465 research outputs found

    H. Veit Apfel. Literary Quotation and Allusion in Demetrius « De Elocutione » and Longinus « De Sublimitate »

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    Meunier Jules. H. Veit Apfel. Literary Quotation and Allusion in Demetrius « De Elocutione » and Longinus « De Sublimitate ». In: L'antiquité classique, Tome 11, fasc. 1, 1942. pp. 113-115

    Rahel Apfel Collection 1912

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    An obituary and a eulogy for Rahel Apfel.Otto H. GriesbachThe original German-language inventory is available in the folder.Processed for digitizationSent for digitizationReturned from digitizationLinked to online manifestationdigitize

    Perbandingan antara Skor Apfel dengan Skor Koivuranta terhadap Prediksi Terjadinya Post Operative Nausea and Vomiting pada Anestesi Umum

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    Introduction Post operative nausea and vomiting, PONV is the most frequent side effect after anesthesi. In recent review PONV prediction score is been used to clasified risk and management for PONV prophylaxis based in this scoring system. The objective of this investigation is to know the accuracy of Apfel score and Koivuranta score as a PONV prediction scoring system. Methode The desing of this investigation in descriptive, cross sectional analytic study. After the study was approved by ethics committees of Medical Faculty of University of Sumatera Utara, 50 adult patient scheduled for elective surgery with general anesthesia were questioned for Apfel score and Koivuranta score. And the score were diagnosticaly tested. Results The prevalens of PONV in general anesthesia in H Adam Malik general hospital is 40%. The sensitivity of Apfel score is equal to Koivuranta score but Apfel score has higher spesivicity than Koivuranta score in predicting PONV in general anesthesia. Discussion From this study we suggest to use Apfel score for predicting PONV which has higher spesivicity dan fewer variable scoring system.Pendahuluan Post operative nausea and vomiting (PONV), atau mual dan muntah paska operasi adalah efek samping yang sering terjadi setelah tindakan anestesi. Belakangan ini skor resiko untuk prediksi PONV telah digunakan sebagai cara untuk mengklasifikasi pasien sesuai dengan prediksi resiko dan memberikan profilaksis sesuai dengan klasifikasi ini. Penelitian ini dilakukan untuk melihat keakuratan antara skor Apfel dan skor Koivuranta sebagai skor prediksi PONV. Metode Desain pada penelitian ini adalah penelitian deskriptif, studi cross sectional analitik. Setelah mendapat persetujuan dari komite etik FK USU Medan, dilakukan penelitian terhadap 50 sampel yang menjalani operasi elektif dengan tindakan anestesi umum di RSUP H Adam Malik. Setiap sampel dihitung skor Apfel dan skor Koivuranta lalu dilakukan uji diagnostik untuk menilai keakuratan diantara skor ini. Hasil Prevalensi kejadian PONV pada anestesi umum pada operasi elektif di rumah sakit H Adam Malik Medan sebanyak 40%. Skor Apfel mempunyai sensitivitas yang sama dan spesivisitas yang lebih tinggi dari skor Koivuranta dalam memprediksi PONV pada pasien dengan anestesi umum. Diskusi Dari penelitian ini disarankan untuk menggunakan skor prediksi PONV milik Apfel yang memiliki spesifisitas lebih tinggi dan variabel penentu skor yang lebih sedikit.56 HalamanTesis Magiste

    Understanding motivations of sector switchers: towards a holistic approach to public service motivation theory

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    While public service motivation theory (PSM) has addressed numerous topics in the 30-plus years it has been a significant part of the public administration literature, several gaps in the literature are apparent. First, PSM has only recently begun to address the relationship between government partiality, which is at the center of PSM, with other prosocial modes of partiality, such as an interest in nonprofit work. Second, the issue of “sector switchers”—individuals who move from one employment sector to another over the course of their careers—has been significantly under-researched both as a general matter and with specific reference to motivation. Third, PSM research has been largely quantitative in character and may benefit from a rebalancing with qualitative methods. This dissertation, an exploratory study, is a qualitative study of sectorswitchers. It uses phenomenologically oriented interviews with 50 such individuals, selected in a purposeful sample, to add depth to an understanding ofmotivation to work in government as well as other prosocial realms. In so doing, the dissertation addresses a gap identified by one leading PSM researcher searching for more holistic approaches to public service motivation. Themes emerged from the analysis and coding of interview data. Variousmotivations were identified for sectoral switches, including those based in compensation, a need for variety, a desire to serve, the enhancement of one’sprofessional skills, and the desire to advance one’s career. Further, while the study was exploratory and the sample was purposeful and not random, varioustrends seemed apparent, including the fact that sector switchers tend to undergo numerous switches and employment changes over the course of their careersand that, while they often move to the nonprofit sector later in their careers, they tend not to move to, or return to, government work. Tentative conclusions include the identification of tensions between the abstract idea of service, often enunciated in a positive way by respondents, and neutral or negative views about government service, self-sacrifice, and working ina helping profession. A tension was also discerned between government work, which participants viewed more negatively, and nonprofit work, which participantstended to view more positively.Ph.D.Includes bibliographical referencesIncludes vitaby Jeffrey C. Apfe

    The effect of Apfel risk score and fasting times on postoperative nausea and vomiting

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    © 2022 Elsevier Inc.Background: Postoperative nausea and vomiting (PONV) is an undesirable problem with many adverse effects on the patient. The first step toward effective treatment and prevention is to identify the patient's risk factors for PONV. This descriptive, cross-sectional study was conducted in the General Surgery Clinic between August 2017 and August 2018 to evaluate the effect of Apfel risk score and fasting duration on PONV and draw attention to this issue. Methods: A total of 283 patients who were scheduled for elective surgery were included in the study. The patients were evaluated using the Patient Evaluation Form created by the researcher by scanning the literature, and the Apfel Risk Scoring System. Results: The solid fasting time of the patients was 18.9 ± 28.9 h, the mean fluid fasting time was 13.9 ± 7.4 h, the mean operation time was 133 ± 76 min, the perceived hunger score was 3.1 ± 3.2, and the mean thirst score was 4.3 ± 3.2 and 16.8 ± 18.5. When the Apfel Risk Score and the incidence of all-time postoperative nausea and vomiting (PONV) were compared, a significant correlation was found between the patients' solid food fasting times and the incidences of the 2nd, 4th, 8th, and 24th hours. PONV incidence (p ˂ 0.01). Conclusion: The fasting times of the patients are longer than recommended. There is a parallel relationship between both long fasting times and the Apfel risk score and the incidence of PONV. It is recommended that institutions establish an evidence-based policy and take the necessary precautions in the preoperative evaluation of patients in terms of postoperative nausea and vomiting and during fasting periods

    Die Subsidiaritätsklausel der Unterschlagung

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    Apfel H. Die Subsidiaritätsklausel der Unterschlagung. Bielefeld (Germany): Bielefeld University; 2005.Den Ausgangspunkt der Arbeit bildet die Entscheidung BGHSt 47, 237ff. Der BGH meint, dass die Unterschlagung aufgrund der durch das 6. Strafrechtsreformgesetz eingefügten Subsidiaritätsklausel hinter jedem anderen Delikt - hier Totschlag - zurücktrete. Nur dieses Ergebnis sei mit dem Wortlaut der Klausel vereinbar. Die Dissertation grenzt einleitend die Subsidiarität von den anderen Konkurrenzformen ab. Hinsichtlich der Subsidiaritätsklausel wird festgestellt, dass sie auch für die veruntreuende Unterschlagung gilt und ihre Anwendung auf Fälle der Handlungseinheit beschränkt ist. Der Passus "mit schwererer Strafe bedroht" der Klausel erfordert einen Vergleich der abstrakten Strafrahmen der konkurrierenden Delikte. Es wird erörtert, welche Gesichtspunkte, zusammengefasst unter dem Begriff der Klarstellungsfunktion der Idealkonkurrenz, gegen die Annahme von Subsidiarität sprechen. Es zeigt sich, dass für das Konkurrenzverhältnis der Unrechtsbegriff von entscheidender Bedeutung ist. Das Unrecht der Unterschlagung wird vom Tatbestandsmerkmal der Zueignung geprägt. Dieses Merkmal wird im Hinblick auf die Zueignungshandlung und das Zueignungsobjekt untersucht. Schließlich wird das Unrecht der Unterschlagung mit dem Unrecht anderer Delikte verglichen. Es zeigt sich, dass die Unterschlagung lediglich im Verhältnis zu Vermögensdelikten als subsidiär zurücktritt. Dieses Ergebnis ist entgegen der Ansicht des BGH mit dem Wortlaut der Subsidiaritätsklausel vereinbar

    Successfull Blossom Thinning and Crop Load Regulation for Organic Apple Growing with Potassium-bi-carbonate (Armicarb(R)): Results of Field Experiments over 3 Years and with 11 Cultivars

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    With field trials over 3 years in a commercial organic orchard in Switzerland we have tested the efficacy of Armicarb® (potassium-bi-carbonate) for flower thinning in organic apple production. Over time, Armicarb was tested on 11 cultivars, at different application periods, in different concentrations, and always in comparison to other agents that are already allowed for thinning in organic fruit production in the European Union as e.g. lime sulphur, molasses, mechanical rope-thinner or combinations of methods. Armicarb proved to be an efficient and reliable thinning agent with an efficacy similar to the now recommended methods with rope device, molasses or lime sulphur but has the advantage to be an environmentally very friendly product. On the other hand, the risk for fruit russeting is comparably elevated especially with cultivars ‘Elstar’, ‘Golden Del.’ ’and ‘Gala’. Finally, we have elaborated cultivar-specific recommendations for the use of Armicarb for thinning purposes, which were the basis for the Swiss Federal approval to use Armicarb for thinning in conventional and organic apple production in 2011/2012

    Die beziehungen zwischen die pflanzenernahrungselementen und organischesauren der apfel

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    Organik asitlerin bitki beslenmesindeki önemi giderek artmaktadır. Bu gelişmeler göz önüne alınarak, elma meyvesindeki organik asit miktarları ve bitki besin elementleri arasındaki ilişkileri belirlemek amacıyla elma tarımının yoğun olarak yapıldığı Denizli ili Çivril İlçesi'nin 17 ayrı elma bahçesinden toprak, yaprak ve meyve örnekleri alınmıştır. Toprak,yaprak ve meyve örneklerinde makro ve mikroelementler tesbit edilmiştir.Meyve örneklerindeki organik asitler ise HPLC aleti ile ölçülmüştür.Analiz sonucunda meyve örneklerinde önemli düzeylerde malik, malonik ve sitrik organik asitleri saptanmıştır. Bu organik asitlerden meyvede en yüksek miktarda malik asit belirlenmiştir. Bunun yanısıra meyve örnekleri içinde en fazla toplam organik asit ise Golden.en fazla malik asit ise Starking çeşidinde saptanmıştır. İstatistik! analizler sonucunda ise Golden ve Starking elma çeşidlerinin meyve örneklerindeki N, Mg ve Zn içerikleri ile sitrik asit arasında % 5 ila % l arasında değişen önemli ilişkiler tesbit edilmiştirDie Bedeutung der Organischesâuren wurden für die Pflanzenernahrung in den letzten Jahren vermehrt. Fur die Bestimmung die Beziehungen zwischen die Pflanzenernahrungselementen und die Organischesauregehalte der Apfel wurden von der 17 ApfelgSrten Boden-,Blatt- und Obstproben von Çivril in Denizli entnommen.Die Makro- und mikroelementen wurden in der Boden-,Blatt-, und Obstproben bestimmt.Die Organischesauren in der Obstproben wurden mit der HPLC-Gerate bestimmt. Nach der Ergebnisse von Analysen wurden Apfelsauren,Maloniksauren und Citronensauren als die Organischesauren bestimmt.Apfelsauren wurde als die höchste Organischesâuren festgestellt.Die höchste Gesamtsâuregehalte wurden in der Obstproben der Goldensorten gefunden.Die höchste Apfelsâure wurden in der Starkingsorten bestimmt.In der Obstproben der Golden und Starking Apfelsorten wurden zwischen die N-,Mg- und Zn-gehalten und die Cirronensauregehalten signifikante Beziehungen festgestellt
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