Search results for "exam"
showing 10 items of 1241 documents
Optimizing prostate cancer screening; prospective randomized controlled study of the role of PSA and PCA3 testing in a sequential manner in an opport…
2014
Abstract Objectives To reduce unnecessary biopsies (Bx) in an opportunistic screening programme of prostate cancer. Material and methods We performed a prospective evaluation of PCA3 as a second-line biomarker in an opportunistic screening for prostate cancer (PCa). From September 2010 until September 2012, 2,366 men, aged 40–74 years and with >10 years life expectancy, were initially screened with PSA/digital rectal examination (DRE). Men with previous Bx or with recent urine infections were excluded. Men with abnormal DRE and/or PSA > 3 ng/ml were submitted for PCA3. All men with PCA3 ≥ 35 underwent an initial biopsy (IBx) —12cores—. Men with PCA3 .5 ng/ml at 4-6months or PSAv > .75 ng/…
Prevalence of Levator Ani Defects in Urogynecological Patients
2016
Introduction: Defects of the levator ani muscle complex could represent a pathophysiological link between vaginal birth trauma and urogynecological symptoms many years later. The aim of our study was to determine the prevalence of levator ani muscle defects using 3D or 4D ultrasound and palpation in urogynecological patients. Material and Methods: Urogynecological patients were retrospectively investigated using 3D or 4D ultrasound. Clinical examination consisted of palpation and 3D or 4D imaging of the levator ani muscle. Results: A total of 319 women were included in the analysis. Mean age was 64.9 years, average parity was 2.1. Stress incontinence was present in 50.8 %, overactive bladde…
Sind wir wirklich so glücklich, wie wir es glauben? Eine kritische Untersuchung der Arbeitszufriedenheit an einer Universitätskinderklinik
2017
Zusammenfassung Ziel der Studie Trotz zahlreich berichteter Defizite und einem zunehmend angespannten Arbeitsumfeld in deutschen Krankenhäusern wird die Arbeitszufriedenheit von den Mitarbeitern regelmäßig als hoch bis sehr hoch einschätzt. Damit fehlen wichtige Argumente zur nachhaltigen Verbesserung von Arbeitsbedingungen gegenüber den Vorständen. Aus dieser Diskrepanz zwischen Arbeitsbedingungen und subjektiver Zufriedenheit ergab sich die Motivation für die vorliegende Arbeit. Methodik Die Datenerhebung erfolgte mittels einer Mitarbeiterbefragung am Kinderzentrum des Universitätsklinikum Leipzig AöR. Unterteilt wurde nach ärztlichem, Pflege- und Funktionsdienst. Gemessen wurde die subje…
Integrating digital documents by means of concept maps: testing an intervention program with eye-movements modelling examples
2021
When using the Internet to learn about a curricular topic students face the challenge of not only understanding each single document, but also of integrating the ideas in a combined representation. Several intervention studies have tested instructional methods, such as building concept maps, aimed at teaching integration of multiple documents to Secondary education and older students. However, building a concept map may be demanding for learners and requires competencies to build maps in an appropriate way. In the current study we explore the extent to which such integration processes relying a concept map mapping instruction can be efficiently taught to 6th grade students. Specifically, we…
Inorganic Polyphosphate in Human Osteoblast-like Cells
1998
Significant amounts of inorganic polyphosphates and of polyphosphate-degrading exopolyphosphatase activity were detected in human mandibular-derived osteoblast-like cells. The amount of both soluble and insoluble long-chain polyphosphate in unstimulated osteoblast-like cells was higher than in human gingival cells, erythrocytes, peripheral blood mononuclear cells, and human blood plasma. The cellular content of polyphosphate in osteoblast-like cells strongly decreased after a combined treatment of the cells with the stimulators of osteoblast proliferation and differentiation, dexamethasone, beta-glycerophosphate, epidermal growth factor, and ascorbic acid. The amount of soluble long-chain p…
Interaction Between Amines and N-Haloimides: a New Motif for Unprecedentedly Short Br...N and I...N Halogen Bonds
2011
The complexes of N-bromosuccinimide or N-iodosuccinimide with a halogen bond acceptor, either 1,4-diazabicyclo[2.2.2]octane (DABCO), hexamethylenetetramine (HMTA) or 1,3,5-triazine (TRZ), led to an unprecedentedly strong (CO)2N–X⋯N halogen bond synthon (X = Br or I) determined from crystal structures of [DABCO]·[NBS]22, [HMTA]·[NBS]22, [TRZ]·[NIS]22 and [HMTA]·[NIS]44. The Br⋯N distances with DABCO and with HMTA donors were 2.347 A and 2.414 A being remarkably shorter (31% and 29%) than the sum of the VDW radii of nitrogen and bromide atoms, respectively. The corresponding I⋯N distances with HMTA and TRZ were 2.549 A and 2.596 A (27.8% and 26.4% less than the sum of the VDW radii of N and I…
Breathing molecular crystals: halogen- and hydrogen-bonded porous molecular crystals with solvent induced adaptation of the nanosized channels
2012
Exceptionally strong (OC–)2N–I⋯N halogen bonding (XB) in a combination with CO⋯H–C hydrogen bonds (HB) between N-iodosuccinimide (NIS) and hexamethylenetetramine (HMTA) yielded a series of molecular crystals possessing large 1D channels. In each structure, HMTA was tetra-coordinated by four NIS molecules resulting in robust [HMTA]·[NIS]4 complexes where the observed I⋯N distances, ranging from 2.486 to 2.586 A, were remarkable shorter (from 29.6 to 26.7%) than the sum of the vdW radii of nitrogen and iodine atoms. Multiple CO⋯H–C HBs interconnected the [HMTA]·[NIS]4 complexes into the structures with flexible “breathing” host-channels. Three different host-channel structures, either oval or…
Hidden oscillations in nonlinear control systems
2011
Abstract The method of harmonic linearization, numerical methods, and the applied bifurcation theory together discover new opportunities for analysis of hidden oscillations of control systems. In the present paper new analytical-numerical algorithm for hidden oscillation localization is discussed. Counterexamples construction to Aizerman's conjecture and Kalman's conjecture on absolute stability of control systems are considered.
Epidural hematoma after cochlear implantation in a 2.5-year-old boy.
2005
OBJECTIVE Report a case of an epidural hematoma after cochlear implantation in a 2.5-year-old boy, the diagnostic and therapeutical emergency management, as well as the postinterventional course and rehabilitation of the child. STUDY DESIGN Retrospective case review. PATIENT Two and a half-year-old boy, suffering from early onset, profound sensorineural hearing loss had been diagnosed at an age of 1.5 years, which had been more severe on the right side initially, but had progressed to bilateral deafness. INTERVENTION AND COMPLICATION: Cochlear implantation on the left side, followed up by an extensive epidural hematoma, causing intracranial compression with a midline shift of 15 mm to the r…
The Role of Endoscopy in the Treatment of Acute Traumatic Anterior Epidural Hematoma of the Cervical Spine: Case Report
1997
OBJECTIVE AND IMPORTANCE: Epidural hematoma (EDH) of the spine represents an uncommon neurosurgical disorder that sometimes requ;res emergent surgical decompressive therapy. Traumatic EDH of the cervical spine is exceedingly rare. The hematoma is usually located dorsally in the epidural space. We present one case of acute EDH located ventrally in the cervical spine. Special emphasis is placed on the role of spinal endoscopy in surgical treatment. CLINICAL PRESENTATION: After a fall from a tree, a 69-year-old man with rapidly increasing tetraparesis was referred to our institution. Plain films of the cervical spine revealed nothing abnormal. The results of computed tomography were highly sus…