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Brutvogelausstattung der Agrarlandschaften Brandenburgs – zwischen Artenreichtum und Artenarmut
(2010)
Für die Ermittlung der Biodiversität in Agrarlandschaften (hier am Beispiel der Brutvögel) wurde ein auf stichprobentheoretischer Grundlage basierendes, geschichtetes, großräumiges Monitoring entwickelt und in den Jahren 2005 und 2006 flächendeckend in Brandenburg erprobt. Die Artenzahlen auf den 1 km2 Beobachtungsflächen schwankten zwischen 5 und 41 (Mittelwert 22,2) und die Zahl der ermittelten Brutvogelreviere/ km2 lag zwischen 21 und 217 (Mittelwert 80,3) im gesamten Bundesland Brandenburg über beide Jahre. Diese enorme Streubreite verweist einerseits auf ein hohes Artendiversitäts- bzw. ein hohes Abundanzpotenzial in den Agrarlandschaften und andererseits auf eine große Armut bestimmter Flächen. Die Artenausstattung zeigt eine hohe Bindung an die Landschaftsstrukturen. Die methodischen Erkenntnisse aus dem Brutvogelmonitoring weisen neue Wege zur langfristigen Erfolgskontrolle von Agrar-Umwelt- Maßnahmen und zur Ableitung von effizienten, zielorientierten Agrar-Umwelt-Maßnahmen auf den Produktionsflächen und im Landschaftsmaßstab. Der Monitoring-Ansatz hat sich sowohl hinsichtlich der ökologischen Ergebnisse als auch hinsichtlich der technisch-organisatorischen Durchführbarkeit bewährt.
Due to anticipated postoperative neuropsychological sequelae, patients with gliomas infiltrating the corpus callosum rarely undergo tumor resection and mostly present in a poor neurological state. We aimed at investigating the benefit of glioma resection in the corpus callosum, hypothesizing neuropsychological deficits were mainly caused by tumor presence. Between 01/2017 and 1/2020, 21 patients who underwent glioma resection in the corpus callosum were prospectively enrolled into this study. Neuropsychological function was assessed preoperatively, before discharge and after 6 months. Gross total tumor resection was possible in 15 patients, and in 6 patients subtotal tumor resection with a tumor reduction of 97.7% could be achieved. During a median observation time of 12.6 months 9 patients died from glioblastoma after a median of 17 months. Preoperatively, all cognitive domains were affected in up to two thirds of patients, who presented a median KPS of 100% (range 60–100%). After surgery, the proportion of impaired patients increased in all neurocognitive domains. Most interestingly, after 6 months, significantly fewer patients showed impairments in attention, executive functioning, memory and depression, which are domains considered crucial for everyday functionality. Thus, the results of our study strongly support our hypothesis that in patients with gliomas infiltrating the corpus callosum the benefit of tumor resection might outweigh morbidity.
Objectives: Gliomas are often diagnosed due to epileptic seizures as well as neurocognitive deficits. First treatment choice for patients with gliomas in speech-related areas is awake surgery, which aims at maximizing tumor resection while preserving or improving patient’s neurological status. The present study aimed at evaluating neurocognitive functioning and occurrence of epileptic seizures in patients suffering from gliomas located in language-related areas before and after awake surgery as well as during their follow up course of disease.
Materials and Methods: In this prospective study we included patients who underwent awake surgery for glioma in the inferior frontal gyrus, superior temporal gyrus, or anterior temporal lobe. Preoperatively, as well as in the short-term (median 4.1 months, IQR 2.1-6.0) and long-term (median 18.3 months, IQR 12.3-36.6) postoperative course, neurocognitive functioning, neurologic status, the occurrence of epileptic seizures and number of antiepileptic drugs were recorded.
Results: Between 09/2012 and 09/2019, a total of 27 glioma patients, aged 36.1 ± 11.8 years, were included. Tumor resection was complete in 15, subtotal in 6 and partial in 6 patients, respectively. While preoperatively impairment in at least one neurocognitive domain was found in 37.0% of patients, postoperatively, in the short-term, 36.4% of patients presented a significant deterioration in word fluency (p=0.009) and 34.8% of patients in executive functions (p=0.049). Over the long-term, scores improved to preoperative baseline levels. The number of patients with mood disturbances significantly declined from 66.7% to 34.8% after surgery (p=0.03). Regarding seizures, these were present in 18 (66.7%) patients prior to surgery. Postoperatively, 22 (81.5%) patients were treated with antiepileptic drugs with all patients presenting seizure-freedom.
Conclusions: In patients suffering from gliomas in eloquent areas, the combination of awake surgery, regular neurocognitive assessment - considering individual patients´ functional outcome and rehabilitation needs – and the individual adjustment of antiepileptic therapy results in excellent patient outcome in the long-term course.