bluuebunny/crossref_metadata_2025_split huggingface dataset:
Resilienz in der Ernährungsberatung
Authors: Wyss Shima 
Published: June 2021

ZusammenfassungResilienz ist eine Bezeichnung für die psychische Widerstandsfähigkeit, die Menschen dazu befähigt, besser mit Krisensituationen umzugehen. Doch weshalb ist sie denn wichtig in der Ernährungsberatung? Schließlich wird das Gegenüber beraten und nicht die Experten – oder etwa nicht?
Der Streit um Walt Whitmans Homosexualität und Magnus Hirschfelds Zwischenstufenlehre
Authors: Herzer-Wigglesworth Manfred 
Published: June 2021

ZusammenfassungVon 1905 bis 1922 führte Eduard Bertz, ein Mitarbeiter Magnus Hirschfelds, eine literarische Fehde gegen einige Verehrer Walt Whitmans, die den US-amerikanischen Dichter trotz der unverhohlen schwulen Bekenntnisse in seinem Werk für einen vollkommenen Frauenliebhaber hielten und alle davon abweichenden Ansichten als Herabwürdigung ihres Idols bekämpften. Bertz’ Beweisführung zu Whitmans Homosexualität wurde von Hirschfeld akzeptiert, obwohl sie, scheinbar auf dem Boden der Zwischenstufenlehre Hirschfelds stehend, Whitman als entarteten und pathologischen Jugendverführer brandmarkte. Die beiden Schriftsteller Gustav Landauer (1907) und Thomas Mann (1922) stimmten Hirschfelds Einschätzung zu, dass Homosexualität genauso gesund und normal wie Heterosexualität sei, und wandten sich strikt gegen konträre Mehrheitsmeinungen, nach denen Homosexualität per se Krankheit und Entartung sei.
Vom Modell zur Regionalen Regelversorgung
Authors: Deister Arno , Michels Rolf 
Published: June 2021

Zusammenfassung
Ziel Modellprojekte eines Regionalen Budgets bzw. eines Modellprojekts nach § 64b SGB V gibt es inzwischen seit mehr als 18 Jahren. In der vorliegenden Arbeit werden die strukturellen, ökonomischen und fachlichen Langzeiteffekte beschrieben.
Methodik Anhand des Modellprojekts im Kreis Steinburg (Schleswig-Holstein) werden die Entwicklungen zwischen 2002 (Indexjahr) und 2020 beschrieben, die sich durch das Regionale Budget entwickelt haben. Die Arbeit beschreibt die Situation und deren spezifische Veränderungen in der ersten deutschen Modellregion. Eine vergleichbare Kontrollgruppe besteht nicht.
Ergebnisse In dem beobachteten Zeitraum war die Zahl der behandelten Menschen insgesamt stabil und bewegte sich im vertraglich vereinbarten Korridor. Die Versorgung hat sich stärker als im deutschen Durchschnitt von der vollstationären in die ambulante und tagesklinische Behandlung verlagert. Die Kosten sind stabil geblieben und unterscheiden sich damit deutlich von der Kostensteigerung im Gesundheitswesen insgesamt. Es konnten neue Versorgungskonzepte umgesetzt werden.
Schlussfolgerungen Die beschriebenen Modellprojekte führen zu einer settingunabhängigen Versorgung und eignen sich für die Regelversorgung in einer definierten Region.
Roboter-assistierte Chirurgie des Nierenzellkarzinoms – heute ein Standard?
Authors: Zeuschner Philip , Siemer Stefan 
Published: June 2021

ZusammenfassungSeit der Erstbeschreibung Roboter-assistierter Nierentumoroperationen im Jahr 2001
sind 20 Jahre vergangen, das Verfahren wird aber immer noch nicht flächendeckend in
jeder deutschen urologischen Klinik angeboten. Insofern stellt sich die Frage, ob
Roboter-assistierte Nierentumoreingriffe heutzutage als Standard angesehen werden
können.Bis heute liegen für die Roboter-assistierte radikale Nephrektomie keine
randomisiert-kontrollierten Studien zum Vergleich mit dem offenen oder laparoskopischen
Vorgehen vor. Dennoch zeigt sich, dass gegenüber der offenen Nephrektomie sowohl
Laparoskopie als auch Robotik insgesamt bessere perioperative Ergebnisse bei
vergleichbarem onkologischen Outcome ermöglichen. Im direkten Vergleich beider
minimal-invasiver Techniken gibt es keine eindeutigen Unterschiede, und insofern keinen
Zusatznutzen für den Roboter, zumal die Operation robotisch meist teurer ist. Die
Ausweitung der chirurgischen Indikationsstellung und erste Studien zur
Roboter-assistierten Entfernung lokal weit fortgeschrittener Nierenzellkarzinome mit
Level III bis IV Tumorthromben in der Vena cava deuten aber an, dass die robotische
Nephrektomie insbesondere bei hoch komplexen Operationen dem laparoskopischen Zugang
überlegen sein kann.Auch bezüglich der Roboter-assistierten Nierenteilresektion liegen bis heute keine
prospektiv-randomisierten Studien vor. Trotzdem ließ sich bei robotisch wie auch
laparoskopisch durchgeführten Nierenteilresektionen binnen weniger Jahre bei
ausreichender Erfahrung des Operateurs eine geringere Morbidität gegenüber der offenen
Operation feststellen. Im direkten Vergleich von robotischer und laparoskopischer
Nierenteilresektion gibt es bisher keinen Konsens. Es zeichnet sich aber die Tendenz ab,
dass Roboter-assistierte Eingriffe zusätzliche Vorteile haben, vor allem bei komplexen,
endophytischen Tumoren. Dennoch sind bei Vergleichen der verschiedenen
Operationsverfahren viele Einflussfaktoren zu berücksichtigen, zu denen insbesondere
patienten- und tumorspezifische Faktoren, aber auch die Erfahrung von Operateur,
Bed-Side Assistent und die jährliche Klinikfallzahl zählen.Insofern haben sich Roboter-assistierte Nierentumoroperationen bis heute zu einem
sicheren Verfahren mit guten operativen Ergebnissen entwickelt und stellen einen
etablierten Standard dar. Die perioperativen Ergebnisse sind denen der offenen Operation
überlegen, das onkologische Outcome ist vergleichbar. Auch wenn robotische Eingriffe
insbesondere aufgrund der hohen Anschaffungskosten häufig teurer sind als
laparoskopische, haben sie das Potential, bei komplexen Operationen bessere Ergebnisse
zu erzielen. Durch das Auslaufen des Patentschutzes, Eintreten neuer Hersteller und die
Entwicklung neuer Technologien wird der Markt robotischer Chirurgie zukünftig
wahrscheinlich starken Veränderungen unterliegen und die Kosten werden voraussichtlich
sinken.
Perinatal Outcome and its Prediction Using Longitudinal Feto-Maternal Doppler Follow-Up in Late Onset Small for Gestational Age Fetuses – A Prospective Cohort Study
Authors: Lobmaier Silvia M. , Graupner Oliver , Ortiz Javier U. , Haller Bernhard , Ried Christina , Wildner Nadia , Abel Kathrin , Kuschel Bettina , Rieger-Fackeldey Eshter , Oberhoffer Renate , Wacker-Gussmann Annette 
Published: June 2021

Abstract
Purpose To describe the perinatal outcome of a prospective cohort of late-onset small-for-gestational-age (SGA) fetuses and to test adverse perinatal outcome (APO) prediction using Doppler measurements.
Methods Singleton pregnancies from 32 weeks with suspicion of SGA (followed-up each 2 weeks) and randomly selected healthy controls at a university hospital were included. The whole SGA group was divided into the FGR subgroup or SGA percentile 3–10 subgroup. The following Doppler measurements were evaluated prospectively: umbilical artery (UA) pulsatility index (PI), middle cerebral artery (MCA) PI, cerebro-placental ratio (CPR), and mean uterine artery (mUtA) PI. APO was defined as arterial cord blood pH ≤ 7.15 and/or 5-minute Apgar ≤ 7 and/or emergency operative delivery and/or admission to the neonatal unit. Induction of labor was indicated according to a stage-based protocol.
Results A total of 149 SGA and 143 control fetuses were included. The number of operative deliveries was similar between both groups (control: 29 %, SGA: 28 %), especially the cesarean delivery rate after the onset of labor (11 % vs. 10 %). Most SGA cases ended up in induction of labor (61 % vs. 31 %, p < 0.001). The areas under the curve (AUC) for APO prediction were similar using the last UA PI, MCA PI, CPR, and mUtA PI and barely reached 0.60. The AUC was best for the FGR subgroup, using the minimal CPR or maximum mUtA PI z-score of all longitudinal measurements (AUC = 0.63).
Conclusion SGA fetuses do not have a higher rate of operative delivery if managed according to a risk stratification protocol. Prediction of APO is best for SGA and FGR using the “worst” CPR or mUtA PI but it remains moderate.
Akzeptanz und Nutzung einer Website mit Gesundheitsinformationen zu psychischen Erkrankungen – www.psychenet.de
Authors: Härter Martin , Dirmaier Jörg , Köhnen Moritz , Dreier Mareike , Freuck Jannis 
Published: June 2021

Zusammenfassung
Einleitung Wir untersuchen die Akzeptanz und Nutzung der Website www.psychenet.de, welche evidenzbasierte Gesundheitsinformationen, Selbsttests und Entscheidungshilfen zu psychischen Erkrankungen und Themen anbietet.
Methodik Mithilfe einer Online-Umfrage (Akzeptanzermittlung) und automatisch generierter Daten der Online-Protokollierung (Nutzungsanalyse) wurde die Website evaluiert.
Ergebnisse Insgesamt erzielt die Website psychenet.de bei ihren Nutzer*innen hohe Akzeptanzwerte. Zudem haben sich die Besucher*innenzahlen der Website stetig gesteigert.
Schlussfolgerung Die Ergebnisse weisen darauf hin, dass psychenet.de ein Angebot darstellt, welches insbesondere von bestimmten Zielgruppen in Anspruch genommen wird (z. B. Menschen mit hohem Bildungsstand). Zukünftige Forschung sollte unterschiedliche Darbietungsformen von Gesundheitsinformationen (z. B. Text- vs. Videobeiträge) für schwer erreichbare Zielgruppen untersuchen, sodass Gesundheitsinformationen möglicherweise einem noch breiteren Publikum zugänglich gemacht werden können.
Management and Long-Term Outcome of Acetabular Fractures in Dogs: A Retrospective Study of 49 Dogs
Authors: Roberts Victoria J. , Parsons Kevin , Sajik David , Meeson Richard L. 
Published: June 2021

AbstractObjective The aim of this study was to categorize the presentation, management, complications and long-term outcome of canine acetabular fractures, and to determine the factors affecting outcome.Materials and Methods Case records and imaging for dogs with acetabular fractures were reviewed with long-term follow-up via canine brief pain inventory (CBPI) and owner questionnaires.Results The majority of fractures were in the mid-third (36/52) and caudal-third (13/52) with few in the cranial-third of the acetabulum (3/52). Concurrent injuries were diagnosed in 47/49 dogs; 10/34 dogs had neurological deficits on presentation. Forty-seven fractures received treatment: 25/47 had direct surgical repair (DSR), 10/47 had salvage surgery (SS) and 12/47 had conservative management (CM). Fracture location significantly affected treatment group (p = 0.001). New neurological deficits were documented after DSR in 5/24 dogs and SS in 2/10 dogs. Short-term complications occurred after DSR in 10/18 dogs (five minor, five major) and CM in 1/8 dogs (major). Long-term complications occurred after DSR in 2/15 dogs (major) and CM in 2/7 dogs (catastrophic). Conservative management dogs had worse average owner-reported CBPI scores than DSR or SS dogs.Clinical Significance Acetabular fractures predominate in the mid and caudal acetabulum, with high levels of concurrent injuries. Fracture location significantly influenced the treatment approach taken. Postoperative neurological deficits are common following SS and DSR.
Health Information Exchange between Specialists and General Practitioners Benefits Rural Patients
Authors: Nakayama Masaharu , Inoue Ryusuke , Miyata Satoshi , Shimizu Hiroaki 
Published: June 2021

Abstract
Background Health information exchange (HIE) may improve diagnostic accuracy, treatment efficacy, and safety by providing treating physicians with expert advice. However, most previous studies on HIE have been observational in nature.
Objectives To examine whether collaboration between specialists and general practitioners (GPs) in rural areas via HIE can improve outcomes among patients at low-to-moderate risk of cardiovascular disease, kidney disease, and stroke.
Methods In this randomized controlled trial, the Miyagi Medical and Welfare Information Network was used for HIE. We evaluated the clinical data of 1,092 patients aged ≥65 years living in the rural areas of the Miyagi Prefecture and receiving care from GPs only. High-risk patients were immediately referred to specialists, whereas low-to-moderate risk patients were randomly assigned to an intervention group in which GPs were advised by specialists through HIE (n = 518, 38% male, mean age = 76 ± 7 years) or a control group in which GPs received no advice by specialists (n = 521, 39% male, mean age = 75 ± 7 years).
Results In the intention-to-treat analysis, all-cause mortality and cumulative incidence of serious adverse events (e.g., hospital admission or unexpected referral to specialists) did not differ between the groups. However, per-protocol analysis controlling for GP adherence with specialist recommendations revealed significantly reduced all-cause mortality (p = 0.04) and cumulative serious adverse event incidence (p = 0.04) in the intervention group compared with the control group.
Conclusion HIE systems may improve outcomes among low-to-moderate risk patients by promoting greater collaboration between specialists and GPs, particularly in rural areas with few local specialists.
Insights from a cross-sector review on how to conceptualise the quality of use of research evidence
Authors: Rickinson Mark , Cirkony Connie , Walsh Lucas , Gleeson Jo , Salisbury Mandy , Boaz Annette 
Published: June 2021

AbstractRecent decades have seen widespread efforts to improve the generation and use of evidence across a number of sectors. Such efforts can be seen to raise important questions about how we understand not only the quality of evidence, but also the quality of its use. To date, though, there has been wide-ranging debate about the former, but very little dialogue about the latter. This paper focuses in on this question of how to conceptualise the quality of research evidence use. Drawing on a systematic review and narrative synthesis of 112 papers from health, social care, education and policy, it presents six initial principles for conceptualising quality use of research evidence. These concern taking account of: the role of practice-based expertise and evidence in context; the sector-specific conditions that support evidence use; how quality use develops and can be evaluated over time; the salient stages of the research use process; whether to focus on processes and/or outcomes of evidence use; and the scale or level of the use within a system. It is hoped that this paper will act as a stimulus for future conceptual and empirical work on this important, but under-researched, topic of quality of use.
Numerical simulation regarding flow-induced noise in variable cross-section pipelines based on large eddy simulations and Ffowcs Williams–Hawkings methods
Authors: Sun Lihui , Zhe Chuntian , Guo Chang , Cheng Shen , He Suoying , Gao Ming 
Published: June 2021

Large eddy simulations and Ffowcs Williams–Hawkings acoustic analogy methods have been adopted to simulate the flow-induced noise for variable cross-section pipelines under variable flow velocity conditions in this paper, and the main influencing factors of flow-induced noise are analyzed numerically, including the flow velocity and variable diameter angle. Results manifested that the flow field distribution, sound source characteristics, and frequency spectrum characteristics of the sound pressure level (SPL) at different flow velocities follow similar trends. The average acoustic source intensity increases gradually with the increase in flow velocity. The maximum of the acoustic source intensity is located near the outlet of the variable diameter angle due to the vortex effect. The flow-induced noise in variable cross-section pipelines is mainly low-frequency noise, and its energy is mainly concentrated below 200 Hz according to the frequency spectrum characteristics. Additionally, the SPL increases with the increase in flow velocity. Compared with v = 1 m/s, the SPL at v = 2 m/s and v = 3 m/s increases by 9.4% and 22.1%, respectively. In addition, there is an approximate linearly increasing relationship between the SPL and the variable diameter angle. The minimum of the SPL appears at φ = 15.2°, and the maximum appears at φ = 25.7° at different flow velocities, which is up to 70.18 dB. Briefly, the flow-induced noise characteristics, including the average acoustic source intensity, the SPL, and the frequency spectra, are revealed in this paper. This provides a theoretical basis for the optimization of variable cross-section piping systems and the investigation of flow-induced noise control techniques.
Phenyl argentate aggregates [AgnPhn+1]− (n = 2–8): Models for the self-assembly of atom-precise polynuclear organometallics
Authors: Daly Steven , Weske Sebastian , Mravak Antonija , Krstić Marjan , Kulesza Alexander , Antoine Rodolphe , Bonačić-Koutecký Vlasta , Dugourd Philippe , Koszinowski Konrad , O’Hair Richard A. J. 
Published: June 2021

Electrospray ionization of phenyl argentates formed by transmetalation reactions between phenyl lithium and silver cyanide provides access to the argentate aggregates, [AgnPhn+1]−, which were individually mass-selected for n = 2–8 in order to generate their gas-phase Ultraviolet Photodissociation (UVPD) “action” spectra over the range 304–399 nm. A strong bathochromic shift in optical spectra was observed with increasing size/n. Theoretical calculations allowed the assignment of the experimental UVPD spectra to specific isomer(s) and provided crucial insights into the transition from the 2D to 3D structure of the metallic component with the increasing size of the complex. The [AgnPhn+1]− aggregates contain neither pronounced metallic cluster properties nor ligated metallic cluster features and are thus not superatom complexes. They therefore represent novel organometallic characteristics built from Ag2Ph subunits.
Characterizing public perceptions of social and cultural impacts in policy decisions
Authors: Dieckmann Nathan F. , Gregory Robin , Satterfield Terre , Mayorga Marcus , Slovic Paul 
Published: June 2021

Significance
Large infrastructure projects such as highways, pipelines, and ports undergo formal impact evaluations to assess the likely impacts to social and cultural priorities, the economy, public health, and the environment. Several scientific and citizen groups have expressed concern that social and cultural impacts are not given sufficient consideration as compared to more tangible impacts such as economic concerns. In two large surveys, we find that the public does differentiate impacts, using qualities such as tangibility and scope, and we provide evidence supporting the widespread public perception that many policy decisions fail to reflect concerns about a range of social and cultural impacts. Knowing more about public perceptions of impacts could help aid the development of more equitable impact assessment procedures.
The Railway Detection via Adaptive Multi-scale Fusion Processing
Authors: Peng Qian , Ren Shiwei , Wang Weijiang , Shi Yueting 
Published: June 2021

Abstract
One of the main problems for safe autonomous driving vehicles that have not been solved completely is the high-precision and timely lane detection. In this work, we present a novel operator for railway detection to settle these tasks based on lane detection for the first time, called adaptive multi-scale fusion Sobel operators. The new operators can eliminate the noises generated by the environment in the railway image and derive more integrated edge feature information from the 0°, 45°, 90°, and 135° detection via 4 matrixes of 3 * 3 operators for permutation and summation. The image processing for railway detection includes the preprocess for images, railway edge detection, and track line polynomial fitting. Our experiment has validated that this improved detection method has realized the high accuracy and efficiency for rail detection. The dynamic rail detection and identification in the video of the railway track prove that this method has a significant effect on the left and right curved railway detection. It has good robustness and applicability.
Temperature Experiment and Compensation Algorithm Design for Fiber Gyros in Rapid Startup Inertial Navigation System
Authors: Zhuo Chao , He Jinyang , Hao Rui , Ren Lei 
Published: June 2021

Abstract
This article describes a practical thermal experiment and compensation algorithm for fiber gyros in an inertial navigation system with a rapid startup and short time operation characteristic. Multi-position cold startup experiments at discrete temperature points is designed to fully stimulate the thermal error mode. And due to the nonlinear characteristic of the error, a piecewise spline algorithm is applied to precisely identify and build the error model. After the compensation, the gyro instability in the full temperature range is reduced from the level of 5 °/h to better than 1 °/h.
Experimental study on robotic rotary ultrasonic drilling of CFRP/aluminum stacks
Authors: Dong Song , Meng Dan , Zheng Kan , Liao Wenhe 
Published: June 2021

Abstract
In order to solve the problem of significant chatter vibration and large drilling force when drilling stacked materials by industrial robot, a new method is proposed. It combines rotary ultrasonic drilling with robotic machining to achieve high efficiency and low damage for CFRP/aluminum stacks. In this paper, comparative experiments of robotic rotary ultrasonic drilling (RRUD) and robotic conventional drilling (RCD) on drilling CFRP/aluminum stacks are carried out in a KUKA six-axis industrial robot. Drilling force, drilling chatter and aperture deviation are measured and analyzed. The experimental results illustrate that high-frequency vibration can not only reduce drilling force effectively, but also have a good inhibitory effect on robotic drilling flutter. In addition, the improvement effect of ultrasonic vibration on aperture deviation for CFRP is more significant than that for aluminium.
Design and analysis of a single adjustable damping force robotic leg working with magnetorheological technology
Authors: Jiang Yifan , Li Qimin , An Zijian 
Published: June 2021

Abstract
Aiming at the problems of leg’s huge impact faced by legged robot in running movements, an adjustable damping force robotic leg working with magnetorheological technology was designed. The mechanism of how the magnetorheological damper adjusts the damping force of the robotic leg is analyzed. Based on SLIP model, the dynamic of the robotic leg was established. With Foot contact force, the displacement of the hip joint in the vertical direction and the loss of leg’s energy as the optimization objectives, the optimal damping force at different velocity was obtained by weight optimization algorithm, and the curve of the optimal damping force of the leg varying with the speed of the body is fitted. The cushioning capacity of the leg was simulated and verified at a speed of 4 meters per second, and the results showed that the structure with adjustable damping force meet the requirements of high cushion performance in running movements.
Analysis of Technical Performance of PSS2 Based on An Active Power Oscillation Accident of generator
Authors: Zhang Guangtao , Liang Hao , Xie Huan , Wu Tao , Shi Yang , Zhao Yan , Yan Yian , Guo Zhifeng , Guo Jian , Liu Lili , Tan Qibang 
Published: June 2021

Abstract
Low frequency oscillation in power system has become the main factor limited the development of power grid in China. Taking the generator power oscillation accident caused by PSS abnormal operation in a gas power plant of China as an example, the accident process is introduced in detail, and the causes of the accident are preliminarily discussed through the analysis of related data. The generator model is established with RTDS platform, then the influences of the rotational inertia, and speed acquisition methods of the unit and setting of the swing reactance on generator PSS(Power System Stabilizer) suppressing power oscillation effect are simulated and analyzed. According to the research results, the accident causes are further analyzed, and relevant suggestions are given for how to avoid such accidents.