Zur Struktur des deutschen Satzes. Systematische Betrachtung der einzelnen Satzpositionen unter didaktischen Gesichtspunkten

Directory of Open Access Journals (Sweden)

Dieter Schmid

2017-04-01

Full Text Available Die Struktur, d.h. die Syntax des deutschen Satzes ist möglicherweise das komplexeste Thema der deutschen Grammatik. Es scheint, dass die meisten Fehler in diesem Bereich gemacht werden, und selbst Muttersprachler und Muttersprachlerinnen sind oft unsicher bzgl. der richtigen Wortstellung, insbesondere im Mittelfeld des Satzes. Dieser Aufsatz versucht, Deutschlehrern und -lehrerinnen eine Hilfestellung zu geben, indem er − aufbauend auf das topologische oder Stellungsfeldermodell von Erich Drach (vgl. Musan 2009: 10 − die wichtigsten Stellungsregeln für die verschiedenen Satzelemente angibt. Dies geschieht dadurch, dass alle möglichen „Positionen“ des deutschen Satzes systematisch untersucht werden, eine nach der anderen. The structure, i.e., the syntax of the German sentence is perhaps the most complex topic of German grammar. It seems that most mistakes are made in this area, and even native speakers are often not sure about the correct word order, especially in the middle-field of the sentence. This paper tries to help German teachers by giving them − based on the topological field model of Erich Drach − the most important rules about the correct positioning of the different elements of the sentence. It does so by examining systematically all the possible “positions” of the German sentence, one after the other.

tripleC-Interview mit Kerem Schamberger über Berufsverbote, linke Kommunikationswissenschaft und Kritik an der deutschen Wissenschaftslandschaft

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Kerem Schamberger

2017-01-01

Full Text Available Kerem Schamberger ist ein Doktorand am Institut für Kommunikationswissenschaft und Medienforschung der Ludwig-Maximilians-Universität München. Er ist auch ein linker Aktivist und Mitglied der Deutschen Kommunistischen Partei (DKP. Im Zuge seiner Anstellung wurde auf Basis der bayrischen Gesetzeslage vom Bayrischen Verfassungsschutz geprüft, ob Kerem als verfassungsfeindlich gilt und ihm daher die Anstellung verweigert werden sollte. In der deutschen Mediensoziologie gab es mit Horst Holzer in den 1970er-Jahren einen ähnlichen Fall eines Berufsverbots, das damals durchgesetzt wurde. tripleC hat ein Interview mit Kerem geführt und ihn gebeten, die Hintergründe genauer zu erläutern. Das Interview wurde von Christian Fuchs und Thomas Allmer auf Deutsch geführt und ins Englische übersetzt.

Dynamik des Kaufverhaltens im Bio-Sortiment

OpenAIRE

Buder, Fabian; Hamm, Ulrich; Bickel, Malte; Bien, Barbara; Michels, Paul

2010-01-01

Das Gesamtziel des vorliegenden Forschungsprojekts war es, eine detaillierte Informationsgrundlage zum tatsächlichen Kaufverhalten von deutschen Haushalten bei ökologischen Lebensmitteln auf der Basis von Haushaltspaneldaten zu erstellen. Dazu sollten zum einen relevante Aspekte des Kaufverhaltens von Haushalten bei Öko-Lebensmitteln im Zeitverlauf von 2004 bis 2008 analysiert und zum anderen die Einflussfaktoren des Kaufverhaltens bei Öko-Lebensmitteln für das Jahr 2008 identifiziert werden....

Mammographic screening programmes in Europe

DEFF Research Database (Denmark)

Giordano, Livia; von Karsa, Lawrence; Tomatis, Mariano

2012-01-01

To summarize participation and coverage rates in population mammographic screening programmes for breast cancer in Europe.......To summarize participation and coverage rates in population mammographic screening programmes for breast cancer in Europe....

ZUR WASSERMETAPHORIK IN PHRASEOLOGISMEN DER WIRTSCHAFTSSPRACHE. EINE KOGNITIVE STUDIE ANHAND DES DEUTSCHEN UND SPANISCHEN DER WIRTSCHAFTSSPRACHE. EINE KOGNITIVE STUDIE ANHAND DES DEUTSCHEN UND SPANISCHEN

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Alfonso Corbacho Sánchez

2009-10-01

Full Text Available Ausgehend von der konzeptuellen Metapher GELD IST WASSER ist das Anliegendieses Beitrages, Gemeinsamkeiten und Unterschiede der deutschen Phraseologismen und ihrer Entsprechungenim Spanischen aufzuzeigen. Die Gegenüberstellung dieser Redewendungen soll, zum einen, alsHilfsmittel im Fremdsprachenunterricht dienen, zum anderen, zu Übersetzungsaufgaben benutzt werden.Auch für das Erlernen von wirtschaftlichen Begriffen wäre die vorliegende Untersuchung überaus nützlich.This paper focuses on the German and the Spanish metaphoric expressions that stem from theconceptual metaphor MONEY IS WATER. A contrastive analysis of these expressions shows that they areuseful tools not only to understand some key economic notions but also for translators and teachers of Germanor Spanish as a second language.

Central online quality assurance in radiology. An IT solution exemplified by the German Breast Cancer Screening Program; Zentrale Online-Qualitaetssicherung in der Radiologie. Eine IT-Loesung am Beispiel des deutschen Mammografie-Screening-Programms

Energy Technology Data Exchange (ETDEWEB)

Czwoydzinski, J.; Girnus, R.; Sommer, A. [Universitaetsklinikum Muenster (Germany). Referenzzentrum Mammographie; Heindel, W.; Lenzen, H. [Universitaetsklinikum Muenster (Germany). Referenzzentrum Mammographie; Universitaetsklinikum Muenster (Germany). Inst. fuer Klinische Radiologie

2011-09-15

Purpose: Physical-technical quality assurance is one of the essential tasks of the National Reference Centers in the German Breast Cancer Screening Program. For this purpose the mammography units are required to transfer the measured values of the constancy tests on a daily basis and all phantom images created for this purpose on a weekly basis to the reference centers. This is a serious logistical challenge. To meet these requirements, we developed an innovative software tool. Materials and Methods: By the end of 2005, we had already developed web-based software (MammoControl) allowing the transmission of constancy test results via entry forms. For automatic analysis and transmission of the phantom images, we then introduced an extension (MammoControl DIANA). This was based on Java, Java Web Start, the NetBeans Rich Client Platform, the Pixelmed Java DICOM Toolkit and the ImageJ library. Results: MammoControl DIANA was designed to run locally in the mammography units. This allows automated on-site image analysis. Both results and compressed images can then be transmitted to the reference center. We developed analysis modules for the daily and monthly consistency tests and additionally for a homogeneity test. Conclusion: The software we developed facilitates the immediate availability of measurement results, phantom images, and DICOM header data in all reference centers. This allows both targeted guidance and short response time in the case of errors. We achieved a consistent IT-based evaluation with standardized tools for the entire screening program in Germany. (orig.)

School scoliosis screening programme-a systematic review.

Science.gov (United States)

Sabirin, J; Bakri, R; Buang, S N; Abdullah, A T; Shapie, A

2010-12-01

A systematic review on the effectiveness and cost-effectiveness of school scoliosis screening programme was carried out. A total of 248 relevant titles were identified, 117 abstracts were screened and 28 articles were included in the results. There was fair level of evidence to suggest that school scoliosis screening programme is safe, contributed to early detection and reduction of surgery. There was also evidence to suggest that school-based scoliosis screening programme is cost-effective. Based on the above review, screening for scoliosis among school children is recommended only for high risk group such as girls at twelve years of age.

Kriminologie und Kriminalistik im Zugriff der Geschichtswissenschaft

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Peter-Alexis Albrecht

2007-01-01

Full Text Available Rezensierte Werke:Silviana Galassi, Kriminologie im Deutschen Kaiserreich. Geschichte einer gebrochenen Verwissen­schaftlichung, Stuttgart: Franz Steiner Verlag 2004, 452 S., ISBN 3-515-08352-9; Peter Becker, Dem Täter auf der Spur. Eine Geschichte der Kriminalistik, Darmstadt: Primus Verlag 2005, 287 S., ISBN 3-89678-275-4; Peter Becker, Richard F. Wetzell (Hg., Criminals and their Scientists. The History of Criminology in International Perspective, Cambridge: Cambridge University Press 2006, 492 S., ISBN 0-521-81012-4

Das "Dänische Modell" des Wettbewerbs im Nahverkehr als Vorbild für die Organisation des ÖPNV in Deutschland

OpenAIRE

Haubitz, Martin

2004-01-01

Das Thema des Wettbewerbs im ÖPNV wird in Deutschland derzeit sehr umstritten, oft aber auch einseitig diskutiert. Allerdings ist an vielen Fachbeiträgen zu erkennen, dass in Deutschland kaum bekannt ist, was Wettbewerb im ÖPNV bedeutet. Die Gegner des Wettbewerbes stellen diesen so dar, als sei er geeignet, den deutschen ÖPNV komplett zum Erliegen zu bringen. Befürworter gibt es wenige. Der Verfasser dieser Arbeit hat jedoch bei Studien im Ausland festgestellt, dass offensichtlich der ko...

A simple method to estimate the episode and programme sensitivity of breast cancer screening programmes.

Science.gov (United States)

Zorzi, Manuel; Guzzinati, Stefano; Puliti, Donella; Paci, Eugenio

2010-01-01

The estimation of breast cancer screening sensitivity is a major aim in the quality assessment of screening programmes. The proportional incidence method for the estimation of the sensitivity of breast cancer screening programmes is rarely used to estimate the underlying incidence rates. We present a method to estimate episode and programme sensitivity of screening programmes, based solely on cancers detected within screening cycles (excluding breast cancer cases at prevalent screening round) and on the number of incident cases in the total target population (steady state). The assumptions, strengths and limitations of the method are discussed. An example of calculation of episode and programme sensitivities is given, on the basis of the data from the IMPACT study, a large observational study of breast cancer screening programmes in Italy. The programme sensitivity from the fifth year of screening onwards ranged between 41% and 48% of the total number of cases in the target population. At steady state episode sensitivity was 0.70, with a trend across age groups, with lowest values in women aged 50-54 years (0.52) and highest in those 65-69 (0.77). The method is a very serviceable tool for estimating sensitivity in service screening programmes, and the results are comparable with those of other methods of estimation.

Breast and cervical cancer screening programme implementation in 16 countries

DEFF Research Database (Denmark)

Dowling, Emily C; Klabunde, Carrie; Patnick, Julietta

2010-01-01

There is a continuing need to monitor and evaluate the impact of organized screening programmes on cancer incidence and mortality. We report results from a programme assessment conducted within the International Cancer Screening Network (ICSN) to understand the characteristics of cervical screening...... programmes within countries that have established population-based breast cancer screening programmes....

Auswirkungen eines Intensivtherapie-Programms für verhaltensgestörte Geistigbehinderte auf ihre Bezugspersonen im Heim

OpenAIRE

Elbing, Ulrich; Rohmann, Ulrich H.

1994-01-01

Die vorliegende Studie dokumentiert die Auswirkungen eines Intensivtherapie-Programms für Geistigbehinderte mit schweren Verhaltensstörungen oder autistischen Verhaltensweisen auf ihre in das Programm mit einbezogenen Betreuer hinsichtlich ihrer fachlichen Kompetenz, ihrer Interaktionsqualität mit den Klienten, ihrer Teamkultur und ihrer Arbeitszufriedenheit. In einem quasiexperimentellen Design schätzten sich die Betreuer vor und nach dem Intensivtherapie-Programm mit einer Ratingskala im Hi...

Competition in the European electricity market - really a chance?; Wettbewerb im europaeischen Strommarkt - wirklich eine Chance?

Energy Technology Data Exchange (ETDEWEB)

Holzer, J [Bayernwerk AG, Muenchen (Germany)

1993-12-31

This report throws a critical look at the targets and guidelines aimed at by the EC Commission in order to change the present regulative frame of electricity supply. Particularly the difference between the German, French and British situation is shown. In the opinion of German electric utilities the principle of closed supply areas has to be sticked to. Finally the necessity is emphasized to use energy policy to solve quickly some problems in order to improve the standing of German electric utilities. (UA) [Deutsch] Der Vortrag beinhaltet eine kritische Auseinandersetzung mit den von der EG-Kommision verfolgten Zielen und Richtlinien zur Aenderung des bisherigen Ordnungsrahmens in der Elektrizitaetsversorgung. Insbesondere werden die Unterschiede im Vergleich zwischen deutschen, franzoesischen und englischen Verhaeltnissen herausgestellt. Nach Ausicht der deutschen EVUs muss das Prinzip der geschlossenen Versorgungsgebiete erhalten bleiben. Abschliessend wird die Forderung unterstrichen, die Loesung einiger Probleme durch die Energiepolitik voranzutreiben, um die Position der deutschen Elektrizitaetsversorgung zu verbessern. (UA)

Pain during mammography: Implications for breast screening programmes

International Nuclear Information System (INIS)

Andrews, F.J.

2001-01-01

Pain experienced during mammography can deter women from attending for breast cancer screening. Review of the current literature on pain experienced during mammography reveals three main areas of interest: reports of the frequency of pain, identification of predictors of pain and strategies for responding to pain. Implications of this literature for breast screening programmes include the need for appropriate measurements of pain during mammography that are valid for screening populations, a further understanding of organizational factors involved in screening programmes that may be predictors of pain and for the development of valid strategies for responding to pain within breast screening programmes. Copyright (2001) Blackwell Science Pty Ltd

Zu entwicklungstendenzen im satzbau der Deutschen sprache der gegenwart unter besonderer Berücksichtigung der ausrahmung

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Jasna Makovec

1983-01-01

Full Text Available Die vorliegende Arbeit wurde durch das Bestreben motiviert, weitere Ergänzungen zum Phänornen "Ausrahrnung in der modernen deutschen Schriftsprache der Gegenwart" zu leisten. Der Ausgangspunkt dieses "fakultativ" geregelten Bereiches ist die Annahme bzw. die Arbeitshypothese, daß sich linguistische und außerlinguistische Faktoren einander zuordnen lassen. Das bedeutet, daß die Linearität innerhalb des Kornrnunikationspro­ zesses auch einige wichtige kommunikative Funktionen auszuüben hat, und daß die kontextuellen Modifikationen der Stellungsva­ rianten bei gleichern Denotatsbezug unter diesern Blickwinkel untersucht werden müssen, und nicht gleich als stilistische Varianten qualifiziert werden.

The breast screening programme and misinforming the public

DEFF Research Database (Denmark)

Gøtzsche, Peter C; Jørgensen, Karsten Juhl

2011-01-01

The information provided to the public by the NHS Breast Screening Programme has been criticized for lack of balance, omission of information on harms and substantially exaggerated estimates of benefit. These shortcomings have been particularly evident in the various invitation leaflets for breast...... screening and in the Programme's own 2008 Annual Review, which celebrated 20 years of screening. The debate on screening has been heated after new data published in the last two years questioned the benefit and documented substantial harm. We therefore analysed whether the recent debate and new pivotal data...... about breast screening has had any impact on the contents of the new 2010 leaflet and on the 2010 Annual Review. We conclude that spokespeople for the Programme have stuck to the beliefs about benefit that prevailed 25 years ago. Concerns about over-diagnosis have not been addressed either and official...

Screening of newborns for congenital hypothyroidism. Guidance for developing programmes

International Nuclear Information System (INIS)

2005-12-01

Congenital hypothyroidism is a condition that, if left untreated, can cause lifelong human suffering as a result of severe mental retardation and deficiency of growth. With the involvement of the IAEA, screening programmes to detect congenital hypothyroidism in newborn infants have been introduced successfully in a large number of countries. The cornerstone of these programmes is accurate and reliable screening methods involving isotope techniques and simple medical treatment. The suffering - and heavy social and economic burden - caused by congenital hypothyroidism prompted many countries to institute a formalized screening programme directed at newborns, just as a vaccination programme has become an integral part of child health care. In many other countries however, this type of formalized service has not yet been established. For these countries, the implementation of a neonatal screening programme will bring about a considerable improvement in child health care. It is hoped that the guidance in this publication will be especially useful to the signatories of the United Nations Convention on the Rights of the Child. Several factors that prevail in a country - the climate, political environment, economic development, level of health care and the transportation system - have an influence on the overall operational systems, design and implementation of a screening programme. As such, the design of such a programme will differ greatly from country to country. Nevertheless, neonatal screening programmes have many elements in common. This book draws on the IAEA's experience in this area over more than a decade, and on the results of a regional technical cooperation programme on neonatal screening for congenital hypothyroidism in East Asia (IAEA Project RAS6032). This publication provides guidance aimed specifically at implementing and sustaining programmes for the screening of newborn infants

Quantifying the Value of Markers in Screening Programmes

DEFF Research Database (Denmark)

Østergaard, Søren Dinesen; Dinesen, Peter Thisted; Foldager, Leslie

2010-01-01

Existing methods used to rank the value of individual screening markers in screening programmes are inadequate. We have developed a simple Screening Marker Index: (Screening Marker Index = Positive Predictive Value x Sensitivity). The Screening Marker Index proved to be superior to existing indices...

Lizenzierungsservice Vergriffene Werke (VW-LiS – ein neuer Dienst der Deutschen Nationalbibliothek

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Reinhard Altenhöner

2015-12-01

Full Text Available Vor allem die bestehende urheberrechtliche Situation verhindert die Digitalisierung von Beständen des 20. Jahrhunderts. Basierend auf einem EU-Memorandum hat der deutsche Gesetzgeber durch eine Neuregelung für die Materialart Buch eine Möglichkeit geschaffen: Nach dem Erwerb einer entsprechenden Lizenz bewegt sich die digitalisierende Einrichtung bei der öffentlichen Bereitstellung digitalisierter Bücher in einem rechtssicheren Raum. In Kooperation mit dem Deutschen Bibliotheksverband (dbv, der VG Wort und VG Bild-Kunst sowie dem Deutschen Patent- und Markenamt (DPMA hat die Deutsche Nationalbibliothek (DNB bis Juli 2015 einen Dienst entwickelt, der die Ermittlung vergriffener Bücher sowie ihre Lizenzierung im Rahmen der gesetzlichen Vorgabe wesentlich erleichtert. Dieser Dienst wird hier vorgestellt und eingeordnet. The existing copyright situation prevents the digitization of collections of the 20th century. Based on a European memorandum, the German legislature has created a new way for books: After the acquisition of the appropriate licence, the digitization becomes possible; the public provision of digitized books takes place in a legally safeguarded manner. In cooperation with the German Library Association (dbv, the copyright collecting agencies Wort and VG Bild-Kunst and the DPMA, the German National Library (DNB has until July 2015 developed a service which significantly facilitates the identification of out-of-commerce-books as well as their licensing under the new regulation. The new service will be presented and explained.

Determinants of successful implementation of population-based cancer screening programmes

DEFF Research Database (Denmark)

Lynge, Elsebeth; Törnberg, Sven; von Karsa, Lawrence

2012-01-01

consider when planning, implementing and running population based cancer screening programmes. The list is general and is applicable to breast, cervical and colorectal cancer screening. It is based on evidence presented in the three European Union guidelines on quality assurance in cancer screening...... and diagnosis, supplemented with other literature and expert experience presented at a European Science Advisory Network for Health workshop. The implementation of a cancer screening programme should be divided into the following seven phases: (1) before planning, (2) planning, (3) feasibility testing, (4......) piloting or trial implementation, (5) scaling up from pilot to service, (6) running of full-scale programme, and (7) sustainability. For each phase, a substantial number of specified conditions have to be met. Successful implementation of a cancer screening programme requires societal acceptance and local...

Das Unsichtbare sichtbar machen. Zum vergessenen Beitrag der alten deutschen Frauenbewegung zur Wohn- und Siedlungsreform im frühen 20. Jahrhundert

Directory of Open Access Journals (Sweden)

Claudia Wucherpfennig

2007-03-01

Full Text Available Der Wohnungs- und Städtebau der Moderne gilt weitgehend als eine „Männerdomäne”. In ihrer Schrift Die Wohnungsfrage ist Frauensache! zeigen Ulla Terlinden und Susanna von Oertzen demgegenüber die vielfältigen und einflussreichen Beiträge der alten deutschen Frauenbewegung zur Wohnungsreform des frühen 20. Jahrhunderts und zum Neuen Bauen auf.

There are calls for a national screening programme for prostate cancer: what is the evidence to justify such a national screening programme?

Science.gov (United States)

Green, A; Tait, C; Aboumarzouk, O; Somani, B K; Cohen, N P

2013-05-01

Prostate cancer is the commonest cancer in men and a major health issue worldwide. Screening for early disease has been available for many years, but there is still no national screening programme established in the United Kingdom. To assess the latest evidence regarding prostate cancer screening and whether it meets the necessary requirements to be established as a national programme for all men. Electronic databases and library catalogues were searched electronically and manual retrieval was performed. Only primary research results were used for the analysis. In recent years, several important randomised controlled trials have produced varied outcomes. In Europe the largest study thus far concluded that screening reduced prostate cancer mortality by 20%. On the contrary, a large American trial found no reduction in mortality after 7-10 years follow-up. Most studies comment on the adverse effects of screening - principally those of overdiagnosis and subsequent overtreatment. Further information about the natural history of prostate cancer and accuracy of screening is needed before a screening programme can be truly justified. In the interim, doctors and patients should discuss the risks, benefits and sequelae of taking part in voluntary screening for prostate cancer.

Alltagskulturen von Türken und Deutschen: Ähnlichkeiten und Unterschiede im Vergleich Daily Cultures of Turks and Germans: Similarities and Differences in Comparison

Directory of Open Access Journals (Sweden)

2013-09-01

einige Beispiele verglichen, die die türkischen und deutschen Alltagskulturen reflektieren; Ähnlichkeiten und Unterschiede werden mit dem Zweck diskutiert, die zwischen den türkischen und deutschen Individuen höchstwahrscheinlich entstehenden Kommunikationshindernisse zu verringern und eine interkulturelle Kompetenz zu erwerben. Günümüzde ülkeler arasındaki sınırlar kalkmış, mesafelerkısalmış ve çok farklı toplumlara mensup bireylerin birbirleriyleetkileşimleri yoğunlık ve sıklık kazanmıştır. Bununla birlikteuluslararası ilişkilere, ülkeler arası göçlere ve iletişime gün geçtikçefarklı boyutlar kazandıran toplumsal gelişmeler nedeniyle pek çok farklıkültürün de karşılaşması kaçınılmaz bir durum haline gelmiştir.Hızla globalleşen modern dünyada kültürlerin karşılaşması,kaynaşması söz konusu olduğunda anlatılmak istenen şüphesiz insanunsurundan bağımsız oluşturulmuş yapay sistemlerin değil, insanlarınkarşılaşması ve kaynaşmasıdır. İnsanlar içinde bulundukları toplumunyapısı ve özelliklerine bağlı olarak edindikleri, dolayısıyla hemkendilerinden hem de ait oldukları toplumdan izler taşıyan değerleri,alışkanlıkları ve yaşam biçimleriyle iletişim kurmak ve birbirleriyleanlaşmak durumudadırlar. Bu etkileşim sırasında insan ilişkilerinianlamlandırmada göz ardı edilemeyecek „gündelik kültürleri“ ile varolurlar. İnsanlar arasında gerçekleşen iletişimin başarılı bir şekildeamacına ulaşması, iletişim dilini doğru bir şekilde kullanabilmenin yanısıra bireylerin kendi kültürlerinden oldukça farklı unsurlar barındıran,yabancısı olunan toplumların söz konusu gündelik kültürlerine açıkolunması, bunların anlaşılması ve doğru yorumlanmasına sıkı sıkıyabağlıdır. Dünyanın globalleşmesi, teknolojinin hızla ilerlemesi de,sürekli birbirleriyle karşılaşma durumunda kalan farklı gündelikkültürlerin yol açabileceği yanl

„Sprache, du heilige“: Sprachreflexionen in der deutschen Dichtung der Bukowina

Directory of Open Access Journals (Sweden)

Petro Rychlo

2017-12-01

Full Text Available Der Aufsatz befasst sich mit der historischen und kulturellen Rolle der deutschen Sprache in der Bukowina, wo sie zwischen 1875 und 1918 den Status einer offiziellen Staats- und Umgangssprache hatte und sogar nach dem Zerfall der Habsburgermonarchie noch eine Zeitlang auf verschiedenen Ebenen funktionierte. Das verursachte in der Bukowina und besonders in ihrer Hauptstadt Czernowitz die Herausbildung einer deutschsprachigen Literatur, deren Anfänge in die Mitte des 19. Jahrhundert fallen. Zuerst nur als „Heimatliteratur“ begriffen, entwickelte sie sich bald, vor allem auf dem Gebiet der lyrischen Dichtung, zu einem beachtlichen literarischen Phänomen, das in der Zwischenkriegszeit im Werk solcher Dichter wie Alfred Margul-Sperber, Rose Ausländer, David Goldfeld, Alfred Kittner, Moses Rosenkranz, Immanuel Weißglas, Paul Celan, Alfred Gong, Selma Meerbaum-Eisinger ihre höchste Blüte erlebte. Infolge der fortschreitenden Romanisierung des Landes und der Bedrohung des Sprachverlusts greifen um diese Zeit viele Czernowitzer deutschjüdische Dichter öfters zur Sprachproblematik, indem sie sie in ihren Gedichten im tragischen Sinne thematisieren. Nach dem Holocaust und der Emigration aus der Bukowina verwandelt sich die Muttersprache für verbannte Dichter in ein Synonym der Heimat („Mutterland Wort“. Der Artikel analysiert Sprachreflexionen der Czernowitzer Autoren als Strategie des kulturellen und existenziellen Überlebens.

Numerical simulations for the area of the German Bight in spring 1995; Numerische Simulationsrechnungen fuer das Gebiet der Deutschen Bucht am Beispiel des Fruehjahrs 1995

Energy Technology Data Exchange (ETDEWEB)

Lenz, C.J. [Hamburg Univ. (Germany). Meteorologisches Inst.

1998-01-01

The paper reports results of the mesoscale transport, chemism and flow model METRAS for the period from 22 April to 11 May 1995. During this period, a measurement campaign was carried out in the area of the German Bight under the ``KUSTOS`` springtime scheme (``Coastal mass and energy transport processes - The transition from land to sea in the south-eastern North Sea``). In order to take instationary and inhomogeneous weather situations into account, the modellings used data provided by the German weather service, which form part of its Germany model (DM), both to initialize and drive the METRAS data. The modelling results of METRAS are compared with routine readings taken by the German weather service in some selected measuring sites. (orig./KW) [Deutsch] In diesem Beitrag werden Ergebnisse des mesoskaligen Transport-, Chemie- und Stroemungsmodells METRAS fuer den Zeitraum vom 22. April bis zum 11. Mai 1995 vorgestellt, in dem die Messkampagne des KUSTOS-Fruehjahrsexperimentes (Kuestennahe Stoff- und Energietransporte - der Uebergang Land - Meer in der suedoestlichen Nordsee) im Bereich der Deutschen Bucht stattfand. Zur Beruecksichtigung instationaerer und inhomogener Wetterlagen bei den Modellrechnungen wurden sowohl zur Initialisierung als auch zum Antrieb von METRAS Daten des Deutschland-Modells (DM) des Deutschen Wetterdienstes verwendet. Die Modellergebnisse von METRAS werden mit Routinemessungen des Deutschen Wetterdienstes an einigen ausgewaehlten Messstationen verglichen. (orig./KW)

The new IEA research programme on PV systems in buildings; Das neue Forschungsprogramm der internationalen Energieagentur zu Photovoltaik an Gebaeuden

Energy Technology Data Exchange (ETDEWEB)

Laukamp, H.; Erge, T. [Fraunhofer-Inst. fuer Solare Energiesysteme, Freiburg (Germany). Abt. fuer Photovoltaische Systeme und Messtechnik

1998-02-01

The International Energy Agency coordinates and supports the cooperation of OECD countries in energy politics and energy technologies by technology-oriented scientific programmes (`implementing agreements`). Under these agreements subject-oriented scientific projects (`tasks`) are carried out. Within the `Photovoltaic Power Systems Programme` the Task VII (Photovoltaics in the Built Environment) has just begun. The Fraunhofer ISE was contracted to coordinate the German contribution to Task VII and to organize information transfer to interested German institutions. So far Task VII focussed on a selection of architecturally outstanding PV buildings, on developing criteria to assess their quality and on a critical review of planned PV buildings. (orig.) [Deutsch] Die Internationale Energieagentur foerdert die Zusammenarbeit der OECD Laender in der Energiepolitik und bei den Energietechnologien, durch gemeinsam vereinbarte technologiespezifische Programme (`Implementing Agreements`). Die Programme werden durch Projekte (`Tasks`) konkretisiert. Im Programm `Photovoltaic Power Systems` wird derzeit Task VII `Photovoltaics in the Built Environment` begonnen. Das Fraunhofer ISE wurde gebeten, die deutsche Beteiligung hieran zu koordinieren und den Informationstransfer zu interessierten deutschen Firmen und Instituten zu organisieren. Schwerpunkte bisheriger Arbeiten lagen bei der Auswahl architektonisch herausragender PV-Gebaeude, bei der Erarbeitung von Kriterien zu ihrer Beurteilung und bei der kritischen Diskussion geplanter PV-Gebaeude. (orig.)

The breast screening programme and misinforming the public

DEFF Research Database (Denmark)

Gøtzsche, Peter C; Jørgensen, Karsten Juhl

2011-01-01

screening and in the Programme's own 2008 Annual Review, which celebrated 20 years of screening. The debate on screening has been heated after new data published in the last two years questioned the benefit and documented substantial harm. We therefore analysed whether the recent debate and new pivotal data...

Review of neonatal screening programme for phenylketonuria.

Science.gov (United States)

Smith, I; Cook, B; Beasley, M

1991-01-01

OBJECTIVE--To review the neonatal screening programme during 1984-8. DESIGN--Analysis of data from screening laboratories and paediatricians. SUBJECTS--All live births in United Kingdom. MAIN OUTCOME MEASURES--Structure of programme; number of infants tested and number with phenylketonuria; number of infants missed; ages at testing and treatment. RESULTS--The proportion of infants tested approached 100%. The incidence of phenylketonuria was 11.7/100,000 births (445 subjects): 273 had classic phenylketonuria and three had defects of cofactor metabolism. One child with phenylketonuria was known to have been missed compared with three in 1979-83 and six in 1974-8. Seven subjects had been missed over the 15 years due to negative test results. All seven had been tested with the bacterial inhibition assay, although only 53% of infants had been so tested; the difference between the expected and observed proportion was significant (Fisher's exact test, p = 0.017). Eleven infants with classic phenylketonuria were not tested by 14 days of age and 23 (8%) did not start treatment until after 20 days, an improvement compared with 36 (15%) in 1979-83. There were, however, wide regional variations (0% to 27% treated after 20 days). CONCLUSION--The screening programme achieves high coverage and effectiveness, although some children are still missed. A national practice for screening may help reduce regional variations. PMID:1912773

Population-based cancer screening programmes in low-income and middle-income countries: regional consultation of the International Cancer Screening Network in India.

Science.gov (United States)

Sivaram, Sudha; Majumdar, Gautam; Perin, Douglas; Nessa, Ashrafun; Broeders, Mireille; Lynge, Elsebeth; Saraiya, Mona; Segnan, Nereo; Sankaranarayanan, Rengaswamy; Rajaraman, Preetha; Trimble, Edward; Taplin, Stephen; Rath, G K; Mehrotra, Ravi

2018-02-01

The reductions in cancer morbidity and mortality afforded by population-based cancer screening programmes have led many low-income and middle-income countries to consider the implementation of national screening programmes in the public sector. Screening at the population level, when planned and organised, can greatly benefit the population, whilst disorganised screening can increase costs and reduce benefits. The International Cancer Screening Network (ICSN) was created to share lessons, experience, and evidence regarding cancer screening in countries with organised screening programmes. Organised screening programmes provide screening to an identifiable target population and use multidisciplinary delivery teams, coordinated clinical oversight committees, and regular review by a multidisciplinary evaluation board to maximise benefit to the target population. In this Series paper, we report outcomes of the first regional consultation of the ICSN held in Agartala, India (Sept 5-7, 2016), which included discussions from cancer screening programmes from Denmark, the Netherlands, USA, and Bangladesh. We outline six essential elements of population-based cancer screening programmes, and share recommendations from the meeting that policy makers might want to consider before implementation. Copyright © 2018 Elsevier Ltd. All rights reserved.

ähm vs. niinku - Verzögerungssignale in deutschen und finnischen Diskussionen

Directory of Open Access Journals (Sweden)

Margarethe Olbertz-Siitonen

2015-05-01

Full Text Available Dieser Beitrag beschäftigt sich kontrastiv mit dem Gebrauch von Verzögerungssignalen in deutschen und finnischen Seminardiskussionen. Die voranalytische  Durchsicht der Videomitschnitte zeigte, dass die deutschen Studenten unvergleichlich  häufiger die Verzögerungspartikeln äh und ähm  einsetzten als ihre finnischen Kommilitonen, die in ähnlicher Funktion v.a. die Partikel niinku ('sozusagen' benutzten. Diese  Beobachtung ist insofern von Bedeutung, als es meist die finnischen Gesprächsteilnehmer sind, die in deutsch-finnischen Kontaktsituationen auf eine Fremdsprache (Deutsch  zurückgreifen müssen: Möglicherweise steht finnischen Gesprächspartnern in der Interaktion mit deutschen Muttersprachlern keine deutsche Entsprechung für niinku zur Ver- fügung. Gegebenenfalls resultierende Kommunikationsprobleme sollten dementsprechend nicht vornehmlich interkulturell, sondern interlingual bewertet werden.

Invitation strategies and coverage in the population-based cancer screening programmes in the European Union.

Science.gov (United States)

Vale, Diama B; Anttila, Ahti; Ponti, Antonio; Senore, Carlo; Sankaranaryanan, Rengaswamy; Ronco, Guglielmo; Segnan, Nereo; Tomatis, Mariano; Žakelj, Maja P; Elfström, Klara M; Lönnberg, Stefan; Dillner, Joakim; Basu, Partha

2018-03-21

The aim of this study was to describe the compliance of the population-based cancer screening programmes in the European Union Member States to the invitation strategies enumerated in the European Guidelines and the impact of such strategies on the invitational coverage. Experts in screening programme monitoring from the respective countries provided data. Coverage by invitation was calculated as the proportion of individuals in the target age range receiving a screening invitation over the total number of annualized eligible population. The invitation strategies of 30 breasts, 25 cervical and 27 colorectal national or regional population-based screening programmes are described. Individual mail invitations are sent by 28 breasts, 20 cervical and 25 colorectal screening programmes. Faecal occult blood test kits are sent by post in 17 of the colorectal cancer screening programmes. The majority of programmes claimed to have a population registry, although some use health insurance data as the database for sending invitations. At least 95% invitation coverage was reached by 16 breast, six cervical and five colorectal screening programmes. Majority of the programmes comply with the invitation strategies enumerated in the European guidelines, although there is still scope for improvements. Coverage by invitation is below the desirable level in many population-based cancer screening programmes in European Union.

Der Thesaurusgedanke im Grimmschen Worterbuch

African Journals Online (AJOL)

Unternehmensgeschichtlich ist es maglich, vier verschiedene Thesauruskonzepte in der Entwick- lung des Deutschen Warterbuches zu unterscheiden. In der ersten Periode wurde das Thesaurus- konzept vom Bemiihen]. Grimms bestimmt, die ganze Fiille der deutschen Sprache in nur einem. Warterbuch zu erschlieBen.

Positioning of the new trademark HEIN GAS in the liberalized gas market; Die Neupositionierung der Marke HEIN GAS im liberalisierten Gasmarkt

Energy Technology Data Exchange (ETDEWEB)

Unbehaun, C. [HEIN GAS Hamburger Gaswerke GmbH, Hamburg (Germany)

2000-10-01

Trademarks are getting increasingly important as a marketing factor in natural gas supply. The HEIN GAS company aims at becoming one of the top utilities in northern Germany. The contribution shows how marketing research and strategies are employed to achieve this. [German] Die kommunikativen Aktivitaeten aller Gasunternehmen werden zukuenftig einen entscheidenden Marktfaktor darstellen, um Geschaefts- und Privatkunden zu halten bzw. weitere zu gewinnen. Gerade im deutschen Gasmarkt, der durch austauschbare Produkte gekennzeichnet ist, kommt der Marke besondere Bedeutung zu. Der Preis ist zwar ein wichtiger, aber nicht immer allein entscheidendeer Wettbewerbsfaktor. Fuer das Unternehmen HEIN GAS heisst dies, auch im kommunikativen Wettbewerb zu bestehen. Es wird der Weg beschrieben, HEIN GAS zu einer Fuehrungsmarke im norddeutschen Waermemarkt zu etablieren. Dabei wird aufgezeigt, wie die Ergebnisse durch Marktforschung ueberprueft werden.

Clinically targeted screening for congenital CMV - potential for integration into the National Hearing Screening Programme.

Science.gov (United States)

Kadambari, S; Luck, S; Davis, A; Williams, Ej; Berrington, J; Griffiths, Pd; Sharland, M

2013-10-01

Screening for a condition should only be undertaken if certain strict criteria are met. Congenital CMV (cCMV) is a leading cause of sensorineuronal hearing loss (SNHL) and meets many of these criteria, but is not currently screened for in the UK. Ganciclovir reduces CMV-induced progressive SNHL if treatment is begun in the first month of life. The Newborn Hearing Screening Programme (NHSP) has been shown to identify SNHL at the earliest possible age. The potential of integrating screening for cCMV into the NHSP is discussed to consolidate the link between screening, early diagnosis and management. The early diagnosis and treatment of cCMV may prevent a small proportion of late SNHL. In the absence of any screening programme, we provide evidence that clinically targeted screening through the NHSP is a potential option in the UK, enhancing the diagnostic pathway and enabling appropriate early treatment to reduce long-term morbidity. ©2013 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.

Implementing a screening programme for post-traumatic stress disorder following violent crime

Directory of Open Access Journals (Sweden)

Jonathan I. Bisson

2010-12-01

Full Text Available Background: The emergence of validated means to determine which individuals will develop post-traumatic stress disorder (PTSD following a traumatic event has raised the possibility of designing and implementing effective screening programmes following traumatic events. Objective: This study aimed to study the usefulness and implementation of a PTSD screening programme for victims of violent crime presenting to an emergency unit. Design: 3,349 individuals who presented to an emergency unit following a violent crime were asked to complete the Trauma Screening Questionnaire 2 weeks later. Those who scored above a standard cut-off were invited to attend a mental health assessment and subsequently offered treatment according to their needs. Results: Of the 3,349 individuals contacted, 572 (17.1% responded, 338 (10.1% screened positive, 26 (0.78% attended for assessment, and 9 (0.27% received treatment for PTSD. Conclusions: This simple screening programme was not as useful as was hoped raising questions regarding how best to develop screening programmes for PTSD following violent crime and other traumatic events.

Workflows des Projektes Mengenentsäuerung im Deutschen Literaturarchiv

Directory of Open Access Journals (Sweden)

Melanie Kubitza

2018-03-01

Full Text Available Das Deutsche Literaturarchiv Marbach (DLA begann 1998 mit der Evaluation geeigneter Entsäuerungsverfahren für seine unikalen Archiv- und Bibliotheksbestände. Seit 2013 erfolgt eine kontinuierliche Entsäuerungsbehandlung der Buchbestände mit dem Papersave-Verfahren der Nitrochemie AG, mit einer jährlichen Entsäuerungsleistung von insgesamt rund 4,0 t in acht Chargen. Neben den Magazinbeständen mit Erstausgaben bis hin zur Sekundärliteratur zu den einzelnen Autoren, wurden nun auch erstmals erfolgreich Bände aus den Spezialsammlungen des DLA entsäuert, zu denen auch Autorenbibliotheken gehören. Der Beitrag erläutert neben der Zusammenarbeit des Referats Bestandserhaltung mit den Abteilungen Bibliothek und Archiv auch Teilaspekte der Workflows aus restauratorischer Sicht. Dabei steht die intern entwickelte Barcode-unterstützte Dokumentation der Maßnahme auf Exemplarsebene im Bestandskatalog Kallías im Fokus. Sie enthält neben den verfahrensrelevanten Daten u. a. Informationen zu den Ausschlusskriterien oder alternativen und ergänzenden Maßnahmen der Verpackung, Restaurierung oder Digitalisierung. Das Marbacher Mengenentsäuerungsprojekt führt an den Originalen eine Qualitätskontrolle bezüglich aufgetretener Nebenwirkungen am Bibliotheksgut durch und kontrolliert die Langzeitwirkung der Entsäuerung an originalähnlichen Referenzbänden mit nicht zerstörungsfreien Messungen. In 1998 the German Literature Archive (DLA began to evaluate appropriate deacidification processes for its unique archive and library stock. Since 2013, Nitrochemie’s papersave procedure has been used for an ongoing deacidification treatment of the bookstock with an annual output of about 4,0 t in eight batches. The deacidification process has been successfully used for primary and secondary literature as well as - for the first time - for volumes of the rare materials collection of the DLA, including authors‘ libraries. The article describes the

Development of a software concept for computer-aided technical detail planning for machines in German hard coal mining; Entwicklung eines Softwarekonzeptes fuer rechnergestuetzte maschinentechnische Datailplanung im deutschen Steinkohlenbergbau

Energy Technology Data Exchange (ETDEWEB)

Borstell, D

1994-12-31

CAD systems have long been an aid in German hard coal mining for reducing costs in all technical planning tasks. The use of computers will offer as yet unused possibilities for further cost savings in the future. For this purpose, this book introduces a new software concept for the technical planning for machines in the mines of the Ruhr. By the continued and thorough use of the potential of modern computer techniques, by the application of the knowledge of planning science orientated towards practice and by transferring computer-aided planning applications from other branches of industry, a further contribution is to be made to reducing costs in technical planning. The heart of the future technical planning workplace will be a graphically orientated surface with the three-dimensional representation of the pit structure on the screen. On this surface, after choosing the work area in the pit structure, there is access to the available software tools. These support the planning engineer in information and design work (connection to databank, 2D/3D-CAD, libraries of operating means and standard parts) and give support to the method of procedure (through expert systems, sample specifications, checklists). They will also offer help in inspection and decision-making (by simulation and calculation routines, expert systems) and in supporting publicity activities (text processing, desktop publishing). The computer-aided planning system of the future will develop from the two-dimensional design environment usual today into a comprehensive integrated 3D engineering system. (orig.) [Deutsch] CAD-Systeme sind im deutschen Steinkohlenbergbau seit Jahren wichtige Hilfsmittel zur Kostenreduzierung bei allen technischen Planungsaufgaben. Auch in Zukunft wird der Einsatz von Rechnern noch ungenutzte Moeglichkeiten fuer weitere Kosteneinsparungen bieten. Zu diesem Zweck wird in der vorliegenden Arbeit ein neues Softwarekonzept fuer die maschinentechnische Planung in den Stabsstellen

National industry's interest in colorectal cancer screening programmes.

OpenAIRE

Hart, A R; Barone, T L; Wicks, A C; Mayberry, J F

1994-01-01

The interest of the largest 200 British industries in developing and financing colorectal screening services for employees was determined. A standard questionnaire asked if the company would advertise screening supply names of employees to local hospitals and finance faecal occult blood testing. The reasons for rejection were noted. Eighty-six companies returned the questionnaire (43% response rate) of which 78 firms (39% of the total mailed) were prepared to advertise screening programmes at...

an evaluation of pharmacy-based screening programmes

African Journals Online (AJOL)

1999-09-12

Sep 12, 1999 ... advisory role in health careY The major motivation for the extended role of ... coverage of screening programmes to include a larger section of the population. ..... function among hypertensive employees.] Chron Dis 1984; 37: ...

Initial results from the newborn hearing screening programme in Ireland.

LENUS (Irish Health Repository)

O'Connor, A

2013-03-02

INTRODUCTION: Hearing screening programmes aim to detect hearing loss in the neonate. The Health Service Executive (HSE) South was the first phase of a national roll-out of a neonatal hearing screening programme in Ireland, going live on 28 April 2011. RESULTS: Over 11,738 babies have been screened for permanent childhood hearing impairment (PCHI) during the first 12 months. The percentage of eligible babies offered hearing screening was 99.2 %. Only 0.2 % (n = 25) of those offered screening declined. 493 (4 %) were referred for immediate diagnostic audiological assessment. The average time between screen and diagnostic audiology appointment was 2 weeks. 15 (1.3\\/1,000) babies have been identified with a PCHI over the 12-month period. 946 (4 %) babies screened were admitted to the neonatal intensive care unit (NICU) for >48 h. The prevalance of PCHI is 7.3\\/1,000 in the NICU population compared to 0.6\\/1000 in the well baby population. 214 (1.8 % of total babies screened) had a clear response in the screening programmes, but were deemed to be at risk of an acquired childhood hearing impairment. These babies will be reassessed with a diagnostic audiology appointment at 8-9 months of age. To date, there is one case of acquired hearing impairment through this targeted follow-up screen. Of the 15 cases of PCHI identified, 8 (53 %) of these had one or more risk factors for hearing loss and 7 (37 %) were admitted to the NICU for >48 h. Four babies were referred for assessment at the National Cochlear Implant Centre.

Ekspresionizmo apibrėžtys ir tyrinėjimai XX a. vokiečių literatūros kritikoje | Definitionen und Darstellungsformen des Expressionismus in der deutschen Literaturkritik des 20. Jahrhunderts

Directory of Open Access Journals (Sweden)

Jadvyga Bajarūnienė

2004-01-01

Full Text Available Die deutsche Literatur des 20. Jahrhunderts ist entscheidend durch den Expressionismus (1910–1925 geprägt. Seine Formierung und Entfaltung wurde von Anfang an von einer starken theoretischen Reflexion begleitet. Das wesentliche Merkmal der zeitgenössischen Manifeste und Dokumente war die Bestrebung, den Expressionismus von den anderen Richtungen und Tendenzen der Zeit abzugrenzen und die Andersartigkeit der „Ausdruckskunst“ hervorzuheben. Die Bezeichnungen des Expressionismus wurden vielfach durch die Schlagwörter „Wesen“, „Bewegung“, „Vision“, „der neue Mensch“ u. a. bestimmt. Im Jahre 1933 wurde die Rezeption des Expressionismus in Deutschland zwangsweise unterbrochen und konnte erst nach 1945 wieder einsetzen.Die Darstellungsformen des Expressionismus in der deutschen Literaturkritik richteten sich je nach der dominierenden Literaturmethode. So rückt am Ende der 50er und in den 60er Jahren unter dem Einfluss der werkimmanenten Kritik die Stil- und Formfrage in den Vordergrund. Man versucht, die stilistischen Dominanten der einzelnen Gattungen sowie des individuellen Schaffens einzelner Autoren herauszuarbeiten. Jedoch zeichnet sich auch die Tendenz ab, die Literatur des Expressionismus im Zusammenhang mit anderen Bereichen der Kunst (Malerei und Musik, derWissenschaft (Philosophie, Soziologie, der Technik zu betrachten. Die 70er Jahre gelten in der deutschen Literaturwissenschaft als eine Kulmination der Expressionismusforschung. Silvio Vietta und Hans-Georg Kemper modifizieren zum Teil den Begriff und meinen, dass man die Literatur des Expressionismus nicht aus dem Epochenzusammenhang lösen darf. Der Expressionismus kann erst im Kontext der zeitgenössischen Wissenschaft, Philosophie, Soziologie und Massenkultur adäquat erschlossen werden; am sinnvollsten erscheint dabei die hermeneutische Methode. Wolfgang Rothe ist der Ansicht, dass der Expressionismus keineswegs nur als ein auf die Sprachkunst beschr

Withdrawing low risk women from cervical screening programmes: mathematical modelling study.

Science.gov (United States)

Sherlaw-Johnson, C; Gallivan, S; Jenkins, D

1999-02-06

To evaluate the impact of policies for removing women before the recommended age of 64 from screening programmes for cervical cancer in the United Kingdom. A mathematical model of the clinical course of precancerous lesions which accounts for the influence of infection with the human papillomavirus, the effects of screening on the progression of disease, and the accuracy of the testing procedures. Two policies are compared: one in which women are withdrawn from the programme if their current smear is negative and they have a recent history of regular, negative results and one in which women are withdrawn if their current smear test is negative and a simultaneous test is negative for exposure to high risk types of human papillomavirus. United Kingdom cervical screening programme. The incidence of invasive cervical cancer and the use of resources. Early withdrawal of selected women from the programme is predicted to give rise to resource savings of up to 25% for smear tests and 18% for colposcopies when withdrawal occurs from age 50, the youngest age considered in the study. An increase in the incidence of invasive cervical cancer, by up to 2 cases/100 000 women each year is predicted. Testing for human papillomavirus infection to determine which women should be withdrawn from the programme makes little difference to outcome. This model systematically analyses the consequences of screening options using available data and the clinical course of precancerous lesions. If further audit studies confirm the model's forecasts, a policy of early withdrawal might be considered. This would be likely to release substantial resources which could be channelled into other aspects of health care or may be more effectively used within the cervical screening programme to counteract the possible increase in cancer incidence that early withdrawal might bring.

Subcutaneous ICD screening with the Boston Scientific ZOOM programmer versus a 12-lead ECG machine.

Science.gov (United States)

Chang, Shu C; Patton, Kristen K; Robinson, Melissa R; Poole, Jeanne E; Prutkin, Jordan M

2018-02-24

The subcutaneous implantable cardioverter-defibrillator (S-ICD) requires preimplant screening to ensure appropriate sensing and reduce risk of inappropriate shocks. Screening can be performed using either an ICD programmer or a 12-lead electrocardiogram (ECG) machine. It is unclear whether differences in signal filtering and digital sampling change the screening success rate. Subjects were recruited if they had a transvenous single-lead ICD without pacing requirements or were candidates for a new ICD. Screening was performed using both a Boston Scientific ZOOM programmer (Marlborough, MA, USA) and General Electric MAC 5000 ECG machine (Fairfield, CT, USA). A pass was defined as having at least one lead that fit within the screening template in both supine and sitting positions. A total of 69 subjects were included and 27 sets of ECG leads had differing screening results between the two machines (7%). Of these sets, 22 (81%) passed using the ECG machine but failed using the programmer and five (19%) passed using the ECG machine but failed using the programmer (P machine but failed using the programmer. No subject passed screening with the programmer but failed with the ECG machine. There can be occasional disagreement in S-ICD patient screening between an ICD programmer and ECG machine, all of whom passed with the ECG machine but failed using the programmer. On a per lead basis, the ECG machine passes more subjects. It is unknown what the inappropriate shock rate would be if an S-ICD was implanted. Clinical judgment should be used in borderline cases. © 2018 Wiley Periodicals, Inc.

Participants, Physicians or Programmes: Participants' educational level and initiative in cancer screening.

Science.gov (United States)

Willems, Barbara; Bracke, Piet

2018-04-01

This study is an in-depth examination of at whose initiative (participant, physician or screening programme) individuals participate in cervical, breast and colorectal cancer screening across the EU-28. Special attention is paid to (1) the association with educational attainment and (2) the country's cancer screening strategy (organised, pilot/regional or opportunistic) for each type of cancer screened. Data were obtained from Eurobarometer 66.2 'Health in the European Union' (2006). Final samples consisted of 10,186; 5443 and 9851 individuals for cervical, breast, and colorectal cancer, respectively. Multinomial logistic regressions were performed. Surprisingly, even in countries with organised screening programmes, participation in screenings for cervical, breast and colorectal cancer was most likely to be initiated by the general practitioner (GP) or the participant. In general, GPs were found to play a crucial role in making referrals to screenings, regardless of the country's screening strategy. The results also revealed differences between educational groups with regard to their incentive to participate in cervical and breast cancer screening and, to a lesser extent, in colorectal cancer screening. People with high education are more likely to participate in cancer screening at their own initiative, while people with less education are more likely to participate at the initiative of a physician or a screening programme. Albeit, the results varied according to type of cancer screening and national screening strategy. Copyright © 2018 Elsevier B.V. All rights reserved.

Role of carotid duplex imaging in carotid screening programmes – an overview

Directory of Open Access Journals (Sweden)

Gillard Jonathan H

2008-07-01

Full Text Available Abstract Background Stroke is the third most common cause of death in the UK and the largest single cause of severe disability. Each year more than 110,000 people in England suffer from a stroke which costs the National Health Service (NHS over GBP2.8 billion. Thus, it is imperative that patients at risk be screened for underlying carotid artery atherosclerosis. Aim To assess the role of carotid ultrasound in different carotid screening programmes. Methods A literature overview was carried out by using PubMed search engine, to identify different carotid screening programmes that had used ultrasound scan as a screening tool. Results It appears that the carotid ultrasound is an effective method for screening carotid artery disease in community as it effectively predicts the presence of stenosis with high accuracy. There is a need for primary care to recommend high risk patients for regular screening, to reduce stroke and transient ischemic attack (TIA related morbidity and mortality. Conclusion Screening programmes using carotid ultrasonography contribute to public health awareness and promotion which in long term could potentially benefit in disease prevention and essentially promote better standards of healthcare.

Customer loyalty in the liberalized electricity supply industry; Kundenbindung im liberalisierten Stromversorgungsmarkt

Energy Technology Data Exchange (ETDEWEB)

Skerst, B. von [sample QM Gesellschaft fuer Qualitaetsmanagement mbH, Moelln (Germany)

1999-03-22

Especially smaller energy suppliers are not yet sufficiently prepared for the competition in the liberalized German electricity market. Aside a remarkable improvement of their cost position they have to better adjust to the wishes and needs of their customers. The reliable assessment and satisfaction of these customer needs requires systematic customer loyalty management - and that not only for large business customers. (orig.) [Deutsch] Vor allem kleinere Energieversorger sind auf den Wettbewerb im liberalisierten deutschen Strommarkt bisher nicht ausreichend vorbereitet. Neben einer deutlichen Verbesserung ihrer Kostenposition muessen sie sich mehr auf die Wuensche und Beduerfnisse ihrer Kunden einstellen. Die zuverlaessige Ermittlung und Befriedigung dieser Kundenbeduerfnisse erfordert systematisches Kundenbindungsmanagement - und das nicht nur bei grossen Geschaeftskunden. (orig.)

Study of radiological risk in breast cancer screening programme at Comunidad Valenciana

International Nuclear Information System (INIS)

Villaescusa, J.I.; Leon, A.; Verdu, G.; Cuevas, M.D.; Salas, M.D.

2001-01-01

It is demonstrated that screening mammography programmes reduce breast cancer mortality considerably. Nevertheless, radiology techniques have an intrinsic risk being the most important late somatic effect the induction of cancer. This study is made in order to evaluate the risk produced into the population by the Cimadon Valenciana Breast Screening Programme. All the calculations are carried out for two risk models, UNSCEAR 94 and NRPB 93. On the one hand, screening series detriment are investigated as a function of doses delivered and other parameters related to population structure and X-ray equipment. And on the other hand, radiation induced cancer probability for a woman who starts at 45 years and remains into the programme until 65 years old is calculated as a function of mammography unit's doses and average compression breast thickness. (author)

Die Position des Rätoromanischen und seine Beziehungen zum Deutschen, Französischen und Italienischen

Directory of Open Access Journals (Sweden)

Roland Bauer

2010-12-01

Full Text Available Die Dialektometrie (DM ist eine induktive Methode, die es erlaubt, in Massendaten versteckte Oberflächenmuster und Tiefenstrukturen zu entdecken und mittels multipler, computergestützter Visualisierungen sicht- und damit auch interpretierbar zu machen. So bietet die DM u.a. eine Reihe von Möglichkeiten, Relationen zwischen den untersuchten Objekten (das sind in der Regel alle in einem Sprachatlas datenseitig abgebildeten Dialekte aufzudeckenund kartographisch in verschiedenster Form zu modellieren, um solcherart u.a. die Position einzelner Dialekte bzw. Geotypen im gesamten Beobachtungsraum näher bestimmen zu können. In diesem Zusammenhang hat es sich als durchaus nützlich erwiesen, zusätzliche Vergleichspunkte mit akrolektalen, also auf Standard- bzw. Hochsprachen bezogene Datenserien einzubauen. Im vorliegenden Fall konnten solcherart wechselseitige, je nach innerlinguistischer Ausrichtung der gewählten Corpora unterschiedlich ausgerichtete Einflüsse der Großsprachen Französisch und Italienisch auf die oberitalienische Dialektlandschaft sowie auf die drei Mitglieder der Sprachfamilie Rätoromanisch (nach Gartner 1883 bzw. ladino (nach Ascoli 1873 aufgezeigt werden. Dem Sprachkontakt aller genannten Idiome mit dem Deutschen konnte hingegen sowohl über die Visualisierung der relativen Präsenz von Germanismen mittels einer Dichtekarte als auch über eine gesonderte dialektometrische Ähnlichkeitskartierung nachgegangen werden, wobei interessante Einblicke in die von verschiedenen Substrat- und Adstratwirkungen abhängige, z.T. deutlich divergente Bewirtschaftung der rätoromanischen Teilräume gewonnen werden konnten.

The natural gas industry - a survey; Erdgaswirtschaft - Eine Branche im Ueberblick

Energy Technology Data Exchange (ETDEWEB)

NONE

2000-09-01

The situation of natural gas in the Federal Republic of Germany is described, with particular emphasis on the advantages and consequences of natural gas supply. The brochure discusses the role of natural gas on the energy market, the reliability of natural gas supply, the environmental impacts, the energy-saving effect of natural gas, natural gas prices, the competitive strength of the German gas industry, and the long-term reliability of natural gas supply. (orig.) [German] Die Situation des Erdgases in der Bundesrepublik Deutschland wird beschrieben, wobei die wichtigsten Vorteile und Auswirkungen der Erdgasversorgung besonders hervorgehoben werden. Es geht um die Stellung des Erdgases im Energiemarkt, die Sicherheit der Energieversorgung, Umweltschutz, Energieeinsparung durch Erdgaseinsatz, Erdgaspreise, Leistungsfaehigkeit der deutschen Gaswirtschaft und um die langfristig gesicherte Erdgasversorgung. (orig.)

Value of audits in breast cancer screening quality assurance programmes

NARCIS (Netherlands)

Geertse, Tanya D.; Holland, Roland; Timmers, Janine M. H.; Paap, Ellen; Pijnappel, Ruud M.; Broeders, Mireille J. M.; den Heeten, Gerard J.

2015-01-01

Our aim was to retrospectively evaluate the results of all audits performed in the past and to assess their value in the quality assurance of the Dutch breast cancer screening programme. The audit team of the Dutch Reference Centre for Screening (LRCB) conducts triennial audits of all 17 reading

Impact on colorectal cancer mortality of screening programmes based on the faecal immunochemical test.

Science.gov (United States)

Zorzi, Manuel; Fedeli, Ugo; Schievano, Elena; Bovo, Emanuela; Guzzinati, Stefano; Baracco, Susanna; Fedato, Chiara; Saugo, Mario; Dei Tos, Angelo Paolo

2015-05-01

Colorectal cancer (CRC) screening programmes based on the guaiac faecal occult blood test (gFOBT) reduce CRC-specific mortality. Several studies have shown higher sensitivity with the faecal immunochemical test (FIT) compared with gFOBT. We carried out an ecological study to evaluate the impact of FIT-based screening programmes on CRC mortality. In the Veneto Region (Italy), biennial FIT-based screening programmes that invited 50-69-year-old residents were introduced in different areas between 2002 and 2009. We compared CRC mortality rates from 1995 to 2011 between the areas where screening started in 2002-2004 (early screening areas (ESA)) and areas that introduced the screening in 2008-2009 (late screening areas (LSA)) using Poisson regression models. We also compared available data on CRC incidence rates (1995-2007) and surgical resection rates (2001-2012). Before the introduction of screening, CRC mortality and incidence rates in the two areas were similar. Compared with 1995-2000, 2006-2011 mortality rates were 22% lower in the ESA than in the LSA (rate ratio (RR)=0.78; 95% CI 0.68 to 0.89). The reduction was larger in women (RR=0.64; CI 0.51 to 0.80) than in men (RR=0.87; CI 0.73 to 1.04). In the ESA, incidence and surgery rates peaked during the introduction of the screening programme and then returned to the baseline (2006-2007 incidence) or dropped below initial values (surgery after 2007). FIT-based screening programmes were associated with a significant reduction in CRC mortality. This effect took place much earlier than reported by gFOBT-based trials and observational studies. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

German energy policy in deregulated Europe; Deutsche Energiepolitik im liberalisierten Europa

Energy Technology Data Exchange (ETDEWEB)

Kuhnt, D. [RWE Energie AG, Essen (Germany)

2000-07-01

regulations on protection of cogeneration, and the rising payments for electricity from renewable sources fed into the public power grid total approx. DM 11 billion in the current year. This offsets a large part of the DM 15-20 billion savings arising to electricity consumers as a result of competition. (orig.) [German] Der Autor fordert eine Versachlichung der deutschen Energiepolitik und formuliert dazu einige Thesen: Erstens muss die deutsche Energiepolitik den neuen marktwirtschaftlichen Ordnungsrahmen in Europa akzeptieren. Das bedeutet, dass die deutschen Unternehmen nicht weiter mit der Verwirklichung politischer Zielvorstellungen belastet werden. Die deutsche Energiewirtschaft braucht Chancengleichheit mit den europaeischen Mitbewerbern. So sollten sich auch die europaeischen Partnerlaender nicht auf die Mindestbedingungen der Binnenmarkt-Richtlinie zur Marktoeffnung beschraenken. Zweitens muss die deutsche Energiepolitik im Interesse von inlaendischer Beschaeftigung und Wertschoepfung angesichts des erheblich gewachsenen Wettbwerbsdrucks neue Formen der Kooperation mit der Energiewirtschaft entwickeln. Auch die Zielkonflikte zwischen Nachhaltigkeit, Versorgungssicherheit und Wirtschaftlichkeit muessen nicht nur moderiert, sondern produktiv aufgeloest werden. Drittens bedeutet dies: Keine unzumutbare Loesung in Sachen Kernenergie. Wer die deutsche Energiewirtschaft im Interesse der heimischen Arbeitsplaetze und Zukunftschancen in ihrer Staerke erhalten will, kann nicht in Kauf nehmen, dass die deutsche Energiewirtschaft zusaetzliche Marktanteile im Inland an andere europaeische Unternehmen verliert. Viertens brauchen wir eine neue Energiepolitik, die rational und weniger emotional die Ergebnisse des Marktes zur Kenntnis nimmt. Sie sollte sich in diesem Zusammenhang kuenftig auf die marktgerechte Foerderung von erneuerbaren Energien und Technologien zur Steigerung der Energieeffizienz beschraenken. Fuenftens darf die deutsche Energiepolitik jetzt nicht den Fehler

Digital mammography in a screening programme and its implications for pathology: a comparative study.

LENUS (Irish Health Repository)

Feeley, Linda

2011-03-01

Most studies comparing full-field digital mammography (FFDM) with conventional screen-film mammography (SFM) have been radiology-based. The pathological implications of FFDM have received little attention in the literature, especially in the context of screening programmes. The primary objective of this retrospective study is to compare FFDM with SFM in a population-based screening programme with regard to a number of pathological parameters.

Rationale, design, and results of the first screening round of a comprehensive, register-based, Chlamydia screening implementation programme in the Netherlands

Directory of Open Access Journals (Sweden)

Koekenbier Rik H

2010-10-01

Full Text Available Abstract Background Implementing Chlamydia trachomatis screening in the Netherlands has been a point of debate for several years. The National Health Council advised against implementing nationwide screening until additional data collected from a pilot project in 2003 suggested that screening by risk profiles could be effective. A continuous increase in infections recorded in the national surveillance database affirmed the need for a more active approach. Here, we describe the rationale, design, and implementation of a Chlamydia screening demonstration programme. Methods A systematic, selective, internet-based Chlamydia screening programme started in April 2008. Letters are sent annually to all 16 to 29-year-old residents of Amsterdam, Rotterdam, and selected municipalities of South Limburg. The letters invite sexually active persons to login to http://www.chlamydiatest.nl with a personal code and to request a test kit. In the lower prevalence area of South Limburg, test kits can only be requested if the internet-based risk assessment exceeds a predefined value. Results We sent invitations to 261,025 people in the first round. One-fifth of the invitees requested a test kit, of whom 80% sent in a sample for testing. The overall positivity rate was 4.2%. Conclusions This programme advances Chlamydia control activities in the Netherlands. Insight into the feasibility, effectiveness, cost-effectiveness, and impact of this large-scale screening programme will determine whether the programme will be implemented nationally.

A dedicated BI-RADS training programme: Effect on the inter-observer variation among screening radiologists

International Nuclear Information System (INIS)

Timmers, J.M.H.; Doorne-Nagtegaal, H.J. van; Verbeek, A.L.M.; Heeten, G.J. den; Broeders, M.J.M.

2012-01-01

Introduction: The Breast Imaging Reporting and Data System (BI-RADS) was introduced in the Dutch breast cancer screening programme to improve communication between medical specialists. Following introduction, a substantial variation in the use of the BI-RADS lexicon for final assessment categories was noted among screening radiologists. We set up a dedicated training programme to reduce this variation. This study evaluates whether this programme was effective. Materials and methods: Two comparable test sets were read before and after completion of the training programme. Each set contained 30 screening mammograms of referred women selected from screening practice. The sets were read by 25 experienced and 30 new screening radiologists. Cohen's kappa (κ) was used to calculate the inter-observer agreement. The BI-RADS 2003 version was implemented in the screening programme as the BI-RADS 2008 version requires the availability of diagnostic work-up, and this is unavailable. Results: The inter-observer agreement of all participating radiologists (n = 55) with the expert panel increased from a pre-training κ-value of 0.44 to a post-training κ-value of 0.48 (p = 0.14). The inter-observer agreement of the new screening radiologists (n = 30) with the expert panel increased from κ = 0.41 to κ = 0.50 (p = 0.01), whereas there was no difference in agreement among the 25 experienced radiologists (from κ = 0.48 to κ = 0.46, p = 0.60). Conclusion: Our training programme in the BI-RADS lexicon resulted in a significant improvement of agreement among new screening radiologists. Overall, the agreement among radiologists was moderate (guidelines Landis and Koch). This is in line with results found in the literature

The screening approach for review of accident management programmes

International Nuclear Information System (INIS)

Misak, J.

1999-01-01

In this lecture the screening approach for review of accident management programmes are presented. It contains objective trees for accident management: logic structure of the approach; objectives and safety functions for accident management; safety principles

Round one of the Adelaide and Meath Hospital/Trinity College Colorectal Cancer Screening Programme: programme report and analysis based on established international key performance indices.

LENUS (Irish Health Repository)

McNamara, D

2012-02-01

BACKGROUND: In Ireland, colorectal cancer (CRC) is the second most frequently diagnosed cancer in men, after prostate cancer, and the second most frequently diagnosed cancer in women, after breast cancer. By 2020, the number of new cases diagnosed annually in Ireland is projected to have increased by 79% in men and 56% in women. Organised screening for CRC is already underway or is in the process of being rolled out in several European countries, either at a regional or national level. The Adelaide and Meath Hospital\\/ Trinity College Dublin Colorectal Cancer Screening Programme (TTC-CRC-SP) is Ireland\\'s first pilot population based bowel screening programme. METHOD: Based on a biennial test model the pilot aimed to assess the accuracy of FIT and to evaluate the whole programme based on established international key performance indices. RESULTS: To date 9,993 individuals aged 50-74 years have been invited to participate in the TTC-CRC-SP with over 5,000 FIT\\'s analysed. Overall uptake was 51% and FIT positivity was 10%. The programme has undertaken over 400 screening colonoscopies and detected 154 precancerous adenomas and 38 cancerous lesions. CONCLUSIONS: The first round of The Adelaide and Meath Hospital Tallaght\\/Trinity College Dublin Colorectal Cancer Screening Programme has been highly successful and confirmed that there is an advantage for FIT based two stage bowel cancer screening programmes.

Implementing an organised cervical screening programme in the Republic of Moldova-Stakeholder identification and engagement.

Science.gov (United States)

Davies, Philip; Valuta, Diana; Cojohari, Natalia; Sancho-Garnier, Helene

2017-10-01

Successfully implementing cervical screening programmes requires them to be adapted to the local context and have broad stakeholder support. This can be achieved by actively engaging local stakeholders in planning as well as implementing the programmes. The Moldovan government started implementing an organised cervical screening programme in 2010 with the first step being stakeholder identification and engagement. This process started by contacting easily identified stakeholders with each asked to recommend others and the process continued until no new ones were identified. Stakeholders were then involved in a series of individual and group meetings over a 2-year period to build confidence and encourage progressively greater engagement. In total, 87 individuals from 46 organisations were identified. Over the 2-year process, the individual and group meetings facilitated a change in stakeholder attitudes from disinterest, to acceptance and finally to active cooperation in designing the screening programme and preparing an implementation plan that were both well adapted to the Moldovan context. Developing the broad support needed to implement cervical screening programmes required ongoing interaction with stakeholders over an extended period. This interaction allowed stakeholder concerns to be identified and addressed, progress to be demonstrated, and stakeholders to be educated about organised screening programmes so they had the knowledge to progressively take greater responsibility and ownership. Copyright © 2017 Elsevier Ltd. All rights reserved.

Klärung des urheberrechtlichen Status: Wege und Perspektiven in der Deutschen Nationalbibliothek

Directory of Open Access Journals (Sweden)

Kathrin Jockel

2015-12-01

Full Text Available In welcher Weise ein Digitalisat den Nutzerinnen und Nutzern zur Verfügung gestellt werden darf, ist abhängig vom urheberrechtlichen Status des zugrunde liegenden analogen Werks. Dieses kann gemeinfrei sein, weil Urheberrechte erloschen sind, was nach deutschem Recht 70 Jahre nach dem Tod des Urhebers der Fall ist, oder es kann urheberrechtlich geschützt sein, weil der Urheber oder dessen Erben noch Rechte daran halten. Grundsätzlich gilt: Je älter ein Werk, desto wahrscheinlicher ist seine Gemeinfreiheit. Aufgrund des historisch eher jungen Bestandes der Deutschen Nationalbibliothek, deren Sammlung mit dem Erscheinungsjahr 1913 einsetzt, fallen gegenwärtig weit über 90% der Publikationen in den urheberrechtlich geschützten Bereich. Die Deutsche Nationalbibliothek hat 2013 im Rahmen ihrer Digitalisierungsaktivitäten ein Verfahren zur Klärung des Rechtestatus von Werken aufgebaut. Dabei mussten verschiedene Aspekte berücksichtigt werden: neben den rechtlichen Voraussetzungen auch die Wirtschaftlichkeit und die Skalierbarkeit des Arbeitsablaufs auf größere Stückzahlen sowie die Handhabbarkeit der Dokumentation und der Verzeichnung von urheberrechtlich relevanten Informationen im Bibliothekskatalog. Der Workflow kam inzwischen bei mehreren Digitalisierungsprojekten zum Einsatz, unter anderem wurden 22.275 digitalisierte Monografien der Exilsammlungen der Deutschen Nationalbibliothek bearbeitet. Der Vortrag stellt den Workflow zur Rechteklärung anhand des Exil-Projektes vor und gibt einen Ausblick auf die Erweiterungen beispielsweise für andere Medienarten. The way in which a digital copy can be made available to users depends on the copyright status of the original analogue work. It may be public domain because the copyright has expired. Under German law this happens 70 years after the originator’s death. Or it may be copyright-protected because its originator, or his or her heirs, still holds the rights. Basically, the older a

Implementierung und Erprobung eines Lernziel-basierten Evaluationssystems im Studium der Humanmedizin [Piloting an outcome-based programme evaluation tool in undergraduate medical education

Directory of Open Access Journals (Sweden)

Raupach, Tobias

2012-05-01

Full Text Available [english] Aims: Different approaches to performance-oriented allocation of resources according to teaching quality are currently being discussed within German medical schools. The implementation of these programmes is impeded by a lack of valid criteria to measure teaching quality. An assessment of teaching quality should include structural and procedural aspects but focus on learning outcome itself. The aim of this study was to implement a novel, outcome-based evaluation tool within the clinical phase of a medical curriculum and address differences between the novel tool and traditional evaluation methods. Methods: Student self-assessments before and after completion of a teaching module were used to compute performance gains for specific learning objectives. Mean performance gains in each module were compared to student expectations before the module and data derived from a traditional evaluation tool using overall course ratings at the end of the module.Results: A ranking of the 21 modules according to computed performance gains yielded entirely different results than module rankings based on overall course ratings. There was no significant correlation between performance gain and overall ratings. However, the latter were significantly correlated to student expectations before entering the module as well as structural and procedural parameters (Pearson’s r 0.7-0.9.Conclusion: Performance gain computed from comparative self-assessments adds an important new dimension to course evaluation in medical education. In contrast to overall course ratings, the novel tool is less heavily confounded by construct-irrelevant factors. Thus, it appears to be more appropriate than overall course ratings in determining teaching quality and developing algorithms to guide performance-oriented resource allocation in medical education. [german] Zielsetzung: Aktuell werden an den deutschen medizinischen Fakultäten unterschiedliche Konzepte zur

[Anne Arold. Kontrastive Analyse...] / Paul Alvre

Index Scriptorium Estoniae

Alvre, Paul, 1921-2008

2001-01-01

Arvustus: Arold, Anne. Kontrastive analyse der Wortbildungsmuster im Deutschen und im Estnischen (am Beispiel der Aussehensadjektive). Tartu, 2000. (Dissertationes philologiae germanicae Universitatis Tartuensis)

Medienkompetenz multiplizieren? Entwicklung eines Multiplikator/-innenkonzepts im Lehramtsstudium

Directory of Open Access Journals (Sweden)

Antje Müller

2017-02-01

Full Text Available Zur Förderung von Medienkompetenz und medienpädagogischer Kompetenz in der universitären Lehramtsausbildung wurde an der Justus-Liebig-Universität Gießen ein Lehrprojekt initiiert, das an der aktuellen technologischen Ausstattung von deutschen Schulen ansetzt. Als Zugang wurde die Technologie der interaktiven Whitebords gewählt, um gegenwärtige Entwicklungen der Digitalisierung von Unterrichtsräumen zu thematisieren und dabei ausgewählte Aspekte von Medienkompetenz zu fördern. In dem Projekt haben verschiedene Einrichtungen der Universität und der Lehrerbildung kooperiert, um eine Multiplikator/-innenschulung für Studierende zu erarbeiten und zu etablieren. Es wurde eine 28-stündige Qualifizierungsreihe entwickelt, die sich aus modularisierten Workshops zur medientechnischen und -didaktischen Auseinandersetzung mit interaktiven Whiteboards, Elementen der Tutor/-innenausbildung sowie der Erarbeitung eines eigenen Unterrichtsentwurfes zusammensetzt. In dem Artikel werden die entwickelten Module vorgestellt und bewertet, inwieweit sie den von Herzig, Aßmann und Klar (2014 formulierten Zielvorstellungen zur Medienkompetenzförderung für das Lehramtsstudium entsprechen. Im Abgleich mit diesen Zielvorstellungen werden Entwicklungspotentiale des Konzepts identifiziert. Darüber hinaus fliessen Ergebnisse der praktischen Durchführung in Optimierungsvorschläge zur Steigerung der Nachhaltigkeit und Qualität der didaktischen Kompetenzen zum Einsatz von interaktiven Whiteboards in der Lehramtsausbildung – und darüber vermittelt im Schulunterricht – ein.

Einige Überlegungen zur Bestimmung des Äquivalenzgrades am Beispiel des lexikalischen Feldes „Erhebung im Gelände“

Directory of Open Access Journals (Sweden)

Daumantas Katinas

2013-12-01

Full Text Available Eine der wichtigsten Fragen in der kontrastiven Lexikologie, zweisprachigen Lexikografie und der Übersetzungswissenschaft ist die Bestimmung des Äquivalenzgrades zwischen den Lexemen der Vergleichssprachen. Die meisten Lexikologen, die sich mit kontrastiven Untersuchungen beschäftigen, sprechen von der Voll-, Teil- und Nulläquivalenz. In der Praxis existiert allerdings nur die so genannte Teiläquivalenz. Wenn man aber in der wissenschaftlichen Diskussion nur diesen Begriff verwenden würde, entstünden somit noch größere Schwierigkeiten bei der Bestimmung des Äquivalenzgrades, weil sich das Spektrum der Teiläquivalenz von 1 bis 99 Prozent erstrecken würde. Daher wird im vorliegenden Beitrag eine Formel zur Berechnung des Äquivalenzgrades zwischen zwei Vergleichslexemen vorgeschlagen. In erster Linie wird die semantische Analyse des lexikalischen Feldes „Erhebung im Gelände“ im Litauischen und im Deutschen, das die Grundlage der Formel bildet, kurz präsentiert. Dazu wird der von Helmut Henne und Herbert Ernst Wiegand (Henne 1972, Wiegand 1970, Kühn 1979 vorgeschlagene Entwurf, die lexikalische Bedeutung mit Hilfe von onomasiologischen, komplementär-semasiologischen und autonom-semasiologischen Operationsschritten zu beschreiben, herangezogen. Dieser Entwurf wird durch kontrastive, prototypensemantische und korpusgestützte Aspekte ergänzt. Im zweiten Teil wird die mathematische Formel zur Berechnung des Äquivalenzgrades zwischen zwei Vergleichslexemen angegeben und durch das Beispiel des Lexempaars kalva–Hügel veranschaulicht.

Kommunikationsprobleme zwischen deutschen Expatriates und Chinesen in der wirtschaftlichen Zusammenarbeit -- Empirische Erfahrungen und Analyse der Einflußfaktoren

OpenAIRE

Shi, Hongxia

2003-01-01

Die vorliegende Arbeit untersucht die empirischen Erfahrungen und die Einflußfaktoren der Kommunikationsprobleme der deutschen Expatriates und Chinesen in der wirtschaftlichen Zusammenarbeit. Die Untersuchung basiert auf einem Datenmaterial, das aus 86 Interviewgesprächen mit Betroffenen besteht. Zentrale Fragestellungen der vorliegenden Arbeit sind: 1. Mit welchen Kommunikationsproblemen werden die befragten deutschen Expatriates und Chinesen in ihrer interkulturellen Kommunikation miteinand...

60 kvinnor per dag undersoeks nu med vaerldsunikt digitalt mammografisystem fraan Sectra

CERN Multimedia

2003-01-01

"Helsingborgs kvinnor faar kraftigt saenkt straaldos fraan mammografi60 kvinnor per dag undersoeks nu med vaerldsunikt digitalt mammografisystem fraan SectraSectras digitala mammografisystem, Sectra MicroDose Mammography, har nu passerat 1.500 undersoekta kvinnor inom Helsingborgs Lasaretts screeningprogram foer mammografi" (1 page).

Ein „Untergrund-Kodex“ in der deutschen multilingualen Gesellschaft: Kanak Sprak

Directory of Open Access Journals (Sweden)

Elcio Loureiro Cornelsen

2017-04-01

Full Text Available Unser Beitrag fokussiert auf ein sprachliches Phänomen in der gegenwärtigen Gesellschaft in Deutschland, das auch im kulturellen Bereich Folgen hat: die sogenannte „Kanak Sprak“. In ihrer Beziehung zur deutschen Sprache wäre die Kanak Sprak, also die Sprache des Kanaken, ein Ethnolekt, wie Martin Schramm sie in einem Artikel Verhunztes Deutsch oder Sprachkultur? aus dem Jahr 2011 definiert. Nach der Meinung des Journalisten und türkisch-deutschen Schriftstellers Feridun Zaimoğlu wäre Kanake übrigens „ein Etikett, das nach mehr als 30 Jahren Immigrationsgeschichte von Türken nicht nur Schimpfwort ist, sondern auch ein Name, den ‚Gastarbeiterkinder’ der zweiten und vor allem der dritten Generation mit stolzem Trotz führen“ (2007: 9. In diesem Sinne zielt unsere Studie darauf ab, diesen „Untergrund-Kodex“ (2007: 13, wie Feridun Zaimoğlu ihn bezeichnet, in den folgenden Werken von Zaimoğlu zu untersuchen: Kanak Sprak – 24 Mißtöne vom Rande der Gesellschaft (Erstauflage 1995; 2007 und Kopf und Kragen – Kanak-Kultur-Kompendium (Erstauflage 2001; 2006. Schließlich soll darauf hingewiesen werden, dass solche Werke als „Konternarrative der Nation“ (Bhabha 1990: 149 interpretiert werden können. Our contribution focuses on a linguistic phenomenon in contemporary society in Germany, which has as well consequences in the cultural field: the so-called kanak sprak. In their relationship with the German language reflects the kanak sprak, the language of the kanaks, an “ethnolect”, as Martin Schramm would define it. According to the journalist and Turkish-German author/writer Feridun Zaimoğlu would kanake be defined as “a label that not only is a dirty word for more than 30 years history of immigration of Turks, but also a name that the children of the Gastarbeiter of especially the second and the third generation lead with proud defiance” (2007: 9. In this sense, our study aims to analyze this “underground Code�

Improving regional universal newborn hearing screening programmes in Italy.

Science.gov (United States)

Molini, E; Cristi, M C; Lapenna, R; Calzolaro, L; Muzzi, E; Ciciriello, E; Della Volpe, A; Orzan, E; Ricci, G

2016-02-01

The Universal Newborn Hearing Screening (UNHS) programme aims at achieving early detection of hearing impairment. Subsequent diagnosis and intervention should follow promptly. Within the framework of the Ministry of Health project CCM 2013 "Preventing Communication Disorders: a Regional Program for early Identification, Intervention and Care of Hearing Impaired Children", the limitations and strengths of current UNHS programs in Italy have been analysed by a group of professionals working in tertiary centres involved in regional UNHS programmes, using SWOT analysis and a subsequent TOWS matrix. Coverage and lost-to-follow up rates are issues related to UNHS programmes. Recommendations to improve the effectiveness of the UNHS programme have been identified. The need for homogeneous policies, high-quality information and dissemination of knowledge for operators and families of hearing-impaired children emerged from the discussion. © Copyright by Società Italiana di Otorinolaringologia e Chirurgia Cervico-Facciale.

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

A structured women's preventive health clinic for residents: a quality improvement project designed to meet training needs and improve cervical cancer screening rates.

Science.gov (United States)

Singh, Mamta K; Einstadter, Douglas; Lawrence, Renee

2010-10-01

Multiple resident-related factors contribute to 'missed opportunities' in providing comprehensive preventive care for female patients, including comfort level, knowledge and experience--all of which are compounded by resident turnover rates. Of particular concern among Internal Medicine (IM) residents is their knowledge and comfort level in performing pelvic exams. To evaluate the impact of a quality improvement project of implementing a Women's Preventive Health Clinic (WPHC) on addressing gaps identified by needs assessments: residents' comfort and knowledge with female preventive care and cervical cancer screening. The WPHC, a multidisciplinary weekly clinic, focused on preventive services for women with chronic conditions. The alternating didactic and clinic sessions emphasised women's preventive health topics for IM residents. Sixty-three IM residents participated in WPHC between 2002 and 2005. Pre- and post-test design was used to assess resident knowledge and comfort levels. Cervical cancer screening rates of residents' patients were assessed pre- and post-WPHC initiation. There was a significant improvement in general knowledge (64% correct at pretest vs 73% at post-test, p=0.0002), resident comfort level in discussing women's health topics and performing gynaecological exams (p<0.0002). Cervical cancer screening rates among IM residents' patients improved from 54% (pre-WPHC initiation) to 65% (post-WPHC initiation period). The results indicate that a focused resident preventive programme can meet gaps identified by education and needs assessments, and simultaneously have a positive impact on cervical cancer screening rates and thus may serve as a model for other residency programmes.

Incidence of interval cancers in faecal immunochemical test colorectal screening programmes in Italy.

Science.gov (United States)

Giorgi Rossi, Paolo; Carretta, Elisa; Mangone, Lucia; Baracco, Susanna; Serraino, Diego; Zorzi, Manuel

2018-03-01

Objective In Italy, colorectal screening programmes using the faecal immunochemical test from ages 50 to 69 every two years have been in place since 2005. We aimed to measure the incidence of interval cancers in the two years after a negative faecal immunochemical test, and compare this with the pre-screening incidence of colorectal cancer. Methods Using data on colorectal cancers diagnosed in Italy from 2000 to 2008 collected by cancer registries in areas with active screening programmes, we identified cases that occurred within 24 months of negative screening tests. We used the number of tests with a negative result as a denominator, grouped by age and sex. Proportional incidence was calculated for the first and second year after screening. Results Among 579,176 and 226,738 persons with negative test results followed up at 12 and 24 months, respectively, we identified 100 interval cancers in the first year and 70 in the second year. The proportional incidence was 13% (95% confidence interval 10-15) and 23% (95% confidence interval 18-25), respectively. The estimate for the two-year incidence is 18%, which was slightly higher in females (22%; 95% confidence interval 17-26), and for proximal colon (22%; 95% confidence interval 16-28). Conclusion The incidence of interval cancers in the two years after a negative faecal immunochemical test in routine population-based colorectal cancer screening was less than one-fifth of the expected incidence. This is direct evidence that the faecal immunochemical test-based screening programme protocol has high sensitivity for cancers that will become symptomatic.

Screening for cancer-related distress: Summary of evidence from tools to programmes

DEFF Research Database (Denmark)

Bidstrup, P. E.; Johansen, C.; Mitchell, A. J.

2011-01-01

and critically discuss the findings of randomized trials of the effect of screening and to identify components necessary for future studies of the effectiveness of screening programmes. Methods. A search was made of the Embase/Medline and Web of Knowledge abstract databases from inception to September 2010. Our...

Lessing und der Islam

OpenAIRE

Muslim, Zahim Mohammed

2010-01-01

„Lessing und der Islam“ beschäftigt sich unparteiisch mit Lessings Auseinandersetzung mit dem Islam. Die Arbeit setzt sich das Ziel, den Leser und den Literaturkennern sowie der deutschen Bibliothek der Germanistik etwas von Lessings Auseinandersetzung mit dem Islam in die Hand zu geben, die bis heute als großes Modell für die interkulturelle und interreligiöse Menschheitstoleranzdebatte im Gedächtnis der deutschen Literatur vorhanden ist. Im ersten Teil widmet sich die vorliegende Arbeit de...

To nudge or not to nudge: cancer screening programmes and the limits of libertarian paternalism.

Science.gov (United States)

Ploug, Thomas; Holm, Søren; Brodersen, John

2012-12-01

'Nudging--and the underlying idea 'libertarian paternalism'--to an increasing degree influences policy thinking in the healthcare sector. This article discusses the influence exerted upon a woman's choice of participation in the Danish breast screening programme in light of 'libertarian paternalism'. The basic tenet of 'libertarian paternalism' is outlined and the relationship between 'libertarian paternalism' and informed consent investigated. Key elements in the process of enrolling women into the Danish mammography screening programme are introduced. It is shown that for several reasons the influence exerted upon women's choices of participation cannot be justified within a welfare-enhancing libertarian paternalistic framework. The article suggests that screening programmes alternatively adopt a liberty-enhancing approach and considers the practical implications of this alternative.

Socio-demographic characteristics of participation in the opportunistic German cervical cancer screening programme: results from the EPIC-Heidelberg cohort.

Science.gov (United States)

Seidel, David; Becker, Nikolaus; Rohrmann, Sabine; Nimptsch, Katharina; Linseisen, Jakob

2009-04-01

To analyse participation in the German cervical cancer screening programme by socio-demographic characteristics. In the EPIC-Heidelberg cohort study 13,612 women aged 35-65 years were recruited between 1994 and 1998. Follow-up questionnaires were used to analyse participation in cervical cancer screening. Subjects were categorised according to age (birth cohort), education, vocational training, employment status, marital status and household size. Associations between socio-demographic characteristics and participation in cervical cancer screening were analysed using multinomial logistic regression. Females of the oldest and middle birth cohort were less likely to be screened compared to the youngest birth cohort. Less-educated women and those with a low-level secondary school degree had a decreased likelihood of undergoing screening in comparison to better educated women. Married women and women living in households with four or more persons were more likely to participate in the screening programme than single women or women living alone. Employment status did not modify participation in cervical cancer screening. Knowledge on the characteristics of women with a lower attendance to cervical cancer screening could be used to improve the effectiveness of the current (opportunistic) programme by dedicated health promotion programmes. However, an organized screening programme with written invitation of all eligible women would be the preferred option.

[Perception of healthcare professionals on the Breast Cancer Screening Programme in Barcelona].

Science.gov (United States)

Serral, G; Puigpinós-Riera, R; Maydana, E; Pons-Vigués, M; Borrell, C

2013-01-01

A good communication plan is vital for optimal results in any screening programme. The objective of this study was to assess the knowledge, involvement and opinion of health professionals regarding the Breast Cancer Screening Programme in Barcelona in 2008. A cross-sectional study using an anonymous and self-administered questionnaire. The study population (N = 960) were health professionals from Primary Health-care (PH), Programs for Sexual and Reproductive Health (PSRH), and Community Pharmacies (CP). The dependent variables were: knowledge of the Programme, professional involvement and opinion of the Programme. The independent variables were: sex, age, qualifications, employment status, and health team. A descriptive and bivariate analysis was performed. Using multivariate logistic regression models adjusted for age, an Odds Ratios (OR) were obtained along with the 95% confidence intervals (CI 95%). PSRH professionals know the target population better; 80.2% versus 26.1% PH, and 14.0% CP, respectively. Professional involvement was related to the health care team (ORCP/PH: 0.32, CI 95%: 0.22-0.43) being observed more in PH. The opinion on the Programme in reducing breast cancer mortality was similar in the three teams (61.6% PH, 59.3% PSRH, and 56.5% CP). Healthcare professionals are unaware of some aspects of Programme, such as age range or periodicity. There is great professional involvement and belief that the Programme has helped disseminate information and knowledge on the early detection of breast cancer. Copyright © 2012 SECA. Published by Elsevier Espana. All rights reserved.

Predicted impact of extending the screening interval for diabetic retinopathy: the Scottish Diabetic Retinopathy Screening programme.

Science.gov (United States)

Looker, H C; Nyangoma, S O; Cromie, D T; Olson, J A; Leese, G P; Philip, S; Black, M W; Doig, J; Lee, N; Briggs, A; Hothersall, E J; Morris, A D; Lindsay, R S; McKnight, J A; Pearson, D W M; Sattar, N A; Wild, S H; McKeigue, P; Colhoun, H M

2013-08-01

The aim of our study was to identify subgroups of patients attending the Scottish Diabetic Retinopathy Screening (DRS) programme who might safely move from annual to two yearly retinopathy screening. This was a retrospective cohort study of screening data from the DRS programme collected between 2005 and 2011 for people aged ≥12 years with type 1 or type 2 diabetes in Scotland. We used hidden Markov models to calculate the probabilities of transitions to referable diabetic retinopathy (referable background or proliferative retinopathy) or referable maculopathy. The study included 155,114 individuals with no referable diabetic retinopathy or maculopathy at their first DRS examination and with one or more further DRS examinations. There were 11,275 incident cases of referable diabetic eye disease (9,204 referable maculopathy, 2,071 referable background or proliferative retinopathy). The observed transitions to referable background or proliferative retinopathy were lower for people with no visible retinopathy vs mild background retinopathy at their prior examination (respectively, 1.2% vs 8.1% for type 1 diabetes and 0.6% vs 5.1% for type 2 diabetes). The lowest probability for transitioning to referable background or proliferative retinopathy was among people with two consecutive screens showing no visible retinopathy, where the probability was <0.3% for type 1 and <0.2% for type 2 diabetes at 2 years. Transition rates to referable diabetic eye disease were lowest among people with type 2 diabetes and two consecutive screens showing no visible retinopathy. If such people had been offered two yearly screening the DRS service would have needed to screen 40% fewer people in 2009.

Colorectal Cancer Screening Programme in Spain: Results of Key Performance Indicators After Five Rounds (2000-2012).

Science.gov (United States)

Binefa, Gemma; Garcia, Montse; Milà, Núria; Fernández, Esteve; Rodríguez-Moranta, Francisco; Gonzalo, Núria; Benito, Llúcia; Clopés, Ana; Guardiola, Jordi; Moreno, Víctor

2016-01-20

Effective quality assurance is essential in any screening programme. This article provides a unique insight into key quality indicators of five rounds of the first population-based colorectal cancer screening programme implemented in Spain (2000-2012), providing the results according to the type of screening (prevalent or first screen and incident or subsequent screen) and test (guaiac or immunochemical). The total crude participation rate increased from 17.2% (11,011) in the first round to 35.9% (22,988) in the last one. Rescreening rate was very high (88.6% in the fifth round). Positivity rate was superior with the faecal immunochemical test (6.2%) than with the guaiac-based test (0.7%) (p < 0.0001) and detection rates were also better with the immunochemical test. The most significant rise in detection rate was observed for high risk adenoma in men (45.5 per 1,000 screened). Most cancers were diagnosed at an early stage (61.4%) and there was a statistically significant difference between those detected in first or subsequent screening (52.6% and 70.0% respectively; p = 0.024). The availability of these results substantially improves data comparisons and the exchange of experience between screening programmes.

The gas industry and the race for the future; Die Gaswirtschaft im Wettlauf um die Zukunft

Energy Technology Data Exchange (ETDEWEB)

Bergmann, B. [Ruhrgas AG, Essen (Germany)

1996-06-01

To quote Machiavelli `Only change is constant`. For the gas industry, too, change is not a new phenomenon. Present-day changers, however, tend to be of a different quality, and uncertainties are greater. These facts constitute both challenges and opportunities to all participants. The following article firstly describes the challenges faced by the German gas industry. The tasks and concepts involved in shaping the future of the German gas industry, and the gas transmission industry in particular, are then examined; the position of Ruhrgas AG against this background is then discussed. (orig.) [Deutsch] `Bestaendig ist nur der Wandel`, sagte schon Macchiavelli. Auch fuer die Gaswirtschaft ist Wandel keine neue Erfahrung. Dennoch, die Veraenderungen sind heute von anderer Qualitaet und die Unsicherheiten groesser. Das ist fuer jeden Mitspieler gleichermassen Herausforderung und Chance. Im folgenden werden zunaechst die Herausforderungen beschrieben, denen sich die deutsche Gaswirtschaft gegenuebersieht. Dann werden Aufgaben und Konzepte fuer die Zukunftsgestaltung der deutschen Gaswirtschaft, im speziellen der Ferngaswirtschaft, angesprochen, und schliesslich wird die Positionierung der Ruhrgas AG in diesem Umfeld aufgezeigt. (orig.)

Screen-detected versus interval cancers: Effect of imaging modality and breast density in the Flemish Breast Cancer Screening Programme

Energy Technology Data Exchange (ETDEWEB)

Timmermans, Lore; Bacher, Klaus; Thierens, Hubert [Ghent University, Department of Basic Medical Sciences, QCC-Gent, Ghent (Belgium); Bleyen, Luc; Herck, Koen van [Ghent University, Centrum voor Preventie en Vroegtijdige Opsporing van Kanker, Ghent (Belgium); Lemmens, Kim; Ongeval, Chantal van; Steen, Andre van [University Hospitals Leuven, Department of Radiology, Leuven (Belgium); Martens, Patrick [Centrum voor Kankeropsporing, Bruges (Belgium); Brabander, Isabel de [Belgian Cancer Registry, Brussels (Belgium); Goossens, Mathieu [UZ Brussel, Dienst Kankerpreventie, Brussels (Belgium)

2017-09-15

To investigate if direct radiography (DR) performs better than screen-film mammography (SF) and computed radiography (CR) in dense breasts in a decentralized organised Breast Cancer Screening Programme. To this end, screen-detected versus interval cancers were studied in different BI-RADS density classes for these imaging modalities. The study cohort consisted of 351,532 women who participated in the Flemish Breast Cancer Screening Programme in 2009 and 2010. Information on screen-detected and interval cancers, breast density scores of radiologist second readers, and imaging modality was obtained by linkage of the databases of the Centre of Cancer Detection and the Belgian Cancer Registry. Overall, 67% of occurring breast cancers are screen detected and 33% are interval cancers, with DR performing better than SF and CR. The interval cancer rate increases gradually with breast density, regardless of modality. In the high-density class, the interval cancer rate exceeds the cancer detection rate for SF and CR, but not for DR. DR is superior to SF and CR with respect to cancer detection rates for high-density breasts. To reduce the high interval cancer rate in dense breasts, use of an additional imaging technique in screening can be taken into consideration. (orig.)

Screen-detected versus interval cancers: Effect of imaging modality and breast density in the Flemish Breast Cancer Screening Programme

International Nuclear Information System (INIS)

Timmermans, Lore; Bacher, Klaus; Thierens, Hubert; Bleyen, Luc; Herck, Koen van; Lemmens, Kim; Ongeval, Chantal van; Steen, Andre van; Martens, Patrick; Brabander, Isabel de; Goossens, Mathieu

2017-01-01

To investigate if direct radiography (DR) performs better than screen-film mammography (SF) and computed radiography (CR) in dense breasts in a decentralized organised Breast Cancer Screening Programme. To this end, screen-detected versus interval cancers were studied in different BI-RADS density classes for these imaging modalities. The study cohort consisted of 351,532 women who participated in the Flemish Breast Cancer Screening Programme in 2009 and 2010. Information on screen-detected and interval cancers, breast density scores of radiologist second readers, and imaging modality was obtained by linkage of the databases of the Centre of Cancer Detection and the Belgian Cancer Registry. Overall, 67% of occurring breast cancers are screen detected and 33% are interval cancers, with DR performing better than SF and CR. The interval cancer rate increases gradually with breast density, regardless of modality. In the high-density class, the interval cancer rate exceeds the cancer detection rate for SF and CR, but not for DR. DR is superior to SF and CR with respect to cancer detection rates for high-density breasts. To reduce the high interval cancer rate in dense breasts, use of an additional imaging technique in screening can be taken into consideration. (orig.)

[Robert Schweitzer. Finnland, das Zarenreich und die Deutschen] / Karsten Bgüggemann

Index Scriptorium Estoniae

Brüggemann, Karsten, 1965-

2011-01-01

Arvustus: Robert Schweitzer. Finnland, das Zarenreich und die Deutschen : gesammelte Studien zum europäischen Nordosten. Festgabe zum 60. Geburtstag des Verfassers. Hrsg. von Uta-Maria Liertz. (Veröffentlichungen der Aue-Stiftung. Bd. 20) Verlag Schmidt-Römhild

Zum Wandel der Rechtsinstitute „Elterliche Sorge“ und „Tėvų valdžia“ des Deutschen und Litauischen Familienrechts. Vokietijos ir Lietuvos šeimos teisių institutų „Elterliche Sorge“ ir „Tėvų valdžia“ kaita

Directory of Open Access Journals (Sweden)

Rasa Darbutaitė

2007-01-01

Full Text Available Das Ziel des vorliegenden Beitrages ist, den historisch bedingten Wandel des Familienrechts am Beispiel des deutschen Rechtsinstituts elterliche Sorge und des litauischen tëvø valdþia vorzustellenund auf die Unregelmäßigkeiten bei der Anwendung der entsprechenden Ausdrücke hinzuweisen sowie entsprechende Lösungen vorzuschlagen.Die Rechtsvergleichung sowie die Feststellung und Lösung diesbezüglicher Übersetzungsproblematik sind im Kontext der zunehmenden Globalisierung immer wichtiger, wobei Veränderungen im Rechtssystem eines Staates entsprechende Impulse für den Wandel derRechtsinhalte eines anderen Staates geben können. Außerdem lassen sich am Wandel der Rechtsinstitute Entwicklungstendenzen des jeweiligen Rechtssystems sehr gut nachvollziehen, deren Kenntnis für die Arbeit des Rechtsübersetzers unentbehrlich ist.Ende des letzten Jahrhunderts sind zahlreiche Forschungsarbeiten von vielen Autoren (Peter Sandrini, Gerard-René de Groot, Susan Sarsevic, Radegundis Stolze u.a. im Bereich der juristischen Terminologie und Übersetzung erschienen. Es gibt jedoch in Litauen kaum rechtsvergleichende Untersuchungen unter Berücksichtigung der Fachausdrücke, die bestimmte Rechtsinhalte im deutschen und im litauischen Rechtssystem benennen. Da die Rechtsübersetzung viele (sprachliche, terminologische, rechtsvergleichende etc. Problembereiche umfasst, deren ausführliche Analyse in einem kurzen Beitrag aus Platzgründen nicht möglich ist, wird im Folgenden auf den Vergleich sprachlicher Formen verzichtet und eher auf den Wandel der Bezeichnungen der erwähnten Rechtsinstitute sowie auf die inhaltlichen Aspekte und die Unterschiede zwischen denAusdrucksformen im deutschen und im litauischen Familienrecht eingegangen. ----- Straipsnyje aptariama Vokietijos ir Lietuvos šeimos teisės sąvokų kaita, remiantis teisės institutų elterliche Sorge ir tėvų valdžia pavyzdžiais. Pristatomi atitinkamų sąvokų vartojimo nenuoseklumai, pabr

„Keine unklugen Leute“. Die Durchsetzung des „Stadtumbau Ost“

Directory of Open Access Journals (Sweden)

Matthias Bernt

2017-06-01

Full Text Available Der Beitrag untersucht die Herausbildung des Bund-Länder-Programms „Stadtumbau Ost“ um die Jahrtausendwende. Er analysiert dabei das Zusammenwirken von Interessen, Ideen und Akteuren, die diesem (damals neuartigen Ansatz der deutschen Stadtentwicklungspolitik zugrunde lag. In der empirischen Analyse wird deutlich, dass der Stadtumbau in seiner Genese nur als „Hybrid“ aus einem Rettungsprogramm für die ostdeutsche Wohnungswirtschaft und weitergehenden strategischen Planungsansprüchen für die „schrumpfende Stadt“ adäquat verstanden werden kann. Das Zustandekommen dieser doppelten Orientierung spiegelt gleichzeitig die Durchsetzungsstärke einzelner „Schlüsselpersonen“ wieder, denen es gelang, auf die Ausrichtung des im Entstehen begriffenen Programms  prägenden Einfluss zu nehmen.

Wenn ich nur wüsste, ob…: Der beamtenrechtliche Aufstieg im deutschen Bibliothekswesen am Beispiel des Freistaates Bayern

Directory of Open Access Journals (Sweden)

Kathrin Schwärzel

2015-12-01

Full Text Available Mit dem Gesetz zum Neuen Dienstrecht in Bayern hat der bayerische Gesetzgeber im Jahre 2010 das Laufbahnrecht grundlegend reformiert. Als Kernstück der Reform gilt der Regelungskomplex zum beamtenrechtlichen Aufstieg, insbesondere zur sogenannten modularen Qualifizierung, mit dem der Landesgesetzgeber einen modernen Weg im Personalmanagement einschlägt. Der Beitrag ordnet die Regelungen in ihren laufbahnrechtlichen Kontext ein und stellt das neue Instrument der Personalentwicklung näher vor. In 2010, the Bavarian legislator introduced a fundamental public employment law reform. Emphasis was put on professional advancement through modular training as a new approach to human resource management in public administration. This article takes a closer look at this new personnel development instrument and its regulation.

The Milan Project: a newborn hearing screening programme.

Science.gov (United States)

Pastorino, Giancarlo; Sergi, Paola; Mastrangelo, Massimo; Ravazzani, Paolo; Tognola, Gabriella; Parazzini, Marta; Mosca, Fabio; Pugni, Lorenza; Grandori, Ferdinando

2005-04-01

Since 1997 a newborn hearing screening programme has been implemented by the U.O. Neurologia-Neurofisiopatologia and Dipartimento di Neonatologia of the Istituti Clinici di Perfezionamento ICP in Milan for both babies with no risk and those at risk of hearing impairment. This programme was named the Milan Project. The protocol for no-risk babies consisted of three stages: in the first two stages, newborns were tested with transient click-evoked otoacoustic emissions (TEOAE), in the third one with conventional auditory brainstem responses (ABR). The first TEOAE test was performed by 36 h of age, before discharge, the second one after 15-30 d in case of referral, and the third one, by ABR, for those babies who failed the second TEOAE stage. Newborns at audiological risk were submitted to conventional ABR before the third month of corrected age. Some of this latter population was also submitted to the TEOAE test. The entire tested population (no-risk babies and newborns at audiological risk) consisted of 19 777 babies: 19 290 without risk ("no risk") and 487 at risk ("at risk"). During the course of the Milan Project, hearing impairment (ABR threshold equal to or greater than 40 dB nHL) was identified in 63 newborns (19 from the no-risk and 44 from the at-risk population), with a prevalence of 0.32%. Bilateral hearing impairment (BHI) was found in 33 newborns (10 from the no-risk and 23 from the at-risk population), corresponding to 0.17%. Among infants with bilateral hearing impairment, 30.3% had no risk factors. The prevalence of hearing impairment was determined on days 15-30 after birth. The results show that the implementation of a hospital-based, universal neonatal hearing screening programme for babies with and without audiological risk is feasible and effective. The effectiveness of the programme has increased as a function of the years since its inception, with a strong decrease in the referral rate. Further improvement is obtained if the TEOAE measurements

Travestie im alten Ägypten

Directory of Open Access Journals (Sweden)

prof.Magda Abdalla

2011-01-01

Full Text Available Der Artikel möchte versuchen zu beweisen, dass den alten Ägyptern Travestie bekannt war. In verschiedenen Texten wie Märchen, Fabeln und Liebesgedichten auf Papyri und Ostraka, finden sich Belege von Travestie. Zuerst muss jedoch betont werden, dass es einen Unterschied zwischen dem Begriff der Travestie, mit anderen Worten der Verkleidung,[1] und dem der Metamorphose, dem Verwandeln der Gestalt,[2] gibt. [1] Tra.ve´stie: f. satirisch, Verspottung eines Literaturwerkes, bei der (im Unterschied zur Parodie der Inhalt beibehalten und die Form verändert wird (frz. travestie „Verkleidung“; zu lat. trans „hinüber“+vestire, „kleiden“. G. Wahrig,. Deutsches Wörterbuch, mit einem „Lexikon der deutschen Sprachlehre“( München, 1987, 1292. Es gibt auch eine moderne Definition des Begriffes Travestie aus dem 17. Jahrhundert. Hier beinhaltet diese ein Verfahren oder eine kritische Zielsetzung.w.Karrer.,Parodie Travestie, Pastiche (München, 1977, 19, 46. [2] Me.ta.mor´pho.se Umwandlung eines Gesteins in ein anderes; Wandlung des jungen Tieres durch verschiedene äußere Stadien; Verwandlung von Menschen in Tiere, Pflanzen, Quellen usw. (Deutsches Wörterbuch, 883. الإحصائيات

The challenges of organising cervical screening programmes in the 15 old member states of the European Union

DEFF Research Database (Denmark)

Arbyn, Marc; Rebolj, Matejka; De Kok, Inge M C M

2009-01-01

Cervical cancer incidence and mortality can be reduced substantially by organised cytological screening at 3 to 5 year intervals, as was demonstrated in the Nordic countries, the United Kingdom, the Netherlands and parts of Italy. Opportunistic screening, often proposed at yearly schedules, has...... also reduced the burden of cervical cancer in some, but not all, of the other old member states (belonging to the European Union since 1995) but at a cost that is several times greater. Well organised screening programmes have the potential to achieve greater participation of the target population......, France, Germany, Greece, Luxembourg, Portugal and Spain) have not yet started national organised implementation of screening for cervical cancer. A decision was made by the Irish government to extend their pilot programme nationally while new regional programmes commenced in Portugal and Spain...

Quality assurance programme for screen film mammography

International Nuclear Information System (INIS)

2009-01-01

The application of radiation in human health, for both the diagnosis and treatment of disease, is an important component of the work of the IAEA. In the area of diagnostic radiology, this work is focused on quality assurance methods to both the promotion of the effective use of radiation for diagnostic outcome, through achieving and maintaining appropriate image quality, and also on dose determination to allow the monitoring and reduction of dose to the patient. In response to heightened awareness of the importance of patient dose contributed by radiology procedures, the IAEA published Dosimetry in Diagnostic Radiology: An International Code of Practice (Technical Reports Series No. 457) in 2007, to form a basis for patient dose determination for the Member States. Further to this, it is recognized that for complex diagnostic procedures, such as mammography, a detailed guidance document is required to give the professionals in the clinical centre the knowledge necessary to assess the patient dose, as well as to ensure that the procedure gives the maximal patient benefit possible. It is well documented that without the implementation of a quality culture and a systematic quality assurance programme with appropriate education, the detection of breast cancer cannot be made at an early enough stage to allow effective curative treatment to be undertaken. Currently there are a number of established quality assurance protocols in mammography from national and regional institutions, however, many of these protocols are distinctive and so a harmonized approach is required. This will allow the Member States to facilitate quality assurance in mammography in a standardized way which will also facilitate the introduction of national quality assurance programmes that are needed to underpin effective population screening programmes for breast cancer. Development of a quality assurance document for screen film mammography was started in 2005 with the appointment of a drafting

Can the NHS breast screening programme afford not to double read screening mammograms?

International Nuclear Information System (INIS)

Liston, J.C.; Dall, B.J.G.

2003-01-01

AIM: Rapid expansion of the National Health Service (UK) Breast Screening Programme (NHSBSP) to routinely invite women aged 50-70 years will result in many new readers undertaking screen reading. A timely method for assessing performance and preferably one that facilitates a steep learning curve will be required. MATERIALS AND METHODS: This unit screens a population of 88000 women aged 50-64 years and double reads >90% films. A record is kept of proven screen-detected cancers not recalled for assessment by either the first or second reader but correctly recalled following third-reader arbitration. Individual readers' workload and recall rates are obtained by running an annual co-writer report. The results of this 7 year prospective audit are presented. RESULTS: In total 177167 women were screened between 1/4/95 and 31/3/02 resulting in the detection of 1072 cancers. Eighty-seven cancers (8.1%) were detected after arbitration. Individual readers recall to assessment rates and percentage of cases incorrectly returned to routine recall varied. Prompt feedback of missed/misinterpreted cases allowed both experienced and inexperienced readers to modify their recall thresholds for particular mammographic abnormalities. CONCLUSION: It is recommended this audit method is adopted by all units in the NHSBSP and that the Advisory Committee for Breast Cancer Screening review the policy of single versus double reading

Breast Cancer Screening Programmes across the WHO European Region: Differences among Countries Based on National Income Level.

Science.gov (United States)

Altobelli, Emma; Rapacchietta, Leonardo; Angeletti, Paolo Matteo; Barbante, Luca; Profeta, Filippo Valerio; Fagnano, Roberto

2017-04-23

Breast cancer (BC) is the most frequent tumour affecting women all over the world. In low- and middle-income countries, where its incidence is expected to rise further, BC seems set to become a public health emergency. The aim of the present study is to provide a systematic review of current BC screening programmes in WHO European Region to identify possible patterns. Multiple correspondence analysis was performed to evaluate the association among: measures of occurrence; GNI level; type of BC screening programme; organization of public information and awareness campaigns regarding primary prevention of modifiable risk factors; type of BC screening services; year of screening institution; screening coverage and data quality. A key difference between High Income (HI) and Low and Middle Income (LMI) States, emerging from the present data, is that in the former screening programmes are well organized, with approved screening centres, the presence of mobile units to increase coverage, the offer of screening tests free of charge; the fairly high quality of occurrence data based on high-quality sources, and the adoption of accurate methods to estimate incidence and mortality. In conclusion, the governments of LMI countries should allocate sufficient resources to increase screening participation and they should improve the accuracy of incidence and mortality rates.

Scientific and technical programme parallel to the 'Solarthermie 2000' research and demonstration programme. Final report; Wissenschaftlich-technische Programmbegleitung im Demonstrations- und Forschungsprogramm Solarthermie 2000. Abschlussbericht

Energy Technology Data Exchange (ETDEWEB)

Goering, J.; Freitag, T.; Schirmer, U.

2000-07-01

The programme 'Solarthermie 2000' aimed at the testing and optimization of active solar systems, especially for service water heating. Sub-programme 2 was to provide the technical fundamentals and achieve a certain degree of standardization in order to make the technology economically competitive. This necessitated long-term monitoring of a representative number of systems. [German] Im Rahmen des Foerder- und Demonstrationsprogramms Solarthermie 2000, Teilprogramm 2 erfolgt durch die Foerderung von bis zu 100 solarthermischer Anlagen mit Schwerpunkt in den neuen Bundeslaendern eine umfassende Erprobung und Optimierung von Systemen zur aktiven thermischen Sonnenenergienutzung vorwiegend zur Brauchwassererwaermung. Mit dem Teilprogramm 2 sollen die technischen Voraussetzungen fuer einen kuenftigen wirksamen Beitrag der Solarthermie zur Energieversorgung geschaffen und durch Systemstandardisierung die wirtschaftliche Konkurrenzfaehigkeit dieser Anlagen verbessert werden. Ausreichende Erfahrungen mit den unterschiedlichsten Systemkombinationen koennen nur dann gesammelt werden, wenn eine repraesentative Anzahl der diversen Anlagenvarianten errichtet, ueber einen laengeren Zeitraum betrieben und gleichzeitig intensiv beobachtet und analysiert werden. (orig.)

Natural history of breast cancers detected in the Swedish mammography screening programme: a cohort study

DEFF Research Database (Denmark)

Zahl, Per-Henrik; Gøtzsche, Peter C; Mæhlen, Jan

2011-01-01

The natural history of screen-detected breast cancers is not well understood. A previous analysis of the incidence change during the introduction of the Norwegian screening programme in the late 1990s suggested that the natural history of many screen-detected invasive breast cancers is to regress...

Contaminant screening of wastewater with HPLC-IM-qTOF-MS and LC+LC-IM-qTOF-MS using a CCS database.

Science.gov (United States)

Stephan, Susanne; Hippler, Joerg; Köhler, Timo; Deeb, Ahmad A; Schmidt, Torsten C; Schmitz, Oliver J

2016-09-01

Non-target analysis has become an important tool in the field of water analysis since a broad variety of pollutants from different sources are released to the water cycle. For identification of compounds in such complex samples, liquid chromatography coupled to high resolution mass spectrometry are often used. The introduction of ion mobility spectrometry provides an additional separation dimension and allows determining collision cross sections (CCS) of the analytes as a further physicochemical constant supporting the identification. A CCS database with more than 500 standard substances including drug-like compounds and pesticides was used for CCS data base search in this work. A non-target analysis of a wastewater sample was initially performed with high performance liquid chromatography (HPLC) coupled to an ion mobility-quadrupole-time of flight mass spectrometer (IM-qTOF-MS). A database search including exact mass (±5 ppm) and CCS (±1 %) delivered 22 different compounds. Furthermore, the same sample was analyzed with a two-dimensional LC method, called LC+LC, developed in our group for the coupling to IM-qTOF-MS. This four dimensional separation platform revealed 53 different compounds, identified over exact mass and CCS, in the examined wastewater sample. It is demonstrated that the CCS database can also help to distinguish between isobaric structures exemplified for cyclophosphamide and ifosfamide. Graphical Abstract Scheme of sample analysis and database screening.

Diabetic retinopathy in Tanzania: prevalence and risk factors at entry into a regional screening programme.

Science.gov (United States)

Cleland, Charles R; Burton, Matthew J; Hall, Claudette; Hall, Anthony; Courtright, Paul; Makupa, William U; Philippin, Heiko

2016-03-01

The number of adults with diabetes in sub-Saharan Africa (SSA) is expected to almost double by 2035. This study investigated the prevalence of diabetic retinopathy (DR) and its risk factors at entry into a community-based screening programme. All persons with diabetes screened for retinopathy at entry into a screening programme in Kilimanjaro Region, Tanzania between November 2010 and December 2014 were included. Fundus photographs were taken with a Topcon retinal camera following pupil dilation. Data were collected on BP, random blood sugar, duration of diabetes, BMI and visual acuity on entry. A total of 3187 persons were screened for DR. The prevalence of any DR was 27.9% (95%CI 26.4-29.5%) with background diabetic retinopathy (BDR), pre-proliferative diabetic retinopathy (PPDR) and proliferative diabetic retinopathy (PDR) having a prevalence of 19.1% (95% CI 17.7-20.4%), 6.0% (95%CI 5.2-6.8%) and 2.9% (95%CI 2.3-3.5%), respectively. Maculopathy was present in 16.1% (95%CI 14.8-17.4%) of participants. Multivariable logistic regression analysis for the presence of any DR found independent associations with duration of diabetes (P planning of DR screening and treatment services in the African region. The study highlights the importance of managing comorbidities within DR screening programmes. © 2015 The Authors Tropical Medicine & International Health Published by John Wiley & Sons Ltd.

Overdiagnosis in publicly organised mammography screening programmes: systematic review of incidence trends

DEFF Research Database (Denmark)

Jørgensen, Karsten Juhl; Gøtzsche, Peter C

2009-01-01

. DATA SOURCES: PubMed (April 2007), reference lists, and authors. Review methods One author extracted data on incidence of breast cancer (including carcinoma in situ), population size, screening uptake, time periods, and age groups, which were checked independently by the other author. Linear regression......OBJECTIVE: To estimate the extent of overdiagnosis (the detection of cancers that will not cause death or symptoms) in publicly organised screening programmes. DESIGN: Systematic review of published trends in incidence of breast cancer before and after the introduction of mammography screening...... was used to estimate trends in incidence before and after the introduction of screening and in older, previously screened women. Meta-analysis was used to estimate the extent of overdiagnosis. RESULTS: Incidence data covering at least seven years before screening and seven years after screening had been...

The Clinical Effectiveness of School Screening Programme for Idiopathic Scoliosis in Malaysia.

Science.gov (United States)

Deepak, A S; Ong, J Y; Choon, Dsk; Lee, C K; Chiu, C K; Chan, Cyw; Kwan, M K

2017-03-01

There is no large population size study on school screening for scoliosis in Malaysia. This study is aimed to determine the prevalence rate and positive predictive value (PPV) of screening programme for adolescent idiopathic scoliosis. A total of 8966 voluntary school students aged 13-15 years old were recruited for scoliosis screening. Screening was done by measuring the angle of trunk rotation (ATR) on forward bending test (FBT) using a scoliometer. ATR of 5 degrees or more was considered positive. Positively screened students had standard radiographs done for measurement of the Cobb angle. Cobb angle of >10° was used to diagnose scoliosis. The percentage of radiological assessment referral, prevalence rate and PPV of scoliosis were then calculated. Percentage of radiological assessment referral (ATR >5°) was 4.2% (182/4381) for male and 5.0% (228/4585) for female. Only 38.0% of those with ATR >5° presented for further radiological assessment. The adjusted prevalence rate was 2.55% for Cobb angle >10°, 0.59% for >20° and 0.12% for >40°. The PPV is 55.8% for Cobb angle >10°, 12.8% for >20° and 2.6% for > 40°. This is the largest study of school scoliosis screening in Malaysia. The prevalence rate of scoliosis was 2.55%. The positive predictive value was 55.8%, which is adequate to suggest that the school scoliosis screening programme did play a role in early detection of scoliosis. However, a cost effectiveness analysis will be needed to firmly determine its efficacy.

Organisation of work safety in the mining industry; Sicherheitsorganisation im Bergbau

Energy Technology Data Exchange (ETDEWEB)

Didier, V. [Bergbau-Berufsgenossenschaft, Bochum (Germany). Referat Unfallverhuetung

1999-10-07

The paper summarizes the main findings of a scientific study. Accident figures for the German mining industry indicate that, in comparison with other industries, there is still plenty of scope for increased prevention. However, the rapid development of safety technology alone is still yielding diminishing returns. The main route to increased safety in the mining industry is by way of improved safety management. Various methods are available for analyzing the efficiency of work-safety structures and procedures. Models for the classification of safety-relevant tasks are based on the legally appropriate and organisationally expedient allocation of responsibilities between management and safety experts. An important management tool in this respect is the hazard analysis procedure laid down in the European Union's Health and Safety at Work Act. Practical studies are used to illustrate that safety results can be improved through reorganisation without increasing prime costs. (orig.) [German] Der Beitrag fasst die wesentlichen Ergebnisse einer wissenschaftlichen Studie zusammen: Die Unfallentwicklung im deutschen Bergbau zeigt im Vergleich zu anderen Industriezweigen noch deutliche Reserven fuer die Praevention. Die Fortentwicklung der Sicherheitstechnik fuer sich allein liefert aber nur noch abnehmende Grenzertraege. Eine Strategie technischer und organisatorischer Einzeldirektiven reicht ebenfalls nicht aus. Der Weg zu besseren Sicherheitsresultaten im Bergbau fuehrt vor allem ueber optimierte Ablaeufe des Sicherheitsmanagements. Mit verschiedenen Methoden lassen sich Aufbau- und Ablauforganisation der Arbeitssicherheit auf ihre Effizienz untersuchen. Aus der juristisch implizierten und organisatorisch zweckmaessigen Aufgabenteilung zwischen Fuehrungskraeften und Sicherheitsexperten ergeben sich Zurodnungsmuster fuer sicherheitsrelevante Aufgaben. Ein wichtiges Fuehrungsinstrument sind Gefaehrdungsanalysen nach dem Arbeitsschutzrecht der Europaeischen Union. Anhand

Exemplary subsurface geothermal projects in the western part of Germany; Beispiele zur Nutzung oberflaechennaher Geothermie im Westen Deutschlands

Energy Technology Data Exchange (ETDEWEB)

Sanner, B.; Mands, E. [UbeG GbR, Wetzlar (Germany); Kohlsch, O. [EWS Erdwaerme-Systemtechnik GmbH, Delbrueck (Germany)

2004-12-01

During the past few years, several projects involving ground source heat pumps were carried out in western Germany, especially in the Rhine-Main and Rhine-Ruhr-Sieg region including the cities of Frankfurt and Cologne. Some of the project partners are big names in industry, e.g. an office building of PhilipsSparte APD at Wetzlar and the museum building of chocolate producer Ritter Sport. Other projects are sited in rural regions, from the Black Forest to the Weserbergland hills. The contribution presents several interesting projects, e.g. the police headquarters building at Bonn (right bank, groundwater use) and the office building of the Federal Office of Environmental protection, also at Bonn (left bank, geothermal probles), and three school buildings in the Frankfurt/Main region at Glashuetten, Bad Homburg-Oberstedten and Usingen-Eschbach. (orig.) [German] In den letzten Jahren wurden im Westen Deutschlands eine ganze Reihe groesserer Projekte mit erdgekoppelten Waermepumpen verwirklicht, besonders im Rhein-Main-Gebiet und im Rhein-Ruhr-Sieg-Gebiet einschliesslich der Grossstaedte Frankfurt und Koeln. Zu den Bauherren zaehlen inzwischen auch bekannte Namen der deutschen Industrie. So wird in Wetzlar ein Buerogbaeude der PhilipsSparte APD mit Erdwaermesonden ausgeruestet, und das Museum des Schokoladenherstellers Ritter Sport wird auf Energiepfaehlen stehen. Abe auch im laendlichen Raum sind interessante Anlagen entstanden, vom Schwarzwald bis ins Weserbergland. Im Folgenden werden einige interessante Beispiele vorgestellt. Dabei sind Projekte in der Ausfuehrungsphase wie z.B. das Polizeipraesidium in Bonn (rechts des Rheins mit Grundwassernutzung), oder das Bundesamt fuer Naturschutz in Bonn, diesmal auf der linken Rheinseite und mit Erdwaermesonden. In Ausfuehrungn bzw. fertiggestellt sind auch Erdwaermesonden fuer 3 Schulen im Raum Frankfurt:/Main, in Glashuetten, Bad Homburg-Oberstedten und Usingen-Eschbach. (orig.)

Calculation of the average radiological detriment of two samples from a breast screening programme

International Nuclear Information System (INIS)

Ramos, M.; Sanchez, A.M.; Verdu, G.; Villaescusa, J.I.; Salas, M.D.; Cuevas, M.D.

2002-01-01

In 1992 started in the Comunidad Valenciana the Breast Cancer Screening Programme. The programme is oriented to asymptomatic women between 45 and 65 years old, with two mammograms in each breast for the first time that participate and a simple one in later interventions. Between November of 2000 and March of 2001 was extracted a first sample of 100 woman records for all units of the programme. The data extracted in each sample were the kV-voltage, the X-ray tube load and the breast thickness and age of the woman exposed, used directly in dose and detriment calculation. By means of MCNP-4B code and according to the European Protocol for the quality control of the physical and technical aspects of mammography screening, the average total and glandular doses were calculated, and later compared

Process performance of cervical screening programmes in Europe

DEFF Research Database (Denmark)

Ronco, Guglielmo; Ballegooijen, Marjolein van; Becker, Nikolaus

2009-01-01

to 4.4% in Romania-Cluj) and the Positive Predictive Value (PPV) of colposcopic attendance (ranging from 8% in Romania-Cluj to 52% in Lithuania) were strongly influenced by management protocols, in particular for atypical squamous cells of undetermined significance (ASCUS) and low-grade squamous......Standardised tables of aggregated data were collected from 15 European national or regional cervical screening programmes and key performance indicators computed as reported in European Union (EU) Guidelines, 2nd edition. Cytological results varied widely between countries both for the total...... proportion of abnormal tests (from 1.2% in Germany (Mecklenburg-Vorpommern) to 11.7% in Ireland-Midwest Region) and for their distribution by grade. Referral rates for repeat cytology (ranging from 2.9% of screened women in the Netherlands to 16.6% in Slovenia) or for colposcopy (ranging from 0.8% in Finland...

Screen-detected versus interval cancers: Effect of imaging modality and breast density in the Flemish Breast Cancer Screening Programme.

Science.gov (United States)

Timmermans, Lore; Bleyen, Luc; Bacher, Klaus; Van Herck, Koen; Lemmens, Kim; Van Ongeval, Chantal; Van Steen, Andre; Martens, Patrick; De Brabander, Isabel; Goossens, Mathieu; Thierens, Hubert

2017-09-01

To investigate if direct radiography (DR) performs better than screen-film mammography (SF) and computed radiography (CR) in dense breasts in a decentralized organised Breast Cancer Screening Programme. To this end, screen-detected versus interval cancers were studied in different BI-RADS density classes for these imaging modalities. The study cohort consisted of 351,532 women who participated in the Flemish Breast Cancer Screening Programme in 2009 and 2010. Information on screen-detected and interval cancers, breast density scores of radiologist second readers, and imaging modality was obtained by linkage of the databases of the Centre of Cancer Detection and the Belgian Cancer Registry. Overall, 67% of occurring breast cancers are screen detected and 33% are interval cancers, with DR performing better than SF and CR. The interval cancer rate increases gradually with breast density, regardless of modality. In the high-density class, the interval cancer rate exceeds the cancer detection rate for SF and CR, but not for DR. DR is superior to SF and CR with respect to cancer detection rates for high-density breasts. To reduce the high interval cancer rate in dense breasts, use of an additional imaging technique in screening can be taken into consideration. • Interval cancer rate increases gradually with breast density, regardless of modality. • Cancer detection rate in high-density breasts is superior in DR. • IC rate exceeds CDR for SF and CR in high-density breasts. • DR performs better in high-density breasts for third readings and false-positives.

The agreement between self-reported cervical smear abnormalities and screening programme records.

Science.gov (United States)

Canfell, Karen; Beral, Valerie; Green, Jane; Cameron, Rebecca; Baker, Krys; Brown, Anna

2006-01-01

The Million Women Study is a cohort study of women aged 50-64 years in England and Scotland. As a component of the follow-up questionnaire, participants were asked to indicate if they had an abnormal cervical smear in the previous five years. This study compared self-reported cervical abnormalities with screening records obtained from the National Health Service Cervical Screening Programme. For 1944 randomly selected Million Women Study participants in Oxfordshire, screening records were assessed over a six-year period prior to the date of self-reporting. The six-year period was chosen to allow for errors in the recall of timing of abnormal smears. A total of 68 women (3.5%) had a record of at least one equivocal or abnormal smear within the last six years, whereas 49 women (2.5%) self-reported an abnormality. There was a strong trend for an increased probability of self-reporting a history of an abnormal smear as the severity of the recorded abnormality increased (P screening programme records show an abnormal smear, the proportion self-reporting an abnormality increases with the severity of the recorded lesion. Almost all women with a record of negative or inadequate smear(s) correctly interpret the result and do not self-report an abnormality.

The Clinical Effectiveness of School Screening Programme for Idiopathic Scoliosis in Malaysia

Directory of Open Access Journals (Sweden)

Deepak AS

2017-03-01

Full Text Available INTRODUCTION: There is no large population size study on school screening for scoliosis in Malaysia. This study is aimed to determine the prevalence rate and positive predictive value (PPV of screening programme for adolescent idiopathic scoliosis. MATERIALS AND METHODS: A total of 8966 voluntary school students aged 13-15 years old were recruited for scoliosis screening. Screening was done by measuring the angle of trunk rotation (ATR on forward bending test (FBT using a scoliometer. ATR of 5 degrees or more was considered positive. Positively screened students had standard radiographs done for measurement of the Cobb angle. Cobb angle of >10° was used to diagnose scoliosis. The percentage of radiological assessment referral, prevalence rate and PPV of scoliosis were then calculated. RESULTS: Percentage of radiological assessment referral (ATR >5° was 4.2% (182/4381 for male and 5.0% (228/4585 for female. Only 38.0% of those with ATR >5° presented for further radiological assessment. The adjusted prevalence rate was 2.55% for Cobb angle >10°, 0.59% for >20° and 0.12% for >40°. The PPV is 55.8% for Cobb angle >10°, 12.8% for >20° and 2.6% for > 40°. CONCLUSIONS: This is the largest study of school scoliosis screening in Malaysia. The prevalence rate of scoliosis was 2.55%. The positive predictive value was 55.8%, which is adequate to suggest that the school scoliosis screening programme did play a role in early detection of scoliosis. However, a cost effectiveness analysis will be needed to firmly determine its efficacy.

Evaluation of the population dose to the UK population from the National Health Service breast screening programme

International Nuclear Information System (INIS)

Faulkner, K.; Wallis, M. G.; Neilson, F.; Whitaker, C. J.

2008-01-01

In the United Kingdom National Health Service Breast Screening Programme (NHSBSP), women aged between 50 and 70 y are invited for mammography every 3 y. Screening histories for each woman, over four screening rounds, were analysed. Data from five screening programmes were used to select 57 425 women into the study. Cases were selected on the basis of being between the ages of 50 and 53 at the start of the NHSBSP (i.e. between 1989 and 1992). Assessment of the outcome for each screening round for each woman involved assigning a simple outcome code. Each of the possible pathways through the four screening rounds was analysed. This comprises of 500 possible pathways. This data enabled the following information to be determined: (i) The number of times a woman attended the screening programme. (ii) The number of women referred for assessment at each screening round. This information may be used to deduce the population dose to this group of women averaged over four screening rounds. Patient doses have been monitored since the programme's inception and are typically 4.5 mGy for two-view screening. It is possible to determine the mean glandular dose received by this cohort of women over four screening rounds by multiplying the number of examinations by the mean glandular dose for a typical woman. Allowance has to be made for the number of projections taken at each screening round. Once a woman has been screened, she may be invited back for further assessment if an abnormality is found on her mammogram. A stereotactic attachment is used to determine where to place the biopsy device. Although the dose received during a normal screening mammogram is well known, the dose for a stereotactic procedure and other assessment procedures is less well known, partly because only a small part of the breast is directly irradiated during stereo-taxis. However, the woman may have multiple exposures during this stage. A prospective survey of doses was completed to deduce the mean

[Test and programme sensitivities of screening for colorectal cancer in Reggio Emilia].

Science.gov (United States)

Campari, Cinzia; Sassatelli, Romano; Paterlini, Luisa; Camellini, Lorenzo; Menozzi, Patrizia; Cattani, Antonella

2011-01-01

to estimate the sensitivity of the immunochemical test for faecal occult blood (FOBT) and the sensitivity of the colorectal tumour screening programme in the province of Reggio Emilia. retrospective cohort study, including a sample of 80,357 people of both genders, aged 50-69, who underwent FOBT, during the first round of the screening programme in the province of Reggio Emilia, from April 2005 to December 2007. incidence of interval cancer. The proportional incidence method was used to estimate the sensitivity of FOBT and of the screening programme. Data were stratified according to gender, age and year of interval. the overall sensitivity of FOBT was 73.2% (95%IC 63.8-80.7). The sensitivity of FOBT was lower in females (70.5% vs 75.1%), higher in the 50-59 age group (78.6% vs 70.2%) and higher in the colon than rectum (75.1% vs 68.9%). The test had a significantly higher sensitivity in the 1st year of interval than in the 2nd (84.4% vs 60.5%; RR=0.39, 95%IC 0.22-0.70), a difference which was confirmed, also when data were stratified according to gender. The overall sensitivity of the programme is 70.9% (95%IC 61.5-78.5). No statistically significant differences were shown, if data were stratified according to gender, age or site. Again the sensitivity in the 1st year was significantly higher than in the 2nd year of interval (83.2% vs 57.0%; RR=0.41, 95%IC 0.24-0.69). Overall our data confirmed the findings of similar Italian studies, despite subgroup analysis showed some differences in sensitivity in our study.

Zustand und Perspektiven der Kapitalmarktfinanzierung in Deutschland

DEFF Research Database (Denmark)

Beck, Thorsten; Kaserer, Christoph; Rapp, Marc Steffen

2016-01-01

Die Autoren haben sich im Rahmen des durch das Bundesministerium für Wirtschaft und Energie (BMWi) in Auftrag gegebenen Forschungsprojekts „Beteiligungs- und Kapitalmarktfinanzierung im deutschen Finanzsystem: Zustand und Entwicklungsperspektiven“ (Dienstleistungsprojekt I C 4 -27/14) mit dem Zus...

Patient experience of CT colonography and colonoscopy after fecal occult blood test in a national screening programme

OpenAIRE

Plumb, Andrew A.; Ghanouni, Alex; Rees, Colin J.; Hewitson, Paul; Nickerson, Claire; Wright, Suzanne; Taylor, Stuart A.; Halligan, Steve; von Wagner, Christian

2016-01-01

Objective To investigate patient experience of CT colonography (CTC) and colonoscopy in a national screening programme. Methods Retrospective analysis of patient experience postal questionnaires. We included screenees from a fecal occult blood test (FOBt) based screening programme, where CTC was performed when colonoscopy was incomplete or deemed unsuitable. We analyzed questionnaire responses concerning communication of test risks, test-related discomfort and post-test pain, as well as compl...

Patient experience of CT colonography and colonoscopy after fecal occult blood test in a national screening programme

OpenAIRE

Plumb, A. A.; Ghanouni, A.; Rees, C. J.; Hewitson, P.; Nickerson, C.; Wright, S.; Taylor, S. A.; Halligan, S.; von Wagner, C.

2017-01-01

OBJECTIVE: To investigate patient experience of CT colonography (CTC) and colonoscopy in a national screening programme. METHODS: Retrospective analysis of patient experience postal questionnaires. We included screenees from a fecal occult blood test (FOBt) based screening programme, where CTC was performed when colonoscopy was incomplete or deemed unsuitable. We analyzed questionnaire responses concerning communication of test risks, test-related discomfort and post-test pain, as well as com...

Should breast cancer survivors be excluded from, or invited to, organised mammography screening programmes?

Directory of Open Access Journals (Sweden)

Bucchi Lauro

2011-10-01

Full Text Available Abstract Background The prevalence of breast cancer in developed countries has steadily risen over recent decades. Immediate and long-term health needs of patients, including preventive care and screening services, are receiving increasing attention. A question still unresolved is whether breast cancer survivors should receive mammographic surveillance in the clinical or screening setting and, thus, whether they should be excluded from, or invited to, organised mammography screening programmes. The objective of this article is to discuss the many contradictory aspects of this matter. Discussion Problems with mammographic surveillance of breast cancer survivors include: weak evidence of a reduction in mortality; lack of evidence in favour of one setting or the other; lack of evidence-based guidelines for the frequency and duration of surveillance; disproportionate emphasis placed on the first few years post-treatment, probably dictated by surgical and oncological priorities; a variety of screening policies, as these women are permanently or temporarily or partially excluded from many - but not all - organised screening programmes worldwide; an even greater disparity in follow-up protocols used in the clinical setting; a paucity of data on compliance to mammographic surveillance in both settings; and a difficulty in coordinating the roles of health care providers. In the future, the use of mammography in breast cancer survivors will be influenced by the inclusion of women aged > 69 years in organised screening programmes and the implementation of multidisciplinary breast units, and will probably be investigated by research activities on individual risk assessment and risk-tailored screening. In the interim, current problems can be partially alleviated with some technical solutions in screening data recording, patient flows, and care coordination. Summary Mammographic surveillance of breast cancer survivors is situated at the crossroads of numerous

Economic evaluation of the breast cancer screening programme in the Basque Country: retrospective cost-effectiveness and budget impact analysis.

Science.gov (United States)

Arrospide, Arantzazu; Rue, Montserrat; van Ravesteyn, Nicolien T; Comas, Merce; Soto-Gordoa, Myriam; Sarriugarte, Garbiñe; Mar, Javier

2016-06-01

Breast cancer screening in the Basque Country has shown 20 % reduction of the number of BC deaths and an acceptable overdiagnosis level (4 % of screen detected BC). The aim of this study was to evaluate the breast cancer early detection programme in the Basque Country in terms of retrospective cost-effectiveness and budget impact from 1996 to 2011. A discrete event simulation model was built to reproduce the natural history of breast cancer (BC). We estimated for lifetime follow-up the total cost of BC (screening, diagnosis and treatment), as well as quality-adjusted life years (QALY), for women invited to participate in the evaluated programme during the 15-year period in the actual screening scenario and in a hypothetical unscreened scenario. An incremental cost-effectiveness ratio was calculated with the use of aggregated costs. Besides, annual costs were considered for budget impact analysis. Both population level and single-cohort analysis were performed. A probabilistic sensitivity analysis was applied to assess the impact of parameters uncertainty. The actual screening programme involved a cost of 1,127 million euros and provided 6.7 million QALYs over the lifetime of the target population, resulting in a gain of 8,666 QALYs for an additional cost of 36.4 million euros, compared with the unscreened scenario. Thus, the incremental cost-effectiveness ratio was 4,214€/QALY. All the model runs in the probabilistic sensitivity analysis resulted in an incremental cost-effectiveness ratio lower than 10,000€/QALY. The screening programme involved an increase of the annual budget of the Basque Health Service by 5.2 million euros from year 2000 onwards. The BC screening programme in the Basque Country proved to be cost-effective during the evaluated period and determined an affordable budget impact. These results confirm the epidemiological benefits related to the centralised screening system and support the continuation of the programme.

The current screening programme for congenital transmission of Chagas disease in Catalonia, Spain.

Science.gov (United States)

Basile, L; Oliveira, I; Ciruela, P; Plasencia, A

2011-09-22

Due to considerable numbers of migrants from Chagas disease-endemic countries living in Catalonia, the Catalonian Health Department has recently implemented a screening programme for preventing congenital transmission, targeting Latin American pregnant women who attend antenatal consultations. Diagnosis of Trypanosoma cruzi infection in women is based on two positive serological tests. Screening of newborns from mothers with positive serology is based on a parasitological test during the first 48 hours of life and/or conventional serological analysis at the age of nine months. If either of these tests is positive, treatment with benznidazole is started following the World Health Organization's recommendations. The epidemiological surveillance of the programme is based on the Microbiological Reporting System of Catalonia, a well established network of laboratories. Once a positive case is reported, the responsible physician is asked to complete a structured epidemiological questionnaire. Clinical and demographic data are registered in the Voluntary Case Registry of Chagas Disease, a database administered by the Catalonian Health Department. It is expected that this programme will improve the understanding of the real burden of Chagas disease in the region. Furthermore, this initiative could encourage the implementation of similar programmes in other regions of Spain and even in other European countries.

A retrospective audit of the first screening round of the Maltese breast screening programme

International Nuclear Information System (INIS)

Mizzi, D.; Zarb, F.; Dennis, A.

2017-01-01

Purpose: To analyse whether the screening performance parameters of the Maltese National Breast Screening Programme first screening round met requirements set by European standards. The association between screening age and results of screening performance parameters was also investigated. Method: Quantitative methodology was used to review examinations of women who were recalled for a technical recall or further assessment rates. All accessible members of the population recalled during the first round were retrospectively reviewed resulting in a sample of 2300 recalled examinations. Results: Malta's first screening round met the European Guidelines recommendations for technical repeat rate (0.26%), early recall rate (0.45%), breast cancer detection rate (13.77 per 1000 women) and Positive Predictive Value of screening test (7.58%). However, local recall rate (18.53%) and further assessment rate (18.27%) were higher than recommended. The Chi square test showed a statistically significant difference (p ≤ 0.05) in recall rates between the compared age groups, as younger women (51–55 years) were more likely to have a negative diagnosis after the initial mammogram whereas older women (56–60 years) were more likely to be recalled. There was no age discrepancy (p ≥ 0.05) in local breast cancer detection rate and positive predictive value of screening test. Conclusion: Although the Maltese first screening round performed well, this study found deficiencies in recall and further assessment rates, which according to literature may result in psychological morbidity and inefficient use of screening resources. This study also concluded that when a cohort is analysed, age is not as significant as the screening round itself (first/subsequent). - Highlights: • The Maltese technical and early recall rates complied with European guidelines. • Breast cancer detection rate and positive predictive value conformed to guidelines. • The recall and further

Sickle cell disease: time for a targeted neonatal screening programme.

LENUS (Irish Health Repository)

Gibbons, C

2015-02-01

Ireland has seen a steady increase in paediatric sickle cell disease (SCD). In 2005, only 25% of children with SCD were referred to the haemoglobinopathy service in their first year. A non-funded screening programme was implemented. This review aimed to assess the impact screening has had. All children referred to the haemoglobinopathy service born in Ireland after 2005 were identified. Data was collected from the medical chart and laboratory system. Information was analysed using Microsoft Excel. 77 children with SCD were identified. The median age at antibiotic commencement in the screened group was 56 days compared with 447 days in the unscreened group, p = < 0.0003. 22 (28%) of infants were born in centre\\'s that do not screen and 17 (81%) were over 6 months old at referral, compared with 14 (21%) in the screened group. 6 (27%) of those in the unscreened group presented in acute crisis compared with 2 (3%) in the screened population. The point prevalence of SCD in Ireland is 0.2% in children under 15 yr of African and Asian descent. We identified delays in referral and treatment, which reflect the lack of government funded support and policy. We suggest all maternity units commence screening for newborns at risk of SCD. It is a cost effective intervention with a number needed to screen of just 4 to prevent a potentially fatal crisis.

[Can a mobile phone short message increase participation in breast cancer screening programmes?].

Science.gov (United States)

Arcas, M M; Buron, A; Ramis, O; Esturi, M; Hernández, C; Macià, F

2014-01-01

To evaluate the impact of a mobile phone short message on women's uptake in a breast cancer screening programme. A total of 703 women from a Basic Health Area of Barcelona, and with a mobile phone number registered, were invited to participate in a breast cancer screening programme between 25 January 2011 and 22 March 2011. The control group (n=470) followed the usual appointment track, and the intervention group (n=233) received, after the first letter of invitation, a mobile phone short message reminder. The differences between the two groups were analysed, comparing the uptake rates according to age, educational level, and participation in previous round, as well as the number of re-invitation calls to non-attenders according to uptake, age and level of education;and the percentages of exclusions of both groups. The intervention group had a greater uptake than the control group (78.1% vs. 72.3%), with a significant trend observed in the 55-59 years age group (P=.036) and the low secondary educational level (P=.014).The intervention group mean of re-invitation calls of non-attenders lower than the control group (.41 vs. .65, Pcancer screening programme may increase uptake rates and lead to a management improvement. Copyright © 2013 SECA. Published by Elsevier Espana. All rights reserved.

Using surveillance data to simulate the impact of a hypothetical pre-entry tuberculosis screening programme in Japan.

Science.gov (United States)

Kawatsu, L; Uchimura, K; Izumi, K; Ohkado, A; Kato, S

2018-05-01

Despite a growing burden of foreign-born tuberculosis (TB) patients, Japan does not currently practise pre-entry tuberculosis (TB) screening among foreign-born entrants. To evaluate the impact of a hypothetical pre-entry TB screening programme among new foreign-born entrants into Japan. Using publicly available sources, we estimated 1) the number of prevalent TB cases, defined as bacteriologically or clinically confirmed cases among new foreign-born entrants into Japan in 2015, and 2) the yield from a hypothetical pre-entry TB screening programme under three scenarios: Scenario A, in which screening would be required of all applicants intending to stay for 3 months; Scenario B, screening among applicants for visas for settlement purposes; and Scenario C, screening among student and technical intern visa applicants. The numbers of prevalent TB cases under Scenarios A, B and C were respectively 492, 54 and 248 out of a total of 328 791, 21 554 and 182 879 applicants, respectively 276, 29 and 137 of whom would be detected via the pre-entry screening programme, giving an yield of respectively 83.9, 134.5 and 74.9 per 100 000 screened under each scenario. The yield was the highest under Scenario B; however, the impact was greatest under Scenario A, in that it detected the greatest number of patients and thus contributed the most in reducing the burden of foreign-born TB cases in Japan.

Community Screening for Preschool Child Inhibition to Offer the "Cool Little Kids" Anxiety Prevention Programme

Science.gov (United States)

Beatson, Ruth M.; Bayer, Jordana K.; Perry, Alexandra; Mathers, Megan; Hiscock, Harriet; Wake, Melissa; Beesley, Kate; Rapee, Ronald M.

2014-01-01

Temperamental inhibition has been identified as a key risk factor for childhood anxiety and internalizing problems. An efficacious early prevention programme for shy/inhibited children has been developed; however, accurate, efficient and acceptable screening is needed to support wider implementation. We explore community screening options in the…

Acting jointly - with energy rationalism. The role of nuclear energy in Germany's self-commitment to reduce CO{sub 2}; Gemeinsam handeln - mit Energievernunft. Die Rolle der Kernenergie bei der Selbstverpflichtung Deutschlands zur CO{sub 2}-Minderung

Energy Technology Data Exchange (ETDEWEB)

Meller, E.; Hildebrand, M. [Vereinigung Deutscher Elektrizitaetswerke (VDEW) e.V., Frankfurt am Main (Germany)

1999-11-29

More than all the other partner states in the European Union the Federal Republic of Germany with an ambitious programme for the protection of the climate accepted the responsibility to comply with the obligations of the Kyoto Protocol to sustainably reduce the greenhouse gases. The German electricity suppliers as important players within the framework of the 'Selfcommitment of German Business on Climate Protection' never left any doubt that they would contribute their shares. At the same time great significance must be attached to the utilisation of nuclear energy. The goals of the policy for climate protection, however, would become waste paper under a withdrawal from nuclear energy as it is currently pursued by the Federal Government. (orig.) [German] Mehr als alle anderen Partnerstaaten in der Europaeischen Union hat die Bundesrepublik Deutschland mit ihrem anspruchsvollen Programm zum Schutz des Klimas Verantwortung uebernommen, den Verpflichtungen aus dem Kyoto-Protokoll nachzukommen, die Treibhausgase nachhaltig zu vermindern. Die deutschen Stromversorger als wichtiger Akteur im Rahmen der 'Selbstverpflichtung der deutschen Wirtschaft zur Klimavorsorge' haben keinen Zweifel daran gelassen, ihren Teil dazu beizutragen. Der Nutzung der Kernenergie kommt hierbei entscheidende Bedeutung zu. Mit einem Ausstieg aus der Kernenergie, wie ihn die Bundesregierung derzeit verfolgt, wuerden aber die Ziele der Klimaschutzpolitik Makulatur. (orig.)

The effect of changing from one to two views at incident (subsequent) screens in the NHS breast screening programme in England: impact on cancer detection and recall rates

International Nuclear Information System (INIS)

Blanks, R.G.; Bennett, R.L.; Patnick, J.; Cush, S.; Davison, C.; Moss, S.M.

2005-01-01

AIM: To assess the effect on cancer detection and recall rates of changing from one to two views for incident (subsequent) screens. METHODS: Controlled, comparative, observational study of programmes in NHS breast screening programme in England. Subjects: women aged 50-64 years were screened by the NHSBSP between 1 April 2001 and 31 March 2003. RESULTS: The effect of changing to two-view mammography was a 20% increase in overall incident screen cancer detection rate, with the biggest effect seen for small (<15 mm) invasive cancers. This increased detection rate was achieved with an 11% drop-in recall rate. CONCLUSION: The introduction of two-view mammography for incident screens has resulted in considerable improvements in overall NHS breast screening performance

Performance indicators evaluation of the population-based breast cancer screening programme in Northern Portugal using the European Guidelines.

Science.gov (United States)

Bento, Maria José; Gonçalves, Guilherme; Aguiar, Ana; Castro, Clara; Veloso, Vitor; Rodrigues, Vítor

2015-10-01

To evaluate the first 10 years of operation of the population-based breast cancer screening programme implemented in the Northern Region of Portugal, using selected recommended standard performance indicators. Data from women aged 50-69 screened with two-view mammography, biennially, in the period 2000-2009, were included. Main performance indicators were compared with the recommended levels of the European Guidelines. A total of 202,039 screening examinations were performed, 71,731 (35.5%) in the initial screening and 130,308 (64.5%) in the subsequent screening. Coverage rate by examination reached 74.3% of the target population, in the last period evaluated. Recall rates were 8.1% and 2.4% and cancer detection rates were 4.4/1000 and 2.9/1000 respectively, for initial and subsequent screenings. The breast cancer detection rate, expressed as a multiple of the background expected incidence was 3.1 in initial screen and 2.2 in subsequent screen. The incidence of invasive interval cancers met the desirable recommended levels both the first and second years since last screening examination, in the initial and subsequent screenings. Invasive tumours cancers detected in initial and subsequent screenings. Less favourable size, grading and biomarkers expression were found in interval cancers compared to screen-detected cancers. Breast cancer screening programme in the Northern Region of Portugal was well accepted by the population. Most of the performance indicators were consistent with the desirable levels of the European Guidelines, which indicate an effective screening programme. Future research should verify the consistency of some of these results by using updated information from a larger population. Copyright © 2015 Elsevier Ltd. All rights reserved.

CopperCore, an Open Source IMS Learning Design Engine

NARCIS (Netherlands)

Vogten, Hubert

2004-01-01

The presentation gives an overview of the approach of the development programme of the OTEC department towards the development of Open Source. The CopperCore IMS Learning Design engine is described as an example of this approach.

A closer look at cervical smear uptake and results pre- and post- introduction of the national screening programme.

LENUS (Irish Health Repository)

Gallagher, F

2012-02-01

Prior to the introduction of a national cervical screening programme, death rates from cervical cancer in the Republic of Ireland were greater than the death rates in all other regions in Britain and Northern Ireland. The following audit compares the impact of the national cervical screening programme, established on 1 September \\'08, on uptake and results per age group screened before and after its implementation. This retrospective audit was carried out in a four-doctor practice with approximately 1554 GMS and 5000 private patients. Data over a ten month period in \\'08\\/\\'09 was collected from the practice record of cervical smears and compared to the same period in \\'07\\/\\'08. A cohort of 534 Irish urban women was included. A total number of 148 women were screened between October 2007 and July 2008 compared with 386 women screened over the same months in 2008\\/2009. Increase in uptake was most marked in the 25-44 years age group, 100 (\\'07-\\'08) vs. 303 (\\'08-\\'09). The majority of results for both time periods were negative (85% 07\\/08, 81% 08\\/09). There was a higher number of HSIL in \\'08-\\'09 (an increase from 1% to 3.37% of the total screened). This audit clearly supports the introduction of the national cervical screening programme showing both an increase in uptake and a increased pick-up of high grade lesions.

Recent developments in the electricity generation market in 2014; Aktuelle Entwicklungen auf dem Stromerzeugungsmarkt im Jahr 2014

Energy Technology Data Exchange (ETDEWEB)

Hofmann, Holger [Oppenhoff und Partner Rechtsanwaelte Steuerberater mbB, Koeln (Germany)

2015-02-16

Following up the report on the developments in the Electricity market from last year to this case this article shall give an overview of the current developments in 2014. The year 2014 was marked by the energy sector Program of the coalition agreement, which, under the three objectives of security of supply Affordability and environmental impact which has made clear Specifications for the production side in particular with regard to the final Nuclear Phase-out phase, the announced amendment of the EEG, system stability and also Fracking. The predominant theme in 2014 this was certainly the reform of the EEG and around it rambling topics on European level. Too much uncertainty with plant operators, investors and companies in German power generation market, has led in addition to the mentioned legislative package the revision of the EU environmental and energy aid guidelines, State aid procedure of the European Commission regarding the German promotion of electricity from renewable Energy and the process in the case of Aaland Vindkraft before the ECJ. The dynamics on the generation side, inter alia through the increased connection of decentralized generation plants, result in an increasing regulation in power generation. Finally a first bill for Fracking is published at the end of 2014. [German] Anknuepfend an den Bericht ueber die Entwicklungen auf dem Stromerzeugungsmarkt aus dem letzten Jahr soll dieser Beitrag einen Ueberblick ueber die aktuellen Entwicklungen in 2014 geben. Das Jahr 2014 war gepraegt von dem energiewirtschaftlichen Programm des Koalitionsvertrags, das unter dem Zieldreieck aus Versorgungssicherheit, Preisguenstigkeit und Umweltvertraeglichkeit klare Vorgaben fuer die Erzeugerseite vor allem mit Blick auf den endgueltigen Atomausstieg, die angekuendigte Novellierung des EEG, Systemstabilitaet und auch Fracking gemacht hat. Das vorherrschende Thema im Jahr 2014 war hierbei sicherlich die Reform des EEG sowie die sich darum rankenden Themen auf

The coalification profile of the Grambach 1 exploration well - first indication of an oil kitchen in the molasse basin; Das Inkohlungsprofil der Bohrung Grambach 1 - erster Hinweis auf eine ``Oelkueche`` im Molassebecken

Energy Technology Data Exchange (ETDEWEB)

Hiltmann, W.; Wehner, H. [Bundesanstalt fuer Geowissenschaften und Rohstoffe, Hannover (Germany); Kuckelkorn, K. [Niedersaechsisches Landesamt fuer Bodenforschung, Hannover (Germany)

1999-06-01

For the first time an exploration well beneath the German part of the Alpine overthrust zone met vitrinite reflectance values raising up to 1,6% R{sub r} - and this in a widespread tectonic high position. The interpretation as an oil and gas kitchen is confirmed by oil maturity (derived by biomarkers and carbon isotope ratios). (orig.) [Deutsch] Erstmals traf im deutschen Teil der alpinen Ueberschiebungszone eine Bohrung ein bis 1,6% R{sub r} ansteigendes Inkohlungsprofil an und dies in einer ausgedehnten Hochscholle. Die Interpretation als `Oel- und Gaskueche` wurde durch die Reife des zugeschlossenen Erdoels (Biomarker, Kohlenstoffisotopen) bestaetigt. (orig.)

Messung computer- und informationsbezogener Kompetenzen von Schülerinnen und Schülern als Schlüsselkompetenz im 21. Jahrhundert

Directory of Open Access Journals (Sweden)

Birgit Eickelmann

2011-12-01

Full Text Available Mit der ICILS 2013 (International Computer and Information Literacy Study realisiert die IEA (International Association for the Evaluation of Educational Achievement erstmalig eine internationale Vergleichsstudie, die empirisch abgesichert Schülerkompetenzen im Bereich der computer- und informationsbezogenen Kompetenzen (Computer and Information Literacy, kurz: CIL erhebt. Mit dieser Studie werden informations- und computerbezogene Kompetenzen, die im 'deutschen' Sprachgebrauch auch oft unter dem affinen Begriff ICT-Literacy geführt werden, als Large-Scale-Assessments erfasst. Im folgenden Beitrag soll die Relevanz der Messung dieser Schlüsselkompetenz aufgezeigt werden. Alsdann werden das der Studie zugrundeliegende Messkonstrukt und seine definitorischen Bereiche beschrieben. Die hier vorgestellte Definition des CIL-Konstruktes bildet die Grundlage für die datengestützte Entwicklung von Kompetenzstufen, die aus der Hauptstudie von ICILS im Jahr 2013 hervorgehen werden. The IEA (International Association for the Evaluation of Educational Achievement will realize with ICILS 2013 (International Computer and Information Literacy Study for the first time an international comparative study, which will provide evidence about students' computer- and information-related competencies across countries. As a large-scaleassessment, the study examines the outcome of computer and information literacy. This article outlines the challenges and the relevance of the measurement of this core competence. Additionally the theoretical assessment constructs of CIL (computer and information literacy and their definitional scopes are explained in more detail. The presented definition of CIL is the foundation for a data-based development of proficiency levels within the study, which main survey will take place in 2013.

Effect of gender, age and deprivation on key performance indicators in a FOBT-based colorectal screening programme.

Science.gov (United States)

Steele, R J C; Kostourou, I; McClements, P; Watling, C; Libby, G; Weller, D; Brewster, D H; Black, R; Carey, F A; Fraser, C

2010-01-01

To assess the effect of gender, age and deprivation on key performance indicators in a colorectal cancer screening programme. Between March 2000 and May 2006 a demonstration pilot of biennial guaiac faecal occult blood test (gFOBT) colorectal screening was carried out in North-East Scotland for all individuals aged 50-69 years. The relevant populations were subdivided, by gender, into four age groups and into five deprivation categories according to the Scottish Index of Multiple Deprivation (SIMD), and key performance indicators analysed within these groups. In all rounds, uptake of the gFOBT increased with age (P key performance indicators, and this has implications both for the evaluation of screening programmes and for strategies designed to reduce inequalities.

Zukunftsperspektive des studienbegleitenden Deutschunterrichts in Slowenien

Directory of Open Access Journals (Sweden)

Margit Horvath

2015-11-01

Full Text Available Im Beitrag werden die Situation des studienbegleitenden Deutschunterrichts (SDU an Slowenischen Fakultäten (Universitäten nach der Bologna-Reform und die Bedeutung der Sprachenpolitik im Rahmen der europäischen Bildungspolitik und auf der Nationalebene angesprochen. Mit den Daten über die Einstellung der Slowenen gegenüber der Mehrsprachigkeit und dem Deutschen sowie der Bedeutung von Deutschkenntnissen in Slowenien werden wichtige Hintergrundinformationen beschafft. Zudem wird auf den Stellenwert der deutschen Sprache im slowenischen primären und sekundären Bildungssystem, sowie auf die Entwicklungstrends des SDU eingegangen. Anhand der Ergebnisse von zwei Erhebungen, die im Abstand von vier Jahren stattfanden, werden besonders der Organisations- und Personalbereich des SDU unter die Lupe genommen, weil diese voneinander abhängen und die Lage und Zukunftsperspektive der Deutschdozenten spiegeln. Anschließend werden einige Unterschiede und Ähnlichkeiten der Erhebungsergebnisse miteinander verglichen, um ein Bild der Situation sowie der Möglichkeiten der künftigen Entwicklung des SDU im slowenischen Hochschulraum liefern zu können.

Value of audits in breast cancer screening quality assurance programmes.

Science.gov (United States)

Geertse, Tanya D; Holland, Roland; Timmers, Janine M H; Paap, Ellen; Pijnappel, Ruud M; Broeders, Mireille J M; den Heeten, Gerard J

2015-11-01

Our aim was to retrospectively evaluate the results of all audits performed in the past and to assess their value in the quality assurance of the Dutch breast cancer screening programme. The audit team of the Dutch Reference Centre for Screening (LRCB) conducts triennial audits of all 17 reading units. During audits, screening outcomes like recall rates and detection rates are assessed and a radiological review is performed. This study investigates and compares the results of four audit series: 1996-2000, 2001-2005, 2003-2007 and 2010-2013. The analysis shows increased recall rates (from 0.66%, 1.07%, 1.22% to 1.58%), increased detection rates (from 3.3, 4.5, 4.8 to 5.4 per 1000) and increased sensitivity (from 64.5%, 68.7%, 70.5% to 71.6%), over the four audit series. The percentage of 'missed cancers' among interval cancers and advanced screen-detected cancers did not change (p = 0.4). Our audits not only provide an opportunity for assessing screening outcomes, but also provide moments of self-reflection with peers. For radiologists, an accurate understanding of their performance is essential to identify points of improvement. We therefore recommend a radiological review of screening examinations and immediate feedback as part of an audit. • Radiological review and immediate feedback are recommended as part of an audit. • For breast screening radiologists, audits provide moments of self-reflection with peers. • Radiological review of screening examinations provides insights in recall behaviour. • Accurate understanding of radiologists' performance is essential to identify points of improvement.

Reduction in interval cancer rates following the introduction of two-view mammography in the UK breast screening programme

Science.gov (United States)

Dibden, A; Offman, J; Parmar, D; Jenkins, J; Slater, J; Binysh, K; McSorley, J; Scorfield, S; Cumming, P; Liao, X-H; Ryan, M; Harker, D; Stevens, G; Rogers, N; Blanks, R; Sellars, S; Patnick, J; Duffy, S W

2014-01-01

Background: The introduction of two-view mammography at incident (subsequent) screens in the National Health Service Breast Screening Programme (NHSBSP) has led to an increased number of cancers detected at screen. However, the effect of two-view mammography on interval cancer rates has yet to be assessed. Methods: Routine screening and interval cancer data were collated from all screening programmes in the United Kingdom for women aged 50–64, screened between 1 April 2003 and 31 March 2005. Interval cancer rates were compared based on whether two-view mammography was in use at the last routine screen. Results: The reduction in interval cancers following screening using two-view mammography compared with one view was 0.68 per 1 000 women screened. Overall, this suggests the introduction of two-view mammography at incident screen was accompanied by a 15–20% reduction in interval cancer rates in the NHSBSP. Conclusion: The introduction of two-view mammography at incident screens is associated with a reduction in incidence of interval cancers. This is consistent with previous publications on a contemporaneous increase in screen-detected cancers. The results provide further evidence of the benefit of the use of two-view mammography at incident screens. PMID:24366303

Attending the breast screening programme after breast cancer treatment: a population-based study

NARCIS (Netherlands)

de Munck, L.; Kwast, A.; Reiding, D.; de Bock, G.H.; Otter, R.; Willemse, P.H.B.; Siesling, Sabine

2013-01-01

Introduction: In the Netherlands, breast cancer patients are treated and followed at least 5 years after diagnosis. Furthermore, all women aged 50-74 are invited biennially for mammography by the nationwide screening programme. The relation between the outpatient follow-up (follow-up visits in the

A new screening instrument for disability in low-income and middle-income settings: application at the Iganga-Mayuge Demographic Surveillance System (IM-DSS), Uganda.

Science.gov (United States)

Bachani, Abdulgafoor M; Galiwango, Edward; Kadobera, Daniel; Bentley, Jacob A; Bishai, David; Wegener, Stephen; Hyder, Adnan A

2014-12-19

The measurement of disability in low-income countries is recognised as a major deficiency in health information systems, especially in Africa. The Iganga and Mayuge Demographic Surveillance System (IM-DSS) in Uganda provides a special opportunity to develop population-based data to inform national health policies and evaluate innovations in assessing the burden of disability in Uganda. In this study, we apply a new instrument to screen for physical disabilities at the IM-DSS. The study utilised a modified version of the short set of questions proposed by the Washington Group on Disability Statistics. The instrument was applied at the household level and information was collected on all individuals over the age of 5, who were residents of the IM-DSS. The study was based at the IM-DSS, which covers the parts of Iganga and Mayuge districts in Eastern Uganda. 57,247 individuals were included in the survey, with 51% of the study population being women. Activity limitations The overall prevalence of physical disability at the IM-DSS was 9.4%, with vision being the most common type of difficulty reported in this population, and communication being least prevalent. Disability was less likely to be observed among males than their female counterparts (OR 0.75; 95% CI 0.71 to 0.81; pdisability and increasing age, as well as disability and decreasing household wealth status. This study shows that the modified short set of questions can be readily applied in a DSS setting to obtain estimates on the prevalence and types of disability at the population level. This instrument could be adapted for use to screen for disability in other LMIC settings, providing estimates that are comparable across different global regions and populations. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Cost-effectiveness and budget impact analyses of a colorectal cancer screening programme in a high adenoma prevalence scenario using MISCAN-Colon microsimulation model.

Science.gov (United States)

Arrospide, Arantzazu; Idigoras, Isabel; Mar, Javier; de Koning, Harry; van der Meulen, Miriam; Soto-Gordoa, Myriam; Martinez-Llorente, Jose Miguel; Portillo, Isabel; Arana-Arri, Eunate; Ibarrondo, Oliver; Lansdorp-Vogelaar, Iris

2018-04-25

The Basque Colorectal Cancer Screening Programme began in 2009 and the implementation has been complete since 2013. Faecal immunological testing was used for screening in individuals between 50 and 69 years old. Colorectal Cancer in Basque country is characterized by unusual epidemiological features given that Colorectal Cancer incidence is similar to other European countries while adenoma prevalence is higher. The object of our study was to economically evaluate the programme via cost-effectiveness and budget impact analyses with microsimulation models. We applied the Microsimulation Screening Analysis (MISCAN)-Colon model to predict trends in Colorectal Cancer incidence and mortality and to quantify the short- and long-term effects and costs of the Basque Colorectal Cancer Screening Programme. The model was calibrated to the Basque demographics in 2008 and age-specific Colorectal Cancer incidence data in the Basque Cancer Registry from 2005 to 2008 before the screening begun. The model was also calibrated to the high adenoma prevalence observed for the Basque population in a previously published study. The multi-cohort approach used in the model included all the cohorts in the programme during 30 years of implementation, with lifetime follow-up. Unit costs were obtained from the Basque Health Service and both cost-effectiveness analysis and budget impact analysis were carried out. The goodness-of-fit of the model adaptation to observed programme data was evidence of validation. In the cost-effectiveness analysis, the savings from treatment were larger than the added costs due to screening. Thus, the Basque programme was dominant compared to no screening, as life expectancy increased by 29.3 days per person. The savings in the budget analysis appeared 10 years after the complete implementation of the programme. The average annual budget was €73.4 million from year 2023 onwards. This economic evaluation showed a screening intervention with a major health gain

Comparison of conventional Papanicolaou smear and SurePath® liquid-based cytology in the Copenhagen population screening programme for cervical cancer

DEFF Research Database (Denmark)

Kirschner, Benny; Simonsen, Kåre; Junge, Jette

2006-01-01

OBJECTIVE: To compare diagnostic performance of conventional Papanicolaou smear with SurePath liquid-based cytology in a population screening programme. METHODS: A retrospective comparison was performed on data from two 18-month periods of the screening programme for cervical cancer in the munici......OBJECTIVE: To compare diagnostic performance of conventional Papanicolaou smear with SurePath liquid-based cytology in a population screening programme. METHODS: A retrospective comparison was performed on data from two 18-month periods of the screening programme for cervical cancer...... in the municipality of Copenhagen with conventional Papanicolaou technique (n = 82,116) and liquid-based cytology (n = 84,414). RESULTS: After the conversion to liquid-based cytology the percentage of unsatisfactory samples decreased from 2.3% to 0.3% (P ...-based technique. CONCLUSIONS: This study showed the number of unsatisfactory samples to be significantly reduced with the liquid-based technique. The data suggest that there is an increased detection rate of cervical precancerous lesions with liquid-based cytology, but the number of false positive tests is still...

Natural history of breast cancers detected in the Swedish mammography screening programme: a cohort study

DEFF Research Database (Denmark)

Zahl, Per-Henrik; Gøtzsche, Peter C; Mæhlen, Jan

2011-01-01

The natural history of screen-detected breast cancers is not well understood. A previous analysis of the incidence change during the introduction of the Norwegian screening programme in the late 1990s suggested that the natural history of many screen-detected invasive breast cancers is to regress...... spontaneously but the study was possibly confounded by use of hormone replacement therapy in the population. We did a similar analysis of data collected during an earlier period when few women were exposed to hormone replacement therapy....

Aussagen zur deutschen Sprache in den zwischen 2003 und 2013 erschienenen Werken der Chamisso-Preistragenden

Directory of Open Access Journals (Sweden)

Johannes Gröbl

2017-04-01

Full Text Available Da sich aus Aussagen von Chamisso-Literatur-Verfassenden über die deutsche Sprache interessante Schlüsse ziehen lassen, wird im Folgenden eine Sammlung von entsprechenden Zitaten aus Werken der Chamisso-Preistragenden aus den Jahren 2003 bis 2013 nach linguistischen Themen sortiert präsentiert. Die beispielhafte Dekade ist nicht völlig willkürlich gewählt, denn sie zeigt sich als ein Zeitraum, in dem viele der bisherigen Chamisso-Preistragenden tatsächlich Werke veröffentlichten. Sie bietet sich daher dafür an, exemplarisch zu zeigen, welche Aussagen über die deutsche Sprache aus Chamisso-Literatur gewonnen werden können. Der folgende Artikel zeigt, dass schon ein überschaubarer zeitlicher Ausschnitt aus der Chamisso-Literatur eine große Menge an Aussagen zur deutschen Sprache liefert. Ein größeres oder sogar vollständiges Bild wäre daher höchstens in einer umfangreicheren Arbeit zu zeichnen möglich. Zunächst soll nun dargestellt werden, weshalb es sich lohnen könnte, sich mit Aussagen von Chamisso-Literatur-Verfassenden bzw. -Preistragenden zur deutschen Sprache zu beschäftigen (Kap. 1, bevor die Zitate geordnet nach linguistischen (Kap. 2 und anthropologischen (Kap. 3 Beschreibungskategorien dargestellt werden und schließlich nach einer kurzen Zusammenfassung (Kap. 4.1 ein Ausblick gewagt wird (Kap. 4.2. As it is possible to draw interesting conclusions from remarks of Chamisso-authors about the German language, the following article presents a collection of corresponding citations from works published between 2003 and 2013 of authors, who have been awarded with the Chamisso-Award. Citations are sorted by linguistic and anthropological topics. The chosen decade can be considered representative, because it shows a time period, when many of the Chamisso-Awardees did actually publish their works. It is therefore very suitable to show, which kinds of remarks about the German language can be found in Chamisso-literature. The

Take your blood pressure to heart! Screening programme 24-27 March

CERN Multimedia

2015-01-01

In Switzerland, one person in four suffers from high blood pressure without knowing it. This silent killer can only be detected by carrying out regular blood pressure tests.     Following our last campaign in October 2014, 30% of participants were found to have previously undetected hypertension. This year, the nurses of the Medical Service are once again organising a blood pressure screening programme. See the flyer for more information. CERN Medical Service

Elud ja maailmad / Maris Saagpakk

Index Scriptorium Estoniae

Saagpakk, Maris, 1973-

2010-01-01

Arvustus: Wilhelmi, Anja. Lebenswelten von Frauen der deutschen Oberschicht im baltikum (1800-1939): Eine Untersuchung anhand von Autobiographien. Wiesbaden : Harrassowitz, 2008. (Veröffentlichungen des Nordost-Instituts ; Bd. 10)

Using intervention mapping (IM to develop a self-management programme for employees with a chronic disease in the Netherlands

Directory of Open Access Journals (Sweden)

Heerkens Yvonne F

2010-06-01

Full Text Available Abstract Background Employees with a chronic disease often encounter problems at work because of their chronic disease. The current paper describes the development of a self-management programme based on the Chronic Disease Self-Management programme (CDSMP of Stanford University to help employees with a chronic somatic disease cope with these problems at work. The objective of this article is to present the systematic development and content of this programme. Methods The method of intervention mapping (Bartholomew 2006 was used to tailor the original CDSMP for employees with a chronic somatic disease. This paper describes the process of adjusting the CDSMP for this target group. A needs assessment has been carried out by a literature review and qualitative focus groups with employees with a chronic disease and involved health professionals. On the basis of the needs assessment, the relevant determinants of self-management behaviour at work have been identified for the target population and the objectives of the training have been formulated. Furthermore, techniques have been chosen to influence self-management and the determinants of behaviour and a programme plan has been developed. Results The intervention was designed to address general personal factors such as lifestyle, disease-related factors (for example coping with the disease and work-related personal factors (such as self-efficacy at work. The course consists of six sessions of each two and a half hour and intents to increase the self management and empowerment of employees with a chronic somatic disease. Conclusion Intervention mapping has been found to be a useful tool for tailoring in a systematic way the original CDSMP for employees with a chronic somatic disease. It might be valuable to use IM for the development or adjusting of interventions in occupational health care.

Presence, characteristics and equity of access to breast cancer screening programmes in 27 European countries in 2010 and 2014. Results from an international survey.

Science.gov (United States)

Deandrea, S; Molina-Barceló, A; Uluturk, A; Moreno, J; Neamtiu, L; Peiró-Pérez, R; Saz-Parkinson, Z; Lopez-Alcalde, J; Lerda, D; Salas, D

2016-10-01

The European Union Council Recommendation of 2 December 2003 on cancer screening suggests the implementation of organised, population-based breast cancer screening programmes based on mammography every other year for women aged 50 to 69years, ensuring equal access to screening, taking into account potential needs for targeting particular socioeconomic groups. A European survey on coverage and participation, and key organisational and policy characteristics of the programmes, targeting years 2010 and 2014, was undertaken in 2014. Overall, 27 countries contributed to this survey, 26 of the 28 European Union member states (92.9%) plus Norway. In 2014, 25 countries reported an ongoing population-based programme, one country reported a pilot programme and another was planning a pilot. In eight countries, the target age range was broader than that proposed by the Council Recommendation, and in three countries the full range was not covered. Fifteen countries reported not reaching some vulnerable populations, such as immigrants, prisoners and people without health insurance, while 22 reported that participation was periodically monitored by socioeconomic variables (e.g. age and territory). Organised, population-based breast cancer screening programmes based on routine mammograms are in place in most EU member states. However, there are still differences in the way screening programmes are implemented, and participation by vulnerable populations should be encouraged. Copyright © 2016 The Authors. Published by Elsevier Inc. All rights reserved.

Newborn hearing screening programme in Belgium: a consensus recommendation on risk factors.

Science.gov (United States)

Vos, Bénédicte; Senterre, Christelle; Lagasse, Raphaël; Levêque, Alain

2015-10-16

Understanding the risk factors for hearing loss is essential for designing the Belgian newborn hearing screening programme. Accordingly, they needed to be updated in accordance with current scientific knowledge. This study aimed to update the recommendations for the clinical management and follow-up of newborns with neonatal risk factors of hearing loss for the newborn screening programme in Belgium. A literature review was performed, and the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system assessment method was used to determine the level of evidence quality and strength of the recommendation for each risk factor. The state of scientific knowledge, levels of evidence quality, and graded recommendations were subsequently assessed using a three-round Delphi consensus process (two online questionnaires and one face-to-face meeting). Congenital infections (i.e., cytomegalovirus, toxoplasmosis, and syphilis), a family history of hearing loss, consanguinity in (grand)parents, malformation syndromes, and foetal alcohol syndrome presented a 'high' level of evidence quality as neonatal risk factors for hearing loss. Because of the sensitivity of auditory function to bilirubin toxicity, hyperbilirubinaemia was assessed at a 'moderate' level of evidence quality. In contrast, a very low birth weight, low Apgar score, and hospitalisation in the neonatal intensive care unit ranged from 'very low' to 'low' levels, and ototoxic drugs were evidenced as 'very low'. Possible explanations for these 'very low' and 'low' levels include the improved management of these health conditions or treatments, and methodological weaknesses such as confounding effects, which make it difficult to conclude on individual risk factors. In the recommendation statements, the experts emphasised avoiding unidentified neonatal hearing loss and opted to include risk factors for hearing loss even in cases with weak evidence. The panel also highlighted the cumulative effect

Examination of imaging detectors for combined radiography procedures in the ACCIS joint project. Automatic cargo container inspection system. Final report; Untersuchung von bildgebenden Detektoren fuer kombinierte Radiographieverfahren im Verbundprojekt ACCIS. Automatisches Cargo-Container Inspektionssystem. Abschlussbericht

Energy Technology Data Exchange (ETDEWEB)

Dangendorf, Volker

2014-06-09

erfordert im Verdachtsfalle aufwendige Nachuntersuchungen. Auf der anderen Seite ist auch der Bildkontrast bei schweren Elementen mit Roentgenmethoden nur gering was z.B. die Identifikation durch von nukleares Schmuggelgut (SNM) wie Pu und.U, die ggf auch noch in einem Behaelter aus Blei zur Tarnung und gemischt mit Waren aus anderen schweren Metallen transportiert werden, sehr schwierig macht. Im Rahmen des ACCIS Verbundprojektes wurde ein neuartiges Inspektionssystem fuer Luftfracht auf der Basis von Neutronen- und Gammastrahlung erforscht. Das Teilprojekt der PTB umfasste innerhalb dieses Rahmens folgende Aufgabenbereiche: 1. Erforschung und Aufbau von Labormustern der bildgebenden Strahlungsdetektoren; 2. Aufbau eines Messplatzes zur Evaluation der Durchleuchtungsmethode an der Beschleunigeranlage der PTB, 3. Mitarbeit bei der Entwicklung eines Konzeptes fuer eine gepulste Strahlungsquelle, insbesondere Aufbau- und Untersuchung des strahlerzeugenden Targets, 4. Ermittlung der strahlenschutzrechtlich relevanten physikalischen und dosimetrischen Kenngroessen, 5. Untersuchung der Bedingungen fuer die Anwendung, Anforderung an einsatzfaehige Anlage, Endnutzerkontakte; 6. Koordination der deutschen Partner, insbesondere Organisation der Projektmeetings der deutschen und der israelischen Partner.

A história e a ideologia nas relações de contato entre Brasil e Alemanha: Contribuições para o ensino de uma língua estrangeira

Directory of Open Access Journals (Sweden)

Carmen Zink Bolognini

1999-11-01

Full Text Available Dieser Aufsatz kontextualisiert den Unterricht und Erwerb von Deutsch als Fremdsprache in Brasilien im sozio-historischen Feld des kolonialen und post-kolonialen Diskurses. Ausgehend von drei illustrativen Texten, einem von 1620, einem von 1855 und einem von 1998, werden die von deutschen und brasilianischen Sprechern eingenommenen Interlokutionsorte (Lugares de Interlocução; ORLANDI 1990 sowie die möglichen Konsequenzen für den Unterricht und Erwerb des Deutschen als Fremdsprache diskutiert.

Let's talk about smear tests: social marketing for the National Cervical Screening Programme.

Science.gov (United States)

Bethune, G R; Lewis, H J

2009-09-01

The overall aim of the work was to increase participation by Māori and Pacific women in the National Cervical Screening Programme (NCSP) in New Zealand using a social marketing informed approach. Key objectives for this target group included: increasing awareness, understanding and discussion of cervical cancer and cervical screening; increasing telephone calls to the NCSP's 0800 number; and increasing uptake of cervical screening. A social marketing intervention with mixed qualitative and quantitative evaluation. Focus groups with priority women and key stakeholder interviews were used to identify a set of key messages from which television, radio and print media advertisements were developed. The advertising campaign was one element of a broader programme of activity, which involved changes to service delivery and improvement to access to services, particularly for the target groups. The campaign was evaluated in three ways: quantitative surveys conducted before, during and after the intervention; monitoring the number of calls to the NCSP's 0800 number; and monitoring NCSP monthly coverage statistics. The social marketing intervention achieved measurable behavioural impacts with its primary target audiences, delivering significant increases in screening uptake by Māori (6.8%) and Pacific women (12.7%) after 12 months. In addition, there was a secondary positive impact on other women (not the immediate target audience) whose rate of update also increased (2.7%). Overall, the intervention helped to reduce inequalities and delivered substantial increases in awareness, understanding and discussion of cervical cancer and cervical screening amongst the target groups. The results demonstrate that social marketing can be effective in targeting marginalized or under-represented groups. The intervention has not only changed the way in which women in New Zealand talk about a previously 'taboo' subject, but it has also provided a platform for significant behaviour change

Early Detection of Breast Cancer and Barrier to Screening Programmes amongst Thai Migrant Women in Australia: A Qualitative Study

Science.gov (United States)

Suwankhong, Dusanee; Liamputtong, Pranee

2018-04-27

Background: Breast cancer screening programme is seen as the best practice to detect breast cancer early. However, there are circumstances that can prevent immigrant women from attending screening programmes. Little is known about Thai migrants and the barriers to their seeking breast cancer screening when living in a new homeland. This paper aimed to discuss the barriers to attending screening services among Thai migrant women living in Australia. Methods: This study adopted qualitative approach. Semi-structured in-depth interviewing and drawing methods were employed as data collection technique with 25 Thai migrant women who had not experienced breast cancer and were living in Metropolitan Melbourne, Australia. Thematic analysis method was employed to analyse the data. Results: Basing on the Health Belief Model, most Thai migrant women did not perceive that they were at risk of breast cancer. Despite seeing a breast cancer screening programme as important, the women rarely paid attention to breast cancer screening and used the mammography services provided by the Australian health care system. The barriers included the location of the services, unfamiliar patterns of health care provision, and language difficulties. Conclusions: There are many barriers that that they encountered in Australia that prevent Thai migrant women living in Melbourne Australia to pay attention to mammographic screening service provided by Australia health system. Our findings suggest that health services and interventions need to be designed more sensitive to the needs and socio-cultural context of migrant women in general and Thai migrant women in particular. Creative Commons Attribution License

Early detection of breast cancer: results of a screening programme

International Nuclear Information System (INIS)

Beahrs, O.H.

1980-01-01

The results of a mammography screening programme launched by the American Cancer Society and the National Cancer Institute are discussed. Twenty-seven Breast Cancer Detection Demonstration Projects (BCDDP) screened 280,000 women annually for 5 years. During the first 2 screenings, 1810 cancers were detected. An increased rate of discovery in all age groups was achieved. The radiation risk of mammography is also discussed. The results of the BCDDP were evaluated by a review panel. Of the 1810 cancers detected, 45% had been detected by mammography alone, 47% by mammography and physical examination and only 7% by physical examination alone. 592 of the cancers were < 1 cm in diameter. Two-thirds of these lesions were considered to be in-situ carcinoma and one-third invasive cancer. In 66 instances, the tissue first presented was considered not to be cancerous; these cases were further studied clinically and pathologically. It is concluded that, in the experience of the BCDDP, mammography proved to be an excellent method of detection, but it does have a small theoretical risk. As a widely used approach to detection, mammography is probably not practical due to the number of experts necessary for image evaluation. (UK)

[Rezensionen] / Detlef Henning

Index Scriptorium Estoniae

Henning, Detlef

1995-01-01

Arvustus: Schmidt, Carmen. Der Minderheitenschutz in den baltischen Staaten : Dokumentation und Analysen : Estland, Lettland und Litauen. Bonn : Kulturstiftung der Deutschen Vertriebenen, 1993. - 126 lk. - (Der Minderheitenschutz im östlichen Europa ; 1)

Evolution of the excess absolute risk (EAR) in the Valencian breast cancer screening programme

International Nuclear Information System (INIS)

Ferrer, S.; Ramos, M.; Villaescusa, J. I.; Verdu, G.; Salas, M. D.; Cuevas, M. D.

2004-01-01

Breast cancer is one of the most frequent diseases in women, with a high incidence rate. The best fight against the breast cancer is the early detection by menas of mammograms in a screening programme. The Valencian Breast Cancer Screening Programme (VBCSP) started at 1992, and it is composed of twenty-two mammography units. The programme is targeted towards asympotomatic women dfrom 45 to 69 years old, but this screening has a negative influence in the studied woman, whatever the diagnosis was. By means of MCNP-4c2 Monte Carlo code, some conversion factors from air kerma air kerma to glandular dose have been developed. Different breast woamn models, according to the Valencian brest anathomy (taking into account the relation breast radius / breast compression thickness obtained from real samples, have been simulated in order to obtain the glandular breast dose values. Quality control parameters as ESAK values were also employed for developing the methods. The conversion factors give a simple and fast wasy to obtain the mean glandular dose from mammography exposition parameters. The glandular dose has been also calculated following the European Protocol on Dosimetry in order to compare the results of the new methodology. Four sample populations of 100 omen from each uunit of the VBCSP have been taken innnn order to estimate the mean glandular dose and the associated excess absolute risk (EAR). Once the doses for each woman from the samples are obtained and according to the age of them, the EAR value for each sample has been determinated following the UNSCEAR 2000 projection risk model, which takes into account the characteristics of the Valencian population and gives the EAR for radio-induced breast cancer. The results have been calculated and compared by means of the ASQRAD software, but with an older risk projection model, the UNSCEAR 1994. Once the four sample average EAR have been calculated, the evolution of the induced risk in the Valencian Breast Cancer

Zur Standardisierung der DSH-Prüfungen: Bestandsaufnahme und Perspektiven des Online-Angebotes

OpenAIRE

Schneider, Agnieszka

2010-01-01

Das Internet ist im 21. Jahrhundert zum wichtigsten Informations- und Kommunikationsmedium geworden und hat auch in der Hochschullandschaft einen festen Platz eingenommen. Das Lernen mit und auf Internetplattformen hat sich im universitären Bereich stark etabliert. Auch die Bedeutung von Online-Prüfungen ist infolge der unter dem Schlagwort "Bologna-Prozess" bekannten Umstrukturierungen stark angestiegen. Da im Bereich der deutschen Sprachprüfung für den Hochschulzugang (DSH) bisher nur wenig...

Self-Sampling for Human Papillomavirus Testing among Non-Attenders Increases Attendance to the Norwegian Cervical Cancer Screening Programme

DEFF Research Database (Denmark)

Enerly, Espen; Bonde, Jesper; Schee, Kristina

2016-01-01

Increasing attendance to screening offers the best potential for improving the effectiveness of well-established cervical cancer screening programs. Self-sampling at home for human papillomavirus (HPV) testing as an alternative to a clinical sampling can be a useful policy to increase attendance....... To determine whether self-sampling improves screening attendance for women who do not regularly attend the Norwegian Cervical Cancer Screening Programme (NCCSP), 800 women aged 25-69 years in the Oslo area who were due to receive a 2nd reminder to attend regular screening were randomly selected and invited...... alternative for increasing cervical cancer screening coverage in Norway....

Schreiberfahrungen internationaler Studierender im deutschen Hochschulkontext

OpenAIRE

Scheurer, Jana

2017-01-01

This master thesis examines international students’ writing experiences in the German academic context. It ties in with existing studies located in the field of academic writing research and contrastive rhetoric, yet attempts a paradigm shift by moving away from pure text analysis towards a more informant-focused approach. By the means of semi-struc- tured, problem-centered interviews, an emphasis is set on the participants’ perspectives, highlighting the point of view of the writers themselv...

Cancer screening in Portugal: sex differences in prevalence, awareness of organized programmes and perception of benefits and adverse effects.

Science.gov (United States)

Costa, Ana Rute; Silva, Susana; Moura-Ferreira, Pedro; Villaverde-Cabral, Manuel; Santos, Osvaldo; Carmo, Isabel do; Barros, Henrique; Lunet, Nuno

2017-04-01

Cancer screening has contributed to downward trends in cancer mortality, but is also associated with adverse effects, which highlights the importance of promoting the participation based on informed decisions. We aimed to describe the use of cancer screening (either in organized programmes or as opportunistic screening), awareness of organized programmes and perception of its potential benefits and adverse effects, depicting possible sex differences. We evaluated 1624 Portuguese-speaking dwellers, aged between 16 and 79 years, through face-to-face interviews. To quantify sex differences, adjusted prevalence ratios and respective 95% confidence intervals were computed using Poisson regression. Among eligible age groups, the lifetime prevalence of screening for breast and cervical cancers was 89.8 and 71.9%, respectively. The prevalence was 23.7% for colorectal cancer and no significant sex differences were observed. Prostate cancer screening was reported by 63.8% of men. Over half of the participants referred that cancers such as prostate, skin, lung and stomach should be screened for, in addition to those for which organized programmes are recommended. Reassurance by negative results was identified as the main potential benefit of screening by nearly one-third of men and women. Anxiety while waiting for results was the most mentioned potential adverse effect (60.4%); men refer less often this and financial costs, although statistical significance of these results was borderline. This study provides a benchmark to plan and monitor the effects of awareness-raising interventions, as well as for international comparisons across countries with different cancer prevention and control structures. © 2016 The Authors. Health Expectations Published by John Wiley & Sons Ltd.

Wie gehen wir in der Vermittlung des Deutschen als Fremdsprache mit sprachlicher Qualität um?

DEFF Research Database (Denmark)

Colliander, Peter

2011-01-01

In der Pädagogik/Didaktik des Deutschen als Fremdsprache wird die erste Dichotomie erfahrungsgemäß in den Mittelpunkt gestellt, was zu einem rigiden Umgang mit dem Begriff „sprachliche Qualität“ führt, einem Umgang, der für die Motivation der Lerner nicht förderlich ist. Dieser ersten Dichotomie...

20th annual report 2011. Convention on long-range transboundary air pollution. International cooperative programme on integrated monitoring of air pollution effects on ecosystems

Energy Technology Data Exchange (ETDEWEB)

Kleemola, S.; Forsius, M. (eds.)

2011-07-01

The Integrated Monitoring Programme (ICP IM) is part of the effect-oriented activities under the 1979 Convention on Long-range Transboundary Air Pollution, which covers the region of the United Nations Economic Commission for Europe (UNECE). The main aim of ICP IM is to provide a framework to observe and understand the complex changes occurring in natural/semi natural ecosystems. This report summarizes the work carried out by the ICP IM Programme Centre and several collaborating institutes. The emphasis of the report is in the work done during the programme year 2010/2011 including: A short summary of previous data assessments, a status report of the ICP IM activities, content of the IM database, and geographical coverage of the monitoring network, a review of published vegetation results from ICP IM and preliminary analyses of collected vegetation data, a report on updated heavy metal budgets and critical loads at ICP IM sites, report on benefits of LTER collaboration (Long Term Ecological Research network, www.lter-europe.net), National Reports on ICP IM activities are presented as annexes. (orig.)

User acceptability of an alpha-fetoprotein screening programme

DEFF Research Database (Denmark)

Jørgensen, Finn Stener

1995-01-01

The objective of the study was to determine user acceptability among women who were classified as false positives or test negatives in an alpha-fetoprotein screening programme. The study was performed as a questionnaire study over a one-year period from October 1, 1988 to September 30, 1989...... at Hvidovre University Hospital, Copenhagen, and the county hospitals of Sønderjylland, Denmark. The participating subjects were 4104 pregnant women who had had an alpha-fetoprotein test and had completed 30 weeks of gestation, when the questionnaire was delivered. Main outcome measures were degree...... and duration of anxiety, influence on daily life and whether the woman wanted the alpha-fetoprotein test again in a new pregnancy. Three thousand, three hundred and thirty-one questionnaires were analyzed. The participation rate was 81.2%. For 219 women (6.6%), the first alpha-fetoprotein test was abnormal...

Analytical evaluation of the operation data from selected PV-demonstration systems in the MuD-programme. Final report; Analytische Auswertung der Messergebnisse von ausgewaehlten PV-Demonstrationsanlagen im MuD-Programm. Abschlussbericht

Energy Technology Data Exchange (ETDEWEB)

Gabler, H. [Fraunhofer-Institut fuer Solare Energiesysteme (ISE), Freiburg im Breisgau (Germany); Heinemann, D. [Oldenburg Univ. (Germany). Fachbereich 8 - Physik; Wiemken, E. [Fraunhofer-Institut fuer Solare Energiesysteme (ISE), Freiburg im Breisgau (Germany)

1996-02-01

From several PV-demonstration programmes, real performance data and the range in utilizing the systems are obtained. Nevertheless, for a particular system, no precise assessment and interpretation of the real system behaviour can be given: The quantification and the separation of the avoidable and of the unavoidable energy losses in the system is not to perform from the monitored data alone. Aim of this project was the interpretation of real operation data of PV-systems, the calculation of all steps of energy conversion and hence the determination of the energy losses in particular PV-systems as well as the presentation of a measure for energy production and system performance. This task includes a brief survey of the optimization potential of the energetic performance. The method choosen was an energy flow analysis, carried out on selected demonstration plants of the MuD-programme. For this reason, detailed simulation models were used. The results of the simulation calculations gives the measure to interprete the monitored system performance. In the course of the project, the analytical evaluation has shown a large ability in the assessment and interpretation of real system perforamances. Since the concept of the evaluation is transferable to many PV-systems, it represents a base for further applications in this field and in the field of the online-system control of PV-plants. (orig.) [Deutsch] In verschiedenen Demonstrationsprogrammen werden aus Langzeitmessungen Groessenordnung und Spannbreite der Nutzungsgrade photovoltaischer Anlagen ermittelt. Fuer eine spezifische Anlage ist damit jedoch keine praezise Einschaetzung bzw. Interpretation des Systemverhaltens moeglich, da die Quantifizierung der unvermeidbaren und der vermeidbaren Energieverluste im System nicht aus den Messdaten allein erfolgen kann. Ziel dieses Projektes war die Interpretation des reellen Betriebs von PV-Anlagen, die Berechnung der Zusammensetzung und der Bandbreite der Energieverluste im

Die Verteilung und Eigenschaften von Bodenformen in der Deutschen Bucht, eine Rekonstruktion der Karten von Ulrich (1973)

DEFF Research Database (Denmark)

Winter, Christian; Lefebvre, Alice; Benninghoff, Markus

2015-01-01

Entstehung, Gestalt und Dynamik von Bodenformen in vergleichsweise kleinen Untersuchungsgebieten ist die Arbeit von ULRICH (1973) über die Verteilung von Bodenformen in der Deutschen Bucht bis heute die einzige verfügbare zusammenhängende Darstellung für die deutsche Nordseeküste. Die analogen Karten und die...

Take your blood pressure to heart! Screening programme 13-17 October

CERN Multimedia

2014-01-01

The silent health threat, high blood pressure, can only be detected by regular blood pressure tests. In Switzerland, one in four people suffer from high blood pressure without being aware of it.  A screening programme will take place from 13 to 17 October 2014 at the Medical Service Infirmary, Building 57, from 9 a.m. to 12 p.m. and from 1.30 to 4.30 p.m. Blood pressure tests, advice and general information on high blood pressure will be available to everyone working at CERN. Medical Service

Balancing sensitivity and specificity: sixteen year's of experience from the mammography screening programme in Copenhagen, Denmark

DEFF Research Database (Denmark)

Utzon-Frank, Nicolai; Vejborg, Ilse; von Euler-Chelpin, My Catarina

2011-01-01

To report on sensitivity and specificity from 7 invitation rounds of the organised, population-based mammography screening programme started in Copenhagen, Denmark, in 1991, and offered biennially to women aged 50-69. Changes over time were related to organisation and technology....

Landeskundeunterricht zum Nationalsozialismus. Ein Praxisbericht aus der Mongolei

Directory of Open Access Journals (Sweden)

Ralf Heimrath

2015-03-01

Full Text Available In einer Umfrage bei den fortgeschrittenen Studierenden an der Deutschen Abteilung der Nationaluniversität der Mo n- golei wurde festgestellt, dass der Name Hitler sehr bekannt und mit e iner positiven Konnotation verbunden ist. Dagegen gab es keine Kenntnisse über die Zeit des Nationalsozialismus in Deutschland. Mehrere weitere Beobachtungen lassen darüber hinaus in der Mongolei und in anderen Ländern eine bestimmte Hitler - Verehrung erken nen. Vor diesem Hintergrund wurde im Jahr 2012 an der Deutschen Abteilung der Nationaluniversität der Mongolei eine Unterricht s- sequenz zum Thema Nationalsozialismus in Deutschland durchgeführt. Die wichtigsten Themen sind dabei die Persönlichkeit des Dikt ators, der Werdegang der NSDAP während der Weimarer Republik und das Schicksal der jüdischen Bevölkerung in Deutschland vor und insbesondere nach der Machtergreifung Hitlers. Die Sequenz dient der Relativierung des Hitler - Bildes im Bewusstsein der Studiere nden und der Vermittlung von Kenntnissen zur Geschichte des 20. Jahrhunderts als Grundlage einer Entwicklung, die zu zwei deutschen Staaten und ihrer späteren Vereinigung führte. Die Sequenz ist auf vergleichbare Unterrichtssituationen in anderen Ländern übertragbar.

Screening for depression: integrating training into the professional development programme for low vision rehabilitation staff.

Science.gov (United States)

Rees, Gwyneth; Holloway, Edith E; Craig, Graeme; Hepi, Niky; Coad, Samantha; Keeffe, Jill E; Lamoureux, Ecosse L

2012-12-01

To describe the integration of depression screening training into the professional development programme for low vision rehabilitation staff and report on staff evaluation of this training. Pre-post intervention study, in a single population of low vision rehabilitation staff. Three hundred and thirty-six staff from Australia's largest low vision rehabilitation organization, Vision Australia. Staff completed the depression screening and referral training as part of a wider professional development programme. A pre-post-training questionnaire was administered to all staff. Descriptive and non-parametric statistics were used to determine differences in self-reported knowledge, confidence, barriers to recognition and management of depression between baseline and post training. One hundred and seventy-two participants completed both questionnaires. Following training, participants reported an increased knowledge of depression, were more likely to respond to depression in their clients and reported to be more confident in managing depression (P training incorporating more active and 'hands-on' sessions are likely to be required. This training is a promising first step in integrating a depression screening tool into low vision rehabilitation practice. Further work is needed to determine the barriers and facilitators to implementation in practice and to assess clients' acceptability and outcomes. © 2012 The Authors. Clinical and Experimental Ophthalmology © 2012 Royal Australian and New Zealand College of Ophthalmologists.

Cost‐effectiveness of implementing automated grading within the national screening programme for diabetic retinopathy in Scotland

Science.gov (United States)

Scotland, G S; McNamee, P; Philip, S; Fleming, A D; Goatman, K A; Prescott, G J; Fonseca, S; Sharp, P F; Olson, J A

2007-01-01

Aims National screening programmes for diabetic retinopathy using digital photography and multi‐level manual grading systems are currently being implemented in the UK. Here, we assess the cost‐effectiveness of replacing first level manual grading in the National Screening Programme in Scotland with an automated system developed to assess image quality and detect the presence of any retinopathy. Methods A decision tree model was developed and populated using sensitivity/specificity and cost data based on a study of 6722 patients in the Grampian region. Costs to the NHS, and the number of appropriate screening outcomes and true referable cases detected in 1 year were assessed. Results For the diabetic population of Scotland (approximately 160 000), with prevalence of referable retinopathy at 4% (6400 true cases), the automated strategy would be expected to identify 5560 cases (86.9%) and the manual strategy 5610 cases (87.7%). However, the automated system led to savings in grading and quality assurance costs to the NHS of £201 600 per year. The additional cost per additional referable case detected (manual vs automated) totalled £4088 and the additional cost per additional appropriate screening outcome (manual vs automated) was £1990. Conclusions Given that automated grading is less costly and of similar effectiveness, it is likely to be considered a cost‐effective alternative to manual grading. PMID:17585001

Cost-effectiveness of implementing automated grading within the national screening programme for diabetic retinopathy in Scotland.

Science.gov (United States)

Scotland, G S; McNamee, P; Philip, S; Fleming, A D; Goatman, K A; Prescott, G J; Fonseca, S; Sharp, P F; Olson, J A

2007-11-01

National screening programmes for diabetic retinopathy using digital photography and multi-level manual grading systems are currently being implemented in the UK. Here, we assess the cost-effectiveness of replacing first level manual grading in the National Screening Programme in Scotland with an automated system developed to assess image quality and detect the presence of any retinopathy. A decision tree model was developed and populated using sensitivity/specificity and cost data based on a study of 6722 patients in the Grampian region. Costs to the NHS, and the number of appropriate screening outcomes and true referable cases detected in 1 year were assessed. For the diabetic population of Scotland (approximately 160,000), with prevalence of referable retinopathy at 4% (6400 true cases), the automated strategy would be expected to identify 5560 cases (86.9%) and the manual strategy 5610 cases (87.7%). However, the automated system led to savings in grading and quality assurance costs to the NHS of 201,600 pounds per year. The additional cost per additional referable case detected (manual vs automated) totalled 4088 pounds and the additional cost per additional appropriate screening outcome (manual vs automated) was 1990 pounds. Given that automated grading is less costly and of similar effectiveness, it is likely to be considered a cost-effective alternative to manual grading.

Use of innovative projects in the Agenda procedure: Heating - ventilation - sanitary. Compilation of selected projects from data base of Deutsche Bundesstiftung Umwelt. CD-ROM of May 2000 as further added sources.; Nutzung innovativer Projekte im Agenda Prozess: Heizung - Lueftung - Sanitaer. Zusammenstellung ausgewaehlter Projekte aus der Datenbank der Deutschen Bundesstiftung Umwelt. CD-ROM vom Mai 2000 sowie weiterer hinzugezogene Quellen

Energy Technology Data Exchange (ETDEWEB)

Schefe, W. (comp.)

2001-05-01

Compilation of selected projects from data base of Deutsche Bundesstiftung Umwelt. (orig.) [German] Zusammenstellung ausgewaehlter Projekte aus der Datenbank der Deutschen Bundesstiftung Umwelt. (orig.)

Web-based Training an deutschen Universitäts-Augenkliniken – Lehre 2.0? [Web-based Training in German University Eye Hospitals – Education 2.0?

Directory of Open Access Journals (Sweden)

Handzel, Daniel M.

2011-08-01

Deutschland angeboten werden. Methodik: Im Januar 2010 wurden in dieser prospektiven Studie alle 36 Internetseiten deutscher Universitäts-Augenkliniken besucht. Dabei wurde das angebotene Aus-, Weiter- und Fortbildungsangebot für Studierende und Ärzte quantitativ und qualitativ evaluiert. Ergebnisse: Die Homepages aller Kliniken waren zum Zeitpunkt der Besuche erreichbar. 28 Internetseiten hielten Informationen zur Aus-, Weiter- oder Fortbildung für Studierende und Ärzte vor. Eine Seite beinhaltete nur Angebote für Studenten, 3 ausschließlich für Ärzte. Auf 4 Seiten wurde für beide Zielgruppen kein Angebot gemacht. Das Angebot umfasste Informationen zu aktuellen Veranstaltungen wie ärztlichen Fortbildungen oder Lehrveranstaltungen für Studierende, weiter wurden Skripte oder ähnliches Material zum download bereitgestellt. Auf 9 Seiten wurden komplexe e-learning-Plattformen aufgefunden, welche sich einem bestimmten Thema im Rahmen einer logisch-didaktischen Gliederung widmen. Trotz der umfangreichen Möglichkeiten, welches das Web 2.0 bietet, wurden viele denkbare Hilfsmittel nur selten bereitgestellt. Die Aktualität des Angebots war nicht immer zu ermitteln, oft lag die letzte Aktualisierung lange zurück. Auf einer Seite war als letzte Aktualisierung der Fallsammlung das Jahr 2004 angegeben. Schlussfolgerung: Von den Homepages der Augenabteilungen deutscher Universitätskliniken werden 9 funktionsfähige e-learning-Applikationen zur Verfügung gestellt. Zwei weitere Kliniken verweisen auf ein Projekt der Deutschen Ophthalmologischen Gesellschaft. Das Angebot zeigt eine erhebliche Variation in Quantität und Qualität. In keinem Fall wird die Möglichkeit der Anrechnung des Besuchs dieser Programme auf die studentische Ausbildung (z.B. OSCE-Credits oder die ärztliche Weiter- oder Fortbildung, z.B. in Form von CME-Punkten, genutzt.Der Mangel an modernen, technischen wie didaktischen Anforderungen genügenden Lernapplikationen ist alarmierend, wird doch ein

Using IMS Learning Design to model collaborative learning activities

NARCIS (Netherlands)

Tattersall, Colin

2006-01-01

IMS Learning Design provides a counter to the trend towards designing for lone-learners reading from screens. It guides staff and educational developers to start not with content, but with learning activities and the achievement of learning objectives. It recognises that learning can happen without

The implementation of the Plan Esperanza and response to the imPACT Review.

Science.gov (United States)

Vidaurre, Tatiana; Santos, Carlos; Gómez, Henry; Sarria, Gustavo; Amorin, Edgar; López, Marga; Regalado, Roxana; Manrique, Javier; Tarco, Duniska; Ayestas, Carlos; Calderón, Mónica; Mas, Luis; Neciosup, Silvia; Salazar, Miriam; Chávez, Juan Carlos; Ubillus, Milward; Limache, Abel; Ubillus, José Carlos; Navarro, Jeannie; Sarwal, Kavita; Sutcliffe, Simon; Gutiérrez-Aguado, Alfonso; Silva, Marianela; Mena, Amalia; Guillén, María Eugenia; Castañeda, Carlos; Abugattas, Julio

2017-10-01

Following the implementation of the National Cancer Prevention and Control Results-based Budget Programme (PpR Cancer-024) in 2011, the Peruvian Government approved the Plan Esperanza-a population-based national cancer control plan-in 2012. Legislation that ensured full government-supported funding for people who were otherwise unable to access or afford care and treatment accompanied the Plan. In 2013, the Ministry of Health requested an integrated mission of the Programme of Action for Cancer Therapy (imPACT) report to strengthen cancer control in Peru. The imPACT Review, which was executed in 2014, assessed Peru's achievements in cancer control, and areas for improvement, including cancer control planning, further development of population-based cancer registration, increased prevention, early diagnosis, treatment and palliative care, and the engagement and participation of civil society in the health-care system. This Series paper gives a brief history of the development of the Plan Esperanza, describes the innovative funding model that supports it, and summarises how funds are disseminated on the basis of disease, geography, and demographics. An overview of the imPACT Review, and the government's response in the context of the Plan Esperanza, is provided. The development and execution of the Plan Esperanza and the execution of and response to the imPACT Review demonstrates the Peruvian Government's commitment to fighting cancer across the country, including in remote and urban areas. Copyright © 2017 Elsevier Ltd. All rights reserved.

Double versus single reading of mammograms in a breast cancer screening programme: a cost-consequence analysis.

Science.gov (United States)

Posso, Margarita C; Puig, Teresa; Quintana, Ma Jesus; Solà-Roca, Judit; Bonfill, Xavier

2016-09-01

To assess the costs and health-related outcomes of double versus single reading of digital mammograms in a breast cancer screening programme. Based on data from 57,157 digital screening mammograms from women aged 50-69 years, we compared costs, false-positive results, positive predictive value and cancer detection rate using four reading strategies: double reading with and without consensus and arbitration, and single reading with first reader only and second reader only. Four highly trained radiologists read the mammograms. Double reading with consensus and arbitration was 15 % (Euro 334,341) more expensive than single reading with first reader only. False-positive results were more frequent at double reading with consensus and arbitration than at single reading with first reader only (4.5 % and 4.2 %, respectively; p cancer detection rate were similar for both reading strategies (4.6 and 4.2 per 1000 screens; p = 0.283). Our results suggest that changing to single reading of mammograms could produce savings in breast cancer screening. Single reading could reduce the frequency of false-positive results without changing the cancer detection rate. These results are not conclusive and cannot be generalized to other contexts with less trained radiologists. • Double reading of digital mammograms is more expensive than single reading. • Compared to single reading, double reading yields a higher proportion of false-positive results. • The cancer detection rate was similar for double and single readings. • Single reading may be a cost-effective strategy in breast cancer screening programmes.

Differences in diagnostic activity in general practice and findings for individuals invited to the danish screening programme for colorectal cancer: a population-based cohort study.

Science.gov (United States)

Juul, Jakob Søgaard; Andersen, Berit; Laurberg, Søren; Carlsen, Anders Helles; Olesen, Frede; Vedsted, Peter

2018-06-22

To investigate the diagnostic activity in general practice and the cumulative incidence of colorectal cancer (CRC) in individuals invited to the Danish national screening programme for CRC. A historical population-based cohort study. The Danish CRC screening programme and general practice. The 376,198 individuals invited to the Danish CRC screening programme from 1 March to 31 December 2014. The diagnostic activity (consultations and haemoglobin measures) in general practice in the year preceding the screening invitation and the cumulated incidence of CRC in the year following the screening invitation. Screening participants had significantly higher diagnostic activity than non-participants. Individuals with a positive faecal immunochemical test (FIT) had higher diagnostic activity compared to individuals with a negative FIT, and a small increase in the months leading up to the invitation. Individuals with a screen-detected CRC had lower diagnostic activity than individuals with no CRC. In total, 308 (25.3%) of CRCs diagnosed in the invited population were diagnosed outside the screening programme. Non-participants with CRC more often had low socio-economic status, high comorbidity and stage IV CRC than participants with CRC. There was a tendency that participants and those with a positive FIT had a higher diagnostic activity the year before the screening. This was not seen for those with CRC detected through screening. CRC must still be diagnosed in general practice in the invited population and non-participants are of special interest as they have higher risk of late stage CRC. Key Points Current awareness:Individuals with colorectal cancer (CRC) in screening may be symptomatic and CRC may still occur outside screening in the invited population. Most important points:The majority of individuals with CRC in screening cannot be expected to be diagnosed on symptomatic presentation in general practice GPs have to be aware that CRC still occurs outside screening in

The use of statistical methodology to determine the accuracy of grading within a diabetic retinopathy screening programme

OpenAIRE

Oke, J L; Stratton, I M; Aldington, S J; Stevens, R J; Scanlon, Peter H

2016-01-01

AIMS:\\ud We aimed to use longitudinal data from an established screening programme with good quality assurance and quality control procedures and a stable well-trained workforce to determine the accuracy of grading in diabetic retinopathy screening.\\ud METHODS:\\ud We used a continuous time-hidden Markov model with five states to estimate the probability of true progression or regression of retinopathy and the conditional probability of an observed grade given the true grade (misclassification...

Explaining low uptake for Down syndrome screening in the Netherlands : (and predicting utilisation of other programmes)

NARCIS (Netherlands)

Crombag, NMTH

2016-01-01

In the Netherlands, only a quarter of all pregnant women take part in the current Down syndrome screening(DSS) programme. Compared to other Northern European countries, Dutch uptake rates are very low. This thesis concentrates on the test-utilisation of DSS, in particular the factors impeding or

Experience with the european quality assurance guidelines for digital mammography systems in a national screening programme

International Nuclear Information System (INIS)

McCullagh, J.; Keavey, E.; Egan, G.; Phelan, N.

2013-01-01

The transition to a fully digital breast screening programme, utilising three different full-field digital mammography (FFDM) systems has presented many challenges to the implementation of the European guidelines for physico-technical quality assurance (QA) testing. An analysis of the QA results collected from the FFDM systems in the screening programme over a 2-y period indicates that the three different systems have similar QA performances. Generally, the same tests were failed by all systems and failure rates were low. The findings provide some assurance that the QA guidelines are being correctly implemented. They also suggest that there is more scope for the development of the relevance of the guidelines with respect to modern FFDM systems. This study has also shown that a summary review of the QA data can be achieved by simple organisation of the QA data storage and by automation of data query and retrieval using commonly available software. (authors)

Interaktion mit RFID Ausleih- und Rückgabeautomaten

DEFF Research Database (Denmark)

Greifeneder, Elke; Heyroth, Melanie; Klingbeil, Karin

2011-01-01

Der Artikel untersucht mittels Beobachtung die Interaktion zwischen RFID-Ausleih- und Rückgabeautomaten sowie Bibliotheksbenutzern in vier deutschen Bibliotheken. Die Ergebnisse belegen, dass die Interaktion grundsätzlich funktioniert. Die Benutzer zeigten Gelassenheit und Routine im Umgang mit den...

Migrant women’s knowledge and perceived sociocultural barriers to cervical cancer screening programme: a qualitative study of African women in Poland

Directory of Open Access Journals (Sweden)

Omoye Mary Akhagba

2017-01-01

Full Text Available This article explores both the knowledge and perception of African women about the importance of screening as a recommended health action to counter the growing rate of cervical cancer in women. The theoretical framework is influenced by the postulations of behavioural theories, sociology of health and the health belief model (HBM on how people perceive health issues such as cervical cancer and its screening measures. In addition, this study tries to explore the acculturation challenges involved in migration, which adversely affects health knowledge and behaviour of African women. To achieve this, one focus group discussion was conducted with twelve women between the ages of 25 and 54 years old from Egypt, Eritrea, Kenya and Nigeria to share their knowledge of cervical cancer screening programmes in Poland. They constituted a mixture of women from different parts of Africa with cultural differences and different belief systems. Little or no in-depth understanding of Polish language, lack of information about the disease and its screening methods, lack of understanding of the Polish health care systems and social economic factors were issues discussed by these women as socio-cultural barriers to their non-participation in the organised cervical cancer screening programme in Poland. Based on this study, migrant women lack adequate information about cervical cancer, its causes, risk factors and its screening methods. Therefore, this study proposes that good understanding of health care systems, language translation support in the health care system, health awareness campaigns and social relationships are important motivating factors that could encourage migrant women to participate in the cancer screening programmes in Poland.

Impact of the digitalisation of mammography on performance parameters and breast dose in the Flemish Breast Cancer Screening Programme

Energy Technology Data Exchange (ETDEWEB)

Timmermans, Lore; Hauwere, An de; Bacher, Klaus; Thierens, Hubert [Ghent University, Department of Basic Medical Sciences, QCC-Gent, Ghent (Belgium); Bosmans, Hilde; Lemmens, Kim; Steen, Andre van [University Hospitals Leuven, Department of Radiology, Leuven (Belgium); Bleyen, Luc; Mortier, Griet; Herck, Koen van [Ghent University, Centrum voor Preventie en Vroegtijdige Opsporing van Kanker, Ghent (Belgium); Limbergen, Erik van [Leuvens Universitair Centrum voor Kankerpreventie, Leuven (Belgium); Martens, Patrick [Vroegtijdige Opsporing van Borstklierkanker vzw, Bruges (Belgium)

2014-08-15

To investigate the impact of digitalisation on performance parameters and breast dose of the Flemish Breast Cancer Screening Programme. Both computed (CR) and direct radiography (DR) are compared with screen-film mammography (SFM). Data from 975,673 mammographic examinations were collected from units which underwent digitalisation from SFM to CR (41 units) or DR (72 units) in the period 2005-2011. Performance indicators were obtained by consulting the Screening Programme database. Phantom and patient dosimetry data were acquired from the physical technical quality assurance of the programme. Digitalisation induced no significant change in cancer detection rate (CDR), percentage of ductal carcinomas in situ and percentage of breast cancers smaller than 1 cm. A decrease in false-positive results and third readings was observed, which was a time-related observation. After digitalisation, positive predictive value (PPV) increased and recall rates decreased. Compared with SFM, an increase of 30 % in mean glandular dose (MGD) was found for CR, while a similar change in the opposite direction was found for DR. No major differences in performance parameters after digitalisation were found. Transition of SFM to CR resulted in a higher MGD and associated lower detection-over-induction ratio (DIR), while the change to DR induced an improvement of DIR. (orig.)

Impact of the digitalisation of mammography on performance parameters and breast dose in the Flemish Breast Cancer Screening Programme

International Nuclear Information System (INIS)

Timmermans, Lore; Hauwere, An de; Bacher, Klaus; Thierens, Hubert; Bosmans, Hilde; Lemmens, Kim; Steen, Andre van; Bleyen, Luc; Mortier, Griet; Herck, Koen van; Limbergen, Erik van; Martens, Patrick

2014-01-01

To investigate the impact of digitalisation on performance parameters and breast dose of the Flemish Breast Cancer Screening Programme. Both computed (CR) and direct radiography (DR) are compared with screen-film mammography (SFM). Data from 975,673 mammographic examinations were collected from units which underwent digitalisation from SFM to CR (41 units) or DR (72 units) in the period 2005-2011. Performance indicators were obtained by consulting the Screening Programme database. Phantom and patient dosimetry data were acquired from the physical technical quality assurance of the programme. Digitalisation induced no significant change in cancer detection rate (CDR), percentage of ductal carcinomas in situ and percentage of breast cancers smaller than 1 cm. A decrease in false-positive results and third readings was observed, which was a time-related observation. After digitalisation, positive predictive value (PPV) increased and recall rates decreased. Compared with SFM, an increase of 30 % in mean glandular dose (MGD) was found for CR, while a similar change in the opposite direction was found for DR. No major differences in performance parameters after digitalisation were found. Transition of SFM to CR resulted in a higher MGD and associated lower detection-over-induction ratio (DIR), while the change to DR induced an improvement of DIR. (orig.)

Health workforce planning and service expansion during an economic crisis: A case study of the national breast screening programme in Ireland.

Science.gov (United States)

McHugh, S M; Tyrrell, E; Johnson, B; Healy, O; Perry, I J; Normand, C

2015-12-01

This article aims to estimate the workforce and resource implications of the proposed age extension of the national breast screening programme, under the economic constraints of reduced health budgets and staffing levels in the Irish health system. Using a mixed method design, a purposive sample of 20 participants were interviewed and data were analysed thematically (June-September 2012). Quantitative data (programme-level activity data, screening activity, staffing levels and screening plans) were used to model potential workload and resource requirements. The analysis indicates that over 90% operational efficiency was achieved throughout the first six months of 2012. Accounting for maternity leave (10%) and sick leave (3.5%), 16.1 additional radiographers (whole time equivalent) would be required for the workload created by the age extension of the screening programme, at 90% operational efficiency. The results suggest that service expansion is possible with relatively minimal additional radiography resources if the efficiency of the skill mix and the use of equipment are improved. Investing in the appropriate skill mix should not be limited to clinical groups but should also include administrative staff to manage and support the service. Workload modelling may contribute to improved health workforce planning and service efficiency. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

22nd annual report 2013. Convention on long-range transboundary air pollution. International cooperative programme on integrated monitoring of air pollution effects on ecosystems

Energy Technology Data Exchange (ETDEWEB)

Kleemola, S.; Forsius, M. (eds.)

2013-09-01

The Integrated Monitoring Programme (ICP IM) is part of the effect-oriented activities under the 1979 Convention on Long-range Transboundary Air Pollution, which covers the region of the United Nations Economic Commission for Europe (UNECE). The main aim of ICP IM is to provide a framework to observe and understand the complex changes occurring in natural/semi natural ecosystems. This report summarizes the work carried out by the ICP IM Programme Centre and several collaborating institutes. The emphasis of the report is in the work done during the programme year 2012/2013 including: A short summary of previous data assessments; A status report of the ICP IM activities, content of the IM database, and geographical coverage of the monitoring network; A final report on relations between vegetation changes and nitrogen Critical Load exceedance; A progress report on base line heavy metal approach, estimation of the extent of metal turnover in European forest catchments over the last decades; A final report on sulphur and nitrogen input-output budgets at ICP IM sites in Europe; National Reports on ICP IM activities are presented as annexes.

Can an alert in primary care electronic medical records increase participation in a population-based screening programme for colorectal cancer? COLO-ALERT, a randomised clinical trial

International Nuclear Information System (INIS)

Guiriguet-Capdevila, Carolina; Fuentes-Peláez, Antonio; Reina-Rodríguez, Dolores; De León-Gallo, Rosa; Mendez-Boo, Leonardo; Torán-Monserrat, Pere; Muñoz-Ortiz, Laura; Rivero-Franco, Irene; Vela-Vallespín, Carme; Vilarrubí-Estrella, Mercedes; Torres-Salinas, Miquel; Grau-Cano, Jaume; Burón-Pust, Andrea; Hernández-Rodríguez, Cristina

2014-01-01

Colorectal cancer is an important public health problem in Spain. Over the last decade, several regions have carried out screening programmes, but population participation rates remain below recommended European goals. Reminders on electronic medical records have been identified as a low-cost and high-reach strategy to increase participation. Further knowledge is needed about their effect in a population-based screening programme. The main aim of this study is to evaluate the effectiveness of an electronic reminder to promote the participation in a population-based colorectal cancer screening programme. Secondary aims are to learn population’s reasons for refusing to take part in the screening programme and to find out the health professionals’ opinion about the official programme implementation and on the new computerised tool. This is a parallel randomised trial with a cross-sectional second stage. Participants: all the invited subjects to participate in the public colorectal cancer screening programme that includes men and women aged between 50–69, allocated to the eleven primary care centres of the study and all their health professionals. The randomisation unit will be the primary care physician. The intervention will consist of activating an electronic reminder, in the patient’s electronic medical record, in order to promote colorectal cancer screening, during a synchronous medical appointment, throughout the year that the intervention takes place. A comparison of the screening rates will then take place, using the faecal occult blood test of the patients from the control and the intervention groups. We will also take a questionnaire to know the opinions of the health professionals. The main outcome is the screening status at the end of the study. Data will be analysed with an intention-to-treat approach. We expect that the introduction of specific reminders in electronic medical records, as a tool to facilitate and encourage direct referral by

Geschlechtermodelle im spanischen Roman des 18. Jahrhunderts Constructions of Gender in the 18th Century Spanish Novel

Directory of Open Access Journals (Sweden)

Claudia Gronemann

2003-07-01

Full Text Available Während Spanien lange Zeit als „Land ohne Aufklärung“ galt und das 18. Jahrhundert auch in der deutschen Hispanistik ein Randgebiet gegenüber der Masse an Studien etwa zum Siglo de Oro darstellte, wandelt sich diese Tendenz zunehmend. Beinahe zeitgleich erschienen jetzt zwei Dissertationen zum spanischen 18. Jahrhundert, die sich auf der Basis von Korpus und Fragestellung sehr gut vergleichen lassen. Wenn dieses Jahrhundert im Anschluss an die Brüder Goncourt (La femme au XVIIIe siècle, 1852 wiederholt als das der Frau apostrophiert wurde, scheint es kein Zufall, dass sich beide mit „Geschlechterentwürfen“ (Kilian bzw. dem „Bild der Frau“ (Hertel-Mesenhöller im spanischen Roman befassen. Spanien hat nicht nur Anteil an der europäischen Aufklärung, auch wenn sich diese als patriotische und christliche Ilustración „von oben“ erweist, sondern ebenso an einem übergreifenden Wandel der Geschlechterkonstellation, welcher unter dem Begriff der Naturalisierung des Geschlechtsunterschieds in die Gender Studies eingegangen ist. Beide Verfasserinnen untersuchen die diskursiven Manifestationen dieses Wandels im Roman und problematisieren, ob und inwiefern die jeweiligen Weiblichkeitsentwürfe einem spezifischen Aufklärungsprogramm entsprechen. Dabei greifen sie gegenwärtige Theorieentwicklungen ganz unterschiedlich auf.For the longest time, Spain used to be considered the “country without enlightenment”, and the 18th century was only assigned a marginal position in Hispanic Studies in Germany, compared to the large number of studies on the Siglo de Oro darstellte. However, this tendency has recently changed. Two dissertations on 18th century Spain have just been published; both works are comparable in terms of their corpus and the research questions they investigate. If, following the Goncourt brothers (La femme au XVIIIe siècle, 1852, the 18th century has repeatedly been called the century of the woman, it does not seem

Optimal screening mammography reading volumes; evidence from real life in the East Midlands region of the NHS Breast Screening Programme

International Nuclear Information System (INIS)

Cornford, E.; Reed, J.; Murphy, A.; Bennett, R.; Evans, A.

2011-01-01

Aim: To assess real-life reader performance as a function of both volume of mammograms read and reading experience in a multicentre cohort. Materials and methods: Thirty-seven film readers from the East Midlands Breast Screening Programme had 3 years of consecutive screen reading results available for comparison. Markers of screening performance as the first film reader [cancer detection rates, small cancer detection rates, recall rates, positive predictive value of recall (PPV), and missed cancers] were compared with both volume of films read and years of film reading experience. For reading volume, readers were categorized according to film reading volume over the 3 year period: <15,000 (i.e., on average less than the recommended 5000/year); 15-<20,000; 20-<25,000; and ≥25,000. For years of experience, readers were categorized into the following groups: <5 years, 5-<10 years, 10-<15 years, and 15-<20 years. Results: There was no evidence to suggest a relationship between years of film reading experience and film-reading performance. For reading volume, there was a significant difference in the distribution of cancer-detection rate between the four groups (p = 0.01); however, there was no difference in small cancer-detection rates, missed cancers or PPV. The median cancer detection rate in the high-volume group (≥25,000 mammograms/3 years) was significantly lower than the other groups combined (6.9 per 1000 women screened versus 7.9 per 1000 women screened). The lowest median recall rate was also in the high-volume group, whilst those readers not meeting the NHSBSP minimum requirement had the highest median recall rate; however, there was borderline evidence to suggest a difference in the distribution of recall rates between the four groups. Conclusion: The data from the East Midlands do not provide any evidence for reducing the threshold volume of 5000 cases /year. However, there appears to be an upper limit above which reader performance deteriorates in

[Nordosteuropa als Geschichtsregion] / Hans-Jürgen Bömelburg

Index Scriptorium Estoniae

Bömelburg, Hans-Jürgen

2009-01-01

Nordosteuropa als Geschichtsregion. Beiträge des III. Internationalen Symposiums zur deutschen Kultur und Geschichte im europäischen Nordosten vom 20.-22. September 2001 in Tallinn. Lübeck : Verlag Schmidt-Römhild 2006. (Veröffentlihungen der Aue-Stiftung. 17)

Interobserver agreement between primary graders and an expert grader in the Bristol and Weston diabetic retinopathy screening programme: a quality assurance audit.

Science.gov (United States)

Patra, S; Gomm, E M W; Macipe, M; Bailey, C

2009-08-01

To assess the quality and accuracy of primary grading in the Bristol and Weston diabetic retinopathy screening programme and to set standards for future interobserver agreement reports. A prospective audit of 213 image sets from six fully trained primary graders in the Bristol and Weston diabetic retinopathy screening programme was carried out over a 4-week period. All the images graded by the primary graders were regraded by an expert grader blinded to the primary grading results and the identity of the primary grader. The interobserver agreement between primary graders and the blinded expert grader and the corresponding Kappa coefficient was determined for overall grading, referable, non-referable and ungradable disease. The audit standard was set at 80% for interobserver agreement with a Kappa coefficient of 0.7. The interobserver agreement bettered the audit standard of 80% in all the categories. The Kappa coefficient was substantial (0.7) for the overall grading results and ranged from moderate to substantial (0.59-0.65) for referable, non-referable and ungradable disease categories. The main recommendation of the audit was to provide refresher training for the primary graders with focus on ungradable disease. The audit demonstrated an acceptable level of quality and accuracy of primary grading in the Bristol and Weston diabetic retinopathy screening programme and provided a standard against which future interobserver agreement can be measured for quality assurance within a screening programme. Diabet. Med. 26, 820-823 (2009).

7th annual report 1998. UN ECE convention on long-range transboundary air pollution. International cooperative programme on integrated monitoring of air pollution effects on ecosystems

Energy Technology Data Exchange (ETDEWEB)

Kleemola, S.; Forsius, M. [eds.

1998-11-01

The Integrated Monitoring Programme (ICP IM) is part of the Effects Monitoring Strategy under the UN ECE Long-Range Transboundary Air Pollution Convention. The main aim of ICP IM is to provide a framework to observe and understand the complex changes occurring in the external environment. The monitoring and prediction of complex ecosystem effects on undisturbed reference areas require a continuous effort to improve the collection and assessment of data on the international scale. At the 1997 Task Force meeting it was decided that future annual reports from ICP IM would have a more technical character. The report could include some scientific material but also short technical descriptions of recent national activities and publications. Scientific articles should preferably be published in recognised scientific journals. The responsibility for producing annual reports would still lie on the Programme Centre, but more contributions from National Focal Points were welcomed. The content of the present Annual Report reflects the decisions of the Task Force meeting. The report gives a general overview of the ICP IM activities, the present content of the ICP IM database, and presents results from assessment activities carried out by several collaborating institutes and the ICP IM Programme Centre during the programme year 1997/98. The resources of the Programme Centre have been targeted to the revision of the Programme Manual and the EU/LIFE-project `Development of Assessment and Monitoring Techniques at Integrated Monitoring Sites in Europe`, which has limited the possibilities to carry out additional evaluations of ICP IM data. Section 1 is a short status report of the ICP IM activities, content of the IM database, including the contents of the GIS database, and the present geographical coverage of the monitoring network. Section 2 contains a report on multivariate gradient analysis applied to relate chemical and biological observations (prepared by D. de Zwart, RIVM

Patient experience of CT colonography and colonoscopy after fecal occult blood test in a national screening programme

Energy Technology Data Exchange (ETDEWEB)

Plumb, Andrew A.; Taylor, Stuart A.; Halligan, Steve [University College London, Centre for Medical Imaging, Division of Medicine, London (United Kingdom); Ghanouni, Alex; Von Wagner, Christian [University College London, Health Behaviour Research Centre, Department of Epidemiology and Public Health, London (United Kingdom); Rees, Colin J. [Durham University School of Medicine, Pharmacy and Health, Durham (United Kingdom); Hewitson, Paul [University of Oxford, Health Services Research Unit, Nuffield Department of Population Health, Oxford (United Kingdom); Nickerson, Claire; Wright, Suzanne [Fulwood House, NHS Cancer Screening Programmes, Sheffield (United Kingdom)

2017-03-15

To investigate patient experience of CT colonography (CTC) and colonoscopy in a national screening programme. Retrospective analysis of patient experience postal questionnaires. We included screenees from a fecal occult blood test (FOBt) based screening programme, where CTC was performed when colonoscopy was incomplete or deemed unsuitable. We analyzed questionnaire responses concerning communication of test risks, test-related discomfort and post-test pain, as well as complications. CTC and colonoscopy responses were compared using multilevel logistic regression. Of 67,114 subjects identified, 52,805 (79 %) responded. Understanding of test risks was lower for CTC (1712/1970 = 86.9 %) than colonoscopy (48783/50975 = 95.7 %, p < 0.0001). Overall, a slightly greater proportion of screenees found CTC unexpectedly uncomfortable (506/1970 = 25.7 %) than colonoscopy (10,705/50,975 = 21.0 %, p < 0.0001). CTC was tolerated well as a completion procedure for failed colonoscopy (unexpected discomfort; CTC = 26.3 %: colonoscopy = 57.0 %, p < 0.001). Post-procedural pain was equally common (CTC: 288/1970,14.6 %, colonoscopy: 7544/50,975,14.8 %; p = 0.55). Adverse event rates were similar in both groups (CTC: 20/2947 = 1.2 %; colonoscopy: 683/64,312 = 1.1 %), but generally less serious with CTC. Even though CTC was reserved for individuals either unsuitable for or unable to complete colonoscopy, we found only small differences in test-related discomfort. CTC was well tolerated as a completion procedure and was extremely safe. CTC can be delivered across a national screening programme with high patient satisfaction. (orig.)

EASI-IMS an expedite and secure technique to screen for 25I-NBOH in blotter papers.

Science.gov (United States)

de Morais, Damila Rodrigues; Barbosa, Ingrid Lopes; Cunha, Kelly Francisco; Tripodi, Guilherme Lucas; Angolini, Célio Fernando Figueiredo; Franco, Marcos Fernando; de Aquino, Elvis Medeiros; Eberlin, Marcos Nogueira; Costa, Jose Luiz

2017-10-01

The increasing number of new psychoactive substances (NPS) and their quick worldwide spreading, often only slightly modified in the form of new derivatives and analogues, have brought the need for fast, wide-ranging, and unequivocal identification methods in clinical and forensic investigations. Because it usually provides secure results, gas chromatography coupled to mass spectrometry (GC-MS) has been routinely employed as the standard technique for the detection of NPS in blotter papers. For 25I-NBOH (N-(2-hydroxybenzyl)-2-(4-iodo-2,5-dimethoxyphenyl)ethan-1-aminium), however, GC-MS analysis of an blotter paper extract leads to incorrect results. In this work, we investigated whether easy ambient sonic-spray mass spectrometry imaging (EASI-IMS), and ambient ionization MS method can be applied directly to the surface of the sample requiring therefore no extraction or sample preparations, would serve as an efficient, sensitive, and secure alternative for 25I-NBOH screening. Copyright © 2017 John Wiley & Sons, Ltd.

Central auditory processing disorder (CAPD tests in a school-age hearing screening programme – analysis of 76,429 children

Directory of Open Access Journals (Sweden)

Piotr H. Skarzynski

2015-02-01

Full Text Available [b]Introduction and objective[/b]. Hearing disorders among school-age children are a current concern. Continuing studies have been performed in Poland since 2008, and on 2 December 2011 the EU Council adopted Conclusions on the Early Detection and Treatment of Communication Disorders in Children, Including the Use of e-Health Tools and innovative Solutions. The discussion now focuses not only on the efficacy of hearing screening programmes in schoolchildren, but what should be its general aim and what tests it should include? This paper makes the case that it is important to include central auditory processing disorder (CAPD tests. One such test is the dichotic digits test (DDT. The aim of the presented study was to evaluate the usefulness of the DDT in detecting central hearing disorders in school-age children. [b]Materials and methods[/b]. During hearing screening programmes conducted in Poland in 2008–2010, exactly 235,664 children (7–12-years-old were screened in 9,325 schools. Of this number, 7,642 were examined using the DDT test for CAPD. Screening programmes were conducted using the Sense Examination Platform. [b]Results.[/b] With the cut-off criterion set at the 5th percentile, results for the DDT applied in a divided attention mode were 11.4% positive for 7-year-olds and 11.3% for 12-year-olds. In the focused attention mode, the comparable result for 12-year-olds was 9.7%. There was a clear right ear advantage. In children with positive DDT results, a higher incidence of other disorders, such as dyslexia, was observed. [b]Conclusions[/b]. A test for CAPD should be included in the hearing screening of school-age children. The results of this study form the basis for developing Polish standards in this area.

Presence, characteristics and equity of access to breast cancer screening programmes in 27 European countries in 2010 and 2014. Results from an international survey

DEFF Research Database (Denmark)

Deandrea, S; Molina-Barceló, A; Uluturk, A

2016-01-01

The European Union Council Recommendation of 2 December 2003 on cancer screening suggests the implementation of organised, population-based breast cancer screening programmes based on mammography every other year for women aged 50 to 69years, ensuring equal access to screening, taking into accoun...

Rubella serology by solid-phase radioimmunoassay: its potential for screening programmes

International Nuclear Information System (INIS)

Sugishita, C.; O'Shea, S.; Best, J.M.; Banatvala, J.E.

1978-01-01

Sera from 269 adult females who had experienced naturally acquired or vaccine-induced infection by rubella virus, including immune persons challenged intranasally with rubella vaccine (RA27/3) as well as sera from 100 patients attending antenatal clinics, were tested for rubella antibodies by the conventional haemagglutination inhibition tests (HAI), as well as a newly developed solid-phase radioimmunoassay (RIA) for rubella immunoglobulin G(IgG) antibodies. Following both naturally acquired and vaccine-induced infection, titres by RIA were approximately ten-fold higher than by HAI. The RIA test was particularly useful in assessing the true immune status of those with apparently low levels of HAI antibody and has the added advantage that pretreatment of sera to remove inhibitors of haemagglutination and red cell agglutinins is unnecessary. The RIA test has potential for the large-scale screening programmes which need to be carried out if the Department of Health and Social Security recommendation, that women attending antenatal and family planning clinics be screened for rubella antibodies, is to be effectively met. (author)

Lisandusi Eesti homoajaloole

Index Scriptorium Estoniae

1999-01-01

1998. a. lõpul Hamburgis ilmunud Bernd-Ulrich Hergemölleri koostatud saksa homoleksikon "Biographisches Lexikon zur Geschichte von Freundesliebe und mann-männlicher Sexualität im deutschen Sprachraum" toob ära ka artikli Otto Magnus von Stackelbergist (1786-1837)

Colonoscopy conversion after flexible sigmoidoscopy screening: results from the UK bowel scope screening programme.

Science.gov (United States)

Siau, Keith; Yew, Andrew; Ishaq, Sauid; Jewes, Sarah; Shetty, Sharan S; Brookes, Matthew; Veitch, Andrew; McKaig, Brian; Murugananthan, Aravinth

2017-12-05

In the UK Bowel Scope screening programme (BSSP), patients progress to colonoscopy based on high-risk features on flexible sigmoidoscopy (FS). To assess practice of colonoscopy conversion and predictors of additional adenoma detection on colonoscopy. The Bowel Cancer Screening database was interrogated and collated with endoscopic and histological findings from patients undergoing colonoscopy following FS between August 2013 and August 2016. Multivariate analysis was performed to identify predictors of new adenomas. Wolverhampton bowel cancer screening centre, covering Wolverhampton, Dudley, Cannock and Walsall, with a combined catchment population of 1 million. This is the first UK site to fully roll-out BSSP. FS was performed on 11,711 patients, with an adenoma detection rate (ADR) of 8.5%, and conversion to colonoscopy in 421 (3.6%). The additional ADR at colonoscopy was 35.2%, with one additional malignant diagnosis (0.26%). The adenoma miss rate was 3.6%. On multivariate analysis, a polyp ≥10mm was the only high-risk indication associated with additional ADR at colonoscopy (odds ratio [OR] 3.68, 95% confidence interval [CI]:1.51-3.65, p<0.001), in addition to male gender (OR 2.36, 95% CI:1.46-3.83, p<0.001). Predictors of detection of a new adenoma ≥10mm included: villous adenoma (p=0.002), polyp≥10mm (p=0.007) and male gender (p=0.039). Presence of any conversion criteria was associated with the detection of any proximal adenoma (p<0.001) and adenoma ≥10mm (p=0.031). Male gender, ≥10mm polyps and villous-preponderant histology at FS were predictors of <10mm and ≥10mm adenomas at colonoscopy. Further data are required to assess the role for gender-based stratification of conversion criteria. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

A study of whether automated Diabetic Retinopathy Image Assessment could replace manual grading steps in the English National Screening Programme.

Science.gov (United States)

Kapetanakis, Venediktos V; Rudnicka, Alicja R; Liew, Gerald; Owen, Christopher G; Lee, Aaron; Louw, Vern; Bolter, Louis; Anderson, John; Egan, Catherine; Salas-Vega, Sebastian; Rudisill, Caroline; Taylor, Paul; Tufail, Adnan

2015-09-01

Diabetic retinopathy screening in England involves labour intensive manual grading of digital retinal images. We present the plan for an observational retrospective study of whether automated systems could replace one or more steps of human grading. Patients aged 12 or older who attended the Diabetes Eye Screening programme, Homerton University Hospital (London) between 1 June 2012 and 4 November 2013 had macular and disc-centred retinal images taken. All screening episodes were manually graded and will additionally be graded by three automated systems. Each system will process all screening episodes, and screening performance (sensitivity, false positive rate, likelihood ratios) and diagnostic accuracy (95% confidence intervals of screening performance measures) will be quantified. A sub-set of gradings will be validated by an approved Reading Centre. Additional analyses will explore the effect of altering thresholds for disease detection within each automated system on screening performance. 2,782/20,258 diabetes patients were referred to ophthalmologists for further examination. Prevalence of maculopathy (M1), pre-proliferative retinopathy (R2), and proliferative retinopathy (R3) were 7.9%, 3.1% and 1.2%, respectively; 4749 (23%) patients were diagnosed with background retinopathy (R1); 1.5% were considered ungradable by human graders. Retinopathy prevalence was similar to other English diabetic screening programmes, so findings should be generalizable. The study population size will allow the detection of differences in screening performance between the human and automated grading systems as small as 2%. The project will compare performance and economic costs of manual versus automated systems. © The Author(s) 2015.

Putting newborn hearing screening on the political agenda in Belgium: local initiatives toward a community programme - a qualitative study.

Science.gov (United States)

Vos, Bénédicte; Lagasse, Raphaël; Levêque, Alain

2014-07-01

The Kingdon model, based on the convergence of three streams (problem, policy, and politics) and the opening of a policy window, analyses the process by which a health issue is placed on the political agenda. We used this model to document the political agenda-setting process of the newborn hearing screening programme in Belgium. A qualitative study based on a document review and on semi-directed interviews was carried out. The interviews were conducted with nine people who had played a role in putting the issue in question on the political agenda, and the documents reviewed included scientific literature and internal reports and publications from the newborn hearing screening programme. The thematic analysis of the data collected was carried out on the basis of the Kingdon model's three streams. The political agenda-setting of this screening programme was based on many factors. The problem stream included factors external to the context under study, such as the technological developments and the contribution of the scientific literature which led to the recommendation to provide newborn hearing screening. The two other streams (policy and politics) covered factors internal to the Belgian context. The fact that it was locally feasible with financial support, the network of doctors convinced of the need for newborn hearing screening, the drafting of various proposals, and the search for financing were all part of the policy stream. The Belgian political context and the policy opportunities concerning preventive medicine were identified as significant factors in the third stream. When these three streams converged, a policy window opened, allowing newborn hearing screening onto the political agenda and enabling the policy decision for its introduction. The advantage of applying the Kingdon model in our approach was the ability to demonstrate the political agenda-setting process, using the three streams. This made it possible to identify the many factors involved in

Breast cancer incidence and mortality in the Nordic capitals, 1970-1998. Trends related to mammography screening programmes

International Nuclear Information System (INIS)

Toernberg, Sven; Kemetli, Levent; Anttila, Ahti; Hakama, Matti; Nystroem, Lennarth

2006-01-01

The aim of the present study was to relate the time trends in breast cancer incidence and mortality to the introduction of mammography screening in the Nordic capitals. Helsinki offered screening to women aged 50-59 starting in 1986. The other three capitals offered screening to women aged 50-69 starting in 1989 in Stockholm, 1991 in Copenhagen, and 1996 in Oslo. Prevalence peaks in breast cancer incidence depended on the age groups covered by the screening, the length of the implementation of screening, and the extent of background opportunistic screening. No mortality reduction following the introduction of screening was visible after seven to 12 years of screening in any of the three capitals where significant effects of the screening on the breast cancer mortality had already been demonstrated by using other analytical methods for the evaluation. No visible effect on mortality reduction was expected in Oslo due to too short an observation period. The study showed that the population-based breast cancer mortality trend is too crude a measure to detect the effect of screening on breast cancer mortality during the first years after the start of a programme

Quick scan IMS vendors

NARCIS (Netherlands)

Norp, A.H.J.; Pals, H.; Walraven, F.A.

2007-01-01

IMS is gaining momentum in the market. First operators are deploying IMS, while other operators are considering buying IMS. Operators have two approaches for introducing IMS and building an IMS eco-system: • Buying IMS from a large vendor or system integrator. Vendors like Alcatel-Lucent, Ericsson

Review of Dosimetric Methods for Mammography in the UK Breast Screening Programme

International Nuclear Information System (INIS)

Young, K.C.; Ramsdale, M.L.; Bignell, F.

1998-01-01

The two methods used to monitor dose in mammography in the UK Breast Screening Programme are reviewed. The first is the measurement of mean glandular dose to a standard breast. The second is the estimation of mean glandular dose for individual women using the X ray exposure factors. Neither method takes account of variations in breast composition and the effect of this on estimates of glandular dose are reported. Applying the standard breast model using PMMA resulted in substantial overestimates of breast doses for women with large compressed breast thicknesses because they tend to have low glandular content. Conversely the use of post-exposure data to estimate the MGDs in women attending screening with large breasts resulted in underestimates of their doses unless the relatively low levels of glandularity were taken into account. When estimating the MGDs for breasts of different sizes, it is important that the models and methods used take account of the strong variation in breast composition with compressed thickness. (author)

Criminal law in the system of legal instruments under environmental law. Shown by examples of German and U.S. American clean air policy; Das Strafrecht im System umweltrechtlicher Instrumentarien. Am Beispiel deutscher und US-amerikanischer Luftreinhaltepolitik

Energy Technology Data Exchange (ETDEWEB)

Rohr, B.M. von

1995-12-31

The authoress presents an analysis of the entire range of governmental instruments and measures and their systematic interlacement, as available under the German or the U.S. American law for protection of the environment. This analysis is the basis for the subsequent study aiming at clarifying the legitimacy and the required design of laws and regulations defining crimes and sanctions or penalties in the system of environmental law. The authoress derives a characterisation of legislative intent and mode of application of environmental criminal law which differs from that of the ``classic`` criminal law. Pursuing from this characterisation of legal instruments and methods, and from the framework of governmental action and related alternatives available under U.S. legislation, the authoress explains a number of appoaches recommended for reform and amendment of the current German system of environmental criminal law, which hitherto has shown low efficiency. (orig.) [Deutsch] Die Autorin nimmt eine Analyse der Gesamtheit staatlicher Massnahmen und ihrer systematischen Beziehungen im deutschen und US-amerikanischen Umweltrecht vor. Diese Analyse bildet die Grundlage der zentralen Frage der Untersuchung nach der Legitimitaet und notwendigen Struktur umweltstrafrechtlicher Normen. Dabei kommt die Autorin zu einer vom klassischen Kernstrafrecht abweichenden Funktionsbestimmung des Umweltstrafrechts. Ausgehend von dieser Positionsbestimmung des Strafrechts und den in den USA vorgefundenen Handlungsalternativen entwickelt die Autorin eine Reihe von Reformvorschlaegen als Antwort auf die derzeitige Ineffizienz der des deutschen Umweltstrafrechts. (orig.)

Wildnisbildung als Möglichkeit zur Professionalisierung zukünftiger Geographielehrer/innen – ein neuer Ansatz zur Bildung für nachhaltige Entwicklung?. GW-Unterricht|GW-Unterricht 142/143|

OpenAIRE

Lindau, Anne-Kathrin; Hottenroth, Daniela; Lindner, Martin

2016-01-01

Der in den deutschen Nationalparken seit mehreren Jahren thematisierte und praktizierte Ansatz der Wildnisbildung stellt möglicherweise einen neuen Zugang zur Bildung für nachhaltige Entwicklung (BNE) in der universitären Lehrer/innenbildung im Fach Geographie dar. Am Beispiel des DBU-geförderten Projektes „Wildnis macht stark“ wird eine Konzeption für die Umsetzung von Wildnisbildung im Rahmen des Geographie-Lehramtsstudiums vorgestellt und mit ersten Forschungsergebnissen zur Wirksamkeit in...

Abfallverbrennung in Deutschland - Entwicklungen und Kapazitäten (KIT Scientific Reports ; 7560)

OpenAIRE

Richers, Ulf

2010-01-01

Die Verbrennung von Abfällen bildet in Deutschland seit vielen Jahrzehnten einen wichtigen Beitrag zur Abfallentsorgung. In der Arbeit werden im ersten Teil ausgewählte Standorte von Abfallverbrennungsanlagen ausführlich beschrieben, um die Vielfalt der technischen Realisierungsmöglichkeiten und die Veränderungen im Lauf der Zeit zu dokumentieren. Der zweite Teil umfasst die Bestimmung der Verbrennungskapazität von deutschen Abfallverbrennungsanlagen, die überwiegend Siedlungsabfälle einsetze...

Kundalini Yoga, Yogi Tee und das Wassermannzeitalter: Bibliografische Einblicke in die Healthy, Happy, Holy Organization (3HO) des Yogi Bhajan

OpenAIRE

Laue, Thorsten

2008-01-01

Obwohl seit 40 Jahren im Westen aktiv, ist die Healthy, Happy, Holy Organization (3HO) des Yogi Bhajan (1929-2004) von der deutschen wie internationalen Forschung weitestgehend übersehen worden. Um dieser Forschungslücke entgegenzuwirken, verfasste ich 2003 meine religionswissenschaftlich begründete Magisterarbeit Darstellung und Quellen der 3HO Deutschland e.V. Aus dem Darstellungsteil entstand die 2007 im Münsteraner LIT-Verlag publizierte Monographie Kundalini Yoga, Yogi Tee und das Wasser...

Verletzungspotential für Kinder und Jugendliche beim Trampolinspringen

OpenAIRE

Kosev, I; Folz, B

2015-01-01

Hintergrund: 62% der Deutschen haben ein Trampolin in ihrem Garten. Die Sprunggeräte gehören inzwischen fast zur Standardspielausrüstung. Im Rahmen unserer Beobachtungen über Unfallverletzungen der Kopf-Hals-Region zeigte sich, dass das Trampolinspringen mit Verletzungen im Kopf/Hals-Bereich einhergehen kann. In der vorliegenden Arbeit handelt es sich um eine prospektive Analyse der in den letzten Jahren an unserer Klinik behandelten Patienten mit Trampolinverletzungen. Methode: In dieser Ü...

IMS Application Developer's Handbook Creating and Deploying Innovative IMS Applications

CERN Document Server

Noldus, Rogier; Mulligan, Catherine; Fikouras, Ioannis; Ryde, Anders; Stille, Mats

2011-01-01

IMS Application Developer Handbook will give a hands-on view of exactly what needs to be done by IMS application developers to write an application and take it "live" on an operator's network. It will offer practical guidance on building innovative applications using the features and capabilities of the IMS network, show how the rapidly changing development environment is impacting on the business models employed in the industry and how existing network solutions can be moved towards IMS. The book will also elaborate on how IMS applies basic VoIP principles and techniques to realise a true mul

O papel do alemão na União Européia: um caso particular?

Directory of Open Access Journals (Sweden)

Wolfgang Roth

1998-11-01

Full Text Available Der vorliegende Aufsatz behandelt die Sprachensituation in der Europäischen Union mit Schwerpunkt auf der Rolle der deutschen Sprache. Beginnend mit einigen allgemeinen Bemerkungen zu den historischen Zusammenhängen, die die relative Wichtigkeit einer bestimmten Sprache im Weltmaßstab beeinflussen können, wird die Geschichte der deutschen Sprache mit dem Ziel diskutiert, ihre gegenwärtige Situation als die Sprache mit der größten Zahl von Muttersprachlern in Europa und gleichzeitig einer verhältnismäßig unwichtigen Rolle in der internationalen Kommunikation zu erklären.

Screening of in vitro derived mutants of banana against nematodes ...

African Journals Online (AJOL)

The rest of the mutants namely Ro Im V4 6-1-2 and Si Im V4 6-2-5 were found to be susceptible to nematodes. The resistant and moderately resistant mutants of banana could be further used in breeding programmes as well as being recognized as potential cultivars of commerce. Key words: Banana, nematode, resistance, ...

Population Based Cancer Screening Programmes as a Teachable Moment for Primary Prevention Interventions. A Review of the Literature

Energy Technology Data Exchange (ETDEWEB)

Senore, Carlo; Giordano, Livia; Bellisario, Cristina; Di Stefano, Francesca; Segnan, Nereo, E-mail: carlo.senore@cpo.it [Epidemiologia dei Tumori II, AOU S Giovanni Battista – CPO Piemonte, Torino (Italy)

2012-05-08

Background and aim: Unhealthy diet, physical inactivity, and smoking are key risk factors for the major non-communicable diseases such as cancer, cardiovascular diseases, and diabetes. The screening procedure may represent an ideal setting for promoting healthy lifestyles as it represents a time when subjects are probably more inclined to consider a relationship between their own habits and their effects on health. The aim of this study is to review available evidence concerning interventions combining screening and primary prevention interventions, aimed at promoting the adoption of healthy lifestyles. Methods: We searched the MEDLINE and Cochrane library electronic databases for intervention studies of primary prevention interventions implemented in the context of established screening programmes, or of pilot screening projects, where the study design included a comparison group. Results: Comprehensive interventions are acceptable for asymptomatic subjects targeted for cancer screening, can result in improvements and may be cost–effective. A positive impact of these interventions in favoring the adoption of cancer protective dietary behaviors was observed in all studies. Conflicting results were instead reported with respect to physical activity, while no impact could be observed for interventions aimed to favor smoking cessation. Conclusions: The retrieved studies suggest that the screening setting may offer valuable opportunities to provide credible, potentially persuasive life style advice, reaching a wide audience. A multiple risk factor approach may maximize the benefit of behavioral change, as the same health related habits are associated not only with cancers targeted by screening interventions, but also with other cancers, coronary artery disease, and other chronic conditions, while unhealthy behaviors may be mutually reinforcing. In order to cover a maximum number of possibilities, health education programmes should include multiple strategies

Population Based Cancer Screening Programmes as a Teachable Moment for Primary Prevention Interventions. A Review of the Literature

International Nuclear Information System (INIS)

Senore, Carlo; Giordano, Livia; Bellisario, Cristina; Di Stefano, Francesca; Segnan, Nereo

2012-01-01

Background and aim: Unhealthy diet, physical inactivity, and smoking are key risk factors for the major non-communicable diseases such as cancer, cardiovascular diseases, and diabetes. The screening procedure may represent an ideal setting for promoting healthy lifestyles as it represents a time when subjects are probably more inclined to consider a relationship between their own habits and their effects on health. The aim of this study is to review available evidence concerning interventions combining screening and primary prevention interventions, aimed at promoting the adoption of healthy lifestyles. Methods: We searched the MEDLINE and Cochrane library electronic databases for intervention studies of primary prevention interventions implemented in the context of established screening programmes, or of pilot screening projects, where the study design included a comparison group. Results: Comprehensive interventions are acceptable for asymptomatic subjects targeted for cancer screening, can result in improvements and may be cost–effective. A positive impact of these interventions in favoring the adoption of cancer protective dietary behaviors was observed in all studies. Conflicting results were instead reported with respect to physical activity, while no impact could be observed for interventions aimed to favor smoking cessation. Conclusions: The retrieved studies suggest that the screening setting may offer valuable opportunities to provide credible, potentially persuasive life style advice, reaching a wide audience. A multiple risk factor approach may maximize the benefit of behavioral change, as the same health related habits are associated not only with cancers targeted by screening interventions, but also with other cancers, coronary artery disease, and other chronic conditions, while unhealthy behaviors may be mutually reinforcing. In order to cover a maximum number of possibilities, health education programmes should include multiple strategies

Appropriateness of endoscopic surveillance recommendations in organised colorectal cancer screening programmes based on the faecal immunochemical test.

Science.gov (United States)

Zorzi, Manuel; Senore, Carlo; Turrin, Anna; Mantellini, Paola; Visioli, Carmen Beatriz; Naldoni, Carlo; Sassoli De' Bianchi, Priscilla; Fedato, Chiara; Anghinoni, Emanuela; Zappa, Marco; Hassan, Cesare

2016-11-01

To assess the appropriateness of recommendations for endoscopic surveillance in organised colorectal cancer (CRC) screening programmes based on the faecal immunochemical test (FIT). 74 Italian CRC screening programmes provided aggregated data on the recommendations given after FIT-positive colonoscopies in 2011 and 2013. Index colonoscopies were divided into negative/no adenoma and low- risk, intermediate-risk and high-risk adenomas. Postcolonoscopy recommendations included a return to screening (FIT after 2 years or 5 years), an endoscopic surveillance after 6 months or after 1 year, 3 years or 5 years, surgery or other. We assessed the deviation from the postcolonoscopy recommendations of the European Guidelines in 2011 and 2013 and the correlation between overuse of endoscopic surveillance in 2011 and the process indicators associated with the endoscopic workload in 2013. 49 704 postcolonoscopy recommendations were analysed. High-risk, intermediate-risk and low-risk adenomas, and no adenomas were reported in 5.9%, 19.3%, 15.3% and 51.5% of the cases, respectively. Endoscopic surveillance was inappropriately recommended in 67.4% and 7%, respectively, of cases with low-risk and no adenoma. Overall, 37% of all endoscopic surveillance recommendations were inappropriate (6696/17 860). Overuse of endoscopic surveillance was positively correlated with the extension of invitations (correlation coefficient (cc) 0.29; p value 0.03) and with compliance with post-FIT+ colonoscopy (cc 0.25; p value 0.05), while it was negatively correlated with total colonoscopy waiting times longer than 60 days (cc -0.26; p value 0.05). In organised screening programmes, a high rate of inappropriate recommendations for patients with low risk or no adenomas occurs, affecting the demand for endoscopic surveillance by a third. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

Pre-entry screening programmes for tuberculosis in migrants to low-incidence countries: a systematic review and meta-analysis.

Science.gov (United States)

Aldridge, Robert W; Yates, Tom A; Zenner, Dominik; White, Peter J; Abubakar, Ibrahim; Hayward, Andrew C

2014-12-01

Several high-income countries have pre-entry screening programmes for tuberculosis. We aimed to establish the yield of pre-entry screening programmes to inform evidence-based policy for migrant health screening. We searched six bibliographic databases for experimental or observational studies and systematic reviews, which reported data on migrant screening for active or latent tuberculosis by any method before migration to a low-incidence country. Primary outcomes were principal reported screening yield of active tuberculosis, yield of culture-confirmed cases, and yield of sputum smear for acid-fast bacilli cases. Where appropriate, fixed-effects models were used to summarise the yield of pre-entry screening across included studies. We identified 15 unique studies with data for 3 739 266 migrants screened pre-entry for tuberculosis between 1982 and 2010. Heterogeneity was high for all primary outcomes. After stratification by prevalence in country of origin, heterogeneity was reduced for culture-confirmed and smear-confirmed cases. Yield of culture-confirmed cases increased with prevalence in the country of origin, and summary estimates ranged from 19·7 (95% CI 10·3-31·5) cases identified per 100 000 individuals screened in countries with a prevalence of 50-149 cases per 100 000 population to 335·9 (283·0-393·2) per 100 000 in countries with a prevalence of greater than 350 per 100 000 population. Targeting high-prevalence countries could result in the highest yield for active disease. Pre-entry screening should be considered as part of a broad package of measures to ensure early diagnosis and effective management of migrants with active tuberculosis, and be integrated with initiatives that address the health needs of migrants. Wellcome Trust, UK National Institute for Health Research, Medical Research Council, Public Health England. Copyright © 2014 Aldridge et al. Open Access article distributed under the terms of CC BY. Published by Elsevier

A two-stage extraction procedure for insensitive munition (IM) explosive compounds in soils.

Science.gov (United States)

Felt, Deborah; Gurtowski, Luke; Nestler, Catherine C; Johnson, Jared; Larson, Steven

2016-12-01

The Department of Defense (DoD) is developing a new category of insensitive munitions (IMs) that are more resistant to detonation or promulgation from external stimuli than traditional munition formulations. The new explosive constituent compounds are 2,4-dinitroanisole (DNAN), nitroguanidine (NQ), and nitrotriazolone (NTO). The production and use of IM formulations may result in interaction of IM component compounds with soil. The chemical properties of these IM compounds present unique challenges for extraction from environmental matrices such as soil. A two-stage extraction procedure was developed and tested using several soil types amended with known concentrations of IM compounds. This procedure incorporates both an acidified phase and an organic phase to account for the chemical properties of the IM compounds. The method detection limits (MDLs) for all IM compounds in all soil types were regulatory risk-based Regional Screening Level (RSL) criteria for soil proposed by the U.S. Army Public Health Center. At defined environmentally relevant concentrations, the average recovery of each IM compound in each soil type was consistent and greater than 85%. The two-stage extraction method decreased the influence of soil composition on IM compound recovery. UV analysis of NTO established an isosbestic point based on varied pH at a detection wavelength of 341 nm. The two-stage soil extraction method is equally effective for traditional munition compounds, a potentially important point when examining soils exposed to both traditional and insensitive munitions. Copyright © 2016 Elsevier Ltd. All rights reserved.

Screening for Infectious Diseases among Newly Arrived Migrants in EU/EEA Countries—Varying Practices but Consensus on the Utility of Screening

Directory of Open Access Journals (Sweden)

Tommi Kärki

2014-10-01

Full Text Available Screening is one possible tool for monitoring infectious diseases among migrants. However, there is limited information on screening programmes targeted for newly arrived migrants in EU/EEA countries. Our aim was to investigate the implementation, practices and usefulness of these programmes. We conducted a survey among country experts from EU/EEA countries and Switzerland, asking whether their countries had implemented screening programmes. We also estimated the association between the implementation of these programmes and the rate of asylum-seekers in the population. Of the countries, 16 (59% had implemented screening programmes and 15 (56% had national guidelines. The rate of asylum-seekers was associated with implementation of screening programmes (p = 0.014. Screening was performed most often for tuberculosis; most commonly on holding level, and was targeted to specific migrant groups in over half of the countries performing screening. Twenty-five of all the country experts (96% considered screening among migrants useful, and 24 (92% would welcome EU level guidelines for screening. The implementation of screening programmes varied, and the practices were different among countries. Our survey suggests, that establishing EU level guidelines for screening would be useful, although they would have to take into account differences between individual countries.

Phraseologismen und stereotype Sprechakte im Deutschen und im Französischen

Directory of Open Access Journals (Sweden)

Kauffer, Maurice

2013-12-01

Full Text Available The topic of this paper is the definition and lexicographic treatment of pragmatic phraseologisms and in particular stereotypical speech acts in German and French. We begin with a critical examination of the traditional distinctions within pragmatic phraseologisms, i. e. between formulaic expressions, context-dependent phraseologisms and phraseologisms functioning as sentences. As a result, we propose a new, more clearly delineated set of stereotypical speech acts, i. e. phrases such as Na warte mal!,Sieh mal einer an!, Tu parles ! Tu vois ce que je vois ?.Stereotypical speech acts meet three requirements: semantic idiomaticity, utterance value and pragmatic function, and are generally used in spontaneous or fiction dialogues. Finally, we present a context-rich, corpus-based, bilingual dictionary of stereotypical speech acts that is being compiled in Nancy. Content and design of the dictionary are illustrated by two examples, la belle affaire and das ist die Höhe.

Mammography screening in Denmark

DEFF Research Database (Denmark)

Vejborg, Ilse; Mikkelsen, Ellen Margrethe; Garne, Jens Peter

2011-01-01

Mammography screening is offered healthy women, and a high standard on professional and organizational level is mandatory not only in the screening programme but even in the diagnostic work-up and treatment. The main goal is to achieve a substantial reduction in disease specific mortality......, but it is not possible to evaluate the effect on mortality until several years later, and continuously monitoring of the quality of all aspects of a screening programme is necessary. Based on other European guidelines, 11 quality indicators have been defined, and guidelines concerning organizational requirements...... for a Danish screening programme as well as recommendations for the radiographic and radiological work have been drawn up....

Impact of the digitalisation of mammography on performance parameters and breast dose in the Flemish Breast Cancer Screening Programme.

Science.gov (United States)

Timmermans, Lore; De Hauwere, An; Bacher, Klaus; Bosmans, Hilde; Lemmens, Kim; Bleyen, Luc; Van Limbergen, Erik; Martens, Patrick; Van Steen, Andre; Mortier, Griet; Van Herck, Koen; Thierens, Hubert

2014-08-01

To investigate the impact of digitalisation on performance parameters and breast dose of the Flemish Breast Cancer Screening Programme. Both computed (CR) and direct radiography (DR) are compared with screen-film mammography (SFM). Data from 975,673 mammographic examinations were collected from units which underwent digitalisation from SFM to CR (41 units) or DR (72 units) in the period 2005-2011. Performance indicators were obtained by consulting the Screening Programme database. Phantom and patient dosimetry data were acquired from the physical technical quality assurance of the programme. Digitalisation induced no significant change in cancer detection rate (CDR), percentage of ductal carcinomas in situ and percentage of breast cancers smaller than 1 cm. A decrease in false-positive results and third readings was observed, which was a time-related observation. After digitalisation, positive predictive value (PPV) increased and recall rates decreased. Compared with SFM, an increase of 30% in mean glandular dose (MGD) was found for CR, while a similar change in the opposite direction was found for DR. No major differences in performance parameters after digitalisation were found. Transition of SFM to CR resulted in a higher MGD and associated lower detection-over-induction ratio (DIR), while the change to DR induced an improvement of DIR. • Performance parameters showed no major differences after digitalisation to CR or DR. • Transition from SFM to CR results in a higher mean glandular dose. • Transition from SFM to DR results in a lower mean glandular dose.

Background information and first results on eco-audits in the water management and disposal sector; Hintergruende und Erfahrungen zur Oekoauditierung im Wasser- und Entsorgungsbereich

Energy Technology Data Exchange (ETDEWEB)

Keune, H.

1996-07-01

In spite of the large number of publications on eco-auditing, there are still details that are not generally known and may come as a surprise. The author presents various aspects of auditing, e.g. the indirect effects of customers`s wishes and competitors on the incentives given by new legal regulations, on the obstacles to eco-auditing posed by European and German legislation, and the fears of auditing. (orig.) [Deutsch] Trotz einer kaum noch ueberschaubaren Zahl von Veroeffentlichungen zum Oeko-Audit gibt es immer noch Details, die nicht allgemein bekannt sind und die zuweilen sogar noch ueberraschen koennen. Der Autor geht auf verschiedene Aspekte im Zusammenhang mit der Auditierung ein: Auf den `indirekten Zwang`, der von Kunden und der Konkurrenz ausgeuebt wird, auf die Anreize durch neue gesetzliche Regelungen, auf die Huerden der Auditierung aufgrund der EU-Verordnung und des deutschen Umweltaudit-Gesetzes zusammen mit dem Verwaltungs- und Strafrecht, dem Umweltinformationsrecht und dem Recht ueber den unlauteren Wettbewerb sowie auf die Angst vor der Auditierung. (orig.)

Risk and benefit associated with radiation dose in breast screening programmes - an update

International Nuclear Information System (INIS)

Law, J.

1995-01-01

This paper discusses and attempts to estimate the very small numbers of women attending the UK Breast Screening Programme for whom the risk of cancer induction may exceed the probability of cancer detection. It updates a previous paper on the same topic. Variations in breast dose between individuals, due to differences in breast size and in numbers of views and films taken, are considered and revised. New data on cancer induction and its variation with age at exposure have been employed. The overall effect of these changes is generally to improve the balance of benefit against risk compared with the previous paper referred to, the very few exceptions being categories where the numbers of women in question remain of the order of one in a million. The implications for certain alternative screening schedules and for some current trials are also discussed, the conclusions being again reasonably reassuring. (author)

I'm a Map, I'm a Green Tree

Science.gov (United States)

Anderson, Daniel

2010-01-01

I'm talking about the ways we represent ourselves and our world. I've put some thoughts on the topic together here--a gathering that enacts new media creating and takes up conceptual layers like metaphors, models, and composing. The primary sources are videos from the Get a Mac campaign, aka I'm a Mac; I'm a PC ads. Posthuman concepts blending…

Medium-term forecast of the Germany-wide electricity supply to final consumers for the calendar years 2016 to 2020. Study on behalf of the German transmission system operators; Mittelfristprognose zur Deutschland-weiten Stromabgabe an Letztverbraucher fuer die Kalenderjahre 2016 bis 2020. Studie im Auftrag der Deutschen Uebertragungsnetzbetreiber

Energy Technology Data Exchange (ETDEWEB)

Elsland, Rainer; Bossmann, Tobias; Klingler, Anna-Lena; Friedrichsen, Nele; Klobasa, Marian

2015-10-15

almost decisive for the amount of the EEG apportionment, depends on the development of the privileged final consumption and the associated payment flows. The amendment of the EEG in 2014 also resulted in a reform of the special compensation scheme (BesAR). This implies a much more complex calculation methodology for the calculation of privileged final consumption quantities. For 2016, a privileged final consumption of about 104 TWh is expected, which is slightly below the level of the previous years. This declining trend will continue in the coming years due to efficiency improvements in the industry, reaching a level of 101 TWh in 2020. The related allocation payments amount to 467 million Euros in 2016. Taking into account the prognosticated amounts for net electricity demand, self-procured self-supply and privileged final consumption, a non-privileged final consumption amounting to around 356 TWh results for 2016. It can be expected that the future decline in demand for net electricity will have a direct impact on the medium-term development of non-privileged final consumption, as the increase in self-sufficiency is compensated by a reduction in privileged final consumption. Accordingly, non-privileged final consumption is reduced to 351 TWh by the year 2020. [German] Die deutschen Uebertragungsnetzbetreiber sind verpflichtet, kalenderjaehrlich Prognosen zur Entwicklung der bundesweiten EEG-Umlage zu erstellen und zu veroeffentlichen. Ein wesentlicher Bestandteil dieser Untersuchung stellt eine Prognose der Stromabgabe an Letztverbraucher dar. Dabei ist neben dem Stromverbrauch der Eigenversorger auch der Letztverbrauch differenziert nach Privilegierungskategorien zu untersuchen, fuer den die EEG-Umlage in verringerter Hoehe gezahlt werden muss. Der Letztverbrauch betrug im Jahr 2014 in etwa 463 TWh und sinkt kontinuierlich bis zum Jahr 2020 auf etwa 446 TWh ab. Im Jahr 2016 betraegt der Letztverbrauch rund 460 TWh. Der Rueckgang des Letztverbrauchs faellt

Visuell-verbale Beziehungszusammenhänge im Comic. Eine Untersuchung anhand ausgewählter franko-belgischer Comics und der jeweiligen deutschen Übersetzungen.

OpenAIRE

Schröder, Katja

2013-01-01

Comics erfreuen sich bei allen Altersgruppen großer Beliebtheit und bereits in der Kindheit beginnen viele mit dem Lesen von Micky Maus-Magazinen oder Asterix-Bänden. Sie werden im Schulunterricht verwendet, es werden Tagungen, Messen und Festivals (Wichtige Veranstaltungen sind in dieser Hinsicht der Comic-Salon in Erlangen, das Comicfestival München, das Sym-posium zur Förderung und Vernetzung der Comicforschung Comics - Intermedial und Interdisziplinär und vor allem das Festival) zum Them...

Israel-Solidarität in Welt und Jungle World: Die Grenzen des Links-Rechts-Spektrums

Directory of Open Access Journals (Sweden)

Anja Hempel

2014-07-01

Full Text Available Die vorliegende Studie untersucht Gemeinsamkeiten und Unterschiede in der Israel- Berichterstattung der Zeitungen Welt und Jungle World. Trotz ihrer gegensätzlichen Positionierung im politischen Links-Rechts-Spektrum, ist den beiden Medien eine solidarische Haltung gegenüber dem Staat Israel gemeinsam. Damit stehen sie dem Mainstream deutscher Medien entgegen, die laut bestehenden empirischen Untersuchungen eher israelkritisch berichten. Eine einführende Analyse des historischen Hintergrunds verortet das Verhältnis von Deutschland und deutschen Medien zu Israel und beschreibt die Entwicklung der Israel-Solidarität innerhalb der deutschen Linken und der Axel Springer AG. Mittels einer explorativen Clusteranalyse wurden Medien-Frames ermittelt, die sich in Meinungsartikeln der Jungle World und der Welt widerspiegeln. Ein intermedialer Vergleich zur quantitativen Verwendung dieser Frames wurde durch eine qualitative Sprach- und Themenanalyse ergänzt. Im Ergebnis des Forschungsberichts werden Hypothesen abgeleitet, die vielfältige Anknüpfungspunkte für weiterführende Forschung bieten.

Marketing research concentrating on households as electricity consumers; Marktforschung bei Haushaltskunden

Energy Technology Data Exchange (ETDEWEB)

Borch, G. [Berliner Kraft- und Licht (BEWAG)-AG, Berlin (Germany); Nickel, M. [VDEW-Hauptgeschaeftsstelle, Frankfurt am Main (Germany)

1998-07-13

The emerging competition on the electric power market is expected to be primarily used in the beginning by industrial or commercial customers. In Germany, households will also have free access to the competitive market right after deregulation of the market, so that private customers may likewise wish to exploit their chances and electric utilities should continue to consider the private households in their marketing concepts. The German electric power companies launched a variety of marketing research projects concentrating on the households. The article here analyses and explains the results. (orig./CB) [Deutsch] Der kommende Wettbewerb im Strommarkt wird sich zunaechst auf die grossen Geschaeftskunden konzentrieren. In Deutschland werden auch die Haushaltskunden von Anfang an freien Zugang zum Markt haben. Diese Chance werden viele Kunden nutzen wollen. Die deutschen Stromversorger muessen den Haushaltskunden deshalb weiterhin Aufmerksamkeit schenken. Die deutschen Stromversorger haben mit mehreren Marktforschungsprojekten den Strommarkt Haushalte unter verschiedenen Aspekten untersucht. Die Ergebnisse werden im vorliegenden Beitrag dargestellt. (orig.)

DRGs: Auswirkungen auf Ökonomie und Struktur einer Krankenhausabteilung am Beispiel der Plastischen Chirurgie

OpenAIRE

Heinze, Ralf M.

2010-01-01

Mit der Einführung des DRG-Systems als Abrechnungsinstrument in deutschen Kliniken änderten sich die Abrechnungsmodalitäten grundlegend. Für die Abbildung des Fachbereiches Plastische Chirurgie im DRG-System lagen bisher noch keine ausführlichen Daten vor. In dieser Arbeit werden mit der Untersuchung und Auswertung von 236 Diagnosen und 1302 Prozeduren aus dem plastisch chirurgischen Fachgebiet und deren DRG-Einordnung erstmals umfassende Daten über die Abbildung der Plastischen Chirurgie im ...

Der Preis als Kaufbarriere?

DEFF Research Database (Denmark)

Mueller Loose, Simone

2012-01-01

Konsumenten im benachbarten europäischen Ausland (vgl. BVE 2011). Auch der im europäischen Vergleich hohe Marktanteil von Discountern ist ein Indi-kator dafür, dass die Deutschen beim Einkauf von Lebensmitteln weniger qualitäts- und stärker preisorientiert sind (vgl. Zühlsdorf/Spiller 2012). Nicht nur durch......-braucher beim Einkauf von Lebensmitteln hat und gibt einen Überblick über vorhandene empirische Ergebnisse zur Preisbereitschaft für gesunde Lebensmittel....

Reasons for participating in the Valencian Community Colorectal Cancer Screening Programme by gender, age, and social class

Directory of Open Access Journals (Sweden)

Ana Molina-Barceló

2014-08-01

Full Text Available Objective: To know the reasons to participate or not in a colorectal cancer (CCR screening programme and to analyze the differences by sex, age and social class. Methods: Cross-sectional study by a telephone survey directed to a sample of men and women aged between 50-74 year old, participants (n = 383 and non participants (n = 383 in the CCR screening programme of Valencian Community. Descriptive analysis and logistic regression models estimating the Odds Ratio (p < 0.05. Results: The main reasons to participate are "it is important for health" (97.9 % and "the test is easy" (97.6 %; and to non participate are "no CCR symptoms" (49.7 % and "didn't receive invitation letter" (48.3 %. Women are more likely not to participate if the reason was to consider the "test unpleasant" (OR: 1.82; IC: 1.00-3.28, and men if the reason was "lack of time" (OR 0.51; IC: 0.27-0.97; persons 60 or more years old if the reason was "diagnostic fear" (OR: 2.31; IC: 1.11-4.80, and persons 50-59 years old if was "lack of time" (OR 0.44; IC: 0.23-0.85; non manual social class persons if the reason was "lack of time" (OR: 2.66; IC: 1.40-5.10; manual women if the reason was "embarrassment to perform the test" (OR: 0.37; IC: 0.14-0.97; and non manual men if was "lack of time" (OR: 4.78; IC: 1.96-11.66. Conclusions: There are inequalities in the reasons for not participating in CCR screening programmes by sex, age and social class. It would be advisable to design actions that incorporate specific social group needs in order to reduce inequalities in participation.

High incidence of hypermethioninaemia in a single neonatal intensive care unit detected by a newly introduced neonatal screening programme

NARCIS (Netherlands)

ten Hoedt, A. E.; van Kempen, A. A.; Boelen, A.; Duran, M.; Kemper-Proper, E. A.; Oey-Spauwen, M. J. W.; Wijburg, F. A.; Bosch, A. M.

2007-01-01

From 1 January 2007 an expanded neonatal screening programme was initiated in the Netherlands, including homocystinuria with methionine as the primary marker. During the first 2 months hypermethioninaemia was detected in 14 newborns who, after proper evaluation, were demonstrated not to have

A língua como pátria

Directory of Open Access Journals (Sweden)

Irene Aron

2006-12-01

Full Text Available Die Beispiele von Paul Celan und Rose Ausländer zeigen einige dramatische Aspekte des komplexen Verhältnisses zwischen Sprache und Identität, bzw. zwischen der deutschen Sprache im Dritten Reich und der literarischen Identität beider Dichter jüdischer Herkunft. Viktor Klemperer ist das Beispiel eines assimilierten Juden, der stets sein Deutschtum und seine tiefe Zugehörigkeit zu Deutschland und der deutschen Kultur unterstreicht. Ruth Klüger gehört zu einer späteren Generation, die sich eigentlich heimatlos fühlt, aber auch in der deutschen Sprache eine literarische Heimat findet. Canetti, Nobelpreisträger, ein sephardischer Jude, der in Bulgarien geboren ist, wählt für sich als Kosmopolit, als Mensch und Dichter eine Heimat, wo die deutsche Sprache und Kultur die Grenzen bilden.

Climate protection by reducing the emissions of greenhouse gases in households and the tertiary sector through climate-conscious behaviour. Vol. 1; Klimaschutz durch Minderung von Treibhausgasemissionen im Bereich Haushalte und Kleinverbrauch durch klimagerechtes Verhalten. Bd. 1. Private Haushalte

Energy Technology Data Exchange (ETDEWEB)

Brohmann, B; Cames, M

2000-06-01

The aim of the project was to identify areas in households and the tertiary sector in which changes in behaviour could result in energy conservation and thus a reduction of greenhouse gas emissions, and to quantify the potentials for 1995, 2005 and 2020. A second focus was on the analysis and evaluation of programmes and instruments to realise the potentials. With literature evaluation, expert interviews, and a household servey potentials and further technical development have been identified. In sum, behavioural measures can contribute to the CO2 reduction by 64 million tons in 1995 in households and 27 in the commercial sector in which the potential decreases to 18 million tons in 2020 due to the autonomous technical development. Adequate promotion programmes can help to realise 20-30% of the potential by 2020. (orig.) [German] Ziel des Vorhabens war, im Sektor private Haushalte und Kleinverbrauch Bereiche zu identifizieren, in denen Verhaltensaenderungen zur Energieeinsparung fuehren koennen, und diese Potenziale fuer 1995, 2005 und 2020 zu quantifizieren. Darauf aufbauend waren Programme und Instrumente zur Umsetzung aufzuzeigen und zu bewerten. Gestuetzt auf Literaturrecherchen und Expertengespraeche wurden Einzelpotenziale, Rahmenbedingungen, Entwicklungstrends in der Technik und im Ausstattungsgrad ermittelt. Insgesamt koennten Verhaltensmassnahmen im Haushaltssektor die CO2-Emissionen im Basisjahr 1995 um 64 Mio, im Kleinverbrauch um 27 Mio t vermindern. Bis 2020 bleibt dieses Potenzial im Haushaltssektor in etwa gleich. Im Kleinverbrauch sinkt es infolge der autonomen Technikentwicklung auf 18 Mio t ab. Durch geeignete Programme koennen bis 2020 etwa 20-30% des Potenzials erreicht werden. (orig.)

Abstracts – eine facettenreiche Textsorte der Wissenschaft

Directory of Open Access Journals (Sweden)

Ines Busch-Lauer

2012-01-01

Full Text Available Der Beitrag beschreibt die Relevanz der informationsverdichtenden Textsorte Abstract in der Wissenschaftskommunikation. Im Mittelpunkt stehen die Definition, die Klassifikation und die Struktur sowie ausgewählte Merkmale dieser Textsorte.Im ersten Teil des Beitrags werden die unterschiedlichen Arten von Abstracts anhand von Textbeispielen aus der Linguistik, der Medizin und den Technikwissenschaften expliziert. Im zweiten Teil untersucht der Beitrag anhand von Abstracts, die von deutschen Studierenden der Technik- und Ingenieurwissenschaften im Rahmen ihrer fachbezogenen Englischausbildung verfasst wurden, inwieweit die textsortenimmanenten Merkmale auch von Lernenden in der Textproduktion in der Fremdsprache umgesetzt wurden. Mit dieser qualitativ beschreibenden Untersuchung trägt die Studie zur kontrastiven Fachtextsortenbeschreibung und andererseits als Praxisbericht zur Vermittlung von Textsorten im fachbezogenen Fremdsprachenunterricht an Hochschulen bei.

Hepatitis B and C surveillance and screening programmes in the non-EU/EEA Member States of the WHO European Region

DEFF Research Database (Denmark)

Mozalevskis, Antons; Eramova, Irina; Safreed-Harmon, Kelly

2016-01-01

The hepatitis B virus (HBV) and hepatitis C virus (HCV) epidemics warrant a comprehensive response based on reliable population-level information about transmission, disease progression and disease burden, with national surveillance systems playing a major role. In order to shed light on the status...... surveillance, passive case-finding and the reporting of both acute and chronic HBV and HCV. Only some countries had surveillance systems that incorporated the tracking of associated conditions and outcomes such as cirrhosis and liver transplantation. Screening programmes for some key populations appeared...... to be in place in many countries, but there may be gaps in relation to screening programmes for people who inject drugs, prisoners, sex workers and men who have sex with men. Nonetheless, important components of a surveillance structure are in place in the responding study countries. It is advisable to build...

Cooperation with UNEP/IRPTC as a contribution to the implementation of the 'Agenda 21' action programme, chapter 19 in the field of information exchange on hazardous substances; Kooperation mit UNEP/IRPTC als Beitrag zur Umsetzung des Aktionsprogramms 'Agenda 21', Kapitel 19 im Bereich Informationsaustausch ueber gefaehrliche Stoffe

Energy Technology Data Exchange (ETDEWEB)

Schock-Schmelzer, U.

1999-09-01

The United Nations 'Conference on Environment and Development' (Rio de Janeiro, June 1992) adopted the 'Agenda 21' action programme. Agenda 21, Chapter 19 'Environmentally Sound Management of Toxic Chemicals including the Prevention of Illegal International Traffic with Toxic and Dangerous Products' includes detailed instructions for activities for the improvement of chemical safety. As described in Programme Area C 'Information Exchange on Toxic Chemicals and Chemical Risks', international institutions responsible for the exchange of information on chemical risks are to be strengthened. The close cooperation between the Federal Environmental Agency and UNEP Chemicals (until 1995 UNEP/IRPTC (United Nations Environment Programme / International Register of Potentially Toxic Chemicals)) on the exchange of scientific and legal information on hazardous chemicals represents a direct and successful contribution to the implementation of Agenda 21, Chapter 19. UNEP Chemicals was supported in the area of data collection. In return, the noted data of UNEP Chemicals, which were elaborated in international cooperation, were made directly available to the Federal Environmental Agency. This cooperation with UNEP Chemicals represents an important contribution to the international exchange of data on hazardous chemicals. (orig.) [German] Die 'Konferenz der Vereinten Nationen fuer Umwelt und Entwicklung' (Rio de Janeiro, Juni 1992) verabschiedete das Aktionsprogramm 'Agenda 21'. Kapitel 19 der Agenda 21 'Umweltvertraeglicher Umgang mit giftigen Chemikalien einschliesslich der Verhinderung illegalen internationalen Handels mit giftigen und gefaehrlichen Produkten' enthaelt detaillierte Handlungsauftraege zur Verbesserung der Chemikaliensicherheit. Wie im Programmbereich C 'Informationsaustausch ueber giftige Chemikalien und Chemikalienrisiken' beschrieben, sollen internationale Zentren zum

Der Fliegende Wildretter in Aktion: DLR und BJV nutzen ferngesteuerte Flugplattform zur Rehkitzrettung

OpenAIRE

Wimmer, Tilman; Israel, Martin; Haschberger, Peter; Weimann, Anita

2013-01-01

Der Fliegende Wildretter des Deutschen Zentrums für Luft- und Raumfahrt ist als prototypische Kleinserie seit dem Jahr 2010 erfolgreich in Deutschland und Österreich im Einsatz, um aus der Luft Wildtiere während der Wiesenmahd aufzuspüren und diese so vor dem Tod durch das Mähwerk zu retten. Der Prototyp basiert auf einem ferngesteuerten Multikopter, der mit mehreren Kameras ausgestattet ist und damit im Flug zuverlässiger und wesentlich schneller Wildtiere erkennen kann, als dies mit bish...

Climate protection by reducing the emissions of greenhouse gases in households and the tertiary sector through climate-conscious behaviour. Vol. 2; Klimaschutz durch Minderung von Treibhausgasemissionen im Bereich Haushalte und Kleinverbrauch durch klimagerechtes Verhalten. Bd. 2. Gewerbe, Handel und Dienstleistung

Energy Technology Data Exchange (ETDEWEB)

Boede, U; Gruber, E [Fraunhofer-Institut fuer Systemtechnik und Innovationsforschung (ISI), Karlsruhe (Germany); Deutscher, P; Elsberger, M; Rouvel, L [Technische Univ., Muenchen (Germany). Lehrstuhl fuer Energiewirtschaft und Innovationsforschung; Brakhage, A; Jaekel, M [Abacus, Trier (Germany); Renner, G [Innovative Energieberatung, Koeln (Germany); Brohmann, B; Cames, M; Herold, A

2000-08-01

The aim of the project was to identify areas in households and the tertiary sector in which changes in behaviour could result in energy conservation and thus a reduction of greenhouse gas emissions, and to quantify the potentials for 1995, 2005 and 2020. A second focus was on the analysis and evaluation of programmes and instruments to realise the potentials. With literature evaluation, expert interviews, and a household servey potentials and further technical development have been identified. In sum, behavioural measures can contribute to the CO2 reduction by 64 million tons in 1995 in households and 27 in the commercial sector in which the potential decreases to 18 million tons in 2020 due to the autonomous technical development. Adequate promotion programmes can help to realise 20-30% of the potential by 2020. (orig.) [German] Ziel des Vorhabens war, im Sektor private Haushalte und Kleinverbrauch Bereiche zu identifizieren, in denen Verhaltensaenderungen zur Energieeinsparung fuehren koennen, und diese Potenziale fuer 1995, 2005 und 2020 zu quantifizieren. Darauf aufbauend waren Programme und Instrumente zur Umsetzung aufzuzeigen und zu bewerten. Gestuetzt auf Literaturrecherchen und Expertengespraeche wurden Einzelpotenziale, Rahmenbedingungen, Entwicklungstrends in der Technik und im Ausstattungsgrad ermittelt. Insgesamt koennten Verhaltensmassnahmen im Haushaltssektor die CO2-Emissionen im Basisjahr 1995 um 64 Mio, im Kleinverbrauch um 27 Mio t vermindern. Bis 2020 bleibt dieses Potenzial im Haushaltssektor in etwa gleich. Im Kleinverbrauch sinkt es infolge der autonomen Technikentwicklung auf 18 Mio t ab. Durch geeignete Programme koennen bis 2020 etwa 20-30% des Potenzials erreicht werden. (orig.)

Die Mathematik und andere Kurzsprachen : Über John von Neumann, The Computer and the Brain

NARCIS (Netherlands)

Leydesdorff, L.; Baecker, D.

2016-01-01

Das Buch The Computer and the Brain (1958, dt. 1991; im Folgenden wird nach der deutschen Übersetzung zitiert) ist die gedruckte Version der Silliman Lectures, die zu halten John von Neumann 1956 nach Yale eingeladen worden war. Obwohl sie bis zum März 1956 vorbereitet waren, wurden sie nie

Improved detection of Mycobacterium bovis infection in bovine lymph node tissue using immunomagnetic separation (IMS-based methods.

Directory of Open Access Journals (Sweden)

Linda D Stewart

Full Text Available Immunomagnetic separation (IMS can selectively isolate and concentrate Mycobacterium bovis cells from lymph node tissue to facilitate subsequent detection by PCR (IMS-PCR or culture (IMS-MGIT. This study describes application of these novel IMS-based methods to test for M. bovis in a survey of 280 bovine lymph nodes (206 visibly lesioned (VL, 74 non-visibly lesioned (NVL collected at slaughter as part of the Northern Ireland bovine TB eradication programme. Their performance was evaluated relative to culture. Overall, 174 (62.1% lymph node samples tested positive by culture, 162 (57.8% by IMS-PCR (targeting IS6110, and 191 (68.2% by IMS-MGIT culture. Twelve (6.9% of the 174 culture positive lymph node samples were not detected by either of the IMS-based methods. However, an additional 79 M. bovis positive lymph node samples (27 (13.1% VL and 52 (70.3% NVL were detected by the IMS-based methods and not by culture. When low numbers of viable M. bovis are present in lymph nodes (e.g. in NVLs of skin test reactor cattle decontamination prior to culture may adversely affect viability, leading to false negative culture results. In contrast, IMS specifically captures whole M. bovis cells (live, dead or potentially dormant which are not subject to any deleterious treatment before detection by PCR or MGIT culture. During this study only 2.7% of NVL lymph nodes tested culture positive, whereas 70.3% of the same samples tested M. bovis positive by the IMS-based tests. Results clearly demonstrate that not only are the IMS-based methods more rapid but they have greater detection sensitivity than the culture approach currently used for the detection of M. bovis infection in cattle. Adoption of the IMS-based methods for lymph node testing would have the potential to improve M. bovis detection in clinical samples.

Proportional incidence and radiological review of large (T2+) breast cancers as surrogate indicators of screening programme performance

International Nuclear Information System (INIS)

Ciatto, S.; Bernardi, D.; Pellegrini, M.; Borsato, G.; Peterlongo, P.; Gentilini, M.A.; Caumo, F.; Frigerio, A.; Houssami, N.

2012-01-01

Surrogate measures of screening performance [e.g. interval cancer (IC) proportional incidence] allow timely monitoring of sensitivity and quality. This study explored measures using large (T2+) breast cancers as potential indicators of screening performance. The proportional incidence of T2+ cancers (observed/expected cases) in a population-based screening programme (Trento, 2001-2009) was estimated. A parallel review of 'negative' preceding mammograms for screen-detected T2+ and for all ICs, using 'blinded' independent readings and case-mixes (54 T2+, 50 ICs, 170 controls) was also performed. T2+ cancers were observed in 168 screening participants: 48 at first screen, 67 at repeat screening and 53 ICs. The T2+ estimated proportional incidence was 68% (observed/expected = 168/247), corresponding to an estimated 32% reduction in the rate of T2+ cancers in screening participants relative to that expected without screening. Majority review classified 27.8% (15/54) of T2+ and 28% (14/50) of ICs as screening error (P = 0.84), with variable recall rates amongst radiologists (8.8-15.2%). T2+ review could be integrated as part of quality monitoring and potentially prove more feasible than IC review for some screening services. circle Interval breast cancers, assumed as screening failures, are monitored to estimate screening performance circle Large (T2+) cancers at screening may also represent failed prior screening detection circle Analysis of T2+ lesions may be more feasible than assessing interval cancers circle Analysis of T2+ cancers is a potential further measure of screening performance. (orig.)

Proportional incidence and radiological review of large (T2+) breast cancers as surrogate indicators of screening programme performance

Energy Technology Data Exchange (ETDEWEB)

Ciatto, S.; Bernardi, D.; Pellegrini, M.; Borsato, G.; Peterlongo, P. [APSS, U.O. Senologia Clinica e Screening Mammografico, Dipartimento di Radiodiagnostica, Trento (Italy); Gentilini, M.A. [APSS, Servizio Osservatorio Epidemiologico, Direzione promozione ed educazione alla salute, Trento (Italy); Caumo, F. [Centro di Prevenzione Senologica, Verona (Italy); Frigerio, A. [CRR, Centro di Riferimento Regionale per lo Screening Mammografico, Torino (Italy); Houssami, N. [University of Sydney, Screening and Test Evaluation Program, School of Public Health, Sydney Medical School, Sydney (Australia)

2012-06-15

Surrogate measures of screening performance [e.g. interval cancer (IC) proportional incidence] allow timely monitoring of sensitivity and quality. This study explored measures using large (T2+) breast cancers as potential indicators of screening performance. The proportional incidence of T2+ cancers (observed/expected cases) in a population-based screening programme (Trento, 2001-2009) was estimated. A parallel review of 'negative' preceding mammograms for screen-detected T2+ and for all ICs, using 'blinded' independent readings and case-mixes (54 T2+, 50 ICs, 170 controls) was also performed. T2+ cancers were observed in 168 screening participants: 48 at first screen, 67 at repeat screening and 53 ICs. The T2+ estimated proportional incidence was 68% (observed/expected = 168/247), corresponding to an estimated 32% reduction in the rate of T2+ cancers in screening participants relative to that expected without screening. Majority review classified 27.8% (15/54) of T2+ and 28% (14/50) of ICs as screening error (P = 0.84), with variable recall rates amongst radiologists (8.8-15.2%). T2+ review could be integrated as part of quality monitoring and potentially prove more feasible than IC review for some screening services. circle Interval breast cancers, assumed as screening failures, are monitored to estimate screening performance circle Large (T2+) cancers at screening may also represent failed prior screening detection circle Analysis of T2+ lesions may be more feasible than assessing interval cancers circle Analysis of T2+ cancers is a potential further measure of screening performance. (orig.)

Organisationsprobleme im Ökomarketing

OpenAIRE

Dienel, Wolfram

2000-01-01

Organisationsprobleme im Ökomarketing - eine transaktionskostentheoretische Analyse im Absatzkanal konventioneller Lebensmittelhandel Die im Vergleich zum großen Nachfragepotential zögerliche Entwicklung des Ökomarkts in Deutschland ist auf Organisationsprobleme zurückzuführen. Die Organisationsprobleme behindern insbesondere die großskalige Ökomarkterschließung über die konventionellen Supermarktketten, erschweren aber auch die Effizienzsteigerung im kleiner strukturierten alternativen N...

Cervical human papilloma virus (HPV) DNA primary screening test: Results of a population-based screening programme in central Italy.

Science.gov (United States)

Passamonti, Basilio; Gustinucci, Daniela; Giorgi Rossi, Paolo; Cesarini, Elena; Bulletti, Simonetta; Carlani, Angela; Martinelli, Nadia; Broccolini, Massimo; D'Angelo, Valentina; D'Amico, Maria Rosaria; Di Dato, Eugenio; Galeazzi, Paola; Malaspina, Morena; Spita, Nicoletta; Tintori, Beatrice; Giaimo, Maria Donata

2017-09-01

Objective To present the results of the first and second round human papilloma virus (HPV)-based screening programme in the Umbria region after three years. Methods From August 2010 to November 2011, the entire female population aged 35-64 in a local health district was invited for HPV testing (HPV-DNA cobas4800 on a liquid-based cytology sample). HPV-negative women were re-invited after three years. For HPV-positive women, a slide was prepared and interpreted. Positive cytologies were referred to colposcopy; negatives were referred to repeat HPV after one year. If HPV was persistently positive, women were referred to colposcopy; if negative, to normal screening. Indicators of the first and second round are compared with those of cytology screening in the same area in the preceding three years. Results Participation was 56.5%, the same as cytology (56.6%). HPV-positivity was 6.4% (396/6272), cytology triage positivity was 35.6%; 251 cytology negative women were referred to one-year HPV retesting, 84.1% complied, and 55.5% were positive. Total colposcopy referral was 4.1%, and for cytology 1%. The detection rate for cervical intraepithelial neoplasia grade 2 or more severe was 10‰, compared with 3.7‰ using cytology. After three years, HPV-positivity was 3.4% (129/3831), overall colposcopy referral was 2.3% (most at one-year follow-up), and detection rate was 0.5/1000. Conclusions The first round detection rate was more than twice that of cytology screening, while colposcopy referral increased fourfold. At the second round, the detection rate decreased dramatically, showing that longer interval and more conservative protocols are needed.

Rehkitzrettung mit dem Fliegenden Wildretter: Erfahrungen der ersten Feldeinsätze

OpenAIRE

Wimmer, Tilman; Israel, Martin; Haschberger, Peter; Weimann, Anita

2013-01-01

Der Fliegende Wildretter des Deutschen Zentrums für Luft- und Raumfahrt ist als prototypische Kleinserie seit dem Jahr 2010 erfolgreich in Deutsch-land und Österreich im Einsatz, um aus der Luft Wildtiere während der Wiesenmahd aufzuspüren, und diese so vor dem Tod durch das Mähwerk zu retten. Der Prototyp basiert auf einem ferngesteuerten Multikopter, der mit mehreren Kameras ausgestattet ist und damit im Flug zuverlässiger und wesentlich schneller Wildtiere er-kennen kann, als dies mit b...

Zu einigen entwicklungstendenzen beim ausdruck der gewissheits modalität

Directory of Open Access Journals (Sweden)

Stojan Bračič

1981-12-01

Full Text Available Das verfolgte Ziel in diesem Artikel - einem für den Druck bear­ beiteten Kapitel aus der Magisterarbeit des Verfassers - ist es, möglichst viele Ausdrucksmittel zum Ausdruck der Gewissheits­ modälitat (im weiteren GMO zu finden und sie sys.tematisch zu behandeln. Ausserdem soll durch statistische Bearbeitung der im Korpus gefundenen Belege festgestellt werden, ob man in der Zeit­ spanne derletzten siebzig Jahre beim Ausdruck der GMO in der deutschen Sprache mit Entwicklungstendenzen /ET/ rechnen kann.

Farbe bekennen – Grüne Bibliotheken auf die Tagesordnung! Vortrag auf dem 103. Deutschen Bibliothekartag, Bremen, 5. Juni 2014

Directory of Open Access Journals (Sweden)

Petra Hauke

2014-12-01

Full Text Available Was in vielen Ländern bereits im Alltag der Bibliotheken verankert ist, beginnt in Deutschland erst sehr zaghaft: Das Verantwortungsbewusstsein von Bibliotheken für die ökologische Bildung der Gesellschaft und die Konsequenzen daraus für die Bibliothekspraxis. Es ist höchste Zeit, in der deutschen Bibliothekslandschaft publik zu machen, was eine „Grüne Bibliothek“ sein kann – bezogen auf das Gebäude, die Ausstattung, das Management, die Services für die Nutzer. Anhand einer Checkliste wird gezeigt, wie Bibliotheken mit einem „grünen“ Konzept nicht nur selbst etwas für die ökologische Nachhaltigkeit tun können, sondern auch wie sie als Multiplikatoren in den Kommunen, Hochschulen und bei anderen Trägern Einfluss auf das ökologische Verhalten nehmen und damit einen wichtigen Beitrag für unsere Gesellschaft leisten. Bringing environmental awareness to libraries does not necessarily imply huge financial efforts or a big budget. Ecological sustainability is an undervalued aspect of the marketing strategy for libraries which has more impact on clients and on stakeholders than one would expect. Small steps in going green can make a big impact for the library’s image. Little financial input can produce an important marketing outcome. Activities in this field can be developed in cooperation with unpaid partners like non-governmental organisations (NGOs, Friends of the Library groups, library suppliers and, last but not least, the library users. A checklist on how to go green gives an overview of important aspects in planning, construction, and library operations in order to introduce the first “green footsteps”.

Controversies about cervical cancer screening: A qualitative study of Roma women's (non)participation in cervical cancer screening in Romania.

Science.gov (United States)

Andreassen, Trude; Weiderpass, Elisabete; Nicula, Florian; Suteu, Ofelia; Itu, Andreea; Bumbu, Minodora; Tincu, Aida; Ursin, Giske; Moen, Kåre

2017-06-01

Romania has Europe's highest incidence and mortality of cervical cancer. While a free national cervical cancer-screening programme has been in operation since 2012, participation in the programme is low, particularly in minority populations. The aim of this study was to explore Roma women's (non)participation in the programme from women's own perspectives and those of healthcare providers and policy makers. We carried out fieldwork for a period of 125 days in 2015/16 involving 144 study participants in Cluj and Bucharest counties. Fieldwork entailed participant observation, qualitative interviewing and focus group discussions. A striking finding was that screening providers and Roma women had highly different takes on the national screening programme. We identified four fundamental questions about which there was considerable disagreement between them: whether a free national screening programme existed in the first place, whether Roma women were meant to be included in the programme if it did, whether Roma women wanted to take part in screening, and to what degree screening participation would really benefit women's health. On the background of insights from actor-network theory, the article discusses to what degree the programme could be said to speak to the interest of its intended Roma public, and considers the controversies in light of the literature on patient centred care and user involvement in health care. The paper contributes to the understanding of the health and health-related circumstances of the largest minority in Europe. It also problematizes the use of the concept of "barriers" in research into participation in cancer screening, and exemplifies how user involvement can potentially help transform and improve screening programmes. Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.

Evaluating the impacts of screening and smoking cessation programmes on lung cancer in a high-burden region of the USA: a simulation modelling study.

Science.gov (United States)

Tramontano, Angela C; Sheehan, Deirdre F; McMahon, Pamela M; Dowling, Emily C; Holford, Theodore R; Ryczak, Karen; Lesko, Samuel M; Levy, David T; Kong, Chung Yin

2016-02-29

While the US Preventive Services Task Force has issued recommendations for lung cancer screening, its effectiveness at reducing lung cancer burden may vary at local levels due to regional variations in smoking behaviour. Our objective was to use an existing model to determine the impacts of lung cancer screening alone or in addition to increased smoking cessation in a US region with a relatively high smoking prevalence and lung cancer incidence. Computer-based simulation model. Simulated population of individuals 55 and older based on smoking prevalence and census data from Northeast Pennsylvania. Hypothetical lung cancer control from 2014 to 2050 through (1) screening with CT, (2) intensified smoking cessation or (3) a combination strategy. Primary outcomes were lung cancer mortality rates. Secondary outcomes included number of people eligible for screening and number of radiation-induced lung cancers. Combining lung cancer screening with increased smoking cessation would yield an estimated 8.1% reduction in cumulative lung cancer mortality by 2050. Our model estimated that the number of screening-eligible individuals would progressively decrease over time, indicating declining benefit of a screening-only programme. Lung cancer screening achieved a greater mortality reduction in earlier years, but was later surpassed by smoking cessation. Combining smoking cessation programmes with lung cancer screening would provide the most benefit to a population, especially considering the growing proportion of patients ineligible for screening based on current recommendations. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

Acceptance of energy management in medium-sized industrial firms in Hessen. Report to the IMPULS programme Hessen in Darmstadt; Akzeptanz von Energiemanagement in der mittelstaendischen Industrie in Hessen. Bericht an das IMPULS-Programm Hessen in Darmstadt

Energy Technology Data Exchange (ETDEWEB)

Boede, U.; Gruber, E.; Weigert, K.

1998-07-01

Furthering of innovation processes in the sense of lastingly sustainable development demands recognizing existing obstacles and points where furtherance might be beneficial. The search for strategies and points of attack needs to start from existing attitudes and patterns of behaviour (commission of inquiry, 1997). This comprises implementation-oriented offers to enterprises, and offers taking needs into account. Within the framework of its energy conservation and climate protection policy, the state of Hessen furthers employment-accompanied qualification of planning and executing vocational groups as well as users in energy efficiency. The IMPULS programme of Hessen, a programme instituted by the ministry for the environment, energy, youth, family and health affairs of Hessen, organizes seminars on 'rational use of electric power' enabling decision-makers to inform themselves on energy-saving measures and to exchange their knowledge. Enterprises with a potential for in-house energy conservation have a great interest in hints and support to be rapidly transformed into action. (orig.) [German] Im Innovationsprozesse in Richtung einer nachhaltig zukunftsvertraeglichen Entwicklung zu foerdern, kommt es darauf an, vorhandene Hemnisse und Ansatzpunkte zur Foerderung zu erkennen. Die Suche nach Strategien und Ansatzpunkten muss an vorhandenen Einstellungen und Verhaltensmustern ansetzen (Enquete-Kommission, 1997). Darunter fallen auch umsetzungs- und an den Beduerfnissen orientierte Angebote fuer Unternehmen. Im Rahmen seiner Energieeinspar- und Klimaschutzpolitik foerdert das Land Hessen die berufsbegleitende Qualifikation im Energieeffizienzbereich fuer planende und ausfuehrende Berufsgruppen und fuer Anwender. Das IMPULS-Programm Hessen, eine Einrichtung des hessischen Ministeriums fuer Umwelt, Energie, Jugend, Familie und Gesundheit, bietet Entscheidungstraegern mit seinen Seminaren im Bereich 'rationelle Stromnutzung' die Moeglichkeit, sich ueber

Favourable outcomes of a preventive screening and counselling programme for older people in underprivileged areas in the Netherlands: The PRIMUS project

NARCIS (Netherlands)

Dijk, D.J. van; Crone, M.R.; Empelen, P. van; Assendelft, W.J.; Middelkoop, B.J.

2017-01-01

An aging population is associated with an increased prevalence of diabetes, cardiovascular diseases and depression. Important aspects of programmes targeted at older people are: to reach those at risk, effective screening, optimising advice, and referral to local interventions. We examined the

Regelwerke im multilingualen Kontext – ein Erfahrungsbericht aus einem multilingualen Verbund

Directory of Open Access Journals (Sweden)

Jürgen Küssow

2017-10-01

Full Text Available Der Bibliotheksverbund NEBIS (Netzwerk von Bibliotheken und Informationsstellen in der Schweiz ist der grösste Verbund wissenschaftlicher Bibliotheken der Schweiz. Ihm gehören rund 140 Bibliotheken an 154 Standorten aus allen Landesteilen der Schweiz an. Im NEBIS arbeiten Bibliotheken sowohl aus der Deutschschweiz als auch aus den Französisch und Italienisch sprechenden Landesteilen. Der Anteil der nicht-deutschsprachigen Bibliotheken beträgt im NEBIS über 15 Prozent. Auf den Jahresbeginn 2016 hat der NEBIS-Verbund das bisher verwendete Regelwerk KIDS (Katalogisierungsregeln des IDS durch das internationale Regelwerk RDA sowie die hauseigene Normdatenbank durch die deutschorientierte Normdatenbank GND abgelöst. Der Zustand der französischsprachigen Übersetzung der RDA sowie die Übersetzung der Anwendungsregeln des D-A-CH Raumes waren eine der grössten Herausforderungen bei der Einführung im Verbund. In einer mehrsprachigen Umgebung mit einer monolingualen Datenbank wie der GND zu arbeiten, bedeutete besonders für die französischsprachigen Bibliotheken viel Umstellung und Flexibilität. Die Arbeit mit deutschen Begriffen wie zum Beispiel die Berufsbegriffe in der GND erfordert sowohl von der NEBIS-Verbundzentrale wie auch von den französischsprachigen Bibliotheken einen ausserordentlichen Effort. Der NEBIS-Verbund wird auch künftig darauf angewiesen sein, dass die französische Übersetzung der RDA sowie die Übersetzung der Anwendungsregeln möglichst aktuell bleibt. Zudem wird auch im Bereich GND weiterhin eine flexible und geduldige Arbeitsweise aller Beteiligten erforderlich sein. The network of libraries NEBIS (Netzwerk von Bibliotheken und Informationsstellen in der Schweiz is the biggest network of scientific libraries in Switzerland. It comprises ca. 140 libraries with 154 locations in all over Switzerland. Libraries from the German, French and Italian speaking parts of the country are working together in NEBIS. More than

Film reading in the East Midlands Breast Screening Programme – Are we missing opportunities for earlier diagnosis?

International Nuclear Information System (INIS)

Jenkins, J.; Murphy, A.E.; Edmondson-Jones, M.; Sibbering, D.M.; Turnbull, A.E.

2014-01-01

Aim: To assess whether there are any significant differences in the film-reading histories of interval or screen-detected cancers, and whether this affects stage at diagnosis. Materials and methods: The rates of screen-detected and interval cancers (overall and by radiological categorization) were observed from 268,067 women screened in the East Midlands Breast Screening Programme over 2004–2007 to assess whether there were differences in incidence based on previous film-reading history. Cancers detected at the subsequent screen and film-reading history were analysed to assess whether this affected stage at diagnosis. Analysis undertaken involved cancer detection rates, confidence intervals, and chi-square tests with Monte Carlo simulation. Results: Rates of interval cancers were similar in all groups where at least one reader had indicated recall to assessment (6.1–7.7/1000) and were significantly higher in comparison to women whose previous film-reading outcome was unanimous routine rescreen (2.9/1000; p < 0.001). Four point one percent of interval cancers with no previous recall outcomes were false negatives, which was significantly lower compared to the groups where at least one reader had indicated recall (10.9%; p = 0.005). Cancers detected at the subsequent screen demonstrated no significant difference in prognosis dependent on previous film-reading history (p = 0.503). Conclusion: The prognosis of screen-detected cancers was similar and few cancers were false negatives regardless of film-reading history at the previous screen

Concerns, perceived need and competing priorities: a qualitative exploration of decision-making and non-participation in a population-based flexible sigmoidoscopy screening programme to prevent colorectal cancer.

Science.gov (United States)

Hall, N; Birt, L; Rees, C J; Walter, F M; Elliot, S; Ritchie, M; Weller, D; Rubin, G

2016-11-11

Optimising uptake of colorectal cancer (CRC) screening is important to achieve projected health outcomes. Population-based screening by flexible sigmoidoscopy (FS) was introduced in England in 2013 (NHS Bowel scope screening). Little is known about reactions to the invitation to participate in FS screening, as offered within the context of the Bowel scope programme. We aimed to investigate responses to the screening invitation to inform understanding of decision-making, particularly in relation to non-participation in screening. Qualitative analysis of semistructured in-depth interviews and written accounts. People from 31 general practices in the North East and East of England invited to attend FS screening as part of NHS Bowel scope screening programme were sent invitations to take part in the study. We purposively sampled interviewees to ensure a range of accounts in terms of beliefs, screening attendance, sex and geographical location. 20 screeners and 25 non-screeners were interviewed. Written responses describing reasons for, and circumstances surrounding, non-participation from a further 28 non-screeners were included in the analysis. Thematic analysis identified a range of reactions to the screening invitation, decision-making processes and barriers to participation. These include a perceived or actual lack of need; inability to attend; anxiety and fear about bowel preparation, procedures or hospital; inability or reluctance to self-administer an enema; beliefs about low susceptibility to bowel cancer or treatment and understanding of harm and benefits. The strength, rather than presence, of concerns about the test and perceived need for reassurance were important in the decision to participate for screeners and non-screeners. Decision-making occurs within the context of previous experiences and day-to-day life. Understanding the reasons for non-participation in FS screening can help inform strategies to improve uptake and may be transferable to other

Annual report 1978. [Natural gas

Energy Technology Data Exchange (ETDEWEB)

1979-05-01

In the 1978 annual reports of the Deutscher Verein des Gas- und Wasserfaches (DVGW), the Bundesverband der deutschen Gas- und Wasserwirtschaft (BGW), and the Technische Vereinigung der Firmen im Gas- und Wasserfach e.V. (FIGAWA), the activities of organisations and Laender groups are dealt with, as well as tasks, work, and sales promotion measures.

Premarital HIV screening in Johor--(2002-2004).

Science.gov (United States)

Khebir, B V; Adam, M A; Daud, A R; Shahrom, C M D

2007-03-01

A descriptive study was conducted on premarital HIV screening programme in Johor over a three year period. HIV screenings were done at government clinics and confirmed by accredited laboratories. As a result, 123 new HIV cases were detected (0.17%) from 74,210 respondents. In 2004, 24 cases (64.9%) advanced to marriage (n = 37) after they underwent counselling and six of them married among themselves. Positivity rate from this programme (0.17%) is higher than antenatal screening (0.05%). Despite the implementation of the premarital HIV screening programme, marriage application in Johor rose 2.8% in 2004 compared with 2002. This programme had partly contributed to public awareness against HIV and provides another option in early detection of the disease.

Indikativische Tempora in Inhaltssätzen im Deutschen

Czech Academy of Sciences Publication Activity Database

Koutová, Marta

2012-01-01

Roč. 3, č. 6 (2012), s. 20-38 ISSN 1804-137X Institutional support: RVO:68378092 Keywords : indicative * relative tenses * subordinate content clause * indirect speech * corpus Subject RIV: AI - Linguistics

Wohnungsmärkte im deutschen Ost-West-Vergleich

Directory of Open Access Journals (Sweden)

Gerd Rothenwallner

2003-12-01

Full Text Available Despite equal conditions after World War II, housing markets in East and West Germany had, according to the political and economic systems, developed completely different. State controlled mass production of dwellings due to planned economy is faced with house building under control of market principles. Bringing together both housing mar-kets is one of the most urgent political tasks since reunification.

Krisen und Krisenbewältigung im deutschen Sozialstaat

DEFF Research Database (Denmark)

Starke, Peter

This working paper analyses the German social policy reactions to the 2008 Financial Crisis in light of the historical development and findings of comparative welfare state research. Four subsequent fiscal stimulus packages contained several important social policy elements, most importantly short......-time work. By international standards, Germany’s social policy response to the crisis was not uncommon, given its economic performance and existing welfare state institutions. What was surprising was the important role trade unions and employers had in formulating these policies. Representatives...

The mass miniature chest radiography programme in Cape Town ...

African Journals Online (AJOL)

Background. Tuberculosis (TB) control programmes rely mainly on passive detection of symptomatic individuals. The resurgence of TB has rekindled interest in active case finding. Cape Town (South Africa) had a mass miniature radiography (MMR) screening programme from 1948 to 1994. Objective. To evaluate screening ...

The association between individual counselling and health behaviour change: the See Kidney Disease (SeeKD) targeted screening programme for chronic kidney disease

OpenAIRE

Galbraith, Lauren; Hemmelgarn, Brenda; Manns, Braden; Samuel, Susan; Kappel, Joanne; Valk, Nadine; Ronksley, Paul

2016-01-01

Background Health behaviour change is an important component of management for patients with chronic kidney disease (CKD); however, the optimal method to promote health behaviour change for self-management of CKD is unknown. The See Kidney Disease (SeeKD) targeted screening programme screened Canadians at risk for CKD and promoted health behaviour change through individual counselling and goal setting. Objectives The objectives of this study are to determine the effectiveness of individual co...

Modelling of the mammographic exposure conditions for radiological detriment study in the Valencian Breast Cancer Screening Programme

International Nuclear Information System (INIS)

Ferrer, S.; Ramos, M.; Villaescusa, J. I.; Verdu, G.; Salas, M. D.; Cuevas, M. D.

2005-01-01

Breast screening programmes are the best weapon to fight against breast cancer. Nevertheless, despite the benefits, this practice supposes a radiological risk that cannot be forgotten. In order to calculate breast glandular doses, different MCNP-4C2 models have been developed, simulating the exposure conditions. Radiological detriments have been transported from the population under study in the UNSCEAR 2000 to the Valencian Community, obtaining the detection-induced cancer ratio (DICR) for this population. (authors)

Rationale and development of an on-line quality assurance programme for colposcopy in a population-based cervical screening setting in Italy

Science.gov (United States)

2013-01-01

Background Colposcopy, the key step in the management of women with abnormal Pap smear results, is a visual technique prone to observer variation, which implies the need for prolonged apprenticeship, continuous training, and quality assurance (QA) measures. Colposcopy QA programmes vary in level of responsibility of organizing subjects, geographic coverage, scope, model, and type of actions. The programmes addressing the clinical standards of colposcopy (quality of examination and appropriateness of clinical decisions) are more limited in space and less sustainable over time than those focused on the provision of the service (resources, accessibility, etc.). This article reports on the protocol of a QA programme targeting the clinical quality of colposcopy in a population-based cervical screening service in an administrative region of northern Italy. Methods/design After a situation analysis of local colposcopy audit practices and previous QA initiatives, a permanent web-based QA programme was developed. The design places more emphasis on providing education and feedback to participants than on testing them. The technical core is a log-in web application accessible on the website of the regional Administration. The primary objectives are to provide (1) a practical opportunity for retraining of screening colposcopists, and (2) a platform for them to interact with colposcopists from other settings and regions through exchange and discussion of digital colposcopic images. The retraining function is based on repeated QA sessions in which the registered colposcopists log-in, classify a posted set of colpophotographs, and receive on line a set of personal feedback data. Each session ends with a plenary seminar featuring the presentation of overall results and an interactive review of the test set of colpophotographs. This is meant to be a forum for an open exchange of views that may lead to more knowledge and more diagnostic homogeneity. The protocol includes the

Rationale and development of an on-line quality assurance programme for colposcopy in a population-based cervical screening setting in Italy.

Science.gov (United States)

Bucchi, Lauro; Cristiani, Paolo; Costa, Silvano; Schincaglia, Patrizia; Garutti, Paola; Sassoli de Bianchi, Priscilla; Naldoni, Carlo; Olea, Oswaldo; Sideri, Mario

2013-06-28

Colposcopy, the key step in the management of women with abnormal Pap smear results, is a visual technique prone to observer variation, which implies the need for prolonged apprenticeship, continuous training, and quality assurance (QA) measures. Colposcopy QA programmes vary in level of responsibility of organizing subjects, geographic coverage, scope, model, and type of actions. The programmes addressing the clinical standards of colposcopy (quality of examination and appropriateness of clinical decisions) are more limited in space and less sustainable over time than those focused on the provision of the service (resources, accessibility, etc.). This article reports on the protocol of a QA programme targeting the clinical quality of colposcopy in a population-based cervical screening service in an administrative region of northern Italy. After a situation analysis of local colposcopy audit practices and previous QA initiatives, a permanent web-based QA programme was developed. The design places more emphasis on providing education and feedback to participants than on testing them. The technical core is a log-in web application accessible on the website of the regional Administration. The primary objectives are to provide (1) a practical opportunity for retraining of screening colposcopists, and (2) a platform for them to interact with colposcopists from other settings and regions through exchange and discussion of digital colposcopic images. The retraining function is based on repeated QA sessions in which the registered colposcopists log-in, classify a posted set of colpophotographs, and receive on line a set of personal feedback data. Each session ends with a plenary seminar featuring the presentation of overall results and an interactive review of the test set of colpophotographs. This is meant to be a forum for an open exchange of views that may lead to more knowledge and more diagnostic homogeneity. The protocol includes the criteria for selection of

Contrast-enhanced spectral mammography in patients referred from the breast cancer screening programme.

Science.gov (United States)

Lobbes, Marc B I; Lalji, Ulrich; Houwers, Janneke; Nijssen, Estelle C; Nelemans, Patty J; van Roozendaal, Lori; Smidt, Marjolein L; Heuts, Esther; Wildberger, Joachim E

2014-07-01

Feasibility studies have shown that contrast-enhanced spectral mammography (CESM) increases diagnostic accuracy of mammography. We studied diagnostic accuracy of CESM in patients referred from the breast cancer screening programme, who have a lower disease prevalence than previously published papers on CESM. During 6 months, all women referred to our hospital were eligible for CESM. Two radiologists blinded to the final diagnosis provided BI-RADS classifications for conventional mammography and CESM. Statistical significance of differences between mammography and CESM was calculated using McNemar's test. Receiver operating characteristic (ROC) curves were constructed for both imaging modalities. Of the 116 eligible women, 113 underwent CESM. CESM increased sensitivity to 100.0% (+3.1%), specificity to 87.7% (+45.7%), PPV to 76.2% (+36.5%) and NPV to 100.0% (+2.9%) as compared to mammography. Differences between conventional mammography and CESM were statistically significant (p mammography, AUC was 0.779. With CESM, AUC increased to 0.976 (p mammography, even in lower prevalence patient populations such as referrals from breast cancer screening. • CESM is feasible in the workflow of referrals from routine breast screening. • CESM is superior to mammography, even in low disease prevalence populations. • CESM has an extremely high negative predictive value for breast cancer. • CESM is comparable to MRI in assessment of breast cancer extent. • CESM is comparable to histopathology in assessment of breast cancer extent.

Mammography for women in their 40s : to screen or not to screen

International Nuclear Information System (INIS)

Le Heron, J.

1997-01-01

In the United States there is currently a raging controversy as to whether women in their 40s should be screened for breast cancer, with responsible medical bodies each issuing divergent recommendations. With the imminent commencement of the national breast screening programme in New Zealand, it is relevant to briefly review what underlies these differences. The evicence from international studies is that breast cancer deaths on the population of women aged 50 to 69 can be reduced by about 30% by good mammography screening programes. However the evidence in not so unequivocal for the 40 to 49 age group. Breast cancer in younger women tends to be more virulent, growing faster, and killing faster, and detection of cancer in younger breasts is more difficult than in breasts of older women due to the presence of greater amounts of glandular tissue. Where does this leave breast screening in New Zealand? The nationwide breast screening programme will commence with asymmptomatic women aged 50-64 eligible for screening. Extension to women older than 64 will be considered again once the programme is in place and running well. The Ministry of Health has not recommended routine screening for women in their 40s, but will continue to monitor the latest information and if, sufficient new evidence becomes availabe, the screening guidelines will be reassessed. (author)

'Motor challenge' pilot programme; Motor Challenge Pilotprogramm. Schweizer Teilnahme im SAVE-Programm: pilot actions for motor systems industrial energy use challenge

Energy Technology Data Exchange (ETDEWEB)

Nipkow, J.

2003-07-01

This final report for the Swiss Federal Office of Energy (SFOE) presents the results of a pilot project associated with the Motor Challenge Programme (MCP) initiated by the European Commission (Transport and Energy Committee). The programme is briefly described, which aims to improve the efficiency of electrical motors used in industrial compressed-air, pump and ventilator systems as well as in comprehensive motor driven systems. Switzerland's participation in this pilot project is examined, which was concluded after a period of two years when the Motor Challenge Programme itself was launched in February 2003. The mechanisms of the programme are described, whereby companies may become involved in the programme either as partners (users of drive systems) or as endorsers (suppliers, planners, etc., of such systems). Experience gained with two companies in Switzerland - a food processing group and a major chemical pulp producer - who participated in the programme is presented. Efficiency potentials of around 3 GWh/a were identified; these represent a high proportion of the estimated total of 18 GWh/a in the overall programme. A follow-up project is proposed that is to provide detailed information and initiate further efficiency projects in order to encourage other companies to participate in the MCP programme.

[Screening for colorectal cancer in Italy, 2010 survey].

Science.gov (United States)

Zorzi, Manuel; Fedato, Chiara; Grazzini, Grazia; Sassoli de' Bianchi, Priscilla; Naldoni, Carlo; Pendenza, Melania; Sassatelli, Romano; Senore, Carlo; Visioli, Carmen Beatriz; Zappa, Marco

2012-01-01

We present the main results of the 2010 survey of the Italian screening programmes for colorectal cancer carried out by the National centre for screening monitoring (Osservatorio nazionale screening, ONS) on behalf of the Ministry of health. By the end of 2010, 105 programmes were active, 9 of which had been activated during the year, and 65% of Italians aged 50-69 years were residing in areas covered by organised screening programmes (theoretical extension). Twelve regions had their whole population covered. In the South of Italy and Islands, 5 new programmes were activated in 2010, with a theoretical extension of 29%. The majority of programmes employed the faecal occult blood test (FIT), while some adopted flexible sigmoidoscopy (FS) once in a lifetime and FIT for non-responders to FS. Overall, about 3,404,000 subjects were invited to undergo FIT, 47.2% of those to be invited within the year. The adjusted attendance rate was 48% and approximately 1,568,796 subjects were screened. Large differences in the attendance rate were observed among regions: 10% of programmes reported values lower than 24%. Positivity rate of FIT programmes was 5.5% at first screening (range: 1.6-11.3%) and 4.3% at repeat screening (range: 3.2-6.7%). The average attendance rate to total colonoscopy (TC) was 81.4% and in one region it was lower than 70%. Completion rate for total colonoscopy (TC) was 88.7%. Among the 740,281 subjects attending screening for the first time, the detection rate (DR) per 1,000 screened subjects was 2.4 for invasive cancer and 10.3 for advanced adenomas (AA - adenomas with a diameter ≥1 cm, with villous/tubulo-villous type or with high-grade dysplasia). As expected, the corresponding figures in the 843,204 subjects at repeat screening were lower (1.2‰ and 7.6‰ for invasive cancer and AA, respectively). The DR of cancer and adenomas increased with age and was higher among males. Many programmes reported some difficulties in guaranteeing TC in the

Enhancing the cellular uptake of Py–Im polyamides through next-generation aryl turns

OpenAIRE

Meier, Jordan L.; Montgomery, David C.; Dervan, Peter B.

2012-01-01

Pyrrole–imidazole (Py–Im) hairpin polyamides are a class of programmable, sequence-specific DNA binding oligomers capable of disrupting protein–DNA interactions and modulating gene expression in living cells. Methods to control the cellular uptake and nuclear localization of these compounds are essential to their application as molecular probes or therapeutic agents. Here, we explore modifications of the hairpin γ-aminobutyric acid turn unit as a means to enhance cellular uptake and biologica...

A randomized trial of three marketing strategies to disseminate a screening and brief alcohol intervention programme to general practitioners.

Science.gov (United States)

Lock, C A; Kaner, E F; Heather, N; McAvoy, B R; Gilvarry, E

1999-09-01

Research findings are of little benefit to patients or society if they do not reach the audience they are intended to influence. A dissemination strategy is needed to target new findings at its user group and encourage a process of consideration and adoption or rejection. To evaluate the effectiveness and cost-effectiveness of different marketing strategies for the dissemination of a screening and brief alcohol intervention (SBI) programme to general practitioners (GPs). Seven hundred and twenty-nine GPs, one per practice, from the former Northern and Yorkshire Regional Health Authority were randomly assigned to one of three marketing strategies: postal marketing (mailing a promotional brochure to GPs), telemarketing (following a script to market the programme over the telephone), and personal marketing (following the same script during face-to-face marketing at GPs' practices). GPs who took up the programme were asked if they would agree to use it. Outcome measures included the proportions of GPs who took up the programme and agreement to use it. Of the 614 GPs eligible for the study, 321 (52%) took the programme. There was a significant difference in the proportions of GPs from the three marketing strategies who took the programme (82% telemarketing, 68% personal marketing, and 22% postal marketing). Of the 315 GPs who took the programme and were eligible to use it, 128 (41%) agreed to use the programme for three months. GPs in the postal marketing group were more likely to agree to use the programme (55% postal marketing, 44% personal marketing, and 34% telemarketing). Personal marketing was the most effective overall dissemination strategy; however, economic analysis revealed that telemarketing was the most cost-effective strategy. Costs for dissemination per GP were: 13 Pounds telemarketing, 15 Pounds postal marketing, and 88 Pounds personal marketing. Telemarketing appeared to be the most cost-effective strategy for dissemination of SBI to GPs.

Rezension von: Ulf Gebken, Söhnke Vosgerau (Hg.: Fußball ohne Abseits. Ergebnisse und Perspektiven des Projekts ‚Soziale Integration von Mädchen durch Fußball‘. Wiesbaden: Springer VS 2014.

Directory of Open Access Journals (Sweden)

Robert Claus

2014-12-01

Full Text Available Seit 2006 wurden im Rahmen des vom Deutschen Fußball-Bund durchgeführten Modellprojektes „Soziale Integration von Mädchen durch Fußball“ an über 200 Standorten Schul-AGs in sogenannten Brennpunktbezirken aufgebaut. Im vorliegenden Sammelband beleuchten die Autor/-innen ausführlich die Funktion von Sport für die pädagogische Kompetenzvermittlung. Zudem erbringen sie einen umfassenden Projektbericht und leisten ein Plädoyer für die Modernisierung des Verhältnisses zwischen Schule und Vereinen, Lehrplan und Ehrenamt. Somit stellt das Buch, wie auch das Projekt, einen enorm wichtigen Beitrag zur Geschlechtergerechtigkeit im Sport dar. Gleichzeitig jedoch liest sich eine Reihe an Texten etwas zu sperrig für den Bericht einer Praxisforschung, und Begriffe im Feld der ‚Integration’ bleiben schwammig.

Interdisziplinäre Forschung. Merkmale, Einflußfaktoren und Effekte

NARCIS (Netherlands)

Hollaender, Kirsten

2005-01-01

Kurzfassung in deutsch Diese Arbeit untersucht interdisziplinäre Forschung am Beispiel des deutschen Programms Stadtökologie des BMBF. Dieses Programm wurde ausgewählt, weil es als wegweisendes Modell für interdisziplinäre Forschung angesehen werden kann. Auch die Praxis war aktiv einbezogen in Form

An audit of a cervical smear screening programme.

Science.gov (United States)

Moodie, P J; Kljakovic, M; McLeod, D K

1989-07-26

An audit of a computer based screening and recall programme in a Wellington group general practice is reported (practice population 13,866). The records of all women aged between 20 and 59 years (4133 women) were checked to determine if they had had a cervical smear test in the previous two years. A random sample of women who had a cervical smear result recorded in the notes (107 women called "responders") showed that 71% gave "familiarity with the family doctor" and "acting in response to a recall letter" as reasons for choosing the place of their last smear. Satisfaction with the service was indicated by 95% of these women stating they would have their next smear at the medical centre. In the audit of all the records, a group of 667 women who had been sent a letter inviting them to have a smear done and who had apparently declined the procedure was identified (called "nonresponders"). A random sample of this group (168 women) was taken and an attempt made to interview them. In fact only 38 women could be identified as requiring a smear and even if those who refused to be interviewed (13) and those unable to be contacted (23) are added, then less than half of this sample were "true nonresponders". This suggests that the percentage of women in the practice who have been offered a smear and have refused to have one is less than 8%.

Cervical screening programme in Trabzon county

Directory of Open Access Journals (Sweden)

Şafak Ersöz

2010-03-01

Full Text Available AIM: Cytological evaluation carries a great significance for the early detection and treatment of invasive cervical carcinoma precursors. Pap-smear test are considered as a quite effective screening method for this purpose. This screening can be easily performed at the first step health care centers without causing an economic burden if only selected patients were referred to second and third step medical care centers. In this program we aimed to perform a cross-sectional survey for cervix cancer in Trabzon center and surrounding area using cervical smears obtained at first step health care centers. MATERIAL-METHOD: A total number of 3000 cases with an age range of 25-64 were screened between March and May of 2007. This program was supported by USIDER. Smears obtained with cytological brushes were prepared with conventional methods and stained with Papanicolaou dye. Pap smears were reviewed by two pathologists according to 2001 Bethesda classification. RESULTS: A great majority of the smears (93.3 % were found to be satisfactory, while only 6.7 were found to be insufficient. Analysis of satisfactory cervical smears revealed cervical epithelial cell anomalies in 73 cases (2.4%; of these cases 57 (1.9% had atypical squamous cell of undetermined significance (ASC-US, 11 (0.4 % had low grade squamous intra-epithelial lesion (LSIL, 3 (0.1% high grade squamous intra-epithelial lesion (HSIL, and 2 (0.07 % had squamous cell carcinoma. CONCLUSION: Smears obtained at the first step health care centers were found to be satisfactory in a major proportion of the cases. Screening programs play a great role in the declining of cancer incidence. These screening programs should be included in national health politics. First step health care centers might be used for this purpose concerning the health economics.

Differences in radiological patterns, tumour characteristics and diagnostic precision between digital mammography and screen-film mammography in four breast cancer screening programmes in Spain

International Nuclear Information System (INIS)

Domingo, Laia; Sala, Maria; Romero, Anabel; Belvis, Francesc; Macia, Francesc; Castells, Xavier; Sanchez, Mar; Ferrer, Joana; Salas, Dolores; Ibanez, Josefa; Vega, Alfonso; Ferrer, Francesc; Laso, M.S.

2011-01-01

To compare tumour characteristics between cancers detected with screen-film mammography (SFM) and digital mammography (DM) and to evaluate changes in positive predictive values (PPVs) for further assessments, for invasive procedures and for distinct radiological patterns in recalled women. 242,838 screening mammograms (171,191 SFM and 71,647 DM) from 103,613 women aged 45-69 years, performed in four population-based breast cancer screening programmes in Spain, were included. The tumour characteristics and PPVs of each group were compared. Radiological patterns (masses, calcifications, distortions and asymmetries) among recalled women were described and PPVs were evaluated. The percentages of ductal carcinoma in situ (DCIS) were higher in DM than in SFM both in the first [18.5% vs. 15.8%(p = 0.580)] and in successive screenings [23.2% vs. 15.7%(p = 0.115)]. PPVs for masses, asymmetries and calcifications were higher in DM, being statistically significant in masses (5.3% vs. 3.9%; proportion ratio: 1.37 95%CI: 1.08-1.72). Among cancers detected by calcifications, the percentage of DCIS was higher in DM (60.3% vs. 46.4%, p = 0.060). PPVs were higher when DM was used, both for further assessments and for invasive procedures, with similar cancer detection rates and no statistically significant differences in tumour characteristics. The greatest improvements in PPVs were found for masses. (orig.)

Differences in radiological patterns, tumour characteristics and diagnostic precision between digital mammography and screen-film mammography in four breast cancer screening programmes in Spain

Energy Technology Data Exchange (ETDEWEB)

Domingo, Laia; Sala, Maria [IMIM-Hospital del Mar, Department of Epidemiology and Evaluation, Barcelona (Spain); CIBER de Epidemiologia y Salud Publica (CIBERESP), Barcelona (Spain); Universitat Autonoma de Barcelona (UAB), EHEA Doctoral Program in Public Health. Department of Pediatrics, Obstetrics and Gynecology, Preventive Medicine and Public Health, Barcelona (Spain); Romero, Anabel; Belvis, Francesc; Macia, Francesc; Castells, Xavier [IMIM-Hospital del Mar, Department of Epidemiology and Evaluation, Barcelona (Spain); CIBER de Epidemiologia y Salud Publica (CIBERESP), Barcelona (Spain); Sanchez, Mar [Government of Cantabria, General Directorate of Public Health, Department of Health, Santander (Spain); Ferrer, Joana [Radiology Unit. Hospital Santa Caterina, Girona (Spain); Salas, Dolores; Ibanez, Josefa [General Directorate Public Health and Centre for Public Health Research (CSISP), Valencia (Spain); Vega, Alfonso [Hospital Universitario Marques de Valdecilla, Radiology Unit, Santander (Spain); Ferrer, Francesc [Hospital del Mar, Radiology and Nuclear Medicine Service, Barcelona (Spain); Laso, M.S. [Breast Cancer Screening Unit Burjassot, Valencia (Spain)

2011-09-15

To compare tumour characteristics between cancers detected with screen-film mammography (SFM) and digital mammography (DM) and to evaluate changes in positive predictive values (PPVs) for further assessments, for invasive procedures and for distinct radiological patterns in recalled women. 242,838 screening mammograms (171,191 SFM and 71,647 DM) from 103,613 women aged 45-69 years, performed in four population-based breast cancer screening programmes in Spain, were included. The tumour characteristics and PPVs of each group were compared. Radiological patterns (masses, calcifications, distortions and asymmetries) among recalled women were described and PPVs were evaluated. The percentages of ductal carcinoma in situ (DCIS) were higher in DM than in SFM both in the first [18.5% vs. 15.8%(p = 0.580)] and in successive screenings [23.2% vs. 15.7%(p = 0.115)]. PPVs for masses, asymmetries and calcifications were higher in DM, being statistically significant in masses (5.3% vs. 3.9%; proportion ratio: 1.37 95%CI: 1.08-1.72). Among cancers detected by calcifications, the percentage of DCIS was higher in DM (60.3% vs. 46.4%, p = 0.060). PPVs were higher when DM was used, both for further assessments and for invasive procedures, with similar cancer detection rates and no statistically significant differences in tumour characteristics. The greatest improvements in PPVs were found for masses. (orig.)

Neonatal screening for treatable congenital disorders

International Nuclear Information System (INIS)

Charoensiriwatana, W.; Janejai, N.; Boonwanich, W.; Krasao, P.; Waiyasilp, S.

2001-01-01

Congenital hypothyroidism is a treatable disease if detected at the early stage of life. It is one of the most frequent cause of mental retardation in children. In 85 % of cases, congenital hypothyroidism is a consequence of thyroid disgenesis, in which the gland is either absent, located ectopically and/or severely reduced in size. Early detection and treatment with thyroid hormone supplement can significantly reduce mental damage. In 1996, Thailand initiated a neonatal screening programme for congenital hypothyroidism (CHT) and phenylketonuria (PKU), with the objective of bringing a better quality of life to people throughout the country, but especially in the remote areas. The programme involves implementing routine screening nationwide. The plan of action was designed with the goal of having public health service units throughout the country provide neonatal screening by year 2002 for the 1.2 million babies born per annum in Thailand. The government supported the programme by allocating a five-year budget of approximately US$15 million. The programme received additional assistance through technical support and human resource development from the International Atomic Energy Agency (IAEA) and the US Centers for Disease Control. This assistance promoted self-sustainability and strengthened the programme's technical base. The programme is on track. It is expected that by year 2002 all new born babies in Thailand will be screened for CHT and PKU

The introduction of a breast cancer screening programme in a region with a population at medium risk for developing breast cancer: Khanty-Mansiysky autonomous Okrug?Ugra (Russian Federation)

OpenAIRE

Zakharova, N; Duffy, SW; Mackay, J; Kotlyarov, E

2011-01-01

Background: A breast cancer screening programme (BCSP) was started in 21 districts in the Khanty-Mansiysky Autonomous Okrug?Ugra region from 7 February 2007. Methods: From the data on the numbers of subjects screened and the resulting diagnoses we calculated screening coverage rates and cancer detection rates and estimated the sensitivity of the screening tests. The State Cancer Registry was the source for the data regarding the female population by age, the number of breast cancer cases and ...

Contrast-enhanced spectral mammography in patients referred from the breast cancer screening programme

Energy Technology Data Exchange (ETDEWEB)

Lobbes, Marc B.I.; Wildberger, Joachim E. [Maastricht University Medical Center, Department of Radiology, Maastricht (Netherlands); GROW School for Oncology and Developmental Biology, Maastricht (Netherlands); Lalji, Ulrich; Houwers, Janneke; Nijssen, Estelle C. [Maastricht University Medical Center, Department of Radiology, Maastricht (Netherlands); Nelemans, Patty J. [Maastricht University, Department of Epidemiology, Maastricht (Netherlands); Roozendaal, Lori van; Heuts, Esther [Maastricht University Medical Center, Department of Surgical Oncology, Maastricht (Netherlands); Smidt, Marjolein L. [Maastricht University Medical Center, Department of Surgical Oncology, Maastricht (Netherlands); GROW School for Oncology and Developmental Biology, Maastricht (Netherlands)

2014-07-15

Feasibility studies have shown that contrast-enhanced spectral mammography (CESM) increases diagnostic accuracy of mammography. We studied diagnostic accuracy of CESM in patients referred from the breast cancer screening programme, who have a lower disease prevalence than previously published papers on CESM. During 6 months, all women referred to our hospital were eligible for CESM. Two radiologists blinded to the final diagnosis provided BI-RADS classifications for conventional mammography and CESM. Statistical significance of differences between mammography and CESM was calculated using McNemar's test. Receiver operating characteristic (ROC) curves were constructed for both imaging modalities. Of the 116 eligible women, 113 underwent CESM. CESM increased sensitivity to 100.0 % (+3.1 %), specificity to 87.7 % (+45.7 %), PPV to 76.2 % (+36.5 %) and NPV to 100.0 % (+2.9 %) as compared to mammography. Differences between conventional mammography and CESM were statistically significant (p < 0.0001). A similar trend was observed in the ROC curve. For conventional mammography, AUC was 0.779. With CESM, AUC increased to 0.976 (p < 0.0001). In addition, good agreement between tumour diameters measured using CESM, breast MRI and histopathology was observed. CESM increases diagnostic performance of conventional mammography, even in lower prevalence patient populations such as referrals from breast cancer screening. (orig.)

Contrast-enhanced spectral mammography in patients referred from the breast cancer screening programme

International Nuclear Information System (INIS)

Lobbes, Marc B.I.; Wildberger, Joachim E.; Lalji, Ulrich; Houwers, Janneke; Nijssen, Estelle C.; Nelemans, Patty J.; Roozendaal, Lori van; Heuts, Esther; Smidt, Marjolein L.

2014-01-01

Feasibility studies have shown that contrast-enhanced spectral mammography (CESM) increases diagnostic accuracy of mammography. We studied diagnostic accuracy of CESM in patients referred from the breast cancer screening programme, who have a lower disease prevalence than previously published papers on CESM. During 6 months, all women referred to our hospital were eligible for CESM. Two radiologists blinded to the final diagnosis provided BI-RADS classifications for conventional mammography and CESM. Statistical significance of differences between mammography and CESM was calculated using McNemar's test. Receiver operating characteristic (ROC) curves were constructed for both imaging modalities. Of the 116 eligible women, 113 underwent CESM. CESM increased sensitivity to 100.0 % (+3.1 %), specificity to 87.7 % (+45.7 %), PPV to 76.2 % (+36.5 %) and NPV to 100.0 % (+2.9 %) as compared to mammography. Differences between conventional mammography and CESM were statistically significant (p < 0.0001). A similar trend was observed in the ROC curve. For conventional mammography, AUC was 0.779. With CESM, AUC increased to 0.976 (p < 0.0001). In addition, good agreement between tumour diameters measured using CESM, breast MRI and histopathology was observed. CESM increases diagnostic performance of conventional mammography, even in lower prevalence patient populations such as referrals from breast cancer screening. (orig.)

How well do the theory of reasoned action and theory of planned behaviour predict intentions and attendance at screening programmes? A meta-analysis.

Science.gov (United States)

Cooke, Richard; French, David P

2008-01-01

Meta-analysis was used to quantify how well the Theories of Reasoned Action and Planned Behaviour have predicted intentions to attend screening programmes and actual attendance behaviour. Systematic literature searches identified 33 studies that were included in the review. Across the studies as a whole, attitudes had a large-sized relationship with intention, while subjective norms and perceived behavioural control (PBC) possessed medium-sized relationships with intention. Intention had a medium-sized relationship with attendance, whereas the PBC-attendance relationship was small sized. Due to heterogeneity in results between studies, moderator analyses were conducted. The moderator variables were (a) type of screening test, (b) location of recruitment, (c) screening cost and (d) invitation to screen. All moderators affected theory of planned behaviour relationships. Suggestions for future research emerging from these results include targeting attitudes to promote intention to screen, a greater use of implementation intentions in screening information and examining the credibility of different screening providers.

[Surgery for colorectal cancer since the introduction of the Netherlands national screening programmeInvestigations into changes in number of resections and waiting times for surgery].

Science.gov (United States)

de Neree Tot Babberich, M P M; van der Willik, E M; van Groningen, J T; Ledeboer, M; Wiggers, T; Wouters, M W J M

2017-01-01

To investigate the impact of the Netherlands national colorectal cancer screening programme on the number of surgical resections for colorectal carcinoma and on waiting times for surgery. Descriptive study. Data were extracted from the Dutch Surgical Colorectal Audit. Patients with primary colorectal cancer surgery between 2011-2015 were included. The volume and median waiting times for the years 2011-2015 are described. Waiting times from first tumor positive biopsy until the operation (biopsy-operation) and first preoperative visit to the surgeon until the operation (visit-operation) are analyzed with a univariate and multivariate linear regression analysis. Separate analysis was done for visit-operation for academic and non-academic hospitals and for screening compared to non-screening patients. In 2014 there was an increase of 1469 (15%) patients compared to 2013. In 2015 this increase consisted of 1168 (11%) patients compared to 2014. In 2014 and 2015, 1359 (12%) and 3111 (26%) patients were referred to the surgeon through screening, respectively. The median waiting time of biopsy-operation significantly decreased (ß: 0.94, 95%BI) over the years 2014-2015 compared to 2011-2013. In non-academic hospitals, the waiting time visit-operation also decreased significantly (ß: 0.89, 95%BI 0.87-0.90) over the years 2014-2015 compared to 2011-2013. No difference was found in waiting times between patients referred to the surgeon through screening compared to non-screening. There is a clear increase in volume since the introduction of the colorectal cancer screening programme without an increase in waiting time until surgery.

Overview of diagnosis, management and outcome of congenital hypothyroidism: A call for a national screening programme in Sudan

OpenAIRE

Babiker, Amir M. I.; Jurayyan, Nasir A. Al; Mohamed, Sarar H.; Abdullah, Mohamed A.

2012-01-01

Congenital hypothyroidism (CH) is the commonest preventable cause of mental retardation in children worldwide. It continued to be a major health problem amongst Sudanese children. The lack of a screening programme in Sudan may be the major factor of missing the diagnosis in newborns with such a condition that can present very subtle clinically, yet with poor neurodevelopmental consequences. The outcome is very good when the condition is noticed early (in the first 2 - 3 weeks of life). Howeve...

Inductive Monitoring System (IMS)

Data.gov (United States)

National Aeronautics and Space Administration — IMS: Inductive Monitoring System The Inductive Monitoring System (IMS) is a tool that uses a data mining technique called clustering to extract models of normal...

Quality of colonoscopy in an organised colorectal cancer screening programme with immunochemical faecal occult blood test: the EQuIPE study (Evaluating Quality Indicators of the Performance of Endoscopy).

Science.gov (United States)

Zorzi, Manuel; Senore, Carlo; Da Re, Filippo; Barca, Alessandra; Bonelli, Luigina Ada; Cannizzaro, Renato; Fasoli, Renato; Di Furia, Lucia; Di Giulio, Emilio; Mantellini, Paola; Naldoni, Carlo; Sassatelli, Romano; Rex, Douglas; Hassan, Cesare; Zappa, Marco

2015-09-01

To assess variation in the main colonoscopy quality indicators in organised colorectal cancer (CRC) screening programmes based on faecal immunochemical test (FIT). Data from a case-series of colonoscopies of FIT-positive subjects were provided by 44 Italian CRC screening programmes. Data on screening history, endoscopic procedure and histology results, and additional information on the endoscopy centre and the endoscopists were collected. The adenoma detection rate (ADR) and caecal intubation rate (CIR) were assessed for the whole population and the individual endoscopists. To explore variation in the quality indicators, multilevel analyses were performed according to patient/centre/endoscopist characteristics. We analysed 75 569 (mean age: 61.3 years; men: 57%) colonoscopies for positive FIT performed by 479 endoscopists in 79 centres. ADR ranged from 13.5% to 75% among endoscopists (mean: 44.8%). ADR was associated with gastroenterology specialty (OR: 0.87 for others, 95% CI 0.76 to 0.96) and, at the endoscopy centre level, with the routine use of sedation (OR: 0.80 if occasional (600 colonoscopies; 95% CI 1.11 to 2.04) and, at the endoscopy centre level, screening-dedicated sessions (OR: 2.18; 95% CI 1.24 to 3.83) and higher rates of sedation (OR: 0.47 if occasional; 95% CI 0.24 to 0.92). The quality of colonoscopy was affected by patient-related, endoscopist-related and centre-related characteristics. Policies addressing organisational issues should improve the quality of colonoscopy in our programme and similar programmes. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Screening for Developmental Dysplasia of the Hip

NARCIS (Netherlands)

Boere-Boonekamp, Magdalena M.; Verkerk, Paul H.

1998-01-01

The success rates of screening programmes for Developmental Dysplasia of the Hip (DDH) vary widely. Studies on screening programmes for DDH based on a Medline search for the years 1966–1997 are reviewed. The percentage treated in most studies, especially those using ultrasound, are high and suggest

Integrating IMS LD and IMS QTIv2 using CopperCore Service Integration

NARCIS (Netherlands)

Vogten, Hubert

2006-01-01

Vogten, H. (2006). Integrating IMS LD and IMS QTIv2 using CopperCore Service Integration. Presentation at International Workshop in Learning Networks for Lifelong Competence Development. March, 30-31, 2006. Sofia, Bulgaria: TENCompetence Conference. Retrieved June 30th, 2006, from

Studienbegleitender und studienvorbereitender Deutschunterricht international: Einführung

Directory of Open Access Journals (Sweden)

Sabine Ylönen

2015-04-01

Full Text Available Studienbegleitender und studienvorbereitender Deutschunterricht an Universitäten und Hochschulen steht weltweit vor Herausforderungen, sich den Anforderungen des globalen Wissenschaftsbetriebs zu stellen. Zum einen ist die Bedeutung des Deutschen in den letzten Jahren dramatisch gesunken, zum anderen sind innovative didaktische Ansätze für den Deutschunterricht gefragt. In welcher Weise sich studienbegleitender und studienvorbereitender Deutschunterricht diesen Anforderungen im In- und Ausland stellen, wird in diesem Themaheft beleuchtet. An zehn Beiträgen aus unterschiedlichen Ländern wird unter anderem deutlich, wie aktive Sprachenpolitik durch strategische Investitionen einerseits und Engagement von DeutschlektorInnen andererseits die Entwicklung neuer Konzepte für den studienbegleitenden und studienvorbereitenden Deutschunterricht fördern können. Dietmar Röslers Beitrag Studienbegleitender Deutschunterricht in naturwissenschaftlich-technischen Studiengängen an Universitäten außerhalb des deutschsprachigen Raums bietet eine Übersicht über die Vielfalt unterschiedlicher Zielgruppen und Lernziele des sowie Einflussfaktoren auf den studienbegleitenden Deutschunterricht und die sich daraus ergebenden didaktischen Konsequenzen. Daniela Marks berichtet in ihrem Beitrag Prüfen sprachlicher Kompetenzen internationaler Studienanfänger an deutschen Hochschulen – Was leistet der TestDaF? über eine Studie zu den sprachlichen Anforderungen des TestDaF und macht Vorschläge für inhaltliche Schwerpunkte studienbegleitenden und -vorbereitenden Deutschunterrichts. Michael de Jong stellt in seinem Beitrag Modularer studienbegleitender Deutschunterricht zur Vorbereitung auf Studium und Praktikum in Deutschland am Beispiel der German-Jordanian University in Amman, Jordanien das „Leuchtturmprojekt“ der deutschen Auslandshochschulen vor und diskutiert die Herausforderungen und Bedarfe dieses transnationalen Bildungsprojekts

Programmable Oligomers Targeting 5′-GGGG-3′ in the Minor Groove of DNA and NF-κB Binding Inhibition

Science.gov (United States)

Chenoweth, David M.; Poposki, Julie A.; Marques, Michael A.; Dervan, Peter B.

2009-01-01

A series of hairpin oligomers containing benzimidazole (Bi) and imidazopyridine (Ip) rings were synthesized and screened to target 5′-WGGGGW-3′, a core sequence in the DNA binding site of NF-κB, a prolific transcription factor important in biology and disease. Five Bi and Ip containing oligomers bound to the 5′-WGGGGW-3′ site with high affinity. One of the oligomers (Im-Im-Im-Im-γ-PyBi-PyBi-β-Dp) was able to inhibit DNA binding by the transcription factor NF-κB. PMID:17095230

False-positive results in mammographic screening for breast cancer in Europe

DEFF Research Database (Denmark)

Hofvind, Solveig; Ponti, Antonio; Patnick, Julietta

2012-01-01

To estimate the cumulative risk of a false-positive screening result in European mammographic screening programmes, and examine the rates and procedures of further assessment.......To estimate the cumulative risk of a false-positive screening result in European mammographic screening programmes, and examine the rates and procedures of further assessment....

Effect on motivation, perceived competence, and activation after participation in the ''Ready to Act'' programme for people with screen-detected dysglycaemia: a 1-year randomised controlled trial, Addition-DK.

Science.gov (United States)

Maindal, Helle Terkildsen; Sandbæk, Annelli; Kirkevold, Marit; Lauritzen, Torsten

2011-05-01

To investigate the reach of the ''Ready to Act'' programme and the 1-year effects on psychological determinants of healthy behaviour: motivation, perceived competence, and activation level. A total of 509 adults with dysglycaemia were recruited from general practioners (GPs) in the intensive arm of the Danish Anglo-Danish-Dutch Study of Intensive Treatment in People with Screen-Detected Diabetes in Primary Care (ADDITION) study, a type 2 diabetes screening programme. The participants were randomised to the ''Ready to Act'' programme added on top of GP care (n = 322) or to GP care (n = 187). The core components of the programme were motivation, action experience, informed decision-making, and social involvement conducted in two one-to-one sessions and eight group-meetings (18 hours). The reach of the programme was measured by the proportion of people who signed up. Outcomes were changes in treatment motivation (Treatment Self-Regulation Questionnaire, TSRQ), perceived competence (Perceived Competence Scale, PCS), and activation in chronic care (Patient Activation Measure, PAM). Effect size was the difference between 1-year changes in the randomisation groups analysed by intention-to-treat. A total of 142 (44%) of 322 signed up and 123 (87%) of these completed. At 1 year, the difference in autonomous motivation for behavioural treatment (TSRQ) between the randomisation groups was 1.0 (95% CI 0.1 to 2.0), and the difference in perceived competence changes in healthy diet (PCS-d) was 1.5 (95% CI 0.2 to 2.7). No differences were observed for activation (PAM) between the groups. Subgroup analysis revealed men to benefit more from the intervention than women. The programme is a promising health-promoting component in prevention and care for people with screen-detected dysglycaemia, as it attracted four of 10 people and had effects on motivation and perceived competence.

Improving access to screening for people with learning disabilities.

Science.gov (United States)

Marriott, Anna; Turner, Sue; Giraud-Saunders, Alison

2014-11-04

People with learning disabilities have poorer health than their non-disabled peers, and are less likely to access screening services than the general population. The National Development Team for Inclusion and the Norah Fry Research Centre developed a toolkit and guidance to improve uptake of five national (English) screening programmes (one of which is delivered through local programmes), based on work to improve access by people with learning disabilities in the south west peninsula of the UK. This article describes the findings in relation to the five English screening programmes and suggests ways to improve uptake of cancer screening by people with learning disabilities.

Digital mammography and their developments; Digitale Mammografie und ihre Weiterentwicklung

Energy Technology Data Exchange (ETDEWEB)

Wienbeck, Susanne [Universitaetsmedizin Goettingen (Germany). Inst. fuer Diagnostische und Interventionelle Radiologie; Fischer, Uwe [Diagnostisches Brustzentrum Goettingen (Germany)

2015-09-15

At the present time digital mammography is a satisfactory breast diagnostic imaging in clinical as well as screening mammography in defined age groups. Nevertheless it shows beside the application of ionizing radiation in women with dense breasts limitations in the detection of non calcification breast cancers. Tomosynthesis, digital contrast-enhanced mammography and breast-CT with or without contrast media lead to better results. Especially the application of contrast media for the visualisation of the tumor angiogenesis is invariably superior to all other non-contrast imaging modalities. However, the excellent results of breast MRI will be probably accessible with none of the new procedures.

Satzglieder, Kasus und semantische Rollen: Eine Einführung

DEFF Research Database (Denmark)

Engels, Eva; Vikner, Sten

2006-01-01

German/Deutsch/Tysk: Abschnitt 1 führt die Konzepte Satzglied, Kasus und semantische Rolle ein. Am Beispiel des Deutschen und Dänischen wird in Abschnitt 2 gezeigt, dass diese zwar miteinander verknüpft sind, jedoch nicht strikt miteinander korrelieren. Ein kurzer Blick auf das Finnische im...... Abschnitt 3 weist darauf hin, dass dies selbst in Sprachen mit weitaus ausgeprägterem Kasussystem der Fall ist....

PACT - IAEA Programme of Action for Cancer Therapy

International Nuclear Information System (INIS)

Samiei, M.

2005-01-01

Programme of Action for Cancer Therapy (PACT) is the IAEA's response to the cancer challenge in developing countries. The long-term objective of PACT is Sustainable National Capacity for Cancer Care. The vision of PACT is to (a) build sustainable national cancer care infrastructure and capacity towards eventual self-sufficiency through South-South and North-South partnerships, (b) systematically plan and build capacity to diagnose and treat all patients with radiosensitive cancers, (c) focus on eliminating all cancer morbidity and mortality from unmet treatment needs among patients for whom radiotherapy is most effective and (d) deploy consistent and predictable resources and processes including investments from private donors to meet these objectives over a 5 to 10 year strategy. After the IAEA Board approval in 2004 the PACT office established early 2005. Engaged substantial steps followed to strategize and operationlise PACT. Public awareness campaign was initiated trough the public service announcements, web site development and national outreach seminars. Engagement with WHO, IARC, PAHO, ACS and others followed. The WHA resolution in May 2005 welcomes PACT and asks for a possible joint WHO-IAEA programme. PACT is being operationalised using specific mechanisms such as 'imPACT' (integrated missions of PACT). The 'imPACT' review will assist governments to review, analyse and formulate National Cancer Strategies and Action Plans for capacity building from prevention through palliation. It will also enable institutions to build and develop human resources and plans for capacity in radiation and nuclear oncology. The results of 'imPACT' will enable governments to work with partners, focus on centres of competence/reference to deliver quality cancer care, raise public awareness of cancer prevention, diagnosis and therapy and apply best practices, expand and continue professional development. The expected outcome will be integrated national strategies, action plans

External quality assurance for image grading in the Scottish Diabetic Retinopathy Screening Programme.

Science.gov (United States)

Goatman, K A; Philip, S; Fleming, A D; Harvey, R D; Swa, K K; Styles, C; Black, M; Sell, G; Lee, N; Sharp, P F; Olson, J A

2012-06-01

To develop and evaluate an image grading external quality assurance system for the Scottish Diabetic Retinopathy Screening Programme. A web-based image grading system was developed which closely matches the current Scottish national screening software. Two rounds of external quality assurance were run in autumn 2008 and spring 2010, each time using the same 100 images. Graders were compared with a consensus standard derived from the top-level graders' results. After the first round, the centre lead clinicians and top-level graders reviewed the results and drew up guidance notes for the second round. Grader sensitivities ranged from 60.0 to 100% (median 92.5%) in 2008, and from 62.5 to 100% (median 92.5%) in 2010. Specificities ranged from 34.0 to 98.0% (median 86%) in 2008, and 54.0 to 100% (median 88%) in 2010. There was no difference in sensitivity between grader levels, but first-level graders had a significantly lower specificity than level-two and level-three graders. In 2008, one centre had a lower sensitivity but higher specificity than the majority of centres. Following the feedback from the first round, overall agreement improved in 2010 and there were no longer any significant differences between centres. A useful educational tool has been developed for image grading external quality assurance. © 2011 The Authors. Diabetic Medicine © 2011 Diabetes UK.

The National Health Service Breast Screening Programme and British Association of Surgical Oncology audit of quality assurance in breast screening 1996-2001.

Science.gov (United States)

Sauven, P; Bishop, H; Patnick, J; Walton, J; Wheeler, E; Lawrence, G

2003-01-01

The National Health Service Breast Screening Programme (NHSBSP) is an example of a nationally coordinated quality assurance programme in which all the professional groups involved participate. Surgeons, radiologists and pathologists defined the clinical outcome measures against which they would subsequently be audited. The NHSBSP and the Association of Breast Surgery at BASO are jointly responsible for coordinating an annual audit of all surgical activities undertaken within the NHSBSP. The trends for key outcome measures between 1996 and 2001 are provided. The preoperative diagnosis rate (minimum standard 70 per cent or more) improved from 63 to 87 per cent. This rise was mirrored by an increase in the use of core biopsy in preference to fine-needle cytology. The proportion of patients in whom lymph node status was recorded improved from 81 to 93 per cent. There was no significant change in the number of women treated by low case-load surgeons and waiting times for surgery increased through the study interval. The BASO-NHSBSP Breast Audit has recorded major changes in clinical practice over 5 years. A key feature has been the dissemination of good practice through feedback of the results at local and national level. Copyright 2003 British Journal of Surgery Society Ltd. Published by John Wiley & Sons Ltd

"I'm on it 24/7 at the moment": A qualitative examination of multi-screen viewing behaviours among UK 10-11 year olds

Directory of Open Access Journals (Sweden)

Cillero Itziar

2011-08-01

Full Text Available Abstract Background Screen-viewing has been associated with increased body mass, increased risk of metabolic syndrome and lower psychological well-being among children and adolescents. There is a shortage of information about the nature of contemporary screen-viewing amongst children especially given the rapid advances in screen-viewing equipment technology and their widespread availability. Anecdotal evidence suggests that large numbers of children embrace the multi-functionality of current devices to engage in multiple forms of screen-viewing at the same time. In this paper we used qualitative methods to assess the nature and extent of multiple forms of screen-viewing in UK children. Methods Focus groups were conducted with 10-11 year old children (n = 63 who were recruited from five primary schools in Bristol, UK. Topics included the types of screen-viewing in which the participants engaged; whether the participants ever engaged in more than one form of screen-viewing at any time and if so the nature of this multiple viewing; reasons for engaging in multi-screen-viewing; the room within the house where multi-screen-viewing took place and the reasons for selecting that room. All focus groups were transcribed verbatim, anonymised and thematically analysed. Results Multi-screen viewing was a common behaviour. Although multi-screen viewing often involved watching TV, TV viewing was often the background behaviour with attention focussed towards a laptop, handheld device or smart-phone. There were three main reasons for engaging in multi-screen viewing: 1 tempering impatience that was associated with a programme loading; 2 multi-screen facilitated filtering out unwanted content such as advertisements; and 3 multi-screen viewing was perceived to be enjoyable. Multi-screen viewing occurred either in the child's bedroom or in the main living area of the home. There was considerable variability in the level and timing of viewing and this appeared to be

Environmental policy plans in comparison. Main focus: emission; Umweltplaene im Vergleich. Schwerpunkt: Emissionen/Immissionen

Energy Technology Data Exchange (ETDEWEB)

Kochte-Clemens, B.; Ballschmiter, K.

2000-07-01

den Umweltplaenen 92 verschiedene Stoffe als Emissionen thematisiert. Die meisten davon werden im Umweltplan der Niederlande und im deutschen Entwurf, gefolgt vvom Umweltplan-Oesterreichs, aufgefuehrt. Die Umweltziele und daraus abgeleiteten Massnahmen zur Reduktion von Kohlendioxid (Minimierung des Treibhauseffekts), ozonschichtzerstoerende Substanzen (FCKW-Problematik), Schwefeldioxid (Versauerung, Eutrophierung), Stickstoffoxid (Versauerung, Ozonvorlaeufer), fluechtige organische Verbindungen (VOC) (Ozonvorlaeufer), Stickstoff- und Phosphoreintraege in Boden und Wasser (Eutrophierung), sowie Vorschlaege zu Massnahmen im Bereich Verkehr- und Transport werden miteinander verglichen. Im niederlaendischen Plan werden fast durchweg quantitative Angaben, bzw. konkrete zeitliche Vorgaben fuer die Reduktion von Schadstoffemissionen gemacht. Entsprechend genaue Angaben zu Reduktionszielen finden sich in den Plaenen Daenemarks, Oesterreichs, Suedkoreas und Deutschlands nur fuer etwa die Haelfte der angegebenen Substanzen. (orig.)(abstract truncated)

Fokusdomäne von Gradpartikeln im Deutschen und Russischen

Directory of Open Access Journals (Sweden)

Poljakova, Svetlana

2000-01-01

Full Text Available This article deals with the groups of scalar focus particles (grading particles=Gradpartikeln in German and Russian. The aim is to provide a rough overview of similarities and differences in the syntax of 'sogar/dazhe' groups. The method is to use the term 'focus domain' (in the sense of Selkirk 1995 for internal sentence scope of a grading particle (instead of only 'focus' or only 'scope'. Focus domain is a structure sequence, which unites syntax and prosody. With this option it is possible to pay more attention to some colloquial types of constructions with grading particles. One remarkable result of this study is the fact that Russian usually regulates the position of a grading particle with prosodic criteria, while German has syntactic rules regarding the first position.

Self-Sampling for Human Papillomavirus Testing among Non-Attenders Increases Attendance to the Norwegian Cervical Cancer Screening Programme.

Directory of Open Access Journals (Sweden)

Espen Enerly

Full Text Available Increasing attendance to screening offers the best potential for improving the effectiveness of well-established cervical cancer screening programs. Self-sampling at home for human papillomavirus (HPV testing as an alternative to a clinical sampling can be a useful policy to increase attendance. To determine whether self-sampling improves screening attendance for women who do not regularly attend the Norwegian Cervical Cancer Screening Programme (NCCSP, 800 women aged 25-69 years in the Oslo area who were due to receive a 2nd reminder to attend regular screening were randomly selected and invited to be part of the intervention group. Women in this group received one of two self-sampling devices, Evalyn Brush or Delphi Screener. To attend screening, women in the intervention group had the option of using the self-sampling device (self-sampling subgroup or visiting their physician for a cervical smear. Self-sampled specimens were split and analyzed for the presence of high-risk (hr HPV by the CLART® HPV2 test and the digene® Hybrid Capture (HC2 test. The control group consisted of 2593 women who received a 2nd reminder letter according to the current guidelines of the NCCSP. The attendance rates were 33.4% in the intervention group and 23.2% in the control group, with similar attendance rates for both self-sampling devices. Women in the self-sampling subgroup responded favorably to both self-sampling devices and cited not remembering receiving a call for screening as the most dominant reason for previous non-attendance. Thirty-two of 34 (94.1% hrHPV-positive women in the self-sampling subgroup attended follow-up. In conclusion, self-sampling increased attendance rates and was feasible and well received. This study lends further support to the proposal that self-sampling may be a valuable alternative for increasing cervical cancer screening coverage in Norway.

Self-Sampling for Human Papillomavirus Testing among Non-Attenders Increases Attendance to the Norwegian Cervical Cancer Screening Programme.

Science.gov (United States)

Enerly, Espen; Bonde, Jesper; Schee, Kristina; Pedersen, Helle; Lönnberg, Stefan; Nygård, Mari

2016-01-01

Increasing attendance to screening offers the best potential for improving the effectiveness of well-established cervical cancer screening programs. Self-sampling at home for human papillomavirus (HPV) testing as an alternative to a clinical sampling can be a useful policy to increase attendance. To determine whether self-sampling improves screening attendance for women who do not regularly attend the Norwegian Cervical Cancer Screening Programme (NCCSP), 800 women aged 25-69 years in the Oslo area who were due to receive a 2nd reminder to attend regular screening were randomly selected and invited to be part of the intervention group. Women in this group received one of two self-sampling devices, Evalyn Brush or Delphi Screener. To attend screening, women in the intervention group had the option of using the self-sampling device (self-sampling subgroup) or visiting their physician for a cervical smear. Self-sampled specimens were split and analyzed for the presence of high-risk (hr) HPV by the CLART® HPV2 test and the digene® Hybrid Capture (HC)2 test. The control group consisted of 2593 women who received a 2nd reminder letter according to the current guidelines of the NCCSP. The attendance rates were 33.4% in the intervention group and 23.2% in the control group, with similar attendance rates for both self-sampling devices. Women in the self-sampling subgroup responded favorably to both self-sampling devices and cited not remembering receiving a call for screening as the most dominant reason for previous non-attendance. Thirty-two of 34 (94.1%) hrHPV-positive women in the self-sampling subgroup attended follow-up. In conclusion, self-sampling increased attendance rates and was feasible and well received. This study lends further support to the proposal that self-sampling may be a valuable alternative for increasing cervical cancer screening coverage in Norway.

Development of a training programme for home health care workers to promote preventive activities focused on a healthy lifestyle: an intervention mapping approach.

Science.gov (United States)

Walters, Maaike E; Dijkstra, Arie; de Winter, Andrea F; Reijneveld, Sijmen A

2015-07-09

Lifestyle is an important aspect in maintaining good health in older adults, and home health care (HHC) workers can play an important role in promoting a healthy lifestyle. However, there is limited evidence in the literature regarding how to develop an effective training programme to improve the physical activity level and fruit and vegetable consumption of older adults within a HHC setting. The aim of this paper is to describe how Intervention Mapping (IM) was used to develop a training programme to promote preventive activities of HHC workers relating to the physical activity and fruit and vegetable intake of older adults living at home. IM, a systematic theory and evidence-based approach was used to develop, implement and evaluate the training programme. This entailed a literature search, a survey, semi-structured interviews and consultation with HHC workers and various field experts, and a pilot training session. The determinants associated with the provision of preventive activities were identified, and an overview was created of those objectives, matching methods and practical applications that could influence these determinants. The performance objectives for the HHC workers were early detection and monitoring, promoting a healthy lifestyle, informing colleagues, continuing allocated preventive activities and referring to other experts and facilities. Findings were translated into a comprehensive training programme for HHC workers focused on motivating older adults to adopt and maintain a healthier lifestyle. IM was a useful tool in the development of a theory-based training programme to promote preventive activities by HHC workers relating to fruit and vegetable intake and physical activity of older adults.

Six year effectiveness of a population based two tier infant hearing screening programme.

Science.gov (United States)

Russ, S A; Rickards, F; Poulakis, Z; Barker, M; Saunders, K; Wake, M

2002-04-01

To determine whether a two tier universal infant hearing screening programme (population based risk factor ascertainment and universal distraction testing) lowered median age of diagnosis of bilateral congenital hearing impairment (CHI) >40 dB HL in Victoria, Australia. Comparison of whole population birth cohorts pre and post introduction of the Victorian Infant Hearing Screening Program (VIHSP). All babies surviving the neonatal period born in Victoria in 1989 (pre-VIHSP) and 1993 (post-VIHSP) were studied. (1) Pre-1992: distraction test at 7-9 months. (2) Post-1992: infants with risk factors for CHI referred for auditory brain stem evoked response (ABR) assessment; all others screened by modified distraction test at 7-9 months. Of the 1989 cohort (n = 63 454), 1.65/1000 were fitted with hearing aids for CHI by end 1995, compared with 2.09/1000 of the 1993 cohort (n = 64 116) by end 1999. Of these, 79 cases from the 1989 cohort (1.24/1000) and 72 cases from the 1993 cohort (1.12/1000) had CHI >40 dB HL. Median age at diagnosis of CHI >40 dB HL for the 1989 birth cohort was 20.3 months, and for the 1993 cohort was 14.2 months. Median age at diagnosis fell significantly for severe CHI but not for moderate or profound CHI. Significantly more babies with CHI >40 dB HL were diagnosed by 6 months of age in 1993 than in 1989 (21.7% v 6.3%). Compared to the six years pre-VIHSP, numbers aided by six months were consistently higher in the six years post-VIHSP (1.05 per 100 000 births versus 13.4 per 100 000 births per year). VIHSP resulted in very early diagnosis for more infants and lowered median age of diagnosis of severe CHI. However, overall results were disappointing.

Is mammography screening history a predictor of future breast cancer risk?

DEFF Research Database (Denmark)

Andersen, Sune Bangsbøll; Törnberg, Sven; Kilpeläinen, Sini

2015-01-01

Inspired by the model by Walter and Day for risk of cervical cancer following negative screens, one might hypothesize that women in a mammography screening programme with a certain number of negative screens had a lower remaining breast cancer risk than that of women in general. We studied whether...... number of negative screens was a predictor for a low remaining breast cancer risk in women participating in the mammography screening programmes in Stockholm, Copenhagen and Funen. Data were collected from the mammography screening programmes in Stockholm, Sweden (1989-2012), Copenhagen, Denmark (1991......-2009) and Funen, Denmark (1993-2009), and linked to the respective cancer registries. We calculated cumulative hazard rates for breast cancer in women in cohorts defined by age at entry and number of negative screens for the maximum follow-up period in each screening centre. For all centres and cohorts...

Resilience in IMS

DEFF Research Database (Denmark)

Kamyod, Chayapol; Nielsen, Rasmus Hjorth; Prasad, Neeli R.

2012-01-01

) and supporting always on services. Therefore, not only Quality of Service (QoS) but also resilience is required. In this paper, we attempt to evaluate and analyze end-to-end reliability of the IMS system using a model proposed as a combination of Reliability Block Diagram (RBD) and Markov Reward Models (MRMs......Reliability evaluation of systems has been widely researched for improving system resilience especially in designing processes of a complex system. The convergence of different access networks is possible via IP Multimedia Subsystem (IMS) for development toward Next Generation Networks (NGNs......). The resilience of the IMS architecture is studied by applying 1:1 redundancy at different communication scenarios between end users within and across communication domains. The model analysis provides useful reliability characteristics of the system and can be further applied for system design processes....

Level and distribution of the radiation dose to the population from a mammography screening programme in New Zealand

Energy Technology Data Exchange (ETDEWEB)

Bulling, S.M.; Nicoll, J.J. [Otago Univ., Dunedin (New Zealand). Dept. of Physics

1995-12-31

The Otago Southland Breast Screening Programme offers biennial mammography to 19,000 eligible women on the South Island of New Zealand. A Quality Assurance programme ensures that international performance standards are met, in particular the radiation dose for a mammogram of 5 cm CIRS-X phantom is 1.7 mGy and careful retake analysis undertaken. This however does not reveal the absorbed dose received by individuals, nor how this varies between individuals. Machine parameters and compressed breast thickness for each film were recorded for 310 women who attended one centre during the three months ending February 1993 and absorbed doses calculated using Monte Carlo data. The mean compressed breast thickness for the 310 women was 4.9 cm, doses received for individual films ranged from 0.7 to 8.5 mGy while patient total doses were in the range 4 to 29 mGy with 75% of women receiving a dose of 7.1 mGy or less. (Author).

Screening for colorectal cancer in Italy: 2011-2012 survey.

Science.gov (United States)

Zorzi, Manuel; Mangone, Lucia; Anghinoni, Emanuela; Baracco, Susanna; Borciani, Elisabetta; Caldarella, Adele; Falcini, Fabio; Fanetti, Anna Clara; Ferretti, Stefano; Giorgi Rossi, Paolo; Michiara, Maria; Randi, Giorgia; Stracci, Fabrizio; Vicentini, Massimo; Zucchetto, Antonella; Zappa, Marco

2015-01-01

The impact of organized screening programmes on colorectal cancer (CRC) can be observed at a population level only several years after the implementation of screening. We compared CRC characteristics by diagnostic modality (screen-detected, non-screen-detected) as an early outcome to monitor screening programme effectiveness. Data on CRCs diagnosed in Italy from 2000 to 2008 were collected by several cancer registries. Linkage with screening datasets made it possible to divide the cases by geographic area, implementation of screening, and modality of diagnosis (screen-detected, non-screen-detected).We compared the main characteristics of the different subgroups of CRCs through multivariate logistic regression models. The study included 23,668 CRCs diagnosed in subjects aged 50-69 years, of which 11.9% were screen-detected (N=2,806), all from the North-Centre of Italy. Among screen-detected CRCs, we observed a higher proportion of males, of cases in the distal colon, and a higher mean age of the patients. Compared with pre-screening cases, screen-detected CRCs showed a better distribution by stage at diagnosis (OR for stage III or IV: 0.40, 95%CI: 0.36-0.44) and grading (OR for poorly differentiated CRCs was 0.86, 95%CI: 0.75-1.00). Screen-detected CRCs have more favourable prognostic characteristics than non-screen-detected cases. A renewed effort to implement screening programmes throughout the entire country is recommended.

Two faces of patient advocacy: the current controversy in newborn screening.

Science.gov (United States)

Arnold, Cosby G

2014-08-01

Newborn screening programmes began in the 1960s, have traditionally been conducted without parental permission and have grown dramatically in the last decade. Whether these programmes serve patients' best interests has recently become a point of controversy. Privacy advocates, concerned that newborn screening infringes upon individual liberties, are demanding fundamental changes to these programmes. These include parental permission and limiting the research on the blood samples obtained, an agenda at odds with the viewpoints of newborn screening advocates. This essay presents the history of newborn screening in the USA, with attention to factors that have contributed to concerns about these programmes. The essay suggests that the rapid increase in the number of disorders screened for and the addition of research without either public knowledge or informed consent were critical to the development of resistance to mandatory newborn screening and research. Future newborn screening initiatives should include public education and comment to ensure continued support. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Favourable outcomes of a preventive screening and counselling programme for older people in underprivileged areas in the Netherlands: The PRIMUS project

Directory of Open Access Journals (Sweden)

D.J. Annemarie van Dijk

2017-06-01

Full Text Available An aging population is associated with an increased prevalence of diabetes, cardiovascular diseases and depression. Important aspects of programmes targeted at older people are: to reach those at risk, effective screening, optimising advice, and referral to local interventions. We examined the effect of a preventive health consultation (PRIMUS, a multi-behavioural screening programme for persons aged 55–74 years in primary care. In a multi-centre randomised controlled trial, the effects of participating in the PRIMUS intervention were compared to a comparison group receiving personalised summaries and advice by postal mail, both preceded by a health risk assessment via a questionnaire. The intervention consisted of a baseline health risk assessment, followed by a preventive health consultation (after 4 weeks, and a follow-up visit (2 weeks later in the primary care centre. A newly developed web-based computer-tailored programme supported the nurse practitioner during the consultation. Main outcomes measures were awareness of, and compliance with referral advice for changing unhealthy lifestyles. The PRIMUS preventive health consultation was successful in older people at risk for cardio metabolic diseases compared to the comparison group (compliance: RR 1.43; 95% CI 1.12–1.79; p < 0.05. The intervention was less successful in older people at risk for mental health problems. This preventive health consultation for older people resulted in positive changes in unhealthy behaviours by optimising reach, raising awareness, motivating and assisting individuals to change, and referring to local interventions.

TV Programme Presentations: Kreuz und Quer

CERN Multimedia

CERN Bulletin

2011-01-01

TV Programme Presentations: Kreuz und Quer: Im Anfang war das Teilchen-CERN und die Frage nach Gott by ORF (2010) and Faszination Wissen: CERN-LHC by Bayerisher Rundfunk (2010)   ORF’s Kreuz und Quer: Im Anfang war das Teilchen-CERN und die Frage nach Gott presents a debate on science and religion and their relationship. The film by Stefanie Mahler and Niki Popper leads a discussion between physicists and theologians on the basis of such questions as what role does coincidence play vs. what is the human responsibility and whether there is a place for God between all these questions and answers. Even in these modern times, 80% of the mass distributed in the universe is made of an unknown origin. Bayerisher Rundfunk’s Faszination Wissen: CERN-LHC, CERN physicists explain the exciting physics searches underway at the Large Hadron Collider. By colliding protons that have been accelerated to almost the speed of light, the LHC is able to create the conditions that existed just after th...

Women's opinions about attending for breast cancer screening: Stability of cognitive determinants during three rounds of screening.

NARCIS (Netherlands)

Drossaert, Constance H.C.; Boer, Hendrik; Seydel, E.R.

2005-01-01

Examines women's opinions about attending breast cancer screening. Stability of beliefs and intentions towards repeat attendance at breast cancer screening; Assessment of whether cognitions changed in the course of the programme; Increase of attendance in subsequent rounds of breast cancer screening

Organisational aspects of mammography screening in digital settings: First experiences of Luxembourg

International Nuclear Information System (INIS)

Shannoun, F.; Schanck, J. M.; Scharpantgen, A.; Wagnon, M. C.; Ben Daoud, M.; Back, C.

2008-01-01

Luxembourg has been conducting a breast cancer screening programme since 1992, like a large number of other European countries, as early detection and treatment of breast cancer have been proven to reduce mortality. The majority of these screening programmes are based on analogue X-ray technology and have optimised their organisation of transporting, archiving and reading with respect to films. Last decade is marked by enormous developments in digital mammography. Different technologies such as flat panel-, computed radiography- and scanning systems became available. Digital mammography is expected to have a major impact on quality and organisation of breast cancer screening programmes. Screening programmes are now faced with a huge challenge of incorporating the digital technology, including implementation of electronic image exchange, conception of new electronic work-flow, establishing adapted quality assurance programmes and training of radiologists and technical personnel. Initial experiences of the Luxembourg approach in organising digital mammography screening and its quality assurance are reported. (authors)

Delegation und Kooperation im Gesundheitswesen

OpenAIRE

Rosenau, Henning

2010-01-01

Delegation und Kooperation im Gesundheitswesen. - In: Tıpta işbirliği ve hukuksal sorunlar = Delegation und Kooperation im Gesundheitswesen / ed.: Hakan Hakeri ... - Samsun : Adalet, 2010. - S. 7-18

Innovationsmanagement im Marketing: Anleitung zur Innovations-Sensibilisierung und deren Umsetzung im Rahmen der Neuen Lernkultur

OpenAIRE

Mangisch, Christian; Blatter, Martin

2009-01-01

Der Kurs “Innovationsmanagement im Marketing“ vermittelt den Teilnehmenden Wissen zum Innovationsmanagement, zum innovativen Team und zu innovativen Marketing Trends. Diese Kurse sind online auf dem folgenden Link www.ritzycampus.ch zu finden. Die Teilnehmer müssen für den Online-Kurs keine speziellen Kenntnisse oder Voraussetzungen mitbringen. Diese Online-Kurse im Fach Marketing sind an ein breites Publikum gerichtet. Sie ermöglichen den Studierenden im Eigenstudium die Grundlagen der Theme...

In der Suche nach eigenem Sprachstandards

Directory of Open Access Journals (Sweden)

Lada Badurina

1992-01-01

Full Text Available Im Artikl wird dreifache Lösungsmöglichkeit des burgenländrich-kroatischen Sprachkomplexes vor-gesehen: Stützung auf den deutschen schriftsprachlichen Ausdruck, Übernahme des südlichen kroatischen Standards oder Aufbau eigener Sprachnorm. Neulich veröffentlichtes Werk Gradis6anskohrvatski-hrvatsko-nim§ki rjeönik zeugt über die Anbahnung der schwierigten aber zugleich annehmbarsten Lösung: Standardisierung der eigenen Sprache.

Die Geschichte des Marburger Universitätsbundes 1920-1957

OpenAIRE

Pawelletz, Jörg

2009-01-01

Seit dem Ende des Ersten Weltkrieges gibt es Hochschulfördervereine an deutschen Hochschulen und Universitäten, die sich unter verschiedenen Bezeichnungen ab 1917 bildeten und die bis auf wenige Ausnahmen noch bis heute bestehen. Diese frühen Fördervereine verorten sich im Bereich der privaten Wissenschaftsförderung, welche sich in der zweiten Hälfte des 19. Jahrhunderts ausbildete und zunehmend an Bedeutung gewann. Den Höhepunkt ...

Online‐Geldanlageberatung mit Robo Advice

OpenAIRE

Bahlinger, Thomas

2016-01-01

Der Robo Advisor‐Markt in Deutschland zeigt ein deutliches Aufholpotenzial zum US‐Markt, nicht nur im Hinblick auf das Marktvolumen, sondern auch auf das angebotene Leistungsspektrum. Die 15 untersuchten deutschen Anbieter weisen zum Teil erhebliche Unterschiede in den 20 analysierten Kriterien auf, allerdings ohne dass einzelne Anbieter durchgängig über alle Kriterien hinweg ausschließlich gute oder schlechte Bewertungen erhalten. Dies macht eine differenzierte Herangehensweise der Anbiet...

Kreisbewegung

Directory of Open Access Journals (Sweden)

Karin Hartewig

2000-11-01

Full Text Available Männer und Frauen des deutschen Widerstands und eine Kulturwissenschaftlerin aus der zweiten Generation der Holocaust-Überlebenden sprechen in diesem Buch über das Verhalten der Widerstandskämpfer gegenüber ihren jüdischen Mitbürgern. Im Mittelpunkt der Gruppengespräche steht die Frage, warum die Regime-Gegner die Verfolgung und Vernichtung der Juden in ihrem oppositionellen Handeln ausgeblendet haben.

Δim-lacunary statistical convergence of order α

Science.gov (United States)

Altınok, Hıfsı; Et, Mikail; Işık, Mahmut

2018-01-01

The purpose of this work is to introduce the concepts of Δim-lacunary statistical convergence of order α and lacunary strongly (Δim,p )-convergence of order α. We establish some connections between lacunary strongly (Δim,p )-convergence of order α and Δim-lacunary statistical convergence of order α. It is shown that if a sequence is lacunary strongly (Δim,p )-summable of order α then it is Δim-lacunary statistically convergent of order α.

[Kriegsland im Osten Eroberung, Kolonisierung und Militärherrschaft im Ersten Weltkrieg] / Markus Pöhlmann

Index Scriptorium Estoniae

Pöhlmann, Markus

2003-01-01

Rets.: Vejas Gabriel Liulevicius. Kriegsland im Osten Eroberung, Kolonisierung und Militärherrschaft im Ersten Weltkrieg. Aus dem Amerikanischen von Jürgen Bauer, Edith Nerke und Fee Engemann. Hamburg : 2002

Kollektivismus, Individualismus und Persönlichkeit als Prädiktoren von Einstellungen gegenüber psychologischer Beratung - Ein Kulturvergleich zwischen deutschen und chinesischen Studierenden

OpenAIRE

Schmahl, Anne

2007-01-01

Die vorliegende Diplomarbeit beschäftigt sich mit einem Kulturvergleich zwischen deutschen (n=103) und chinesischen Studierenden (n=98) bezüglich ihrer Einstellungen gegenüber psychologischer Beratung. Als Prädiktoren der Einstellungen wurden hierbei zum einen die kulturelle Dimension Individualismus-Kollektivismus nach Hofstede (2005) und zum anderen das Fünf-Faktoren-Modell der Persönlichkeit (FFM) herangezogen. Der Einfluss der Persönlichkeit auf die Einstellungen gegenüber psychologischer...

Impact of Risk Factors on Different Interval Cancer Subtypes in a Population-Based Breast Cancer Screening Programme

Science.gov (United States)

Blanch, Jordi; Sala, Maria; Ibáñez, Josefa; Domingo, Laia; Fernandez, Belén; Otegi, Arantza; Barata, Teresa; Zubizarreta, Raquel; Ferrer, Joana; Castells, Xavier; Rué, Montserrat; Salas, Dolores

2014-01-01

interval cancer subtypes. This information could be useful to improve effectiveness of breast cancer screening programmes and to better classify subgroups of women with different risks of developing cancer. PMID:25333936

CopperCore Service Integration, Integrating IMS Learning Design and IMS Question and Test Interoperability

NARCIS (Netherlands)

Vogten, Hubert; Martens, Harrie; Nadolski, Rob; Tattersall, Colin; Van Rosmalen, Peter; Koper, Rob

2006-01-01

Vogten, H., Martens, H., Nadolski, R., Tattersall, C., Rosmalen, van, P., Koper, R., (2006). CopperCore Service Integration, Integrating IMS Learning Design and IMS Question and Test Interoperability. Proceedings of the 6th IEEE International Conference on Advanced Learning Technologies (pp.

Polycyclic aromatic hydrocarbons (PAHs), their transfer into and dislocation within soil; Eintraege von polyzyklischen aromatischen Kohlenwasserstoffen (PAH) und ihre Verlagerung im Boden

Energy Technology Data Exchange (ETDEWEB)

Duerbeck, H W; Niehaus, R; Mueller, U; Bueker, I [Forschungszentrum Juelich GmbH (Germany). Inst. fuer Angewandte Physikalische Chemie

1998-12-31

In order to assess the terrestrial hazard potential of polycyclic aromatic hydrocarbons (PAHs), it is vital to investigate their nuisance concentrations and deposition to soil and plants as well as their dislocation in soil. This was the object of the first part of the research programme ``Locational evaluation of chemical soil pollution``, conducted by the national research institutions. It was headed ``Analysis of exposure`` and comprised the following individual contributions: 1. Integrated long-term measurements of polycyclic aromatic hydrocarbons in soil air at ground level (FZJ), 2. Determination of PAH nuisance concentrations at the Scheyern experimental station as well as at the motorway by-passing Munich to the east (A 99), near Kirchheim (GSF), 3. Investigations regarding PAH exposure via the air pathway and inclusion of acquired data in substance flows made up for the east-German dry zone (Bad Lauchstaedt), (UFZ), 4. Simulation of PAH concentration and deposition in south-western Germany (FZK). (orig./SR) [Deutsch] Zur Abschaetzung des Gefaehrdungspotentials von Polycyclischen Aromatischen Kohlenwasserstoffen (PAK) im terrestrischen Bereich sind daher Untersuchungen ueber die Immissionskonzentrationen und die Deposition auf Boeden und Pflanzen sowie ueber ihre Verlagerung im Boden von essentieller Bedeutung. Die Bearbeitung dieser Thematik erfolgte im Teilbereich I `Eintragsanalyse` des AGF-Programms `Standortgerechte Bewertung chemischer Bodenbelastungen` mit folgenden Einzelbeitraegen: 1. Integrierende Langzeitmessung von Polycyclischen Aromatischen Kohlenwasserstoffen in bodennaher Luft, (FZJ) 2. Bestimmung der PAH-Immissionskonzentrationen am Versuchsgut Scheyern sowie an der oestlichen Autobahnumgehung von Muenchen (A 99) bei Kirchheim, (GSF) 3. Untersuchungen zum Eintrag von PAH ueber den Luftpfad und Einbeziehung der Daten in Stoffkreislaeufe im Mitteldeutschen Trockengebiet (Bad Lauchstaedt), (UFZ) 4. Simulation der PAH-Konzentration und

Polycyclic aromatic hydrocarbons (PAHs), their transfer into and dislocation within soil; Eintraege von polyzyklischen aromatischen Kohlenwasserstoffen (PAH) und ihre Verlagerung im Boden

Energy Technology Data Exchange (ETDEWEB)

Duerbeck, H.W.; Niehaus, R.; Mueller, U.; Bueker, I. [Forschungszentrum Juelich GmbH (Germany). Inst. fuer Angewandte Physikalische Chemie

1997-12-31

In order to assess the terrestrial hazard potential of polycyclic aromatic hydrocarbons (PAHs), it is vital to investigate their nuisance concentrations and deposition to soil and plants as well as their dislocation in soil. This was the object of the first part of the research programme ``Locational evaluation of chemical soil pollution``, conducted by the national research institutions. It was headed ``Analysis of exposure`` and comprised the following individual contributions: 1. Integrated long-term measurements of polycyclic aromatic hydrocarbons in soil air at ground level (FZJ), 2. Determination of PAH nuisance concentrations at the Scheyern experimental station as well as at the motorway by-passing Munich to the east (A 99), near Kirchheim (GSF), 3. Investigations regarding PAH exposure via the air pathway and inclusion of acquired data in substance flows made up for the east-German dry zone (Bad Lauchstaedt), (UFZ), 4. Simulation of PAH concentration and deposition in south-western Germany (FZK). (orig./SR) [Deutsch] Zur Abschaetzung des Gefaehrdungspotentials von Polycyclischen Aromatischen Kohlenwasserstoffen (PAK) im terrestrischen Bereich sind daher Untersuchungen ueber die Immissionskonzentrationen und die Deposition auf Boeden und Pflanzen sowie ueber ihre Verlagerung im Boden von essentieller Bedeutung. Die Bearbeitung dieser Thematik erfolgte im Teilbereich I `Eintragsanalyse` des AGF-Programms `Standortgerechte Bewertung chemischer Bodenbelastungen` mit folgenden Einzelbeitraegen: 1. Integrierende Langzeitmessung von Polycyclischen Aromatischen Kohlenwasserstoffen in bodennaher Luft, (FZJ) 2. Bestimmung der PAH-Immissionskonzentrationen am Versuchsgut Scheyern sowie an der oestlichen Autobahnumgehung von Muenchen (A 99) bei Kirchheim, (GSF) 3. Untersuchungen zum Eintrag von PAH ueber den Luftpfad und Einbeziehung der Daten in Stoffkreislaeufe im Mitteldeutschen Trockengebiet (Bad Lauchstaedt), (UFZ) 4. Simulation der PAH-Konzentration und

Volatility study of [C1C1im][NTf2] and [C2C3im][NTf2] ionic liquids

International Nuclear Information System (INIS)

Rocha, Marisa A.A.; Ribeiro, Filipe M.S.; Schröder, Bernd; Coutinho, João A.P.; Santos, Luís M.N.B.F.

2014-01-01

Highlights: • Vapor pressures of [C 1 C 1 im][NTf 2 ] and [C 2 C 3 im][NTf 2 ] ionic liquids are reported. • [C 1 C 1 im][NTf 2 ] presents higher enthalpy and entropy of vaporization than expected. • The high volatility of [C 2 C 3 im][NTf 2 ] is a result from its asymmetric character. -- Abstract: Vapor pressures of 1,3-dimethylimidazolium bis(trifluoromethylsulfonyl)imide, ([C 1 C 1 im][NTf 2 ]) and 1-ethyl-3-propylimidazolium bis(trifluoromethylsulfonyl)imide, ([C 2 C 3 im][NTf 2 ]) ionic liquids were measured as a function of temperature using a Knudsen effusion apparatus combined with a quartz crystal microbalance. Enthalpies and entropies of vaporization were derived from the fitting of vapor pressure and temperature results to the Clarke and Glew equation. [C 1 C 1 im][NTf 2 ] presents a higher enthalpy and entropy of vaporization than the neighboring members of the series. The enthalpy of vaporization of [C 2 C 3 im][NTf 2 ] lies in between the asymmetric and symmetric ionic liquid series, reflecting a decrease in the electrostatic interactions due to a decrease of the charge accessibility between the ionic pairs when the methyl group is replaced by an ethyl group. The obtained higher volatility of [C 2 C 3 im][NTf 2 ] arises from its asymmetric character, leading to an higher entropic contribution that compensates the enthalpic penalty. The border conditions ([C 1 C 1 im][NTf 2 ], [C 2 C 1 im][NTf 2 ] and [C 2 C 2 im][NTf 2 ]), topology ([C 2 C 3 im][NTf 2 ]) and symmetry/asymmetry of the ILs effect were evaluated and rationalized based on a comparative analysis of the thermodynamic properties, enthalpies and entropies of vaporization

Application of Hadamard transform in IMS

International Nuclear Information System (INIS)

Sha Miaomiao; Liu Weihao; Chen Yong; Jiang Dazhen

2008-01-01

Hadamard transform can improve the SNR by increasing the ion duty cycle in IMS. In this paper, the ion spectral signals were processed by Hadamard transform based on the IMS detector hardware platform. The results showed that Hadamard transform can greatly improve the SNR of the IMS detector in contrast with traditional method. (authors)

Long-term performance of colorectal cancer screening programmes based on the faecal immunochemical test.

Science.gov (United States)

Zorzi, Manuel; Hassan, Cesare; Capodaglio, Giulia; Fedato, Chiara; Montaguti, Adriana; Turrin, Anna; Rosano, Alberto; Monetti, Daniele; Stocco, Carmen; Baracco, Susanna; Russo, Francesca; Repici, Alessandro; Rugge, Massimo

2017-11-03

The long-term performance of colorectal cancer (CRC) screening programmes based on a 2-year faecal immunochemical test (FIT) is still unclear. In a sample of 50 to 69-year-olds repeatedly screened with the FIT (OC-Hemodia latex agglutination test; cut-off: 20 µg haemoglobin/g faeces), we examined: (1) the FIT positivity rate, the CRC and advanced adenoma detection rate and the FIT's positive predictive value (PPV) for advanced neoplasia, at each round of screening and (2) the cumulative CRC and advanced adenoma detection rate after five rounds of FIT. Over 12 years (2002-2014), 123 347 individuals were administered the FIT up to six times, and 781 CRCs and 4713 advanced adenomas were diagnosed. The CRC and advanced adenoma detection rates declined substantially from the first to the third (rate ratio (RR) 0.25, 95% CI 0.20 to 0.32) and second (RR 0.51, 95% CI 0.47 to 0.56) rounds, respectively, and then remained stable. The PPV for advanced neoplasia dropped by 18% in the second round (RR 0.82, 95% CI 0.77 to 0.89), with no further reduction thereafter due to a concomitant decline in the FIT positivity rate (RR first to sixth rounds: 0.56, 95% CI 0.53 to 0.60).The cumulative CRC and advanced adenoma detection rates over five consecutive rounds were 8.5‰ (95% CI 7.8 to 9.2), and 58.9‰ (95% CI 56.9 to 61.0), respectively. Repeated FIT significantly reduces the burden of colorectal disease while facilitating an efficient use of colonoscopy resources. The cumulative detection rate after five rounds of FIT is similar to primary screening with colonoscopy, supporting the need to account for the cumulative sensitivity of repeated FITs when evaluating the test's efficacy. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Childhood tuberculosis in the State of Qatar: the effect of a limited expatriate screening programme on the incidence of tuberculosis.

Science.gov (United States)

Al-Marri, M R

2001-09-01

To determine incidence rates and the effectiveness of the expatriate screening programme on paediatric tuberculosis (TB) in the State of Qatar. A state-wide, population-based, retrospective analysis of all cases of tuberculosis among children 0-14 years of age reported to the TB Unit of the Division of Public Health during 1983-1996. One hundred and forty-four children with tuberculous disease were identified, with a steadily declining incidence rate (rate of notification) from 11/100000 children (0-14 years) population in 1983 to 7/100000 in 1996. This decrease in the childhood TB case notification rate correlated with foreign-born children, older children and the implementation of expatriate screening in 1986. Diagnosis in 56% of children was made abroad or within 3 months of arrival from vacation and 30% within one year of arrival. Comparison of the three age groups (nationality, sex, type of TB, radiological findings and screening. However older children were more likely to be symptomatic (P Qatar has a high rate of paediatric tuberculosis. The policy of BCG vaccination at birth should be continued, and screening children at school entry and on return from vacation would be useful for further case identification.

Cost-effectiveness and cost utility of community screening for glaucoma in urban India.

Science.gov (United States)

John, Denny; Parikh, Rajul

2017-07-01

Population-based screening for glaucoma has been demonstrated to be cost-effective if targeted at high-risk groups such as older adults and those with a family history of glaucoma, and through use of a technician for conducting initial assessment rather than a medical specialist. This study attempts to investigate the cost-effectiveness of a hypothetical community screening and subsequent treatment programme for glaucoma in comparison with current practice (i.e. with no screening programme but with some opportunistic case finding) in the urban areas of India. A hypothetical screening programme for both primary open-angle glaucoma and angle-closure disease was built for a population aged between 40 and 69 years in the urban areas of India. Screening and treatment costs were obtained from an administrator of a tertiary eye hospital in India. The probabilities for the screening pathway were derived from published literature and expert opinion. The glaucoma prevalence rates for urban areas were adapted from the Chennai Glaucoma Study findings. A decision-analytical model using TreeAge Pro 2015 was built to model events, costs and treatment pathways. One-way sensitivity analyses were conducted. The introduction of a community screening programme for glaucoma is likely to be cost-effective, the estimated incremental cost-effectiveness ratio (ICER) values being 10,668.68 when compared with no screening programme and would treat an additional 4443 cases and prevent 1790 person-years of blindness over a 10-year period in the urban areas of India. Sensitivity analyses revealed that glaucoma prevalence rates across various age groups, screening uptake rate, follow-up compliance after screening, treatment costs and utility values of health states associated with medical and surgical treatment of glaucoma had an impact on the ICER values of the screening programme. In comparison with current practice (i.e. without a screening programme but with some opportunistic case finding

Nicht förderungswürdig. Weshalb die Evaluation der Exzellenzinitiative gegen deren Fortsetzung spricht

Directory of Open Access Journals (Sweden)

Tilman Reitz

2016-11-01

Full Text Available Die deutsche Hochschulpolitik hat eine Verstetigung der Exzellenzinitiative auf den Weg gebracht. In Zukunft sollen nach einem Antragswettbewerb ca. fünfzig Exzellenzcluster und acht bis elf Exzellenz-Universitäten für jeweils sieben Jahre vom Bund gefördert werden. Grundlage der politischen Entscheidung ist die Evaluation der Exzellenzinitiative durch eine Expert_innenkommission(Imboden-Bericht. Der Beitrag kommentiert diesen Bericht kritisch und reflektiert problematische Folgen des Wettbewerbs um Fördermittel und ‚Exzellenz‘. Hohe Arbeitslasten, schlechte Betreuungsverhältnisse und die prekäre Lage im wissenschaftlichen Mittelbau an deutschen Hochschulen werden unterstrichen, die angestrebte vertikale Differenzierung des deutschen Hochschulsystems und die Forderung nach starken Hochschulleitungen kritisiert sowie die Verstärkung sozialer Ungleichheiten durch Elitehochschulen angesprochen. Schließlich wird die Grundsatzfrage gestellt, wieso es überhaupt Antrags- und Statuswettbewerbe geben muss.

The association between individual counselling and health behaviour change: the See Kidney Disease (SeeKD) targeted screening programme for chronic kidney disease.

Science.gov (United States)

Galbraith, Lauren; Hemmelgarn, Brenda; Manns, Braden; Samuel, Susan; Kappel, Joanne; Valk, Nadine; Ronksley, Paul

2016-01-01

Health behaviour change is an important component of management for patients with chronic kidney disease (CKD); however, the optimal method to promote health behaviour change for self-management of CKD is unknown. The See Kidney Disease (SeeKD) targeted screening programme screened Canadians at risk for CKD and promoted health behaviour change through individual counselling and goal setting. The objectives of this study are to determine the effectiveness of individual counselling sessions for eliciting behaviour change and to describe participant characteristics associated with behaviour change. This is a cross-sectional, descriptive study. The study setting is the National SeeKD targeted screening programme. The participants are all 'at risk' patients who were screened for CKD and returned a follow-up health behaviour survey (n = 1129). Health behaviour change was defined as a self-reported change in lifestyle, including dietary changes or medication adherence. An individual counselling session was provided to participants by allied healthcare professionals to promote health behaviour change. A survey was mailed to all participants at risk of CKD within 2-4 weeks following the screening event to determine if behaviour changes had been initiated. Descriptive statistics were used to describe respondent characteristics and self-reported behaviour change following screening events. Results were stratified by estimated glomerular filtration rate (eGFR) (change. Of the 1129 respondents, the majority (89.8 %) reported making a health behaviour change after the screening event. Respondents who were overweight (body mass index [BMI] 25-29.9 kg/m(2)) or obese (BMI ≥ 30.0 kg/m(2)) were more likely to report a behaviour change (prevalence rate ratio (PRR) 0.66, 95 % confidence interval (CI) 0.44-0.99 and PRR 0.49, 95 % CI 0.30-0.80, respectively). Further, participants with a prior intent to change their behaviour were more likely to make a behaviour change

Screening history of women with cervical cancer: a 6-year study in Aarhus, Denmark.

Science.gov (United States)

Ingemann-Hansen, O; Lidang, M; Niemann, I; Dinesen, J; Baandrup, U; Svanholm, H; Petersen, Lk

2008-04-08

To identify possible weaknesses in cervical screening in Aarhus County, 10 years after the programme was introduced, screening histories were examined. A major problem for the screening programme was that 31% of women were never screened and 61% under-screened, the latter group being significantly dominated by older women and high-stage tumours.

An analysis of the duplicate testing strategy of an Irish immunochemical FOBT colorectal cancer screening programme.

LENUS (Irish Health Repository)

Kelley, Leanne

2013-06-10

AIM: This study examined the relevance of using a two sample quantitative immunochemical faecal occult blood test (iFOBT or FIT) at a high cut off stringency by the first population-based colorectal cancer (CRC) pilot screening programme in Ireland. METHOD: Approximately ten thousand individuals between the ages of 50-74 years were invited to perform two consecutive FITs. These were analysed in tandem using the OC-Sensor and participants with at least one positive result with a haemoglobin cut off for positivity at 100 ng\\/ml were offered colonoscopy. RESULTS: A total of 5023 (52%) (2177 (43%) male; 2846 (57%) female) individuals with a median age of 64 years participated. At least one positive FIT test was detected from 514 (10%) individuals. From the 419 (82%) patients who proceeded to colonoscopy 17 (4%) had CRC and 132(33%) had an advanced adenoma. The detection rate for these screen relevant lesions was 3% (95% CIs = 2.5% - 3.5%) and the FIT positive + colonoscopy detection rate was 36% (95% CI = 31% - 40%). The numbers needed to colonoscope to find an advanced lesion was 2.8. The two test system detected four (23.5%) additional patients with CRC and 37 (28%) with an advanced adenoma compared with a single test. CONCLUSION: The CRC miss rate estimated for a single test (23.5%) was unacceptably high when the goal was to maximize the discovery of advanced lesions in the initial screening round. We conclude that the two test protocol at a high cut off threshold is suitable to optimize FIT screening in Ireland. This article is protected by copyright. All rights reserved.

The impact of mammographic screening on breast cancer mortality in Europe

DEFF Research Database (Denmark)

Moss, S M; Nyström, L; Jonsson, H.

2012-01-01

Analysing trends in population breast cancer mortality statistics appears a simple method of estimating the effectiveness of mammographic screening programmes. We reviewed such studies of population-based screening in Europe to assess their value.......Analysing trends in population breast cancer mortality statistics appears a simple method of estimating the effectiveness of mammographic screening programmes. We reviewed such studies of population-based screening in Europe to assess their value....

European guidelines for quality assurance in cervical cancer screening. Summary of the supplements on HPV screening and vaccination

Directory of Open Access Journals (Sweden)

Lawrence von Karsa

2015-12-01

Full Text Available In a project coordinated by the International Agency for Research on Cancer (IARC 31 experts from 11 European countries and IARC have developed supplements to the current European guidelines for quality assurance in cervical cancer screening. The supplements take into account the potential of primary testing for human papillomavirus (HPV and vaccination against HPV infection to improve cervical cancer prevention and control and will be published by the European Commission in book format. They include 62 recommendations or conclusions for which the strength of the evidence and the respective recommendations is graded. While acknowledging the available evidence for more efficacious screening using HPV primary testing compared to screening based on cytology, the authors and editors of the supplements emphasize that appropriate policy and programme organization remain essential to achieve an acceptable balance between benefit and harm of any screening or vaccination programme. A summary of the supplements and all of the graded recommendations are presented here in journal format to make key aspects of the updated and expanded guidelines known to a wider professional and scientific community. Keywords: Mass screening, Vaccination, Cervical neoplasms, Human papillomavirus, Evidence-based guidelines, Population-based programme

German energy market in 2015; Deutscher Energiemarkt 2015

Energy Technology Data Exchange (ETDEWEB)

Schiffer, Hans-Wilhelm [World Energy Council, London (United Kingdom). World Energy Resources; Weltenergierat - Deutschland, Berlin (Germany). Arbeitsgruppe ' ' Energie fuer Deutschland' '

2016-03-15

The given basic orientation of the energy concept of the federal government for the German energy supply increased towards renewable energy while increasing energy efficiency determines the market trend. In the present case, a current overview of the German energy market will be given of this year providing a concentrated compilation of the central main features of the energy industry. As in previous years, the article summarizes not only general facts about the energy, but also goes in detail on the development of the individual fuels such as oil, natural gas, lignite and hard coal, nuclear energy and renewable energies. Furthermore, the price trends are described in the international markets and in the domestic market. [German] Die im Energiekonzept der Bundesregierung vorgegebene Grundausrichtung der deutschen Energieversorgung hin zur verstaerkten Nutzung erneuerbarer Energien bei gleichzeitiger Steigerung der Energieeffizienz bestimmt die Marktentwicklung. Vorliegend wird ein aktueller Ueberblick ueber den deutschen Energiemarkt gegeben, der auch in diesem Jahr eine konzentrierte Zusammenstellung der zentralen Eckdaten der Energiewirtschaft leistet. Wie in den Jahren zuvor fasst der Artikel nicht nur allgemeine Fakten zum Energiemix zusammen, sondern geht auch ausfuehrlich auf die Entwicklung der einzelnen Energietraeger Erdoel, Erdgas, Braun- und Steinkohle, Kernenergie sowie regenerative Energien ein. Ferner werden die Preistendenzen auf den internationalen Maerkten und im Inland erlaeutert.

JGOFS IV - a long-time study of the variability of the flow of particles in the North-Atlantic Ocean. Quantification of the formation, transformation and sedimentation of biogenic particles. Final report; JGOFS IV - Langzeitstudie zur Variabilitaet des Partikelflusses im Nordatlantik. Quantifizierung der Bildung, Umsetzung und Sedimentation biogener Partikel. Abschlussbericht

Energy Technology Data Exchange (ETDEWEB)

Koeve, W.; Wanniek, J.; Fehner, U.; Zeitzschel, B.

2000-07-01

The project investigated central processes of the carbon cycle, and especially the carbon cycle balance in the North Atlantic Ocean. During the field phase (JGOFS I-III), two complementary programme components were carried out: Pelagial programme: SEasonally resolved studies of particle formation, modification and transport processes in the epipelagial; In-depth programme: Regional studies on the volume and composition of biogenic particles exported from the ocean in the mixed conditions of the winter season. (WML export). [German] Ziel der Arbeiten ist es, das Verstaendnis zentraler Prozesse des Kohlenstoffkreislaufes im Nordostatlantik zu verbessern und insbesondere zur Bilanzierung des Kohlenstoffkreislaufes im Nordostatlantik beizutragen. Waehrend der Feldphase (JGOFS I-III) wurden hierzu zwei komplementaere Programmkomponenten durchgefuehrt: - Pelagialprogramm: Saisonal aufloesende Untersuchungen zu Prozessen der Partikelbildung, Modifikation und Transport im Epipelagial. (Prozessstudien, Transekte und Modellarbeiten) - Verankerungsprogramm: Regionale Untersuchungen zum Umfang und zur Zusammensetzung des Exportes biogener Partikel aus der winterlich durchmischten Schicht des Ozeans (WML-Export). (orig.)

E2eUberIM

DEFF Research Database (Denmark)

Wac, Katarzyna; Cummings, Mark; Dey, Jayanta

2016-01-01

, high-quality services, we propose an innovative end-to-end service management framework called e2eUberIM. This framework contains a scalable, flexible, and volatile information model (UberIM) and a real-time, "organic" communication and storage process (e2eUber). It leverages the proprietary interfaces...... of different vendors, enabling the resulting enhanced operations system environment to automatically and in real-time optimize operational overhead while maximizing the user experience, and quickly field new innovative, composed "any-services" (XaaS). We document the e2eUberIM requirements and its design...

Imágenes e identidades

OpenAIRE

Guerrini, Sebastión

2013-01-01

Las identidades se estructuran en un proceso de identificación continua con imágenes. Esto afecta no solo a las identidades de las personas, sino también a las de las instituciones, organizaciones y empresas. En este sentido, el rol de ser del Diseño en Comunicación Visual es intentar afectar a las identidades de los espectadores de sus imágenes. Por esta razón, primero es importante definir qué son las imágenes. Facultad de Bellas Artes

λ (Δim) -statistical convergence of order α

Science.gov (United States)

Colak, Rifat; Et, Mikail; Altin, Yavuz

2017-09-01

In this study, using the generalized difference operator Δim and a sequence λ = (λn) which is a non-decreasing sequence of positive numbers tending to ∞ such that λn+1 ≤ λn+1, λ1 = 1, we introduce the concepts of λ (Δim) -statistical convergence of order α (α ∈ (0, 1]) and strong λ (Δim) -Cesàro summablility of order α (α > 0). We establish some connections between λ (Δim) -statistical convergence of order α and strong λ (Δim) -Cesàro summablility of order α. It is shown that if a sequence is strongly λ (Δim) -Cesàro summable of order α, then it is λ (Δim) -statistically convergent of order β in case 0 < α ≤ β ≤ 1.

What are the benefits of medical screening and surveillance?

Directory of Open Access Journals (Sweden)

D. Wilken

2012-06-01

Full Text Available Pre-employment examination is considered to be an important practice and is commonly performed in several countries within the European Union. The benefits of medical surveillance programmes are not generally accepted and their structure is often inconsistent. The aim of this review was to evaluate, on the basis of the available literature, the usefulness of medical screening and surveillance. MEDLINE was searched from its inception up to March 2010. Retrieved literature was evaluated in a peer-review process and relevant data was collected following a systematic extraction schema. Pre-placement screening identifies subjects who are at an increased risk for developing work-related allergic disease, but pre-employment screening is too low to be used as exclusion criteria. Medical surveillance programmes can identify workers who have, or who are developing, work-related asthma. These programmes can also be used to avoid worsening of symptoms by implementing preventive measures. A combination of different tools within the surveillance programme, adjusted for the risk of the individual worker, improves the predictive value. Medical surveillance programmes provide medical as well as socioeconomic benefits. However, pre-employment screening cannot be used to exclude workers. They may act as a starting point for surveillance strategies. A stratified approach can increase the effectiveness and reduce the costs for such programmes.

Industrie 4.0. Standort Deutschland im internationalen Kontext: Vortrag gehalten beim 70. Deutschen Betriebswirtschafter-Tag, Digitalisierung, Vernetzung und disruptive Geschäftsmodelle - Betriebswirtschaftliche Implikationen des wirtschaftlichen Wandels, 28./29. September 2016, Düsseldorf

OpenAIRE

Bauernhansl, Thomas

2016-01-01

Der Vortrag "Industrie 4.0: Standort Deutschland im internationalen Kontext" behandelt folgende Themenkomplexe: - Internationaler Vergleich - Der Wettlauf um die Wertschöpfunghat begonnen - Digitale Transformation - Wo steht Deutschland international?

Advanced Interval Management (IM) Concepts of Operations

Science.gov (United States)

Barmore, Bryan E.; Ahmad, Nash'at N.; Underwood, Matthew C.

2014-01-01

This document provides a high-level description of several advanced IM operations that NASA is considering for future research and development. It covers two versions of IM-CSPO and IM with Wake Mitigation. These are preliminary descriptions to support an initial benefits analysis

Variations in the management of the axilla in screen-detected ductal carcinoma in situ: evidence from the UK NHS breast screening programme audit of screen detected DCIS.

Science.gov (United States)

Nicholson, S; Hanby, A; Clements, K; Kearins, O; Lawrence, G; Dodwell, D; Bishop, H; Thompson, A

2015-01-01

The diagnosis and surgical management of screen-detected Ductal Carcinoma In Situ (DCIS) remains controversial including a range of axillary approaches and consequent morbidity. This study examined the management of the axilla in all patients with DCIS presenting through the United Kingdom National Health Service Breast Screening Programme (UK NHS BSP). Retrospective analysis of the UK NHS BSP identified 26,696 women initially diagnosed with DCIS over the 8 years 1 April 2003-31 March 2011. The final breast pathology of these women was upgraded to invasive ductal cancer in 5564 (20.8%) women or micro-invasive cancer in 1031 (3.9%) women. At first operation, 5290 (26.3%) of the 20,094 women who had a final post-operative diagnosis of DCIS only underwent axillary surgery (72.4% at the time of mastectomy, 23.8% breast conservation surgery, 3.8% axillary surgery alone). Performance of axillary surgery reflected increasing tumour size, micro-invasion or increasing nuclear grade for the final diagnosis of DCIS. More extensive nodal surgery was performed in those undergoing mastectomy; 10.8% of women had more than 8 nodes removed. Overall, 12.0% of women with invasive cancer, 1.7% with micro-invasion, and 0.2% with DCIS alone, were ultimately node positive. Improved pre-operative sampling of DCIS, axillary assessment by ultrasound with needle biopsy for suspected metastases, risk stratification for sentinel node biopsy (for high grade or extensive DCIS) and avoiding axillary clearance for a pre-operative diagnosis of DCIS alone should reduce unnecessary axillary surgery. Standards using such criteria for axillary surgery in screen-detected DCIS should be integrated into the NHS BSP. Crown Copyright © 2014. Published by Elsevier Ltd. All rights reserved.

Permanent Childhood Hearing Impairment: Aetiological Evaluation of Infants identified through the Irish Newborn Hearing Screening Programme

LENUS (Irish Health Repository)

Smith, A

2017-11-01

The Newborn Hearing Screening Programme (NHSP) was established in Cork University Maternity Hospital (CUMH) in April 2011. Between April 2011 and July 2014, 42 infants were identified with a Permanent Childhood Hearing Impairment (PCHI). Following this diagnosis, infants underwent a paediatric assessment according to recognised guidelines with the intention of identifying the underlying aetiology of the PCHI. The aim of this study was to assess the findings of this aetiological workup via retrospective chart review. PCHI data was obtained from the eSP database. This is a web based information system (eSP) used to track each baby through the screening and referral process A retrospective chart review of these patients was performed. Sixteen (38%) infants were diagnosed with a bilateral sensorineural hearing loss. Two infants had congenital CMV infection. A Connexin 26 gene mutation was detected in one infant. Two infants were diagnosed with Waardenburg syndrome, One with Pendred syndrome and one with Pfeiffer syndrome. Five babies underwent cochlear implantation. Through adherence to the recommended protocol a possible cause of PCHI may be determined. This study has identified areas of future improvement for this service in Ireland.

Diabetic retinopathy screening: global and local perspective.

Science.gov (United States)

Gangwani, R A; Lian, J X; McGhee, S M; Wong, D; Li, K Kw

2016-10-01

Diabetes mellitus has become a global epidemic. It causes significant macrovascular complications such as coronary artery disease, peripheral artery disease, and stroke; as well as microvascular complications such as retinopathy, nephropathy, and neuropathy. Diabetic retinopathy is known to be the leading cause of blindness in the working-age population and may be asymptomatic until vision loss occurs. Screening for diabetic retinopathy has been shown to reduce blindness by timely detection and effective laser treatment. Diabetic retinopathy screening is being done worldwide either as a national screening programme or hospital-based project or as a community-based screening programme. In this article, we review different methods of screening including grading used to detect the severity of sight-threatening retinopathy and the newer screening methods. This review also includes the method of systematic screening being carried out in Hong Kong, a system that has helped to identify diabetic retinopathy among all attendees in public primary care clinics using a Hong Kong-wide public patients' database.

Integrating IMS Learning Design and IMS Question and Test Interoperability using CopperCore Service Integration

NARCIS (Netherlands)

Vogten, Hubert; Martens, Harrie; Nadolski, Rob; Tattersall, Colin; Van Rosmalen, Peter; Koper, Rob

2006-01-01

Please, cite this publication as: Vogten, H., Martens, H., Nadolski, R., Tattersall, C., van Rosmalen, P., & Koper, R. (2006). Integrating IMS Learning Design and IMS Question and Test Interoperability using CopperCore Service Integration. Proceedings of International Workshop in Learning Networks

Effect of Fee on Cervical Cancer Screening Attendance--ScreenFee, a Swedish Population-Based Randomised Trial.

Science.gov (United States)

Alfonzo, Emilia; Andersson Ellström, Agneta; Nemes, Szilard; Strander, Björn

2016-01-01

Attendance in the cervical cancer screening programme is one of the most important factors to lower the risk of contracting the disease. Attendance rates are often low in areas with low socioeconomic status. Charging a fee for screening might possibly decrease attendance in this population. Screening programme coverage is low in low socio-economic status areas in Gothenburg, Sweden, but has increased slightly after multiple interventions in recent years. For many years, women in the region have paid a fee for screening. We studied the effect of abolishing this fee in a trial emanating from the regular cervical cancer screening programme. Individually randomised controlled trial. All 3 124 women in three low-resource areas in Gothenburg, due for screening during the study period, were randomised to receive an offer of a free test or the standard invitation stating the regular fee of 100 SEK (≈11 €). The study was conducted during the first six months of 2013. Attendance was defined as a registered Pap smear within 90 days from the date the invitation was sent out. Attendance did not differ significantly between women who were charged and those offered free screening (RR 0.93; CI 0.85-1.02). No differences were found within the districts or as an effect of age, attendance after the most recent previous invitation or previous experience of smear taking. Abolishment of a modest screening fee in socially disadvantaged urban districts with low coverage, after previous multiple systematic interventions, does not increase attendance in the short term. Other interventions might be more important for increasing attendance in low socio-economic status areas. ClinicalTrials.gov NCT02378324.

Rasterelektronenmikroskopische und immunhistochemische Untersuchungen am Eileiter vom Schwein während Zyklus und Trächtigkeit

OpenAIRE

Mayer, Judith

2008-01-01

In der vorliegenden Arbeit wurden zum einen mit Hilfe des Rasterelektronenmikroskops die morphologischen Veränderungen des Eileiterepithels und zum anderen die Expression hypophysärer wachstums- und proliferationsfördernder Hormone und ihrer Rezeptoren immunhistochemisch und mit der Reverse Transkriptase (RT)-PCR sowohl im Verlauf des Zyklus als auch der Trächtigkeit analysiert. Hierfür wurden, von 24 Schweinen der Deutschen Landrasse, die drei Abschnitte des Eileiters (Infundibulum, Ampulle,...

Forschungsförderung: geschlechtsneutral – Spitzenpositionen: männlich

Directory of Open Access Journals (Sweden)

Daniela Heitzmann

2008-07-01

Full Text Available Seit Juli 2002 ist die Förderung der „Chancengleichheit von Männern und Frauen in der Wissenschaft“ als Vereinszweck der Deutschen Forschungsgemeinschaft (DFG festgeschrieben. Drei Jahre später begann ein von der DFG unterstütztes Forschungsprojekt, in dem die Geschlechter(ungleichheit im Antrags- und Bewilligungswesen sowie die Repräsentanz von Wissenschaftlerinnen in den Gremien und Ausschüssen der DFG untersucht wurden; dessen Dokumentation liegt nun vor.

Rechtsgrundlagen einer Pflicht zur Einrichtung einer Compliance-Organisation

OpenAIRE

Meyer, Susanne; Fredrich, Jan

2012-01-01

Im deutschen Recht ist weiterhin nicht vollständig geklärt, ob und in welchem Umfang Unternehmen verpflichtet sind, eine Compliance Organisation einzurichten. Eine solche zeichnet sich dadurch aus, dass einer organisatorisch verselbständigten Einheit die zukunftsorientierte Sorge für das gesetzmäßige Verhalten aller Unternehmensangehörigen ebenso anvertraut ist wie die Umsetzung und Erstellung interner Richtlinien. In bestimmten Branchen, insbesondere der Finanzbranche, aber auch dort, wo nac...

Virtuelle Auskunft mit Mehrwert : Chatbots in Bibliotheken

OpenAIRE

Christensen, Anne

2008-01-01

Die virtuelle Auskunft mit Hilfe elektronischer Informationsassistenten, auch Chatbots oder Chatterbots genannt, ist ein seit dem Jahr 2004 zu beobachtender Trend im deutschen Bibliothekswesen. Die Arbeit stellt die vier Chatbots ASKademicus, Stella, INA und das Sachsen-I vor. Am Beispiel von Stella aus der SUB Hamburg werden dann die Funktionsweise von Chatbots sowie die Anforderungen an die Konzeption dieser virtuellen Berater erläutert. Den Schwerpunkt der Arbeit bilden der Vergleich von C...

Queer worldings in the urban age. Die sub\\urban Journal Lecture beim Deutschen Kongress für Geographie im Oktober 2015 in Berlin

Directory of Open Access Journals (Sweden)

Natalie Oswin

2015-11-01

Full Text Available Der Beitrag stellt die Frage, in welchem Bezug die vieldiskutierte globale Urbanisierung, die sich in den vergangenen Jahrzehnten besonders im Globalen Süden weiter beschleunigt hat, mit einer ebenfalls zu beobachtenden verstärkten Thematisierung sexueller und geschlechtlicher Identitäten weltweit steht. Denn Kämpfe um Sichtbarkeit, Anerkennung und nicht-normative Lebensweisen artikulieren sich gerade in städtischen Kontexten mit besonderer Virulenz. Ein bislang weitgehend vernachlässigtes Potenzial wird dabei in Überschneidungen von Kritiken tradierter eurozentrischer Stadtkonzepte in den Urban Studies einerseits und der Infragestellung sexueller und geschlechtlicher – und ebenfalls oft an westlichen Standards orientierter – Normen in den Queer Studies andererseits gesehen. Sowohl Urban Studies als auch Queer Studies treiben ein worlding, eine Verweltlichung der untersuchten Probleme voran. Die Fragestellungen, die aus einer Zusammenführung von urban worlding und queer worlding entstehen, ermöglichen neue Blicke auf die Rolle, die gerade marginalisierte Subjekte in Prozessen von Urbanisierung und Globalisierung spielen.

Evaluating the feasibility of integrating salivary testing for congenital CMV into the Newborn Hearing Screening Programme in the UK.

Science.gov (United States)

Kadambari, Seilesh; Luck, Suzanne; Davis, Adrian; Walter, Simone; Agrup, Charlotte; Atkinson, Claire; Stimson, Laura; Williams, Eleri; Berrington, Janet; Griffiths, Paul; Sharland, Mike

2015-08-01

Congenital cytomegalovirus (cCMV) accounts for 20% of all childhood sensorineural hearing loss (SNHL) but is not routinely tested for at birth. Valganciclovir has been shown to prevent hearing deterioration and improve neurocognitive outcomes if started in the first month of life. This study aimed to assess the feasibility of integrating testing for cCMV using salivary swabs into the Newborn Hearing Screening Programme (NHSP). Parents of newborns newborn hearing screen for further audiological testing, were approached by hearing screeners to obtain a saliva sample for CMV DNA polymerase chain reaction (PCR). Eighty percent (203/255) of newborns who were eligible had a saliva swab taken by the hearing screener. Over 99% of results were delivered within the first month of life. Two newborns were identified with cCMV and both seen on day 10 of life by the paediatric specialist. All saliva samples tested delivered a result using real-time PCR. It is feasible for hearing screeners to obtain saliva swabs to test for CMV DNA using real-time PCR in newborns referred after their initial hearing screen. Rapid diagnostic testing for cCMV needs a more detailed clinical and cost-effectiveness analysis.

Breast cancer screening; cost-effective in practice?

International Nuclear Information System (INIS)

Koning, Harry J. de

2000-01-01

The main aim of national breast screening is a reduction in breast cancer mortality. The data on the reduction in breast cancer mortality from three (of the five) Swedish trials in particular gave rise to the expectation that the Dutch programme of 2-yearly screening for women aged 50-70 would produce a 16% reduction in the total population. In all likelihood, many of the years of life gained as a result of screening are enjoyed in good health. According to its critics the actual benefit that can be achieved from the national breast cancer screening programmes is overstated. Considerable benefits have recently been demonstrated in England and Wales. However, the fall was so considerable in such a relatively short space of time that screening (started in 1987) was thought to only have played a small part. As far as the Dutch screening programme is concerned it is still too early to reach any conclusions about a possible reduction in mortality. The first short-term results of the screening are favourable and as good as (or better than) expectations. In Swedish regions where mammographic screening was introduced, a 19% reduction in breast cancer mortality can be estimated at population level, and recently a 20% reduction was presented in the UK. In countries where women are expected to make appointments for screening themselves, the attendance figures are significantly lower and the quality of the process as a whole is sometimes poorer. The benefits of breast cancer screening need to be carefully balanced against the burden to women and to the health care system. Mass breast screening requires many resources and will be a costly service. Cost-effectiveness of a breast cancer screening programme can be estimated using a computer model. Published cost-effectiveness ratios may differ tremendously, but are often the result of different types of calculation, time periods considered, including or excluding downstream cost. The approach of simulation and estimation is here

Cervical cancer screening policies and coverage in Europe

DEFF Research Database (Denmark)

Anttila, Ahti; von Karsa, Lawrence; Aasmaa, Auni

2009-01-01

with education, training and communication among women, medical professionals and authorities are required, accordingly. The study indicates that, despite substantial efforts, the recommendations of the Council of the EU on organised population-based screening for cervical cancer are not yet fulfilled. Decision......The aim of the study was to compare current policy, organisation and coverage of cervical cancer screening programmes in the European Union (EU) member states with European and other international recommendations. According to the questionnaire-based survey, there are large variations in cervical...... cancer screening policies and inadequacies in the key organisational elements of the programme such as registration and monitoring required for quality-assurance and fail-safe mechanisms. Based on data from available screening registers, coverage of the screening test taken within the population...

Impact of abdominal aortic aneurysm screening on quality of life

OpenAIRE

Bath, M. F.; Sidloff, D.; Saratzis, A.; Bown, M. J.

2018-01-01

Background Screening for abdominal aortic aneurysm (AAA) is known to reduce AAA‐related mortality; however, the psychological impact of population AAA screening is unclear. The aim was to assess the impact of AAA diagnosis on quality of life (QoL) using data from an established AAA screening programme. Methods Mental and physical QoL scores for men diagnosed with AAA through participation in the English and Welsh AAA screening programmes were compared with no‐AAA controls. Participants were i...

Prevalence and risk factors for proteinuria: the National Kidney Foundation of Malaysia Lifecheck Health Screening programme.

Science.gov (United States)

Ong, Loke Meng; Punithavathi, Narayanan; Thurairatnam, Dharminy; Zainal, Hadzlinda; Beh, Mei Li; Morad, Zaki; Lee, Sharleen Ys; Bavanandan, Sunita; Kok, Lai Sun

2013-08-01

Treatment of chronic kidney disease (CKD) poses a huge burden to the healthcare system. To address the problem, the National Kidney Foundation of Malaysia embarked on a programme to screen for proteinuria and educate the public on CKD. The public was invited for health screening and the data collected over a 21 month period was analyzed. In total, 40400 adults from all the states in Malaysia were screened. The screening population had a mean age of 41 years, 30.1% had hypertension and 10.6% had diabetes. Proteinuria was detected in 1.4% and haematuria in 8.9% of the participants. Factors associated with the highest risk for proteinuria were the presence of diabetes (adjusted odds ratio (OR) 2.63 (95% confidence interval (CI) 2.16-3.21)), hypertension (OR 2.49 (95% CI 2.03-3.07)) and cardiac disease (OR 2.05 (95% CI 1.50-2.81)). Other risk factors identified were lower educational level, family history of kidney disease, hypercholesterolaemia, obesity and lack of regular exercise. Chinese had the lowest risk for proteinuria among the races (OR 0.71 (95% CI 0.57-0.87) compared with Malays). The combination of high blood glucose and high blood pressure (BP) substantially increased the risk for proteinuria (OR 38.1 for glucose ≥ 10 mmol/L and systolic BP ≥ 180 mm Hg and OR 47.9 for glucose ≥ 10 mmol/L and diastolic BP ≥ 110 mm Hg). The prevalence of proteinuria in Malaysia is similar to other countries. The major risk factors for proteinuria were diabetes, hypertension and cardiac disease. The presence of both high blood pressure and high blood glucose exert a synergistic effect in substantially increasing the risk for proteinuria. © 2013 The Authors. Nephrology © 2013 Asian Pacific Society of Nephrology.

Cardiac pre-competiton screening in Swiss athletes. Current situation in competitive athletes and short-time assessment of an exemplary local screening program.

Science.gov (United States)

Schmied, Christian; Notz, Sara; Cribari, Marco; Gähwiler, Roman; Keller, Dagmar I; Lüscher, Thomas F

2012-05-31

In Switzerland, screening concepts for the prevention of sports-associated sudden cardiac death are still insufficiently established in the large group of competitive athletes who are not integrated in an Olympic- or other high-level squad. The aim of the present study was to objectively determine the current situation in this particular group of athletes concerning cardiac pre-competition screening and define specific features of an "ideal" Swiss screening concept. Based on these data, the feasibility and validity was tested by the implementation of an exemplary local screening programme. A standardised questionnaire was completed by 1,047 competitive athletes of different ages and gender. The individual, sports-specific profile of an athlete and furthermore, the personal attitude towards and the vision of a "perfect" cardiac screening were assessed. Based on the results, an exemplary local screening programme for competitive athletes was implemented at the "Academic Sports Association Zurich" (ASVZ) in Zurich, Switzerland and evaluated 1 year after its introduction. Only 9% of the 1,047 interviewed competitive athletes (aged 13 to 64 years; median age 22 years, SD = 5.87) had previously undergone a cardiac screening. Only 47% of the interviewed competitive athletes expressed their interest to undergo a cardiac screening at all. Male and older athletes showed a significantly higher acceptance rate for the screening programme than women and younger athletes. All athletes accepted to bear the expenses for the baseline screening programme, adapted to international standards (minimal accepted fee of 60 Swiss Francs). Almost half of the athletes (49.2%) preferred easy accessibility to a sports cardiologist (max. distance of 10 kilometres). The exemplary local screening programme proved to be feasible and successful. However, only 30% of the 102 screened individuals were female and most of the athletes (80%) who made use of the screening had a specific concern or

Increased uptake and improved outcomes of bowel cancer screening with a faecal immunochemical test: results from a pilot study within the national screening programme in England.

Science.gov (United States)

Moss, Sue; Mathews, Christopher; Day, T J; Smith, Steve; Seaman, Helen E; Snowball, Julia; Halloran, Stephen P

2017-09-01

The National Health Service Bowel Cancer Screening Programme (BCSP) in England uses a guaiac-based faecal occult blood test (gFOBt). A quantitative faecal immunochemical test (FIT) for haemoglobin (Hb) has many advantages, including being specific for human blood, detecting Hb at a much lower concentration with a single faecal sample and improved uptake. In 2014, a large comparative pilot study was performed within BCSP to establish the acceptability and diagnostic performance of FIT. Over a 6-month period, 40 930 (1 in 28) subjects were sent a FIT (OC-SENSOR) instead of a gFOBt. A bespoke FIT package was used to mail FIT sampling devices to and from FIT subjects. All participants positive with either gFOBt or FIT (cut-off 20 µg Hb/g faeces) were referred for follow-up. Subgroup analysis included cut-off concentrations, age, sex, screening history and deprivation quintile. While overall uptake increased by over 7 percentage points with FIT (66.4% vs 59.3%, OR 1.35, 95% CI 1.33 to 1.38), uptake by previous non-responders almost doubled (FIT 23.9% vs gFOBt 12.5%, OR 2.20, 95% CI 2.10 to 2.29). The increase in overall uptake was significantly higher in men than women and was observed across all deprivation quintiles. With the conventional 20 µg/g cut-off, FIT positivity was 7.8% and ranged from 5.7% in 59-64-year-old women to 11.1% in 70-75-year-old men. Cancer detection increased twofold and that for advanced adenomas nearly fivefold. Detection rates remained higher with FIT for advanced adenomas, even at 180 µg Hb/g. Markedly improved participation rates were achieved in a mature gFOBt-based national screening programme and disparities between men and women were reduced. High positivity rates, particularly in men and previous non-respondents, challenge the available colonoscopy resource, but improvements in neoplasia detection are still achievable within this limited resource. Published by the BMJ Publishing Group Limited. For permission to use (where not

Optimizing biological waste water cleaning by means of modern control systems (fuzzy logic); Optimierung der biologischen Abwasserreinigung durch moderne Regelsysteme (Fuzzy-Logik)

Energy Technology Data Exchange (ETDEWEB)

Lohse, M.; Boening, T.; Hegemann, G. [Fachhochschule Muenster (Germany). Inst. fuer Abfall- und Abwasserwirtschaft e.V.

1999-07-01

Within the framework of a project sponsored by EUREGIO, test series with the biological activation stages of a German and a Dutch sewage treatment plant each are carried out using different process concepts for the control of oxygen supply by fuzzy logic. As the currently available results demonstrate, the developed fuzzy-logic fields of characteristic curves permit establishing a stable and, thus, little energy-consuming process with optimum oxygen supply in comparison with conventional control. (orig.) [German] Im Rahmen eines von der EUREGIO gefoerderten Forschungsprojektes werden Versuchsreihen im Bereich der biologischen Belebungsstufen einer deutschen und einer niederlaendischen Abwasserreinigungsanlage (ARA) mit unterschiedlichen Verfahrenskonzepten hinsichtlich der Regelung der Sauerstoffzufuhr mit Hilfe der Fuzzy-Logik Technik durchgefuehrt. Die bisherigen Versuchsergebnisse zeigen, dass - im Vergleich zur konventionellen Regelung - durch die entwickelten Fuzzy-Logik Kennfelder ein stabiler und damit energiearmer Prozess mit optimaler Sauerstoffzufuhr erzeugt wird. (orig.)

Screening mammography interpretation test: more frequent mistakes; Laboratorio di radiologia-Modulo di senologia: errori piu' frequenti

Energy Technology Data Exchange (ETDEWEB)

Gozzi, Gino; Ganzetti, Alessandra [U.O. Radiologia P.O. Sant' Anna, Como (Italy); Martinoli, Carlo; Bacigalupo, Lorenzo [Genova Univ., Genova (Italy). U.O. Radiologia Clinica; Conti, Giovanni Maria [Istituto di Radiologia Ospedali Riuniti, Parma (Italy); Bodini, Maria; Fiorentino, Carla; Marini, Ugo Paolo [P.O. Cremonese Azienda Istituti Ospedalieri, Cremona (Italy). Servizio di Radiologia; Santini, Dolores [Azienda USL Modena Poliambulatori Distretto 3, Modena (Italy). Screening Mammografico

2005-03-01

disease in 5 cases, surgical scar in 1 case, ABBI scar in 1 case, radial scar in 2 cases, microcalcifications that had remained stable for years in 2 cases, focal sclero-adenosis in 1 case and sclero-elastosis in 1 case. Conclusions: The errors were due to microcalcifications, benign disease simulating a neoplasm, overlapping tissue, visibility of a lesion in one projection only, lesion site in relation to the corpus mammae, missed areas of asymmetry. Attention must be paid to these signs of focal breast disease since, if correctly evaluated, they enable the early diagnosis of low-grade carcinomas that frequently carry a favourable prognosis. [Italian] Scopo: Analizzare i casi mammografici piu' errati fra i partecipanti al test di autovalutazione in mammografia (Mx) proposto al Congresso Nazionale della SIRM a Rimini nel 2002, verificandone i rilievi semeiologici che hanno indotto all'errore, discutendone le motivazioni e valutando gli eventuali errori di impostazione degli Organizzatori. Materiale e metodi: E' stata proposta una casistica mammografica di 160 casi (32 positivi e 128 negativi per patologia neoplasica all'istologia) basata sulle quattro proiezioni standard e disposta su quattro diafanoscopi a pannelli multipli, con 40 casi per uno ed equivalente proporzione benigno/maligno. I partecipanti disponevano di schede prestampate dove riportare il proprio giudizio diagnostico. Sono state valutate 134 schede compilate con completezza. Sono stati isolati i 23 casi piu' errati da oltre 15 partecipanti con percentuale variabile fra 40-90%. Di questi casi 10 erano lesioni maligne e 13 erano mammografie negative. Nella revisione si e' inoltre valutato l'apporto delle indagini complementari (non a disposizione dei partecipanti) alla corretta diagnosi. Risultati: Dall'analisi delle 134 schede compilate in maniera completa (tutti i 40 casi) e' risultato un numero complessivo di 5360 risposte, 1180 di esse (22,01%) risultate

Benefit and risk in breast screening

International Nuclear Information System (INIS)

Law, J.; Faulkner, K.; Neilson, F.

2001-01-01

Justification of breast screening in radiation protection terms both for the screened population and on an individual basis is necessary. In this paper the number of cancers detected, and the number of cancers potentially induced by radiation in the UK National Health Service Breast Screening Programme (NHS BSP) are compared. Detection rates reported up to 1998 are used, with x-ray doses for 1997 and 1998 and breast cancer induction risk factors, stratified by age, recommended by the National Radiological Protection Board in 1994. Cancers detected exceed those potentially induced at all ages from 50-64. The relationship between these cancer numbers and the associated benefit and risk, in terms of breast cancer deaths avoided and induced, is then investigated. Improved values of the Nottingham Prognostic Indicator (NPI) attributed to screening provide one means of doing this. Using this strict criterion the breast-screening programme is also justified in radiation protection terms. (author)

Development of a Colorectal Cancer Screening Intervention for Iranian Adults: Appling Intervention Mapping

Science.gov (United States)

Besharati, Fereshteh; Karimi-Shahanjarini, Akram; Hazavehei, Seyed Mohammad Mehdi; Bashirian, Saeid; Bagheri, Fahimeh; Faradmal, Javad

2017-08-27

Background: While the incidence rate of the colorectal cancer (CRC) has been increasing over the last three decades in Iran, very limited interventions to increase CRC screening have been developed for Iranian population. The purpose of this study was to describe the use of Intervention Mapping (IM) for applying theory and evidence and considering local contexts to develop a CRC screening program among adults in Iran. Materials and Methods: From April 2014 to July 2016 following the IM process, six steps were formulated and implemented. First a need assessment was conducted involving relevant stakeholders and using focus groups discussions (n=10), individual interviews (n=20), and a household survey (n= 480). Then a matrix of change objectives was developed for each behavioral outcome and theoretical methods and their practical applications were identified to guide intervention development and implementation. A multi-component intervention was developed and piloted. Decision on suitable parts of intervention was made based on feedback of pilot study. Finally, evaluation plan including process and outcome evaluation was generated and conducted to inform future scale up. Results: The needs assessment highlighted factors affecting CRC screening including knowledge, self efficacy, social support and perceived benefit and barriers (financial problems, fear of detection of cancer and etc). Results of needs assessment were used to develop next steps IM. The program utilized methods like information delivery, modeling, and persuasion. Practical applications included video presentation, group discussion, role playing and postcards.This program was assessed through a cluster-randomized controlled trial. Results showed that there were significant differences in CRC screening uptake between intervention groups and control (Pintervention addressing CRC screening among Iranian population. Creative Commons Attribution License

Supplementary methods in breast cancer screening: ultrasonography and magnetic resonance tomography of the breast; Mammasonographie und Magnetresonanz-Mammographie als ergaenzende Methoden im Mammographiescreening

Energy Technology Data Exchange (ETDEWEB)

Delorme, S. [Deutsches Krebsforschungszentrum Heidelberg (Germany). Abt. fuer Onkologische Diagnostik und Therapie

2001-04-01

Ultrasonography and magnetic resonance (MR) tomography are helpful tools to evaluate unclear lesions found at screening mammography. Ultrasound is particularly useful to prove the presence of a cyst or to further examine unclear, asymmetrical densities. With MR mammography, carcinomas can be found even when X-ray mammography or ultrasonography are limited due to diffuse, benign, proliferative changes. Ultrasound guidance has greatly facilitated core needle biopsy for suspicious lesions. Additionally, approved devices for MR-guided biopsy are commercially available. As a primary screening tool, ultrasound or MR mammography may be used only in women who are positive for BRCA-1 or BRCA-2 mutations or who are otherwise at high risk for breast cancer. (orig.) [German] Sonographie und Magnetresonanz-Mammographie koennen zur Abklaerung unklarer Befunde eingesetzt werden, die im Rahmen des Mammographiescreenings auffallen. Die Mammosonographie eignet sich besonders zum Nachweis von Zysten und zur Abklaerung unklarer Dichte-Asymmetrien. Mit der Magnetresonanz-Mammographie koennen Karzinome auch dann nachgewiesen werden, wenn die Untersuchungsbedingungen fuer die Roentgenmammographie oder die Sonographie aufgrund einer Mastopathie unguenstig sind. Bei der differenzialdiagnostischen Abklaerung von Herdbefunden hat die Moeglichkeit der sonographischen Fuehrung einer Stanz- oder Vakuumbiopsie das Verfahren wesentlich vereinfacht. Fuer die MR-gesteuerte Biopsie sind inzwischen zugelassene Fuehrungshilfen kommerziell erhaeltlich. Als primaere Screeningmethode kommen sowohl die Sonographie als auch die Magnetresonanz-Mammographie nur fuer wenige Frauen in Frage, in der Regel bei nachgewiesenen BRCA-1- oder BRCA-2-Mutationen oder bei sonstiger Brustkrebsdisposition. (orig.)

Neuausrichtung und Konsolidierung

Science.gov (United States)

Grohmann, Heinz

Mit der Wahl von Wolfgang Wetzel zum Vorsitzenden der Deutschen Statistischen Gesellschaft im Jahre 1972 begann eine 32jährige Ära, in der die praktische und die theoretische Statistik in einem ausgewogenen Verhältnis gepflegt wurden. Ein regelmäßiger vierjähriger Wechsel im Vorsitz stärkte die Gemeinschaft und die praktische wie die wissenschaftliche Arbeit gleichermaßen. Die jährlichen Hauptversammlungen behandelten gesellschaftlich aktuelle wie zukunftsorientierte Themen, und die Ausschüsse sowie weitere Veranstaltungen gaben Gelegenheit zur Förderung und Pflege einer Vielzahl von Arbeitsgebieten der Statistik. Darüber wird nicht nur in diesem Kapitel, sondern auch in den Teilen II und III des Bandes berichtet.

Non-operative diagnosis - effect on repeat-operation rates in the UK breast screening programme

International Nuclear Information System (INIS)

Wallis, M.G.; Cheung, S.; Kearins, O.; Lawrence, G.M.

2009-01-01

Non-operative diagnosis rates in the UK breast screening programme have improved dramatically from 48.8% in 1994/95 (only nine units achieved the then minimum standard of 70%) to 94% in 2005/06 (only seven units failed to achieve the target of 90%). Preoperative and operative history of all 120,550 women diagnosed with screen-detected breast cancer in the UK between April 1994 and March 2006 was derived from different national databases. In 2005/06, 2,790 (17.8%) of the 15,688 women having surgery needed two or more operations. In 2001/02 (non-operative diagnosis rate 87%), the re-operation rate was 23.8% (2,377 of 9,969). Extrapolation backwards to 1994/95 (non-operative diagnosis rate 48.8%) suggests a re-operation rate of 62%. Analysis over the 4 years from April 2002 (n=34,198) demonstrates that 4,089 (12%) women with a correct non-operative diagnosis of invasive disease required additional surgery compared to 1,166 (48%) of women who were under-staged (diagnosed as non-invasive based on core biopsy, but actually suffering from invasive disease). Failure to achieve a non-operative diagnosis of invasive disease (n=1,542) or non-invasive disease (n=2,247) resulted in re-operation rates of 65 and 43% respectively. Given the impact of not having a diagnosis pre-operatively, or of under-staging invasive carcinoma, it seems timely to introduce more sophisticated standards. (orig.)

A cross-sectional survey assessing factors associated with reading cancer screening information: previous screening behaviour, demographics and decision-making style

Directory of Open Access Journals (Sweden)

Alex Ghanouni

2017-04-01

Full Text Available Abstract Background There is broad agreement that cancer screening invitees should know the risks and benefits of testing before deciding whether to participate. In organised screening programmes, a primary method of relaying this information is via leaflets provided at the time of invitation. Little is known about why individuals do not engage with this information. This study assessed factors associated with reading information leaflets provided by the three cancer screening programmes in England. Methods A cross-sectional survey asked screening-eligible members of the general population in England about the following predictor variables: uptake of previous screening invitations, demographic characteristics, and ‘decision-making styles’ (i.e. the extent to which participants tended to make decisions in a way that was avoidant, rational, intuitive, spontaneous, or dependent. The primary outcome measures were the amount of the leaflet that participants reported having read at their most recent invitation, for any of the three programmes for which they were eligible. Associations between these outcomes and predictor variables were assessed using binary or ordinal logistic regression. Results After exclusions, data from 275, 309, and 556 participants were analysed in relation to the breast, cervical, and bowel screening programmes, respectively. Notable relationships included associations between regularity of screening uptake and reading (more of the information leaflets for all programmes (e.g. odds ratio: 0.16 for participants who never/very rarely attended breast screening vs. those who always attended previously; p = .009. Higher rational decision-making scores were associated with reading more of the cervical and bowel screening leaflets (OR: 1.13, p < .0005 and OR: 1.11, p = .045, respectively. Information engagement was also higher for White British participants compared with other ethnic groups for breast (OR: 3.28, p = .008

A cross-sectional survey assessing factors associated with reading cancer screening information: previous screening behaviour, demographics and decision-making style.

Science.gov (United States)

Ghanouni, Alex; Renzi, Cristina; Waller, Jo

2017-04-18

There is broad agreement that cancer screening invitees should know the risks and benefits of testing before deciding whether to participate. In organised screening programmes, a primary method of relaying this information is via leaflets provided at the time of invitation. Little is known about why individuals do not engage with this information. This study assessed factors associated with reading information leaflets provided by the three cancer screening programmes in England. A cross-sectional survey asked screening-eligible members of the general population in England about the following predictor variables: uptake of previous screening invitations, demographic characteristics, and 'decision-making styles' (i.e. the extent to which participants tended to make decisions in a way that was avoidant, rational, intuitive, spontaneous, or dependent). The primary outcome measures were the amount of the leaflet that participants reported having read at their most recent invitation, for any of the three programmes for which they were eligible. Associations between these outcomes and predictor variables were assessed using binary or ordinal logistic regression. After exclusions, data from 275, 309, and 556 participants were analysed in relation to the breast, cervical, and bowel screening programmes, respectively. Notable relationships included associations between regularity of screening uptake and reading (more of) the information leaflets for all programmes (e.g. odds ratio: 0.16 for participants who never/very rarely attended breast screening vs. those who always attended previously; p = .009). Higher rational decision-making scores were associated with reading more of the cervical and bowel screening leaflets (OR: 1.13, p < .0005 and OR: 1.11, p = .045, respectively). Information engagement was also higher for White British participants compared with other ethnic groups for breast (OR: 3.28, p = .008) and bowel (OR: 2.58, p = .015) information; an

A French national breast and thyroid cancer screening programme for survivors of childhood, adolescent and young adult (CAYA) cancers - DeNaCaPST programme.

Science.gov (United States)

Demoor-Goldschmidt, Charlotte; Drui, Delphine; Doutriaux, Isabelle; Michel, Gérard; Auquier, Pascal; Dumas, Agnès; Berger, Claire; Bernier, Valérie; Bohrer, Sandrine; Bondiau, Pierre-Yves; Filhon, Bruno; Fresneau, Brice; Freycon, Claire; Stefan, Dinu; Helfre, Sylvie; Jackson, Angela; Kerr, Christine; Laprie, Anne; Leseur, Julie; Mahé, Marc-André; Oudot, Caroline; Pluchard, Claire; Proust, Stéphanie; Sudour-Bonnange, Hélène; Vigneron, Céline; Lassau, Nathalie; Schlumberger, Martin; Conter, Cécile Faure; de Vathaire, Florent

2017-05-12

Survival of childhood, adolescent and young adult (CAYA) cancers has increased with progress in the management of the treatments and has reached more than 80% at 5 years. Nevertheless, these survivors are at great risk of second cancers and non-malignant co-morbidities in later life. DeNaCaPST is a non-interventional study whose aim is to organize a national screening for thyroid cancer and breast cancer in survivors of CAYA cancers. It will study the compliance with international recommendations, with the aim, regarding a breast screening programme, of offering for every woman living in France, at equal risk, an equal screening. DeNaCaPST trial is coordinated by the INSERM 1018 unit in cooperation with the LEA (French Childhood Cancer Survivor Study for Leukaemia) study's coordinators, the long term follow up committee and the paediatric radiation committee of the SFCE (French Society of Childhood Cancers). A total of 35 centres spread across metropolitan France and la Reunion will participate. FCCSS (French Childhood Cancer Survivor Study), LEA and central registry will be interrogated to identify eligible patients. To participate, centers agreed to perform a complete "long-term follow-up consultations" according to good clinical practice and the guidelines of the SFCE (French Society of Children Cancers). As survival has greatly improved in childhood cancers, detection of therapy-related malignancies has become a priority even if new radiation techniques will lead to better protection for organs at risk. International guidelines have been put in place because of the evidence for increased lifetime risk of breast and thyroid cancer. DeNaCaPST is based on these international recommendations but it is important to recognize that they are based on expert consensus opinion and are supported by neither nonrandomized observational studies nor prospective randomized trials in this specific population. Over-diagnosis is a phenomenon inherent in any screening program and

Screening and surveillance of workers exposed to mineral dusts

Energy Technology Data Exchange (ETDEWEB)

Wagner, G.R.

1997-12-31

This publication resulted from a World Health Organisation initiated project to investigate the harmonisation of definitions, approaches and methodologies for the screening and surveillance of workers exposed to mineral dust. The first part of the book provides definitions of screening and surveillance and describes the main elements of such programmes. The second part discusses the practical aspect of the screening and surveillance of working populations exposed to crystalline silica, coal mine dust and asbestos. Although no single set of guidelines is applicable to the development and implementation of a programme for the screening and surveillance of workers exposed to mineral dust, the recommendations, together with certain caveats, should provide a useful starting point. Annexes provide examples of existing programmes in various countries and environments and discuss the use and interpretation of questionnaires, lung spirometry and chest radiography. Overall the book should be of interest to occupational health professionals.

Frege – The Unintentional Linguist. On Frege’s Views of Language in the Context of 19th Century German Linguistics

Directory of Open Access Journals (Sweden)

Karsten Hvidtfelt Nielsen

2008-05-01

Full Text Available Sein ganzes berufliches Leben hindurch betrachtete Frege die Sprache als eine gefährliche Bedrohung des wissenschaftlichen Erkennens, der mit allen Mitteln der Logik zu begegnen war. Im ersten Teil des Aufsatzes wird aufgezeigt, wie Frege diese Auffassung in oft unbewusster und ungewollter Übereinstimmung mit gleichzeitigen Tendenzen sowohl in der deutschen Linguistik (Becker, Steinthal, Paul, Wundt als auch in der deutschen Sprachkritik (Gruppe, Nietzsche, Mauthner entwickelte und wie sein epistemologischer ‚Kampf gegen die Sprache’ mit einer bitteren persönlichen und professionellen Niederlage endete. Der zweite Teil des Aufsatzes enthält eine Rekonstruktion von Freges logischer Grammatik sowie eine Darstellung des linguistischen Argumentes, das für Freges endgültiges (und tragisches Akzept vom Sprachskeptizismus entscheidend wurde (das sogenannte Fregesche Paradox. Der Aufsatz schließt mit einer Evaluierung der Relevanz des Fregeschen Paradoxes für die heutige Linguistik.

Frege – The Unintentional Linguist. On Frege’s Views of Language in the Context of 19th Century German Linguistics

Directory of Open Access Journals (Sweden)

Karsten Hvidtfelt Nielsen

2008-06-01

Full Text Available Sein ganzes berufliches Leben hindurch betrachtete Frege die Sprache als eine gefährliche Bedrohung des wissenschaftlichen Erkennens, der mit allen Mitteln der Logik zu begegnen war. Im ersten Teil des Aufsatzes wird aufgezeigt, wie Frege diese Auffassung in oft unbewusster und ungewollter Übereinstimmung mit gleichzeitigen Tendenzen sowohl in der deutschen Linguistik (Becker, Steinthal, Paul, Wundt als auch in der deutschen Sprachkritik (Gruppe, Nietzsche, Mauthner entwickelte und wie sein epistemologischer ‚Kampf gegen die Sprache’ mit einer bitteren persönlichen und professionellen Niederlage endete. Der zweite Teil des Aufsatzes enthält eine Rekonstruktion von Freges logischer Grammatik sowie eine Darstellung des linguistischen Argumentes, das für Freges endgültiges (und tragisches Akzept vom Sprachskeptizismus entscheidend wurde (das sogenannte Fregesche Paradox. Der Aufsatz schließt mit einer Evaluierung der Relevanz des Fregeschen Paradoxes für die heutige Linguistik.

Effect of Fee on Cervical Cancer Screening Attendance—ScreenFee, a Swedish Population-Based Randomised Trial

Science.gov (United States)

Alfonzo, Emilia; Andersson Ellström, Agneta; Nemes, Szilard; Strander, Björn

2016-01-01

Background Attendance in the cervical cancer screening programme is one of the most important factors to lower the risk of contracting the disease. Attendance rates are often low in areas with low socioeconomic status. Charging a fee for screening might possibly decrease attendance in this population. Screening programme coverage is low in low socio-economic status areas in Gothenburg, Sweden, but has increased slightly after multiple interventions in recent years. For many years, women in the region have paid a fee for screening. We studied the effect of abolishing this fee in a trial emanating from the regular cervical cancer screening programme. Method Individually randomised controlled trial. All 3 124 women in three low-resource areas in Gothenburg, due for screening during the study period, were randomised to receive an offer of a free test or the standard invitation stating the regular fee of 100 SEK (≈11 €). The study was conducted during the first six months of 2013. Attendance was defined as a registered Pap smear within 90 days from the date the invitation was sent out. Results Attendance did not differ significantly between women who were charged and those offered free screening (RR 0.93; CI 0.85–1.02). No differences were found within the districts or as an effect of age, attendance after the most recent previous invitation or previous experience of smear taking. Conclusion Abolishment of a modest screening fee in socially disadvantaged urban districts with low coverage, after previous multiple systematic interventions, does not increase attendance in the short term. Other interventions might be more important for increasing attendance in low socio-economic status areas. Trial Registration ClinicalTrials.gov NCT02378324 PMID:26986848

Development of Long Live Love+, a school-based online sexual health programme for young adults. An intervention mapping approach

NARCIS (Netherlands)

Mevissen, F.E.F.; Empelen, P. van; Watzeels, A.; Duin, G. van; Meijer, S.; Lieshout, S. van; Kok, G.

2017-01-01

This paper describes the development of a Dutch online programme called Long Live Love+ focusing on positive, coercion-free relationships, contraception use, and the prevention of STIs, using the Intervention Mapping (IM) approach. All six steps of the approach were followed. Step 1 confirmed the

Narrative Kompetenz: Anforderungen an ein Verfahren der Sprach-standsfeststellung im Elementarbereich

Directory of Open Access Journals (Sweden)

Natalia Kapica

2014-10-01

Full Text Available Im vorliegenden Beitrag wird der Frage nachgegangen, welche Merkmale ein Verfahren zur Feststellung des Sprachstandes im Bereich Erzählkompetenz vereinen sollte, um nutzbare Informationen für die Planung an-schließender Fördermaßnahmen zu liefern. Dabei wird von der spracherwerbstheoretisch hergeleiteten Annahme ausgegangen, dass Förderangebote entwicklungssensitiv angelegt sein sollten, also von der erwartbaren Erwerbsprogression und dem jeweiligen Sprachstand des Kindes ausgehen sollten. Mit dieser diagnostischen Zielsetzung vor Augen werden anhand der Kategorien „entwicklungspsychologische/schulische Relevanz“, „profilanalytische Auswertung“ sowie „Authentizität der Sprachdaten“ Anforderungen an ein förderdiagnostisches Verfahren formuliert und exemplarisch auf Erkenntnisse der Spracherwerbsforschung zurückbezogen. The present article addresses the question of which characteristics a language proficiency assessment of children ́s narrative competence should possess to allow for its results to be used for planning subsequent assistance measures.The underlying assumption states that language acquisition processes follow their own inherent developmental pathway. Language promotion programmes should therefore be responsive to the children's development and be based on the respective proficiency level and the learning progress that may be expected. In view of this objective, the article specifies requirements on „interventional diagnostics” and correlates these with insights from languageacquisition research.

Zusammenführen was zusammengehört – Intellektuelle und automatische Erfassung von Werken nach RDA

Directory of Open Access Journals (Sweden)

Barbara Pfeifer

2016-12-01

Full Text Available Der Beitrag will die Erschließungspraxis der Deutschen Nationalbibliothek im ersten Implementierungsschritt der RDA zur Angabe der Werkebene darstellen, Erfahrungen zur grundsätzlichen Vorgehensweise und zu Sonderregelungen vermitteln und einen Ausblick in die Zukunft bieten. Die Angabe der Werkebene als Kernelement des neuen Standards wird bei der Erschließung von Ressourcen in der Deutschen Nationalbibliothek immer berücksichtigt. Bei der intellektuellen Erschließung von Monografien wird das Element als Normdatensatz oder als textuelle Angabe im Katalogisat erfasst. Allerdings setzt die derzeitige Praxis auch auf zukünftige automatische Clusterverfahren. Der erreichte Stand zu Algorithmen und Testläufen für das Werkclustering soll ebenso aufgezeigt werden, wie die daraus resultierenden Entscheidungen und die weitere Perspektive. Von zentraler Bedeutung ist die Frage, ob und unter welchen Bedingungen auf der Basis der Werkcluster Normdatensätze für die Gemeinsame Normdatei (GND generiert werden können, um sie im deutschen Sprachraum kooperativ zu nutzen und sie in der Linked-Data-Cloud zu vernetzen.   This article explains how works are catalogued at the Deutsche Nationalbibliothek (German National Library in the first implementation step of RDA. It discusses experiences with the general approach as well as some special rules and points out future prospects. When cataloguing resources at the Deutsche Nationalbibliothek, the work entity is always included as the work elements are core elements of the new standard. If the cataloguing is done intellectually, the work entity is described either as a link to an authority record or as a textual string within the description of the resource. However, the current practice builds also on automatic clustering of works in the future. The state of the art of automatic cluster algorithms and their evaluation and testing is described as well as the next steps for the future. An essential question

Synthesis and DNA binding properties of 1-(3-aminopropyl)-imidazole-containing triamide f-Im*PyIm: a novel diamino polyamide designed to target 5'-ACGCGT-3'.

Science.gov (United States)

Satam, Vijay; Babu, Balaji; Porte, Alexander; Savagian, Mia; Lee, Megan; Smeltzer, Thomas; Liu, Yang; Ramos, Joseph; Wilson, W David; Lin, Shicai; Kiakos, Kostantinos; Hartley, John A; Lee, Moses

2012-09-15

A novel diamino/dicationic polyamide f-Im(*)PyIm (5) that contains an orthogonally positioned aminopropyl chain on an imidazole (Im(*)) moiety was designed to target 5'-ACGCGT-3'. The DNA binding properties of the diamino polyamide 5, determined by CD, ΔT(M), DNase I footprinting, SPR, and ITC studies, were compared with those of its monoamino/monocationic counterpart f-ImPyIm (1) and its diamino/dicationic isomer f-ImPy(*)Im (2), which has the aminopropyl group attached to the central pyrrole unit (Py(*)). The results gave evidence for the minor groove binding and selectivity of polyamide 5 for the cognate sequence 5'-ACGCGT-3', and with strong affinity (K(eq)=2.3×10(7) M(-1)). However, the binding affinities varied according to the order: f-ImPy(*)Im (2)>f-ImPyIm (1)≥f-Im(*)PyIm (5) confirming that the second amino group can improve affinity, but its position within the polyamide can affect affinity. Copyright © 2012 Elsevier Ltd. All rights reserved.

European Guidelines for Quality Assurance in Cervical Cancer Screening. Second edition--summary document.

Science.gov (United States)

Arbyn, M; Anttila, A; Jordan, J; Ronco, G; Schenck, U; Segnan, N; Wiener, H; Herbert, A; von Karsa, L

2010-03-01

European Guidelines for Quality Assurance in Cervical Cancer Screening have been initiated in the Europe Against Cancer Programme. The first edition established the principles of organised population-based screening and stimulated numerous pilot projects. The second multidisciplinary edition was published in 2008 and comprises approximately 250 pages divided into seven chapters prepared by 48 authors and contributors. Considerable attention has been devoted to organised, population-based programme policies which minimise adverse effects and maximise benefits of screening. It is hoped that this expanded guidelines edition will have a greater impact on countries in which screening programmes are still lacking and in which opportunistic screening has been preferred in the past. Other methodological aspects such as future prospects of human papillomavirus testing and vaccination in cervical cancer control have also been examined in the second edition; recommendations for integration of the latter technologies into European guidelines are currently under development in a related project supported by the European Union Health Programme. An overview of the fundamental points and principles that should support any quality-assured screening programme and key performance indicators are presented here in a summary document of the second guidelines edition in order to make these principles and standards known to a wider scientific community.

Screening for iron deficiency and iron deficiency anaemia in pregnancy: a structured review and gap analysis against UK national screening criteria.

Science.gov (United States)

Rukuni, Ruramayi; Knight, Marian; Murphy, Michael F; Roberts, David; Stanworth, Simon J

2015-10-20

Iron deficiency anaemia is a common problem in pregnancy despite national recommendations and guidelines for treatment. The aim of this study was to appraise the evidence against the UK National Screening Committee (UKNSC) criteria as to whether a national screening programme could reduce the prevalence of iron deficiency anaemia and/or iron deficiency in pregnancy and improve maternal and fetal outcomes. Search strategies were developed for the Cochrane library, Medline and Embase to identify evidence relevant to UK National Screening Committee (UKNSC) appraisal criteria which cover the natural history of iron deficiency and iron deficiency anaemia, the tests for screening, clinical management and evidence of cost effectiveness. Many studies evaluated haematological outcomes of anaemia, but few analysed clinical consequences. Haemoglobin and ferritin appeared the most suitable screening tests, although future options may follow recent advances in understanding iron homeostasis. The clinical consequences of iron deficiency without anaemia are unknown. Oral and intravenous iron are effective in improving haemoglobin and iron parameters. There have been no trials or economic evaluations of a national screening programme for iron deficiency anaemia in pregnancy. Iron deficiency in pregnancy remains an important problem although effective tests and treatment exist. A national screening programme could be of value for early detection and intervention. However, high quality studies are required to confirm whether this would reduce maternal and infant morbidity and be cost effective.

SDOCT imaging to identify macular pathology in patients diagnosed with diabetic maculopathy by a digital photographic retinal screening programme.

Directory of Open Access Journals (Sweden)

Sarah Mackenzie

Full Text Available INTRODUCTION: Diabetic macular edema (DME is an important cause of vision loss. England has a national systematic photographic retinal screening programme to identify patients with diabetic eye disease. Grading retinal photographs according to this national protocol identifies surrogate markers for DME. We audited a care pathway using a spectral-domain optical coherence tomography (SDOCT clinic to identify macular pathology in this subset of patients. METHODS: A prospective audit was performed of patients referred from screening with mild to moderate non-proliferative diabetic retinopathy (R1 and surrogate markers for diabetic macular edema (M1 attending an SDOCT clinic. The SDOCT images were graded by an ophthalmologist as SDOCT positive, borderline or negative. SDOCT positive patients were referred to the medical retina clinic. SDOCT negative and borderline patients were further reviewed in the SDOCT clinic in 6 months. RESULTS: From a registered screening population of 17 551 patients with diabetes mellitus, 311 patients met the inclusion criteria between (March 2008 and September 2009. We analyzed images from 311 patients' SDOCT clinic episodes. There were 131 SDOCT negative and 12 borderline patients booked for revisit in the OCT clinic. Twenty-four were referred back to photographic screening for a variety of reasons. A total of 144 were referred to ophthalmology with OCT evidence of definite macular pathology requiring review by an ophthalmologist. DISCUSSION: This analysis shows that patients with diabetes, mild to moderate non-proliferative diabetic retinopathy (R1 and evidence of diabetic maculopathy on non-stereoscopic retinal photographs (M1 have a 42.1% chance of having no macular edema on SDOCT imaging as defined by standard OCT definitions of DME when graded by a retinal specialist. SDOCT imaging is a useful adjunct to colour fundus photography in screening for referable diabetic maculopathy in our screening population.

Blockchain

OpenAIRE

Gayvoronskaya, Tatiana (M. Sc.); Meinel, Christoph (Prof. Dr.); Schnjakin, Maxim (Dr.)

2018-01-01

Der Begriff Blockchain ist in letzter Zeit zu einem Schlagwort geworden, aber nur wenige wissen, was sich genau dahinter verbirgt. Laut einer Umfrage, die im ersten Quartal 2017 veröffentlicht wurde, ist der Begriff nur bei 35 Prozent der deutschen Mittelständler bekannt. Dabei ist die Blockchain-Technologie durch ihre rasante Entwicklung und die globale Eroberung unterschiedlicher Märkte für Massenmedien sehr interessant. So sehen viele die Blockchain-Technologie entweder als eine Allzwec...

Einfluss verschiedener Traubenmost-Konzentrierungsverfahren auf die Weinqualität

OpenAIRE

Weber, Dirk

2006-01-01

Auf internationaler Ebene wurden seit längerer Zeit Bedeutung und Konsequenzen einer Zulassung „neuer önologischer Verfahren“ erörtert. Seit 1998 führte man diese Diskussion auch in Deutschland. Diese neuen Verfahren setzten internationale Wettbewerber zum Teil bereits erfolgreich ein. Um auf dem internationalen Markt mit diesen Weinen konkurrieren zu können und im Rahmen der Chancen-Gleichheit, kam in der deutschen Weinbranche der Wunsch auf, diese Verfahren auch hier zuzulassen. Eines diese...

Work-Life-Balance in der Unternehmenspraxis

OpenAIRE

Beile, Judith; Jahnz, Sebastian

2007-01-01

Um die Frage zu beantworten, welche Maßnahmen einer Work-Life-Balance von Unternehmen im einzelnen umgesetzt werden, berichten die Autoren aus einschlägigen Studien der Hertie-Stiftung, des Instituts der deutschen Wirtschaft und einer eigenen Unternehmensbefragung. Sie skizzieren zunächst die Ziele, Chancen und Risiken von Work-Life-Balance als Personal- und Führungskonzept sowie als Wettbewerbsstrategie. Sie erörtern ferner die Frage, ob durch die Implementation von Work-Life-Balance bestehe...

German PV-producers - an overview. Look back in humility; Photovoltaik Fabriken in Deutschland- eine Uebersicht. Blick zurueck in Demut

Energy Technology Data Exchange (ETDEWEB)

Iken, J.

2001-03-01

Three years are a long period of time in a growing field of industry like photovoltaic power generation. In January 1998, Sonne Wind and Waerme published the first list of German PV producers. The update is presented here. [German] Drei Jahre sind in einer Wachstumsbranche wie der Photovoltaik eine lange Zeit. Im Januar 1998 veroeffentlichte Sonne Wind and Waerme einen Ueberblick ueber die deutschen Photovoltaik-Fabriken. Hoechste Zeit also, die Uebersicht auf den neuesten Stand zu bringen. (orig.)

Modularer studienbegleitender Deutschunterricht zur Vorbereitung auf Studium und Praktikum in Deutschland am Beispiel der German-Jordanian University in Amman, Jordanien

Directory of Open Access Journals (Sweden)

Michael de Jong

2015-04-01

Full Text Available Die German-Jordanian University (GJU ist eine staatliche Hochschule in Amman, Jordanien, die durch das Bundesministerium für Bildung und Forschung (BMBF und den Deutschen Akademischen Austauschdienst (DAAD gefördert wird. Gegründet im Jahr 2005, ist es noch eine sehr junge Universität. Ihr Alleinstellungsmerkmal ist das verpflichtende vierte Studienjahr in Deutschland, in dem jeder Studierende ein Semester an einer deutschen Partnerhochschule und ein weiteres in einem Praktikum verbringt. In den ersten drei Jahren ihres Studiums müssen alle Studieren­den sechs Stufen Deutsch in einem maßgeschneiderten Programm des German Language Centers absolvieren. Der vorliegende Artikel skizziert die Strukturen des Zentrums, beschreibt den modulbasierten Deutschunterricht und diskutiert die Herausforderungen eines der größten German Language Center weltweit.   The German-Jordanian University (GJU is a public institution of higher education located in Amman, Jordan, funded by the German Federal Ministry of Education and Research (BMBF and the German Academic Exchange Service (DAAD. Founded in 2005, it is still a very young university. Its unique selling proposition is the compulsory 4th year in Germany, during which every student spends one semester at a partner university and a second semester doing an internship. In the first three years of their studies, all students have to pass six levels of German in a tailor-made program provided by the German Language Center. This article outlines the structure of the center, describes the module-based German language tuition and discusses the challenges faced by one of the biggest German Language Centers in the world.

Ion Mobility Spectrometer / Mass Spectrometer (IMS-MS)

Energy Technology Data Exchange (ETDEWEB)

Hunka, Deborah E. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Austin, Daniel [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

2005-10-01

The use of Ion Mobility Spectrometry (IMS)in the Detection of Contraband Sandia researchers use ion mobility spectrometers for trace chemical detection and analysis in a variety of projects and applications. Products developed in recent years based on IMS-technology include explosives detection personnel portals, the Material Area Access (MAA) checkpoint of the future, an explosives detection vehicle portal, hand-held detection systems such as the Hound and Hound II (all 6400), micro-IMS sensors (1700), ordnance detection (2500), and Fourier Transform IMS technology (8700). The emphasis to date has been on explosives detection, but the detection of chemical agents has also been pursued (8100 and 6400).

Screening on urogenital Chlamydia trachomatis

Directory of Open Access Journals (Sweden)

Busse, Reinhard

2005-12-01

Full Text Available Introduction: Around 92 million urogenital infections are caused yearly by Chlamydia trachomatis worldwide [1]. The overall incidence of sexually transmitted diseases is increasing, as shown by the increases in the number of reported cases of syphilis and gonorrhea [2]. Chlamydia trachomatis infections are associated with various serious diseases in women, men and newborns, which could be, at least partially, avoided by means of early diagnosis and therapy. The Federal Joint Committee - responsible for decision-making concerning the benefit package of the German Social Health Insurance - has publicly announced the starting of deliberations on the issue of screening for Chlamydia trachomatis. Research Questions: The leading question to be answered is whether screening for Chlamydia trachomatis should be included in the German benefit basket. The aim of this report is to provide a summary of the available evidence concerning the issue of screening for Chlamydia trachomatis. Methods: The summary of published scientific evidence, including HTA reports, systematic reviews, guidelines and primary research is represented. The synthesis follows the structure given by the criteria of Wilson and Jungner [3] for the introduction of screening in a population: relevance of the condition, availability of an adequate test, effectiveness of screening, acceptance of the programme, and economical issues. A literature search was conducted for each aspect of the synthesis and the evidence has been summarised in evidence tables. Results: We identified five HTA reports from three European agencies [4], [5], [6], [7] and one from the USA [8]. In addition, we identified four guidelines from Northamerica [9], [10], [11], [12] and one from Europe [13]. A total of 56 primary research publications were included: relevance of the disease (n=26, availability of test (n=1, effectiveness of screening (n=11, acceptance of the programme (n=11, economical issues (n=7. Discussion

An atomic-absorption programme for the Apple 2 plus computer

International Nuclear Information System (INIS)

Wepener, J.H.; Pearton, D.C.G.

1982-01-01

An interactive computer programme, the AA-PROGRAM APPLE, has been designed and written to process data obtained during routine analysis by atomic-absorption spectrophotometry. The programme is fast, convenient for the user, and was found to perform satisfactorily during routine operation in the laboratory. The computer used is an Apple II Plus with a video screen, and the language of the programme is Applesoft BASIC. Operating instructions for the computer and a printout of the programme are given in the Appendices

Das Unsichtbare sichtbar machen. Zum vergessenen Beitrag der alten deutschen Frauenbewegung zur Wohn- und Siedlungsreform im frühen 20. Jahrhundert Making the Invisible Visible—On a Forgotten Contribution to the Early German Women’s Movement: Housing Reform at the Beginning of the Twentieth Century

Directory of Open Access Journals (Sweden)

Claudia Wucherpfennig

2007-03-01

Full Text Available Der Wohnungs- und Städtebau der Moderne gilt weitgehend als eine „Männerdomäne”. In ihrer Schrift Die Wohnungsfrage ist Frauensache! zeigen Ulla Terlinden und Susanna von Oertzen demgegenüber die vielfältigen und einflussreichen Beiträge der alten deutschen Frauenbewegung zur Wohnungsreform des frühen 20. Jahrhunderts und zum Neuen Bauen auf.The building of apartments and cities in modernity is seen often as a “male domain.” In the text The Apartment Question is Women’s Work! (Die Wohungsfrage ist Frauensache!, Ulla Terlinden and Susanna von Oertzen present the multiple and influential contributions of the early German women’s movement to housing reform at the beginning of the twentieth century as well as to Neues Bauen, an architectural style of the 1920s.

The KwaZulu-Natal Child Eye Care Programme: Delivering refractive error services to primary school learners

Directory of Open Access Journals (Sweden)

Y. I. Mahraj

2011-12-01

sion screeners screened 239 606 primary school children from February 2007 to May 2008. Seven percent (15 944 of the children failed the vision screening and were referred for optometric assessments. Of the 15 944 children that failed the vision screening, 10 707 children were examined by optometrists and 1083 were found to have a refractive error and were therefore supplied with spectacles. The study indicates that a short-term programme to address a backlog of services can reach many underserved children. This programme identified many challenges of implementing a vision screening programme such as poor uptake of refractive services by learners in the absence of an appropriate referral system and high attrition of trained vision screeners. (S Afr Optom 2011 70(2 61-68

A New IMS Based Inter-working Solution

Science.gov (United States)

Zhu, Zhongwen; Brunner, Richard

With the evolution of third generation network, more and more multimedia services are developed and deployed. Any new service to be deployed in IMS network is required to inter-work with existing Internet communities or legacy terminal users in order to appreciate the end users, who are the main drivers for the service to succeed. The challenge for Inter-working between IMS (IP Multimedia Subsystem) and non-IMS network is “how to handle recipient’s address”. This is because each network has its own routable address schema. For instance, the address for Google Talk user is xmpp:xyz@google.com, which is un-routable in IMS network. Hereafter a new Inter-working (IW) solution between IMS and non-IMS network is proposed for multimedia services that include Instant Messaging, Chat, and File transfer, etc. It is an end-to-end solution built on IMS infrastructure. The Public Service Identity (PSI) defined in 3GPP standard (3rd Generation Partnership Project) is used to allow terminal clients to allocate this IW service. When sending the SIP (Session Initial Protocol) request out for multimedia services, the terminal includes the recipient’s address in the payload instead of the “Request-URI” header. In the network, the proposed solution provides the mapping rules between different networks in MM-IW (Multimedia IW). The detailed technical description and the corresponding use cases are present. The comparison with other alternatives is made. The benefits of the proposed solution are highlighted.

The results of a quality-control programme in mammography

International Nuclear Information System (INIS)

Ramsdale, M.L.; Hiles, P.A.

1989-01-01

With the introduction of a breast screening programme in the UK, quality assurance in mammography is of paramount importance in assuring optimum imaging performance with low dose. Quality control checks are an essential part of the quality-assurance system. A quality-control programme at a breast screening clinic is described. Daily checks include film sensitometry for X-ray processor control and radiography of a lucite phantom to monitor the consistency of the X-ray machine automatic exposure control. Weekly checks include additional measurements on the performance of the automatic exposure control for different breast thickness and an overall assessment of image quality using a prototype mammography test phantom. The test phantom measures low-contrast sensitivity, high-contrast resolution and small-detail visibility. The results of the quality-control programme are presented with particular attention paid to tolerances and limiting values. (author)

Register-based studies of cancer screening effects

DEFF Research Database (Denmark)

Von Euler-Chelpin, My; Lynge, Elsebeth; Rebolj, Matejka

2011-01-01

INTRODUCTION: There are two organised cancer screening programmes in Denmark, against cervical and breast cancers. The aim with this study was to give an overview of the available register-based research regarding these two programmes, to demonstrate the usefulness of data from the national regis...

Estimating radiation risk induced by CT screening for Korean population

Science.gov (United States)

Yang, Won Seok; Yang, Hye Jeong; Min, Byung In

2017-02-01

The purposes of this study are to estimate the radiation risks induced by chest/abdomen computed tomography (CT) screening for healthcare and to determine the cancer risk level of the Korean population compared to other populations. We used an ImPACT CT Patient Dosimetry Calculator to compute the organ effective dose induced by CT screening (chest, low-dose chest, abdomen/pelvis, and chest/abdomen/pelvis CT). A risk model was applied using principles based on the BEIR VII Report in order to estimate the lifetime attributable risk (LAR) using the Korean Life Table 2010. In addition, several countries including Hong Kong, the United States (U.S.), and the United Kingdom, were selected for comparison. Herein, each population exposed radiation dose of 100 mSv was classified according to country, gender and age. For each CT screening the total organ effective dose calculated by ImPACT was 6.2, 1.5, 5.2 and 11.4 mSv, respectively. In the case of Korean female LAR, it was similar to Hong Kong female but lower than those of U.S. and U.K. females, except for those in their twenties. The LAR of Korean males was the highest for all types of CT screening. However, the difference of the risk level was negligible because of the quite low value.

Maurice Wilmotte (1861–1942, „le plus français des Belges“, und die deutsche Romanistik (mit einem Anhang unveröffentlichter Briefe

Directory of Open Access Journals (Sweden)

Frank Rutger Hausmann

2016-04-01

Full Text Available Der aus Lüttich stammende Maurice Wilmotte gilt heute als der Begründer der belgischen Romanistik. Seine als Student in Paris bzw. Halle a.S., Berlin und Bonn gemachten Erfahrungen fasste er in einer Denkschrift zusammen, die er im Jahr 1886 dem Brüsseler Ministerium des Inneren und des öffentlichen Unterrichtswesens einreichte, das den Fünfundzwanzigjährigen mit der Ausbildung in den romanischen Sprachen betraute. Wilmotte erkannte die Qualität der deutschen Universität zwar durchaus an, stand aber als überzeugter Belgier und Wallone Frankreich viel näher. Nach Ausbruch des Ersten Weltkriegs und der widerrechtlichen Besetzung seiner Heimat ging Wilmotte zu Deutschland auf Distanz. Seine Briefe an den Halleschen Lehrer Hermann Suchier und ausgewählte Publikationen ermöglichen eine Rekonstruktion dieses Prozesses, der sich auch bei anderen ausländischen Romanisten beobachten lässt, die zuvor an deutschen Universitäten studiert hatten.

Maurice Wilmotte (1861–1942, „le plus français des Belges“, und die deutsche Romanistik (mit einem Anhang unveröffentlichter Briefe

Directory of Open Access Journals (Sweden)

Frank Rutger Hausmann

2016-04-01

Full Text Available Der aus Lüttich stammende Marc Wilmotte gilt heute als der Begründer der belgischen Romanistik. Seine als Student in Paris bzw. Halle a.S., Berlin und Bonn gemachten Erfahrungen fasste er in einer Denkschrift zusammen, die er im Jahr 1886 dem Brüsseler Ministerium des Inneren und des öffentlichen Unterrichtswesens einreichte, das den Fünfundzwanzigjährigen mit der Ausbildung in den romanischen Sprachen betraute. Wilmotte erkannte die Qualität der deutschen Universität zwar durchaus an, stand aber als überzeugter Belgier und Wallone Frankreich viel näher. Nach Ausbruch des Ersten Weltkriegs und der widerrechtlichen Besetzung seiner Heimat ging Wilmotte zu Deutschland auf Distanz. Seine Briefe an den Halleschen Lehrer Hermann Suchier und ausgewählte Publikationen ermöglichen eine Rekonstruktion dieses Prozesses, der sich auch bei anderen ausländischen Romanisten beobachten lässt, die zuvor an deutschen Universitäten studiert hatten.

Danish method study on cervical screening in women offered HPV vaccination as girls (Trial23)

DEFF Research Database (Denmark)

Thamsborg, Lise Holst; Andersen, Berit; Larsen, Lise Grupe

2018-01-01

arm) or present screening plus an HPV test (HPV arm). The study started 1 February 2017 and will run over three screening rounds corresponding to 7-8 years. ANALYSES: The primary endpoint is cervical intraepithelial neoplasia grade 3 or above. The trial is undertaken as a non-inferiority study......INTRODUCTION: The first birth cohorts of women offered human papillomavirus (HPV) vaccination as girls are now entering cervical screening. However, there is no international consensus on how to screen HPV vaccinated women. These women are better protected against cervical cancer and could...... vaccination as girls. METHODS: Trial23 is a method study embedded in the existing cervical screening programme in four out of five Danish regions. Without affecting the screening programme, women born in 1994 are randomised to present screening with liquid-based cytology every third year (present programme...

Development of "Long Live Love+," a School-Based Online Sexual Health Programme for Young Adults. An Intervention Mapping Approach

Science.gov (United States)

Mevissen, Fraukje E. F.; van Empelen, Pepijn; Watzeels, Anita; van Duin, Gee; Meijer, Suzanne; van Lieshout, Sanne; Kok, Gerjo

2018-01-01

This paper describes the development of a Dutch online programme called "Long Live Love+" focusing on positive, coercion-free relationships, contraception use, and the prevention of STIs, using the Intervention Mapping (IM) approach. All six steps of the approach were followed. Step 1 confirmed the need for a sexual health programme…

Remain stable.; Schoen stabil bleiben.

Energy Technology Data Exchange (ETDEWEB)

Teroerde, Michael; Schulz, Detlef [Helmut-Schmidt-Univ., Hamburg (Germany). Professur fuer Elektrische Energiesysteme; Eckoldt, Hans-Joerg [Deutsches Elektronen-Synchrotron (DESY), Hamburg (Germany). Fachgebiet Magnetstromversorgung

2013-11-15

In the German power grid the increasing photovoltaic power plants and wind turbines provide due to their volatile energy supply high demands on the control of the power grid. In the case of malfunctions in the network short-term energy storage could participate in the grid control. Superconducting magnetic energy storage (SMES) belongs to the efficient short-term energy storage. A SMES system was investigated at DESY in Hamburg. [German] Im deutschen Stromnetz stellen die zunehmenden Photovoltaik- und Windkraftanlagen aufgrund ihrer stark schwankenden Energieeinspeisung hohe Anforderungen an die Regelung des Stromnetzes. Bei eventuell auftretenden Stoerungen im Netz koennten Kurzzeitenergiespeicher an der Netzregelung teilnehmen. Zu den effizienten Kurzzeitspeichern gehoeren supraleitende magnetische Energiespeicher (SMES). Ein SMES-System wurde bei DESY in Hamburg untersucht.

Quality Control and Complication Screening Programme of Chinese Medicinal Drugs at the First German Hospital of Traditional Chinese Medicine - A Retrospective Analysis.

Science.gov (United States)

Melchart, Dieter; Hager, Stefan; Dai, Jingzhang; Weidenhammer, Wolfgang

2016-01-01

The use of drugs derived from plants is a cornerstone of Traditional Chinese Medicine (TCM). Yet, too little is known about risk and safety of Chinese medicinal drugs (CMD). Therefore, the TCM hospital Bad Kötzting has developed a quality control and complication screening programme in order to ensure a safe administration of TCM drugs to their patients. All Chinese medicinal drugs delivered to the hospital between September 1, 2012 and December 31, 2013 entered the quality control program and were screened for microbial contamination, aflatoxin, pesticides and heavy metals. A routinely applied complication screening programme monitored liver enzymes in all patients. Case causality assessment by CIOMS scale and identification of admitted herbs were conducted. Additionally, side effects of patients were identified by a routinely performed web-based documentation system. In 5 of 23 investigated samples (21.7%) the initial testing showed microbial contamination (2), pesticide (2) and heavy metals (1). The drugs were tested for authenticity and adulterations, respectively. All 994 patients (mean age 52.6 years; 72.6% female) admitted were available for analysis. 448 (45.1%) of all patients reported having perceived at least one side effect of treatment. They experienced mainly gastrointestinal symptoms (13.6%), neurovegetative symptoms (10.8 %), temporary deteriorations of pain (8.8%), diarrhoea (5.9%), nausea (1.6%) and vomiting (0.5%). Further, 6 patients with a more than 2-fold elevation (compared to maximum normal value or elevated admission values) of ALT were found in the systematic laboratory control with a non-conclusive causality assessment for TCM-drugs. Approximate incidence rates and analysed drugs associated with liver damage revealed a low rate of liver injury. Patients should be informed of the gastrointestinal symptoms caused by and potential hepatotoxicity of TCM herbs. © 2016 S. Karger GmbH, Freiburg.

„Powergirls“

Directory of Open Access Journals (Sweden)

Gabriele Schmölzer

2003-11-01

Full Text Available Dieses Werk präsentiert die Ergebnisse des Forschungsprojektes „Mädchen und Gewalt: Eine Untersuchung zum jugendgruppentypischen Umgang mit Gewalt“ am Deutschen Jugendinstitut (DJI, das – im Wesentlichen – von den beiden Verfasserinnen in den Jahren 1998 bis 2001 durchgeführt wurde. Ziel des Projektes und des Bandes ist es, eine geschlechterdifferenzierte Gewaltprävention, an der es vielfach mangelt, wissenschaftlich zu fundieren. Dies ist den Autorinnen durch eine ebenso lebensnahe wie praxisbezogene soziologische Forschung gelungen.

IMS Learning Design Frequently Asked Questions

NARCIS (Netherlands)

Tattersall, Colin; Manderveld, Jocelyn; Hummel, Hans; Sloep, Peter; Koper, Rob; De Vries, Fred

2004-01-01

This list of frequently asked questions was composed on the basis of questions asked of the Educational Technology Expertise Centrum. The questions addessed are: Where can I find the IMS Learning Design Specification? What is meant by the phrase “Learning Design”? What is the IMS LD Specification

Cost-Effectiveness Comparison of Breast Cancer Screening and Vascular Event Primary Prevention with Aspirin in Wales

Science.gov (United States)

Morgan, Gareth

2011-01-01

Aim: For the first time, this article presents a cost-effectiveness comparison of a breast cancer screening programme with a possible health education programme with aspirin for vascular event primary prevention. Background: Breast cancer screening is a well established part of cancer control programmes yet recent evidence on this intervention has…

Prenatal diagnosis of dwarfism by ultrasound screening.

OpenAIRE

Weldner, B M; Persson, P H; Ivarsson, S A

1985-01-01

In a general, ultrasound screening programme, 12 453 women were examined at 16 and 32 weeks of pregnancy. The screening detected all limb deformities in the population during the study period. The seeming prevalence of dwarfism in the population was 750 per million.

Resilience of the IMS system

DEFF Research Database (Denmark)

Kamyod, Chayapol; Nielsen, Rasmus Hjorth; Prasad, Neeli R.

2014-01-01

The paper focuses on end-to-end resilience analysis of the IMS based network through the principal resilience parameters by using OPNET. The resilience behaviours of communication across multiple IMS domains are investigated at different communication scenarios and compared with previous state......-of-the-art. Moreover, the resilience effects when adding a redundancy of the S-CSCF unit are examined. The results disclose interesting resilience behaviours for long distance communications....

[ASCUS in screening].

Science.gov (United States)

Caprara, L; Monari, F; De Bianchi, P S; Amadori, A; Bondi, A

2001-12-01

The significance and use of the cytological diagnosis "atypical squamous cells of undetermined significance" (ASCUS) remain a major problem in cervical cancer screening. The prevalence of ASCUS by patient age has seldom been investigated. The present paper reports the prevalence of ASCUS in a large series of screening Pap smears from the Italian region of Emilia-Romagna. The study was based on the data collected by the Department of Health of the Emilia-Romagna Region for the first 3-year round (1997-1999) of a population-based screening programme (target age, 25-64 years). The age-specific frequency of ASCUS has been calculated as a prevalence rate per 1000 screened patients. A total of 597,386 women participated in the programme. Women diagnosed with ASCUS (n = 8205 or 13.7 per 1000) accounted for 49% of the recalls for colposcopy (n = 16,871, or 28.2 per 1000). The prevalence of diagnoses of low-grade squamous intraepithelial lesions (LG-SIL) decreased progressively with age while that of high-grade SIL was slightly higher between 30 and 39 years. The prevalence of ASCUS peaked at age 45-49 years (17.3 per 1000 subjects). The observed peak reflects the prevalence of (1) cytological changes closely associated with perimenopausal age and at least compatible with the ASCUS diagnosis, and (2) cytological abnormalities induced by hormone replacement therapy.

Overdiagnosis in mammographic screening for breast cancer in Europe

DEFF Research Database (Denmark)

Puliti, Donella; Duffy, Stephen W; Miccinesi, Guido

2012-01-01

Overdiagnosis, the detection through screening of a breast cancer that would never have been identified in the lifetime of the woman, is an adverse outcome of screening. We aimed to determine an estimate range for overdiagnosis of breast cancer in European mammographic service screening programmes....

A method for calculating effective lifetime risk of radiation-induced cancer from screening mammography

International Nuclear Information System (INIS)

Ali, R.M.; England, A.; McEntee, M.F.; Hogg, P.

2015-01-01

Purpose: To propose a method for evaluating the effective lifetime risk of radiation-induced cancer from screening mammography and to present initial data for the UK National Breast Screening Programme. Material and methods: The imaging was undertaken using a Hologic Selenia full field digital mammographic unit. The proposed method utilises an ATOM phantom containing thermoluminescent dosimeters and a perspex-polyethylene breast phantom to measure organ doses during a standard four view screening mammogram. Effective dose was calculated and effective risk was modelled for a range of client ages. The total lifetime effective risk was then calculated for the UK national screening programme. Calculation of effective risk includes the radiation dose to examined and contralateral breasts in addition to other body organs; this is an advantage over the mean glandular dose. Results: The contralateral breast, thyroid, thymus, brain, lung, salivary glands, and bone marrow all receive more than 1 μGy radiation dose during screening mammography. A major difference exists for total effective lifetime risk of radiation-induced cancer between clients with average and high breast cancer risk. Differences are attributed to the commencement age of screening and time interval between screens. Conclusion: This study proposes a method to evaluate effective lifetime risk of radiation-induced cancer from screening mammography in order to compare different mammography screening programmes. - Highlights: • We proposed a method for the calculation of radiation-induced cancer from screening mammography. • We measured the radiation absorbed dose of different organs during screening mammography. • There are major differences between mammography screening programme categories with regard to radiation effective risk.

Screening Children for Caries: An Ethical Dilemma in Nigeria.

Science.gov (United States)

Oluwatoyin Folayan, Morenike; Gabriella Haire, Bridget; Adeniyi, Abiola A; Lanre Adeyemo, Wasiu

2018-03-13

Dental caries is the main oral health challenge for children in Nigeria. Concern about its negative impact makes screening for caries in children an attractive public health strategy. The ability to detect the preclinical phase of caries, the availability of screening tools with high accuracy, and the possibility of treatment before onset of clinical symptoms with significant cost and health benefits, makes it appropriate for screening. However in Nigeria, the poor availability of highly specific and sensitive screening tools, poor access to oral health care and concerns with pre-screening consent, raise the question of the appropriateness of conducting screening programmes for children. We argue that a number of structural challenges associated with poor uptake of oral health care services need to be addressed before screening for caries can be considered ethically appropriate. These include facilitating access of children to quality oral health care and a systematic national approach to oral health implementation. Failure to address challenges associated with dental service utilization by children in Nigeria increases the risk of screening programmes promoting inequitable access to oral health care services.

Prenatal diagnosis of dwarfism by ultrasound screening.

Science.gov (United States)

Weldner, B M; Persson, P H; Ivarsson, S A

1985-01-01

In a general, ultrasound screening programme, 12 453 women were examined at 16 and 32 weeks of pregnancy. The screening detected all limb deformities in the population during the study period. The seeming prevalence of dwarfism in the population was 750 per million. PMID:3907507

Individualisierte Produkte im Fokus der intergrierten Produktentwicklung

OpenAIRE

Baumberger, C.;Gahr, A.

2017-01-01

Individualisierte Produkte stellen neue Herausforderungen an die Produktentwicklung – vornehmlich im Bereich der Produktstrukturplanung, der kundenindividuellen Produktadaption und dem Zielkostenmanagement. Diese Themen werden am Lehrstuhl für Produktentwicklung im Rahmen des Sonderforschungsbereiches 582 behandelt.

Managing P2P services via the IMS

NARCIS (Netherlands)

Liotta, A.; Lin, L.

2007-01-01

The key aim of our work was to illustrate the benefits and means to deploy P2P services via the IMS. Having demonstrated the technical viability of P2P-IMS we have also found a way to add a new management dimension to existing P2P systems. P2P-IMS comes with a natural "data management" mechanism,

Patients' Experiences of Nurse-Led Screening for Cardiovascular Risk in Rheumatoid Arthritis

DEFF Research Database (Denmark)

Frølund, Jannie Christina; Primdahl, Jette

2015-01-01

organization of screening programmes. METHODS: Three qualitative focus group interviews were carried out with 14 outpatients diagnosed with RA. The participants were stratified into groups, depending on whether they had a low-to-moderate or high ten-year risk of cardiovascular death according to the European...... screening programmes for CVD for patients with RA, it is important that the screening consultation is individualized and tailored to patients' needs and their RA. Copyright © 2015 John Wiley & Sons, Ltd....

Geschlechterstereotype im Einsatz

Directory of Open Access Journals (Sweden)

Erika Kegyes

2007-11-01

Full Text Available Die umfangreiche Monographie gehört zum Forschungsbereich der kritischen angewandten Linguistik (Critical Applied Linguistics und liegt sowohl theoretisch als auch praktisch im Schnittpunkt der gender- und werbesprachlichen Untersuchungen.

Muriithi, IM

African Journals Online (AJOL)

Muriithi, IM. Vol 8, No 2 (2014) - Articles Correlation of magnetic resonance imaging findings with arthroscopy in the evaluation of rotator cuff pathology. Abstract PDF · Vol 8, No 2 (2014) - Articles Patterns of knee, hip and hand osteoarthritis in Kenyatta National Hospital Abstract PDF. ISSN: 1994-1072. AJOL African ...

Interventions following hearing screening in adults: a systematic descriptive review.

Science.gov (United States)

Pronk, Marieke; Kramer, Sophia E; Davis, Adrian C; Stephens, Dafydd; Smith, Pauline A; Thodi, Chryssoula; Anteunis, Lucien J C; Parazzini, Marta; Grandori, Ferdinando

2011-09-01

Adult hearing screening may be a solution to the under-diagnosis and under-treatment of hearing loss in adults. Limited use and satisfaction with hearing aids indicate that consideration of alternative interventions following hearing screening may be needed. The primary aim of this study is to provide an overview of all intervention types that have been offered to adult (≥ 18 years) screen-failures. Systematic literature review. Articles were identified through systematic searches in PubMed, EMBASE, Cinahl, the Cochrane Library, private libraries, and through reference checking. Of the initial 3027 papers obtained from the searches, a total of 37 were found to be eligible. The great majority of the screening programmes (i.e. 26) referred screen-failures to a hearing specialist without further rehabilitation being specified. Most of the others (i.e. seven) led to the provision of hearing aids. Four studies offered alternative interventions comprising communication programme elements (e.g. speechreading, hearing tactics) or advice on environmental aids. Interventions following hearing screening generally comprised referral to a hearing specialist or hearing aid rehabilitation. Some programmes offered alternative rehabilitation options. These may be valuable as an addition to or replacement of hearing aid rehabilitation. It is recommended that this be addressed in future research.

Ion mobility spectrometer / mass spectrometer (IMS-MS).

Energy Technology Data Exchange (ETDEWEB)

Hunka Deborah Elaine; Austin, Daniel E.

2005-07-01

The use of Ion Mobility Spectrometry (IMS) in the Detection of Contraband Sandia researchers use ion mobility spectrometers for trace chemical detection and analysis in a variety of projects and applications. Products developed in recent years based on IMS-technology include explosives detection personnel portals, the Material Area Access (MAA) checkpoint of the future, an explosives detection vehicle portal, hand-held detection systems such as the Hound and Hound II (all 6400), micro-IMS sensors (1700), ordnance detection (2500), and Fourier Transform IMS technology (8700). The emphasis to date has been on explosives detection, but the detection of chemical agents has also been pursued (8100 and 6400). Combining Ion Mobility Spectrometry (IMS) with Mass Spectrometry (MS) is described. The IMS-MS combination overcomes several limitations present in simple IMS systems. Ion mobility alone is insufficient to identify an unknown chemical agent. Collision cross section, upon which mobility is based, is not sufficiently unique or predictable a priori to be able to make a confident peak assignment unless the compounds present are already identified. Molecular mass, on the other hand, is much more readily interpreted and related to compounds. For a given compound, the molecular mass can be determined using a pocket calculator (or in one's head) while a reasonable value of the cross-section might require hours of computation time. Thus a mass spectrum provides chemical specificity and identity not accessible in the mobility spectrum alone. In addition, several advanced mass spectrometric methods, such as tandem MS, have been extensively developed for the purpose of molecular identification. With an appropriate mass spectrometer connected to an ion mobility spectrometer, these advanced identification methods become available, providing greater characterization capability.

Using intervention mapping to develop a culturally appropriate intervention to prevent childhood obesity: the HAPPY (Healthy and Active Parenting Programme for Early Years) study.

Science.gov (United States)

Taylor, Natalie J; Sahota, Pinki; Sargent, Judith; Barber, Sally; Loach, Jackie; Louch, Gemma; Wright, John

2013-12-28

Interventions that make extensive use of theory tend to have larger effects on behaviour. The Intervention Mapping (IM) framework incorporates theory into intervention design, implementation and evaluation, and was applied to the development of a community-based childhood obesity prevention intervention for a multi-ethnic population. IM was applied as follows: 1) Needs assessment of the community and culture; consideration of evidence-base, policy and practice; 2) Identification of desired outcomes and change objectives following identification of barriers to behaviour change mapped alongside psychological determinants (e.g. knowledge, self-efficacy, intention); 3) Selection of theory-based methods and practical applications to address barriers to behaviour change (e.g., strategies for responsive feeding); 4) Design of the intervention by developing evidence-based interactive activities and resources (e.g., visual aids to show babies stomach size). The activities were integrated into an existing parenting programme; 5) Adoption and implementation: parenting practitioners were trained by healthcare professionals to deliver the programme within Children Centres. HAPPY (Healthy and Active Parenting Programme for Early Years) is aimed at overweight and obese pregnant women (BMI > 25); consists of 12 × 2.5 hr. sessions (6 ante-natal from 24 weeks; 6 postnatal up to 9 months); it addresses mother's diet and physical activity, breast or bottle feeding, infant diet and parental feeding practices, and infant physical activity. We have demonstrated that IM is a feasible and helpful method for providing an evidence based and theoretical structure to a complex health behaviour change intervention. The next stage will be to assess the impact of the intervention on behaviour change and clinical factors associated with childhood obesity. The HAPPY programme is currently being tested as part of a randomised controlled feasibility trial.

Status of implementation and organization of cancer screening in The European Union Member States-Summary results from the second European screening report.

Science.gov (United States)

Basu, Partha; Ponti, Antonio; Anttila, Ahti; Ronco, Guglielmo; Senore, Carlo; Vale, Diama Bhadra; Segnan, Nereo; Tomatis, Mariano; Soerjomataram, Isabelle; Primic Žakelj, Maja; Dillner, Joakim; Elfström, Klara Miriam; Lönnberg, Stefan; Sankaranarayanan, Rengaswamy

2018-01-01

The second report on the implementation status of cancer screening in European Union (EU) was published in 2017. The report described the implementation status, protocols and organization (updated till 2016) and invitation coverage (for index year 2013) of breast, cervical and colorectal cancer screening in the EU. Experts in screening programme monitoring (N = 80) from the EU Member States having access to requisite information in their respective countries provided data on breast, cervical and colorectal cancer screening through online questionnaires. Data was collected for screening performed in the framework of publicly mandated programmes only. Filled in questionnaires were received from 26 Member States for all three sites and from one Member State for breast cancer only. Substantial improvement in screening implementation using population-based approach was documented. Among the age-eligible women, 94.7% were residents of Member States implementing or planning population-based breast cancer screening in 2016, compared to 91.6% in 2007. The corresponding figures for cervical cancer screening were 72.3 and 51.3% in 2016 and 2007, respectively. Most significant improvement was documented for colorectal cancer screening with roll-out ongoing or completed in 17 Member States in 2016, compared to only five in 2007. So the access to population-based screening increased to 72.4% of the age-eligible populations in 2016 as opposed to only 42.6% in 2007. The invitation coverage was highly variable, ranging from 0.2-111% for breast cancer, 7.6-105% for cervical cancer and 1.8-127% for colorectal cancer in the target populations. In spite of the considerable progress, much work remains to be done to achieve optimal effectiveness. Continued monitoring, regular feedbacks and periodic reporting are needed to ensure the desired impacts of the programmes. © 2017 UICC.

The HC potential of pre-Westphalian sediments in the North German basin. A synthesis; Das Kohlenwasserstoff-Potential des Praewestfals im norddeutschen Becken. Eine Synthese

Energy Technology Data Exchange (ETDEWEB)

Gerling, P.; Kockel, F.; Krull, P. [Bundesanstalt fuer Geowissenschaften und Rohstoffe, Berlin (Germany).]|[Bundesanstalt fuer Geowissenschaften und Rohstoffe, Hannover (Germany)

1999-07-01

It was the aim of the interdisciplinary and interinstitutional research program to investigate the possibilities of HC generation from pre-Westphalian sediments in the North German basin in space and time. Potential source rock horizons exist within all pre-Westphalian structural units in Northern Europe, ranging from Cambrian to the Namurian in age and deposited in different environments. The structural framework of the basement of the North German Permian basin was described, the position of the Variscan outer front newly defined and the maturation history during the Late Palaeozoic, Mesozoic and Cainozoic deciphered. Pyrolysis experiments have shown that HC generation, especially from type III kerogen, is possible even beyond a maturity of 4% Rmax. Detailed geochemical and isotope-geochemical investigations of the natural gases from all North German fields indicate gas contributions from pre-Westphalian sources in special regions (Ems Estuary region, Altmark). By integrating all the results of the study an estimation of the possibilities of pre-Westphalian gas occurrences in Northern Germany could be made and the most promising areas for prospecting have been outlined. (orig.) [Deutsch] Aufgabe des interdisziplinaeren und interinstitutionellen Forschungsvorhabens war es, die Moeglichkeiten der Kohlenwasserstoff-Bildung aus praewestfalen Sedimenten im Norddeutschen Becken in Raum und Zeit zu erkunden. In allen praewestfalen strukturellen Grosseinheiten Nordeuropas existieren potentielle Muttergesteinshorizonte kambrischen bis namurischen Alters aus unterschiedlichen Ablagerungsmilieus. Das strukturelle Inventar des Untergrundes des norddeutschen Permbeckens, der Verlauf der Variszidenfront in Norddeutschland und die Reifungsgeschichte der praewestfalen Muttergesteine im Verlauf der jungpalaeozoischen, mesozoischen und tertiaeren Entwicklung wurden entschluesselt. Pyrolyseversuche zeigten, dass eine KW-Genese, vor allem fuer Kerogen des Typs III, auch jenseits

16th World energy congress - No all clear signal; 16. Weltenergiekongress: Keine Entwarnung

Energy Technology Data Exchange (ETDEWEB)

Brabeck, A.

1995-11-07

The future organisation of the global energy supply was the central theme of the 16th Congress of the World Energy Council, which was held from 8 to 13 October 1995 in Tokyo. Under the basic theme ``Energy for our common world - what will the future ask for us`` ecological and development policy aspects were also included in the discussion of energy policy. Because of these relationships and the importance of the subject also for the future of the German mining industry Glueckauf is reproducing below two publications issued in connection with the World Energy Conference. (orig.) [Deutsch] Die zukuenftige Gestaltung der globalen Energieversorgung war Kernthema des 16. Kongresses des Weltenergierates, der vom 8. bis 13. Oktober 1995 in Tokio stattfand. Unter dem Leitmotiv ``Energy for our common world - what will the future ask of us`` wurden gerade auch oekologische und entwicklungspolitische Aspekte in die energiepolitische Diskussion einbezogen. Aufgrund dieser Zusammenhaenge und der Bedeutung dieser Thematik auch fuer die Zukunft der deutschen Bergbauindustrie, gibt GLUeCKAUF nachfolgend zwei Veroeffentlichungen zur Weltenergiekonferenz im Wortlaut wieder: Zum einen eine Presseinformation des Deutschen Nationalen Komitees des Weltenergierates vom 12. Oktober 1995 mit dem Titel ``Fortschritte; aber noch keine Entwarnung`` und zum anderen ein Statement von Dipl.-Kfm. Guenter Meyhoefer, Vorstandsvorsitzender des Eschweiler Bergwerks-Vereins AG, Herzogenrath, Generalbevollmaechtigter der Ruhrkohle AG, Essen, und Vizepraesident des Gesamtverbands des deutschen Steinkohlenbergbaus, Essen. (orig.)

Costs and cost effectiveness of different strategies for chlamydia screening and partner notification: an economic and mathematical modelling study.

Science.gov (United States)

Turner, Katy; Adams, Elisabeth; Grant, Arabella; Macleod, John; Bell, Gill; Clarke, Jan; Horner, Paddy

2011-01-04

To compare the cost, cost effectiveness, and sex equity of different intervention strategies within the English National Chlamydia Screening Programme. To develop a tool for calculating cost effectiveness of chlamydia control programmes at a local, national, or international level. An economic and mathematical modelling study with cost effectiveness analysis. Costs were restricted to those of screening and partner notification from the perspective of the NHS and excluded patient costs, the costs of reinfection, and costs of complications arising from initial infection. England. Population Individuals eligible for the National Chlamydia Screening Programme. Cost effectiveness of National Chlamydia Screening Programme in 2008-9 (as cost per individual tested, cost per positive diagnosis, total cost of screening, number screened, number infected, sex ratio of those tested and treated). Comparison of baseline programme with two different interventions-(i) increased coverage of primary screening in men and (ii) increased efficacy of partner notification. In 2008-9 screening was estimated to cost about £46.3m in total and £506 per infection treated. Provision for partner notification within the screening programme cost between £9 and £27 per index case, excluding treatment and testing. The model results suggest that increasing male screening coverage from 8% (baseline value) to 24% (to match female coverage) would cost an extra £22.9m and increase the cost per infection treated to £528. In contrast, increasing partner notification efficacy from 0.4 (baseline value) to 0.8 partners per index case would cost an extra £3.3m and would reduce the cost per infection diagnosed to £449. Increasing screening coverage to 24% in men would cost over six times as much as increasing partner notification to 0.8 but only treat twice as many additional infections. In the English National Chlamydia Screening Programme increasing the effectiveness of partner notification is likely

Bremssysteme im Personenkraftwagen

Science.gov (United States)

Reif, Konrad

Für die ersten drei Punkte ist die Betriebsbremsanlage ("Fußbremse“) zuständig. Der Fahrer aktiviert sie durch Betätigen des Bremspedals. Die Feststellbremsanlage ("Handbremse“) hält das Fahrzeug im Stillstand.

Support interoperability and reusability of emerging forms of assessment: Some issues on integrating IMS LD with IMS QTI

NARCIS (Netherlands)

Miao, Yongwu; Boon, Jo; Van der Klink, Marcel; Sloep, Peter; Koper, Rob

2009-01-01

Miao, Y., Boon, J., Van der Klink, M., Sloep, P. B., & Koper, R. (2011). Support interoperability and reusability of emerging forms of assessment: Some issues on integrating IMS LD with IMS QTI. In F. Lazarinis, S. Green, & E. Pearson (Eds.), E-Learning Standards and Interoperability: Frameworks

Knowledge management as a support mechanism for improving software programmes in micro, small and medium-sized companies

Directory of Open Access Journals (Sweden)

Joanna Capote

2008-01-01

Full Text Available Organisations have been forced to change their philosophy due to the vast amount of information made available when running software process improvement (SPI programmes and working in a way leading to maintaining and converting this information into knowledge in order to adapt and integrate changes quickly and thereby ensuring re-maining in the competitive market. This article presents some of the most significant antecedents in defining and im-plementing knowledge management (KM in SPI programmes which have been adapted for use in small software companies, as such management represents a philosophy of true organisational capital for companies involved in software improvement projects. The advisability of implementing KM in SPI programmes or projects arising from pri-mary knowledge management targets is analysed, as is its adaptation for such projects according to identified needs, especially related to documenting and manipulating tangible and intangible products produced in an SPI pro-gramme.

[Fine needle aspiration cytology of mammography screening

DEFF Research Database (Denmark)

Engvad, B.; Laenkholm, A.V.; Schwartz, Thue W.