets": [ [ 306, 315 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006826" } ] }, { "id": "DerChirurg.70680732.eng.abstr-s2-t6", "type": "umlsterm", "text": [ "cell" ], "offsets": [ [ 322, 326 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007634" } ] }, { "id": "DerChirurg.70680732.eng.abstr-s2-t7", "type": "umlsterm", "text": [ "tumor" ], "offsets": [ [ 327, 332 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" } ] }, { "id": "DerChirurg.70680732.eng.abstr-s2-t8", "type": "umlsterm", "text": [ "compliance" ], "offsets": [ [ 351, 361 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030680" }, { "db_name": "UMLS", "db_id": "C0009563" } ] }, { "id": "DerChirurg.70680732.eng.abstr-s2-t9", "type": "umlsterm", "text": [ "tissue" ], "offsets": [ [ 376, 382 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040300" } ] }, { "id": "DerChirurg.70680732.eng.abstr-s2-t10", "type": "umlsterm", "text": [ "Society" ], "offsets": [ [ 413, 420 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0037455" } ] }, { "id": "DerChirurg.70680732.eng.abstr-s2-t11", "type": "umlsterm", "text": [ "neural crest" ], "offsets": [ [ 166, 178 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027789" } ] }, { "id": "DerChirurg.70680732.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "Biopsy-proven" ], "offsets": [ [ 445, 458 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220797" }, { "db_name": "UMLS", "db_id": "C0005558" } ] }, { "id": "DerChirurg.70680732.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "Biopsy-proven" ], "offsets": [ [ 445, 458 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0700164" } ] }, { "id": "DerChirurg.70680732.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "diagnosis" ], "offsets": [ [ 459, 468 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011900" }, { "db_name": "UMLS", "db_id": "C0348026" } ] }, { "id": "DerChirurg.70680732.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "chemotherapy" ], "offsets": [ [ 492, 504 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013216" }, { "db_name": "UMLS", "db_id": "C0013217" } ] }, { "id": "DerChirurg.70680732.eng.abstr-s3-t5", "type": "umlsterm", "text": [ "tumor" ], "offsets": [ [ 593, 598 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" } ] }, { "id": "DerChirurg.70680732.eng.abstr-s3-t6", "type": "umlsterm", "text": [ "tumor" ], "offsets": [ [ 650, 655 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" } ] }, { "id": "DerChirurg.70680732.eng.abstr-s3-t7", "type": "umlsterm", "text": [ "cell" ], "offsets": [ [ 656, 660 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007634" } ] }, { "id": "DerChirurg.70680732.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "irradiation" ], "offsets": [ [ 694, 705 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034618" }, { "db_name": "UMLS", "db_id": "C0851346" } ] }, { "id": "DerChirurg.70680732.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "tumor" ], "offsets": [ [ 713, 718 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" } ] }, { "id": "DerChirurg.70680732.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "chemotherapy" ], "offsets": [ [ 753, 765 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013216" }, { "db_name": "UMLS", "db_id": "C0013217" } ] }, { "id": "DerChirurg.70680732.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "PNETs" ], "offsets": [ [ 785, 790 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0206663" } ] }, { "id": "DerChirurg.70680732.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "symptoms" ], "offsets": [ [ 825, 833 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0683368" } ] }, { "id": "DerChirurg.70680732.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "paralysis" ], "offsets": [ [ 837, 846 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030440" } ] }, { "id": "DerChirurg.70680732.eng.abstr-s5-t4", "type": "umlsterm", "text": [ "surgery" ], "offsets": [ [ 861, 868 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038894" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70680732.eng.abstr-s5-t5", "type": "umlsterm", "text": [ "postoperative" ], "offsets": [ [ 883, 896 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032790" } ] }, { "id": "DerChirurg.70680732.eng.abstr-s5-t6", "type": "umlsterm", "text": [ "chemotherapy" ], "offsets": [ [ 897, 909 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013216" }, { "db_name": "UMLS", "db_id": "C0013217" } ] }, { "id": "DerChirurg.70680732.eng.abstr-s5-t7", "type": "umlsterm", "text": [ "operation" ], "offsets": [ [ 926, 935 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0543467" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70680732.eng.abstr-s5-t8", "type": "umlsterm", "text": [ "irradiation" ], "offsets": [ [ 940, 951 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034618" }, { "db_name": "UMLS", "db_id": "C0851346" } ] }, { "id": "DerChirurg.70680732.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "radiotherapy" ], "offsets": [ [ 1030, 1042 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034618" }, { "db_name": "UMLS", "db_id": "C0034619" } ] }, { "id": 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"id": "DerChirurg.70680732.eng.abstr-s7-t5", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 1174, 1182 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680732.eng.abstr-s8-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 1240, 1248 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680732.eng.abstr-s8-t2", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 1308, 1316 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680732.eng.abstr-s8-t3", "type": "umlsterm", "text": [ "patients died" ], "offsets": [ [ 1240, 1253 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011065" } ] } ]	[]	[]	[ { "id": "DerChirurg.70680732.eng.abstr-s1-r1-t2.1-t6.1", "type": "location_of", "arg1_id": "DerChirurg.70680732.eng.abstr-s8-t2", "arg2_id": "DerChirurg.70680732.eng.abstr-s5-t6", "normalized": [] }, { "id": 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"DerChirurg.70680732.eng.abstr-s5-r15-t8.2-t1.1", "type": "result_of", "arg1_id": "DerChirurg.70680732.eng.abstr-s5-t8", "arg2_id": "DerChirurg.70680732.eng.abstr-s8-t1", "normalized": [] }, { "id": "DerChirurg.70680732.eng.abstr-s5-r16-t7.2-t4.1", "type": "method_of", "arg1_id": "DerChirurg.70680732.eng.abstr-s5-t7", "arg2_id": "DerChirurg.70680732.eng.abstr-s7-t4", "normalized": [] }, { "id": "DerChirurg.70680732.eng.abstr-s5-r17-t2.1-t7.2", "type": "associated_with", "arg1_id": "DerChirurg.70680732.eng.abstr-s8-t2", "arg2_id": "DerChirurg.70680732.eng.abstr-s5-t7", "normalized": [] }, { "id": "DerChirurg.70680732.eng.abstr-s5-r18-t2.1-t6.2", "type": "associated_with", "arg1_id": "DerChirurg.70680732.eng.abstr-s8-t2", "arg2_id": "DerChirurg.70680732.eng.abstr-s5-t6", "normalized": [] }, { "id": "DerChirurg.70680732.eng.abstr-s5-r19-t6.2-t2.1", "type": "associated_with", "arg1_id": "DerChirurg.70680732.eng.abstr-s5-t6", "arg2_id": "DerChirurg.70680732.eng.abstr-s8-t2", "normalized": [] }, { "id": "DerChirurg.70680732.eng.abstr-s5-r20-t6.2-t1.1", "type": "associated_with", "arg1_id": "DerChirurg.70680732.eng.abstr-s5-t6", "arg2_id": "DerChirurg.70680732.eng.abstr-s8-t1", "normalized": [] }, { "id": "DerChirurg.70680732.eng.abstr-s5-r21-t2.1-t4.1", "type": "issue_in", "arg1_id": "DerChirurg.70680732.eng.abstr-s8-t2", "arg2_id": "DerChirurg.70680732.eng.abstr-s7-t4", "normalized": [] }, { "id": "DerChirurg.70680732.eng.abstr-s5-r22-t7.2-t2.1", "type": "associated_with", "arg1_id": "DerChirurg.70680732.eng.abstr-s5-t7", "arg2_id": "DerChirurg.70680732.eng.abstr-s8-t2", "normalized": [] }, { "id": "DerChirurg.70680732.eng.abstr-s5-r23-t7.2-t1.1", "type": "associated_with", "arg1_id": "DerChirurg.70680732.eng.abstr-s5-t7", "arg2_id": "DerChirurg.70680732.eng.abstr-s8-t1", "normalized": [] }, { "id": "DerChirurg.70680732.eng.abstr-s5-r24-t4.2-t4.1", "type": "issue_in", "arg1_id": "DerChirurg.70680732.eng.abstr-s5-t4", "arg2_id": "DerChirurg.70680732.eng.abstr-s7-t4", "normalized": [] }, { "id": "DerChirurg.70680732.eng.abstr-s5-r25-t8.2-t2.1", "type": "result_of", "arg1_id": "DerChirurg.70680732.eng.abstr-s5-t8", "arg2_id": "DerChirurg.70680732.eng.abstr-s8-t2", "normalized": [] }, { "id": "DerChirurg.70680732.eng.abstr-s5-r26-t6.1-t4.1", "type": "method_of", "arg1_id": "DerChirurg.70680732.eng.abstr-s5-t6", "arg2_id": "DerChirurg.70680732.eng.abstr-s7-t4", "normalized": [] }, { "id": "DerChirurg.70680732.eng.abstr-s5-r27-t6.2-t4.1", "type": "method_of", "arg1_id": "DerChirurg.70680732.eng.abstr-s5-t6", "arg2_id": "DerChirurg.70680732.eng.abstr-s7-t4", "normalized": [] }, { "id": "DerChirurg.70680732.eng.abstr-s5-r28-t1.1-t6.1", "type": "associated_with", "arg1_id": "DerChirurg.70680732.eng.abstr-s8-t1", "arg2_id": "DerChirurg.70680732.eng.abstr-s5-t6", "normalized": [] }, { "id": "DerChirurg.70680732.eng.abstr-s5-r29-t8.2-t4.1", "type": "issue_in", "arg1_id": "DerChirurg.70680732.eng.abstr-s5-t8", "arg2_id": "DerChirurg.70680732.eng.abstr-s7-t4", "normalized": [] }, { "id": "DerChirurg.70680732.eng.abstr-s5-r30-t1.1-t2.1", "type": "associated_with", "arg1_id": "DerChirurg.70680732.eng.abstr-s8-t1", "arg2_id": "DerChirurg.70680732.eng.abstr-s8-t2", "normalized": [] }, { "id": "DerChirurg.70680732.eng.abstr-s6-r1-t1.2-t1.1", "type": "performs", "arg1_id": "DerChirurg.70680732.eng.abstr-s6-t1", "arg2_id": "DerChirurg.70680732.eng.abstr-s8-t1", "normalized": [] }, { "id": "DerChirurg.70680732.eng.abstr-s6-r2-t1.1-t1.2", "type": "affects", "arg1_id": "DerChirurg.70680732.eng.abstr-s8-t1", "arg2_id": "DerChirurg.70680732.eng.abstr-s6-t1", "normalized": [] }, { "id": "DerChirurg.70680732.eng.abstr-s7-r1-t4.1-t2.2", "type": "location_of", "arg1_id": "DerChirurg.70680732.eng.abstr-s7-t4", "arg2_id": "DerChirurg.70680732.eng.abstr-s7-t2", "normalized": [] }, { "id": "DerChirurg.70680732.eng.abstr-s7-r2-t2.2-t2.1", "type": "produces", "arg1_id": "DerChirurg.70680732.eng.abstr-s7-t2", "arg2_id": "DerChirurg.70680732.eng.abstr-s8-t2", "normalized": [] }, { "id": "DerChirurg.70680732.eng.abstr-s7-r3-t3.1-t5.1", "type": "occurs_in", "arg1_id": "DerChirurg.70680732.eng.abstr-s8-t3", "arg2_id": "DerChirurg.70680732.eng.abstr-s7-t5", "normalized": [] }, { "id": "DerChirurg.70680732.eng.abstr-s7-r4-t3.2-t5.1", "type": "occurs_in", "arg1_id": "DerChirurg.70680732.eng.abstr-s7-t3", "arg2_id": "DerChirurg.70680732.eng.abstr-s7-t5", "normalized": [] }, { "id": "DerChirurg.70680732.eng.abstr-s7-r5-t5.1-t2.1", "type": "interacts_with", "arg1_id": "DerChirurg.70680732.eng.abstr-s7-t5", "arg2_id": "DerChirurg.70680732.eng.abstr-s8-t2", "normalized": [] }, { "id": "DerChirurg.70680732.eng.abstr-s7-r6-t2.2-t3.2", "type": "result_of", "arg1_id": "DerChirurg.70680732.eng.abstr-s7-t2", "arg2_id": "DerChirurg.70680732.eng.abstr-s7-t3", "normalized": [] }, { "id": "DerChirurg.70680732.eng.abstr-s7-r7-t4.1-t3.1", "type": "location_of", "arg1_id": "DerChirurg.70680732.eng.abstr-s7-t4", "arg2_id": "DerChirurg.70680732.eng.abstr-s8-t3", "normalized": [] }, { "id": "DerChirurg.70680732.eng.abstr-s7-r8-t3.1-t1.1", "type": "occurs_in", "arg1_id": "DerChirurg.70680732.eng.abstr-s8-t3", "arg2_id": "DerChirurg.70680732.eng.abstr-s8-t1", "normalized": [] }, { "id": "DerChirurg.70680732.eng.abstr-s7-r9-t2.2-t3.1", "type": "result_of", "arg1_id": "DerChirurg.70680732.eng.abstr-s7-t2", "arg2_id": "DerChirurg.70680732.eng.abstr-s8-t3", "normalized": [] }, { "id": "DerChirurg.70680732.eng.abstr-s7-r10-t3.2-t1.1", "type": "occurs_in", "arg1_id": "DerChirurg.70680732.eng.abstr-s7-t3", "arg2_id": "DerChirurg.70680732.eng.abstr-s8-t1", "normalized": [] }, { "id": "DerChirurg.70680732.eng.abstr-s7-r11-t4.1-t3.2", "type": "location_of", "arg1_id": "DerChirurg.70680732.eng.abstr-s7-t4", "arg2_id": "DerChirurg.70680732.eng.abstr-s7-t3", "normalized": [] }, { "id": "DerChirurg.70680732.eng.abstr-s7-r12-t3.1-t2.1", "type": "occurs_in", "arg1_id": "DerChirurg.70680732.eng.abstr-s8-t3", "arg2_id": "DerChirurg.70680732.eng.abstr-s8-t2", "normalized": [] }, { "id": "DerChirurg.70680732.eng.abstr-s7-r13-t3.2-t2.1", "type": "occurs_in", "arg1_id": "DerChirurg.70680732.eng.abstr-s7-t3", "arg2_id": "DerChirurg.70680732.eng.abstr-s8-t2", "normalized": [] }, { "id": "DerChirurg.70680732.eng.abstr-s7-r14-t2.1-t5.1", "type": "interacts_with", "arg1_id": "DerChirurg.70680732.eng.abstr-s8-t2", "arg2_id": "DerChirurg.70680732.eng.abstr-s7-t5", "normalized": [] }, { "id": "DerChirurg.70680732.eng.abstr-s7-r15-t2.1-t1.1", "type": "interacts_with", "arg1_id": "DerChirurg.70680732.eng.abstr-s8-t2", "arg2_id": "DerChirurg.70680732.eng.abstr-s8-t1", "normalized": [] }, { "id": "DerChirurg.70680732.eng.abstr-s7-r16-t3.1-t2.2", "type": "result_of", "arg1_id": "DerChirurg.70680732.eng.abstr-s8-t3", "arg2_id": "DerChirurg.70680732.eng.abstr-s7-t2", "normalized": [] }, { "id": "DerChirurg.70680732.eng.abstr-s7-r17-t3.2-t2.2", "type": "result_of", "arg1_id": "DerChirurg.70680732.eng.abstr-s7-t3", "arg2_id": "DerChirurg.70680732.eng.abstr-s7-t2", "normalized": [] }, { "id": "DerChirurg.70680732.eng.abstr-s7-r18-t1.1-t2.1", "type": "interacts_with", "arg1_id": "DerChirurg.70680732.eng.abstr-s8-t1", "arg2_id": "DerChirurg.70680732.eng.abstr-s8-t2", "normalized": [] } ]
DerChirurg.70680742.eng.abstr	DerChirurg.70680742.eng.abstr	[ { "id": "DerChirurg.70680742.eng.abstr-passage-0", "type": "abstract", "text": [ "Here , we present the so-called \" Vollmer retractor \" , which can be fixed on to the operating table . It allows an optimal transference of the traction force on to the border of the wound , both in upper and lower abdominal interventions . In this way , as shown by our recent experience , we gain an optimal view of the subdiaphragmatic area and into the small pelvis ." ], "offsets": [ [ 0, 371 ] ] } ]	[ { "id": "DerChirurg.70680742.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "transference" ], "offsets": [ [ 124, 136 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040678" } ] }, { "id": "DerChirurg.70680742.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "traction" ], "offsets": [ [ 144, 152 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040597" } ] }, { "id": "DerChirurg.70680742.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "wound" ], "offsets": [ [ 183, 188 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021501" }, { "db_name": "UMLS", "db_id": "C0043250" } ] }, { "id": "DerChirurg.70680742.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "pelvis" ], "offsets": [ [ 363, 369 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030797" } ] } ]	[]	[]	[ { "id": "DerChirurg.70680742.eng.abstr-s2-r1-t3.2-t1.1", "type": "result_of", "arg1_id": "DerChirurg.70680742.eng.abstr-s2-t3", "arg2_id": "DerChirurg.70680742.eng.abstr-s3-t1", "normalized": [] }, { "id": "DerChirurg.70680742.eng.abstr-s2-r2-t2.1-t3.2", "type": "associated_with", "arg1_id": "DerChirurg.70680742.eng.abstr-s2-t2", "arg2_id": "DerChirurg.70680742.eng.abstr-s2-t3", "normalized": [] }, { "id": "DerChirurg.70680742.eng.abstr-s2-r3-t1.1-t3.1", "type": "result_of", "arg1_id": "DerChirurg.70680742.eng.abstr-s3-t1", "arg2_id": "DerChirurg.70680742.eng.abstr-s2-t3", "normalized": [] }, { "id": "DerChirurg.70680742.eng.abstr-s2-r4-t3.1-t2.1", "type": "associated_with", "arg1_id": "DerChirurg.70680742.eng.abstr-s2-t3", "arg2_id": "DerChirurg.70680742.eng.abstr-s2-t2", "normalized": [] }, { "id": "DerChirurg.70680742.eng.abstr-s2-r5-t2.1-t3.1", "type": "associated_with", "arg1_id": "DerChirurg.70680742.eng.abstr-s2-t2", "arg2_id": "DerChirurg.70680742.eng.abstr-s2-t3", "normalized": [] }, { "id": "DerChirurg.70680742.eng.abstr-s2-r6-t1.1-t3.2", "type": "result_of", "arg1_id": "DerChirurg.70680742.eng.abstr-s3-t1", "arg2_id": "DerChirurg.70680742.eng.abstr-s2-t3", "normalized": [] }, { "id": "DerChirurg.70680742.eng.abstr-s2-r7-t3.1-t1.1", "type": "result_of", "arg1_id": "DerChirurg.70680742.eng.abstr-s2-t3", "arg2_id": "DerChirurg.70680742.eng.abstr-s3-t1", "normalized": [] }, { "id": "DerChirurg.70680742.eng.abstr-s2-r8-t2.1-t1.1", "type": "affects", "arg1_id": "DerChirurg.70680742.eng.abstr-s2-t2", "arg2_id": "DerChirurg.70680742.eng.abstr-s3-t1", "normalized": [] }, { "id": "DerChirurg.70680742.eng.abstr-s2-r9-t3.2-t2.1", "type": "associated_with", "arg1_id": "DerChirurg.70680742.eng.abstr-s2-t3", "arg2_id": "DerChirurg.70680742.eng.abstr-s2-t2", "normalized": [] } ]
DerChirurg.70680744.eng.abstr	DerChirurg.70680744.eng.abstr	[ { "id": "DerChirurg.70680744.eng.abstr-passage-0", "type": "abstract", "text": [ "Because of the rare incidence of splenic abscesses and bleeding , only a few cases are described in the literature on percutaneous drainage of splenic abscesses . We report on eight cases ( three male , five female , average age 74.1 +/- 10.76 years ) of percutaneous , sonographically controlled catheter drainage of large splenic abscesses . Results : Percutaneous , sonographically controlled drainage of splenic abscesses was feasible in all eight cases in the last 5 years ( trocar technique , drain : 12-16 F , abscess contents 70-750 ml ) . In seven of eight cases , therapy with percutaneous , sonographically controlled drainage of the splenic abscess and rinsing of the abscess cavity over several days was successful . In two cases , however , a recurrent abscess had to be drained repeatedly with sonographic control , and this was successful . In one case a colitis-related fistula prevented successful drainage of an infected subcapsular splenic hematoma . The following splenectomy , however , proved the infected hematoma to be completely drained . In this study there were no complications like bleeding , injury of pleura or colon . The advantages of percutaneous drainage are : the spleen is not removed ; conservative therapy is beneficial , particularly in multimorbid patients with a high surgical risk ; there is no transmission of bacterias ; the method is safe and effective ." ], "offsets": [ [ 0, 1401 ] ] } ]	[ { "id": "DerChirurg.70680744.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "incidence" ], "offsets": [ [ 20, 29 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220856" }, { "db_name": "UMLS", "db_id": "C0021149" } ] }, { "id": "DerChirurg.70680744.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "abscesses" ], "offsets": [ [ 41, 50 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0000833" } ] }, { "id": "DerChirurg.70680744.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "literature" ], "offsets": [ [ 104, 114 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023866" } ] }, { "id": "DerChirurg.70680744.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "drainage" ], "offsets": [ [ 131, 139 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013103" } ] }, { "id": "DerChirurg.70680744.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "abscesses" ], "offsets": [ [ 151, 160 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0000833" } ] }, { "id": "DerChirurg.70680744.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "male" ], "offsets": [ [ 196, 200 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024554" }, { "db_name": "UMLS", "db_id": "C0086582" } ] }, { "id": "DerChirurg.70680744.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "female" ], "offsets": [ [ 208, 214 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0086287" }, { "db_name": "UMLS", "db_id": "C0015780" } ] }, { "id": "DerChirurg.70680744.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "age" ], "offsets": [ [ 225, 228 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0001792" }, { "db_name": "UMLS", "db_id": "C0001811" } ] }, { "id": "DerChirurg.70680744.eng.abstr-s2-t4", "type": "umlsterm", "text": 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DerChirurg.70680753.eng.abstr	DerChirurg.70680753.eng.abstr	[ { "id": "DerChirurg.70680753.eng.abstr-passage-0", "type": "abstract", "text": [ "Cardiac complications remain an important cause of perioperative morbidity and mortality with noncardiac surgery , despite improvement in surgical techniques and anaesthetic management . Therefore preoperative cardiovascular risk assessment plays a pivotal role in management of patients prior to noncardiac surgery . Thorough history-taking and careful examination are essential to consider further diagnostic steps in order to predict the patient's individual perioperative cardiac risk as accurately as possible . Besides elaboration of medical therapy , cardiac catherization and even balloon angioplasty or bypass surgery must be considered if indicated by preoperative cardiac testing ." ], "offsets": [ [ 0, 692 ] ] } ]	[ { "id": "DerChirurg.70680753.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "complications" ], "offsets": [ [ 8, 21 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] }, { "id": "DerChirurg.70680753.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "cause" ], "offsets": [ [ 42, 47 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015127" } ] }, { "id": "DerChirurg.70680753.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "morbidity" ], "offsets": [ [ 65, 74 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220880" }, { "db_name": "UMLS", "db_id": "C0026538" } ] }, { "id": "DerChirurg.70680753.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "mortality" ], "offsets": [ [ 79, 88 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026566" }, { "db_name": "UMLS", "db_id": "C0026565" } ] }, { "id": "DerChirurg.70680753.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "surgery" ], "offsets": [ [ 105, 112 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038894" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70680753.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "surgical" ], "offsets": [ [ 138, 146 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70680753.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "techniques" ], "offsets": [ [ 147, 157 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.70680753.eng.abstr-s1-t8", "type": "umlsterm", "text": [ "anaesthetic" ], "offsets": [ [ 162, 173 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0002932" } ] }, { "id": "DerChirurg.70680753.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "risk" ], "offsets": [ [ 225, 229 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035647" } ] }, { 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DerChirurg.70680770.eng.abstr	DerChirurg.70680770.eng.abstr	[ { "id": "DerChirurg.70680770.eng.abstr-passage-0", "type": "abstract", "text": [ "The classification of renal insufficiency into stages of full compensation , compensated and decompensated retention and terminal renal failure is of importance if patients with impaired renal function are to undergo elective and emergency surgery . Furthermore , it should be established whether the renal disease is stable or progressive . Preoperatively , particular attention should be paid to problems of fluid and electrolyte homoeostasis as well as to acid-base balance . Many drugs should be avoided altogether in patients with kidney disease ." ], "offsets": [ [ 0, 552 ] ] } ]	[ { "id": "DerChirurg.70680770.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "classification" ], "offsets": [ [ 4, 18 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0008902" }, { "db_name": "UMLS", "db_id": "C0008903" } ] }, { "id": "DerChirurg.70680770.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "stages" ], "offsets": [ [ 47, 53 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027646" } ] }, { "id": "DerChirurg.70680770.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "compensation" ], "offsets": [ [ 62, 74 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220808" } ] }, { "id": "DerChirurg.70680770.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "retention" ], "offsets": [ [ 107, 116 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0080274" }, { "db_name": "UMLS", "db_id": "C0035280" } ] }, { "id": "DerChirurg.70680770.eng.abstr-s1-t5", "type": 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"db_name": "UMLS", "db_id": "C0014653" } ] }, { "id": "DerChirurg.70680770.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "acid-base balance" ], "offsets": [ [ 459, 476 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0001117" } ] }, { "id": "DerChirurg.70680770.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "drugs" ], "offsets": [ [ 484, 489 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013227" } ] }, { "id": "DerChirurg.70680770.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 522, 530 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680770.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "kidney" ], "offsets": [ [ 536, 542 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022646" } ] }, { "id": "DerChirurg.70680770.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "disease" ], "offsets": [ [ 543, 550 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0012634" } ] }, { "id": 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DerChirurg.70680775.eng.abstr	DerChirurg.70680775.eng.abstr	[ { "id": "DerChirurg.70680775.eng.abstr-passage-0", "type": "abstract", "text": [ "A high-risk patient is a challenge to the anaesthesiologist . If surgical intervention is indicated the perioperative anaesthesiological management has to be carefully adapted to the requirements of the patient . If the patient is classified a high-risk at the preoperative anaesthesiological assessment , the therapeutic management has to aim at optimizing the patient's preoperative physical status . Intraoperatively , the minimal monitoring standards have to be extended by addition of specific non-invasive or invasive monitoring techniques to observe the intraoperative cardiovascular or pulmonary function according to the patient's preoperative disease . There are no recommendations about the choice of the anaesthesia techniques ; the decision for general or regional anaesthesia depends on the site of operation and is guided by the individual experience of the anaesthesiologist . During the postoperative period each high-risk patient has to be observed in the intensive care unit to continue intraoperative monitoring and therapy . Patients at risk of postoperative myocardial ischaemia or infarction should be closely monitored for 3-5 days postoperatively . The perioperative risk of morbidity and mortality associated with elective surgical procedures has to be evaluated for each patient and the risk-benefit analysis discussed in a interdisciplinary dialogue involving the surgeon , the patient and the patient's family ." ], "offsets": [ [ 0, 1440 ] ] } ]	[ { "id": "DerChirurg.70680775.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "patient" ], "offsets": [ [ 12, 19 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680775.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "surgical" ], "offsets": [ [ 65, 73 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70680775.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "patient" ], "offsets": [ [ 203, 210 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680775.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "patient" ], "offsets": [ [ 220, 227 ] ], "normalized": [ { "db_name": 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} ] }, { "id": "DerChirurg.70680775.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "disease" ], "offsets": [ [ 653, 660 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0012634" } ] }, { "id": "DerChirurg.70680775.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "recommendations" ], "offsets": [ [ 676, 691 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034866" } ] }, { "id": "DerChirurg.70680775.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "choice" ], "offsets": [ [ 702, 708 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0008300" } ] }, { "id": "DerChirurg.70680775.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "techniques" ], "offsets": [ [ 728, 738 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.70680775.eng.abstr-s5-t4", "type": "umlsterm", "text": [ "operation" ], "offsets": [ [ 813, 822 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0543467" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": 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DerChirurg.70680784.eng.abstr	DerChirurg.70680784.eng.abstr	[ { "id": "DerChirurg.70680784.eng.abstr-passage-0", "type": "abstract", "text": [ "Disturbances in calcium and bone metabolism after gastrectomy have long been recognized . It has been suggested that due to impaired calcium absorption after gastrectomy , serum calcium is decreased , being counterregulated by parathyroid hormone release and 1,25-(OH)2-vitamin D formation . Both parathyroid hormone and 1,25-(OH)2-vitamin D are known to release calcium from bone , resulting in bone mass loss and increased fracture risk in some of the gastrectomized patients . No therapy is currently generally agreed on , although supplementation of vitamin D and calcium has been suggested repeatedly . A review on the current understanding of calcium and bone metabolism after gastrectomy is given ." ], "offsets": [ [ 0, 705 ] ] } ]	[ { "id": "DerChirurg.70680784.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "calcium" ], "offsets": [ [ 16, 23 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006675" } ] }, { "id": "DerChirurg.70680784.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "bone" ], "offsets": [ [ 28, 32 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0262950" } ] }, { "id": "DerChirurg.70680784.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "metabolism" ], "offsets": [ [ 33, 43 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025519" }, { "db_name": "UMLS", "db_id": "C0025520" } ] }, { "id": "DerChirurg.70680784.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "gastrectomy" ], "offsets": [ [ 50, 61 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0017118" } ] }, { "id": "DerChirurg.70680784.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "calcium" ], "offsets": [ [ 133, 140 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006675" } ] }, { "id": "DerChirurg.70680784.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "absorption" ], "offsets": [ [ 141, 151 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0000854" }, { "db_name": "UMLS", "db_id": "C0220777" } ] }, { "id": "DerChirurg.70680784.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "gastrectomy" ], "offsets": [ [ 158, 169 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0017118" } ] }, { "id": "DerChirurg.70680784.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "calcium" ], "offsets": [ [ 178, 185 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006675" } ] }, { "id": "DerChirurg.70680784.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "parathyroid" ], "offsets": [ [ 227, 238 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030517" }, { "db_name": "UMLS", "db_id": "C0030518" } ] }, { "id": "DerChirurg.70680784.eng.abstr-s2-t6", "type": "umlsterm", "text": [ "parathyroid" ], "offsets": [ [ 227, 238 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030563" } ] }, { "id": "DerChirurg.70680784.eng.abstr-s2-t7", "type": "umlsterm", "text": [ "parathyroid" ], "offsets": [ [ 227, 238 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040132" }, { "db_name": "UMLS", "db_id": "C0040134" } ] }, { "id": "DerChirurg.70680784.eng.abstr-s2-t8", "type": "umlsterm", "text": [ "hormone" ], "offsets": [ [ 239, 246 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019932" } ] }, { "id": "DerChirurg.70680784.eng.abstr-s2-t9", "type": "umlsterm", "text": [ "release" ], "offsets": [ [ 247, 254 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0541720" } ] }, { "id": "DerChirurg.70680784.eng.abstr-s2-t10", "type": "umlsterm", "text": [ "serum calcium" ], "offsets": [ [ 172, 185 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0036785" } ] }, { "id": "DerChirurg.70680784.eng.abstr-s2-t11", "type": "umlsterm", "text": [ "parathyroid hormone" ], 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DerChirurg.70680789.eng.abstr	DerChirurg.70680789.eng.abstr	[ { "id": "DerChirurg.70680789.eng.abstr-passage-0", "type": "abstract", "text": [ "Germline mutations of the RET proto-oncogene localized on chromosome 10q11.2 are the underlying cause of hereditary medullary thyroid carcinoma . In MEN 2A and FMTC , mutations can be found in exons 10 , 11 , 13 or 14. MEN 2B is characterized by a specific mutation in exon 16. In a significant number of sporadic MTC somatic mutations in codon 918 ( exon 16 ) are detectable . Some rare sporadic MTC present somatic mutations in codons 611 , 634 , 768 and 883. Recently , deletion-insertion of the RET proto-oncogene in exon 11 and a deletion in exon 10 has been found . RET proto-oncogene mutations are not only responsible for the development of the familial MTC , but may also play an important role in the pathogenesis of sporadic MTC . However , the prognostic relevance of these somatic events is still unclear ." ], "offsets": [ [ 0, 819 ] ] } ]	[ { "id": "DerChirurg.70680789.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "mutations" ], "offsets": [ [ 9, 18 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026882" } ] }, { "id": "DerChirurg.70680789.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "proto-oncogene" ], "offsets": [ [ 30, 44 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0033713" } ] }, { "id": "DerChirurg.70680789.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "chromosome" ], "offsets": [ [ 58, 68 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0008633" } ] }, { "id": "DerChirurg.70680789.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "cause" ], "offsets": [ [ 96, 101 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015127" } ] }, { "id": "DerChirurg.70680789.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "thyroid" ], "offsets": [ [ 126, 133 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040132" }, { "db_name": "UMLS", "db_id": "C0040134" } ] }, { "id": "DerChirurg.70680789.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "carcinoma" ], "offsets": [ [ 134, 143 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007097" } ] }, { "id": "DerChirurg.70680789.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "Germline mutations" ], "offsets": [ [ 0, 18 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0206530" } ] }, { "id": "DerChirurg.70680789.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "MEN" ], "offsets": [ [ 149, 152 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025266" }, { "db_name": "UMLS", "db_id": "C0024554" } ] }, { "id": "DerChirurg.70680789.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "mutations" ], "offsets": [ [ 167, 176 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026882" } ] }, { "id": "DerChirurg.70680789.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "exons" ], "offsets": [ [ 193, 198 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015295" } ] }, { "id": "DerChirurg.70680789.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "MEN" ], "offsets": [ [ 219, 222 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025266" }, { "db_name": "UMLS", "db_id": "C0024554" } ] }, { "id": "DerChirurg.70680789.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "mutation" ], "offsets": [ [ 257, 265 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026882" } ] }, { "id": "DerChirurg.70680789.eng.abstr-s2-t6", "type": "umlsterm", "text": [ "exon" ], "offsets": [ [ 269, 273 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015295" } ] }, { "id": "DerChirurg.70680789.eng.abstr-s2-t7", "type": "umlsterm", "text": [ "MTC" ], "offsets": [ [ 314, 317 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0002475" } ] }, { "id": "DerChirurg.70680789.eng.abstr-s2-t8", "type": "umlsterm", "text": [ "mutations" ], "offsets": [ [ 326, 335 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026882" } ] }, { "id": "DerChirurg.70680789.eng.abstr-s2-t9", "type": "umlsterm", "text": [ "codon" ], "offsets": [ [ 339, 344 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009221" } ] }, { "id": "DerChirurg.70680789.eng.abstr-s2-t10", "type": "umlsterm", "text": [ "exon" ], "offsets": [ [ 351, 355 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015295" } ] }, { "id": "DerChirurg.70680789.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "MTC" ], "offsets": [ [ 397, 400 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0002475" } ] }, { "id": "DerChirurg.70680789.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "mutations" ], "offsets": [ [ 417, 426 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026882" } ] }, { "id": "DerChirurg.70680789.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "codons" ], "offsets": [ [ 430, 436 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009221" } ] }, { "id": "DerChirurg.70680789.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "proto-oncogene" 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DerChirurg.70680794.eng.abstr	DerChirurg.70680794.eng.abstr	[ { "id": "DerChirurg.70680794.eng.abstr-passage-0", "type": "abstract", "text": [ "The aim of this study was to access the importance of the laparoscopic colorectal resection . Of 131 patients 80 were operated on laparoscopically . The conversion rate was 14 % ( 13/93 ) . A total of 47 patients suffered from cancer . Curative resection was performed in 41 patients ( 87 % ) . For comparison , 48 patients who underwent open resection were used . The complication rate was lower after laparoscopy and no reoperation was performed . Patients recovered quicker and their first oral food intake and bowel movement were earlier . Hospital stay was shorter ( 15.3 vs. 8.1 days ) , and pain at rest and in motion was significantly reduced . Equal numbers of mesenteric lymph nodes were retrieved ; adequate margins of resection could be obtained and the length of resected bowel did not differ . No port metastases were observed . Reduced morbidity , reduced hospital stay , reduced abdominal pain , quicker reconvalescence , and reduced overall health care costs are strong arguments in favor of laparoscopic colectomy ." ], "offsets": [ [ 0, 1033 ] ] } ]	[ { "id": "DerChirurg.70680794.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "aim" ], "offsets": [ [ 4, 7 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0108800" } ] }, { "id": "DerChirurg.70680794.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 101, 109 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680794.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 204, 212 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680794.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "cancer" ], "offsets": [ [ 227, 233 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006826" } ] }, { "id": "DerChirurg.70680794.eng.abstr-s5-t1", 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DerChirurg.70680806.eng.abstr	DerChirurg.70680806.eng.abstr	[ { "id": "DerChirurg.70680806.eng.abstr-passage-0", "type": "abstract", "text": [ "In comparison to conventional operating technique endoscopic surgery reveals numerous advantages , particular rapid mobilisation and earlier discharge from observation . For a effective utilization of these advantages , it is desirable to have a efficient postoperative analgesic scheme , wich can be continued into the period after discharge from hospital . In a randomised , prospective double-blind study we investigated the analgesic efficacy of dipyrone in 40 patients , scheduled for endoscopic abdominal surgery ( mainly endoscopic cholecystectomy ) . Patients received before induction of anesthesia either dipyrone ( 1 g/100 ml NaCl i . v. ) or placebo ( 100 ml NaCl i . v. ) . These infusions were repeated 6 h and 12 h after first application . After surgery all patients were allowed to self-administer buprenorphine intravenously from a PCA-pump ( Bolus 30 µg, lockout 5 min in the recovery room , 30 min on the ward ) . Every hour for the first 6 h and after 24 h , cumulated doses of buprenorphine , pain scores ( 0-10 ) , pulse , blood pressure and side effects were recorded . Dipyrone-treated patients had significantly less pain immediately after surgery and used a significantly lower cumulated dose of buprenorphine ( -67 % ; 90 µg vs. 270 µg buprenorphine ) in the first 24 h after surgery ." ], "offsets": [ [ 0, 1313 ] ] } ]	[ { "id": "DerChirurg.70680806.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "technique" ], "offsets": [ [ 40, 49 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.70680806.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "surgery" ], "offsets": [ [ 61, 68 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038894" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70680806.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "mobilisation" ], "offsets": [ [ 116, 128 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0300926" } ] }, { "id": "DerChirurg.70680806.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "discharge" ], "offsets": [ [ 141, 150 ] ], "normalized": [ { 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DerChirurg.70680811.eng.abstr	DerChirurg.70680811.eng.abstr	[ { "id": "DerChirurg.70680811.eng.abstr-passage-0", "type": "abstract", "text": [ "Surgical treatment of diffuse peritonitis is applied very variably . There is no question that source control is the most important treatment principle , but the role of additional treatment concepts such as continuous postoperative peritoneal lavage remains controversial . In a prospective survey ( 1993-1996 ) we analyzed the need for additional treatment concepts in our patient material . In 186 patients with diffuse peritonitis we applied the concept of source control and extensive ( 20-30 l ) intraoperative lavage . Additional treatment principles such as continuous postoperative peritoneal lavage ( n = 17 ) or staged lavage ( n = 5 ) were applied only \" on demand \" , namely in 20 patients ( 11 % ) . In 166 patients ( 89 % ) source control of diffuse peritonitis was possible . The mean severity of peritonitis ( n = 186 ) was 28.5 ( range 16-43 ) using the Mannheim Peritonitis Index . The primary cause of peritonitis in our patients was perforation or leakage in the lower GI tract ( 52 % ) . The hospital mortality rate was 12 % in the whole group , and the postoperative morbidity rate was 34 % . We conclude that nowadays , using high-quality intensive care as well as modern antiinfective treatment , only a few patients ( ca. 10 % ) need additional therapy measures such as postoperative lavage . Surgical source control in combination with intraoperative lavage is sufficient in most of the patients with diffuse peritonitis ." ], "offsets": [ [ 0, 1449 ] ] } ]	[ { "id": "DerChirurg.70680811.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "Surgical" ], "offsets": [ [ 0, 8 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70680811.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "treatment" ], "offsets": [ [ 9, 18 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerChirurg.70680811.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "peritonitis" ], "offsets": [ [ 30, 41 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0031154" } ] }, { "id": "DerChirurg.70680811.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "Surgical treatment" ], "offsets": [ [ 0, 18 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0543467" } ] }, { "id": "DerChirurg.70680811.eng.abstr-s2-t1", 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DerChirurg.70680816.eng.abstr	DerChirurg.70680816.eng.abstr	[ { "id": "DerChirurg.70680816.eng.abstr-passage-0", "type": "abstract", "text": [ "For 1 year all patients in the Department of General Surgery who were transferred to the intensive care unit ( n = 237 ) were prospectively studied as to the development of hyponatremia . Relevant hyponatremia developed in 6.3 % of the patients . The lowest sodium concentration observed was 121 mmol/l , the mean duration was 1.2 days . In general , hyponatremia is related to hypovolemia and diuretics are often involved . In no patient were there any clinical consequences ." ], "offsets": [ [ 0, 477 ] ] } ]	[ { "id": "DerChirurg.70680816.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 15, 23 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680816.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "Surgery" ], "offsets": [ [ 53, 60 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038894" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70680816.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "care" ], "offsets": [ [ 99, 103 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0150499" } ] }, { "id": "DerChirurg.70680816.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "development" ], "offsets": [ [ 158, 169 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243107" }, { "db_name": "UMLS", "db_id": "C0020119" } ] }, { "id": "DerChirurg.70680816.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "hyponatremia" ], "offsets": [ [ 173, 185 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0020625" } ] }, { "id": "DerChirurg.70680816.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "intensive care" ], "offsets": [ [ 89, 103 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0085559" } ] }, { "id": "DerChirurg.70680816.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "prospectively studied" ], "offsets": [ [ 126, 147 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0033522" } ] }, { "id": "DerChirurg.70680816.eng.abstr-s1-t8", "type": "umlsterm", "text": [ "intensive care unit" ], "offsets": [ [ 89, 108 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021708" } ] }, { "id": "DerChirurg.70680816.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "hyponatremia" ], "offsets": [ [ 197, 209 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0020625" } ] }, { "id": "DerChirurg.70680816.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 236, 244 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680816.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "sodium" ], "offsets": [ [ 258, 264 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0037473" } ] }, { "id": "DerChirurg.70680816.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "concentration" ], "offsets": [ [ 265, 278 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0086045" } ] }, { "id": "DerChirurg.70680816.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "hyponatremia" ], "offsets": [ [ 351, 363 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0020625" } ] }, { "id": "DerChirurg.70680816.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "hypovolemia" ], "offsets": [ [ 378, 389 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0546884" } ] }, { "id": "DerChirurg.70680816.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "diuretics" ], "offsets": [ [ 394, 403 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0012798" } ] }, { "id": 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DerChirurg.70680821.eng.abstr	DerChirurg.70680821.eng.abstr	[ { "id": "DerChirurg.70680821.eng.abstr-passage-0", "type": "abstract", "text": [ "We present a case of primary plasmocytoma of the left upper bronchus . Occlusion led to atelectasis of the left upper lobe and subsequent poststenotic pneumonia . Therapy consisted of local excision of the bronchus and postoperative radiotherapy . This type of lung-conserving therapy in a case of primary plasmocytoma has not been described before ." ], "offsets": [ [ 0, 350 ] ] } ]	[ { "id": "DerChirurg.70680821.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "plasmocytoma" ], "offsets": [ [ 29, 41 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032131" } ] }, { "id": "DerChirurg.70680821.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "bronchus" ], "offsets": [ [ 60, 68 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006255" } ] }, { "id": "DerChirurg.70680821.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "atelectasis" ], "offsets": [ [ 88, 99 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0004144" } ] }, { "id": "DerChirurg.70680821.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "pneumonia" ], "offsets": [ [ 151, 160 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032285" } ] }, { "id": "DerChirurg.70680821.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "Therapy" ], "offsets": [ [ 163, 170 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerChirurg.70680821.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "bronchus" ], "offsets": [ [ 206, 214 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006255" } ] }, { "id": "DerChirurg.70680821.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "postoperative" ], "offsets": [ [ 219, 232 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032790" } ] }, { "id": "DerChirurg.70680821.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "radiotherapy" ], "offsets": [ [ 233, 245 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034618" }, { "db_name": "UMLS", "db_id": "C0034619" } ] }, { "id": "DerChirurg.70680821.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "therapy" ], "offsets": [ [ 277, 284 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerChirurg.70680821.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "plasmocytoma" ], "offsets": [ [ 306, 318 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032131" } ] } ]	[]	[]	[ { "id": "DerChirurg.70680821.eng.abstr-s1-r1-t2.1-t1.1", "type": "location_of", "arg1_id": "DerChirurg.70680821.eng.abstr-s4-t2", "arg2_id": "DerChirurg.70680821.eng.abstr-s4-t1", "normalized": [] }, { "id": "DerChirurg.70680821.eng.abstr-s2-r1-t2.1-t1.1", "type": "degree_of", "arg1_id": "DerChirurg.70680821.eng.abstr-s4-t2", "arg2_id": "DerChirurg.70680821.eng.abstr-s4-t1", "normalized": [] }, { "id": "DerChirurg.70680821.eng.abstr-s2-r2-t2.1-t1.1", "type": "associated_with", "arg1_id": "DerChirurg.70680821.eng.abstr-s4-t2", "arg2_id": "DerChirurg.70680821.eng.abstr-s4-t1", "normalized": [] }, { "id": "DerChirurg.70680821.eng.abstr-s2-r3-t1.1-t2.1", "type": "degree_of", "arg1_id": "DerChirurg.70680821.eng.abstr-s4-t1", "arg2_id": "DerChirurg.70680821.eng.abstr-s4-t2", "normalized": [] }, { "id": "DerChirurg.70680821.eng.abstr-s2-r4-t1.1-t2.1", "type": "associated_with", "arg1_id": "DerChirurg.70680821.eng.abstr-s4-t1", "arg2_id": "DerChirurg.70680821.eng.abstr-s4-t2", "normalized": [] }, { "id": "DerChirurg.70680821.eng.abstr-s3-r1-t1.1-t4.1", "type": "location_of", "arg1_id": "DerChirurg.70680821.eng.abstr-s4-t1", "arg2_id": "DerChirurg.70680821.eng.abstr-s3-t4", "normalized": [] } ]
DerChirurg.70680829.eng.abstr	DerChirurg.70680829.eng.abstr	[ { "id": "DerChirurg.70680829.eng.abstr-passage-0", "type": "abstract", "text": [ "Acute compartmental syndrome ( CS ) is a surgical emergency . Different conditions in which high non-physiological pressure appears within a closed fascial space reduce the necessary blood perfusion . CS is caused by trauma , burns , bleeding in patients with coagulopathies , arterial injuries , nephrotic syndrome or unusual physical exercise with secondary compartmental swelling . When decompression occurs too late , permanent loss of function and limb contracture may result . In the following paper we report on a case of four-compartmental syndrome in the lower legs of a patient with drug intoxication . After cannabis consumption , the patient fell asleep sitting cross-legged . During our first examination several hours later , the signs of compartmental syndrome with spontaneous pain , turgid swelling and paresis were present . Bilateral skin incision technique was used to gain entrance into the four compartments in both lower legs . Immediately after the operation , the patient showed crush syndrome with high serum creatine kinase activity 140.501 U/l and acute renal failure caused by rhabdomyolysis . Within 2 weeks of haemofiltration and dialysis , a full recovery to a normal serum creatinine level of 0,7 mg/dl was achieved . After emergency treatment and rehabilitation , the patient showed neither vascular nor neural defects ." ], "offsets": [ [ 0, 1354 ] ] } ]	[ { "id": "DerChirurg.70680829.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "syndrome" ], "offsets": [ [ 20, 28 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039082" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "surgical" ], "offsets": [ [ 41, 49 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "emergency" ], "offsets": [ [ 50, 59 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013956" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "compartmental syndrome" ], "offsets": [ [ 6, 28 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027743" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "pressure" ], "offsets": [ [ 115, 123 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0033095" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "blood" ], "offsets": [ [ 183, 188 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005767" }, { "db_name": "UMLS", "db_id": "C0005768" }, { "db_name": "UMLS", "db_id": "C0005835" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "perfusion" ], "offsets": [ [ 189, 198 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0031001" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "trauma" ], "offsets": [ [ 217, 223 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021501" }, { "db_name": "UMLS", "db_id": "C0043251" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "burns" ], "offsets": [ [ 226, 231 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006434" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 246, 254 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "coagulopathies" ], "offsets": [ [ 260, 274 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005779" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s3-t5", "type": "umlsterm", "text": [ "injuries" ], "offsets": [ [ 286, 294 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0175677" }, { "db_name": "UMLS", "db_id": "C0021501" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s3-t6", "type": "umlsterm", "text": [ "syndrome" ], "offsets": [ [ 307, 315 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039082" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s3-t7", "type": "umlsterm", "text": [ "exercise" ], "offsets": [ [ 336, 344 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015259" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s3-t8", "type": "umlsterm", "text": [ "secondary" ], "offsets": [ [ 350, 359 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027627" }, { "db_name": "UMLS", "db_id": "C0036525" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s3-t9", "type": "umlsterm", "text": [ "nephrotic syndrome" ], "offsets": [ [ 297, 315 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027726" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s3-t10", "type": "umlsterm", "text": [ "physical exercise" ], "offsets": [ [ 327, 344 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015259" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "function" ], "offsets": [ [ 440, 448 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0031843" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "limb" ], "offsets": [ [ 453, 457 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015385" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "contracture" ], "offsets": [ [ 458, 469 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009917" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "paper" ], "offsets": [ [ 500, 505 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030351" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "syndrome" ], "offsets": [ [ 548, 556 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039082" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "legs" ], "offsets": [ [ 570, 574 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023216" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s5-t4", "type": "umlsterm", "text": [ "patient" ], "offsets": [ [ 580, 587 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s5-t5", "type": "umlsterm", "text": [ "drug" ], "offsets": [ [ 593, 597 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013227" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s5-t6", "type": "umlsterm", "text": [ "intoxication" ], "offsets": [ [ 598, 610 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032344" }, { "db_name": "UMLS", "db_id": "C0728899" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s5-t7", "type": "umlsterm", "text": [ "drug intoxication" ], "offsets": [ [ 593, 610 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0029944" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "cannabis" ], "offsets": [ [ 619, 627 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0700268" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "consumption" ], "offsets": [ [ 628, 639 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009830" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s6-t3", "type": "umlsterm", "text": [ "patient" ], "offsets": [ [ 646, 653 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s7-t1", "type": "umlsterm", "text": [ "signs" ], "offsets": [ [ 744, 749 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220912" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s7-t2", "type": "umlsterm", "text": [ "syndrome" ], "offsets": [ [ 767, 775 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039082" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s7-t3", "type": "umlsterm", "text": [ "pain" ], "offsets": [ [ 793, 797 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030193" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s7-t4", "type": "umlsterm", "text": [ "paresis" ], "offsets": [ [ 820, 827 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030552" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s7-t5", "type": "umlsterm", "text": [ "compartmental syndrome" ], "offsets": [ [ 753, 775 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027743" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s8-t1", "type": "umlsterm", "text": [ "skin" ], "offsets": [ [ 853, 857 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0037267" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s8-t2", "type": "umlsterm", "text": [ "technique" ], "offsets": [ [ 867, 876 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s8-t3", "type": "umlsterm", "text": [ "legs" ], "offsets": [ [ 944, 948 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023216" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s9-t1", "type": "umlsterm", "text": [ "operation" ], "offsets": [ [ 973, 982 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0543467" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s9-t2", "type": "umlsterm", "text": [ "patient" ], "offsets": [ [ 989, 996 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s9-t3", "type": "umlsterm", "text": [ "syndrome" ], "offsets": [ [ 1010, 1018 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039082" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s9-t4", "type": "umlsterm", "text": [ "creatine" ], "offsets": [ [ 1035, 1043 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0010286" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s9-t5", "type": "umlsterm", "text": [ "kinase" ], "offsets": [ [ 1044, 1050 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0031727" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s9-t6", "type": "umlsterm", "text": [ "rhabdomyolysis" ], "offsets": [ [ 1106, 1120 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035410" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s9-t7", "type": "umlsterm", "text": [ "crush syndrome" ], "offsets": [ [ 1004, 1018 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0010392" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s9-t8", "type": "umlsterm", "text": [ "creatine kinase" ], "offsets": [ [ 1035, 1050 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0010287" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s9-t9", "type": "umlsterm", "text": [ "renal failure" ], "offsets": [ [ 1082, 1095 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035078" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s9-t10", "type": "umlsterm", "text": [ "acute renal failure" ], "offsets": [ [ 1076, 1095 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022660" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s10-t1", "type": "umlsterm", "text": [ "haemofiltration" ], "offsets": [ [ 1141, 1156 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019014" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s10-t2", "type": "umlsterm", "text": [ "dialysis" ], "offsets": [ [ 1161, 1169 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011945" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s10-t3", "type": "umlsterm", "text": [ "creatinine" ], "offsets": [ [ 1206, 1216 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0010294" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s11-t1", "type": "umlsterm", "text": [ "emergency" ], "offsets": [ [ 1257, 1266 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013956" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s11-t2", "type": "umlsterm", "text": [ "treatment" ], "offsets": [ [ 1267, 1276 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s11-t3", "type": "umlsterm", "text": [ "rehabilitation" ], "offsets": [ [ 1281, 1295 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034991" }, { "db_name": "UMLS", "db_id": "C0034992" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s11-t4", "type": "umlsterm", "text": [ "patient" ], "offsets": [ [ 1302, 1309 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s11-t5", "type": "umlsterm", "text": [ "defects" ], "offsets": [ [ 1345, 1352 ] ], "normalized": [ { "db_name": "UMLS", 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DerChirurg.70680832.eng.abstr	DerChirurg.70680832.eng.abstr	[ { "id": "DerChirurg.70680832.eng.abstr-passage-0", "type": "abstract", "text": [ "Hydatid disease is caused by the parasitic tapeworm Echinococcus . The larval stage of this parasite can thrive in many parts of the body , most frequently in the liver . Primary bone location is very rare , accounting for less than 2 % of all hydatid lesions . We report on a case of left-sided extended pelvic infestation . The destruction of the hip joint , os pubis , large parts of the ileum and the femoral head made pelvic resection and prosthetic replacement necessary . Recurrence of a hydatid cyst 5 years later in the left groin originating from the proximal femur was treated with second femoral resection and new total hip replacement . Because of instability , the primarily inserted polyacetal pelvic replacement had to be exchanged for a custom-made device fabricated with the aid of computer-aided design ( CAD ) techniques . This surgical procedure was combined with chemotherapy ( mebendazole ) . The necessity of radical resection in osseus hydatid disease is discussed ." ], "offsets": [ [ 0, 991 ] ] } ]	[ { "id": "DerChirurg.70680832.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "disease" ], "offsets": [ [ 8, 15 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0012634" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "parasitic" ], "offsets": [ [ 33, 42 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0521066" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "tapeworm" ], "offsets": [ [ 43, 51 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007892" }, { "db_name": "UMLS", "db_id": "C0007894" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "Echinococcus" ], "offsets": [ [ 52, 64 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013506" }, { "db_name": "UMLS", "db_id": "C0013502" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "Hydatid disease" ], "offsets": [ [ 0, 15 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013502" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "stage" ], "offsets": [ [ 78, 83 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027646" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "parasite" ], "offsets": [ [ 92, 100 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030498" }, { "db_name": "UMLS", "db_id": "C0521066" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "liver" ], "offsets": [ [ 163, 168 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0345904" }, { "db_name": "UMLS", "db_id": "C0023884" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "bone" ], "offsets": [ [ 179, 183 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0262950" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "accounting" ], "offsets": [ [ 208, 218 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0000938" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "hip" ], "offsets": [ [ 349, 352 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019552" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "joint" ], "offsets": [ [ 353, 358 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022417" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "pubis" ], "offsets": [ [ 364, 369 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034014" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s5-t4", "type": "umlsterm", "text": [ "ileum" ], "offsets": [ [ 391, 396 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0020885" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s5-t5", "type": "umlsterm", "text": [ "head" ], "offsets": [ [ 413, 417 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0018670" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s5-t6", "type": "umlsterm", "text": [ "hip joint" ], "offsets": [ [ 349, 358 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019558" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s5-t7", "type": "umlsterm", "text": [ "os pubis" ], "offsets": [ [ 361, 369 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034014" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s5-t8", "type": "umlsterm", "text": [ "femoral head" ], "offsets": [ [ 405, 417 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015813" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "Recurrence" ], "offsets": [ [ 479, 489 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034897" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "cyst" ], "offsets": [ [ 503, 507 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0010709" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s6-t3", "type": "umlsterm", "text": [ "groin" ], "offsets": [ [ 534, 539 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0018246" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s6-t4", "type": "umlsterm", "text": [ "femur" ], "offsets": [ [ 570, 575 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015811" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s6-t5", "type": "umlsterm", "text": [ "hip" ], "offsets": [ [ 632, 635 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019552" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s6-t6", "type": "umlsterm", "text": [ "hydatid cyst" ], "offsets": [ [ 495, 507 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013502" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s6-t7", "type": "umlsterm", "text": [ "hip replacement" ], "offsets": [ [ 632, 647 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0392806" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s6-t8", "type": "umlsterm", "text": [ "total hip replacement" ], "offsets": [ [ 626, 647 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040508" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s7-t1", "type": "umlsterm", "text": [ "polyacetal" ], "offsets": [ [ 698, 708 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0071496" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s7-t2", "type": "umlsterm", "text": [ "polyacetal" ], "offsets": [ [ 698, 708 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0000967" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s7-t3", "type": "umlsterm", "text": [ "device" ], "offsets": [ [ 766, 772 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0699733" }, { "db_name": "UMLS", "db_id": "C0220819" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s7-t4", "type": "umlsterm", "text": [ "aid" ], "offsets": [ [ 793, 796 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021588" }, { "db_name": "UMLS", "db_id": "C0001175" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s7-t5", "type": "umlsterm", "text": [ "CAD" ], "offsets": [ [ 824, 827 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0170509" }, { "db_name": "UMLS", "db_id": "C0010068" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s7-t6", "type": "umlsterm", "text": [ "techniques" ], "offsets": [ [ 830, 840 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s8-t1", "type": "umlsterm", "text": [ "surgical" ], "offsets": [ [ 848, 856 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s8-t2", "type": "umlsterm", "text": [ "procedure" ], "offsets": [ [ 857, 866 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0184661" }, { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s8-t3", "type": "umlsterm", "text": [ "chemotherapy" ], "offsets": [ [ 885, 897 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013216" }, { "db_name": "UMLS", "db_id": "C0013217" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s8-t4", "type": "umlsterm", "text": [ "mebendazole" ], "offsets": [ [ 900, 911 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025023" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s8-t5", "type": "umlsterm", "text": [ "surgical procedure" ], "offsets": [ [ 848, 866 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0543467" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s9-t1", "type": "umlsterm", "text": [ "disease" ], "offsets": [ [ 969, 976 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0012634" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s9-t2", "type": "umlsterm", "text": [ "hydatid disease" ], "offsets": [ [ 961, 976 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013502" } ] } ]	[]	[]	[ { "id": "DerChirurg.70680832.eng.abstr-s1-r1-t4.1-t5.1", "type": "causes", "arg1_id": "DerChirurg.70680832.eng.abstr-s8-t4", "arg2_id": "DerChirurg.70680832.eng.abstr-s8-t5", "normalized": [] }, { "id": "DerChirurg.70680832.eng.abstr-s1-r2-t2.1-t1.1", "type": "causes", "arg1_id": 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DerChirurg.70680837.eng.abstr	DerChirurg.70680837.eng.abstr	[ { "id": "DerChirurg.70680837.eng.abstr-passage-0", "type": "abstract", "text": [ "Currently laparoscopic surgery is limited by several factors . One of them is the precise handling of optics . Up to now , in our hospital 52 laparoscopic operations have been done with a voice - controlled robot arm to handle the optics in gallbladder , stomach , large bowel and hernia operations . The visual field is determined by the surgeon . In all cases handling of the robot arm was precise and the voice response exact and without technical problems . Twenty-nine operations were done by one operator as \" solo surgeries \" . In 20 further cases there was one assistant . A robot arm can be used successfully without problems by any laparoscopic surgeon in any operating theater ." ], "offsets": [ [ 0, 689 ] ] } ]	[ { "id": "DerChirurg.70680837.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "surgery" ], "offsets": [ [ 23, 30 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038894" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70680837.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "laparoscopic surgery" ], "offsets": [ [ 10, 30 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0751429" } ] }, { "id": "DerChirurg.70680837.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "optics" ], "offsets": [ [ 102, 108 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0029144" } ] }, { "id": "DerChirurg.70680837.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "hospital" ], "offsets": [ [ 130, 138 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019994" } ] }, { "id": "DerChirurg.70680837.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "operations" ], "offsets": [ [ 155, 165 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0543467" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70680837.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "voice" ], "offsets": [ [ 188, 193 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042939" } ] }, { "id": "DerChirurg.70680837.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "arm" ], "offsets": [ [ 213, 216 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003792" } ] }, { "id": "DerChirurg.70680837.eng.abstr-s3-t5", "type": "umlsterm", "text": [ "optics" ], "offsets": [ [ 231, 237 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0029144" } ] }, { "id": "DerChirurg.70680837.eng.abstr-s3-t6", "type": "umlsterm", "text": [ "gallbladder" ], "offsets": [ [ 241, 252 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016976" } ] }, { "id": "DerChirurg.70680837.eng.abstr-s3-t7", "type": "umlsterm", "text": [ "stomach" ], "offsets": [ [ 255, 262 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038351" }, { "db_name": "UMLS", "db_id": "C0024623" } ] }, { "id": "DerChirurg.70680837.eng.abstr-s3-t8", "type": "umlsterm", "text": [ "bowel" ], "offsets": [ [ 271, 276 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021853" } ] }, { "id": "DerChirurg.70680837.eng.abstr-s3-t9", "type": "umlsterm", "text": [ "hernia" ], "offsets": [ [ 281, 287 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019270" } ] }, { "id": "DerChirurg.70680837.eng.abstr-s3-t10", "type": "umlsterm", "text": [ "operations" ], "offsets": [ [ 288, 298 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0543467" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70680837.eng.abstr-s3-t11", "type": "umlsterm", "text": [ "large bowel" ], "offsets": [ [ 265, 276 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021851" } ] }, { "id": "DerChirurg.70680837.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "visual field" ], "offsets": [ [ 305, 317 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042826" } ] }, { "id": "DerChirurg.70680837.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "arm" ], "offsets": [ [ 384, 387 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003792" } ] }, { "id": "DerChirurg.70680837.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "voice" ], "offsets": [ [ 408, 413 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042939" } ] }, { "id": "DerChirurg.70680837.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "exact" ], "offsets": [ [ 423, 428 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0059927" } ] }, { "id": "DerChirurg.70680837.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "operations" ], "offsets": [ [ 474, 484 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0543467" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70680837.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "operator" ], "offsets": [ [ 502, 510 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0086734" } ] }, { "id": "DerChirurg.70680837.eng.abstr-s6-t3", "type": "umlsterm", "text": [ "surgeries" ], "offsets": [ [ 521, 530 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038894" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70680837.eng.abstr-s8-t1", "type": "umlsterm", "text": [ "arm" ], "offsets": [ [ 589, 592 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003792" } ] }, { "id": "DerChirurg.70680837.eng.abstr-s8-t2", "type": "umlsterm", "text": [ "operating theater" ], "offsets": [ [ 670, 687 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0029064" } ] } ]	[]	[]	[ { "id": "DerChirurg.70680837.eng.abstr-s1-r1-t1.2-t1.1", "type": "issue_in", "arg1_id": "DerChirurg.70680837.eng.abstr-s6-t1", "arg2_id": "DerChirurg.70680837.eng.abstr-s8-t1", "normalized": [] }, { "id": "DerChirurg.70680837.eng.abstr-s1-r2-t2.1-t1.1", "type": "method_of", "arg1_id": "DerChirurg.70680837.eng.abstr-s8-t2", "arg2_id": 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Here , he proved to be an innovative artist , a creative scientist , and an inspiring and skillful instructor . By the time of Broedel's retirement in 1939 , 160 students had graduated as medical illustrators . His pupils spread his principles and style throughout the USA and Canada , and several similar academic programs for medical illustration have been founded in these countries ." ], "offsets": [ [ 0, 1229 ] ] } ]	[ { "id": "DerChirurg.70680840.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "Germany" ], "offsets": [ [ 43, 50 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0017480" } ] }, { "id": "DerChirurg.70680840.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "father" ], "offsets": [ [ 92, 98 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015671" } ] }, { "id": "DerChirurg.70680840.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "medical illustration" ], "offsets": [ [ 109, 129 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025085" } ] }, { "id": "DerChirurg.70680840.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "art" ], "offsets": [ [ 228, 231 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003826" } ] }, { "id": "DerChirurg.70680840.eng.abstr-s2-t2", 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DerChirurg.70680865.eng.abstr	DerChirurg.70680865.eng.abstr	[ { "id": "DerChirurg.70680865.eng.abstr-passage-0", "type": "abstract", "text": [ "Intraductal and intraparenchymal hypertension represent the rationale for surgical drainage procedures in the treatment of chronic pancreatitis . \" Simple \" drainage procedures such as longitudinal pancreaticojejunostomy according to Partington-Rochelle have to be distinguished from \" extended \" drainage operations , e . g . the combination of longitudinal pancreaticojejunostomy with limited local excision of the pancreatic head . This \" extended \" drainage procedure according to Frey is just as effective as resective procedures in terms of persistent pain relief and definitive management of pancreatitis-associated complications of adjacent organs , i . e . distal common bile duct and duodenal stenosis . This operation also addresses an inflammatory mass in the pancreatic head . In contrast to \" simple \" drainage procedures the Frey operation allows reliable exclusion of pancreatic carcinoma . With low perioperative morbidity and zero mortality the Frey procedure significantly improves quality of life and leads to social and occupational rehabilitation ." ], "offsets": [ [ 0, 1070 ] ] } ]	[ { "id": "DerChirurg.70680865.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "hypertension" ], "offsets": [ [ 33, 45 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0020538" } ] }, { "id": "DerChirurg.70680865.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "surgical" ], "offsets": [ [ 74, 82 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70680865.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "drainage" ], "offsets": [ [ 83, 91 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013103" } ] }, { "id": "DerChirurg.70680865.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "procedures" ], "offsets": [ [ 92, 102 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0184661" }, { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": 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DerChirurg.70680874.eng.abstr	DerChirurg.70680874.eng.abstr	[ { "id": "DerChirurg.70680874.eng.abstr-passage-0", "type": "abstract", "text": [ "In patients with chronic pancreatitis the inflammatory process in the pancreatic head is frequently the pacemaker of the disease . In these cases an inflammatory tumor develops which leads to local complications in half of the patients . Duodenum-preserving pancreatic head resection , contrary to procedures used in the past , offers the possibility to preserve stomach , duodenum , biliary tree , and the insulin secretory capacity . Duodenum-preserving pancreatic head resection is a subtotal resection of the pancreatic head . In a series of 380 patients the hospital mortality rate was 0.8 % , the frequency of reoperation 5.3 % , and the median hospitalisation time 13.9 days . The early postoperative glucose metabolism was deteriorated in 2 % and improved in 9 % of cases . After a median follow-up time of 6 years , 88 % of the patients were completely painfree or suffered pain rarely . Sixty-three percent were gainfully employed ; the late mortality was 8.9 % . Only 10 % of the patients had further bouts of pancreatitis . The decisive advantage of duodenum-preserving pancreatic head resection over Kausch-Whipple resection is preservation of the endocrine pancreatic function and of neighbouring organs ." ], "offsets": [ [ 0, 1219 ] ] } ]	[ { "id": "DerChirurg.70680874.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 3, 11 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680874.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "pancreatitis" ], "offsets": [ [ 25, 37 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030305" } ] }, { "id": "DerChirurg.70680874.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "pancreatic" ], "offsets": [ [ 70, 80 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0070016" } ] }, { "id": "DerChirurg.70680874.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "head" ], "offsets": [ [ 81, 85 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0018670" } ] }, { "id": "DerChirurg.70680874.eng.abstr-s1-t5", 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DerChirurg.70680881.eng.abstr	DerChirurg.70680881.eng.abstr	[ { "id": "DerChirurg.70680881.eng.abstr-passage-0", "type": "abstract", "text": [ "Pancreatic pseudocysts occur as a complication in the natural course of acute or chronic pancreatitis , with a spontaneous resolution rate of 40 % to 60 % . The incidence of pseudocysts in the course of chronic pancreatitis amounts to 60 % . Pseudocysts have to be differentiated from neoplastic or congenital pancreatic cystic lesions . Careful diagnostic work-up including ERCP and CT scanning is mandatory in the management of pancreatic pseudocysts . The indication for treatment depends on the development of symptoms or complications . Pain is present in up to 90 % of all patients , and the rate of complications varies between 2 % and 55 % . Pancreatic pseudocysts are usually an epiphenomenon of chronic pancreatitis . Pancreatic resection therefore represents a causative treatment . New percutaneous and endoscopic techniques for draining pseudocysts are challenging the previous hegemony of the surgeon . However , so far no prospectively collected data are available comparing the results of interventional and surgical drainage procedures . Therefore , in most symptomatic cases surgery is considered the treatment of choice ." ], "offsets": [ [ 0, 1140 ] ] } ]	[ { "id": "DerChirurg.70680881.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "Pancreatic" ], "offsets": [ [ 0, 10 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0070016" } ] }, { "id": "DerChirurg.70680881.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "complication" ], "offsets": [ [ 34, 46 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] }, { "id": "DerChirurg.70680881.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "pancreatitis" ], "offsets": [ [ 89, 101 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030305" } ] }, { "id": "DerChirurg.70680881.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "Pancreatic pseudocysts" ], "offsets": [ [ 0, 22 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030299" } ] }, { "id": "DerChirurg.70680881.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "incidence" ], "offsets": [ [ 161, 170 ] ], 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DerChirurg.70680892.eng.abstr	DerChirurg.70680892.eng.abstr	[ { "id": "DerChirurg.70680892.eng.abstr-passage-0", "type": "abstract", "text": [ "A prospective , controlled , randomized trial was conducted in 275 patients with symptomatic gall stone disease , whose history , laboratory data or sonographical findings did not suggest common bile duct stones . Of these patients , 137 did not undergo intraoperative fluoroscopic cholangiography ( IOC ) , but in the remaining 138 patients IOC was attempted . In 111 cases ( 80.4 % ) the biliary system was sufficiently visualized . In 3 patients ( 2.7 % ) calculi in the cystic or common bile duct were diagnosed , which would have been overlooked without IOC . IOC was false-positive in one case . One year after the operation the patients were asked to return for a follow-up examination . Three patients in the group without IOC had had symptomatic passage of a stone , and one had a common bile duct stone removed by endoscopic papillotomy . A retained stone was discussed as etiology for a pancreatitis in a fifth patient in this group . No patient sustained long-term sequelae from the retained common bile duct stones . None of the patients in the IOC group had evidence of cholangiolithiasis at follow-up . There was no difference between the study groups concerning the incidence of post-operative complications . The operations with IOC lasted significantly longer ( 92 +/- 31 min vs 77 +/- 28 min ) . According to our data and those published earlier , the additional financial and logistic expenditure associated with routine IOC is not justified . Patients with the preoperative suspicion of a common bile duct stone should have endoscopic bile duct clearance ( ERCP and EPT ) prior to cholecystectomy ." ], "offsets": [ [ 0, 1619 ] ] } ]	[ { "id": "DerChirurg.70680892.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 67, 75 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680892.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "disease" ], "offsets": [ [ 104, 111 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0012634" } ] }, { "id": "DerChirurg.70680892.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "history" ], "offsets": [ [ 120, 127 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019664" }, { "db_name": "UMLS", "db_id": "C0019665" } ] }, { "id": "DerChirurg.70680892.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "laboratory" ], "offsets": [ [ 130, 140 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022877" } ] }, { "id": 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"C0030705" } ] }, { "id": "DerChirurg.70680892.eng.abstr-s7-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 701, 709 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680892.eng.abstr-s7-t2", "type": "umlsterm", "text": [ "bile" ], "offsets": [ [ 797, 801 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005388" } ] }, { "id": "DerChirurg.70680892.eng.abstr-s7-t3", "type": "umlsterm", "text": [ "bile duct" ], "offsets": [ [ 797, 806 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005400" } ] }, { "id": "DerChirurg.70680892.eng.abstr-s7-t4", "type": "umlsterm", "text": [ "endoscopic papillotomy" ], "offsets": [ [ 824, 846 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0085263" } ] }, { "id": "DerChirurg.70680892.eng.abstr-s7-t5", "type": "umlsterm", "text": [ "common bile duct" ], "offsets": [ [ 790, 806 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009437" } ] }, { "id": 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DerChirurg.70680898.eng.abstr	DerChirurg.70680898.eng.abstr	[ { "id": "DerChirurg.70680898.eng.abstr-passage-0", "type": "abstract", "text": [ "An often unrecognized but potentially fatal complication , mostly seen in posttraumatic patients under intensive care , is reactive acute cholecystitis . On account of the high specificity of ultrasound diagnosis in the biliary system we decided to examine the ultrasound criteria for early detection of posttraumatic cholecystitis . Ultrasound of the abdomen was performed prospectively , seven times on different days , in each of 40 artificially respirated patients under intensive care conditions over a period of 12 months . The results show that artificial respiration , parenteral feeding and previous trauma can lead to tardive ( 28/40 ) wallthickening or to a three-layered wall of the gallbladder ( 9/40 ) . In 22.5 % of patients ( 9/40 ) we found the sonographic signs of acute cholecystitis . In correlation with the clinical signs , cholecystectomy was indicated in only two patients . The preoperative ultrasonographic findings and clinical signs of 23 patients with the diagnosis of acute reactive cholecystitis were analysed retrospectively . We found good correlation between sonographic and clinical signs of acute cholecystitis in 21 of these 23 patients . Our study shows that the morphological correlate of a thickened three-layered gallbladder wall can occur in the context of systemic alterations , even if there is no underlying cholecystitis . The diagnosis of acute reactive cholecystitis and the indication for cholecystectomy should be based on the synopsis of pathologic and clinical findings ." ], "offsets": [ [ 0, 1523 ] ] } ]	[ { "id": "DerChirurg.70680898.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "complication" ], "offsets": [ [ 44, 56 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] }, { "id": "DerChirurg.70680898.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 88, 96 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680898.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "care" ], "offsets": [ [ 113, 117 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0150499" } ] }, { "id": "DerChirurg.70680898.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "cholecystitis" ], "offsets": [ [ 138, 151 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0008325" } ] }, { "id": "DerChirurg.70680898.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "intensive care" ], "offsets": [ [ 103, 117 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0085559" } ] }, { "id": "DerChirurg.70680898.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "specificity" ], "offsets": [ [ 177, 188 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0037791" } ] }, { "id": "DerChirurg.70680898.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "ultrasound" ], "offsets": [ [ 192, 202 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220934" }, { "db_name": "UMLS", "db_id": "C0041618" }, { "db_name": "UMLS", "db_id": "C0041621" } ] }, { "id": "DerChirurg.70680898.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "diagnosis" ], "offsets": [ [ 203, 212 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011900" }, { "db_name": "UMLS", "db_id": "C0348026" } ] }, { "id": "DerChirurg.70680898.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "ultrasound" ], "offsets": [ [ 261, 271 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220934" }, { "db_name": "UMLS", "db_id": "C0041618" }, { "db_name": "UMLS", "db_id": "C0041621" } ] }, { "id": "DerChirurg.70680898.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "criteria" ], "offsets": [ [ 272, 280 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243161" } ] }, { "id": "DerChirurg.70680898.eng.abstr-s2-t6", "type": "umlsterm", "text": [ "cholecystitis" ], "offsets": [ [ 318, 331 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0008325" } ] }, { "id": "DerChirurg.70680898.eng.abstr-s2-t7", "type": "umlsterm", "text": [ "biliary system" ], "offsets": [ [ 220, 234 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005423" } ] }, { "id": "DerChirurg.70680898.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "Ultrasound" ], "offsets": [ [ 334, 344 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220934" }, { "db_name": "UMLS", "db_id": "C0041618" }, { "db_name": "UMLS", "db_id": "C0041621" } ] }, { "id": "DerChirurg.70680898.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "abdomen" ], "offsets": [ [ 352, 359 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0000726" } ] }, { "id": "DerChirurg.70680898.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "times" ], "offsets": [ [ 396, 401 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040223" } ] }, { "id": "DerChirurg.70680898.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 460, 468 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680898.eng.abstr-s3-t5", "type": "umlsterm", "text": [ "care" ], "offsets": [ [ 485, 489 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0150499" } ] }, { "id": "DerChirurg.70680898.eng.abstr-s3-t6", "type": "umlsterm", "text": [ "period" ], "offsets": [ [ 508, 514 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025344" } ] }, { "id": "DerChirurg.70680898.eng.abstr-s3-t7", "type": "umlsterm", "text": [ "intensive care" ], "offsets": [ [ 475, 489 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0085559" } ] }, { "id": "DerChirurg.70680898.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "respiration" ], "offsets": [ [ 563, 574 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035203" }, { "db_name": "UMLS", "db_id": "C0282636" } ] }, { "id": "DerChirurg.70680898.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "trauma" ], "offsets": [ [ 609, 615 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021501" }, { "db_name": "UMLS", "db_id": "C0043251" } ] }, { "id": "DerChirurg.70680898.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "gallbladder" ], "offsets": [ [ 695, 706 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016976" } ] }, { "id": "DerChirurg.70680898.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "artificial respiration" ], "offsets": [ [ 552, 574 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035205" } ] }, { "id": "DerChirurg.70680898.eng.abstr-s4-t5", "type": "umlsterm", "text": [ "parenteral feeding" ], "offsets": [ [ 577, 595 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030547" } ] }, { "id": "DerChirurg.70680898.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 731, 739 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680898.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "signs" ], "offsets": [ [ 774, 779 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220912" } ] }, { "id": "DerChirurg.70680898.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "cholecystitis" ], "offsets": [ [ 789, 802 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0008325" } ] }, { "id": "DerChirurg.70680898.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "signs" ], "offsets": [ [ 838, 843 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220912" } ] }, { "id": "DerChirurg.70680898.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "cholecystectomy" ], "offsets": [ [ 846, 861 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0008320" } ] }, { "id": "DerChirurg.70680898.eng.abstr-s6-t3", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 888, 896 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680898.eng.abstr-s7-t1", "type": "umlsterm", "text": [ "findings" ], "offsets": [ [ 933, 941 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243095" } ] }, { "id": "DerChirurg.70680898.eng.abstr-s7-t2", "type": "umlsterm", "text": [ "signs" ], "offsets": [ [ 955, 960 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220912" } ] }, { "id": "DerChirurg.70680898.eng.abstr-s7-t3", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 967, 975 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680898.eng.abstr-s7-t4", "type": "umlsterm", "text": [ "diagnosis" ], "offsets": [ [ 985, 994 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011900" }, { "db_name": "UMLS", "db_id": "C0348026" } ] }, { "id": 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"text": [ "gallbladder" ], "offsets": [ [ 1254, 1265 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016976" } ] }, { "id": "DerChirurg.70680898.eng.abstr-s9-t3", "type": "umlsterm", "text": [ "cholecystitis" ], "offsets": [ [ 1353, 1366 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0008325" } ] }, { "id": "DerChirurg.70680898.eng.abstr-s10-t1", "type": "umlsterm", "text": [ "diagnosis" ], "offsets": [ [ 1373, 1382 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011900" }, { "db_name": "UMLS", "db_id": "C0348026" } ] }, { "id": "DerChirurg.70680898.eng.abstr-s10-t2", "type": "umlsterm", "text": [ "cholecystitis" ], "offsets": [ [ 1401, 1414 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0008325" } ] }, { "id": "DerChirurg.70680898.eng.abstr-s10-t3", "type": "umlsterm", "text": [ "cholecystectomy" ], "offsets": [ [ 1438, 1453 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0008320" } ] }, { "id": "DerChirurg.70680898.eng.abstr-s10-t4", "type": "umlsterm", 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Controlled clinical trials will be necessary to confirm the advantages of fundus rotation gastroplasty versus conventional gastroplasty ." ], "offsets": [ [ 0, 700 ] ] } ]	[ { "id": "DerChirurg.70680906.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 57, 65 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680906.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "causes" ], "offsets": [ [ 88, 94 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015127" } ] }, { "id": "DerChirurg.70680906.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "morbidity" ], "offsets": [ [ 98, 107 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220880" }, { "db_name": "UMLS", "db_id": "C0026538" } ] }, { "id": "DerChirurg.70680906.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "oesophagectomy" ], "offsets": [ [ 118, 132 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0085198" } ] }, { "id": "DerChirurg.70680906.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "cancer" ], "offsets": [ [ 137, 143 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006826" } ] }, { "id": "DerChirurg.70680906.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "technique" ], "offsets": [ [ 165, 174 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.70680906.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "gastroplasty" ], "offsets": [ [ 178, 190 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0017193" } ] }, { "id": "DerChirurg.70680906.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "rotation" ], "offsets": [ [ 207, 215 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035868" } ] }, { "id": "DerChirurg.70680906.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "gastroplasty" ], "offsets": [ [ 216, 228 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0017193" } ] }, { "id": "DerChirurg.70680906.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 250, 258 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680906.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 275, 283 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680906.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "oesophageal" ], "offsets": [ [ 289, 300 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0014852" } ] }, { "id": "DerChirurg.70680906.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "cancer" ], "offsets": [ [ 301, 307 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006826" } ] }, { "id": "DerChirurg.70680906.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "oesophageal cancer" ], "offsets": [ [ 289, 307 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0546837" }, { "db_name": "UMLS", "db_id": "C0014859" } ] }, { "id": "DerChirurg.70680906.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "Hospital" ], "offsets": [ [ 336, 344 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019994" } ] }, { "id": "DerChirurg.70680906.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "mortality" ], "offsets": [ [ 345, 354 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026566" }, { "db_name": "UMLS", "db_id": "C0026565" } ] }, { "id": "DerChirurg.70680906.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "Hospital mortality" ], "offsets": [ [ 336, 354 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0085556" } ] }, { "id": "DerChirurg.70680906.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "rotation" ], "offsets": [ [ 437, 445 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035868" } ] }, { "id": "DerChirurg.70680906.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "gastroplasty" ], "offsets": [ [ 446, 458 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0017193" } ] }, { "id": "DerChirurg.70680906.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "gastroplasty" ], "offsets": [ [ 477, 489 ] ], "normalized": [ { "db_name": 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DerChirurg.70680910.eng.abstr	DerChirurg.70680910.eng.abstr	[ { "id": "DerChirurg.70680910.eng.abstr-passage-0", "type": "abstract", "text": [ "In a prospective randomized study on 50 patients undergoing laparoscopic surgery , the safety and feasibility of open access laparoscopy was analyzed and compared to the closed Veress needle technique . Open access laparoscopic surgery was performed in half the time needed for the Veress needle technique with equal safety and without complications or technical disadvantages . Furthermore , open access offers economical advantages , as disposable trocars are no longer needed . Therefore the open access technique is recommended as the standard for laparoscopic operations ." ], "offsets": [ [ 0, 577 ] ] } ]	[ { "id": "DerChirurg.70680910.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 40, 48 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680910.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "surgery" ], "offsets": [ [ 73, 80 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038894" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70680910.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "safety" ], "offsets": [ [ 87, 93 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0036043" } ] }, { "id": "DerChirurg.70680910.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "open" ], "offsets": [ [ 113, 117 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0266061" } ] }, { "id": "DerChirurg.70680910.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "laparoscopy" ], 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"C0038894" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70680910.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "time" ], "offsets": [ [ 262, 266 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040223" } ] }, { "id": "DerChirurg.70680910.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "needle" ], "offsets": [ [ 289, 295 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027551" } ] }, { "id": "DerChirurg.70680910.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "technique" ], "offsets": [ [ 296, 305 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.70680910.eng.abstr-s2-t6", "type": "umlsterm", "text": [ "safety" ], "offsets": [ [ 317, 323 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0036043" } ] }, { "id": "DerChirurg.70680910.eng.abstr-s2-t7", "type": "umlsterm", "text": [ "complications" ], "offsets": [ [ 336, 349 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] }, { "id": "DerChirurg.70680910.eng.abstr-s2-t8", "type": "umlsterm", "text": [ "laparoscopic surgery" ], "offsets": [ [ 215, 235 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0751429" } ] }, { "id": "DerChirurg.70680910.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "open" ], "offsets": [ [ 393, 397 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0266061" } ] }, { "id": "DerChirurg.70680910.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "trocars" ], "offsets": [ [ 450, 457 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0041158" } ] }, { "id": "DerChirurg.70680910.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "open" ], "offsets": [ [ 495, 499 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0266061" } ] }, { "id": "DerChirurg.70680910.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "technique" ], "offsets": [ [ 507, 516 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.70680910.eng.abstr-s4-t3", "type": "umlsterm", "text": [ 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DerChirurg.70680914.eng.abstr	DerChirurg.70680914.eng.abstr	[ { "id": "DerChirurg.70680914.eng.abstr-passage-0", "type": "abstract", "text": [ "Following isolated limb perfusion ( ILP ) with TNF and melphalan the damage to muscle tissue and its systemic consequences in terms of myoglobinemia and myoglobinuria as well as the activation of the cytokine cascade were investigated . We measured the compartmental pressure of the limb during and after perfusion and determined the serum changes of myoglobin , creatine kinase ( CK ) , interleukin ( IL ) -6 , IL-1, s-IL-2-receptor, TNF-receptor , and ICAM-1 levels . The compartmental pressure rose significantly during ILP and decreased after reperfusion . Following its course , the decision whether to perform a fasciotomy or not can be more reliably made . Serum myoglobin levels exceeded 200 times normal values and the increase occurred significantly earlier than that of CK , thus enabling judgement of the risk of renal failure ( crush kidney syndrome ) . The elevation of serum IL-1 and IL-6 values correlated with the frequency of cardiopulmonary problems ( hyperdynamic shock ) and facilitated countermaneuvers . Our data , although obtained from ILP with TNF , could be used to monitor toxicity also when other drug regimens are administered ." ], "offsets": [ [ 0, 1158 ] ] } ]	[ { "id": "DerChirurg.70680914.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "limb" ], "offsets": [ [ 19, 23 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015385" } ] }, { "id": "DerChirurg.70680914.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "perfusion" ], "offsets": [ [ 24, 33 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0031001" } ] }, { "id": "DerChirurg.70680914.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "TNF" ], "offsets": [ [ 47, 50 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0041368" } ] }, { "id": "DerChirurg.70680914.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "melphalan" ], "offsets": [ [ 55, 64 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025241" } ] }, { "id": "DerChirurg.70680914.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "muscle" ], "offsets": [ [ 79, 85 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026845" } ] }, { "id": "DerChirurg.70680914.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "tissue" ], "offsets": [ [ 86, 92 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040300" } ] }, { "id": "DerChirurg.70680914.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "myoglobinuria" ], "offsets": [ [ 153, 166 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027080" } ] }, { "id": "DerChirurg.70680914.eng.abstr-s1-t8", "type": "umlsterm", "text": [ "cytokine" ], "offsets": [ [ 200, 208 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0079189" } ] }, { "id": "DerChirurg.70680914.eng.abstr-s1-t9", "type": "umlsterm", "text": [ "muscle tissue" ], "offsets": [ [ 79, 92 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026845" } ] }, { "id": "DerChirurg.70680914.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "pressure" ], "offsets": [ [ 267, 275 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0033095" } ] }, { "id": "DerChirurg.70680914.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "limb" ], "offsets": [ [ 283, 287 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015385" } ] }, { "id": "DerChirurg.70680914.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "perfusion" ], "offsets": [ [ 305, 314 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0031001" } ] }, { "id": "DerChirurg.70680914.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "myoglobin" ], "offsets": [ [ 351, 360 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027078" } ] }, { "id": "DerChirurg.70680914.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "creatine" ], "offsets": [ [ 363, 371 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0010286" } ] }, { "id": "DerChirurg.70680914.eng.abstr-s2-t6", "type": "umlsterm", "text": [ "kinase" ], "offsets": [ [ 372, 378 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0031727" } ] }, { "id": "DerChirurg.70680914.eng.abstr-s2-t7", "type": "umlsterm", "text": [ "interleukin" ], "offsets": [ [ 388, 399 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021764" } ] }, { "id": "DerChirurg.70680914.eng.abstr-s2-t8", "type": "umlsterm", "text": [ "ICAM-1" ], "offsets": [ [ 454, 460 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0063695" } ] }, { "id": "DerChirurg.70680914.eng.abstr-s2-t9", "type": "umlsterm", "text": [ "creatine kinase" ], "offsets": [ [ 363, 378 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0010287" } ] }, { "id": "DerChirurg.70680914.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "pressure" ], "offsets": [ [ 488, 496 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0033095" } ] }, { "id": "DerChirurg.70680914.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "reperfusion" ], "offsets": [ [ 547, 558 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035124" } ] }, { "id": "DerChirurg.70680914.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "myoglobin" ], "offsets": [ [ 670, 679 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027078" } ] }, { "id": "DerChirurg.70680914.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "times" ], "offsets": [ [ 700, 705 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040223" } ] }, { "id": "DerChirurg.70680914.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "values" ], "offsets": [ [ 713, 719 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042295" } ] }, { "id": "DerChirurg.70680914.eng.abstr-s5-t4", "type": "umlsterm", "text": [ "judgement" ], "offsets": [ [ 800, 809 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022423" } ] }, { "id": "DerChirurg.70680914.eng.abstr-s5-t5", "type": "umlsterm", "text": [ "risk" ], "offsets": [ [ 817, 821 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035647" } ] }, { "id": "DerChirurg.70680914.eng.abstr-s5-t6", "type": "umlsterm", "text": [ "kidney" ], "offsets": [ [ 847, 853 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022646" } ] }, { "id": "DerChirurg.70680914.eng.abstr-s5-t7", "type": 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DerChirurg.70680929.eng.abstr	DerChirurg.70680929.eng.abstr	[ { "id": "DerChirurg.70680929.eng.abstr-passage-0", "type": "abstract", "text": [ "Mediastinitis caused by infection with Clostridium perfringens and spontaneous rupture of the esophagus are both life threatening conditions . The combination of these two entities led to septic multiorgan failure in a 38-year-old woman . The patient was treated successfully by esophagectomy and postoperative lavage through a partially open abdomen . The lack of information regarding emesis , the leading symptom of Boerhaave's syndrome , caused delayed diagnosis : the triad of emesis , severe epigastric pain and emphysema of the skin was not established until 30 h after the onset of symptoms ." ], "offsets": [ [ 0, 600 ] ] } ]	[ { "id": "DerChirurg.70680929.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "Mediastinitis" ], "offsets": [ [ 0, 13 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025064" } ] }, { "id": "DerChirurg.70680929.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "infection" ], "offsets": [ [ 24, 33 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021311" } ] }, { "id": "DerChirurg.70680929.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "Clostridium" ], "offsets": [ [ 39, 50 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009054" } ] }, { "id": "DerChirurg.70680929.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "rupture" ], "offsets": [ [ 79, 86 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035955" } ] }, { "id": "DerChirurg.70680929.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "esophagus" ], "offsets": [ [ 94, 103 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0546837" }, { "db_name": "UMLS", "db_id": "C0014876" } ] }, { "id": "DerChirurg.70680929.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "life" ], "offsets": [ [ 113, 117 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0376558" } ] }, { "id": "DerChirurg.70680929.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "Clostridium perfringens" ], "offsets": [ [ 39, 62 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009063" } ] }, { "id": "DerChirurg.70680929.eng.abstr-s1-t8", "type": "umlsterm", "text": [ "spontaneous rupture" ], "offsets": [ [ 67, 86 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035956" } ] }, { "id": "DerChirurg.70680929.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "woman" ], "offsets": [ [ 231, 236 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0043210" } ] }, { "id": "DerChirurg.70680929.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "multiorgan failure" ], "offsets": [ [ 195, 213 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026766" } ] }, { "id": "DerChirurg.70680929.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "patient" ], "offsets": [ [ 243, 250 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680929.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "esophagectomy" ], "offsets": [ [ 279, 292 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0085198" } ] }, { "id": "DerChirurg.70680929.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "postoperative" ], "offsets": [ [ 297, 310 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032790" } ] }, { "id": "DerChirurg.70680929.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "lavage" ], "offsets": [ [ 311, 317 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022100" } ] }, { "id": "DerChirurg.70680929.eng.abstr-s3-t5", "type": "umlsterm", "text": [ "open" ], "offsets": [ [ 338, 342 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0266061" } ] }, { "id": "DerChirurg.70680929.eng.abstr-s3-t6", "type": "umlsterm", "text": [ "abdomen" ], "offsets": [ [ 343, 350 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0000726" } ] }, { "id": "DerChirurg.70680929.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "emesis" ], "offsets": [ [ 387, 393 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042963" } ] }, { "id": "DerChirurg.70680929.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "symptom" ], "offsets": [ [ 408, 415 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0683368" } ] }, { "id": "DerChirurg.70680929.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "syndrome" ], "offsets": [ [ 431, 439 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039082" } ] }, { "id": "DerChirurg.70680929.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "diagnosis" ], "offsets": [ [ 457, 466 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011900" }, { "db_name": "UMLS", "db_id": "C0348026" } ] }, { "id": "DerChirurg.70680929.eng.abstr-s4-t5", "type": "umlsterm", "text": [ "triad" ], "offsets": [ [ 473, 478 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0076994" } ] }, { "id": "DerChirurg.70680929.eng.abstr-s4-t6", "type": "umlsterm", "text": [ "emesis" ], "offsets": [ [ 482, 488 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042963" } ] }, { "id": "DerChirurg.70680929.eng.abstr-s4-t7", "type": "umlsterm", "text": [ "pain" ], "offsets": [ [ 509, 513 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030193" } ] }, { "id": "DerChirurg.70680929.eng.abstr-s4-t8", "type": "umlsterm", "text": [ "emphysema" ], "offsets": [ [ 518, 527 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013990" }, { "db_name": "UMLS", "db_id": "C0034067" } ] }, { "id": "DerChirurg.70680929.eng.abstr-s4-t9", "type": "umlsterm", "text": [ "skin" ], "offsets": [ [ 535, 539 ] ], "normalized": [ { 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DerChirurg.70680932.eng.abstr	DerChirurg.70680932.eng.abstr	[ { "id": "DerChirurg.70680932.eng.abstr-passage-0", "type": "abstract", "text": [ "In the present case of a granular cell tumor an abdomino-thoracal resection of the esophagus was performed in a 41-year-old patient after preoperative diagnosis had suggested esophageal cancer . Granular cell tumors ( Abrikossoff's tumor ) of the esophagus are rather rare tumors of neuroectodermal benign histogenesis . Diagnosis can be obtained by endoscopic and histological study and immunohistochemical forceps biopsy . Because of the peculiar histological feature of the tumor , it can be mistaken for an squamous cell carcinoma ." ], "offsets": [ [ 0, 536 ] ] } ]	[ { "id": "DerChirurg.70680932.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "cell" ], "offsets": [ [ 34, 38 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007634" } ] }, { "id": "DerChirurg.70680932.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "tumor" ], "offsets": [ [ 39, 44 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" } ] }, { "id": "DerChirurg.70680932.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "esophagus" ], "offsets": [ [ 83, 92 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0546837" }, { "db_name": "UMLS", "db_id": "C0014876" } ] }, { "id": "DerChirurg.70680932.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "patient" ], "offsets": [ [ 124, 131 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680932.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "diagnosis" ], "offsets": [ [ 151, 160 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011900" }, { "db_name": "UMLS", "db_id": "C0348026" } ] }, { "id": "DerChirurg.70680932.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "esophageal" ], "offsets": [ [ 175, 185 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0014852" } ] }, { "id": "DerChirurg.70680932.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "cancer" ], "offsets": [ [ 186, 192 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006826" } ] }, { "id": "DerChirurg.70680932.eng.abstr-s1-t8", "type": "umlsterm", "text": [ "esophageal cancer" ], "offsets": [ [ 175, 192 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0546837" }, { "db_name": "UMLS", "db_id": "C0014859" } ] }, { "id": "DerChirurg.70680932.eng.abstr-s1-t9", "type": "umlsterm", "text": [ "granular cell tumor" ], "offsets": [ [ 25, 44 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0085167" } ] }, { "id": "DerChirurg.70680932.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "cell" ], "offsets": [ [ 204, 208 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007634" } ] }, { "id": "DerChirurg.70680932.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "tumors" ], "offsets": [ [ 209, 215 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" } ] }, { "id": "DerChirurg.70680932.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "tumor" ], "offsets": [ [ 232, 237 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" } ] }, { "id": "DerChirurg.70680932.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "esophagus" ], "offsets": [ [ 247, 256 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0546837" }, { "db_name": "UMLS", "db_id": "C0014876" } ] }, { "id": "DerChirurg.70680932.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "tumors" ], "offsets": [ [ 273, 279 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" } ] }, { "id": "DerChirurg.70680932.eng.abstr-s2-t6", "type": "umlsterm", "text": [ "Granular cell tumors" ], "offsets": [ [ 195, 215 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0085167" } ] }, { "id": "DerChirurg.70680932.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "Diagnosis" ], "offsets": [ [ 321, 330 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011900" }, { "db_name": "UMLS", "db_id": "C0348026" } ] }, { "id": "DerChirurg.70680932.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "forceps" ], "offsets": [ [ 408, 415 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016533" } ] }, { "id": "DerChirurg.70680932.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "biopsy" ], "offsets": [ [ 416, 422 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220797" }, { "db_name": "UMLS", "db_id": "C0005558" } ] }, { "id": "DerChirurg.70680932.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "tumor" ], "offsets": [ [ 477, 482 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" } ] }, { "id": "DerChirurg.70680932.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "cell" ], "offsets": [ [ 520, 524 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007634" } ] }, { "id": "DerChirurg.70680932.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "carcinoma" ], "offsets": [ [ 525, 534 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007097" } ] }, { "id": "DerChirurg.70680932.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "squamous cell carcinoma" ], "offsets": [ [ 511, 534 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007137" } ] } ]	[]	[]	[ { "id": "DerChirurg.70680932.eng.abstr-s1-r1-t5.2-t4.1", "type": "occurs_in", "arg1_id": "DerChirurg.70680932.eng.abstr-s1-t5", "arg2_id": "DerChirurg.70680932.eng.abstr-s4-t4", "normalized": [] }, { "id": "DerChirurg.70680932.eng.abstr-s1-r2-t5.1-t7.1", "type": "associated_with", "arg1_id": "DerChirurg.70680932.eng.abstr-s2-t5", "arg2_id": "DerChirurg.70680932.eng.abstr-s1-t7", "normalized": [] }, { "id": "DerChirurg.70680932.eng.abstr-s1-r3-t5.1-t5.2", "type": "associated_with", "arg1_id": 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[] }, { "id": "DerChirurg.70680932.eng.abstr-s4-r2-t2.1-t4.1", "type": "location_of", "arg1_id": "DerChirurg.70680932.eng.abstr-s4-t2", "arg2_id": "DerChirurg.70680932.eng.abstr-s4-t4", "normalized": [] }, { "id": "DerChirurg.70680932.eng.abstr-s4-r3-t2.1-t3.1", "type": "location_of", "arg1_id": "DerChirurg.70680932.eng.abstr-s4-t2", "arg2_id": "DerChirurg.70680932.eng.abstr-s4-t3", "normalized": [] } ]
DerChirurg.70680936.eng.abstr	DerChirurg.70680936.eng.abstr	[ { "id": "DerChirurg.70680936.eng.abstr-passage-0", "type": "abstract", "text": [ "We report on a patient who suffered chylothorax 2 months after she had undergone internal fixation of a fracture of her 12th thoracic vertebral body . The pleural effusion was treated by insertion of a chest tube . The chylothorax was managed conservatively . The patient received protein-rich nutrition supplemented with medium-chain triglycerides . As the volume of chylous fluid drained from the pleura had not decreased after 2 weeks , the patient received total parenteral nutrition without any oral intake of calories . Chest X-rays documented the disappearance of the chylothorax . Reexpansion of the lungs was noted , and the costophrenic sinuses could be clearly visualised ." ], "offsets": [ [ 0, 684 ] ] } ]	[ { "id": "DerChirurg.70680936.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "patient" ], "offsets": [ [ 15, 22 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680936.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "chylothorax" ], "offsets": [ [ 36, 47 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0008733" } ] }, { "id": "DerChirurg.70680936.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "fracture" ], "offsets": [ [ 104, 112 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016658" } ] }, { "id": "DerChirurg.70680936.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "pleural" ], "offsets": [ [ 155, 162 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032226" } ] }, { "id": "DerChirurg.70680936.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "chest" ], "offsets": [ [ 202, 207 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039992" } ] }, { "id": "DerChirurg.70680936.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "pleural effusion" ], "offsets": [ [ 155, 171 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032227" } ] }, { "id": "DerChirurg.70680936.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "chest tube" ], "offsets": [ [ 202, 212 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0008034" } ] }, { "id": "DerChirurg.70680936.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "chylothorax" ], "offsets": [ [ 219, 230 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0008733" } ] }, { "id": "DerChirurg.70680936.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "patient" ], "offsets": [ [ 264, 271 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680936.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "nutrition" ], "offsets": [ [ 294, 303 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0392209" }, { "db_name": "UMLS", "db_id": "C0028707" } ] }, { "id": "DerChirurg.70680936.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "triglycerides" ], "offsets": [ [ 335, 348 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0041004" } ] }, { "id": "DerChirurg.70680936.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "pleura" ], "offsets": [ [ 399, 405 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032225" } ] }, { "id": "DerChirurg.70680936.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "patient" ], "offsets": [ [ 444, 451 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680936.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "nutrition" ], "offsets": [ [ 478, 487 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0392209" }, { "db_name": "UMLS", "db_id": "C0028707" } ] }, { "id": "DerChirurg.70680936.eng.abstr-s5-t4", "type": "umlsterm", "text": [ "parenteral nutrition" ], "offsets": [ [ 467, 487 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030547" }, { "db_name": "UMLS", "db_id": "C0030548" } ] }, { "id": "DerChirurg.70680936.eng.abstr-s5-t5", "type": "umlsterm", "text": [ "total parenteral nutrition" ], "offsets": [ [ 461, 487 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030548" } ] }, { "id": "DerChirurg.70680936.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "Chest" ], "offsets": [ [ 526, 531 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039992" } ] }, { "id": "DerChirurg.70680936.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "X-rays" ], "offsets": [ [ 532, 538 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0043309" } ] }, { "id": "DerChirurg.70680936.eng.abstr-s6-t3", "type": "umlsterm", "text": [ "chylothorax" ], "offsets": [ [ 575, 586 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0008733" } ] }, { "id": "DerChirurg.70680936.eng.abstr-s7-t1", "type": "umlsterm", "text": [ "lungs" ], "offsets": [ [ 608, 613 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024109" } ] }, { "id": "DerChirurg.70680936.eng.abstr-s7-t2", "type": "umlsterm", "text": [ "sinuses" ], "offsets": [ [ 647, 654 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030471" } ] } ]	[]	[]	[ { "id": "DerChirurg.70680936.eng.abstr-s1-r1-t2.1-t3.1", "type": "associated_with", "arg1_id": "DerChirurg.70680936.eng.abstr-s7-t2", "arg2_id": "DerChirurg.70680936.eng.abstr-s6-t3", "normalized": [] }, { "id": "DerChirurg.70680936.eng.abstr-s1-r2-t2.1-t3.1", "type": "result_of", "arg1_id": "DerChirurg.70680936.eng.abstr-s7-t2", "arg2_id": "DerChirurg.70680936.eng.abstr-s6-t3", "normalized": [] }, { "id": "DerChirurg.70680936.eng.abstr-s1-r3-t3.1-t1.1", "type": "occurs_in", "arg1_id": "DerChirurg.70680936.eng.abstr-s6-t3", "arg2_id": "DerChirurg.70680936.eng.abstr-s7-t1", "normalized": [] }, { "id": "DerChirurg.70680936.eng.abstr-s1-r4-t3.1-t2.1", "type": "associated_with", "arg1_id": "DerChirurg.70680936.eng.abstr-s6-t3", "arg2_id": "DerChirurg.70680936.eng.abstr-s7-t2", "normalized": [] }, { "id": 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"DerChirurg.70680936.eng.abstr-s2-r4-t4.1-t1.1", "type": "treats", "arg1_id": "DerChirurg.70680936.eng.abstr-s5-t4", "arg2_id": "DerChirurg.70680936.eng.abstr-s7-t1", "normalized": [] }, { "id": "DerChirurg.70680936.eng.abstr-s2-r5-t3.1-t1.1", "type": "associated_with", "arg1_id": "DerChirurg.70680936.eng.abstr-s6-t3", "arg2_id": "DerChirurg.70680936.eng.abstr-s7-t1", "normalized": [] }, { "id": "DerChirurg.70680936.eng.abstr-s4-r1-t2.1-t2.2", "type": "measurement_of", "arg1_id": "DerChirurg.70680936.eng.abstr-s7-t2", "arg2_id": "DerChirurg.70680936.eng.abstr-s4-t2", "normalized": [] }, { "id": "DerChirurg.70680936.eng.abstr-s4-r2-t3.1-t2.2", "type": "affects", "arg1_id": "DerChirurg.70680936.eng.abstr-s6-t3", "arg2_id": "DerChirurg.70680936.eng.abstr-s4-t2", "normalized": [] }, { "id": "DerChirurg.70680936.eng.abstr-s4-r3-t2.1-t2.2", "type": "issue_in", "arg1_id": "DerChirurg.70680936.eng.abstr-s7-t2", "arg2_id": "DerChirurg.70680936.eng.abstr-s4-t2", "normalized": [] }, { "id": "DerChirurg.70680936.eng.abstr-s4-r4-t2.2-t2.1", "type": "affects", "arg1_id": "DerChirurg.70680936.eng.abstr-s4-t2", "arg2_id": "DerChirurg.70680936.eng.abstr-s7-t2", "normalized": [] }, { "id": "DerChirurg.70680936.eng.abstr-s4-r5-t1.1-t2.2", "type": "issue_in", "arg1_id": "DerChirurg.70680936.eng.abstr-s7-t1", "arg2_id": "DerChirurg.70680936.eng.abstr-s4-t2", "normalized": [] }, { "id": "DerChirurg.70680936.eng.abstr-s4-r6-t3.1-t2.2", "type": "issue_in", "arg1_id": "DerChirurg.70680936.eng.abstr-s6-t3", "arg2_id": "DerChirurg.70680936.eng.abstr-s4-t2", "normalized": [] }, { "id": "DerChirurg.70680936.eng.abstr-s5-r1-t3.1-t3.2", "type": "measurement_of", "arg1_id": "DerChirurg.70680936.eng.abstr-s6-t3", "arg2_id": "DerChirurg.70680936.eng.abstr-s5-t3", "normalized": [] }, { "id": "DerChirurg.70680936.eng.abstr-s5-r2-t2.1-t3.2", "type": "issue_in", "arg1_id": "DerChirurg.70680936.eng.abstr-s7-t2", "arg2_id": "DerChirurg.70680936.eng.abstr-s5-t3", "normalized": [] }, { "id": "DerChirurg.70680936.eng.abstr-s5-r3-t4.1-t3.2", "type": "affects", "arg1_id": "DerChirurg.70680936.eng.abstr-s5-t4", "arg2_id": "DerChirurg.70680936.eng.abstr-s5-t3", "normalized": [] }, { "id": "DerChirurg.70680936.eng.abstr-s5-r4-t4.2-t3.2", "type": "affects", "arg1_id": "DerChirurg.70680936.eng.abstr-s5-t4", "arg2_id": "DerChirurg.70680936.eng.abstr-s5-t3", "normalized": [] }, { "id": "DerChirurg.70680936.eng.abstr-s5-r5-t4.1-t3.2", "type": "method_of", "arg1_id": "DerChirurg.70680936.eng.abstr-s5-t4", "arg2_id": "DerChirurg.70680936.eng.abstr-s5-t3", "normalized": [] }, { "id": "DerChirurg.70680936.eng.abstr-s5-r6-t1.1-t4.2", "type": "location_of", "arg1_id": "DerChirurg.70680936.eng.abstr-s7-t1", "arg2_id": "DerChirurg.70680936.eng.abstr-s5-t4", "normalized": [] }, { "id": "DerChirurg.70680936.eng.abstr-s5-r7-t2.1-t4.1", "type": "performs", "arg1_id": "DerChirurg.70680936.eng.abstr-s7-t2", "arg2_id": "DerChirurg.70680936.eng.abstr-s5-t4", "normalized": [] }, { "id": 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"DerChirurg.70680936.eng.abstr-s5-r13-t1.1-t3.2", "type": "location_of", "arg1_id": "DerChirurg.70680936.eng.abstr-s7-t1", "arg2_id": "DerChirurg.70680936.eng.abstr-s5-t3", "normalized": [] }, { "id": "DerChirurg.70680936.eng.abstr-s5-r14-t1.1-t4.1", "type": "location_of", "arg1_id": "DerChirurg.70680936.eng.abstr-s7-t1", "arg2_id": "DerChirurg.70680936.eng.abstr-s5-t4", "normalized": [] }, { "id": "DerChirurg.70680936.eng.abstr-s5-r15-t3.2-t3.1", "type": "affects", "arg1_id": "DerChirurg.70680936.eng.abstr-s5-t3", "arg2_id": "DerChirurg.70680936.eng.abstr-s6-t3", "normalized": [] }, { "id": "DerChirurg.70680936.eng.abstr-s5-r16-t4.1-t2.1", "type": "affects", "arg1_id": "DerChirurg.70680936.eng.abstr-s5-t4", "arg2_id": "DerChirurg.70680936.eng.abstr-s7-t2", "normalized": [] }, { "id": "DerChirurg.70680936.eng.abstr-s5-r17-t2.1-t4.2", "type": "performs", "arg1_id": "DerChirurg.70680936.eng.abstr-s7-t2", "arg2_id": "DerChirurg.70680936.eng.abstr-s5-t4", "normalized": [] }, { "id": "DerChirurg.70680936.eng.abstr-s5-r18-t4.2-t2.1", "type": "affects", "arg1_id": "DerChirurg.70680936.eng.abstr-s5-t4", "arg2_id": "DerChirurg.70680936.eng.abstr-s7-t2", "normalized": [] }, { "id": "DerChirurg.70680936.eng.abstr-s5-r19-t2.1-t5.1", "type": "performs", "arg1_id": "DerChirurg.70680936.eng.abstr-s7-t2", "arg2_id": "DerChirurg.70680936.eng.abstr-s5-t5", "normalized": [] }, { "id": "DerChirurg.70680936.eng.abstr-s5-r20-t5.1-t2.1", "type": "affects", "arg1_id": "DerChirurg.70680936.eng.abstr-s5-t5", "arg2_id": "DerChirurg.70680936.eng.abstr-s7-t2", "normalized": [] }, { "id": "DerChirurg.70680936.eng.abstr-s5-r21-t1.1-t3.2", "type": "issue_in", "arg1_id": "DerChirurg.70680936.eng.abstr-s7-t1", "arg2_id": "DerChirurg.70680936.eng.abstr-s5-t3", "normalized": [] }, { "id": "DerChirurg.70680936.eng.abstr-s6-r1-t2.1-t3.1", "type": "result_of", "arg1_id": "DerChirurg.70680936.eng.abstr-s7-t2", "arg2_id": "DerChirurg.70680936.eng.abstr-s6-t3", "normalized": [] }, { "id": "DerChirurg.70680936.eng.abstr-s6-r2-t1.1-t3.1", "type": "location_of", "arg1_id": "DerChirurg.70680936.eng.abstr-s7-t1", "arg2_id": "DerChirurg.70680936.eng.abstr-s6-t3", "normalized": [] }, { "id": "DerChirurg.70680936.eng.abstr-s6-r3-t3.1-t2.1", "type": "result_of", "arg1_id": "DerChirurg.70680936.eng.abstr-s6-t3", "arg2_id": "DerChirurg.70680936.eng.abstr-s7-t2", "normalized": [] }, { "id": "DerChirurg.70680936.eng.abstr-s7-r1-t1.1-t2.1", "type": "interconnects", "arg1_id": "DerChirurg.70680936.eng.abstr-s7-t1", "arg2_id": "DerChirurg.70680936.eng.abstr-s7-t2", "normalized": [] }, { "id": "DerChirurg.70680936.eng.abstr-s7-r2-t2.1-t1.1", "type": "connected_to", "arg1_id": "DerChirurg.70680936.eng.abstr-s7-t2", "arg2_id": "DerChirurg.70680936.eng.abstr-s7-t1", "normalized": [] } ]
DerChirurg.70680941.eng.abstr	DerChirurg.70680941.eng.abstr	[ { "id": "DerChirurg.70680941.eng.abstr-passage-0", "type": "abstract", "text": [ "Many hygienic procedures performed in operation units are not supported by scientific investigations . The following recommendations by the National Reference Center for Hospital Epidemiology , founded by the German Ministry of Health in 1996 , are based on the scientific literature and separate necessary from less necessary and unnecessary procedures ." ], "offsets": [ [ 0, 355 ] ] } ]	[ { "id": "DerChirurg.70680941.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "procedures" ], "offsets": [ [ 14, 24 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0184661" }, { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.70680941.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "operation" ], "offsets": [ [ 38, 47 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0543467" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70680941.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "recommendations" ], "offsets": [ [ 117, 132 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034866" } ] }, { "id": "DerChirurg.70680941.eng.abstr-s2-t2", "type": 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DerChirurg.70680959.eng.abstr	DerChirurg.70680959.eng.abstr	[ { "id": "DerChirurg.70680959.eng.abstr-passage-0", "type": "abstract", "text": [ "The tension-free hernioplasty project began in 1984 at the Lichtenstein Hernia Institute . The method consists of complete reinforcement of the inguinal floor with a large sheet of mesh , with adequate mesh tissue interface beyond the boundary of the inguinal floor , and creation of a new internal ring made of prosthesis . The preliminary report on this operation was published in 1989 , with no recurrence at that point in time . Shortly after submission of the report , several recurrences were encountered . Based on the lesson learned from those recurrences , the operation was slightly modified and reported in 1991. Since then , the Lichtenstein technique has gained world-wide popularity . Outcome measures identical to ours and other authors have been achieved by even those surgeons who have no special interest or expertise in herniology . The purpose of this article is to report the current state of the open tension-free hernioplasty for the repair of primary and recurrent inguinal hernias ." ], "offsets": [ [ 0, 1007 ] ] } ]	[ { "id": "DerChirurg.70680959.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "Lichtenstein" ], "offsets": [ [ 59, 71 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040654" }, { "db_name": "UMLS", "db_id": "C0014518" } ] }, { "id": "DerChirurg.70680959.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "Hernia" ], "offsets": [ [ 72, 78 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019270" } ] }, { "id": "DerChirurg.70680959.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "Institute" ], "offsets": [ [ 79, 88 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021622" } ] }, { "id": "DerChirurg.70680959.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "method" ], "offsets": [ [ 95, 101 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025663" }, { "db_name": "UMLS", "db_id": 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Other particular advantages of the technique are : safety , the use of local anaesthesia , benign postoperative complications and the cost , which is the most reasonable of all surgical techniques ." ], "offsets": [ [ 0, 676 ] ] } ]	[ { "id": "DerChirurg.70680965.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "operation" ], "offsets": [ [ 14, 23 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0543467" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70680965.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "procedure" ], "offsets": [ [ 58, 67 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0184661" }, { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.70680965.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "open" ], "offsets": [ [ 72, 76 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0266061" } ] }, { "id": "DerChirurg.70680965.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "tissue" ], "offsets": [ [ 82, 88 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040300" } ] }, { "id": "DerChirurg.70680965.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "repair" ], "offsets": [ [ 89, 95 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0043240" } ] }, { "id": "DerChirurg.70680965.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "hernias" ], "offsets": [ [ 109, 116 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019270" } ] }, { "id": "DerChirurg.70680965.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "tissue repair" ], "offsets": [ [ 82, 95 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0043240" } ] }, { "id": "DerChirurg.70680965.eng.abstr-s1-t8", "type": "umlsterm", "text": [ "inguinal hernias" ], "offsets": [ [ 100, 116 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019294" } ] }, { "id": "DerChirurg.70680965.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "operation" ], "offsets": [ [ 123, 132 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0543467" }, { "db_name": "UMLS", "db_id": 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DerChirurg.70680977.eng.abstr	DerChirurg.70680977.eng.abstr	[ { "id": "DerChirurg.70680977.eng.abstr-passage-0", "type": "abstract", "text": [ "The value of the minimal invasive approach for treating groin hernias is not yet well defined . The standard treatment for primary hernia repair in Europe is an open approach ( i.e. Shouldice ) without mesh implantation . A mesh may be used to repair a so-called complicated hernia with a complete myopectineal defect , as well as for recurrent and bilateral hernias . These hernias can well be treated laparoscopically despite the fact that the approach is difficult and that there is an increase of direct costs . Whether or not a transabdominal ( TAPP ) or preperitoneal ( TEP ) endoscopic approach is used depends on the type of hernia , the risk to the patient , and the surgeon's experience . Morbidity and long-term follow-up are identical for both techniques ( TAPP and TEP ) . The advantages for TAPP repair are that the technique is simpler , with a large working space and good diagnostic tools ." ], "offsets": [ [ 0, 907 ] ] } ]	[ { "id": "DerChirurg.70680977.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "value" ], "offsets": [ [ 4, 9 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042295" } ] }, { "id": "DerChirurg.70680977.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "groin" ], "offsets": [ [ 56, 61 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0018246" } ] }, { "id": "DerChirurg.70680977.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "hernias" ], "offsets": [ [ 62, 69 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019270" } ] }, { "id": "DerChirurg.70680977.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "standard" ], "offsets": [ [ 100, 108 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038137" }, { "db_name": "UMLS", "db_id": "C0175675" } ] }, { "id": "DerChirurg.70680977.eng.abstr-s2-t2", "type": "umlsterm", "text": [ 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], "normalized": [ { "db_name": "UMLS", "db_id": "C0029976" } ] }, { "id": "DerChirurg.70680977.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "hernia" ], "offsets": [ [ 275, 281 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019270" } ] }, { "id": "DerChirurg.70680977.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "defect" ], "offsets": [ [ 311, 317 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243067" } ] }, { "id": "DerChirurg.70680977.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "hernias" ], "offsets": [ [ 359, 366 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019270" } ] }, { "id": "DerChirurg.70680977.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "hernias" ], "offsets": [ [ 375, 382 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019270" } ] }, { "id": "DerChirurg.70680977.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "direct" ], "offsets": [ [ 501, 507 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0700157" } ] }, { "id": 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DerChirurg.70680989.eng.abstr	DerChirurg.70680989.eng.abstr	[ { "id": "DerChirurg.70680989.eng.abstr-passage-0", "type": "abstract", "text": [ "On 1 January 1996 , the implementation of the new recompense system , the Bundespflegesatzverordnung ( BPflV ) , at the Medical University Halle replaced the former German hospital financing system based on clinic-dependent individual prices . This was the beginning of a new price-performance system of the German hospital market . Since then , for all surgical procedures ( catalogue § 301 SGB V ICPM 5061-5064 ) for benign and malignent thyroid diseases a detailed cost analysis has been performed . Our personnel and material inputs were documented on-line in the operating theatre on a special designed cost-analysis record . The cost analysis was based on 14 cases of lobectomy ( average operative costs DM 1886.82 ) , and 20 each of bilateral subtotal thyroidectomy ( average DM 1970.48 ) , unilateral subtotal thyroidectomy with contralateral lobectomy ( average DM 2164.26 ) and total thyroidectomy ( average DM 2396.70 ) respectively . In 12 cases the costs of total thyroidectomy with cervical and transthoracal lymphadenectomy have been analyzed ( average DM 4664.48 ) ." ], "offsets": [ [ 0, 1082 ] ] } ]	[ { "id": "DerChirurg.70680989.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "University" ], "offsets": [ [ 128, 138 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0041740" } ] }, { "id": "DerChirurg.70680989.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "hospital" ], "offsets": [ [ 172, 180 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019994" } ] }, { "id": "DerChirurg.70680989.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "prices" ], "offsets": [ [ 235, 241 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0080045" }, { "db_name": "UMLS", "db_id": "C0033118" } ] }, { "id": "DerChirurg.70680989.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "price-performance" ], "offsets": [ [ 276, 293 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0080045" }, { "db_name": "UMLS", "db_id": "C0033118" } ] }, { "id": "DerChirurg.70680989.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "hospital" ], "offsets": [ [ 315, 323 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019994" } ] }, { "id": "DerChirurg.70680989.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "market" ], "offsets": [ [ 324, 330 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024826" } ] }, { "id": "DerChirurg.70680989.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "surgical" ], "offsets": [ [ 354, 362 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70680989.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "procedures" ], "offsets": [ [ 363, 373 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0184661" }, { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.70680989.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "catalogue" ], "offsets": [ [ 376, 385 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007371" } ] }, { "id": "DerChirurg.70680989.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "thyroid" ], "offsets": [ [ 440, 447 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040132" }, { "db_name": "UMLS", "db_id": "C0040134" } ] }, { "id": "DerChirurg.70680989.eng.abstr-s3-t5", "type": "umlsterm", "text": [ "diseases" ], "offsets": [ [ 448, 456 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0012634" } ] }, { "id": "DerChirurg.70680989.eng.abstr-s3-t6", "type": "umlsterm", "text": [ "cost" ], "offsets": [ [ 468, 472 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0010186" }, { "db_name": "UMLS", "db_id": "C0010181" }, { "db_name": "UMLS", "db_id": "C0220812" } ] }, { "id": "DerChirurg.70680989.eng.abstr-s3-t7", "type": "umlsterm", "text": [ "analysis" ], "offsets": [ [ 473, 481 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0002778" } ] }, { "id": "DerChirurg.70680989.eng.abstr-s3-t8", "type": "umlsterm", "text": [ "surgical procedures" ], "offsets": [ [ 354, 373 ] ], "normalized": 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DerChirurg.70681004.eng.abstr	DerChirurg.70681004.eng.abstr	[ { "id": "DerChirurg.70681004.eng.abstr-passage-0", "type": "abstract", "text": [ "Today , orthotopic liver transplantation is the treatment of choice for the end-stage of various liver diseases , and a 1-year survival rate of 80 % and a 5-year survival rate of 70 % in elective patients without tumor are reported in international surveys . The liver transplant programme of the Inselspital in Bern is small compared with international centres , which may raise questions about the results and the justification for such a programme . Over a period of 66 months , 62 liver transplantations were performed in 60 patients at the Inselspital . The hospital mortality was 3.3 % , and the 2.5-year overall survival rate was 92 % for elective cases without tumor . After a median follow-up of 30 months , 68 % of all patients were re-integrated in housework or full- or part-time in their profession , and 83 % were independent from the help of others . We conclude that a small liver transplant programme based only on routine resources can achieve results comparable to the international standards ." ], "offsets": [ [ 0, 1013 ] ] } ]	[ { "id": "DerChirurg.70681004.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "liver" ], "offsets": [ [ 19, 24 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0345904" }, { "db_name": "UMLS", "db_id": "C0023884" } ] }, { "id": "DerChirurg.70681004.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "transplantation" ], "offsets": [ [ 25, 40 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0029216" }, { "db_name": "UMLS", "db_id": "C0040732" }, { "db_name": "UMLS", "db_id": "C0040733" } ] }, { "id": "DerChirurg.70681004.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "treatment" ], "offsets": [ [ 48, 57 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerChirurg.70681004.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "choice" ], 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DerChirurg.70681011.eng.abstr	DerChirurg.70681011.eng.abstr	[ { "id": "DerChirurg.70681011.eng.abstr-passage-0", "type": "abstract", "text": [ "Familial amyloid polyneuropathy ( FAP ) is a rare indication for liver transplantation . The excised liver of the FAP patient can be transplanted into a selected patient . In the following report , sequential liver transplantation is described where a 34-year-old female FAP patient received a cadaver donor liver . The excised native liver was transplanted to a 60-year-old male patient suffering from hepatocellular carcinoma in cirrhosis due to hepatitis C." ], "offsets": [ [ 0, 460 ] ] } ]	[ { "id": "DerChirurg.70681011.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "amyloid" ], "offsets": [ [ 9, 16 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0002716" } ] }, { "id": "DerChirurg.70681011.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "polyneuropathy" ], "offsets": [ [ 17, 31 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0152025" } ] }, { "id": "DerChirurg.70681011.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "liver" ], "offsets": [ [ 65, 70 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0345904" }, { "db_name": "UMLS", "db_id": "C0023884" } ] }, { "id": "DerChirurg.70681011.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "transplantation" ], "offsets": [ [ 71, 86 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0029216" }, { "db_name": "UMLS", "db_id": "C0040732" }, { "db_name": "UMLS", "db_id": "C0040733" } ] }, { "id": "DerChirurg.70681011.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "amyloid polyneuropathy" ], "offsets": [ [ 9, 31 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0206247" } ] }, { "id": "DerChirurg.70681011.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "liver transplantation" ], "offsets": [ [ 65, 86 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023911" } ] }, { "id": "DerChirurg.70681011.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "Familial amyloid polyneuropathy" ], "offsets": [ [ 0, 31 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0206246" } ] }, { "id": "DerChirurg.70681011.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "liver" ], "offsets": [ [ 101, 106 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0345904" }, { "db_name": "UMLS", "db_id": "C0023884" } ] }, { "id": "DerChirurg.70681011.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "patient" ], "offsets": [ [ 118, 125 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70681011.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "patient" ], "offsets": [ [ 162, 169 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70681011.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "liver" ], "offsets": [ [ 209, 214 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0345904" }, { "db_name": "UMLS", "db_id": "C0023884" } ] }, { "id": "DerChirurg.70681011.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "transplantation" ], "offsets": [ [ 215, 230 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0029216" }, { "db_name": "UMLS", "db_id": "C0040732" }, { "db_name": "UMLS", "db_id": "C0040733" } ] }, { "id": "DerChirurg.70681011.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "female" ], "offsets": [ [ 264, 270 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0086287" }, { "db_name": "UMLS", "db_id": "C0015780" } ] }, { "id": "DerChirurg.70681011.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "patient" ], "offsets": [ [ 275, 282 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70681011.eng.abstr-s3-t5", "type": "umlsterm", "text": [ "cadaver" ], "offsets": [ [ 294, 301 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006629" } ] }, { "id": "DerChirurg.70681011.eng.abstr-s3-t6", "type": "umlsterm", "text": [ "donor" ], "offsets": [ [ 302, 307 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013018" } ] }, { "id": "DerChirurg.70681011.eng.abstr-s3-t7", "type": "umlsterm", "text": [ "liver" ], "offsets": [ [ 308, 313 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0345904" }, { "db_name": "UMLS", "db_id": "C0023884" } ] }, { "id": "DerChirurg.70681011.eng.abstr-s3-t8", "type": "umlsterm", "text": [ "liver transplantation" ], "offsets": [ [ 209, 230 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023911" } ] }, { "id": "DerChirurg.70681011.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "native" ], "offsets": [ [ 328, 334 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0079891" } ] }, { "id": "DerChirurg.70681011.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "liver" ], "offsets": [ [ 335, 340 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0345904" }, { "db_name": "UMLS", "db_id": "C0023884" } ] }, { "id": "DerChirurg.70681011.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "male" ], "offsets": [ [ 375, 379 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024554" }, { "db_name": "UMLS", "db_id": "C0086582" } ] }, { "id": "DerChirurg.70681011.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "patient" ], "offsets": [ [ 380, 387 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70681011.eng.abstr-s4-t5", "type": "umlsterm", "text": [ "carcinoma" ], "offsets": [ [ 418, 427 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007097" } ] }, { "id": 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DerChirurg.70681014.eng.abstr	DerChirurg.70681014.eng.abstr	[ { "id": "DerChirurg.70681014.eng.abstr-passage-0", "type": "abstract", "text": [ "Residual tumor ( R1) was proven at the proximal bronchial resection margin in 88 ( 3.6 % ) of 2464 cases of lung cancer following lung resection and standard lymph node dissection . Postoperative complications ( 8 % ) were : fistula of the bronchial suture line ( n = 7 ) , bleeding ( n = 2 ) and heart luxation ( n = 1 ) . The in-hospital mortality was 16.6 % . Causes of death were : bronchial fistula ( n = 7 ) , erosion of the pulmonary artery ( n = 4 ) , respiratory failure ( n = 1 ) , and empyema ( n = 1 ) . Forty-three patients received postoperative radiation therapy . Median survival of all patients following incomplete resection was 16 months , compared to 37 months following complete resection ( P 0.001 ) . Length of survival was independent of tumor stage , histology , site of infiltration and postoperative radiation . In conclusion , in resection for lung cancer clear margins should be verified by intraoperative frozen section . In the case of residual tumor at the bronchial resection margin , wider resection is mandatory in stage I and II if the patient meets the functional criteria . Even in stage III a and III b prognosis is significantly better after complete resection than R1-resection; the difference , however , is smaller than in lower stages ." ], "offsets": [ [ 0, 1280 ] ] } ]	[ { "id": "DerChirurg.70681014.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "tumor" ], "offsets": [ [ 9, 14 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" } ] }, { "id": "DerChirurg.70681014.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "proven" ], "offsets": [ [ 25, 31 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0700164" } ] }, { "id": "DerChirurg.70681014.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "lung" ], "offsets": [ [ 108, 112 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024109" } ] }, { "id": "DerChirurg.70681014.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "cancer" ], "offsets": [ [ 113, 119 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006826" } ] }, { "id": "DerChirurg.70681014.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "lung" ], "offsets": [ [ 130, 134 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024109" } ] }, { "id": "DerChirurg.70681014.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "standard" ], "offsets": [ [ 149, 157 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038137" }, { "db_name": "UMLS", "db_id": "C0175675" } ] }, { "id": "DerChirurg.70681014.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "lymph" ], "offsets": [ [ 158, 163 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024202" } ] }, { "id": "DerChirurg.70681014.eng.abstr-s1-t8", "type": "umlsterm", "text": [ "dissection" ], "offsets": [ [ 169, 179 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0012737" } ] }, { "id": "DerChirurg.70681014.eng.abstr-s1-t9", "type": "umlsterm", "text": [ "Residual tumor" ], "offsets": [ [ 0, 14 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0543478" } ] }, { "id": "DerChirurg.70681014.eng.abstr-s1-t10", "type": "umlsterm", "text": [ "lung cancer" ], "offsets": [ [ 108, 119 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0242379" } ] }, { "id": "DerChirurg.70681014.eng.abstr-s1-t11", "type": "umlsterm", "text": [ "lymph node" ], "offsets": [ [ 158, 168 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024204" } ] }, { "id": "DerChirurg.70681014.eng.abstr-s1-t12", "type": "umlsterm", "text": [ "lymph node dissection" ], "offsets": [ [ 158, 179 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0242382" } ] }, { "id": "DerChirurg.70681014.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "Postoperative" ], "offsets": [ [ 182, 195 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032790" } ] }, { "id": "DerChirurg.70681014.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "complications" ], "offsets": [ [ 196, 209 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] }, { "id": "DerChirurg.70681014.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "fistula" ], "offsets": [ [ 225, 232 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016169" } ] }, { "id": "DerChirurg.70681014.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "line" ], "offsets": [ [ 257, 261 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0677502" } ] }, { "id": "DerChirurg.70681014.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "heart" ], "offsets": [ [ 297, 302 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0018787" } ] }, { "id": "DerChirurg.70681014.eng.abstr-s2-t6", "type": "umlsterm", "text": [ "Postoperative complications" ], "offsets": [ [ 182, 209 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032787" } ] }, { "id": "DerChirurg.70681014.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "mortality" ], "offsets": [ [ 340, 349 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026566" }, { "db_name": "UMLS", "db_id": "C0026565" } ] }, { "id": "DerChirurg.70681014.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "in-hospital mortality" ], "offsets": [ [ 328, 349 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0085556" } ] }, { "id": "DerChirurg.70681014.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "Causes" ], "offsets": [ [ 363, 369 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015127" } ] }, { "id": "DerChirurg.70681014.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "death" ], "offsets": [ [ 373, 378 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011065" } ] }, { "id": "DerChirurg.70681014.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "fistula" ], "offsets": [ [ 396, 403 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016169" } ] }, { "id": "DerChirurg.70681014.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "artery" ], "offsets": [ [ 441, 447 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003842" } ] }, { "id": "DerChirurg.70681014.eng.abstr-s4-t5", "type": "umlsterm", "text": [ "empyema" ], "offsets": [ [ 496, 503 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0014009" } ] }, { "id": "DerChirurg.70681014.eng.abstr-s4-t6", "type": "umlsterm", "text": [ "bronchial fistula" ], "offsets": [ [ 386, 403 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006262" } ] }, { "id": "DerChirurg.70681014.eng.abstr-s4-t7", "type": "umlsterm", "text": [ "pulmonary artery" ], "offsets": [ [ 431, 447 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034052" } ] }, { "id": "DerChirurg.70681014.eng.abstr-s4-t8", "type": "umlsterm", "text": [ "respiratory failure" ], "offsets": [ [ 460, 479 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035229" } ] }, { "id": "DerChirurg.70681014.eng.abstr-s4-t9", "type": "umlsterm", "text": [ "Causes of death" ], "offsets": [ [ 363, 378 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007465" } ] }, { "id": "DerChirurg.70681014.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 528, 536 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70681014.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "postoperative" ], "offsets": [ [ 546, 559 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032790" } ] }, { "id": "DerChirurg.70681014.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "radiation" ], "offsets": [ [ 560, 569 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0851346" } ] }, { "id": "DerChirurg.70681014.eng.abstr-s5-t4", "type": "umlsterm", "text": [ "therapy" ], "offsets": [ [ 570, 577 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerChirurg.70681014.eng.abstr-s5-t5", "type": "umlsterm", "text": [ "radiation therapy" ], "offsets": [ [ 560, 577 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034618" }, { "db_name": "UMLS", "db_id": "C0034619" } ] }, { "id": "DerChirurg.70681014.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "survival" ], "offsets": [ [ 587, 595 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220921" }, { "db_name": "UMLS", "db_id": "C0038952" } ] }, { "id": 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DerChirurg.70681020.eng.abstr	DerChirurg.70681020.eng.abstr	[ { "id": "DerChirurg.70681020.eng.abstr-passage-0", "type": "abstract", "text": [ "Pulmonary sequestrations have no communication with the bronchial tree . Therefore they are usually airless . However , in the presence of a fistula to the esophagus or the stomach , they might contain air or could even be emphysematic . Such a case in a newborn is presented . This very rare anomaly is frequently named \" communicating bronchopulmonary foregut malformation \" . This malformation has to be included in the differential diagnosis of multicystic lung diseases . Diagnosis can be made preoperatively by esophagography and Doppler sonography ." ], "offsets": [ [ 0, 556 ] ] } ]	[ { "id": "DerChirurg.70681020.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "communication" ], "offsets": [ [ 33, 46 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009452" } ] }, { "id": "DerChirurg.70681020.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "tree" ], "offsets": [ [ 66, 70 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040811" } ] }, { "id": "DerChirurg.70681020.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "Pulmonary sequestrations" ], "offsets": [ [ 0, 24 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006288" } ] }, { "id": "DerChirurg.70681020.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "fistula" ], "offsets": [ [ 141, 148 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016169" } ] }, { "id": "DerChirurg.70681020.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "esophagus" ], "offsets": [ [ 156, 165 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0546837" }, { "db_name": "UMLS", "db_id": "C0014876" } ] }, { "id": "DerChirurg.70681020.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "stomach" ], "offsets": [ [ 173, 180 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038351" }, { "db_name": "UMLS", "db_id": "C0024623" } ] }, { "id": "DerChirurg.70681020.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "air" ], "offsets": [ [ 202, 205 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0001861" } ] }, { "id": "DerChirurg.70681020.eng.abstr-s3-t5", "type": "umlsterm", "text": [ "emphysematic" ], "offsets": [ [ 223, 235 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013990" }, { "db_name": "UMLS", "db_id": "C0034067" } ] }, { "id": "DerChirurg.70681020.eng.abstr-s3-t6", "type": "umlsterm", "text": [ "emphysematic" ], "offsets": [ [ 223, 235 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0278076" }, { "db_name": "UMLS", "db_id": "C0063382" }, { "db_name": "UMLS", "db_id": "C0040188" } ] }, { "id": "DerChirurg.70681020.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "newborn" ], "offsets": [ [ 255, 262 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021289" } ] }, { "id": "DerChirurg.70681020.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "anomaly" ], "offsets": [ [ 293, 300 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0000769" } ] }, { "id": "DerChirurg.70681020.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "malformation" ], "offsets": [ [ 362, 374 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0000768" }, { "db_name": "UMLS", "db_id": "C0243070" } ] }, { "id": "DerChirurg.70681020.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "malformation" ], "offsets": [ [ 384, 396 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0000768" }, { "db_name": "UMLS", "db_id": "C0243070" } ] }, { "id": "DerChirurg.70681020.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "diagnosis" ], "offsets": [ [ 436, 445 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011900" }, { "db_name": "UMLS", "db_id": "C0348026" } ] }, { "id": "DerChirurg.70681020.eng.abstr-s6-t3", "type": "umlsterm", "text": [ "lung" ], "offsets": [ [ 461, 465 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024109" } ] }, { "id": "DerChirurg.70681020.eng.abstr-s6-t4", "type": "umlsterm", "text": [ "diseases" ], "offsets": [ [ 466, 474 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0012634" } ] }, { "id": "DerChirurg.70681020.eng.abstr-s6-t5", "type": "umlsterm", "text": [ "differential diagnosis" ], "offsets": [ [ 423, 445 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220820" }, { "db_name": "UMLS", "db_id": "C0011906" } ] }, { "id": "DerChirurg.70681020.eng.abstr-s6-t6", "type": "umlsterm", "text": [ "lung diseases" ], "offsets": [ [ 461, 474 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024115" } ] }, { "id": "DerChirurg.70681020.eng.abstr-s7-t1", "type": "umlsterm", "text": [ "Diagnosis" ], "offsets": [ [ 477, 486 ] ], "normalized": [ { 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DerChirurg.70681023.eng.abstr	DerChirurg.70681023.eng.abstr	[ { "id": "DerChirurg.70681023.eng.abstr-passage-0", "type": "abstract", "text": [ "In 386 patients with rectal carcinoma of UICC stage I-III operated on between 1 January 1985 and 31 December 1995 we investigated the influence of the number of dissected lymph nodes on tumor stage and local recurrence retrospectively . We found a significant correlation between the number of lymph nodes dissected and the number of detected lymph node metastases . Following this result we found an increase in UICC stage III ( P = 0.013 ) and pTx pN2 tumors ( P = 0.000 ) in correlation with the number of dissected lymph nodes . Significantly lower rates of local recurrence were found only in UICC stage I and UICC stage II . Overall and in a multivariate analysis the number of dissected lymph nodes had no influence on local recurrence . It was shown that lower local recurrence rates in UICC stage I and II did not depend on therapeutic benefit but on stage migration because of more exact tumor staging . The influence of other surgical factors , especially total mesorectal excision , remains to be discussed ." ], "offsets": [ [ 0, 1020 ] ] } ]	[ { "id": "DerChirurg.70681023.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 7, 15 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70681023.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "carcinoma" ], "offsets": [ [ 28, 37 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007097" } ] }, { "id": "DerChirurg.70681023.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "stage" ], "offsets": [ [ 46, 51 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027646" } ] }, { "id": "DerChirurg.70681023.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "lymph" ], "offsets": [ [ 171, 176 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024202" } ] }, { "id": "DerChirurg.70681023.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "tumor" ], "offsets": [ [ 186, 191 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" } ] }, { "id": "DerChirurg.70681023.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "stage" ], "offsets": [ [ 192, 197 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027646" } ] }, { "id": "DerChirurg.70681023.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "recurrence" ], "offsets": [ [ 208, 218 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034897" } ] }, { "id": "DerChirurg.70681023.eng.abstr-s1-t8", "type": "umlsterm", "text": [ "lymph nodes" ], "offsets": [ [ 171, 182 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024204" } ] }, { "id": "DerChirurg.70681023.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "lymph" ], "offsets": [ [ 294, 299 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024202" } ] }, { "id": "DerChirurg.70681023.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "lymph" ], "offsets": [ [ 343, 348 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024202" } ] }, { "id": "DerChirurg.70681023.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "metastases" ], "offsets": [ [ 354, 364 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027627" } ] }, { "id": "DerChirurg.70681023.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "lymph nodes" ], "offsets": [ [ 294, 305 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024204" } ] }, { "id": "DerChirurg.70681023.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "lymph node" ], "offsets": [ [ 343, 353 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024204" } ] }, { "id": "DerChirurg.70681023.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "stage" ], "offsets": [ [ 418, 423 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027646" } ] }, { "id": "DerChirurg.70681023.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "tumors" ], "offsets": [ [ 454, 460 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" } ] }, { "id": "DerChirurg.70681023.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "lymph" ], "offsets": [ [ 519, 524 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024202" } ] }, { "id": "DerChirurg.70681023.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "lymph nodes" ], "offsets": [ [ 519, 530 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024204" } ] }, { "id": "DerChirurg.70681023.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "recurrence" ], "offsets": [ [ 568, 578 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034897" } ] }, { "id": "DerChirurg.70681023.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "stage" ], "offsets": [ [ 603, 608 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027646" } ] }, { "id": "DerChirurg.70681023.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "stage" ], "offsets": [ [ 620, 625 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027646" } ] }, { "id": "DerChirurg.70681023.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "analysis" ], "offsets": [ [ 661, 669 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0002778" } ] }, { "id": "DerChirurg.70681023.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "lymph" ], "offsets": [ [ 694, 699 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024202" } ] }, { "id": "DerChirurg.70681023.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "recurrence" ], "offsets": [ [ 732, 742 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034897" } ] }, { "id": "DerChirurg.70681023.eng.abstr-s5-t4", "type": "umlsterm", "text": [ "multivariate analysis" ], "offsets": [ [ 648, 669 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026777" } ] }, { "id": "DerChirurg.70681023.eng.abstr-s5-t5", "type": "umlsterm", "text": [ "lymph nodes" ], "offsets": [ [ 694, 705 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024204" } ] }, { "id": "DerChirurg.70681023.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "recurrence" ], "offsets": [ [ 775, 785 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034897" } ] }, { "id": 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"offsets": [ [ 898, 903 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" } ] }, { "id": "DerChirurg.70681023.eng.abstr-s6-t8", "type": "umlsterm", "text": [ "tumor staging" ], "offsets": [ [ 898, 911 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027646" } ] }, { "id": "DerChirurg.70681023.eng.abstr-s7-t1", "type": "umlsterm", "text": [ "surgical" ], "offsets": [ [ 937, 945 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038895" } ] } ]	[]	[]	[ { "id": "DerChirurg.70681023.eng.abstr-s1-r1-t6.1-t3.1", "type": "evaluation_of", "arg1_id": "DerChirurg.70681023.eng.abstr-s6-t6", "arg2_id": "DerChirurg.70681023.eng.abstr-s6-t3", "normalized": [] }, { "id": "DerChirurg.70681023.eng.abstr-s1-r2-t3.1-t1.1", "type": "affects", "arg1_id": "DerChirurg.70681023.eng.abstr-s6-t3", "arg2_id": "DerChirurg.70681023.eng.abstr-s7-t1", "normalized": [] }, { "id": "DerChirurg.70681023.eng.abstr-s1-r3-t2.1-t6.1", "type": "associated_with", "arg1_id": 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DerChirurg.70681029.eng.abstr	DerChirurg.70681029.eng.abstr	[ { "id": "DerChirurg.70681029.eng.abstr-passage-0", "type": "abstract", "text": [ "From 1994 to March 1997 , 12 patients with 15 drug-related abscesses of the groin were treated at the Surgical Department of Luebeck Medical University . Besides laboratory , serological and microbiological examinations , the standard diagnostic investigation consisted of sonography or duplex sonography . If indicated , the diagnosis was extended to include , for example , clarification of the retroperitoneum by CT . The most common accompanying disease was deep femoral vein thrombosis . Substitution was planned individually . After surgical débridement and perioperative administration of a beta-lactam-protected acylaminopenicillin , open wound treatment was successfully carried out in 13 cases ; secondary closure was performed four times in cases of good compliance . One abscess led to necrotising of the femoral artery ; saphenous vein was interposed because of erosion bleeding and formation of aneurysm . In a second case , the bifurcation was reconstructed with saphenous vein after external resection of an infected false aneurysm and early occlusion . Both defects were covered by rotation of sartorius muscle and mesh graft . On the basis of the treatment concept , a rapid and successful intervention was possible ; complications such as sepsis , amputation or withdrawal delirium did not occur . Resistance against the antibiotic was not observed . In the case of infected aneurysm , we prefer the autogenous saphenous vein graft followed by rotation of sartorius muscle and mesh graft . Ligation or excision leads to high rates of claudication or amputation ; extended reconstructions are threatened by insufficient compliance of the patients ; the use of synthetic grafts is endangered by further bacteraemia or infections ." ], "offsets": [ [ 0, 1747 ] ] } ]	[ { "id": "DerChirurg.70681029.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 29, 37 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "abscesses" ], "offsets": [ [ 59, 68 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0000833" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "groin" ], "offsets": [ [ 76, 81 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0018246" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "Surgical" ], "offsets": [ [ 102, 110 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "University" ], "offsets": [ [ 141, 151 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0041740" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "laboratory" ], "offsets": [ [ 162, 172 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022877" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "microbiological" ], "offsets": [ [ 191, 206 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025953" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "standard" ], "offsets": [ [ 226, 234 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038137" }, { "db_name": "UMLS", "db_id": "C0175675" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "diagnostic" ], "offsets": [ [ 235, 245 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0348026" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "sonography" ], "offsets": [ [ 273, 283 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0041618" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s2-t6", "type": "umlsterm", "text": [ "sonography" ], "offsets": [ [ 294, 304 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0041618" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "diagnosis" ], "offsets": [ [ 326, 335 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011900" }, { "db_name": "UMLS", "db_id": "C0348026" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "retroperitoneum" ], "offsets": [ [ 397, 412 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035359" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "disease" ], "offsets": [ [ 450, 457 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0012634" } ] }, { "id": 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"administration" ], "offsets": [ [ 578, 592 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0001554" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s6-t3", "type": "umlsterm", "text": [ "open" ], "offsets": [ [ 642, 646 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0266061" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s6-t4", "type": "umlsterm", "text": [ "wound" ], "offsets": [ [ 647, 652 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021501" }, { "db_name": "UMLS", "db_id": "C0043250" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s6-t5", "type": "umlsterm", "text": [ "treatment" ], "offsets": [ [ 653, 662 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s6-t6", "type": "umlsterm", "text": [ "secondary" ], "offsets": [ [ 706, 715 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027627" }, { "db_name": "UMLS", "db_id": "C0036525" } ] }, { "id": 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"type": "umlsterm", "text": [ "aneurysm" ], "offsets": [ [ 909, 917 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0002940" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s7-t5", "type": "umlsterm", "text": [ "femoral artery" ], "offsets": [ [ 817, 831 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015801" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s7-t6", "type": "umlsterm", "text": [ "saphenous vein" ], "offsets": [ [ 834, 848 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0036186" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s8-t1", "type": "umlsterm", "text": [ "vein" ], "offsets": [ [ 988, 992 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042449" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s8-t2", "type": "umlsterm", "text": [ "aneurysm" ], "offsets": [ [ 1039, 1047 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0002940" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s8-t3", "type": "umlsterm", "text": [ "saphenous vein" ], "offsets": [ [ 978, 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"db_name": "UMLS", "db_id": "C0040733" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s10-t1", "type": "umlsterm", "text": [ "treatment" ], "offsets": [ [ 1165, 1174 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s10-t2", "type": "umlsterm", "text": [ "complications" ], "offsets": [ [ 1236, 1249 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s10-t3", "type": "umlsterm", "text": [ "sepsis" ], "offsets": [ [ 1258, 1264 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243026" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s10-t4", "type": "umlsterm", "text": [ "amputation" ], "offsets": [ [ 1267, 1277 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0002688" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s10-t5", "type": "umlsterm", "text": [ "delirium" ], "offsets": [ [ 1292, 1300 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011206" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s11-t1", "type": "umlsterm", "text": [ "antibiotic" ], "offsets": [ [ 1340, 1350 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003232" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s12-t1", "type": "umlsterm", "text": [ "aneurysm" ], "offsets": [ [ 1394, 1402 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0002940" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s12-t2", "type": "umlsterm", "text": [ "vein" ], "offsets": [ [ 1440, 1444 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042449" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s12-t3", "type": "umlsterm", "text": [ "graft" ], "offsets": [ [ 1445, 1450 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0332835" }, { "db_name": "UMLS", "db_id": "C0040733" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s12-t4", "type": "umlsterm", "text": [ "rotation" ], "offsets": [ [ 1463, 1471 ] ], "normalized": [ { "db_name": "UMLS", "db_id": 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DerChirurg.70681035.eng.abstr	DerChirurg.70681035.eng.abstr	[ { "id": "DerChirurg.70681035.eng.abstr-passage-0", "type": "abstract", "text": [ "A 68-year-old woman suffering from severe upper gastrointestinal bleeding underwent an urgent laparotomy . A necrotizing cholecystitis was found . The source of the bleeding was the eroded cystic artery . Perforation of a giant gallstone led to a fistula into the duodenum . The gallstone was removed from the distal jejunum . The patient's postoperative course was uneventful . Later on a choledochal stenosis had to be treated by stenting . One year after the procedure the patient is alive and well ." ], "offsets": [ [ 0, 503 ] ] } ]	[ { "id": "DerChirurg.70681035.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "woman" ], "offsets": [ [ 14, 19 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0043210" } ] }, { "id": "DerChirurg.70681035.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "laparotomy" ], "offsets": [ [ 94, 104 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023038" } ] }, { "id": "DerChirurg.70681035.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "gastrointestinal bleeding" ], "offsets": [ [ 48, 73 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0017181" } ] }, { "id": "DerChirurg.70681035.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "cholecystitis" ], "offsets": [ [ 121, 134 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0008325" } ] }, { "id": "DerChirurg.70681035.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "artery" ], "offsets": [ [ 196, 202 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003842" } ] }, { "id": "DerChirurg.70681035.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "giant" ], "offsets": [ [ 222, 227 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0017547" } ] }, { "id": "DerChirurg.70681035.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "gallstone" ], "offsets": [ [ 228, 237 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0242216" } ] }, { "id": "DerChirurg.70681035.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "fistula" ], "offsets": [ [ 247, 254 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016169" } ] }, { "id": "DerChirurg.70681035.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "duodenum" ], "offsets": [ [ 264, 272 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013303" } ] }, { "id": "DerChirurg.70681035.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "gallstone" ], "offsets": [ [ 279, 288 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0242216" } ] }, { "id": "DerChirurg.70681035.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "jejunum" ], "offsets": [ [ 317, 324 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022378" } ] }, { "id": "DerChirurg.70681035.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "postoperative" ], "offsets": [ [ 341, 354 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032790" } ] }, { "id": "DerChirurg.70681035.eng.abstr-s7-t1", "type": "umlsterm", "text": [ "stenosis" ], "offsets": [ [ 402, 410 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009814" } ] }, { "id": "DerChirurg.70681035.eng.abstr-s8-t1", "type": "umlsterm", "text": [ "procedure" ], "offsets": [ [ 462, 471 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0184661" }, { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.70681035.eng.abstr-s8-t2", "type": "umlsterm", "text": [ "patient" ], "offsets": [ [ 476, 483 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] } ]	[]	[]	[ { "id": "DerChirurg.70681035.eng.abstr-s1-r1-t2.1-t3.1", "type": 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DerChirurg.70681053.eng.abstr	DerChirurg.70681053.eng.abstr	[ { "id": "DerChirurg.70681053.eng.abstr-passage-0", "type": "abstract", "text": [ "Trauma is the leading cause of death for people up to 40 years of age in Germany . Most of the patients were injured in traffic accidents where special injury patterns could be detected : head injuries in bicycle and pedestrian accidents , lower extremity injuries in motorcycle accidents , and chest and pelvis injuries in car accidents . After falls from a height , the most common injuries were fractures of the thoracic and lumbar spine . The treatment of polytrauma patients requires high health care resources and demands sophisticated medical support . It is estimated that every trauma patient costs daily approximately DM 4,700 . It is not only the acute medical care that burdens our social system , but also the long period of rehabilitation and reintegration . The number of preventable trauma deaths can be significantly reduced in special trauma centers , and the high costs could be damaging for smaller hospitals . A plea is made for more preventive meausures and legislative changes to reduce the number of traffic accidents . The medical care of trauma patients should be in special trauma centers ." ], "offsets": [ [ 0, 1117 ] ] } ]	[ { "id": "DerChirurg.70681053.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "Trauma" ], "offsets": [ [ 0, 6 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021501" }, { "db_name": "UMLS", "db_id": "C0043251" } ] }, { "id": "DerChirurg.70681053.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "cause" ], "offsets": [ [ 22, 27 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015127" } ] }, { "id": "DerChirurg.70681053.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "death" ], "offsets": [ [ 31, 36 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011065" } ] }, { "id": "DerChirurg.70681053.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "people" ], "offsets": [ [ 41, 47 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027361" } ] }, { "id": "DerChirurg.70681053.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "age" ], "offsets": [ [ 66, 69 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0001792" }, { "db_name": "UMLS", "db_id": "C0001811" } ] }, { "id": "DerChirurg.70681053.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "Germany" ], "offsets": [ [ 73, 80 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0017480" } ] }, { "id": "DerChirurg.70681053.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "cause of death" ], "offsets": [ [ 22, 36 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007465" } ] }, { "id": "DerChirurg.70681053.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 95, 103 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70681053.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "accidents" ], "offsets": [ [ 128, 137 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0000924" } ] }, { "id": "DerChirurg.70681053.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "injury" ], "offsets": [ [ 152, 158 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0175677" }, { "db_name": "UMLS", "db_id": "C0021501" } ] }, { "id": "DerChirurg.70681053.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "head" ], "offsets": [ [ 188, 192 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0018670" } ] }, { "id": "DerChirurg.70681053.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "injuries" ], "offsets": [ [ 193, 201 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0175677" }, { "db_name": "UMLS", "db_id": "C0021501" } ] }, { "id": "DerChirurg.70681053.eng.abstr-s2-t6", "type": "umlsterm", "text": [ "accidents" ], "offsets": [ [ 228, 237 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0000924" } ] }, { "id": "DerChirurg.70681053.eng.abstr-s2-t7", "type": "umlsterm", "text": [ "extremity" ], "offsets": [ [ 246, 255 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015385" } ] }, { "id": "DerChirurg.70681053.eng.abstr-s2-t8", "type": "umlsterm", "text": [ "injuries" ], "offsets": [ [ 256, 264 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0175677" }, { "db_name": "UMLS", "db_id": "C0021501" } ] }, { "id": "DerChirurg.70681053.eng.abstr-s2-t9", "type": "umlsterm", "text": [ "motorcycle" ], "offsets": [ [ 268, 278 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026616" } ] }, { "id": "DerChirurg.70681053.eng.abstr-s2-t10", "type": "umlsterm", "text": [ "accidents" ], "offsets": [ [ 279, 288 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0000924" } ] }, { "id": "DerChirurg.70681053.eng.abstr-s2-t11", "type": "umlsterm", "text": [ "chest" ], "offsets": [ [ 295, 300 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039992" } ] }, { "id": "DerChirurg.70681053.eng.abstr-s2-t12", "type": "umlsterm", "text": [ "pelvis" ], "offsets": [ [ 305, 311 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030797" } ] }, { "id": "DerChirurg.70681053.eng.abstr-s2-t13", "type": "umlsterm", "text": [ "injuries" ], "offsets": [ [ 312, 320 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0175677" }, { "db_name": "UMLS", "db_id": "C0021501" } ] }, { "id": "DerChirurg.70681053.eng.abstr-s2-t14", "type": "umlsterm", "text": [ "car" ], "offsets": [ [ 324, 327 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007297" }, { "db_name": "UMLS", "db_id": "C0004381" } ] }, { "id": "DerChirurg.70681053.eng.abstr-s2-t15", "type": "umlsterm", "text": [ "accidents" ], "offsets": [ [ 328, 337 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0000924" } ] }, { "id": "DerChirurg.70681053.eng.abstr-s2-t16", "type": "umlsterm", "text": [ "traffic accidents" ], "offsets": [ [ 120, 137 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0000932" } ] }, { "id": "DerChirurg.70681053.eng.abstr-s2-t17", "type": "umlsterm", "text": [ "head injuries" ], "offsets": [ [ 188, 201 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0018674" } ] }, { "id": "DerChirurg.70681053.eng.abstr-s2-t18", "type": "umlsterm", "text": [ "lower extremity" ], "offsets": [ [ 240, 255 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023216" } ] }, { "id": "DerChirurg.70681053.eng.abstr-s2-t19", "type": "umlsterm", "text": [ "lower extremity injuries" ], "offsets": [ [ 240, 264 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023220" } ] }, { "id": "DerChirurg.70681053.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "injuries" ], "offsets": [ [ 384, 392 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0175677" }, { "db_name": "UMLS", "db_id": "C0021501" } ] }, { "id": "DerChirurg.70681053.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "fractures" ], "offsets": [ [ 398, 407 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016658" } ] }, { "id": "DerChirurg.70681053.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "spine" ], "offsets": [ [ 435, 440 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0037949" } ] }, { "id": "DerChirurg.70681053.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "treatment" ], "offsets": [ [ 447, 456 ] ], "normalized": [ { "db_name": "UMLS", "db_id": 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DerChirurg.70681066.eng.abstr	DerChirurg.70681066.eng.abstr	[ { "id": "DerChirurg.70681066.eng.abstr-passage-0", "type": "abstract", "text": [ "Immunologial complications frequently occur during the clinical course in patients with multiple injuries . The increased release of pro-inflammatory mediators during the immunological response to trauma may lead to the systemic inflammatory response syndrome ( SIRS ) and furthermore , to multisystem organ failure ( MOF ) , which is associated with a mortality of up to 80% . The development of multiple organ failure following major trauma is associated with remote organ failure , the dysfunction of organs which were not initially affected by the traum . This manuscript reviews recent data in experimental trauma research and offers a more detailed evaluation of the immunological findings in trauma patients . In particular , the role of pro- and anti-inflammatory cytokines in the development or SIRS , MOF and ROF is discussed . Despite the enormous progress in clinical immunology and the available data on trauma-induced immune dysfunction , a large number of questions still remain to be answered before the immunological alterations following severe trauma can be beneficially influenced by immunomodulatory therapeutic efforts ." ], "offsets": [ [ 0, 1142 ] ] } ]	[ { "id": "DerChirurg.70681066.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "complications" ], "offsets": [ [ 13, 26 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] }, { "id": "DerChirurg.70681066.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 74, 82 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70681066.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "injuries" ], "offsets": [ [ 97, 105 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0175677" }, { "db_name": "UMLS", "db_id": "C0021501" } ] }, { "id": "DerChirurg.70681066.eng.abstr-s1-t4", "type": 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DerChirurg.70681071.eng.abstr	DerChirurg.70681071.eng.abstr	[ { "id": "DerChirurg.70681071.eng.abstr-passage-0", "type": "abstract", "text": [ "The diagnostic strategies in multiple trauma aim at rapid identification of life-threatening injuries , recognition of serious organ lesions , and evaluation of the systemic trauma impact , as well as the resulting host reaction . Besides improvements in the structure and organization , major innovations in imaging techniques have significantly improved and accelerated evaluation of the patient with multiple injuries in the emergency room . Systematic diagnostic work-up , integrated multidisciplinary approach , and defined algorithms for traumatic key symptoms represent the hallmarks of successful emergency room management . In particular , diagnostic work-up of injured body cavities using sonography and helical computed tomography are evaluated ." ], "offsets": [ [ 0, 757 ] ] } ]	[ { "id": "DerChirurg.70681071.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "diagnostic" ], "offsets": [ [ 4, 14 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0348026" } ] }, { "id": "DerChirurg.70681071.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "trauma" ], "offsets": [ [ 38, 44 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021501" }, { "db_name": "UMLS", "db_id": "C0043251" } ] }, { "id": "DerChirurg.70681071.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "aim" ], "offsets": [ [ 45, 48 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0108800" } ] }, { "id": "DerChirurg.70681071.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "identification" ], "offsets": [ [ 58, 72 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0020792" } ] }, { "id": "DerChirurg.70681071.eng.abstr-s1-t5", "type": "umlsterm", 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"type": "umlsterm", "text": [ "organization" ], "offsets": [ [ 273, 285 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220885" }, { "db_name": "UMLS", "db_id": "C0029246" } ] }, { "id": "DerChirurg.70681071.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "imaging" ], "offsets": [ [ 309, 316 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011923" } ] }, { "id": "DerChirurg.70681071.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "techniques" ], "offsets": [ [ 317, 327 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.70681071.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "evaluation" ], "offsets": [ [ 372, 382 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220825" } ] }, { "id": "DerChirurg.70681071.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "patient" ], "offsets": [ [ 390, 397 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70681071.eng.abstr-s2-t6", "type": "umlsterm", "text": [ "injuries" ], "offsets": [ [ 412, 420 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0175677" }, { "db_name": "UMLS", "db_id": "C0021501" } ] }, { "id": "DerChirurg.70681071.eng.abstr-s2-t7", "type": "umlsterm", "text": [ "emergency" ], "offsets": [ [ 428, 437 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013956" } ] }, { "id": "DerChirurg.70681071.eng.abstr-s2-t8", "type": "umlsterm", "text": [ "imaging techniques" ], "offsets": [ [ 309, 327 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0079595" } ] }, { "id": "DerChirurg.70681071.eng.abstr-s2-t9", "type": "umlsterm", "text": [ "multiple injuries" ], "offsets": [ [ 403, 420 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026771" } ] }, { "id": "DerChirurg.70681071.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "Systematic" ], "offsets": [ [ 445, 455 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220922" } ] }, { "id": "DerChirurg.70681071.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "diagnostic" 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DerChirurg.70681076.eng.abstr	DerChirurg.70681076.eng.abstr	[ { "id": "DerChirurg.70681076.eng.abstr-passage-0", "type": "abstract", "text": [ "Thirty-eight patients with 40 fractures of the thoracic spine and the thoracolumbar junction were treated by a minimally invasive procedure , which includes partial corporectomy , the interposition of a tricortical bone graft and anterior stabilization by plate spondylodesis under thoracosopic control . For 36 patients the operation was successfully performed in a complete thoracoscopic way ; in 2 patients conversion to an open technique was necessary . Two postoperative complications such as a reversible lesion of the thoracodorsalis nerve and a transient irritation of nerve root L1 on the approach side were encountered . Postoperative control by X-ray and CT scan showed correct positioning of the bone graft , as well as the fixation device in all patients . Our experience with this minimally invasive stabilizing procedure for injuries of the thoracic spine and the thoracolumbar junction demonstrated the feasibility of the method . Compared to the open method the benefit of minimally invasive surgery included postoperative pain reduction , shorter hospitalization , early recovery of function and reduced mobidity of the operative approach ." ], "offsets": [ [ 0, 1158 ] ] } ]	[ { "id": "DerChirurg.70681076.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 13, 21 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70681076.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "fractures" ], "offsets": [ [ 30, 39 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016658" } ] }, { "id": "DerChirurg.70681076.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "spine" ], "offsets": [ [ 56, 61 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0037949" } ] }, { "id": "DerChirurg.70681076.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "procedure" ], "offsets": [ [ 130, 139 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0184661" }, { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.70681076.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "bone" ], "offsets": [ [ 215, 219 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0262950" } ] }, { "id": "DerChirurg.70681076.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "graft" ], "offsets": [ [ 220, 225 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0332835" }, { "db_name": "UMLS", "db_id": "C0040733" } ] }, { "id": "DerChirurg.70681076.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "anterior" ], "offsets": [ [ 230, 238 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032008" } ] }, { "id": "DerChirurg.70681076.eng.abstr-s1-t8", "type": "umlsterm", "text": [ "plate" ], "offsets": [ [ 256, 261 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005971" } ] }, { "id": "DerChirurg.70681076.eng.abstr-s1-t9", "type": "umlsterm", "text": [ "spondylodesis" ], "offsets": [ [ 262, 275 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0600339" } ] }, { "id": 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DerChirurg.70681085.eng.abstr	DerChirurg.70681085.eng.abstr	[ { "id": "DerChirurg.70681085.eng.abstr-passage-0", "type": "abstract", "text": [ "Arthroscopic and open surgery have to be combined for successful surgical therapy of the shoulder joint . A surgeon performing open surgery alone or just using arthroscopic measures cannot cover the full spectrum of modern shoulder surgery . Isolated diagnostic arthroscopy is rarely indicated . Far more common , diagnostic arthroscopy is combined with an operative procedure both to confirm preoperative assessment of pathology and to uncover associated lesions . The results of arthroscopic stabilization of chronic anterior post-traumatic dislocations fail to compare with the high success rates of open procedures . Better patient selection will probably be the key to improving results . In cases of acute traumatic first-time dislocation in young , highly athletic people , arthroscopic repair of the isolated Bankart-Perthes lesion offers the attractive advantage of anatomic reconstruction with minimal soft-tissue dissection . Further indications for arthroscopic measurements of pathologies of the glenohumeral joint are synovectomy in rheumatoid arthritis , capsulotomy in frozen shoulder and tenodesis for lesions of the long head of the biceps . Arthroscopic subacromial decompression according to Ellman is the procedure performed most often and most successfully in the shoulder joint and has overcome the classic Neer open acromioplasty . For smaller tears of the supraspinatus tendon , arthroscopic acromioplasty can be combined with an all arthroscopic suture repair or with mini-open repair . Larger tears of the rotator cuff are still the domain for open reconstructive procedures . In associated or isolated AC joint arthritis , an arthroscopic Mumford procedure can be performed . For chronic calcific tendinitis , isolated arthroscopic excision of the calcium deposit is of great value . Additionally , acromioplasty is needed for true mechanical obstruction of the subacromial space ." ], "offsets": [ [ 0, 1909 ] ] } ]	[ { "id": "DerChirurg.70681085.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "open" ], "offsets": [ [ 17, 21 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0266061" } ] }, { "id": "DerChirurg.70681085.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "surgery" ], "offsets": [ [ 22, 29 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038894" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70681085.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "surgical" ], "offsets": [ [ 65, 73 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70681085.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "therapy" ], "offsets": [ [ 74, 81 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerChirurg.70681085.eng.abstr-s1-t5", "type": 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DerChirurg.70681093.eng.abstr	DerChirurg.70681093.eng.abstr	[ { "id": "DerChirurg.70681093.eng.abstr-passage-0", "type": "abstract", "text": [ "The treatment of knee joint injuries has seen marked development in the last few years . The surgical trauma of intra-articular fracture reconstruction has been reduced significantly . Retrograde nailing , percutaneous plating and specific exposures to distal femur and proximal tibia fractures have been established . Percutaneous osteosynthesis controlled by arthroscopy or fluoroscopy is widely used for B-fractures of the tibial plateau . Injectable bone mineral cement adds to reduced trauma of surgical treatment of these fractures . In all knee ligament procedures , arthroscopy is obligatory for diagnosting and conducting meniscus surgery . Ligament reconstruction should be performed either arthroscopically or by a limited arthrotomy , the results being comparable at present ." ], "offsets": [ [ 0, 788 ] ] } ]	[ { "id": "DerChirurg.70681093.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "treatment" ], "offsets": [ [ 4, 13 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerChirurg.70681093.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "knee" ], "offsets": [ [ 17, 21 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022742" } ] }, { "id": "DerChirurg.70681093.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "joint" ], "offsets": [ [ 22, 27 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022417" } ] }, { "id": "DerChirurg.70681093.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "injuries" ], "offsets": [ [ 28, 36 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0175677" }, { "db_name": "UMLS", "db_id": "C0021501" } ] }, { "id": "DerChirurg.70681093.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "development" ], "offsets": [ [ 53, 64 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243107" }, { "db_name": "UMLS", "db_id": "C0020119" } ] }, { "id": "DerChirurg.70681093.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "knee joint" ], "offsets": [ [ 17, 27 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022745" } ] }, { "id": "DerChirurg.70681093.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "surgical" ], "offsets": [ [ 93, 101 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70681093.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "trauma" ], "offsets": [ [ 102, 108 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021501" }, { "db_name": "UMLS", "db_id": "C0043251" } ] }, { "id": "DerChirurg.70681093.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "fracture" ], "offsets": [ [ 128, 136 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016658" } ] }, { "id": "DerChirurg.70681093.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "femur" ], "offsets": [ [ 260, 265 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015811" } ] }, { "id": "DerChirurg.70681093.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "tibia" ], "offsets": [ [ 279, 284 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040184" } ] }, { "id": "DerChirurg.70681093.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "fractures" ], "offsets": [ [ 285, 294 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016658" } ] }, { "id": "DerChirurg.70681093.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "tibia fractures" ], "offsets": [ [ 279, 294 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040185" } ] }, { "id": "DerChirurg.70681093.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "arthroscopy" ], "offsets": [ [ 361, 372 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003904" } ] }, { "id": "DerChirurg.70681093.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "fluoroscopy" ], "offsets": [ [ 376, 387 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016356" } ] }, { "id": "DerChirurg.70681093.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "Injectable" ], "offsets": [ [ 443, 453 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0086466" } ] }, { "id": "DerChirurg.70681093.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "bone" ], "offsets": [ [ 454, 458 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0262950" } ] }, { "id": "DerChirurg.70681093.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "mineral" ], "offsets": [ [ 459, 466 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026162" } ] }, { "id": "DerChirurg.70681093.eng.abstr-s5-t4", "type": "umlsterm", "text": [ "trauma" ], "offsets": [ [ 490, 496 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021501" }, { "db_name": "UMLS", "db_id": "C0043251" } ] }, { "id": "DerChirurg.70681093.eng.abstr-s5-t5", "type": "umlsterm", "text": [ "surgical" ], "offsets": [ [ 500, 508 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70681093.eng.abstr-s5-t6", "type": "umlsterm", "text": [ "treatment" ], "offsets": [ [ 509, 518 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerChirurg.70681093.eng.abstr-s5-t7", "type": "umlsterm", "text": [ "fractures" ], "offsets": [ [ 528, 537 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016658" } ] }, { "id": "DerChirurg.70681093.eng.abstr-s5-t8", "type": "umlsterm", "text": [ "surgical treatment" ], "offsets": [ [ 500, 518 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0543467" } ] }, { "id": "DerChirurg.70681093.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "knee" ], "offsets": [ [ 547, 551 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022742" } ] }, { "id": "DerChirurg.70681093.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "ligament" ], "offsets": [ [ 552, 560 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023685" }, { "db_name": "UMLS", "db_id": "C0023686" } ] }, { "id": "DerChirurg.70681093.eng.abstr-s6-t3", "type": "umlsterm", "text": [ "procedures" ], "offsets": [ [ 561, 571 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0184661" }, { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.70681093.eng.abstr-s6-t4", "type": "umlsterm", "text": [ "arthroscopy" ], "offsets": [ [ 574, 585 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003904" } ] }, { "id": "DerChirurg.70681093.eng.abstr-s6-t5", "type": "umlsterm", "text": [ "surgery" ], "offsets": [ [ 640, 647 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038894" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70681093.eng.abstr-s7-t1", "type": "umlsterm", "text": [ "Ligament" ], "offsets": [ [ 650, 658 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023685" }, { "db_name": "UMLS", "db_id": "C0023686" } ] } ]	[]	[]	[ { "id": 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DerChirurg.70681106.eng.abstr	DerChirurg.70681106.eng.abstr	[ { "id": "DerChirurg.70681106.eng.abstr-passage-0", "type": "abstract", "text": [ "Carpal tunnel syndrome is one of the most common nerve compression syndromes . Nocturnal paresthesia and pain are early symptoms , and hypesthesia and thenar atrophy are late symptoms . These days endoscopic and open operation techniques are available . Minimal trauma after endoscopic release allows early return to work . The endoscopic technique should be performed by experienced surgeons to avoid severe complications ." ], "offsets": [ [ 0, 424 ] ] } ]	[ { "id": "DerChirurg.70681106.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "Carpal" ], "offsets": [ [ 0, 6 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007285" } ] }, { "id": "DerChirurg.70681106.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "syndrome" ], "offsets": [ [ 14, 22 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039082" } ] }, { "id": "DerChirurg.70681106.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "nerve" ], "offsets": [ [ 49, 54 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027769" } ] }, { "id": "DerChirurg.70681106.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "syndromes" ], "offsets": [ [ 67, 76 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039082" } ] }, { "id": "DerChirurg.70681106.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "Carpal tunnel syndrome" ], "offsets": [ [ 0, 22 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007286" } ] }, { "id": "DerChirurg.70681106.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "nerve compression syndromes" ], "offsets": [ [ 49, 76 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027743" } ] }, { "id": "DerChirurg.70681106.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "paresthesia" ], "offsets": [ [ 89, 100 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030554" } ] }, { "id": "DerChirurg.70681106.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "pain" ], "offsets": [ [ 105, 109 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030193" } ] }, { "id": "DerChirurg.70681106.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "symptoms" ], "offsets": [ [ 120, 128 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0683368" } ] }, { "id": "DerChirurg.70681106.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "hypesthesia" ], "offsets": [ [ 135, 146 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0020580" } ] }, { "id": "DerChirurg.70681106.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "atrophy" ], "offsets": [ [ 158, 165 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0004255" } ] }, { "id": "DerChirurg.70681106.eng.abstr-s2-t6", "type": "umlsterm", "text": [ "symptoms" ], "offsets": [ [ 175, 183 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0683368" } ] }, { "id": "DerChirurg.70681106.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "open" ], "offsets": [ [ 212, 216 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0266061" } ] }, { "id": "DerChirurg.70681106.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "operation" ], "offsets": [ [ 217, 226 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0543467" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70681106.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "techniques" ], "offsets": [ [ 227, 237 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.70681106.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "trauma" ], "offsets": [ [ 262, 268 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021501" }, { "db_name": "UMLS", "db_id": "C0043251" } ] }, { "id": "DerChirurg.70681106.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "release" ], "offsets": [ [ 286, 293 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0541720" } ] }, { "id": "DerChirurg.70681106.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "technique" ], "offsets": [ [ 339, 348 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.70681106.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "complications" ], "offsets": [ [ 409, 422 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] } ]	[]	[]	[ { "id": "DerChirurg.70681106.eng.abstr-s1-r1-t1.1-t6.1", "type": "location_of", "arg1_id": "DerChirurg.70681106.eng.abstr-s5-t1", "arg2_id": "DerChirurg.70681106.eng.abstr-s2-t6", "normalized": [] }, { "id": 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DerChirurg.70681112.eng.abstr	DerChirurg.70681112.eng.abstr	[ { "id": "DerChirurg.70681112.eng.abstr-passage-0", "type": "abstract", "text": [ "Phospholipase A2 ( PLA2) is a group of secretory as well as intracellular enzymes that release phopsholipides as an early step in inflammation and play a physiologic role in digestion . In humans , the group of secretory , low-molecular-weight PLA2 ( sPLA2) is differentiated from the cytosolic , high-molecular-weight PLA2 ( cPLA2). The two known cPLA2 mediate the intracellular response to inflammation by releasing arachidonic acid from membrane phospholipids . Secretory pancreatic PLA2 ( sPLA2-I) is a digestive zymogen secreted from pancreatic acinar cells in its inactive form . Activated by trypsin in the duodenum , it is an important digestive enzyme . In acute pancreatitis , circulating sPLA2-I indicates pancreatic injury but is mostly inactive . Synovial-type secretory PLA2 ( sPLA2-II), first isolated from synovial fluid of arthritis patients , is increased in inflammation , after surgery or trauma , and in various inflammatory diseases . Unlike sPLA2-I, its catalytic activity is held responsible for mediating the systemic inflammatory reaction and its complications by regulating the synthesis of prostaglandins , leukotrienes and platelet activating factor . Clinically , sPLA2-II offers new possibilities as an early marker for severe inflammation and predicting systemic complications in severely ill patients ." ], "offsets": [ [ 0, 1335 ] ] } ]	[ { "id": "DerChirurg.70681112.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "Phospholipase" ], "offsets": [ [ 0, 13 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0031671" } ] }, { "id": "DerChirurg.70681112.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "enzymes" ], "offsets": [ [ 74, 81 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0014442" }, { "db_name": "UMLS", "db_id": "C0014445" } ] }, { "id": "DerChirurg.70681112.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "release" ], "offsets": [ [ 87, 94 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0541720" } ] }, { "id": "DerChirurg.70681112.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "inflammation" ], "offsets": [ [ 130, 142 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021368" } ] }, { "id": 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DerChirurg.70681119.eng.abstr	DerChirurg.70681119.eng.abstr	[ { "id": "DerChirurg.70681119.eng.abstr-passage-0", "type": "abstract", "text": [ "The retrospective results of carbon prostheses for knee ligament reconstruction in 120 patients , as established by questionnaire , are reported at 10 +/- 2 years follow-up . Eighty patients could also be reviewed clinically . Some 60 % of the patients showed good subjective function at reduced activity level . Complications were seen in 72.5 % of the patients with rupture of the carbon prosthesis and in 68 % of those with synovitis . X-ray showed osteoarthritis in up to 59 % of the patients . Carbon prostheses for collateral ligament reconstruction ( 85 % medial , 5.8 % lateral ) were successful in 75 % of cases . Activity and time seem to be less responsible for failure of the carbon prostheses than the features of growing in . Destruction of the knee joint over time is due to reactive synovitis and catabolic enzyme reaction and correlates with joint effusion and pain . If these problems appear , ( arthroscopic ) resection of the synovia is indicated to interrupt the circulus vitiosus ." ], "offsets": [ [ 0, 1003 ] ] } ]	[ { "id": "DerChirurg.70681119.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "retrospective" ], "offsets": [ [ 4, 17 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035363" } ] }, { "id": "DerChirurg.70681119.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "carbon" ], "offsets": [ [ 29, 35 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007009" } ] }, { "id": "DerChirurg.70681119.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "prostheses" ], "offsets": [ [ 36, 46 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0525024" }, { "db_name": "UMLS", "db_id": "C0175649" } ] }, { "id": "DerChirurg.70681119.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "knee" ], "offsets": [ [ 51, 55 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022742" } ] }, { "id": "DerChirurg.70681119.eng.abstr-s1-t5", "type": "umlsterm", 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DerChirurg.70681137.eng.abstr	DerChirurg.70681137.eng.abstr	[ { "id": "DerChirurg.70681137.eng.abstr-passage-0", "type": "abstract", "text": [ "The following experimental study was conducted to develop biocompatible methods of osteosynthesis in fractures of the distal radius and to evaluate their stability . A model of dorsal wedge osteotomy in the distal radial metaphysis was used to develop the surgical technique and to test the stability of the alternative methods of osteosynthesis . The concept for this model was based on commercially available materials which were either biodegradable or osteoconductive . Four different forms of biocompatible osteosynthesis were compared to combined Kirschner wire osteosynthesis ( KWO ) , our preferred method of treatment of unstable Colles fracture . Biocompatible osteosynthesis was achieved with an invasivity and stability comparable to that of KWO . In conclusion , injection osteosynthesis exceeded the other biocompatible methods of osteosynthesis in all respects . Regarding the recent developments in injectable materials for osteosynthesis it offers the best perspective for clinical application ." ], "offsets": [ [ 0, 1012 ] ] } ]	[ { "id": "DerChirurg.70681137.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "methods" ], "offsets": [ [ 72, 79 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025663" }, { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.70681137.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "fractures" ], "offsets": [ [ 101, 110 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016658" } ] }, { "id": "DerChirurg.70681137.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "radius" ], "offsets": [ [ 125, 131 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034627" } ] }, { "id": "DerChirurg.70681137.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "osteotomy" ], "offsets": [ [ 190, 199 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0029468" } ] }, { "id": "DerChirurg.70681137.eng.abstr-s2-t2", 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"offsets": [ [ 607, 613 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025663" }, { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.70681137.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "treatment" ], "offsets": [ [ 617, 626 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerChirurg.70681137.eng.abstr-s4-t5", "type": "umlsterm", "text": [ "fracture" ], "offsets": [ [ 646, 654 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016658" } ] }, { "id": "DerChirurg.70681137.eng.abstr-s4-t6", "type": "umlsterm", "text": [ "Kirschner wire" ], "offsets": [ [ 553, 567 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0086510" } ] }, { "id": "DerChirurg.70681137.eng.abstr-s4-t7", "type": "umlsterm", "text": [ "Colles fracture" ], "offsets": [ [ 639, 654 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009353" } ] }, { "id": "DerChirurg.70681137.eng.abstr-s6-t1", "type": "umlsterm", 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DerChirurg.70681146.eng.abstr	DerChirurg.70681146.eng.abstr	[ { "id": "DerChirurg.70681146.eng.abstr-passage-0", "type": "abstract", "text": [ "The gold standard in the operative treatment of chronic insufficiency of the lateral ligaments of the ankle joint is replacement with a tendon ( tenodesis ) . The disadvantage of this method is limitation of movement . The results of the replacement of ligaments with a periosteal flap are similiar to the results after tenodesis , but the rate of complications is significant lower . We investigated the histological changes in periosteal flaps in patients . We saw an alignment of the collagenous fibers in the periosteal flap 8-12 weeks after the operation . The results are statistically significant . The conclusion is that the periosteal flap in the replacement of ligaments changes into a ligamentlike structure ." ], "offsets": [ [ 0, 720 ] ] } ]	[ { "id": "DerChirurg.70681146.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "gold" ], "offsets": [ [ 4, 8 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0018026" } ] }, { "id": "DerChirurg.70681146.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "standard" ], "offsets": [ [ 9, 17 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038137" }, { "db_name": "UMLS", "db_id": "C0175675" } ] }, { "id": "DerChirurg.70681146.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "treatment" ], "offsets": [ [ 35, 44 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerChirurg.70681146.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "ligaments" ], "offsets": [ [ 85, 94 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023685" }, { "db_name": "UMLS", "db_id": "C0023686" } ] }, { "id": "DerChirurg.70681146.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "ankle" ], "offsets": [ [ 102, 107 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003086" } ] }, { "id": "DerChirurg.70681146.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "joint" ], "offsets": [ [ 108, 113 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022417" } ] }, { "id": "DerChirurg.70681146.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "tendon" ], "offsets": [ [ 136, 142 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039508" } ] }, { "id": "DerChirurg.70681146.eng.abstr-s1-t8", "type": "umlsterm", "text": [ "tenodesis" ], "offsets": [ [ 145, 154 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040654" }, { "db_name": "UMLS", "db_id": "C0014518" } ] }, { "id": "DerChirurg.70681146.eng.abstr-s1-t9", "type": "umlsterm", "text": [ "tenodesis" ], "offsets": [ [ 145, 154 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0284292" } ] }, { "id": "DerChirurg.70681146.eng.abstr-s1-t10", "type": "umlsterm", "text": [ "tenodesis" ], "offsets": [ [ 145, 154 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0751995" } ] }, { "id": "DerChirurg.70681146.eng.abstr-s1-t11", "type": "umlsterm", "text": [ "lateral ligaments" ], "offsets": [ [ 77, 94 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0242592" } ] }, { "id": "DerChirurg.70681146.eng.abstr-s1-t12", "type": "umlsterm", "text": [ "ankle joint" ], "offsets": [ [ 102, 113 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003087" } ] }, { "id": "DerChirurg.70681146.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "method" ], "offsets": [ [ 184, 190 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025663" }, { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.70681146.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "movement" ], "offsets": [ [ 208, 216 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026649" } ] }, { "id": "DerChirurg.70681146.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "ligaments" ], "offsets": [ [ 253, 262 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023685" }, { "db_name": "UMLS", "db_id": "C0023686" } ] }, { "id": "DerChirurg.70681146.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "flap" ], "offsets": [ [ 281, 285 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038925" } ] }, { "id": "DerChirurg.70681146.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "tenodesis" ], "offsets": [ [ 320, 329 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040654" }, { "db_name": "UMLS", "db_id": "C0014518" } ] }, { "id": "DerChirurg.70681146.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "tenodesis" ], "offsets": [ [ 320, 329 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0284292" } ] }, { "id": "DerChirurg.70681146.eng.abstr-s3-t5", "type": "umlsterm", "text": [ "tenodesis" ], "offsets": [ [ 320, 329 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0751995" } ] }, { "id": "DerChirurg.70681146.eng.abstr-s3-t6", "type": "umlsterm", "text": [ "complications" ], "offsets": [ [ 348, 361 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] }, { "id": "DerChirurg.70681146.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "flaps" ], "offsets": [ [ 440, 445 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038925" } ] }, { "id": "DerChirurg.70681146.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 449, 457 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70681146.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "flap" ], "offsets": [ [ 524, 528 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038925" } ] }, { "id": "DerChirurg.70681146.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "operation" ], "offsets": [ [ 550, 559 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0543467" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": 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The high negative predictive value , however , shows that the three-dimensional ultrasound may be a clinically relevant examination for special questions in the diagnostics of meniscal tears ." ], "offsets": [ [ 0, 923 ] ] } ]	[ { "id": "DerChirurg.70681150.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "consensus" ], "offsets": [ [ 12, 21 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0376298" } ] }, { "id": "DerChirurg.70681150.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "ultrasound" ], "offsets": [ [ 90, 100 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220934" }, { "db_name": "UMLS", "db_id": "C0041618" }, { "db_name": "UMLS", "db_id": "C0041621" } ] }, { "id": "DerChirurg.70681150.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "diagnosis" ], "offsets": [ [ 108, 117 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011900" }, { "db_name": "UMLS", "db_id": "C0348026" } ] }, { "id": "DerChirurg.70681150.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "tears" 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DerChirurg.70681156.eng.abstr	DerChirurg.70681156.eng.abstr	[ { "id": "DerChirurg.70681156.eng.abstr-passage-0", "type": "abstract", "text": [ "This study investigated to what extent quality of life four years or more after the fracture is determined by initial staging ( Gustilo subclassification , time from injury to arrival at hospital ) , by the therapeutic course ( length of hospital stay , number of operations ) , by complications ( amputation , infection ) and by demographic factors ( gender , age ) . A total of 197 patients after type III open tibial shaft fractures ( type IIIA 70 , type IIIB 85 , type IIIC 42 ) from nine centers volunteered to participate in this study . During patients ' follow-up appointments ( mean duration of follow-up 50 months ) , therapeutic course , pre-surgical staging and demographic data were recorded by the surgeon . Patients were asked to rate quality of life on the Nottingham Health Profile and on a visual analogue scale . Multiple regression analysis ( stepwise ) identified two predictors for reducing overall quality of life ( F-test : P = 0.007 ) : number of operations ( adjusted beta : -0 . 21 ) and age ( adjusted beta : -0 . 17 ) . Other factors showed no significant relationship with overall quality of life or with subscales of the Nottingham Health Profile . These findings indicate a dilemma between two therapeutic goals : good functional outcome , which often requires repeated operations , and quality of life , which suffers under prolonged surgical treatment ." ], "offsets": [ [ 0, 1387 ] ] } ]	[ { "id": "DerChirurg.70681156.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "life" ], "offsets": [ [ 50, 54 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0376558" } ] }, { "id": "DerChirurg.70681156.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "fracture" ], "offsets": [ [ 84, 92 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016658" } ] }, { "id": "DerChirurg.70681156.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "time" ], "offsets": [ [ 156, 160 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040223" } ] }, { "id": "DerChirurg.70681156.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "injury" ], "offsets": [ [ 166, 172 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0175677" }, { "db_name": "UMLS", "db_id": 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DerChirurg.70681163.eng.abstr	DerChirurg.70681163.eng.abstr	[ { "id": "DerChirurg.70681163.eng.abstr-passage-0", "type": "abstract", "text": [ "The concept of emergency free tissue transfer for severe extremity injuries represents a cutting-edge technology . We discuss our very positive results with this technique . The conceptual reasons for these favorable results , compared with conventional approaches , are also discussed . An initial , radical debridement is the most important part of the operation . This is then followed by osteosynthesis . The correct type of free tissue transfer is chosen according to the requirements of the soft tissue defect . Qualitatively better results with earlier definitive rehabilitation were achieved with free tissue transfer performed during the acute stage of limb wound treatment . The follow-up period ranged from 3 months to 8 years . We experienced neither flap loss , osteomyelitis , nor severe wound infection . Using the modern concept of emergency free tissue transfer , we reduced the rate of flap loss and associated morbidity while achieving a functionally improved reconstruction ." ], "offsets": [ [ 0, 995 ] ] } ]	[ { "id": "DerChirurg.70681163.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "emergency" ], "offsets": [ [ 15, 24 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013956" } ] }, { "id": "DerChirurg.70681163.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "tissue" ], "offsets": [ [ 30, 36 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040300" } ] }, { "id": "DerChirurg.70681163.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "transfer" ], "offsets": [ [ 37, 45 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040671" } ] }, { "id": "DerChirurg.70681163.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "extremity" ], "offsets": [ [ 57, 66 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015385" } ] }, { "id": "DerChirurg.70681163.eng.abstr-s1-t5", "type": 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DerChirurg.70681170.eng.abstr	DerChirurg.70681170.eng.abstr	[ { "id": "DerChirurg.70681170.eng.abstr-passage-0", "type": "abstract", "text": [ "Vascular diseases and/or sequelae of various systemic diseases are frequently associated with therapy-resistant soft tissue lesions in the lower extremity . Neurovascular pedicled island flaps without the need for the sacrifice of major vessels offer the possibility to save the lower limb from amputation . The long pedicle allows for a wide , tension-free arc of rotation . Major studies of clinical applications at the critical lower extremity have not been reported yet . 14 patients with chronical ulcerations in problematic areas ( e . g . ankle , tibia ) underwent definitive reconstruction using this flap . Complications were mostly observed at the donor site . In one patient major amputation was neccessary due to the development of sepsis . In all other cases adequate coverage and limb salvage was achieved . Excellent padding , variable size and the modest nature of the flap enlarges the variety of plastic-reconstructive procedures in the lower extremity ." ], "offsets": [ [ 0, 972 ] ] } ]	[ { "id": "DerChirurg.70681170.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "diseases" ], "offsets": [ [ 9, 17 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0012634" } ] }, { "id": "DerChirurg.70681170.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "sequelae" ], "offsets": [ [ 25, 33 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243088" } ] }, { "id": "DerChirurg.70681170.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "diseases" ], "offsets": [ [ 54, 62 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0012634" } ] }, { "id": "DerChirurg.70681170.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "therapy-resistant" ], "offsets": [ [ 94, 111 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": 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"flaps" ], "offsets": [ [ 187, 192 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038925" } ] }, { "id": "DerChirurg.70681170.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "need" ], "offsets": [ [ 205, 209 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027552" } ] }, { "id": "DerChirurg.70681170.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "vessels" ], "offsets": [ [ 237, 244 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005847" }, { "db_name": "UMLS", "db_id": "C0148346" } ] }, { "id": "DerChirurg.70681170.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "limb" ], "offsets": [ [ 285, 289 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015385" } ] }, { "id": "DerChirurg.70681170.eng.abstr-s2-t6", "type": "umlsterm", "text": [ "amputation" ], "offsets": [ [ 295, 305 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0002688" } ] }, { "id": "DerChirurg.70681170.eng.abstr-s2-t7", "type": "umlsterm", "text": [ "island flaps" ], "offsets": [ [ 180, 192 ] ], 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DerChirurg.70681175.eng.abstr	DerChirurg.70681175.eng.abstr	[ { "id": "DerChirurg.70681175.eng.abstr-passage-0", "type": "abstract", "text": [ "This prospective study served as a quality control of a revision concept for case of post-traumatic infection following open reduction and internal fixation in fracture treatment . It is based on clinical and microbiological criteria and has two aims : ( 1 ) eradication of the infection and avoidance of development of chronic osteitis ; ( 2 ) maintenance of internal fixation , if possible . Thirty-four patients were recruited in this study . Surgical revisions were performed according to a consistant concept ( débridement , irrigation , local chemotherapy , drainage ) in defined time intervals ( 2 days ) . The operation site had to be bacteriologically clean after four revisions . Otherwise , the implant had to be removed . Both aims were reached in 11 cases : management of infection with maintenance of internal fixation . In 23 cases the implant material had to be removed . Nevertheless the infection was eliminated in all these patients without exception . The following risk factors for mandatory implant removal were evaluated : diabetes , arteriosclerosis , alcoholism , nicotine . This revision concept helps in the management of acute postoperative osteitis following ORIF in fracture treatment and in avoiding the development of chronic osteitis ." ], "offsets": [ [ 0, 1268 ] ] } ]	[ { "id": "DerChirurg.70681175.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "control" ], "offsets": [ [ 43, 50 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243148" } ] }, { "id": "DerChirurg.70681175.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "infection" ], "offsets": [ [ 100, 109 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021311" } ] }, { "id": "DerChirurg.70681175.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "open" ], "offsets": [ [ 120, 124 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0266061" } ] }, { "id": "DerChirurg.70681175.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "fracture" ], "offsets": [ [ 160, 168 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016658" } ] }, { "id": "DerChirurg.70681175.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "treatment" ], "offsets": [ [ 169, 178 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerChirurg.70681175.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "prospective study" ], "offsets": [ [ 5, 22 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0033522" } ] }, { "id": "DerChirurg.70681175.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "quality control" ], "offsets": [ [ 35, 50 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034378" } ] }, { "id": "DerChirurg.70681175.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "microbiological" ], "offsets": [ [ 209, 224 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025953" } ] }, { "id": "DerChirurg.70681175.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "criteria" ], "offsets": [ [ 225, 233 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243161" } ] }, { "id": "DerChirurg.70681175.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "aims" ], "offsets": [ [ 246, 250 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0108800" } ] }, { "id": "DerChirurg.70681175.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "infection" ], "offsets": [ [ 278, 287 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021311" } ] }, { "id": "DerChirurg.70681175.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "development" ], "offsets": [ [ 305, 316 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243107" }, { "db_name": "UMLS", "db_id": "C0020119" } ] }, { "id": "DerChirurg.70681175.eng.abstr-s2-t6", "type": "umlsterm", "text": [ "osteitis" ], "offsets": [ [ 328, 336 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0029400" } ] }, { "id": "DerChirurg.70681175.eng.abstr-s2-t7", "type": "umlsterm", "text": [ "maintenance" ], "offsets": [ [ 345, 356 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024501" } ] }, { "id": "DerChirurg.70681175.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 406, 414 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70681175.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "Surgical" ], "offsets": [ [ 446, 454 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70681175.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "irrigation" ], "offsets": [ [ 530, 540 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022100" } ] }, { "id": "DerChirurg.70681175.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "chemotherapy" ], "offsets": [ [ 549, 561 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013216" }, { "db_name": "UMLS", "db_id": "C0013217" } ] }, { "id": "DerChirurg.70681175.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "drainage" ], "offsets": [ [ 564, 572 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013103" } ] }, { "id": "DerChirurg.70681175.eng.abstr-s4-t5", "type": "umlsterm", "text": [ "time" ], "offsets": [ [ 586, 590 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040223" } ] }, { "id": "DerChirurg.70681175.eng.abstr-s4-t6", "type": "umlsterm", "text": [ "Surgical revisions" ], "offsets": [ [ 446, 464 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035110" } ] }, { "id": "DerChirurg.70681175.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "operation" ], "offsets": [ [ 618, 627 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0543467" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70681175.eng.abstr-s7-t1", "type": "umlsterm", "text": [ "aims" ], "offsets": [ [ 739, 743 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0108800" } ] }, { "id": "DerChirurg.70681175.eng.abstr-s7-t2", "type": "umlsterm", "text": [ "infection" ], "offsets": [ [ 785, 794 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021311" } ] }, { "id": "DerChirurg.70681175.eng.abstr-s7-t3", "type": "umlsterm", "text": [ "maintenance" ], "offsets": [ [ 800, 811 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024501" } ] }, { "id": "DerChirurg.70681175.eng.abstr-s9-t1", "type": "umlsterm", "text": [ "infection" ], "offsets": [ [ 905, 914 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021311" } ] }, { "id": "DerChirurg.70681175.eng.abstr-s9-t2", "type": "umlsterm", "text": [ "all" ], "offsets": [ [ 933, 936 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023449" } ] }, { "id": "DerChirurg.70681175.eng.abstr-s9-t3", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 943, 951 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70681175.eng.abstr-s10-t1", "type": "umlsterm", "text": [ "risk" ], "offsets": [ [ 986, 990 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035647" } ] }, { "id": "DerChirurg.70681175.eng.abstr-s10-t2", "type": "umlsterm", "text": [ "diabetes" ], "offsets": [ [ 1046, 1054 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011847" }, { "db_name": "UMLS", "db_id": "C0011849" } 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"normalized": [] }, { "id": "DerChirurg.70681175.eng.abstr-s11-r25-t4.1-t5.1", "type": "affects", "arg1_id": "DerChirurg.70681175.eng.abstr-s11-t4", "arg2_id": "DerChirurg.70681175.eng.abstr-s11-t5", "normalized": [] }, { "id": "DerChirurg.70681175.eng.abstr-s11-r26-t1.1-t4.1", "type": "result_of", "arg1_id": "DerChirurg.70681175.eng.abstr-s11-t1", "arg2_id": "DerChirurg.70681175.eng.abstr-s11-t4", "normalized": [] }, { "id": "DerChirurg.70681175.eng.abstr-s11-r27-t6.1-t3.1", "type": "result_of", "arg1_id": "DerChirurg.70681175.eng.abstr-s11-t6", "arg2_id": "DerChirurg.70681175.eng.abstr-s11-t3", "normalized": [] }, { "id": "DerChirurg.70681175.eng.abstr-s11-r28-t4.1-t3.1", "type": "associated_with", "arg1_id": "DerChirurg.70681175.eng.abstr-s11-t4", "arg2_id": "DerChirurg.70681175.eng.abstr-s11-t3", "normalized": [] }, { "id": "DerChirurg.70681175.eng.abstr-s11-r29-t3.1-t5.1", "type": "result_of", "arg1_id": "DerChirurg.70681175.eng.abstr-s11-t3", "arg2_id": "DerChirurg.70681175.eng.abstr-s11-t5", "normalized": [] } ]
DerChirurg.70681181.eng.abstr	DerChirurg.70681181.eng.abstr	[ { "id": "DerChirurg.70681181.eng.abstr-passage-0", "type": "abstract", "text": [ "When infection of implants is suspected , optimal management requires accurate confirmation or exclusion of infection . However , in spite of demonstrative clinical signs cultures of smears or chemical parameters of inflammation frequently are ambiguous . Scintigraphy with indium-labeled white blood cells ( WBC ) has been reported to be sensitive and specific in the diagnosis of low-grade sepsis of the musculoskeletal system . Twenty-eight patients with possible infection were prospectively studied . Infection was suspected in 19 cases with total hip joint prosthesis , 14 cases with knee joint prosthesis and 1 case with shoulder joint prosthesis . All of them underwent scanning with indium-111-labeled WBC and subsequently underwent surgery . At surgery infections were determined by means of culture or histologic results . When correlated with culture and histologic results sensitivity of 111-indium-WBC imaging was 89 % , with a specifity of 67 % and a predictive accuracy of 77 % . In patients with rheumatoid arthritis , however , predictive accuracy of 111-indium-labeled WBC imaging was higher than with standard diagnostic methods . The difference was statistically significant ( P 0.05 , 2-test ) . In the patients examined as a whole , predictive accuracy of 111-indium-labeled WBC imaging does not differ from that of standard diagnostic methods . That is why expensive and time-consuming 111-indium-WBC imaging is not justified generally in diagnosis of infection of implants . 111-Indium-WBC imaging is well suited to supplement standard diagnostic methods in patients with rheumatoid arthritis ." ], "offsets": [ [ 0, 1619 ] ] } ]	[ { "id": "DerChirurg.70681181.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "infection" ], "offsets": [ [ 5, 14 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021311" } ] }, { "id": "DerChirurg.70681181.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "infection" ], "offsets": [ [ 108, 117 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021311" } ] }, { "id": "DerChirurg.70681181.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "signs" ], "offsets": [ [ 165, 170 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220912" } ] }, { "id": "DerChirurg.70681181.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "cultures" ], "offsets": [ [ 171, 179 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220814" }, { "db_name": "UMLS", "db_id": "C0010453" } ] }, { "id": "DerChirurg.70681181.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "inflammation" ], "offsets": [ [ 216, 228 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021368" } ] }, { "id": "DerChirurg.70681181.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "Scintigraphy" ], "offsets": [ [ 256, 268 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034606" } ] }, { "id": "DerChirurg.70681181.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "white" ], "offsets": [ [ 289, 294 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0043157" } ] }, { "id": "DerChirurg.70681181.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "blood" ], "offsets": [ [ 295, 300 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005767" }, { "db_name": "UMLS", "db_id": "C0005768" }, { "db_name": "UMLS", "db_id": "C0005835" } ] }, { "id": "DerChirurg.70681181.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "cells" ], "offsets": [ [ 301, 306 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007634" } ] }, { "id": "DerChirurg.70681181.eng.abstr-s3-t5", "type": "umlsterm", "text": [ "WBC" ], "offsets": [ [ 309, 312 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023516" } ] }, { "id": "DerChirurg.70681181.eng.abstr-s3-t6", "type": "umlsterm", "text": [ "diagnosis" ], "offsets": [ [ 369, 378 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011900" }, { "db_name": "UMLS", "db_id": "C0348026" } ] }, { "id": "DerChirurg.70681181.eng.abstr-s3-t7", "type": "umlsterm", "text": [ "sepsis" ], "offsets": [ [ 392, 398 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243026" } ] }, { "id": "DerChirurg.70681181.eng.abstr-s3-t8", "type": "umlsterm", "text": [ "blood cells" ], "offsets": [ [ 295, 306 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005773" } ] }, { "id": "DerChirurg.70681181.eng.abstr-s3-t9", "type": "umlsterm", "text": [ "musculoskeletal system" ], "offsets": [ [ 406, 428 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026860" } ] }, { "id": "DerChirurg.70681181.eng.abstr-s3-t10", "type": "umlsterm", "text": [ "white blood cells" ], "offsets": [ [ 289, 306 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023516" } ] }, { "id": "DerChirurg.70681181.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 444, 452 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70681181.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "infection" ], "offsets": [ [ 467, 476 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021311" } ] }, { "id": "DerChirurg.70681181.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "prospectively studied" ], "offsets": [ [ 482, 503 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0033522" } ] }, { "id": "DerChirurg.70681181.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "Infection" ], "offsets": [ [ 506, 515 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021311" } ] }, { "id": "DerChirurg.70681181.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "hip" ], "offsets": [ [ 553, 556 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019552" } ] }, { "id": "DerChirurg.70681181.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "joint" ], "offsets": [ [ 557, 562 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022417" } ] }, { "id": "DerChirurg.70681181.eng.abstr-s5-t4", "type": "umlsterm", "text": [ "prosthesis" ], "offsets": [ [ 563, 573 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0525024" }, { "db_name": "UMLS", "db_id": "C0175649" } ] }, { "id": "DerChirurg.70681181.eng.abstr-s5-t5", "type": "umlsterm", "text": [ "knee" ], "offsets": [ [ 590, 594 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022742" } ] }, { "id": "DerChirurg.70681181.eng.abstr-s5-t6", "type": "umlsterm", "text": [ "joint" ], "offsets": [ [ 595, 600 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022417" } ] }, { "id": "DerChirurg.70681181.eng.abstr-s5-t7", "type": "umlsterm", "text": [ "prosthesis" ], "offsets": [ [ 601, 611 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0525024" }, { "db_name": "UMLS", "db_id": "C0175649" } ] }, { "id": "DerChirurg.70681181.eng.abstr-s5-t8", "type": "umlsterm", "text": [ "shoulder" ], "offsets": [ [ 628, 636 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0037004" } ] }, { "id": "DerChirurg.70681181.eng.abstr-s5-t9", "type": "umlsterm", "text": [ "joint" ], "offsets": [ [ 637, 642 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022417" } ] }, { "id": "DerChirurg.70681181.eng.abstr-s5-t10", "type": "umlsterm", "text": [ "prosthesis" ], "offsets": [ [ 643, 653 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0525024" }, { "db_name": "UMLS", "db_id": "C0175649" } ] }, { "id": "DerChirurg.70681181.eng.abstr-s5-t11", "type": "umlsterm", "text": [ "hip joint" ], "offsets": [ [ 553, 562 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019558" } ] }, { "id": "DerChirurg.70681181.eng.abstr-s5-t12", "type": "umlsterm", "text": [ "joint prosthesis" ], "offsets": [ [ 557, 573 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0185317" }, { "db_name": "UMLS", "db_id": "C0022414" }, { "db_name": "UMLS", "db_id": "C0003893" } ] }, { "id": "DerChirurg.70681181.eng.abstr-s5-t13", "type": "umlsterm", "text": [ "knee joint" ], "offsets": [ [ 590, 600 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022745" } ] }, { "id": "DerChirurg.70681181.eng.abstr-s5-t14", "type": "umlsterm", "text": [ "joint prosthesis" ], "offsets": [ [ 595, 611 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0185317" }, { "db_name": "UMLS", "db_id": "C0022414" }, { "db_name": "UMLS", "db_id": "C0003893" } ] }, { "id": "DerChirurg.70681181.eng.abstr-s5-t15", "type": "umlsterm", "text": [ "shoulder joint" ], "offsets": [ [ 628, 642 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0037009" } ] }, { "id": "DerChirurg.70681181.eng.abstr-s5-t16", "type": "umlsterm", "text": [ "joint prosthesis" ], "offsets": [ [ 637, 653 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0185317" }, { "db_name": "UMLS", "db_id": "C0022414" }, { "db_name": "UMLS", "db_id": "C0003893" } ] }, { "id": "DerChirurg.70681181.eng.abstr-s5-t17", "type": "umlsterm", "text": [ "hip joint prosthesis" ], "offsets": [ [ 553, 573 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019560" } ] }, { "id": "DerChirurg.70681181.eng.abstr-s5-t18", "type": "umlsterm", "text": [ "knee joint prosthesis" ], "offsets": [ [ 590, 611 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022748" } ] }, { "id": "DerChirurg.70681181.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "All" ], "offsets": [ [ 656, 659 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023449" } ] }, { "id": "DerChirurg.70681181.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "WBC" ], "offsets": [ [ 711, 714 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023516" } ] }, { "id": "DerChirurg.70681181.eng.abstr-s6-t3", "type": "umlsterm", "text": [ "surgery" ], "offsets": [ [ 742, 749 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038894" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70681181.eng.abstr-s7-t1", "type": "umlsterm", "text": [ "surgery" ], "offsets": [ [ 755, 762 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038894" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70681181.eng.abstr-s7-t2", "type": "umlsterm", "text": [ "infections" ], "offsets": [ [ 763, 773 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021311" } ] }, { "id": "DerChirurg.70681181.eng.abstr-s7-t3", "type": "umlsterm", "text": [ "culture" ], "offsets": [ [ 802, 809 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220814" }, { "db_name": "UMLS", "db_id": "C0010453" } ] }, { "id": "DerChirurg.70681181.eng.abstr-s7-t4", "type": "umlsterm", "text": [ "histologic" ], "offsets": [ [ 813, 823 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0205462" } ] }, { "id": "DerChirurg.70681181.eng.abstr-s8-t1", "type": "umlsterm", "text": [ "culture" ], "offsets": [ [ 855, 862 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220814" }, { "db_name": "UMLS", "db_id": "C0010453" } ] }, { "id": "DerChirurg.70681181.eng.abstr-s8-t2", "type": "umlsterm", "text": [ "histologic" ], "offsets": [ [ 867, 877 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0205462" } ] }, { "id": "DerChirurg.70681181.eng.abstr-s8-t3", "type": "umlsterm", "text": [ "sensitivity" ], "offsets": [ [ 886, 897 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0036667" } ] }, { "id": "DerChirurg.70681181.eng.abstr-s8-t4", "type": "umlsterm", "text": [ "imaging" ], "offsets": [ [ 916, 923 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011923" } ] }, { "id": "DerChirurg.70681181.eng.abstr-s9-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 999, 1007 ] ], "normalized": [ { "db_name": "UMLS", "db_id": 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DerChirurg.70681187.eng.abstr	DerChirurg.70681187.eng.abstr	[ { "id": "DerChirurg.70681187.eng.abstr-passage-0", "type": "abstract", "text": [ "Scaphocapitate fracture syndrome ( SCFS ) as part of perilunar distorsion injuries ( PL , PLF ) in the human wrist is still remarkably rare . The diagnosis is determined by careful physical and radiological examinations , including conventional radiographs . Computed tomography can be helpful in detecting such lesions . In our opinion , the high risk of post-traumatic arthrosis because of carpal instability in a osteoligamental injury requires operative reconstruction in nearly all cases . We report the possibility of operative treatment in a case of scaphocapitate fracture syndrome ( Fenton ) by implantation of 2-mm mini-bone screws , while the use of K-wires or Herbert bone screws has been described in former articles ." ], "offsets": [ [ 0, 731 ] ] } ]	[ { "id": "DerChirurg.70681187.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "fracture" ], "offsets": [ [ 15, 23 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016658" } ] }, { "id": "DerChirurg.70681187.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "syndrome" ], "offsets": [ [ 24, 32 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039082" } ] }, { "id": "DerChirurg.70681187.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "distorsion" ], "offsets": [ [ 63, 73 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040480" } ] }, { "id": "DerChirurg.70681187.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "injuries" ], "offsets": [ [ 74, 82 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0175677" }, { "db_name": "UMLS", "db_id": "C0021501" } ] }, { "id": "DerChirurg.70681187.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "human" ], "offsets": [ [ 103, 108 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0020114" } ] }, { "id": "DerChirurg.70681187.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "wrist" ], "offsets": [ [ 109, 114 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0043262" } ] }, { "id": "DerChirurg.70681187.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "diagnosis" ], "offsets": [ [ 146, 155 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011900" }, { "db_name": "UMLS", "db_id": "C0348026" } ] }, { "id": "DerChirurg.70681187.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "radiographs" ], "offsets": [ [ 245, 256 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0043299" } ] }, { "id": "DerChirurg.70681187.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "tomography" ], "offsets": [ [ 268, 278 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040395" } ] }, { "id": "DerChirurg.70681187.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "Computed tomography" ], "offsets": [ [ 259, 278 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040405" } ] }, { "id": "DerChirurg.70681187.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "risk" ], "offsets": [ [ 348, 352 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035647" } ] }, { "id": "DerChirurg.70681187.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "arthrosis" ], "offsets": [ [ 371, 380 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022408" } ] }, { "id": "DerChirurg.70681187.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "carpal" ], "offsets": [ [ 392, 398 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007285" } ] }, { "id": "DerChirurg.70681187.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "injury" ], "offsets": [ [ 432, 438 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0175677" }, { "db_name": "UMLS", "db_id": "C0021501" } ] }, { "id": "DerChirurg.70681187.eng.abstr-s4-t5", "type": "umlsterm", "text": [ "risk of" ], "offsets": [ [ 348, 355 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035647" } ] }, { "id": "DerChirurg.70681187.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "treatment" ], "offsets": [ [ 534, 543 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerChirurg.70681187.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "fracture" ], "offsets": [ [ 572, 580 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016658" } ] }, { "id": "DerChirurg.70681187.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "syndrome" ], "offsets": [ [ 581, 589 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039082" } ] }, { "id": "DerChirurg.70681187.eng.abstr-s5-t4", "type": "umlsterm", "text": [ "implantation" ], "offsets": [ [ 604, 616 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0029976" } ] }, { "id": "DerChirurg.70681187.eng.abstr-s5-t5", "type": "umlsterm", "text": [ "mini-bone" ], "offsets": [ [ 625, 634 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0262950" } ] }, { "id": "DerChirurg.70681187.eng.abstr-s5-t6", "type": "umlsterm", "text": [ "screws" ], "offsets": [ [ 635, 641 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005975" } ] }, { "id": "DerChirurg.70681187.eng.abstr-s5-t7", "type": "umlsterm", "text": [ "use" ], "offsets": [ [ 654, 657 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042153" } ] }, { "id": "DerChirurg.70681187.eng.abstr-s5-t8", "type": "umlsterm", "text": [ "bone" ], "offsets": [ [ 680, 684 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0262950" } ] }, { "id": "DerChirurg.70681187.eng.abstr-s5-t9", "type": "umlsterm", "text": [ "screws" ], "offsets": [ [ 685, 691 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005975" } ] }, { "id": "DerChirurg.70681187.eng.abstr-s5-t10", "type": "umlsterm", "text": [ "bone screws" ], "offsets": [ [ 680, 691 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005975" } ] } ]	[]	[]	[ { "id": "DerChirurg.70681187.eng.abstr-s1-r1-t2.1-t4.1", "type": "affects", "arg1_id": "DerChirurg.70681187.eng.abstr-s5-t2", "arg2_id": "DerChirurg.70681187.eng.abstr-s5-t4", "normalized": [] }, { "id": "DerChirurg.70681187.eng.abstr-s1-r2-t2.1-t4.1", "type": "result_of", "arg1_id": "DerChirurg.70681187.eng.abstr-s5-t2", "arg2_id": "DerChirurg.70681187.eng.abstr-s5-t4", "normalized": [] }, { "id": "DerChirurg.70681187.eng.abstr-s1-r3-t3.1-t4.1", "type": "affects", "arg1_id": "DerChirurg.70681187.eng.abstr-s5-t3", "arg2_id": "DerChirurg.70681187.eng.abstr-s5-t4", "normalized": [] }, { "id": "DerChirurg.70681187.eng.abstr-s1-r4-t3.1-t4.1", "type": "result_of", "arg1_id": "DerChirurg.70681187.eng.abstr-s5-t3", "arg2_id": "DerChirurg.70681187.eng.abstr-s5-t4", "normalized": [] }, { "id": "DerChirurg.70681187.eng.abstr-s1-r5-t4.1-t3.1", "type": "location_of", "arg1_id": 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"arg1_id": "DerChirurg.70681187.eng.abstr-s5-t1", "arg2_id": "DerChirurg.70681187.eng.abstr-s5-t4", "normalized": [] }, { "id": "DerChirurg.70681187.eng.abstr-s5-r20-t7.1-t1.1", "type": "treats", "arg1_id": "DerChirurg.70681187.eng.abstr-s5-t7", "arg2_id": "DerChirurg.70681187.eng.abstr-s5-t1", "normalized": [] }, { "id": "DerChirurg.70681187.eng.abstr-s5-r21-t1.1-t3.1", "type": "associated_with", "arg1_id": "DerChirurg.70681187.eng.abstr-s5-t1", "arg2_id": "DerChirurg.70681187.eng.abstr-s5-t3", "normalized": [] }, { "id": "DerChirurg.70681187.eng.abstr-s5-r22-t1.1-t4.1", "type": "affects", "arg1_id": "DerChirurg.70681187.eng.abstr-s5-t1", "arg2_id": "DerChirurg.70681187.eng.abstr-s5-t4", "normalized": [] }, { "id": "DerChirurg.70681187.eng.abstr-s5-r23-t3.1-t1.1", "type": "result_of", "arg1_id": "DerChirurg.70681187.eng.abstr-s5-t3", "arg2_id": "DerChirurg.70681187.eng.abstr-s5-t1", "normalized": [] } ]
DerChirurg.70681217.eng.abstr	DerChirurg.70681217.eng.abstr	[ { "id": "DerChirurg.70681217.eng.abstr-passage-0", "type": "abstract", "text": [ "Background : Considering the high recurrence rate after conventional inguinal hernia repair , the totally preperitoneal endoscopic inguinal hernia repair has been used . Methods : The present experience of the authors embraces 1085 patients with a total of 1717 inguinal hernias , including 200 recurrences . The operative technique is described with emphasis on pitfalls and tricks . Results : Analysis of the data concerning the first 403 patients with 1 year complete follow-up reveals a mean ( SEM ) operating time of 42 ( 1.2 ) min for unilateral and 58 ( 1.0 ) min for bilateral hernia repair . Mean ( SEM ) postoperative hospital stay was 2 ( 0.04 ) days . Complication rates during and after operation were 0.3 % and 3.3 % respectively . The morbidity rate at 1 month after operation was 3.5 % . The recurrence rate was 0.3 % at 1-year follow-up . Conclusion : Totally preperitoneal endoscopic inguinal hernia repair is safe and reproducible for any type of primary or recurrent inguinal hernia , even in patients with previous subumbilical surgery or severe systemic disease . Careful follow-up is mandatory to assess the late recurrence rate ." ], "offsets": [ [ 0, 1153 ] ] } ]	[ { "id": "DerChirurg.70681217.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "recurrence" ], "offsets": [ [ 34, 44 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034897" } ] }, { "id": "DerChirurg.70681217.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "hernia" ], "offsets": [ [ 78, 84 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019270" } ] }, { "id": "DerChirurg.70681217.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "repair" ], "offsets": [ [ 85, 91 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0043240" } ] }, { "id": "DerChirurg.70681217.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "hernia" ], "offsets": [ [ 140, 146 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019270" } ] }, { "id": "DerChirurg.70681217.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "repair" ], "offsets": [ [ 147, 153 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0043240" } ] }, { "id": "DerChirurg.70681217.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "inguinal hernia" ], "offsets": [ [ 69, 84 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019294" } ] }, { "id": "DerChirurg.70681217.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "inguinal hernia" ], "offsets": [ [ 131, 146 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019294" } ] }, { "id": "DerChirurg.70681217.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "Methods" ], "offsets": [ [ 170, 177 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025663" }, { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.70681217.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 232, 240 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70681217.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "hernias" ], "offsets": [ [ 271, 278 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019270" } ] }, { "id": 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DerChirurg.70681225.eng.abstr	DerChirurg.70681225.eng.abstr	[ { "id": "DerChirurg.70681225.eng.abstr-passage-0", "type": "abstract", "text": [ "Quality assurance is a concept intended to ensure the quality of a surgical therapy on a defined level . But what is \" quality \" in surgical therapy ? Quality can be described in a lot of different ways . Quality has something to do with taste , especially with individual preferences . The testing of the quality of wine is a good example . Even though this is quite difficult , it can still be done and has been done for hundreds of years . In surgery we are still at the beginning . Discussions regarding the definition of quality , the best method of quality assurance and , not least , who is responsibility for its measurement are well-known obstacles on the path to improvement . Quality has basically little to do with research . It is not a matter of finding the right technique , but of ensuring that the right technique , when found , is correctly used . Defined quality standards will allow this . Quality standards in inguinal hernia surgery are : outstanding comfort directly before and after the therapy , few or no side effects troubling the patient , most of all no disastrous side effects , disaster , low rate of relapse and , in our times , decent economy . The question : \" Is the target to be oriented on the average or must the standard be brought nearer the best performance ? \" has to be answered . Surgery and average performance do not match ; surgical performance cannot be oriented on the average . The next question is : \" Which methods are suitable for this ? \" . The \" tracer method \" is one method , one aspect within quality assurance methods in general . It is designed for obtaining information on the quality of a clinic/department . The obtained data on complication rates , for example ( 10 % ) , and their striking points should above all give insight into the complete department , i . e . , on complication rates of a surgical department in general . The same counts for infection rates or striking points . The essential question remains : \" Who should carry it out ? \" Bureaucrats lacking expertise will buy it . The principle of autonomy , \" expertise connected to competence \" has to be kept when answering the question of who should do it and how . The tracer method , using hernia surgery as a tracer , is not necessarily suitable as a measure of the quality of inguinal hernia surgery . Even though it supplies - as a side effect - information about inguinal hernia surgery , like complication rates ( 10 % ) and relapse operations ( 10 % ) , as well as the varying anaesthetic procedures , or the use for changes in therapeutic procedures , the tracer method is not suitable to sufficiently inform about the quality of inguinal hernia surgery in particular . A further essential aspect when analysing quality assurance - showing up clearly at the moment - is the fact , that \" another \" control will develop if this inactivity remains . In this case the \" controllers \" will certainly not be the surgeons . The nightmare vision of bureaucrats ( insurance companies or other parties ) as controllers is in sight . 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DerChirurg.70681235.eng.abstr	DerChirurg.70681235.eng.abstr	[ { "id": "DerChirurg.70681235.eng.abstr-passage-0", "type": "abstract", "text": [ "From 3 years ' experience with nearly 100 transinguinal preperitoneal mesh prosthesis ( TIPP ) repairs for recurrent inguinal hernia the indication , anesthesia , modification of the technique , and results are reported . After intraoperative classification of the hernia , the TIPP repair is indicated especially in large defects of the posterior wall ( L/M III ) . The procedure is easily performed under local anesthesia . During 52 local TIPP repairs , conversion of anesthesia was never necessary . Important technical details include the requirement for a sufficient size of mesh ( 10 cm x 15 cm ) and a certain caudal and cranial fixation of the prosthesis using at least three interrupted stitches for each . Apart from an increased number of seromas ( 12 % ) in the early postoperative period , the results of the TIPP are comparable with those obtained after Shouldice repair for recurrent hernia . The rate of hematomas , infections , and testicular complications range between 1 % and 3 % . Considering the negative case selection of only large recurrent hernias , the TIPP repair reveals a favourably low 1-year recurrence rate of 1 % ." ], "offsets": [ [ 0, 1149 ] ] } ]	[ { "id": "DerChirurg.70681235.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "prosthesis" ], "offsets": [ [ 75, 85 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0525024" }, { "db_name": "UMLS", "db_id": "C0175649" } ] }, { "id": "DerChirurg.70681235.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "TIPP" ], "offsets": [ [ 88, 92 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0218314" } ] }, { "id": "DerChirurg.70681235.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "repairs" ], "offsets": [ [ 95, 102 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0043240" } ] }, { "id": "DerChirurg.70681235.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "hernia" ], "offsets": [ [ 126, 132 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019270" } ] }, { "id": "DerChirurg.70681235.eng.abstr-s1-t5", 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DerChirurg.70681241.eng.abstr	DerChirurg.70681241.eng.abstr	[ { "id": "DerChirurg.70681241.eng.abstr-passage-0", "type": "abstract", "text": [ "The incidence of local relapse after complete ( R0) resection of solid tumors is largely determined by the skill of the surgeon , whereas metastatic relapse in distant organs is caused by pre- or perioperative systemic dissemination of tumor cells . The presence of individual disseminated tumor cells - e . g . , in bone marrow as indicator organ - can be detected by sensitive immunocytochemical and molecular methods and is increasingly considered as a clinically relevant prognostic indicator . In contrast to solid metastases , isolated micrometastatic tumor cells are appropriate targets for intravenously applied anti-cancer therapeutics because they are easily accessible to macromolecules and immunologic effector cells . The majority of these tumor cells appear to be nonproliferating ( i . e . , in the G0 phase of the cell cycle ) , which may explain the failure of adjuvant chemotherapy . Adjuvant therapeutic strategies aimed at quiescent tumor cells are therefore of increasing interest . This therapeutic rationale has been tested and confirmed in a randomized clinical trial using antibody 17-1A in patients with non-metastatic colorectal carcinoma ( UICC stage III ) . The antibody therapy kills also quiescent tumor cells ( \" dormant cells \" ) and is independent from a potential chemotherapy resistance of the tumor cells . As treatment for minimal residual cancer , the clinical use of antibody therapy could be envisaged in conjunction with chemotherapy , applied either in parallel or sequentially . The aim of this review is to present and discuss the current state of research in the field of diagnosis and therapy of minimal residual cancer ." ], "offsets": [ [ 0, 1668 ] ] } ]	[ { "id": "DerChirurg.70681241.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "incidence" ], "offsets": [ [ 4, 13 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220856" }, { "db_name": "UMLS", "db_id": "C0021149" } ] }, { "id": "DerChirurg.70681241.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "tumors" ], "offsets": [ [ 71, 77 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" } ] }, { "id": "DerChirurg.70681241.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "metastatic" ], "offsets": [ [ 138, 148 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0036525" } ] }, { "id": "DerChirurg.70681241.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "tumor" ], "offsets": [ [ 236, 241 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" } ] }, { "id": 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DerChirurg.70681251.eng.abstr	DerChirurg.70681251.eng.abstr	[ { "id": "DerChirurg.70681251.eng.abstr-passage-0", "type": "abstract", "text": [ "It is generally accepted that most inguinal hernias should be operated electively . This study presents a risk calculation challenging this view . Three strategies are presented : prophylactic indication on principle ( A ) , elective operation in every second case ( B ) , and operation in case of strangulation only ( C ) . On the basis of available epidemiological data it is calculated that , for the male German population aged 65 years and over 69 954 ( A ) , 36 292 ( B ) , and 2630 ( C ) inguinal hernia repairs would be necessary annually ; 167 ( A ) , 145 ( B ) and 123 ( C ) perioperative deaths would occur , connected with 1702 ( A ) , 1373 ( B ) and 1048 ( C ) years of life lost , respectively . Thus , operation of every inguinal hernia would result in a ( small ) reduction of life expectancy . These data provide evidence that in elderly patients the indication for operative treatment of inguinal hernias should depend upon symptoms and suffering . There is no reason to operate on asymptomatic patients because of a presumed risk of strangulation ." ], "offsets": [ [ 0, 1067 ] ] } ]	[ { "id": "DerChirurg.70681251.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "hernias" ], "offsets": [ [ 44, 51 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019270" } ] }, { "id": "DerChirurg.70681251.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "inguinal hernias" ], "offsets": [ [ 35, 51 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019294" } ] }, { "id": "DerChirurg.70681251.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "risk" ], "offsets": [ [ 106, 110 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035647" } ] }, { "id": "DerChirurg.70681251.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "prophylactic" ], "offsets": [ [ 180, 192 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009653" } ] }, { "id": "DerChirurg.70681251.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "operation" ], "offsets": [ [ 234, 243 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0543467" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70681251.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "operation" ], "offsets": [ [ 277, 286 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0543467" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70681251.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "male" ], "offsets": [ [ 404, 408 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024554" }, { "db_name": "UMLS", "db_id": "C0086582" } ] }, { "id": "DerChirurg.70681251.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "population" ], "offsets": [ [ 416, 426 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032659" } ] }, { "id": "DerChirurg.70681251.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "hernia" ], "offsets": [ [ 504, 510 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019270" } ] }, { "id": "DerChirurg.70681251.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "repairs" ], "offsets": [ [ 511, 518 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0043240" } ] }, { "id": "DerChirurg.70681251.eng.abstr-s4-t5", "type": "umlsterm", "text": [ "deaths" ], "offsets": [ [ 599, 605 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011065" } ] }, { "id": "DerChirurg.70681251.eng.abstr-s4-t6", "type": "umlsterm", "text": [ "life" ], "offsets": [ [ 683, 687 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0376558" } ] }, { "id": "DerChirurg.70681251.eng.abstr-s4-t7", "type": "umlsterm", "text": [ "inguinal hernia" ], "offsets": [ [ 495, 510 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019294" } ] }, { "id": "DerChirurg.70681251.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "operation" ], "offsets": [ [ 717, 726 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0543467" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70681251.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "hernia" ], "offsets": [ [ 745, 751 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019270" } ] }, { "id": "DerChirurg.70681251.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "life" ], "offsets": [ [ 793, 797 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0376558" } ] }, { "id": "DerChirurg.70681251.eng.abstr-s5-t4", "type": "umlsterm", "text": [ "inguinal hernia" ], "offsets": [ [ 736, 751 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019294" } ] }, { "id": "DerChirurg.70681251.eng.abstr-s5-t5", "type": "umlsterm", "text": [ "life expectancy" ], "offsets": [ [ 793, 808 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023671" } ] }, { "id": "DerChirurg.70681251.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "elderly" ], "offsets": [ [ 847, 854 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0001792" } ] }, { "id": "DerChirurg.70681251.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 855, 863 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70681251.eng.abstr-s6-t3", "type": "umlsterm", "text": [ "treatment" ], "offsets": [ [ 893, 902 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerChirurg.70681251.eng.abstr-s6-t4", "type": "umlsterm", "text": [ "hernias" ], "offsets": [ [ 915, 922 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019270" } ] }, { "id": "DerChirurg.70681251.eng.abstr-s6-t5", "type": "umlsterm", "text": [ "symptoms" ], "offsets": [ [ 942, 950 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0683368" } ] }, { "id": "DerChirurg.70681251.eng.abstr-s6-t6", "type": "umlsterm", "text": [ "inguinal hernias" ], "offsets": [ [ 906, 922 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019294" } ] }, { "id": "DerChirurg.70681251.eng.abstr-s7-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 1013, 1021 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": 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DerChirurg.70681258.eng.abstr	DerChirurg.70681258.eng.abstr	[ { "id": "DerChirurg.70681258.eng.abstr-passage-0", "type": "abstract", "text": [ "The objective of our trial was to evaluate the significance and usefulness of sentinel lymphadenectomy ( SLNE ) for the staging of regional lymph nodes in breast cancer patients . The study presented illustrates the method and our results . As has been documentated for melanoma , the first lymph node [ sentinel node ( SLN ) ] to receive lymphatic drainage from a primary tumor is the expected first site of lymph-node metastasis . The database presented includes 12 patients with operable breast cancer and clinically negative lymph nodes . In 11 cases the described method was applicable . In only one case was there no correlation between the histology of the SLN and the axillary specimen . Three SLN were tumor-positive . Successful completion of examination of a large number of patients with a long follow-up has the potential of reducing the number of axillary dissections and of significantly reducing morbidity in the majority of breast cancer patients ." ], "offsets": [ [ 0, 965 ] ] } ]	[ { "id": "DerChirurg.70681258.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "objective" ], "offsets": [ [ 4, 13 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0018017" } ] }, { "id": "DerChirurg.70681258.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "sentinel" ], "offsets": [ [ 78, 86 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0056838" } ] }, { "id": "DerChirurg.70681258.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "lymphadenectomy" ], "offsets": [ [ 87, 102 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024203" } ] }, { "id": "DerChirurg.70681258.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "lymph" ], "offsets": [ [ 140, 145 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024202" } ] }, { "id": "DerChirurg.70681258.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "breast" ], "offsets": [ [ 155, 161 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006141" }, { "db_name": "UMLS", "db_id": "C0006142" } ] }, { "id": "DerChirurg.70681258.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "cancer" ], "offsets": [ [ 162, 168 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006826" } ] }, { "id": "DerChirurg.70681258.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 169, 177 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70681258.eng.abstr-s1-t8", "type": "umlsterm", "text": [ "lymph nodes" ], "offsets": [ [ 140, 151 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024204" } ] }, { "id": "DerChirurg.70681258.eng.abstr-s1-t9", "type": "umlsterm", "text": [ "breast cancer" ], "offsets": [ [ 155, 168 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006142" } ] }, { "id": "DerChirurg.70681258.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "method" ], "offsets": [ [ 216, 222 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025663" }, { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.70681258.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "melanoma" ], "offsets": [ [ 270, 278 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025202" } ] }, { "id": "DerChirurg.70681258.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "lymph" ], "offsets": [ [ 291, 296 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024202" } ] }, { "id": "DerChirurg.70681258.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "sentinel" ], "offsets": [ [ 304, 312 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0056838" } ] }, { "id": "DerChirurg.70681258.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "drainage" ], "offsets": [ [ 349, 357 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013103" } ] }, { "id": "DerChirurg.70681258.eng.abstr-s3-t5", "type": "umlsterm", "text": [ "tumor" ], "offsets": [ [ 373, 378 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" } ] }, { "id": "DerChirurg.70681258.eng.abstr-s3-t6", "type": "umlsterm", "text": [ "lymph-node" ], "offsets": [ [ 409, 419 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024202" } ] }, { "id": "DerChirurg.70681258.eng.abstr-s3-t7", "type": "umlsterm", "text": [ "metastasis" ], "offsets": [ [ 420, 430 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027627" } ] }, { "id": "DerChirurg.70681258.eng.abstr-s3-t8", "type": "umlsterm", "text": [ "lymph node" ], "offsets": [ [ 291, 301 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024204" } ] }, { "id": "DerChirurg.70681258.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "database" ], "offsets": [ [ 437, 445 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0242356" } ] }, { "id": "DerChirurg.70681258.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 468, 476 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70681258.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "breast" ], "offsets": [ [ 491, 497 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006141" }, { "db_name": "UMLS", "db_id": "C0006142" } ] }, { "id": "DerChirurg.70681258.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "cancer" ], "offsets": [ [ 498, 504 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006826" } ] }, { "id": "DerChirurg.70681258.eng.abstr-s4-t5", "type": "umlsterm", "text": [ "lymph" ], "offsets": [ [ 529, 534 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024202" } ] }, { "id": "DerChirurg.70681258.eng.abstr-s4-t6", "type": "umlsterm", "text": [ "breast cancer" ], "offsets": [ [ 491, 504 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006142" } ] }, { "id": "DerChirurg.70681258.eng.abstr-s4-t7", "type": "umlsterm", "text": [ "lymph nodes" ], "offsets": [ [ 529, 540 ] ], "normalized": [ { "db_name": 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DerChirurg.70681262.eng.abstr	DerChirurg.70681262.eng.abstr	[ { "id": "DerChirurg.70681262.eng.abstr-passage-0", "type": "abstract", "text": [ "In a study compiling the data in a prospective manner , the value of the pylorus-preserving duodenopancreatectomy ( PPPD ) compared to partial duodenopancreatectomy ( PD ) in patients suffering from ductal pancreatic carcinoma was assessed . Postoperative morbidity , mortality and overall prognosis were analysed . From May 1990 to April 1995 130 patients entered the study ; 61 underwent PD , 69 patients had PPPD . The patients were regularly followed up every 6 months and the median follow-up period for all patients was 36 months . PPPD in patients with ductal pancreatic head carcinoma without infiltration of the duodenum is the technically simpler and faster operation method with significantly less blood loss . Moreover , PPPD did not lead to increased postoperative complications . The median survival rate of patients in the PD group was 10.8 months , in the PPPD group 21 months . This significant difference derives from the fact that the tumor stages were unevenly distributed . Regarding the most common stage ( stage III according to UICC ) the median survival times were almost identical ( PD group 10.1 months , PPPD group 11.2 months ) . The PPPD operation seems to be a sufficiently radical procedure which does not worsen the prognosis of the disease ." ], "offsets": [ [ 0, 1275 ] ] } ]	[ { "id": "DerChirurg.70681262.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "value" ], "offsets": [ [ 60, 65 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042295" } ] }, { "id": "DerChirurg.70681262.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "duodenopancreatectomy" ], "offsets": [ [ 92, 113 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0085162" } ] }, { "id": "DerChirurg.70681262.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "duodenopancreatectomy" ], "offsets": [ [ 143, 164 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0085162" } ] }, { "id": "DerChirurg.70681262.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 175, 183 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70681262.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "pancreatic" 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DerChirurg.70681268.eng.abstr	DerChirurg.70681268.eng.abstr	[ { "id": "DerChirurg.70681268.eng.abstr-passage-0", "type": "abstract", "text": [ "Laser-induced interstitial thermotherapy ( LITT ) is a promising method of treating different types of tumors . To increase the effectiveness of LITT , a new thermo-controlled application system for minimal invasive intervention was designed . This laser system consists of a laser applicator 3 mm in diameter , insertion equipment and an Nd : YAG laser source . The power of the laser source is controlled dynamically by thermosensors in a water-cooling system of the laser applicator . In in vivo experiments in five pigs , within 10 min we found homogeneous coagulation regions in the liver that were of 3 cm and 5 cm in diameter . Via ultrasound we observed in real time the increasing coagulation zone that appeared as a hyperechogenic halo . However , due to perifocal edema , the real coagulation area was smaller than detected by ultrasound . Macroscopically and microscopically , the coagulation zones showed well-demarcated borders of the coagulation lesions , and the surrounding tissue appeared vital . The reparative reaction after irradiation was early fibrosis . In the course of 4 weeks , the surrounding scar capsule , containing fibrocytes , biliary ductules and collagen fibers enlarged . As a result , the coagulation necrosis became more and more fragmented between collagen fibers and was largely resorbed . The absence of complications in our animal experiments suggest that the technique of thermo-controlled laser light application is safe and useful in therapy for metastases that are not resectable ." ], "offsets": [ [ 0, 1527 ] ] } ]	[ { "id": "DerChirurg.70681268.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "thermotherapy" ], "offsets": [ [ 27, 40 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0020548" } ] }, { "id": "DerChirurg.70681268.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "method" ], "offsets": [ [ 65, 71 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025663" }, { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.70681268.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "tumors" ], "offsets": [ [ 103, 109 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" } ] }, { "id": "DerChirurg.70681268.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "laser" ], "offsets": [ [ 249, 254 ] ], "normalized": [ { "db_name": "UMLS", "db_id": 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DerChirurg.70681281.eng.abstr	DerChirurg.70681281.eng.abstr	[ { "id": "DerChirurg.70681281.eng.abstr-passage-0", "type": "abstract", "text": [ "The longitudinal muscle ( LM ) represents a strong muscular structure of the anal canal situated between the internal ( IAS ) and the external anal sphincter ( EAS ) . Terminal fibres of this muscle insert at the submucosa of the anal canal , representing the m . canalis ani . Others cross the subcutaneous part of the EAS to become the m . corrugator ani . Thus , the LM connects the visceral and somatic parts of the anal sphincter complex . Histologically ganglionic cells and as Vater-Pacinian corpuscles can be identified inside the LM . Morphology , topography and histology of the LM suggest that this muscle participates in maintaining anorectal continence . It is mandatory that the exact functions of this muscular structure be to elaborated upon , if we are to understand the mechanism of anorectal continence ." ], "offsets": [ [ 0, 823 ] ] } ]	[ { "id": "DerChirurg.70681281.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "muscle" ], "offsets": [ [ 17, 23 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026845" } ] }, { "id": "DerChirurg.70681281.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "anal sphincter" ], "offsets": [ [ 143, 157 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0002760" } ] }, { "id": "DerChirurg.70681281.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "muscle" ], "offsets": [ [ 192, 198 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026845" } ] }, { "id": "DerChirurg.70681281.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "anal sphincter" ], "offsets": [ [ 420, 434 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0002760" } ] }, { "id": "DerChirurg.70681281.eng.abstr-s7-t1", "type": "umlsterm", "text": [ "cells" ], "offsets": [ [ 471, 476 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007634" } ] }, { "id": "DerChirurg.70681281.eng.abstr-s8-t1", "type": "umlsterm", "text": [ "Morphology" ], "offsets": [ [ 544, 554 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0543482" } ] }, { "id": "DerChirurg.70681281.eng.abstr-s8-t2", "type": "umlsterm", "text": [ "histology" ], "offsets": [ [ 572, 581 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019638" }, { "db_name": "UMLS", "db_id": "C0205462" } ] }, { "id": "DerChirurg.70681281.eng.abstr-s8-t3", "type": "umlsterm", "text": [ "muscle" ], "offsets": [ [ 610, 616 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026845" } ] }, { "id": "DerChirurg.70681281.eng.abstr-s9-t1", "type": "umlsterm", "text": [ "exact" ], "offsets": [ [ 693, 698 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0059927" } ] }, { "id": "DerChirurg.70681281.eng.abstr-s9-t2", "type": "umlsterm", "text": [ "functions" ], "offsets": [ [ 699, 708 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0031843" } ] } ]	[]	[]	[ { "id": "DerChirurg.70681281.eng.abstr-s1-r1-t1.1-t2.1", "type": "developmental_form_of", "arg1_id": "DerChirurg.70681281.eng.abstr-s9-t1", "arg2_id": "DerChirurg.70681281.eng.abstr-s9-t2", "normalized": [] }, { "id": "DerChirurg.70681281.eng.abstr-s1-r2-t2.1-t1.1", "type": "surrounds", "arg1_id": "DerChirurg.70681281.eng.abstr-s9-t2", "arg2_id": "DerChirurg.70681281.eng.abstr-s9-t1", "normalized": [] }, { "id": "DerChirurg.70681281.eng.abstr-s8-r1-t2.2-t1.1", "type": "issue_in", "arg1_id": "DerChirurg.70681281.eng.abstr-s8-t2", "arg2_id": "DerChirurg.70681281.eng.abstr-s9-t1", "normalized": [] }, { "id": "DerChirurg.70681281.eng.abstr-s9-r1-t1.1-t2.1", "type": "affects", "arg1_id": "DerChirurg.70681281.eng.abstr-s9-t1", "arg2_id": "DerChirurg.70681281.eng.abstr-s9-t2", "normalized": [] } ]
DerChirurg.70681292.eng.abstr	DerChirurg.70681292.eng.abstr	[ { "id": "DerChirurg.70681292.eng.abstr-passage-0", "type": "abstract", "text": [ "Jaundice in critically ill patients may be difficult to explain . This study analyzes pathophysiologically relevant data , and discusses the prognostic value of hyperbilirubinemia . A total of 1275 patients were prospectively enrolled ; 7.6 % developed hyperbilirubinemia of at least 2 mg/dl . Mortality in icteric patients was significantly higher ( 29 % ) than in the non-icteric group . Sepsis , shock and the number of blood transfusions are very important in hyperbilirubinemia . Nevertheless , in critically ill patients , jaundice per se is not a sign of poor outcome ; indeed it only reflects the underlying disease ." ], "offsets": [ [ 0, 625 ] ] } ]	[ { "id": "DerChirurg.70681292.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "Jaundice" ], "offsets": [ [ 0, 8 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022346" } ] }, { "id": "DerChirurg.70681292.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 27, 35 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70681292.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "critically ill" ], "offsets": [ [ 12, 26 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0010340" } ] }, { "id": "DerChirurg.70681292.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "value" ], "offsets": [ [ 152, 157 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042295" } ] }, { "id": "DerChirurg.70681292.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "hyperbilirubinemia" ], "offsets": [ [ 161, 179 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0020433" } ] }, { "id": "DerChirurg.70681292.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 198, 206 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70681292.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "hyperbilirubinemia" ], "offsets": [ [ 253, 271 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0020433" } ] }, { "id": "DerChirurg.70681292.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "Mortality" ], "offsets": [ [ 294, 303 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026566" }, { "db_name": "UMLS", "db_id": "C0026565" } ] }, { "id": "DerChirurg.70681292.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "icteric" ], "offsets": [ [ 307, 314 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022346" } ] }, { "id": "DerChirurg.70681292.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 315, 323 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70681292.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "non-icteric" ], "offsets": [ [ 370, 381 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022346" } ] }, { "id": "DerChirurg.70681292.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "Sepsis" ], "offsets": [ [ 390, 396 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243026" } ] }, { "id": "DerChirurg.70681292.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "shock" ], "offsets": [ [ 399, 404 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0036974" } ] }, { "id": "DerChirurg.70681292.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "blood" ], "offsets": [ [ 423, 428 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005767" }, { "db_name": "UMLS", "db_id": "C0005768" }, { "db_name": "UMLS", "db_id": "C0005835" } ] }, { "id": "DerChirurg.70681292.eng.abstr-s5-t4", "type": "umlsterm", "text": [ "hyperbilirubinemia" ], "offsets": [ [ 464, 482 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0020433" } ] }, { "id": "DerChirurg.70681292.eng.abstr-s5-t5", "type": "umlsterm", "text": [ "blood transfusions" ], "offsets": [ [ 423, 441 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005841" } ] }, { "id": "DerChirurg.70681292.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 518, 526 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70681292.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "jaundice" ], "offsets": [ [ 529, 537 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022346" } ] }, { "id": "DerChirurg.70681292.eng.abstr-s6-t3", "type": "umlsterm", "text": [ "sign" ], "offsets": [ [ 554, 558 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220912" } ] }, { "id": "DerChirurg.70681292.eng.abstr-s6-t4", "type": "umlsterm", "text": [ "disease" ], "offsets": [ [ 616, 623 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0012634" } ] }, { "id": "DerChirurg.70681292.eng.abstr-s6-t5", "type": "umlsterm", "text": [ "critically ill" ], "offsets": [ [ 503, 517 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0010340" } ] } ]	[]	[]	[ { "id": "DerChirurg.70681292.eng.abstr-s1-r1-t1.1-t2.1", "type": "occurs_in", "arg1_id": "DerChirurg.70681292.eng.abstr-s6-t1", "arg2_id": "DerChirurg.70681292.eng.abstr-s6-t2", "normalized": [] }, { "id": "DerChirurg.70681292.eng.abstr-s1-r2-t3.1-t2.1", "type": "occurs_in", "arg1_id": "DerChirurg.70681292.eng.abstr-s6-t3", "arg2_id": "DerChirurg.70681292.eng.abstr-s6-t2", "normalized": [] }, { "id": "DerChirurg.70681292.eng.abstr-s1-r3-t1.1-t3.1", "type": "degree_of", "arg1_id": "DerChirurg.70681292.eng.abstr-s6-t1", "arg2_id": "DerChirurg.70681292.eng.abstr-s6-t3", "normalized": [] }, { "id": "DerChirurg.70681292.eng.abstr-s1-r4-t1.1-t3.1", "type": "associated_with", "arg1_id": "DerChirurg.70681292.eng.abstr-s6-t1", "arg2_id": 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"arg2_id": "DerChirurg.70681292.eng.abstr-s6-t2", "normalized": [] }, { "id": "DerChirurg.70681292.eng.abstr-s4-r3-t3.1-t1.1", "type": "uses", "arg1_id": "DerChirurg.70681292.eng.abstr-s6-t3", "arg2_id": "DerChirurg.70681292.eng.abstr-s6-t1", "normalized": [] }, { "id": "DerChirurg.70681292.eng.abstr-s4-r4-t2.1-t3.1", "type": "occurs_in", "arg1_id": "DerChirurg.70681292.eng.abstr-s6-t2", "arg2_id": "DerChirurg.70681292.eng.abstr-s6-t3", "normalized": [] }, { "id": "DerChirurg.70681292.eng.abstr-s4-r5-t2.1-t4.1", "type": "associated_with", "arg1_id": "DerChirurg.70681292.eng.abstr-s6-t2", "arg2_id": "DerChirurg.70681292.eng.abstr-s6-t4", "normalized": [] }, { "id": "DerChirurg.70681292.eng.abstr-s5-r1-t4.1-t2.1", "type": "associated_with", "arg1_id": "DerChirurg.70681292.eng.abstr-s6-t4", "arg2_id": "DerChirurg.70681292.eng.abstr-s6-t2", "normalized": [] }, { "id": "DerChirurg.70681292.eng.abstr-s5-r2-t3.2-t4.1", "type": "causes", "arg1_id": "DerChirurg.70681292.eng.abstr-s5-t3", "arg2_id": "DerChirurg.70681292.eng.abstr-s6-t4", "normalized": [] }, { "id": "DerChirurg.70681292.eng.abstr-s5-r3-t2.1-t1.1", "type": "degree_of", "arg1_id": "DerChirurg.70681292.eng.abstr-s6-t2", "arg2_id": "DerChirurg.70681292.eng.abstr-s6-t1", "normalized": [] }, { "id": "DerChirurg.70681292.eng.abstr-s5-r4-t3.2-t1.1", "type": "causes", "arg1_id": "DerChirurg.70681292.eng.abstr-s5-t3", "arg2_id": "DerChirurg.70681292.eng.abstr-s6-t1", "normalized": [] }, { "id": "DerChirurg.70681292.eng.abstr-s5-r5-t2.1-t5.1", "type": "associated_with", "arg1_id": "DerChirurg.70681292.eng.abstr-s6-t2", "arg2_id": "DerChirurg.70681292.eng.abstr-s6-t5", "normalized": [] }, { "id": "DerChirurg.70681292.eng.abstr-s5-r6-t4.1-t2.1", "type": "degree_of", "arg1_id": "DerChirurg.70681292.eng.abstr-s6-t4", "arg2_id": "DerChirurg.70681292.eng.abstr-s6-t2", "normalized": [] }, { "id": "DerChirurg.70681292.eng.abstr-s5-r7-t2.1-t4.1", "type": "associated_with", "arg1_id": "DerChirurg.70681292.eng.abstr-s6-t2", "arg2_id": "DerChirurg.70681292.eng.abstr-s6-t4", "normalized": [] }, { "id": "DerChirurg.70681292.eng.abstr-s5-r8-t5.1-t4.1", "type": "associated_with", "arg1_id": "DerChirurg.70681292.eng.abstr-s6-t5", "arg2_id": "DerChirurg.70681292.eng.abstr-s6-t4", "normalized": [] }, { "id": "DerChirurg.70681292.eng.abstr-s5-r9-t3.1-t2.1", "type": "location_of", "arg1_id": "DerChirurg.70681292.eng.abstr-s6-t3", "arg2_id": "DerChirurg.70681292.eng.abstr-s6-t2", "normalized": [] }, { "id": "DerChirurg.70681292.eng.abstr-s5-r10-t4.1-t3.1", "type": "produces", "arg1_id": "DerChirurg.70681292.eng.abstr-s6-t4", "arg2_id": "DerChirurg.70681292.eng.abstr-s6-t3", "normalized": [] }, { "id": "DerChirurg.70681292.eng.abstr-s5-r11-t2.1-t4.1", "type": "degree_of", "arg1_id": "DerChirurg.70681292.eng.abstr-s6-t2", "arg2_id": "DerChirurg.70681292.eng.abstr-s6-t4", "normalized": [] }, { "id": "DerChirurg.70681292.eng.abstr-s5-r12-t5.1-t2.1", "type": "associated_with", "arg1_id": "DerChirurg.70681292.eng.abstr-s6-t5", "arg2_id": "DerChirurg.70681292.eng.abstr-s6-t2", "normalized": [] }, { "id": "DerChirurg.70681292.eng.abstr-s5-r13-t2.1-t1.1", "type": "associated_with", "arg1_id": "DerChirurg.70681292.eng.abstr-s6-t2", "arg2_id": "DerChirurg.70681292.eng.abstr-s6-t1", "normalized": [] }, { "id": "DerChirurg.70681292.eng.abstr-s5-r14-t5.1-t1.1", "type": "associated_with", "arg1_id": "DerChirurg.70681292.eng.abstr-s6-t5", "arg2_id": "DerChirurg.70681292.eng.abstr-s6-t1", "normalized": [] }, { "id": "DerChirurg.70681292.eng.abstr-s5-r15-t3.1-t1.1", "type": "location_of", "arg1_id": "DerChirurg.70681292.eng.abstr-s6-t3", "arg2_id": "DerChirurg.70681292.eng.abstr-s6-t1", "normalized": [] }, { "id": "DerChirurg.70681292.eng.abstr-s5-r16-t3.1-t3.2", "type": "surrounds", "arg1_id": "DerChirurg.70681292.eng.abstr-s6-t3", "arg2_id": "DerChirurg.70681292.eng.abstr-s5-t3", "normalized": [] }, { "id": "DerChirurg.70681292.eng.abstr-s5-r17-t1.1-t3.2", "type": "produces", 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DerChirurg.70681297.eng.abstr	DerChirurg.70681297.eng.abstr	[ { "id": "DerChirurg.70681297.eng.abstr-passage-0", "type": "abstract", "text": [ "The implantation of a mesh is an essential step in laparoscopic inguinal hernia surgery . We present the case of a 22-year-old man who developed an unspecific and refractory syndrome of inguinal pain after a TAPP procedure for a primary inguinal hernia . Repeated reoperation for removement of clips and nerve transection were unsuccessful . By a transinguinal approach , 18 months after the first operation we removed a preperitoneal Prolene mesh which had shrunk and folded to 30 % of its original size . The problem of biocompatibility of meshes currently used in inguinal hernia surgery is discussed ." ], "offsets": [ [ 0, 605 ] ] } ]	[ { "id": "DerChirurg.70681297.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "implantation" ], "offsets": [ [ 4, 16 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0029976" } ] }, { "id": "DerChirurg.70681297.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "hernia" ], "offsets": [ [ 73, 79 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019270" } ] }, { "id": "DerChirurg.70681297.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "surgery" ], "offsets": [ [ 80, 87 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038894" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70681297.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "inguinal hernia" ], "offsets": [ [ 64, 79 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019294" } ] }, { "id": "DerChirurg.70681297.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "man" ], "offsets": [ [ 127, 130 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025266" }, { "db_name": "UMLS", "db_id": "C0024554" } ] }, { "id": "DerChirurg.70681297.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "syndrome" ], "offsets": [ [ 174, 182 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039082" } ] }, { "id": "DerChirurg.70681297.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "pain" ], "offsets": [ [ 195, 199 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030193" } ] }, { "id": "DerChirurg.70681297.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "TAPP" ], "offsets": [ [ 208, 212 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0163807" } ] }, { "id": "DerChirurg.70681297.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "procedure" ], "offsets": [ [ 213, 222 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0184661" }, { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.70681297.eng.abstr-s2-t6", "type": "umlsterm", "text": [ "hernia" ], "offsets": [ [ 246, 252 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019270" } ] }, { "id": "DerChirurg.70681297.eng.abstr-s2-t7", "type": "umlsterm", "text": [ "inguinal hernia" ], "offsets": [ [ 237, 252 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019294" } ] }, { "id": "DerChirurg.70681297.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "reoperation" ], "offsets": [ [ 264, 275 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035110" } ] }, { "id": "DerChirurg.70681297.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "removement" ], "offsets": [ [ 280, 290 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026649" } ] }, { "id": "DerChirurg.70681297.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "clips" ], "offsets": [ [ 294, 299 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0175722" } ] }, { "id": "DerChirurg.70681297.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "nerve" ], "offsets": [ [ 304, 309 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027769" } ] }, { "id": "DerChirurg.70681297.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "operation" ], "offsets": [ [ 398, 407 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0543467" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70681297.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "Prolene" ], "offsets": [ [ 435, 442 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0917843" } ] }, { "id": "DerChirurg.70681297.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "hernia" ], "offsets": [ [ 576, 582 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019270" } ] }, { "id": "DerChirurg.70681297.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "surgery" ], "offsets": [ [ 583, 590 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038894" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70681297.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "inguinal hernia" ], "offsets": [ [ 567, 582 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019294" } ] } ]	[]	[]	[ { "id": "DerChirurg.70681297.eng.abstr-s1-r1-t3.2-t1.1", "type": "result_of", "arg1_id": "DerChirurg.70681297.eng.abstr-s1-t3", "arg2_id": "DerChirurg.70681297.eng.abstr-s5-t1", "normalized": [] }, { "id": "DerChirurg.70681297.eng.abstr-s1-r2-t3.2-t3.1", "type": "issue_in", "arg1_id": "DerChirurg.70681297.eng.abstr-s1-t3", "arg2_id": "DerChirurg.70681297.eng.abstr-s5-t3", "normalized": [] }, { "id": "DerChirurg.70681297.eng.abstr-s1-r3-t3.2-t2.1", "type": "result_of", "arg1_id": "DerChirurg.70681297.eng.abstr-s1-t3", "arg2_id": "DerChirurg.70681297.eng.abstr-s5-t2", "normalized": [] }, { "id": "DerChirurg.70681297.eng.abstr-s1-r4-t2.1-t1.1", "type": "result_of", "arg1_id": "DerChirurg.70681297.eng.abstr-s5-t2", "arg2_id": "DerChirurg.70681297.eng.abstr-s5-t1", "normalized": [] }, { "id": "DerChirurg.70681297.eng.abstr-s1-r5-t1.1-t3.1", "type": "issue_in", "arg1_id": "DerChirurg.70681297.eng.abstr-s5-t1", "arg2_id": 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"DerChirurg.70681297.eng.abstr-s5-r1-t1.1-t2.1", "type": "issue_in", "arg1_id": "DerChirurg.70681297.eng.abstr-s5-t1", "arg2_id": "DerChirurg.70681297.eng.abstr-s5-t2", "normalized": [] }, { "id": "DerChirurg.70681297.eng.abstr-s5-r2-t1.1-t2.2", "type": "result_of", "arg1_id": "DerChirurg.70681297.eng.abstr-s5-t1", "arg2_id": "DerChirurg.70681297.eng.abstr-s5-t2", "normalized": [] }, { "id": "DerChirurg.70681297.eng.abstr-s5-r4-t2.2-t1.1", "type": "result_of", "arg1_id": "DerChirurg.70681297.eng.abstr-s5-t2", "arg2_id": "DerChirurg.70681297.eng.abstr-s5-t1", "normalized": [] } ]
DerChirurg.70681301.eng.abstr	DerChirurg.70681301.eng.abstr	[ { "id": "DerChirurg.70681301.eng.abstr-passage-0", "type": "abstract", "text": [ "Hernias of the obturator foramen are rare . They are described mostly in elderly female patients in poor health . Often the correct diagnosis is stumbled upon as a result of surprising intraoperative findings . Surgical therapy is indicated often by the clinical symptoms of an incarcerated hernia . Herniation of the entire urinary bladder with hemorrhagic infarction has never been described before . For an anatomical reduction of the hernia it was neccesary to resect the superior pubic ramus . For plastic reconstruction a marlex mesh was used ." ], "offsets": [ [ 0, 550 ] ] } ]	[ { "id": "DerChirurg.70681301.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "Hernias" ], "offsets": [ [ 0, 7 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019270" } ] }, { "id": "DerChirurg.70681301.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "elderly" ], "offsets": [ [ 73, 80 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0001792" } ] }, { "id": "DerChirurg.70681301.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "female" ], "offsets": [ [ 81, 87 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0086287" }, { "db_name": "UMLS", "db_id": "C0015780" } ] }, { "id": "DerChirurg.70681301.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 88, 96 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70681301.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "health" ], "offsets": [ [ 105, 111 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0018684" } ] }, { "id": "DerChirurg.70681301.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "diagnosis" ], "offsets": [ [ 132, 141 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011900" }, { "db_name": "UMLS", "db_id": "C0348026" } ] }, { "id": "DerChirurg.70681301.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "findings" ], "offsets": [ [ 200, 208 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243095" } ] }, { "id": "DerChirurg.70681301.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "Surgical" ], "offsets": [ [ 211, 219 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70681301.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "therapy" ], "offsets": [ [ 220, 227 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerChirurg.70681301.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "symptoms" ], "offsets": [ [ 263, 271 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0683368" } ] }, { "id": "DerChirurg.70681301.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "hernia" ], "offsets": [ [ 291, 297 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019270" } ] }, { "id": "DerChirurg.70681301.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "Herniation" ], "offsets": [ [ 300, 310 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019270" } ] }, { "id": "DerChirurg.70681301.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "Herniation" ], "offsets": [ [ 300, 310 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022023" } ] }, { "id": "DerChirurg.70681301.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "bladder" ], "offsets": [ [ 333, 340 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005682" }, { "db_name": "UMLS", "db_id": "C0005684" } ] }, { "id": "DerChirurg.70681301.eng.abstr-s5-t4", "type": "umlsterm", "text": [ "infarction" ], "offsets": [ [ 358, 368 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021308" } ] }, { "id": "DerChirurg.70681301.eng.abstr-s5-t5", "type": "umlsterm", "text": [ "urinary bladder" ], "offsets": [ [ 325, 340 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005682" } ] }, { "id": "DerChirurg.70681301.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "anatomical" ], "offsets": [ [ 410, 420 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220784" } ] }, { "id": "DerChirurg.70681301.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "hernia" ], "offsets": [ [ 438, 444 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019270" } ] }, { "id": "DerChirurg.70681301.eng.abstr-s7-t1", "type": "umlsterm", "text": [ "plastic" ], "offsets": [ [ 503, 510 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032167" } ] }, { "id": "DerChirurg.70681301.eng.abstr-s7-t2", "type": "umlsterm", "text": [ "marlex" ], "offsets": [ [ 528, 534 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0127031" } ] } ]	[]	[]	[ { "id": 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}, { "id": "DerChirurg.70681301.eng.abstr-s5-r2-t3.2-t1.1", "type": "result_of", "arg1_id": "DerChirurg.70681301.eng.abstr-s5-t3", "arg2_id": "DerChirurg.70681301.eng.abstr-s7-t1", "normalized": [] }, { "id": "DerChirurg.70681301.eng.abstr-s5-r3-t2.1-t1.1", "type": "causes", "arg1_id": "DerChirurg.70681301.eng.abstr-s7-t2", "arg2_id": "DerChirurg.70681301.eng.abstr-s7-t1", "normalized": [] }, { "id": "DerChirurg.70681301.eng.abstr-s5-r4-t1.1-t3.2", "type": "degree_of", "arg1_id": "DerChirurg.70681301.eng.abstr-s7-t1", "arg2_id": "DerChirurg.70681301.eng.abstr-s5-t3", "normalized": [] }, { "id": "DerChirurg.70681301.eng.abstr-s5-r5-t5.1-t3.2", "type": "location_of", "arg1_id": "DerChirurg.70681301.eng.abstr-s5-t5", "arg2_id": "DerChirurg.70681301.eng.abstr-s5-t3", "normalized": [] }, { "id": "DerChirurg.70681301.eng.abstr-s5-r7-t1.1-t3.2", "type": "associated_with", "arg1_id": "DerChirurg.70681301.eng.abstr-s7-t1", "arg2_id": "DerChirurg.70681301.eng.abstr-s5-t3", "normalized": [] }, { 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DerChirurg.70681304.eng.abstr	DerChirurg.70681304.eng.abstr	[ { "id": "DerChirurg.70681304.eng.abstr-passage-0", "type": "abstract", "text": [ "Arteriovenous fistula is a rare complication following vascular trauma . We report a case of an arteriovenous fistula of the neck after a penetrating injury . The only presenting symptoms were a thrill and a machinery murmur . There were no signs of cardiac insufficiency . Duplex scan and arteriography detected an arteriovenous fistula between the superior thyroid artery and the superior thyroid vein . Surgical therapy was straight-forward . Treatment should be carried out as soon as possible , and is then usually simple and successful ." ], "offsets": [ [ 0, 543 ] ] } ]	[ { "id": "DerChirurg.70681304.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "fistula" ], "offsets": [ [ 14, 21 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016169" } ] }, { "id": "DerChirurg.70681304.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "complication" ], "offsets": [ [ 32, 44 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] }, { "id": "DerChirurg.70681304.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "trauma" ], "offsets": [ [ 64, 70 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021501" }, { "db_name": "UMLS", "db_id": "C0043251" } ] }, { "id": "DerChirurg.70681304.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "Arteriovenous fistula" ], "offsets": [ [ 0, 21 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003855" } ] }, { "id": "DerChirurg.70681304.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "fistula" ], "offsets": [ [ 110, 117 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016169" } ] }, { "id": "DerChirurg.70681304.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "neck" ], "offsets": [ [ 125, 129 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027530" } ] }, { "id": "DerChirurg.70681304.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "injury" ], "offsets": [ [ 150, 156 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0175677" }, { "db_name": "UMLS", "db_id": "C0021501" } ] }, { "id": "DerChirurg.70681304.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "arteriovenous fistula" ], "offsets": [ [ 96, 117 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003855" } ] }, { "id": "DerChirurg.70681304.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "penetrating injury" ], "offsets": [ [ 138, 156 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0043254" } ] }, { "id": "DerChirurg.70681304.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "symptoms" ], "offsets": [ [ 179, 187 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0683368" } ] }, { "id": "DerChirurg.70681304.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "signs" ], "offsets": [ [ 241, 246 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220912" } ] }, { "id": "DerChirurg.70681304.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "arteriography" ], "offsets": [ [ 290, 303 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003844" } ] }, { "id": "DerChirurg.70681304.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "fistula" ], "offsets": [ [ 330, 337 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016169" } ] }, { "id": "DerChirurg.70681304.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "thyroid" ], "offsets": [ [ 359, 366 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040132" }, { "db_name": "UMLS", "db_id": "C0040134" } ] }, { "id": "DerChirurg.70681304.eng.abstr-s5-t4", "type": "umlsterm", "text": [ "artery" ], "offsets": [ [ 367, 373 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003842" } ] }, { "id": "DerChirurg.70681304.eng.abstr-s5-t5", "type": "umlsterm", "text": [ "thyroid" ], "offsets": [ [ 391, 398 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040132" }, { "db_name": "UMLS", "db_id": "C0040134" } ] }, { "id": "DerChirurg.70681304.eng.abstr-s5-t6", "type": "umlsterm", "text": [ "vein" ], "offsets": [ [ 399, 403 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042449" } ] }, { "id": "DerChirurg.70681304.eng.abstr-s5-t7", "type": "umlsterm", "text": [ "arteriovenous fistula" ], "offsets": [ [ 316, 337 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003855" } ] }, { "id": "DerChirurg.70681304.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "Surgical" ], "offsets": [ [ 406, 414 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70681304.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "therapy" ], "offsets": [ [ 415, 422 ] ], "normalized": [ { "db_name": 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DerChirurg.80690001.eng.abstr	DerChirurg.80690001.eng.abstr	[ { "id": "DerChirurg.80690001.eng.abstr-passage-0", "type": "abstract", "text": [ "Acute occlusive mesenteric ischemia is caused by a local impairment of splanchnic blood flow and poses a particular surgical challenge . Acute superior mesenteric occlusion is a medical/surgical emergency mandating prompt diagnosis ( clinical awareness , angiography ) and therapy ( exploratory laparotomy with possible arterial reconstruction ; embolectomy , thrombectomy ; and/or bowel resection ) . The difficulty of early diagnosis is probably the most important cause of the high mortality which varies from 70 % to 90 % in arterial and functional mesenteric ischemia and from 20 % to 70 % in an acute thrombosis of the mesenteric veins . Improved survival from nonocclusive mesenteric ischemia is dependent upon the identification of high-risk groups and on aggressive diagnostic and therapeutic measures ( intra-arterial infusion of papaverine through the angiographic catheter with or without bowel resection ) . For assessment of bowel viability , the clinical judgement during first- or second-look exploration is still the most reliable parameter . The surgical management of chronic mesenteric ischemia includes aortomesenteric grafting and transaortic endarterectomy in the majority of patients with comorbidity of cardiovascular arteriosclerotic diseases and results in a high rate of symptom-free patients . Prophylactic reconstruction of visceral arteries is indicated only in certain limited circumstances ." ], "offsets": [ [ 0, 1424 ] ] } ]	[ { "id": "DerChirurg.80690001.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "ischemia" ], "offsets": [ [ 27, 35 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022116" } ] }, { "id": "DerChirurg.80690001.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "blood" ], "offsets": [ [ 82, 87 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005767" }, { "db_name": "UMLS", "db_id": "C0005768" }, { "db_name": "UMLS", "db_id": "C0005835" } ] }, { "id": "DerChirurg.80690001.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "surgical" ], "offsets": [ [ 116, 124 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.80690001.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "emergency" ], "offsets": [ [ 195, 204 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013956" } ] }, { "id": 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"associated_with", "arg1_id": "DerChirurg.80690001.eng.abstr-s6-t7", "arg2_id": "DerChirurg.80690001.eng.abstr-s6-t3", "normalized": [] } ]
DerChirurg.80690008.eng.abstr	DerChirurg.80690008.eng.abstr	[ { "id": "DerChirurg.80690008.eng.abstr-passage-0", "type": "abstract", "text": [ "The surgeon dealing with oncological operations within the abdominal cavity will be frequently confronted with vascular problems . These include surgically relevant vascular anomalies , arteriosclerotic changes , tumor infiltration of vessels and iatrogenic vascular lesions . The diagnosis , indications and , above all , the vascular surgical techniques applied during oncological procedures on the pancreas and liver are described in this review ." ], "offsets": [ [ 0, 450 ] ] } ]	[ { "id": "DerChirurg.80690008.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "operations" ], "offsets": [ [ 37, 47 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0543467" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.80690008.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "vascular problems" ], "offsets": [ [ 111, 128 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042373" } ] }, { "id": "DerChirurg.80690008.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "anomalies" ], "offsets": [ [ 174, 183 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0000769" } ] }, { "id": "DerChirurg.80690008.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "tumor" ], "offsets": [ [ 213, 218 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" } ] }, { "id": "DerChirurg.80690008.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "vessels" ], "offsets": [ [ 235, 242 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005847" }, { "db_name": "UMLS", "db_id": "C0148346" } ] }, { "id": "DerChirurg.80690008.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "diagnosis" ], "offsets": [ [ 281, 290 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011900" }, { "db_name": "UMLS", "db_id": "C0348026" } ] }, { "id": "DerChirurg.80690008.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "surgical" ], "offsets": [ [ 336, 344 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.80690008.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "techniques" ], "offsets": [ [ 345, 355 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.80690008.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "procedures" ], "offsets": [ [ 383, 393 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0184661" }, { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.80690008.eng.abstr-s3-t5", "type": "umlsterm", "text": [ "pancreas" ], "offsets": [ [ 401, 409 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0346647" }, { "db_name": "UMLS", "db_id": "C0030274" } ] }, { "id": "DerChirurg.80690008.eng.abstr-s3-t6", "type": "umlsterm", "text": [ "liver" ], "offsets": [ [ 414, 419 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0345904" }, { "db_name": "UMLS", "db_id": "C0023884" } ] }, { "id": "DerChirurg.80690008.eng.abstr-s3-t7", "type": "umlsterm", "text": [ "review" ], "offsets": [ [ 442, 448 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0282443" } ] } ]	[]	[]	[ { "id": "DerChirurg.80690008.eng.abstr-s2-r1-t3.1-t3.2", "type": "produces", "arg1_id": "DerChirurg.80690008.eng.abstr-s3-t3", "arg2_id": "DerChirurg.80690008.eng.abstr-s2-t3", "normalized": [] }, { "id": "DerChirurg.80690008.eng.abstr-s2-r2-t3.2-t1.1", "type": "affects", "arg1_id": "DerChirurg.80690008.eng.abstr-s2-t3", "arg2_id": "DerChirurg.80690008.eng.abstr-s3-t1", "normalized": [] }, { "id": "DerChirurg.80690008.eng.abstr-s2-r3-t3.2-t3.1", "type": "disrupts", "arg1_id": "DerChirurg.80690008.eng.abstr-s2-t3", "arg2_id": "DerChirurg.80690008.eng.abstr-s3-t3", "normalized": [] }, { "id": "DerChirurg.80690008.eng.abstr-s2-r4-t3.1-t1.1", "type": "location_of", "arg1_id": "DerChirurg.80690008.eng.abstr-s3-t3", "arg2_id": "DerChirurg.80690008.eng.abstr-s3-t1", "normalized": [] }, { "id": "DerChirurg.80690008.eng.abstr-s2-r5-t3.2-t1.1", "type": "diagnoses", "arg1_id": "DerChirurg.80690008.eng.abstr-s2-t3", "arg2_id": "DerChirurg.80690008.eng.abstr-s3-t1", "normalized": [] }, { "id": "DerChirurg.80690008.eng.abstr-s3-r1-t6.1-t1.1", "type": "location_of", "arg1_id": "DerChirurg.80690008.eng.abstr-s3-t6", "arg2_id": "DerChirurg.80690008.eng.abstr-s3-t1", "normalized": [] }, { "id": "DerChirurg.80690008.eng.abstr-s3-r3-t1.1-t4.1", "type": "measures", "arg1_id": "DerChirurg.80690008.eng.abstr-s3-t1", "arg2_id": "DerChirurg.80690008.eng.abstr-s3-t4", "normalized": [] }, { "id": "DerChirurg.80690008.eng.abstr-s3-r5-t1.2-t6.1", "type": "location_of", "arg1_id": "DerChirurg.80690008.eng.abstr-s3-t1", "arg2_id": "DerChirurg.80690008.eng.abstr-s3-t6", "normalized": [] }, { "id": "DerChirurg.80690008.eng.abstr-s3-r6-t1.1-t6.1", "type": "associated_with", "arg1_id": "DerChirurg.80690008.eng.abstr-s3-t1", "arg2_id": "DerChirurg.80690008.eng.abstr-s3-t6", "normalized": [] }, { "id": "DerChirurg.80690008.eng.abstr-s3-r7-t1.1-t5.1", "type": "associated_with", "arg1_id": "DerChirurg.80690008.eng.abstr-s3-t1", "arg2_id": "DerChirurg.80690008.eng.abstr-s3-t5", "normalized": [] }, { "id": "DerChirurg.80690008.eng.abstr-s3-r8-t6.1-t5.1", "type": "location_of", "arg1_id": "DerChirurg.80690008.eng.abstr-s3-t6", "arg2_id": "DerChirurg.80690008.eng.abstr-s3-t5", "normalized": [] }, { "id": "DerChirurg.80690008.eng.abstr-s3-r9-t6.1-t1.2", "type": "location_of", "arg1_id": "DerChirurg.80690008.eng.abstr-s3-t6", "arg2_id": "DerChirurg.80690008.eng.abstr-s3-t1", "normalized": [] }, { "id": "DerChirurg.80690008.eng.abstr-s3-r10-t1.2-t5.1", "type": "location_of", "arg1_id": "DerChirurg.80690008.eng.abstr-s3-t1", "arg2_id": "DerChirurg.80690008.eng.abstr-s3-t5", "normalized": [] } ]
DerChirurg.80690019.eng.abstr	DerChirurg.80690019.eng.abstr	[ { "id": "DerChirurg.80690019.eng.abstr-passage-0", "type": "abstract", "text": [ "Patients suffering from soft tissue sarcoma of the extremities may sometimes require vascular reconstruction to remove the tumor with adequate margins of clearance . Besides this , recurrent lymph node metastases are often affixed to neighboring vessels . MRI and angiography represent the adequate diagnostic procedures . Vessel-invasive sarcoma can hardly be treated by surgical resection with curative intent alone . If there is doubt about invasion of arteries and veins , the vessels should be resected and replaced by autologous vein graft . Soft tissue coverage is of major importance , particularly if prosthetic grafts are used or the resection is within an area of irradiated tissue . After radical resection and combined modality therapy , one can expect local recurrence rates similar to those without vessel invasion . To achieve this goal , surgical oncologists , vascular surgeons and plastic surgeons must work together . Today , amputation can hardly be justified even in vessel-invasive soft tissue tumors ." ], "offsets": [ [ 0, 1025 ] ] } ]	[ { "id": "DerChirurg.80690019.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "Patients" ], "offsets": [ [ 0, 8 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "tissue" ], "offsets": [ [ 29, 35 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040300" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "sarcoma" ], "offsets": [ [ 36, 43 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0036210" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "extremities" ], "offsets": [ [ 51, 62 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015385" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "tumor" ], "offsets": [ [ 123, 128 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "soft tissue sarcoma" ], "offsets": [ [ 24, 43 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0036210" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "lymph" ], "offsets": [ [ 191, 196 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024202" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "metastases" ], "offsets": [ [ 202, 212 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027627" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "vessels" ], "offsets": [ [ 246, 253 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005847" }, { "db_name": "UMLS", "db_id": "C0148346" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "lymph node" ], "offsets": [ [ 191, 201 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024204" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "MRI" ], "offsets": [ [ 256, 259 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024485" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "angiography" ], "offsets": [ [ 264, 275 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0002978" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "diagnostic" ], "offsets": [ [ 299, 309 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0348026" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "procedures" ], "offsets": [ [ 310, 320 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0184661" }, { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "sarcoma" ], "offsets": [ [ 339, 346 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0036210" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "surgical" ], "offsets": [ [ 372, 380 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "arteries" ], "offsets": [ [ 456, 464 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003842" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "veins" ], "offsets": [ [ 469, 474 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042449" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "vessels" ], "offsets": [ [ 481, 488 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005847" }, { "db_name": "UMLS", "db_id": "C0148346" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s5-t4", "type": "umlsterm", "text": [ "vein" ], "offsets": [ [ 535, 539 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042449" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s5-t5", "type": "umlsterm", "text": [ "graft" ], "offsets": [ [ 540, 545 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0332835" }, { "db_name": "UMLS", "db_id": "C0040733" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "tissue" ], "offsets": [ [ 553, 559 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040300" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "grafts" ], "offsets": [ [ 621, 627 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0332835" }, { "db_name": "UMLS", "db_id": "C0040733" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s6-t3", "type": "umlsterm", "text": [ "tissue" ], "offsets": [ [ 686, 692 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040300" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s7-t1", "type": "umlsterm", "text": [ "therapy" ], "offsets": [ [ 741, 748 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s7-t2", "type": "umlsterm", "text": [ "recurrence" ], "offsets": [ [ 772, 782 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034897" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s7-t3", "type": "umlsterm", "text": [ "vessel" ], "offsets": [ [ 814, 820 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005847" }, { "db_name": "UMLS", "db_id": "C0148346" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s7-t4", "type": "umlsterm", "text": [ "combined modality therapy" ], "offsets": [ [ 723, 748 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009429" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s8-t1", "type": "umlsterm", "text": [ "goal" ], "offsets": [ [ 848, 852 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0018017" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s8-t2", "type": "umlsterm", "text": [ "surgical" ], "offsets": [ [ 855, 863 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s8-t3", "type": "umlsterm", "text": [ "plastic" ], "offsets": [ [ 900, 907 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032167" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s8-t4", "type": "umlsterm", "text": [ "work" ], "offsets": [ [ 922, 926 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0043227" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s9-t1", "type": "umlsterm", "text": [ "amputation" ], "offsets": [ [ 946, 956 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0002688" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s9-t2", "type": "umlsterm", "text": [ "tissue" ], "offsets": [ [ 1010, 1016 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040300" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s9-t3", "type": "umlsterm", "text": [ "tumors" ], "offsets": [ [ 1017, 1023 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s9-t4", "type": "umlsterm", "text": [ "soft tissue tumors" ], "offsets": [ [ 1005, 1023 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0037579" } ] } ]	[]	[]	[ { "id": "DerChirurg.80690019.eng.abstr-s1-r1-t5.1-t2.1", "type": "produces", "arg1_id": "DerChirurg.80690019.eng.abstr-s5-t5", "arg2_id": "DerChirurg.80690019.eng.abstr-s9-t2", "normalized": [] }, { "id": "DerChirurg.80690019.eng.abstr-s1-r2-t5.1-t1.1", "type": "occurs_in", "arg1_id": "DerChirurg.80690019.eng.abstr-s5-t5", "arg2_id": "DerChirurg.80690019.eng.abstr-s9-t1", "normalized": [] }, { "id": "DerChirurg.80690019.eng.abstr-s1-r3-t4.1-t6.1", "type": "location_of", "arg1_id": "DerChirurg.80690019.eng.abstr-s9-t4", "arg2_id": "DerChirurg.80690019.eng.abstr-s1-t6", "normalized": [] }, { "id": "DerChirurg.80690019.eng.abstr-s1-r4-t2.1-t6.1", "type": "location_of", "arg1_id": "DerChirurg.80690019.eng.abstr-s9-t2", "arg2_id": "DerChirurg.80690019.eng.abstr-s1-t6", "normalized": [] }, { "id": "DerChirurg.80690019.eng.abstr-s1-r5-t4.1-t3.1", "type": "location_of", "arg1_id": 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DerChirurg.80690038.eng.abstr	DerChirurg.80690038.eng.abstr	[ { "id": "DerChirurg.80690038.eng.abstr-passage-0", "type": "abstract", "text": [ "Acute limb ischemia is an emergency which regularly requires operative treatment in departments of general surgery . In about 70 % of cases there is an embolic reason for acute ischemia . In the majority of cases urgent operative desobliteration is required to guarantee limb salvage . The introduction of balloon catheters reduced the surgical trauma significantly in cases of long secondary thromboses . More complex procedures are required in patients with preexisting chronic arterial occlusive disease . The mortality of these emergency operations is still 10-20 % with a limb salvage rate of 80-90 % ." ], "offsets": [ [ 0, 607 ] ] } ]	[ { "id": "DerChirurg.80690038.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "limb" ], "offsets": [ [ 6, 10 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015385" } ] }, { "id": "DerChirurg.80690038.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "ischemia" ], "offsets": [ [ 11, 19 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022116" } ] }, { "id": "DerChirurg.80690038.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "emergency" ], "offsets": [ [ 26, 35 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013956" } ] }, { "id": "DerChirurg.80690038.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "treatment" ], "offsets": [ [ 71, 80 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerChirurg.80690038.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "surgery" ], "offsets": [ [ 107, 114 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038894" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.80690038.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "ischemia" ], "offsets": [ [ 177, 185 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022116" } ] }, { "id": "DerChirurg.80690038.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "limb" ], "offsets": [ [ 271, 275 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015385" } ] }, { "id": "DerChirurg.80690038.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "catheters" ], "offsets": [ [ 314, 323 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0085590" } ] }, { "id": "DerChirurg.80690038.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "surgical" ], "offsets": [ [ 336, 344 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.80690038.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "trauma" ], "offsets": [ [ 345, 351 ] ], 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DerChirurg.80690048.eng.abstr	DerChirurg.80690048.eng.abstr	[ { "id": "DerChirurg.80690048.eng.abstr-passage-0", "type": "abstract", "text": [ "Acute hemorrhage from pseudocysts and pseudoaneurysms is a threatening complication of chronic pancreatitis . Whilst surgical intervention still has high perioperative mortality ( 16.8 % ) , transcatheter arterial embolization is becoming more frequently used for suitable cases and appears to have lower mortality ( 6.1 % ) . We report on six patients treated in our unit . Four of them underwent primary surgical treatment , the other two were treated by embolisation . One of the latter patients subsequently required laparotomy for further treatment . All six patients survived . Comparing the literature covering the periods between 1951 and 1981 and between 1982 and 1996 , transcatheter embolisation seems to be valuable in controlling this type of bleeding , thereby reducing mortality ." ], "offsets": [ [ 0, 795 ] ] } ]	[ { "id": "DerChirurg.80690048.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "hemorrhage" ], "offsets": [ [ 6, 16 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019080" } ] }, { "id": "DerChirurg.80690048.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "pseudoaneurysms" ], "offsets": [ [ 38, 53 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0600384" } ] }, { "id": "DerChirurg.80690048.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "complication" ], "offsets": [ [ 71, 83 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] }, { "id": "DerChirurg.80690048.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "pancreatitis" ], "offsets": [ [ 95, 107 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030305" } ] }, { "id": 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DerChirurg.80690061.eng.abstr	DerChirurg.80690061.eng.abstr	[ { "id": "DerChirurg.80690061.eng.abstr-passage-0", "type": "abstract", "text": [ "Laparoscopic cholecystectomy offers many advantages , but cardiopulmonary impaired patients may be endangered by the haemodynamic and respiratory effects of the pneumoperitoneum . Between June 1990 and December 1995 , laparoscopic cholecystectomies were performed on 19 high-risk patients ( ASA IV ) and conventional cholecystectomies on 26 patients with the same operative risk ( ASA IV ) . Out of 45 patients , 5 ( 11.1 % ) suffered intraoperative cardiopulmonal complications . Three belonged to the group with laparoscopic cholecystectomy ( 15,8 % ) and two to the group with open laparotomy ( 7.7 % ) . General postoperative complications occured in 15 cases ( 33.3 % ) , whereby patients of the conventional cholcystectomy group were concerned more often [ 46.2 % ( n = 12 ) versus 15.8 % ( n = 3 ) , P = 0.03 ] . The number of days spent in hospital after open cholecystectomy was higher ( P = 0.01 ) ( 11.6 +/- 5.6 days in the laparotomy group versus 7.6 +/- 5.0 days in the laparoscopy group ) . The classification as a high-risk patient indicates an elevation of the perioperative rate of complications in laparoscopic and open cholecystectomy , whereby the rate of postoperative complications is lower in the laparoscopic group ." ], "offsets": [ [ 0, 1240 ] ] } ]	[ { "id": "DerChirurg.80690061.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "cholecystectomy" ], "offsets": [ [ 13, 28 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0008320" } ] }, { "id": "DerChirurg.80690061.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 83, 91 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.80690061.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "haemodynamic" ], "offsets": [ [ 117, 129 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019010" } ] }, { "id": "DerChirurg.80690061.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "Laparoscopic cholecystectomy" ], "offsets": [ [ 0, 28 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0162522" } ] }, { "id": "DerChirurg.80690061.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "June" ], "offsets": [ [ 188, 192 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0162508" } ] }, { "id": "DerChirurg.80690061.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "cholecystectomies" ], "offsets": [ [ 231, 248 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0008320" } ] }, { "id": "DerChirurg.80690061.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 280, 288 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.80690061.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "ASA" ], "offsets": [ [ 291, 294 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0004057" } ] }, { "id": "DerChirurg.80690061.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "cholecystectomies" ], "offsets": [ [ 317, 334 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0008320" } ] }, { "id": "DerChirurg.80690061.eng.abstr-s2-t6", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 341, 349 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.80690061.eng.abstr-s2-t7", "type": "umlsterm", "text": [ "risk" ], "offsets": [ [ 374, 378 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035647" } ] }, { "id": "DerChirurg.80690061.eng.abstr-s2-t8", "type": "umlsterm", "text": [ "ASA" ], "offsets": [ [ 381, 384 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0004057" } ] }, { "id": "DerChirurg.80690061.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 402, 410 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.80690061.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "complications" ], "offsets": [ [ 465, 478 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] }, { "id": "DerChirurg.80690061.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "cholecystectomy" ], "offsets": [ [ 527, 542 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0008320" } ] }, { "id": "DerChirurg.80690061.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "open" ], "offsets": [ [ 580, 584 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0266061" } ] }, { "id": "DerChirurg.80690061.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "laparotomy" ], "offsets": [ [ 585, 595 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023038" } ] }, { "id": "DerChirurg.80690061.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "postoperative" ], "offsets": [ [ 616, 629 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032790" } ] }, { "id": "DerChirurg.80690061.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "complications" ], "offsets": [ [ 630, 643 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] }, { "id": "DerChirurg.80690061.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 685, 693 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.80690061.eng.abstr-s5-t4", "type": "umlsterm", "text": [ "cholcystectomy" ], "offsets": [ [ 714, 728 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0010651" } ] }, { "id": "DerChirurg.80690061.eng.abstr-s5-t5", "type": "umlsterm", "text": [ "postoperative complications" ], "offsets": [ [ 616, 643 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032787" } ] }, { "id": "DerChirurg.80690061.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "hospital" ], "offsets": [ [ 848, 856 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019994" } ] }, { "id": "DerChirurg.80690061.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "open" ], "offsets": [ [ 863, 867 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0266061" } ] }, { "id": "DerChirurg.80690061.eng.abstr-s6-t3", "type": "umlsterm", "text": [ "cholecystectomy" ], "offsets": [ [ 868, 883 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0008320" } ] }, { "id": "DerChirurg.80690061.eng.abstr-s6-t4", "type": "umlsterm", "text": [ "laparotomy" ], "offsets": [ [ 935, 945 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023038" } ] }, { "id": "DerChirurg.80690061.eng.abstr-s6-t5", "type": "umlsterm", "text": [ "laparoscopy" ], "offsets": [ [ 983, 994 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0031150" } ] }, { "id": "DerChirurg.80690061.eng.abstr-s7-t1", "type": "umlsterm", "text": [ "classification" ], "offsets": [ [ 1009, 1023 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0008902" }, { "db_name": "UMLS", "db_id": "C0008903" } ] }, { "id": "DerChirurg.80690061.eng.abstr-s7-t2", "type": "umlsterm", "text": [ "patient" ], "offsets": [ [ 1039, 1046 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.80690061.eng.abstr-s7-t3", "type": "umlsterm", "text": [ "complications" ], "offsets": [ [ 1099, 1112 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] }, { "id": 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DerChirurg.80690066.eng.abstr	DerChirurg.80690066.eng.abstr	[ { "id": "DerChirurg.80690066.eng.abstr-passage-0", "type": "abstract", "text": [ "Since 1975 , the Department of Surgery in the Grevenbroich Community Hospital ( Germany ) has applied a simplified technique of open appendectomy . The inhouse modified procedure without stump embedding has been performed in 3,448 cases to date . The same approach has been used in 1,463 laparoscopic appendectomies since 1991. In the laparoscopic procedure the stump is ligated solely with Roeder's loop . None of the 4,911 patients who have undergone either open or laparoscopic appendectomy have developed stump inadequacy or stercoral fistulae . According to the special literature , the complication rate after appendectomies without stump embedding is lower than that after standard procedures . In retrospect , laparoscopic appendectomy with simple ligation has confirmed the results achieved with simple ligation in open appendectomies . The technique should therefore become more common practice in open appendectomies , as well ." ], "offsets": [ [ 0, 939 ] ] } ]	[ { "id": "DerChirurg.80690066.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "Surgery" ], "offsets": [ [ 31, 38 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038894" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.80690066.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "Community" ], "offsets": [ [ 59, 68 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009462" } ] }, { "id": "DerChirurg.80690066.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "Hospital" ], "offsets": [ [ 69, 77 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019994" } ] }, { "id": "DerChirurg.80690066.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "Germany" ], "offsets": [ [ 80, 87 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0017480" } ] }, { "id": "DerChirurg.80690066.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "technique" ], "offsets": [ [ 115, 124 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.80690066.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "open" ], "offsets": [ [ 128, 132 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0266061" } ] }, { "id": "DerChirurg.80690066.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "appendectomy" ], "offsets": [ [ 133, 145 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003611" } ] }, { "id": "DerChirurg.80690066.eng.abstr-s1-t8", "type": "umlsterm", "text": [ "Community Hospital" ], "offsets": [ [ 59, 77 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0020003" } ] }, { "id": "DerChirurg.80690066.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "inhouse" ], "offsets": [ [ 152, 159 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042153" } ] }, { "id": "DerChirurg.80690066.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "procedure" ], "offsets": [ [ 169, 178 ] ], "normalized": [ { "db_name": "UMLS", 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DerChirurg.80690072.eng.abstr	DerChirurg.80690072.eng.abstr	[ { "id": "DerChirurg.80690072.eng.abstr-passage-0", "type": "abstract", "text": [ "In a prospective study the preoperative risk of alcohol addiction was evaluated in 46 patients with squamous cell carcinoma of the esophagus . In all patients the alcohol marker carbohydrate-deficient transferrin ( CDT ) was measured prior to esophagectomy and correlated with the incidence of postoperative withdrawal symptoms ( yes/no ) and the postoperative course ( good/moderate/poor/fatal ) . Withdrawal symptoms were more frequently observed in cases of elevated CDT values ( median of CDT with withdrawal 17.0 U/l vs without withdrawal 10.7 U/l ; P = 0.0006 ) . CDT values were significantly increased in case of a complicated postoperative course ( median of CDT for moderate/poor/fatal postoperative course 14.0 U/l vs good course 10.8 U/l ; P = 0.02 ) . The CDT value correlated ( P = 0.04 ) with the patient's history of preoperative alcohol consumption ( normal/increased/high ) . In a multivariate logistic regression analysis CDT and preoperative alcohol consumption were independent parameters to predict significantly the postoperative course and withdrawal . The sensitivity was 71.4 % and the specifity 84.4 % selecting the parameter \" postoperative withdrawal \" and a CDT cut-off point of 15.3 U/l . CDT can effectively identify patients with high alcohol consumption prior to esophagectomy ." ], "offsets": [ [ 0, 1312 ] ] } ]	[ { "id": "DerChirurg.80690072.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "risk" ], "offsets": [ [ 40, 44 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035647" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "alcohol" ], "offsets": [ [ 48, 55 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0001975" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 86, 94 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "cell" ], "offsets": [ [ 109, 113 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007634" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "carcinoma" ], "offsets": [ [ 114, 123 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007097" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "esophagus" ], "offsets": [ [ 131, 140 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0546837" }, { "db_name": "UMLS", "db_id": "C0014876" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "prospective study" ], "offsets": [ [ 5, 22 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0033522" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s1-t8", "type": "umlsterm", "text": [ "risk of" ], "offsets": [ [ 40, 47 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035647" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s1-t9", "type": "umlsterm", "text": [ "alcohol addiction" ], "offsets": [ [ 48, 65 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0085762" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s1-t10", "type": "umlsterm", "text": [ "squamous cell carcinoma" ], "offsets": [ [ 100, 123 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007137" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 150, 158 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "alcohol" ], "offsets": [ [ 163, 170 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0001975" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "marker" ], "offsets": [ [ 171, 177 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005516" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "carbohydrate-deficient" ], "offsets": [ [ 178, 200 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007004" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "transferrin" ], "offsets": [ [ 201, 212 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040679" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s2-t6", "type": "umlsterm", "text": [ "CDT" ], "offsets": [ [ 215, 218 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0054696" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s2-t7", "type": "umlsterm", "text": [ "esophagectomy" ], "offsets": [ [ 243, 256 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0085198" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s2-t8", "type": "umlsterm", "text": [ "incidence" ], "offsets": [ [ 281, 290 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220856" }, { "db_name": "UMLS", "db_id": "C0021149" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s2-t9", "type": "umlsterm", "text": [ "postoperative" ], "offsets": [ [ 294, 307 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032790" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s2-t10", "type": "umlsterm", "text": [ "symptoms" ], "offsets": [ [ 319, 327 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0683368" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s2-t11", "type": "umlsterm", "text": [ "postoperative" ], "offsets": [ [ 347, 360 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032790" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s2-t12", "type": "umlsterm", "text": [ "carbohydrate-deficient transferrin" ], "offsets": [ [ 178, 212 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0054696" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s2-t13", "type": "umlsterm", "text": [ "withdrawal symptoms" ], "offsets": [ [ 308, 327 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087169" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "symptoms" ], "offsets": [ [ 410, 418 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0683368" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "CDT" ], "offsets": [ [ 470, 473 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0054696" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "values" ], "offsets": [ [ 474, 480 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042295" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "CDT" ], "offsets": [ [ 493, 496 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0054696" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s3-t5", "type": "umlsterm", "text": [ "Withdrawal symptoms" ], "offsets": [ [ 399, 418 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087169" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "CDT" ], "offsets": [ [ 570, 573 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0054696" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "values" ], "offsets": [ [ 574, 580 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042295" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "postoperative" ], "offsets": [ [ 635, 648 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032790" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "CDT" ], "offsets": [ [ 668, 671 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0054696" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s4-t5", "type": "umlsterm", "text": [ "postoperative" ], "offsets": [ [ 696, 709 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032790" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "CDT" ], "offsets": [ [ 769, 772 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0054696" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "value" ], "offsets": [ [ 773, 778 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042295" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "history" ], "offsets": [ [ 822, 829 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019664" }, { "db_name": "UMLS", "db_id": "C0019665" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s5-t4", "type": "umlsterm", "text": [ "alcohol" ], "offsets": [ [ 846, 853 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0001975" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s5-t5", "type": "umlsterm", "text": [ "consumption" ], "offsets": [ [ 854, 865 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009830" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s5-t6", "type": "umlsterm", "text": [ "alcohol consumption" ], "offsets": [ [ 846, 865 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0001948" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "regression" ], "offsets": [ [ 921, 931 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034979" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "analysis" ], "offsets": [ [ 932, 940 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0002778" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s6-t3", "type": "umlsterm", "text": [ "CDT" ], "offsets": [ [ 941, 944 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0054696" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s6-t4", "type": "umlsterm", "text": [ "alcohol" ], "offsets": [ [ 962, 969 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0001975" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s6-t5", "type": "umlsterm", "text": [ "consumption" ], "offsets": [ [ 970, 981 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009830" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s6-t6", "type": "umlsterm", "text": [ "postoperative" ], "offsets": [ [ 1039, 1052 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032790" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s6-t7", "type": "umlsterm", "text": [ "logistic regression" ], "offsets": [ [ 912, 931 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0206031" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s6-t8", "type": "umlsterm", "text": [ "regression analysis" ], "offsets": [ [ 921, 940 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034980" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s6-t9", "type": "umlsterm", "text": [ "alcohol consumption" ], "offsets": [ [ 962, 981 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0001948" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s7-t1", "type": "umlsterm", "text": [ "sensitivity" ], "offsets": [ [ 1081, 1092 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0036667" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s7-t2", "type": "umlsterm", "text": [ "postoperative" ], "offsets": [ [ 1155, 1168 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032790" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s7-t3", "type": "umlsterm", "text": [ "CDT" ], "offsets": [ [ 1188, 1191 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0054696" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s8-t1", "type": "umlsterm", "text": [ "CDT" ], "offsets": [ [ 1220, 1223 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0054696" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s8-t2", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 1249, 1257 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s8-t3", "type": "umlsterm", "text": [ "alcohol" ], "offsets": [ [ 1268, 1275 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0001975" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s8-t4", "type": "umlsterm", "text": [ "consumption" ], "offsets": [ [ 1276, 1287 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009830" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s8-t5", "type": "umlsterm", "text": [ "esophagectomy" ], "offsets": [ [ 1297, 1310 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0085198" } ] }, { "id": "DerChirurg.80690072.eng.abstr-s8-t6", "type": "umlsterm", "text": [ "alcohol consumption" ], "offsets": [ [ 1268, 1287 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0001948" } ] } ]	[]	[]	[ { "id": 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"arg1_id": "DerChirurg.80690072.eng.abstr-s8-t1", "arg2_id": "DerChirurg.80690072.eng.abstr-s8-t6", "normalized": [] }, { "id": "DerChirurg.80690072.eng.abstr-s8-r6-t6.1-t1.1", "type": "associated_with", "arg1_id": "DerChirurg.80690072.eng.abstr-s8-t6", "arg2_id": "DerChirurg.80690072.eng.abstr-s8-t1", "normalized": [] }, { "id": "DerChirurg.80690072.eng.abstr-s8-r7-t6.1-t4.1", "type": "isa", "arg1_id": "DerChirurg.80690072.eng.abstr-s8-t6", "arg2_id": "DerChirurg.80690072.eng.abstr-s8-t4", "normalized": [] } ]
DerChirurg.80690077.eng.abstr	DerChirurg.80690077.eng.abstr	[ { "id": "DerChirurg.80690077.eng.abstr-passage-0", "type": "abstract", "text": [ "From 1. 11. 93 to 30. 3. 97 , 1149 patients were prospectively studied during their ICU stay . Of them , 114 met the criteria of septic shock , with lethality of 47.3 % . A neural network was trained with datasets from 91 of these 114 patients . Testing the trained neural network with the remaining 23 patients , the following result was obtained : all 10 patients dying from septic shock were correctly predicted ; of 13 surviving patients , 12 were correctly identified ( sensitivity 100 % ; specifity 92.3 % ) ." ], "offsets": [ [ 0, 515 ] ] } ]	[ { "id": "DerChirurg.80690077.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 35, 43 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.80690077.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "ICU" ], "offsets": [ [ 84, 87 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021708" } ] }, { "id": "DerChirurg.80690077.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "prospectively studied" ], "offsets": [ [ 49, 70 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0033522" } ] }, { "id": "DerChirurg.80690077.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "criteria" ], "offsets": [ [ 117, 125 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243161" } ] }, { "id": "DerChirurg.80690077.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "shock" ], "offsets": [ [ 136, 141 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0036974" } ] }, { "id": "DerChirurg.80690077.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "septic shock" ], "offsets": [ [ 129, 141 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0036983" } ] }, { "id": "DerChirurg.80690077.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 235, 243 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.80690077.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "Testing" ], "offsets": [ [ 246, 253 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039593" } ] }, { "id": "DerChirurg.80690077.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 303, 311 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.80690077.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 357, 365 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.80690077.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "shock" ], "offsets": [ [ 384, 389 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0036974" } ] }, { "id": "DerChirurg.80690077.eng.abstr-s4-t5", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 433, 441 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.80690077.eng.abstr-s4-t6", "type": "umlsterm", "text": [ "sensitivity" ], "offsets": [ [ 475, 486 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0036667" } ] }, { "id": "DerChirurg.80690077.eng.abstr-s4-t7", "type": "umlsterm", "text": [ "patients dying" ], "offsets": [ [ 357, 371 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011065" } ] }, { "id": "DerChirurg.80690077.eng.abstr-s4-t8", "type": "umlsterm", "text": [ "septic shock" ], "offsets": [ [ 377, 389 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0036983" } ] } ]	[]	[]	[ { "id": "DerChirurg.80690077.eng.abstr-s1-r1-t2.1-t1.1", "type": "manages", "arg1_id": "DerChirurg.80690077.eng.abstr-s4-t2", "arg2_id": "DerChirurg.80690077.eng.abstr-s4-t1", "normalized": [] }, { "id": "DerChirurg.80690077.eng.abstr-s1-r2-t2.1-t3.1", "type": "carries_out", "arg1_id": "DerChirurg.80690077.eng.abstr-s4-t2", "arg2_id": "DerChirurg.80690077.eng.abstr-s4-t3", "normalized": [] }, { "id": "DerChirurg.80690077.eng.abstr-s1-r3-t1.1-t3.1", "type": "performs", "arg1_id": "DerChirurg.80690077.eng.abstr-s4-t1", "arg2_id": "DerChirurg.80690077.eng.abstr-s4-t3", "normalized": [] }, { "id": "DerChirurg.80690077.eng.abstr-s1-r4-t1.1-t2.1", "type": "uses", "arg1_id": "DerChirurg.80690077.eng.abstr-s4-t1", "arg2_id": "DerChirurg.80690077.eng.abstr-s4-t2", "normalized": [] }, { "id": "DerChirurg.80690077.eng.abstr-s2-r1-t1.1-t3.1", "type": "associated_with", "arg1_id": 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"arg1_id": "DerChirurg.80690077.eng.abstr-s4-t8", "arg2_id": "DerChirurg.80690077.eng.abstr-s4-t4", "normalized": [] }, { "id": "DerChirurg.80690077.eng.abstr-s4-r10-t6.1-t8.1", "type": "associated_with", "arg1_id": "DerChirurg.80690077.eng.abstr-s4-t6", "arg2_id": "DerChirurg.80690077.eng.abstr-s4-t8", "normalized": [] }, { "id": "DerChirurg.80690077.eng.abstr-s4-r11-t5.1-t1.1", "type": "performs", "arg1_id": "DerChirurg.80690077.eng.abstr-s4-t5", "arg2_id": "DerChirurg.80690077.eng.abstr-s4-t1", "normalized": [] }, { "id": "DerChirurg.80690077.eng.abstr-s4-r12-t8.1-t1.1", "type": "associated_with", "arg1_id": "DerChirurg.80690077.eng.abstr-s4-t8", "arg2_id": "DerChirurg.80690077.eng.abstr-s4-t1", "normalized": [] }, { "id": "DerChirurg.80690077.eng.abstr-s4-r13-t4.1-t5.1", "type": "occurs_in", "arg1_id": "DerChirurg.80690077.eng.abstr-s4-t4", "arg2_id": "DerChirurg.80690077.eng.abstr-s4-t5", "normalized": [] }, { "id": "DerChirurg.80690077.eng.abstr-s4-r14-t4.1-t1.1", "type": "occurs_in", "arg1_id": "DerChirurg.80690077.eng.abstr-s4-t4", "arg2_id": "DerChirurg.80690077.eng.abstr-s4-t1", "normalized": [] }, { "id": "DerChirurg.80690077.eng.abstr-s4-r15-t8.1-t6.1", "type": "result_of", "arg1_id": "DerChirurg.80690077.eng.abstr-s4-t8", "arg2_id": "DerChirurg.80690077.eng.abstr-s4-t6", "normalized": [] }, { "id": "DerChirurg.80690077.eng.abstr-s4-r16-t6.1-t4.1", "type": "associated_with", "arg1_id": "DerChirurg.80690077.eng.abstr-s4-t6", "arg2_id": "DerChirurg.80690077.eng.abstr-s4-t4", "normalized": [] }, { "id": "DerChirurg.80690077.eng.abstr-s4-r17-t1.1-t6.1", "type": "measures", "arg1_id": "DerChirurg.80690077.eng.abstr-s4-t1", "arg2_id": "DerChirurg.80690077.eng.abstr-s4-t6", "normalized": [] }, { "id": "DerChirurg.80690077.eng.abstr-s4-r18-t1.1-t8.1", "type": "associated_with", "arg1_id": "DerChirurg.80690077.eng.abstr-s4-t1", "arg2_id": "DerChirurg.80690077.eng.abstr-s4-t8", "normalized": [] }, { "id": "DerChirurg.80690077.eng.abstr-s4-r19-t8.1-t3.1", "type": "occurs_in", "arg1_id": "DerChirurg.80690077.eng.abstr-s4-t8", "arg2_id": "DerChirurg.80690077.eng.abstr-s4-t3", "normalized": [] }, { "id": "DerChirurg.80690077.eng.abstr-s4-r20-t4.1-t8.1", "type": "associated_with", "arg1_id": "DerChirurg.80690077.eng.abstr-s4-t4", "arg2_id": "DerChirurg.80690077.eng.abstr-s4-t8", "normalized": [] }, { "id": "DerChirurg.80690077.eng.abstr-s4-r21-t6.1-t4.1", "type": "result_of", "arg1_id": "DerChirurg.80690077.eng.abstr-s4-t6", "arg2_id": "DerChirurg.80690077.eng.abstr-s4-t4", "normalized": [] }, { "id": "DerChirurg.80690077.eng.abstr-s4-r22-t6.1-t8.1", "type": "result_of", "arg1_id": "DerChirurg.80690077.eng.abstr-s4-t6", "arg2_id": "DerChirurg.80690077.eng.abstr-s4-t8", "normalized": [] }, { "id": "DerChirurg.80690077.eng.abstr-s4-r23-t4.1-t6.1", "type": "associated_with", "arg1_id": "DerChirurg.80690077.eng.abstr-s4-t4", "arg2_id": "DerChirurg.80690077.eng.abstr-s4-t6", "normalized": [] }, { "id": "DerChirurg.80690077.eng.abstr-s4-r24-t1.1-t4.1", "type": "associated_with", "arg1_id": "DerChirurg.80690077.eng.abstr-s4-t1", "arg2_id": "DerChirurg.80690077.eng.abstr-s4-t4", "normalized": [] }, { "id": "DerChirurg.80690077.eng.abstr-s4-r25-t4.1-t6.1", "type": "result_of", "arg1_id": "DerChirurg.80690077.eng.abstr-s4-t4", "arg2_id": "DerChirurg.80690077.eng.abstr-s4-t6", "normalized": [] } ]
DerChirurg.80690082.eng.abstr	DerChirurg.80690082.eng.abstr	[ { "id": "DerChirurg.80690082.eng.abstr-passage-0", "type": "abstract", "text": [ "Osteoarthritis ( OA ) influences the levels of free intraarticular glucosaminoglycans ( GAG ) . Little is known about the direction - decrease/increase - of these changes , and information on the correlation between GAG levels and the degree of OA is sparse . Objectives of this study were to investigate the correlation between intraarticular levels of sulphated and unsulphated GAG and the degree of experimental OA , the time course of these changes and whether GAG might be useful as a marker for OA . Twenty-one sheep were randomly assigned to three groups : ( 1 ) transsection of the posterolateral bundle of the anterior cruciate ligament , ACL ( TD ) , ( 2 ) medial meniscectomy ( ME ) , and ( 3 ) meniscectomy and resection of the ACL ( MV ) . During follow-up clinical and radiological examinations were done . After screening for intraarticular effusions , a joint tab was performed and the levels of hyaluronic acid and chondroitin sulphate were measured . The radiological scores differ significantly between group TD and groups ME and MV ( P 0.01 ) . Hyaluronic acid levels in ME and MV are significantly higher than in the controls . Significantly increased levels ( P 0.01 ) of chondroitin sulphate are found 6 months after ME and 1 year following TD . Clinical consequences : Hyaluronic acid levels - at least in the experimental setting - correspond to a certain degree with osteoarthrotic changes : increasing levels were found along with increasing postoperative interval and increasing grade of OA . Chondroitin sulphate , on the other hand seems , to lend itself as a marker for chondromalacia , in other words for prearthrotic deformities and early stages of OA ." ], "offsets": [ [ 0, 1686 ] ] } ]	[ { "id": "DerChirurg.80690082.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "Osteoarthritis" ], "offsets": [ [ 0, 14 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0029408" } ] }, { "id": "DerChirurg.80690082.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "glucosaminoglycans" ], "offsets": [ [ 67, 85 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0061398" } ] }, { "id": "DerChirurg.80690082.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "direction" ], "offsets": [ [ 122, 131 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0700158" } ] }, { "id": "DerChirurg.80690082.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "Objectives" ], "offsets": [ [ 260, 270 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0018017" } ] }, { "id": "DerChirurg.80690082.eng.abstr-s3-t2", 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cruciate ligament" ], "offsets": [ [ 619, 645 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0078960" } ] }, { "id": "DerChirurg.80690082.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "screening" ], "offsets": [ [ 827, 836 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220908" }, { "db_name": "UMLS", "db_id": "C0220909" } ] }, { "id": "DerChirurg.80690082.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "joint" ], "offsets": [ [ 870, 875 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022417" } ] }, { "id": "DerChirurg.80690082.eng.abstr-s6-t3", "type": "umlsterm", "text": [ "acid" ], "offsets": [ [ 923, 927 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0001128" } ] }, { "id": "DerChirurg.80690082.eng.abstr-s6-t4", "type": "umlsterm", "text": [ "chondroitin" ], "offsets": [ [ 932, 943 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0008454" } ] }, { "id": "DerChirurg.80690082.eng.abstr-s6-t5", "type": "umlsterm", "text": [ "sulphate" ], "offsets": [ [ 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DerChirurg.80690091.eng.abstr	DerChirurg.80690091.eng.abstr	[ { "id": "DerChirurg.80690091.eng.abstr-passage-0", "type": "abstract", "text": [ "Arteriovenous fistulas of the portal system are rare . Congenital fistulas have to be differentiated from acquired fistulas ; the latter are of posttraumatic or iatrogenic origin . The case presented demonstrates a history of diffuse abdominal pain and the first description of myocardial ischemia caused by a posttraumatic splenic arterioportal fistula . After diagnostic and therapeutic difficulties , the definitive treatment consisted in resection of the fistula system including the pancreatic tail ." ], "offsets": [ [ 0, 505 ] ] } ]	[ { "id": "DerChirurg.80690091.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "fistulas" ], "offsets": [ [ 14, 22 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016169" } ] }, { "id": "DerChirurg.80690091.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "Arteriovenous fistulas" ], "offsets": [ [ 0, 22 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003855" } ] }, { "id": "DerChirurg.80690091.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "portal system" ], "offsets": [ [ 30, 43 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032717" } ] }, { "id": "DerChirurg.80690091.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "Congenital" ], "offsets": [ [ 55, 65 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009678" } ] }, { "id": "DerChirurg.80690091.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "fistulas" ], "offsets": [ [ 66, 74 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016169" } ] }, { "id": "DerChirurg.80690091.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "fistulas" ], "offsets": [ [ 115, 123 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016169" } ] }, { "id": "DerChirurg.80690091.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "origin" ], "offsets": [ [ 172, 178 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0079946" } ] }, { "id": "DerChirurg.80690091.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "history" ], "offsets": [ [ 215, 222 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019664" }, { "db_name": "UMLS", "db_id": "C0019665" } ] }, { "id": "DerChirurg.80690091.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "pain" ], "offsets": [ [ 244, 248 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030193" } ] }, { "id": "DerChirurg.80690091.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "ischemia" ], "offsets": [ [ 289, 297 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022116" } ] }, { "id": "DerChirurg.80690091.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "fistula" ], "offsets": [ [ 346, 353 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016169" } ] }, { "id": "DerChirurg.80690091.eng.abstr-s3-t5", "type": "umlsterm", "text": [ "abdominal pain" ], "offsets": [ [ 234, 248 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0000737" } ] }, { "id": "DerChirurg.80690091.eng.abstr-s3-t6", "type": "umlsterm", "text": [ "myocardial ischemia" ], "offsets": [ [ 278, 297 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0151744" } ] }, { "id": "DerChirurg.80690091.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "diagnostic" ], "offsets": [ [ 362, 372 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0348026" } ] }, { "id": "DerChirurg.80690091.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "therapeutic" ], "offsets": [ [ 377, 388 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039796" } ] }, { "id": "DerChirurg.80690091.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "treatment" ], "offsets": [ [ 419, 428 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerChirurg.80690091.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "fistula" ], "offsets": [ [ 459, 466 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016169" } ] }, { "id": "DerChirurg.80690091.eng.abstr-s4-t5", "type": "umlsterm", "text": [ "pancreatic" ], "offsets": [ [ 488, 498 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0070016" } ] }, { "id": "DerChirurg.80690091.eng.abstr-s4-t6", "type": "umlsterm", "text": [ "tail" ], "offsets": [ [ 499, 503 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039259" } ] } ]	[]	[]	[ { "id": "DerChirurg.80690091.eng.abstr-s1-r1-t2.1-t1.1", "type": "result_of", "arg1_id": "DerChirurg.80690091.eng.abstr-s4-t2", "arg2_id": "DerChirurg.80690091.eng.abstr-s4-t1", "normalized": [] 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DerChirurg.80690098.eng.abstr	DerChirurg.80690098.eng.abstr	[ { "id": "DerChirurg.80690098.eng.abstr-passage-0", "type": "abstract", "text": [ "Angiomyolipomas are hamartomas that may be found sporadically or associated with tuberous sclerosis ( M. Bourneville-Pringle ) . Clinically , this long-term asymptomatic tumor becomes evident as an acute retroperitoneal hemorrhage or by symptoms of a flank mass . Due to the high percentage of fat components in this tumor type , computed tomography is far superior to other radiological procedures . In view of two of our own case reports , the therapeutic strategies are discussed , paying regard to the actual literature in this field ." ], "offsets": [ [ 0, 539 ] ] } ]	[ { "id": "DerChirurg.80690098.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "Angiomyolipomas" ], "offsets": [ [ 0, 15 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0206633" } ] }, { "id": "DerChirurg.80690098.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "hamartomas" ], "offsets": [ [ 20, 30 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0018552" } ] }, { "id": "DerChirurg.80690098.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "sclerosis" ], "offsets": [ [ 90, 99 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0036429" } ] }, { "id": "DerChirurg.80690098.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "tuberous sclerosis" ], "offsets": [ [ 81, 99 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0041341" } ] }, { "id": "DerChirurg.80690098.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "tumor" ], "offsets": [ [ 170, 175 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" } ] }, { "id": "DerChirurg.80690098.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "hemorrhage" ], "offsets": [ [ 220, 230 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019080" } ] }, { "id": "DerChirurg.80690098.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "symptoms" ], "offsets": [ [ 237, 245 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0683368" } ] }, { "id": "DerChirurg.80690098.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "fat" ], "offsets": [ [ 294, 297 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015677" } ] }, { "id": "DerChirurg.80690098.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "tumor" ], "offsets": [ [ 317, 322 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" } ] }, { "id": "DerChirurg.80690098.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "tomography" ], "offsets": [ [ 339, 349 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040395" } ] }, { "id": "DerChirurg.80690098.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "procedures" ], "offsets": [ [ 388, 398 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0184661" }, { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.80690098.eng.abstr-s3-t5", "type": "umlsterm", "text": [ "computed tomography" ], "offsets": [ [ 330, 349 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040405" } ] }, { "id": "DerChirurg.80690098.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "therapeutic" ], "offsets": [ [ 446, 457 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039796" } ] }, { "id": "DerChirurg.80690098.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "literature" ], "offsets": [ [ 513, 523 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023866" } ] }, { "id": "DerChirurg.80690098.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "case reports" ], "offsets": [ [ 427, 439 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007320" } ] } ]	[]	[]	[ { "id": "DerChirurg.80690098.eng.abstr-s1-r1-t2.1-t1.1", "type": "degree_of", "arg1_id": "DerChirurg.80690098.eng.abstr-s4-t2", "arg2_id": "DerChirurg.80690098.eng.abstr-s4-t1", "normalized": [] }, { "id": "DerChirurg.80690098.eng.abstr-s1-r2-t4.1-t2.1", "type": "degree_of", "arg1_id": "DerChirurg.80690098.eng.abstr-s3-t4", "arg2_id": "DerChirurg.80690098.eng.abstr-s4-t2", "normalized": [] }, { "id": "DerChirurg.80690098.eng.abstr-s1-r3-t3.1-t1.1", "type": "degree_of", "arg1_id": "DerChirurg.80690098.eng.abstr-s4-t3", "arg2_id": "DerChirurg.80690098.eng.abstr-s4-t1", "normalized": [] }, { "id": "DerChirurg.80690098.eng.abstr-s1-r4-t2.1-t3.1", "type": "associated_with", "arg1_id": "DerChirurg.80690098.eng.abstr-s4-t2", "arg2_id": "DerChirurg.80690098.eng.abstr-s4-t3", "normalized": [] }, { "id": "DerChirurg.80690098.eng.abstr-s1-r5-t2.1-t4.1", "type": "degree_of", "arg1_id": "DerChirurg.80690098.eng.abstr-s4-t2", "arg2_id": 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DerChirurg.80690102.eng.abstr	DerChirurg.80690102.eng.abstr	[ { "id": "DerChirurg.80690102.eng.abstr-passage-0", "type": "abstract", "text": [ "Traumatic injuries of arteries lead to acute bleeding or ischemia . In the hand , which is perfused by two arteries , this symptom could be missed . The hypothenar hammer syndrome is a traumatic occlusion of the distal arteria ulnaris . Dependent on the mechanism of the trauma the clinical symptoms may appear late . A specific angiographic or duplex sonographic diagnostic investigation is necessary to show the arterial occlusion . There is no proven therapeutic procedure . Exact diagnosis of the occlusion as an effect of the trauma is important for the patient and is the basis of any therapeutic intervention ." ], "offsets": [ [ 0, 617 ] ] } ]	[ { "id": "DerChirurg.80690102.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "injuries" ], "offsets": [ [ 10, 18 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0175677" }, { "db_name": "UMLS", "db_id": "C0021501" } ] }, { "id": "DerChirurg.80690102.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "arteries" ], "offsets": [ [ 22, 30 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003842" } ] }, { "id": "DerChirurg.80690102.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "ischemia" ], "offsets": [ [ 57, 65 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022116" } ] }, { "id": "DerChirurg.80690102.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "Traumatic injuries" ], "offsets": [ [ 0, 18 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0043251" } ] }, { "id": "DerChirurg.80690102.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "hand" ], "offsets": [ [ 75, 79 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0018563" } ] }, { "id": "DerChirurg.80690102.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "arteries" ], "offsets": [ [ 107, 115 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003842" } ] }, { "id": "DerChirurg.80690102.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "symptom" ], "offsets": [ [ 123, 130 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0683368" } ] }, { "id": "DerChirurg.80690102.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "syndrome" ], "offsets": [ [ 171, 179 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039082" } ] }, { "id": "DerChirurg.80690102.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "ulnaris" ], "offsets": [ [ 227, 234 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0041600" } ] }, { "id": "DerChirurg.80690102.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "arteria ulnaris" ], "offsets": [ [ 219, 234 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0162858" } ] }, { "id": "DerChirurg.80690102.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "trauma" ], "offsets": [ [ 271, 277 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021501" }, { "db_name": "UMLS", "db_id": "C0043251" } ] }, { "id": "DerChirurg.80690102.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "symptoms" ], "offsets": [ [ 291, 299 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0683368" } ] }, { "id": "DerChirurg.80690102.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "diagnostic" ], "offsets": [ [ 364, 374 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0348026" } ] }, { "id": "DerChirurg.80690102.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "proven" ], "offsets": [ [ 447, 453 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0700164" } ] }, { "id": "DerChirurg.80690102.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "therapeutic" ], "offsets": [ [ 454, 465 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039796" } ] }, { "id": "DerChirurg.80690102.eng.abstr-s6-t3", "type": "umlsterm", "text": [ "procedure" ], "offsets": [ [ 466, 475 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0184661" }, { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.80690102.eng.abstr-s6-t4", "type": "umlsterm", "text": [ "therapeutic procedure" ], "offsets": [ [ 454, 475 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" } ] }, { "id": "DerChirurg.80690102.eng.abstr-s7-t1", "type": "umlsterm", "text": [ "Exact" ], "offsets": [ [ 478, 483 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0059927" } ] }, { "id": "DerChirurg.80690102.eng.abstr-s7-t2", "type": "umlsterm", "text": [ "diagnosis" ], "offsets": [ [ 484, 493 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011900" }, { "db_name": "UMLS", "db_id": "C0348026" } ] }, { "id": "DerChirurg.80690102.eng.abstr-s7-t3", "type": "umlsterm", "text": [ "trauma" ], "offsets": 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DerChirurg.80690105.eng.abstr	DerChirurg.80690105.eng.abstr	[ { "id": "DerChirurg.80690105.eng.abstr-passage-0", "type": "abstract", "text": [ "Zwickau Hospital in Saxony has been a famous center of surgery since the very beginning . It was built by Heinrich Braun , the founder of modern local anesthesia . His successors , Kulenkampff and Mayer , preserved , continued and completed his life's work . The surgery center in Zwickau provided very important ideas for general and local anesthesia , for building and managing hospital and for the science of surgery in words and illustrations ." ], "offsets": [ [ 0, 448 ] ] } ]	[ { "id": "DerChirurg.80690105.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "Hospital" ], "offsets": [ [ 8, 16 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019994" } ] }, { "id": "DerChirurg.80690105.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "surgery" ], "offsets": [ [ 55, 62 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038894" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.80690105.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "anesthesia" ], "offsets": [ [ 151, 161 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0002903" } ] }, { "id": "DerChirurg.80690105.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "local anesthesia" ], "offsets": [ [ 145, 161 ] ], "normalized": [ { "db_name": "UMLS", "db_id": 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DerChirurg.80690141.eng.abstr	DerChirurg.80690141.eng.abstr	[ { "id": "DerChirurg.80690141.eng.abstr-passage-0", "type": "abstract", "text": [ "In over 80 % of patients with gastroesophageal reflux disease , the Nissen antireflux fundoplication gives good long-term results . Dysphagia , inability to belch or vomit as well as the gas bloat syndrome are possible sequelae after fundoplication . The frequency of these symptoms could be reduced by modification of the original Nissen-Rossetti fundoplication into the so-called \" floppy \" Nissen fundoplication , a short and loose wrap of mobilized gastric fundus . Failures of the antireflux procedure are mainly due to disruption or displacement of the wrap with the telescope phenomenon . Here , reoperation with refashioning of the original wrap may lead to same functional results like a primary fundoplication . Technical alternatives may selectively be chosen , when gastroesophageal reflux disease is complicated by fixated hiatal hernia , esophageal shortening , or serious esophageal motility disorders . Such specific anatomic or functional abnormalities are detected by preoperative endoscopy , barium swallow , 24-h pH monitoring , and manometry . Alternative techniques are mainly transthoracic repairs , including the Nissen fundoplication , Collis gastroplasty , and the Belsey Mark IV . Modifications of the 360 ° Nissen operation are partial fundoplications like the Hill repair and the Toupet dorsal fundoplication . Because of a high failure rate in the long-term follow-up , application of the ligamentum teres cardiopexy and of the Angelchik prosthesis is not recommended ." ], "offsets": [ [ 0, 1499 ] ] } ]	[ { "id": "DerChirurg.80690141.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 16, 24 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.80690141.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "disease" ], "offsets": [ [ 54, 61 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0012634" } ] }, { "id": "DerChirurg.80690141.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "fundoplication" ], "offsets": [ [ 86, 100 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0192499" } ] }, { "id": "DerChirurg.80690141.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "gastroesophageal reflux" ], "offsets": [ [ 30, 53 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0017168" } ] }, { "id": "DerChirurg.80690141.eng.abstr-s1-t5", "type": 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DerChirurg.80690148.eng.abstr	DerChirurg.80690148.eng.abstr	[ { "id": "DerChirurg.80690148.eng.abstr-passage-0", "type": "abstract", "text": [ "Laparoscopic antireflux surgery is rapidly replacing traditional operations for the treatment of medically refractory gastroesophageal reflux disease . These procedures are technically demanding . Troublesome side effects can be minimized by carefully selecting patients and using a meticulous and appropriate technique . Extensive follow-up data are now emerging and indicate that these procedures can offer long-term control of symptoms with few permanent side effects ." ], "offsets": [ [ 0, 472 ] ] } ]	[ { "id": "DerChirurg.80690148.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "surgery" ], "offsets": [ [ 24, 31 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038894" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.80690148.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "operations" ], "offsets": [ [ 65, 75 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0543467" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.80690148.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "treatment" ], "offsets": [ [ 84, 93 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerChirurg.80690148.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "disease" ], "offsets": [ [ 142, 149 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0012634" } ] }, { "id": "DerChirurg.80690148.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "gastroesophageal reflux" ], "offsets": [ [ 118, 141 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0017168" } ] }, { "id": "DerChirurg.80690148.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "gastroesophageal reflux disease" ], "offsets": [ [ 118, 149 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0017168" } ] }, { "id": "DerChirurg.80690148.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "procedures" ], "offsets": [ [ 158, 168 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0184661" }, { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.80690148.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 262, 270 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.80690148.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "technique" ], "offsets": [ [ 310, 319 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.80690148.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "side effects" ], "offsets": [ [ 209, 221 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0001688" } ] }, { "id": "DerChirurg.80690148.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "procedures" ], "offsets": [ [ 388, 398 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0184661" }, { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.80690148.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "control" ], "offsets": [ [ 419, 426 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243148" } ] }, { "id": "DerChirurg.80690148.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "symptoms" ], "offsets": [ [ 430, 438 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0683368" } ] }, { "id": "DerChirurg.80690148.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "side effects" ], "offsets": [ [ 458, 470 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0001688" } ] } ]	[]	[]	[ { "id": "DerChirurg.80690148.eng.abstr-s1-r1-t1.2-t6.1", "type": "associated_with", "arg1_id": "DerChirurg.80690148.eng.abstr-s4-t1", "arg2_id": "DerChirurg.80690148.eng.abstr-s1-t6", "normalized": [] }, { "id": "DerChirurg.80690148.eng.abstr-s1-r2-t2.2-t1.1", "type": "issue_in", "arg1_id": "DerChirurg.80690148.eng.abstr-s1-t2", "arg2_id": "DerChirurg.80690148.eng.abstr-s4-t1", "normalized": [] }, { "id": "DerChirurg.80690148.eng.abstr-s1-r3-t1.2-t5.1", "type": "associated_with", "arg1_id": "DerChirurg.80690148.eng.abstr-s4-t1", "arg2_id": "DerChirurg.80690148.eng.abstr-s1-t5", "normalized": [] }, { "id": "DerChirurg.80690148.eng.abstr-s1-r4-t1.2-t2.2", "type": "associated_with", "arg1_id": "DerChirurg.80690148.eng.abstr-s4-t1", "arg2_id": "DerChirurg.80690148.eng.abstr-s1-t2", "normalized": [] }, { "id": "DerChirurg.80690148.eng.abstr-s1-r5-t5.1-t2.2", "type": "associated_with", "arg1_id": "DerChirurg.80690148.eng.abstr-s1-t5", "arg2_id": "DerChirurg.80690148.eng.abstr-s1-t2", "normalized": [] }, { "id": "DerChirurg.80690148.eng.abstr-s1-r6-t5.1-t1.2", "type": "associated_with", "arg1_id": "DerChirurg.80690148.eng.abstr-s1-t5", "arg2_id": "DerChirurg.80690148.eng.abstr-s4-t1", "normalized": [] }, { "id": "DerChirurg.80690148.eng.abstr-s1-r7-t5.1-t3.1", "type": "associated_with", "arg1_id": "DerChirurg.80690148.eng.abstr-s1-t5", "arg2_id": "DerChirurg.80690148.eng.abstr-s4-t3", "normalized": [] }, { "id": "DerChirurg.80690148.eng.abstr-s1-r8-t2.2-t6.1", "type": "associated_with", "arg1_id": "DerChirurg.80690148.eng.abstr-s1-t2", "arg2_id": "DerChirurg.80690148.eng.abstr-s1-t6", "normalized": [] }, { "id": "DerChirurg.80690148.eng.abstr-s1-r9-t5.1-t1.1", "type": "issue_in", "arg1_id": "DerChirurg.80690148.eng.abstr-s1-t5", "arg2_id": "DerChirurg.80690148.eng.abstr-s4-t1", "normalized": [] }, { "id": "DerChirurg.80690148.eng.abstr-s1-r10-t3.1-t6.1", "type": "associated_with", "arg1_id": "DerChirurg.80690148.eng.abstr-s4-t3", "arg2_id": "DerChirurg.80690148.eng.abstr-s1-t6", "normalized": [] }, { "id": "DerChirurg.80690148.eng.abstr-s1-r11-t2.2-t5.1", "type": "associated_with", "arg1_id": "DerChirurg.80690148.eng.abstr-s1-t2", "arg2_id": "DerChirurg.80690148.eng.abstr-s1-t5", "normalized": [] }, { "id": "DerChirurg.80690148.eng.abstr-s1-r12-t3.1-t5.1", "type": "associated_with", "arg1_id": "DerChirurg.80690148.eng.abstr-s4-t3", "arg2_id": "DerChirurg.80690148.eng.abstr-s1-t5", "normalized": [] }, { "id": "DerChirurg.80690148.eng.abstr-s1-r13-t6.1-t1.1", "type": "issue_in", "arg1_id": "DerChirurg.80690148.eng.abstr-s1-t6", "arg2_id": "DerChirurg.80690148.eng.abstr-s4-t1", "normalized": [] }, { "id": "DerChirurg.80690148.eng.abstr-s1-r14-t3.1-t2.2", "type": "associated_with", "arg1_id": "DerChirurg.80690148.eng.abstr-s4-t3", "arg2_id": "DerChirurg.80690148.eng.abstr-s1-t2", "normalized": [] }, { "id": "DerChirurg.80690148.eng.abstr-s1-r15-t2.2-t1.2", "type": "associated_with", "arg1_id": "DerChirurg.80690148.eng.abstr-s1-t2", "arg2_id": "DerChirurg.80690148.eng.abstr-s4-t1", "normalized": [] }, { "id": "DerChirurg.80690148.eng.abstr-s1-r16-t2.2-t3.1", "type": "associated_with", "arg1_id": "DerChirurg.80690148.eng.abstr-s1-t2", "arg2_id": "DerChirurg.80690148.eng.abstr-s4-t3", "normalized": [] }, { "id": "DerChirurg.80690148.eng.abstr-s1-r17-t6.1-t2.2", "type": "associated_with", "arg1_id": "DerChirurg.80690148.eng.abstr-s1-t6", "arg2_id": "DerChirurg.80690148.eng.abstr-s1-t2", "normalized": [] }, { "id": "DerChirurg.80690148.eng.abstr-s1-r19-t6.1-t1.2", "type": "associated_with", "arg1_id": "DerChirurg.80690148.eng.abstr-s1-t6", "arg2_id": "DerChirurg.80690148.eng.abstr-s4-t1", "normalized": [] }, { "id": "DerChirurg.80690148.eng.abstr-s1-r20-t6.1-t3.1", "type": "associated_with", "arg1_id": "DerChirurg.80690148.eng.abstr-s1-t6", "arg2_id": "DerChirurg.80690148.eng.abstr-s4-t3", "normalized": [] }, { "id": "DerChirurg.80690148.eng.abstr-s1-r21-t2.2-t1.1", "type": "method_of", "arg1_id": "DerChirurg.80690148.eng.abstr-s1-t2", "arg2_id": "DerChirurg.80690148.eng.abstr-s4-t1", "normalized": [] }, { "id": "DerChirurg.80690148.eng.abstr-s1-r22-t3.1-t1.1", "type": "method_of", "arg1_id": "DerChirurg.80690148.eng.abstr-s4-t3", "arg2_id": "DerChirurg.80690148.eng.abstr-s4-t1", "normalized": [] }, { "id": "DerChirurg.80690148.eng.abstr-s3-r1-t3.1-t1.1", "type": "occurs_in", "arg1_id": "DerChirurg.80690148.eng.abstr-s4-t3", "arg2_id": "DerChirurg.80690148.eng.abstr-s4-t1", "normalized": [] }, { "id": "DerChirurg.80690148.eng.abstr-s3-r2-t1.1-t2.1", "type": "uses", "arg1_id": "DerChirurg.80690148.eng.abstr-s4-t1", "arg2_id": "DerChirurg.80690148.eng.abstr-s4-t2", "normalized": [] }, { "id": "DerChirurg.80690148.eng.abstr-s4-r1-t3.1-t4.1", "type": "associated_with", "arg1_id": "DerChirurg.80690148.eng.abstr-s4-t3", "arg2_id": "DerChirurg.80690148.eng.abstr-s4-t4", "normalized": [] }, { "id": "DerChirurg.80690148.eng.abstr-s4-r2-t4.1-t3.1", "type": "associated_with", "arg1_id": "DerChirurg.80690148.eng.abstr-s4-t4", "arg2_id": "DerChirurg.80690148.eng.abstr-s4-t3", "normalized": [] } ]
DerChirurg.80690158.eng.abstr	DerChirurg.80690158.eng.abstr	[ { "id": "DerChirurg.80690158.eng.abstr-passage-0", "type": "abstract", "text": [ "A new endoscopic intraluminal valvuloplasty is described . The procedure provides a simple , easy outpatient approach for antireflux surgery and is applicable to patients with early gastroesophageal reflux disease as an alternative to chronic life-long medical therapy . The feasibility , durability and efficacy of the procedure in baboons are reported ." ], "offsets": [ [ 0, 355 ] ] } ]	[ { "id": "DerChirurg.80690158.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "procedure" ], "offsets": [ [ 63, 72 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0184661" }, { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.80690158.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "outpatient" ], "offsets": [ [ 98, 108 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0029921" } ] }, { "id": "DerChirurg.80690158.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "surgery" ], "offsets": [ [ 133, 140 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038894" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.80690158.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 162, 170 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.80690158.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "disease" ], "offsets": [ [ 206, 213 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0012634" } ] }, { "id": "DerChirurg.80690158.eng.abstr-s2-t6", "type": "umlsterm", "text": [ "therapy" ], "offsets": [ [ 261, 268 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerChirurg.80690158.eng.abstr-s2-t7", "type": "umlsterm", "text": [ "gastroesophageal reflux" ], "offsets": [ [ 182, 205 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0017168" } ] }, { "id": "DerChirurg.80690158.eng.abstr-s2-t8", "type": "umlsterm", "text": [ "gastroesophageal reflux disease" ], "offsets": [ [ 182, 213 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0017168" } ] }, { "id": "DerChirurg.80690158.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "procedure" ], "offsets": [ [ 320, 329 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0184661" }, { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.80690158.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "baboons" ], "offsets": [ [ 333, 340 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030362" } ] } ]	[]	[]	[ { "id": "DerChirurg.80690158.eng.abstr-s2-r1-t6.1-t5.1", "type": "associated_with", "arg1_id": "DerChirurg.80690158.eng.abstr-s2-t6", "arg2_id": "DerChirurg.80690158.eng.abstr-s2-t5", "normalized": [] }, { "id": "DerChirurg.80690158.eng.abstr-s2-r2-t6.1-t3.2", "type": "occurs_in", "arg1_id": "DerChirurg.80690158.eng.abstr-s2-t6", "arg2_id": "DerChirurg.80690158.eng.abstr-s2-t3", "normalized": [] }, { "id": "DerChirurg.80690158.eng.abstr-s2-r3-t1.1-t6.1", "type": "performs", "arg1_id": "DerChirurg.80690158.eng.abstr-s3-t1", "arg2_id": "DerChirurg.80690158.eng.abstr-s2-t6", "normalized": [] }, { "id": "DerChirurg.80690158.eng.abstr-s2-r5-t5.1-t6.1", "type": "associated_with", "arg1_id": "DerChirurg.80690158.eng.abstr-s2-t5", "arg2_id": "DerChirurg.80690158.eng.abstr-s2-t6", "normalized": [] }, { "id": "DerChirurg.80690158.eng.abstr-s2-r6-t8.1-t1.1", "type": "occurs_in", "arg1_id": "DerChirurg.80690158.eng.abstr-s2-t8", "arg2_id": "DerChirurg.80690158.eng.abstr-s3-t1", "normalized": [] }, { "id": "DerChirurg.80690158.eng.abstr-s2-r7-t8.1-t6.1", "type": "associated_with", "arg1_id": "DerChirurg.80690158.eng.abstr-s2-t8", "arg2_id": "DerChirurg.80690158.eng.abstr-s2-t6", "normalized": [] }, { "id": "DerChirurg.80690158.eng.abstr-s2-r8-t8.1-t3.1", "type": "issue_in", "arg1_id": "DerChirurg.80690158.eng.abstr-s2-t8", "arg2_id": "DerChirurg.80690158.eng.abstr-s2-t3", "normalized": [] }, { "id": "DerChirurg.80690158.eng.abstr-s2-r9-t5.1-t1.1", "type": "occurs_in", "arg1_id": "DerChirurg.80690158.eng.abstr-s2-t5", "arg2_id": "DerChirurg.80690158.eng.abstr-s3-t1", "normalized": [] }, { "id": "DerChirurg.80690158.eng.abstr-s2-r10-t1.1-t6.1", "type": "conceptual_part_of", "arg1_id": "DerChirurg.80690158.eng.abstr-s3-t1", "arg2_id": "DerChirurg.80690158.eng.abstr-s2-t6", "normalized": [] }, { "id": "DerChirurg.80690158.eng.abstr-s2-r11-t5.1-t3.1", "type": "issue_in", "arg1_id": "DerChirurg.80690158.eng.abstr-s2-t5", "arg2_id": "DerChirurg.80690158.eng.abstr-s2-t3", "normalized": [] }, { "id": "DerChirurg.80690158.eng.abstr-s2-r12-t1.1-t3.1", "type": "issue_in", "arg1_id": "DerChirurg.80690158.eng.abstr-s3-t1", "arg2_id": "DerChirurg.80690158.eng.abstr-s2-t3", "normalized": [] }, { "id": "DerChirurg.80690158.eng.abstr-s2-r13-t6.1-t3.1", "type": "method_of", "arg1_id": "DerChirurg.80690158.eng.abstr-s2-t6", "arg2_id": "DerChirurg.80690158.eng.abstr-s2-t3", "normalized": [] }, { "id": "DerChirurg.80690158.eng.abstr-s2-r14-t6.1-t8.1", "type": "associated_with", "arg1_id": "DerChirurg.80690158.eng.abstr-s2-t6", "arg2_id": "DerChirurg.80690158.eng.abstr-s2-t8", "normalized": [] }, { "id": "DerChirurg.80690158.eng.abstr-s2-r15-t8.1-t3.2", "type": "occurs_in", "arg1_id": "DerChirurg.80690158.eng.abstr-s2-t8", "arg2_id": "DerChirurg.80690158.eng.abstr-s2-t3", "normalized": [] }, { "id": "DerChirurg.80690158.eng.abstr-s2-r16-t6.1-t1.1", "type": "occurs_in", "arg1_id": "DerChirurg.80690158.eng.abstr-s2-t6", "arg2_id": "DerChirurg.80690158.eng.abstr-s3-t1", "normalized": [] }, { "id": "DerChirurg.80690158.eng.abstr-s2-r17-t3.2-t1.1", "type": "uses", "arg1_id": "DerChirurg.80690158.eng.abstr-s2-t3", "arg2_id": "DerChirurg.80690158.eng.abstr-s3-t1", "normalized": [] }, { "id": "DerChirurg.80690158.eng.abstr-s2-r18-t6.1-t1.1", "type": "affects", "arg1_id": "DerChirurg.80690158.eng.abstr-s2-t6", "arg2_id": "DerChirurg.80690158.eng.abstr-s3-t1", "normalized": [] }, { "id": "DerChirurg.80690158.eng.abstr-s2-r19-t6.1-t3.2", "type": "affects", "arg1_id": "DerChirurg.80690158.eng.abstr-s2-t6", "arg2_id": "DerChirurg.80690158.eng.abstr-s2-t3", "normalized": [] }, { "id": "DerChirurg.80690158.eng.abstr-s2-r20-t3.2-t6.1", "type": "performs", "arg1_id": "DerChirurg.80690158.eng.abstr-s2-t3", "arg2_id": "DerChirurg.80690158.eng.abstr-s2-t6", "normalized": [] }, { "id": "DerChirurg.80690158.eng.abstr-s2-r21-t1.2-t3.1", "type": "issue_in", "arg1_id": "DerChirurg.80690158.eng.abstr-s3-t1", "arg2_id": "DerChirurg.80690158.eng.abstr-s2-t3", "normalized": [] }, { "id": "DerChirurg.80690158.eng.abstr-s2-r22-t5.1-t3.2", "type": "occurs_in", "arg1_id": "DerChirurg.80690158.eng.abstr-s2-t5", "arg2_id": "DerChirurg.80690158.eng.abstr-s2-t3", "normalized": [] }, { "id": "DerChirurg.80690158.eng.abstr-s2-r23-t3.2-t1.2", "type": "uses", "arg1_id": "DerChirurg.80690158.eng.abstr-s2-t3", "arg2_id": "DerChirurg.80690158.eng.abstr-s3-t1", "normalized": [] }, { "id": "DerChirurg.80690158.eng.abstr-s2-r24-t6.1-t3.1", "type": "issue_in", "arg1_id": "DerChirurg.80690158.eng.abstr-s2-t6", "arg2_id": "DerChirurg.80690158.eng.abstr-s2-t3", "normalized": [] } ]
DerChirurg.80690168.eng.abstr	DerChirurg.80690168.eng.abstr	[ { "id": "DerChirurg.80690168.eng.abstr-passage-0", "type": "abstract", "text": [ "The high rate of recurrence after the treatment of adhesive obstruction demands special prophylactic treatment . In a 13-year period , 52 out of 95 patients with major adhesions were provided with a long nasointestinal tube for intestinal splinting intraoperatively . The was being left in situ on an average of 6.6 days . After an observation period of at least 36 months a recurrence was seen in 2 of these 52 patients ( 3.9 % ; causes : volvulus after 6 months/fibrinous peritonitis on the 6th postoperative day ) . Amongst the 43 ' non-splinted' patients , recurrence of adhesive obstruction was documented in 8 cases ( 18.6 % ; causes : adhesions after 0.3-136.9 months ) . In the course of aftercare abdominal complaints were significantly fewer in patients who had been splinted . Complications concerning the nasointestinal tubes did not occur . The rate of perioperative complications was similar in both groups ." ], "offsets": [ [ 0, 922 ] ] } ]	[ { "id": "DerChirurg.80690168.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "recurrence" ], "offsets": [ [ 17, 27 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034897" } ] }, { "id": "DerChirurg.80690168.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "treatment" ], "offsets": [ [ 38, 47 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerChirurg.80690168.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "adhesive" ], "offsets": [ [ 51, 59 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0001516" } ] }, { "id": "DerChirurg.80690168.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "prophylactic" ], "offsets": [ [ 88, 100 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009653" } ] }, { "id": "DerChirurg.80690168.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "treatment" ], "offsets": [ [ 101, 110 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerChirurg.80690168.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "period" ], "offsets": [ [ 126, 132 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025344" } ] }, { "id": "DerChirurg.80690168.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 148, 156 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.80690168.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "adhesions" ], "offsets": [ [ 168, 177 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0001511" } ] }, { "id": "DerChirurg.80690168.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "observation" ], "offsets": [ [ 332, 343 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0302523" } ] }, { "id": "DerChirurg.80690168.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "period" ], "offsets": [ [ 344, 350 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025344" } ] }, { "id": "DerChirurg.80690168.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "recurrence" ], "offsets": [ [ 375, 385 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034897" } ] }, { "id": "DerChirurg.80690168.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 412, 420 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.80690168.eng.abstr-s4-t5", "type": "umlsterm", "text": [ "causes" ], "offsets": [ [ 431, 437 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015127" } ] }, { "id": "DerChirurg.80690168.eng.abstr-s4-t6", "type": "umlsterm", "text": [ "volvulus" ], "offsets": [ [ 440, 448 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042961" } ] }, { "id": "DerChirurg.80690168.eng.abstr-s4-t7", "type": "umlsterm", "text": [ "peritonitis" ], "offsets": [ [ 474, 485 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0031154" } ] }, { "id": "DerChirurg.80690168.eng.abstr-s4-t8", "type": "umlsterm", "text": [ "postoperative" ], "offsets": [ [ 497, 510 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032790" } ] }, { "id": "DerChirurg.80690168.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 550, 558 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.80690168.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "recurrence" ], "offsets": [ [ 561, 571 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034897" } ] }, { "id": "DerChirurg.80690168.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "adhesive" ], "offsets": [ [ 575, 583 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0001516" } ] }, { "id": "DerChirurg.80690168.eng.abstr-s5-t4", "type": "umlsterm", "text": [ "causes" ], "offsets": [ [ 633, 639 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015127" } ] }, { "id": "DerChirurg.80690168.eng.abstr-s5-t5", "type": "umlsterm", "text": [ "adhesions" ], "offsets": [ [ 642, 651 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0001511" } ] }, { "id": "DerChirurg.80690168.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "aftercare" ], "offsets": [ [ 696, 705 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0001758" } ] }, { "id": "DerChirurg.80690168.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 755, 763 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.80690168.eng.abstr-s7-t1", "type": "umlsterm", "text": [ "Complications" ], "offsets": [ [ 788, 801 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] }, { "id": "DerChirurg.80690168.eng.abstr-s8-t1", "type": "umlsterm", "text": [ "complications" ], "offsets": [ [ 880, 893 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] } ]	[]	[]	[ { "id": "DerChirurg.80690168.eng.abstr-s1-r1-t4.1-t2.1", "type": "isa", "arg1_id": "DerChirurg.80690168.eng.abstr-s5-t4", "arg2_id": "DerChirurg.80690168.eng.abstr-s6-t2", "normalized": [] }, { "id": "DerChirurg.80690168.eng.abstr-s1-r2-t5.1-t4.1", "type": "uses", "arg1_id": "DerChirurg.80690168.eng.abstr-s5-t5", "arg2_id": "DerChirurg.80690168.eng.abstr-s5-t4", "normalized": [] }, { "id": "DerChirurg.80690168.eng.abstr-s1-r3-t2.1-t4.1", "type": "uses", "arg1_id": "DerChirurg.80690168.eng.abstr-s6-t2", "arg2_id": "DerChirurg.80690168.eng.abstr-s5-t4", "normalized": [] }, { "id": "DerChirurg.80690168.eng.abstr-s1-r4-t5.1-t2.1", "type": "uses", "arg1_id": "DerChirurg.80690168.eng.abstr-s5-t5", "arg2_id": "DerChirurg.80690168.eng.abstr-s6-t2", "normalized": [] }, { "id": "DerChirurg.80690168.eng.abstr-s2-r1-t3.1-t2.1", "type": "occurs_in", "arg1_id": "DerChirurg.80690168.eng.abstr-s5-t3", "arg2_id": "DerChirurg.80690168.eng.abstr-s6-t2", "normalized": [] }, { "id": "DerChirurg.80690168.eng.abstr-s2-r2-t1.1-t3.1", "type": "result_of", "arg1_id": "DerChirurg.80690168.eng.abstr-s8-t1", "arg2_id": 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"DerChirurg.80690168.eng.abstr-s6-t2", "arg2_id": "DerChirurg.80690168.eng.abstr-s5-t5", "normalized": [] }, { "id": "DerChirurg.80690168.eng.abstr-s4-r20-t1.1-t5.1", "type": "associated_with", "arg1_id": "DerChirurg.80690168.eng.abstr-s8-t1", "arg2_id": "DerChirurg.80690168.eng.abstr-s5-t5", "normalized": [] }, { "id": "DerChirurg.80690168.eng.abstr-s4-r21-t6.1-t3.1", "type": "result_of", "arg1_id": "DerChirurg.80690168.eng.abstr-s4-t6", "arg2_id": "DerChirurg.80690168.eng.abstr-s5-t3", "normalized": [] }, { "id": "DerChirurg.80690168.eng.abstr-s4-r22-t5.1-t4.1", "type": "occurs_in", "arg1_id": "DerChirurg.80690168.eng.abstr-s5-t5", "arg2_id": "DerChirurg.80690168.eng.abstr-s5-t4", "normalized": [] }, { "id": "DerChirurg.80690168.eng.abstr-s4-r23-t3.1-t5.1", "type": "result_of", "arg1_id": "DerChirurg.80690168.eng.abstr-s5-t3", "arg2_id": "DerChirurg.80690168.eng.abstr-s5-t5", "normalized": [] }, { "id": "DerChirurg.80690168.eng.abstr-s5-r1-t2.1-t4.1", "type": "result_of", "arg1_id": "DerChirurg.80690168.eng.abstr-s6-t2", "arg2_id": "DerChirurg.80690168.eng.abstr-s5-t4", "normalized": [] }, { "id": "DerChirurg.80690168.eng.abstr-s5-r2-t1.1-t3.1", "type": "uses", "arg1_id": "DerChirurg.80690168.eng.abstr-s8-t1", "arg2_id": "DerChirurg.80690168.eng.abstr-s5-t3", "normalized": [] }, { "id": "DerChirurg.80690168.eng.abstr-s5-r3-t3.1-t4.1", "type": "causes", "arg1_id": "DerChirurg.80690168.eng.abstr-s5-t3", "arg2_id": "DerChirurg.80690168.eng.abstr-s5-t4", "normalized": [] }, { "id": "DerChirurg.80690168.eng.abstr-s5-r4-t3.1-t4.1", "type": "affects", "arg1_id": "DerChirurg.80690168.eng.abstr-s5-t3", "arg2_id": "DerChirurg.80690168.eng.abstr-s5-t4", "normalized": [] }, { "id": "DerChirurg.80690168.eng.abstr-s5-r5-t4.1-t1.1", "type": "occurs_in", "arg1_id": "DerChirurg.80690168.eng.abstr-s5-t4", "arg2_id": "DerChirurg.80690168.eng.abstr-s8-t1", "normalized": [] }, { "id": "DerChirurg.80690168.eng.abstr-s5-r6-t4.1-t2.1", "type": "result_of", "arg1_id": "DerChirurg.80690168.eng.abstr-s5-t4", "arg2_id": "DerChirurg.80690168.eng.abstr-s6-t2", "normalized": [] }, { "id": "DerChirurg.80690168.eng.abstr-s6-r1-t2.1-t1.1", "type": "performs", "arg1_id": "DerChirurg.80690168.eng.abstr-s6-t2", "arg2_id": "DerChirurg.80690168.eng.abstr-s8-t1", "normalized": [] } ]
DerChirurg.80690174.eng.abstr	DerChirurg.80690174.eng.abstr	[ { "id": "DerChirurg.80690174.eng.abstr-passage-0", "type": "abstract", "text": [ "Right colon diverticulitis , representing 1-3 , 6 % of cases of diverticular disease is an uncommon cause of right lower quadrant pain . Its presentation is difficult to distinguish from acute appendicitis . Patients are between 35 and 50 years old , have a history of 2-3 days of abdominal pain and few gastrointestinal symptoms . The diagnosis is best confirmed by computed tomography and colonoscopy . Conservative treatment is justified in uncomplicated disease , whereas perforations , abcesses and inflammatory tumors require resection . We describe the cases of six patients treated at our institution from 1991 to 1996. Presentation , geographic variations , diagnostic procedures and management are discussed ." ], "offsets": [ [ 0, 719 ] ] } ]	[ { "id": "DerChirurg.80690174.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "Right" ], "offsets": [ [ 0, 5 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035621" } ] }, { "id": "DerChirurg.80690174.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "colon" ], "offsets": [ [ 6, 11 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007102" }, { "db_name": "UMLS", "db_id": "C0009368" } ] }, { "id": "DerChirurg.80690174.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "diverticulitis" ], "offsets": [ [ 12, 26 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0012813" } ] }, { "id": "DerChirurg.80690174.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "disease" ], "offsets": [ [ 77, 84 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0012634" } ] }, { "id": "DerChirurg.80690174.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "cause" ], "offsets": [ [ 100, 105 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015127" } ] }, { "id": "DerChirurg.80690174.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "pain" ], "offsets": [ [ 130, 134 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030193" } ] }, { "id": "DerChirurg.80690174.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "diverticular disease" ], "offsets": [ [ 64, 84 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0733374" } ] }, { "id": "DerChirurg.80690174.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "appendicitis" ], "offsets": [ [ 193, 205 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003615" } ] }, { "id": "DerChirurg.80690174.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "Patients" ], "offsets": [ [ 208, 216 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.80690174.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "old" ], "offsets": [ [ 245, 248 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0331059" } ] }, { "id": "DerChirurg.80690174.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "history" ], "offsets": [ [ 258, 265 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019664" }, { "db_name": "UMLS", "db_id": "C0019665" } ] }, { "id": "DerChirurg.80690174.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "pain" ], "offsets": [ [ 291, 295 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030193" } ] }, { "id": "DerChirurg.80690174.eng.abstr-s3-t5", "type": "umlsterm", "text": [ "symptoms" ], "offsets": [ [ 321, 329 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0683368" } ] }, { "id": "DerChirurg.80690174.eng.abstr-s3-t6", "type": "umlsterm", "text": [ "abdominal pain" ], "offsets": [ [ 281, 295 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0000737" } ] }, { "id": "DerChirurg.80690174.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "diagnosis" ], "offsets": [ [ 336, 345 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011900" }, { "db_name": "UMLS", "db_id": "C0348026" } ] }, { "id": "DerChirurg.80690174.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "tomography" ], "offsets": [ [ 376, 386 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040395" } ] }, { "id": "DerChirurg.80690174.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "colonoscopy" ], "offsets": [ [ 391, 402 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009378" } ] }, { "id": "DerChirurg.80690174.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "computed tomography" ], "offsets": [ [ 367, 386 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040405" } ] }, { "id": "DerChirurg.80690174.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "treatment" ], "offsets": [ [ 418, 427 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerChirurg.80690174.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "disease" ], "offsets": [ [ 458, 465 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0012634" } ] }, { "id": "DerChirurg.80690174.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "tumors" ], "offsets": [ [ 517, 523 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" } ] }, { "id": "DerChirurg.80690174.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 573, 581 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.80690174.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "variations" ], "offsets": [ [ 654, 664 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042333" } ] }, { "id": "DerChirurg.80690174.eng.abstr-s6-t3", "type": "umlsterm", "text": [ "diagnostic" ], "offsets": [ [ 667, 677 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0348026" } ] }, { "id": "DerChirurg.80690174.eng.abstr-s6-t4", "type": "umlsterm", "text": [ "procedures" ], "offsets": [ [ 678, 688 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0184661" }, { "db_name": "UMLS", "db_id": "C0025664" } ] } ]	[]	[]	[ { "id": 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"DerChirurg.80690174.eng.abstr-s6-t1", "normalized": [] }, { "id": "DerChirurg.80690174.eng.abstr-s5-r2-t1.1-t3.1", "type": "degree_of", "arg1_id": "DerChirurg.80690174.eng.abstr-s6-t1", "arg2_id": "DerChirurg.80690174.eng.abstr-s6-t3", "normalized": [] }, { "id": "DerChirurg.80690174.eng.abstr-s5-r3-t3.1-t1.1", "type": "associated_with", "arg1_id": "DerChirurg.80690174.eng.abstr-s6-t3", "arg2_id": "DerChirurg.80690174.eng.abstr-s6-t1", "normalized": [] }, { "id": "DerChirurg.80690174.eng.abstr-s5-r4-t1.1-t3.1", "type": "associated_with", "arg1_id": "DerChirurg.80690174.eng.abstr-s6-t1", "arg2_id": "DerChirurg.80690174.eng.abstr-s6-t3", "normalized": [] }, { "id": "DerChirurg.80690174.eng.abstr-s6-r1-t1.1-t4.2", "type": "uses", "arg1_id": "DerChirurg.80690174.eng.abstr-s6-t1", "arg2_id": "DerChirurg.80690174.eng.abstr-s6-t4", "normalized": [] } ]
DerChirurg.80690186.eng.abstr	DerChirurg.80690186.eng.abstr	[ { "id": "DerChirurg.80690186.eng.abstr-passage-0", "type": "abstract", "text": [ "The prognostic significance of e-cadherin in papillary thyroid carcinoma was evaluated in a retrospective study . From September 1985 to December 1996 , 113 patients underwent surgery for papillary thyroid carcinoma . Seventy-eight formalin-fixed , paraffin-embedded tissue samples were available for immunohistochemical analysis of e-cadherin expression . In 74 of these 78 patients the postoperative course is known for 2 months to 35.2 years ( median 3.6 years , mean : 4.9 +/- 4.8 years ) . Reduced or negative e-cadherin expression ( = 20 % ) was associated with advanced T categories of the primary tumours and higher rates of synchronous lymph node involvement and distant metastasis . During follow-up in this group of patients locoregional tumour recurrence occurred more frequently and survival was shorter than in patients with tumours which exhibited e-cadherin expression of > 20 % . Statistical analysis revealed e-cadherin expression ( = 20 %/ > 20 % ) , synchronous distant metastasis ( M0/pM1, cM1) and radicality of resection ( R0/R1, 2 ) as significant risk factors for survival . Our findings provide evidence that e-cadherin is a prognostic factor in papillary thyroid carcinoma ." ], "offsets": [ [ 0, 1201 ] ] } ]	[ { "id": "DerChirurg.80690186.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "thyroid" ], "offsets": [ [ 55, 62 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040132" }, { "db_name": "UMLS", "db_id": "C0040134" } ] }, { "id": "DerChirurg.80690186.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "carcinoma" ], "offsets": [ [ 63, 72 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007097" } ] }, { "id": "DerChirurg.80690186.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "retrospective" ], "offsets": [ [ 92, 105 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035363" } ] }, { "id": "DerChirurg.80690186.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "retrospective study" ], "offsets": [ [ 92, 111 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035363" } ] }, { "id": "DerChirurg.80690186.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 157, 165 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.80690186.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "surgery" ], "offsets": [ [ 176, 183 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038894" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.80690186.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "thyroid" ], "offsets": [ [ 198, 205 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040132" }, { "db_name": "UMLS", "db_id": "C0040134" } ] }, { "id": "DerChirurg.80690186.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "carcinoma" ], "offsets": [ [ 206, 215 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007097" } ] }, { "id": "DerChirurg.80690186.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "tissue" ], "offsets": [ [ 267, 273 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040300" } ] }, { "id": "DerChirurg.80690186.eng.abstr-s3-t2", "type": 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DerChirurg.80690191.eng.abstr	DerChirurg.80690191.eng.abstr	[ { "id": "DerChirurg.80690191.eng.abstr-passage-0", "type": "abstract", "text": [ "Age , high physiological load and the great number and different fracture types of the proximal femur are the main challanges for implants used in the management of these fractures . For use in these types of fracture with immediate restoration of full weight-bearing capacity and for reduction of the intra- and postoperative complication rate , the gliding nail was developed . The development is based on a large number of experimental and clinical examinations of per- and subtrochanteric fractures . The advantages of an intramedullary implant and the gliding screw systems are combined with increased moment of resistance of the double-T femor-neck blade profile . We performed a prospective clinical evaluation of the first 186 patients with per- and subtrochanteric fractures who were treated between 15 September 1994 and 29 February 1996 in the Aschaffenburg Trauma Department with a follow-up examination at least 3 months after the operation . The intraoperative complication rate was 1.1 % . The postoperative complication rate was 4.9 % . Change of the blade because of fracture impaction and tractus iliotibialis problems was the most frequent problem with 2.2 % . The most severe complication ( 1.1 % ) were caused by subchondral placement of the blade in the cranial one-third of the femur head . In these cases reosteosynthesis was indicated . Ninety-three percent of the survivors were able to return home . The rate of bed-ridden patients ( 7.7 % and 11.7 % ) was not very different before or after the operation . However , many patients do not reach the condition they had before the fracture and they are one step worse in mobility and social independence ." ], "offsets": [ [ 0, 1680 ] ] } ]	[ { "id": "DerChirurg.80690191.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "Age" ], "offsets": [ [ 0, 3 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0001792" }, { "db_name": "UMLS", "db_id": "C0001811" } ] }, { "id": "DerChirurg.80690191.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "fracture" ], "offsets": [ [ 65, 73 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016658" } ] }, { "id": "DerChirurg.80690191.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "femur" ], "offsets": [ [ 96, 101 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015811" } ] }, { "id": "DerChirurg.80690191.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "fractures" ], "offsets": [ [ 171, 180 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016658" } ] }, { "id": "DerChirurg.80690191.eng.abstr-s2-t1", 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DerChirurg.80690198.eng.abstr	DerChirurg.80690198.eng.abstr	[ { "id": "DerChirurg.80690198.eng.abstr-passage-0", "type": "abstract", "text": [ "We report four patients who developed heparin-associated thrombocytopenia ( HAT ) under heparin prophylaxis . One patient showed no clinical signs , but three had severe complications ( white-clot syndrome , acute adrenal failure and loss of limb because of thromboembolic complication ) , leading to death in two cases ." ], "offsets": [ [ 0, 321 ] ] } ]	[ { "id": "DerChirurg.80690198.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 15, 23 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.80690198.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "heparin-associated" ], "offsets": [ [ 38, 56 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019134" } ] }, { "id": "DerChirurg.80690198.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "thrombocytopenia" ], "offsets": [ [ 57, 73 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040034" } ] }, { "id": "DerChirurg.80690198.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "heparin" ], "offsets": [ [ 88, 95 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019134" } ] }, { "id": "DerChirurg.80690198.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "prophylaxis" ], "offsets": [ [ 96, 107 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0033107" } ] }, { "id": "DerChirurg.80690198.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "patient" ], "offsets": [ [ 114, 121 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.80690198.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "signs" ], "offsets": [ [ 141, 146 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220912" } ] }, { "id": "DerChirurg.80690198.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "complications" ], "offsets": [ [ 170, 183 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] }, { "id": "DerChirurg.80690198.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "white-clot" ], "offsets": [ [ 186, 196 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0043157" } ] }, { "id": "DerChirurg.80690198.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "white-clot" ], "offsets": [ [ 186, 196 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005779" } ] }, { "id": "DerChirurg.80690198.eng.abstr-s2-t6", "type": "umlsterm", "text": [ "syndrome" ], "offsets": [ [ 197, 205 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039082" } ] }, { "id": "DerChirurg.80690198.eng.abstr-s2-t7", "type": "umlsterm", "text": [ "limb" ], "offsets": [ [ 242, 246 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015385" } ] }, { "id": "DerChirurg.80690198.eng.abstr-s2-t8", "type": "umlsterm", "text": [ "complication" ], "offsets": [ [ 273, 285 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] }, { "id": "DerChirurg.80690198.eng.abstr-s2-t9", "type": "umlsterm", "text": [ "death" ], "offsets": [ [ 301, 306 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011065" } ] }, { "id": "DerChirurg.80690198.eng.abstr-s2-t10", "type": "umlsterm", "text": [ "adrenal failure" ], "offsets": [ [ 214, 229 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0001623" } ] } ]	[]	[]	[ { "id": "DerChirurg.80690198.eng.abstr-s1-r1-t4.1-t2.1", "type": "interacts_with", "arg1_id": "DerChirurg.80690198.eng.abstr-s2-t4", "arg2_id": "DerChirurg.80690198.eng.abstr-s2-t2", "normalized": [] }, { "id": "DerChirurg.80690198.eng.abstr-s1-r2-t4.1-t3.1", "type": "affects", "arg1_id": "DerChirurg.80690198.eng.abstr-s2-t4", "arg2_id": "DerChirurg.80690198.eng.abstr-s2-t3", "normalized": [] }, { "id": "DerChirurg.80690198.eng.abstr-s1-r3-t2.1-t4.1", "type": "interacts_with", "arg1_id": "DerChirurg.80690198.eng.abstr-s2-t2", "arg2_id": "DerChirurg.80690198.eng.abstr-s2-t4", "normalized": [] }, { "id": "DerChirurg.80690198.eng.abstr-s1-r4-t4.1-t3.1", "type": "diagnoses", "arg1_id": "DerChirurg.80690198.eng.abstr-s2-t4", "arg2_id": "DerChirurg.80690198.eng.abstr-s2-t3", "normalized": [] }, { "id": "DerChirurg.80690198.eng.abstr-s1-r5-t1.1-t5.1", "type": "uses", "arg1_id": "DerChirurg.80690198.eng.abstr-s2-t1", "arg2_id": 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DerChirurg.80690204.eng.abstr	DerChirurg.80690204.eng.abstr	[ { "id": "DerChirurg.80690204.eng.abstr-passage-0", "type": "abstract", "text": [ "In the course of an infection with human immunodeficiency virus , a large variety of complications affecting all organ systems can occur . However , complications affecting the vascular system demanding surgical intervention are rare . In the case presented we report a 67-year-old HIV-seropositive patient who underwent surgery for a huge abscess in the thigh . Intraoperatively unexpectedly we found a mycotic aneurysm of the femoral superficial artery and the causactive bacterium proved to be Salmonella enteritidis . Because of the rising number of HIV-infected patients we suspect that the amount of complications involving the vascular system and demanding surgical intervention will also increase . Therefore , when diagnosing and deciding on therapy for patients with AIDS , the physician must be awaren that vascular complications due as a result of HIV infection might occur more frequently in the future ." ], "offsets": [ [ 0, 917 ] ] } ]	[ { "id": "DerChirurg.80690204.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "infection" ], "offsets": [ [ 20, 29 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021311" } ] }, { "id": "DerChirurg.80690204.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "human" ], "offsets": [ [ 35, 40 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0020114" } ] }, { "id": "DerChirurg.80690204.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "immunodeficiency" ], "offsets": [ [ 41, 57 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021051" } ] }, { "id": "DerChirurg.80690204.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "virus" ], "offsets": [ [ 58, 63 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042776" }, { "db_name": "UMLS", "db_id": "C0521026" } ] }, { "id": "DerChirurg.80690204.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "complications" ], "offsets": [ [ 85, 98 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] }, { "id": "DerChirurg.80690204.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "human immunodeficiency virus" ], "offsets": [ [ 35, 63 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019682" } ] }, { "id": "DerChirurg.80690204.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "complications" ], "offsets": [ [ 149, 162 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] }, { "id": "DerChirurg.80690204.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "surgical" ], "offsets": [ [ 203, 211 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.80690204.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "patient" ], "offsets": [ [ 299, 306 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.80690204.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "surgery" ], "offsets": [ [ 321, 328 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038894" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.80690204.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "abscess" ], "offsets": [ [ 340, 347 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0000833" } ] }, { "id": "DerChirurg.80690204.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "thigh" ], "offsets": [ [ 355, 360 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039866" } ] }, { "id": "DerChirurg.80690204.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "aneurysm" ], "offsets": [ [ 412, 420 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0002940" } ] }, { "id": "DerChirurg.80690204.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "artery" ], "offsets": [ [ 448, 454 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003842" } ] }, { "id": "DerChirurg.80690204.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "bacterium" ], "offsets": [ [ 474, 483 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0004611" }, { "db_name": "UMLS", "db_id": "C0521009" } ] }, { "id": "DerChirurg.80690204.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "Salmonella" ], "offsets": [ [ 497, 507 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0036117" }, { "db_name": "UMLS", "db_id": "C0036111" } ] }, { "id": "DerChirurg.80690204.eng.abstr-s4-t5", "type": "umlsterm", "text": [ "mycotic aneurysm" ], "offsets": [ [ 404, 420 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0085808" } ] }, { "id": "DerChirurg.80690204.eng.abstr-s4-t6", "type": "umlsterm", "text": [ "Salmonella enteritidis" ], "offsets": [ [ 497, 519 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0036113" } ] }, { "id": "DerChirurg.80690204.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 567, 575 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": 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{ "id": "DerChirurg.80690204.eng.abstr-s6-t4", "type": "umlsterm", "text": [ "physician" ], "offsets": [ [ 788, 797 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0031831" } ] }, { "id": "DerChirurg.80690204.eng.abstr-s6-t5", "type": "umlsterm", "text": [ "complications" ], "offsets": [ [ 827, 840 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] }, { "id": "DerChirurg.80690204.eng.abstr-s6-t6", "type": "umlsterm", "text": [ "HIV" ], "offsets": [ [ 860, 863 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019682" } ] }, { "id": "DerChirurg.80690204.eng.abstr-s6-t7", "type": "umlsterm", "text": [ "infection" ], "offsets": [ [ 864, 873 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021311" } ] }, { "id": "DerChirurg.80690204.eng.abstr-s6-t8", "type": "umlsterm", "text": [ "future" ], "offsets": [ [ 909, 915 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016884" } ] }, { "id": "DerChirurg.80690204.eng.abstr-s6-t9", "type": "umlsterm", "text": [ 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DerChirurg.80690212.eng.abstr	DerChirurg.80690212.eng.abstr	[ { "id": "DerChirurg.80690212.eng.abstr-passage-0", "type": "abstract", "text": [ "Methods : In a 300-bed acute-care hospital we compared optical instruments employed , for orthopedic , urological and gynecological operations during their use in practice . The comparison between 33 ethylene oxide ( EO ) -sterilized optical instruments and 14 steam-sterilized optical instruments took into account the following criteria : frequency of use ; availability ; sterilization cycles ; kind , cost and number of repairs . Results : The 33 EO-sterilized optical instruments were handled 1043 times and were repaired 10 times ( at a cost of up to 2000 SFR ) . The 14 steam-sterilized optical instruments were treated 1101 times and were repaired 8 times ( 2000 SFR ) . The total costs were 77 000 SFR for the 14 steam-sterilized instruments and 132 000 SFR for the 33 EO-sterilized instruments . Interpretation : Steam-sterilization is a reasonable , safe and fast method of sterilizing optical instruments . We prefer this method , given its advantages ( less toxicity , personal care and pollution control ) ." ], "offsets": [ [ 0, 1021 ] ] } ]	[ { "id": "DerChirurg.80690212.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "Methods" ], "offsets": [ [ 0, 7 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025663" }, { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.80690212.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "hospital" ], "offsets": [ [ 34, 42 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019994" } ] }, { "id": "DerChirurg.80690212.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "instruments" ], "offsets": [ [ 63, 74 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243113" } ] }, { "id": "DerChirurg.80690212.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "orthopedic" ], "offsets": [ [ 90, 100 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0029355" } ] }, { "id": "DerChirurg.80690212.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "operations" ], "offsets": [ [ 132, 142 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0543467" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.80690212.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "use" ], "offsets": [ [ 156, 159 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042153" } ] }, { "id": "DerChirurg.80690212.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "ethylene" ], "offsets": [ [ 200, 208 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015075" }, { "db_name": "UMLS", "db_id": "C0015096" } ] }, { "id": "DerChirurg.80690212.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "oxide" ], "offsets": [ [ 209, 214 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030015" } ] }, { "id": "DerChirurg.80690212.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "instruments" ], "offsets": [ [ 242, 253 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243113" } ] }, { "id": "DerChirurg.80690212.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "instruments" ], "offsets": [ [ 286, 297 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243113" } ] }, { "id": "DerChirurg.80690212.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "criteria" ], "offsets": [ [ 330, 338 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243161" } ] }, { "id": "DerChirurg.80690212.eng.abstr-s2-t6", "type": "umlsterm", "text": [ "frequency" ], "offsets": [ [ 341, 350 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0376249" } ] }, { "id": "DerChirurg.80690212.eng.abstr-s2-t7", "type": "umlsterm", "text": [ "use" ], "offsets": [ [ 354, 357 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042153" } ] }, { "id": "DerChirurg.80690212.eng.abstr-s2-t8", "type": "umlsterm", "text": [ "sterilization" ], "offsets": [ [ 375, 388 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038288" }, { "db_name": "UMLS", "db_id": "C0038280" } ] }, { "id": "DerChirurg.80690212.eng.abstr-s2-t9", "type": "umlsterm", "text": [ "cost" ], "offsets": [ [ 405, 409 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0010186" }, { "db_name": "UMLS", "db_id": "C0010181" }, { "db_name": "UMLS", "db_id": "C0220812" } ] }, { "id": "DerChirurg.80690212.eng.abstr-s2-t10", "type": "umlsterm", "text": [ "repairs" ], "offsets": [ [ 424, 431 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0043240" } ] }, { "id": "DerChirurg.80690212.eng.abstr-s2-t11", "type": "umlsterm", "text": [ "ethylene oxide" ], "offsets": [ [ 200, 214 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015087" } ] }, { "id": "DerChirurg.80690212.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "instruments" ], "offsets": [ [ 473, 484 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243113" } ] }, { "id": "DerChirurg.80690212.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "times" ], "offsets": [ [ 503, 508 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040223" } ] }, { "id": "DerChirurg.80690212.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "times" ], 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Future research has to address the existing controversies in order to reach a higher degree of standardization in the therapy of these common proctological disorders ." ], "offsets": [ [ 0, 732 ] ] } ]	[ { "id": "DerChirurg.80690215.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "survey" ], "offsets": [ [ 2, 8 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038951" } ] }, { "id": "DerChirurg.80690215.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "therapeutic" ], "offsets": [ [ 65, 76 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039796" } ] }, { "id": "DerChirurg.80690215.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "treatment" ], "offsets": [ [ 94, 103 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerChirurg.80690215.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "disease" ], "offsets": [ [ 120, 127 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0012634" } ] }, { "id": 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DerChirurg.80690234.eng.abstr	DerChirurg.80690234.eng.abstr	[ { "id": "DerChirurg.80690234.eng.abstr-passage-0", "type": "abstract", "text": [ "Gastritis caused by infection with Helicobacter pylori is one of the most common infectious diseases worldwide . There are data on the epidemiology , pathophysiology and histology of this disease that show that Helicobacter pylori gastritis plays an important role in gastric carcinogenesis . However , we must remember that only a very few among those infected with Helicobacter pylori will develop gastric cancer . Hence , one of the main targets of future research will be to identify individuals who carry a greater risk for developing gastric cancer and may therefore benefit from eradication of Helicobacter pylori in terms of gastric cancer prevention ." ], "offsets": [ [ 0, 660 ] ] } ]	[ { "id": "DerChirurg.80690234.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "Gastritis" ], "offsets": [ [ 0, 9 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0017152" } ] }, { "id": "DerChirurg.80690234.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "infection" ], "offsets": [ [ 20, 29 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021311" } ] }, { "id": "DerChirurg.80690234.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "Helicobacter" ], "offsets": [ [ 35, 47 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0085508" } ] }, { "id": "DerChirurg.80690234.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "pylori" ], "offsets": [ [ 48, 54 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034196" } ] }, { "id": "DerChirurg.80690234.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "diseases" ], "offsets": [ [ 92, 100 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0012634" } ] }, { "id": "DerChirurg.80690234.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "Helicobacter pylori" ], "offsets": [ [ 35, 54 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0079488" } ] }, { "id": "DerChirurg.80690234.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "infectious diseases" ], "offsets": [ [ 81, 100 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009450" } ] }, { "id": "DerChirurg.80690234.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "epidemiology" ], "offsets": [ [ 135, 147 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0014507" }, { "db_name": "UMLS", "db_id": "C0014508" } ] }, { "id": "DerChirurg.80690234.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "pathophysiology" ], "offsets": [ [ 150, 165 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0031847" } ] }, { "id": "DerChirurg.80690234.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "histology" ], "offsets": [ [ 170, 179 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019638" }, { "db_name": "UMLS", "db_id": "C0205462" } ] }, { "id": "DerChirurg.80690234.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "disease" ], "offsets": [ [ 188, 195 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0012634" } ] }, { "id": "DerChirurg.80690234.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "Helicobacter" ], "offsets": [ [ 211, 223 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0085508" } ] }, { "id": "DerChirurg.80690234.eng.abstr-s2-t6", "type": "umlsterm", "text": [ "pylori" ], "offsets": [ [ 224, 230 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034196" } ] }, { "id": "DerChirurg.80690234.eng.abstr-s2-t7", "type": "umlsterm", "text": [ "gastritis" ], "offsets": [ [ 231, 240 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0017152" } ] }, { "id": "DerChirurg.80690234.eng.abstr-s2-t8", "type": "umlsterm", "text": [ "role" ], "offsets": [ [ 260, 264 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035820" } ] }, { "id": "DerChirurg.80690234.eng.abstr-s2-t9", "type": "umlsterm", "text": [ "Helicobacter pylori" ], "offsets": [ [ 211, 230 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0079488" } ] }, { "id": "DerChirurg.80690234.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "Helicobacter" ], "offsets": [ [ 367, 379 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0085508" } ] }, { "id": "DerChirurg.80690234.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "pylori" ], "offsets": [ [ 380, 386 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034196" } ] }, { "id": "DerChirurg.80690234.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "cancer" ], "offsets": [ [ 408, 414 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006826" } ] }, { "id": "DerChirurg.80690234.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "Helicobacter pylori" ], "offsets": [ [ 367, 386 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0079488" } ] }, { "id": "DerChirurg.80690234.eng.abstr-s3-t5", "type": "umlsterm", "text": [ "gastric cancer" ], "offsets": [ [ 400, 414 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024623" } ] }, { "id": "DerChirurg.80690234.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "future" ], "offsets": [ [ 452, 458 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016884" } ] }, { "id": "DerChirurg.80690234.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "research" ], "offsets": [ [ 459, 467 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035168" } ] }, { "id": "DerChirurg.80690234.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "risk" ], "offsets": [ [ 520, 524 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035647" } ] }, { "id": "DerChirurg.80690234.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "cancer" ], "offsets": [ [ 548, 554 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006826" } ] }, { "id": "DerChirurg.80690234.eng.abstr-s4-t5", "type": "umlsterm", "text": [ "Helicobacter" ], "offsets": [ [ 601, 613 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0085508" } ] }, { "id": "DerChirurg.80690234.eng.abstr-s4-t6", "type": "umlsterm", "text": [ "pylori" ], "offsets": [ [ 614, 620 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034196" } ] }, { "id": "DerChirurg.80690234.eng.abstr-s4-t7", "type": "umlsterm", "text": [ "cancer" ], "offsets": [ [ 641, 647 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006826" } ] }, { "id": "DerChirurg.80690234.eng.abstr-s4-t8", "type": "umlsterm", "text": [ "prevention" ], "offsets": [ [ 648, 658 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0687732" } ] }, { "id": "DerChirurg.80690234.eng.abstr-s4-t9", "type": "umlsterm", "text": [ "gastric cancer" ], "offsets": [ [ 540, 554 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024623" } ] }, { "id": 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DerChirurg.80690239.eng.abstr	DerChirurg.80690239.eng.abstr	[ { "id": "DerChirurg.80690239.eng.abstr-passage-0", "type": "abstract", "text": [ "Our understanding of ulcer pathogenesis has dramatically changed since the discovery of Heliobacter pylori . Peptic ulcer is now recognized as a chronic gastric infectious disease . H. pylori can be considered the pacemaker , with other known risk factors ultimately contributing to the ulcer formation . Treatment of H. pylori in peptic ulcer disease cures the acute lesion and prevents relapse and complications . In clinical management a positive diagnosis of H. pylori is required and other potential causes for ulcer formation must be excluded before starting treatment . The standard treatment in H. pylori positive ulcer consists of PPI in standard dose and two antibiotics either clarithromycin 2 x 500 mg and amoxycillin 2 x 1 g or metronidazole 2 x 400 mg and clarithromycin 2 x 250 mg ( or 500 mg ) for 7 days . The simultaneous presence of H. pylori and NSAID intake requires distinct management . Following bleeding complication a PPI needs to be given beyond 7 days until ulcer healing is endoscopically confirmed ." ], "offsets": [ [ 0, 1029 ] ] } ]	[ { "id": "DerChirurg.80690239.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "understanding" ], "offsets": [ [ 4, 17 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0162340" } ] }, { "id": "DerChirurg.80690239.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "ulcer" ], "offsets": [ [ 21, 26 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0041582" } ] }, { "id": "DerChirurg.80690239.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "pathogenesis" ], "offsets": [ [ 27, 39 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0543483" } ] }, { "id": "DerChirurg.80690239.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "pylori" ], "offsets": [ [ 100, 106 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034196" } ] }, { "id": "DerChirurg.80690239.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "ulcer" ], "offsets": [ [ 116, 121 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0041582" } ] }, { "id": "DerChirurg.80690239.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "disease" ], "offsets": [ [ 172, 179 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0012634" } ] }, { "id": "DerChirurg.80690239.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "Peptic ulcer" ], "offsets": [ [ 109, 121 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030920" } ] }, { "id": "DerChirurg.80690239.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "infectious disease" ], "offsets": [ [ 161, 179 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009450" } ] }, { "id": "DerChirurg.80690239.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "pylori" ], "offsets": [ [ 185, 191 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034196" } ] }, { "id": "DerChirurg.80690239.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "pacemaker" ], "offsets": [ [ 214, 223 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030163" } ] }, { "id": "DerChirurg.80690239.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "risk" ], "offsets": [ [ 243, 247 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035647" } ] }, { "id": "DerChirurg.80690239.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "ulcer" ], "offsets": [ [ 287, 292 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0041582" } ] }, { "id": "DerChirurg.80690239.eng.abstr-s3-t5", "type": "umlsterm", "text": [ "H. pylori" ], "offsets": [ [ 182, 191 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0079488" } ] }, { "id": "DerChirurg.80690239.eng.abstr-s3-t6", "type": "umlsterm", "text": [ "risk factors" ], "offsets": [ [ 243, 255 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035648" } ] }, { "id": "DerChirurg.80690239.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "Treatment" ], "offsets": [ [ 305, 314 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerChirurg.80690239.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "pylori" ], "offsets": [ [ 321, 327 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034196" } ] }, { "id": "DerChirurg.80690239.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "ulcer" ], "offsets": [ [ 338, 343 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0041582" } ] }, { "id": "DerChirurg.80690239.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "disease" ], "offsets": [ [ 344, 351 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0012634" } ] }, { "id": "DerChirurg.80690239.eng.abstr-s4-t5", "type": "umlsterm", "text": [ "complications" ], "offsets": [ [ 400, 413 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] }, { "id": "DerChirurg.80690239.eng.abstr-s4-t6", "type": "umlsterm", "text": [ "H. pylori" ], "offsets": [ [ 318, 327 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0079488" } ] }, { "id": "DerChirurg.80690239.eng.abstr-s4-t7", "type": "umlsterm", "text": [ "peptic ulcer" ], "offsets": [ [ 331, 343 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030920" } ] }, { "id": "DerChirurg.80690239.eng.abstr-s4-t8", "type": "umlsterm", "text": [ "ulcer disease" ], "offsets": [ [ 338, 351 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030920" } ] }, { "id": "DerChirurg.80690239.eng.abstr-s4-t9", "type": "umlsterm", "text": [ "peptic ulcer disease" ], "offsets": [ [ 331, 351 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030920" } ] }, { "id": "DerChirurg.80690239.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "diagnosis" ], "offsets": [ [ 450, 459 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011900" }, { "db_name": "UMLS", "db_id": "C0348026" } ] }, { "id": "DerChirurg.80690239.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "pylori" ], "offsets": [ [ 466, 472 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034196" } ] }, { "id": "DerChirurg.80690239.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "causes" ], "offsets": [ 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"DerChirurg.80690239.eng.abstr-s7-t3", "normalized": [] }, { "id": "DerChirurg.80690239.eng.abstr-s7-r5-t4.1-t3.2", "type": "causes", "arg1_id": "DerChirurg.80690239.eng.abstr-s7-t4", "arg2_id": "DerChirurg.80690239.eng.abstr-s7-t3", "normalized": [] }, { "id": "DerChirurg.80690239.eng.abstr-s7-r6-t3.2-t4.1", "type": "affects", "arg1_id": "DerChirurg.80690239.eng.abstr-s7-t3", "arg2_id": "DerChirurg.80690239.eng.abstr-s7-t4", "normalized": [] }, { "id": "DerChirurg.80690239.eng.abstr-s7-r7-t2.1-t3.2", "type": "diagnoses", "arg1_id": "DerChirurg.80690239.eng.abstr-s8-t2", "arg2_id": "DerChirurg.80690239.eng.abstr-s7-t3", "normalized": [] }, { "id": "DerChirurg.80690239.eng.abstr-s7-r8-t1.1-t3.2", "type": "location_of", "arg1_id": "DerChirurg.80690239.eng.abstr-s8-t1", "arg2_id": "DerChirurg.80690239.eng.abstr-s7-t3", "normalized": [] } ]

DerChirurg.70680718.eng.abstr

[ { "id": "DerChirurg.70680718.eng.abstr-passage-0", "type": "abstract", "text": [ "The unreamed femoral nail ( UFN ) system , with its numerous proximal interlocking options , allows a minimal invasive surgical procedure for the treatment of nearly all femoral fracture patterns . Sixty-six fractures , 5 cases of osteolysis or pathologic fractures , 2 limb shortenings and 1 lengthening ( monorail technique ) and 3 cases of pseudarthrosis were stabilised with the UFN from July 1994 to December 1996. The fractures were analysed according to the AO classification . We found 31 polytrauma patients with an mean ISS of 21.8 and a mean PTS of 25.4. Most of the multiply injured patients ( n = 26 ) were stabilised with the UFN primarily . Follow-up of 44 patients ranged from 4 to 18 months postoperatively . According to our clinical and radiological score the results were excellent in 34 % of cases , good in 36.3 % , poor in 20.4 % and bad in 9 % . Average fracture healing time was about 9.8 weeks ." ], "offsets": [ [ 0, 921 ] ] } ]

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[]

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"type": "result_of", "arg1_id": "DerChirurg.70680718.eng.abstr-s6-t3", "arg2_id": "DerChirurg.70680718.eng.abstr-s6-t1", "normalized": [] } ]

DerChirurg.70680727.eng.abstr

[ { "id": "DerChirurg.70680727.eng.abstr-passage-0", "type": "abstract", "text": [ "After a latency period of 20 years , in a 39-year-old Austrian citizen of Chinese origin , a surgically removed rectal carcinoma , as well as the neighboring chronic inflammatory rectal mucosa with various degrees of dysplasia and one positive neighboring lymph node , showed helminthiasis in the histopathological examination , convincing us of a link between carcinoma and chronic helminthiasis . Whereas the etiological context between chronic infection by Schistosoma haematobium and endemic frequent urinary bladder carcinoma is considered a matter of fact , whether of not the incidence of intestinal carcinoma is increased in connection with chronic intestinal schistosomiasis is controversial . The etiological and pathogenetic link between helminthiasis and carcinoma should be considered in the same way as for other related inflammatory large-bowel diseases . In the sequence chronic inflammation - severe dysplasia , the formation of carcinoma could possibly occur . Besides a survey of trematodes parasitology and pathology , the link between rectal carcinoma and Schistosomiasis japonicum is pointed out by means of appropriate literature investigations ." ], "offsets": [ [ 0, 1169 ] ] } ]

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"C0036323" } ] }, { "id": "DerChirurg.70680727.eng.abstr-s2-t9", "type": "umlsterm", "text": [ "Schistosoma haematobium" ], "offsets": [ [ 460, 483 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0276926" }, { "db_name": "UMLS", "db_id": "C0036316" } ] }, { "id": "DerChirurg.70680727.eng.abstr-s2-t10", "type": "umlsterm", "text": [ "urinary bladder" ], "offsets": [ [ 505, 520 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005682" } ] }, { "id": "DerChirurg.70680727.eng.abstr-s2-t11", "type": "umlsterm", "text": [ "intestinal schistosomiasis" ], "offsets": [ [ 657, 683 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0242497" } ] }, { "id": "DerChirurg.70680727.eng.abstr-s2-t12", "type": "umlsterm", "text": [ "infection by Schistosoma" ], "offsets": [ [ 447, 471 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0036323" } ] }, { "id": "DerChirurg.70680727.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "link" ], "offsets": [ [ 736, 740 ] ], "normalized": [ { 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[]

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"DerChirurg.70680727.eng.abstr-s5-t1", "arg2_id": "DerChirurg.70680727.eng.abstr-s5-t3", "normalized": [] }, { "id": "DerChirurg.70680727.eng.abstr-s5-r26-t9.1-t3.1", "type": "issue_in", "arg1_id": "DerChirurg.70680727.eng.abstr-s5-t9", "arg2_id": "DerChirurg.70680727.eng.abstr-s5-t3", "normalized": [] }, { "id": "DerChirurg.70680727.eng.abstr-s5-r27-t5.1-t7.1", "type": "affects", "arg1_id": "DerChirurg.70680727.eng.abstr-s5-t5", "arg2_id": "DerChirurg.70680727.eng.abstr-s5-t7", "normalized": [] }, { "id": "DerChirurg.70680727.eng.abstr-s5-r28-t5.1-t9.1", "type": "degree_of", "arg1_id": "DerChirurg.70680727.eng.abstr-s5-t5", "arg2_id": "DerChirurg.70680727.eng.abstr-s5-t9", "normalized": [] }, { "id": "DerChirurg.70680727.eng.abstr-s5-r29-t1.1-t9.1", "type": "associated_with", "arg1_id": "DerChirurg.70680727.eng.abstr-s5-t1", "arg2_id": "DerChirurg.70680727.eng.abstr-s5-t9", "normalized": [] }, { "id": "DerChirurg.70680727.eng.abstr-s5-r30-t4.1-t3.1", "type": "issue_in", "arg1_id": "DerChirurg.70680727.eng.abstr-s5-t4", "arg2_id": "DerChirurg.70680727.eng.abstr-s5-t3", "normalized": [] }, { "id": "DerChirurg.70680727.eng.abstr-s5-r31-t1.1-t7.1", "type": "associated_with", "arg1_id": "DerChirurg.70680727.eng.abstr-s5-t1", "arg2_id": "DerChirurg.70680727.eng.abstr-s5-t7", "normalized": [] }, { "id": "DerChirurg.70680727.eng.abstr-s5-r32-t1.1-t4.1", "type": "method_of", "arg1_id": "DerChirurg.70680727.eng.abstr-s5-t1", "arg2_id": "DerChirurg.70680727.eng.abstr-s5-t4", "normalized": [] }, { "id": "DerChirurg.70680727.eng.abstr-s5-r33-t1.1-t5.1", "type": "associated_with", "arg1_id": "DerChirurg.70680727.eng.abstr-s5-t1", "arg2_id": "DerChirurg.70680727.eng.abstr-s5-t5", "normalized": [] }, { "id": "DerChirurg.70680727.eng.abstr-s5-r34-t1.1-t7.1", "type": "causes", "arg1_id": "DerChirurg.70680727.eng.abstr-s5-t1", "arg2_id": "DerChirurg.70680727.eng.abstr-s5-t7", "normalized": [] }, { "id": "DerChirurg.70680727.eng.abstr-s5-r35-t5.1-t7.1", "type": "diagnoses", "arg1_id": "DerChirurg.70680727.eng.abstr-s5-t5", "arg2_id": "DerChirurg.70680727.eng.abstr-s5-t7", "normalized": [] } ]

DerChirurg.70680732.eng.abstr

[ { "id": "DerChirurg.70680732.eng.abstr-passage-0", "type": "abstract", "text": [ "The primitive neuroectodermal tumor is a rare soft tissue neoplasm occurring in children and young adults . It derives from a carcinogeneic alteration of pluripotent neural crest cells , caused by a balanced reciprocal translocation t ( 11 ; 22 ) ( q24;q12). Treatment of this undifferentiated , extremely malignant small cell tumor is carried out in compliance with the soft tissue trail ( CWS ) from the German Society of Pediatric Oncology . Biopsy-proven diagnosis is followed by primary chemotherapy , which in 95 % of cases leads to remission , allowing excision of the remainder of the tumor without mutilation and avoidance of intraoperative tumor cell dissemination . After excision , irradiation of the tumor site and two further sequences of chemotherapy are performed . If PNETs of the paravertebral region cause symptoms of paralysis and immediate surgery is required , postoperative chemotherapy , a second-look operation and irradiation are mandatory . Between 1986 and 1994 , in cooperation with our pediatric and radiotherapy colleagues , we treated ten patients . In four patients ( median age , 14 years ) the PNET originated from the chest wall , in six patients from the paravertebral and retroperitoneal region . Five patients died after 20 months on average , while the remaining five patients are in full remission after 31 , 46 , 50 , 51 and 91 months , respectively ." ], "offsets": [ [ 0, 1393 ] ] } ]

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[]

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"arg2_id": "DerChirurg.70680732.eng.abstr-s7-t2", "normalized": [] }, { "id": "DerChirurg.70680732.eng.abstr-s7-r17-t3.2-t2.2", "type": "result_of", "arg1_id": "DerChirurg.70680732.eng.abstr-s7-t3", "arg2_id": "DerChirurg.70680732.eng.abstr-s7-t2", "normalized": [] }, { "id": "DerChirurg.70680732.eng.abstr-s7-r18-t1.1-t2.1", "type": "interacts_with", "arg1_id": "DerChirurg.70680732.eng.abstr-s8-t1", "arg2_id": "DerChirurg.70680732.eng.abstr-s8-t2", "normalized": [] } ]

DerChirurg.70680742.eng.abstr

[ { "id": "DerChirurg.70680742.eng.abstr-passage-0", "type": "abstract", "text": [ "Here , we present the so-called \" Vollmer retractor \" , which can be fixed on to the operating table . It allows an optimal transference of the traction force on to the border of the wound , both in upper and lower abdominal interventions . In this way , as shown by our recent experience , we gain an optimal view of the subdiaphragmatic area and into the small pelvis ." ], "offsets": [ [ 0, 371 ] ] } ]

[ { "id": "DerChirurg.70680742.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "transference" ], "offsets": [ [ 124, 136 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040678" } ] }, { "id": "DerChirurg.70680742.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "traction" ], "offsets": [ [ 144, 152 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040597" } ] }, { "id": "DerChirurg.70680742.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "wound" ], "offsets": [ [ 183, 188 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021501" }, { "db_name": "UMLS", "db_id": "C0043250" } ] }, { "id": "DerChirurg.70680742.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "pelvis" ], "offsets": [ [ 363, 369 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030797" } ] } ]

[]

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DerChirurg.70680744.eng.abstr

[ { "id": "DerChirurg.70680744.eng.abstr-passage-0", "type": "abstract", "text": [ "Because of the rare incidence of splenic abscesses and bleeding , only a few cases are described in the literature on percutaneous drainage of splenic abscesses . We report on eight cases ( three male , five female , average age 74.1 +/- 10.76 years ) of percutaneous , sonographically controlled catheter drainage of large splenic abscesses . Results : Percutaneous , sonographically controlled drainage of splenic abscesses was feasible in all eight cases in the last 5 years ( trocar technique , drain : 12-16 F , abscess contents 70-750 ml ) . In seven of eight cases , therapy with percutaneous , sonographically controlled drainage of the splenic abscess and rinsing of the abscess cavity over several days was successful . In two cases , however , a recurrent abscess had to be drained repeatedly with sonographic control , and this was successful . In one case a colitis-related fistula prevented successful drainage of an infected subcapsular splenic hematoma . The following splenectomy , however , proved the infected hematoma to be completely drained . In this study there were no complications like bleeding , injury of pleura or colon . The advantages of percutaneous drainage are : the spleen is not removed ; conservative therapy is beneficial , particularly in multimorbid patients with a high surgical risk ; there is no transmission of bacterias ; the method is safe and effective ." ], "offsets": [ [ 0, 1401 ] ] } ]

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"DerChirurg.70680744.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "male" ], "offsets": [ [ 196, 200 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024554" }, { "db_name": "UMLS", "db_id": "C0086582" } ] }, { "id": "DerChirurg.70680744.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "female" ], "offsets": [ [ 208, 214 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0086287" }, { "db_name": "UMLS", "db_id": "C0015780" } ] }, { "id": "DerChirurg.70680744.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "age" ], "offsets": [ [ 225, 228 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0001792" }, { "db_name": "UMLS", "db_id": "C0001811" } ] }, { "id": "DerChirurg.70680744.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "catheter" ], "offsets": [ [ 297, 305 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0085590" } ] }, { "id": "DerChirurg.70680744.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "drainage" ], "offsets": [ [ 306, 314 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013103" } ] }, { "id": "DerChirurg.70680744.eng.abstr-s2-t6", "type": "umlsterm", "text": [ "abscesses" ], "offsets": [ [ 332, 341 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0000833" } ] }, { "id": "DerChirurg.70680744.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "drainage" ], "offsets": [ [ 396, 404 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013103" } ] }, { "id": "DerChirurg.70680744.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "abscesses" ], "offsets": [ [ 416, 425 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0000833" } ] }, { "id": "DerChirurg.70680744.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "trocar" ], "offsets": [ [ 480, 486 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0041158" } ] }, { "id": "DerChirurg.70680744.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "technique" ], "offsets": [ [ 487, 496 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.70680744.eng.abstr-s3-t5", "type": "umlsterm", "text": [ "abscess" ], "offsets": [ [ 517, 524 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0000833" } ] }, { "id": "DerChirurg.70680744.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "therapy" ], "offsets": [ [ 574, 581 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerChirurg.70680744.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "drainage" ], "offsets": [ [ 629, 637 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013103" } ] }, { "id": "DerChirurg.70680744.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "abscess" ], "offsets": [ [ 653, 660 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0000833" } ] }, { "id": "DerChirurg.70680744.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "abscess" ], "offsets": [ [ 680, 687 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0000833" } ] }, { "id": "DerChirurg.70680744.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "abscess" ], "offsets": [ [ 767, 774 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0000833" } ] }, { "id": "DerChirurg.70680744.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "control" ], "offsets": [ [ 821, 828 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243148" } ] }, { "id": "DerChirurg.70680744.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "colitis-related" ], "offsets": [ [ 871, 886 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009319" } ] }, { "id": "DerChirurg.70680744.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "fistula" ], "offsets": [ [ 887, 894 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016169" } ] }, { "id": "DerChirurg.70680744.eng.abstr-s6-t3", "type": "umlsterm", "text": [ "drainage" ], "offsets": [ [ 916, 924 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013103" } ] }, { "id": "DerChirurg.70680744.eng.abstr-s6-t4", "type": "umlsterm", "text": [ "hematoma" ], "offsets": [ [ 960, 968 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0018944" } ] }, { "id": "DerChirurg.70680744.eng.abstr-s7-t1", "type": "umlsterm", "text": [ "splenectomy" ], "offsets": [ [ 985, 996 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0037995" } ] }, { "id": "DerChirurg.70680744.eng.abstr-s7-t2", "type": "umlsterm", "text": [ "hematoma" ], "offsets": [ [ 1029, 1037 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0018944" } ] }, { "id": "DerChirurg.70680744.eng.abstr-s8-t1", "type": "umlsterm", "text": [ "complications" ], "offsets": [ [ 1093, 1106 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] }, { "id": "DerChirurg.70680744.eng.abstr-s8-t2", "type": "umlsterm", "text": [ "injury" ], "offsets": [ [ 1123, 1129 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0175677" }, { "db_name": "UMLS", "db_id": "C0021501" } ] }, { "id": "DerChirurg.70680744.eng.abstr-s8-t3", "type": "umlsterm", "text": [ "pleura" ], "offsets": [ [ 1133, 1139 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032225" } ] }, { "id": "DerChirurg.70680744.eng.abstr-s8-t4", "type": "umlsterm", "text": [ "colon" ], "offsets": [ [ 1143, 1148 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007102" }, { "db_name": "UMLS", "db_id": "C0009368" } ] }, { "id": "DerChirurg.70680744.eng.abstr-s9-t1", "type": "umlsterm", "text": [ "drainage" ], "offsets": [ [ 1182, 1190 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013103" } ] }, { "id": "DerChirurg.70680744.eng.abstr-s9-t2", "type": "umlsterm", "text": [ "spleen" ], "offsets": [ [ 1201, 1207 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0037993" }, { "db_name": "UMLS", "db_id": "C0153470" } ] }, { "id": "DerChirurg.70680744.eng.abstr-s9-t3", "type": "umlsterm", "text": [ "therapy" ], "offsets": [ [ 1238, 1245 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerChirurg.70680744.eng.abstr-s9-t4", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 1290, 1298 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680744.eng.abstr-s9-t5", "type": "umlsterm", "text": [ "surgical" ], "offsets": [ [ 1311, 1319 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70680744.eng.abstr-s9-t6", "type": "umlsterm", "text": [ "risk" ], "offsets": [ [ 1320, 1324 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035647" } ] }, { "id": "DerChirurg.70680744.eng.abstr-s9-t7", "type": "umlsterm", "text": [ "transmission" ], "offsets": [ [ 1339, 1351 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040722" } ] }, { "id": "DerChirurg.70680744.eng.abstr-s9-t8", "type": "umlsterm", "text": [ "method" ], "offsets": [ [ 1371, 1377 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025663" }, { "db_name": "UMLS", "db_id": "C0025664" } ] } ]

[]

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"DerChirurg.70680744.eng.abstr-s9-t4", "normalized": [] }, { "id": "DerChirurg.70680744.eng.abstr-s2-r1-t4.1-t6.1", "type": "treats", "arg1_id": "DerChirurg.70680744.eng.abstr-s9-t4", "arg2_id": "DerChirurg.70680744.eng.abstr-s9-t6", "normalized": [] }, { "id": "DerChirurg.70680744.eng.abstr-s2-r2-t1.1-t4.1", "type": "performs", "arg1_id": "DerChirurg.70680744.eng.abstr-s9-t1", "arg2_id": "DerChirurg.70680744.eng.abstr-s9-t4", "normalized": [] }, { "id": "DerChirurg.70680744.eng.abstr-s2-r3-t3.2-t1.1", "type": "affects", "arg1_id": "DerChirurg.70680744.eng.abstr-s9-t3", "arg2_id": "DerChirurg.70680744.eng.abstr-s9-t1", "normalized": [] }, { "id": "DerChirurg.70680744.eng.abstr-s2-r4-t4.1-t3.2", "type": "affects", "arg1_id": "DerChirurg.70680744.eng.abstr-s9-t4", "arg2_id": "DerChirurg.70680744.eng.abstr-s9-t3", "normalized": [] }, { "id": "DerChirurg.70680744.eng.abstr-s2-r5-t3.2-t2.2", "type": "affects", "arg1_id": "DerChirurg.70680744.eng.abstr-s9-t3", "arg2_id": "DerChirurg.70680744.eng.abstr-s9-t2", "normalized": [] }, { "id": "DerChirurg.70680744.eng.abstr-s2-r6-t1.1-t1.2", "type": "interacts_with", "arg1_id": "DerChirurg.70680744.eng.abstr-s9-t1", "arg2_id": "DerChirurg.70680744.eng.abstr-s4-t1", "normalized": [] }, { "id": "DerChirurg.70680744.eng.abstr-s2-r7-t6.1-t2.2", "type": "associated_with", "arg1_id": "DerChirurg.70680744.eng.abstr-s9-t6", "arg2_id": "DerChirurg.70680744.eng.abstr-s9-t2", "normalized": [] }, { "id": "DerChirurg.70680744.eng.abstr-s2-r8-t1.1-t2.1", "type": "interacts_with", "arg1_id": "DerChirurg.70680744.eng.abstr-s9-t1", "arg2_id": "DerChirurg.70680744.eng.abstr-s9-t2", "normalized": [] }, { "id": "DerChirurg.70680744.eng.abstr-s2-r9-t6.1-t4.1", "type": "associated_with", "arg1_id": "DerChirurg.70680744.eng.abstr-s9-t6", "arg2_id": "DerChirurg.70680744.eng.abstr-s9-t4", "normalized": [] }, { "id": "DerChirurg.70680744.eng.abstr-s2-r10-t6.1-t3.2", "type": "result_of", "arg1_id": 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DerChirurg.70680753.eng.abstr

[ { "id": "DerChirurg.70680753.eng.abstr-passage-0", "type": "abstract", "text": [ "Cardiac complications remain an important cause of perioperative morbidity and mortality with noncardiac surgery , despite improvement in surgical techniques and anaesthetic management . Therefore preoperative cardiovascular risk assessment plays a pivotal role in management of patients prior to noncardiac surgery . Thorough history-taking and careful examination are essential to consider further diagnostic steps in order to predict the patient's individual perioperative cardiac risk as accurately as possible . Besides elaboration of medical therapy , cardiac catherization and even balloon angioplasty or bypass surgery must be considered if indicated by preoperative cardiac testing ." ], "offsets": [ [ 0, 692 ] ] } ]

[ { "id": "DerChirurg.70680753.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "complications" ], "offsets": [ [ 8, 21 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] }, { "id": "DerChirurg.70680753.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "cause" ], "offsets": [ [ 42, 47 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015127" } ] }, { "id": "DerChirurg.70680753.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "morbidity" ], "offsets": [ [ 65, 74 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220880" }, { "db_name": "UMLS", "db_id": "C0026538" } ] }, { "id": "DerChirurg.70680753.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "mortality" ], "offsets": [ [ 79, 88 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026566" }, { "db_name": "UMLS", "db_id": "C0026565" } ] }, { "id": "DerChirurg.70680753.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "surgery" ], "offsets": [ [ 105, 112 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038894" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70680753.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "surgical" ], "offsets": [ [ 138, 146 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70680753.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "techniques" ], "offsets": [ [ 147, 157 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.70680753.eng.abstr-s1-t8", "type": "umlsterm", "text": [ "anaesthetic" ], "offsets": [ [ 162, 173 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0002932" } ] }, { "id": "DerChirurg.70680753.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "risk" ], "offsets": [ [ 225, 229 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035647" } ] }, { "id": "DerChirurg.70680753.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "assessment" ], "offsets": [ [ 230, 240 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0028708" } ] }, { "id": "DerChirurg.70680753.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "role" ], "offsets": [ [ 257, 261 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035820" } ] }, { "id": "DerChirurg.70680753.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 279, 287 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680753.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "surgery" ], "offsets": [ [ 308, 315 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038894" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70680753.eng.abstr-s2-t6", "type": "umlsterm", "text": [ "risk assessment" ], "offsets": [ [ 225, 240 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0086930" } ] }, { "id": "DerChirurg.70680753.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "history-taking" ], "offsets": [ [ 327, 341 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019602" } ] }, { "id": "DerChirurg.70680753.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "diagnostic" ], "offsets": [ [ 400, 410 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0348026" } ] }, { "id": "DerChirurg.70680753.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "risk" ], "offsets": [ [ 484, 488 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035647" } ] }, { "id": "DerChirurg.70680753.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "therapy" ], "offsets": [ [ 548, 555 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerChirurg.70680753.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "angioplasty" ], "offsets": [ [ 597, 608 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0162577" } ] }, { "id": "DerChirurg.70680753.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "surgery" ], "offsets": [ [ 619, 626 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038894" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70680753.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "testing" ], "offsets": [ [ 683, 690 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039593" } ] }, { "id": "DerChirurg.70680753.eng.abstr-s4-t5", "type": "umlsterm", "text": [ "balloon angioplasty" ], "offsets": [ [ 589, 608 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0002996" } ] } ]

[]

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DerChirurg.70680770.eng.abstr

[ { "id": "DerChirurg.70680770.eng.abstr-passage-0", "type": "abstract", "text": [ "The classification of renal insufficiency into stages of full compensation , compensated and decompensated retention and terminal renal failure is of importance if patients with impaired renal function are to undergo elective and emergency surgery . Furthermore , it should be established whether the renal disease is stable or progressive . Preoperatively , particular attention should be paid to problems of fluid and electrolyte homoeostasis as well as to acid-base balance . Many drugs should be avoided altogether in patients with kidney disease ." ], "offsets": [ [ 0, 552 ] ] } ]

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[]

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DerChirurg.70680775.eng.abstr

[ { "id": "DerChirurg.70680775.eng.abstr-passage-0", "type": "abstract", "text": [ "A high-risk patient is a challenge to the anaesthesiologist . If surgical intervention is indicated the perioperative anaesthesiological management has to be carefully adapted to the requirements of the patient . If the patient is classified a high-risk at the preoperative anaesthesiological assessment , the therapeutic management has to aim at optimizing the patient's preoperative physical status . Intraoperatively , the minimal monitoring standards have to be extended by addition of specific non-invasive or invasive monitoring techniques to observe the intraoperative cardiovascular or pulmonary function according to the patient's preoperative disease . There are no recommendations about the choice of the anaesthesia techniques ; the decision for general or regional anaesthesia depends on the site of operation and is guided by the individual experience of the anaesthesiologist . During the postoperative period each high-risk patient has to be observed in the intensive care unit to continue intraoperative monitoring and therapy . Patients at risk of postoperative myocardial ischaemia or infarction should be closely monitored for 3-5 days postoperatively . The perioperative risk of morbidity and mortality associated with elective surgical procedures has to be evaluated for each patient and the risk-benefit analysis discussed in a interdisciplinary dialogue involving the surgeon , the patient and the patient's family ." ], "offsets": [ [ 0, 1440 ] ] } ]

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"normalized": [] } ]

DerChirurg.70680784.eng.abstr

[ { "id": "DerChirurg.70680784.eng.abstr-passage-0", "type": "abstract", "text": [ "Disturbances in calcium and bone metabolism after gastrectomy have long been recognized . It has been suggested that due to impaired calcium absorption after gastrectomy , serum calcium is decreased , being counterregulated by parathyroid hormone release and 1,25-(OH)2-vitamin D formation . Both parathyroid hormone and 1,25-(OH)2-vitamin D are known to release calcium from bone , resulting in bone mass loss and increased fracture risk in some of the gastrectomized patients . No therapy is currently generally agreed on , although supplementation of vitamin D and calcium has been suggested repeatedly . A review on the current understanding of calcium and bone metabolism after gastrectomy is given ." ], "offsets": [ [ 0, 705 ] ] } ]

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[]

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"DerChirurg.70680784.eng.abstr-s5-t1", "arg2_id": "DerChirurg.70680784.eng.abstr-s5-t4", "normalized": [] }, { "id": "DerChirurg.70680784.eng.abstr-s5-r16-t4.1-t2.1", "type": "location_of", "arg1_id": "DerChirurg.70680784.eng.abstr-s5-t4", "arg2_id": "DerChirurg.70680784.eng.abstr-s5-t2", "normalized": [] }, { "id": "DerChirurg.70680784.eng.abstr-s5-r17-t1.1-t4.1", "type": "affects", "arg1_id": "DerChirurg.70680784.eng.abstr-s5-t1", "arg2_id": "DerChirurg.70680784.eng.abstr-s5-t4", "normalized": [] } ]

DerChirurg.70680789.eng.abstr

[ { "id": "DerChirurg.70680789.eng.abstr-passage-0", "type": "abstract", "text": [ "Germline mutations of the RET proto-oncogene localized on chromosome 10q11.2 are the underlying cause of hereditary medullary thyroid carcinoma . In MEN 2A and FMTC , mutations can be found in exons 10 , 11 , 13 or 14. MEN 2B is characterized by a specific mutation in exon 16. In a significant number of sporadic MTC somatic mutations in codon 918 ( exon 16 ) are detectable . Some rare sporadic MTC present somatic mutations in codons 611 , 634 , 768 and 883. Recently , deletion-insertion of the RET proto-oncogene in exon 11 and a deletion in exon 10 has been found . RET proto-oncogene mutations are not only responsible for the development of the familial MTC , but may also play an important role in the pathogenesis of sporadic MTC . However , the prognostic relevance of these somatic events is still unclear ." ], "offsets": [ [ 0, 819 ] ] } ]

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[]

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"DerChirurg.70680789.eng.abstr-s4-t2", "normalized": [] }, { "id": "DerChirurg.70680789.eng.abstr-s4-r22-t6.1-t2.1", "type": "treats", "arg1_id": "DerChirurg.70680789.eng.abstr-s4-t6", "arg2_id": "DerChirurg.70680789.eng.abstr-s4-t2", "normalized": [] }, { "id": "DerChirurg.70680789.eng.abstr-s4-r23-t3.1-t2.1", "type": "result_of", "arg1_id": "DerChirurg.70680789.eng.abstr-s4-t3", "arg2_id": "DerChirurg.70680789.eng.abstr-s4-t2", "normalized": [] }, { "id": "DerChirurg.70680789.eng.abstr-s4-r24-t6.1-t3.1", "type": "result_of", "arg1_id": "DerChirurg.70680789.eng.abstr-s4-t6", "arg2_id": "DerChirurg.70680789.eng.abstr-s4-t3", "normalized": [] }, { "id": "DerChirurg.70680789.eng.abstr-s4-r25-t3.1-t5.1", "type": "result_of", "arg1_id": "DerChirurg.70680789.eng.abstr-s4-t3", "arg2_id": "DerChirurg.70680789.eng.abstr-s4-t5", "normalized": [] } ]

DerChirurg.70680794.eng.abstr

[ { "id": "DerChirurg.70680794.eng.abstr-passage-0", "type": "abstract", "text": [ "The aim of this study was to access the importance of the laparoscopic colorectal resection . Of 131 patients 80 were operated on laparoscopically . The conversion rate was 14 % ( 13/93 ) . A total of 47 patients suffered from cancer . Curative resection was performed in 41 patients ( 87 % ) . For comparison , 48 patients who underwent open resection were used . The complication rate was lower after laparoscopy and no reoperation was performed . Patients recovered quicker and their first oral food intake and bowel movement were earlier . Hospital stay was shorter ( 15.3 vs. 8.1 days ) , and pain at rest and in motion was significantly reduced . Equal numbers of mesenteric lymph nodes were retrieved ; adequate margins of resection could be obtained and the length of resected bowel did not differ . No port metastases were observed . Reduced morbidity , reduced hospital stay , reduced abdominal pain , quicker reconvalescence , and reduced overall health care costs are strong arguments in favor of laparoscopic colectomy ." ], "offsets": [ [ 0, 1033 ] ] } ]

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[]

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"id": "DerChirurg.70680794.eng.abstr-s12-r12-t2.1-t1.1", "type": "produces", "arg1_id": "DerChirurg.70680794.eng.abstr-s12-t2", "arg2_id": "DerChirurg.70680794.eng.abstr-s12-t1", "normalized": [] }, { "id": "DerChirurg.70680794.eng.abstr-s12-r13-t4.1-t10.1", "type": "co-occurs_with", "arg1_id": "DerChirurg.70680794.eng.abstr-s12-t4", "arg2_id": "DerChirurg.70680794.eng.abstr-s12-t10", "normalized": [] }, { "id": "DerChirurg.70680794.eng.abstr-s12-r14-t2.1-t7.1", "type": "carries_out", "arg1_id": "DerChirurg.70680794.eng.abstr-s12-t2", "arg2_id": "DerChirurg.70680794.eng.abstr-s12-t7", "normalized": [] }, { "id": "DerChirurg.70680794.eng.abstr-s12-r15-t1.1-t7.1", "type": "associated_with", "arg1_id": "DerChirurg.70680794.eng.abstr-s12-t1", "arg2_id": "DerChirurg.70680794.eng.abstr-s12-t7", "normalized": [] }, { "id": "DerChirurg.70680794.eng.abstr-s12-r16-t7.1-t11.1", "type": "isa", "arg1_id": "DerChirurg.70680794.eng.abstr-s12-t7", "arg2_id": "DerChirurg.70680794.eng.abstr-s12-t11", "normalized": [] }, { "id": "DerChirurg.70680794.eng.abstr-s12-r17-t4.1-t3.1", "type": "co-occurs_with", "arg1_id": "DerChirurg.70680794.eng.abstr-s12-t4", "arg2_id": "DerChirurg.70680794.eng.abstr-s12-t3", "normalized": [] } ]

DerChirurg.70680806.eng.abstr

[ { "id": "DerChirurg.70680806.eng.abstr-passage-0", "type": "abstract", "text": [ "In comparison to conventional operating technique endoscopic surgery reveals numerous advantages , particular rapid mobilisation and earlier discharge from observation . For a effective utilization of these advantages , it is desirable to have a efficient postoperative analgesic scheme , wich can be continued into the period after discharge from hospital . In a randomised , prospective double-blind study we investigated the analgesic efficacy of dipyrone in 40 patients , scheduled for endoscopic abdominal surgery ( mainly endoscopic cholecystectomy ) . Patients received before induction of anesthesia either dipyrone ( 1 g/100 ml NaCl i . v. ) or placebo ( 100 ml NaCl i . v. ) . These infusions were repeated 6 h and 12 h after first application . After surgery all patients were allowed to self-administer buprenorphine intravenously from a PCA-pump ( Bolus 30 µg, lockout 5 min in the recovery room , 30 min on the ward ) . Every hour for the first 6 h and after 24 h , cumulated doses of buprenorphine , pain scores ( 0-10 ) , pulse , blood pressure and side effects were recorded . Dipyrone-treated patients had significantly less pain immediately after surgery and used a significantly lower cumulated dose of buprenorphine ( -67 % ; 90 µg vs. 270 µg buprenorphine ) in the first 24 h after surgery ." ], "offsets": [ [ 0, 1313 ] ] } ]

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[]

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"normalized": [] }, { "id": "DerChirurg.70680806.eng.abstr-s10-r10-t5.1-t2.1", "type": "treats", "arg1_id": "DerChirurg.70680806.eng.abstr-s10-t5", "arg2_id": "DerChirurg.70680806.eng.abstr-s10-t2", "normalized": [] }, { "id": "DerChirurg.70680806.eng.abstr-s10-r11-t5.1-t3.2", "type": "interacts_with", "arg1_id": "DerChirurg.70680806.eng.abstr-s10-t5", "arg2_id": "DerChirurg.70680806.eng.abstr-s10-t3", "normalized": [] }, { "id": "DerChirurg.70680806.eng.abstr-s10-r12-t3.2-t6.1", "type": "issue_in", "arg1_id": "DerChirurg.70680806.eng.abstr-s10-t3", "arg2_id": "DerChirurg.70680806.eng.abstr-s10-t6", "normalized": [] }, { "id": "DerChirurg.70680806.eng.abstr-s10-r13-t5.1-t6.1", "type": "issue_in", "arg1_id": "DerChirurg.70680806.eng.abstr-s10-t5", "arg2_id": "DerChirurg.70680806.eng.abstr-s10-t6", "normalized": [] }, { "id": "DerChirurg.70680806.eng.abstr-s10-r14-t6.2-t3.1", "type": "issue_in", "arg1_id": "DerChirurg.70680806.eng.abstr-s10-t6", "arg2_id": "DerChirurg.70680806.eng.abstr-s10-t3", "normalized": [] } ]

DerChirurg.70680811.eng.abstr

[ { "id": "DerChirurg.70680811.eng.abstr-passage-0", "type": "abstract", "text": [ "Surgical treatment of diffuse peritonitis is applied very variably . There is no question that source control is the most important treatment principle , but the role of additional treatment concepts such as continuous postoperative peritoneal lavage remains controversial . In a prospective survey ( 1993-1996 ) we analyzed the need for additional treatment concepts in our patient material . In 186 patients with diffuse peritonitis we applied the concept of source control and extensive ( 20-30 l ) intraoperative lavage . Additional treatment principles such as continuous postoperative peritoneal lavage ( n = 17 ) or staged lavage ( n = 5 ) were applied only \" on demand \" , namely in 20 patients ( 11 % ) . In 166 patients ( 89 % ) source control of diffuse peritonitis was possible . The mean severity of peritonitis ( n = 186 ) was 28.5 ( range 16-43 ) using the Mannheim Peritonitis Index . The primary cause of peritonitis in our patients was perforation or leakage in the lower GI tract ( 52 % ) . The hospital mortality rate was 12 % in the whole group , and the postoperative morbidity rate was 34 % . We conclude that nowadays , using high-quality intensive care as well as modern antiinfective treatment , only a few patients ( ca. 10 % ) need additional therapy measures such as postoperative lavage . Surgical source control in combination with intraoperative lavage is sufficient in most of the patients with diffuse peritonitis ." ], "offsets": [ [ 0, 1449 ] ] } ]

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[]

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"affects", "arg1_id": "DerChirurg.70680811.eng.abstr-s11-t1", "arg2_id": "DerChirurg.70680811.eng.abstr-s11-t4", "normalized": [] } ]

DerChirurg.70680816.eng.abstr

[ { "id": "DerChirurg.70680816.eng.abstr-passage-0", "type": "abstract", "text": [ "For 1 year all patients in the Department of General Surgery who were transferred to the intensive care unit ( n = 237 ) were prospectively studied as to the development of hyponatremia . Relevant hyponatremia developed in 6.3 % of the patients . The lowest sodium concentration observed was 121 mmol/l , the mean duration was 1.2 days . In general , hyponatremia is related to hypovolemia and diuretics are often involved . In no patient were there any clinical consequences ." ], "offsets": [ [ 0, 477 ] ] } ]

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[]

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"DerChirurg.70680816.eng.abstr-s4-t2", "arg2_id": "DerChirurg.70680816.eng.abstr-s5-t1", "normalized": [] }, { "id": "DerChirurg.70680816.eng.abstr-s4-r2-t2.1-t1.1", "type": "associated_with", "arg1_id": "DerChirurg.70680816.eng.abstr-s4-t2", "arg2_id": "DerChirurg.70680816.eng.abstr-s5-t1", "normalized": [] }, { "id": "DerChirurg.70680816.eng.abstr-s4-r3-t3.1-t1.1", "type": "diagnoses", "arg1_id": "DerChirurg.70680816.eng.abstr-s4-t3", "arg2_id": "DerChirurg.70680816.eng.abstr-s5-t1", "normalized": [] }, { "id": "DerChirurg.70680816.eng.abstr-s4-r4-t1.1-t2.1", "type": "degree_of", "arg1_id": "DerChirurg.70680816.eng.abstr-s5-t1", "arg2_id": "DerChirurg.70680816.eng.abstr-s4-t2", "normalized": [] }, { "id": "DerChirurg.70680816.eng.abstr-s4-r5-t3.1-t2.1", "type": "diagnoses", "arg1_id": "DerChirurg.70680816.eng.abstr-s4-t3", "arg2_id": "DerChirurg.70680816.eng.abstr-s4-t2", "normalized": [] }, { "id": "DerChirurg.70680816.eng.abstr-s4-r6-t1.1-t2.1", "type": "associated_with", 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DerChirurg.70680821.eng.abstr

[ { "id": "DerChirurg.70680821.eng.abstr-passage-0", "type": "abstract", "text": [ "We present a case of primary plasmocytoma of the left upper bronchus . Occlusion led to atelectasis of the left upper lobe and subsequent poststenotic pneumonia . Therapy consisted of local excision of the bronchus and postoperative radiotherapy . This type of lung-conserving therapy in a case of primary plasmocytoma has not been described before ." ], "offsets": [ [ 0, 350 ] ] } ]

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[]

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DerChirurg.70680829.eng.abstr

[ { "id": "DerChirurg.70680829.eng.abstr-passage-0", "type": "abstract", "text": [ "Acute compartmental syndrome ( CS ) is a surgical emergency . Different conditions in which high non-physiological pressure appears within a closed fascial space reduce the necessary blood perfusion . CS is caused by trauma , burns , bleeding in patients with coagulopathies , arterial injuries , nephrotic syndrome or unusual physical exercise with secondary compartmental swelling . When decompression occurs too late , permanent loss of function and limb contracture may result . In the following paper we report on a case of four-compartmental syndrome in the lower legs of a patient with drug intoxication . After cannabis consumption , the patient fell asleep sitting cross-legged . During our first examination several hours later , the signs of compartmental syndrome with spontaneous pain , turgid swelling and paresis were present . Bilateral skin incision technique was used to gain entrance into the four compartments in both lower legs . Immediately after the operation , the patient showed crush syndrome with high serum creatine kinase activity 140.501 U/l and acute renal failure caused by rhabdomyolysis . Within 2 weeks of haemofiltration and dialysis , a full recovery to a normal serum creatinine level of 0,7 mg/dl was achieved . After emergency treatment and rehabilitation , the patient showed neither vascular nor neural defects ." ], "offsets": [ [ 0, 1354 ] ] } ]

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"text": [ "blood" ], "offsets": [ [ 183, 188 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005767" }, { "db_name": "UMLS", "db_id": "C0005768" }, { "db_name": "UMLS", "db_id": "C0005835" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "perfusion" ], "offsets": [ [ 189, 198 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0031001" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "trauma" ], "offsets": [ [ 217, 223 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021501" }, { "db_name": "UMLS", "db_id": "C0043251" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "burns" ], "offsets": [ [ 226, 231 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006434" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 246, 254 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "coagulopathies" ], "offsets": [ [ 260, 274 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005779" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s3-t5", "type": "umlsterm", "text": [ "injuries" ], "offsets": [ [ 286, 294 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0175677" }, { "db_name": "UMLS", "db_id": "C0021501" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s3-t6", "type": "umlsterm", "text": [ "syndrome" ], "offsets": [ [ 307, 315 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039082" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s3-t7", "type": "umlsterm", "text": [ "exercise" ], "offsets": [ [ 336, 344 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015259" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s3-t8", "type": "umlsterm", "text": [ "secondary" ], "offsets": [ [ 350, 359 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027627" }, { "db_name": "UMLS", "db_id": "C0036525" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s3-t9", "type": "umlsterm", "text": [ "nephrotic syndrome" ], "offsets": [ [ 297, 315 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027726" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s3-t10", "type": "umlsterm", "text": [ "physical exercise" ], "offsets": [ [ 327, 344 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015259" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "function" ], "offsets": [ [ 440, 448 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0031843" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "limb" ], "offsets": [ [ 453, 457 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015385" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "contracture" ], "offsets": [ [ 458, 469 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009917" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "paper" ], "offsets": [ [ 500, 505 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030351" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "syndrome" ], "offsets": [ [ 548, 556 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039082" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "legs" ], "offsets": [ [ 570, 574 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023216" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s5-t4", "type": "umlsterm", "text": [ "patient" ], "offsets": [ [ 580, 587 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s5-t5", "type": "umlsterm", "text": [ "drug" ], "offsets": [ [ 593, 597 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013227" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s5-t6", "type": "umlsterm", "text": [ "intoxication" ], "offsets": [ [ 598, 610 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032344" }, { "db_name": "UMLS", "db_id": "C0728899" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s5-t7", "type": "umlsterm", "text": [ "drug intoxication" ], "offsets": [ [ 593, 610 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0029944" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "cannabis" ], "offsets": [ [ 619, 627 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0700268" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "consumption" ], "offsets": [ [ 628, 639 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009830" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s6-t3", "type": "umlsterm", "text": [ "patient" ], "offsets": [ [ 646, 653 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s7-t1", "type": "umlsterm", "text": [ "signs" ], "offsets": [ [ 744, 749 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220912" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s7-t2", "type": "umlsterm", "text": [ "syndrome" ], "offsets": [ [ 767, 775 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039082" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s7-t3", "type": "umlsterm", "text": [ "pain" ], "offsets": [ [ 793, 797 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030193" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s7-t4", "type": "umlsterm", "text": [ "paresis" ], "offsets": [ [ 820, 827 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030552" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s7-t5", "type": "umlsterm", "text": [ "compartmental syndrome" ], "offsets": [ [ 753, 775 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027743" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s8-t1", "type": "umlsterm", "text": [ "skin" ], "offsets": [ [ 853, 857 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0037267" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s8-t2", "type": "umlsterm", "text": [ "technique" ], "offsets": [ [ 867, 876 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s8-t3", "type": "umlsterm", "text": [ "legs" ], "offsets": [ [ 944, 948 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023216" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s9-t1", "type": "umlsterm", "text": [ "operation" ], "offsets": [ [ 973, 982 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0543467" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s9-t2", "type": "umlsterm", "text": [ "patient" ], "offsets": [ [ 989, 996 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s9-t3", "type": "umlsterm", "text": [ "syndrome" ], "offsets": [ [ 1010, 1018 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039082" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s9-t4", "type": "umlsterm", "text": [ "creatine" ], "offsets": [ [ 1035, 1043 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0010286" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s9-t5", "type": "umlsterm", "text": [ "kinase" ], "offsets": [ [ 1044, 1050 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0031727" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s9-t6", "type": "umlsterm", "text": [ "rhabdomyolysis" ], "offsets": [ [ 1106, 1120 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035410" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s9-t7", "type": "umlsterm", "text": [ "crush syndrome" ], "offsets": [ [ 1004, 1018 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0010392" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s9-t8", "type": "umlsterm", "text": [ "creatine kinase" ], "offsets": [ [ 1035, 1050 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0010287" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s9-t9", "type": "umlsterm", "text": [ "renal failure" ], "offsets": [ [ 1082, 1095 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035078" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s9-t10", "type": "umlsterm", "text": [ "acute renal failure" ], "offsets": [ [ 1076, 1095 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022660" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s10-t1", "type": "umlsterm", "text": [ "haemofiltration" ], "offsets": [ [ 1141, 1156 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019014" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s10-t2", "type": "umlsterm", "text": [ "dialysis" ], "offsets": [ [ 1161, 1169 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011945" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s10-t3", "type": "umlsterm", "text": [ "creatinine" ], "offsets": [ [ 1206, 1216 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0010294" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s11-t1", "type": "umlsterm", "text": [ "emergency" ], "offsets": [ [ 1257, 1266 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013956" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s11-t2", "type": "umlsterm", "text": [ "treatment" ], "offsets": [ [ 1267, 1276 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s11-t3", "type": "umlsterm", "text": [ "rehabilitation" ], "offsets": [ [ 1281, 1295 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034991" }, { "db_name": "UMLS", "db_id": "C0034992" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s11-t4", "type": "umlsterm", "text": [ "patient" ], "offsets": [ [ 1302, 1309 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s11-t5", "type": "umlsterm", "text": [ "defects" ], "offsets": [ [ 1345, 1352 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243067" } ] }, { "id": "DerChirurg.70680829.eng.abstr-s11-t6", "type": "umlsterm", "text": [ "emergency treatment" ], "offsets": [ [ 1257, 1276 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013969" } ] } ]

[]

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"DerChirurg.70680829.eng.abstr-s11-t6", "normalized": [] }, { "id": "DerChirurg.70680829.eng.abstr-s9-r36-t6.1-t10.1", "type": "degree_of", "arg1_id": "DerChirurg.70680829.eng.abstr-s11-t6", "arg2_id": "DerChirurg.70680829.eng.abstr-s9-t10", "normalized": [] }, { "id": "DerChirurg.70680829.eng.abstr-s9-r37-t6.1-t10.1", "type": "associated_with", "arg1_id": "DerChirurg.70680829.eng.abstr-s11-t6", "arg2_id": "DerChirurg.70680829.eng.abstr-s9-t10", "normalized": [] }, { "id": "DerChirurg.70680829.eng.abstr-s9-r38-t1.1-t3.1", "type": "associated_with", "arg1_id": "DerChirurg.70680829.eng.abstr-s11-t1", "arg2_id": "DerChirurg.70680829.eng.abstr-s11-t3", "normalized": [] }, { "id": "DerChirurg.70680829.eng.abstr-s9-r39-t6.1-t5.1", "type": "produces", "arg1_id": "DerChirurg.70680829.eng.abstr-s11-t6", "arg2_id": "DerChirurg.70680829.eng.abstr-s11-t5", "normalized": [] }, { "id": "DerChirurg.70680829.eng.abstr-s9-r40-t8.1-t6.1", "type": "affects", "arg1_id": "DerChirurg.70680829.eng.abstr-s9-t8", "arg2_id": "DerChirurg.70680829.eng.abstr-s11-t6", "normalized": [] }, { "id": "DerChirurg.70680829.eng.abstr-s9-r41-t4.1-t8.1", "type": "interacts_with", "arg1_id": "DerChirurg.70680829.eng.abstr-s11-t4", "arg2_id": "DerChirurg.70680829.eng.abstr-s9-t8", "normalized": [] }, { "id": "DerChirurg.70680829.eng.abstr-s10-r1-t3.1-t2.1", "type": "affects", "arg1_id": "DerChirurg.70680829.eng.abstr-s11-t3", "arg2_id": "DerChirurg.70680829.eng.abstr-s11-t2", "normalized": [] }, { "id": "DerChirurg.70680829.eng.abstr-s11-r1-t3.2-t2.1", "type": "performs", "arg1_id": "DerChirurg.70680829.eng.abstr-s11-t3", "arg2_id": "DerChirurg.70680829.eng.abstr-s11-t2", "normalized": [] }, { "id": "DerChirurg.70680829.eng.abstr-s11-r2-t3.2-t5.1", "type": "performs", "arg1_id": "DerChirurg.70680829.eng.abstr-s11-t3", "arg2_id": "DerChirurg.70680829.eng.abstr-s11-t5", "normalized": [] } ]

DerChirurg.70680832.eng.abstr

[ { "id": "DerChirurg.70680832.eng.abstr-passage-0", "type": "abstract", "text": [ "Hydatid disease is caused by the parasitic tapeworm Echinococcus . The larval stage of this parasite can thrive in many parts of the body , most frequently in the liver . Primary bone location is very rare , accounting for less than 2 % of all hydatid lesions . We report on a case of left-sided extended pelvic infestation . The destruction of the hip joint , os pubis , large parts of the ileum and the femoral head made pelvic resection and prosthetic replacement necessary . Recurrence of a hydatid cyst 5 years later in the left groin originating from the proximal femur was treated with second femoral resection and new total hip replacement . Because of instability , the primarily inserted polyacetal pelvic replacement had to be exchanged for a custom-made device fabricated with the aid of computer-aided design ( CAD ) techniques . This surgical procedure was combined with chemotherapy ( mebendazole ) . The necessity of radical resection in osseus hydatid disease is discussed ." ], "offsets": [ [ 0, 991 ] ] } ]

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"C0013502" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "stage" ], "offsets": [ [ 78, 83 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027646" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "parasite" ], "offsets": [ [ 92, 100 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030498" }, { "db_name": "UMLS", "db_id": "C0521066" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "liver" ], "offsets": [ [ 163, 168 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0345904" }, { "db_name": "UMLS", "db_id": "C0023884" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "bone" ], "offsets": [ [ 179, 183 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0262950" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "accounting" ], "offsets": [ [ 208, 218 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0000938" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "hip" ], "offsets": [ [ 349, 352 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019552" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "joint" ], "offsets": [ [ 353, 358 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022417" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "pubis" ], "offsets": [ [ 364, 369 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034014" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s5-t4", "type": "umlsterm", "text": [ "ileum" ], "offsets": [ [ 391, 396 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0020885" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s5-t5", "type": "umlsterm", "text": [ "head" ], "offsets": [ [ 413, 417 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0018670" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s5-t6", "type": "umlsterm", "text": [ "hip joint" ], "offsets": [ [ 349, 358 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019558" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s5-t7", "type": "umlsterm", "text": [ "os pubis" ], "offsets": [ [ 361, 369 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034014" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s5-t8", "type": "umlsterm", "text": [ "femoral head" ], "offsets": [ [ 405, 417 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015813" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "Recurrence" ], "offsets": [ [ 479, 489 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034897" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "cyst" ], "offsets": [ [ 503, 507 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0010709" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s6-t3", "type": "umlsterm", "text": [ "groin" ], "offsets": [ [ 534, 539 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0018246" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s6-t4", "type": "umlsterm", "text": [ "femur" ], "offsets": [ [ 570, 575 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015811" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s6-t5", "type": "umlsterm", "text": [ "hip" ], "offsets": [ [ 632, 635 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019552" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s6-t6", "type": "umlsterm", "text": [ "hydatid cyst" ], "offsets": [ [ 495, 507 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013502" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s6-t7", "type": "umlsterm", "text": [ "hip replacement" ], "offsets": [ [ 632, 647 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0392806" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s6-t8", "type": "umlsterm", "text": [ "total hip replacement" ], "offsets": [ [ 626, 647 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040508" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s7-t1", "type": "umlsterm", "text": [ "polyacetal" ], "offsets": [ [ 698, 708 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0071496" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s7-t2", "type": "umlsterm", "text": [ "polyacetal" ], "offsets": [ [ 698, 708 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0000967" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s7-t3", "type": "umlsterm", "text": [ "device" ], "offsets": [ [ 766, 772 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0699733" }, { "db_name": "UMLS", "db_id": "C0220819" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s7-t4", "type": "umlsterm", "text": [ "aid" ], "offsets": [ [ 793, 796 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021588" }, { "db_name": "UMLS", "db_id": "C0001175" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s7-t5", "type": "umlsterm", "text": [ "CAD" ], "offsets": [ [ 824, 827 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0170509" }, { "db_name": "UMLS", "db_id": "C0010068" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s7-t6", "type": "umlsterm", "text": [ "techniques" ], "offsets": [ [ 830, 840 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s8-t1", "type": "umlsterm", "text": [ "surgical" ], "offsets": [ [ 848, 856 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s8-t2", "type": "umlsterm", "text": [ "procedure" ], "offsets": [ [ 857, 866 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0184661" }, { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s8-t3", "type": "umlsterm", "text": [ "chemotherapy" ], "offsets": [ [ 885, 897 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013216" }, { "db_name": "UMLS", "db_id": "C0013217" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s8-t4", "type": "umlsterm", "text": [ "mebendazole" ], "offsets": [ [ 900, 911 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025023" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s8-t5", "type": "umlsterm", "text": [ "surgical procedure" ], "offsets": [ [ 848, 866 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0543467" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s9-t1", "type": "umlsterm", "text": [ "disease" ], "offsets": [ [ 969, 976 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0012634" } ] }, { "id": "DerChirurg.70680832.eng.abstr-s9-t2", "type": "umlsterm", "text": [ "hydatid disease" ], "offsets": [ [ 961, 976 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013502" } ] } ]

[]

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"normalized": [] }, { "id": "DerChirurg.70680832.eng.abstr-s8-r1-t1.1-t5.1", "type": "conceptual_part_of", "arg1_id": "DerChirurg.70680832.eng.abstr-s9-t1", "arg2_id": "DerChirurg.70680832.eng.abstr-s8-t5", "normalized": [] }, { "id": "DerChirurg.70680832.eng.abstr-s8-r2-t2.1-t1.1", "type": "conceptual_part_of", "arg1_id": "DerChirurg.70680832.eng.abstr-s9-t2", "arg2_id": "DerChirurg.70680832.eng.abstr-s9-t1", "normalized": [] }, { "id": "DerChirurg.70680832.eng.abstr-s8-r3-t5.1-t3.2", "type": "uses", "arg1_id": "DerChirurg.70680832.eng.abstr-s8-t5", "arg2_id": "DerChirurg.70680832.eng.abstr-s8-t3", "normalized": [] }, { "id": "DerChirurg.70680832.eng.abstr-s8-r4-t1.1-t3.2", "type": "uses", "arg1_id": "DerChirurg.70680832.eng.abstr-s9-t1", "arg2_id": "DerChirurg.70680832.eng.abstr-s8-t3", "normalized": [] }, { "id": "DerChirurg.70680832.eng.abstr-s8-r5-t2.1-t5.1", "type": "conceptual_part_of", "arg1_id": "DerChirurg.70680832.eng.abstr-s9-t2", "arg2_id": "DerChirurg.70680832.eng.abstr-s8-t5", "normalized": [] } ]

DerChirurg.70680837.eng.abstr

[ { "id": "DerChirurg.70680837.eng.abstr-passage-0", "type": "abstract", "text": [ "Currently laparoscopic surgery is limited by several factors . One of them is the precise handling of optics . Up to now , in our hospital 52 laparoscopic operations have been done with a voice - controlled robot arm to handle the optics in gallbladder , stomach , large bowel and hernia operations . The visual field is determined by the surgeon . In all cases handling of the robot arm was precise and the voice response exact and without technical problems . Twenty-nine operations were done by one operator as \" solo surgeries \" . In 20 further cases there was one assistant . A robot arm can be used successfully without problems by any laparoscopic surgeon in any operating theater ." ], "offsets": [ [ 0, 689 ] ] } ]

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[]

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DerChirurg.70680840.eng.abstr

[ { "id": "DerChirurg.70680840.eng.abstr-passage-0", "type": "abstract", "text": [ "Max Broedel ( 1870-1941 ) , from Leipzig , Germany , is often referred to in the USA as the father of modern medical illustration and mentioned in the same breath as Leonardo da Vinci or Andreas Vesal . After a classical formal art education in Leipzig he worked in Carl Ludwig's laboratory of physiology and anatomy , where he came in contact with American physicians . In 1894 , the anatomist F. P. Mall convinced him to work for the recently inaugurated Johns Hopkins School of Medicine in Baltimore , where he collaborated with world-famous surgeons such as H. A. Kelly , W. S. Halsted , and H. Cushing . His illustrations were characterized by meticulous observation , both realistic and explanatory intention , technical superiority , and artistic merit . In 1911 he established the first \" Department of Art as applied to Medicine \" . Here , he proved to be an innovative artist , a creative scientist , and an inspiring and skillful instructor . By the time of Broedel's retirement in 1939 , 160 students had graduated as medical illustrators . His pupils spread his principles and style throughout the USA and Canada , and several similar academic programs for medical illustration have been founded in these countries ." ], "offsets": [ [ 0, 1229 ] ] } ]

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[]

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"DerChirurg.70680840.eng.abstr-s3-r3-t3.1-t2.1", "type": "issue_in", "arg1_id": "DerChirurg.70680840.eng.abstr-s8-t3", "arg2_id": "DerChirurg.70680840.eng.abstr-s8-t2", "normalized": [] }, { "id": "DerChirurg.70680840.eng.abstr-s4-r1-t1.1-t2.1", "type": "measures", "arg1_id": "DerChirurg.70680840.eng.abstr-s8-t1", "arg2_id": "DerChirurg.70680840.eng.abstr-s8-t2", "normalized": [] }, { "id": "DerChirurg.70680840.eng.abstr-s5-r1-t2.2-t1.1", "type": "issue_in", "arg1_id": "DerChirurg.70680840.eng.abstr-s5-t2", "arg2_id": "DerChirurg.70680840.eng.abstr-s8-t1", "normalized": [] }, { "id": "DerChirurg.70680840.eng.abstr-s5-r2-t1.1-t2.1", "type": "issue_in", "arg1_id": "DerChirurg.70680840.eng.abstr-s8-t1", "arg2_id": "DerChirurg.70680840.eng.abstr-s8-t2", "normalized": [] }, { "id": "DerChirurg.70680840.eng.abstr-s5-r3-t2.2-t2.1", "type": "issue_in", "arg1_id": "DerChirurg.70680840.eng.abstr-s5-t2", "arg2_id": "DerChirurg.70680840.eng.abstr-s8-t2", "normalized": [] }, { "id": "DerChirurg.70680840.eng.abstr-s5-r4-t2.1-t1.1", "type": "issue_in", "arg1_id": "DerChirurg.70680840.eng.abstr-s8-t2", "arg2_id": "DerChirurg.70680840.eng.abstr-s8-t1", "normalized": [] }, { "id": "DerChirurg.70680840.eng.abstr-s7-r1-t3.1-t2.1", "type": "performs", "arg1_id": "DerChirurg.70680840.eng.abstr-s8-t3", "arg2_id": "DerChirurg.70680840.eng.abstr-s8-t2", "normalized": [] }, { "id": "DerChirurg.70680840.eng.abstr-s8-r1-t1.1-t3.1", "type": "issue_in", "arg1_id": "DerChirurg.70680840.eng.abstr-s8-t1", "arg2_id": "DerChirurg.70680840.eng.abstr-s8-t3", "normalized": [] }, { "id": "DerChirurg.70680840.eng.abstr-s8-r2-t2.1-t3.1", "type": "issue_in", "arg1_id": "DerChirurg.70680840.eng.abstr-s8-t2", "arg2_id": "DerChirurg.70680840.eng.abstr-s8-t3", "normalized": [] } ]

DerChirurg.70680865.eng.abstr

[ { "id": "DerChirurg.70680865.eng.abstr-passage-0", "type": "abstract", "text": [ "Intraductal and intraparenchymal hypertension represent the rationale for surgical drainage procedures in the treatment of chronic pancreatitis . \" Simple \" drainage procedures such as longitudinal pancreaticojejunostomy according to Partington-Rochelle have to be distinguished from \" extended \" drainage operations , e . g . the combination of longitudinal pancreaticojejunostomy with limited local excision of the pancreatic head . This \" extended \" drainage procedure according to Frey is just as effective as resective procedures in terms of persistent pain relief and definitive management of pancreatitis-associated complications of adjacent organs , i . e . distal common bile duct and duodenal stenosis . This operation also addresses an inflammatory mass in the pancreatic head . In contrast to \" simple \" drainage procedures the Frey operation allows reliable exclusion of pancreatic carcinoma . With low perioperative morbidity and zero mortality the Frey procedure significantly improves quality of life and leads to social and occupational rehabilitation ." ], "offsets": [ [ 0, 1070 ] ] } ]

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"db_id": "C0030193" } ] }, { "id": "DerChirurg.70680865.eng.abstr-s5-t5", "type": "umlsterm", "text": [ "pancreatitis-associated" ], "offsets": [ [ 599, 622 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030305" } ] }, { "id": "DerChirurg.70680865.eng.abstr-s5-t6", "type": "umlsterm", "text": [ "complications" ], "offsets": [ [ 623, 636 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] }, { "id": "DerChirurg.70680865.eng.abstr-s5-t7", "type": "umlsterm", "text": [ "drainage procedure" ], "offsets": [ [ 453, 471 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013103" } ] }, { "id": "DerChirurg.70680865.eng.abstr-s7-t1", "type": "umlsterm", "text": [ "bile" ], "offsets": [ [ 680, 684 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005388" } ] }, { "id": "DerChirurg.70680865.eng.abstr-s7-t2", "type": "umlsterm", "text": [ "stenosis" ], "offsets": [ [ 703, 711 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009814" } ] }, { "id": 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[]

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}, { "id": "DerChirurg.70680865.eng.abstr-s9-r16-t4.2-t7.1", "type": "associated_with", "arg1_id": "DerChirurg.70680865.eng.abstr-s9-t4", "arg2_id": "DerChirurg.70680865.eng.abstr-s9-t7", "normalized": [] }, { "id": "DerChirurg.70680865.eng.abstr-s9-r17-t3.1-t1.1", "type": "conceptual_part_of", "arg1_id": "DerChirurg.70680865.eng.abstr-s10-t3", "arg2_id": "DerChirurg.70680865.eng.abstr-s10-t1", "normalized": [] }, { "id": "DerChirurg.70680865.eng.abstr-s10-r1-t5.2-t3.1", "type": "isa", "arg1_id": "DerChirurg.70680865.eng.abstr-s10-t5", "arg2_id": "DerChirurg.70680865.eng.abstr-s10-t3", "normalized": [] } ]

DerChirurg.70680874.eng.abstr

[ { "id": "DerChirurg.70680874.eng.abstr-passage-0", "type": "abstract", "text": [ "In patients with chronic pancreatitis the inflammatory process in the pancreatic head is frequently the pacemaker of the disease . In these cases an inflammatory tumor develops which leads to local complications in half of the patients . Duodenum-preserving pancreatic head resection , contrary to procedures used in the past , offers the possibility to preserve stomach , duodenum , biliary tree , and the insulin secretory capacity . Duodenum-preserving pancreatic head resection is a subtotal resection of the pancreatic head . In a series of 380 patients the hospital mortality rate was 0.8 % , the frequency of reoperation 5.3 % , and the median hospitalisation time 13.9 days . The early postoperative glucose metabolism was deteriorated in 2 % and improved in 9 % of cases . After a median follow-up time of 6 years , 88 % of the patients were completely painfree or suffered pain rarely . Sixty-three percent were gainfully employed ; the late mortality was 8.9 % . Only 10 % of the patients had further bouts of pancreatitis . The decisive advantage of duodenum-preserving pancreatic head resection over Kausch-Whipple resection is preservation of the endocrine pancreatic function and of neighbouring organs ." ], "offsets": [ [ 0, 1219 ] ] } ]

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[]

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"DerChirurg.70680874.eng.abstr-s10-t1", "normalized": [] }, { "id": "DerChirurg.70680874.eng.abstr-s9-r1-t2.1-t1.1", "type": "occurs_in", "arg1_id": "DerChirurg.70680874.eng.abstr-s10-t2", "arg2_id": "DerChirurg.70680874.eng.abstr-s10-t1", "normalized": [] }, { "id": "DerChirurg.70680874.eng.abstr-s10-r1-t3.1-t4.1", "type": "affects", "arg1_id": "DerChirurg.70680874.eng.abstr-s10-t3", "arg2_id": "DerChirurg.70680874.eng.abstr-s10-t4", "normalized": [] }, { "id": "DerChirurg.70680874.eng.abstr-s10-r2-t1.1-t4.1", "type": "location_of", "arg1_id": "DerChirurg.70680874.eng.abstr-s10-t1", "arg2_id": "DerChirurg.70680874.eng.abstr-s10-t4", "normalized": [] }, { "id": "DerChirurg.70680874.eng.abstr-s10-r3-t1.1-t4.1", "type": "affects", "arg1_id": "DerChirurg.70680874.eng.abstr-s10-t1", "arg2_id": "DerChirurg.70680874.eng.abstr-s10-t4", "normalized": [] } ]

DerChirurg.70680881.eng.abstr

[ { "id": "DerChirurg.70680881.eng.abstr-passage-0", "type": "abstract", "text": [ "Pancreatic pseudocysts occur as a complication in the natural course of acute or chronic pancreatitis , with a spontaneous resolution rate of 40 % to 60 % . The incidence of pseudocysts in the course of chronic pancreatitis amounts to 60 % . Pseudocysts have to be differentiated from neoplastic or congenital pancreatic cystic lesions . Careful diagnostic work-up including ERCP and CT scanning is mandatory in the management of pancreatic pseudocysts . The indication for treatment depends on the development of symptoms or complications . Pain is present in up to 90 % of all patients , and the rate of complications varies between 2 % and 55 % . Pancreatic pseudocysts are usually an epiphenomenon of chronic pancreatitis . Pancreatic resection therefore represents a causative treatment . New percutaneous and endoscopic techniques for draining pseudocysts are challenging the previous hegemony of the surgeon . However , so far no prospectively collected data are available comparing the results of interventional and surgical drainage procedures . Therefore , in most symptomatic cases surgery is considered the treatment of choice ." ], "offsets": [ [ 0, 1140 ] ] } ]

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"pancreatic" ], "offsets": [ [ 430, 440 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0070016" } ] }, { "id": "DerChirurg.70680881.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "CT scanning" ], "offsets": [ [ 384, 395 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040405" } ] }, { "id": "DerChirurg.70680881.eng.abstr-s4-t5", "type": "umlsterm", "text": [ "pancreatic pseudocysts" ], "offsets": [ [ 430, 452 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030299" } ] }, { "id": "DerChirurg.70680881.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "treatment" ], "offsets": [ [ 474, 483 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerChirurg.70680881.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "development" ], "offsets": [ [ 499, 510 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243107" }, { "db_name": "UMLS", "db_id": "C0020119" } ] }, { "id": "DerChirurg.70680881.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "symptoms" ], "offsets": [ [ 514, 522 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0683368" } ] }, { "id": "DerChirurg.70680881.eng.abstr-s5-t4", "type": "umlsterm", "text": [ "complications" ], "offsets": [ [ 526, 539 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] }, { "id": "DerChirurg.70680881.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "Pain" ], "offsets": [ [ 542, 546 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030193" } ] }, { "id": "DerChirurg.70680881.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 579, 587 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680881.eng.abstr-s6-t3", "type": "umlsterm", "text": [ "complications" ], "offsets": [ [ 606, 619 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] }, { "id": "DerChirurg.70680881.eng.abstr-s7-t1", "type": "umlsterm", "text": [ "Pancreatic" ], "offsets": [ [ 650, 660 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0070016" } ] }, { "id": "DerChirurg.70680881.eng.abstr-s7-t2", "type": "umlsterm", "text": [ "pancreatitis" ], "offsets": [ [ 713, 725 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030305" } ] }, { "id": "DerChirurg.70680881.eng.abstr-s7-t3", "type": "umlsterm", "text": [ "Pancreatic pseudocysts" ], "offsets": [ [ 650, 672 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030299" } ] }, { "id": "DerChirurg.70680881.eng.abstr-s8-t1", "type": "umlsterm", "text": [ "Pancreatic" ], "offsets": [ [ 728, 738 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0070016" } ] }, { "id": "DerChirurg.70680881.eng.abstr-s8-t2", "type": "umlsterm", "text": [ "treatment" ], "offsets": [ [ 782, 791 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerChirurg.70680881.eng.abstr-s9-t1", "type": "umlsterm", "text": [ "techniques" ], "offsets": [ [ 826, 836 ] ], "normalized": 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[]

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"DerChirurg.70680881.eng.abstr-s11-t1", "arg2_id": "DerChirurg.70680881.eng.abstr-s10-t4", "normalized": [] }, { "id": "DerChirurg.70680881.eng.abstr-s5-r13-t1.1-t2.1", "type": "result_of", "arg1_id": "DerChirurg.70680881.eng.abstr-s11-t1", "arg2_id": "DerChirurg.70680881.eng.abstr-s11-t2", "normalized": [] }, { "id": "DerChirurg.70680881.eng.abstr-s5-r14-t3.1-t1.1", "type": "evaluation_of", "arg1_id": "DerChirurg.70680881.eng.abstr-s11-t3", "arg2_id": "DerChirurg.70680881.eng.abstr-s11-t1", "normalized": [] }, { "id": "DerChirurg.70680881.eng.abstr-s5-r15-t4.1-t3.1", "type": "associated_with", "arg1_id": "DerChirurg.70680881.eng.abstr-s10-t4", "arg2_id": "DerChirurg.70680881.eng.abstr-s11-t3", "normalized": [] }, { "id": "DerChirurg.70680881.eng.abstr-s6-r1-t3.1-t2.1", "type": "occurs_in", "arg1_id": "DerChirurg.70680881.eng.abstr-s11-t3", "arg2_id": "DerChirurg.70680881.eng.abstr-s11-t2", "normalized": [] }, { "id": "DerChirurg.70680881.eng.abstr-s6-r2-t3.1-t1.1", "type": "associated_with", "arg1_id": "DerChirurg.70680881.eng.abstr-s11-t3", "arg2_id": "DerChirurg.70680881.eng.abstr-s11-t1", "normalized": [] }, { "id": "DerChirurg.70680881.eng.abstr-s6-r3-t1.1-t3.1", "type": "associated_with", "arg1_id": "DerChirurg.70680881.eng.abstr-s11-t1", "arg2_id": "DerChirurg.70680881.eng.abstr-s11-t3", "normalized": [] }, { "id": "DerChirurg.70680881.eng.abstr-s7-r1-t1.1-t3.1", "type": "affects", "arg1_id": "DerChirurg.70680881.eng.abstr-s11-t1", "arg2_id": "DerChirurg.70680881.eng.abstr-s11-t3", "normalized": [] }, { "id": "DerChirurg.70680881.eng.abstr-s7-r2-t3.1-t1.1", "type": "degree_of", "arg1_id": "DerChirurg.70680881.eng.abstr-s11-t3", "arg2_id": "DerChirurg.70680881.eng.abstr-s11-t1", "normalized": [] }, { "id": "DerChirurg.70680881.eng.abstr-s7-r3-t1.1-t3.1", "type": "degree_of", "arg1_id": "DerChirurg.70680881.eng.abstr-s11-t1", "arg2_id": "DerChirurg.70680881.eng.abstr-s11-t3", "normalized": [] }, { "id": "DerChirurg.70680881.eng.abstr-s10-r1-t3.1-t1.1", "type": "conceptual_part_of", "arg1_id": "DerChirurg.70680881.eng.abstr-s11-t3", "arg2_id": "DerChirurg.70680881.eng.abstr-s11-t1", "normalized": [] }, { "id": "DerChirurg.70680881.eng.abstr-s11-r2-t2.1-t1.1", "type": "method_of", "arg1_id": "DerChirurg.70680881.eng.abstr-s11-t2", "arg2_id": "DerChirurg.70680881.eng.abstr-s11-t1", "normalized": [] } ]

DerChirurg.70680892.eng.abstr

[ { "id": "DerChirurg.70680892.eng.abstr-passage-0", "type": "abstract", "text": [ "A prospective , controlled , randomized trial was conducted in 275 patients with symptomatic gall stone disease , whose history , laboratory data or sonographical findings did not suggest common bile duct stones . Of these patients , 137 did not undergo intraoperative fluoroscopic cholangiography ( IOC ) , but in the remaining 138 patients IOC was attempted . In 111 cases ( 80.4 % ) the biliary system was sufficiently visualized . In 3 patients ( 2.7 % ) calculi in the cystic or common bile duct were diagnosed , which would have been overlooked without IOC . IOC was false-positive in one case . One year after the operation the patients were asked to return for a follow-up examination . Three patients in the group without IOC had had symptomatic passage of a stone , and one had a common bile duct stone removed by endoscopic papillotomy . A retained stone was discussed as etiology for a pancreatitis in a fifth patient in this group . No patient sustained long-term sequelae from the retained common bile duct stones . None of the patients in the IOC group had evidence of cholangiolithiasis at follow-up . There was no difference between the study groups concerning the incidence of post-operative complications . The operations with IOC lasted significantly longer ( 92 +/- 31 min vs 77 +/- 28 min ) . According to our data and those published earlier , the additional financial and logistic expenditure associated with routine IOC is not justified . Patients with the preoperative suspicion of a common bile duct stone should have endoscopic bile duct clearance ( ERCP and EPT ) prior to cholecystectomy ." ], "offsets": [ [ 0, 1619 ] ] } ]

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[]

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"precedes", "arg1_id": "DerChirurg.70680892.eng.abstr-s14-t4", "arg2_id": "DerChirurg.70680892.eng.abstr-s14-t6", "normalized": [] }, { "id": "DerChirurg.70680892.eng.abstr-s14-r29-t5.1-t9.1", "type": "disrupts", "arg1_id": "DerChirurg.70680892.eng.abstr-s14-t5", "arg2_id": "DerChirurg.70680892.eng.abstr-s14-t9", "normalized": [] }, { "id": "DerChirurg.70680892.eng.abstr-s14-r30-t7.1-t4.1", "type": "location_of", "arg1_id": "DerChirurg.70680892.eng.abstr-s14-t7", "arg2_id": "DerChirurg.70680892.eng.abstr-s14-t4", "normalized": [] }, { "id": "DerChirurg.70680892.eng.abstr-s14-r31-t2.1-t7.1", "type": "connected_to", "arg1_id": "DerChirurg.70680892.eng.abstr-s14-t2", "arg2_id": "DerChirurg.70680892.eng.abstr-s14-t7", "normalized": [] }, { "id": "DerChirurg.70680892.eng.abstr-s14-r32-t9.1-t6.1", "type": "location_of", "arg1_id": "DerChirurg.70680892.eng.abstr-s14-t9", "arg2_id": "DerChirurg.70680892.eng.abstr-s14-t6", "normalized": [] }, { "id": "DerChirurg.70680892.eng.abstr-s14-r33-t8.1-t3.1", "type": "connected_to", "arg1_id": "DerChirurg.70680892.eng.abstr-s14-t8", "arg2_id": "DerChirurg.70680892.eng.abstr-s14-t3", "normalized": [] }, { "id": "DerChirurg.70680892.eng.abstr-s14-r34-t5.1-t8.1", "type": "disrupts", "arg1_id": "DerChirurg.70680892.eng.abstr-s14-t5", "arg2_id": "DerChirurg.70680892.eng.abstr-s14-t8", "normalized": [] }, { "id": "DerChirurg.70680892.eng.abstr-s14-r35-t8.1-t4.1", "type": "location_of", "arg1_id": "DerChirurg.70680892.eng.abstr-s14-t8", "arg2_id": "DerChirurg.70680892.eng.abstr-s14-t4", "normalized": [] } ]

DerChirurg.70680898.eng.abstr

[ { "id": "DerChirurg.70680898.eng.abstr-passage-0", "type": "abstract", "text": [ "An often unrecognized but potentially fatal complication , mostly seen in posttraumatic patients under intensive care , is reactive acute cholecystitis . On account of the high specificity of ultrasound diagnosis in the biliary system we decided to examine the ultrasound criteria for early detection of posttraumatic cholecystitis . Ultrasound of the abdomen was performed prospectively , seven times on different days , in each of 40 artificially respirated patients under intensive care conditions over a period of 12 months . The results show that artificial respiration , parenteral feeding and previous trauma can lead to tardive ( 28/40 ) wallthickening or to a three-layered wall of the gallbladder ( 9/40 ) . In 22.5 % of patients ( 9/40 ) we found the sonographic signs of acute cholecystitis . In correlation with the clinical signs , cholecystectomy was indicated in only two patients . The preoperative ultrasonographic findings and clinical signs of 23 patients with the diagnosis of acute reactive cholecystitis were analysed retrospectively . We found good correlation between sonographic and clinical signs of acute cholecystitis in 21 of these 23 patients . Our study shows that the morphological correlate of a thickened three-layered gallbladder wall can occur in the context of systemic alterations , even if there is no underlying cholecystitis . The diagnosis of acute reactive cholecystitis and the indication for cholecystectomy should be based on the synopsis of pathologic and clinical findings ." ], "offsets": [ [ 0, 1523 ] ] } ]

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"C0035203" }, { "db_name": "UMLS", "db_id": "C0282636" } ] }, { "id": "DerChirurg.70680898.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "trauma" ], "offsets": [ [ 609, 615 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021501" }, { "db_name": "UMLS", "db_id": "C0043251" } ] }, { "id": "DerChirurg.70680898.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "gallbladder" ], "offsets": [ [ 695, 706 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016976" } ] }, { "id": "DerChirurg.70680898.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "artificial respiration" ], "offsets": [ [ 552, 574 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035205" } ] }, { "id": "DerChirurg.70680898.eng.abstr-s4-t5", "type": "umlsterm", "text": [ "parenteral feeding" ], "offsets": [ [ 577, 595 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030547" } ] }, { "id": "DerChirurg.70680898.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 731, 739 ] ], "normalized": 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"text": [ "findings" ], "offsets": [ [ 1513, 1521 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243095" } ] } ]

[]

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"normalized": [] }, { "id": "DerChirurg.70680898.eng.abstr-s9-r1-t1.1-t3.1", "type": "location_of", "arg1_id": "DerChirurg.70680898.eng.abstr-s10-t1", "arg2_id": "DerChirurg.70680898.eng.abstr-s10-t3", "normalized": [] }, { "id": "DerChirurg.70680898.eng.abstr-s10-r1-t1.2-t5.1", "type": "associated_with", "arg1_id": "DerChirurg.70680898.eng.abstr-s10-t1", "arg2_id": "DerChirurg.70680898.eng.abstr-s10-t5", "normalized": [] }, { "id": "DerChirurg.70680898.eng.abstr-s10-r2-t1.1-t3.1", "type": "precedes", "arg1_id": "DerChirurg.70680898.eng.abstr-s10-t1", "arg2_id": "DerChirurg.70680898.eng.abstr-s10-t3", "normalized": [] }, { "id": "DerChirurg.70680898.eng.abstr-s10-r3-t1.2-t3.1", "type": "associated_with", "arg1_id": "DerChirurg.70680898.eng.abstr-s10-t1", "arg2_id": "DerChirurg.70680898.eng.abstr-s10-t3", "normalized": [] }, { "id": "DerChirurg.70680898.eng.abstr-s10-r4-t5.1-t1.2", "type": "associated_with", "arg1_id": "DerChirurg.70680898.eng.abstr-s10-t5", "arg2_id": "DerChirurg.70680898.eng.abstr-s10-t1", "normalized": [] }, { "id": "DerChirurg.70680898.eng.abstr-s10-r6-t3.1-t1.2", "type": "associated_with", "arg1_id": "DerChirurg.70680898.eng.abstr-s10-t3", "arg2_id": "DerChirurg.70680898.eng.abstr-s10-t1", "normalized": [] } ]

DerChirurg.70680906.eng.abstr

[ { "id": "DerChirurg.70680906.eng.abstr-passage-0", "type": "abstract", "text": [ "Cervical leakage , occuring on average in 20-50 % of the patients , is one of the major causes of morbidity following oesophagectomy for cancer . We report on a new technique of gastroplasty , namely fundus rotation gastroplasty which was used in 53 patients . There were 49 patients with oesophageal cancer and 4 with benign lesions . Hospital mortality was 5.7 % ( 3/53 ) and the leakage rate 7.5 % ( 4/53 ) . The advantages of fundus rotation gastroplasty over conventional gastroplasty are the better blood supply and the greater length of the gastric tube . Controlled clinical trials will be necessary to confirm the advantages of fundus rotation gastroplasty versus conventional gastroplasty ." ], "offsets": [ [ 0, 700 ] ] } ]

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"DerChirurg.70680906.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "technique" ], "offsets": [ [ 165, 174 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.70680906.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "gastroplasty" ], "offsets": [ [ 178, 190 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0017193" } ] }, { "id": "DerChirurg.70680906.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "rotation" ], "offsets": [ [ 207, 215 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035868" } ] }, { "id": "DerChirurg.70680906.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "gastroplasty" ], "offsets": [ [ 216, 228 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0017193" } ] }, { "id": "DerChirurg.70680906.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 250, 258 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680906.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 275, 283 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680906.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "oesophageal" ], "offsets": [ [ 289, 300 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0014852" } ] }, { "id": "DerChirurg.70680906.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "cancer" ], "offsets": [ [ 301, 307 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006826" } ] }, { "id": "DerChirurg.70680906.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "oesophageal cancer" ], "offsets": [ [ 289, 307 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0546837" }, { "db_name": "UMLS", "db_id": "C0014859" } ] }, { "id": "DerChirurg.70680906.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "Hospital" ], "offsets": [ [ 336, 344 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019994" } ] }, { "id": "DerChirurg.70680906.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "mortality" ], "offsets": [ [ 345, 354 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026566" }, { "db_name": "UMLS", "db_id": "C0026565" } ] }, { "id": "DerChirurg.70680906.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "Hospital mortality" ], "offsets": [ [ 336, 354 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0085556" } ] }, { "id": "DerChirurg.70680906.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "rotation" ], "offsets": [ [ 437, 445 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035868" } ] }, { "id": "DerChirurg.70680906.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "gastroplasty" ], "offsets": [ [ 446, 458 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0017193" } ] }, { "id": "DerChirurg.70680906.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "gastroplasty" ], "offsets": [ [ 477, 489 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0017193" } ] }, { "id": "DerChirurg.70680906.eng.abstr-s5-t4", "type": "umlsterm", "text": [ "blood" ], "offsets": [ [ 505, 510 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005767" }, { "db_name": "UMLS", "db_id": "C0005768" }, { "db_name": "UMLS", "db_id": "C0005835" } ] }, { "id": "DerChirurg.70680906.eng.abstr-s5-t5", "type": "umlsterm", "text": [ "supply" ], "offsets": [ [ 511, 517 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243163" }, { "db_name": "UMLS", "db_id": "C0038848" } ] }, { "id": "DerChirurg.70680906.eng.abstr-s5-t6", "type": "umlsterm", "text": [ "blood supply" ], "offsets": [ [ 505, 517 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005839" } ] }, { "id": "DerChirurg.70680906.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "rotation" ], "offsets": [ [ 644, 652 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035868" } ] }, { "id": "DerChirurg.70680906.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "gastroplasty" ], "offsets": [ [ 653, 665 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0017193" } ] }, { "id": "DerChirurg.70680906.eng.abstr-s6-t3", "type": "umlsterm", "text": [ "gastroplasty" ], "offsets": [ [ 686, 698 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0017193" } ] }, { "id": "DerChirurg.70680906.eng.abstr-s6-t4", "type": "umlsterm", "text": [ "clinical trials" ], "offsets": [ [ 574, 589 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0008976" } ] }, { "id": "DerChirurg.70680906.eng.abstr-s6-t5", "type": "umlsterm", "text": [ "Controlled clinical trials" ], "offsets": [ [ 563, 589 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009933" } ] } ]

[]

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DerChirurg.70680910.eng.abstr

[ { "id": "DerChirurg.70680910.eng.abstr-passage-0", "type": "abstract", "text": [ "In a prospective randomized study on 50 patients undergoing laparoscopic surgery , the safety and feasibility of open access laparoscopy was analyzed and compared to the closed Veress needle technique . Open access laparoscopic surgery was performed in half the time needed for the Veress needle technique with equal safety and without complications or technical disadvantages . Furthermore , open access offers economical advantages , as disposable trocars are no longer needed . Therefore the open access technique is recommended as the standard for laparoscopic operations ." ], "offsets": [ [ 0, 577 ] ] } ]

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[]

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"id": "DerChirurg.70680910.eng.abstr-s3-r1-t2.1-t1.1", "type": "treats", "arg1_id": "DerChirurg.70680910.eng.abstr-s4-t2", "arg2_id": "DerChirurg.70680910.eng.abstr-s4-t1", "normalized": [] }, { "id": "DerChirurg.70680910.eng.abstr-s4-r1-t3.2-t1.1", "type": "evaluation_of", "arg1_id": "DerChirurg.70680910.eng.abstr-s4-t3", "arg2_id": "DerChirurg.70680910.eng.abstr-s4-t1", "normalized": [] } ]

DerChirurg.70680914.eng.abstr

[ { "id": "DerChirurg.70680914.eng.abstr-passage-0", "type": "abstract", "text": [ "Following isolated limb perfusion ( ILP ) with TNF and melphalan the damage to muscle tissue and its systemic consequences in terms of myoglobinemia and myoglobinuria as well as the activation of the cytokine cascade were investigated . We measured the compartmental pressure of the limb during and after perfusion and determined the serum changes of myoglobin , creatine kinase ( CK ) , interleukin ( IL ) -6 , IL-1, s-IL-2-receptor, TNF-receptor , and ICAM-1 levels . The compartmental pressure rose significantly during ILP and decreased after reperfusion . Following its course , the decision whether to perform a fasciotomy or not can be more reliably made . Serum myoglobin levels exceeded 200 times normal values and the increase occurred significantly earlier than that of CK , thus enabling judgement of the risk of renal failure ( crush kidney syndrome ) . The elevation of serum IL-1 and IL-6 values correlated with the frequency of cardiopulmonary problems ( hyperdynamic shock ) and facilitated countermaneuvers . Our data , although obtained from ILP with TNF , could be used to monitor toxicity also when other drug regimens are administered ." ], "offsets": [ [ 0, 1158 ] ] } ]

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"offsets": [ [ 86, 92 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040300" } ] }, { "id": "DerChirurg.70680914.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "myoglobinuria" ], "offsets": [ [ 153, 166 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027080" } ] }, { "id": "DerChirurg.70680914.eng.abstr-s1-t8", "type": "umlsterm", "text": [ "cytokine" ], "offsets": [ [ 200, 208 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0079189" } ] }, { "id": "DerChirurg.70680914.eng.abstr-s1-t9", "type": "umlsterm", "text": [ "muscle tissue" ], "offsets": [ [ 79, 92 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026845" } ] }, { "id": "DerChirurg.70680914.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "pressure" ], "offsets": [ [ 267, 275 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0033095" } ] }, { "id": "DerChirurg.70680914.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "limb" ], "offsets": [ [ 283, 287 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015385" } ] }, { "id": "DerChirurg.70680914.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "perfusion" ], "offsets": [ [ 305, 314 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0031001" } ] }, { "id": "DerChirurg.70680914.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "myoglobin" ], "offsets": [ [ 351, 360 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027078" } ] }, { "id": "DerChirurg.70680914.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "creatine" ], "offsets": [ [ 363, 371 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0010286" } ] }, { "id": "DerChirurg.70680914.eng.abstr-s2-t6", "type": "umlsterm", "text": [ "kinase" ], "offsets": [ [ 372, 378 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0031727" } ] }, { "id": "DerChirurg.70680914.eng.abstr-s2-t7", "type": "umlsterm", "text": [ "interleukin" ], "offsets": [ [ 388, 399 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021764" } ] }, { "id": "DerChirurg.70680914.eng.abstr-s2-t8", "type": 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"normalized": [ { "db_name": "UMLS", "db_id": "C0040223" } ] }, { "id": "DerChirurg.70680914.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "values" ], "offsets": [ [ 713, 719 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042295" } ] }, { "id": "DerChirurg.70680914.eng.abstr-s5-t4", "type": "umlsterm", "text": [ "judgement" ], "offsets": [ [ 800, 809 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022423" } ] }, { "id": "DerChirurg.70680914.eng.abstr-s5-t5", "type": "umlsterm", "text": [ "risk" ], "offsets": [ [ 817, 821 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035647" } ] }, { "id": "DerChirurg.70680914.eng.abstr-s5-t6", "type": "umlsterm", "text": [ "kidney" ], "offsets": [ [ 847, 853 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022646" } ] }, { "id": "DerChirurg.70680914.eng.abstr-s5-t7", "type": "umlsterm", "text": [ "syndrome" ], "offsets": [ [ 854, 862 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039082" } ] }, { "id": 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"IL-6" ], "offsets": [ [ 899, 903 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021760" } ] }, { "id": "DerChirurg.70680914.eng.abstr-s6-t3", "type": "umlsterm", "text": [ "values" ], "offsets": [ [ 904, 910 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042295" } ] }, { "id": "DerChirurg.70680914.eng.abstr-s6-t4", "type": "umlsterm", "text": [ "frequency" ], "offsets": [ [ 931, 940 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0376249" } ] }, { "id": "DerChirurg.70680914.eng.abstr-s7-t1", "type": "umlsterm", "text": [ "TNF" ], "offsets": [ [ 1070, 1073 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0041368" } ] }, { "id": "DerChirurg.70680914.eng.abstr-s7-t2", "type": "umlsterm", "text": [ "toxicity" ], "offsets": [ [ 1101, 1109 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0600688" }, { "db_name": "UMLS", "db_id": "C0040539" } ] }, { "id": "DerChirurg.70680914.eng.abstr-s7-t3", "type": "umlsterm", "text": [ "drug" ], "offsets": [ [ 1126, 1130 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013227" } ] } ]

[]

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"arg1_id": "DerChirurg.70680914.eng.abstr-s7-t2", "arg2_id": "DerChirurg.70680914.eng.abstr-s7-t1", "normalized": [] }, { "id": "DerChirurg.70680914.eng.abstr-s7-r3-t1.1-t2.1", "type": "interacts_with", "arg1_id": "DerChirurg.70680914.eng.abstr-s7-t1", "arg2_id": "DerChirurg.70680914.eng.abstr-s7-t2", "normalized": [] }, { "id": "DerChirurg.70680914.eng.abstr-s7-r4-t1.1-t2.1", "type": "complicates", "arg1_id": "DerChirurg.70680914.eng.abstr-s7-t1", "arg2_id": "DerChirurg.70680914.eng.abstr-s7-t2", "normalized": [] } ]

DerChirurg.70680929.eng.abstr

[ { "id": "DerChirurg.70680929.eng.abstr-passage-0", "type": "abstract", "text": [ "Mediastinitis caused by infection with Clostridium perfringens and spontaneous rupture of the esophagus are both life threatening conditions . The combination of these two entities led to septic multiorgan failure in a 38-year-old woman . The patient was treated successfully by esophagectomy and postoperative lavage through a partially open abdomen . The lack of information regarding emesis , the leading symptom of Boerhaave's syndrome , caused delayed diagnosis : the triad of emesis , severe epigastric pain and emphysema of the skin was not established until 30 h after the onset of symptoms ." ], "offsets": [ [ 0, 600 ] ] } ]

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[]

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DerChirurg.70680932.eng.abstr

[ { "id": "DerChirurg.70680932.eng.abstr-passage-0", "type": "abstract", "text": [ "In the present case of a granular cell tumor an abdomino-thoracal resection of the esophagus was performed in a 41-year-old patient after preoperative diagnosis had suggested esophageal cancer . Granular cell tumors ( Abrikossoff's tumor ) of the esophagus are rather rare tumors of neuroectodermal benign histogenesis . Diagnosis can be obtained by endoscopic and histological study and immunohistochemical forceps biopsy . Because of the peculiar histological feature of the tumor , it can be mistaken for an squamous cell carcinoma ." ], "offsets": [ [ 0, 536 ] ] } ]

[ { "id": "DerChirurg.70680932.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "cell" ], "offsets": [ [ 34, 38 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007634" } ] }, { "id": "DerChirurg.70680932.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "tumor" ], "offsets": [ [ 39, 44 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" } ] }, { "id": "DerChirurg.70680932.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "esophagus" ], "offsets": [ [ 83, 92 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0546837" }, { "db_name": "UMLS", "db_id": "C0014876" } ] }, { "id": "DerChirurg.70680932.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "patient" ], "offsets": [ [ 124, 131 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680932.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "diagnosis" ], "offsets": [ [ 151, 160 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011900" }, { "db_name": "UMLS", "db_id": "C0348026" } ] }, { "id": "DerChirurg.70680932.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "esophageal" ], "offsets": [ [ 175, 185 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0014852" } ] }, { "id": "DerChirurg.70680932.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "cancer" ], "offsets": [ [ 186, 192 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006826" } ] }, { "id": "DerChirurg.70680932.eng.abstr-s1-t8", "type": "umlsterm", "text": [ "esophageal cancer" ], "offsets": [ [ 175, 192 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0546837" }, { "db_name": "UMLS", "db_id": "C0014859" } ] }, { "id": "DerChirurg.70680932.eng.abstr-s1-t9", "type": "umlsterm", "text": [ "granular cell tumor" ], "offsets": [ [ 25, 44 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0085167" } ] }, { "id": "DerChirurg.70680932.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "cell" ], "offsets": [ [ 204, 208 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007634" } ] }, { "id": "DerChirurg.70680932.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "tumors" ], "offsets": [ [ 209, 215 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" } ] }, { "id": "DerChirurg.70680932.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "tumor" ], "offsets": [ [ 232, 237 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" } ] }, { "id": "DerChirurg.70680932.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "esophagus" ], "offsets": [ [ 247, 256 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0546837" }, { "db_name": "UMLS", "db_id": "C0014876" } ] }, { "id": "DerChirurg.70680932.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "tumors" ], "offsets": [ [ 273, 279 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" } ] }, { "id": "DerChirurg.70680932.eng.abstr-s2-t6", "type": "umlsterm", "text": [ "Granular cell tumors" ], "offsets": [ [ 195, 215 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0085167" } ] }, { "id": "DerChirurg.70680932.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "Diagnosis" ], "offsets": [ [ 321, 330 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011900" }, { "db_name": "UMLS", "db_id": "C0348026" } ] }, { "id": "DerChirurg.70680932.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "forceps" ], "offsets": [ [ 408, 415 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016533" } ] }, { "id": "DerChirurg.70680932.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "biopsy" ], "offsets": [ [ 416, 422 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220797" }, { "db_name": "UMLS", "db_id": "C0005558" } ] }, { "id": "DerChirurg.70680932.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "tumor" ], "offsets": [ [ 477, 482 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" } ] }, { "id": "DerChirurg.70680932.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "cell" ], "offsets": [ [ 520, 524 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007634" } ] }, { "id": "DerChirurg.70680932.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "carcinoma" ], "offsets": [ [ 525, 534 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007097" } ] }, { "id": "DerChirurg.70680932.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "squamous cell carcinoma" ], "offsets": [ [ 511, 534 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007137" } ] } ]

[]

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DerChirurg.70680936.eng.abstr

[ { "id": "DerChirurg.70680936.eng.abstr-passage-0", "type": "abstract", "text": [ "We report on a patient who suffered chylothorax 2 months after she had undergone internal fixation of a fracture of her 12th thoracic vertebral body . The pleural effusion was treated by insertion of a chest tube . The chylothorax was managed conservatively . The patient received protein-rich nutrition supplemented with medium-chain triglycerides . As the volume of chylous fluid drained from the pleura had not decreased after 2 weeks , the patient received total parenteral nutrition without any oral intake of calories . Chest X-rays documented the disappearance of the chylothorax . Reexpansion of the lungs was noted , and the costophrenic sinuses could be clearly visualised ." ], "offsets": [ [ 0, 684 ] ] } ]

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[]

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"id": "DerChirurg.70680936.eng.abstr-s4-r5-t1.1-t2.2", "type": "issue_in", "arg1_id": "DerChirurg.70680936.eng.abstr-s7-t1", "arg2_id": "DerChirurg.70680936.eng.abstr-s4-t2", "normalized": [] }, { "id": "DerChirurg.70680936.eng.abstr-s4-r6-t3.1-t2.2", "type": "issue_in", "arg1_id": "DerChirurg.70680936.eng.abstr-s6-t3", "arg2_id": "DerChirurg.70680936.eng.abstr-s4-t2", "normalized": [] }, { "id": "DerChirurg.70680936.eng.abstr-s5-r1-t3.1-t3.2", "type": "measurement_of", "arg1_id": "DerChirurg.70680936.eng.abstr-s6-t3", "arg2_id": "DerChirurg.70680936.eng.abstr-s5-t3", "normalized": [] }, { "id": "DerChirurg.70680936.eng.abstr-s5-r2-t2.1-t3.2", "type": "issue_in", "arg1_id": "DerChirurg.70680936.eng.abstr-s7-t2", "arg2_id": "DerChirurg.70680936.eng.abstr-s5-t3", "normalized": [] }, { "id": "DerChirurg.70680936.eng.abstr-s5-r3-t4.1-t3.2", "type": "affects", "arg1_id": "DerChirurg.70680936.eng.abstr-s5-t4", "arg2_id": "DerChirurg.70680936.eng.abstr-s5-t3", "normalized": [] }, { "id": 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DerChirurg.70680941.eng.abstr

[ { "id": "DerChirurg.70680941.eng.abstr-passage-0", "type": "abstract", "text": [ "Many hygienic procedures performed in operation units are not supported by scientific investigations . The following recommendations by the National Reference Center for Hospital Epidemiology , founded by the German Ministry of Health in 1996 , are based on the scientific literature and separate necessary from less necessary and unnecessary procedures ." ], "offsets": [ [ 0, 355 ] ] } ]

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[]

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DerChirurg.70680959.eng.abstr

[ { "id": "DerChirurg.70680959.eng.abstr-passage-0", "type": "abstract", "text": [ "The tension-free hernioplasty project began in 1984 at the Lichtenstein Hernia Institute . The method consists of complete reinforcement of the inguinal floor with a large sheet of mesh , with adequate mesh tissue interface beyond the boundary of the inguinal floor , and creation of a new internal ring made of prosthesis . The preliminary report on this operation was published in 1989 , with no recurrence at that point in time . Shortly after submission of the report , several recurrences were encountered . Based on the lesson learned from those recurrences , the operation was slightly modified and reported in 1991. Since then , the Lichtenstein technique has gained world-wide popularity . Outcome measures identical to ours and other authors have been achieved by even those surgeons who have no special interest or expertise in herniology . The purpose of this article is to report the current state of the open tension-free hernioplasty for the repair of primary and recurrent inguinal hernias ." ], "offsets": [ [ 0, 1007 ] ] } ]

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[]

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DerChirurg.70680965.eng.abstr

[ { "id": "DerChirurg.70680965.eng.abstr-passage-0", "type": "abstract", "text": [ "The Shouldice operation has evolved to become the classic procedure for open pure tissue repair for inguinal hernias . The operation is an important part of a surgeon's repertoire as he may need to perform the procedure at some critical time , especially when faced with strangulation , when tension-free prosthetic repairs and laparoscopic approaches fail . When properly done , the Shouldice repair yields results that have set standards for all other techniques to emulate . Other particular advantages of the technique are : safety , the use of local anaesthesia , benign postoperative complications and the cost , which is the most reasonable of all surgical techniques ." ], "offsets": [ [ 0, 676 ] ] } ]

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"id": "DerChirurg.70680965.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "hernias" ], "offsets": [ [ 109, 116 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019270" } ] }, { "id": "DerChirurg.70680965.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "tissue repair" ], "offsets": [ [ 82, 95 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0043240" } ] }, { "id": "DerChirurg.70680965.eng.abstr-s1-t8", "type": "umlsterm", "text": [ "inguinal hernias" ], "offsets": [ [ 100, 116 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019294" } ] }, { "id": "DerChirurg.70680965.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "operation" ], "offsets": [ [ 123, 132 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0543467" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70680965.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "surgeon's" ], "offsets": [ [ 159, 168 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0605770" } ] }, { "id": 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[]

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"id": "DerChirurg.70680965.eng.abstr-s4-r10-t9.2-t5.1", "type": "associated_with", "arg1_id": "DerChirurg.70680965.eng.abstr-s4-t9", "arg2_id": "DerChirurg.70680965.eng.abstr-s4-t5", "normalized": [] } ]

DerChirurg.70680977.eng.abstr

[ { "id": "DerChirurg.70680977.eng.abstr-passage-0", "type": "abstract", "text": [ "The value of the minimal invasive approach for treating groin hernias is not yet well defined . The standard treatment for primary hernia repair in Europe is an open approach ( i.e. Shouldice ) without mesh implantation . A mesh may be used to repair a so-called complicated hernia with a complete myopectineal defect , as well as for recurrent and bilateral hernias . These hernias can well be treated laparoscopically despite the fact that the approach is difficult and that there is an increase of direct costs . Whether or not a transabdominal ( TAPP ) or preperitoneal ( TEP ) endoscopic approach is used depends on the type of hernia , the risk to the patient , and the surgeon's experience . Morbidity and long-term follow-up are identical for both techniques ( TAPP and TEP ) . The advantages for TAPP repair are that the technique is simpler , with a large working space and good diagnostic tools ." ], "offsets": [ [ 0, 907 ] ] } ]

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{ "db_name": "UMLS", "db_id": "C0010181" }, { "db_name": "UMLS", "db_id": "C0220812" } ] }, { "id": "DerChirurg.70680977.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "TAPP" ], "offsets": [ [ 550, 554 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0163807" } ] }, { "id": "DerChirurg.70680977.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "TEP" ], "offsets": [ [ 576, 579 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0145161" } ] }, { "id": "DerChirurg.70680977.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "hernia" ], "offsets": [ [ 633, 639 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019270" } ] }, { "id": "DerChirurg.70680977.eng.abstr-s5-t4", "type": "umlsterm", "text": [ "risk" ], "offsets": [ [ 646, 650 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035647" } ] }, { "id": "DerChirurg.70680977.eng.abstr-s5-t5", "type": "umlsterm", "text": [ "patient" ], "offsets": [ [ 658, 665 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { 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[]

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DerChirurg.70680989.eng.abstr

[ { "id": "DerChirurg.70680989.eng.abstr-passage-0", "type": "abstract", "text": [ "On 1 January 1996 , the implementation of the new recompense system , the Bundespflegesatzverordnung ( BPflV ) , at the Medical University Halle replaced the former German hospital financing system based on clinic-dependent individual prices . This was the beginning of a new price-performance system of the German hospital market . Since then , for all surgical procedures ( catalogue § 301 SGB V ICPM 5061-5064 ) for benign and malignent thyroid diseases a detailed cost analysis has been performed . Our personnel and material inputs were documented on-line in the operating theatre on a special designed cost-analysis record . The cost analysis was based on 14 cases of lobectomy ( average operative costs DM 1886.82 ) , and 20 each of bilateral subtotal thyroidectomy ( average DM 1970.48 ) , unilateral subtotal thyroidectomy with contralateral lobectomy ( average DM 2164.26 ) and total thyroidectomy ( average DM 2396.70 ) respectively . In 12 cases the costs of total thyroidectomy with cervical and transthoracal lymphadenectomy have been analyzed ( average DM 4664.48 ) ." ], "offsets": [ [ 0, 1082 ] ] } ]

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[]

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"associated_with", "arg1_id": "DerChirurg.70680989.eng.abstr-s6-t1", "arg2_id": "DerChirurg.70680989.eng.abstr-s6-t4", "normalized": [] }, { "id": "DerChirurg.70680989.eng.abstr-s6-r7-t3.1-t4.2", "type": "associated_with", "arg1_id": "DerChirurg.70680989.eng.abstr-s6-t3", "arg2_id": "DerChirurg.70680989.eng.abstr-s6-t4", "normalized": [] }, { "id": "DerChirurg.70680989.eng.abstr-s6-r8-t1.1-t4.1", "type": "associated_with", "arg1_id": "DerChirurg.70680989.eng.abstr-s6-t1", "arg2_id": "DerChirurg.70680989.eng.abstr-s6-t4", "normalized": [] } ]

DerChirurg.70681004.eng.abstr

[ { "id": "DerChirurg.70681004.eng.abstr-passage-0", "type": "abstract", "text": [ "Today , orthotopic liver transplantation is the treatment of choice for the end-stage of various liver diseases , and a 1-year survival rate of 80 % and a 5-year survival rate of 70 % in elective patients without tumor are reported in international surveys . The liver transplant programme of the Inselspital in Bern is small compared with international centres , which may raise questions about the results and the justification for such a programme . Over a period of 66 months , 62 liver transplantations were performed in 60 patients at the Inselspital . The hospital mortality was 3.3 % , and the 2.5-year overall survival rate was 92 % for elective cases without tumor . After a median follow-up of 30 months , 68 % of all patients were re-integrated in housework or full- or part-time in their profession , and 83 % were independent from the help of others . We conclude that a small liver transplant programme based only on routine resources can achieve results comparable to the international standards ." ], "offsets": [ [ 0, 1013 ] ] } ]

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[]

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"type": "produces", "arg1_id": "DerChirurg.70681004.eng.abstr-s6-t1", "arg2_id": "DerChirurg.70681004.eng.abstr-s6-t2", "normalized": [] } ]

DerChirurg.70681011.eng.abstr

[ { "id": "DerChirurg.70681011.eng.abstr-passage-0", "type": "abstract", "text": [ "Familial amyloid polyneuropathy ( FAP ) is a rare indication for liver transplantation . The excised liver of the FAP patient can be transplanted into a selected patient . In the following report , sequential liver transplantation is described where a 34-year-old female FAP patient received a cadaver donor liver . The excised native liver was transplanted to a 60-year-old male patient suffering from hepatocellular carcinoma in cirrhosis due to hepatitis C." ], "offsets": [ [ 0, 460 ] ] } ]

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"normalized": [ { "db_name": "UMLS", "db_id": "C0206247" } ] }, { "id": "DerChirurg.70681011.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "liver transplantation" ], "offsets": [ [ 65, 86 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023911" } ] }, { "id": "DerChirurg.70681011.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "Familial amyloid polyneuropathy" ], "offsets": [ [ 0, 31 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0206246" } ] }, { "id": "DerChirurg.70681011.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "liver" ], "offsets": [ [ 101, 106 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0345904" }, { "db_name": "UMLS", "db_id": "C0023884" } ] }, { "id": "DerChirurg.70681011.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "patient" ], "offsets": [ [ 118, 125 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70681011.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "patient" ], "offsets": [ [ 162, 169 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70681011.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "liver" ], "offsets": [ [ 209, 214 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0345904" }, { "db_name": "UMLS", "db_id": "C0023884" } ] }, { "id": "DerChirurg.70681011.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "transplantation" ], "offsets": [ [ 215, 230 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0029216" }, { "db_name": "UMLS", "db_id": "C0040732" }, { "db_name": "UMLS", "db_id": "C0040733" } ] }, { "id": "DerChirurg.70681011.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "female" ], "offsets": [ [ 264, 270 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0086287" }, { "db_name": "UMLS", "db_id": "C0015780" } ] }, { "id": "DerChirurg.70681011.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "patient" ], "offsets": [ [ 275, 282 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70681011.eng.abstr-s3-t5", "type": "umlsterm", "text": [ "cadaver" ], "offsets": [ [ 294, 301 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006629" } ] }, { "id": "DerChirurg.70681011.eng.abstr-s3-t6", "type": "umlsterm", "text": [ "donor" ], "offsets": [ [ 302, 307 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013018" } ] }, { "id": "DerChirurg.70681011.eng.abstr-s3-t7", "type": "umlsterm", "text": [ "liver" ], "offsets": [ [ 308, 313 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0345904" }, { "db_name": "UMLS", "db_id": "C0023884" } ] }, { "id": "DerChirurg.70681011.eng.abstr-s3-t8", "type": "umlsterm", "text": [ "liver transplantation" ], "offsets": [ [ 209, 230 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023911" } ] }, { "id": "DerChirurg.70681011.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "native" ], "offsets": [ [ 328, 334 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0079891" } ] }, { "id": "DerChirurg.70681011.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "liver" ], "offsets": [ [ 335, 340 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0345904" }, { "db_name": "UMLS", "db_id": "C0023884" } ] }, { "id": "DerChirurg.70681011.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "male" ], "offsets": [ [ 375, 379 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024554" }, { "db_name": "UMLS", "db_id": "C0086582" } ] }, { "id": "DerChirurg.70681011.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "patient" ], "offsets": [ [ 380, 387 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70681011.eng.abstr-s4-t5", "type": "umlsterm", "text": [ "carcinoma" ], "offsets": [ [ 418, 427 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007097" } ] }, { "id": "DerChirurg.70681011.eng.abstr-s4-t6", "type": "umlsterm", "text": [ "cirrhosis" ], "offsets": [ [ 431, 440 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0008825" } ] }, { "id": "DerChirurg.70681011.eng.abstr-s4-t7", "type": "umlsterm", "text": [ "hepatitis" ], "offsets": [ [ 448, 457 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019158" } ] }, { "id": "DerChirurg.70681011.eng.abstr-s4-t8", "type": "umlsterm", "text": [ "hepatocellular carcinoma" ], "offsets": [ [ 403, 427 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019204" } ] } ]

[]

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DerChirurg.70681014.eng.abstr

[ { "id": "DerChirurg.70681014.eng.abstr-passage-0", "type": "abstract", "text": [ "Residual tumor ( R1) was proven at the proximal bronchial resection margin in 88 ( 3.6 % ) of 2464 cases of lung cancer following lung resection and standard lymph node dissection . Postoperative complications ( 8 % ) were : fistula of the bronchial suture line ( n = 7 ) , bleeding ( n = 2 ) and heart luxation ( n = 1 ) . The in-hospital mortality was 16.6 % . Causes of death were : bronchial fistula ( n = 7 ) , erosion of the pulmonary artery ( n = 4 ) , respiratory failure ( n = 1 ) , and empyema ( n = 1 ) . Forty-three patients received postoperative radiation therapy . Median survival of all patients following incomplete resection was 16 months , compared to 37 months following complete resection ( P 0.001 ) . Length of survival was independent of tumor stage , histology , site of infiltration and postoperative radiation . In conclusion , in resection for lung cancer clear margins should be verified by intraoperative frozen section . In the case of residual tumor at the bronchial resection margin , wider resection is mandatory in stage I and II if the patient meets the functional criteria . Even in stage III a and III b prognosis is significantly better after complete resection than R1-resection; the difference , however , is smaller than in lower stages ." ], "offsets": [ [ 0, 1280 ] ] } ]

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[]

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"isa", "arg1_id": "DerChirurg.70681014.eng.abstr-s10-t1", "arg2_id": "DerChirurg.70681014.eng.abstr-s10-t2", "normalized": [] }, { "id": "DerChirurg.70681014.eng.abstr-s10-r5-t3.1-t1.1", "type": "evaluation_of", "arg1_id": "DerChirurg.70681014.eng.abstr-s10-t3", "arg2_id": "DerChirurg.70681014.eng.abstr-s10-t1", "normalized": [] }, { "id": "DerChirurg.70681014.eng.abstr-s10-r6-t1.1-t2.1", "type": "evaluation_of", "arg1_id": "DerChirurg.70681014.eng.abstr-s10-t1", "arg2_id": "DerChirurg.70681014.eng.abstr-s10-t2", "normalized": [] } ]

DerChirurg.70681020.eng.abstr

[ { "id": "DerChirurg.70681020.eng.abstr-passage-0", "type": "abstract", "text": [ "Pulmonary sequestrations have no communication with the bronchial tree . Therefore they are usually airless . However , in the presence of a fistula to the esophagus or the stomach , they might contain air or could even be emphysematic . Such a case in a newborn is presented . This very rare anomaly is frequently named \" communicating bronchopulmonary foregut malformation \" . This malformation has to be included in the differential diagnosis of multicystic lung diseases . Diagnosis can be made preoperatively by esophagography and Doppler sonography ." ], "offsets": [ [ 0, 556 ] ] } ]

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[]

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"id": "DerChirurg.70681020.eng.abstr-s6-r23-t1.1-t4.1", "type": "result_of", "arg1_id": "DerChirurg.70681020.eng.abstr-s7-t1", "arg2_id": "DerChirurg.70681020.eng.abstr-s6-t4", "normalized": [] }, { "id": "DerChirurg.70681020.eng.abstr-s6-r24-t1.2-t4.1", "type": "result_of", "arg1_id": "DerChirurg.70681020.eng.abstr-s7-t1", "arg2_id": "DerChirurg.70681020.eng.abstr-s6-t4", "normalized": [] }, { "id": "DerChirurg.70681020.eng.abstr-s6-r25-t2.2-t5.1", "type": "location_of", "arg1_id": "DerChirurg.70681020.eng.abstr-s6-t2", "arg2_id": "DerChirurg.70681020.eng.abstr-s6-t5", "normalized": [] }, { "id": "DerChirurg.70681020.eng.abstr-s6-r26-t1.1-t5.1", "type": "associated_with", "arg1_id": "DerChirurg.70681020.eng.abstr-s7-t1", "arg2_id": "DerChirurg.70681020.eng.abstr-s6-t5", "normalized": [] }, { "id": "DerChirurg.70681020.eng.abstr-s6-r27-t4.1-t1.2", "type": "associated_with", "arg1_id": "DerChirurg.70681020.eng.abstr-s6-t4", "arg2_id": "DerChirurg.70681020.eng.abstr-s7-t1", "normalized": [] } ]

DerChirurg.70681023.eng.abstr

[ { "id": "DerChirurg.70681023.eng.abstr-passage-0", "type": "abstract", "text": [ "In 386 patients with rectal carcinoma of UICC stage I-III operated on between 1 January 1985 and 31 December 1995 we investigated the influence of the number of dissected lymph nodes on tumor stage and local recurrence retrospectively . We found a significant correlation between the number of lymph nodes dissected and the number of detected lymph node metastases . Following this result we found an increase in UICC stage III ( P = 0.013 ) and pTx pN2 tumors ( P = 0.000 ) in correlation with the number of dissected lymph nodes . Significantly lower rates of local recurrence were found only in UICC stage I and UICC stage II . Overall and in a multivariate analysis the number of dissected lymph nodes had no influence on local recurrence . It was shown that lower local recurrence rates in UICC stage I and II did not depend on therapeutic benefit but on stage migration because of more exact tumor staging . The influence of other surgical factors , especially total mesorectal excision , remains to be discussed ." ], "offsets": [ [ 0, 1020 ] ] } ]

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"offsets": [ [ 192, 197 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027646" } ] }, { "id": "DerChirurg.70681023.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "recurrence" ], "offsets": [ [ 208, 218 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034897" } ] }, { "id": "DerChirurg.70681023.eng.abstr-s1-t8", "type": "umlsterm", "text": [ "lymph nodes" ], "offsets": [ [ 171, 182 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024204" } ] }, { "id": "DerChirurg.70681023.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "lymph" ], "offsets": [ [ 294, 299 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024202" } ] }, { "id": "DerChirurg.70681023.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "lymph" ], "offsets": [ [ 343, 348 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024202" } ] }, { "id": "DerChirurg.70681023.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "metastases" ], "offsets": [ [ 354, 364 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027627" } ] }, { "id": "DerChirurg.70681023.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "lymph nodes" ], "offsets": [ [ 294, 305 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024204" } ] }, { "id": "DerChirurg.70681023.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "lymph node" ], "offsets": [ [ 343, 353 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024204" } ] }, { "id": "DerChirurg.70681023.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "stage" ], "offsets": [ [ 418, 423 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027646" } ] }, { "id": "DerChirurg.70681023.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "tumors" ], "offsets": [ [ 454, 460 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" } ] }, { "id": "DerChirurg.70681023.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "lymph" ], "offsets": [ [ 519, 524 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024202" } ] }, { "id": "DerChirurg.70681023.eng.abstr-s3-t4", "type": 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[]

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"DerChirurg.70681023.eng.abstr-s6-r30-t4.1-t2.1", "type": "evaluation_of", "arg1_id": "DerChirurg.70681023.eng.abstr-s6-t4", "arg2_id": "DerChirurg.70681023.eng.abstr-s6-t2", "normalized": [] }, { "id": "DerChirurg.70681023.eng.abstr-s6-r31-t8.1-t3.1", "type": "evaluation_of", "arg1_id": "DerChirurg.70681023.eng.abstr-s6-t8", "arg2_id": "DerChirurg.70681023.eng.abstr-s6-t3", "normalized": [] }, { "id": "DerChirurg.70681023.eng.abstr-s6-r32-t2.1-t5.1", "type": "isa", "arg1_id": "DerChirurg.70681023.eng.abstr-s6-t2", "arg2_id": "DerChirurg.70681023.eng.abstr-s6-t5", "normalized": [] }, { "id": "DerChirurg.70681023.eng.abstr-s6-r33-t2.1-t5.1", "type": "evaluation_of", "arg1_id": "DerChirurg.70681023.eng.abstr-s6-t2", "arg2_id": "DerChirurg.70681023.eng.abstr-s6-t5", "normalized": [] }, { "id": "DerChirurg.70681023.eng.abstr-s6-r34-t1.1-t5.1", "type": "result_of", "arg1_id": "DerChirurg.70681023.eng.abstr-s7-t1", "arg2_id": "DerChirurg.70681023.eng.abstr-s6-t5", "normalized": [] }, { "id": "DerChirurg.70681023.eng.abstr-s6-r35-t2.1-t3.1", "type": "evaluation_of", "arg1_id": "DerChirurg.70681023.eng.abstr-s6-t2", "arg2_id": "DerChirurg.70681023.eng.abstr-s6-t3", "normalized": [] }, { "id": "DerChirurg.70681023.eng.abstr-s6-r36-t2.1-t6.1", "type": "analyzes", "arg1_id": "DerChirurg.70681023.eng.abstr-s6-t2", "arg2_id": "DerChirurg.70681023.eng.abstr-s6-t6", "normalized": [] } ]

DerChirurg.70681029.eng.abstr

[ { "id": "DerChirurg.70681029.eng.abstr-passage-0", "type": "abstract", "text": [ "From 1994 to March 1997 , 12 patients with 15 drug-related abscesses of the groin were treated at the Surgical Department of Luebeck Medical University . Besides laboratory , serological and microbiological examinations , the standard diagnostic investigation consisted of sonography or duplex sonography . If indicated , the diagnosis was extended to include , for example , clarification of the retroperitoneum by CT . The most common accompanying disease was deep femoral vein thrombosis . Substitution was planned individually . After surgical débridement and perioperative administration of a beta-lactam-protected acylaminopenicillin , open wound treatment was successfully carried out in 13 cases ; secondary closure was performed four times in cases of good compliance . One abscess led to necrotising of the femoral artery ; saphenous vein was interposed because of erosion bleeding and formation of aneurysm . In a second case , the bifurcation was reconstructed with saphenous vein after external resection of an infected false aneurysm and early occlusion . Both defects were covered by rotation of sartorius muscle and mesh graft . On the basis of the treatment concept , a rapid and successful intervention was possible ; complications such as sepsis , amputation or withdrawal delirium did not occur . Resistance against the antibiotic was not observed . In the case of infected aneurysm , we prefer the autogenous saphenous vein graft followed by rotation of sartorius muscle and mesh graft . Ligation or excision leads to high rates of claudication or amputation ; extended reconstructions are threatened by insufficient compliance of the patients ; the use of synthetic grafts is endangered by further bacteraemia or infections ." ], "offsets": [ [ 0, 1747 ] ] } ]

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"laboratory" ], "offsets": [ [ 162, 172 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022877" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "microbiological" ], "offsets": [ [ 191, 206 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025953" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "standard" ], "offsets": [ [ 226, 234 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038137" }, { "db_name": "UMLS", "db_id": "C0175675" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "diagnostic" ], "offsets": [ [ 235, 245 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0348026" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "sonography" ], "offsets": [ [ 273, 283 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0041618" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s2-t6", "type": "umlsterm", "text": [ "sonography" ], "offsets": [ [ 294, 304 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0041618" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "diagnosis" ], "offsets": [ [ 326, 335 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011900" }, { "db_name": "UMLS", "db_id": "C0348026" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "retroperitoneum" ], "offsets": [ [ 397, 412 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035359" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "disease" ], "offsets": [ [ 450, 457 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0012634" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "vein" ], "offsets": [ [ 475, 479 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042449" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "thrombosis" ], "offsets": [ [ 480, 490 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040053" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "femoral vein" ], "offsets": [ [ 467, 479 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015809" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s4-t5", "type": "umlsterm", "text": [ "vein thrombosis" ], "offsets": [ [ 475, 490 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042487" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "surgical" ], "offsets": [ [ 539, 547 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "administration" ], "offsets": [ [ 578, 592 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0001554" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s6-t3", "type": "umlsterm", "text": [ "open" ], "offsets": [ [ 642, 646 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0266061" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s6-t4", "type": "umlsterm", "text": [ "wound" ], "offsets": [ [ 647, 652 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021501" }, { "db_name": "UMLS", "db_id": "C0043250" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s6-t5", "type": "umlsterm", "text": [ "treatment" ], "offsets": [ [ 653, 662 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s6-t6", "type": "umlsterm", "text": [ "secondary" ], "offsets": [ [ 706, 715 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027627" }, { "db_name": "UMLS", "db_id": "C0036525" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s6-t7", "type": "umlsterm", "text": [ "times" ], "offsets": [ [ 743, 748 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040223" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s6-t8", "type": "umlsterm", "text": [ "compliance" ], "offsets": [ [ 766, 776 ] ], "normalized": [ 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"C0015801" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s7-t6", "type": "umlsterm", "text": [ "saphenous vein" ], "offsets": [ [ 834, 848 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0036186" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s8-t1", "type": "umlsterm", "text": [ "vein" ], "offsets": [ [ 988, 992 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042449" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s8-t2", "type": "umlsterm", "text": [ "aneurysm" ], "offsets": [ [ 1039, 1047 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0002940" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s8-t3", "type": "umlsterm", "text": [ "saphenous vein" ], "offsets": [ [ 978, 992 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0036186" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s8-t4", "type": "umlsterm", "text": [ "false aneurysm" ], "offsets": [ [ 1033, 1047 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0162868" } ] }, { "id": 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] }, { "id": "DerChirurg.70681029.eng.abstr-s10-t2", "type": "umlsterm", "text": [ "complications" ], "offsets": [ [ 1236, 1249 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s10-t3", "type": "umlsterm", "text": [ "sepsis" ], "offsets": [ [ 1258, 1264 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243026" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s10-t4", "type": "umlsterm", "text": [ "amputation" ], "offsets": [ [ 1267, 1277 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0002688" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s10-t5", "type": "umlsterm", "text": [ "delirium" ], "offsets": [ [ 1292, 1300 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011206" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s11-t1", "type": "umlsterm", "text": [ "antibiotic" ], "offsets": [ [ 1340, 1350 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003232" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s12-t1", "type": "umlsterm", "text": [ "aneurysm" ], "offsets": [ [ 1394, 1402 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0002940" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s12-t2", "type": "umlsterm", "text": [ "vein" ], "offsets": [ [ 1440, 1444 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042449" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s12-t3", "type": "umlsterm", "text": [ "graft" ], "offsets": [ [ 1445, 1450 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0332835" }, { "db_name": "UMLS", "db_id": "C0040733" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s12-t4", "type": "umlsterm", "text": [ "rotation" ], "offsets": [ [ 1463, 1471 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035868" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s12-t5", "type": "umlsterm", "text": [ "muscle" ], "offsets": [ [ 1485, 1491 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026845" } ] }, { "id": "DerChirurg.70681029.eng.abstr-s12-t6", "type": "umlsterm", "text": [ 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[]

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"conceptual_part_of", "arg1_id": "DerChirurg.70681029.eng.abstr-s13-t5", "arg2_id": "DerChirurg.70681029.eng.abstr-s13-t1", "normalized": [] }, { "id": "DerChirurg.70681029.eng.abstr-s13-r20-t5.1-t1.1", "type": "location_of", "arg1_id": "DerChirurg.70681029.eng.abstr-s13-t5", "arg2_id": "DerChirurg.70681029.eng.abstr-s13-t1", "normalized": [] }, { "id": "DerChirurg.70681029.eng.abstr-s13-r21-t1.1-t4.1", "type": "affects", "arg1_id": "DerChirurg.70681029.eng.abstr-s13-t1", "arg2_id": "DerChirurg.70681029.eng.abstr-s13-t4", "normalized": [] } ]

DerChirurg.70681035.eng.abstr

[ { "id": "DerChirurg.70681035.eng.abstr-passage-0", "type": "abstract", "text": [ "A 68-year-old woman suffering from severe upper gastrointestinal bleeding underwent an urgent laparotomy . A necrotizing cholecystitis was found . The source of the bleeding was the eroded cystic artery . Perforation of a giant gallstone led to a fistula into the duodenum . The gallstone was removed from the distal jejunum . The patient's postoperative course was uneventful . Later on a choledochal stenosis had to be treated by stenting . One year after the procedure the patient is alive and well ." ], "offsets": [ [ 0, 503 ] ] } ]

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[]

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DerChirurg.70681053.eng.abstr

[ { "id": "DerChirurg.70681053.eng.abstr-passage-0", "type": "abstract", "text": [ "Trauma is the leading cause of death for people up to 40 years of age in Germany . Most of the patients were injured in traffic accidents where special injury patterns could be detected : head injuries in bicycle and pedestrian accidents , lower extremity injuries in motorcycle accidents , and chest and pelvis injuries in car accidents . After falls from a height , the most common injuries were fractures of the thoracic and lumbar spine . The treatment of polytrauma patients requires high health care resources and demands sophisticated medical support . It is estimated that every trauma patient costs daily approximately DM 4,700 . It is not only the acute medical care that burdens our social system , but also the long period of rehabilitation and reintegration . The number of preventable trauma deaths can be significantly reduced in special trauma centers , and the high costs could be damaging for smaller hospitals . A plea is made for more preventive meausures and legislative changes to reduce the number of traffic accidents . The medical care of trauma patients should be in special trauma centers ." ], "offsets": [ [ 0, 1117 ] ] } ]

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"DerChirurg.70681053.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "Germany" ], "offsets": [ [ 73, 80 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0017480" } ] }, { "id": "DerChirurg.70681053.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "cause of death" ], "offsets": [ [ 22, 36 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007465" } ] }, { "id": "DerChirurg.70681053.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 95, 103 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70681053.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "accidents" ], "offsets": [ [ 128, 137 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0000924" } ] }, { "id": "DerChirurg.70681053.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "injury" ], "offsets": [ [ 152, 158 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0175677" }, { "db_name": "UMLS", "db_id": "C0021501" } ] }, { "id": "DerChirurg.70681053.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "head" ], "offsets": [ [ 188, 192 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0018670" } ] }, { "id": "DerChirurg.70681053.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "injuries" ], "offsets": [ [ 193, 201 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0175677" }, { "db_name": "UMLS", "db_id": "C0021501" } ] }, { "id": "DerChirurg.70681053.eng.abstr-s2-t6", "type": "umlsterm", "text": [ "accidents" ], "offsets": [ [ 228, 237 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0000924" } ] }, { "id": "DerChirurg.70681053.eng.abstr-s2-t7", "type": "umlsterm", "text": [ "extremity" ], "offsets": [ [ 246, 255 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015385" } ] }, { "id": "DerChirurg.70681053.eng.abstr-s2-t8", "type": "umlsterm", "text": [ "injuries" ], "offsets": [ [ 256, 264 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0175677" }, { "db_name": "UMLS", "db_id": "C0021501" } ] }, { "id": "DerChirurg.70681053.eng.abstr-s2-t9", "type": "umlsterm", "text": [ "motorcycle" ], "offsets": [ [ 268, 278 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026616" } ] }, { "id": "DerChirurg.70681053.eng.abstr-s2-t10", "type": "umlsterm", "text": [ "accidents" ], "offsets": [ [ 279, 288 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0000924" } ] }, { "id": "DerChirurg.70681053.eng.abstr-s2-t11", "type": "umlsterm", "text": [ "chest" ], "offsets": [ [ 295, 300 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039992" } ] }, { "id": "DerChirurg.70681053.eng.abstr-s2-t12", "type": "umlsterm", "text": [ "pelvis" ], "offsets": [ [ 305, 311 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030797" } ] }, { "id": "DerChirurg.70681053.eng.abstr-s2-t13", "type": "umlsterm", "text": [ "injuries" ], "offsets": [ [ 312, 320 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0175677" }, { "db_name": "UMLS", "db_id": "C0021501" } ] }, { "id": "DerChirurg.70681053.eng.abstr-s2-t14", "type": "umlsterm", "text": [ "car" ], "offsets": [ [ 324, 327 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007297" }, { "db_name": "UMLS", "db_id": "C0004381" } ] }, { "id": "DerChirurg.70681053.eng.abstr-s2-t15", "type": "umlsterm", "text": [ "accidents" ], "offsets": [ [ 328, 337 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0000924" } ] }, { "id": "DerChirurg.70681053.eng.abstr-s2-t16", "type": "umlsterm", "text": [ "traffic accidents" ], "offsets": [ [ 120, 137 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0000932" } ] }, { "id": "DerChirurg.70681053.eng.abstr-s2-t17", "type": "umlsterm", "text": [ "head injuries" ], "offsets": [ [ 188, 201 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0018674" } ] }, { "id": "DerChirurg.70681053.eng.abstr-s2-t18", "type": "umlsterm", "text": [ "lower extremity" ], "offsets": [ [ 240, 255 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023216" } ] }, { "id": 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[]

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DerChirurg.70681066.eng.abstr

[ { "id": "DerChirurg.70681066.eng.abstr-passage-0", "type": "abstract", "text": [ "Immunologial complications frequently occur during the clinical course in patients with multiple injuries . The increased release of pro-inflammatory mediators during the immunological response to trauma may lead to the systemic inflammatory response syndrome ( SIRS ) and furthermore , to multisystem organ failure ( MOF ) , which is associated with a mortality of up to 80% . The development of multiple organ failure following major trauma is associated with remote organ failure , the dysfunction of organs which were not initially affected by the traum . This manuscript reviews recent data in experimental trauma research and offers a more detailed evaluation of the immunological findings in trauma patients . In particular , the role of pro- and anti-inflammatory cytokines in the development or SIRS , MOF and ROF is discussed . Despite the enormous progress in clinical immunology and the available data on trauma-induced immune dysfunction , a large number of questions still remain to be answered before the immunological alterations following severe trauma can be beneficially influenced by immunomodulatory therapeutic efforts ." ], "offsets": [ [ 0, 1142 ] ] } ]

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[]

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DerChirurg.70681071.eng.abstr

[ { "id": "DerChirurg.70681071.eng.abstr-passage-0", "type": "abstract", "text": [ "The diagnostic strategies in multiple trauma aim at rapid identification of life-threatening injuries , recognition of serious organ lesions , and evaluation of the systemic trauma impact , as well as the resulting host reaction . Besides improvements in the structure and organization , major innovations in imaging techniques have significantly improved and accelerated evaluation of the patient with multiple injuries in the emergency room . Systematic diagnostic work-up , integrated multidisciplinary approach , and defined algorithms for traumatic key symptoms represent the hallmarks of successful emergency room management . In particular , diagnostic work-up of injured body cavities using sonography and helical computed tomography are evaluated ." ], "offsets": [ [ 0, 757 ] ] } ]

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[]

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"id": "DerChirurg.70681071.eng.abstr-s2-r26-t1.1-t2.1", "type": "evaluation_of", "arg1_id": "DerChirurg.70681071.eng.abstr-s4-t1", "arg2_id": "DerChirurg.70681071.eng.abstr-s4-t2", "normalized": [] }, { "id": "DerChirurg.70681071.eng.abstr-s2-r28-t3.1-t2.1", "type": "performs", "arg1_id": "DerChirurg.70681071.eng.abstr-s4-t3", "arg2_id": "DerChirurg.70681071.eng.abstr-s4-t2", "normalized": [] }, { "id": "DerChirurg.70681071.eng.abstr-s2-r29-t2.1-t8.1", "type": "associated_with", "arg1_id": "DerChirurg.70681071.eng.abstr-s4-t2", "arg2_id": "DerChirurg.70681071.eng.abstr-s2-t8", "normalized": [] } ]

DerChirurg.70681076.eng.abstr

[ { "id": "DerChirurg.70681076.eng.abstr-passage-0", "type": "abstract", "text": [ "Thirty-eight patients with 40 fractures of the thoracic spine and the thoracolumbar junction were treated by a minimally invasive procedure , which includes partial corporectomy , the interposition of a tricortical bone graft and anterior stabilization by plate spondylodesis under thoracosopic control . For 36 patients the operation was successfully performed in a complete thoracoscopic way ; in 2 patients conversion to an open technique was necessary . Two postoperative complications such as a reversible lesion of the thoracodorsalis nerve and a transient irritation of nerve root L1 on the approach side were encountered . Postoperative control by X-ray and CT scan showed correct positioning of the bone graft , as well as the fixation device in all patients . Our experience with this minimally invasive stabilizing procedure for injuries of the thoracic spine and the thoracolumbar junction demonstrated the feasibility of the method . Compared to the open method the benefit of minimally invasive surgery included postoperative pain reduction , shorter hospitalization , early recovery of function and reduced mobidity of the operative approach ." ], "offsets": [ [ 0, 1158 ] ] } ]

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[]

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"normalized": [] }, { "id": "DerChirurg.70681076.eng.abstr-s6-r31-t7.1-t1.1", "type": "degree_of", "arg1_id": "DerChirurg.70681076.eng.abstr-s6-t7", "arg2_id": "DerChirurg.70681076.eng.abstr-s6-t1", "normalized": [] }, { "id": "DerChirurg.70681076.eng.abstr-s6-r32-t7.1-t5.1", "type": "associated_with", "arg1_id": "DerChirurg.70681076.eng.abstr-s6-t7", "arg2_id": "DerChirurg.70681076.eng.abstr-s6-t5", "normalized": [] }, { "id": "DerChirurg.70681076.eng.abstr-s6-r33-t7.1-t2.2", "type": "issue_in", "arg1_id": "DerChirurg.70681076.eng.abstr-s6-t7", "arg2_id": "DerChirurg.70681076.eng.abstr-s6-t2", "normalized": [] }, { "id": "DerChirurg.70681076.eng.abstr-s6-r34-t5.1-t1.1", "type": "evaluation_of", "arg1_id": "DerChirurg.70681076.eng.abstr-s6-t5", "arg2_id": "DerChirurg.70681076.eng.abstr-s6-t1", "normalized": [] } ]

DerChirurg.70681085.eng.abstr

[ { "id": "DerChirurg.70681085.eng.abstr-passage-0", "type": "abstract", "text": [ "Arthroscopic and open surgery have to be combined for successful surgical therapy of the shoulder joint . A surgeon performing open surgery alone or just using arthroscopic measures cannot cover the full spectrum of modern shoulder surgery . Isolated diagnostic arthroscopy is rarely indicated . Far more common , diagnostic arthroscopy is combined with an operative procedure both to confirm preoperative assessment of pathology and to uncover associated lesions . The results of arthroscopic stabilization of chronic anterior post-traumatic dislocations fail to compare with the high success rates of open procedures . Better patient selection will probably be the key to improving results . In cases of acute traumatic first-time dislocation in young , highly athletic people , arthroscopic repair of the isolated Bankart-Perthes lesion offers the attractive advantage of anatomic reconstruction with minimal soft-tissue dissection . Further indications for arthroscopic measurements of pathologies of the glenohumeral joint are synovectomy in rheumatoid arthritis , capsulotomy in frozen shoulder and tenodesis for lesions of the long head of the biceps . Arthroscopic subacromial decompression according to Ellman is the procedure performed most often and most successfully in the shoulder joint and has overcome the classic Neer open acromioplasty . For smaller tears of the supraspinatus tendon , arthroscopic acromioplasty can be combined with an all arthroscopic suture repair or with mini-open repair . Larger tears of the rotator cuff are still the domain for open reconstructive procedures . In associated or isolated AC joint arthritis , an arthroscopic Mumford procedure can be performed . For chronic calcific tendinitis , isolated arthroscopic excision of the calcium deposit is of great value . Additionally , acromioplasty is needed for true mechanical obstruction of the subacromial space ." ], "offsets": [ [ 0, 1909 ] ] } ]

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[]

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DerChirurg.70681093.eng.abstr

[ { "id": "DerChirurg.70681093.eng.abstr-passage-0", "type": "abstract", "text": [ "The treatment of knee joint injuries has seen marked development in the last few years . The surgical trauma of intra-articular fracture reconstruction has been reduced significantly . Retrograde nailing , percutaneous plating and specific exposures to distal femur and proximal tibia fractures have been established . Percutaneous osteosynthesis controlled by arthroscopy or fluoroscopy is widely used for B-fractures of the tibial plateau . Injectable bone mineral cement adds to reduced trauma of surgical treatment of these fractures . In all knee ligament procedures , arthroscopy is obligatory for diagnosting and conducting meniscus surgery . Ligament reconstruction should be performed either arthroscopically or by a limited arthrotomy , the results being comparable at present ." ], "offsets": [ [ 0, 788 ] ] } ]

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[]

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"arg2_id": "DerChirurg.70681093.eng.abstr-s6-t4", "normalized": [] }, { "id": "DerChirurg.70681093.eng.abstr-s5-r13-t1.1-t8.1", "type": "location_of", "arg1_id": "DerChirurg.70681093.eng.abstr-s7-t1", "arg2_id": "DerChirurg.70681093.eng.abstr-s5-t8", "normalized": [] }, { "id": "DerChirurg.70681093.eng.abstr-s5-r14-t4.1-t5.1", "type": "associated_with", "arg1_id": "DerChirurg.70681093.eng.abstr-s6-t4", "arg2_id": "DerChirurg.70681093.eng.abstr-s6-t5", "normalized": [] }, { "id": "DerChirurg.70681093.eng.abstr-s5-r15-t2.1-t8.1", "type": "location_of", "arg1_id": "DerChirurg.70681093.eng.abstr-s6-t2", "arg2_id": "DerChirurg.70681093.eng.abstr-s5-t8", "normalized": [] }, { "id": "DerChirurg.70681093.eng.abstr-s5-r16-t1.1-t4.1", "type": "causes", "arg1_id": "DerChirurg.70681093.eng.abstr-s7-t1", "arg2_id": "DerChirurg.70681093.eng.abstr-s6-t4", "normalized": [] }, { "id": "DerChirurg.70681093.eng.abstr-s6-r1-t3.2-t5.1", "type": "issue_in", "arg1_id": "DerChirurg.70681093.eng.abstr-s6-t3", 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"arg2_id": "DerChirurg.70681093.eng.abstr-s6-t5", "normalized": [] }, { "id": "DerChirurg.70681093.eng.abstr-s6-r10-t1.1-t2.1", "type": "location_of", "arg1_id": "DerChirurg.70681093.eng.abstr-s7-t1", "arg2_id": "DerChirurg.70681093.eng.abstr-s6-t2", "normalized": [] }, { "id": "DerChirurg.70681093.eng.abstr-s6-r11-t3.1-t5.1", "type": "method_of", "arg1_id": "DerChirurg.70681093.eng.abstr-s6-t3", "arg2_id": "DerChirurg.70681093.eng.abstr-s6-t5", "normalized": [] }, { "id": "DerChirurg.70681093.eng.abstr-s6-r12-t2.1-t3.1", "type": "location_of", "arg1_id": "DerChirurg.70681093.eng.abstr-s6-t2", "arg2_id": "DerChirurg.70681093.eng.abstr-s6-t3", "normalized": [] }, { "id": "DerChirurg.70681093.eng.abstr-s6-r13-t2.1-t5.1", "type": "issue_in", "arg1_id": "DerChirurg.70681093.eng.abstr-s6-t2", "arg2_id": "DerChirurg.70681093.eng.abstr-s6-t5", "normalized": [] }, { "id": "DerChirurg.70681093.eng.abstr-s6-r14-t2.2-t5.1", "type": "issue_in", "arg1_id": "DerChirurg.70681093.eng.abstr-s6-t2", "arg2_id": "DerChirurg.70681093.eng.abstr-s6-t5", "normalized": [] }, { "id": "DerChirurg.70681093.eng.abstr-s6-r16-t3.1-t5.1", "type": "issue_in", "arg1_id": "DerChirurg.70681093.eng.abstr-s6-t3", "arg2_id": "DerChirurg.70681093.eng.abstr-s6-t5", "normalized": [] }, { "id": "DerChirurg.70681093.eng.abstr-s6-r17-t2.2-t3.1", "type": "location_of", "arg1_id": "DerChirurg.70681093.eng.abstr-s6-t2", "arg2_id": "DerChirurg.70681093.eng.abstr-s6-t3", "normalized": [] } ]

DerChirurg.70681106.eng.abstr

[ { "id": "DerChirurg.70681106.eng.abstr-passage-0", "type": "abstract", "text": [ "Carpal tunnel syndrome is one of the most common nerve compression syndromes . Nocturnal paresthesia and pain are early symptoms , and hypesthesia and thenar atrophy are late symptoms . These days endoscopic and open operation techniques are available . Minimal trauma after endoscopic release allows early return to work . The endoscopic technique should be performed by experienced surgeons to avoid severe complications ." ], "offsets": [ [ 0, 424 ] ] } ]

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[]

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DerChirurg.70681112.eng.abstr

[ { "id": "DerChirurg.70681112.eng.abstr-passage-0", "type": "abstract", "text": [ "Phospholipase A2 ( PLA2) is a group of secretory as well as intracellular enzymes that release phopsholipides as an early step in inflammation and play a physiologic role in digestion . In humans , the group of secretory , low-molecular-weight PLA2 ( sPLA2) is differentiated from the cytosolic , high-molecular-weight PLA2 ( cPLA2). The two known cPLA2 mediate the intracellular response to inflammation by releasing arachidonic acid from membrane phospholipids . Secretory pancreatic PLA2 ( sPLA2-I) is a digestive zymogen secreted from pancreatic acinar cells in its inactive form . Activated by trypsin in the duodenum , it is an important digestive enzyme . In acute pancreatitis , circulating sPLA2-I indicates pancreatic injury but is mostly inactive . Synovial-type secretory PLA2 ( sPLA2-II), first isolated from synovial fluid of arthritis patients , is increased in inflammation , after surgery or trauma , and in various inflammatory diseases . Unlike sPLA2-I, its catalytic activity is held responsible for mediating the systemic inflammatory reaction and its complications by regulating the synthesis of prostaglandins , leukotrienes and platelet activating factor . Clinically , sPLA2-II offers new possibilities as an early marker for severe inflammation and predicting systemic complications in severely ill patients ." ], "offsets": [ [ 0, 1335 ] ] } ]

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[]

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DerChirurg.70681119.eng.abstr

[ { "id": "DerChirurg.70681119.eng.abstr-passage-0", "type": "abstract", "text": [ "The retrospective results of carbon prostheses for knee ligament reconstruction in 120 patients , as established by questionnaire , are reported at 10 +/- 2 years follow-up . Eighty patients could also be reviewed clinically . Some 60 % of the patients showed good subjective function at reduced activity level . Complications were seen in 72.5 % of the patients with rupture of the carbon prosthesis and in 68 % of those with synovitis . X-ray showed osteoarthritis in up to 59 % of the patients . Carbon prostheses for collateral ligament reconstruction ( 85 % medial , 5.8 % lateral ) were successful in 75 % of cases . Activity and time seem to be less responsible for failure of the carbon prostheses than the features of growing in . Destruction of the knee joint over time is due to reactive synovitis and catabolic enzyme reaction and correlates with joint effusion and pain . If these problems appear , ( arthroscopic ) resection of the synovia is indicated to interrupt the circulus vitiosus ." ], "offsets": [ [ 0, 1003 ] ] } ]

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}, { "id": "DerChirurg.70681119.eng.abstr-s8-r27-t4.1-t5.1", "type": "produces", "arg1_id": "DerChirurg.70681119.eng.abstr-s8-t4", "arg2_id": "DerChirurg.70681119.eng.abstr-s8-t5", "normalized": [] }, { "id": "DerChirurg.70681119.eng.abstr-s8-r28-t4.1-t5.2", "type": "issue_in", "arg1_id": "DerChirurg.70681119.eng.abstr-s8-t4", "arg2_id": "DerChirurg.70681119.eng.abstr-s8-t5", "normalized": [] }, { "id": "DerChirurg.70681119.eng.abstr-s8-r29-t7.1-t4.1", "type": "associated_with", "arg1_id": "DerChirurg.70681119.eng.abstr-s8-t7", "arg2_id": "DerChirurg.70681119.eng.abstr-s8-t4", "normalized": [] }, { "id": "DerChirurg.70681119.eng.abstr-s8-r30-t8.1-t4.1", "type": "location_of", "arg1_id": "DerChirurg.70681119.eng.abstr-s8-t8", "arg2_id": "DerChirurg.70681119.eng.abstr-s8-t4", "normalized": [] } ]

DerChirurg.70681137.eng.abstr

[ { "id": "DerChirurg.70681137.eng.abstr-passage-0", "type": "abstract", "text": [ "The following experimental study was conducted to develop biocompatible methods of osteosynthesis in fractures of the distal radius and to evaluate their stability . A model of dorsal wedge osteotomy in the distal radial metaphysis was used to develop the surgical technique and to test the stability of the alternative methods of osteosynthesis . The concept for this model was based on commercially available materials which were either biodegradable or osteoconductive . Four different forms of biocompatible osteosynthesis were compared to combined Kirschner wire osteosynthesis ( KWO ) , our preferred method of treatment of unstable Colles fracture . Biocompatible osteosynthesis was achieved with an invasivity and stability comparable to that of KWO . In conclusion , injection osteosynthesis exceeded the other biocompatible methods of osteosynthesis in all respects . Regarding the recent developments in injectable materials for osteosynthesis it offers the best perspective for clinical application ." ], "offsets": [ [ 0, 1012 ] ] } ]

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[]

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DerChirurg.70681146.eng.abstr

[ { "id": "DerChirurg.70681146.eng.abstr-passage-0", "type": "abstract", "text": [ "The gold standard in the operative treatment of chronic insufficiency of the lateral ligaments of the ankle joint is replacement with a tendon ( tenodesis ) . The disadvantage of this method is limitation of movement . The results of the replacement of ligaments with a periosteal flap are similiar to the results after tenodesis , but the rate of complications is significant lower . We investigated the histological changes in periosteal flaps in patients . We saw an alignment of the collagenous fibers in the periosteal flap 8-12 weeks after the operation . The results are statistically significant . The conclusion is that the periosteal flap in the replacement of ligaments changes into a ligamentlike structure ." ], "offsets": [ [ 0, 720 ] ] } ]

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"db_name": "UMLS", "db_id": "C0003086" } ] }, { "id": "DerChirurg.70681146.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "joint" ], "offsets": [ [ 108, 113 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022417" } ] }, { "id": "DerChirurg.70681146.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "tendon" ], "offsets": [ [ 136, 142 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039508" } ] }, { "id": "DerChirurg.70681146.eng.abstr-s1-t8", "type": "umlsterm", "text": [ "tenodesis" ], "offsets": [ [ 145, 154 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040654" }, { "db_name": "UMLS", "db_id": "C0014518" } ] }, { "id": "DerChirurg.70681146.eng.abstr-s1-t9", "type": "umlsterm", "text": [ "tenodesis" ], "offsets": [ [ 145, 154 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0284292" } ] }, { "id": "DerChirurg.70681146.eng.abstr-s1-t10", "type": "umlsterm", "text": [ "tenodesis" ], "offsets": [ [ 145, 154 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0751995" } ] }, { "id": "DerChirurg.70681146.eng.abstr-s1-t11", "type": "umlsterm", "text": [ "lateral ligaments" ], "offsets": [ [ 77, 94 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0242592" } ] }, { "id": "DerChirurg.70681146.eng.abstr-s1-t12", "type": "umlsterm", "text": [ "ankle joint" ], "offsets": [ [ 102, 113 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003087" } ] }, { "id": "DerChirurg.70681146.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "method" ], "offsets": [ [ 184, 190 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025663" }, { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.70681146.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "movement" ], "offsets": [ [ 208, 216 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026649" } ] }, { "id": "DerChirurg.70681146.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "ligaments" ], "offsets": [ [ 253, 262 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023685" }, { "db_name": "UMLS", "db_id": "C0023686" } ] }, { "id": "DerChirurg.70681146.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "flap" ], "offsets": [ [ 281, 285 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038925" } ] }, { "id": "DerChirurg.70681146.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "tenodesis" ], "offsets": [ [ 320, 329 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040654" }, { "db_name": "UMLS", "db_id": "C0014518" } ] }, { "id": "DerChirurg.70681146.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "tenodesis" ], "offsets": [ [ 320, 329 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0284292" } ] }, { "id": "DerChirurg.70681146.eng.abstr-s3-t5", "type": "umlsterm", "text": [ "tenodesis" ], "offsets": [ [ 320, 329 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0751995" } ] }, { "id": "DerChirurg.70681146.eng.abstr-s3-t6", "type": "umlsterm", "text": [ "complications" ], "offsets": [ [ 348, 361 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] }, { "id": "DerChirurg.70681146.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "flaps" ], "offsets": [ [ 440, 445 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038925" } ] }, { "id": "DerChirurg.70681146.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 449, 457 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70681146.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "flap" ], "offsets": [ [ 524, 528 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038925" } ] }, { "id": "DerChirurg.70681146.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "operation" ], "offsets": [ [ 550, 559 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0543467" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70681146.eng.abstr-s7-t1", "type": "umlsterm", "text": [ "flap" ], "offsets": [ [ 644, 648 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038925" } ] }, { "id": "DerChirurg.70681146.eng.abstr-s7-t2", "type": "umlsterm", "text": [ "ligaments" ], "offsets": [ [ 671, 680 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023685" }, { "db_name": "UMLS", "db_id": "C0023686" } ] }, { "id": "DerChirurg.70681146.eng.abstr-s7-t3", "type": "umlsterm", "text": [ "ligamentlike" ], "offsets": [ [ 696, 708 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023685" }, { "db_name": "UMLS", "db_id": "C0023686" } ] } ]

[]

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"DerChirurg.70681146.eng.abstr-s7-t2", "normalized": [] }, { "id": "DerChirurg.70681146.eng.abstr-s7-r15-t2.2-t3.1", "type": "surrounds", "arg1_id": "DerChirurg.70681146.eng.abstr-s7-t2", "arg2_id": "DerChirurg.70681146.eng.abstr-s7-t3", "normalized": [] }, { "id": "DerChirurg.70681146.eng.abstr-s7-r16-t1.1-t3.1", "type": "surrounds", "arg1_id": "DerChirurg.70681146.eng.abstr-s7-t1", "arg2_id": "DerChirurg.70681146.eng.abstr-s7-t3", "normalized": [] } ]

DerChirurg.70681150.eng.abstr

[ { "id": "DerChirurg.70681150.eng.abstr-passage-0", "type": "abstract", "text": [ "There is no consensus regarding the clinical significance of conventional two-dimensional ultrasound in the diagnosis of meniscal tears of the knee . Three-dimensional ultrasound spatially reconstructs a transparent image of subsequent ultrasound scans . In an experimental study of 96 menisci , radial and oblique tears were detected more often by three-dimensional ultrasound . In a clinical study of 60 menisci the two- and three-dimensional ultrasound reached a sensitivity of 92 % and 100 % , a specificity of 83 % and 88 % , a positive predictive value of 58 % and 67 % , and a negative predictive value of 98 % and 100 % , respectively . Altogether , there was no statistically significant difference between both methods . The high negative predictive value , however , shows that the three-dimensional ultrasound may be a clinically relevant examination for special questions in the diagnostics of meniscal tears ." ], "offsets": [ [ 0, 923 ] ] } ]

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[]

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"DerChirurg.70681150.eng.abstr-s6-t3", "normalized": [] }, { "id": "DerChirurg.70681150.eng.abstr-s6-r11-t1.1-t3.1", "type": "associated_with", "arg1_id": "DerChirurg.70681150.eng.abstr-s6-t1", "arg2_id": "DerChirurg.70681150.eng.abstr-s6-t3", "normalized": [] }, { "id": "DerChirurg.70681150.eng.abstr-s6-r12-t1.1-t3.3", "type": "analyzes", "arg1_id": "DerChirurg.70681150.eng.abstr-s6-t1", "arg2_id": "DerChirurg.70681150.eng.abstr-s6-t3", "normalized": [] } ]

DerChirurg.70681156.eng.abstr

[ { "id": "DerChirurg.70681156.eng.abstr-passage-0", "type": "abstract", "text": [ "This study investigated to what extent quality of life four years or more after the fracture is determined by initial staging ( Gustilo subclassification , time from injury to arrival at hospital ) , by the therapeutic course ( length of hospital stay , number of operations ) , by complications ( amputation , infection ) and by demographic factors ( gender , age ) . A total of 197 patients after type III open tibial shaft fractures ( type IIIA 70 , type IIIB 85 , type IIIC 42 ) from nine centers volunteered to participate in this study . During patients ' follow-up appointments ( mean duration of follow-up 50 months ) , therapeutic course , pre-surgical staging and demographic data were recorded by the surgeon . Patients were asked to rate quality of life on the Nottingham Health Profile and on a visual analogue scale . Multiple regression analysis ( stepwise ) identified two predictors for reducing overall quality of life ( F-test : P = 0.007 ) : number of operations ( adjusted beta : -0 . 21 ) and age ( adjusted beta : -0 . 17 ) . Other factors showed no significant relationship with overall quality of life or with subscales of the Nottingham Health Profile . These findings indicate a dilemma between two therapeutic goals : good functional outcome , which often requires repeated operations , and quality of life , which suffers under prolonged surgical treatment ." ], "offsets": [ [ 0, 1387 ] ] } ]

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[]

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DerChirurg.70681163.eng.abstr

[ { "id": "DerChirurg.70681163.eng.abstr-passage-0", "type": "abstract", "text": [ "The concept of emergency free tissue transfer for severe extremity injuries represents a cutting-edge technology . We discuss our very positive results with this technique . The conceptual reasons for these favorable results , compared with conventional approaches , are also discussed . An initial , radical debridement is the most important part of the operation . This is then followed by osteosynthesis . The correct type of free tissue transfer is chosen according to the requirements of the soft tissue defect . Qualitatively better results with earlier definitive rehabilitation were achieved with free tissue transfer performed during the acute stage of limb wound treatment . The follow-up period ranged from 3 months to 8 years . We experienced neither flap loss , osteomyelitis , nor severe wound infection . Using the modern concept of emergency free tissue transfer , we reduced the rate of flap loss and associated morbidity while achieving a functionally improved reconstruction ." ], "offsets": [ [ 0, 995 ] ] } ]

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[]

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DerChirurg.70681170.eng.abstr

[ { "id": "DerChirurg.70681170.eng.abstr-passage-0", "type": "abstract", "text": [ "Vascular diseases and/or sequelae of various systemic diseases are frequently associated with therapy-resistant soft tissue lesions in the lower extremity . Neurovascular pedicled island flaps without the need for the sacrifice of major vessels offer the possibility to save the lower limb from amputation . The long pedicle allows for a wide , tension-free arc of rotation . Major studies of clinical applications at the critical lower extremity have not been reported yet . 14 patients with chronical ulcerations in problematic areas ( e . g . ankle , tibia ) underwent definitive reconstruction using this flap . Complications were mostly observed at the donor site . In one patient major amputation was neccessary due to the development of sepsis . In all other cases adequate coverage and limb salvage was achieved . Excellent padding , variable size and the modest nature of the flap enlarges the variety of plastic-reconstructive procedures in the lower extremity ." ], "offsets": [ [ 0, 972 ] ] } ]

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[]

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"normalized": [] }, { "id": "DerChirurg.70681170.eng.abstr-s11-r8-t6.1-t2.1", "type": "adjacent_to", "arg1_id": "DerChirurg.70681170.eng.abstr-s11-t6", "arg2_id": "DerChirurg.70681170.eng.abstr-s11-t2", "normalized": [] }, { "id": "DerChirurg.70681170.eng.abstr-s11-r9-t6.1-t2.1", "type": "location_of", "arg1_id": "DerChirurg.70681170.eng.abstr-s11-t6", "arg2_id": "DerChirurg.70681170.eng.abstr-s11-t2", "normalized": [] } ]

DerChirurg.70681175.eng.abstr

[ { "id": "DerChirurg.70681175.eng.abstr-passage-0", "type": "abstract", "text": [ "This prospective study served as a quality control of a revision concept for case of post-traumatic infection following open reduction and internal fixation in fracture treatment . It is based on clinical and microbiological criteria and has two aims : ( 1 ) eradication of the infection and avoidance of development of chronic osteitis ; ( 2 ) maintenance of internal fixation , if possible . Thirty-four patients were recruited in this study . Surgical revisions were performed according to a consistant concept ( débridement , irrigation , local chemotherapy , drainage ) in defined time intervals ( 2 days ) . The operation site had to be bacteriologically clean after four revisions . Otherwise , the implant had to be removed . Both aims were reached in 11 cases : management of infection with maintenance of internal fixation . In 23 cases the implant material had to be removed . Nevertheless the infection was eliminated in all these patients without exception . The following risk factors for mandatory implant removal were evaluated : diabetes , arteriosclerosis , alcoholism , nicotine . This revision concept helps in the management of acute postoperative osteitis following ORIF in fracture treatment and in avoiding the development of chronic osteitis ." ], "offsets": [ [ 0, 1268 ] ] } ]

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[]

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[] } ]

DerChirurg.70681181.eng.abstr

[ { "id": "DerChirurg.70681181.eng.abstr-passage-0", "type": "abstract", "text": [ "When infection of implants is suspected , optimal management requires accurate confirmation or exclusion of infection . However , in spite of demonstrative clinical signs cultures of smears or chemical parameters of inflammation frequently are ambiguous . Scintigraphy with indium-labeled white blood cells ( WBC ) has been reported to be sensitive and specific in the diagnosis of low-grade sepsis of the musculoskeletal system . Twenty-eight patients with possible infection were prospectively studied . Infection was suspected in 19 cases with total hip joint prosthesis , 14 cases with knee joint prosthesis and 1 case with shoulder joint prosthesis . All of them underwent scanning with indium-111-labeled WBC and subsequently underwent surgery . At surgery infections were determined by means of culture or histologic results . When correlated with culture and histologic results sensitivity of 111-indium-WBC imaging was 89 % , with a specifity of 67 % and a predictive accuracy of 77 % . In patients with rheumatoid arthritis , however , predictive accuracy of 111-indium-labeled WBC imaging was higher than with standard diagnostic methods . The difference was statistically significant ( P 0.05 , 2-test ) . In the patients examined as a whole , predictive accuracy of 111-indium-labeled WBC imaging does not differ from that of standard diagnostic methods . That is why expensive and time-consuming 111-indium-WBC imaging is not justified generally in diagnosis of infection of implants . 111-Indium-WBC imaging is well suited to supplement standard diagnostic methods in patients with rheumatoid arthritis ." ], "offsets": [ [ 0, 1619 ] ] } ]

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[]

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DerChirurg.70681187.eng.abstr

[ { "id": "DerChirurg.70681187.eng.abstr-passage-0", "type": "abstract", "text": [ "Scaphocapitate fracture syndrome ( SCFS ) as part of perilunar distorsion injuries ( PL , PLF ) in the human wrist is still remarkably rare . The diagnosis is determined by careful physical and radiological examinations , including conventional radiographs . Computed tomography can be helpful in detecting such lesions . In our opinion , the high risk of post-traumatic arthrosis because of carpal instability in a osteoligamental injury requires operative reconstruction in nearly all cases . We report the possibility of operative treatment in a case of scaphocapitate fracture syndrome ( Fenton ) by implantation of 2-mm mini-bone screws , while the use of K-wires or Herbert bone screws has been described in former articles ." ], "offsets": [ [ 0, 731 ] ] } ]

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[]

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"id": "DerChirurg.70681187.eng.abstr-s5-r20-t7.1-t1.1", "type": "treats", "arg1_id": "DerChirurg.70681187.eng.abstr-s5-t7", "arg2_id": "DerChirurg.70681187.eng.abstr-s5-t1", "normalized": [] }, { "id": "DerChirurg.70681187.eng.abstr-s5-r21-t1.1-t3.1", "type": "associated_with", "arg1_id": "DerChirurg.70681187.eng.abstr-s5-t1", "arg2_id": "DerChirurg.70681187.eng.abstr-s5-t3", "normalized": [] }, { "id": "DerChirurg.70681187.eng.abstr-s5-r22-t1.1-t4.1", "type": "affects", "arg1_id": "DerChirurg.70681187.eng.abstr-s5-t1", "arg2_id": "DerChirurg.70681187.eng.abstr-s5-t4", "normalized": [] }, { "id": "DerChirurg.70681187.eng.abstr-s5-r23-t3.1-t1.1", "type": "result_of", "arg1_id": "DerChirurg.70681187.eng.abstr-s5-t3", "arg2_id": "DerChirurg.70681187.eng.abstr-s5-t1", "normalized": [] } ]

DerChirurg.70681217.eng.abstr

[ { "id": "DerChirurg.70681217.eng.abstr-passage-0", "type": "abstract", "text": [ "Background : Considering the high recurrence rate after conventional inguinal hernia repair , the totally preperitoneal endoscopic inguinal hernia repair has been used . Methods : The present experience of the authors embraces 1085 patients with a total of 1717 inguinal hernias , including 200 recurrences . The operative technique is described with emphasis on pitfalls and tricks . Results : Analysis of the data concerning the first 403 patients with 1 year complete follow-up reveals a mean ( SEM ) operating time of 42 ( 1.2 ) min for unilateral and 58 ( 1.0 ) min for bilateral hernia repair . Mean ( SEM ) postoperative hospital stay was 2 ( 0.04 ) days . Complication rates during and after operation were 0.3 % and 3.3 % respectively . The morbidity rate at 1 month after operation was 3.5 % . The recurrence rate was 0.3 % at 1-year follow-up . Conclusion : Totally preperitoneal endoscopic inguinal hernia repair is safe and reproducible for any type of primary or recurrent inguinal hernia , even in patients with previous subumbilical surgery or severe systemic disease . Careful follow-up is mandatory to assess the late recurrence rate ." ], "offsets": [ [ 0, 1153 ] ] } ]

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[]

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DerChirurg.70681225.eng.abstr

[ { "id": "DerChirurg.70681225.eng.abstr-passage-0", "type": "abstract", "text": [ "Quality assurance is a concept intended to ensure the quality of a surgical therapy on a defined level . But what is \" quality \" in surgical therapy ? Quality can be described in a lot of different ways . Quality has something to do with taste , especially with individual preferences . The testing of the quality of wine is a good example . Even though this is quite difficult , it can still be done and has been done for hundreds of years . In surgery we are still at the beginning . Discussions regarding the definition of quality , the best method of quality assurance and , not least , who is responsibility for its measurement are well-known obstacles on the path to improvement . Quality has basically little to do with research . It is not a matter of finding the right technique , but of ensuring that the right technique , when found , is correctly used . Defined quality standards will allow this . Quality standards in inguinal hernia surgery are : outstanding comfort directly before and after the therapy , few or no side effects troubling the patient , most of all no disastrous side effects , disaster , low rate of relapse and , in our times , decent economy . The question : \" Is the target to be oriented on the average or must the standard be brought nearer the best performance ? \" has to be answered . Surgery and average performance do not match ; surgical performance cannot be oriented on the average . The next question is : \" Which methods are suitable for this ? \" . The \" tracer method \" is one method , one aspect within quality assurance methods in general . It is designed for obtaining information on the quality of a clinic/department . The obtained data on complication rates , for example ( 10 % ) , and their striking points should above all give insight into the complete department , i . e . , on complication rates of a surgical department in general . The same counts for infection rates or striking points . The essential question remains : \" Who should carry it out ? \" Bureaucrats lacking expertise will buy it . The principle of autonomy , \" expertise connected to competence \" has to be kept when answering the question of who should do it and how . The tracer method , using hernia surgery as a tracer , is not necessarily suitable as a measure of the quality of inguinal hernia surgery . Even though it supplies - as a side effect - information about inguinal hernia surgery , like complication rates ( 10 % ) and relapse operations ( 10 % ) , as well as the varying anaesthetic procedures , or the use for changes in therapeutic procedures , the tracer method is not suitable to sufficiently inform about the quality of inguinal hernia surgery in particular . A further essential aspect when analysing quality assurance - showing up clearly at the moment - is the fact , that \" another \" control will develop if this inactivity remains . In this case the \" controllers \" will certainly not be the surgeons . The nightmare vision of bureaucrats ( insurance companies or other parties ) as controllers is in sight . This would be the same situation as if Michael Schumacher's Ferrari were checked by clerks and not by engineers ." ], "offsets": [ [ 0, 3176 ] ] } ]

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"DerChirurg.70681225.eng.abstr-s28-t9", "arg2_id": "DerChirurg.70681225.eng.abstr-s28-t12", "normalized": [] }, { "id": "DerChirurg.70681225.eng.abstr-s31-r1-t3.1-t1.1", "type": "result_of", "arg1_id": "DerChirurg.70681225.eng.abstr-s31-t3", "arg2_id": "DerChirurg.70681225.eng.abstr-s32-t1", "normalized": [] } ]

DerChirurg.70681235.eng.abstr

[ { "id": "DerChirurg.70681235.eng.abstr-passage-0", "type": "abstract", "text": [ "From 3 years ' experience with nearly 100 transinguinal preperitoneal mesh prosthesis ( TIPP ) repairs for recurrent inguinal hernia the indication , anesthesia , modification of the technique , and results are reported . After intraoperative classification of the hernia , the TIPP repair is indicated especially in large defects of the posterior wall ( L/M III ) . The procedure is easily performed under local anesthesia . During 52 local TIPP repairs , conversion of anesthesia was never necessary . Important technical details include the requirement for a sufficient size of mesh ( 10 cm x 15 cm ) and a certain caudal and cranial fixation of the prosthesis using at least three interrupted stitches for each . Apart from an increased number of seromas ( 12 % ) in the early postoperative period , the results of the TIPP are comparable with those obtained after Shouldice repair for recurrent hernia . The rate of hematomas , infections , and testicular complications range between 1 % and 3 % . Considering the negative case selection of only large recurrent hernias , the TIPP repair reveals a favourably low 1-year recurrence rate of 1 % ." ], "offsets": [ [ 0, 1149 ] ] } ]

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[]

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"DerChirurg.70681235.eng.abstr-s8-t2", "normalized": [] }, { "id": "DerChirurg.70681235.eng.abstr-s8-r15-t2.1-t1.1", "type": "result_of", "arg1_id": "DerChirurg.70681235.eng.abstr-s8-t2", "arg2_id": "DerChirurg.70681235.eng.abstr-s8-t1", "normalized": [] }, { "id": "DerChirurg.70681235.eng.abstr-s8-r16-t3.1-t2.1", "type": "diagnoses", "arg1_id": "DerChirurg.70681235.eng.abstr-s8-t3", "arg2_id": "DerChirurg.70681235.eng.abstr-s8-t2", "normalized": [] }, { "id": "DerChirurg.70681235.eng.abstr-s8-r17-t3.1-t5.1", "type": "result_of", "arg1_id": "DerChirurg.70681235.eng.abstr-s8-t3", "arg2_id": "DerChirurg.70681235.eng.abstr-s8-t5", "normalized": [] } ]

DerChirurg.70681241.eng.abstr

[ { "id": "DerChirurg.70681241.eng.abstr-passage-0", "type": "abstract", "text": [ "The incidence of local relapse after complete ( R0) resection of solid tumors is largely determined by the skill of the surgeon , whereas metastatic relapse in distant organs is caused by pre- or perioperative systemic dissemination of tumor cells . The presence of individual disseminated tumor cells - e . g . , in bone marrow as indicator organ - can be detected by sensitive immunocytochemical and molecular methods and is increasingly considered as a clinically relevant prognostic indicator . In contrast to solid metastases , isolated micrometastatic tumor cells are appropriate targets for intravenously applied anti-cancer therapeutics because they are easily accessible to macromolecules and immunologic effector cells . The majority of these tumor cells appear to be nonproliferating ( i . e . , in the G0 phase of the cell cycle ) , which may explain the failure of adjuvant chemotherapy . Adjuvant therapeutic strategies aimed at quiescent tumor cells are therefore of increasing interest . This therapeutic rationale has been tested and confirmed in a randomized clinical trial using antibody 17-1A in patients with non-metastatic colorectal carcinoma ( UICC stage III ) . The antibody therapy kills also quiescent tumor cells ( \" dormant cells \" ) and is independent from a potential chemotherapy resistance of the tumor cells . As treatment for minimal residual cancer , the clinical use of antibody therapy could be envisaged in conjunction with chemotherapy , applied either in parallel or sequentially . The aim of this review is to present and discuss the current state of research in the field of diagnosis and therapy of minimal residual cancer ." ], "offsets": [ [ 0, 1668 ] ] } ]

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[]

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"DerChirurg.70681241.eng.abstr-s13-t5", "normalized": [] } ]

DerChirurg.70681251.eng.abstr

[ { "id": "DerChirurg.70681251.eng.abstr-passage-0", "type": "abstract", "text": [ "It is generally accepted that most inguinal hernias should be operated electively . This study presents a risk calculation challenging this view . Three strategies are presented : prophylactic indication on principle ( A ) , elective operation in every second case ( B ) , and operation in case of strangulation only ( C ) . On the basis of available epidemiological data it is calculated that , for the male German population aged 65 years and over 69 954 ( A ) , 36 292 ( B ) , and 2630 ( C ) inguinal hernia repairs would be necessary annually ; 167 ( A ) , 145 ( B ) and 123 ( C ) perioperative deaths would occur , connected with 1702 ( A ) , 1373 ( B ) and 1048 ( C ) years of life lost , respectively . Thus , operation of every inguinal hernia would result in a ( small ) reduction of life expectancy . These data provide evidence that in elderly patients the indication for operative treatment of inguinal hernias should depend upon symptoms and suffering . There is no reason to operate on asymptomatic patients because of a presumed risk of strangulation ." ], "offsets": [ [ 0, 1067 ] ] } ]

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"id": "DerChirurg.70681251.eng.abstr-s4-t5", "type": "umlsterm", "text": [ "deaths" ], "offsets": [ [ 599, 605 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011065" } ] }, { "id": "DerChirurg.70681251.eng.abstr-s4-t6", "type": "umlsterm", "text": [ "life" ], "offsets": [ [ 683, 687 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0376558" } ] }, { "id": "DerChirurg.70681251.eng.abstr-s4-t7", "type": "umlsterm", "text": [ "inguinal hernia" ], "offsets": [ [ 495, 510 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019294" } ] }, { "id": "DerChirurg.70681251.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "operation" ], "offsets": [ [ 717, 726 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0543467" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70681251.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "hernia" ], "offsets": [ [ 745, 751 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019270" } ] }, { "id": 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"treatment" ], "offsets": [ [ 893, 902 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerChirurg.70681251.eng.abstr-s6-t4", "type": "umlsterm", "text": [ "hernias" ], "offsets": [ [ 915, 922 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019270" } ] }, { "id": "DerChirurg.70681251.eng.abstr-s6-t5", "type": "umlsterm", "text": [ "symptoms" ], "offsets": [ [ 942, 950 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0683368" } ] }, { "id": "DerChirurg.70681251.eng.abstr-s6-t6", "type": "umlsterm", "text": [ "inguinal hernias" ], "offsets": [ [ 906, 922 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019294" } ] }, { "id": "DerChirurg.70681251.eng.abstr-s7-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 1013, 1021 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70681251.eng.abstr-s7-t2", "type": "umlsterm", "text": [ "risk" ], "offsets": [ [ 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[]

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"occurs_in", "arg1_id": "DerChirurg.70681251.eng.abstr-s6-t5", "arg2_id": "DerChirurg.70681251.eng.abstr-s7-t1", "normalized": [] }, { "id": "DerChirurg.70681251.eng.abstr-s6-r11-t3.1-t2.1", "type": "affects", "arg1_id": "DerChirurg.70681251.eng.abstr-s7-t3", "arg2_id": "DerChirurg.70681251.eng.abstr-s7-t2", "normalized": [] }, { "id": "DerChirurg.70681251.eng.abstr-s6-r12-t5.1-t3.1", "type": "result_of", "arg1_id": "DerChirurg.70681251.eng.abstr-s6-t5", "arg2_id": "DerChirurg.70681251.eng.abstr-s7-t3", "normalized": [] }, { "id": "DerChirurg.70681251.eng.abstr-s6-r13-t3.1-t5.1", "type": "result_of", "arg1_id": "DerChirurg.70681251.eng.abstr-s7-t3", "arg2_id": "DerChirurg.70681251.eng.abstr-s6-t5", "normalized": [] }, { "id": "DerChirurg.70681251.eng.abstr-s6-r14-t2.1-t1.1", "type": "interacts_with", "arg1_id": "DerChirurg.70681251.eng.abstr-s7-t2", "arg2_id": "DerChirurg.70681251.eng.abstr-s7-t1", "normalized": [] } ]

DerChirurg.70681258.eng.abstr

[ { "id": "DerChirurg.70681258.eng.abstr-passage-0", "type": "abstract", "text": [ "The objective of our trial was to evaluate the significance and usefulness of sentinel lymphadenectomy ( SLNE ) for the staging of regional lymph nodes in breast cancer patients . The study presented illustrates the method and our results . As has been documentated for melanoma , the first lymph node [ sentinel node ( SLN ) ] to receive lymphatic drainage from a primary tumor is the expected first site of lymph-node metastasis . The database presented includes 12 patients with operable breast cancer and clinically negative lymph nodes . In 11 cases the described method was applicable . In only one case was there no correlation between the histology of the SLN and the axillary specimen . Three SLN were tumor-positive . Successful completion of examination of a large number of patients with a long follow-up has the potential of reducing the number of axillary dissections and of significantly reducing morbidity in the majority of breast cancer patients ." ], "offsets": [ [ 0, 965 ] ] } ]

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"DerChirurg.70681258.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "cancer" ], "offsets": [ [ 162, 168 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006826" } ] }, { "id": "DerChirurg.70681258.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 169, 177 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70681258.eng.abstr-s1-t8", "type": "umlsterm", "text": [ "lymph nodes" ], "offsets": [ [ 140, 151 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024204" } ] }, { "id": "DerChirurg.70681258.eng.abstr-s1-t9", "type": "umlsterm", "text": [ "breast cancer" ], "offsets": [ [ 155, 168 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006142" } ] }, { "id": "DerChirurg.70681258.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "method" ], "offsets": [ [ 216, 222 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025663" }, { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": 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"offsets": [ [ 409, 419 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024202" } ] }, { "id": "DerChirurg.70681258.eng.abstr-s3-t7", "type": "umlsterm", "text": [ "metastasis" ], "offsets": [ [ 420, 430 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027627" } ] }, { "id": "DerChirurg.70681258.eng.abstr-s3-t8", "type": "umlsterm", "text": [ "lymph node" ], "offsets": [ [ 291, 301 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024204" } ] }, { "id": "DerChirurg.70681258.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "database" ], "offsets": [ [ 437, 445 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0242356" } ] }, { "id": "DerChirurg.70681258.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 468, 476 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70681258.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "breast" ], "offsets": [ [ 491, 497 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006141" }, { "db_name": "UMLS", "db_id": "C0006142" } ] }, { "id": "DerChirurg.70681258.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "cancer" ], "offsets": [ [ 498, 504 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006826" } ] }, { "id": "DerChirurg.70681258.eng.abstr-s4-t5", "type": "umlsterm", "text": [ "lymph" ], "offsets": [ [ 529, 534 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024202" } ] }, { "id": "DerChirurg.70681258.eng.abstr-s4-t6", "type": "umlsterm", "text": [ "breast cancer" ], "offsets": [ [ 491, 504 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006142" } ] }, { "id": "DerChirurg.70681258.eng.abstr-s4-t7", "type": "umlsterm", "text": [ "lymph nodes" ], "offsets": [ [ 529, 540 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024204" } ] }, { "id": "DerChirurg.70681258.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "method" ], "offsets": [ [ 569, 575 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025663" }, { "db_name": "UMLS", 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"db_name": "UMLS", "db_id": "C0026538" } ] }, { "id": "DerChirurg.70681258.eng.abstr-s8-t4", "type": "umlsterm", "text": [ "breast" ], "offsets": [ [ 941, 947 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006141" }, { "db_name": "UMLS", "db_id": "C0006142" } ] }, { "id": "DerChirurg.70681258.eng.abstr-s8-t5", "type": "umlsterm", "text": [ "cancer" ], "offsets": [ [ 948, 954 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006826" } ] }, { "id": "DerChirurg.70681258.eng.abstr-s8-t6", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 955, 963 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70681258.eng.abstr-s8-t7", "type": "umlsterm", "text": [ "breast cancer" ], "offsets": [ [ 941, 954 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006142" } ] } ]

[]

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DerChirurg.70681262.eng.abstr

[ { "id": "DerChirurg.70681262.eng.abstr-passage-0", "type": "abstract", "text": [ "In a study compiling the data in a prospective manner , the value of the pylorus-preserving duodenopancreatectomy ( PPPD ) compared to partial duodenopancreatectomy ( PD ) in patients suffering from ductal pancreatic carcinoma was assessed . Postoperative morbidity , mortality and overall prognosis were analysed . From May 1990 to April 1995 130 patients entered the study ; 61 underwent PD , 69 patients had PPPD . The patients were regularly followed up every 6 months and the median follow-up period for all patients was 36 months . PPPD in patients with ductal pancreatic head carcinoma without infiltration of the duodenum is the technically simpler and faster operation method with significantly less blood loss . Moreover , PPPD did not lead to increased postoperative complications . The median survival rate of patients in the PD group was 10.8 months , in the PPPD group 21 months . This significant difference derives from the fact that the tumor stages were unevenly distributed . Regarding the most common stage ( stage III according to UICC ) the median survival times were almost identical ( PD group 10.1 months , PPPD group 11.2 months ) . The PPPD operation seems to be a sufficiently radical procedure which does not worsen the prognosis of the disease ." ], "offsets": [ [ 0, 1275 ] ] } ]

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[]

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"DerChirurg.70681262.eng.abstr-s10-t4", "normalized": [] }, { "id": "DerChirurg.70681262.eng.abstr-s10-r5-t1.1-t4.1", "type": "associated_with", "arg1_id": "DerChirurg.70681262.eng.abstr-s10-t1", "arg2_id": "DerChirurg.70681262.eng.abstr-s10-t4", "normalized": [] }, { "id": "DerChirurg.70681262.eng.abstr-s10-r7-t4.1-t1.2", "type": "associated_with", "arg1_id": "DerChirurg.70681262.eng.abstr-s10-t4", "arg2_id": "DerChirurg.70681262.eng.abstr-s10-t1", "normalized": [] } ]

DerChirurg.70681268.eng.abstr

[ { "id": "DerChirurg.70681268.eng.abstr-passage-0", "type": "abstract", "text": [ "Laser-induced interstitial thermotherapy ( LITT ) is a promising method of treating different types of tumors . To increase the effectiveness of LITT , a new thermo-controlled application system for minimal invasive intervention was designed . This laser system consists of a laser applicator 3 mm in diameter , insertion equipment and an Nd : YAG laser source . The power of the laser source is controlled dynamically by thermosensors in a water-cooling system of the laser applicator . In in vivo experiments in five pigs , within 10 min we found homogeneous coagulation regions in the liver that were of 3 cm and 5 cm in diameter . Via ultrasound we observed in real time the increasing coagulation zone that appeared as a hyperechogenic halo . However , due to perifocal edema , the real coagulation area was smaller than detected by ultrasound . Macroscopically and microscopically , the coagulation zones showed well-demarcated borders of the coagulation lesions , and the surrounding tissue appeared vital . The reparative reaction after irradiation was early fibrosis . In the course of 4 weeks , the surrounding scar capsule , containing fibrocytes , biliary ductules and collagen fibers enlarged . As a result , the coagulation necrosis became more and more fragmented between collagen fibers and was largely resorbed . The absence of complications in our animal experiments suggest that the technique of thermo-controlled laser light application is safe and useful in therapy for metastases that are not resectable ." ], "offsets": [ [ 0, 1527 ] ] } ]

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[]

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DerChirurg.70681281.eng.abstr

[ { "id": "DerChirurg.70681281.eng.abstr-passage-0", "type": "abstract", "text": [ "The longitudinal muscle ( LM ) represents a strong muscular structure of the anal canal situated between the internal ( IAS ) and the external anal sphincter ( EAS ) . Terminal fibres of this muscle insert at the submucosa of the anal canal , representing the m . canalis ani . Others cross the subcutaneous part of the EAS to become the m . corrugator ani . Thus , the LM connects the visceral and somatic parts of the anal sphincter complex . Histologically ganglionic cells and as Vater-Pacinian corpuscles can be identified inside the LM . Morphology , topography and histology of the LM suggest that this muscle participates in maintaining anorectal continence . It is mandatory that the exact functions of this muscular structure be to elaborated upon , if we are to understand the mechanism of anorectal continence ." ], "offsets": [ [ 0, 823 ] ] } ]

[ { "id": "DerChirurg.70681281.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "muscle" ], "offsets": [ [ 17, 23 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026845" } ] }, { "id": "DerChirurg.70681281.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "anal sphincter" ], "offsets": [ [ 143, 157 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0002760" } ] }, { "id": "DerChirurg.70681281.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "muscle" ], "offsets": [ [ 192, 198 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026845" } ] }, { "id": "DerChirurg.70681281.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "anal sphincter" ], "offsets": [ [ 420, 434 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0002760" } ] }, { "id": "DerChirurg.70681281.eng.abstr-s7-t1", "type": "umlsterm", "text": [ "cells" ], "offsets": [ [ 471, 476 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007634" } ] }, { "id": "DerChirurg.70681281.eng.abstr-s8-t1", "type": "umlsterm", "text": [ "Morphology" ], "offsets": [ [ 544, 554 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0543482" } ] }, { "id": "DerChirurg.70681281.eng.abstr-s8-t2", "type": "umlsterm", "text": [ "histology" ], "offsets": [ [ 572, 581 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019638" }, { "db_name": "UMLS", "db_id": "C0205462" } ] }, { "id": "DerChirurg.70681281.eng.abstr-s8-t3", "type": "umlsterm", "text": [ "muscle" ], "offsets": [ [ 610, 616 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026845" } ] }, { "id": "DerChirurg.70681281.eng.abstr-s9-t1", "type": "umlsterm", "text": [ "exact" ], "offsets": [ [ 693, 698 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0059927" } ] }, { "id": "DerChirurg.70681281.eng.abstr-s9-t2", "type": "umlsterm", "text": [ "functions" ], "offsets": [ [ 699, 708 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0031843" } ] } ]

[]

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DerChirurg.70681292.eng.abstr

[ { "id": "DerChirurg.70681292.eng.abstr-passage-0", "type": "abstract", "text": [ "Jaundice in critically ill patients may be difficult to explain . This study analyzes pathophysiologically relevant data , and discusses the prognostic value of hyperbilirubinemia . A total of 1275 patients were prospectively enrolled ; 7.6 % developed hyperbilirubinemia of at least 2 mg/dl . Mortality in icteric patients was significantly higher ( 29 % ) than in the non-icteric group . Sepsis , shock and the number of blood transfusions are very important in hyperbilirubinemia . Nevertheless , in critically ill patients , jaundice per se is not a sign of poor outcome ; indeed it only reflects the underlying disease ." ], "offsets": [ [ 0, 625 ] ] } ]

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[]

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"arg2_id": "DerChirurg.70681292.eng.abstr-s6-t2", "normalized": [] }, { "id": "DerChirurg.70681292.eng.abstr-s6-r1-t2.1-t5.1", "type": "degree_of", "arg1_id": "DerChirurg.70681292.eng.abstr-s6-t2", "arg2_id": "DerChirurg.70681292.eng.abstr-s6-t5", "normalized": [] }, { "id": "DerChirurg.70681292.eng.abstr-s6-r2-t2.1-t5.1", "type": "associated_with", "arg1_id": "DerChirurg.70681292.eng.abstr-s6-t2", "arg2_id": "DerChirurg.70681292.eng.abstr-s6-t5", "normalized": [] }, { "id": "DerChirurg.70681292.eng.abstr-s6-r3-t2.1-t1.1", "type": "occurs_in", "arg1_id": "DerChirurg.70681292.eng.abstr-s6-t2", "arg2_id": "DerChirurg.70681292.eng.abstr-s6-t1", "normalized": [] }, { "id": "DerChirurg.70681292.eng.abstr-s6-r4-t2.1-t3.1", "type": "associated_with", "arg1_id": "DerChirurg.70681292.eng.abstr-s6-t2", "arg2_id": "DerChirurg.70681292.eng.abstr-s6-t3", "normalized": [] }, { "id": "DerChirurg.70681292.eng.abstr-s6-r5-t5.1-t3.1", "type": "associated_with", "arg1_id": "DerChirurg.70681292.eng.abstr-s6-t5", "arg2_id": "DerChirurg.70681292.eng.abstr-s6-t3", "normalized": [] }, { "id": "DerChirurg.70681292.eng.abstr-s6-r6-t5.1-t2.1", "type": "degree_of", "arg1_id": "DerChirurg.70681292.eng.abstr-s6-t5", "arg2_id": "DerChirurg.70681292.eng.abstr-s6-t2", "normalized": [] }, { "id": "DerChirurg.70681292.eng.abstr-s6-r7-t3.1-t1.1", "type": "occurs_in", "arg1_id": "DerChirurg.70681292.eng.abstr-s6-t3", "arg2_id": "DerChirurg.70681292.eng.abstr-s6-t1", "normalized": [] }, { "id": "DerChirurg.70681292.eng.abstr-s6-r8-t5.1-t2.1", "type": "associated_with", "arg1_id": "DerChirurg.70681292.eng.abstr-s6-t5", "arg2_id": "DerChirurg.70681292.eng.abstr-s6-t2", "normalized": [] }, { "id": "DerChirurg.70681292.eng.abstr-s6-r9-t3.1-t5.1", "type": "associated_with", "arg1_id": "DerChirurg.70681292.eng.abstr-s6-t3", "arg2_id": "DerChirurg.70681292.eng.abstr-s6-t5", "normalized": [] }, { "id": "DerChirurg.70681292.eng.abstr-s6-r10-t2.1-t3.1", "type": "degree_of", "arg1_id": "DerChirurg.70681292.eng.abstr-s6-t2", "arg2_id": "DerChirurg.70681292.eng.abstr-s6-t3", "normalized": [] }, { "id": "DerChirurg.70681292.eng.abstr-s6-r11-t5.1-t1.1", "type": "occurs_in", "arg1_id": "DerChirurg.70681292.eng.abstr-s6-t5", "arg2_id": "DerChirurg.70681292.eng.abstr-s6-t1", "normalized": [] }, { "id": "DerChirurg.70681292.eng.abstr-s6-r12-t3.1-t2.1", "type": "associated_with", "arg1_id": "DerChirurg.70681292.eng.abstr-s6-t3", "arg2_id": "DerChirurg.70681292.eng.abstr-s6-t2", "normalized": [] }, { "id": "DerChirurg.70681292.eng.abstr-s6-r13-t3.1-t2.1", "type": "degree_of", "arg1_id": "DerChirurg.70681292.eng.abstr-s6-t3", "arg2_id": "DerChirurg.70681292.eng.abstr-s6-t2", "normalized": [] } ]

DerChirurg.70681297.eng.abstr

[ { "id": "DerChirurg.70681297.eng.abstr-passage-0", "type": "abstract", "text": [ "The implantation of a mesh is an essential step in laparoscopic inguinal hernia surgery . We present the case of a 22-year-old man who developed an unspecific and refractory syndrome of inguinal pain after a TAPP procedure for a primary inguinal hernia . Repeated reoperation for removement of clips and nerve transection were unsuccessful . By a transinguinal approach , 18 months after the first operation we removed a preperitoneal Prolene mesh which had shrunk and folded to 30 % of its original size . The problem of biocompatibility of meshes currently used in inguinal hernia surgery is discussed ." ], "offsets": [ [ 0, 605 ] ] } ]

[ { "id": "DerChirurg.70681297.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "implantation" ], "offsets": [ [ 4, 16 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0029976" } ] }, { "id": "DerChirurg.70681297.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "hernia" ], "offsets": [ [ 73, 79 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019270" } ] }, { "id": "DerChirurg.70681297.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "surgery" ], "offsets": [ [ 80, 87 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038894" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70681297.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "inguinal hernia" ], "offsets": [ [ 64, 79 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019294" } ] }, { "id": "DerChirurg.70681297.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "man" ], "offsets": [ [ 127, 130 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025266" }, { "db_name": "UMLS", "db_id": "C0024554" } ] }, { "id": "DerChirurg.70681297.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "syndrome" ], "offsets": [ [ 174, 182 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039082" } ] }, { "id": "DerChirurg.70681297.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "pain" ], "offsets": [ [ 195, 199 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030193" } ] }, { "id": "DerChirurg.70681297.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "TAPP" ], "offsets": [ [ 208, 212 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0163807" } ] }, { "id": "DerChirurg.70681297.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "procedure" ], "offsets": [ [ 213, 222 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0184661" }, { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.70681297.eng.abstr-s2-t6", "type": "umlsterm", "text": [ "hernia" ], "offsets": [ [ 246, 252 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019270" } ] }, { "id": "DerChirurg.70681297.eng.abstr-s2-t7", "type": "umlsterm", "text": [ "inguinal hernia" ], "offsets": [ [ 237, 252 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019294" } ] }, { "id": "DerChirurg.70681297.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "reoperation" ], "offsets": [ [ 264, 275 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035110" } ] }, { "id": "DerChirurg.70681297.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "removement" ], "offsets": [ [ 280, 290 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026649" } ] }, { "id": "DerChirurg.70681297.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "clips" ], "offsets": [ [ 294, 299 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0175722" } ] }, { "id": "DerChirurg.70681297.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "nerve" ], "offsets": [ [ 304, 309 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027769" } ] }, { "id": "DerChirurg.70681297.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "operation" ], "offsets": [ [ 398, 407 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0543467" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70681297.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "Prolene" ], "offsets": [ [ 435, 442 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0917843" } ] }, { "id": "DerChirurg.70681297.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "hernia" ], "offsets": [ [ 576, 582 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019270" } ] }, { "id": "DerChirurg.70681297.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "surgery" ], "offsets": [ [ 583, 590 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038894" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70681297.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "inguinal hernia" ], "offsets": [ [ 567, 582 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019294" } ] } ]

[]

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"DerChirurg.70681297.eng.abstr-s5-t1", "arg2_id": "DerChirurg.70681297.eng.abstr-s5-t2", "normalized": [] }, { "id": "DerChirurg.70681297.eng.abstr-s5-r2-t1.1-t2.2", "type": "result_of", "arg1_id": "DerChirurg.70681297.eng.abstr-s5-t1", "arg2_id": "DerChirurg.70681297.eng.abstr-s5-t2", "normalized": [] }, { "id": "DerChirurg.70681297.eng.abstr-s5-r4-t2.2-t1.1", "type": "result_of", "arg1_id": "DerChirurg.70681297.eng.abstr-s5-t2", "arg2_id": "DerChirurg.70681297.eng.abstr-s5-t1", "normalized": [] } ]

DerChirurg.70681301.eng.abstr

[ { "id": "DerChirurg.70681301.eng.abstr-passage-0", "type": "abstract", "text": [ "Hernias of the obturator foramen are rare . They are described mostly in elderly female patients in poor health . Often the correct diagnosis is stumbled upon as a result of surprising intraoperative findings . Surgical therapy is indicated often by the clinical symptoms of an incarcerated hernia . Herniation of the entire urinary bladder with hemorrhagic infarction has never been described before . For an anatomical reduction of the hernia it was neccesary to resect the superior pubic ramus . For plastic reconstruction a marlex mesh was used ." ], "offsets": [ [ 0, 550 ] ] } ]

[ { "id": "DerChirurg.70681301.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "Hernias" ], "offsets": [ [ 0, 7 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019270" } ] }, { "id": "DerChirurg.70681301.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "elderly" ], "offsets": [ [ 73, 80 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0001792" } ] }, { "id": "DerChirurg.70681301.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "female" ], "offsets": [ [ 81, 87 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0086287" }, { "db_name": "UMLS", "db_id": "C0015780" } ] }, { "id": "DerChirurg.70681301.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 88, 96 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70681301.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "health" ], "offsets": [ [ 105, 111 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0018684" } ] }, { "id": "DerChirurg.70681301.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "diagnosis" ], "offsets": [ [ 132, 141 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011900" }, { "db_name": "UMLS", "db_id": "C0348026" } ] }, { "id": "DerChirurg.70681301.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "findings" ], "offsets": [ [ 200, 208 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243095" } ] }, { "id": "DerChirurg.70681301.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "Surgical" ], "offsets": [ [ 211, 219 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70681301.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "therapy" ], "offsets": [ [ 220, 227 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerChirurg.70681301.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "symptoms" ], "offsets": [ [ 263, 271 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0683368" } ] }, { "id": "DerChirurg.70681301.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "hernia" ], "offsets": [ [ 291, 297 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019270" } ] }, { "id": "DerChirurg.70681301.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "Herniation" ], "offsets": [ [ 300, 310 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019270" } ] }, { "id": "DerChirurg.70681301.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "Herniation" ], "offsets": [ [ 300, 310 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022023" } ] }, { "id": "DerChirurg.70681301.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "bladder" ], "offsets": [ [ 333, 340 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005682" }, { "db_name": "UMLS", "db_id": "C0005684" } ] }, { "id": "DerChirurg.70681301.eng.abstr-s5-t4", "type": "umlsterm", "text": [ "infarction" ], "offsets": [ [ 358, 368 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021308" } ] }, { "id": "DerChirurg.70681301.eng.abstr-s5-t5", "type": "umlsterm", "text": [ "urinary bladder" ], "offsets": [ [ 325, 340 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005682" } ] }, { "id": "DerChirurg.70681301.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "anatomical" ], "offsets": [ [ 410, 420 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220784" } ] }, { "id": "DerChirurg.70681301.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "hernia" ], "offsets": [ [ 438, 444 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019270" } ] }, { "id": "DerChirurg.70681301.eng.abstr-s7-t1", "type": "umlsterm", "text": [ "plastic" ], "offsets": [ [ 503, 510 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032167" } ] }, { "id": "DerChirurg.70681301.eng.abstr-s7-t2", "type": "umlsterm", "text": [ "marlex" ], "offsets": [ [ 528, 534 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0127031" } ] } ]

[]

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DerChirurg.70681304.eng.abstr

[ { "id": "DerChirurg.70681304.eng.abstr-passage-0", "type": "abstract", "text": [ "Arteriovenous fistula is a rare complication following vascular trauma . We report a case of an arteriovenous fistula of the neck after a penetrating injury . The only presenting symptoms were a thrill and a machinery murmur . There were no signs of cardiac insufficiency . Duplex scan and arteriography detected an arteriovenous fistula between the superior thyroid artery and the superior thyroid vein . Surgical therapy was straight-forward . Treatment should be carried out as soon as possible , and is then usually simple and successful ." ], "offsets": [ [ 0, 543 ] ] } ]

[ { "id": "DerChirurg.70681304.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "fistula" ], "offsets": [ [ 14, 21 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016169" } ] }, { "id": "DerChirurg.70681304.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "complication" ], "offsets": [ [ 32, 44 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] }, { "id": "DerChirurg.70681304.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "trauma" ], "offsets": [ [ 64, 70 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021501" }, { "db_name": "UMLS", "db_id": "C0043251" } ] }, { "id": "DerChirurg.70681304.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "Arteriovenous fistula" ], "offsets": [ [ 0, 21 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003855" } ] }, { "id": "DerChirurg.70681304.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "fistula" ], "offsets": [ [ 110, 117 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016169" } ] }, { "id": "DerChirurg.70681304.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "neck" ], "offsets": [ [ 125, 129 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027530" } ] }, { "id": "DerChirurg.70681304.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "injury" ], "offsets": [ [ 150, 156 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0175677" }, { "db_name": "UMLS", "db_id": "C0021501" } ] }, { "id": "DerChirurg.70681304.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "arteriovenous fistula" ], "offsets": [ [ 96, 117 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003855" } ] }, { "id": "DerChirurg.70681304.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "penetrating injury" ], "offsets": [ [ 138, 156 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0043254" } ] }, { "id": "DerChirurg.70681304.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "symptoms" ], "offsets": [ [ 179, 187 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0683368" } ] }, { "id": "DerChirurg.70681304.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "signs" ], "offsets": [ [ 241, 246 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220912" } ] }, { "id": "DerChirurg.70681304.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "arteriography" ], "offsets": [ [ 290, 303 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003844" } ] }, { "id": "DerChirurg.70681304.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "fistula" ], "offsets": [ [ 330, 337 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016169" } ] }, { "id": "DerChirurg.70681304.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "thyroid" ], "offsets": [ [ 359, 366 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040132" }, { "db_name": "UMLS", "db_id": "C0040134" } ] }, { "id": "DerChirurg.70681304.eng.abstr-s5-t4", "type": "umlsterm", "text": [ "artery" ], "offsets": [ [ 367, 373 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003842" } ] }, { "id": "DerChirurg.70681304.eng.abstr-s5-t5", "type": "umlsterm", "text": [ "thyroid" ], "offsets": [ [ 391, 398 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040132" }, { "db_name": "UMLS", "db_id": "C0040134" } ] }, { "id": "DerChirurg.70681304.eng.abstr-s5-t6", "type": "umlsterm", "text": [ "vein" ], "offsets": [ [ 399, 403 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042449" } ] }, { "id": "DerChirurg.70681304.eng.abstr-s5-t7", "type": "umlsterm", "text": [ "arteriovenous fistula" ], "offsets": [ [ 316, 337 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003855" } ] }, { "id": "DerChirurg.70681304.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "Surgical" ], "offsets": [ [ 406, 414 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70681304.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "therapy" ], "offsets": [ [ 415, 422 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerChirurg.70681304.eng.abstr-s7-t1", "type": "umlsterm", "text": [ "Treatment" ], "offsets": [ [ 446, 455 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] } ]

[]

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DerChirurg.80690001.eng.abstr

[ { "id": "DerChirurg.80690001.eng.abstr-passage-0", "type": "abstract", "text": [ "Acute occlusive mesenteric ischemia is caused by a local impairment of splanchnic blood flow and poses a particular surgical challenge . Acute superior mesenteric occlusion is a medical/surgical emergency mandating prompt diagnosis ( clinical awareness , angiography ) and therapy ( exploratory laparotomy with possible arterial reconstruction ; embolectomy , thrombectomy ; and/or bowel resection ) . The difficulty of early diagnosis is probably the most important cause of the high mortality which varies from 70 % to 90 % in arterial and functional mesenteric ischemia and from 20 % to 70 % in an acute thrombosis of the mesenteric veins . Improved survival from nonocclusive mesenteric ischemia is dependent upon the identification of high-risk groups and on aggressive diagnostic and therapeutic measures ( intra-arterial infusion of papaverine through the angiographic catheter with or without bowel resection ) . For assessment of bowel viability , the clinical judgement during first- or second-look exploration is still the most reliable parameter . The surgical management of chronic mesenteric ischemia includes aortomesenteric grafting and transaortic endarterectomy in the majority of patients with comorbidity of cardiovascular arteriosclerotic diseases and results in a high rate of symptom-free patients . Prophylactic reconstruction of visceral arteries is indicated only in certain limited circumstances ." ], "offsets": [ [ 0, 1424 ] ] } ]

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[]

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"arg1_id": "DerChirurg.80690001.eng.abstr-s7-t1", "arg2_id": "DerChirurg.80690001.eng.abstr-s6-t3", "normalized": [] }, { "id": "DerChirurg.80690001.eng.abstr-s6-r19-t7.1-t5.1", "type": "occurs_in", "arg1_id": "DerChirurg.80690001.eng.abstr-s6-t7", "arg2_id": "DerChirurg.80690001.eng.abstr-s6-t5", "normalized": [] }, { "id": "DerChirurg.80690001.eng.abstr-s6-r20-t7.1-t3.1", "type": "associated_with", "arg1_id": "DerChirurg.80690001.eng.abstr-s6-t7", "arg2_id": "DerChirurg.80690001.eng.abstr-s6-t3", "normalized": [] } ]

DerChirurg.80690008.eng.abstr

[ { "id": "DerChirurg.80690008.eng.abstr-passage-0", "type": "abstract", "text": [ "The surgeon dealing with oncological operations within the abdominal cavity will be frequently confronted with vascular problems . These include surgically relevant vascular anomalies , arteriosclerotic changes , tumor infiltration of vessels and iatrogenic vascular lesions . The diagnosis , indications and , above all , the vascular surgical techniques applied during oncological procedures on the pancreas and liver are described in this review ." ], "offsets": [ [ 0, 450 ] ] } ]

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[]

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DerChirurg.80690019.eng.abstr

[ { "id": "DerChirurg.80690019.eng.abstr-passage-0", "type": "abstract", "text": [ "Patients suffering from soft tissue sarcoma of the extremities may sometimes require vascular reconstruction to remove the tumor with adequate margins of clearance . Besides this , recurrent lymph node metastases are often affixed to neighboring vessels . MRI and angiography represent the adequate diagnostic procedures . Vessel-invasive sarcoma can hardly be treated by surgical resection with curative intent alone . If there is doubt about invasion of arteries and veins , the vessels should be resected and replaced by autologous vein graft . Soft tissue coverage is of major importance , particularly if prosthetic grafts are used or the resection is within an area of irradiated tissue . After radical resection and combined modality therapy , one can expect local recurrence rates similar to those without vessel invasion . To achieve this goal , surgical oncologists , vascular surgeons and plastic surgeons must work together . Today , amputation can hardly be justified even in vessel-invasive soft tissue tumors ." ], "offsets": [ [ 0, 1025 ] ] } ]

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sarcoma" ], "offsets": [ [ 24, 43 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0036210" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "lymph" ], "offsets": [ [ 191, 196 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024202" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "metastases" ], "offsets": [ [ 202, 212 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027627" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "vessels" ], "offsets": [ [ 246, 253 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005847" }, { "db_name": "UMLS", "db_id": "C0148346" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "lymph node" ], "offsets": [ [ 191, 201 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024204" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "MRI" ], "offsets": [ [ 256, 259 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024485" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "angiography" ], "offsets": [ [ 264, 275 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0002978" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "diagnostic" ], "offsets": [ [ 299, 309 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0348026" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "procedures" ], "offsets": [ [ 310, 320 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0184661" }, { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "sarcoma" ], "offsets": [ [ 339, 346 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0036210" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "surgical" ], "offsets": [ [ 372, 380 ] ], "normalized": [ { "db_name": 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"UMLS", "db_id": "C0040733" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "tissue" ], "offsets": [ [ 553, 559 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040300" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "grafts" ], "offsets": [ [ 621, 627 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0332835" }, { "db_name": "UMLS", "db_id": "C0040733" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s6-t3", "type": "umlsterm", "text": [ "tissue" ], "offsets": [ [ 686, 692 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040300" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s7-t1", "type": "umlsterm", "text": [ "therapy" ], "offsets": [ [ 741, 748 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s7-t2", "type": "umlsterm", "text": [ "recurrence" ], "offsets": [ [ 772, 782 ] ], "normalized": [ { 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"db_id": "C0032167" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s8-t4", "type": "umlsterm", "text": [ "work" ], "offsets": [ [ 922, 926 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0043227" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s9-t1", "type": "umlsterm", "text": [ "amputation" ], "offsets": [ [ 946, 956 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0002688" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s9-t2", "type": "umlsterm", "text": [ "tissue" ], "offsets": [ [ 1010, 1016 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040300" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s9-t3", "type": "umlsterm", "text": [ "tumors" ], "offsets": [ [ 1017, 1023 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" } ] }, { "id": "DerChirurg.80690019.eng.abstr-s9-t4", "type": "umlsterm", "text": [ "soft tissue tumors" ], "offsets": [ [ 1005, 1023 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0037579" } ] } ]

[]

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"DerChirurg.80690019.eng.abstr-s9-t2", "arg2_id": "DerChirurg.80690019.eng.abstr-s9-t3", "normalized": [] }, { "id": "DerChirurg.80690019.eng.abstr-s9-r8-t1.1-t4.1", "type": "associated_with", "arg1_id": "DerChirurg.80690019.eng.abstr-s9-t1", "arg2_id": "DerChirurg.80690019.eng.abstr-s9-t4", "normalized": [] }, { "id": "DerChirurg.80690019.eng.abstr-s9-r9-t1.1-t3.1", "type": "associated_with", "arg1_id": "DerChirurg.80690019.eng.abstr-s9-t1", "arg2_id": "DerChirurg.80690019.eng.abstr-s9-t3", "normalized": [] } ]

DerChirurg.80690038.eng.abstr

[ { "id": "DerChirurg.80690038.eng.abstr-passage-0", "type": "abstract", "text": [ "Acute limb ischemia is an emergency which regularly requires operative treatment in departments of general surgery . In about 70 % of cases there is an embolic reason for acute ischemia . In the majority of cases urgent operative desobliteration is required to guarantee limb salvage . The introduction of balloon catheters reduced the surgical trauma significantly in cases of long secondary thromboses . More complex procedures are required in patients with preexisting chronic arterial occlusive disease . The mortality of these emergency operations is still 10-20 % with a limb salvage rate of 80-90 % ." ], "offsets": [ [ 0, 607 ] ] } ]

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[]

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"normalized": [] }, { "id": "DerChirurg.80690038.eng.abstr-s4-r20-t1.1-t4.1", "type": "associated_with", "arg1_id": "DerChirurg.80690038.eng.abstr-s6-t1", "arg2_id": "DerChirurg.80690038.eng.abstr-s6-t4", "normalized": [] }, { "id": "DerChirurg.80690038.eng.abstr-s4-r21-t3.1-t4.2", "type": "result_of", "arg1_id": "DerChirurg.80690038.eng.abstr-s6-t3", "arg2_id": "DerChirurg.80690038.eng.abstr-s4-t4", "normalized": [] }, { "id": "DerChirurg.80690038.eng.abstr-s4-r22-t1.1-t4.1", "type": "result_of", "arg1_id": "DerChirurg.80690038.eng.abstr-s6-t1", "arg2_id": "DerChirurg.80690038.eng.abstr-s6-t4", "normalized": [] }, { "id": "DerChirurg.80690038.eng.abstr-s4-r23-t1.1-t3.1", "type": "associated_with", "arg1_id": "DerChirurg.80690038.eng.abstr-s6-t1", "arg2_id": "DerChirurg.80690038.eng.abstr-s6-t3", "normalized": [] }, { "id": "DerChirurg.80690038.eng.abstr-s5-r1-t3.1-t1.1", "type": "occurs_in", "arg1_id": "DerChirurg.80690038.eng.abstr-s6-t3", "arg2_id": "DerChirurg.80690038.eng.abstr-s6-t1", "normalized": [] }, { "id": "DerChirurg.80690038.eng.abstr-s5-r3-t4.1-t1.1", "type": "occurs_in", "arg1_id": "DerChirurg.80690038.eng.abstr-s6-t4", "arg2_id": "DerChirurg.80690038.eng.abstr-s6-t1", "normalized": [] }, { "id": "DerChirurg.80690038.eng.abstr-s6-r1-t1.1-t3.1", "type": "conceptual_part_of", "arg1_id": "DerChirurg.80690038.eng.abstr-s6-t1", "arg2_id": "DerChirurg.80690038.eng.abstr-s6-t3", "normalized": [] }, { "id": "DerChirurg.80690038.eng.abstr-s6-r3-t1.1-t3.2", "type": "measurement_of", "arg1_id": "DerChirurg.80690038.eng.abstr-s6-t1", "arg2_id": "DerChirurg.80690038.eng.abstr-s6-t3", "normalized": [] } ]

DerChirurg.80690048.eng.abstr

[ { "id": "DerChirurg.80690048.eng.abstr-passage-0", "type": "abstract", "text": [ "Acute hemorrhage from pseudocysts and pseudoaneurysms is a threatening complication of chronic pancreatitis . Whilst surgical intervention still has high perioperative mortality ( 16.8 % ) , transcatheter arterial embolization is becoming more frequently used for suitable cases and appears to have lower mortality ( 6.1 % ) . We report on six patients treated in our unit . Four of them underwent primary surgical treatment , the other two were treated by embolisation . One of the latter patients subsequently required laparotomy for further treatment . All six patients survived . Comparing the literature covering the periods between 1951 and 1981 and between 1982 and 1996 , transcatheter embolisation seems to be valuable in controlling this type of bleeding , thereby reducing mortality ." ], "offsets": [ [ 0, 795 ] ] } ]

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[]

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DerChirurg.80690061.eng.abstr

[ { "id": "DerChirurg.80690061.eng.abstr-passage-0", "type": "abstract", "text": [ "Laparoscopic cholecystectomy offers many advantages , but cardiopulmonary impaired patients may be endangered by the haemodynamic and respiratory effects of the pneumoperitoneum . Between June 1990 and December 1995 , laparoscopic cholecystectomies were performed on 19 high-risk patients ( ASA IV ) and conventional cholecystectomies on 26 patients with the same operative risk ( ASA IV ) . Out of 45 patients , 5 ( 11.1 % ) suffered intraoperative cardiopulmonal complications . Three belonged to the group with laparoscopic cholecystectomy ( 15,8 % ) and two to the group with open laparotomy ( 7.7 % ) . General postoperative complications occured in 15 cases ( 33.3 % ) , whereby patients of the conventional cholcystectomy group were concerned more often [ 46.2 % ( n = 12 ) versus 15.8 % ( n = 3 ) , P = 0.03 ] . The number of days spent in hospital after open cholecystectomy was higher ( P = 0.01 ) ( 11.6 +/- 5.6 days in the laparotomy group versus 7.6 +/- 5.0 days in the laparoscopy group ) . The classification as a high-risk patient indicates an elevation of the perioperative rate of complications in laparoscopic and open cholecystectomy , whereby the rate of postoperative complications is lower in the laparoscopic group ." ], "offsets": [ [ 0, 1240 ] ] } ]

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[]

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DerChirurg.80690066.eng.abstr

[ { "id": "DerChirurg.80690066.eng.abstr-passage-0", "type": "abstract", "text": [ "Since 1975 , the Department of Surgery in the Grevenbroich Community Hospital ( Germany ) has applied a simplified technique of open appendectomy . The inhouse modified procedure without stump embedding has been performed in 3,448 cases to date . The same approach has been used in 1,463 laparoscopic appendectomies since 1991. In the laparoscopic procedure the stump is ligated solely with Roeder's loop . None of the 4,911 patients who have undergone either open or laparoscopic appendectomy have developed stump inadequacy or stercoral fistulae . According to the special literature , the complication rate after appendectomies without stump embedding is lower than that after standard procedures . In retrospect , laparoscopic appendectomy with simple ligation has confirmed the results achieved with simple ligation in open appendectomies . The technique should therefore become more common practice in open appendectomies , as well ." ], "offsets": [ [ 0, 939 ] ] } ]

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[]

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"DerChirurg.80690066.eng.abstr-s6-r3-t4.1-t1.1", "type": "associated_with", "arg1_id": "DerChirurg.80690066.eng.abstr-s6-t4", "arg2_id": "DerChirurg.80690066.eng.abstr-s7-t1", "normalized": [] }, { "id": "DerChirurg.80690066.eng.abstr-s7-r1-t2.1-t1.1", "type": "associated_with", "arg1_id": "DerChirurg.80690066.eng.abstr-s7-t2", "arg2_id": "DerChirurg.80690066.eng.abstr-s7-t1", "normalized": [] }, { "id": "DerChirurg.80690066.eng.abstr-s7-r2-t1.1-t2.1", "type": "associated_with", "arg1_id": "DerChirurg.80690066.eng.abstr-s7-t1", "arg2_id": "DerChirurg.80690066.eng.abstr-s7-t2", "normalized": [] } ]

DerChirurg.80690072.eng.abstr

[ { "id": "DerChirurg.80690072.eng.abstr-passage-0", "type": "abstract", "text": [ "In a prospective study the preoperative risk of alcohol addiction was evaluated in 46 patients with squamous cell carcinoma of the esophagus . In all patients the alcohol marker carbohydrate-deficient transferrin ( CDT ) was measured prior to esophagectomy and correlated with the incidence of postoperative withdrawal symptoms ( yes/no ) and the postoperative course ( good/moderate/poor/fatal ) . Withdrawal symptoms were more frequently observed in cases of elevated CDT values ( median of CDT with withdrawal 17.0 U/l vs without withdrawal 10.7 U/l ; P = 0.0006 ) . CDT values were significantly increased in case of a complicated postoperative course ( median of CDT for moderate/poor/fatal postoperative course 14.0 U/l vs good course 10.8 U/l ; P = 0.02 ) . The CDT value correlated ( P = 0.04 ) with the patient's history of preoperative alcohol consumption ( normal/increased/high ) . In a multivariate logistic regression analysis CDT and preoperative alcohol consumption were independent parameters to predict significantly the postoperative course and withdrawal . The sensitivity was 71.4 % and the specifity 84.4 % selecting the parameter \" postoperative withdrawal \" and a CDT cut-off point of 15.3 U/l . CDT can effectively identify patients with high alcohol consumption prior to esophagectomy ." ], "offsets": [ [ 0, 1312 ] ] } ]

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[]

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"arg1_id": "DerChirurg.80690072.eng.abstr-s8-t1", "arg2_id": "DerChirurg.80690072.eng.abstr-s8-t6", "normalized": [] }, { "id": "DerChirurg.80690072.eng.abstr-s8-r6-t6.1-t1.1", "type": "associated_with", "arg1_id": "DerChirurg.80690072.eng.abstr-s8-t6", "arg2_id": "DerChirurg.80690072.eng.abstr-s8-t1", "normalized": [] }, { "id": "DerChirurg.80690072.eng.abstr-s8-r7-t6.1-t4.1", "type": "isa", "arg1_id": "DerChirurg.80690072.eng.abstr-s8-t6", "arg2_id": "DerChirurg.80690072.eng.abstr-s8-t4", "normalized": [] } ]

DerChirurg.80690077.eng.abstr

[ { "id": "DerChirurg.80690077.eng.abstr-passage-0", "type": "abstract", "text": [ "From 1. 11. 93 to 30. 3. 97 , 1149 patients were prospectively studied during their ICU stay . Of them , 114 met the criteria of septic shock , with lethality of 47.3 % . A neural network was trained with datasets from 91 of these 114 patients . Testing the trained neural network with the remaining 23 patients , the following result was obtained : all 10 patients dying from septic shock were correctly predicted ; of 13 surviving patients , 12 were correctly identified ( sensitivity 100 % ; specifity 92.3 % ) ." ], "offsets": [ [ 0, 515 ] ] } ]

[ { "id": "DerChirurg.80690077.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 35, 43 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.80690077.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "ICU" ], "offsets": [ [ 84, 87 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021708" } ] }, { "id": "DerChirurg.80690077.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "prospectively studied" ], "offsets": [ [ 49, 70 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0033522" } ] }, { "id": "DerChirurg.80690077.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "criteria" ], "offsets": [ [ 117, 125 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243161" } ] }, { "id": "DerChirurg.80690077.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "shock" ], "offsets": [ [ 136, 141 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0036974" } ] }, { "id": "DerChirurg.80690077.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "septic shock" ], "offsets": [ [ 129, 141 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0036983" } ] }, { "id": "DerChirurg.80690077.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 235, 243 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.80690077.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "Testing" ], "offsets": [ [ 246, 253 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039593" } ] }, { "id": "DerChirurg.80690077.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 303, 311 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.80690077.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 357, 365 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.80690077.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "shock" ], "offsets": [ [ 384, 389 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0036974" } ] }, { "id": "DerChirurg.80690077.eng.abstr-s4-t5", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 433, 441 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.80690077.eng.abstr-s4-t6", "type": "umlsterm", "text": [ "sensitivity" ], "offsets": [ [ 475, 486 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0036667" } ] }, { "id": "DerChirurg.80690077.eng.abstr-s4-t7", "type": "umlsterm", "text": [ "patients dying" ], "offsets": [ [ 357, 371 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011065" } ] }, { "id": "DerChirurg.80690077.eng.abstr-s4-t8", "type": "umlsterm", "text": [ "septic shock" ], "offsets": [ [ 377, 389 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0036983" } ] } ]

[]

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"DerChirurg.80690077.eng.abstr-s4-t1", "arg2_id": "DerChirurg.80690077.eng.abstr-s4-t4", "normalized": [] }, { "id": "DerChirurg.80690077.eng.abstr-s4-r25-t4.1-t6.1", "type": "result_of", "arg1_id": "DerChirurg.80690077.eng.abstr-s4-t4", "arg2_id": "DerChirurg.80690077.eng.abstr-s4-t6", "normalized": [] } ]

DerChirurg.80690082.eng.abstr

[ { "id": "DerChirurg.80690082.eng.abstr-passage-0", "type": "abstract", "text": [ "Osteoarthritis ( OA ) influences the levels of free intraarticular glucosaminoglycans ( GAG ) . Little is known about the direction - decrease/increase - of these changes , and information on the correlation between GAG levels and the degree of OA is sparse . Objectives of this study were to investigate the correlation between intraarticular levels of sulphated and unsulphated GAG and the degree of experimental OA , the time course of these changes and whether GAG might be useful as a marker for OA . Twenty-one sheep were randomly assigned to three groups : ( 1 ) transsection of the posterolateral bundle of the anterior cruciate ligament , ACL ( TD ) , ( 2 ) medial meniscectomy ( ME ) , and ( 3 ) meniscectomy and resection of the ACL ( MV ) . During follow-up clinical and radiological examinations were done . After screening for intraarticular effusions , a joint tab was performed and the levels of hyaluronic acid and chondroitin sulphate were measured . The radiological scores differ significantly between group TD and groups ME and MV ( P 0.01 ) . Hyaluronic acid levels in ME and MV are significantly higher than in the controls . Significantly increased levels ( P 0.01 ) of chondroitin sulphate are found 6 months after ME and 1 year following TD . Clinical consequences : Hyaluronic acid levels - at least in the experimental setting - correspond to a certain degree with osteoarthrotic changes : increasing levels were found along with increasing postoperative interval and increasing grade of OA . Chondroitin sulphate , on the other hand seems , to lend itself as a marker for chondromalacia , in other words for prearthrotic deformities and early stages of OA ." ], "offsets": [ [ 0, 1686 ] ] } ]

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], "offsets": [ [ 827, 836 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220908" }, { "db_name": "UMLS", "db_id": "C0220909" } ] }, { "id": "DerChirurg.80690082.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "joint" ], "offsets": [ [ 870, 875 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022417" } ] }, { "id": "DerChirurg.80690082.eng.abstr-s6-t3", "type": "umlsterm", "text": [ "acid" ], "offsets": [ [ 923, 927 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0001128" } ] }, { "id": "DerChirurg.80690082.eng.abstr-s6-t4", "type": "umlsterm", "text": [ "chondroitin" ], "offsets": [ [ 932, 943 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0008454" } ] }, { "id": "DerChirurg.80690082.eng.abstr-s6-t5", "type": "umlsterm", "text": [ "sulphate" ], "offsets": [ [ 944, 952 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038720" } ] }, { "id": "DerChirurg.80690082.eng.abstr-s6-t6", "type": "umlsterm", "text": [ "hyaluronic acid" ], "offsets": [ [ 912, 927 ] ], 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[]

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DerChirurg.80690091.eng.abstr

[ { "id": "DerChirurg.80690091.eng.abstr-passage-0", "type": "abstract", "text": [ "Arteriovenous fistulas of the portal system are rare . Congenital fistulas have to be differentiated from acquired fistulas ; the latter are of posttraumatic or iatrogenic origin . The case presented demonstrates a history of diffuse abdominal pain and the first description of myocardial ischemia caused by a posttraumatic splenic arterioportal fistula . After diagnostic and therapeutic difficulties , the definitive treatment consisted in resection of the fistula system including the pancreatic tail ." ], "offsets": [ [ 0, 505 ] ] } ]

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[]

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DerChirurg.80690098.eng.abstr

[ { "id": "DerChirurg.80690098.eng.abstr-passage-0", "type": "abstract", "text": [ "Angiomyolipomas are hamartomas that may be found sporadically or associated with tuberous sclerosis ( M. Bourneville-Pringle ) . Clinically , this long-term asymptomatic tumor becomes evident as an acute retroperitoneal hemorrhage or by symptoms of a flank mass . Due to the high percentage of fat components in this tumor type , computed tomography is far superior to other radiological procedures . In view of two of our own case reports , the therapeutic strategies are discussed , paying regard to the actual literature in this field ." ], "offsets": [ [ 0, 539 ] ] } ]

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DerChirurg.80690102.eng.abstr

[ { "id": "DerChirurg.80690102.eng.abstr-passage-0", "type": "abstract", "text": [ "Traumatic injuries of arteries lead to acute bleeding or ischemia . In the hand , which is perfused by two arteries , this symptom could be missed . The hypothenar hammer syndrome is a traumatic occlusion of the distal arteria ulnaris . Dependent on the mechanism of the trauma the clinical symptoms may appear late . A specific angiographic or duplex sonographic diagnostic investigation is necessary to show the arterial occlusion . There is no proven therapeutic procedure . Exact diagnosis of the occlusion as an effect of the trauma is important for the patient and is the basis of any therapeutic intervention ." ], "offsets": [ [ 0, 617 ] ] } ]

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[]

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DerChirurg.80690105.eng.abstr

[ { "id": "DerChirurg.80690105.eng.abstr-passage-0", "type": "abstract", "text": [ "Zwickau Hospital in Saxony has been a famous center of surgery since the very beginning . It was built by Heinrich Braun , the founder of modern local anesthesia . His successors , Kulenkampff and Mayer , preserved , continued and completed his life's work . The surgery center in Zwickau provided very important ideas for general and local anesthesia , for building and managing hospital and for the science of surgery in words and illustrations ." ], "offsets": [ [ 0, 448 ] ] } ]

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[]

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DerChirurg.80690141.eng.abstr

[ { "id": "DerChirurg.80690141.eng.abstr-passage-0", "type": "abstract", "text": [ "In over 80 % of patients with gastroesophageal reflux disease , the Nissen antireflux fundoplication gives good long-term results . Dysphagia , inability to belch or vomit as well as the gas bloat syndrome are possible sequelae after fundoplication . The frequency of these symptoms could be reduced by modification of the original Nissen-Rossetti fundoplication into the so-called \" floppy \" Nissen fundoplication , a short and loose wrap of mobilized gastric fundus . Failures of the antireflux procedure are mainly due to disruption or displacement of the wrap with the telescope phenomenon . Here , reoperation with refashioning of the original wrap may lead to same functional results like a primary fundoplication . Technical alternatives may selectively be chosen , when gastroesophageal reflux disease is complicated by fixated hiatal hernia , esophageal shortening , or serious esophageal motility disorders . Such specific anatomic or functional abnormalities are detected by preoperative endoscopy , barium swallow , 24-h pH monitoring , and manometry . Alternative techniques are mainly transthoracic repairs , including the Nissen fundoplication , Collis gastroplasty , and the Belsey Mark IV . Modifications of the 360 ° Nissen operation are partial fundoplications like the Hill repair and the Toupet dorsal fundoplication . Because of a high failure rate in the long-term follow-up , application of the ligamentum teres cardiopexy and of the Angelchik prosthesis is not recommended ." ], "offsets": [ [ 0, 1499 ] ] } ]

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[]

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"arg1_id": "DerChirurg.80690141.eng.abstr-s9-t5", "arg2_id": "DerChirurg.80690141.eng.abstr-s9-t4", "normalized": [] }, { "id": "DerChirurg.80690141.eng.abstr-s7-r8-t1.1-t2.2", "type": "associated_with", "arg1_id": "DerChirurg.80690141.eng.abstr-s10-t1", "arg2_id": "DerChirurg.80690141.eng.abstr-s7-t2", "normalized": [] } ]

DerChirurg.80690148.eng.abstr

[ { "id": "DerChirurg.80690148.eng.abstr-passage-0", "type": "abstract", "text": [ "Laparoscopic antireflux surgery is rapidly replacing traditional operations for the treatment of medically refractory gastroesophageal reflux disease . These procedures are technically demanding . Troublesome side effects can be minimized by carefully selecting patients and using a meticulous and appropriate technique . Extensive follow-up data are now emerging and indicate that these procedures can offer long-term control of symptoms with few permanent side effects ." ], "offsets": [ [ 0, 472 ] ] } ]

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[]

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DerChirurg.80690158.eng.abstr

[ { "id": "DerChirurg.80690158.eng.abstr-passage-0", "type": "abstract", "text": [ "A new endoscopic intraluminal valvuloplasty is described . The procedure provides a simple , easy outpatient approach for antireflux surgery and is applicable to patients with early gastroesophageal reflux disease as an alternative to chronic life-long medical therapy . The feasibility , durability and efficacy of the procedure in baboons are reported ." ], "offsets": [ [ 0, 355 ] ] } ]

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[]

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DerChirurg.80690168.eng.abstr

[ { "id": "DerChirurg.80690168.eng.abstr-passage-0", "type": "abstract", "text": [ "The high rate of recurrence after the treatment of adhesive obstruction demands special prophylactic treatment . In a 13-year period , 52 out of 95 patients with major adhesions were provided with a long nasointestinal tube for intestinal splinting intraoperatively . The was being left in situ on an average of 6.6 days . After an observation period of at least 36 months a recurrence was seen in 2 of these 52 patients ( 3.9 % ; causes : volvulus after 6 months/fibrinous peritonitis on the 6th postoperative day ) . Amongst the 43 ' non-splinted' patients , recurrence of adhesive obstruction was documented in 8 cases ( 18.6 % ; causes : adhesions after 0.3-136.9 months ) . In the course of aftercare abdominal complaints were significantly fewer in patients who had been splinted . Complications concerning the nasointestinal tubes did not occur . The rate of perioperative complications was similar in both groups ." ], "offsets": [ [ 0, 922 ] ] } ]

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[]

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{ "id": "DerChirurg.80690168.eng.abstr-s5-r6-t4.1-t2.1", "type": "result_of", "arg1_id": "DerChirurg.80690168.eng.abstr-s5-t4", "arg2_id": "DerChirurg.80690168.eng.abstr-s6-t2", "normalized": [] }, { "id": "DerChirurg.80690168.eng.abstr-s6-r1-t2.1-t1.1", "type": "performs", "arg1_id": "DerChirurg.80690168.eng.abstr-s6-t2", "arg2_id": "DerChirurg.80690168.eng.abstr-s8-t1", "normalized": [] } ]

DerChirurg.80690174.eng.abstr

[ { "id": "DerChirurg.80690174.eng.abstr-passage-0", "type": "abstract", "text": [ "Right colon diverticulitis , representing 1-3 , 6 % of cases of diverticular disease is an uncommon cause of right lower quadrant pain . Its presentation is difficult to distinguish from acute appendicitis . Patients are between 35 and 50 years old , have a history of 2-3 days of abdominal pain and few gastrointestinal symptoms . The diagnosis is best confirmed by computed tomography and colonoscopy . Conservative treatment is justified in uncomplicated disease , whereas perforations , abcesses and inflammatory tumors require resection . We describe the cases of six patients treated at our institution from 1991 to 1996. Presentation , geographic variations , diagnostic procedures and management are discussed ." ], "offsets": [ [ 0, 719 ] ] } ]

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[]

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DerChirurg.80690186.eng.abstr

[ { "id": "DerChirurg.80690186.eng.abstr-passage-0", "type": "abstract", "text": [ "The prognostic significance of e-cadherin in papillary thyroid carcinoma was evaluated in a retrospective study . From September 1985 to December 1996 , 113 patients underwent surgery for papillary thyroid carcinoma . Seventy-eight formalin-fixed , paraffin-embedded tissue samples were available for immunohistochemical analysis of e-cadherin expression . In 74 of these 78 patients the postoperative course is known for 2 months to 35.2 years ( median 3.6 years , mean : 4.9 +/- 4.8 years ) . Reduced or negative e-cadherin expression ( = 20 % ) was associated with advanced T categories of the primary tumours and higher rates of synchronous lymph node involvement and distant metastasis . During follow-up in this group of patients locoregional tumour recurrence occurred more frequently and survival was shorter than in patients with tumours which exhibited e-cadherin expression of > 20 % . Statistical analysis revealed e-cadherin expression ( = 20 %/ > 20 % ) , synchronous distant metastasis ( M0/pM1, cM1) and radicality of resection ( R0/R1, 2 ) as significant risk factors for survival . Our findings provide evidence that e-cadherin is a prognostic factor in papillary thyroid carcinoma ." ], "offsets": [ [ 0, 1201 ] ] } ]

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[]

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"DerChirurg.80690186.eng.abstr-s8-r7-t2.2-t3.1", "type": "affects", "arg1_id": "DerChirurg.80690186.eng.abstr-s8-t2", "arg2_id": "DerChirurg.80690186.eng.abstr-s8-t3", "normalized": [] }, { "id": "DerChirurg.80690186.eng.abstr-s8-r8-t1.1-t3.1", "type": "associated_with", "arg1_id": "DerChirurg.80690186.eng.abstr-s8-t1", "arg2_id": "DerChirurg.80690186.eng.abstr-s8-t3", "normalized": [] } ]

DerChirurg.80690191.eng.abstr

[ { "id": "DerChirurg.80690191.eng.abstr-passage-0", "type": "abstract", "text": [ "Age , high physiological load and the great number and different fracture types of the proximal femur are the main challanges for implants used in the management of these fractures . For use in these types of fracture with immediate restoration of full weight-bearing capacity and for reduction of the intra- and postoperative complication rate , the gliding nail was developed . The development is based on a large number of experimental and clinical examinations of per- and subtrochanteric fractures . The advantages of an intramedullary implant and the gliding screw systems are combined with increased moment of resistance of the double-T femor-neck blade profile . We performed a prospective clinical evaluation of the first 186 patients with per- and subtrochanteric fractures who were treated between 15 September 1994 and 29 February 1996 in the Aschaffenburg Trauma Department with a follow-up examination at least 3 months after the operation . The intraoperative complication rate was 1.1 % . The postoperative complication rate was 4.9 % . Change of the blade because of fracture impaction and tractus iliotibialis problems was the most frequent problem with 2.2 % . The most severe complication ( 1.1 % ) were caused by subchondral placement of the blade in the cranial one-third of the femur head . In these cases reosteosynthesis was indicated . Ninety-three percent of the survivors were able to return home . The rate of bed-ridden patients ( 7.7 % and 11.7 % ) was not very different before or after the operation . However , many patients do not reach the condition they had before the fracture and they are one step worse in mobility and social independence ." ], "offsets": [ [ 0, 1680 ] ] } ]

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[]

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DerChirurg.80690198.eng.abstr

[ { "id": "DerChirurg.80690198.eng.abstr-passage-0", "type": "abstract", "text": [ "We report four patients who developed heparin-associated thrombocytopenia ( HAT ) under heparin prophylaxis . One patient showed no clinical signs , but three had severe complications ( white-clot syndrome , acute adrenal failure and loss of limb because of thromboembolic complication ) , leading to death in two cases ." ], "offsets": [ [ 0, 321 ] ] } ]

[ { "id": "DerChirurg.80690198.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 15, 23 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.80690198.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "heparin-associated" ], "offsets": [ [ 38, 56 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019134" } ] }, { "id": "DerChirurg.80690198.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "thrombocytopenia" ], "offsets": [ [ 57, 73 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040034" } ] }, { "id": "DerChirurg.80690198.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "heparin" ], "offsets": [ [ 88, 95 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019134" } ] }, { "id": "DerChirurg.80690198.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "prophylaxis" ], "offsets": [ [ 96, 107 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0033107" } ] }, { "id": "DerChirurg.80690198.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "patient" ], "offsets": [ [ 114, 121 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.80690198.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "signs" ], "offsets": [ [ 141, 146 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220912" } ] }, { "id": "DerChirurg.80690198.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "complications" ], "offsets": [ [ 170, 183 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] }, { "id": "DerChirurg.80690198.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "white-clot" ], "offsets": [ [ 186, 196 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0043157" } ] }, { "id": "DerChirurg.80690198.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "white-clot" ], "offsets": [ [ 186, 196 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005779" } ] }, { "id": "DerChirurg.80690198.eng.abstr-s2-t6", "type": "umlsterm", "text": [ "syndrome" ], "offsets": [ [ 197, 205 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039082" } ] }, { "id": "DerChirurg.80690198.eng.abstr-s2-t7", "type": "umlsterm", "text": [ "limb" ], "offsets": [ [ 242, 246 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015385" } ] }, { "id": "DerChirurg.80690198.eng.abstr-s2-t8", "type": "umlsterm", "text": [ "complication" ], "offsets": [ [ 273, 285 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] }, { "id": "DerChirurg.80690198.eng.abstr-s2-t9", "type": "umlsterm", "text": [ "death" ], "offsets": [ [ 301, 306 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011065" } ] }, { "id": "DerChirurg.80690198.eng.abstr-s2-t10", "type": "umlsterm", "text": [ "adrenal failure" ], "offsets": [ [ 214, 229 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0001623" } ] } ]

[]

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DerChirurg.80690204.eng.abstr

[ { "id": "DerChirurg.80690204.eng.abstr-passage-0", "type": "abstract", "text": [ "In the course of an infection with human immunodeficiency virus , a large variety of complications affecting all organ systems can occur . However , complications affecting the vascular system demanding surgical intervention are rare . In the case presented we report a 67-year-old HIV-seropositive patient who underwent surgery for a huge abscess in the thigh . Intraoperatively unexpectedly we found a mycotic aneurysm of the femoral superficial artery and the causactive bacterium proved to be Salmonella enteritidis . Because of the rising number of HIV-infected patients we suspect that the amount of complications involving the vascular system and demanding surgical intervention will also increase . Therefore , when diagnosing and deciding on therapy for patients with AIDS , the physician must be awaren that vascular complications due as a result of HIV infection might occur more frequently in the future ." ], "offsets": [ [ 0, 917 ] ] } ]

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[]

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"DerChirurg.80690204.eng.abstr-s6-t7", "arg2_id": "DerChirurg.80690204.eng.abstr-s6-t3", "normalized": [] }, { "id": "DerChirurg.80690204.eng.abstr-s6-r46-t7.1-t1.1", "type": "occurs_in", "arg1_id": "DerChirurg.80690204.eng.abstr-s6-t7", "arg2_id": "DerChirurg.80690204.eng.abstr-s6-t1", "normalized": [] } ]

DerChirurg.80690212.eng.abstr

[ { "id": "DerChirurg.80690212.eng.abstr-passage-0", "type": "abstract", "text": [ "Methods : In a 300-bed acute-care hospital we compared optical instruments employed , for orthopedic , urological and gynecological operations during their use in practice . The comparison between 33 ethylene oxide ( EO ) -sterilized optical instruments and 14 steam-sterilized optical instruments took into account the following criteria : frequency of use ; availability ; sterilization cycles ; kind , cost and number of repairs . Results : The 33 EO-sterilized optical instruments were handled 1043 times and were repaired 10 times ( at a cost of up to 2000 SFR ) . The 14 steam-sterilized optical instruments were treated 1101 times and were repaired 8 times ( 2000 SFR ) . The total costs were 77 000 SFR for the 14 steam-sterilized instruments and 132 000 SFR for the 33 EO-sterilized instruments . Interpretation : Steam-sterilization is a reasonable , safe and fast method of sterilizing optical instruments . We prefer this method , given its advantages ( less toxicity , personal care and pollution control ) ." ], "offsets": [ [ 0, 1021 ] ] } ]

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[]

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DerChirurg.80690215.eng.abstr

[ { "id": "DerChirurg.80690215.eng.abstr-passage-0", "type": "abstract", "text": [ "A survey among coloproctologists was performed to assess current therapeutic concepts for the treatment of hemorrhoidal disease and anal fissure . A total of 261 clinical and non-clinical proctologists participated , representing the entire range of therapies in hospital and practise . A wealth of widely differing , in some aspects contradictory concepts were recorded , leaving almost no subject entirely undisputed . There are controversies regarding the different therapeutic alternatives as well as indications for surgery and choice of operative procedure . Future research has to address the existing controversies in order to reach a higher degree of standardization in the therapy of these common proctological disorders ." ], "offsets": [ [ 0, 732 ] ] } ]

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[]

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DerChirurg.80690234.eng.abstr

[ { "id": "DerChirurg.80690234.eng.abstr-passage-0", "type": "abstract", "text": [ "Gastritis caused by infection with Helicobacter pylori is one of the most common infectious diseases worldwide . There are data on the epidemiology , pathophysiology and histology of this disease that show that Helicobacter pylori gastritis plays an important role in gastric carcinogenesis . However , we must remember that only a very few among those infected with Helicobacter pylori will develop gastric cancer . Hence , one of the main targets of future research will be to identify individuals who carry a greater risk for developing gastric cancer and may therefore benefit from eradication of Helicobacter pylori in terms of gastric cancer prevention ." ], "offsets": [ [ 0, 660 ] ] } ]

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"Helicobacter pylori" ], "offsets": [ [ 35, 54 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0079488" } ] }, { "id": "DerChirurg.80690234.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "infectious diseases" ], "offsets": [ [ 81, 100 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009450" } ] }, { "id": "DerChirurg.80690234.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "epidemiology" ], "offsets": [ [ 135, 147 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0014507" }, { "db_name": "UMLS", "db_id": "C0014508" } ] }, { "id": "DerChirurg.80690234.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "pathophysiology" ], "offsets": [ [ 150, 165 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0031847" } ] }, { "id": "DerChirurg.80690234.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "histology" ], "offsets": [ [ 170, 179 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019638" }, { "db_name": "UMLS", "db_id": "C0205462" } ] }, { "id": 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"db_name": "UMLS", "db_id": "C0024623" } ] }, { "id": "DerChirurg.80690234.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "future" ], "offsets": [ [ 452, 458 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016884" } ] }, { "id": "DerChirurg.80690234.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "research" ], "offsets": [ [ 459, 467 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035168" } ] }, { "id": "DerChirurg.80690234.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "risk" ], "offsets": [ [ 520, 524 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035647" } ] }, { "id": "DerChirurg.80690234.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "cancer" ], "offsets": [ [ 548, 554 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006826" } ] }, { "id": "DerChirurg.80690234.eng.abstr-s4-t5", "type": "umlsterm", "text": [ "Helicobacter" ], "offsets": [ [ 601, 613 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0085508" } ] }, { "id": "DerChirurg.80690234.eng.abstr-s4-t6", "type": "umlsterm", "text": [ "pylori" ], "offsets": [ [ 614, 620 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034196" } ] }, { "id": "DerChirurg.80690234.eng.abstr-s4-t7", "type": "umlsterm", "text": [ "cancer" ], "offsets": [ [ 641, 647 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006826" } ] }, { "id": "DerChirurg.80690234.eng.abstr-s4-t8", "type": "umlsterm", "text": [ "prevention" ], "offsets": [ [ 648, 658 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0687732" } ] }, { "id": "DerChirurg.80690234.eng.abstr-s4-t9", "type": "umlsterm", "text": [ "gastric cancer" ], "offsets": [ [ 540, 554 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024623" } ] }, { "id": "DerChirurg.80690234.eng.abstr-s4-t10", "type": "umlsterm", "text": [ "Helicobacter pylori" ], "offsets": [ [ 601, 620 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0079488" } ] }, { "id": "DerChirurg.80690234.eng.abstr-s4-t11", "type": "umlsterm", "text": [ "gastric cancer" ], "offsets": [ [ 633, 647 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024623" } ] } ]

[]

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"DerChirurg.80690234.eng.abstr-s4-t1", "arg2_id": "DerChirurg.80690234.eng.abstr-s4-t11", "normalized": [] }, { "id": "DerChirurg.80690234.eng.abstr-s4-r25-t7.1-t4.1", "type": "associated_with", "arg1_id": "DerChirurg.80690234.eng.abstr-s4-t7", "arg2_id": "DerChirurg.80690234.eng.abstr-s4-t4", "normalized": [] }, { "id": "DerChirurg.80690234.eng.abstr-s4-r26-t8.1-t9.1", "type": "associated_with", "arg1_id": "DerChirurg.80690234.eng.abstr-s4-t8", "arg2_id": "DerChirurg.80690234.eng.abstr-s4-t9", "normalized": [] }, { "id": "DerChirurg.80690234.eng.abstr-s4-r27-t6.1-t7.1", "type": "location_of", "arg1_id": "DerChirurg.80690234.eng.abstr-s4-t6", "arg2_id": "DerChirurg.80690234.eng.abstr-s4-t7", "normalized": [] }, { "id": "DerChirurg.80690234.eng.abstr-s4-r28-t6.1-t11.1", "type": "location_of", "arg1_id": "DerChirurg.80690234.eng.abstr-s4-t6", "arg2_id": "DerChirurg.80690234.eng.abstr-s4-t11", "normalized": [] } ]

DerChirurg.80690239.eng.abstr

[ { "id": "DerChirurg.80690239.eng.abstr-passage-0", "type": "abstract", "text": [ "Our understanding of ulcer pathogenesis has dramatically changed since the discovery of Heliobacter pylori . Peptic ulcer is now recognized as a chronic gastric infectious disease . H. pylori can be considered the pacemaker , with other known risk factors ultimately contributing to the ulcer formation . Treatment of H. pylori in peptic ulcer disease cures the acute lesion and prevents relapse and complications . In clinical management a positive diagnosis of H. pylori is required and other potential causes for ulcer formation must be excluded before starting treatment . The standard treatment in H. pylori positive ulcer consists of PPI in standard dose and two antibiotics either clarithromycin 2 x 500 mg and amoxycillin 2 x 1 g or metronidazole 2 x 400 mg and clarithromycin 2 x 250 mg ( or 500 mg ) for 7 days . The simultaneous presence of H. pylori and NSAID intake requires distinct management . Following bleeding complication a PPI needs to be given beyond 7 days until ulcer healing is endoscopically confirmed ." ], "offsets": [ [ 0, 1029 ] ] } ]

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[ "ulcer disease" ], "offsets": [ [ 338, 351 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030920" } ] }, { "id": "DerChirurg.80690239.eng.abstr-s4-t9", "type": "umlsterm", "text": [ "peptic ulcer disease" ], "offsets": [ [ 331, 351 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030920" } ] }, { "id": "DerChirurg.80690239.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "diagnosis" ], "offsets": [ [ 450, 459 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011900" }, { "db_name": "UMLS", "db_id": "C0348026" } ] }, { "id": "DerChirurg.80690239.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "pylori" ], "offsets": [ [ 466, 472 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034196" } ] }, { "id": "DerChirurg.80690239.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "causes" ], "offsets": [ [ 505, 511 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015127" } ] }, { "id": "DerChirurg.80690239.eng.abstr-s5-t4", "type": "umlsterm", "text": [ "ulcer" ], 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[]

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