184 research outputs found
Hypofractionated Acute Toxicity versus conventionally fractionated radiotherapy in patients with Prostate Cancer
No full textN/
Narrative Language as an Expression of Individual and Group Identity
No full textScientific Narrative Psychology integrates quantitative methodologies into the study of identity. Its methodology, Narrative Categorical Analysis, and its toolkit, NarrCat, were both originally developed by the Hungarian Narrative Psychology Group. NarrCat is for machine-made transformation of sentences in self-narratives into psychologically relevant, statistically processable narrative categories. The main body of this flexible and comprehensive system is formed by Psycho-Thematic modules, such as Agency, Evaluation, Emotion, Cognition, Spatiality, and Temporality. The Relational Modules include Social References, Semantic Role Labeling (SRL), and Negation. Certain elements can be combined into Hypermodules, such as Psychological Perspective and Spatio-Temporal Perspective, which allow for even more complex, higher level exploration of composite psychological processes. Using up-to-date developments of corpus linguistics and Natural Language Processing (NLP), a unique feature of NarrCat is its capacity of SRL. The structure of NarrCat, as well as the empirical results in group identity research, is discussed
Royal Inland Hospital School of Nursing alumnae association: A history
No full textOn March 9th 1949, in the Nurse's Home at Royal Inland Hospital, the dream of many Graduates came true. The Royal Inland Hospital School of Nursing Alunmae Association was formed.Not peer reviewedboo
Consensus care recommendations for alfapump® in cirrhotic patients with refractory or recurrent ascites
No full textBACKGROUND: The alfapump® is an implantable class III medical device that pumps ascitic fluid from the peritoneal space to the urinary bladder from where it is excreted. The pump reduces or abrogates the need for repeated paracentesis in patients with recurrent or refractory ascites. AIMS: To improve outcomes for alfapump® implantation and pre- and post-implant patient management in both clinical trial and real-world settings by development of consensus recommendations. METHODS: The alfapump® working group consisting of hepatologists and surgeons with extensive experience in implantation of the alfapump® and patient management met on two occasions: (1) to determine the key areas where recommendations should be made; and (2) to discuss the experiences of the working group within those areas and formulate draft statements. Developed statements were submitted to the group and consensus sought on relevance and wording through a collaborative iterative approach in order to consolidate the recommendations into consensus statements. Only recommendations agreed upon unanimously were included. RESULTS: Twenty-three consensus recommendations were developed in the areas of pre-implantation procedure, (three statements), surgical implant procedure (11 statements), immediate post-implant care (three statements) and long-term management (six statements). CONCLUSIONS: The consensus statements are a valuable reference resource for physicians managing patients with the alfapump® and for those considering management strategies for patients with refractory ascites
Funktionsweise und Replikationstil europäischer Exchange Traded Funds auf Aktienindices
No full textExchange Traded Funds (ETF) were established in Europe in 2000 and have grown to a size of over 200 bn US$. Some issuers use a full replication strategy while others prefer a swap based approach. The ETF are dealt parallelly in the primary and in the secondary market, as new ETFs can be created at any time. Therefore, the market is very liquid with small ask bid spreads. The fees are considerably lower compared to active managed fonds. For liquid share indices both strategies can replicate the index convincingly. In the EUROSTOXX the ETF can outperform the Index due to dividend and tax optimization. This was not possible for the Dax. For illiquid large indices (MSCI Emerging Markets), there was a considerable difference between the monthly returns of the index compared to the ETFs. Both strategies have counterparty risk. The full replication uses security lending to enhance the performance. The synthetic strategy can have losses up to 10% if the swap partner defaults. --ETF,Exchange Traded Funds,Full Replication,Swap Replication,ETF Performance,ETF Risk
Replication data for: Offline volunteering during COVID-19: A survey experiment with prior and prospective blood donors
No full textReadme for Offline volunteering during COVID-19: A survey experiment with prior and prospective blood donors, by Stefanie Ehmann, Michael Haylock, and Anne Heynold.Uploaded data includes only intentions to donate blood and an experimental treatment (information about blood shortages during COVID-19 and hygiene measures during COVID-19 at donation centers).THIS DATASET IS ARCHIVED AT DANS/EASY, BUT NOT ACCESSIBLE HERE. TO VIEW A LIST OF FILES AND ACCESS THE FILES IN THIS DATASET CLICK ON THE DOI-LINK ABOV
Determination of Intrafraction Prostate Motion During External Beam Radiation Therapy With a Transperineal 4-Dimensional Ultrasound Real-Time Tracking System
No full textPurpose/Objective: To determine intrafraction prostate motion during volumetric modulated arc therapy (VMAT) using transperineal ultrasound (US) real-time tracking. Methods and Materials: 770 US monitoring sessions in 38 prostate cancer patients' VMAT treatment series were retrospectively evaluated. Intrafraction motion assessment of the prostate was based on continuous position monitoring with a 4-dimensional US system along the 3 directions: left-right (LR), anterior-posterior (AP), and inferior-superior (SI). The overall mean values and standard deviations (SD) along with random and systematic errors were calculated. Results: The mean duration of each monitoring session was 254 s. The mean (μ), the systematic error (Σ), and the random error (σ) of intrafraction prostate displacement were μ = (0.01, −0.08, 0.15) mm, Σ = (0.30, 0.34, 0.23) mm, and σ = (0.59, 0.73, 0.64) mm in the LR, AP and SI directions, respectively. The percentage of treatments for which prostate displacement was ≤2 mm was 97.01%, 92.24%, and 95.77% in the LR, AP, and SI directions, respectively. At 60 s, a vector length of prostate displacement >2 mm was present in 0.67% of the data. The percentage increased to 2.42%, 6.14%, and 9.35% at 120 s, 180 s, and 240 s, respectively. Conclusions: The magnitudes of intrafraction prostate motion along the SI and AP directions were comparable. On average, the smallest motion was in the LR direction and the largest in AP direction. Most of the prostate displacements were within a few millimeters. However, with increasing treatment time (eg, during hypofractionation), larger 3-dimensional prostate displacements up to 18.30 mm could be observed. Shortening treatment time can reduce the impact of intrafraction motion and potentially allows smaller safety margins
Soft Tissue Infections
No full textCellulitis is an acute, spreading infection of the deep dermis and subcutaneous fat characterized by erythema, warmth, swelling, and pain. Erysipelas is an infection of the more superficial cutaneous lymphatics and skin, including the epidermis as well as the upper reticular and papillary dermal layers. It is commonly located on the lower extremities, face, and ears. Cutaneous abscesses are purulent collections that occupy the dermis and deeper soft tissues. Effective treatment of cellulitis and erysipelas includes antibiotics and elevation of the affected area to assist in lymphatic drainage. Methicillin-resistant Staphylococcus aureus (MRSA) infection should be considered in all cellulitis or erysipelas patients who have failed initial therapy, have a history of or risk factors for MRSA, or have severe infection or systemic toxicity. The first-line treatment for a cutaneous abscess is incision and drainage (I&D); no data demonstrates the utility of antibiotic therapy in conjunction with I&D.</p
Necrotizing Soft Tissue Infections
No full textNecrotizing soft tissue infections (NSTI) are characterized by extensive and rapidly progressive necrosis that may involve the skin, subcutaneous tissue, fascia, or muscle and are associated with a high degree of morbidity and mortality. Preceding trauma, foreign body penetration, wound contamination, and surgical intervention are all risk factors for NSTI. Clinical examination often reveals extensive tissue involvement with pain but commonly without signs of cellulitis. Crepitant cellulitis occurs most commonly in patients with preexisting lower extremity peripheral arterial disease, decubitus ulcer, or a traumatic wound. Synergistic necrotizing cellulitis (ie, non-clostridial gangrene), in contrast, does involve deeper tissues. Early stabilization, including antibiotics and supportive measures, should be considered; consultation with a surgeon is key. Management must include aggressive resuscitative measures and hemodynamic support.</p
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