bluuebunny/crossref_metadata_2025_split huggingface dataset:
Grenzen der Hilfeleistungspflicht des Notarztes im öffentlichen Rettungsdienst
Authors: Geser Felix 
Published: April 2019

ZusammenfassungDie Tätigkeiten im Notarzt- und Rettungsdienst sind häufig mit persönlichen Gefährdungen verbunden. Im Vordergrund steht jedoch immer die Problematik der Gefährdungssituationen, die durch den Notarzt wahrgenommen werden. In der vorliegenden Arbeit wird vor allem vor dem Hintergrund der Erforderlichkeit und Zumutbarkeit die Frage diskutiert, ob und inwieweit ein Notarzt zum Handeln verpflichtet ist. Im Ergebnis ist objektiv typisierend auf den Facharztstandard beziehungsweise den Indikationskatalog für den Notarzteinsatz in Kombination mit arzt-/berufsrechtlichen Gesichtspunkten (zum Beispiel Freiberuflichkeit) hinzuweisen. Es handelt sich jedoch immer um eine Einzelfallbetrachtung und um eine individuelle, fallbezogene Entscheidung. Bei seltenen, sehr unwahrscheinlichen Situationen mit relativer Ermangelung von objektiv typisierbaren Gesichtspunkten werden die Anforderungen, aber auch die Chancen an die „höchstpersönliche“ Berufsausübung und an die Persönlichkeit des Arztes (vor allem in der Entscheidungsfindung) umso größer.
Phlebologische Funktionsdiagnostik: Praktische
Anwendung
Authors: Kahl S. , Bruning G. , Woitalla-Bruning J. 
Published: April 2019

ZusammenfassungTrotz der Dominanz der farbkodierten Duplexsonografie in der Diagnostik der
Phlebologie gibt es weiterhin Fragestellungen, bei denen klassische Verfahren
der phlebologischen Funktionsdiagnostik eine wichtige Rolle bei der
Therapieentscheidung spielen.Während die farbkodierte Duplexsonografie detaillierten Aufschluss über die
Kaliber und die Refluxsituation des Venensystems liefern kann, ist sie jedoch
nicht in der Lage, eine abschließende Aussage zur Hämodynamik zu treffen. Hierzu
dient die venöse Funktionsdiagnostik und als Referenzverfahren insbesondere die
invasive Phlebodynamometrie (PDM). Die PDM ist die einzige Methode zur direkten
Messung der ambulatorischen venösen Hypertonie und hat daher eine große
Bedeu-tung im Rahmen der funktionellen phlebologischen Diagnostik, insbesondere
beim postthrombostischen Syndrom (PTS). Sie kann am verlässlichsten darüber
Auskunft geben, ob es sich bei Vorliegen einer Varikosis mit kurzem Reflux im
Rahmen eines PTS um eine besserbare Varikosis handelt oder nicht.Das Ziel dieses dreiteiligen Artikels besteht darin, die praktische Anwendung der
klassischen Verfahren zur phlebologischen Funktionsdiagnostik im klinischen
Rahmen zu demonstrieren und die Aussagekraft der entsprechend erhobenen Daten zu
erläutern. Die praktische Anwendung der digitalen Photoplethysmografie (D-PPG),
der PDM und der Venenverschlussplethysmografie (VVP) ist prinzipiell nicht
schwer. Für die Durchführung wird jedoch geschultes Personal benötigt, um
Anwendungs- und Messfehler zu vermeiden. In diesem ersten Teil soll die digitale
Photoplethysmografie vorgestellt und erläutert werden.
Präklinische Reanimation eines extrem kleinen Frühgeborenen an der Grenze der Lebensfähigkeit – Kasuistik
Authors: Schwaberger Bernhard , Schörghuber Michael , Schober Lukas , Eichinger Michael , Urlesberger Berndt 
Published: April 2019

ZusammenfassungDie Kasuistik beschreibt die präklinische Reanimation eines extrem unreifen Frühgeborenen an der Grenze der Lebensfähigkeit. Es werden Aspekte des Wärmemanagements, der Atemwegssicherung und Notfallbeatmung, der Ausstattung von Notarztwagen und des Gestationsalter-abhängigen Vorgehens diskutiert.
Ein Feedbacksystem eignet sich zum Training der Basismaßnahmen der Reanimation
Authors: Sander Henning , Gnirke André , Reifferscheid Florian , Matschuck Guido 
Published: April 2019

ZusammenfassungDer Herz-Kreislauf-Stillstand soll innerklinisch und präklinisch standardisiert nach aktuellen Leitlinien versorgt werden. Die Umsetzung der Leitlinien und der Qualität der jeweiligen Skills scheint heterogen zu sein und bedarf des kontinuierlichen Trainings für Laienhelfer und für medizinisches Fachpersonal. Die feedbackgestützte Thoraxkompression rückt aktuell nicht nur in der Lehre, sondern auch in der Anwendung am Patienten in den Fokus. Anhand von 2 gleich stark eingeteilten Gruppen mit jeweils 21 Probanden wurden 3 Messungen durchgeführt. Es fanden 2 Teammessungen anhand eines CPR-Szenarios und eine Einzelmessung mit den Schwerpunkten CPR, Kompression und Beatmung statt. Insgesamt wurden jeweils 19 Fertigkeiten gemessen und ausgewertet. Vor jeder Messung trainierte die Interventionsgruppe zusätzlich an dem RQI-System (Resuscitation Quality Improvement Program®) Die Standardgruppe nahm ausschließlich an dem herkömmlich geplanten Unterricht zusammen mit der Interventionsgruppe teil. In der Systematik von Unterschiedshypothesen wurden die Mittelwerte entweder mit dem t-Test oder mit dem Whitney-U-Test auf Signifikanz getestet (p < 0,05). In der 1. Messung zeigten sich keine signifikanten Mittelwertunterschiede. In der 2. und 3. Messung konnten vor allem bei den die Kompression betreffenden Fertigkeiten signifikante Unterschiede zugunsten der Interventionsgruppe gemessen werden. Während der Ausbildung eingesetzte Feedbacksysteme können die Reanimationsfertigkeiten in der Trainingssituation gegenüber herkömmlichen Trainings verbessern.
Preoperative Considerations in Occipital Artery-high-riding Posterior Inferior Cerebellar Artery Bypass: A Report of Two Cases and a Literature Review
Authors: Kim Yeong-Jin , Kim Jae-Young , Cho Yong-Hwan , Kim You-Sub , Kim Tae-Sun , Joo Sung-Pil 
Published: April 2019

AbstractNonsaccular vertebral artery aneurysms involving the posterior inferior cerebellar artery (PICA) are rare. Treatment is considered a significant challenge because of their angiographic and anatomical features, especially in high-riding PICA. Therefore, meticulous preoperative angiographic and anatomical evaluation is necessary. Moreover, consideration of the distance between the cerebellar skull base and caudal loop of the PICA is important. We present two cases of occipital artery-high-riding PICA bypass and discuss important preoperative technical considerations.
Translanguaging as an expression of transnational identity
Authors: Regnoli Giuliana 
Published: April 2019

Abstract
Non-linguists are usually able to discriminate accurately between different language patterns (Niedzielski and
Preston 2003; Preston 2010) although long-standing scholarly tradition has often, if
not always, contradicted their views of language (Boas 1917; Bloomfield, in Hall 1950).
Moreover, in diasporic settings, speakers’ constant need of renegotiating the problem of ethnicity is often resolved in their
willingness to shed their regional, linguistic and ethnic identities to the detriment of their more general pan-Indian one (Jayaram 2004). In an Indian diasporic community situated in Heidelberg, Germany,
perceived subtle differences in L2 phonological characteristics may index local and situated ethnic identities. In order to
ascertain whether dialectal variation has salience for the community, this paper presents findings on how translanguaging might be
a valuable linguistic resource in the expression of speakers’ ethnic identities. A qualitative analysis of questionnaires,
interviews and informal conversations has delineated a new ‘diaspora consciousness’ (Vertovec
1997) in light of the transient aspect of the community in question.
Construction of polyanilne/ITO electrode for electrochemical sensor applications
Authors: Ahmad Khursheed , Mobin Shaikh M 
Published: April 2019

Abstract
Herein, we have report electrochemical synthesis of polyanilne (PANI) films on indium doped tin oxide (ITO) glass substrate using cyclic voltammetry. The formation of PANI was determined by powder x-ray diffraction = PXRD and Fourier-Transform Infrared Spectroscopy = FTIR measurements. The surface morphology of the electrochemically grown PANI on ITO glass (ITO/PANI) was found to be rod like as confirmed by Field Emission Scanning Electron Microscopy = FE-SEM analysis. Further, this prepared film was used as working electrode for the electrochemical sensing of p-nitrophenol (p-NP). The ITO/PANI based p-NP sensor exhibited interesting detection limit of 2 ± 0.5 μM. The performance of ITO/PANI electrode was also found selective and reproducible using cyclic voltammetry.
Generalization of a connectedness result to cohomologically complete intersections
Authors: Hellus Michael 
Published: April 2019

It is a well-known result from Hartshorne that, in projective space over a field, every set-theoretical complete intersection of positive dimension is connected in codimension one. Another important connectedness result (also from Hartshorne) is that a local ring with disconnected punctured spectrum has depth at most

1
1

. The two results are related; Hartshorne calls the latter “the keystone to the proof” of the former.

In this short note we show how the latter result generalizes smoothly from set-theoretical to cohomologically complete intersections, i.e., to ideals for which there is in terms of local cohomology no obstruction to be a complete intersection.

The proof is based on the fact that for cohomologically complete intersections over a complete local ring, the endomorphism ring of the (only) local cohomology module is the ring itself and hence is indecomposable as a module.
INDRA-IPM: interactive pathway modeling using natural language with automated assembly
Authors: Todorov Petar V , Gyori Benjamin M , Bachman John A , Sorger Peter K 
Published: April 2019

Abstract

Summary
INDRA-IPM (Interactive Pathway Map) is a web-based pathway map modeling tool that combines natural language processing with automated model assembly and visualization. INDRA-IPM contextualizes models with expression data and exports them to standard formats.

Availability and implementation
INDRA-IPM is available at: http://pathwaymap.indra.bio. Source code is available at http://github.com/sorgerlab/indra_pathway_map. The underlying web service API is available at http://api.indra.bio:8000.

Supplementary information
Supplementary data are available at Bioinformatics online.
Women’s appraisal of the management of vulvodynia by their general practitioner: a qualitative study
Authors: Leusink Peter , Steinmann Renee , Makker Merel , Lucassen Peter L , Teunissen Doreth , Lagro-Janssen Antoine L , Laan Ellen T 
Published: April 2019

Abstract

Background
Provoked Vulvodynia (PVD) is the most common cause of vulvar pain. General practitioners (GPs) are insufficiently familiar with it, causing a delay in many women receiving correct diagnosis and treatment. Besides patients factors, this delay can partly be explained by the reluctance of GPs to explore the sexual context of PVD and by their negative emotional reactions such as helplessness and frustration when consulted by patients with medically unexplained symptoms like PVD.

Objective
To gain insight into how women with PVD perceive and evaluate condition management by their GP, in order to support GPs in the consultation of women with PVD.

Methods
We performed face-to-face in-depth interviews with women diagnosed with PVD. The interviews were recorded, transcribed verbatim and thematically analysed. The Consolidated Criteria for reporting Qualitative Research (COREQ-criteria) were applied.

Results
Analysis of the interviews generated four interrelated themes: Doctor-patient relationship, Lack of knowledge, Referral process and Addressing sexual issues. Empathy of the GP, involvement in decision-making and referral were important factors in the appreciation of the consultation for women with PVD who were referred to a specialist. Because women were reluctant to start a discussion about sexuality, they expected a proactive attitude from their GP. The communication with and the competence of the GP ultimately proved more important in the contact than the gender of the GP.

Conclusion
Women with PVD prefer a patient-centred approach and want GPs to acknowledge their autonomy and to address sexuality proactively.
Accumulating computational resource usage of genomic data analysis workflow to optimize cloud computing instance selection
Authors: Ohta Tazro , Tanjo Tomoya , Ogasawara Osamu 
Published: April 2019

Abstract

Background
Container virtualization technologies such as Docker are popular in the bioinformatics domain because they improve the portability and reproducibility of software deployment. Along with software packaged in containers, the standardized workflow descriptors Common Workflow Language (CWL) enable data to be easily analyzed on multiple computing environments. These technologies accelerate the use of on-demand cloud computing platforms, which can be scaled according to the quantity of data. However, to optimize the time and budgetary restraints of cloud usage, users must select a suitable instance type that corresponds to the resource requirements of their workflows.

Results
We developed CWL-metrics, a utility tool for cwltool (the reference implementation of CWL), to collect runtime metrics of Docker containers and workflow metadata to analyze workflow resource requirements. To demonstrate the use of this tool, we analyzed 7 transcriptome quantification workflows on 6 instance types. The results revealed that choice of instance type can deliver lower financial costs and faster execution times using the required amount of computational resources.

Conclusions
CWL-metrics can generate a summary of resource requirements for workflow executions, which can help users to optimize their use of cloud computing by selecting appropriate instances. The runtime metrics data generated by CWL-metrics can also help users to share workflows between different workflow management frameworks.
Plus-one Generated and Next to Free Arrangements of Hyperplanes
Authors: Abe Takuro 
Published: April 2019

AbstractWe introduce a new class of arrangements of hyperplanes, called (strictly) plus-one generated arrangements, from algebraic point of view. Plus-one generatedness is close to freeness, that is, plus-one generated arrangements have their logarithmic derivation modules generated by dimension plus-one elements, with relations containing one linear form coefficient. We show that strictly plus-one generated arrangements can be obtained if we delete a hyperplane from free arrangements. We show a relative freeness criterion in terms of plus-one generatedness. In particular, for plane arrangements, we show that a free arrangement is in fact surrounded by free or strictly plus-one generated arrangements. We also give several applications.
Evaluation of the Risk Assessment and Prediction Tool for Postoperative Disposition Needs After Cervical Spine Surgery
Authors: Berger Ian , Piazza Matthew , Sharma Nikhil , Glauser Gregory , Osiemo Benjamin , McClintock Scott D , Lee John Y K , Schuster James M , Ali Zarina , Malhotra Neil R 
Published: April 2019

Abstract

BACKGROUND
Bundled care payment models are becoming more prevalent in neurosurgery. Such systems place the cost of postsurgical facilities in the hands of the discharging health system. Opportunity exists to leverage prediction tools for discharge disposition by identifying patients who will not benefit from prolonged hospitalization and facilitating discharge to post-acute care facilities.

OBJECTIVE
To validate the use of the Risk Assessment and Predictive Tool (RAPT) along with other clinical variables to predict discharge disposition in a cervical spine surgery population.

METHODS
Patients undergoing cervical spine surgery at our institution from June 2016 to February 2017 and over 50 yr old had demographic, surgical, and RAPT variables collected. Multivariable regression analyzed each variable's ability to predict discharge disposition. Backward selection was used to create a binomial model to predict discharge disposition.

RESULTS
A total of 263 patients were included in the study. Lower RAPT score, RAPT walk subcomponent, older age, and a posterior approach predicted discharge to a post-acute care facility compared to home. Lower RAPT also predicted an increased risk of readmission. RAPT score combined with age increased the predictive capability of discharge disposition to home vs skilled nursing facility or acute rehabilitation compared to RAPT alone (P < .001).

CONCLUSION
RAPT score combined with age is a useful tool in the cervical spine surgery population to predict postdischarge needs. This tool may be used to start early discharge planning in patients who are predicted to require post-acute care facilities. Such strategies may reduce postoperative utilization of inpatient resources.
Telemedicine and Infectious Diseases Practice: A Leap Forward or a Step Back?
Authors: Abdel-Massih Rima C , Mellors John W 
Published: April 2019

Abstract
Infectious Diseases (ID) specialists pride themselves on performing a thorough history and physical exam, and developing a comprehensive diagnosis and management plan. A timely question is whether this tradition is at risk from the coming wave of telemedicine in clinical practice? It would not be if ID specialists embrace the changes ahead and leverage new technologies to enhance the efficiency and reach of their clinical practices. In this report, we highlight the opportunities and challenges offered by telemedicine for ID practice (Table 1).
Inheritance of Virulence and Linkages of Virulence Genes in an Ethiopian Isolate of the Wheat Stripe Rust Pathogen (Puccinia striiformis f. sp. tritici) Determined Through Sexual Recombination on Berberis holstii (Retracted)
Authors: Siyoum Gebreslasie Zeray , Zeng Qingdong , Zhao Jie , Chen Xianming , Badebo Ayele , Tian Yuan , Huang Lili , Kang Zhensheng , Zhan Gangming 
Published: April 2019

The authors of Siyoum et al. 103:2451-2459 (2019) retracted this article because it proved to contain errors in statistical analyses of the data and subsequent data interpretations. This article was retracted on 14 November 2019. Stripe rust, caused by Puccinia striiformis f. sp. tritici, is one of the most devastating wheat diseases in Ethiopia. To study virulence genetics of the pathogen, 117 progeny isolates were produced through sexual reproduction of an Ethiopian isolate of the stripe rust pathogen on Berberis holstii plants under controlled conditions. The parental and progeny isolates were characterized by phenotyping on wheat lines carrying single Yr genes for resistance and genotyped using 10 polymorphic simple sequence repeated (SSR) markers. The progeny isolates were classified into 37 virulence phenotypes and 75 multilocus genotypes. The parental isolate and progeny isolates were all avirulent to resistance genes Yr5, Yr10, Yr15, Yr24, Yr32, YrTr1, YrSP, and Yr76 but virulent to Yr1 and Yr2, indicating that the parental isolate was homozygous avirulent or homozygous virulent at these loci. The progeny isolates segregated for virulence to 12 Yr genes. Virulence phenotypes to Yr6, Yr28, Yr43, and Yr44 were controlled by a single dominant gene; those to Yr7, Yr9, Yr17, Yr27, Yr25, Yr31, and YrExp2 were each controlled by two dominant genes; and the virulence phenotype to Yr8 was controlled by two complementary dominant genes. A linkage map was constructed with seven SSR markers, and 16 virulence loci corresponding to 11 Yr resistance genes were mapped with some loci linked to each other. These results are useful in understanding host–pathogen interactions and selecting resistance genes to develop wheat cultivars with highly effective resistance to stripe rust.
Postresuscitation Care after Out-of-hospital Cardiac Arrest
Authors: Kirkegaard Hans , Taccone Fabio Silvio , Skrifvars Markus , Søreide Eldar 
Published: April 2019

Abstract
Out-of-hospital cardiac arrest is a major cause of mortality and morbidity worldwide. With the introduction of targeted temperature management more than a decade ago, postresuscitation care has attracted increased attention. In the present review, we discuss best practice hospital management of unconscious out-of-hospital cardiac arrest patients with a special focus on targeted temperature management. What is termed post–cardiac arrest syndrome strikes all organs and mandates access to specialized intensive care. All patients need a secured airway, and most patients need hemodynamic support with fluids and/or vasopressors. Furthermore, immediate coronary angiography and percutaneous coronary intervention, when indicated, has become an essential part of the postresuscitation treatment. Targeted temperature management with controlled sedation and mechanical ventilation is the most important neuroprotective strategy to take. Targeted temperature management should be initiated as quickly as possible, and according to international guidelines, it should be maintained at 32° to 36°C for at least 24 h, whereas rewarming should not increase more than 0.5°C per hour. However, uncertainty remains regarding targeted temperature management components, warranting further research into the optimal cooling rate, target temperature, duration of cooling, and the rewarming rate. Moreover, targeted temperature management is linked to some adverse effects. The risk of infection and bleeding is moderately increased, as is the risk of hypokalemia and magnesemia. Circulation needs to be monitored invasively and any deviances corrected in a timely fashion. Outcome prediction in the individual patient is challenging, and a self-fulfilling prophecy poses a real threat to early prognostication based on clinical assessment alone. Therefore, delayed and multimodal prognostication is now considered a key element of postresuscitation care. Finally, modern postresuscitation care can produce good outcomes in the majority of patients but requires major diagnostic and therapeutic resources and specific training. Hence, recent international guidelines strongly recommend the implementation of regional prehospital resuscitation systems with integrated and specialized cardiac arrest centers.
In Vivo PSMA Expression in Head and Neck Paragangliomas on 68Ga PSMA 11 PET/CT
Authors: Tripathy Sarthak , Tripathi Madhavi , Dattagupta Shreya , Parida Girish Kumar , Shamim Shamim Ahmed 
Published: April 2019

Abstract
Head and neck paragangliomas are rare and often asymptomatic tumors and mostly present as painless masses. We describe 68Ga PSMA 11 PET/CT and 68Ga DOTANOC PET/CT findings of a 40 year old man with triple head and neck paragangliomas with emphasis on exploring the possible theranostic options.
Role of Active Range of Motion in Hand and Wrist Joint Photography
Authors: Yildiran Gokce , Sutcu Mustafa , Akdag Osman , Isik Cemil , Tosun Zekeriya 
Published: April 2019

Introduction
Hand photography is effective and advantageous for assessing functional deficits and improvements related to surgery. In this study, it is aimed to investigate whether the correct active range of motion (ROM) is masked by the passive ROM in a wrist joint.

Method
Eleven patients who were treated for unilateral wrist fractures were included in the study. Photography was performed in all patients by the same surgeon according to the conventional hand surgery photography approach and the active ROM photography approach. Differences between the noninjured side and injured side were assessed.

Results
No differences were found between the active ROM and passive ROM during the extension and flexion movements in the noninjured side group. However, in the injured side group, the results from the photographs obtained with the conventional method were significantly better than the results from the photographs obtained when the wrist was actively moved.

Conclusion
These findings suggest that photographs of wrists during passive motion may affect the results of a treatment or study by showing false positivity. We propose obtaining images of active ROM instead of passive ROM in hand photography.