72 research outputs found

    Centipedes and Millipedes (Chilopoda, Diplopoda) of the Khentey Mountain Range, Northern Mongolia

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    We sampled 99 plots in three locations in the West, South and East Khentey, each consisted of both pitfall traps and soil and litter sampling. We were able to establish the occurrence of ten species of Chilopoda from three genera, three families and three orders and three species of Diplopoda also from three genera, three families and three orders in the Khentey Mountain region. Among the Chilopoda were found eight Lithobiomorpha: Lithobius (Ezembius) giganteus, L. (E.) sibiricus, L. (E.) ostiacorum, L. (E.) rapax, L. (E.) mongolellus, L. (Monotarsobius) alticus, L. (M.) crassus and L. (M.) curtipes and two Geophilomorpha: Escaryus chadaevae and Strigamia pusilla. L. giganteus and L. alticus were by far the most widespread Chilopoda species. Three Diplopoda species were Angarozonium amurense, Orinisobates microthylax, and Uniramidesmus perplexus, with A. amurense as the most abundant species. Both, the genus Orinisobates with O. microthylax, as well as the family Nemasomatidae they belong to, are new to the millipede fauna of Mongolia. Being the southernmost find of U. perplexus, the current record is new to the Mongolian millipede species list, likewise the genus Uniramidesmus, the family Polydesmidae and the order Polydesmida to which it belongs. The Chilopoda communities in the western Khentey were more species-rich than those in the south and east, which is caused by the higher precipitation and hence resulting higher diversity of the forest. Within the western and southern Khentey, was found a simultaneously increase in the richness of Chilopoda and tree species. Generally, was found the highest diversity of Chilopoda in the higher altitudes, which corresponds with the increasing precipitation. Lithobiomorpha, however, had their highest diversity in the floodplain forests. Geophilomorpha were absent in the alluvial forests and were only found in the hill forests. Diplopoda occurred only within the West and East Khentey, while in the dry southern Khentey no Diplopoda were found and their occurrence seems lacking or very rare

    Increasing emergency number utilisation is not driven by low-acuity calls: an observational study of 1.5 million emergency calls (2018 – 2021) from Berlin

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    Background: The Emergency Medical Service (EMS) in Germany is increasingly challenged by strongly rising demand. Speculations about a greater utilisation for minor cases have led to intensive media coverage, but empirical evidence is lacking. We investigated the development of low-acuity calls from 2018 to 2021 in the federal state of Berlin and its correlations with sociodemographic characteristics. Methods: We analysed over 1.5 million call documentations including medical dispatch codes, age, location and time using descriptive and inferential statistics and multivariate binary logistic regression. We defined a code list to classify low-acuity calls and merged the dataset with sociodemographic indicators and data on population density. Results: The number of emergency calls (phone number 112 in Germany) increased by 9.1% from 2018 to 2021; however, the proportion of low-acuity calls did not increase. The regression model shows higher odds of low-acuity for young to medium age groups (especially for age 0–9, OR 1.50 [95% CI 1.45–1.55]; age 10–19, OR 1.77 [95% CI 1.71–1.83]; age 20–29, OR 1.64 [95% CI 1.59–1.68] and age 30–39, OR 1.40 [95% CI 1.37–1.44]; p < 0.001, reference group 80–89) and for females (OR 1.12 [95% CI 1.1–1.13], p < 0.001). Odds were slightly higher for calls from a neighbourhood with lower social status (OR 1.01 per index unit increase [95% CI 1.0–1.01], p < 0.05) and at the weekend (OR 1.02 [95% CI 1.0–1.04, p < 0.05]). No significant association of the call volume with population density was detected. Conclusions: This analysis provides valuable new insights into pre-hospital emergency care. Low-acuity calls were not the primary driver of increased EMS utilisation in Berlin. Younger age is the strongest predictor for low-acuity calls in the model. The association with female gender is significant, while socially deprived neighbourhoods play a minor role. No statistically significant differences in call volume between densely and less densely populated regions were detected. The results can inform the EMS in future resource planning

    On Conceptually Simple Algorithms for Variants of Online Bipartite Matching

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    We present a series of results regarding conceptually simple algorithms for bipartite matching in various online and related models. We first consider a deterministic adversarial model. The best approximation ratio possible for a one-pass deterministic online algorithm is 1/21/2, which is achieved by any greedy algorithm. D\"urr et al. recently presented a 22-pass algorithm called Category-Advice that achieves approximation ratio 3/53/5. We extend their algorithm to multiple passes. We prove the exact approximation ratio for the kk-pass Category-Advice algorithm for all k1k \ge 1, and show that the approximation ratio converges to the inverse of the golden ratio 2/(1+5)0.6182/(1+\sqrt{5}) \approx 0.618 as kk goes to infinity. The convergence is extremely fast --- the 55-pass Category-Advice algorithm is already within 0.01%0.01\% of the inverse of the golden ratio. We then consider a natural greedy algorithm in the online stochastic IID model---MinDegree. This algorithm is an online version of a well-known and extensively studied offline algorithm MinGreedy. We show that MinDegree cannot achieve an approximation ratio better than 11/e1-1/e, which is guaranteed by any consistent greedy algorithm in the known IID model. Finally, following the work in Besser and Poloczek, we depart from an adversarial or stochastic ordering and investigate a natural randomized algorithm (MinRanking) in the priority model. Although the priority model allows the algorithm to choose the input ordering in a general but well defined way, this natural algorithm cannot obtain the approximation of the Ranking algorithm in the ROM model

    Multilab Direct Replication of Flavell, Beach, and Chinsky (1966): Spontaneous Verbal Rehearsal in a Memory Task as a Function of Age

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    Work by Flavell, Beach, and Chinsky indicated a change in the spontaneous production of overt verbalization behaviors when comparing young children (age 5) with older children (age 10). Despite the critical role that this evidence of a change in verbalization behaviors plays in modern theories of cognitive development and working memory, there has been only one other published near replication of this work. In this Registered Replication Report, we relied on researchers from 17 labs who contributed their results to a larger and more comprehensive sample of children. We assessed memory performance and the presence or absence of verbalization behaviors of young children at different ages and determined that the original pattern of findings was largely upheld: Older children were more likely to verbalize, and their memory spans improved. We confirmed that 5- and 6-year-old children who verbalized recalled more than children who did not verbalize. However, unlike Flavell et al., substantial proportions of our 5- and 6-year-old samples overtly verbalized at least sometimes during the picture memory task. In addition, continuous increase in overt verbalization from 7 to 10 years old was not consistently evident in our samples. These robust findings should be weighed when considering theories of cognitive development, particularly theories concerning when verbal rehearsal emerges and relations between speech and memory

    ACE gene insertion/deletion polymorphism has a mild influence on the acute development of left ventricular dysfunction in patients with ST elevation myocardial infarction treated with primary PCI

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    <p>Abstract</p> <p>Background</p> <p>We evaluated the associations among angiotensin-converting enzyme (ACE) gene insertion/deletion (I/D) polymorphism, ACE activity and post-myocardial infarction (MI) left ventricular dysfunction and acute heart failure (AHF) early after presentation with MI with ST-segment elevation (STEMI).</p> <p>Methods</p> <p>A total of 556 patients with STEMI treated by primary PCI (421 patients without AHF and 135 patients with AHF) were the study population. The activity of BNP, NT-ProBNP and ACE were measured at hospital admission and 24 h after MI onset. Left ventricular angiography was done before PCI; echocardiography was undertaken between the third and fifth day after MI.</p> <p>Results</p> <p>In comparison with the II genotypes group, the DD/ID group had a higher level of ACE activity upon hospital admission (p < 0.001). We found a significantly higher level of ACE activity in patients with moderate LV dysfunction (EF 40-54%) in comparison both with patients with preserved LV function (EF ≥55%) and with patients with severe LV dysfunction (p = 0.028). A non-significant trend towards a higher incidence of mild AHF (22.1% vs. 16.02%, p = 0,093), a significantly higher value of end-systolic volume (ESV/BSA) (30.0 ± 12.3 vs. 28.5 ± 13.0; p < 0.05) and lower EF (50.2 ± 11.1 vs. 52.7 ± 11.7; p < 0.05) in the DD/ID genotypes group was noted. Even after multiple adjustments according to multivariate models, the EF for the DD/ID group remained significantly lower (p = 0,033). The DD/ID genotypes were associated with a significantly higher risk of EF <45% (OR 2.04 [95% CI 1.28; 3.25]).</p> <p>Conclusions</p> <p>These results suggest that the I/D polymorphism of ACE is associated with the development of LV dysfunction in the acute phase after STEMI. We demonstrated for the first time an association of the low ACE activity with the severe LV dysfunction, although patients with moderate LV dysfunction had higher level ACE activity than patients with preserved LV function.</p

    Risikofaktoren beim Intensivtransport

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    Domestic violence – A new issue for emergency medicine?

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