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  1. Book ; Online: Geister in Kambodscha : Existenz, Macht und rituelle Praxis

    Christensen, Paul

    2020  

    Keywords Society & social sciences ; Cambodia ; spirits ; spirit mediums
    Size 1 Online-Ressource
    Publisher Universitätsverlag Göttingen
    Document type Book ; Online
    Note German ; Open Access
    HBZ-ID HT021031284
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  2. Article: A Market for Snow: Modeling Winter Recreation Patterns Under Current and Future Climate.

    Parthum, Bryan / Christensen, Peter

    Journal of environmental economics and management

    2024  Volume 113, Page(s) 1–27

    Abstract: Throughout the winter months across the globe, mountain communities and snow-enthusiasts alike anxiously monitor ever-changing snowpack conditions. We model the behavioral response to this climate amenity by pairing a unique panel of 12 million short- ... ...

    Abstract Throughout the winter months across the globe, mountain communities and snow-enthusiasts alike anxiously monitor ever-changing snowpack conditions. We model the behavioral response to this climate amenity by pairing a unique panel of 12 million short-term property rental transactions with daily local weather, daily local snowpack, and daily local snowfall in every major ski resort market across the United States. Matching the spatial and temporal variation in the level of the amenity with that of related market transactions, we derive market-specific demand elasticities, explicitly accounting for substitution, to model recreation patterns throughout a typical season. Lastly, we combine downscaled projections of local snowpack under future climate scenarios to estimate within and across season trends in visitation during mid and late-century conditions. Our model predicts reductions in snow-related visitation of -40% to -60%, almost twice as large as previous estimates suggest. This translates to a lower-bound on the annual willingness to pay to avoid reductions in snowpack between $1.23 billion (RCP4.5) and $2.05 billion (RCP8.5) by the end of the century.
    Language English
    Publishing date 2024-01-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1469185-1
    ISSN 1096-0449 ; 0095-0696
    ISSN (online) 1096-0449
    ISSN 0095-0696
    DOI 10.1016/j.jeem.2022.102637
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: From misbelieve to proofs in transanal irrigation for functional bowel problems.

    Christensen, P

    Techniques in coloproctology

    2016  Volume 20, Issue 9, Page(s) 609–610

    MeSH term(s) Constipation/physiopathology ; Constipation/therapy ; Fecal Incontinence/physiopathology ; Fecal Incontinence/therapy ; Humans ; Patient Selection ; Quality of Life ; Therapeutic Irrigation/methods
    Language English
    Publishing date 2016-08-22
    Publishing country Italy
    Document type Editorial
    ZDB-ID 2083309-X
    ISSN 1128-045X ; 1123-6337
    ISSN (online) 1128-045X
    ISSN 1123-6337
    DOI 10.1007/s10151-016-1510-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Quality of Life and Financial Impacts of Permanent Colostomy for Rectal Cancer

    Colbran, R. / Gillespie, C. / Christensen, P. / Kristensen, HØ. / Warwick, A.

    Journal of Coloproctology

    2024  Volume 44, Issue 01, Page(s) e47–e52

    Abstract: Introduction: Returning to work is an important cancer recovery milestone. Permanent colostomy can be required for rectal cancer treatment and can significantly impact well-being. We aimed to evaluate the impact of permanent colostomy on health-related ... ...

    Abstract Introduction: Returning to work is an important cancer recovery milestone. Permanent colostomy can be required for rectal cancer treatment and can significantly impact well-being. We aimed to evaluate the impact of permanent colostomy on health-related quality of life and return to work in patients with rectal cancer.
    Methods: This was a retrospective cohort study on 23 employed patients receiving curative surgery for rectal cancer requiring permanent colostomy. Demographic and health-related quality-of-life questionnaires (the Colostomy Impact Score (CIS), the EORTC Quality of Life Questionnaire (QLQ)-C30, and the EORTC QLQ-CR29) were posted to eligible patients.
    Results: On average, patients (10 female, 13 male, mean age 61.8 years) were 5.0 ± 3.5 years post-surgery. At the time of questioning, 73.9% had returned to work (21.7% changed their type of work), while 17.4% never returned to work. Of those that returned to work, 11.8% returned within 1 month of surgery, while 23.5% had not returned after 12 months. Comparison of CIS between patients that returned to the same work (14.6 ± 0.93), changed their work (13.0 ± 0.74), and did not return to work (14.3 ± 2.3) revealed no significant differences ( p  = 0.36). CIS did not correlate with days worked on return, or time to return to work (p > 0.05).
    Conclusion: Returning to work following rectal cancer treatment with permanent colostomy is challenging, with 17.4% never returning to work. Of those who returned to work, 23.5% required more than 12 months. This was not associated with CIS in our study.
    Keywords rectal cancer ; colostomy ; quality of life ; employment
    Language English
    Publishing date 2024-03-01
    Publisher Thieme Revinter Publicações Ltda.
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 2664477-0
    ISSN 2317-6423 ; 2237-9363 ; 2317-6423
    ISSN (online) 2317-6423
    ISSN 2237-9363 ; 2317-6423
    DOI 10.1055/s-0044-1782155
    Database Thieme publisher's database

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  5. Article ; Online: Transanal irrigation: another hope for patients with LARS.

    Christensen, P / Fearnhead, N S / Martellucci, J

    Techniques in coloproctology

    2020  Volume 24, Issue 12, Page(s) 1231–1232

    MeSH term(s) Anal Canal/surgery ; Humans ; Rectum ; Therapeutic Irrigation
    Language English
    Publishing date 2020-10-07
    Publishing country Italy
    Document type Editorial
    ZDB-ID 2083309-X
    ISSN 1128-045X ; 1123-6337
    ISSN (online) 1128-045X
    ISSN 1123-6337
    DOI 10.1007/s10151-020-02348-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Early secondary repair of obstetric anal sphincter injury: postoperative complications, long-term functional outcomes, and impact on quality of life.

    Barbosa, M / Glavind-Kristensen, M / Christensen, P

    Techniques in coloproctology

    2020  Volume 24, Issue 3, Page(s) 221–229

    Abstract: Background: An early secondary repair of the anal sphincter may be necessary if primary repair of obstetric anal sphincter injury (OASIS) is complicated by wound rupture or severe infection. The objective of this study was to assess the long-term ... ...

    Abstract Background: An early secondary repair of the anal sphincter may be necessary if primary repair of obstetric anal sphincter injury (OASIS) is complicated by wound rupture or severe infection. The objective of this study was to assess the long-term functional outcomes, morbidity, and impact on quality of life (QoL) following an early secondary repair of OASIS.
    Methods: This retrospective cohort study was conducted at Aarhus University Hospital, Denmark. All women having a secondary repair of the anal sphincter within 21 days of delivery from February 1991 to February 2017 were included (n = 51). Complications were assessed by reviewing medical records. The patient-reported outcomes were assessed in 2018 by questionnaires. Primary outcome was Wexner score and St. Mark's score. Impact on QoL was assessed using the Fecal Incontinence Quality of Life Scale (FIQLS).
    Results: After a median follow-up time of 6.7 years (IQR 3.3-16.6), 34 women completed the questionnaire. The mean (SD) Wexner score was 5.2 ± 4.7 and the mean (SD) St. Mark's score was 6.8 ± 5.7. Women with a Wexner score ≥ 9 had a significantly lower QoL score in all domains of the FIQLS compared to women with a Wexner score < 9 (p < 0.001). Postoperative complications were experienced by 37%. Ten women developed a fistula of which nine required surgical treatment.
    Conclusions: An early secondary repair of the anal sphincter can be performed within 21 days of delivery with functional long-term outcomes comparable to those following a late sphincter repair. However, there is an imminent risk of complications, mainly fistulas, which should be taken into consideration when choosing the ideal timing of the repair.
    MeSH term(s) Anal Canal/surgery ; Delivery, Obstetric ; Fecal Incontinence/etiology ; Female ; Follow-Up Studies ; Humans ; Postoperative Complications/etiology ; Pregnancy ; Quality of Life ; Retrospective Studies
    Language English
    Publishing date 2020-02-04
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 2083309-X
    ISSN 1128-045X ; 1123-6337
    ISSN (online) 1128-045X
    ISSN 1123-6337
    DOI 10.1007/s10151-019-02146-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Prospective evaluation of transanal irrigation for fecal incontinence and constipation.

    Juul, T / Christensen, P

    Techniques in coloproctology

    2017  Volume 21, Issue 5, Page(s) 363–371

    Abstract: Background: The aim of the present study was to evaluate the effect of transanal irrigation on bowel function and quality of life in a prospective cohort of Danish patients with fecal incontinence or constipation.: Methods: Patients with fecal ... ...

    Abstract Background: The aim of the present study was to evaluate the effect of transanal irrigation on bowel function and quality of life in a prospective cohort of Danish patients with fecal incontinence or constipation.
    Methods: Patients with fecal incontinence or constipation of heterogeneous origin were treated by a specialist nurse at the Anal Physiology Clinic/Department of Surgery at Aarhus University Hospital, Aarhus, Denmark. If satisfactory results were not obtained after conservative bowel management, patients were instructed in the use the transanal irrigation procedure and were consecutively recruited for this observational cohort study in the period from March 2010 to September 2013. Patients completed questionnaires regarding bowel function, quality of life and the transanal irrigation procedure at baseline and after 12 months.
    Results: A total of 507 were introduced to transanal irrigation. Eighty-three percent were females. The median age was 56 (range 19-86) years. At follow-up, 216 (43%) patients still used transanal irrigation, 174 (34%) reported that they had discontinued the treatment for various reasons, while no response was obtained from the remaining 117 (23%) patients. The main reason for not adhering to the treatment was an unsatisfactory outcome, which was reported by 86 (49.4%) of those who discontinued the treatment. Among patients still using the procedure at follow-up, a statistically significant improvement of bowel function scores (St. Marks/Wexner incontinence score, Wexner constipation score and obstructed defecation syndrome score) was detected: the Wexner incontinence score decreased from 12.4 at baseline to 10.2 at follow-up (p < 0.001); the St. Marks incontinence score decreased from 14.9 to 12.7 (p < 0.001); the Wexner constipation score decreased from 14.3 to 12.4 (p < 0.001); and the obstructed defecation syndrome score also dropped, from 15.1 to 11.8 (p < 0.001). Furthermore, the influence of bowel dysfunction on daily activities and quality of life diminished significantly, while the general satisfaction with bowel function increased significantly (p < 0.001 in all three measures).
    Conclusions: Bowel function and quality of life improved in the group of patients adhering to transanal irrigation after 12 months. However, more than one-third of the patients discontinued the treatment within the first year with transanal irrigation. Thus, further studies are needed in order to identify factors predicting success and failure with this treatment and to improve supervision during initiation and follow-up.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Anal Canal ; Constipation/etiology ; Constipation/therapy ; Defecation ; Denmark ; Fecal Incontinence/etiology ; Fecal Incontinence/therapy ; Female ; Humans ; Male ; Middle Aged ; Prospective Studies ; Quality of Life ; Surveys and Questionnaires ; Therapeutic Irrigation/methods ; Treatment Outcome ; Young Adult
    Language English
    Publishing date 2017-05
    Publishing country Italy
    Document type Evaluation Studies ; Journal Article
    ZDB-ID 2083309-X
    ISSN 1128-045X ; 1123-6337
    ISSN (online) 1128-045X
    ISSN 1123-6337
    DOI 10.1007/s10151-017-1635-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Fecobionics in proctology: review and perspectives.

    Gregersen, H / Sun, D / Field, F / Combs, W / Christensen, P / Mousa, H / Moawad, F J / Eisenstein, S / Kassab, G S

    Surgery open digestive advance

    2023  Volume 12

    Abstract: Fecobionics is a novel integrated technology for assessment of anorectal function. It is a defecatory test with simultaneous measurements of pressures, orientation, and device angle (a proxy of the anorectal angle). Furthermore, the latest Fecobionics ... ...

    Abstract Fecobionics is a novel integrated technology for assessment of anorectal function. It is a defecatory test with simultaneous measurements of pressures, orientation, and device angle (a proxy of the anorectal angle). Furthermore, the latest Fecobionics prototypes measure diameters (shape) using impedance planimetry during evacuation of the device. The simultaneous measurement of multiple variables in the integrated test allows new metrics to be developed including more advanced novel defecation indices, enabling mechanistic insight in the defecation process at an unprecedented level in patients with anorectal disorders including patients suffering from obstructed defecation, fecal incontinence, and low anterior resection syndrome. The device has the consistency and shape of a normal stool (type 3-4 on the Bristol Stool Form Scale). Fecobionics has been validated on the bench and in animal studies and used in clinical trials to study defecation phenotypes in normal human subjects and patients with obstructed defecation, fecal incontinence, and low anterior resection syndrome after rectal cancer surgery. Subtypes have been defined, especially of patients with obstructed defecation. Furthermore, Fecobionics has been used to monitor biofeedback therapy in patients with fecal incontinence to predict the outcome of the therapy (responder versus non-responder). Most Fecobionics studies showed a closer correlation to symptoms as compared to current technologies for anorectal assessment. The present article outlines previous and ongoing work, and perspectives for future studies in proctology, including in physiological assessment of function, diagnostics, monitoring of therapy, and as a tool for biofeedback therapy.
    Language English
    Publishing date 2023-11-28
    Publishing country France
    Document type Journal Article
    ISSN 2667-0089
    ISSN (online) 2667-0089
    DOI 10.1016/j.soda.2023.100117
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Electrical stimulation of the dorsal clitoral nerve in the treatment of idiopathic defecatory urgency. A pilot study.

    Qvist, N / Hansen, U D / Christensen, P / Rijkhoff, N M J / Klarskov, N / Duelund-Jakobsen, J

    Techniques in coloproctology

    2023  Volume 27, Issue 6, Page(s) 459–463

    Abstract: Purpose: To investigate the effect of dorsal clitoral nerve stimulation (DCNS) on bothersome urgency to defecate with or without fecal incontinence and the patient-reported discomfort or adverse effect with the method.: Methods: For dorsal clitoral ... ...

    Abstract Purpose: To investigate the effect of dorsal clitoral nerve stimulation (DCNS) on bothersome urgency to defecate with or without fecal incontinence and the patient-reported discomfort or adverse effect with the method.
    Methods: For dorsal clitoral nerve stimulation, a battery powered, handheld stimulator was used, set to a pulse width of 200 µs and a frequency of 20 Hz. One electrode was placed at the preputium of the clitoris and acted as cathode while an anode electrode was placed on the belly. Prior to stimulation the patients were asked to complete a bowel habit diary throughout 14 consecutive days before and during stimulation.
    Results: Fourteen out of the 16 patients included completed the study. A decrease in the number of episodes (per day) with strong urgency declined in eight patients but increased in four cases during the stimulation period. An increase in episodes with moderate or mild urgency was observed in 11 and 6 cases, respectively, and a decrease in defecation without the feeling of urgency or passive incontinence decreased in two thirds of the patients. Two patients discontinued the study prematurely, on due to worsening in symptoms and one due to pelvic pain.
    Conclusion: Although the results may be promising, much still must be learned about the method including mode and duration of stimulation, better electrodes and more patient friendly equipment together with the development of better questionnaires to assess the patient burden of urgency.
    MeSH term(s) Female ; Humans ; Pilot Projects ; Treatment Outcome ; Transcutaneous Electric Nerve Stimulation/methods ; Electric Stimulation Therapy/methods ; Electric Stimulation ; Fecal Incontinence/therapy ; Fecal Incontinence/diagnosis
    Language English
    Publishing date 2023-01-17
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 2083309-X
    ISSN 1128-045X ; 1123-6337
    ISSN (online) 1128-045X
    ISSN 1123-6337
    DOI 10.1007/s10151-023-02752-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Investigation of micropollutants in household waste fractions processed by anaerobic digestion: target analysis, suspect- and non-target screening.

    Nielsen, Nikoline J / Christensen, Peter / Poulsen, Kristoffer G / Christensen, Jan H

    Environmental science and pollution research international

    2023  Volume 30, Issue 16, Page(s) 48491–48507

    Abstract: Household waste represents a major source of energy, nutrients, and recyclable material. In order to exploit benefits and avoid hazards in the context of circular economy, the risk profile towards human and the environment should be assessed. Here, we ... ...

    Abstract Household waste represents a major source of energy, nutrients, and recyclable material. In order to exploit benefits and avoid hazards in the context of circular economy, the risk profile towards human and the environment should be assessed. Here, we investigated the presence of micropollutants by quantitative target analysis, suspect and non-target screening and evaluated changes in the chemical fingerprint upon anaerobic digestion. Extracts were analyzed by reversed phase liquid chromatography high-resolution mass spectrometry (LC-HRMS) and gas chromatography mass spectrometry (GC-MS). Thirty-one of 51 target micropollutants were detected in low ng/mL levels except for few detections at µg/mL levels. The micropollutants quantified in this study included the following: pharmaceuticals (salicylic acid, amitriptyline, carbamazepine); biocides (triclocarban, 2-phenylphenol); industrial compounds used in, e.g., paper industry (pentachlorphenol, PFOS, PFOA, bisphenol A); aromatics, polycyclic aromatics, and heteroaromatics, and their alkylated, hydroxylated, or carboxylated analogues. Fifty of 206 compounds from the suspect screening list were tentatively identified. These included phthalates, methylparaben, phenol, benzophenone, and pharmaceuticals, e.g., ibuprofen. Most compounds detected by GC-MS decreased more than twofold in peak height or remained unaffected by the anaerobic digestion, and very few increased more than twofold, e.g., p-cresol, menthol, and octadecanal. From the LC-HRMS non-target screening analysis, 250 chemical components were resolved using the multiway curve resolution technique PARAFAC2; of these, carbidopa was the only identified unknown.
    MeSH term(s) Humans ; Anaerobiosis ; Gas Chromatography-Mass Spectrometry ; Mass Spectrometry ; Phenol/analysis ; Pharmaceutical Preparations ; Water Pollutants, Chemical/analysis
    Chemical Substances Phenol (339NCG44TV) ; Pharmaceutical Preparations ; Water Pollutants, Chemical
    Language English
    Publishing date 2023-02-10
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 1178791-0
    ISSN 1614-7499 ; 0944-1344
    ISSN (online) 1614-7499
    ISSN 0944-1344
    DOI 10.1007/s11356-023-25692-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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