Annotated record of the detailed examination of Mn deposits from DSDP Site 34, Leg 5 (Core 5-34-17)

Site 34 had been located by the JOIDES Pacific Advisory Panel to be over a negative magnetic anomaly (31 million years B.P.) immediately to the east of Anomaly 10 (Site 33). The primary objective was to obtain samples of basement and basal sediment to provide comparison between adjacent positive and negative magnetic anomalies. A second objective was to obtain samples which would permit an analysis of the variability in sediment over relatively short distances (about 10 miles). Although basement had not been reached at Site 33 because of the unexpected chert, the use of a massive diamond bit at Site 34 permitted coring through the chert to basement at 383 meters below the sea floor. Even though the near basement sections of the paired sites (33 and 34) could not be compared, comparison would be possible above the chert layer.

Annotated record of the detailed examination of Mn deposits from DSDP Site 37, Leg 5 (Cores 5-37-1, 5-37-2)

The JOIDES Pacific Advisory Panel proposed Site 37 to meet two principal objectives: to determine the significance of the magnetic anomaly pattern, and the longitudinal profile of the sediment sequence in the eastern Pacific. Site 37 was to be located on the same magnetic anomaly as was Site 33 (#10, 32 million years age), for comparison across the intervening Mendocino Fracture Zone. As basement had not been reached at Site 33, this objective could not be met specifically. However, sediment comparison across the fracture zone was possible.

Annotated record of the detailed examination of Mn deposits from DSDP Site 32, Leg 5 (Cores 5-32-13, 5-32-14)

Site 32 was proposed by the Pacific Advisory Panel at a location over a strong positive magnetic anomaly (Number 13 on the Pittman-Heirtzler scale, 38 million years) where samples of the basement and the basal sediment would be of value in testing hypotheses for origin of the linear magnetic anomalies from this part of the Pacific. Comparison of this site, south of the Pioneer Fracture Zone, with later sites north of the Fracture Zone would be the basis for evaluating the discontinuity formed by the Pioneer.

Annotated record of the detailed examination of Mn deposits from DSDP Site 38, Leg 5 (Cores 5-38-6)

The nonfossiliferous nature of most of the thin sediment sequence at Site 37 had provided little biostratigraphic information for the northern end of the proposed section of sites along 140°W longitude. In an attempt to provide a biostratigraphically more meaningful hole as the high latitude terminus of the meridional section, an additional site (Site 38) was drilled between the Mendocino and Pioneer Fracture Zones.

Malerische Naturgeschichte der Hausthiere : ein Bilderbuch mit rhythmischem Text : mit 30 Tafeln Abbildungen

von K.A. Schönke, Lehrer an der Königl. Luisenschule und dem Königl. Seminar für Erzieherinnen zu Posen

Poetische Versuche

von Emil Reiniger

Das Erzbistum Trier 12. Das Kollegiatstift St. Martin und St. Severus zu Münstermaifeld

Über acht Jahrhunderte war das Stift Münstermaifeld einer der bedeutendsten kirchlichen Mittelpunkte der Vordereifel. Schon im Frühmittelalter an einem ehemaligen römischen Siedlungsplatz im Maifeld als Priestergemeinschaft entstanden, entwickelte es sich um 1200 zu einem bedeutenden Kollegiatstift mit reichem Besitz zwischen Koblenz, Mayen und der Mosel. Herausragende Persönlichkeiten wie die Pröpste Elias und Nikolaus von Kues waren dort tätig. Noch heute überragt die ehemalige Stiftskirche weithin sichtbar die Stadt Münstermaifeld und das fruchtbare Maifeld. Dem Schema der Germania Sacra folgend, wurden alle fassbaren Quellen und Unterlagen zur Geschichte des Stiftes von den Anfängen bis zur Auflösung in der Säkularisation 1802 ausgewertet. Aufgrund der engen Verzahnung der geistlichen Einrichtung mit der Stadt Münstermaifeld und dem Umland stellt der Band auch eine hervorragende Grundlage für die Geschichte der Städte und Orte im Moselraum dar, in denen das Stift begütert war. Das kirchliche Leben im Stift und in den umliegenden Pfarreien wird beschrieben und durch ein umfangreiches Kapitel mit den Kurzbiographien aller dem Stift angehörigen Kanoniker, Vikare und Pfarrer ergänzt.

Regional differences of outpatient physician supply as a theoretical economic and empirical generalized linear model

BACKGROUND: Regional differences in physician supply can be found in many health care systems, regardless of their organizational and financial structure. A theoretical model is developed for the physicians' decision on office allocation, covering demand-side factors and a consumption time function. METHODS: To test the propositions following the theoretical model, generalized linear models were estimated to explain differences in 412 German districts. Various factors found in the literature were included to control for physicians' regional preferences. RESULTS: Evidence in favor of the first three propositions of the theoretical model could be found. Specialists show a stronger association to higher populated districts than GPs. Although indicators for regional preferences are significantly correlated with physician density, their coefficients are not as high as population density. CONCLUSIONS: If regional disparities should be addressed by political actions, the focus should be to counteract those parameters representing physicians' preferences in over- and undersupplied regions.

The Role of decision-analytic modelling in German health technology assessments

BACKGROUND: Decision-analytic modelling (DAM) has become a widespread method in health technology assessments (HTA), but the extent to which modelling is used differs among international HTA institutions. In Germany, the use of DAM is optional within HTAs of the German Institute of Medical Documentation and Information (DIMDI). Our study examines the use of DAM in DIMDI HTA reports and its effect on the quality of information provided for health policies. METHODS: A review of all DIMDI HTA reports (from 1998 to September 2012) incorporating an economic assessment was performed. All included reports were divided into two groups: HTAs with DAM and HTAs without DAM. In both groups, reports were categorized according to the quality of information provided for healthcare decision making. RESULTS: Of the sample of 107 DIMDI HTA reports, 17 (15.9%) used DAM for economic assessment. In the group without DAM, conclusions were limited by the quality of economic information in 51.1% of the reports, whereas we did not find limited conclusions in the group with DAM. Furthermore, 24 reports without DAM (26.7%) stated that using DAM would likely improve the quality of information of the economic assessment. CONCLUSION: The use of DAM techniques can improve the quality of HTAs in Germany. When, after a systematic review of existing literature within a HTA, it is clear that DAM is likely to positively affect the quality of the economic assessment DAM should be used.

Impact of radiofrequency ablation for patients with varicose veins on the budget of the German statutory health insurance system

Objectives: In contrast to other countries, surgery still represents the common invasive treatment for varicose veins in Germany. However, radiofrequency ablation, e.g. ClosureFast, becomes more and more popular in other countries due to potential better results and reduced side effects. This treatment option may cause less follow-up costs and is a more convenient procedure for patients, which could justify an introduction in the statutory benefits catalogue. Therefore, we aim at calculating the budget impact of a general reimbursement of ClosureFast in Germany. Methods: To assess the budget impact of including ClosureFast in the German statutory benefits catalogue, we developed a multi-cohort Markov model and compared the costs of a “World with ClosureFast” with a “World without ClosureFast” over a time horizon of five years. To address the uncertainty of input parameters, we conducted three different types of sensitivity analysis (one-way, scenario, probabilistic). Results: In the Base Case scenario, the introduction of the ClosureFast system for the treatment of varicose veins saves costs of about 19.1 Mio. € over a time horizon of five years in Germany. However, the results scatter in the sensitivity analyses due to limited evidence of some key input parameters. Conclusions: Results of the budget impact analysis indicate that a general reimbursement of ClosureFast has the potential to be cost-saving in the German Statutory Health Insurance.

Experiences of COPD patients with existing smoking cessation programs and their preferences for improvement - a qualitative analysis

BACKGROUND: Smoking is a major risk factor for chronic obstructive pulmonary disease (COPD). For current smokers who are diagnosed with COPD, their first treatment option is to stop smoking. Motivation is necessary for long-term smoking cessation; therefore, when designing smoking cessation programs, the patients' needs and preferences should be considered. We focused on COPD patients' experiences with existing smoking cessation programs and evaluated their preferences for the improvement of these programs. METHODS: We conducted 18 guideline-based interviews with COPD patients between April and June 2014 in Germany. Each patient with COPD, who was a current or past smoker and had made at least one attempt to quit smoking in the past 5 years, was included in the study. We audiotaped, verbatim transcribed, and evaluated the interviews, using content analysis. RESULTS: The patients had broad and different experiences with pharmaceutical, behavioral, and alternative approaches that supported or negatively influenced the smoking cessation process. Pharmaceuticals were viewed as an expensive alternative with many side effects although they helped to stop cravings for a few moments. Furthermore, the bad structure and impersonal content of the seminars for smoking cessation negatively influenced group cohesion, and therefore degrading the patients' motivation to stop smoking. Alternative methods, such as acupuncture and hypnosis were mostly ineffective in smoking cessation, but in some cases, served as motivational strategies. CONCLUSION: Negative experiences with smoking cessation were explained by the patients' lack of motivation or resolution. Other negative experiences, such as the structure of seminars for smoking cessation and the high price of pharmaceuticals should be addressed through policy changes to increase the patients' motivation to quit smoking.

Der k. k. österreichische Feldmarschall Graf Radetsky. Eine biographische Skizze nash den eigenen Dictaten und der Corespondenz des Feldmarschalls von einem österreichischen Veteranen ...

Attributed to Karl Schönhals. The editorship of F. Heller von Hellwald has been established. of. Wurzbach, C. von. Biographisches Lexikon des kaisert. Oesterreich. 1862. v. 8.