bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Role of Intrauterine Insemination in the Therapy of Infertile Women with Endometriosis
Authors: Daru József , Keresztúri Attila , Szöllösi János , Koloszár Sándor , Pál Attila 
Published: November 2014

Purpose Laparoscopy is considered the gold standard for the diagnosis and treatment of endometriosis. Controlled ovarian hyperstimulation-intrauterine insemination (COH-IUI) is often used to treat women with infertility associated with endometriosis. The objective of the study was to assess the pregnancy rate following surgery, and 6 month GnRH analogue (GnRH-a) therapy, and to assess whether a combined approach with laparoscopic surgery and GnRH-a followed by COH-IUI can improve the overall pregnancy rate. Methods A prospective study was performed on 119 infertile patients who underwent laparoscopic surgery and GnRH-a therapy for endometriosis and returned for a follow-up for a period of time between one and 10 years. Results The pregnancy rate attained after the integrated laparoscopy–GnRH-a–COH-IUI approach was 51.6%. The pregnancy rate after surgery and GnRH-a therapy was significantly lower (41.8%). The fecundity rate for spontaneous conception within 6 months of laparoscopy and GnRH-a treatment (27%) was significantly higher (P<.05) than for the following intervals. Cumulative fecundity in women aged older than 35 was significantly lower than in younger women. Conclusions In patients with endometriosis-associated infertility, surgery and GnRH-a therapy followed by COH-IUI is more effective than surgery and GnRH-a therapy. When patients fail to conceive spontaneously, after a maximum of one year following laparoscopic surgery and GnRH-a, COH-IUI or In Vitro Fertilization Embryo Transfer (IVF-ET) should be recommended.
Management of Infertile Women with Endometriosis. What's the Result of Leaving Ovarian Endometrioma during IVF-ET Cycles?
Authors: Scarselli Gianfranco , Rizzello Francesca , Coccia Maria Elisabetta 
Published: November 2014

Purpose The awareness of possible risk of damage to ovarian reserves after surgical treatment of ovarian endometriomas supports a more conservative approach in infertile women with ovarian endometrioma. A growing number of patients with ovarian endometrioma undergo In Vitro Fertilization and Embryo Transfer (IVF-ET) prior to surgery. The aim of this study was to assess the effect of ovarian endometrioma on IVF-ET cycles. Methods In a retrospective cohort pilot study, IVF-ET cycles performed by our group during the period 2000–2004 were assessed. One hundred and forty-four women with a history of surgery for endometriosis or endometriosis at the time of the cycle were included in the ‘study group'. Seventy infertile patients because of tubal factor constituted the ‘control group'. IVF-ET outcome was assessed. Results Patients with endometriosis required a higher total dosage of FSH/hMG and attained lower peak E2 levels, and fewer follicles and oocytes were obtained. Clinical pregnancy rate per patient was lower in the endometriosis group (24/144, 16.7%) when compared with tubal factor (20/70, 28.6%), clinical pregnancy rate per embryo transfer was similar (24/117, 20.5% and 20/61, 32.8% respectively). When stratifying results in the endometriosis group, patients with a history of prior surgery for ovarian endometrioma required a higher dosage of FSH/ hMG and attained a lower peak of estradiol. A trend with a consistent reduction in pregnancy rate in women with a history of prior surgery for ovarian endometrioma (5/37, 13% in patients with previous cystectomy and no recurrence; 2/17, 11.8% in patients with prior surgery and recurrence of endometrioma at pick-up; 2/10, 20% in women never operated with endometrioma at pick-up; 15/53, 28.3% in the minimal-mild endometriosis group; 20/61, 32.8% for tubal factor) was observed. Conclusions Both surgery for ovarian endometrioma and the existence of endometrioma during pickup appear to affect IVF-ET outcome. Patients with prior surgery and endometrioma recurrence at the time of pick-up revealed a further decrease in pregnancy rate.
Decreasing Dyspareunia and Dysmenorrhea in Women with Endometriosis via a Manual Physical Therapy: Results from Two Independent Studies
Authors: Wurn Belinda F. , Wurn Lawrence J. , Patterson Kimberley , King C. Richard , Scharf Eugenia S. 
Published: November 2014

Purpose To assess the efficacy of a non-invasive, site-specific manual physiotherapeutic technique in ameliorating dyspareunia and dysmenorrhea, commonly associated with endometriosis, by performing a retrospective and prospective analysis, respectively. Methods Human female subjects, all surgically diagnosed with endometriosis, were enrolled in each of the studies post informed consent. Each subject underwent 20 hours of site-specific manual physical therapy (Wurn Technique) designed to address adhesions and restrictions in soft tissue mobility in the abdomen and the pelvic floor. Post-test was completed 6 weeks after treatment. Evaluation incorporated outcome prediction based on Female Sexual Function Index (FSFI) for analyzing the effect on dyspareunia and sexual function (n=14) and quantitative differences in ratings of average pain during menstrual cycle and intercourse based on the Mankoski Pain Scale for analyzing the effect on dysmenorrhea and dyspareunia (n=18), respectively. Data was analyzed by the Wilcoxon signed-rank test (two-sided). Results FSFI Full Scale score showed overall statistically significant improvements (P=.001) for all domains of sexual function, inclusive of dyspareunia (P<.001) in the retrospective analyses. Mankoski Pain Scale exhibited statistically significant improvements in menstrual cycle (P<.014), dysmenorrhea (P=.008) and dyspareunia (P=.001) in the prospective analyses. Conclusion Site-specific manual physiotherapy might offer a non-pharmacologic and non-surgical alternative in the treatment of dyspareunia and dysmenorrhea in endometriosis patients. Further randomized, blinded, and multi-center assessment of the technique is warranted to validate the results and gauge any potential pitfalls.
Pre-Operative Ultrasonography and Arteriovenous Fistulae Maturation
Authors: Bashar Khalid , Clarke-Moloney Mary , Walsh Stewart R. 
Published: November 2014

Background Arteriovenous fistulae (AVF) are preferred for haemodialysis access, but maturation is unpredictable. Results Clinical examination alone is unreliable for AVF planning. Duplex ultrasonography may provide useful anatomical and physiological data to allow more accurate prediction of likely AVF success. Conclusion Selective use of duplex ultrasonography appears to enhance AVF success rates, but there are insufficient data to recommend routine duplex screening of AVF candidates. Agreed vessel criteria are needed.
Using Tunneled Femoral Vein Catheters for “Urgent Start” Dialysis Patients: A Preliminary Report
Authors: Hingwala Jay , Bhola Cynthia , Lok Charmaine E. 
Published: November 2014

Background Multiple benefits of arteriovenous fistulas (AVF) and arteriovenous grafts (AVGs) exist over catheters. As part of a strategy to preserve thoracic venous sites and reduce internal jugular (IJ) vein catheter use, we inserted tunneled femoral vein catheters in incident “urgent start” dialysis patients while facilitating a more appropriate definitive dialysis access. Methods “Urgent start” dialysis patients between January 15, 2013 and January 15, 2014 who required chronic dialysis, and did not have prior modality and vascular access plans, had tunneled femoral vein catheters inserted. We determined the femoral vein catheter associated infections rates, thrombosis, and subsequent dialysis access. Eligible patients were surveyed on their femoral vein catheter experience. Results Twenty-two femoral vein catheters were inserted without complications. Subsequently, one catheter required intraluminal thrombolytic locking, while all other catheters maintained blood flow greater than 300 ml/min. There were no catheter-related infections (exit site infection or bacteremia). Six patients continued to use their tunneled catheter at report end, one transitioned to peritoneal dialysis, thirteen to an arteriovenous graft, and two to a fistula. One patient received a tunneled IJ vein catheter. Of the patients who completed the vascular access survey, all indicated satisfaction with their access and that they had minimal complaints of bruising, bleeding, or swelling at their access sites. Pain/discomfort at the exit site was the primary complaint, but they did not find it interfered with activities of daily living. Conclusions Femoral vein tunneled catheters appear to be a safe, well tolerated, and effective temporary access in urgent start dialysis patients while they await more appropriate long-term access.
Dialysis Central Venous Catheter Types and Performance
Authors: Gallieni Maurizio , Brenna Irene , Brunini Francesca , Mezzina Nicoletta , Pasho Sabina , Giordano Antonino 
Published: November 2014

The choice of both short-term (nontunneled) and long-term (tunneled) central venous catheters (CVCs) for hemodialysis is a difficult one, due to the large number of available catheters, with very different characteristics and cost. CVC-related complications (in particular infections, thrombosis and inefficient dialysis) can determine ominous consequences and death, with extremely elevated costs due to prolonged hospitalization and expensive procedures. Thus, the correct balance between cost and quality of CVC is required when deciding which kind of CVC should be adopted. In this regard, the design of CVCs has become a very active area of industrial and clinical research, with the ultimate goal of improving the long-term function of the catheter and of reducing complication rates, because even small improvements in the complication or reintervention rates have a positive impact on individual patient care and cost to society. In this article we review the general features of CVCs, including differences between tunneled and nontunneled CVCs, materials and their compatibility with lock solutions, the implications of straight versus precurved design in nontunneled CVCs, lumen and tip features with their clinical implications, catheter coatings and their effect on infection and thrombosis.
Urinary Diversions and Bladder Replacement Surgery: Evolution, Current Situation and Long-Term Outcomes
Authors: Fontana Dario , Buffardi Andrea , Destefanis Paolo 
Published: November 2014

Nowadays, radical cystectomy represents the first choice of therapy for muscle invasive bladder cancer. The first choice after radical cystectomy, both in male and in female patients, is no more urinary diversion, but bladder replacement surgery through orthotopic reconstruction. The ileal conduit is considered a safe procedure and the gold standard to which newer forms of urinary diversion should be compared, although few long-term results are known. Currently, neobladder is the most important urinary diversion in the world, followed by Bricker's ileal conduit. We evaluated the long-term results of the most important forms of urinary diversions, analyzing some data available in the Literature. Then, we focused our attention on long-term outcomes of our “Y Neobladder”: functional outcome and long-term complications. At last, we critically examined the widely accepted notion that patients undergoing “Y Neobladder” experience superior quality of life outcomes than patients receiving an ileal conduit.
An objective comparison of novice trainees learning LESS versus traditional laparoscopy with the use of a pelvic trainer
Authors: Isgrò Gianmarco , Micali Salvatore , Pini Giovannalberto , De Stefani Stefano , Gelmini Roberta , Franzoni Chiara , Bianchi Giampaolo 
Published: November 2014

Objectives To compare the differences between LESS and SL among a population of subjects inexperienced of both techniques. Materials and Methods Participants were randomly assigned to the LESS or SL arm of the course; between the population examined, none had previous laparoscopic experience. The trial consisted in performing three increasingly difficult exercises either with LESS or standard laparoscopy. Results Time of execution and Objective Structured Assessment of Technical Skills score (OSATS) were recorded. Statistical analysis failed to detect any significant difference between the two arms of the trial. A trend in favor of standard laparoscopy was observed anyway. Discussion Our study evaluates the technical performance on a surgical simulator in the laboratory setting, with the use of standardized tasks and validated metrics. We believe that a controlled and safe environment aids objective evaluation of LESS compared to SL. Literature on this particular topic is somehow conflicting and heterogeneous. Our trial demonstrated that novices performed LESS tasks without any additional difficulties compared to standard laparoscopy. The aim of such investigation is to support knowledge of this new technology in order to facilitate its use in selected patients and surgical procedures.
Contingencia, espontaneidad y libertad en Leibniz
Authors: Roldán Concha 
Published: November 2014

La contingencia es para Leibniz, junto con la espontaneidad y la inteligencia, un componente esencial de la definición de la verdadera libertad, que nuestro pensador califica como uno de los problemas filosóficos por excelencia: “la cuestión de saber cómo se puede salir del laberinto, la gran cuestión de lo libre y lo necesario” (Teodicea, OFC, 10, 11).Leibniz, en diálogo con sus referentes polémicos (Descartes, Spinoza, Hobbes, Arnauld, King, Bayle, Clarke, entre otros) diferenciará –siguiendo la herencia agustiniana- entre el “libre albedrío” y la “verdadera libertad” o determinación racional, a la que sitúa en un camino intermedio entre el determinismo absoluto y la indiferencia de equilibrio. La libertad de los seres racionales será para Leibniz la condición sine qua non para entrar a formar parte del el reino de la gracia, un mundo moral dentro del mundo natural en el que impera el bien común.
Overriding Mandatory Rules as a Vehicle for Weaker Party Protection in European Private International Law
Authors: van Bochove Laura Maria 
Published: November 2014

Overriding Mandatory Rules as a Vehicle for Weaker Party Protection in European Private International Law
The Rome I Regulation on the law applicable to contractual obligations contains several provisions aimed explicitly at the protection of ‘weaker’ contracting parties, such as consumers and employees. However, in addition to this, the interests of weaker parties are sometimes also safeguarded through the application of ‘overriding mandatory provisions’, which are superimposed on the law applicable to the contract to protect a fundamental interest of a Member State. This article is an attempt to clarify the extent to which the concept of overriding mandatory provisions may serve as a vehicle for weaker party protection. To do this, it examines the definition and limitations of the concept and its relation to conflict of laws rules based on the protective principle. Finally, the article seeks to establish whether the doctrine of overriding mandatory provisions remains relevant in the case of harmonisation of substantive law at the EU level, for which it will differentiate between full and minimum harmonisation.
Alles naar wens? Observaties naar aanleiding van het conceptwetsvoorstel ter aanvulling van het spreekrecht voor slachtoffers en nabestaanden in het strafproces
Authors: Kool Renée 
Published: November 2014

As you wished for? Observations with regard to the Dutch draft-proposal to introduce a Victim Statement of Opinion
Since 2005, Dutch victims of serious crime have the right to make an oral statement in court (‘spreekrecht’). In the past decade, the Dutch criminal justice system has accommodated this right to make an oral statement with regard to the consequences of the crime; no major problems have occurred. Indeed, only a minority of the victims consumes this right (ca. 230 cases annually), the majority prefers to lodge a written statement. Nevertheless, the Dutch legislature is of the opinion that the right to make an oral statement should be extended and has lodged a draft-proposal recently. The aim is to provide crime victims a right to put forward an advice to the judge at the trial session, such an advice relating to the full scheme of judicial decision-making (truth, legal qualification, punishment). Such a provision resembles a Victim Statement of Opinion, used in the American scheme of justice, and even exceeds this. The draft has been met with criticism, only the Dutch Victim Support is in favor. One of the objections heard is the one dimensional focus underlying the draft: by focusing on a specific group of victims – those who have suffered from serious crimes – the legislature neglects the heterogeneous nature of victims’ needs.
Anrechnungshöchstbetrag bei der Erbschaft- und Schenkungsteuer: Ist die Rechtsprechung von EuGH und BFH zur Unionsrechtswidrigkeit von § 34c Abs. 1 S. 2 EStG auf § 21 Abs. 1 S. 2 ErbStG übertragbar?
Authors: Bachmann Carmen , Richter Konrad 
Published: November 2014

Abstract
Die Berechnung des Anrechnungshöchstbetrags im Rahmen des § 34c EStG verstößt nach höchstrichterlicher Rechtsprechung (EuGH v. 28.2.3013 - Rs. C-168/11 - Beker und Beker, GmbHR 2013, 442) gegen Unionsrecht. Sonderausgaben und außergewöhnliche- Belastungen sowie der Grundfreibetrag werden bei der Summe der Einkünfte im Nenner der Berechnungsformel nicht berücksichtigt und kommen damit den ausländischen Einkünften nicht in entsprechender Höhe zu Gute. Die Berechnung des Anrechnungshöchstbetrags bei der Anrechnung ausländischer Erbschaftsteuer nach § 21 ErbStG weist eine dem § 34c EStG ähnliche Systematik auf. Da hier im Nenner der Berechnungsformel die Berücksichtigung der persönlichen Freibeträge nach §§ 16 und 17 ErbStG regelmäßig unterbleibt, wird vorliegend der Frage nach der Vergleichbarkeit des § 21 ErbStG mit § 34c EStG und der damit einhergehenden Anwendung des Urteils auch für erbschaftsteuerliche Zwecke nachgegangen.
Google’s Dead End, or: on Street View and the Right to Data Protection
Authors: van der Sloot Bart , Zuiderveen Borgesius Frederik J. 
Published: November 2014

AbstractMay a company photograph the daily lives of people all over the world, store those photos, and publish them on the internet? This article assesses which obligations Google has to fulfil in order to respect the European data protection rules. The focus lies on three questions. First, which data processed for the Street View service are personal data? Second, does Google have a legitimate ground for processing personal data? Third, does Google comply with its transparency obligations and does it respect the rights of the data subjects, specifically their right to information?
Eigenheimzulage auch für im EU-Ausland belegene Häuser und Wohnungen?
Authors: Häußler Karina 
Published: November 2014

AbstractDie Kommission der Europäischen Gemeinschaften hat am 5.4.2005 eine Klage gegen die Bundesrepublik Deutschland beim EuGH eingelegt. Die Kommission der Europäischen Gemeinschaften beantragt festzustellen, dass die Bundesrepublik Deutschland dadurch gegen ihre Verpflichtungen aus den Art. 18, 39 und 43 des EG-Vertrages verstoßen hat, dass sie in § 2 Absatz 1 Satz 1 EigZulG die Gewährung von Eigenheimzulage an unbeschränkt Steuerpflichtige auf in anderen Mitgliedstaaten belegene Objekte unabhängig davon ausschließt, ob dort eine vergleichbare Förderung beansprucht werden kann (Amtsbl. EU v. 28.5.2005 C 132, 18; Az. beim EuGH: C-152/05). Sollte der EuGH die Vertragsverletzungsklage (Art. 226 EGV) für begründet halten, so wäre die Bundesrepublik Deutschland verpflichtet, die Eigenheimzulage unter den allgemeinen Voraussetzungen des Eigenheimzulagegesetzes (insbesondere Einkommensgrenzen, fehlender Objektverbrauch, keine Ferien- oder Wochenendwohnung) auch für im Ausland belegene selbstgenutzte Objekte zu gewähren. Zu dieser Rechtsfrage ist ferner ein Revisionsverfahren beim BFH anhängig (IX R 73/02 gegen Urt. des FGBWv. 18.7.2001 - 12 K 434/00). Eine vollständige Streichung der Eigenheimzulage (auch für Inlandsobjekte) zur Beseitigung der Ungleichbehandlung käme erst für die Zukunft in Betracht. Die Verfasserin kommt zum Ergebnis der EU-Rechtswidrigkeit der deutschen Ausschlussregelung. Betroffene Steuerpflichtige sollten spätestens bis zum Ende dieses Jahres einen Antrag auf Eigenheimzulage stellen.
Grundfragen der Bewahrung und einer Reform des Gemeinnützigkeitsrechts
Authors: Fischer Peter 
Published: November 2014

AbstractDer Verfasser setzt sich kritisch mit dem Sachverständigengutachten auseinander und bezieht mehrfach gegenteilige Standpunkte. Seine Kritik schöpft u.a. aus den weit über den ökonomischen Ansatz hinausgreifenden rechtlichen Zusammenhängen und den umfangreichen Vorarbeiten anderer Kommissionen.
Bewirtung: Repräsentation oder Werbung?
Authors: Leisner-Egensperger Anna 
Published: November 2014

AbstractDie Verfasserin stellt fest, dass das deutsche Recht der Bewirtungsaufwendungen das objektive Nettoprinzip verletzt und auf überholten gesellschaftlichen Vorstellungen beruht, die noch dazu in rechtswidrige Verwaltungsregelungen wie z.B. R 4.10 Abs. 6 S. 8 EStR 2005 münden, wo Bewirtung in den Privaträumen des Steuerpflichtigen stets den gem. § 12 EStG nicht abziehbaren Kosten der Lebensführung zugewiesen wird. Der Begriff der „Repräsentation“ kann nach Meinung der Verfasserin nicht zur Ausgrenzung von Bewirtungsaufwand führen. Entsprechend der österreichischen Entwicklung müsse auch in Deutschland die „Werbedienlichkeit der Bewirtung“ zum entscheidenden Kriterium der Abzugsfähigkeit werden.
Steuerbilanzielle Behandlung von Sicherungszusammenhängen
Authors: Patek Guido 
Published: November 2014

AbstractMit dem Gesetz zur Eindämmung missbräuchlicher Steuergestaltungen vom 28.4.2006 (BGBl. I 2006, 1095) wurde in § 5 EStG ein Absatz 1a) eingefügt, nach dem die Bewertungsergebnisse aus in der Handelsbilanz zur Absicherung finanzwirtschaftlicher Risiken gebildeten Bewertungseinheiten auch für die steuerliche Gewinnermittlung maßgeblich sind. Um dies zu ermöglichen, wurde das in § 5 Abs. 4a EStG kodifizierte steuerliche Verbot der Bildung von Rückstellungen für drohende Verluste aus schwebenden Geschäften in Bezug auf Bewertungseinheiten eingeschränkt. Angesichts der Komplexität der Materie und des seit langem äußerst kontrovers geführten handelsbilanzrechtlichen Meinungsstreits zum Themenkomplex „Bewertungseinheiten“ ist zu erwarten, dass die neue steuerliche Regelung auch im Bereich des Steuerbilanzrechts Fragen aufwirft und zusätzliche Diskussionen auslöst. In diesem Beitrag werden die Zweckmäßigkeit der gesetzlichen Neuregelung hinterfragt sowie einige hiermit verbundene Problempunkte angesprochen.
Vorsteuerabzug bei der gemischten Nutzung von Grundstücken – Anmerkungen zum BMF-Schreiben vom 24.11.2004 –
Authors: von Streit Georg 
Published: November 2014

AbstractMit Schreiben vom 24.11.2004 hat das Bundesministerium für Finanzen zur Abziehbarkeit von Vorsteuern Stellung genommen, die im Zusammenhang mit der Nutzung von Grundstücken anfallen, die sowohl für Umsätze genutzt werden, die zum Vorsteuerabzug berechtigen als auch für Umsätze, die den Vorsteuerabzug ausschließen. Einige der Anmerkungen des BMF im vorgenannten Schreiben verdienen Beachtung und sollen im Nachfolgenden einer kritischen Würdigung unterzogen werden.