83 resultados para BM1958.631


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Das Internet wird ein immer populäreres und wichtigeres Kommunikationsmittel, besonders die sogenannten Social-Networking-Sites. In dieser Studie wird untersucht wie die Social-Networking-Sites, Facebook und Tuenti, die Kommunikation beeinflussen. In einem Korpus von Usern aus Málaga, wurde der Gebrauch von nicht-Standard Merkmalen analysiert und mit dem in der gesprochenen Sprache verglichen. Aus diesem Vergleich lässt sich schließen, dass die untersuchten sozialen und linguistischen Faktoren in der virtuellen und der reellen Sprache unterschiedlich funktionieren. Aufgrund dieses unterschiedlichen Gebrauchs kann die elektronische Kommunikation Facebook und Tuenti’s als Stil betrachtet werden, welcher den Usern dazu dient, soziale Bedeutung zu kreieren und ihre sprachliche Identität auszudrücken.

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Background: There is limited evidence about the impact of treatment for subclinical hypothyroidism, especially among older people. Aim: To investigate the variation in GP treatment strategies for older patients with subclinical hypothyroidism depending on country and patient characteristics. Design and setting: Case-based survey of GPs in the Netherlands, Germany, England, Ireland, Switzerland, and New Zealand. Method: The treatment strategy of GPs (treatment yes/no, starting-dose thyroxine) was assessed for eight cases presenting a woman with subclinical hypothyroidism. The cases differed in the patient characteristics of age (70 versus 85 years), vitality status (vital versus vulnerable), and thyroid-stimulating hormone (TSH) concentration (6 versus 15 mU/L). Results: A total of 526 GPs participated (the Netherlands n = 129, Germany n = 61, England n = 22, Ireland n = 21, Switzerland n = 262, New Zealand n = 31; overall response 19%). Across countries, differences in treatment strategy were observed. GPs from the Netherlands (mean treatment percentage 34%), England (40%), and New Zealand (39%) were less inclined to start treatment than GPs in Germany (73%), Ireland (62%), and Switzerland (52%) (P = 0.05). Overall, GPs were less inclined to start treatment in 85-year-old than in 70-year-old females (pooled odds ratio [OR] 0.74 [95% confidence interval [CI] = 0.63 to 0.87]). Females with a TSH of 15 mU/L were more likely to get treated than those with a TSH of 6 mU/L (pooled OR 9.49 [95% CI = 5.81 to 15.5]). Conclusion: GP treatment strategies of older people with subclinical hypothyroidism vary largely by country and patient characteristics. This variation underlines the need for a new generation of international guidelines based on the outcomes of randomised clinical trials set within primary care

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Die Arbeit untersucht, wie Tätererinnerungen für die Geschichtswissenschaft nutzbar gemacht werden können. Hans Münch, ein ehemaliger SS-Arzt in Auschwitz, hat sein Leben lang zahlreiche Interviews gegeben. Diese werden einer Sprach- und Diskursanalyse unterzogen und aus sozialpsychologischer Perspektive betrachtet. Dabei wird deutlich, wie die Methodenwahl die Ergebnisse mitbestimmt. Strukturelemente und Rahmenbedingungen, die das Denken und Handeln Münchs beeinflusst haben, werden herausgearbeitet. Dadurch werden die soziale Wirklichkeit der SS-Ärzte sowie die Beweggründe für diesen Genozid auf der Täterebene greifbarer gemacht. Es wird aufgezeigt, wie Münch Brüche in seiner Lebensgeschichte mit einem konsistenten Selbstbild, einer Sinnkonstruktion, zu überdecken versuchte.

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Recurrent airway obstruction (RAO), or 'heaves', is a common performance-limiting allergic respiratory disease of mature horses. It is related to sensitization and exposure to mouldy hay and has a familial basis with a complex mode of inheritance. In a previous study, we detected a QTL for RAO on ECA 13 in a half-sib family of European Warmblood horses. In this study, we genotyped additional markers in the family and narrowed the QTL down to about 1.5 Mb (23.7-25.2 Mb). We detected the strongest association with SNP BIEC2-224511 (24,309,405 bp). We also obtained SNP genotypes in an independent cohort of 646 unrelated Warmblood horses. There was no genome-wide significant association with RAO in these unrelated horses. However, we performed a genotypic association study of the SNPs on ECA 13 in these unrelated horses, and the SNP BIEC2-224511 also showed the strongest association with RAO in the unrelated horses (p(raw) = 0.00037). The T allele at this SNP was associated with RAO both in the family and the unrelated horses. Thus, the association study in the unrelated animals provides independent support for the previously detected QTL. The association study allows further narrowing of the QTL interval to about 0.5 Mb (24.0-24.5 Mb). We sequenced the coding regions of the genes in the critical region but did not find any associated coding variants. Therefore, the causative variant underlying this QTL is likely to be a regulatory mutation.

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BACKGROUND Paediatric supraglottic airway devices AmbuAura-i and Air-Q were designed as conduits for tracheal intubation. Although fibreoptic-guided intubation has proved successful, blind intubation as a rescue technique has never been evaluated. OBJECTIVE Evaluation of blind intubation through AmbuAura-i and Air-Q. On the basis of fibreoptic view data, we hypothesised that the success rate with the AmbuAura-i would be higher than with the Air-Q. DESIGN A prospective, randomised controlled trial with institutional review board (IRB) approval and written informed consent. SETTING University Childrens' Hospital; September 2012 to July 2014. PATIENTS Eighty children, American Society of Anesthesiologists (ASA) class I to III, weight 5 to 50 kg. INTERVENTIONS Tracheal intubation was performed through the randomised device with the tip of a fibrescope placed inside and proximal to the tip of the tracheal tube. This permitted sight of tube advancement, but without fibreoptic guidance (visualised blind intubation). MAIN OUTCOME MEASURES Primary outcome was successfully visualised blind intubation; secondary outcomes included supraglottic airway device success, insertion times, airway leak pressure, fibreoptic view and adverse events. RESULTS Personal data did not differ between groups. In contrast to our hypothesis, blind intubation was possible in 15% with the Air-Q and in 3% with the AmbuAura-i [95% confidence interval (95% CI) 6 to 31 vs. 0 to 13%; P = 0.057]. First attempt supraglottic airway device insertion success rates were 95% (Air-Q) and 100% (AmbuAura-i; 95% CI 83 to 99 vs. 91 to 100; P = 0.49). Median leak pressures were 18 cmH2O (Air-Q) and 17 cmH2O [AmbuAura-i; interquartile range (IQR) 14 to 18 vs. 14 to 19 cmH2O; P = 0.66]. Air-Q insertion was slower (27 vs. 19 s, P < 0.001). There was no difference in fibreoptic view, or adverse events (P > 0.05). In one child (Air-Q size 1.5, tube size 3.5), the tube dislocated during device removal. CONCLUSION Ventilation with both devices is reliable, but success of blind intubation is unacceptably low and cannot be recommended for elective or rescue purposes. If intubation through a paediatric supraglottic airway device is desired, we suggest that fibreoptic guidance is used. TRIAL REGISTRATION Clinicaltrials.gov identifier: NCT01692522.

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An introduction to and a partial review of supergravity theories is given, insisting on concepts and on some important technical aspects. Topics covered include elements of global supersymmetry, a derivation of the simplest N = 1 supergravity theory, a discussion of N =1 matter-supergravity couplings, of the scalar sector and of some simple models. Space-time is four-dimensional.

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For Michael Polanyi, religion and science fight abreast to protect the occidental culture from totalitarian threat. Both are belief-based endeavors, Polanyi is convinced. While this is not surprising at all regarding religion, it is surely a provocation regarding science. The article tries to explore this original thought of Polanyi and to examine how it is rooted in his personal convictions and beliefs. Special emphasis is given to Polanyi’s critique of contemporary biology, as expressed in his article on “Science and Religion”, in some ways a response to Paul Tillich’s theology. Contemporary biology’s findings undermine exactly what Polanyi is fighting for, hence he is convinced that its findings are somewhat flawed. This should however not lead to the false conclusion that Polanyi had anything to do with creationism or would have favored Intelligent Design in our days.

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Empathy is a core prerequisite for human social behavior. Relatively, little is known about how empathy is influenced by social stress and its associated neuroendocrine alterations. The current study was designed to test the impact of acute stress on emotional and cognitive empathy. Healthy male participants were exposed to a psychosocial laboratory stressor (trier social stress test, (TSST)) or a well-matched control condition (Placebo-TSST). Afterwards they participated in an empathy test measuring emotional and cognitive empathy (multifaceted empathy test, (MET)). Stress exposure caused an increase in negative affect, a rise in salivary alpha amylase and a rise in cortisol. Participants exposed to stress reported more emotional empathy in response to pictures displaying both positive and negative emotional social scenes. Cognitive empathy (emotion recognition) in contrast did not differ between the stress and the control group. The current findings provide initial evidence for enhanced emotional empathy after acute psychosocial stress.