1,530 research outputs found

    Portrait of Rolf Edberg

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    This is a portrait of Rolf Edberg, Swedish author and environmental activist, in 1970

    Negative pressure wound therapy versus standard wound care in chronic diabetic foot wounds: study protocol for a randomized controlled trial

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    In August 2010, the Federal Joint Committee (G-BA) decided that negative pressure wound therapy (NPWT) would not be reimbursable in German ambulatory care. This decision was based on reports from the Institute for Quality and Efficiency in Health Care (IQWiG), which concluded that there is no convincing evidence in favor of NPWT. The aim of this diabetic foot study (DiaFu study) is to evaluate whether the clinical, safety and economic results of NPWT are superior to the results of standard wound treatment

    The pelvic vascular injury score (P-VIS): a prehospital instrument to detect significant vascular injury in pelvic fractures

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    Abstract Purpose The purpose of this study was to identify predictive factors for peri-pelvic vascular injury in patients with pelvic fractures and to incorporate these factors into a pelvic vascular injury score (P-VIS) to detect severe bleeding during the prehospital trauma management. Methods To identify potential predictive factors, data were taken (1) of a Level I Trauma Centre with 467 patients (ISS ≥ 16 and AIS Pelvis  ≥ 3). Analysis including patient’s charts and digital recordings, radiographical diagnostics, mechanism and pattern of injury as well as the vascular bleeding source was performed. Statistical analysis was performed descriptively and through inference statistical calculation. To further analyse the predictive factors and finally develop the score, a 10-year time period (2012–2021) of (2) the TraumaRegister DGU ® (TR-DGU) was used in a second step. Relevant peri-pelvic bleeding in patients with AIS Pelvis  ≥ 3 ( N  = 9227) was defined as a combination of the following entities (target group PVI TR-DGU N  = 2090; 22.7%): pelvic fracture with significant bleeding (> 20% of blood volume), Injury of the iliac or femoral artery or blood transfusion of ≥ 6 units (pRBC) prior to ICU admission. The multivariate analysis revealed nine items that constitute the pelvic vascular injury score (P-VIS). Results In study (1), 467 blunt pelvic trauma patients were included of which 24 (PVI) were presented with significant vascular injury (PVI, N  = 24; control (C, N  = 443). Patients with pelvic fractures and vascular injury showed a higher ISS, lower haemoglobin at admission and lower blood pressure. Their mortality rate was higher (PVI: 17.4%, C: 10.3%). In the defining and validating process of the score within the TR-DGU, 9227 patients met the inclusion criteria. 2090 patients showed significant peripelvic vascular injury (PVI TR-DGU ), the remaining 7137 formed the control group (C TR-DGU ). Nine predictive parameters for peripelvic vascular injury constituted the peripelvic vascular injury score (P-VIS): age ≥ 70 years, high-energy-trauma, penetrating trauma/open pelvic injury, shock index ≥ 1, cardio-pulmonary-resuscitation (CPR), substitution of > 1 l fluid, intubation, necessity of catecholamine substitution, remaining shock (≤ 90 mmHg) under therapy. The multi-dimensional scoring system leads to an ordinal scaled rating according to the probability of the presence of a vascular injury. A score of ≥ 3 points described the peripelvic vascular injury as probable, a result of ≥ 6 points identified a most likely vascular injury and a score of 9 points identified an apparent peripelvic vascular injury. Reapplying this score to the study population a median score of 5 points (range 3–8) (PVI) and a median score of 2 points (range 0–3) (C) ( p   3 points vs. ≤ 2 points. The TR-DGU data set verified these findings (median of 2 points in C TR-DGU vs. median of 3 points with in PVI TR-DGU ). Conclusion The pelvic vascular injury score (P-VIS) allows an initial risk assessment for the presence of a vascular injury in patients with unstable pelvic injury. Thus, the management of these patients can be positively influenced at a very early stage, prehospital resuscitation performed safely targeted and further resources can be activated in the final treating Trauma Centre

    Geschichten von Onkel Remus

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    Forty-four stories and an afterword, with perhaps a dozen indifferent black-and-white line sketches and perhaps a dozen good colored pictures, generally a full page in size. The afterword goes out of its way twice to mention that the successors of the white masters still repress the Blacks today. It opens with a great quotation from Uncle Remus: if these stories were nothing but fun, the stuff of laughter, he would not have troubled himself with them. The binding and covers of this book are curiously flexible.Language note: GermanJoel Chandler Harris and Rolf F. Mülle

    Quando as fileiras se reduzem... Rolf Meyersohn (1926-2022)

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    The text pays tribute to Rolf Meyersohn, an important author in the sociological study of leisure between the 1950s and 1970s. His great contribution was to analyze leisure as a social challenge and not as a permanent promise.El texto rinde homenaje a Rolf Meyersohn, un autor importante en el estudio sociológico del ocio entre las décadas de 1950 y 1970. Su gran aportación fue analizar el ocio como un reto social y no como una promesa permanente.O texto faz uma homenagem a Rolf Meyersohn, importante autor no estudo sociológico do lazer entres as décadas de 1950 a 1970. Sua grande contribuição foi analisar o lazer como um desafio social e não como uma promessa permanente

    Chas. White, author of Story of Australian bushranging ; Dr. Pechey, present at Keightly episode ... [picture] /

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    Includes portrait of Captain Starlight from: Robbery under arms / by Rolf Boldrewood.; Exhibited: "Bushrangers and Bandits", National Museum of Australia, June 2002 - June 2003.; Exhibited: "In the Line of Duty: Policing in Australia 1788 - 2006", Old Parliament House, August 2006 - February 2007. AuCNL. Portraits and inscriptions (top L to R): Chas. White author of Story of Australian bushranging; Dr. Pechey present at Keightly episode; Hipkiss gave Ben Hall first death wound at Billabong 5th May -65; Ver. Rev. Dr. Gibney heroic rescue at Glenrowen [Glenrowan]; Superintnt Hare author of Last of the bushrangers; Ben Hall; Lowry; Starlight; T. Clarke; Rutherford; Martin Cash Tasmanian outlaw after sentence lived a respected farmer; Const. Bracken escaped from Kellys Glenrowen [Glenrowan]; Insr Stephenson daring capture & shooting of Lowry; McKinley [McKinlay?], Burns & Day daring shooting & capture of Angel & Thurston; J. Hawthorne now a squatter Wee Waa daring capture of Dunne

    Aural auteur : sound in the films of Rolf de Heer

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    An interpretative methodology for understanding meaning in cinema since the 1950s, auteur analysis is an approach to film studies in which an individual, usually the director, is studied as the author of her or his films. The principal argument of this thesis is that proponents of auteurism have privileged examination of the visual components in a film-maker’s body of work, neglecting the potentially significant role played by sound. \ud \ud The thesis seeks to address this problematic imbalance by interrogating the creative use of sound in the films written and directed by Rolf de Heer, asking the question, “Does his use of sound make Rolf de Heer an aural auteur?” In so far as the term ‘aural’ encompasses everything in the film that is heard by the audience, the analysis seeks to discover if de Heer has, as Peter Wollen suggests of the auteur and her or his directing of the visual components (1968, 1972 and 1998), unconsciously left a detectable aural signature on his films.\ud \ud The thesis delivers an innovative outcome by demonstrating that auteur analysis that goes beyond the mise-en-scène (i.e. visuals) is productive and worthwhile as an interpretive response to film. De Heer’s use of the aural point of view and binaural sound recording, his interest in providing a ‘voice’ for marginalised people, his self-penned song lyrics, his close and early collaboration with composer Graham Tardif and sound designer Jim Currie, his ‘hands-on’ approach to sound recording and sound editing and his predilection for making films about sound are all shown to be examples of de Heer’s aural auteurism.\ud \ud As well as the three published (or accepted for publication) interviews with de Heer, Tardif and Currie, the dissertation consists of seven papers refereed and published (or accepted for publication) in journals and international conference proceedings, a literature review and a unifying essay. The papers presented are close textual analyses of de Heer’s films which, when considered as a whole, support the thesis’ overall argument and serve as a comprehensive auteur analysis, the first such sustained study of his work, and the first with an emphasis on the aural

    The contextual database of the generations and gender program in Bulgaria: conceptual framework and an overview of the Bulgarian context concerning the central database topics

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    This paper outlines the concept and content of the Contextual Database of the international Generations and Gender Program and gives an overview of the context of demographic behavior in Bulgaria. The Contextual Database provides an instrument that together with the Generations and Gender Survey allows studying how differences in context shape demographic processes. The database offers the opportunity to analyze in a comparative way the interaction between the micro and macro dimension. Bulgaria is among the first countries fielding the Generations and Gender Survey and that is engaged in contextual data collection within this comparative framework. While both micro- and contextual data for Bulgaria will become available in the course of the year 2005, we present in this paper a text contribution that provides an overview of the Bulgarian context and introduces the list of variables that make up the database.Bulgaria, data collection
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