Static body mass and parameters of aerobic capacities were investigated in 200 high performance athletes and 80 untrained persons. The results were subjected to a variant analysis. A subdivision of the athletes into strength and endurance sports has been shown to be of value. The mean range in untrained persons, strength athletes, endurance sports athletes and other athletes is presented. Significant variations were observed. Body mass, height and surface area was measured and the findings in athletes and untrained persons were compared. From the variant analysis of absolute and relative heart volume, the statement can be made, that athletes have larger hearts and that differences between sports exist. On the average the maximal O2-Puls and maximal Wattpuls as a measure of the aerobic capacity are greater in trained than in untrained persons. A close correlation between maximal O2-Puls and Wattpuls was demonstrated. Between strength and endurance athletes significant differences in both parameters are observed. A comparison of several statistics from the West German sport medicine literature of recent decades has shown, that in spite of changes in training quality and quantity in high performances athletes no evidence could be found for an increase in the performance parameters of the aerobic capacity.

Adult↗

PubMedDate not supplied

["IMO"--intraoperative mapping of ovarian cancer].

INTRODUCTION: The majority of patients diagnosed with ovarian cancer are in an advanced stage of the disease at the time of first diagnosis. The standard clinical staging (FIGO) occurs intraoperatively. The FIGO classification hides ambiguities and is useful as a means of orientation. However, an exact assessment of stage at first diagnosis, can form the basis for the evaluation of diagnostic and prognostic factors and furthermore has influence on adjuvant treatment. METHOD: We developed a systematic surgical and histopathological tumor documentation instrument, further we investigated its clinical and scientific application. RESULTS: Between September 2000 and July 2002, 128 patients with primary and recurrent ovarian cancer were operated and prospectively documented. The median age of the patients at the time of first diagnosis was 55 years. The majority of patients diagnosed with primary ovarian cancer had a diffuse tumor spread pattern (localised: 18 [32 %]; central: 14 [25 %]; diffuse: 24 [43 %]). In patients diagnosed with recurrent ovarian cancer the three defined tumor spread patterns showed a comparable distribution (localised 19 [28 %]; central: 19 [28 % ]; diffused: 29 [43 %]). While in most of the patients with primary ovarian cancer the highest tumor mass was concentrated in the lower abdomen/ pelvis, in comparison, in patients with recurrent ovarian cancer it was located mostly in the upper abdomen ("change of level", p=0,027). CONCLUSIONS: The IMO (Interoperative Mapping of Ovarian Cancer) represents a new instrument for a detailed and objective documentation of surgical and pathological results of patients with ovarian cancer and helps provide a more precise staging. Potentially this prospective documentation support the development of SOP's (Standard Operating Procedures) and could be an efficacious instrument of quality management.

Adult↗

PubMedDate not supplied

Low malignant epithelioid peritoneal mesothelioma: successful treatment with surgical therapy alone.

A 31-year-old man presented with malignant peritoneal mesothelioma. His past medical history was uneventful, specifically there was no personal or environmental asbestos exposure. The patient was treated by complete tumor resection including peritonectomy. Because of the histologic diagnosis of a low malignant, unusual highly differentiated epithelioid tumor with very low proliferative activity a postoperative chemotherapy was not administered. After a follow-up of 20 months, the patient is in excellent clinical condition and there is no evidence of disease by computed tomography. The present paper reports a case of this rare variant of malignant peritoneal mesothelioma.

Adult↗