43,260 Works

Pelvic radiography in ATLS algorithms: A diminishing role?

L Martinolli, MP Hilty, DJ Buggy, H Zimmermann, LM Benneker, I Behrendt, C Stoupis & AK Exadaktylos
ABSTRACT: BACKGROUND: Pelvic x-ray is a routine part of the primary survey of polytraumatized patients according to Advanced Trauma Life Support (ATLS) guidelines. However, pelvic CT is the gold standard imaging technique in the diagnosis of pelvic fractures. This study was conducted to confirm the safety of a modified ATLS algorithm omitting pelvic x-ray in hemodynamically stable polytraumatized patients with clinically stable pelvis in favour of later pelvic examination by CT scan. METHODS: We conducted...

An act of catharsis or a cry for help? Decreased anxiety as a postcedent of a non-fatal suicide attempt

Steve Hodkinson, Wolfgang P. Kaschka & Martin Jandl
Introduction More than 40 years ago, an American physician called R. Gregory Austin suggested that suicide was an act of catharsis. He coined the terms attempters (mostly women appealing for a change in their lives) and committers (mostly men driven by self-hatred) to describe two distinct populations of suicidal patients. Austin was convinced that only the latter group really sought catharsis. Method We compared reported mean anxiety levels in male and female inpatients (N =...

Carbon isotope offsets between benthic foraminifer species of the genus Cibicides (Cibicidoides) in the glacial sub-Antarctic Atlantic

Andreas Mackensen, David Hodell, Elisabeth Michel, Jean-Claude Duplessy, Claire Waelbroeck, Julia Gottschalk, Natalia Vázquez Riveiros & Luke C. Skinner

Regeln statt Prinzipien im Privatsphärenschutz

Axel Tschentscher
Für die Fragen nach der substanziellen Differenz im Ergebnis und die Kritik an der Prinzipientheorie im grundrechtlichen Privatsphärenschutz lassen sich drei Beobachtungen festhalten. Erstens schützt das Recht der U.S.A. die Privatsphäre eher punktuell als breitflächig. Das muss nicht notwendig in allen Bereichen eine geringere Schutzintensität zu Folge haben. Für den Grundrechtsschutz gilt allerdings, dass der regelorientierte Ansatz tendenziell kleinteiliger operiert. Anders als in Europa liegt es darum weniger nahe, dass ein allgemeines ungeschriebenes Verfassungsrecht auf...

Possible dysregulation of cortical plasticity in auditory verbal hallucinations-A cortical thickness study in schizophrenia

Claudia Van Swam, Andrea Federspiel, Roland Wiest, Chris Boesch, Thomas Dierks, Roland Kreis, Peter Vermathen, Werner Strik & Daniela Hubl
Investigations of gray matter changes in relation with auditory verbal hallucinations (AVH) have reported conflicting results. Assuming that alterations in gray matter might be related to certain symptoms in schizophrenia this study aimed to investigate changes in cortical thickness specific to AVH. It was hypothesized that schizophrenia patients suffering from persistent AVH would show significant differences in cortical thickness in regions involved in language-production and perception when compared to schizophrenia patients which had never experienced...

“Please do not leave any notes for the cleaning lady, as many do not speak English fluently”: policy, power and language brokering in a multilingual workplace.

Anne Schulter & Kellie Gonçalves
This article investigates the covert language policy and micro-language planning practices of one female Brazilian-American entrepreneur, Magda, within her multilingual cleaning company. Because Magda is plurilingual (Spolsky in Language policy. Cambridge University Press, Cambridge, 2004), she is able to draw on her metalinguistic awareness and multicompetence in order to facilitate communication between her working-class migrant employees and her English-speaking clients as well as engage in what we call “inter-employee brokering”. Magda’s position as the company’s...

Eizellen für die Zukunft.

Alexandra Kohl Schwartz, Vera Ruth Mitter & Michael Von Wolff

Reply

Padhraig S Fleming, Ama Johal & Nikolaos Pandis

Where to return to? Rural Urban Interlinkages in Times of Internal and International Migration

Susan Thieme
Economic and social activities of migrants transcend internal and international as well as rural and urban divides. Migration circuits are not bipolar but rather develop towards amulti-local network of family members putting into question “return” as an often assumed conclusion to a successful migration. This briefing explores the multi-local migration patterns of Kyrgyzstan’s mobile population placing return in a wider context and providing recommendations how to facilitate circular migration and ties to places of origin...

Identify the Champion

Oscar Nierstrasz
The peer review process for technical contributions to conferences in computing sciences is very thorough, and can be as stringent as the review process for journal publications in other domains. The programme committee for such a conference will typically convene at a meeting, where submitted papers are discussed, and accepted or rejected for presentation at the conference. Experience shows that discussions are more focussed, and the entire process runs more smoothly if most of the...

Evidence synthesis, practice guidelines and real-world prescriptions of new generation antidepressants in the treatment of depression: a protocol for cumulative network meta-analyses and meta-epidemiological study. [Protocol]

Yan Luo, Anna Chaimani, Yuki Kataoka, Edoardo Giuseppe Ostinelli, Yusuke Ogawa, Andrea Cipriani, Georgia Salanti & Toshi A Furukawa
INTRODUCTION Depressive disorders are the most common, burdensome and costly mental disorders. Their treatments have developed through the past decades and we now have more than a dozen new generation antidepressants, while a series of guidelines have been published to provide recommendations over the years. However, there still may exist important gaps in this evidence synthesis and implementation process. Systematic reviews may not have been conducted in the most unbiased, informative and timely manners; guidelines...

P3.209 Age differences between heterosexual partners: implications for the spread of chlamydia trachomatis

JH Smid, V Garcia, CH Mercer, N Low & CL Althaus
Introduction The consequences of mixing between sexual partners of different ages on the transmission and prevalence of sexually transmitted infections (STI) are still not well understood. Using sexual behaviour data, we obtained a detailed quantitative description of sexual mixing by age. We then investigated the impact of age mixing on the age- and sex-specific prevalence and incidence of Chlamydia trachomatis (Ct) using a dynamic transmission model. Methods First, we used age- and sex-specific data about...

Acute macular neuroretinopathy: pathogenetic insights from optical coherence tomography angiography.

Giuseppe Casalino, Alessandro Arrigo, Francesco Romano, Marion Munk, Francesco Bandello & Maurizio Battaglia Parodi
AIM To describe the optical coherence tomography angiography (OCT-A) features of patients affected by acute macular neuroretinopathy (AMN). METHODS This is a prospective, observational, cross-sectional study. Multimodal imaging, including spectral domain OCT (Spectralis HRA+OCT; Heidelberg Engineering, Heidelberg, Germany) and 6×6 mm swept source OCT-A (ZEISS PLEX Elite 9000; ZEISS, Dublin, California), was performed on all patients. The primary outcome measure was assessment of the vascular alterations of the superficial (SCP) and deep (DCP) capillary plexuses...

Combined tracer through-diffusion of HTO and 22 Na through Na-montmorillonite with different bulk dry densities

Martina Bestel, Martin A. Glaus, Sabrina Frick, Thomas Gimmi, Fanni Juranyi, Luc R. Van Loon & Larryn William Diamond
The suitability of swelling clays as a barrier to isolate nuclear waste in deep geological disposal is based on their microstructure, characterized by pore sizes down to the nanometre scale, and by their physico-chemical properties such as an excellent retention capacity for many radionuclides. A process-based understanding of the key features of radionuclide migration in such environments is required to demonstrate a valuable performance under all feasible conditions. In this study, the diffusion of tritiated...

Zuwanderung in Kommunen – Steuerung durch Integrationskonzepte

Dieter Filsinger & Maximilian Filsinger
Deutschland hat in letzten Jahren einen starken Anstieg an Zuwanderung verzeichnet, die sowohl Fluchtmigration als auch Migration im Rahmen der Europäischen Union beinhaltet. Gleichwohl steht die Bundesrepublik Deutschland vor demografischen Herausforderungen, zu deren Lösung Zuwanderung einen Beitrag leisten soll. Die Stadtpolitik steht in besonderem Fokus, muss sie doch vor Ort die Auswirkungen der Zuwanderung und des demografischen Wandels angehen, ohne die grossen Linien der Politik massgeblich mitbestimmen zu können. In diesem Beitrag gehen wir der...

In Regard to Pisansky et al.

Pirus Ghadjar, Stefanie Hayoz, Daniel R Zwahlen, George Thalmann & Daniel Aebersold

P755The impact of levothyroxine on cardiac function in older adults with subclinical hypothyroidism: a randomized clinical trial

B Gencer, E Moutzouri, M Blum, M Feller, T H Collet, E Buffle, P Monney, V Gabus, H Muller, P Kearney, J Gussekloo, R Westendorp, D J Scott, D C Bauer & N Rodondi

The assessment of correlation and prognosis among 18F-FDG uptake parameters, Glut1, pStat1 and pStat3 in surgically resected non-small cell lung cancer patients

Hayato Kaida, Koichi Azuma, Akihiko Kawahara, Eiji Sadashima, Satoshi Hattori, Shinzo Takamori, Jun Akiba, Kiminori Fujimoto, Axel Rominger, Takamichi Murakami, Kazunari Ishii & Masatoshi Ishibashi
Introduction: To assess the correlation among 18F-FDG uptake, Glut1, pStat1 and pStat3, and to investigate the relationship between the prognosis and 18F-FDG uptake and these molecular markers in surgically resected non-small cell lung cancer (NSCLC) patients. Results: Knockdown of Glut1 led to a significant increase in pStat1 expression. Glut1 expression positively correlated with the SUVmax, SUVmean, and TLG significantly (P<0.001). pStat3 expression negatively correlated with all PET parameters significantly (P<0.001). pStat1 had positive weak correlations...

Impact of Sex on Comparative Outcomes of Bivalirudin versus Unfractionated Heparin in Patients with Acute Coronary Syndromes Undergoing Invasive Management A pre-specified analysis of the MATRIX trial.

Giuseppe Gargiulo, Bruno R Da Costa, Enrico Frigoli, Cataldo Palmieri, Marco Stefano Nazzaro, Camillo Falcone, Armando Liso, Carlo Vigna, Fabio Abate, Marco Comeglio, Roberto Diletti, Gabriele Gabrielli, Emilio Di Lorenzo, Pietro Mazzarotto, Marco Zimarino, Claudio Moretti, Antonio Colombo, Carlo Penzo, Giampaolo Pasquetto, Salvatore Brugaletta, Fabio Ferrari, Gavino Casu, Vincenzo Guiducci, Antonio Dellavalle, Francesco Liistro … & Marco Valgimigli
AIMS To assess whether bivalirudin compared with unfractionated heparin (UFH) is associated with consistent outcomes in male and female patients with acute coronary syndrome (ACS) undergoing invasive management. METHODS AND RESULTS In the MATRIX program,7213 patients were randomized to bivalirudin or UFH.Patients in bivalirudin group were subsequently assigned to receive or not to receive a post-PCI infusion.The 30-day coprimary outcomes were major adverse cardiovascular and cerebrovascular events (MACE),defined as death,myocardial infarction,or stroke,and net adverse clinical...

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