Sensorische Anwendungen der kalorimetrischen Detektion mit enzymatischer Erkennung

Am Institut für Physikalische Chemie der TU Bergakademie Freiberg wurden auf der Grundlage integrierter Schaltkreise im batch-mode und flow-mode arbeitende Wärmeflusskalorimeter (IC-Kalorimeter) entwickelt. Der Miniaturisierungsgrad dieser kalorimetrischen Systeme erlaubt verschiedenste Sensoranwendungen. Der vorliegende Beitrag soll die Möglichkeiten der Kombination des universell anwendbaren kalorimetrischen Messprinzips mit der hohen Spezifität der enzymatischen Katalyse zeigen. So können kalorimetrische Untersuchungen enzymatisch katalysierter Reaktionen unter analytischen Gesichtspunkten wie der Konzentrationsbestimmung von Substraten für die klinische Diagnostik oder die Überwachung biotechnologischer Prozesse eingesetzt werden. Andererseits wird die Ermittlung kinetischer Parameter aus kalorimetrischen Messkurven mit dem Ziel der Bestimmung von Enzymaktivitäten und zur Quantifizierung von Inhibitoren verfolgt

The Caldas Novas dome, central Brazil : structural evolution and implications for the evolution of the Neoproterozoic Brasilia belt

The Caldas Novas dome (Goiaas state, central Brazil) lies in the southern segment of the Neoproterozoic Brasilia belt (center of the Tocantins Province) between the Goias magmatic arc and the margin of the ancient Sao Francisco plate. The core of the dome comprises rocks of the Meso-Neoproterozoic Paranoa group (passive margin psamitic-pelitic sediments and subgreenschist facies) covered by a nappe of the Neoproterozoic Araxa group (backarc basin pelitic-psamitic sediments and volcanics of greenschist facies, bitotite zone). Hot underground waters that emerge along fractures in the Paranoa quartzite and wells in the Araxa schist have made the Caldas Novas dome an international tourist attraction. A recent detailed structural analysis demonstrates that the dome area was affected by a D₁D₃ Brasiliano cycle progressive deformation in the — 750-600 Ma interval (published U-Pb and Sm-Nd data). During event D₁, a pervasive layer- parallel foliation developed coeval the regional metamorphism. Event D₂ (intense F₂ isoclinal folding) was responsible for the emplacement of the nappe. D₁ and D₂ record a regime of simple shear (top-to-SE relative regional movement) due to a WNW-ESE subhorizontal compression (a1). Event D₃ records a WSW-ENE compression, during which the dome rose as a large-scale F₃ fold, possibly associated with a duplex structure at depth. During the dome’s uplift, the layers slid back and down in all directions, giving way to gravity-slide folds and an extensional crenulation cleavage. A set of brittle fractures and quartz veins constitutes the record of a late-stage D₄ event important for understanding the thermal water reservoir

Barriers to seeking emergency care during the COVID-19 pandemic may lead to higher morbidity and mortality – a retrospective study from a Swiss university hospital

AIMS OF THE STUDY While COVID-19 significantly overburdens emergency rooms (ERs) and hospitals in affected areas, ERs elsewhere report a marked decrease in patient numbers. This study aimed to investigate the assumption that patients with urgent problems currently avoid the ER. METHODS Electronic health records from the ER of a large Swiss university hospital were extracted for three periods: first, the awareness phase (ap) from the publication of the national government’s initiative “How to protect ourselves” on 1 March 2020 to the lockdown of the country on 16 March; second, the mitigation phase (mp) from 16–30 March; finally, patients presenting in March 2019 were used as a control group. We compared parameters including a critical illness as the discharge diagnosis (e.g., myocardial infarction, stroke, sepsis and ER death) using logistic and linear regression, as well as 15-day bootstrapped means and 95% confidence intervals for the control group. RESULTS In the three periods, a total of 7143 patients were treated. We found a 24.9% (42.5%) significant decline in the number of patients presenting during the ap (mp). Patients presenting during the mp were more likely to be critically ill. There was an increase of 233% and 367% (ap and mp, respectively) of ER deaths (none related to COVID-19) compared to the control period. Apart from polytrauma (increase of 5% in the mp), all other critical illnesses as discharge diagnosis showed a lower incidence in descriptive analysis. Significantly more patients died in the ER in both the ap and mp. CONCLUSIONS Barriers to seeking emergency care during COVID-19 pandemic may lead to higher morbidity and mortality. Healthcare authorities and hospitals must ensure low barriers to treatment and business as usual for all patients

Data Service Cards - A supporting tool for Data-Driven Business

In the future, every successful company must have a clear idea of what data means to it. The necessary transformation to a data-driven company places high demands on companies and challenges management, organization and individual employees. In order to generate concrete added value from data, the collaboration of different disciplines e.g. data scientists, domain experts and business people is necessary. So far few tools are available which facilitate the creativity and co-creation process amongst teams with different backgrounds. The goal of this paper is to design and develop a hands-on and easy to use card-based tool for the generation of data service ideas that supports the required interdisciplinary cooperation. By using a Design Science Research approach we analysed 122 data service ideas and developed an innovation tool consisting of 38 cards. The first evaluation results show that the developed Data Service Cards are both perceived as helpful and easy to use

Best practice for arm recovery post stroke: an international application

Objective: To develop an evidence-based application (‘app’) for post-stroke upper extremity rehabilitation that can be used globally by therapists. Participants: Twenty-three experienced neurorehabilitation therapists, applied scientists and physicians, and 10 consultants dedicated to the provision of best practice to stroke survivors. Design: This team evaluated the evidence to support the timely and appropriate provision of interventions and the most defensible outcome measures during a 4-year voluntary information gathering and assimilation effort, as a basis for the sequencing of an algorithm informed by the data and directed by changes in impairment and chronicity. Outcome measures: The primary outcome was the formulation of a testable app that will be available for minimal user cost. The app is for a smartphone, and the comments of a focus group (audience at a World Confederation for Physical Therapy 2015 presentation, approximate n = 175) during a 30-minute ‘Questions and Answers’ session were assessed. Results: Analysis of documented, extensive input offered by the audience indicated a highly favourable disposition towards this novel tool, with provision of concrete suggestions prior to launching the final version. Suggestions centred on: inclusion of instructions; visuals and demonstrations; monitoring of adverse responses; availability of updates; autonomous use by patients; and potential to characterise practice. Conclusions: A simple, user-friendly app for decision making in the treatment of upper extremity impairments following stroke is feasible and welcomed

Is language an issue? Accuracy of the German computerized diagnostic decision support system ISABEL and cross-validation with the English counterpart.

OBJECTIVES Existing computerized diagnostic decision support tools (CDDS) accurately return possible differential diagnoses (DDx) based on the clinical information provided. The German versions of the CDDS tools for clinicians (Isabel Pro) and patients (Isabel Symptom Checker) from ISABEL Healthcare have not been validated yet. METHODS We entered clinical features of 50 patient vignettes taken from an emergency medical text book and 50 real cases with a confirmed diagnosis derived from the electronic health record (EHR) of a large academic Swiss emergency room into the German versions of Isabel Pro and Isabel Symptom Checker. We analysed the proportion of DDx lists that included the correct diagnosis. RESULTS Isabel Pro and Symptom Checker provided the correct diagnosis in 82 and 71 % of the cases, respectively. Overall, the correct diagnosis was ranked in 71 , 61 and 37 % of the cases within the top 20, 10 and 3 of the provided DDx when using Isabel Pro. In general, accuracy was higher with vignettes than ED cases, i.e. listed the correct diagnosis more often (non-significant) and ranked the diagnosis significantly more often within the top 20, 10 and 3. On average, 38 ± 4.5 DDx were provided by Isabel Pro and Symptom Checker. CONCLUSIONS The German versions of Isabel achieved a somewhat lower accuracy compared to previous studies of the English version. The accuracy decreases substantially when the position in the suggested DDx list is taken into account. Whether Isabel Pro is accurate enough to improve diagnostic quality in clinical ED routine needs further investigation

“The Neuroscience of Responsibility”—Workshop Report

This is a report on the 3-day workshop “The Neuroscience of Responsibility” that was held in the Philosophy Department at Delft University of Technology in The Netherlands during February 11th–13th, 2010. The workshop had 25 participants from The Netherlands, Germany, Italy, UK, USA, Canada and Australia, with expertise in philosophy, neuroscience, psychology, psychiatry and law. Its aim was to identify current trends in neurolaw research related specifically to the topic of responsibility, and to foster international collaborative research on this topic. The workshop agenda was constructed by the participants at the start of each day by surveying the topics of greatest interest and relevance to participants. In what follows, we summarize (1) the questions which participants identified as most important for future research in this field, (2) the most prominent themes that emerged from the discussions, and (3) the two main international collaborative research project plans that came out of this meeting

Interventional Pneumology in Pulmonary Bleeding; A Review: From the Bronchus to the Vessel

Interventional pneumology includes both bronchological and vascular methods of diagnosis and therapy, especially in emergency situations such as pulmonary hemorrhage. In massive pulmonary hemorrhage bronchological diagnosis is required to determine the site and extent of bleeding, as well as angiography of bronchial arteries, and of pulmonary arteries. Bronchus occlusion by aid of balloon catheter or double lumen tube are holding measures until definitive surgery or embolization of bronchial or pulmonary arteries can be performed. The paper suggests a close relationship between bronchoscopic and angiographic diagnosis and therapy in case of severe pulmonary bleeding