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Sample records for arbeitsgemeinschaft versuchsreaktor

  1. 54th report of the Arbeitsgemeinschaft Rhein-Wasserwerke (ARW). Annual report 1997; 54. Bericht der Arbeitsgemeinschaft Rhein-Wasserwerke (ARW). Jahresbericht 1997

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-11-01

    This annual report informs about the activities of the Arbeitsgemeinschaft Rhein-Wasserwerke e.V. during the year 1997. It reports on meetings of this working group and on research programs of this working group concerning waste water and pollution control. (SR)

  2. Neutron physical investigations on the shutdown effect of small boronated absorbing spheres for pebble-bed high-temperature gas-cooled reactors

    International Nuclear Information System (INIS)

    Sgouridis, S.; Schurrer, F.; Muller, H.; Ninaus, W.; Oswald, K.; Neef, R.D.; Schaal, H.

    1987-01-01

    An emergency shutdown system for high-temperature gas-cooled pebble-bed reactors is proposed in addition to the common absorber rod shutdown system. This system is based on the strongly absorbing effect of small boronated graphite spheres (called KLAK), which trickle in case of emergency by gravity from the top reflector into the reactor core. The inner reflector of the Siemens-Argonaut reactor was substituted by an assembly of spherical Arbeitsgemeinschaft Versuchsreaktor fuel elements, and the shutdown effect was examined by installing well-defined KLAK nests inside this assembly. The purpose was to develop and prove a calculational procedure for determining criticality values for assemblies of large fuel spheres and small absorbing spheres

  3. International working group on gas-cooled reactors. Summary report

    Energy Technology Data Exchange (ETDEWEB)

    1981-01-15

    The purpose of the meeting was to provide a forum for exchange of information on safety and licensing aspects for gas-cooled reactors in order to provide comprehensive review of the present status and of directions for future applications and development. Contributions were made concerning the operating experience of the Fort St. Vrain (FSV) HTGR Power Plant in the United States of America, the experimental power station Arbeitsgemeinschaft Versuchsreaktor (AVR) in the Federal Republic of Germany, and the CO/sub 2/-cooled reactors in the United Kingdom such as Hunterson B and Hinkley Point B. The experience gained at each of these reactors has proved the high safety potential of Gas-cooled Reactor Power Plants.

  4. 49th report of the Arbeitsgemeinschaft Rhein-Wasserwerke e.V.. Annual report 1992

    International Nuclear Information System (INIS)

    1992-01-01

    The annual report of the Arbeitsgemeinschaft Rhein-Wasserwerke (ARW) discusses the following subjects: (1) ARW report on water quality; (2) the problem of herbicides and pesticides; (3) Duesseldorf-Flehe Rhine river monitoring station - construction and performance; (4) observations concerning the aerobic degradation capacity of the river banks as a functional of the seasonal temperature variations of the Rhine; (5) results of Rhine water analyses of GEW-Werke Koeln AG in 1992; (6) statistical methods of generating groundwater levels in ground water aquifers under the influence of outfall ditches. The appendix contains the analyses of the year 1992, the data acquired by GEW-Werke Koeln AG for 1992, the 1993 monitoring programme, and a survey of the organisational structure of the Arbeitsgemeinschaft Rhein-Wasserwerke e.V. (orig./BRR) [de

  5. The southern Hessen waste management task force - initial situation, objectives, state of development; Suedhessische Arbeitsgemeinschaft Abfallwirtschaft - Ausgangssituation, Zielsetzung und Entwicklungsstand

    Energy Technology Data Exchange (ETDEWEB)

    Braun, H.J. [Stadt Darmstadt (Germany)

    1998-12-31

    In 1994, the rural districts of Darmstadt-Dieburg, Bergstrasse, Odenwald and Gross-Gerau in southern Hessen and the town of Darmstadt concluded a cooperation agreement permitting them to meet the future demands of the technical code on municipal waste and the `Kreislaufwirtschafts- und Abfallgesetz` (act concerning waste recycling and waste management). In order to formally prepare different forms of cooperation and to accompany corresponding preliminary investigations, the Suedhessische Arbeitsgemeinschaft Abfallwirtschaft (SAGA) was founded as a municipal task force. SAGA`s task is to debate common affairs in the waste management sector with a view to joint planning and joint facilities. In particular, the requirements of the technical code on municipal waste must be met. (orig.) [Deutsch] Im Jahre 1994 haben die suedhessischen Landkreise Darmstadt-Dieburg, Bergstrasse, Odenwald, Gross-Gerau sowie die Stadt Darmstadt beschlossen, bezueglich der kuenftigen Anforderung der TA Siedlungsabfall und des Kreislaufwirtschafts- und Abfallgesetzes zu kooperieren. Zur formellen Vorbereitung von verschiedenen dann auszufuehrenden Kooperationsformen und zur Begleitung entsprechender Voruntersuchungen wurde die Suedhessische Arbeitsgemeinschaft Abfallwirtschaft (SAGA) als Kommunale Arbeitsgemeinschaft gegruendet. Aufgabe der Kommunalen Arbeitsgemeinschaft ist es, gemeinsam beruehrende Angelegenheiten im Abfallbereich unter dem Gesichtspunkt gemeinsamer Planung und gemeinsamer Einrichtungen zu beraten. Hierbei sollen insbesondere die Vorgaben der TA Siedlungsabfall beruecksichtigt werden. (orig.)

  6. 59. Report of Arbeitsgemeinschaft Rhein-Wasserwerke e.V. (ARW). Annual report 2002; 59. Bericht der Arbeitsgemeinschaft Rhein-Wasserwerke e.V. (ARW). Jahresbericht 2002

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2003-07-01

    This annual report presents the activities of the Arbeitsgemeinschaft Rhein-Wasserwerke e.V. (ARW), important results of Rhine water monitoring, and current developments in water management. This year, a special measuring programme was jointly carried out by ARW and the Deutsche Kommission zur Reinhaltung des Rheins on isoproturone and chlorotolurone concentrations in Rhine water, which used to be quite high in the Lower Rhine in the past. Further, an incident involving chloracetophenone release into the Rhine was followed up, and the effects on freshwater supply were assessed. The report also contains two practical contributions by member waterworks on de-acidification of shore filtrate and on the calcite solubility of the raw water of a shore filtration and production plant. There is also a chapter on further options for evaluating long-term measuring series using time series analysis and enhanced statistical methods. [German] Die Arbeitsgemeinschaft Rhein-Wasserwerke e. V. (ARW) legt hiermit bereits ihren 59. Jahresbericht vor, in dem ueber ihre Taetigkeiten, wesentliche Ergebnisse aus dem Untersuchungsprogramm der Rheinwasserwerke und aktuelle Entwicklungen aus der Wasserwirtschaft berichtet wird. Neben der Dokumentation und Bewertung der aktuellen Daten aus dem Untersuchungsprogramm, an dem zahlreiche Wasserwerke aktiv beteiligt sind, wird in dem vorliegenden Jahresbericht ueber ein gemeinsames Sondermessprogramm der ARW und der Deutschen Kommission zur Reinhaltung des Rheins zum Vorkommen und zur Bilanzierung der Eintraege von Isoproturon und Chlortoluron berichtet, die in der Vergangenheit in z. T. sehr hohen Konzentrationen im Niederrhein gefunden wurden. Ebenfalls durch zusaetzliche Untersuchungen der Wasserwerke konnte ein Schadensfall mit Chloracetophenon am Rhein verfolgt und die Auswirkungen auf die Trinkwassergewinnung abgeschaetzt werden. Des Weiteren sind zwei praxisnahe Beitraege aus Mitgliedswerken zur Entsaeuerung von Uferfiltrat und zum

  7. 10 years of current generation in the AVR reactor. The high-temperature pebble-bed reactor - a hot tip for our future

    Energy Technology Data Exchange (ETDEWEB)

    Schenk, P [Arbeitsgemeinschaft Versuchs-Reaktor G.m.b.H., Juelich (Germany, F.R.); A G, Stadtwerke Duesseldorf [Germany, F.R.; Vereinigung Deutscher Elektrizitaetswerke e.V. (VDEW), Frankfurt am Main (Germany, F.R.)); Nehrling, H [Ministerium fuer Wirtschaft, Mittelstand und Verkehr des Landes Nordrhein-Westfalen, Duesseldorf (Germany, F.R.); Daeunert, U [Bundesministerium fuer Forschung und Technologie, Bonn-Bad Godesberg (Germany, F.R.); Schulten, R [Kernforschungsanlage Juelich G.m.b.H. (Germany, F.R.). Inst. fuer Reaktorentwicklung; Mattick, W [Brown, Boveri und Cie A.G., Mannheim (Germany, F.R.)

    1978-02-01

    On 17th December 1967, the experimental nuclear power plant (AVR) in Juelich supplied RWE network with power for the first time. With the start of the power operation of the first German high-temperature reactor (HTR), a milestone was reached in the development of this new and progressive line of construction. On the same day exactly 10 years later, the successful work with the hottest nuclear reactor in the world was reviewed in the presence of 15 associates of the Arbeitsgemeinschaft Versuchsreaktor (AVR) Ltd. and the personnel of the experimental nuclear power plant at a festival event in the main auditorium of the nuclear power plant at Juelich before some 300 guests from central and local government, the board of control, representatives of the population of the Dueren area and the town of Juelich, as well as bodies of the power producing industry.

  8. 10 years of current generation in the AVR reactor

    International Nuclear Information System (INIS)

    Schenk, P.; Nehrling, H.; Daeunert, U.; Schulten, R.

    1978-01-01

    On 17th December 1967, the experimental nuclear power plant (AVR) in Juelich supplied RWE network with power for the first time. With the start of the power operation of the first German high-temperature reactor (HTR), a milestone was reached in the development of this new and progressive line of construction. On the same day exactly 10 years later, the successful work with the hottest nuclear reactor in the world was reviewed in the presence of 15 associates of the Arbeitsgemeinschaft Versuchsreaktor (AVR) Ltd. and the personnel of the experimental nuclear power plant at a festival event in the main auditorium of the nuclear power plant at Juelich before some 300 guests from central and local government, the board of control, representatives of the population of the Dueren area and the town of Juelich, as well as bodies of the power producing industry. (orig.) [de

  9. 57th report of the Arbeitsgemeinschaft Rhein-Wasserwerke e.V. (ARW). Annual report 2000; 57. Bericht der Arbeitsgemeinschaft Rhein-Wasserwerke e.V. (ARW). Jahresbericht 2000

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-08-01

    This is the 57th annual report of the Arbeitsgemeinschaft Rhein-Wasserwerke e.V. (ARW) on Rhine water quality from the view of drinking water supply. The positive trends continued in some fields, especially in the case of chloride concentrations and freights. On the other hand, there was a significant increase of some organic pollutants like DTPA, glyphosate and AMPA. The microbiological specifications of the new Drinking Water Ordinance and the concentrations of tensides and their metabolites are gone into. The ARW is worried about new or newly identified organic substances in Rhine water, especially as there is a lack of toxicological data on these substances and of data concerning their behaviour during freshwater preparation for drinking. [German] Die Arbeitsgemeinschaft Rhein-Wasserwerke e.V. (ARW) legt hiermit ihren nunmehr 57. Jahresbericht vor, in dem ueber ihre Aktivitaeten und wichtige Ergebnisse aus dem Untersuchungsprogramm der Rhein-Wasserwerke berichtet wird. Wie in den Vorjahren steht im Mittelpunkt der fachlichen Arbeiten der ARW die Bewertung der Rheinwasserbeschaffenheit aus Sicht der Trinkwasserversorgung. Im ersten Teil dieses Jahresberichtes sind die wichtigsten Ergebnisse zusammengefasst, die insgesamt erkennen lassen, dass sich die positiven Tendenzen bei vielen Wassergueteparametern auch im Berichtsjahr 2000 fortgesetzt haben. Dies gilt vor allem fuer die Chlorid-Konzentrationen und -Frachten im Rhein, die im Vergleich zum Vorjahr deutlich zurueckgegangen sind. Im Gegensatz dazu haben die Konzentrationen einiger organischer Einzelstoffe, wie z. B. DTPA sowie Glyphosat und AMPA, im Jahr 2000 z. T. deutlich zugenommen. Weiterhin sind in diesem Jahresbericht eine ausfuehrliche Zusammenstellung ueber die mikrobiologischen Anforderungen, die sich aus der neuen Trinkwasserverordnung ergeben sowie ein Bericht ueber das Vorkommen von Tensiden und deren Metaboliten in Oberflaechengewaessern, wie z. B. im Rhein, enthalten. Insbesondere das Auftreten

  10. 64. report of Arbeitsgemeinschaft Rhein-Wasserwerke e.V. (ARW). Annual report 2007; 64. Bericht der Arbeitsgemeinschaft Rhein-Wasserwerke e.V. (ARW). Jahresbericht 2007

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2007-07-01

    The 64th annual report of the Arbeitsgemeinschaft Rhein-Wasserwerke e.V. (ARW, Cologne, Federal Republic of Germany) presents its technical and scientific activities in the field of freshwater supply on the Rhine river. This annual report consists of the following contributions: (a) Main results from the exploration program 2007 of the ARW (H.-J. Brauch, M. Fleig, W. Kuehn); (b) About the importance of NDMA, other nitrosamines and N,N-dimethyl sulfamide (DMS) in the supply of drinking water (C.K. Schmidt, H.-J. Brauch); (c) Development of the chloride burden in the river Rhine (M. Fleig, H.-J. Brauch, W. Kuehn); (d) Hydrochemical developments in areas of freshwater production at Lower Rhine; Part II: Observation of trends in groundwater (E. Denecke, T. Oertel); (e) On the problem of PFT at the Lower Ruhr and its consequences for the processing of drinking water in the waterworks Muehlheim-Styrum/East (M. Schoepel).

  11. 58th report of the Arbeitsgemeinschaft Rhein-Wasserwerke e.V. (ARW). Annual report 2001; 58. Bericht der Arbeitsgemeinschaft Rhein-Wasserwerke e.V. (ARW). Jahresbericht 2001

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2002-07-01

    This annual report focuses on Rhine water quality from the view of water treatment for drinking. While the 'classic' parameters, i.e. nutrients, salts, heavy metals, summary organic substance parameters have reached have reached a more or less satisfactory and stable level, there are always enhanced concentrations or new compounds of anthropogenic zenobiotics. [German] Die Arbeitsgemeinschaft Rhein-Wasserwerke e.V. (ARW) legt hiermit ihren 58. Jahresbericht vor, in dem ueber ihre Taetigkeiten, Ergebnisse aus dem Untersuchungsprogramm der Rhein-Wasserwerke and aktuelle Fragestellungen berichtet wird. In diesem Jahrsbericht wird wiederum schwerpunktmaessig auf die Beschaffenheit des Rheinwassers unter dem Aspekt der Trinkwassergewinnung eingegangen. Waehrend bei den klassischen Parametern (Naehrstoffe, Salze, Schwermetalle, summarische organische Messgroessen) inzwischen ein ueberwiegend guter chemischer Zustand erreicht ist, werden bei den anthropogenen xenobiotischen Einzelstoffen immer wieder erhoehte Konzentrationen oder 'neue' Verbindungen im Rhein entdeckt. (orig.)

  12. Working Group for Water Pollution Abatement in the Weser River. Weser water quality report 1998; Arbeitsgemeinschaft zur Reinhaltung der Weser. Weserguetebericht 1998

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1999-07-01

    The ARGE Weser (Arbeitsgemeinschaft zur Reinhaltung der Weser), which comprises representatives of the German states of Bremen, Hessen,Niedersachsen, Nordrhein-Westfalen and Thueringen, publishes a yearly water quality report based on the measuring programmes for the Weser river and for the Werra/Ulster rivers (the latter is a joint project of the states of Hessen and Thrueringen). The Weser river today has a water quality of II-III after the successful implementation of the 1989 action programme. Chloride concentrations were reduced as well, but efforts will still be made by communal authorities, agriculture, industry and administrative bodies if the goals set for 2000 are to be reached.(orig/SR) [Deutsch] Die Arbeitsgemeinschaft zur Reinhaltung der Weser (ARGE Weser), der die Bundeslaender Bremen, Hessen, Niedersachsen, Nordrhein-Westfalen und Thueringen angehoeren, dokumentiert jaehrlich im Weserguetebericht die Ergebnisse des Weser- und des von Hessen und Thueringen gemeinsam gefuehrten Messprogrammes Werra/Ulster. Die Weser weist heute ueberwiegend die Gewaesserguete II-III auf. Dies ist ein Ergebnis des 1989 beschlossenen Aktionsprogrammes. Deutliche Erfolge konnten auch im Hinblick auf die Reduzierung der Chloridbelastung erzielt werden. Die volle Verwirklichung des Aktionsprogrammes Weser bis zum Jahr 2000 wird allerdings noch erhebliche Anstrengungen auf Seiten der Kommunen, der Landwirtschaft, der Industrie und der Verwaltungen erfordern. (orig./SR)

  13. ARGE Weser (Working Group for Water Pollution Abatement in the Weser River). Weser water quality report 1996; Arbeitsgemeinschaft zur Reinhaltung der Weser. Weserguetebericht 1996

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-08-01

    The ARGE Weser (Arbeitsgemeinschaft zur Reinhaltung der Weser), which comprises representatives of the German states of Bremen, Hessen, Niedersachsen, Nordrhein-Westfalen and Thueringen, publishes a yearly water quality report based on the measuring programmes for the Weser river and for the Werra/Ulster rivers (the latter is a joint project of the states of Hessen and Thrueringen). The Weser river today has a water quality of II-III after the successful implementation of the 1989 action programme. Chloride concentrations were reduced as well, but efforts will still be made by communal authorities, agriculture, industry and administrative bodies if the goals set for 2000 are to be reached. (orig/AJ) [Deutsch] Die Arbeitsgemeinschaft zur Reinhaltung der Weser (ARGE Weser), der die Bundeslaender Bremen, Hessen, Niedersachsen, Nordrhein-Westfalen und Thueringen angehoeren, dokumentiert jaehrlich im Weserguetebericht die Ergebnisse des Weser- und des von Hessen und Thueringen gemeinsam gefuehrten Messprogrammes Werra/Ulster. Die Weser weist heute ueberwiegend die Gewaesserguete II-III auf. Dies ist ein Ergebnis des 1989 beschlossenen Aktionsprogrammes. Deutliche Erfolge konnten auch im Hinblick auf die Reduzierung der Chloridbelastung erzielt werden. Die volle Verwirklichung des Aktionsprogrammes Weser bis zum Jahr 2000 wird allerdings noch erhebliche Anstrengungen auf Seiten der Kommunen, der Landwirtschaft, der Industrie und der Verwaltungen erfordern. (orig./AJ)

  14. Postirradiation examination of HTR fuel

    International Nuclear Information System (INIS)

    Nabielek, H.; Reitsamer, G.; Kania, M.J.

    1986-01-01

    Fuel for the High Temperature Reactor (HTR) consists of 1 mm diameter coated particles uniformly distributed in a graphite matrix within a cold-molded 60 mm diameter spherical fuel element. Fuel performance demonstrations under simulated normal operation conditions are conducted in accelerated neutron environments available in Material Test Reactors and in real-time environments such as the Arbeitsgemeinschaft Versuchsreaktor (AVR) Juelich. Postirradiation examinations are then used to assess fuel element behavior and the detailed performance of the coated particles. The emphasis in postirradiation examination and accident testing is on assessment of the capability for fuel elements and individual coated particles to retain fission products and actinide fuel materials. To accomplish this task, techniques have been developed which measures fission product and fuel material distributions within or exterior to the particle: Hot Gas Chlorination - provides an accurate method to measure total fuel material concentration outside intact particles; Profile Electrolytic Deconsolidation - permits determination of fission product distribution along fuel element diameter and retrieval of fuel particles from positions within element; Gamma Spectrometry - provides nondestructive method to measure defect particle fractions based on retention of volatile metallic fission products; Particle Cracking - permits a measure of the partitioning of fission products between fuel kernel and particle coatings, and the derivation of diffusion parameters in fuel materials; Micro Gas Analysis - provides gaseous fission product and reactive gas inventory within free volume of single particles; and Mass-spectrometric Burnup Determination - utilizes isotope dilution for the measurement of heavy metal isotope abundances

  15. Strategy for decommissioning of NPP's in Germany

    International Nuclear Information System (INIS)

    Rittscher, D.; Sterner, H.

    2003-01-01

    According to German Atomic Law, two different strategies are possible, i.e. direct dismantling and safe enclosure before dismantling. Both approaches have their advantages and disadvantages. Taking into account the site and plant specific conditions the optimal strategy can be evaluated. Both approaches have been applied in Germany in the past. The German Atomic Law and the Radiation Protection Ordinance (June 2002) were adapted recently (July 2002). Additionally, the life operation time of the German NPP's was fixed in a new law (April 2002): Orderly Termination of the Commercial Production of Nuclear Electricity. These issues have made it necessary for the power utilities to review the strategies applied. As long as the final disposal in Germany is still an open issue, the construction of local Interim Stores is necessary to be able to dismantle a NPP. The basic strategies are not excluding each other and it seems clear today, that the optimal approach is a combination of these strategies, e.g. dismantling of all auxiliary systems and leaving activated parts for a longer SE period. Within this approach the advantages of both basic strategies have been integrated in one. The EWN GmbH has developed such integrated but still different approaches for the decommissioning projects of the Kernkraftwerke Greifswald (KGR) and the Arbeitsgemeinschaft Versuchsreaktor (AVR) Juelich. It can be stated that the decommissioning of a NPP does not present technical issues of concern, but is more a project management issue, although surrounded by sometime intricate political and juridical boundary conditions. A major strategy change is to be expected only when final disposal capacities are available in the future. (authors)

  16. Working Group for Water Pollution Abatement in the Weser River. Weser water quality report 2001; Arbeitsgemeinschaft zur Reinhaltung der Weser. Weserguetebericht 2001

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2002-07-01

    The Weser is Germany's only river whose catchment area is entirely in Germany. This opens up interesting options in terms of water quality investigations, water protection measures, and river management. The ARGE Weser working group, which comprises the German states of Bremen, Hessen, Niedersachsen, Nordrhein-Westfalen and Thueringen, has been carrying out long-term measurements for many years in selected sites on the Werra, Fulda, Weser and Aller rivers. This report presents data, as well as information on the concentrations and action of the analyzed substances. It also presents an evaluation and assessment of the selected substances. [German] Das Einzugsgebiet der Weser befindet sich vollstaendig innerhalb der Bundesrepublik Deutschland. Im Vergleich zu anderen bedeutenden deutschen Flusseinzugsgebieten sind mit dieser Besonderheit aussergewoehnliche Moeglichkeiten verbunden. So koennen Gewaesseruntersuchungen, Gewaesserschutz und Bewirtschaftungsmassnahmen effektiv und ohne Hemmnisse durchgefuehrt und umgesetzt werden. Die Arbeitsgemeinschaft zur Reinhaltung der Weser (ARGE Weser), der die Bundeslaender Bremen, Hessen, Niedersachsen, Nordrhein-Westfalen und Thueringen angehoeren, fuehrt seit vielen Jahren an ausgewaehlten Standorten der Werra, Fulda, Weser und Aller Untersuchungen zur Wasserbeschaffenheit durch. Grundlage hierfuer ist das Messprogramm Weser. Der vorliegende Bericht versucht ueber die reine Zahlendokumentation hinaus auch ueber Vorkommen und Wirkungsweise der analysierten Stoffe zu informieren. Die Betrachtung der Messdaten beinhaltet eine Auswertung und Bewertung der ausgewaehlten und untersuchten Substanzen. (orig.)

  17. alles – einfach – sofort: Service in Medizinbibliotheken: Jahrestagung der Arbeitsgemeinschaft für Medizinisches Bibliothekswesen (AGMB e.V. vom 27. bis 29.9.2010 in Mainz / all – simply – immediately: service in medical libraries: Annual Meeting 2010 of “Arbeitsgemeinschaft für Medizinisches Bibliothekswesen” (AGMB e.V. 27th to 29th September in Mainz

    Directory of Open Access Journals (Sweden)

    Hentschel, Eike

    2010-12-01

    Full Text Available The annual meeting 2010 of “Arbeitsgemeinschaft für Medizinisches Bibliothekswesen” (AGMB e.V. took place 27th–29th September at Mainz university.During the main event for Advanced training of medical librarianship in Germany, Austria and Switzerland the following topics were presented and discussed:Increasing digitalization of scientific communication and the consequences, innovative services in hybrid libraries (virtual textbook collections and E-Books On-Demand, education (Master degree programm “Informations- und Wissensmanagement” in Hannover, concept and building of the medical library at Düsseldorf university (O.A.S.E., quality management according to ISO 9001, subito (new services based on § 52a+b UrhG, future of the programm “Nationallizenzen” and “Allianz-Initiative der deutschen Wissenschaftsorganisationen”, information literacy (particularly blended-learning, public relation and new strategies for communication and services, future concepts for medical libraries, library services in a UK research institute, reference management, Web 2.0 and other emerging technologies, BibNet.org, Cochrane library, MedPilot, PubMed.All relevant publishers and providers for medical libraries presented new products and services in an accompanying exhibition.

  18. Progress and problems in modelling HTR core dynamics

    International Nuclear Information System (INIS)

    Scherer, W.; Gerwin, H.

    1991-01-01

    In recent years greater effort has been made to establish theoretical models for HTR core dynamics. At KFA Juelich the TINTE (TIme dependent Neutronics and TEmperatures) code system has been developed, which is able to model the primary circuit of an HTR plant using modern numerical techniques and taking into account the mutual interference of the relevant physical variables. The HTR core is treated in 2-D R-Z geometry for both nucleonics and thermo-fluid-dynamics. 2-energy-group diffusion theory is used in the nuclear part including 6 groups of delayed neutron precursors and 14 groups of decay heat producers. Local and non-local heat sources are incorporated, thus simulating gamma ray transport. The thermo-fluid-dynamics module accounts for heterogeneity effects due to the pebble bed structure. Pipes and other components of the primary loop are modelled in 1-D geometry. Forced convection may be treated as well as natural convection in case of blower breakdown accidents. Validation of TINTE has started using the results of a comprehensive experimental program that has been performed at the Arbeitsgemeinschaft Versuchsreaktor GmbH (AVR) high temperature pebble bed reactor at Juelich. In the frame of this program power transients were initiated by varying the helium blower rotational speed or by moving the control rods. In most cases a good accordance between experiment and calculation was found. Problems in modelling the special AVR reactor geometry in two dimensions are described and suggestions for overcoming the uncertainties of experimentally determined control rod reactivities are given. The influence of different polynomial expansions of xenon cross sections to long term transients is discussed together with effects of burnup during that time. Up to now the TINTE code has proven its general applicability to operational core transients of HTR. The effects of water ingress on reactivity, fuel element corrosion and cooling gas properties are now being

  19. Fuel-Cycle and Nuclear Material Disposition Issues Associated with High-Temperature Gas Reactors

    International Nuclear Information System (INIS)

    Shropshire, D.E.; Herring, J.S.

    2004-01-01

    The objective of this paper is to facilitate a better understanding of the fuel-cycle and nuclear material disposition issues associated with high-temperature gas reactors (HTGRs). This paper reviews the nuclear fuel cycles supporting early and present day gas reactors, and identifies challenges for the advanced fuel cycles and waste management systems supporting the next generation of HTGRs, including the Very High Temperature Reactor, which is under development in the Generation IV Program. The earliest gas-cooled reactors were the carbon dioxide (CO2)-cooled reactors. Historical experience is available from over 1,000 reactor-years of operation from 52 electricity-generating, CO2-cooled reactor plants that were placed in operation worldwide. Following the CO2 reactor development, seven HTGR plants were built and operated. The HTGR came about from the combination of helium coolant and graphite moderator. Helium was used instead of air or CO2 as the coolant. The helium gas has a significant technical base due to the experience gained in the United States from the 40-MWe Peach Bottom and 330-MWe Fort St. Vrain reactors designed by General Atomics. Germany also built and operated the 15-MWe Arbeitsgemeinschaft Versuchsreaktor (AVR) and the 300-MWe Thorium High-Temperature Reactor (THTR) power plants. The AVR, THTR, Peach Bottom and Fort St. Vrain all used fuel containing thorium in various forms (i.e., carbides, oxides, thorium particles) and mixtures with highly enriched uranium. The operational experience gained from these early gas reactors can be applied to the next generation of nuclear power systems. HTGR systems are being developed in South Africa, China, Japan, the United States, and Russia. Elements of the HTGR system evaluated included fuel demands on uranium ore mining and milling, conversion, enrichment services, and fuel fabrication; fuel management in-core; spent fuel characteristics affecting fuel recycling and refabrication, fuel handling, interim

  20. 21. Lecture meeting, ''Long-term performance of heat-resistant steels and high-temperature materials''. Thermal stresses

    International Nuclear Information System (INIS)

    1999-01-01

    The proceedings contains 15 papers presented at the lecture meeting of Arbeitsgemeinschaft fuer warmfeste Staehle and Arbeitsgemeinschaft fuer Hochtemperaturwerkstoffe, held on 27 November 1998 in Duesseldorf/Germany. Ten of the papers have been selected for subject analysis and indexing, and for separate rerieval from the ENERGY database. (orig./CB) [de

  1. Information meeting on the AD leaflets of the HP series

    International Nuclear Information System (INIS)

    1976-05-01

    The present brochure contains discussions and summaries of papers from an information meeting on new leaflets issued by the Arbeitsgemeinschaft Druckbehaelter, Reihe Herstellung und Pruefung (task group pressure vessels, production and testing section), organized by the TUEV of Bavaria. (RW) [de

  2. AGF program budget 1992

    International Nuclear Information System (INIS)

    1992-01-01

    The program budget of the Arbeitsgemeinschaft Grossforschungseinrichtungen (AGF) (Cooperative of Major Research Establishments) describes its research and development objectives and the progress of work in the major research establishments involved and states the medium-term annual financial and personnel effort. (orig.)

  3. AGF program budget 1991

    International Nuclear Information System (INIS)

    1991-01-01

    The present program budget of the Arbeitsgemeinschaft Grossforschungseinrichtungen (AGF) (Cooperative of Major Research Establishments) describes its research and development objectives and the progress of work in the major research establishments involved and states the medium-term annual financial and personnel effort. (orig.) [de

  4. The role of minimally invasive plate osteosynthesis in rib fixation : A review

    NARCIS (Netherlands)

    Bemelman, Michael; Van Baal, Mark; Yuan, Jian Zhang; Leenen, Luke

    2016-01-01

    More than a century ago, the first scientific report was published about fracture fixation with plates. During the 1950's, open reduction and plate fixation for fractures were standardized by the founders of Arbeitsgemeinschaft für osteosynthesefragen/Association for the Study of Internal Fixation.

  5. Umfrageforschung: Entscheidungsgrundlage für Politik und Wissenschaft

    OpenAIRE

    2011-01-01

    "Der vorliegende Tagungsband dokumentiert die Beiträge der wissenschaftlichen Tagung 'Umfrageforschung - Entscheidungsgrundlage für Politik und Wissenschaft', die am 30. Juni und 1. Juli 2011 gemeinsam vom Statistischen Bundesamt, dem ADM Arbeitskreis Deutscher Markt- und Sozialforschungsinstitute e.V. und der Arbeitsgemeinschaft Sozialwissenschaftlicher Institute e.V. (ASI) in Wiesbaden durchgeführt wurde." (Autorenreferat). Inhaltsverzeichnis: Christian König, Matthias Stahl, Erich Wiegand:...

  6. Weser river water quality report 2002. Flussgebietsgemeinschaft Weser; Flussgebietsgemeinschaft Weser. Weserguetebericht 2002

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2003-08-01

    In July 2003, the Flussgebietsgemeinschaft Weser (FGG Weser) was founded to replace the former Arbeitsgemeinschaft zur Reinhaltung der Weser (ARGE Weser). The new working group comprises members of all German states bordering on the Weser river, i.e. the former members Bremen, Hessen, Niedersachsen, Nordrhein-Westfalen, and Thuringia, as well as the new members Bavaria and Sachsen-Anhalt. The annual report will be continued for the time being, as it has been a useful instrument for informing the expert public on changes in the water quality of the Werra, Fulda, Aller and Weser rivers. [German] Im Juli 2003 hat sich aus der Arbeitsgemeinschaft zur Reinhaltung der Weser (ARGE Weser) die Flussgebietsgemeinschaft Weser (FGG Weser) entwickelt. Nun arbeiten alle Bundeslaender, die Anteile an der Flussgebietseinheit Weser besitzen, zusammen. Dies sind neben den bisherigen Mitgliedern Bremen, Hessen, Niedersachsen, Nordrhein-Westfalen und Thueringen jetzt auch Bayern und Sachsen-Anhalt. Der bisher jaehrlich erscheinende Weserguetebericht, der die Ergebnisse des Programmes zur Qualitaetsueberwachung der Weser anschaulich darstellt, hat sich in der Vergangenheit als Informationsinstrument sehr bewaehrt. Er soll vorerst erhalten bleiben und die Fachoeffentlichkeit ueber die Veraenderungen der Wasserbeschaffenheit von Werra, Fulda, Aller und Weser informieren. (orig.)

  7. Possibilities under the `Kreislaufwirtschaft- und Abfallgesetz` for the recycling or for energy generation from waste with a high calorific value having undergone mechanical-biological conditioning; Moeglichkeiten der energetischen und stofflichen Verwertung von heizwertreichen Reststoffen aus der mechanisch-biologischen Restabfallbehandlung im Rahmen des Kreislaufwirtschafts- und Abfallgesetzes

    Energy Technology Data Exchange (ETDEWEB)

    Franke, J.; Fricke, K. [Ingenieurgemeinschaft Witzenhausen Fricke und Turk GmbH, Witzenhausen (Germany)

    1998-12-31

    This (partial) project has the following aims: to describe comprehensively the possibilities for the recycling, or generation of energy from, waste with a high calorific value having undergone mechanical-biological conditioning; further, to formulate demands regarding the quality of the separated partial fractions. This basic study takes all relevant, commercial thermal processes into account (power plants, cement works, blast furnaces, etc.). Furthermore, the question is investigated of whether the thermal waste processing plants in the area of the Suedhessische Arbeitsgemeinschaft Abfall (SAGA) are suitable for waste utilization. An environmental compatibility statement is made, and the economic and legal boundary conditions are studied. (orig.) [Deutsch] Ziel des (Teil-)Forschungsvorhabens soll es sein, die Moeglichkeiten der energetischen und stofflichen Verwertung heizwertreicher Abfaelle aus der mechanisch-biologischen Restabfallbehandlung umfassend darzustellen und die Anforderungen an die Qualitaet der abgretrennten Teilfraktionen zu formulieren. Bei der Grundlagenermittlung sollen alle relevanten auf dem Markt angebotenen thermischen Verfahren (Kraftwerke, Zementwerke, Hochoefen usw.) mit einbezogen werden. Weiterhin sollen die im SAGA-Gebiet (Suedhessische Arbeitsgemeinschaft Abfall) vorhandenen thermsichen Anlagen auf ihre Eignung zur energetischen bzw. stofflichen Verwertung hin ueberprueft werden. Neben der Bewertung der Umweltvertraeglichkeit werden die oekonomischen und rechtlichen Rahmenbedingungen untersucht. (orig.)

  8. Quality management in nuclear power plant technology

    International Nuclear Information System (INIS)

    Brosche, D.; Ehrnsperger, K.

    2001-01-01

    Quality assurance and therefore quality management are essential preconditions for the safety and availability of nuclear power plants. On the basis of the rules of the Kerntechnischer Ausschuss KTA 1401 the quality management in the former Bayernwerk AG and the Bayernwerk Kernenergie GmbH as well as in the Arbeitsgemeinschaft Auftragnehmerbeurteilung within the VGB Technical Association of Large Power Plant Operators is described. (orig.) [de

  9. Arbeitsgemeinschaft Rhein-Wasserwerke e.V. (ARW). Annual report 1991

    International Nuclear Information System (INIS)

    1991-01-01

    This annual report covers the following topics: Yearly statement issued by the Rhine public utilities workshop (ARW) on measurements in the Rhine and Main rivers; development of harmful EDTA and NTA concentrations in the Rhine; impurification with harmful substances of the Rhine river in the Biebesheim region; processing of data for predictions about the migration of harmful substances in the Rhine; development and preliminary design of the Rhine alarm model's second version; experiences with the determination of enzyme activities for the Rhine population of microorganisms; riverbanks permitting soil infiltration - safe water resources - characterisation of the Oberwerth waterworks on the Middle Rhine; impurification of the Main and Nidda rivers with pesticides and traces of organic chlorine compounds in the Frankfurt area (1989-1991); curve of phosphor and nitrogen concentrations for the Lower Main and Nidda in the Frankfurt area; the 18 O/ 16 O method in hydrology. The appendix contains a summary of analytical findings in 1991, an outline of the measurements planned to be carried out in 1992 as well as a survey of the organisational setup of the Rhine public utilities workshop (ARW). (BBR) [de

  10. Protocol recommendations for CT of the lungs. Konsensus der Arbeitsgemeinschaft Thoraxdiagnostik der DRG; Protokollempfehlungen fuer die Computertomografie der Lunge. Konsensus der Arbeitsgemeinschaft Thoraxdiagnostik der DRG

    Energy Technology Data Exchange (ETDEWEB)

    Biederer, J.; Bolte, H. [Universitaetsklinikum Schleswig-Holstein, Campus Kiel (Germany). Klinik fuer Diagnostische Radiologie; Wildberger, J.E.; Hieckel, H.G. [Helios Klinikum Berlin-Buch (Germany). Inst. fuer Roentgendiagnostik; Reuter, M. [Vivantes Klinikum Neukoelln, Berlin (Germany). Inst. fuer Radiologie und Interventionelle Therapie; Fink, C. [Universitaetsklinikum Mannheim (Germany). Inst. fuer Klinische Radiologie und Nuklearmedizin; Tuengerthal, S.; Heussel, C.P. [Thoraxklinik Heidelberg (Germany). Radiologie; Rehbock, B. [St. Hedwig Krankenhaus, Berlin-Mitte (Germany). Praxis fuer Diagnostische Radiologie; Wormanns, D. [Evangelische Lungenklinik Berlin (Germany); Diederich, S. [Marien-Hospital, Duesseldorf (Germany). Inst. fuer Diagnostische und Interventionelle Radiologie und Nuklearmedizin; Hofmann-Preiss, K. [Radiologische Gemeinschaftspraxis Erlangen (Germany); Loercher, U. [Deutsche Klinik fuer Diagnostik, Wiesbaden (Germany). Fachbereich Bildgebende Verfahren

    2008-05-15

    An increasing variety of computed tomography scanners with different imaging geometry and diverse protocol recommendations of the vendors for chest imaging have raised the need for a consensus on basic imaging protocols. In addition to this, radiation exposure has become a relevant issue in computed tomography. With the recommendations of this article it was intended to provide a schematic set of protocols and recommendations for computed tomography of the lung, i.e. to facilitate follow-up reads of studies that were acquired with different scanners and at different sites. Four different types of protocols are suggested for different groups of indications. The basic protocol is a contrast-enhanced helical study with sufficient spatial resolution for tumour staging and workup of unclear situations. The second protocol is a refinement of this protocol with increased spatial resolution dedicated to vessel imaging and computeraided (CAD) applications. Depending on the z-coverage, this infers a higher radiation exposure and more data for post-processing and storage. A low dose protocol is recommended for short term follow up of known disease and imaging focused on the lung parenchyma only. For diffuse lung disease, an additional HRCT-mode inincremental technique can be applied. Adapted protocol recommendations are given for three scanner groups (single row detector and twin, 4-16 row detector and 32 and more row detectors). Nevertheless, individual adjustments for all patients are essential and some of the parameters will need to be adjusted for specific scanners and may thus differ from these general recommendations. Finally, we make suggestions for documentation, reporting and archiving (preferably digital). (orig.)

  11. Initiative of the citizen - cooperation by the citizen

    International Nuclear Information System (INIS)

    Haeusler, D.

    1978-01-01

    The position of Buerger initiatives in the social and the legal system of the FRG was the central subject of the 5th Environment Forum on Nov. 29, 1977 at Bremen, organized by the Arbeitsgemeinschaft fuer Umweltfragen (AGU), Bonn. 56 environment experts of groups represented in the AGU (environmental associations, employees, science, industry, Bundestag und Laender parliaments, administration, inidviduals) discussed the matter-of-course of Buerger initiatives,participation of joint boards in the possibility of introducing the action brought by joint boards. (orig./HP) [de

  12. Soil protection. Looseleaf manual of measures and recommendations for protection, maintenance and decontamination of soils, landscapes and groundwater; Bodenschutz. Ergaenzbares Handbuch der Massnahmen und Empfehlungen fuer Schutz, Pflege und Sanierung von Boeden, Landschaft und Grundwasser

    Energy Technology Data Exchange (ETDEWEB)

    Rosenkranz, Dietrich; Bachmann, Guenther; Koenig, Wilhelm; Einsele, Gerhard (eds.)

    2010-09-15

    Among other things, the 49th supplement of the manual 'soil protection' includes the second soil protection report of the Federal Government from the year 2009 as a substitute for the first soil protection report from 2002. The interpretations for the Environmental Damage Act within the realms of soil protection are attached as a supplement of the execution recommendations of the Bund-Laender-Arbeitsgemeinschaft Bodenschutz (LABO) (Duesseldorf, Federal Republic of Germany). Furthermore, the 49th supplement includes an actual contribution on the consideration of the soil protection in the approval of building products.

  13. Mineralogical investigations into ash deposits of selected brown coals; Mineralogische Untersuchungen an Ascheansaetzen ausgewaehlter Braunkohlen

    Energy Technology Data Exchange (ETDEWEB)

    Szilagyi, J.; Ullrich, B. [Technische Univ. Dresden, Inst. fuer Geotechnik (Germany)

    2003-07-01

    Within the framework of the research project financed by the Arbeitsgemeinschaft industrieller Forschungsvereinigungen (AIF) ''Experimental investigations into the formation of ash deposits from stack gases during the combustion of pulverised lignite'' and supervised by the chair of power station technology (Institute of Energy Technology) of the Dresden Technical University, the mineral composition of ash deposits of six different coals were investigated: two coal blends (different countries worldwide), two lignites from east from the River Elbe (types WM and JAe), one from west of the River Elbe and one Rhenish lignite. (orig.)

  14. 50th report of the Arbeitsgemeinschaft Rhein-Wasserwerke. Annual report 1993

    International Nuclear Information System (INIS)

    1994-01-01

    This annual report comprises seven sections on specific problems, e.g. sulfonic acid analysis, organic pollutant levels in the Main and Nidda rivers, and the behaviour of selected pesticides during their passage through river bank soil, as well as a section on problems of other rivers, e.g. the Elbe. (orig./EF) [de

  15. Autonomy of industry - possibilities and limits in a pluralistic society

    International Nuclear Information System (INIS)

    Schoch, W.

    1976-01-01

    Examples of free enterprise acting on its own responsibility are given which relate to the state-independent area in which the state has no need to intervene, or to an area in which the state cooperates with the autonomous forces of society in solving tasks as one of the responsible partners. The examples are a) the Arbeitsgemeinschaft Druckbehaelter (AD), b) the Deutsches Institut fuer Normung (DIN), c) the Deutscher Dampfkessel-Ausschuss (DDA) and the Kerntechnischer Ausschuss (KTA) as the initiators of standards, and d) the Technische Ueberwachungs-Vereine (TUeV) as service organizations. (orig./HP) [de

  16. The AFR. An approved network of research reactors

    Energy Technology Data Exchange (ETDEWEB)

    Hampel, Gabriele [Mainz Univ. (Germany). Arbeitsgemeinschaft fuer Betriebs- und Sicherheitsfragen an Forschungsreaktoren (AFR)

    2012-10-15

    AFR (Arbeitsgemeinschaft fuer Betriebs- und Sicherheitsfragen an Forschungsreaktoren) is the German acronym for 'Association for Research Reactor Operation and Safety Issues' which was founded in 1959. Reactor managers of European research reactors mainly from the German linguistic area meet regularly for their mutual benefit to exchange experience and knowledge in all areas of operating, managing and utilization of research reactors. In the last 2 years joint meetings were held together with the French association of research reactors CER (Club d'Exploitants des Reacteurs). In this contribution the AFR, its members, work and aims as well as the French partner CER are presented. (orig.)

  17. A score system for complete cytoreduction in selected recurrent ovarian cancer patients undergoing secondary cytoreductive surgery: predictors- and nomogram-based analyses.

    Science.gov (United States)

    Bogani, Giorgio; Tagliabue, Elena; Signorelli, Mauro; Ditto, Antonino; Martinelli, Fabio; Chiappa, Valentina; Mosca, Lavinia; Sabatucci, Ilaria; Leone Roberti Maggiore, Umberto; Lorusso, Domenica; Raspagliesi, Francesco

    2018-05-01

    To test the applicability of the Arbeitsgemeinschaft Gynäkologische Onkologie (AGO) and Memorial Sloan Kettering (MSK) criteria in predicting complete cytoreduction (CC) in patients undergoing secondary cytoreductive surgery (SCS) for recurrent ovarian cancer (ROC). Data of consecutive patients undergoing SCS were reviewed. The Arbeitsgemeinschaft Gynäkologische Onkologie OVARian cancer study group (AGO-OVAR) and MSK criteria were retrospectively applied. Nomograms, based on AGO criteria, MSK criteria and both AGO and MSK criteria were built in order to assess the probability to achieve CC at SCS. Overall, 194 patients met the inclusion criteria. CC was achieved in 161 (82.9%) patients. According to the AGO-OVAR criteria, we observed that CC was achieved in 87.0% of patients with positive AGO score. However, 45 out of 71 (63.4%) patients who did not fulfilled the AGO score had CC. Similarly, CC was achieved in 87.1%, 61.9% and 66.7% of patients for whom SCS was recommended, had to be considered and was not recommended, respectively. In order to evaluate the predictive value of the AGO-OVAR and MSK criteria we built 2 separate nomograms (c-index: 0.5900 and 0.5989, respectively) to test the probability to achieve CC at SCS. Additionally, we built a nomogram using both the aforementioned criteria (c-index: 0.5857). The AGO and MSK criteria help identifying patients deserving SCS. However, these criteria might be strict, thus prohibiting a beneficial treatment in patients who do not met these criteria. Further studies are needed to clarify factors predicting CC at SCS. Copyright © 2018. Asian Society of Gynecologic Oncology, Korean Society of Gynecologic Oncology.

  18. Energy policy of the Bavarian Government

    Energy Technology Data Exchange (ETDEWEB)

    Strauss, F J

    1986-06-01

    On the annual meeting of the Arbeitsgemeinschaft Regionaler Energieversorgungsunternehmen in Munich (April 28-29) the Prime Minister of Bavaria Franz Josef Strauss was speaking about Bavarian energy policy as stretching from Kahl to the planned Wackersdorf reprocessing plant. Neither did he fail to mention the intended increase of the coal rate nor to express his opinion on the Ukrainian reactor accident. Besides, Strauss expressed his wish of returning to a harmonic basic energy policy which will look after the interests of man and the environment and will help to arrive at a consensus free from all ideology which is the basis of our conditions of life and future social security.

  19. Trends in epidemiology and patho-anatomical pattern of proximal humeral fractures

    DEFF Research Database (Denmark)

    Bahrs, Christian; Stojicevic, Tanja; Tanja, Stojicevic

    2014-01-01

    PURPOSE: Proximal humeral fractures are common and frequently associated with osteoporosis. Little is known about the association between the patho-anatomical fracture pattern of proximal humeral fractures and patient characteristics. The purpose of this six year longitudinal registry analysis...... of proximal humeral fractures was to study overall numbers, certain predefined pathoanatomical patterns and distribution compared with specific patient characteristics. METHODS: Data of patients treated between 2006 and 2011 in a country hospital that provides care >95 % of the city's hospitalised patients...... with fractures was retrospectively reviewed. Data were analysed according to patient characteristics of age, gender, comorbidity, accompanying injuries and radiological analysis of pathoanatomical fracture patterns based on Neer and Arbeitsgemeinschaft für Osteosynthesefragen (AO) classification. RESULTS: Eight...

  20. The Public-Key-Infrastructure of the Radiological Society of Germany

    International Nuclear Information System (INIS)

    Schuetze, B.; Kaemmerer, M.; Klos, G.; Mildenberger, P.

    2006-01-01

    Pretty Good Privacy (PGP) encoding is based on the Public-Key-Procedure and permits the safe transmission of medical data. Furthermore it allows the use of an electronic signature provided that keys used belong to the key owner and that the key owner's identity is guaranteed by a trusted third party. Under the auspices of the Radiological Society of Germany (Deutsche Roentgengesellschaft, DRG) its IT-Working Group (Arbeitsgemeinschaft fuer Informationstechnik, GIT) built up an appropriate Certification Authority including the required Public-Key-Infrastructure. These GIT certified PGP keys allow the legal use of telemedicine in Germany. Digital signatures based to those certified keys correspond to the advanced signature according to the German Signature Law

  1. The Public-Key-Infrastructure of the Radiological Society of Germany

    Energy Technology Data Exchange (ETDEWEB)

    Schuetze, B. [Johannes Gutenberg-University of Mainz, Department of Radiology, Langenbeckstr. 1, 55131 Mainz (Germany)]. E-mail: schuetze@medizin-informatik.org; Kaemmerer, M. [Johannes Gutenberg-University of Mainz, Department of Radiology, Langenbeckstr. 1, 55131 Mainz (Germany); Klos, G. [Johannes Gutenberg-University of Mainz, Department of Radiology, Langenbeckstr. 1, 55131 Mainz (Germany); Mildenberger, P. [Johannes Gutenberg-University of Mainz, Department of Radiology, Langenbeckstr. 1, 55131 Mainz (Germany)

    2006-03-15

    Pretty Good Privacy (PGP) encoding is based on the Public-Key-Procedure and permits the safe transmission of medical data. Furthermore it allows the use of an electronic signature provided that keys used belong to the key owner and that the key owner's identity is guaranteed by a trusted third party. Under the auspices of the Radiological Society of Germany (Deutsche Roentgengesellschaft, DRG) its IT-Working Group (Arbeitsgemeinschaft fuer Informationstechnik, GIT) built up an appropriate Certification Authority including the required Public-Key-Infrastructure. These GIT certified PGP keys allow the legal use of telemedicine in Germany. Digital signatures based to those certified keys correspond to the advanced signature according to the German Signature Law.

  2. General program for the advancement of the radionuclide technology

    International Nuclear Information System (INIS)

    1979-12-01

    The 'General Program for the Advancement of the Radionuclide Technology' was elaborated in 1978 by the 'Arbeitsgemeinschaft zur Foerderung der Radionuklidtechnik' (AFR) (Association for the Promotion of Radionuclide Technology). In addition to an inventory of the major applications of radionuclide technology, this General Program includes a comprehensive description of tasks relating to the central topics of raw materials, environment, technology and materials, health and nutrition, scientific developments of radionuclide technology. The 'General Program for the Advancement of the Radionuclide Technology' serves inter alia as a basis of evaluation in opinions on funding applications filed with the Federal Ministry for Research and Technology (BMFT) with respect to the provision of advanced techniques involving radionuclides for industrial application. (orig.) [de

  3. Focal points of environmental policy at the beginning of the Eighties

    International Nuclear Information System (INIS)

    Anon.

    1981-01-01

    This speech was held by the Federal Home Secretary Baum in front of the Arbeitsgemeinschaft fuer Umweltfragen (AGU) on 3rd February 1981. He said that environmental policy must be determined even more by the principle of providence in this decade; the main issue is the orientation towards the future in German economic, social, and welfare policy. Vehicles and environment, vehicle noise, advantageous conditions in competition for environmentally-minded and energy conserving vehicles, nuclear energy etc., and international pollution protection are considered focal points of future environmental policy. According to his opinion, the consumption situation and compatibility tests as to environmental conditions are necessary. Increasing pollution protection ought to be promoted by special financing programmes and model projects of the Federal Government. (HSCH) [de

  4. Economic development of regional public utilities from 1961-1978

    Energy Technology Data Exchange (ETDEWEB)

    Hubig, K; Sickmueller, G [Ueberlandwerk Oberfranken A.G., Bamberg (Germany, F.R.)

    1978-04-01

    The issue of the previous development and the current state of earnings in the regional power economy is of special importance. The evaluation of business reports of 35 members of the ARE (Arbeitsgemeinschaft Regionaler Energieversorgungsunternehmen) set forth in this article provides information about the period from 1961 to 1976. The data given for the years 1977 and 1978 are based upon inquiries made for business-specific (preliminary) actual and estimated data. After a determination of further trends, these data were used in a computerized planning model for this specific branch of the business and were processed to yield estimated profit and loss accounts and balances for the years 1977 and 1978 on the basis of the aggregated actual data of 1976.

  5. Nuclear process heat at high temperature: Application, realization and development programme

    International Nuclear Information System (INIS)

    Sammeck, K.H.; Fischer, R.

    1976-01-01

    Studies in the Federal Republic of Germany (FRG), the USA and the United Kingdom have shown that high-temperature helium energy from an HTR can advantageously be utilized for coal gasification and other fossil fuel conversion processes, and that a substantial demand for substitute natural gas (SNG) can be expected in the future. These results are based on plant design studies, economic assessments and basic development efforts in the field of coal gasification with nuclear heat, which in the FRG were carried out by Arbeitsgemeinschaft Nukleare Prozesswaerme (ANP)-members, HRB and KFA Juelich. Nuclear process plants are based on different gasification processes, resulting in different concepts of the nuclear heat system. In the case of hydro-gasification it is expected that steam reformers, arranged within the primary circuit of the reactor, will be heated directly by the primary helium. In the case of steam gasification, the high-temperature energy must be transferred to the gasification process via an intermediate circuit which is coupled to a gasifier outside the containment. In both cases the design of the nuclear reactor resembles an HTR for electricity generation. The main objectives of the development of nuclear process heat are to increase the helium outlet temperature of the reactor up to 950 0 C, to develop metallic alloys for high-temperature components such as heat exchangers, to design and construct a hot-gas duct, a steam reformer and a helium-helium heat exchanger and to develop the gasification processes. The nuclear safety regulations and the interface problems between the reactor, the process plant and the electricity generating plant have to be considered thoroughly. The Arbeitsgemeinschaft Nukleare Prozesswaerme and HRB started a development programme, in close collaboration with KFA Juelich, which will lead to the construction of a prototype plant for coal gasification with nuclear heat within 5 to 5 1/2 years. A survey of the main objectives

  6. HTR-500 - a technical and engineered safeguards concept

    International Nuclear Information System (INIS)

    Schoening, J.; Wachholz, W.; Stoelzl, D.

    1985-01-01

    The plant succeeding the THTR-300 nuclear power plant, which has just started its trial phase of power operation, is the HTR-500. On behalf of the Arbeitsgemeinschaft Hochtemperaturreaktor (AHR), the BBC/HRB Group completed a preliminary project study of a nuclear power plant equipped with a high temperature reactor in the 500 MW power range, in which the changed requirements in the nuclear power market are taken into account and electricity generating costs are to be achieved which are competitive with those of a 1230 MW convoy pressurized water reactor of the present design. On this basis, construction documents are to be drafted, and the licensing procedure under the Atomic Energy Act is to be carried out, within a planning phase of roughly four years. (orig.) [de

  7. Development and adaptation of the ELBIS Elbe river information system into a water quality information system of the ARGE-ELBE working group. Final report; Entwicklung und Anpassung des Elbeinformationssystems ELBIS fuer ein Gewaessergueteinformationssystem der ARGE-ELBE. Abschlussbericht

    Energy Technology Data Exchange (ETDEWEB)

    Frank, B.; Prange, A.

    2001-07-01

    The geo-information system ELBIS was installed in mid-November 2000 to provide information on the web on Elbe water quality and other information. It presents the current results of the national Elbe monitoring programme of the ARGE Elbe working group, as well as the results of the 'Elbe 2000' programme of the nineties. [German] Das Geo-Informationssystem ELBIS informiert seit November 2000 im Internet ueber die Wasserqualitaet und verwandte Elbe-Themen. Mittels einer geografischen Oberflaeche stellt es die fortlaufenden, aktuellen Ergebnisse der nationalen Elbe-Messprogramme der ARGE Elbe (Arbeitsgemeinschaft fuer die Reinhaltung der Elbe) dar sowie Forschungsdaten aus der 'Elbe 2000'-Schadstoffforschung der neunziger Jahre. Auf einfache und zeitgemaesse Weise macht ELBIS diese Ergebnisse der interessierten Oeffentlichkeit zugaenglich und bietet Fachleuten einen umfassenden Ueberblick ueber die Datenlage. (orig.)

  8. Regional power supply in 1998-1999. Progress report of the association of regional utilities - Arbeitsgemeinschaft regionaler Energieversorgungs-Unternehmen - ARE e.V.; Regionale Energieversorgung 1998-1999. Taetigkeitsbericht der Arbeitsgemeinschaft regionaler Energieversorgungs-Unternehmen - ARE - e.V.

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2000-04-01

    The ARE progress report discusses the following issues: Economic development and its effects on power supply; Deregulation of the electricity and gas market; Competition between regional utilities; Energy policy of the new German government; European regulations; Legislation on energy supply; Energy supply and cartel law; Regional supply in the East German states. [German] Der Taetigkeitsbericht der ARE befasst sich mit folgenden Themen: Gesamtwirtschaftliche Entwicklung und ihre Auswirkung auf die Energiewirtschaft, Oeffnung des Monopoles fuer Strom und Gas, Wettbewerb der regionalen Energieversorger, Energiepolitik der neuen Bundesregierung, Europaeische Richtlininen, energiewirtschaftsrecht, Versorgungswirtschaft und Kartellrecht und der Regionalversorgung in den neuen Bundeslaendern.

  9. Major activities of the association ''Arbeitsgemeinschaft Solar NRW''. Decentralized energy systems development, trial and qualification

    International Nuclear Information System (INIS)

    Meliss, M.

    1996-01-01

    In North-Rhine Westphalia, the Ministry for Science and Research and the Ministry for Economic Affairs, Medium-Sized Companies and Technology (MWF) in 1991 decided to jointly establish a research and technology association called AG Solar NRW, intended to function as a central body for promotion and coordination of existing but dispersed projects and activities in North-Rhine Westphalia for research into and development of solar technology and energy systems, and for promotion of demonstration projects and training programmes supporting enhanced use of solar energy. The total budget made available for activities of the AG Solar in phase 1 (1991 - 1995) was approx. DM 60 million. The article in hand summarizes the main activities and results achieved in this first phase which was committed to decentralized energy systems, performance testing and qualification. (orig.) [de

  10. Environmental research and environmental protection

    International Nuclear Information System (INIS)

    1975-01-01

    At the request of the Ministry for Research and Technology, the 'Arbeitsgemeinschaft der Grossforschungseinrichtungen' (AGF) presented in 1972 an information brochure called 'Activities in the field of environmental research and environmental protection', closely associated with the environmental programme of the Federal government (1971). The information brochure reports on those activities of the working group's members which are closely, or less closely, connected with questions concerning environmental research and protection, however, investments for the protection of the individual facilities in internal operation are excluded. The AGF programme 'Environmental research and environmental protection' comprises contributions, brought up to date, of member companies. From the 'AGF programme survey 1974' it contains 'Environmental research' as well as aspects of nuclear development with environmental relevance. Technologies not harmful to the environment developed by the research facilities are only mentioned very briefly. (orig.) [de

  11. Experimental studies on cancer chemotherapy

    International Nuclear Information System (INIS)

    1976-08-01

    The further development of the chemotherapy of cancer in the experimental and clinical fields necessitates a profound knowledge of its chemical, biochemical and pharmacological fundamentals and the mechanism of physiological and pathological growth processes. The 'Arbeitsgemeinschaft Zytostatika' includes chemists, biochemists, pharmacologists, molecular biologists, physicians and immunologists of various scientific institutes and clinics in the Federal Republic of Germany and in West Berlin. It is their aim to carry out basic research as well as clinical-orientated research in the field of the chemotherapy of cancer. In the 15 years of cooperation, fundamental knowledge was gained, especially in the field of the cytotoxic specificity and cancerotoxic selectivity of alkylating cytostatics. New cytostatics with a greater oncostatic selectivity and an altered spectrum of activity were tested and greater knowledge was won on the molecular-biological prerequisites of a rational drug design. (orig.) [de

  12. [Definition and specification requirements for PAC-systems (picture archiving and communication system). A performance index with reference to the standard "IEEE Recommended Practice for Software Requirement Specifications"].

    Science.gov (United States)

    König, H; Klose, K J

    1999-04-01

    The formulation of requirements is necessary to control the goals of a PACS project. Furthermore, in this way, the scope of functionality necessary to support radiological working processes becomes clear. Definitions of requirements and specification are formulated independently of systems according to the IEEE standard "Recommended Practice for Software Requirements Specifications". Definitions are given in the Request for Information, specifications in the Request for Proposal. Functional and non-functional requirements are distinguished. The solutions are rated with respect to scope, appropriateness and quality of implementation. A PACS checklist was created according to the methods described above. It is published on the homepage of the "Arbeitsgemeinschaft Informationstechnologie" (AGIT) within the "Deutsche Röntgengesellschaft" (DRG) (http://www.uni-marburg.de/mzr/agit). The checklist provides a discussion forum which should contribute to an agreement on accepted basic PACS functionalities.

  13. Definition and specification for PACS. A checklist based on the standard ''IEEE Recommended Practice for Software Requirements Specifications''

    International Nuclear Information System (INIS)

    Koenig, H.; Klose, K.J.

    1999-01-01

    Problem: The formulation of requirements is necessary to control the goals of a PACS project. Furthermore, in this way, the scope of functionality necessary to support radiological working processes becomes clear. Method: Definitions of requirements and specification are formulated independently of systems according to the IEEE standard 'Recommended Practice for Software Requirements Specifications'. Definitions are given in the Request for Information, specifications in the Request for Proposal. Functional and non-functional requirements are distinguished. The solutions are rated with respect to scope, appropriateness and quality of implementation. Results: A PACS checklist was created according to the methods described above. It is published on the homepage of the 'Arbeitsgemeinschaft Informationstechnologie' (AGIT) within the 'Deutsche Roentgengesellschaft' (DRG) (http://www.uni-marburg.de/mzr.agit). Conclusion: The checklist provides a discussion forum which should contribute to an agreement on accepted basic PACS functionalities. (orig.) [de

  14. Arbeitsgemeinschaft fuer die Reinhaltung der Elbe - endocrineously active substances in the Elbe, its tributaries and the North Sea; Arbeitsgemeinschaft fuer die Reinhaltung der Elbe - Endokrin wirksame Stoffe in der Elbe, in Nebenfluessen und in der Nordsee

    Energy Technology Data Exchange (ETDEWEB)

    Heemken, O.P. [GALAB, Geesthacht (Germany); Theobald, N. [Bundesamt fuer Seeschiffahrt und Hydrographie, Hamburg (Germany); Hebbel, H. [Universitaet der Bundeswehr Hamburg (Germany); Stachel, B. [Wasserguetestelle Elbe, Hamburg (Germany)

    2000-07-01

    Endocrineously active substances are discharged into surface bodies of water with communal and industrial effluents. Especially estrogenic substances like Bisphenol A, alkyl phenols and alkyl phenol ethoxylates in the Elbe and its tributaries have been neglected so far. In the context of an interdisciplinary project, chemists, biologists and mathematicians investigated the concentrations and fate of these xenoestrogens, relative potential effects of unknown water constituents and quantitative statistical mechanisms based on the available analytical findings. The contribution intends to contribute information on the pollutant situation of selected endocrineously active substances in the Elbe and its tributaries. [German] Ein relevanter Eintragspfad fuer endokrin wirksame Stoffe in die Oberflaechengewaesser sind die Abwaesser kommunaler und industrieller Klaeranlagen. Insbesondere das Vorkommen und der Verbleib von oestrogen wirkenden Stoffen wie Bisphenol A, den Alkylphenolen und Alkylphenolethoxylaten in der Elbe und in Elbenebenfluessen wurde bisher zu wenig Aufmerksamkeit geschenkt. In einem interdisziplinaeren Projekt, an dem sich Chemiker, Biologen und Mathematiker beteiligten, wird versucht, eine erste Antwort zu geben ueber das Vorkommen und den Verbleib dieser Xenooestrogene, ueber relative Wirkpotenzen von unbekannten Wasserinhaltsstoffen durch die Anwendung von In-vitro-Tests und ueber quantitative statistische Zusammenhaenge, die auf vorhandenen Analysenergebnissen basieren. Dieser Bericht soll einen Beitrag leisten zur Immissionssituation von ausgewaehlten endokrin wirksamen Stoffen in der Elbe und in Elbenebenfluessen. (orig.)

  15. Arbeitsgemeinschaft fuer die Reinhaltung der Elbe - selected organic trace pollutants in the Elbe and its tributaries 1994-1999; Arbeitsgemeinschaft fuer die Reinhaltung der Elbe - Ausgewaehlte organische Spurenverunreinigungen in der Elbe und Elbenebenfluessen im Zeitraum 1994 - 1999

    Energy Technology Data Exchange (ETDEWEB)

    Fooken, C.; Stachel, B.; Reincke, H. [Wasserguetestelle Elbe, Hamburg (Germany)

    2000-10-01

    The present report contains results on the occurrence of polar and nonpolar substances in the Elbe and selected tributaries which were analysed in the period from 1994 to 1999. It shows that industrial and municipal purification plants still have an insufficient cleaning capacity for certain substances. The process by which ubiquitous pollutants can enter the Elbe via a small, widely ramified fluvial system is exemplified for the family of chloroalkyl phosphates. These mainly occur in flame retardants and plasticisers in polyurethanes. The paper also presents results from a selection of 28 substances listed in Directive 76/464/ECC. They provide a decision aid for the planning of future measuring concepts based on the EU Water Framework Directive. In the ARGE ELBE programme organic pollutants are recorded and published on a routine basis. These are mostly nonpolar substances such as the well-known polychlorinated biphenyls or slow-evaporating insecticidal chlorinated hydrocarbons such as DTT. Recent analysis results show that this group of substances is relevant now as before and that it will remain so for the years to come. Special studies involving aqueous phase measurements were performed on a different group of substances, namely polar substances, which are generally readily soluble. The substances on which this report is chiefly focused originate from different sources: industrial and municipal effluents, diffuse inputs from agriculture and atmospheric depositions. In many cases they are difficultly degradable and could attain significance where river water in the form of river bank filtrate is used for drinking water production. However, due to complex and effective purification technologies they rarely enter drinking water. [German] Der vorliegende Bericht enthaelt Ergebnisse zum Vorkommen polarer und unpolarer Stoffe in der Elbe und in ausgewaehlten Nebenfluessen, die in dem Zeitraum von 1994 bis 1999 analysiert worden sind. Er zeigt, dass fuer einzelne Stoffe noch Defizite im Hinblick auf die Reinigungsleistung industrieller und kommunaler Klaeranlagen existieren. Wie ubiquitaer vorhandene Schadstoffe ueber ein kleines und weitverzweigtes Fliesssystem in die Elbe gelangen koennen, wird beispielhaft an der Stoffklasse der Chloralkylphosphate aufgezeigt. Diese finden hauptsaechlich Verwendung als Flammschutzmittel und Weichmacher in Polyurethanen. Ergebnisse einer Auswahl von 28 Stoffen aus der Richtlinie 76/464/EWG werden ebenfalls vorgestellt. Sie sind eine Entscheidungshilfe fuer die Planung zukuenftiger Messkonzepte auf der Grundlage der EU-Wasserrahmenrichtlinie. Mit dem Messprogramm der ARGE ELBE werden organische Schadstoffe routinemaessig erfasst und veroeffentlicht. Dabei handelt es sich ueberwiegend um unpolare Stoffe wie die hinlaenglich bekannten polychlorierten Biphenyle oder die schwerfluechtigen chlorierten Kohlenwasserstoffe mit insektizider Wirkung (z.B. DDT). Neuere Analysenergebnisse zeigen, dass diese Stoffgruppe nach wie vor relevant ist und auch in den kommenden Jahren nicht an Bedeutung verlieren wird. Eine andere Stoffgruppe, die polaren und im allgemeinen gut wasserloeslichen Substanzen, werden im Rahmen von Sonderuntersuchungen in der waessrigen Phase bestimmt. Die in diesem Bericht hauptsaechlich behandelten Stoffe stammen aus unterschiedlichen Quellen: industrielle und kommunale Abwaesser, diffuse Eintraege aus der Agrarwirtschaft und aus atmosphaerischen Depositionen. In vielen Faellen sind sie biologisch schwer abbaubar und koennen Bedeutung erlangen, wenn Flusswasser als Uferfiltrat fuer die Trinkwasserherstellung genutzt wird. Wegen der aufwendigen und wirkungsvollen Aufbereitungstechnologie gelangen sie allerdings nur selten bis ins Trinkwasser. (orig.)

  16. Arbeitsgemeinschaft fuer die Reinhaltung der Elbe - multi-element analysis of water samples from the Elbe and selected tributaries; Arbeitsgemeinschaft fuer die Reinhaltung der Elbe - Multielementanalysen von Wasserproben der Elbe und ausgewaehlter Nebenfluesse. Laengsprofilbeprobung vom September 1997

    Energy Technology Data Exchange (ETDEWEB)

    Krueger, F.; Berger, H. [Umweltbehoerde Hamburg (Germany). Amt fuer Umweltschutz, Umweltuntersuchungen; Aulinger, A.; Stachel, B.; Reincke, H. [Wasserguetestelle Elbe, Hamburg (Germany)

    2000-10-01

    This special report focuses on measurements of elements whose scope goes far beyond the routine monitoring for metals. The present studies are intended to extend the existing knowledge on the pollution situation of the Elbe and certain of its tributaries as well as provide a basis for formulating future guidelines for action. The first step towards this goal is sampling by means of an helicopter. The sampling is followed by a very involved and costly analysis programme, accompanied by extensive quality assurance measures. This is the only way of reliably analysing a large number of elements occurring in extremely low concentrations. Once the data have been recorded the question arises how they are to be evaluated. What schemes are suitable for categorising a large number of elements measured in either the suspended matter or the water compartment? What elements are to be regarded as the result of anthropogenic influences and what are their respective background concentrations in the fluvial system under study? These questions are approached by means of statistical methods which permit identifying elemental patterns and pollution sources as well as optimising the selection of measuring points for future studies. [German] In diesem Sonderbericht steht die Bestimmung von Elementen, die in ihrem Umfang ueber die routinemaessig erfassten Metalle deutlich hinausgeht, im Vordergrund. Die vorliegenden Untersuchungen sollen das bereits vorhandene Wissen zur Beschreibung der Immissionssituation der Elbe und von bestimmten Nebenfluessen erweitern, verbunden mit der Moeglichkeit, zukuenftige Handlungsmaximen zu erarbeiten. Zur Erreichung dieses Ziels steht zu Beginn die Probenahme mit einem Helicopter. Im Anschluss an die Probenahme folgt eine sehr aufwendige und teure Analytik, die begleitet wird von umfassenden Massnahmen zur Qualitaetssicherung. Nur so ist es moeglich, eine grosse Vielzahl von Elementen in extrem niedrigen Konzentrationen sicher analysieren zu koennen. Sind die Daten erhoben, schliesst sich die Frage nach ihrer Bewertung an. Welche Schemata sind tauglich, um eine Vielzahl von Elementen, die in den unterschiedlichen Kompartimenten Schwebstoff und Wasser bestimmt werden, einstufen zu koennen? Welche Elemente sind als anthropogen beeinflusst zu bezeichnen, welche Konzentrationen stellen den background in dem betrachteten Flusssystem vor? Zur Beantwortung dieser Fragen wird sich der Statistik bedient, denn mit ihrer Hilfe koennen Elementmuster identifiziert, Belastungsquellen aufgezeigt und darueber hinaus die Auswahl von Messstellen fuer kuenftige Untersuchungen optimiert werden. (orig.)

  17. A Critical Commentary on the 2017 AGNP Consensus Guidelines for Therapeutic Drug Monitoring in Neuropsychopharmacology.

    Science.gov (United States)

    de Leon, Jose

    2018-01-01

    In 2004, 2011, and 2017, the Arbeitsgemeinschaft für Neuropsychopharmakologie und Pharmakopsychiatrie (AGNP), a group of German-speaking psychiatric researchers and psychiatrists, published successive versions of therapeutic drug monitoring (TDM) expert group consensus guidelines. The 2017 version has as a major strength its encyclopedic nature, including 1358 references. The guideline has 3 major sections: 1) theoretical aspects of TDM, 2) drug concentration levels in blood to guide neuropsychopharmacotherapy, and 3) practical aspects of TDM in psychiatry and neurology. The writer hopes the time is right for a TDM guideline in psychiatry, which is indicated for: 1) psychiatric researchers ready to value how TDM can contribute to moving psychopharmacology forward, 2) flexible clinicians ready to improve their patient care by personalizing dosing, and 3) today's psychiatry residents prepared as a new generation ready to be trained in TDM and willing to continue incorporating TDM as new psychiatric drugs are marketed. © Georg Thieme Verlag KG Stuttgart · New York.

  18. Cutting unemployment by a factor of two. Increased use of renewable energies would create 63000 new jobs; Nur noch halb so viele Arbeitslose. Vermehrte Nutzung erneuerbarer Energien wuerde 63000 Arbeitsplaetze schaffen

    Energy Technology Data Exchange (ETDEWEB)

    Aeberli, O

    1999-07-01

    In Switzerland, poor energy efficiency costs yearly about 12 billions CHF or 1700 CHF per inhabitant. More news: if renewable energies (solar and wind energy, biomass) would be promoted with concrete targets, job creation balance would result in the positive result of about 63,000 new jobs. These are conclusions from an economic study by Professor Ernst von Weizsaecker, ordered by the association 'Solar 91'. This confirms the energy policy adopted by the Swiss Association of air conditioning companies 'Clima Suisse'. (author) [German] Die mangelnde Energieeffizienz kostet der Schweiz rund 12 Millarden CHF pro Jahr oder 1700 CHF pro Einwohner. Doch damit nicht genug: durch die gezielte Foerderung der erneuerbaren Energien (Sonne, Wind, Biomasse) koennten netto rund 63,000 neue Arbeitsplaetze geschaffen werden. Dies hat eine Wirtschaftsstudie von Professor Ernst von Weizsaecker ergeben, welche die Arbeitsgemeinschaft 'Solar 91' in Auftrag gegeben hat. Der Branchenverband 'Clima Suisse' sieht sich durch diese Studie in seiner Energiepolitik bestaetigt. (author)

  19. Teleradiology with DICOM e-mail: recommendations of rate at GIT; Teleradiologie mit DICOM E-mail: Empfehlungen der rate at GIT

    Energy Technology Data Exchange (ETDEWEB)

    Mildenberger, P.; Kaemmerer, M.; Klos, G.; Schuetze, B. [Klinik und Poliklinik fuer Radiologie, Johannes Gutenberg-Univ. Mainz (Germany); Engelmann, U. [Deutsches Krebsforschungszentrum, Abt. Medizinische und Biologische Informatik, Heidelberg (Germany); Ruggiero, S.; Runa, A.; Weisser, G. [Inst. fuer Klinische Radiologie, Universitaetsklinikum Mannheim (Germany); Schroeter, A. [CHILI GmbH, Heidelberg (Germany); Walz, M. [TUeV Industrie Service GmbH, TUeV-SUeD-Gruppe, Aerztliche Stelle fuer Qualitaetssicherung in der Radiologie, Eschborn (Germany)

    2005-05-01

    E-mail is ideal for ad-hoc connections in teleradiology. The DICOM standard offers the possibility to append DICOM data types as a MIME attachment to any e-mail, thus ensuring the transmission of the original DICOM data. Nevertheless, there are additional requirements (e.g. protection of data privacy) which must be obeyed. Because of the lack of given standards which would grant interoperability as well as manufacturer independence, teleradiology has not been established in Germany until today. Therefore, the IT-Team (Arbeitsgemeinschaft fuer Informationstechnologie, rate at GIT) of the Radiological Society of Germany (Deutsche Roentgengesellschaft, DRG) set up an initiative to standardise telemedicine by using e-mail. Its members agreed that an e-mail-based variant would be the most practicable way to a communication solution - as easy to implement as to use. In their opinion, e-mail represents the smallest common denominator for a safe data interchange that would fulfill the legal advantages for telemedicine in Germany. (orig.)

  20. [An assessment of tinnitus retraining therapy].

    Science.gov (United States)

    von Wedel, H; von Wedel, U C

    2000-12-01

    Based on the neurophysiological model of tinnitus developed by Jastreboff and Hazell [39] there have been some important developments in understanding and therapy of tinnitus over the last decade. The clinical applications of this model are known as "tinnitus retraining therapy", which has the objective of reducing both the distress associated with tinnitus and the tinnitus perception itself. As a form of systematic, repeated and skilled counselling over a long period of up to 2 years supported by sound therapy (hearing aid or noise generator) the evidence for their high degree of effectiveness is overwhelming. On the basis of a "German concept" of tinnitus retraining therapy developed and proposed by the ADANO (Arbeitsgemeinschaft deutschsprachiger Audiologen und Neurootologen) the current status of this treatment will be briefly reviewed including some actual studies of Goebel et al. [14] that confirm the world wide critical comments on the recent developments in the management of tinnitus especially with regard to tinnitus retraining therapy [79].

  1. Gratis Online Lernen – 100 Empfehlungen und mehr von Lehrenden für Lehrendea

    Directory of Open Access Journals (Sweden)

    Angelika Güttl-Strahlhofer

    2015-09-01

    Full Text Available Im Rahmen der Lehrveranstaltungs­reihe "Open Air" lud die Arbeitsgemeinschaft Güttl/Krisper/Röthler im WS 14/15 LehrerInnen zum Besuch des MOOCs "Gratis Online Lernen" der steirischen Plattform iMooX ein. Elf TeilnehmerInnen waren bereit, im Anschluss an die Teilnahme am Kurs ihre Erkenntnisse in ein Gemeinschaftswerk einfließen zu lassen, dessen Entstehung in der digitalen Werkstatt koordiniert wurde (Adobe Connect und Moodle. Aus der Überzeugung heraus, dass das gemeinsame Besuchen eines solchen Online-Kurses nur ein Teil eines Lernerlebnisses sein kann und das gemeinsame Erarbeiten für die Teilnehmerinnen und Teilnehmer ein zusätzlicher Schritt zum Überblicken der schier unendlichen Angebotslandschaft darstellt. Diese diskutierten, entwickelten, verwarfen und evaluierten interessante Lernangebote. Vorbild war sowohl für den Entstehungsprozess als auch für das Ergebnis der Schummelzettel "Urheberrecht und OER". http://www.virtuelle-ph.at/mod/page/view.php?id=32645.

  2. Teleradiology with DICOM e-mail: recommendations of rate at GIT

    International Nuclear Information System (INIS)

    Mildenberger, P.; Kaemmerer, M.; Klos, G.; Schuetze, B.; Engelmann, U.; Ruggiero, S.; Runa, A.; Weisser, G.; Schroeter, A.; Walz, M.

    2005-01-01

    E-mail is ideal for ad-hoc connections in teleradiology. The DICOM standard offers the possibility to append DICOM data types as a MIME attachment to any e-mail, thus ensuring the transmission of the original DICOM data. Nevertheless, there are additional requirements (e.g. protection of data privacy) which must be obeyed. Because of the lack of given standards which would grant interoperability as well as manufacturer independence, teleradiology has not been established in Germany until today. Therefore, the IT-Team (Arbeitsgemeinschaft fuer Informationstechnologie, rate at GIT) of the Radiological Society of Germany (Deutsche Roentgengesellschaft, DRG) set up an initiative to standardise telemedicine by using e-mail. Its members agreed that an e-mail-based variant would be the most practicable way to a communication solution - as easy to implement as to use. In their opinion, e-mail represents the smallest common denominator for a safe data interchange that would fulfill the legal advantages for telemedicine in Germany. (orig.)

  3. [Implementation of Study Results in Guidelines and Adherence to Guidelines in Clinical Practice].

    Science.gov (United States)

    Waldfahrer, F

    2016-04-01

    Guidelines were introduced in hospital and practice-based otorhinolaryngology in the 1990s, and have been undergoing further development ever since. There are currently 20 guidelines on file at the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. The Society has cooperated in a further 34 guidelines. The quality of the guidelines has been continually improved by concrete specifications put forward by the Association of the Scientific Medical Societies in Germany [Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften e.V.]. Since increasing digitalisation has made access to scientific publications quicker and more simple, relevant study results can be incorporated in guidelines more easily today than in the analogue world. S2e and S3 guidelines must be based on a formal literature search with subsequent evaluation of the evidence. The consensus procedure for S2k guidelines is also regulated. However, the implementation of guidelines in routine medical practice must still be considered inadequate, and there is still a considerable need for improvement in adherence to these guidelines. © Georg Thieme Verlag KG Stuttgart · New York.

  4. Aachener Erklärung: Sechs Thesen zum Erwerb von elektronischen Büchern [The Aachen Declaration: Six recommendations for the acquisition of electronic books

    Directory of Open Access Journals (Sweden)

    Schweizer, Stefanus

    2012-12-01

    Full Text Available [english] The AGMB is concerned with current developments which could hurt the publishing eco system, especially the market of academic text books as well as the prosperous cooperation of lecturers, libraries, publishers and users and, in addition, harm the medical education system. At the AGMB annual conference 2012, the Aachen declaration on the acquisition of electronic books was published to sensibilise colleagues and publishers with the current electronic book situation and to set a signal. [german] Die Arbeitsgemeinschaft für medizinisches Bibliothekswesen e.V. (AGMB mit den aktuellen Entwicklungen auseinandergesetzt, die das Publikationssystem, inbesondere den Markt für akademische Bücher und die erfolgreiche Zusammenarbeit von Lehrenden, Bibliotheken, Herausgebern und Nutzern, und das medizinische Ausbildungssystem beschädigen könnten Auf der AGMB Jahrestagung 2012 wurde die Aachener Erklärung über den Erwerb von elektronischen Büchern veröffentlicht um Kollegen und Verleger für die aktuelle Situation der elektronischen Bücher zu sensibilisieren und ein Signal zu setzen.

  5. Medizinbibliotheken 20XX. Zuverlässig, Zukunftsweisend, Unverzichtbar [Medical Libraries 20XX. Reliable, forward-looking, indispensible

    Directory of Open Access Journals (Sweden)

    Bauer, Bruno

    2012-12-01

    Full Text Available [english] The focus of the current issue 3/2012 of GMS Medizin – Bibliothek – Information is the annual conference 2012 of the German Medical Libraries Association in Aachen. The motto of the conference was “Medical Libraries 20XX. Reliable, forward-looking, indispensible”. Focal points of the meeting were innovation management, marketing and new applications and services in medical libraries.The authors in this issue are Bruno Bauer (Open Access Publishing in Austria 2012, Thomas M. Deserno (Literature for interdisciplinary scientists – a requirement engineering approach, Annette Kustos (The new Academic Health Sciences, Nursing and Therapeutics Library of the University of Applied Health Sciences, Bochum, Christoph Poley (On the way to semantic web – with MEDPILOT, Henriette Senst & Jens Erling (New areas of work in the library of the Robert Koch-Institute: Open Access and institutional repository, Matti Stöhr (“I was interested in competitive alternatives to Citavi”: About the workshop “Reference Management at the focal point”, held at the AGMB-Conference 2012, Martin Zangl (Quality management in art libraries – a starting point for patient libraries?! and Ulf Paepcke & Gabriele Menzel (Medical Libraries 20XX. – Reliable, forward-looking, indispensible. Annual Meeting 2012 of the German MLA (AGMB September 24th to 26th in Aachen.[german] Schwerpunktthema der aktuellen Ausgabe 3/2012 von GMS Medizin – Bibliothek – Information ist die Jahrestagung 2012 der Arbeitsgemeinschaft für Medizinisches Bibliothekswesen (AGMB in Aachen; das Motto lautete „Medizinbibliotheken 20XX. Zuverlässig, Zukunftsweisend, Unverzichtbar“. Zentrales Thema der diesjährigen Tagung waren Open Access Publishing, Innovationsmanagement und neue Arbeitsfelder für Medizinbibliotheken.Die Beiträge der Schwerpunktausgabe wurden verfasst von Bruno Bauer (Open Access Publishing in Österreich 2012, Thomas M. Deserno (Literatur f

  6. Comparison of tibial shaft ski fractures in children and adults.

    Science.gov (United States)

    Hamada, Tomo; Matsumoto, Kazu; Ishimaru, Daichi; Sumi, Hiroshi; Shimizu, Katsuji

    2014-09-01

    To examine whether child and adult skiers have different risk factors or mechanisms of injury for tibial shaft fractures. Descriptive epidemiological study. Prospectively analyzed the epidemiologic factors, injury types, and injury mechanisms at Sumi Memorial Hospital. This study analyzed information obtained from 276 patients with tibial fractures sustained during skiing between 2004 and 2012. We focused on 174 ski-related tibial shaft fractures with respect to the following factors: age, gender, laterality of fracture, skill level, mechanism of fracture (fall vs collision), scene of injury (steepness of slope), snow condition, and weather. Fracture pattern was graded according to Arbeitsgemeinschaft für Osteosynthesefragen (AO) classification and mechanical direction [external (ER) or internal rotation (IR)]. Tibial shaft fractures were the most common in both children (89.3%) and adults (47.4%). There were no significant differences in gender, side of fracture, mechanism of fracture, snow condition, or weather between children and adults. Skill levels were significantly lower in children than in adults (P differences in some of these parameters, suggesting that child and adult skiers have different risk factors or mechanisms of injury for tibial shaft fractures.

  7. Bibliothekare ohne Bibliothek? Zur Situation der Pharmabibliotheken / Librarians without a library? The pharmacy library situation

    Directory of Open Access Journals (Sweden)

    Gretz, Marianne

    2011-09-01

    Full Text Available Despite major economic and organizational changes in the pharmaceutical industry, the Pharmaceutical Library Task Force (Arbeitskreis Pharma-Bibliotheken has been going strong in the Medical Library Working Party (Arbeitsgemeinschaft für medizinisches Bibliothekswesen – AGMB for the past 18 years. However, Task Force discussion topics have moved away from questions about spatial or staffing expansion or building up inventory, and toward themes such as outsourcing, training, technology scouting, and building up comprehensive copyright expertise. While actual physical stock is shrinking or has been eliminated entirely from many company libraries, the everyday working lives of company librarians are increasingly taken up with management of electronic media, in-house marketing and the associated user training, evaluation and use of new technologies, and clarification of complex copyright issues. Widespread know-how, in-depth knowledge of specialist areas (such as copyright, communication skills, networking, cost awareness, adaptability, willingness to learn new things, and demonstrating the value they add to the company are the factors that will secure the future of company librarians, whether with – or, in a pinch – without a physical library.

  8. Comparison of Short vs Long Anti-rotation in Treating Trochanteric Fractures

    Directory of Open Access Journals (Sweden)

    Raval P

    2016-03-01

    Full Text Available Introduction: A comparative evaluation of the surgical treatment and outcome of patients with pertrochanteric fractures treated with short versus long proximal femoral nail antirotation. Materials and methods: A retrospective review was conducted of patients with pertrochanteric fractures treated between January 2011 and June 2012. In all 80 patients were enrolled in the study, of which 40 were treated with short PFNA and the remaining with long PFNA. Comparative analyses of demographic data, peri-operative outcome and complications were carried out. Results: There was no significant difference noted in the two groups with regards to Arbeitsgemeinschaft fur Osteosynthesefragen (AO fracture classification, time from injury to surgery, blood transfusion post surgery and hospital stay. The surgical duration for a short PFNA procedure was significantly less (58 minutes when compared to that of a long PFNA (87 minutes. Similarly intra-operative blood loss was significantly higher in the long PFNA group as compared to the short PFNA. Conclusions: A relatively quicker surgical time of just under an hour , lesser blood loss and better learning curve with trainee surgeons make short PFNA a better implant choice in the treatment of pertrochanteric fractures.

  9. Status of the HTR 500 design program

    International Nuclear Information System (INIS)

    Baust, E.; Arndt, E.

    1987-01-01

    Since 1982 BBC/HRB have offered the HTR 500 as the follow-on project of the THTR 300, the first large pebble bed reactor. The technical concept of the HTR-500 largely corresponds to the THTR 300 which has been in operation for almost 2 years now. In developing the design concept of the HTR 500 the ideas and demands of the reactor users in the FRG interested in the HTR have been taken into consideration to a large extent. In 1982 these potential users formed a working group 'Arbeitsgemeinschaft Hochtemperaturreaktor' (AHR), representing 16 power indusry companies and in early 1983, awarded a contract to HRB to perform a conceptual design study on the HTR 500. Within this conceptual design study BBC/HRB developed the safety concept of the HTR 500, prepared a detailed description of the overall power plant, and performed a cost calculation. These activities were completed in 1984. Based on the positive results of this conceptual design study, BBC/HRB are expecting to be granted a design contract by the users company Hochtemperaturreaktor GmbH (HRG) to establish the final complete design plans and documents for the HTR 500. (author)

  10. Consensus Guidelines for Therapeutic Drug Monitoring in Neuropsychopharmacology: Update 2017.

    Science.gov (United States)

    Hiemke, C; Bergemann, N; Clement, H W; Conca, A; Deckert, J; Domschke, K; Eckermann, G; Egberts, K; Gerlach, M; Greiner, C; Gründer, G; Haen, E; Havemann-Reinecke, U; Hefner, G; Helmer, R; Janssen, G; Jaquenoud, E; Laux, G; Messer, T; Mössner, R; Müller, M J; Paulzen, M; Pfuhlmann, B; Riederer, P; Saria, A; Schoppek, B; Schoretsanitis, G; Schwarz, M; Gracia, M Silva; Stegmann, B; Steimer, W; Stingl, J C; Uhr, M; Ulrich, S; Unterecker, S; Waschgler, R; Zernig, G; Zurek, G; Baumann, P

    2018-01-01

    Therapeutic drug monitoring (TDM) is the quantification and interpretation of drug concentrations in blood to optimize pharmacotherapy. It considers the interindividual variability of pharmacokinetics and thus enables personalized pharmacotherapy. In psychiatry and neurology, patient populations that may particularly benefit from TDM are children and adolescents, pregnant women, elderly patients, individuals with intellectual disabilities, patients with substance abuse disorders, forensic psychiatric patients or patients with known or suspected pharmacokinetic abnormalities. Non-response at therapeutic doses, uncertain drug adherence, suboptimal tolerability, or pharmacokinetic drug-drug interactions are typical indications for TDM. However, the potential benefits of TDM to optimize pharmacotherapy can only be obtained if the method is adequately integrated in the clinical treatment process. To supply treating physicians and laboratories with valid information on TDM, the TDM task force of the Arbeitsgemeinschaft für Neuropsychopharmakologie und Pharmakopsychiatrie (AGNP) issued their first guidelines for TDM in psychiatry in 2004. After an update in 2011, it was time for the next update. Following the new guidelines holds the potential to improve neuropsychopharmacotherapy, accelerate the recovery of many patients, and reduce health care costs. © Georg Thieme Verlag KG Stuttgart · New York.

  11. TDM in psychiatry and neurology: A comprehensive summary of the consensus guidelines for therapeutic drug monitoring in neuropsychopharmacology, update 2017; a tool for clinicians.

    Science.gov (United States)

    Schoretsanitis, Georgios; Paulzen, Michael; Unterecker, Stefan; Schwarz, Markus; Conca, Andreas; Zernig, Gerald; Gründer, Gerhard; Haen, Ekkerhard; Baumann, Pierre; Bergemann, Niels; Clement, Hans Willi; Domschke, Katharina; Eckermann, Gabriel; Egberts, Karin; Gerlach, Manfred; Greiner, Christine; Havemann-Reinecke, Ursula; Hefner, Gudrun; Helmer, Renate; Janssen, Ger; Jaquenoud-Sirot, Eveline; Laux, Gerd; Messer, Thomas; Mössner, Rainald; Müller, Matthias J; Pfuhlmann, Bruno; Riederer, Peter; Saria, Alois; Schoppek, Bernd; Silva Gracia, Margarete; Stegmann, Benedikt; Steimer, Werner; Stingl, Julia C; Uhr, Manfred; Ulrich, Sven; Waschgler, Roland; Zurek, Gabriela; Hiemke, Christoph

    2018-04-01

    Therapeutic drug monitoring (TDM) combines the quantification of drug concentrations in blood, pharmacological interpretation and treatment guidance. TDM introduces a precision medicine tool in times of increasing awareness of the need for personalized treatment. In neurology and psychiatry, TDM can guide pharmacotherapy for patient subgroups such as children, adolescents, pregnant women, elderly patients, patients with intellectual disabilities, patients with substance use disorders, individuals with pharmacokinetic peculiarities and forensic patients. Clear indications for TDM include lack of clinical response in the therapeutic dose range, assessment of drug adherence, tolerability issues and drug-drug interactions. Based upon existing literature, recommended therapeutic reference ranges, laboratory alert levels, and levels of recommendation to use TDM for dosage optimization without specific indications, conversion factors, factors for calculation of dose-related drug concentrations and metabolite-to-parent ratios were calculated. This summary of the updated consensus guidelines by the TDM task force of the Arbeitsgemeinschaft für Neuropsychopharmakologie und Pharmakopsychiatrie offers the practical and theoretical knowledge for the integration of TDM as part of pharmacotherapy with neuropsychiatric agents into clinical routine. The present guidelines for TDM application for neuropsychiatric agents aim to assist clinicians in enhancing safety and efficacy of treatment.

  12. 63000 new jobs thanks to renewable energy in Switzerland; Dreiundsechzigtausend Arbeitsplaetze dank erneuerbaren Energien

    Energy Technology Data Exchange (ETDEWEB)

    Stricker, B

    1999-07-01

    This is a short report on the recent study by the Wuppertaler Institute (Executive Director: Prof. Dr. Ernst U. von Weizsaecker) under a mandate from the Swiss Working Group 'Solar 91' with the support of the Swiss Federal Office of Energy. The conclusion is that energy efficiency and a broad market penetration of renewable energy sources would reduce unemployment in Switzerland by a factor of 2 and create at least 63,000 new jobs. Background for the publication of this report at the end of August 1999 was the Swiss parliament debate on new energy tax regulations to be submitted to the poles in the course of 2000. The two houses of the parliament had different opinions on the matter. [German] Eine Studie des Wuppertaler Institutes (unter der Leitung von Prof. Dr. Ernst U. von Weizsaecker) im Auftrag der Schweizerischen Arbeitsgemeinschaft 'Solar 91' und vom Bundesamt fuer Energie finanziell unterstuetzt, kommt zum Schluss, dass Energieeffizienz und eine breite Einfuehrung der erneuerbaren Energien die Arbeitslosigkeit halbieren und mindestens 63,000 neue Arbeitsstellen schaffen wuerde. Hintergrund der Publikation dieser Studie Ende August 1999 war die Differenzbereinigung der Solar- und der Energie/Umweltinitiative im Parlament. (author)

  13. [Efficacy of a ketogenic diet in urological cancers patients : A systematic review].

    Science.gov (United States)

    Maisch, P; Gschwend, J E; Retz, M

    2018-03-01

    Beside the classical anticancer treatment tumor patients try to find proactive alternative therapies to fight their disease. Lifestyle changes such as introducing a ketogenic diet is one of the most popular among them. The German Association of Urological Oncology (AUO, Arbeitsgemeinschaft Urologische Onkologie) presents a systematic review investigating the evidence of ketogenic diet in cancer patients. A systematic literature research was conducted in the databases Medline, Livivo, and the Cochrane Library. Only clinical studies of tumor patients receiving chemotherapy while on a ketogenic diet were included. The assessment of the results was performed according to the predefined primary endpoints overall survival and progression-free survival and secondary endpoints quality of life and reduction of adverse effects induced by cytostatics. Nine studies met the inclusion criteria: eight prospective and one retrospective study case series respectively cohort-studies, with a total of 107 patients. Currently there is no evidence of a therapeutic effect of a ketogenic diet in patients with malignant tumors regarding the clinical outcome or quality of life. Based on the current data, a ketogenic diet can not be recommended to cancer patients because prospective, randomized trials are missing.

  14. Patterns of triangular fibrocartilage complex (TFCC) injury associated with severely dorsally displaced extra-articular distal radius fractures.

    Science.gov (United States)

    Scheer, Johan H; Adolfsson, Lars E

    2012-06-01

    The aim of the study was to examine triangular fibrocartilage (TFCC) injury patterns associated with unstable, extra-articular dorsally displaced distal radius fractures. Twenty adult patients with an Arbeitsgemeinschaft für Osteosynthesefragen (AO), type A2 or A3, distal radius fracture with an initial dorsal angulation greater than 20° were included. Nine had a tip fracture (distal to the base) of the ulnar styloid and 11 had no such fracture. They were all openly explored from an ulnopalmar approach and TFCC injuries were documented. Eleven patients also underwent arthroscopy and intra-articular pathology was recorded. All patients had TFCC lesions of varying severity, having an extensor carpi ulnaris subsheath avulsion in common. Eighteen out of 20 also displayed deep foveal radioulnar ligament lesions, with decreasingly dorsal fibres remaining. The extent of this foveal injury could not be appreciated by radiocarpal arthroscopy. Severe displacement of an extra-articular radius fracture suggests an ulnar-sided ligament injury to the TFCC. The observed lesions concur with findings in a previous cadaver study. The lesions follow a distinct pattern affecting both radioulnar as well as ulnocarpal stabilisers. Copyright © 2012 Elsevier Ltd. All rights reserved.

  15. The journal impact factor as a parameter for the evaluation of researchers and research El factor de impacto de las revistas como parámetro para la evaluacion de investigadores e investigaciones

    Directory of Open Access Journals (Sweden)

    K.-F. Kaltenborn

    2004-07-01

    Full Text Available The journal impact factor (IF, which is published annually by the Institute for Scientific Information® (USA, is meanwhile in widespread use as a scientometric parameter for the evaluation of research and researchers in Germany and other European countries. The present article subjects the IF to critical analysis. It first deals with processes of production, transfer, and use of medical knowledge, because the IF intervenes in these processes on account of its reflexivity. Secondary effects of the IF resulting from its reflexivity are discussed with the focus on the level of the author, the journal and the medical discipline as well as on social knowledge processes in society. In addition, the extent to which the IF is appropriate for evaluating the quality of a specific article, of a journal or of individual and collective research achievements is discussed. The present article calls for a research evaluation in accordance with the recommendations of the Deutsche Forschungsgemeinschaft (German Research Council, DFG and of the Arbeitsgemeinschaft der Wissenschaftlichen Medizini-schen Fachgesellschaften (Association of the Scientific Medical Societies, AWMF; and b for more intensive occupation with and organization of medical knowledge processes.El factor de impacto de las revistas (journal impact factor - IF, que publica anualmente el Institute for Scientific Information® (EE.UU., se emplea generalizadamente como parámetro cienciométrico para evaluar las investigaciones y a los investigadores en Alemania y otros países europeos. El presente artículo somete al IF a un análisis crítico. Primero trata de los procesos de producción, comunicación y empleo del conocimiento médico, pues el IF interviene en estos procesos en virtud de su reflexividad. Se exponen los efectos secundarios del IF, que surgen de esta reflexividad, centrándose en el nivel del autor, de la revista y de la disciplina médica, así como en los procesos de conocimiento

  16. [Prognosis improvements in children with acute myelocytic leucemia after more intensive induction therapy (author's transl)].

    Science.gov (United States)

    Scheer, U; Schellong, G; Riehm, H

    1979-03-01

    Between October 1974 and October 1978 23 children with acute myelocytic leucemia (AML) received intensive therapy in the Univ.-Kinderklinik Münster: 4 children were treated according to the ALGB-protocol consisting of 5-7 day courses of ARA-C-infusion and 3 DNR-injections. 19 patients received the West-Berlin-protocol: The first 7 the original ALL protocol, 11 the modified form of AML, which will be presented here as AML-therapy-study BFM 78. 4 of the 23 patients died with early acute cerebral bleeding. 2 patients were nonresponders. 17 children went into remission. One girl died in remission of septicemic aspergillosis. 4 children had a relapse. In November 1978 there were still 12 patients in continuous complete remission, 3 of them already without therapy. 13 of the 19 patients, who were treated with the West-Berlin-protocol went into remission. 1 had a relapse. At present there are 11 patients in continuous complete remission. The above results and those found in the literature could signify that the long term prognosis of children with AML will be improved. To coordinate efforts toward this goal a cooperative AML-therapy-study in the "Deutsche Arbeitsgemeinschaft für Leukämieforschung" (BFM-group) using the here presented therapy protocol was formed in November 1978.

  17. [Physiotherapy and physical therapies for fibromyalgia syndrome. Systematic review, meta-analysis and guideline].

    Science.gov (United States)

    Winkelmann, A; Häuser, W; Friedel, E; Moog-Egan, M; Seeger, D; Settan, M; Weiss, T; Schiltenwolf, M

    2012-06-01

    The scheduled update to the German S3 guidelines on fibromyalgia syndrome (FMS) by the Association of the Scientific Medical Societies ("Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften", AWMF; registration number 041/004) was planned starting in March 2011. The development of the guidelines was coordinated by the German Interdisciplinary Association for Pain Therapy ("Deutsche Interdisziplinären Vereinigung für Schmerztherapie", DIVS), 9 scientific medical societies and 2 patient self-help organizations. Eight working groups with a total of 50 members were evenly balanced in terms of gender, medical field, potential conflicts of interest and hierarchical position in the medical and scientific fields. Literature searches were performed using the Medline, PsycInfo, Scopus and Cochrane Library databases (until December 2010). The grading of the strength of the evidence followed the scheme of the Oxford Centre for Evidence-Based Medicine. The formulation and grading of recommendations was accomplished using a multi-step, formal consensus process. The guidelines were reviewed by the boards of the participating scientific medical societies. Low-to-moderate intensity aerobic exercise and strength training are strongly recommended. Chiropractic, laser therapy, magnetic field therapy, massage and transcranial current stimulation are not recommended. The English full-text version of this article is available at SpringerLink (under "Supplemental").

  18. Simulation in Quality Management – An Approach to Improve Inspection Planning

    Directory of Open Access Journals (Sweden)

    H.-A. Crostack

    2005-01-01

    Full Text Available Production is a multi-step process involving many different articles produced in different jobs by various machining stations. Quality inspection has to be integrated in the production sequence in order to ensure the conformance of the products. The interactions between manufacturing processes and inspections are very complex since three aspects (quality, cost, and time should all be considered at the same time while determining the suitable inspection strategy. Therefore, a simulation approach was introduced to solve this problem.The simulator called QUINTE [the QUINTE simulator has been developed at the University of Dortmund in the course of two research projects funded by the German Federal Ministry of Economics and Labour (BMWA: Bundesministerium für Wirtschaft und Arbeit, the Arbeitsgemeinschaft industrieller Forschungsvereinigungen (AiF, Cologne/Germany and the Forschungsgemeinschaft Qualität, Frankfurt a.M./Germany] was developed to simulate the machining as well as the inspection. It can be used to investigate and evaluate the inspection strategies in manufacturing processes. The investigation into the application of QUINTE simulator in industry was carried out at two pilot companies. The results show the validity of this simulator. An attempt to run QUINTE in a user-friendly environment, i.e., the commercial simulation software – Arena® is also described in this paper.NOTATION: QUINTE Qualität in der Teilefertigung  (Quality in  the manufacturing process  

  19. Energy research and energy technology

    International Nuclear Information System (INIS)

    Anon.

    1991-01-01

    Research and development in the field of energy technologies was and still is a rational necessity of our time. However, the current point of main effort has shifted from security of supply to environmental compatibility and safety of the technological processes used. Nuclear fusion is not expected to provide an extension of currently available energy resources until the middle of the next century. Its technological translation will be measured by the same conditions and issues of political acceptance that are relevant to nuclear technology today. Approaches in the major research establishments to studies of regenerative energy systems as elements of modern energy management have led to research and development programs on solar and hydrogen technologies as well as energy storage. The percentage these systems might achieve in a secured energy supply of European national economies is controversial yet today. In the future, the Arbeitsgemeinschaft Grossforschungseinrichtungen (AGF) (Cooperative of Major Research Establishments) will predominantly focus on nuclear safety research and on areas of nuclear waste disposal, which will continue to be a national task even after a reorganization of cooperation in Europe. In addition, they will above all assume tasks of nuclear plant safety research within international cooperation programs based on government agreements, in order to maintain access for the Federal Republic of Germany to an advancing development of nuclear technology in a concurrent partnership with other countries. (orig./HSCH) [de

  20. [Interdisciplinary AWMF guideline for the diagnostics of primary immunodeficiency].

    Science.gov (United States)

    Farmand, S; Baumann, U; von Bernuth, H; Borte, M; Foerster-Waldl, E; Franke, K; Habermehl, P; Kapaun, P; Klock, G; Liese, J; Marks, R; Müller, R; Nebe, T; Niehues, T; Schuster, V; Warnatz, K; Witte, T; Ehl, S; Schulze, I

    2011-11-01

    Primary immunodeficiencies are potentially life-threatening diseases. Over the last years, the clinical phenotype and the molecular basis of an increasing number of immunological defects have been characterized. However, in daily practice primary immunodeficiencies are still often diagnosed too late. Considering that an early diagnosis may reduce morbidity and mortality of affected patients, an interdisciplinary guideline for the diagnosis of primary immunodeficiencies was developed on behalf of the Arbeitsgemeinschaft Pädiatrische Immunologie (API) and the Deutsche Gesellschaft für Immunologie (DGfI). The guideline is based on expert opinion and on knowledge from other guidelines and recommendations from Germany and other countries, supplemented by data from studies that support the postulated key messages (level of evidence III). With the contribution of 20 representatives, belonging to 14 different medical societies and associations, a consensus-based guideline with a representative group of developers and a structured consensus process was created (S2k). Under the moderation of a representative of the Association of the Scientific Medical Societies in Germany (AWMF) the nominal group process took place in April 2011. The postulated key messages were discussed and voted on following a structured consensus procedure. In particular, modified warning signs for primary immunodeficiencies were formulated and immunological emergency situations were defined. © Georg Thieme Verlag KG Stuttgart · New York.

  1. Use and outcome of radial versus femoral approach for primary PCI in patients with acute ST elevation myocardial infarction without cardiogenic shock: results from the ALKK PCI registry.

    Science.gov (United States)

    Bauer, Timm; Hochadel, Matthias; Brachmann, Johannes; Schächinger, Volker; Boekstegers, Peter; Zrenner, Bernhard; Zahn, Ralf; Zeymer, Uwe

    2015-10-01

    This study sought to compare the use and outcome of radial versus femoral access in patients treated with primary percutaneous coronary intervention (PCI) for acute ST elevation myocardial infarction (STEMI) in clinical practice. The radial approach for PCI in patients with STEMI has been suggested to have a lower rate of complications and bleeding and to improve prognosis compared with the femoral approach. However, there still is a large regional and national variation in its use. Between 2008 and 2012 a total of 17,865 patients with STEMI without cardiogenic shock undergoing primary PCI were prospectively enrolled in the observational German PCI registry of the Arbeitsgemeinschaft leitende kardiologische Krankenhausärzte (ALKK). Transfemoral (TF) access was used in 15,270 (85.5%), transradial (TR) access in 2,530 (14.2%), and other access in 65 (0.3%) patients. In this analysis, 10,264 patients from 20 centers that had performed at least 5 TR-PCI for STEMI were included. This study compared TR-PCI (n = 2,454 23.9%) with TF-PCI (n = 7,810, 76.1%). Procedural success was high in both cohorts. Hospital mortality (1.8 vs. 5.1%, P PCI can be performed with excellent procedural success in selected STEMI patients and is associated with a lower rate of vascular access complications and hospital mortality. © 2015 Wiley Periodicals, Inc.

  2. Recuperative dual fuel bruner with low NO{sub x} emissions

    Energy Technology Data Exchange (ETDEWEB)

    Munko, A.; Kleine Jaeger, F.; Koehne, H. [RWTH Aachen (Germany). Energie- und Stofftransport

    2003-07-01

    In a current research project of the Arbeitsgemeinschaft Industrieller Forschungsvereinigungen e.V. (AIF) (a German research association) a new dual fuel burner for radiant tubes is being developed at the Department tof Heat and Mass Transfer (EST, RWTH Aachen University). As combustible gas (natural gas type H / Erdgas H) and fuel oil (Heizoel Extra Leicht) are used. These research activities represent the further development of the radiant tube oil burner that was developed on behalf of the AIF and in cooperation with the Forschungsgemeinschaft Industrieofenbau (FOGI e.V.) (AIF project 12345B). The radiant tube burner was designed for the furnace temperature 1000 C can the firing rate 20 to 40 kW. Due to the vaporization of the fuel oil and the homogeneous fuel mixing with a flue gas flow, at the furnace temperature 1000 C and preheated air temperature 850 C NO{sub x}-emissions below 200 mg/m{sup 3} (5% O{sub 2}, Heizoel Extra Leicht) are reached. Using gas (natural gas type H) the burner tests indicate a high NO{sub x}-reduction potential - in gas operation at a lab furnace (furnace temperature 700 C) NO{sub x}-emissions below 40 mg/m{sup 3} result. The future works within the project are the construction of a dual-fuel mixing-device for the alternative use of liquid and gaseous fuel as well as further burner operation tests at furnace temperature 1000 C. (orig.)

  3. Is a diagnostic CT of the brain indicated in patients with choroidal metastases before radiotherapy?

    International Nuclear Information System (INIS)

    Bottke, D.; Wiegel, T.; Hoecht, S.; Hinkelbein, W.; Kreusel, K.M.

    2005-01-01

    Background and purpose: there is no evidence in the literature about the incidence of synchronous brain metastases in patients with choroidal metastases. This is of major importance, because the radiation fields of choroidal metastases and, later on, brain metastases, if treated consecutively, are partly overlapping, thus potentially increasing the rate of late side effects such as brain necrosis. The goal of this study was to determine the frequency of synchronous brain metastases. Patients and methods: 50 patients with choroidal metastases were enrolled into a study of the ''Arbeitsgemeinschaft Radiologische Onkologie'' of the German Cancer Society (ARO 95-08) with standardized 40 Gy radiotherapy, 2 Gy single dose. All patients were staged before treatment with a computed tomography of the brain (CCT). No patient showed clinical signs of brain metastases. Results: 13 out of 50 patients (26%) had brain metastases in the CCT leading to radiotherapy of the brain and choroidal metastases in one volume. Conclusion: a CCT is indicated at the diagnosis of choroidal metastases for screening of synchronous brain metastases. The incidence is about 25%, and the diagnosis of brain metastases results in a different target volume: the whole brain including the posterior parts of the eyes compared to the posterior parts of the eyes alone. Therefore, the risk of late side effects could be reduced compared with an additional later radiotherapy of the whole brain with partly overlapping fields. (orig.)

  4. Clinical use of AO three-dimensionally preformed titanium mesh plates for orbital fractures

    Directory of Open Access Journals (Sweden)

    Ming Chen

    2015-01-01

    Full Text Available AIM:To evaluate the accuracy and practicability of three-dimensionally preformed Arbeitsgemeinschaft Osteosynthese AO titanium mesh plates for orbital fractures.METHODS:Forty-seven patients with isolated blow-out orbital fractures were included in this study. Fracture locations were as follows: floor/medial wall(n=26, 55%, medial wall(n=12, 26%, and floor(n=9, 19%. The floor fractures were exposed by a standard transconjunctival approach, whereas a combined transcaruncular transconjunctival approach was used in patients with medial wall fractures with temporary dissection of inferior oblique muscle. A three-dimensionally preformed AO titanium mesh plate was selected according to the size of the defect previously measured on the preoperative computed tomographic scan examination and fixed at the inferior orbital rim with 2 screws. The accuracy of plate positioning of the reconstructed orbit was assessed on the postoperative computed tomography(CTscan. The practicability of clinical use of AO three-dimensionally preformed titanium mesh plates was assessed on the preoperative and postoperative clinical data.RESULTS: Postoperative orbital CT scan showed an anatomic three-dimensional placement of the orbital mesh plates in all of the patients. All patients had a successful treatment outcome without clinical complications. 40 patients(87%had a successful enophthalmos correction. 25 patients(86%had a successful recovery from diplopia.CONCLUSION: Three-dimensionally preformed AO titanium mesh plates for orbital fracture reconstruction results in an accurate anatomic restoration of the bony orbital contour with a high rate of success to correctenophthalmos and diplopia.

  5. Medizinbibliotheken – Konstant im Wandel. Jahrestagung der Arbeitsgemeinschaft für Medizinisches Bibliothekswesen (AGMB e.V. vom 16. bis 18. September 2013 in Berlin

    Directory of Open Access Journals (Sweden)

    Semmler-Schmetz, Martina

    2013-12-01

    Full Text Available [english] The Annual Meeting 2013 of the German MLA (AGMB e.V. took place from September 16 to 18 at the Charité – Universitätsmedizin Berlin. The conference was hosted by the Medical Library of the Charité.The main topics dealt with included evidence-based medicine and the role of librarians in the transfer of knowledge from research into practice, library services to support researchers in the publishing process, open access publishing, the role of libraries in research data management, pioneering models for the supply of digital natives with e-learning materials, as well as the requirements and tools of quality management in academic libraries. Work groups, meeting points and short presentations provided the participants with additional opportunities to gather information on current topics and to exchange their experiences. The programme was completed by a panel discussion on e-books, a workshop on systematic literature searching, an exhibition featuring the participating companies’ products and services, product reviews, a poster session and the prize giving event of the 2013 AGMB competition “Leuchttürme in Medizinbibliotheken”.

  6. Building a National Framework for Adolescent and Young Adult Hematology and Oncology and Transition from Pediatric to Adult Care: Report of the Inaugural Meeting of the "AjET" Working Group of the German Society for Pediatric Oncology and Hematology.

    Science.gov (United States)

    Escherich, Gabriele; Bielack, Stefan; Maier, Stephan; Braungart, Ralf; Brümmendorf, Tim H; Freund, Mathias; Grosse, Regine; Hoferer, Anette; Kampschulte, Rebecca; Koch, Barbara; Lauten, Melchior; Milani, Valeria; Ross, Henning; Schilling, Freimut; Wöhrle, Dieter; Cario, Holger; Dirksen, Uta

    2017-06-01

    Adolescents and young adults (AYAs) with hemato-oncological problems constitute a heterogenous group with characteristic particularities, specific needs, and age-related clinical and unique psychosocial features. Strong collaboration between pediatric and adult hemato-oncology settings is essential to address their needs appropriately. This is not only true for patients who first become ill during adolescence or young adulthood, but equally so for people who contract hemato-oncological diseases congenitally or as younger children and who are now becoming old enough to leave the pediatric setting and have to transit into "adult" medical care. Efforts to create environments that meet the specific needs of the AYA population affected by hemato-oncological diseases have been initiated in many countries. Due to international variations between societies in general and healthcare infrastructures in particular, the challenges posed to creating such environments vary considerably from country to country. Aiming at addressing these on a national basis for Germany, a dedicated Working Group on Adolescents, Young Adults, and Transition (Arbeitsgemeinschaft Adoleszenten, junge Erwachsene, Transition, AjET) was established. This meeting report depicts the content and discussions of the first interdisciplinary conference on treatment, transition, and long-term follow-up in AYAs with cancer or chronic/inborn hematological diseases. The AjET group of the German Society for Pediatric Oncology and Hematology (GPOH) intends to increase the national awareness for AYAs; strengthen the collaboration of pediatric and adult care givers; and initiate, promote, and coordinate collaborative activities in the fields of basic and translational research, clinical care, and long-term follow-up aimed at improving the current situation.

  7. S1 guideline on occupational skin products: protective creams, skin cleansers, skin care products (ICD 10: L23, L24)--short version.

    Science.gov (United States)

    Fartasch, Manigé; Diepgen, Thomas L; Drexler, Hans; Elsner, Peter; John, Swen Malte; Schliemann, Sibylle

    2015-06-01

    Job-related hand dermatitis heads up the list of reported occupational diseases. So-called skin products - understood to mean protective creams, skin cleansers and skin care products - are used for the primary and secondary prevention of job- related hand dermatitis. In the interests of evidence-based medicine, the only preventive measures and/or occupational skin products that should be used are those whose potential uses and efficacy are underpinned by scientific research. To this end, the Arbeitsgemeinschaft für Berufs- und Umweltdermatologie e.V. (Working Group for Occupational and Environmental Dermatology, ABD) of the DDG (German Dermatological Society) and the Deutsche Gesellschaft für Arbeits- und Umweltmedizin (German Society for Occupational and Environmental Medicine, DGAUM) have summed up the latest scientific findings and recommendations in the updated guideline. The benefit of the combined application of protective creams and skin care products in the primary and secondary prevention of work-related contact dermatitis has been widely confirmed by recent clinical-epidemiological studies. The guideline clearly explains the necessity of demonstrating the efficacy of protective creams and cleansing products by means of in vivo methods in the sense of repetitive applications. Transferable standardised testing systems designed to examine the irritation potential and thus the compatibility of occupational skin cleansers and the reduction of irritation by protective skin creams have now been developed and validated by multicentre studies for skin protection creams and cleansers. The status of the current assessment of the safety of occupational skin products is also summarised. © 2015 The Authors | Journal compilation © Blackwell Verlag GmbH, Berlin.

  8. Incidence of tendon entrapment and dislocation with calcaneus and pilon fractures on CT examination

    Energy Technology Data Exchange (ETDEWEB)

    Tresley, Jonathan [Jackson Memorial Hospital, Department of Diagnostic Radiology, Miami, FL (United States); University of Wisconsin-Madison, Department of Radiology, Madison, WI (United States); Subhawong, Ty K.; Singer, Adam D.; Clifford, Paul D. [Jackson Memorial Hospital, Department of Diagnostic Radiology, Miami, FL (United States)

    2016-07-15

    To examine the association between tibial pilon and calcaneal fracture classification and tendon entrapment or dislocation. After institutional review board approval, we retrospectively reviewed consecutive CT scans with calcaneal or pilon fractures from 5 years at a level 1 trauma center. We categorized calcaneal fractures according to the Sanders classification, and pilon fractures according to the Ruedi and Allgower and the Arbeitsgemeinschaft fuer Osteosynthesefragen-Orthopaedic Trauma Association (AO-OTA) classifications. Ankle tendons were assessed for dislocation or entrapment. Fisher's exact test was used for statistical analysis with significance at p < 0.05. A total of 312 fractures (91 pilon only, 193 calcaneal only, and 14 ankles with ipsilateral pilon and calcaneal fractures) were identified in 273 patients. Twenty-two pilon, 42 calcaneal, and nine combination fractures were associated with 99 occurrences of tendon entrapment or superior peroneal retinacular injury. Such findings were associated with multiple fractures (p = 0.002). Multifragmentary pilon fractures were associated with posterior tibial and flexor digitorum longus tendon entrapment (p < 0.0001 and p = 0.0003 for Ruedi/Allgower and AO-OTA, respectively), and multifragmentary Sanders type 3 or 4 calcaneal fractures were associated with superior peroneal retinacular injury (p = 0.0473) compared to simple fracture patterns. Thirty-nine percent of tendon entrapments or retinacular injuries were prospectively identified, 85 % by musculoskeletal radiologists (p < 0.0001). Approximately 25 % of calcaneal and pilon fractures were retrospectively identified to contain posteromedial tendon entrapment or superior peroneal retinacular injury. Radiologists should meticulously search for such injuries, particularly when analyzing multifragmentary and multiple fractures. (orig.)

  9. Limited open reduction is better for simple- distal tibial shaft fractures than minimally invasive plate osteosynthesis.

    Science.gov (United States)

    Li, Q; Zeng, B F; Luo, C F; Song, S; Zhang, C Q; Kong, W Q

    2014-07-24

    The aim of this study was to compare the effects and indications of minimally invasive plate osteosynthesis (MIPO) and limited open reduction (LOR) for managing distal tibial shaft fractures. A total of 79 cases of distal tibial shaft fractures were treated surgically in our trauma center. The 79 fracture cases were classified into type A, B, and C (C1) according to the Arbeitsgemeinschaft für Osteosynthesefragen (AO) classification, with 28, 32, and 19 cases, respectively. Among the 79 fracture cases, 52 were closed fractures and 27 were open fractures (GUSTILO, I-II). After adequate preparation, 48 cases were treated with LOR and 31 cases were treated with MIPO. All cases were followed up for 12 to 18 months, with an average of 16.4 months. During the follow-up period, 76 fracture cases were healed in the first stage, whereas the 3 cases that developed non-union were treated by changing the fixation device and autografting. For types A, B, and some of C simple fractures (C1), LOR accelerated the fracture healing and lowered the non-union rate. One case suffered from regional soft tissue infection, which was controlled by wound dressing and intravenous antibiotics. Another case that developed local skin necrosis underwent local flap transplant. LOR promoted bone healing and lowered the non-union rate of several simple-distal tibial shaft fractures. Thereafter, the incidence of soft tissue complication was not significantly increased. However, for complex and comminuted fractures, MIPO was the preferred method for correcting bone alignment and protecting soft tissue, leading to functional recovery.

  10. Gynecologic oncologists' attitudes and practices relating to integrative medicine: results of a nationwide AGO survey.

    Science.gov (United States)

    Klein, Evelyn; Beckmann, Matthias W; Bader, Werner; Brucker, Cosima; Dobos, Gustav; Fischer, Dorothea; Hanf, Volker; Hasenburg, Annette; Jud, Sebastian M; Kalder, Matthias; Kiechle, Marion; Kümmel, Sherko; Müller, Andreas; Müller, Myrjam-Alice T; Paepke, Daniela; Rotmann, Andre-Robert; Schütz, Florian; Scharl, Anton; Voiss, Petra; Wallwiener, Markus; Witt, Claudia; Hack, Carolin C

    2017-08-01

    The growing popularity and acceptance of integrative medicine is evident both among patients and among the oncologists treating them. As little data are available regarding health-care professionals' knowledge, attitudes, and practices relating to the topic, a nationwide online survey was designed. Over a period of 11 weeks (from July 15 to September 30, 2014) a self-administered, 17-item online survey was sent to all 676 members of the Research Group on Gynecological Oncology (Arbeitsgemeinschaft Gynäkologische Onkologie) in the German Cancer Society. The questionnaire items addressed the use of integrative therapy methods, fields of indications for them, advice services provided, level of specific qualifications, and other topics. Of the 104 respondents (15.4%) using integrative medicine, 93% reported that integrative therapy was offered to breast cancer patients. The second most frequent type of tumor in connection with which integrative therapy methods were recommended was ovarian cancer, at 80% of the participants using integrative medicine. Exercise, nutritional therapy, dietary supplements, herbal medicines, and acupuncture were the methods the patients were most commonly advised to use. There is considerable interest in integrative medicine among gynecological oncologists, but integrative therapy approaches are at present poorly implemented in routine clinical work. Furthermore there is a lack of specific training. Whether future efforts should focus on extending counseling services on integrative medicine approaches in gynecologic oncology or not, have to be discussed. Evidence-based training on integrative medicine should be implemented in order to safely guide patients in their wish to do something by themselves.

  11. The Role of Minimally Invasive Plate Osteosynthesis in Rib Fixation: A Review

    Directory of Open Access Journals (Sweden)

    Michael Bemelman

    2016-02-01

    Full Text Available More than a century ago, the first scientific report was published about fracture fixation with plates. During the 1950’s, open reduction and plate fixation for fractures were standardized by the founders of Arbeitsgemeinschaft für osteosynthesefragen/Association for the Study of Internal Fixation. Since the introduction of plate fixation for fractures, several plates and screws have been developed, all with their own characteristics. To accomplice more fracture stability, it was thought the bigger the plate, the better. The counter side was a compromised blood supply of the bone, often resulting in bone necrosis and ultimately delayed or non-union. With the search and development of new materials and techniques for fracture fixation, less invasive procedures have become increasingly popular. This resulted in the minimally invasive plate osteosynthesis (MIPO technique for fracture fixation. With the MIPO technique, procedures could be performed with smaller incisions and thus with less soft tissue damage and a better preserved blood supply. The last 5 years rib fixation has become increasingly popular, rising evidence has becomeavailable suggesting that surgical rib fixation improves outcome of patients with a flail chest or isolated rib fractures. Many surgical approaches for rib fixation have been described in the old literature, however, most of these techniques are obscure nowadays. Currently mostly large incisions with considerable surgical insult are used to stabilize rib fractures. We think that MIPO deserves a place in the surgical treatment of rib fractures. We present the aspects of diagnosis, preoperative planning and operative techniques in regard to MIPO rib fixation.

  12. The Role of Minimally Invasive Plate Osteosynthesis in Rib Fixation: A Review

    Science.gov (United States)

    Bemelman, Michael; van Baal, Mark; Yuan, Jian Zhang; Leenen, Luke

    2016-01-01

    More than a century ago, the first scientific report was published about fracture fixation with plates. During the 1950’s, open reduction and plate fixation for fractures were standardized by the founders of Arbeitsgemeinschaft für osteosynthesefragen/Association for the Study of Internal Fixation. Since the introduction of plate fixation for fractures, several plates and screws have been developed, all with their own characteristics. To accomplice more fracture stability, it was thought the bigger the plate, the better. The counter side was a compromised blood supply of the bone, often resulting in bone necrosis and ultimately delayed or non-union. With the search and development of new materials and techniques for fracture fixation, less invasive procedures have become increasingly popular. This resulted in the minimally invasive plate osteosynthesis (MIPO) technique for fracture fixation. With the MIPO technique, procedures could be performed with smaller incisions and thus with less soft tissue damage and a better preserved blood supply. The last 5 years rib fixation has become increasingly popular, rising evidence has become available suggesting that surgical rib fixation improves outcome of patients with a flail chest or isolated rib fractures. Many surgical approaches for rib fixation have been described in the old literature, however, most of these techniques are obscure nowadays. Currently mostly large incisions with considerable surgical insult are used to stabilize rib fractures. We think that MIPO deserves a place in the surgical treatment of rib fractures. We present the aspects of diagnosis, preoperative planning and operative techniques in regard to MIPO rib fixation. PMID:26889439

  13. Is intramedullary nailing applicable for distal tibial fractures with ankle joint extension?

    Science.gov (United States)

    Beytemür, Ozan; Albay, Cem; Adanır, Oktay; Yüksel, Serdar; Güleç, Mehmet Akif

    2016-12-01

    This study aims to evaluate the functional and radiographic results and treatment complications of AO/OTA (Arbeitsgemeinschaft fur Osteosynthesefragen/Orthopaedic Trauma Association) type 43C1 and C2 fractures treated with intramedullary nailing. We retrospectively evaluated 35 AO/OTA type 43C1 and C2 patients (26 males, 9 females; mean age 39.8±16.9 years; range 19 to 82 years) treated with intramedullary nailing. Two interfragmentary screws out of nail were applied in 10 patients (29%), while one interfragmentary screw out of nail was applied in 17 patients (49%). Intramedullary nailing was applied in eight patients (23%) without external screws. Fracture union, union time, alignment problems, and complications were evaluated. Clinical evaluation of patients was conducted using the Olerud and Molander score and by measuring the ankle joint range of motion. Union was achieved in all 35 patients. Mean union time was 16.5±2.8 weeks (range 12 to 24 weeks) and mean Olerud and Molander score was 88±8.24. Varus deformity was detected in one patient, valgus deformity was detected in two patients, and rotation deformity was detected in one patient. Superficial infection was detected in three patients (9%). Deep infection was not detected in any patient. Intramedullary nailing is not contraindicated for simple intra-articular distal tibial fractures. In these fractures, intramedullary nailing performed in accordance with its technique, with an additional percutaneous screw if necessary, is a successful treatment option with high fracture union rates, high functional results, and low complication rates.

  14. Incidence of tendon entrapment and dislocation with calcaneus and pilon fractures on CT examination

    International Nuclear Information System (INIS)

    Tresley, Jonathan; Subhawong, Ty K.; Singer, Adam D.; Clifford, Paul D.

    2016-01-01

    To examine the association between tibial pilon and calcaneal fracture classification and tendon entrapment or dislocation. After institutional review board approval, we retrospectively reviewed consecutive CT scans with calcaneal or pilon fractures from 5 years at a level 1 trauma center. We categorized calcaneal fractures according to the Sanders classification, and pilon fractures according to the Ruedi and Allgower and the Arbeitsgemeinschaft fuer Osteosynthesefragen-Orthopaedic Trauma Association (AO-OTA) classifications. Ankle tendons were assessed for dislocation or entrapment. Fisher's exact test was used for statistical analysis with significance at p < 0.05. A total of 312 fractures (91 pilon only, 193 calcaneal only, and 14 ankles with ipsilateral pilon and calcaneal fractures) were identified in 273 patients. Twenty-two pilon, 42 calcaneal, and nine combination fractures were associated with 99 occurrences of tendon entrapment or superior peroneal retinacular injury. Such findings were associated with multiple fractures (p = 0.002). Multifragmentary pilon fractures were associated with posterior tibial and flexor digitorum longus tendon entrapment (p < 0.0001 and p = 0.0003 for Ruedi/Allgower and AO-OTA, respectively), and multifragmentary Sanders type 3 or 4 calcaneal fractures were associated with superior peroneal retinacular injury (p = 0.0473) compared to simple fracture patterns. Thirty-nine percent of tendon entrapments or retinacular injuries were prospectively identified, 85 % by musculoskeletal radiologists (p < 0.0001). Approximately 25 % of calcaneal and pilon fractures were retrospectively identified to contain posteromedial tendon entrapment or superior peroneal retinacular injury. Radiologists should meticulously search for such injuries, particularly when analyzing multifragmentary and multiple fractures. (orig.)

  15. Age-dependent differences in borderline ovarian tumours (BOT) regarding clinical characteristics and outcome: results from a sub-analysis of the Arbeitsgemeinschaft Gynaekologische Onkologie (AGO) ROBOT study.

    Science.gov (United States)

    Trillsch, F; Mahner, S; Woelber, L; Vettorazzi, E; Reuss, A; Ewald-Riegler, N; de Gregorio, N; Fotopoulou, C; Schmalfeldt, B; Burges, A; Hilpert, F; Fehm, T; Meier, W; Hillemanns, P; Hanker, L; Hasenburg, A; Strauss, H G; Hellriegel, M; Wimberger, P; Baumann, K; Keyver-Paik, M D; Canzler, U; Wollschlaeger, K; Forner, D; Pfisterer, J; Schroeder, W; Muenstedt, K; Richter, B; Kommoss, F; Hauptmann, S; du Bois, A

    2014-07-01

    Approximately one-third of all borderline ovarian tumours (BOT) are diagnosed in patients with child-bearing potential. Detailed information regarding their specific characteristics and prognostic factors is limited. Clinical parameters of BOT patients treated between 1998 and 2008 in 24 German centres were retrospectively investigated. Central pathology review and prospective follow-up were carried out. Patients BOT patients with a median age of 49.1 (14.1-91.5) years were analysed [280 patients BOT patients with child-bearing potential are at higher risk for disease recurrence. However, relapses usually remain BOT in the preserved ovaries as opposed to older patients being at higher risk for malignant transformation in peritoneal or distant localisation. Therefore, fertility-sparing approach can be justified for younger patients after thorough consultation. © The Author 2014. Published by Oxford University Press on behalf of the European Society for Medical Oncology. All rights reserved. For permissions, please email: journals.permissions@oup.com.

  16. [Complementary and alternative therapies for fibromyalgia syndrome. Systematic review, meta-analysis and guideline].

    Science.gov (United States)

    Langhorst, J; Häuser, W; Bernardy, K; Lucius, H; Settan, M; Winkelmann, A; Musial, F

    2012-06-01

    The scheduled update to the German S3 guidelines on fibromyalgia syndrome (FMS) by the Association of the Scientific Medical Societies ("Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften", AWMF; registration number 041/004) was planned starting in March 2011. The development of the guidelines was coordinated by the German Interdisciplinary Association for Pain Therapy ("Deutsche Interdisziplinären Vereinigung für Schmerztherapie", DIVS), 9 scientific medical societies and 2 patient self-help organizations. Eight working groups with a total of 50 members were evenly balanced in terms of gender, medical field, potential conflicts of interest and hierarchical position in the medical and scientific fields. Literature searches were performed using the Medline, PsycInfo, Scopus and Cochrane Library databases (until December 2010). The grading of the strength of the evidence followed the scheme of the Oxford Centre for Evidence-Based Medicine. The recommendations were based on level of evidence, efficacy (meta-analysis of the outcomes pain, sleep, fatigue and health-related quality of life), acceptability (total dropout rate), risks (adverse events) and applicability of treatment modalities in the German health care system. The formulation and grading of recommendations was accomplished using a multi-step, formal consensus process. The guidelines were reviewed by the boards of the participating scientific medical societies. Meditative movement therapies (qi gong, tai chi, yoga) are strongly recommended. Acupuncture can be considered. Mindfulness-based stress reduction as monotherapy and dance therapy as monotherapy are not recommended. Homeopathy is not recommended. In a minority vote, homeopathy was rated as "can be considered". Nutritional supplements and reiki are not recommended. The English full-text version of this article is available at SpringerLink (under "Supplemental").

  17. Detection of neurological deficits by computed tomography in sacral fracture patients

    International Nuclear Information System (INIS)

    Nakai, Daisuke; Numazaki, Shin; Katsumura, Tetsu; Tamaru, Tomohiko; Sugiyama, Mitsugi; Nakamura, Jun-ichiro; Saitoh, Tomoyuki

    2006-01-01

    The purpose of this study is to evaluate the correlation between sacral fractures and neurological deficits as complications. From November 2002 to February 2005, 12 patients (15 fractures) were found to have sacral fractures without other spinal injuries or brain injuries and were evaluated by plain CT scans immediately after trauma. This group included 6 males and 6 females, whose age ranged from 17 to 67 years with mean of 39.9±17.4. All patients were classified according to AO (Arbeitsgemeinschaft fuer Osteosynthesefragen) classification (pelvic ring fracture) and Denis's classification. Displacements of sacral fractures were evaluated by plain CT scans for all patients. We defined displacements using the key slice in CT scans that included the first foramen in the sacrum. Five cases, including 2 with bi-lateral sacral fractures, were complicated with neurological deficits. There was one case with a neurological deficit of 7 Type B fractures (14%) and 4 cases with neurological deficits of 5 Type C fractures (80%) in the AO classification. There were 6 fractures with neurological deficits of 12 Zone II fractures (50%) and one fracture with neurological deficits of one Zone III fractures (100%) in Denis's classification. There was a significant correlation between the extent in the displacement of the sacral fractures and neurological deficits. For more than 3 mm displacements in the medial or lateral or anterior directions, neurological deficits increased significantly. In emergency medicine, it is difficult to evaluate the neurological findings of patients with impaired consciousness. Our evaluation using CT scan is valuable as a predictor of neurological deficits and for an optimal reduction in sacral fractures in patients with in impaired consciousness. (author)

  18. Timing of Surgical Reduction and Stabilization of Talus Fracture-Dislocations.

    Science.gov (United States)

    Buckwalter V, Joseph A; Westermann, Robert; Mooers, Brian; Karam, Matthew; Wolf, Brian

    Talus fractures with associated dislocations are rare but have high rates of complications, including avascular necrosis (AVN). Management of these injuries involves urgent surgical reduction and fixation, although there are no definitive data defining an operative time frame for preserving the blood supply and preventing complications. To determine the effect of time to surgical reduction of talus fractures and talus fracture-dislocations on rates of AVN and posttraumatic osteoarthritis (PTOA), we retrospectively reviewed talus fractures surgically managed at a level I trauma center during the 10-year period 2003 to 2013. Operative reports were obtained and reviewed, and 3 independent reviewers, using the Hawkins and AO/OTA (Arbeitsgemeinschaft für Osteosynthesefragen/Orthopaedic Trauma Association) systems, classified the injuries on plain radiographs. Analysis of AO/OTA 81 fractures with associated tibiotalar, subtalar, or talonavicular dislocations was performed. Primary outcomes were presence of AVN/PTOA and subsequent arthrodesis of tibiotalar or subtalar joints. We identified 106 surgically managed talus fractures. Rates of AVN/PTOA were 41% for all talus fractures and 50% for talus fracture-dislocations. Mean time to surgical reduction was not significant for development of AVN/PTOA for all talus fractures (P = .45) or talus fracture-dislocations (P = .29). There was no difference in age (P = .20), body mass index (P = .45), or polytrauma (P = .79) between patients who developed AVN and those who did not. Open fractures were significantly correlated with the development of AVN/PTOA (P = .009). Talar fracture-dislocations are devastating injuries with high rates of complications. Our data suggest there is no effect of time from injury to surgical reduction of talus fractures or talus fracture-dislocations on rates of AVN and PTOA.

  19. Classification of intertrochanteric fractures with computed tomography: a study of intraobserver and interobserver variability and prognostic value.

    Science.gov (United States)

    Chapman, Cary B; Herrera, Mauricio F; Binenbaum, Gil; Schweppe, Michael; Staron, Ronald B; Feldman, Frieda; Rosenwasser, Melvin P

    2003-09-01

    The purpose of this prospective study was to determine the level of interobserver and intraobserver agreement among orthopedic surgeons and radiologists when computed tomography (CT) scans are used with plain radiographs to evaluate intertrochanteric fractures. In addition, the prognostic value of current classifications systems concerning quality of life was evaluated. Sixty-one patients who presented with intertrochanteric fractures received open reduction and internal fixation with compression hip screw. Three orthopedic surgeons and 2 radiologists independently classified the fractures according to 2 systems: Evans-Jensen and AO (Arbeitsgemeinschaft für Osteo-synthesefragen). Fractures were initially graded with plain radiographs and then again in conjunction with CT. Results were analyzed using the (kappa) kappa coefficient. The 36-item Short-Form Health Survey was administered at baseline, 3 months, and 1 year, and results were correlated with fracture grade. Mean kappa coefficients when comparing radiography alone with radiography and CT scan were 0.63 for the AO system and 0.59 for the Evans-Jensen system. Both represent "fair" agreements. Mean overall interobserver kappa coefficients were 0.67 for radiologists and 0.57 for orthopedic surgeons. Radiologists also had higher intraobserver kappa coefficients. No significant relationships were found between follow-up Short Form Health Survey results and intraoperative grading of fractures. When these classification schemes are compared, interobserver agreement does not appear to change dramatically when information from CT scans is added. This may suggest that (1) more data have been provided by CT with greater possibilities for misinterpretation and (2) these classification schemes may not be comprehensive in describing fracture pattern and displacement. Finally, both systems failed to provide any prognostic value.

  20. Erlotinib 150 mg daily plus chemotherapy in advanced pancreatic cancer: an interim safety analysis of a multicenter, randomized, cross-over phase III trial of the 'Arbeitsgemeinschaft Internistische Onkologie'.

    Science.gov (United States)

    Boeck, Stefan; Vehling-Kaiser, Ursula; Waldschmidt, Dirk; Kettner, Erika; Märten, Angela; Winkelmann, Cornelia; Klein, Stefan; Kojouharoff, Georgi; Gauler, Thomas; Fischer von Weikersthal, Ludwig; Clemens, Michael R; Geissler, Michael; Greten, Tim F; Hegewisch-Becker, Susanna; Neugebauer, Sascha; Heinemann, Volker

    2010-01-01

    To date, only limited toxicity data are available for the combination of erlotinib with either capecitabine or gemcitabine as front-line therapy for advanced pancreatic cancer. Within a randomized phase III trial, 281 treatment-naive patients were randomly assigned between capecitabine (2000 mg/m/day, for 14 days, once every 3 weeks) plus erlotinib (150 mg/day, arm A) and gemcitabine (1000 mg/m as a 30-min infusion) plus erlotinib (150 mg/day, arm B). In case of treatment failure, patients were crossed over to a second-line treatment with the comparator cytostatic drug without erlotinib. The primary study endpoint was the time to treatment failure of second-line therapy (TTF2). This interim analysis of toxicity contains safety data from the first 127 randomized patients. During first-line therapy, patients received a median number of three treatment cycles (range 0-13) in both the arms. Regarding chemotherapy, a treatment delay was observed in 12% of the cycles in arm A and in 22% of the cycles in arm B. Dose reductions of the cytostatic drug were performed in 18 and 27% of treatment cycles, respectively. Erlotinib dose reductions were performed in 6 and 11% of all cycles. Grade 3/4 hematological toxicity was arms; major grade 3/4 toxicities in arms A and B were diarrhea (9 vs. 7%), skin rash (4 vs. 12%), and hand-foot syndrome (7 vs. 0%). No treatment-related death was observed. In conclusion, this interim safety analysis suggests that treatment with erlotinib 150 mg/day is feasible in combination with capecitabine or gemcitabine.

  1. Working Group for Water Pollution Abatement in the Weser River. Weser water quality report 1999. Special measuring programme 1999; Arbeitsgemeinschaft zur Reinhaltung der Weser. Weserguetebericht 1999. Sondermessprogramm 1999

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2000-06-01

    The report provides the necessary background information required for understanding the measuring programme and its data and provides a parameter-specific discussion of the water quality on the basis of selected parameters. It addresses universities and public administrations but also interested laymen. The report shows inhowfar the goals defined in the 1989 programme for improving the water quality of the Weser river area have been reached: Reduction of water pollution of the Weser from hazardous substances; Reduction of nutrient pollution; Reduction of chloride pollution. The Weser water today is in quality range II of the biological water classification. This is a positive result. The chloride freight was reduced as well as pollution reduction measures were taken in the potassium mines of Thuringia. Further efforts are still required, however; they are defined in the new programme 'Aktionsprogramm Flussgebiet Weser 2000-2010' which already incorporates the specifications of the soon-to-be-issued EC water quality regulation. [German] Im Weserguetebericht werden die fuer das Verstaendnis notwendigen Hintergrundinformationen zu den Messprogrammen und den darin enthaltenen Kenngroessen ergeben und anhand von ausgewaehlten Darstellungen die Wasserqualitaet parameterspezifisch diskutiert. Die Art der Darstellung ist damit nicht nur auf den wissenschaftlich-technischen Bedarf von Fachdienststellen und Hochschulen ausgerichtet, sondern auch fuer den interessierten Leser nachvollziehbar. Darueber hinaus gibt der Guetebericht auch Auskunft, inwieweit die 1989 im Aktionsprogramm Weser formulierten Ziele zur Verbesserung der oekologischen Verhaeltnisse in und an der Weser erreicht werden: - Reduzierung der Belastung der Weser durch gefaehrliche Stoffe - Verringerung der Naehrstoffbelastung - Reduzierung der Chloridbelastung. Die Weser weist heute ueberwiegend die biologische Gewaesserguete II auf. Dies ist das positive Ergebnis des 1989 beschlossenen Aktionsprogrammes. Deutliche Erfolge wurden auch im Hinblick auf die Reduzierung der Chloridbelastung erzielt. So konnten gegen Ende 1998 die Massnahmen des Abkommens - zur Senkung der Salzbelastung - aus den thueringischen Kaliwerken erfolgreich abgeschlossen und 1999 in Betrieb genommen werden. Gleichwohl sind weitere Anstrengungen noetig, dies zeigt auch das neue Aktionsprogramm Flussgebiet Weser 2000-2010, das bereits die Vorstellungen und Anforderungen der kommenden EU-Wasserrahmenrichtlinie aufgreift. (orig.)

  2. Incidence of traumatic long-bone fractures requiring in-hospital management: a prospective age- and gender-specific analysis of 4890 fractures.

    Science.gov (United States)

    Meling, Terje; Harboe, Knut; Søreide, Kjetil

    2009-11-01

    Musculoskeletal trauma represents a considerable global health burden; however, reliable population-based incidence data are lacking. Thus, we prospectively investigated the age- and sex-specific incidence patterns of long-bone fractures in a defined population. A 4-year prospective study of all long-bone fractures in a defined Norwegian population was carried out. The demographic data, as well as data on fracture type and location and mode of treatment were collected using recognised classification (e.g., AO/OTA - Arbeitsgemeinschaft für Osteosynthesefragen/Orthopaedic Trauma Association; Gustilo-Anderson (GA) for open fractures). Age- and sex-adjusted incidences were calculated using population statistics. During the study period, 4890 long-bone fractures were recorded. The overall incidence per 100,000 per year was 406 with a 95% confidence interval (95%CI) of 395-417. The age-adjusted incidence for those lower than that for those >or=16 years (427; 95%CI: 414-440). The overall male incidence (337; 95%CI: 322-355) was lower than the female (476; 95%CI: 459-493), but the male:female ratio was 2:1 among those or=50 years. The upper limb fractures had an overall incidence of 159 (95%CI: 152-166), whereas the lower limb fracture incidence was 247 (95%CI: 238-256). Open fractures occurred in 3%, with an incidence of 13 (95%CI: 11-15). Paediatric fractures were more likely to be treated conservatively with only 8% requiring internal fixation, compared to 56% internal fixation in those >or=16 years of age. An increase in the use of angular stable plates occurred during the study period. This prospectively collected study of long-bone fractures in a defined population recognises age- and gender-specific fracture patterns. Boys predominate in the younger age group for which treatment is basically conservative. In the senior population, women and operative treatment predominate.

  3. Lateral migration with telescoping of a trochanteric fixation nail in the treatment of an intertrochanteric hip fracture.

    Science.gov (United States)

    Liu, Wanjun; Wang, Junqiang; Weaver, Michael J; Vrahas, Mark S; Zhou, Dongsheng

    2014-01-01

    The trochanteric fixation nail (TFN) can be used to treat stable and unstable fractures of intertrochanteric hip fractures. We study the common lateral migration that occurs with telescoping of intertrochanteric hip fractures treated with TFN and identify the predictors and relationships to clinical outcomes. Patient demographic information, fracture type (Arbeitsgemeinschaft für Osteosynthesefragen (AO)/Orthopaedic Trauma Association (OTA) classification), radiographic data, and clinical data were collected. Lateral migration with telescoping was measured. Statistical analyses were performed to determine which variables predicted lateral migration with telescoping. Patient outcome scores were recorded using the Modified Harris Hip Score (MHHS), Hip Outcome Score-Activity of Daily Living (HOS-ADL), and Visual Analog Scale for pain. Two hundred and twenty-three patients (67 males, 156 females) fitted the radiographic and follow-up (average 24.6 months) criteria. The average age was 77.2 years. The average lateral migration with telescoping was 4.8 mm. Twenty-one patients (9.4%) had excessive lateral migration with telescoping ( = 10 mm). The quality of calcar reduction (P = 0.01) and unstable fracture patterns (P = 0.006) were significant predictive factors of lateral migration with telescoping. The mean outcome scores (MHHS and HOS-ADL) were 80.1 points and 78.7 points, respectively. All subjects had no significant relationship to lateral migration with telescoping (P > 0.05). Of all the patients who developed lateral migration with telescoping, only one required removal of the blade for hip pain and all patients went on to uneventful union at an average time of 4.5 months. Lateral migration with telescoping is a common mechanical complication of intertrochanteric hip fracture treated with the TFN procedure. It was predicted by the quality of calcar reduction and fracture type. However, this did not affect stable fixation and fracture healing, so rarely leads to

  4. Structural color changes in permanent enamel of patients with cleft lip and palate: a case-control study.

    Science.gov (United States)

    Kulas, Antje; Illge, Christina; Bekes, Katrin; Eckert, Alexander W; Fuhrmann, Robert A W; Hirsch, Christian

    2016-01-01

    White spots are more common in patients with cleft lip and palate (CLP) than in the normal population. Whether these are due to the cleft itself or concomitant circumstances (e.g., surgical procedures, orthodontic treatments, systemic fluoridation, increased caries risk) remains unclear. This case-control study evaluated both their prevalence in CLP patients versus control subjects and associated risk factors. A total of 73 CLP patients (average age 8.7 years, range 6-18 years, 42 % male) and a control group of 73 age- and gender-matched non-CLP patients were included. Enamel color changes, subsuming mineralization defects (DDE index), mild dental fluorosis (Dean's index), and initial caries (ICDAS score 2), were recorded. Caries index (dmf-t/DMF-T) scores were also recorded to distinguish between high or low caries risk as defined by the Deutsche Arbeitsgemeinschaft für Jugendzahnpflege criteria. Histories of systemic fluoridation, trauma to primary teeth, surgery, and orthodontic treatment were obtained using a questionnaire. Statistical analysis included t test, χ (2) test, and multivariable logistic regression. Enamel color changes were observed three times more often in the CLP group than in the control group (39.7 vs. 12.3 %; p enamel color changes was associated with CLP itself [OR (odds ratio) 3.6; 95 % confidence interval (CI) 1.3-9.9] and table salt plus tablets combined for systemic fluoridation (OR 2.7, 95 % CI 1.1-6.9). No increased risks were identified for increased caries risk, history of primary-tooth trauma, or history of orthodontic treatment. The higher prevalence of enamel color changes in the CLP group (more than threefold compared to the control group) was not related to previous orthodontic treatments; however, systemic fluoridation (table salt and tablets) constituted a risk factor for the enamel color changes seen in the CLP patients.

  5. Surgical treatment of open pilon fractures.

    Science.gov (United States)

    Zeng, Xian-tie; Pang, Gui-gen; Ma, Bao-tong; Mei, Xiao-long; Sun, Xiang; Wang, Jia; Jia, Peng

    2011-02-01

    To discuss the methods, timing and clinical outcomes of surgical treatment for open pilon fractures. From April 2003 to July 2008, 28 patients with open pilon fractures were treated. All had type C fractures according to the Arbeitsgemeinschaft für osteosynthesefragen-Association for the Study of Internal Fixation (AO/ASIF) classification. Three operative methods were applied, the methods being determined by the types of fracture, soft tissue damage and time interval after injury. Seven cases were treated by debridement and internal fixation with plate; 19 by limited internal fixation combined with external fixation; and 2 by delayed surgery. The clinical outcomes were evaluated by the Burwell-Charnley score. All cases were followed up for from 6 to 48 months (average 24 months). The Burwell-Charnley score of clinical outcomes: anatomic reduction achieved in 12 cases, functional reduction in 15, and unsatisfactory reduction in 1. The healing time was from 2.5 to 11 months (average 4.7 months). Two cases had delayed union. According to the American Orthopaedic Foot and Ankle Society (AOFAS) scale for the ankle joint, there were excellent results in 8 cases, good in 14, fair in 5 and poor in 1. Complications included four cases of skin superficial sloughing, two of superficial infection, one of deep infection, two of delayed fracture union and ten of post-traumatic arthritis. It is important to perform appropriate surgeries for open pilon fracture according to fracture classification, different damage to skin and tissue and time interval after injury. Thorough debridement, proper use of anti-infective medication, appropriate bone grafting, and postoperative ankle function exercise can reduce the occurrence of complications. © 2011 Tianjin Hospital and Blackwell Publishing Asia Pty Ltd.

  6. Biomarker analysis of cetuximab plus oxaliplatin/leucovorin/5-fluorouracil in first-line metastatic gastric and oesophago-gastric junction cancer: results from a phase II trial of the Arbeitsgemeinschaft Internistische Onkologie (AIO)

    International Nuclear Information System (INIS)

    Luber, Birgit; Folprecht, Gunnar; Wöll, Ewald; Decker, Thomas; Endlicher, Esther; Lorenzen, Sylvie; Fend, Falko; Peschel, Christian; Lordick, Florian; Deplazes, Joëlle; Keller, Gisela; Walch, Axel; Rauser, Sandra; Eichmann, Martin; Langer, Rupert; Höfler, Heinz; Hegewisch-Becker, Susanna

    2011-01-01

    The activity of the epidermal growth factor receptor (EGFR)-directed monoclonal antibody cetuximab combined with oxaliplatin/leucovorin/5-fluorouracil (FUFOX) was assessed in first-line metastatic gastric and oesophago-gastric junction (OGJ) cancer in a prospective phase II study showing a promising objective tumour response rate of 65% and a low mutation frequency of KRAS (3%). The aim of the correlative tumour tissue studies was to investigate the relationship between EGFR gene copy numbers, activation of the EGFR pathway, expression and mutation of E-cadherin, V600E BRAF mutation and clinical outcome of patients with gastric and OGJ cancer treated with cetuximab combined with FUFOX. Patients included in this correlative study (n = 39) were a subset of patients from the clinical phase II study. The association between EGFR gene copy number, activation of the EGFR pathway, abundance and mutation of E-cadherin which plays an important role in these disorders, BRAF mutation and clinical outcome of patients was studied. EGFR gene copy number was assessed by FISH. Expression of the phosphorylated forms of EGFR and its downstream effectors Akt and MAPK, in addition to E-cadherin was analysed by immunohistochemistry. The frequency of mutant V600E BRAF was evaluated by allele-specific PCR and the mutation profile of the E-cadherin gene CDH1 was examined by DHPLC followed by direct sequence analysis. Correlations with overall survival (OS), time to progression (TTP) and overall response rate (ORR) were assessed. Our study showed a significant association between increased EGFR gene copy number (≥ 4.0) and OS in gastric and OGJ cancer, indicating the possibility that patients may be selected for treatment on a genetic basis. Furthermore, a significant correlation was shown between activated EGFR and shorter TTP and ORR, but not between activated EGFR and OS. No V600E BRAF mutations were identified. On the other hand, an interesting trend between high E-cadherin expression levels and better OS was observed and two CDH1 exon 9 missense mutations (A408V and D402H) were detected. Our finding that increased EGFR gene copy numbers, activated EGFR and the E-cadherin status are potentially interesting biomarkers needs to be confirmed in larger randomized clinical trials. Multicentre clinical study with the European Clinical Trials Database number 2004-004024-12

  7. Biomarker analysis of cetuximab plus oxaliplatin/leucovorin/5-fluorouracil in first-line metastatic gastric and oesophago-gastric junction cancer: results from a phase II trial of the Arbeitsgemeinschaft Internistische Onkologie (AIO

    Directory of Open Access Journals (Sweden)

    Luber Birgit

    2011-12-01

    Full Text Available Abstract Background The activity of the epidermal growth factor receptor (EGFR-directed monoclonal antibody cetuximab combined with oxaliplatin/leucovorin/5-fluorouracil (FUFOX was assessed in first-line metastatic gastric and oesophago-gastric junction (OGJ cancer in a prospective phase II study showing a promising objective tumour response rate of 65% and a low mutation frequency of KRAS (3%. The aim of the correlative tumour tissue studies was to investigate the relationship between EGFR gene copy numbers, activation of the EGFR pathway, expression and mutation of E-cadherin, V600E BRAF mutation and clinical outcome of patients with gastric and OGJ cancer treated with cetuximab combined with FUFOX. Methods Patients included in this correlative study (n = 39 were a subset of patients from the clinical phase II study. The association between EGFR gene copy number, activation of the EGFR pathway, abundance and mutation of E-cadherin which plays an important role in these disorders, BRAF mutation and clinical outcome of patients was studied. EGFR gene copy number was assessed by FISH. Expression of the phosphorylated forms of EGFR and its downstream effectors Akt and MAPK, in addition to E-cadherin was analysed by immunohistochemistry. The frequency of mutant V600E BRAF was evaluated by allele-specific PCR and the mutation profile of the E-cadherin gene CDH1 was examined by DHPLC followed by direct sequence analysis. Correlations with overall survival (OS, time to progression (TTP and overall response rate (ORR were assessed. Results Our study showed a significant association between increased EGFR gene copy number (≥ 4.0 and OS in gastric and OGJ cancer, indicating the possibility that patients may be selected for treatment on a genetic basis. Furthermore, a significant correlation was shown between activated EGFR and shorter TTP and ORR, but not between activated EGFR and OS. No V600E BRAF mutations were identified. On the other hand, an interesting trend between high E-cadherin expression levels and better OS was observed and two CDH1 exon 9 missense mutations (A408V and D402H were detected. Conclusion Our finding that increased EGFR gene copy numbers, activated EGFR and the E-cadherin status are potentially interesting biomarkers needs to be confirmed in larger randomized clinical trials. Trial registration Multicentre clinical study with the European Clinical Trials Database number 2004-004024-12.

  8. 2005 primary energy consumption in Germany

    International Nuclear Information System (INIS)

    Anon.

    2006-01-01

    According to preliminar calculations by the Arbeitsgemeinschaft Energiebilanzen (Working Party on Energy Balances, AGEB), the consumption of an aggregate 486 million TCE of primary energy resources in Germany last year was 1.3% below the level of the year before. Energy consumption was influenced by both the high level of prices and the development of the economy. Hardly any influence was attributable to the level of temperatures, which was largely unchanged compared to the figure of the year before. Oil consumption in 2005 in Germany dropped by nearly 2% to 174.8 million TCE. On the whole, oil with its 36% share in the energy balance remained by far the most important energy resource in Germany. Natural gas consumption of 110.4 million TCE was at the level of the year before. Its share in the primary energy balance rose slightly to 22.7%. Hard coal, because of lower use in power plants and the decline in iron making, showed a 4.6% drop in consumption to 62.8 million TCE. In this way, hard coal contributed 13% to total energy consumption. Lignite consumption dropped by 3.2% to 54.4 million TCE as a result of lower deliveries to power plants. Its 11.2% share in the total consumption of primary energy continued to make lignite the most important domestic energy resource. More than 90% of the lignite produced is used for electricity generation. The contribution to primary energy consumption of nuclear power dropped by more than 2% to 60.7 million TCE. Hydroelectric plants and wind power plants increased their contribution by 3.6%. The contribution to primary energy consumption made by all renewable energy resources rose to 4.6%. AGEB evaluates statistics of all areas of the power economy on the basis of standard criteria in order to combine these data in a comprehensive picture. Since 1994, the energy balances for Germany have been compiled by DIW on behalf of AGEB. (orig.)

  9. Impact of double-tiered subchondral support procedure with a polyaxial locking plate on the stability of distal radius fractures using fresh cadaveric forearms: Biomechanical and radiographic analyses.

    Science.gov (United States)

    Tsutsui, Sadaaki; Kawasaki, Keikichi; Yamakoshi, Ken-Ichi; Uchiyama, Eiichi; Aoki, Mitsuhiro; Inagaki, Katsunori

    2016-09-01

    The present study compared the changes in biomechanical and radiographic properties under cyclic axial loadings between the 'double-tiered subchondral support' (DSS) group (wherein two rows of screws were used) and the 'non-DSS' (NDSS) group (wherein only one row of distal screws was used) using cadaveric forearm models of radius fractures fixed with a polyaxial locking plate. Fifteen fresh cadaveric forearms were surgically operated to generate an Arbeitsgemeinschaft für Osteosynthesefragen (AO) type 23-C2 fracture model with the fixation of polyaxial volar locking plates. The model specimens were randomized into two groups: DSS (n = 7) and NDSS (n = 8). Both the groups received 4 locking screws in the most distal row, as is usually applied, whereas the DSS group received 2 additional screws in the second row inserted at an inclination of about 15° to support the dorsal aspect of the dorsal subchondral bone. Cyclic axial compression test was performed (3000 cycles; 0-250 N; 60 mm/min) to measure absolute rigidity and displacement, after 1, 1000, 2000 and 3000 cycles, and values were normalized relative to cycle 1. These absolute and normalized values were compared between those two groups. Radiographic images were taken before and after the cyclic loading to measure changes in volar tilt (ΔVT) and radial inclination (ΔRI). The DSS group maintained significantly higher rigidity and lower displacement values than the NDSS group during the entire loading period. Radiographic analysis indicated that the ΔVT values of the DSS group were lower than those of the NDSS group. In contrast, the fixation design did not influence the impact of loading on the ΔRI values. Biomechanical and radiographic analyses demonstrated that two rows of distal locking screws in the DSS procedure conferred higher stability than one row of distal locking screws. Copyright © 2016 The Japanese Orthopaedic Association. Published by Elsevier B.V. All rights reserved.

  10. Treatment of reducible unstable fractures of the distal radius: randomized clinical study comparing the locked volar plate and external fixator methods: study protocol.

    Science.gov (United States)

    Raduan Neto, Jorge; de Moraes, Vinicius Ynoe; Gomes Dos Santos, João B; Faloppa, Flávio; Belloti, João Carlos

    2014-03-05

    Various treatments are available for reducible unstable fractures of the distal radius, such as closed reduction combined with fixation by external fixator (EF), and rigid internal fixation using a locked volar plate (VP). Although there are studies comparing these methods, there is no conclusive evidence indicating which treatment is best. The hypothesis of this study is that surgical treatment with a VP is more effective than EF from the standpoint of functional outcome (patient-reported). The study is randomized clinical trial with parallel groups and a blinded evaluator and involves the surgical interventions EF and VP. Patients will be randomly assigned (assignment ratio 1:1) using sealed opaque envelopes. This trial will include consecutive adult patients with an acute (up to 15 days) displaced, unstable fracture of the distal end of the radius of type A2, A3, C1, C2 or C3 by the Arbeitsgemeinschaft für Osteosynthesefragen-Association for the Study of Internal Fixation classification and type II or type III by the IDEAL32 classification, without previous surgical treatments of the wrist. The surgical intervention assigned will be performed by three surgical specialists familiar with the techniques described. Evaluations will be performed at 2, and 8 weeks, 3, 6 and 12 months, with the primary outcomes being measured by the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire and measurement of pain (Visual Analog Pain Scale and digital algometer). Secondary outcomes will include radiographic parameters, objective functional evaluation (goniometry and dynamometry), and the rate of complications and method failure according to the intention-to-treat principle. Final postoperative evaluations (6 and 12 months) will be performed by independent blinded evaluators. For the Student's t-test, a difference of 10 points in the DASH score, with a 95% confidence interval, a statistical power of 80%, and 20% sampling error results in 36 patients per group

  11. THESEUS - achieving maximum possible road transport tanker safety by means of experimental accident simulation; THESEUS - Tankfahrzeuge mit hoechsterreichbarer Sicherheit durch experimentelle Unfallsimulation

    Energy Technology Data Exchange (ETDEWEB)

    Rompe, K.; Heuser, G.

    1996-03-01

    In spring 1990, the Federal German Minister for Education, Science, Research and Technology (BMBF) commissioned the team from the Federal Institute for Materials Research and Testing (BAM), DEKRA, Daimler-Benz, the Federal Road Research Institute (BASt) with the University of Cologne, Ellinghaus and TUeV Rheinland (project leader) to perform the research project `THESEUS` (the acronym THESEUS comes from the German `Tankfahrzeuge mit hoechst erreichbarer Sicherheit durch experimentelle Unfallsimulation`, which translates as `achieving maximum possible road transport tanker safety by means of experimental accident simulation`). Arting from an analysis of road transport tanker accidents, crash tests and overturn tests were performed and supplemented by investigations of road transport tanker components and accompanying complex calculations of the failure processes. Parallel to this, the static side-tilt stability of road transport tankers was determined on a tilting test platform. The causes of and constructive possibilities for avoiding overturning, which is the most common cause of accidents in which hazardous materials escape, wewre analysed in dynamic driving tests with supplementary computer simulation. Various measures for improving the safety of road transport tankers were determined and subjected to a cost-benefit analysis. (orig.) [Deutsch] Das Bundesministerium fuer Bildung, Wissenschaft, Forschung und Technologie hat seit 1990 das Forschungsproject `THESEUS` (Tankfahrzeuge mit hoechst erreichbarer Sicherheit durch experimentelle Unfallsimulation) der Arbeitsgemeinschaft aus TUeV Rheinland (Federfuehrung), Bundesanstalt fuer Materialforschung und -pruefung (BAM), DEKRA, Daimler Benz, Bundesanstalt fuer Strassenwesen (BASt), Universitaet Koeln und Ellinghaus gefoerdert. Ausgehend von der detaillierten Analyse von 231 Tankfahrzeugunfaellen wurden Tankfahrzeug-Crashversuche und Tankfahrzeug-Umsturzversuche durchgefuehrt. Diese Messungen an kompletten Fahrzeugen

  12. Computer-aided control systems for the operation of electrical power networks. Elektronische Leitsysteme fuer Produktion und Energieversorgung. Vortragsreihe der Arbeitsgemeinschaft des VDE-Bezirksvereins Frankfurt am Main vom 9. bis 30. November 1981

    Energy Technology Data Exchange (ETDEWEB)

    Fleck, K

    1981-01-01

    This presentation gives a brief survey on computer-aided operation of medium-voltage networks. By means of the general problem and with the aid of some examples the design of such systems is outlined and the possibilities for instrumentation and control engineering is indicated. The computer systems, which for reasons of availability are mostly redundant, are described in detail. The software by means of which the operating personnel monitors, guides and partly remotely controls the electric grid is explained. To conclude with, a newly designed communication interface between man and machine is mentioned.

  13. Regional energy supply in 1994/1995. Progress report of the working pool of regional power supply companies (ARE e.V.); Regionale Energieversorgung 1994/1995. Taetigkeitsbericht der Arbeitsgemeinschaft regionaler Energieversorgungs-Unternehmen - ARE - e.V

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-04-01

    Generally speaking the present report deals with the regional power supply as part of the whole economy. In this connection it also addresses issues of economic development. The following topics are covered in its report on the activities of ARE since the annual meeting of 1994; energy policy, regional supply in the new Laender, European common market for electricity, energy-economic law, special provisions under cartel law concerning public utilities. The report concludes with a description of the organisation of ARE (tasks and aims, members, executive board, management, committees, headquarters). (RHM) [Deutsch] Gegenstand des Berichtes ist zunaechst die regionale Energieversorgung im Rahmen der Gesamtwirtschaft. Dabei wird sowohl auf die wirtschaftliche Entwicklung als auf die regionale Energieversorgung eingegangen. Anschliessend wird ein Ueberblick ueber die Taetigkeit des ARE seit der Jahrestagung 1994 gegeben. Dabei werden Aktivitaeten in den Bereichen Energiepolitik, Regionalversorgung in den neuen Bundeslaendern, europaeischer Binnenmarkt fuer Elektrizitaet, Energiewirtschaftsrecht sowie kartellrechtlicher Ausnahmebereich Versorgungswirtschaft behandelt. Abschliessend wird die Organisation der ARE (Aufgaben und Ziele, Mitglieder, Vorstand, Geschaeftsfuehrung, Ausschuesse, Geschaeftsstelle) beschrieben. (RHM)

  14. Regional energy supply in 1996/1997. Progress report of the working pool of regional power supply companies (ARE e.V.); Regionale Energieversorgung 1996-1997. Taetigkeitsbericht der Arbeitsgemeinschaft regionaler Energieversorgungs-Unternehmen - ARE - e.V

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-04-01

    Generally speaking the present report deals with the regional power supply as part of the whole economy. In this connection it also addresses issues of economic development. The following topics are covered in its report on the activities of ARE since the annual meeting of 1996; energy policy, regional supply in the new Laender, European common market for electricity and natural gas, energy-economic law, special provisions under cartel law concerning public utilities. The report concludes with a description of the organisation of ARE (tasks and aims, members, executive board, management, committees, headquarters). (RHM) [Deutsch] Gegenstand des Berichtes ist zunaechst die regionale Energieversorgung im Rahmen der Gesamtwirtschaft. Dabei wird sowohl auf die wirtschaftliche Entwicklung als auf die regionale Energieversorgung eingegangen. Anschliessend wird ein Ueberblick ueber die Taetigkeit des ARE seit der Jahrestagung 1996 gegeben. Dabei werden Aktivitaeten in den Bereichen Energiepolitik, Regionalversorgung in den neuen Bundeslaendern, europaeischer Binnenmarkt fuer Elektrizitaet und Gas, Energiewirtschaftsrecht sowie kartellrechtlicher Ausnahmebereich Versorgungswirtschaft behandelt. Abschliessend wird die Organisation der ARE (Aufgaben und Ziele, Mitglieder, Vorstand, Geschaeftsfuehrung, Ausschuesse, Geschaeftsstelle) beschrieben. (RHM)

  15. Functional outcome following tibio-talar-calcaneal nailing for unstable osteoporotic ankle fractures.

    Science.gov (United States)

    Jonas, S C; Young, A F; Curwen, C H; McCann, P A

    2013-07-01

    Fragility fractures of the ankle are increasing in incidence. Such fractures typically occur from low-energy injuries but lead to disproportionately high levels of morbidity. Ankle fractures in this age group are managed conservatively in plaster or by open reduction and internal fixation. Both modalities have shown high rates of failure in terms of delayed union or mal-union together with perioperative complications such as implant failure and wound breakdown. The optimal treatment of these patients remains controversial. We aimed to review the functional outcome of patients with ankle fragility fractures primarily managed using a tibio-talar-calcaneal nail (TTC). We retrospectively reviewed 31 consecutive patients primarily managed with a TCC nail for osteoporotic fragility fractures about the ankle. Data were collected via case notes, radiographic reviews and by clinical reviews at the outpatient clinic or a telephone follow-up. Information regarding patient characteristics, indication for operation, Arbeitsgemeinschaft für Osteosynthesefragen (AO) fracture classification, operative and postoperative complications, time to radiographic union and current clinical state including Olerud and Molander scores were recorded (as a measure of ankle function). Nine of 31 patients had died by the time of follow-up. Mean preoperative and postoperative Olerud and Molander scores were 56 and 45, respectively. There were no postoperative wound complications. Twenty-nine of 31 patients returned to the same level of mobility as pre-injury. There were three peri-prosthetic fractures managed successfully with nail removal and replacement or plaster cast. There were two nail failures, both in patients who mobilised using only a stick, which were managed by nail removal. Ten of 31 patients were not followed up radiographically due to either infirmity or death. Thirteen of 21 followed up radiographically had evidence of union and 8/21 had none. None, however, had clinical evidence

  16. Donor Safety in Haemapheresis: Development of an Internet-Based Registry for Comprehensive Assessment of Adverse Events from Healthy Donors.

    Science.gov (United States)

    Heuft, Hans-Gert; Fischer, Eike; Weingand, Tina; Burkhardt, Thomas; Leitner, Gerda; Baume, Hagen; Schmidt, Jörg-Peter; Buser, Andreas; Fauchald, Gabriele; Reinicke Voigt, Ute; Mansouri-Taleghani, Behrouz

    2017-06-01

    Currently, there is an extensive but highly inconsistent body of literature regarding donor adverse events (AEs) in haemapheresis. As the reports diverge with respect to types and grading of AEs, apheresis procedures and machines, the range of haemapheresis-related AEs varies widely from about 0.03% to 6.6%. The German Society for Transfusion Medicine and Immunohaematology (DGTI) formed a 'Haemapheresis Vigilance Working Party' (Arbeitsgemeinschaft Hämapheresevigilanz; AGHV) to create an on-line registry for comprehensive and comparable AE assessment with all available apheresis devices in all types of preparative haemapheresis: plasmapheresis (PLS), plateletpheresis (PLT), red blood cell apheresis, all kind of leukaphereses (autologous/allogeneic blood stem cell apheresis, granulocyte apheresis, lymphocyte/monocyte apheresis) and all possible types of multi-component apheresis. To ensure the comparability of the data, the AGHV adopted the 'Standard for Surveillance of Complications Related to Blood Donation' from the International Society for Blood Transfusion in cooperation with the International Haemovigilance Network (IHN) and the American Association of Blood Banks for AE acquisition and automated evaluation. The registry is embedded in a prospective observational multi-centre study with a study period of 7 years. A preliminary evaluation encompassed the time period from January, 2012 to December, 2015. During this time, the system proved to be safe and stable. Out of approximately 345,000 haemaphereses 16,477 AEs were reported (4.9%) from 20 participating centres. The majority of AEs occurred in PLSs (63%), followed by PLT (34.5%) and SC (2.2%). Blood access injuries (BAI) accounted for about 55% of the supplied AEs, whereas citrate toxicity symptoms, vasovagal reactions and technical events (e.g. disposable leakages, software failures) rather equally affected haemaphereses at 8-15%. Out of 12,348 finalized AEs, 8,759 (70.1%) were associated with a procedure

  17. Quality assurance in electrical engineering. VDE Regional Group Frankfurt am Main, workshop from November 2-23, 1987. Qualitaetssicherung in der elektrischen Energietechnik. VDE-Bezirksverein Frankfurt am Main, Arbeitsgemeinschaft vom 2. 11. bis 23. 11. 1987

    Energy Technology Data Exchange (ETDEWEB)

    Forst, H J [ed.

    1987-01-01

    Quality assurance measures are explained at the example of an energy distributor. The VDE (German Association of Electrical Engineers) work team addresses the following articles on quality assurance to experts of energy techniques and those interested in this field. In detail, following topics are dealt with: Basic thoughts and principles of quality assurance; Quality assurance done by the producer, shown at the example of a medium-voltage power switch. Quality assurance done by the producer, shown at the example of a low-voltage power switch. Quality assurance done by the producer of electric distributing hands, shown at the example of a medium-voltage distributing band. Quality assurance by the producer of electric distributing boards, shown at the example of a low-voltage board. Quality assurance by means of maintenance measures in the electric system technique of a public utility. Quality assurance of electric systems and operational means of a public utility. Quality assurance by the operator of electric systems, shown at the example of an industrial plant. (HAG).

  18. Langfristige Wiedereingliederung nach der beruflichen Rehabilitation : Ergebnisse einer Langzeituntersuchung der Arbeitsgemeinschaft Deutscher Berufsförderungswerke (Long-term reintegration after occupational rehabilitation : results of a longitudinal study by the working group of German occupational rehabilitation centres)

    OpenAIRE

    Beiderwieden, Kay

    2001-01-01

    "In Germany a complex system of rehabilitation has developed in which the occupational rehabilitation centres (Berufsförderungswerken) are allocated the occupational rehabilitation of the 'more difficult cases'. In order to investigate how many of those undergoing rehabilitation find work after completing the training measure, the occupational rehabilitation centres have been conducting so-called 'follow-up surveys' since the mid-1960s. In addition to short-term and medium-term follow-up surv...

  19. Effect of Neoadjuvant Chemotherapy Followed by Surgical Resection on Survival in Patients With Limited Metastatic Gastric or Gastroesophageal Junction Cancer: The AIO-FLOT3 Trial.

    Science.gov (United States)

    Al-Batran, Salah-Eddin; Homann, Nils; Pauligk, Claudia; Illerhaus, Gerald; Martens, Uwe M; Stoehlmacher, Jan; Schmalenberg, Harald; Luley, Kim B; Prasnikar, Nicole; Egger, Matthias; Probst, Stephan; Messmann, Helmut; Moehler, Markus; Fischbach, Wolfgang; Hartmann, Jörg T; Mayer, Frank; Höffkes, Heinz-Gert; Koenigsmann, Michael; Arnold, Dirk; Kraus, Thomas W; Grimm, Kersten; Berkhoff, Stefan; Post, Stefan; Jäger, Elke; Bechstein, Wolf; Ronellenfitsch, Ulrich; Mönig, Stefan; Hofheinz, Ralf D

    2017-09-01

    Surgical resection has a potential benefit for patients with metastatic adenocarcinoma of the stomach and gastroesophageal junction. To evaluate outcome in patients with limited metastatic disease who receive chemotherapy first and proceed to surgical resection. The AIO-FLOT3 (Arbeitsgemeinschaft Internistische Onkologie-fluorouracil, leucovorin, oxaliplatin, and docetaxel) trial is a prospective, phase 2 trial of 252 patients with resectable or metastatic gastric or gastroesophageal junction adenocarcinoma. Patients were enrolled from 52 cancer care centers in Germany between February 1, 2009, and January 31, 2010, and stratified to 1 of 3 groups: resectable (arm A), limited metastatic (arm B), or extensive metastatic (arm C). Data cutoff was January 2012, and the analysis was performed in March 2013. Patients in arm A received 4 preoperative cycles of fluorouracil, leucovorin, oxaliplatin, and docetaxel (FLOT) followed by surgery and 4 postoperative cycles. Patients in arm B received at least 4 cycles of neoadjuvant FLOT and proceeded to surgical resection if restaging (using computed tomography and magnetic resonance imaging) showed a chance of margin-free (R0) resection of the primary tumor and at least a macroscopic complete resection of the metastatic lesions. Patients in arm C were offered FLOT chemotherapy and surgery only if required for palliation. Patients received a median (range) of 8 (1-15) cycles of FLOT. The primary end point was overall survival. In total, 238 of 252 patients (94.4%) were eligible to participate. The median (range) age of participants was 66 (36-79) years in arm A (n = 51), 63 (28-79) years in arm B (n = 60), and 65 (23-83) years in arm C (n = 127). Patients in arm B (n = 60) had only retroperitoneal lymph node involvement (27 patients [45%]), liver involvement (11 [18.3%]), lung involvement (10 [16.7%]), localized peritoneal involvement (4 [6.7%]), or other (8 [13.3%]) incurable sites. Median overall survival was 22

  20. Deformation integrity monitoring for GNSS positioning services including local, regional and large scale hazard monitoring - the Karlsruhe approach and software(MONIKA)

    Science.gov (United States)

    Jaeger, R.

    2007-05-01

    GNSS-positioning services like SAPOS/ascos in Germany and many others in Europe, America and worldwide, usually yield in a short time their interdisciplinary and country-wide use for precise geo-referencing, replacing traditional low order geodetic networks. So it becomes necessary that possible changes of the reference stations' coordinates are detected ad hoc. The GNSS-reference-station MONitoring by the KArlsruhe approach and software (MONIKA) are designed for that task. The developments at Karlsruhe University of Applied Sciences in cooperation with the State Survey of Baden-Württemberg are further motivated by a the official resolution of the German state survey departments' association (Arbeitsgemeinschaft der Vermessungsverwaltungen Deutschland (AdV)) 2006 on coordinate monitoring as a quality-control duty of the GNSS-positioning service provider. The presented approach can - besides the coordinate control of GNSS-positioning services - also be used to set up any GNSS-service for the tasks of an area-wide geodynamical and natural disaster-prevention service. The mathematical model of approach, which enables a multivariate and multi-epochal design approach, is based on the GNSS-observations input of the RINEX-data of the GNSS service, followed by fully automatic processing of baselines and/or session, and a near-online setting up of epoch-state vectors and their covariance-matrices in a rigorous 3D network adjustment. In case of large scale and long-term monitoring situations, geodynamical standard trends (datum-drift, plate-movements etc.) are accordingly considered and included in the mathematical model of MONIKA. The coordinate-based deformation monitoring approach, as third step of the stepwise adjustments, is based on the above epoch-state vectors, and - splitting off geodynamics trends - hereby on a multivariate and multi-epochal congruency testing. So far, that no other information exists, all points are assumed as being stable and congruent reference

  1. Trauma of the lumbar spine and the thoracolumbar junction; Trauma der Lendenwirbelsaeule und des thorakolumbalen Uebergangs

    Energy Technology Data Exchange (ETDEWEB)

    Reith, W.; Harsch, N.; Kraus, C. [Universitaetsklinikum des Saarlandes, Klinik fuer Diagnostische und Interventionelle Neuroradiologie, Homburg/Saar (Germany)

    2016-08-15

    Anwendung der Spiral-CT koennen entscheidende Zusatzinformationen zur Morphe der Fraktur, damit zur Einschaetzung des Frakturtyps und letztlich zur Indikationsstellung einer ggf. operativen Therapie gewonnen werden. Die MRT ist hervorragend geeignet, wertvolle weiterfuehrende Informationen in Bezug auf Verletzungen der diskoligamentaeren Anteile der Wirbelsaeule zu geben. Speziell fuer die Verletzungen der Brust- und Lendenwirbelsaeule entwickelten Magerl et al. eine umfassende Klassifikation, die von der Arbeitsgemeinschaft fuer Osteosynthesefragen (AO) uebernommen wurde. Grundlage ist ein 2-Saeulen-Modell der Wirbelsaeule. Als Basis der Einteilung dienen bildgebend erkennbare pathomorphologische Charakteristika der Frakturen. Das Verletzungsmuster wird besonders beruecksichtigt. Beim Wirbelsaeulentrauma wird zwischen stabilen und instabilen Frakturen unterschieden. Die Behandlung des Wirbelsaeulenverletzten richtet sich nach dem Schweregrad der Gesamtverletzung. Neben einer adaequaten Erstversorgung am Unfallort sollte umgehend ein Trauma-CT durchgefuehrt werden, um keine Verletzungen zu uebersehen und eine schnelle Therapieentscheidung herbeizufuehren. (orig.)

  2. Editorial zum Tagungsband: Spannungsfelder und blinde Flecken. Medienpädagogik zwischen Emanzipationsanspruch und Diskursvermeidung

    Directory of Open Access Journals (Sweden)

    Sven Kommer

    2017-10-01

    Full Text Available Die erziehungswissenschaftliche Auseinandersetzung mit Medien hat in Deutschland eine lange und vielfältige Tradition. In den letzten Jahrzehnten hat sich die Medienpädagogik zu einer eigenständigen akademischen (Teil-Disziplin entwickelt, die in der (Fach-Öffentlichkeit wahrgenommen wird und sich aktiv in aktuelle gesellschaftliche Diskurse einbringt. Sichtbar wird die Etablierung als Fach u. a. daran, dass an einer Reihe von Hochschulen Professuren geschaffen wurden, die für medienpädagogische Studienelemente oder -gänge und/oder Zusatzausbildungen verantwortlich sind. Der gestiegene Stellenwert der Disziplin zeigt sich auch an ihrer Rolle in der Deutschen Gesellschaft für Erziehungswissenschaft, innerhalb derer sie sich von einer «Arbeitsgemeinschaft auf Zeit» (Mitte der 1990er-Jahre zu einer eigenständigen Sektion (seit 2010 entwickelt hat. Angesichts der gegenwärtig zu beobachtenden Entwicklungen im Medienbereich (u. a. Digitalisierung, Globalisierung, Algorithmisierung, deren Folgen für gesellschaftliche und pädagogische Prozesse und Bereiche kaum zu unterschätzen sind, erstaunt es, dass die Medienpädagogik bis heute dazu neigt, Rechtfertigungsstrategien für die eigenen Existenz zu generieren. Bei einer kritischen Betrachtung (z. B. der universitären Stellenpolitik ist aber zu konstatieren, dass sich die Medienpädagogik auch 40 Jahre nach dem Erscheinen von Dieter Baackes wegweisender Schrift Kommunikation und Kompetenz ihrer Anerkennung und festen Verankerung im akademischen Feld tatsächlich noch immer nicht sicher sein kann. Eine Ursache hierfür liegt möglicherweise in der noch immer grossen (und oftmals geradezu zelebrierten Heterogenität des Faches. So sind die unterschiedlichen Traditionslinien des pädagogischen Umgangs mit Medien, die mitunter nur bedingt miteinander vereinbar sind, bis heute zu beobachten und wirkmächtig. Zu unterscheiden ist hierbei bspw. eine auf Emanzipation, kommunikative Kompetenz

  3. Idle load losses of an injection-lubricated spur gear drive; Untersuchungen zu den Leerlaufverlusten eines einspritzgeschmierten Stirnradgetriebes

    Energy Technology Data Exchange (ETDEWEB)

    Dick, A.K.

    2000-07-01

    The author investigated the effects of pressure in the gear casing on the load-independent meshing losses up to circumferential speeds of v{sub t} = 200 m/s. Apart from the reduction of losses, the limits of pressure drop are of interest. As the oil retains its characteristics even in partial vacuum, neither oil components nor additives must evaporate during operation. This means that also the effects of partial vacuum on the physical mechanisms was investigated as these may induce explosions of the oil spray inside the gear. Also considered are the characteristics of oil and air which are required for the design of the suction system. The investigations were carried out in close cooperation with Messrs. BHS-Cincinnati, Sonthofen, with financial aid from the Arbeitsgemeinschaft Industrieller Forschungsvereinigungen (AIF). [German] Turbogetriebe werden vorzugsweise zur Drehzahlwandlung zwischen Turbinen und Generatoren oder Verdichtern eingesetzt. Die groessten bekannten Ausfuehrungen solcher Getriebe liegen derzeit bei Leistungen bis P{sub A}=100 MW mit Antriebsdrehzahlen bis n{sub T}=7200 min{sup -1}. Mit der stetigen Weiterentwicklung der Antriebsmaschinen wachsen auch die Anforderungen an die Turbogetriebe. Derzeit befinden sich Anlagen mit P{sub A}=140 MW und Getriebeeingangsdrehzahlen bis n{sub 1}=10 000 min{sup -1} im Planungsstadium. Mit der Umfangsgeschwindigkeit steigen die Ventilations- und Quetschverluste ueberproportional an. Die daraus resultierende groessere Verlustwaerme fuehrt dazu, dass die Probleme bezueglich Kuehlung und Schmierung fuer den Getriebebauer zunehmend in den Vordergrund treten. Im Betrieb reicht der zur Schmierung benoetigte Oelvolumenstrom nicht zur Kuehlung der Getriebe aus, der groesste Teil des eingespritzten Oelvolumenstroms wird zur Kuehlung benoetigt. Dieser Volumenstrom senkt das Temperaturniveau im Getriebe, verschlechtert aber gleichzeitig den Getriebewirkungsgrad n{sub G}. Da die Getriebe zwischen Kraft- und

  4. The effect of vehicle protection on spine injuries in military conflict.

    Science.gov (United States)

    Possley, Daniel R; Blair, James A; Freedman, Brett A; Schoenfeld, Andrew J; Lehman, Ronald A; Hsu, Joseph R

    2012-09-01

    To evaluate the effect of critical time periods in vehicle protection on spine injuries in the Global War on Terror. To characterize the effect of method of movement on and around the battlefield during Operation Enduring Freedom and Operation Iraqi Freedom from 2001 to 2009 in terms of its impact on the incidence and severity of spinal fractures sustained in combat. Retrospective study. Mounted and dismounted American servicemembers who were injured during combat. Extracted medical records of servicemembers identified in the Joint Theater Trauma Registry from October 2001 to December 2009. Methods of movement were defined as mounted or dismounted. Two time periods were compared. Cohorts were created for 2×2 analysis based on method of movement and the time period in which the injury occurred. Time period 1 and 2 were separated by April 1, 2007, which correlates with the initial fielding of the modern class of uparmored fighting vehicles with thickened underbelly armor and a V-shaped hull. Our four comparison groups were Dismounted in Time Period 1 (D1), Dismounted in Time Period 2 (D2), Mounted in Time Period 1 (M1), and Mounted in Time Period 2 (M2). In total, 1,819 spine fractures occurred over the entire study period. Four hundred seventy-two fractures (26%) were sustained in 145 servicemembers who were mounted at the time of injury, and 1,347 (74%) were sustained by 404 servicemembers who were dismounted (pto the TL junction (T10-L3) increased significantly from Time Period 1 to 2 (34% vs. 40% of all fractures, respectively, p=.03). Thoracolumbar fractures were significantly more severe in that there were more Arbeitsgemeinschaft fur Osteosynthesefragen/Magerl Type A injuries versus all TL fractures, 1.75 versus 2.68/10,000 or 27% of all spine fractures in Time Period 1 versus 40% in Time Period 2 (p=.007). Furthermore, there were significantly fewer minor fractures (spinous process and transverse process fractures) (pto the Denis classification system, in

  5. Uranium, plutonium and co

    International Nuclear Information System (INIS)

    Sauerbrey, Roland; Joehnk, Peter

    2016-01-01

    To date there is no repository facility for highly radioactive and heat-generating waste in Germany. This politically ''hot'' topic is undeniably a very big, urgent problem in our society. The Helmholtz Association of German Research Centers is dedicated to developing scientific solutions for such issues. It looks back on 20 years of history: In 1995 the loosely organized collective bearing the name ''Working Association of Large-Scale Research Institutes'' (Arbeitsgemeinschaft der Grossforschungseinrichtungen) became an association of now 18 research centers. These centers collectively work in a total of six research areas. While the HZDR has only belonged to the largest research association in Germany since 2011, repository research was already on the agenda way back when the Rossendorf research center established itself in 1992 after the fall of the Berlin Wall. A good enough reason to examine the results from about 20 years of repository research in Dresden in more detail. In this issue of ''discovered'' we will take an inside look at radiochemical, radiogeological, and microbiological labs, look over the shoulders of researchers using the ''Rossendorf Beamline'' at the European Synchrotron Radiation Facility in Grenoble, and descend hundreds of meters into Finnish, Swedish, and Swiss research labs. How do ''uranium, plutonium, and co.'' react with mineral surfaces in environments that are low in oxygen or watery? How do they interact with microorganisms deep underground? And how can host rock or other materials be used as technical barriers to prevent the spread of radioactive substances? In order to answer these and further questions, the researchers of the HZDR use a wide range of spectroscopic methods. They expose test samples to lasers, infrared light, and X-rays or use the fluorescent properties of certain compounds to learn about the behavior of actinides

  6. Uranium, plutonium and co

    Energy Technology Data Exchange (ETDEWEB)

    Sauerbrey, Roland; Joehnk, Peter (eds.)

    2016-04-15

    To date there is no repository facility for highly radioactive and heat-generating waste in Germany. This politically ''hot'' topic is undeniably a very big, urgent problem in our society. The Helmholtz Association of German Research Centers is dedicated to developing scientific solutions for such issues. It looks back on 20 years of history: In 1995 the loosely organized collective bearing the name ''Working Association of Large-Scale Research Institutes'' (Arbeitsgemeinschaft der Grossforschungseinrichtungen) became an association of now 18 research centers. These centers collectively work in a total of six research areas. While the HZDR has only belonged to the largest research association in Germany since 2011, repository research was already on the agenda way back when the Rossendorf research center established itself in 1992 after the fall of the Berlin Wall. A good enough reason to examine the results from about 20 years of repository research in Dresden in more detail. In this issue of ''discovered'' we will take an inside look at radiochemical, radiogeological, and microbiological labs, look over the shoulders of researchers using the ''Rossendorf Beamline'' at the European Synchrotron Radiation Facility in Grenoble, and descend hundreds of meters into Finnish, Swedish, and Swiss research labs. How do ''uranium, plutonium, and co.'' react with mineral surfaces in environments that are low in oxygen or watery? How do they interact with microorganisms deep underground? And how can host rock or other materials be used as technical barriers to prevent the spread of radioactive substances? In order to answer these and further questions, the researchers of the HZDR use a wide range of spectroscopic methods. They expose test samples to lasers, infrared light, and X-rays or use the fluorescent properties of certain compounds to learn about the behavior of actinides

  7. Experimental investigations for provision of a data basis for optimization of active surge control. Final report; Experimentelle Untersuchungen zur Bereitstellung einer Datenbasis fuer die Optimierung der aktiven Stabilitaetsverbesserung. Teilverbund-Projekt: Aktive Stabilitaetsverbesserung - Analyseverfahren der Arbeitsgemeinschaft AG Turbo II. Abschlussbericht zum Vorhaben 1.1.4

    Energy Technology Data Exchange (ETDEWEB)

    Seume, J.; Reissner, A.

    2001-07-01

    Presently axial compressors have to run with considerable distance to operation points of high load although usually the best efficiencies can be obtained there. In those areas there is high danger of surge which brings high damaging potential to the compressor. The prediction time to surge presently is very short (<<1s) and depends on the load and rotor rotation of the compressor. The goal of this project is the production of a data basis to investigate stall inception (which is the precursor of surge) and to develop and test better precursory warning algorithms. An extensive set of data as well in stable as in unstable operating points in different load areas was developed which now is ready for use in research, verification and for comparison of forewarning systems. (orig.) [German] Zur Zeit ist es notwendig, Axialverdichter mit deutlichem Abstand von den hoch belasteten Betriebspunkten zu betreiben, obwohl haeufig dort die besten Wirkungsgrade zu erzielen waeren. In diesen Bereichen kann es leicht zu sog. Pumpen kommen, wodurch der Verdichter einem extremen Schaedigungspotential ausgesetzt ist. Die Vorwarnzeiten fuer das Pumpen sind bisher noch sehr kurz. Sie liegen in einem Bereich von deutlich weniger als einer Sekunde (abhaengig von der Belastung und der Drehzahl des Verdichters). Ziel dieser Untersuchungen ist es, eine Datenbasis zu liefern, anhand derer die Entstehungsmechanismen untersucht und moeglichst fruehzeitige Vorwarnalgorithmen entwickelt bzw. erprobt werden koennen. Es wurde eine umfangreiche Datenbasis sowohl an verschiedenen stabilen als auch instabilen Betriebspunkten in unterschiedlichen Lastbereichen erstellt, die nun zur Entwicklung, zur Verifizierung und zum Vergleich von Fruehwarnsystemen zur Verfuegung steht. (orig.)

  8. Effect of Neoadjuvant Chemotherapy Followed by Surgical Resection on Survival in Patients With Limited Metastatic Gastric or Gastroesophageal Junction Cancer

    Science.gov (United States)

    Homann, Nils; Pauligk, Claudia; Illerhaus, Gerald; Martens, Uwe M.; Stoehlmacher, Jan; Schmalenberg, Harald; Luley, Kim B.; Prasnikar, Nicole; Egger, Matthias; Probst, Stephan; Messmann, Helmut; Moehler, Markus; Fischbach, Wolfgang; Hartmann, Jörg T.; Mayer, Frank; Höffkes, Heinz-Gert; Koenigsmann, Michael; Arnold, Dirk; Kraus, Thomas W.; Grimm, Kersten; Berkhoff, Stefan; Post, Stefan; Jäger, Elke; Bechstein, Wolf; Ronellenfitsch, Ulrich; Mönig, Stefan; Hofheinz, Ralf D.

    2017-01-01

    Importance Surgical resection has a potential benefit for patients with metastatic adenocarcinoma of the stomach and gastroesophageal junction. Objective To evaluate outcome in patients with limited metastatic disease who receive chemotherapy first and proceed to surgical resection. Design, Setting, and Participants The AIO-FLOT3 (Arbeitsgemeinschaft Internistische Onkologie–fluorouracil, leucovorin, oxaliplatin, and docetaxel) trial is a prospective, phase 2 trial of 252 patients with resectable or metastatic gastric or gastroesophageal junction adenocarcinoma. Patients were enrolled from 52 cancer care centers in Germany between February 1, 2009, and January 31, 2010, and stratified to 1 of 3 groups: resectable (arm A), limited metastatic (arm B), or extensive metastatic (arm C). Data cutoff was January 2012, and the analysis was performed in March 2013. Interventions Patients in arm A received 4 preoperative cycles of fluorouracil, leucovorin, oxaliplatin, and docetaxel (FLOT) followed by surgery and 4 postoperative cycles. Patients in arm B received at least 4 cycles of neoadjuvant FLOT and proceeded to surgical resection if restaging (using computed tomography and magnetic resonance imaging) showed a chance of margin-free (R0) resection of the primary tumor and at least a macroscopic complete resection of the metastatic lesions. Patients in arm C were offered FLOT chemotherapy and surgery only if required for palliation. Patients received a median (range) of 8 (1-15) cycles of FLOT. Main Outcomes and Measures The primary end point was overall survival. Results In total, 238 of 252 patients (94.4%) were eligible to participate. The median (range) age of participants was 66 (36-79) years in arm A (n = 51), 63 (28-79) years in arm B (n = 60), and 65 (23-83) years in arm C (n = 127). Patients in arm B (n = 60) had only retroperitoneal lymph node involvement (27 patients [45%]), liver involvement (11 [18.3%]), lung involvement (10 [16.7%]), localized

  9. A standardized CT/HRCT classification for occupational and environmental lung diseases of the German Federal Republic; Standardisierte CT/HRCT-Klassifikation der Bundesrepublik Deutschland fuer arbeits- und umweltbedingte Thoraxerkrankungen

    Energy Technology Data Exchange (ETDEWEB)

    Hering, K.G. [Radiologische Klinik, Knappschaftskrankenhaus Dortmund (Germany); Tuengerthal, S. [Roentgenabteilung, Thoraxklinik Heidelberg (Germany); Kraus, T. [Institut fuer Arbeitsmedizin, Universitaetsklinikum Aachen (Germany)

    2004-05-01

    unerlaesslicher Bestandteil der Diagnostik von Staublungenerkrankungen und anderen Inhalationsschaeden. Konsensfaehige Vereinbarungen ueber eine standardisierte Untersuchungstechnik und einheitliche Befundung existierten bislang aber nicht. Von der Arbeitsgemeinschaft ''Diagnostische Radiologie bei arbeits- und umweltbedingten Erkrankungen'' der Deutschen Roentgengesellschaft (DRG) wurde ein CT-Beurteilungsbogen eingesetzt, der auf Erfahrungen aus gutachtlichen Stellungnahmen, arbeitsmedizinischen nachgehenden Untersuchungen und Fortbildungskursen basiert und im Rahmen einer Multicenterstudie eingesetzt wurde. Ein weiter entwickeltes Schema einer internationalen Arbeitsgruppe (P.A. Gevenois, Belgien; K.G. Hering, T. Kraus, S. Tuengerthal, Deutschland; L. Kivisaari, T. Vehmas, Finnland; M. Letourneux, Frankreich; M.D. Crane, Grossbritannien; H. Arikawa, Y. Kusaka, N. Suganuma, Japan; J. Parker, USA) wurde international getestet. Es soll dazu dienen, die computertomographische Befundung der arbeits- und umweltbedingten Lungen- und Pleuraveraenderungen zu standardisieren und international Vergleiche zu ermoeglichen. Mit Hilfe von CT/HRCT-Referenzfilmen konnte diese reproduzierbare Vergleichbarkeit erreicht werden. Das Klassifizierungsschema hat einen rein deskriptiven Charakter, sodass alle Aspekte arbeits- und umweltbedingter Folgeerscheinungen an Parenchym und Pleura erfasst werden koennen. Obwohl einige der deskriptiven Bezeichnungen mit pneumokoniotischen Befunden verknuepft sind, wie z. B. rundliche Herde mit der Silikose oder interlobulaere septale und intralobulaere nichtseptale Linien sowie ''honeycombing'' mit der Asbestose, finden sich zahlreiche ueberlappende Bildmuster, die differenzialdiagnostisch zu diskutieren sind. (orig.)

  10. Weekly infusional high-dose fluorouracil (HD-FU), HD-FU plus folinic acid (HD-FU/FA), or HD-FU/FA plus biweekly cisplatin in advanced gastric cancer: randomized phase II trial 40953 of the European Organisation for Research and Treatment of Cancer Gastrointestinal Group and the Arbeitsgemeinschaft Internistische Onkologie.

    Science.gov (United States)

    Lutz, Manfred P; Wilke, Hansjochen; Wagener, D J Theo; Vanhoefer, Udo; Jeziorski, Krzysztof; Hegewisch-Becker, Susanna; Balleisen, Leopold; Joossens, Eric; Jansen, Rob L; Debois, Muriel; Bethe, Ullrich; Praet, Michel; Wils, Jacques; Van Cutsem, Eric

    2007-06-20

    This multicentric, randomized, two-stage phase II trial evaluated three simplified weekly infusional regimens of fluorouracil (FU) or FU plus folinic acid (FA) and cisplatin (Cis) with the aim to select a regimen for future phase III trials. A total of 145 patients with advanced gastric cancer where randomly assigned to weekly FU 3,000 mg/m2/24 hours (HD-FU), FU 2,600 mg/m2/24 hours plus dl-FA 500 mg/m2 or l-FA 250 mg/m2 (HD-FU/FA), or FU 2000 mg/m2/24 hours plus FA plus biweekly Cis 50 mg/m2, each administered for 6 weeks with a 1-week rest. The primary end point was the response rate. Confirmed responses were observed in 6.1% (two of 33) of the eligible patients treated with HD-FU, in 25% (12 of 48, including one complete remission [CR]) with HD-FU/FA, and in 45.7% (21 of 46, including four CRs) with HD-FU/FA/Cis. The HD-FU arm was closed after stage 1 because the required minimum number of responses was not met. The median progression-free survival of all patients in the HD-FU, HD-FU/FA, and HD-FU/FA/Cis arm was 1.9, 4.0, and 6.1 months, respectively. The median overall survival was 7.1, 8.9, and 9.7 months, and the survival rate at 1 year was 24.3%, 30.3%, and 45.3%, respectively. Grade 4 toxicities were rare. The most relevant grade 3/4 toxicities were neutropenia in 1.9%, 5.4%, and 19.6%, and diarrhea in 2.7%, 1.9%, and 3.9% of the cycles in the HD-FU, HD-FU/FA, and HD-/FU/Cis arms, respectively. Weekly infusional FU/FA plus biweekly Cis is effective and safe in patients with gastric cancer.

  11. Weekly infusional high-dose fluorouracil (HD-FU), HD-FU plus folinic acid (HD-FU/FA), or HD-FU/FA plus biweekly cisplatin in advanced gastric cancer: randomized phase II trial 40953 of the European Organisation for Research and Treatment of Cancer Gastrointestinal Group and the Arbeitsgemeinschaft Internistische Onkologie.

    NARCIS (Netherlands)

    Lutz, M.P.; Wilke, H.; Wagener, D.J.T.; Vanhoefer, U.; Jeziorski, K.; Hegewisch-Becker, S.; Balleisen, L.; Joossens, E.; Jansen, R.L.; Debois, M.; Bethe, U.; Praet, M.; Wils, J.; Cutsem, E. van

    2007-01-01

    PURPOSE: This multicentric, randomized, two-stage phase II trial evaluated three simplified weekly infusional regimens of fluorouracil (FU) or FU plus folinic acid (FA) and cisplatin (Cis) with the aim to select a regimen for future phase III trials. PATIENTS AND METHODS: A total of 145 patients

  12. Planning benchmark study for SBRT of early stage NSCLC. Results of the DEGRO Working Group Stereotactic Radiotherapy

    Energy Technology Data Exchange (ETDEWEB)

    Moustakis, Christos [University Muenster, Department of Radiation Oncology, Muenster (Germany); German CyberKnife Center, Soest (Germany); Blanck, Oliver [UKSH Universitaetsklinikum Schleswig Holstein, Department of Radiation Oncology, Kiel (Germany); Saphir Radiosurgery Center, Guestrow and Frankfurt, Frankfurt (Germany); Ebrahimi Tazehmahalleh, Fatemeh [University Muenster, Department of Radiation Oncology, Muenster (Germany); City Hospital Dessau, Dessau (Germany); Chan, Mark ka heng [UKSH Universitaetsklinikum Schleswig Holstein, Department of Radiation Oncology, Kiel (Germany); Ernst, Iris; Haverkamp, Uwe; Eich, Hans Theodor [University Muenster, Department of Radiation Oncology, Muenster (Germany); German CyberKnife Center, Soest (Germany); Krieger, Thomas [University of Wuerzburg, Department of Radiation Oncology, Wuerzburg (Germany); Duma, Marciana-Nona; Oechsner, Markus [Technical University of Munich, Department of Radiation Oncology, Klinikum rechts der Isar, Munich (Germany); Ganswindt, Ute; Heinz, Christian [Ludwig-Maximilians-University, Department of Radiation Oncology, Munich (Germany); Alheit, Horst; Blank, Hilbert [Radiationtherapy Distler, Bautzen (Germany); Nestle, Ursula; Wiehle, Rolf [University Medical Center Freiburg, Department of Radiation Oncology, Freiburg (Germany); Kornhuber, Christine; Ostheimer, Christian [University Halle, Department of Radiation Oncology, Halle (Germany); Petersen, Cordula [University Hospital Hamburg-Eppendorf, Hamburg (Germany); Pollul, Gerhard [University Mainz, Department of Radiation Oncology, Mainz (Germany); Baus, Wolfgang; Altenstein, Georg [University Hospital of Cologne, Cologne (Germany); Beckers, Eric; Jurianz, Katrin [Gamma Knife Center Krefeld, Krefeld (Germany); Sterzing, Florian [University Hospital Heidelberg, Heidelberg (Germany); Kretschmer, Matthias [Radiologische Allianz Hamburg, Hamburg (Germany); Seegenschmiedt, Heinrich; Maass, Torsten [Radiationtherapy and Cyberknife Center Hamburg, Hamburg (Germany); Droege, Stefan [Lung Clinic Hemer, Hemer (Germany); Wolf, Ulrich [University Leipzig, Department of Radiation Oncology, Leipzig (Germany); Schoeffler, Juergen [Radiationtherapy Department Boeblingen, Boeblingen (Germany); Guckenberger, Matthias [University Zurich, Department of Radiation Oncology, Zurich (Switzerland)

    2017-10-15

    Fruehstadium in Bezug auf die veroeffentlichten Empfehlungen der Arbeitsgemeinschaft Stereotaxie der Deutschen Gesellschaft fuer Radioonkologie (DEGRO). Planungscomputertomographie und Strukturdatensaetze (Planungszielvolumen, PTV; Risikoorgane, OARs) von 3 NSCLC-Patienten im Fruehstadium wurden an 22 Strahlentherapieabteilungen mit SBRT-Erfahrung gesendet: Jede Abteilung sollte einen Behandlungsplan nach DEGRO-Richtlinie generieren. Die Verschreibungsdosis betrug 3 Fraktionen mit je 15 Gy auf die 65%-Isodose. Es wurden 87 Plaene erzeugt: 36 mit intensitaetsmodulierter Arc-Therapie (IMAT), 21 mit dreidimensionaler konformaler Strahlentherapie (3D-CRT), 6 mit intensitaetsmodulierte Radiotherapie mit statischen Feldern (SF-IMRT), 9 mit helikaler Strahlentherapie und 15 mit robotergestuetzter Radiochirurgie. PTV-Dosisabdeckung und alle gleichzeitig erfassten OAR-Dosen hielten sich an die klinischen Grenzwerte der DEGRO-Richtlinie. Dennoch variierten durchschnittliche PTV-Dosen (Mittelwert 58,0 Gy; Spanne 52,8-66,4 Gy) und Dosiskonformitaetsindizes (Mittelwert 0,75; Spanne 0,60-1,00) zwischen Institutionen und Techniken (p ≤ 0,02). OAR-Dosen variierten erheblich zwischen den Institutionen, aber unabhaengig von der Technik (p = 0,21). Alle untersuchten Behandlungstechniken eignen sich gemaess den DEGRO-Empfehlungen fuer die SBRT von NSCLC im Fruehstadium. Die Homogenisierung der SBRT-Anwendung in Deutschland ist durch die Richtlinien moeglich; jedoch waren einige Charakteristika der Behandlungsplaene stark technik- und benutzerabhaengig und eine weitere Homogenisierung ist fuer kuenftige Studien und Empfehlungen noetig. Eine optimierte Bestrahlungsplanung sollte immer dem ALARA-Prinzip (so niedrig wie vernuenftig erreichbar) folgen. (orig.)

  13. Innovativ denken, strategisch planen, praktisch umsetzen – Jahrestagung der Arbeitsgemeinschaft für Medizinisches Bibliothekswesen (AGMB e.V. vom 19. bis 21.09.2011 in Köln / Think innovative, plan strategically, implement in practice – Annual Meeting 2011 of the German MLA (AGMB 19th to 21th September in Cologne

    Directory of Open Access Journals (Sweden)

    Reimann, Iris

    2011-12-01

    Full Text Available The annual meeting 2011 of the German MLA (AGMB took place 19th to 21th September at the university hospital of Cologne and was organized by the German National Library of Medicine. The elections of the new AGMB executive board and the new heads of the working teams were added to the fixed agenda with the commercial exhibition, scientific presentations, product reviews, meeting points and workshops. A new part of the meeting was the so called 5-minutes-presentation. Focal points were innovation management and marketing, reference management software and new applications in medical libraries.

  14. Approval procedures for clinical trials in the field of radiation oncology; Genehmigungsverfahren klinischer Studien im Bereich der Radioonkologie

    Energy Technology Data Exchange (ETDEWEB)

    Simon, Monique; Buettner, Daniel [Deutsches Konsortium fuer Translationale Krebsforschung (DKTK), Dresden (Germany); Deutsches Krebsforschungszentrum (DKFZ), Heidelberg (Germany); Medizinische Fakultaet und Universitaetsklinikum Carl Gustav Carus, Technische Universitaet Dresden, Klinik fuer Strahlentherapie und Radioonkologie und OncoRay - Nationales Zentrum fuer Strahlenforschung in der Onkologie, Dresden (Germany); Habeck, Matthias; Habeck, Uta; Brix, Gunnar [Bundesamt fuer Strahlenschutz (BfS), Fachbereich Strahlenschutz und Gesundheit, Neuherberg (Germany); Krause, Mechthild; Baumann, Michael [Deutsches Konsortium fuer Translationale Krebsforschung (DKTK), Dresden (Germany); Deutsches Krebsforschungszentrum (DKFZ), Heidelberg (Germany); Medizinische Fakultaet und Universitaetsklinikum Carl Gustav Carus, Technische Universitaet Dresden, Klinik fuer Strahlentherapie und Radioonkologie und OncoRay - Nationales Zentrum fuer Strahlenforschung in der Onkologie, Dresden (Germany); Helmholtz-Zentrum Dresden - Rossendorf, Institut fuer Radioonkologie und OncoRay - Nationales Zentrum fuer Strahlenforschung in der Onkologie, Dresden (Germany); Willich, Normann [Universitaetsklinikum Muenster, Klinik fuer Strahlentherapie - Radioonkologie, Muenster (Germany); Wenz, Frederik [Universitaetsmedizin Mannheim, Medizinische Fakultaet Mannheim, Universitaet Heidelberg, Klinik fuer Strahlentherapie und Radioonkologie, Mannheim (Germany); Schmidberger, Heinz [Universitaetsmedizin Mainz, Klinik fuer Radioonkologie und Strahlentherapie, Mainz (Germany); Debus, Juergen [Universitaetsklinikum Heidelberg, Klinik fuer Radioonkologie und Strahlentherapie, Heidelberg (Germany); Noelling, Torsten

    2015-12-15

    . The decision-making by the ''fachkundigem Arzt'' may be supported on request by an opinion given by the DEGRO Expert Committee for clinical trials. An important aim for promoting clinical research and patient care in radiation oncology is to further professionalize planning and implementation of clinical trials in this field. Correct assessment, at an early stage, whether a trial needs to be approved by the BfS may reduce unneccesary costs and reduce the time needed for the approval procedure for those trials which need to be assessed by the BfS. (orig.) [German] Bei Anwendung ionisierender Strahlung in der medizinischen Forschung ist in klinischen Studien im Bereich der Radioonkologie in Deutschland eine Genehmigung durch das Bundesamt fuer Strahlenschutz (BfS) notwendig. Bei der Abgrenzung zwischen ''Heilkunde'' und ''medizinischer Forschung'' kommt es bei radioonkologischen Studien immer wieder zu widerspruechlichen Einschaetzungen. Ziel ist es, eine Handreichung fuer Antragsteller, im Beantragungsprozess involvierte Personen und Institutionen sowie Ethikkommissionen zu liefern. Die Inhalte sind das Resultat eines von der Deutschen Gesellschaft fuer Radioonkologie (DEGRO) zusammen mit der Arbeitsgemeinschaft Radioonkologie (ARO) der Deutschen Krebsgesellschaft, der Deutschen Gesellschaft fuer Medizinische Physik (DGMP) und dem Deutschen Konsortium fuer Translationale Krebsforschung (DKTK) veranstalten Workshops zur klinischen Forschung in der Radioonkologie im Oktober 2013 sowie des nachfolgenden Abstimmungsprozesses mit dem BfS. Die Abgrenzung zwischen Heilkunde und medizinischer Forschung erfolgt anhand der Frage, ob es sich bei der therapeutischen Anwendung um ein nach Art und Umfang klinisch anerkanntes Strahlentherapieverfahren handelt oder nicht. Zur Einordnung werden die bestmoegliche Evidenz aus klinischen Studien sowie Stellungnahmen wissenschaftlicher Fachgesellschaften herangezogen

  15. Process analytical measuring technique - for quality safeguard and in environmental protection. Series of lectures of the work-group of the VDE district association Frankfurt am Main from the 24th of November to 15th of December 1980. Betriebsanalysenmesstechnik - zur Qualitaetssicherung und im Umweltschutz. Vortragsreihe der Arbeitsgemeinschaft des VDE-Bezirksvereins Frankfurt am Main vom 24. November bis 15. Dezember 1980

    Energy Technology Data Exchange (ETDEWEB)

    Fleck, K [ed.

    1981-01-01

    Process analytical measuring today and in future plays an always more important role on the automation of plants. Engineers and technicians of measurement and control are confronted more and more with problems of this special field. This new book gives a survey over methods and uses of analytical measuring techniques. Treatments on the level of technique and trends of development as photomechanic analytics measurement apparatus, operational gas chromatography, waste water technique and air supervision are presented.

  16. Safety-engineering concepts for process control in the chemical industry and in power plants. VDE Regional Association of Frankfurt/Main, VDI Regional Association of Frankfurt/Main-Darmstadt, Study Group meeting from March 9-30, 1987. Sicherheitskonzepte der Prozessleittechnik in verfahrenstechnischen Anlagen und in Kraftwerken. VDE-Bezirksverein Frankfurt am Main, VDI-Bezirksverein Frankfurt a. M. -Darmstadt Arbeitsgemeinschaft vom 9. 3. bis 30. 3. 1987

    Energy Technology Data Exchange (ETDEWEB)

    Forst, H J [ed.

    1987-01-01

    Process instrumentation and control is a task relying to a very large extent on on-line process control systems for continuous monitoring and control. Stored-program control systems are one of the smaller systems available for process measuring and control, and are currently used for enhancing the safety of chemical plants and power plants, particularly nuclear power plants. The contributions in this book deal with basic safety engineering concepts and with methods for early detection of faults or critical states of a plant or system. (DG).

  17. PREFACE: Structure and dynamics determined by neutron and x-ray scattering Structure and dynamics determined by neutron and x-ray scattering

    Science.gov (United States)

    Müller-Buschbaum, Peter

    2011-06-01

    Neutron and x-ray scattering have emerged as powerful methods for the determination of structure and dynamics. Driven by emerging new, powerful neutron and synchrotron radiation sources, the continuous development of new instrumentation and novel scattering techniques gives rise to exciting possibilities. For example, in situ observations become possible via a high neutron or x-ray flux at the sample and, as a consequence, morphological transitions with small time constants can be detected. This special issue covers a broad range of different materials from soft to hard condensed matter. Hence, different material classes such as colloids, polymers, alloys, oxides and metals are addressed. The issue is dedicated to the 60th birthday of Professor Winfried Petry, scientific director of the Research Neutron Source Heinz Maier-Leibnitz (FRM-II), Germany, advisor at the physics department for the Bayerische Elite-Akademie, chair person of the Arbeitsgemeinschaft Metall- und Materialphysik of the German Physical Society (DPG) and a member of the professional council of the German Science Foundation (Deutsche Forschungsgemeinschaft, DFG). We would like to acknowledge and thank all contributors for their submissions, which made this special issue possible in the first place. Moreover, we would like to thank the staff at IOP Publishing for helping us with the administrative aspects and for coordinating the refereeing process, and Valeria Lauter for the beautiful cover artwork. Finally, to the readers, we hope that you find this special issue a valuable resource that provides insights into the present possibilities of neutron and x-ray scattering as powerful tools for the investigation of structure and dynamics. Structure and dynamics determined by neutron and x-ray scattering contents In situ studies of mass transport in liquid alloys by means of neutron radiography F Kargl, M Engelhardt, F Yang, H Weis, P Schmakat, B Schillinger, A Griesche and A Meyer Magnetic spin

  18. Guideline on allergen-specific immunotherapy in IgE-mediated allergic diseases: S2k Guideline of the German Society for Allergology and Clinical Immunology (DGAKI), the Society for Pediatric Allergy and Environmental Medicine (GPA), the Medical Association of German Allergologists (AeDA), the Austrian Society for Allergy and Immunology (ÖGAI), the Swiss Society for Allergy and Immunology (SGAI), the German Society of Dermatology (DDG), the German Society of Oto- Rhino-Laryngology, Head and Neck Surgery (DGHNO-KHC), the German Society of Pediatrics and Adolescent Medicine (DGKJ), the Society for Pediatric Pneumology (GPP), the German Respiratory Society (DGP), the German Association of ENT Surgeons (BV-HNO), the Professional Federation of Paediatricians and Youth Doctors (BVKJ), the Federal Association of Pulmonologists (BDP) and the German Dermatologists Association (BVDD).

    Science.gov (United States)

    Pfaar, Oliver; Bachert, Claus; Bufe, Albrecht; Buhl, Roland; Ebner, Christof; Eng, Peter; Friedrichs, Frank; Fuchs, Thomas; Hamelmann, Eckard; Hartwig-Bade, Doris; Hering, Thomas; Huttegger, Isidor; Jung, Kirsten; Klimek, Ludger; Kopp, Matthias Volkmar; Merk, Hans; Rabe, Uta; Saloga, Joachim; Schmid-Grendelmeier, Peter; Schuster, Antje; Schwerk, Nicolaus; Sitter, Helmut; Umpfenbach, Ulrich; Wedi, Bettina; Wöhrl, Stefan; Worm, Margitta; Kleine-Tebbe, Jörg; Kaul, Susanne; Schwalfenberg, Anja

    The present guideline (S2k) on allergen-specific immunotherapy (AIT) was established by the German, Austrian and Swiss professional associations for allergy in consensus with the scientific specialist societies and professional associations in the fields of otolaryngology, dermatology and venereology, pediatric and adolescent medicine, pneumology as well as a German patient organization (German Allergy and Asthma Association; Deutscher Allergie- und Asthmabund, DAAB) according to the criteria of the Association of the Scientific Medical Societies in Germany (Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften, AWMF). AIT is a therapy with disease-modifying effects. By administering allergen extracts, specific blocking antibodies, toler-ance-inducing cells and mediators are activated. These prevent further exacerbation of the allergen-triggered immune response, block the specific immune response and attenuate the inflammatory response in tissue. Products for SCIT or SLIT cannot be compared at present due to their heterogeneous composition, nor can allergen concentrations given by different manufacturers be compared meaningfully due to the varying methods used to measure their active ingredients. Non-modified allergens are used for SCIT in the form of aqueous or physically adsorbed (depot) extracts, as well as chemically modified allergens (allergoids) as depot extracts. Allergen extracts for SLIT are used in the form of aqueous solutions or tablets. The clinical efficacy of AIT is measured using various scores as primary and secondary study endpoints. The EMA stipulates combined symptom and medication scores as primary endpoint. A harmonization of clinical endpoints, e. g., by using the combined symptom and medication scores (CSMS) recommended by the EAACI, is desirable in the future in order to permit the comparison of results from different studies. The current CONSORT recommendations from the ARIA/GA2LEN group specify standards for the