Erstversorgung durch Rettungsassistenten und Rettungssanitäter bei kombinierten Einsätzen von RTW und NAW in einem stationären NAW-System

OBJECTIVE: The present study was conducted to evaluate the quality of paramedic care and the feasibility and cost-effectiveness of sending a well-trained paramedic team to the sight of a medical emergency to initiate active medical treatment prior to the arrival of the mobile intensive care unit (MICU). METHODS: We examined 200 cases of medical treatment initiated by paramedics before arrival of the MICU team at the site of the medical emergency. Using a questionnaire, all emergency procedures performed by the paramedic team on scene were recorded and defined as "required", "carried out", and "accurately performed". The documented emergency procedures were divided into three categories: bas…

Magnetic Sensitive Pineal Cells in Pigeons

The electrical activity of about 30% of a homing pigeon’s pineal cells can be altered by changing the horizontal or vertical component of the natural magnetic field, using two pairs of Helmholtz coils. The cells respond to a rapid and/or gradual change in the magnetic field with either excitation or inhibition. In some of the sensitive cells the responses to magnetic field changes could not be repeated.

Bedeutung der Erstdefibrillation durch Rettungsassistenten

“Living in Contaminated Areas”—Consideration of Different Perspectives

Following large-scale nuclear power plant accidents such as those that occurred at Chernobyl (Ukraine) in 1986 and Fukushima Daiichi (Japan) in 2011, large populations are living in areas containing residual amounts of radioactivity. As a key session of the ConRad conference, experts were invited from different disciplines to provide state-of-the-art information on the topic of "living in contaminated areas." These experts provided their different perspectives on a range of topics including radiation protection principles and dose criteria, environmental measurements and dose estimation, maintaining decent living and working conditions, evidence of health risks, and social impact and risk c…

Erstdefibrillation durch Not�rzte oder durch Rettungsassistenten?

In a controlled prospective randomized study, defibrillation by emergency medical technicians (EMTs) was compared with the current standard of care in Germany (basic life support by EMTs and defibrillation by emergency physicians only) in order to answer the following questions: 1. Does EMT defibrillation improve the survival rate and long-term prognosis of patients in ventricular fibrillation as compared to the current German standards in resuscitation (basic life support by EMTs and defibrillation by emergency physicians)? 2. Are the prerequisites for the use of semiautomatic defibrillators fulfilled in the emergency medical systems (EMS) of the participating centers? Methods. The study p…

12-Kanal-EKG in der pr�klinischen Myokardinfarktdiagnostik

Does concomitant diabetes affect treatment responses in overactive bladder patients?

Summary Aims To compare the efficacy and tolerability of a muscarinic receptor antagonist, darifenacin, in the treatment of overactive bladder (OAB) patients with concomitant diabetes as compared with those without comorbidities. Methods Post hoc exploratory analysis of a published, large, non-interventional study in OAB patients treated with darifenacin including 532 diabetics and 1315 controls. Associations of diabetes with treatment responses were evaluated by multiple regression models. Results Diabetics (largely type 2 patients) and controls differed in baseline age, body weight, duration of OAB symptoms and presence of comedications. However, they exhibited similar OAB symptom episode…

Ultrastructural observations on the central innervation of the guinea-pig pineal gland.

In the present study the central innervation of the guinea-pig pineal gland was investigated. The habenulae and the pineal stalk contain myelinated and non-myelinated nerve fibres with few dense-cored and electron-lucent vesicles. Some myelinated fibres leave the main nerve fibre bundles, lose their myelin-sheaths and terminate in the pineal gland. Although direct proof is lacking, the non-myelinated fibres appear to end near the site where the bulk of the myelinated fibres are located. Here a neuropil area exists where synapses between non-myelinated fibre elements are abundant. Neurosecretory fibres were also seen. The results support the concept of functional interrelationships between h…

Effects of an Earth-strength magnetic field on electrical activity of pineal cells

Although magnetic fields can influence biological systems, including those of man and other vertebrates1–5, no central nervous structure has been identified that might be involved in their detection. From a theoretical point of view, the pineal organ might be such a structure for the following reasons: (1) It is involved in the regulation of circadian rhythms6 and is thus essential for migratory restlessness (‘Zugunruhe’)7. Orientation at that time can be altered by an artificial magnetic field (MF) with a direction differing by 90° from that of the Earth. Circadian rhythms can be inhibited from phase shifting by compensation of the Earth's MF and can be influenced by an artificial MF8. (2)…

The Kleiner Feldberg Cloud Experiment 1990. An overview

An overview is given of the Kleiner Feldberg cloud experiment performed from 27 October until 13 November 1990. The experiment was carried out by numerous European research groups as a joint effort within the EUROTRAC-GCE project in order to study the interaction of cloud droplets with atmospheric trace constituents. After a description of the observational site and the measurements which were performed, the general cloud formation mechanisms encountered during the experiment are discussed. Special attention is given here to the process of moist adiabatic lifting. Furthermore, an overview is given regarding the pollutant levels in the gas phase, the particulate and the liquid phase, and som…

Morphological and electrophysiological evidence for habenular influence on the guinea-pig pineal gland

The central innervation of the guinea-pig pineal gland was investigated by histological and electrophysiological methods: Staining the pineal gland and the epithalamus, a double route of central innervation could be shown in the anterior part of the organ: (a) Fibres from the habenular nuclei, mainly from the lateral part, penetrate the organ via the pineal stalk. (b) Other fibres join the striae medullares and running in the habenulae reach the organ more dorsally. The fibres end in the intercellular space where they form a dense network. In 15 male guinea-pigs under urethane anesthesia, two series of unit recording experiments were performed: (a) Recordings were made from 128 units in the…

An observational study of patient satisfaction with fesoterodine in the treatment of overactive bladder: effects of additional educational material

Summary Aim To compare the effects of additional educational material on treatment satisfaction of overactive bladder (OAB) patients treated with a muscarinic receptor antagonist. Methods In an observational study of OAB patients being treated by their physician with fesoterodine for 4 months (FAKTEN study), sites were randomised to providing standard treatment or additional educational material including the SAGA tool. Patient satisfaction was assessed by three validated patient-reported outcomes including the Treatment Satisfaction Question. Because of premature discontinuation of the study, descriptive statistical analysis was performed. Results A total of 431 and 342 patients received s…

CCDC 852449: Experimental Crystal Structure Determination

Related Article: Thomas H. Schneider, Max Rieger, Kay Ansorg, Alexandre N. Sobolev, Tanja Schirmeister, Bernd Engels, Simon Grabowsky|2015|New J.Chem.|39|5841|doi:10.1039/C5NJ00368G