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November
Kinds of November Selected AbstractsTHE STORM OF NOVEMBER 1826 IN THE CANARY ISLANDS: POSSIBLY A TROPICAL CYCLONE?GEOGRAFISKA ANNALER SERIES A: PHYSICAL GEOGRAPHY, Issue 3 2010JOSÉ BETHENCOURT-GONZÁLEZ ABSTRACT. This work analyses a storm that occurred in the Canary Islands early in November 1826. Through a study based on historical climate data, some of the adverse effects of the storm are described and some of the possible causes are discussed. The main goal of this work is to establish an approximate reconstruction of this historical event which will allow us to compare it to a recent meteorological event that had a great impact on the archipelago: "Tropical Storm Delta", in November 2005. Studying and reviewing the origin of the 1826 storm verifies the hypothesis that extremely violent perturbations have not only occurred in the Canaries on other occasions, but that these past events were also more intense and had more serious consequences than Delta. Therefore, the idea that other tropical perturbations have occurred in the region of the Canary Islands before Delta is presented. [source] IX CONGRESS OF THE LATIN AMERICAN SOCIETY FOR SEXUAL MEDICINE NOVEMBER 29-DECEMBER 1, 2007, LIMA, PERUTHE JOURNAL OF SEXUAL MEDICINE, Issue 2008Article first published online: 5 DEC 200 First page of article [source] VAST2003 5,7 November 2003COMPUTER GRAPHICS FORUM, Issue 1 2005Alan Chalmers No abstract is available for this article. [source] Recently Received Books (November 2007,December 2007)CONSERVATION BIOLOGY, Issue 2 2008Article first published online: 8 APR 200 No abstract is available for this article. [source] Recently Received Books (August 2006,November 2006)CONSERVATION BIOLOGY, Issue 1 2007Article first published online: 8 FEB 200 No abstract is available for this article. [source] Recently Received Books (October,November 2004)CONSERVATION BIOLOGY, Issue 2 2005Article first published online: 23 MAR 200 No abstract is available for this article. [source] FS07.1 A survey of occupational hand eczema in DenmarkCONTACT DERMATITIS, Issue 3 2004Rikke Skoet Background:, The need for prevention to reduce the number of occupational hand eczema is high. Occupational hand eczema is the most frequently recognised work-related disease in Denmark. Previous findings have shown that almost half of all cases develop a chronic condition with persistent dermatitis, and the annual cost to society is immense. Aims:, The aim of this study was to survey the trends and development of occupational hand eczema in Denmark and thereby help to ensure future successful prevention of chronic disabling occupational hand eczema. Methods:, 758 patients with recognised occupational hand eczema were included prospectively in the period October 2001- November 2002. Data on diagnoses, disease duration, severity, absence from work and occupation was obtained from The Danish National Board of Industrial Injuries and an additional questionnaire was administered by mail. Results:, 621 patients answered the questionnaire (response rate 82%). Irritant contact dermatitis was the most frequent diagnosis and the female/male ratio was 2:1. High prevalence was found in particularly wet occupations. 19 per cent had sick leave more than 5 weeks per year and the mean disease duration was 4.8 years (median 2.1 years). 68.2% had chronic changes. Conclusion:, The results showed a marked gender difference in the pattern of diagnosis and occupation. The impact of occupational hand eczema is still high with prolonged absence from work and a high percentage of chronic disease. The results of the study give important suggestions for future preventive strategies for health authorities. [source] Stock Price Reactions to the Repricing of Employee Stock Options,CONTEMPORARY ACCOUNTING RESEARCH, Issue 4 2005Barbara M. Grein Abstract We study whether the repricing of employee stock options is in the best interests of common shareholders by examining the excess stock returns associated with timely, noncontamin-ated repricing announcements made by Canadian firms. On the basis of three theories of why firms reprice, we develop competing predictions about the mean announcement-date excess stock return and the cross-sectional relations among excess stock returns, the estimated probability of repricing, and proxies for predictions from each theory. For a sample of 72 noncontaminated repricing announcements made by Canadian firms between November 1994 and July 2001, we find a reliably positive three-day announcement-date mean excess return of 4.9 percent. The results of our cross-sectional analyses suggest that the market responds favorably to repricings because they assist in retaining key employees even though, at the margin, they enable managers to extract rents from shareholders. We do not find sufficient statistically significant evidence to reliably conclude that repricings are done to realign employee incentives. [source] Complications of Minor Skin Surgery Performed under Local AnesthesiaDERMATOLOGIC SURGERY, Issue 8 2008AVSHALOM SHALOM MD BACKGROUND Minor surgical procedures performed under local anesthesia are the most common surgical procedures routinely carried out in every plastic surgical practice. OBJECTIVE The objective was to evaluate the prevalence of immediate local and systemic complications of such procedures. METHODS AND MATERIALS Records of 2,600 procedures performed under local anesthesia on 2,431 patients between November 2001 and May 2004 were reviewed. Local anesthetic complications and all surgical-related complications were recorded. RESULTS Procedure-related complications were 51 presyncope (1.9%), 4 true syncope (0.16%), 2 minor burns (0.08%), and 1 facial laceration (0.04%). CONCLUSIONS True allergic reaction to lidocaine is extremely rare and none was noted in our study. Most patients who claimed that they had suffered from such a reaction were probably experiencing symptoms related to intravenous injection administration, a reaction to the added vasoconstrictor (adrenaline), or a vasovagal reaction, which is a common trait among young adults. [source] Four-Year Follow-up on Endovascular Radiofrequency Obliteration of Great Saphenous RefluxDERMATOLOGIC SURGERY, Issue 2 2005Robert F. Merchant MD Background Endovascular radiofrequency obliteration has been used since 1998 as an alternative to conventional vein stripping surgery for elimination of saphenous vein insufficiency. Objective To demonstrate the long-term efficacy of this treatment modality. Methods Data were prospectively collected in a multicenter ongoing registry. Only great saphenous vein above-knee treatments were included in this study. Eight hundred ninety patients (1,078 limbs) were treated prior to November 2003 at 32 centers. Clinical and duplex ultrasound follow-up was performed at 1 week, 6 months, and 1, 2, 3, and 4 years. Results Among 1,078 limbs treated, 858 were available for follow-up within 1 week, 446 at 6 months, 384 at 1 year, 210 at 2 years, 114 at 3 years, and 98 at 4 years. The vein occlusion rates were 91.0%, 88.8%, 86.2%, 84.2%, and 88.8%, respectively; the reflux-free rates were 91.0%, 89.3%, 86.2%, 86.0%, and 85.7%, respectively; and the varicose vein recurrence rates were 7.2%, 13.5%, 17.1%, 14.0%, and 21.4%, respectively, at each follow-up time point at 6 months, and 1, 2, 3, and 4 years. Patient symptom improvement persisted over 4 years. Conclusions Endovascular temperature-controlled radiofrequency obliteration of saphenous vein reflux exhibits an enduring treatment efficacy clinically, anatomically, and hemodynamically up to 4 years following treatment. ROBERT F. MERCHANT, MD, AND OLIVIER PICHOT, MD, ARE PAID CONSULTANTS TO VNUS MEDICAL TECHNOLOGIES, WHICH PROVIDED FINANCIAL SUPPORT FOR THIS STUDY. [source] Pemphigus Foliaceus Masquerading as Postoperative Wound Infection: Report of a Case and Review of the Koebner and Related Phenomenon following Surgical ProceduresDERMATOLOGIC SURGERY, Issue 2 2005Adam M. Rotunda MD Background The Koebner phenomenon, also known as the isomorphic response, is the development of preexisting skin disease following trauma to uninvolved skin. Various cutaneous disorders have been described to arise at surgical wounds and scars. Moreover, dermatologic procedures, such as cold-steel and laser surgery, can evoke koebnerization. Objective To describe a case of pemphigus foliaceus arising in postoperative wounds and to present a review of dermatologic disorders triggered by surgical procedures. Methods We report a case of pemphigus foliaceus initially presenting at sites of Mohs' micrographic surgery, shave biopsy, and cryotherapy and, subsequently, at a nonsurgical site. We reviewed the English literature in MEDLINE from November 1955 to April 2004 for reports of Koebner and related phenomenon following surgical procedures. Results To our knowledge, this is the first reported case of pemphigus foliaceus erupting at surgical and cryotherapy wounds. The clinical appearance can mimic wound infection. In addition to inducing preexisting disease, cutaneous procedures can also trigger the onset of new disease, which can either be limited only to the surgical site or subsequently become generalized. Conclusion Postoperative Koebner or related responses should be included in the differential diagnosis of poorly healing surgical wounds. Skin biopsies for histopathology and immunologic studies may be necessary for definitive diagnosis and optimal management. ADAM M. ROTUNDA, MD, ANAND R. BHUPATHY, DO, ROBERT DYE, MD, AND TERESA T. SORIANO, MD, HAVE INDICATED NO SIGNIFICANT INTEREST WITH COMMERCIAL SUPPORTERS. [source] Sclerosing Foam in the Treatment of Varicose Veins and Telangiectases: History and Analysis of Safety and ComplicationsDERMATOLOGIC SURGERY, Issue 1 2002Alessandro Frullini MD objective. To review the use of sclerosing foam in the treatment of varicose veins, to describe the different techniques of foam preparation, and to report the complications of our 3-year experience with this treatment. method. From November 1997 to the end of October 2000, 453 patients were treated with a sclerosing foam for large, medium, and minor varicosities with sodium tetradecylsulfate (STS) or polidocanol (POL). A first group of 257 patients (90 for minor varicosities and 167 for medium to large veins) received a sclerosing foam according to the Monfreux technique. From December 1999 to October 2000, 196 patients were treated with a sclerosing foam prepared according to Tessari's method (36 for minor size veins or teleangectasias and 170 for medium-large veins). Every patient was studied with (color-flow) duplex scanning before and after the treatment and large vein injections were administered under duplex guide. results. The immediate success rate was 88.1% in the first group for the medium-large veins. In the same districts we registered an early success rate in 93.3% for the patients treated with the Tessari's method. The complication rate (mostly minor complications) was 8.5% in the first group and 7.1% in the second group. conclusion. The use of sclerosing foam may become an established therapy in the treatment of varicose veins with a high success rate, low cost, and low major complication rate. According to our actual experience and knowledge, the safe amount of foam should not exceed the 3-ml limit, but further advancements could come from standardization of the foam preparation technique. [source] A Round By Any Other Name: The WTO Agenda After DohaDEVELOPMENT POLICY REVIEW, Issue 1 2002Sam Laird The WTO agenda decided at Doha in November 2001 has all the hallmarks of a new trade round, although the word ,round' has been carefully avoided. To the already mandated negotiations on agriculture and services, Doha added negotiations on industrial products and the environment as well as reviews of the operation of WTO rules in several areas. Negotiations are also to begin on the highly contentious areas of investment and competition policy. Developing countries have been reluctant to contemplate such wider commitments, arguing that much still remains to be done on implementation of the Uruguay Round, and in this they received a degree of satisfaction. In the work ahead, however, much needs to be done to take account of their needs. [source] Glycaemic variability and complications in patients with diabetes mellitus: evidence from a systematic review of the literatureDIABETES OBESITY & METABOLISM, Issue 4 2010L. Nalysnyk Aim: The objective of this review was to assess the published evidence for an association between glycaemic variability and the development of chronic micro- and macrovascular complications in patients with diabetes mellitus (DM). Methods: A systematic review of English-language literature published from January 1990 through November 2008 was performed. Interventional and observational studies in patients with type 1 or type 2 DM reporting a measure of glycaemic variability and its impact on the development or progression of micro- and macrovascular diabetic complications were assessed. Results: A total of 18 studies ,8 on type 1 DM and 10 on type 2 DM patients,meeting the inclusion criteria were identified. Studies in patients with type 1 DM revealed that glucose variability has little impact on the development of diabetic complications. Only in two of the eight type 1 DM studies did glucose variability have a significant association with microvascular complications, but not with macrovascular complications. Among type 2 DM studies, a significant positive association between glucose variability and the development or progression of diabetic retinopathy, cardiovascular events and mortality was reported in 9 of 10 studies. Only one type 2 DM study reported no association between glucose variability and progression of retinopathy. Conclusions: Based on this overview of the available evidence, there appears to be a signal suggesting that glucose variability, characterized by extreme glucose excursions, could be a predictor of diabetic complications, independent of HbA1c levels, in patients with type 2 DM. Better daily control of blood glucose excursions, especially in the postprandial period, may reduce the risk of these complications. Future prospective trials evaluating and comparing the effect of the control of glycaemic variability on the development of diabetic micro- and macrovascular complications are needed to further strengthen the evidence base. [source] Economic aspects of diabetic foot care in a multidisciplinary setting: a reviewDIABETES/METABOLISM: RESEARCH AND REVIEWS, Issue 5 2007Giovanni A. Matricali Abstract Background To evaluate the economic aspects of diabetic foot care in a multidisciplinary setting. Method A review of the English language literature, published from 1966 to November 2005. Results The results of available studies on the cost-of-illness of diabetic foot problems are difficult to compare. Nevertheless trends concerning excess of costs, protraction in time of costs, positive correlation to severity of ulcer and/or peripheral vascular disease, contribution of in-hospital stay and length of stay, and the patient's own contribution to total costs, are obvious. Only a few cost-effectiveness and cost-utility studies are available. Most use a Markov based model to predict outcome and show an acceptable result on long-term. Conclusions Diabetic foot problems are frequent and are associated with high costs. A multidisciplinary approach to diabetic foot problems has proved to be cost saving with regard to cost of treatment itself. Nevertheless, it remained unclear if these savings could offset the overall costs involved in implementing this kind of approach. The few studies that address this issue specifically all show an acceptable cost-effectiveness, but often the profit will be evident after some years only, because long-term costs are involved. Based on these data, policymakers should foresee sufficient reimbursement for preventive and early curative measures, and not only for ,salvage manoeuvres'. Copyright © 2007 John Wiley & Sons, Ltd. [source] Psychological effects of the November 1999 earthquake in Turkey: an epidemiological studyACTA PSYCHIATRICA SCANDINAVICA, Issue 3 2003Objective: This study assessed the traumatic stress symptoms and related factors in two towns affected by two earthquakes, which killed 20 000 people in 1999 in Turkey. Method: A total of 430 people in selected households were seen 18 months after the earthquake. They were given a self-report questionnaire assessing post-traumatic stress (PTSD) and depressive symptoms, demographics and trauma exposure. Results: The rates of PTSD and depression were higher in the site closer to the epicenter. The traumatic stress symptom checklist scores were predicted by fear during earthquake, loss of friends and neighbours, female gender, lower education and living in rented accomodation. Depression was predicted by study site, death of relatives and past psychiatric illness. Conclusion: These results show that severe earthquakes can cause long-lasting morbidity. Our previous findings that showed a differential prediction for depressive and traumatic stress symptoms after earthquakes are also supported. [source] Heel ulcers don't heal in diabetes.DIABETIC MEDICINE, Issue 9 2005Or do they? Abstract Aim To obtain information on outcome of heel ulcers in diabetes. Methods Data were recorded prospectively on all patients with heel ulcers who were referred to a specialist multidisciplinary clinic between 1 January 2000 and 30 November 2003. Outcomes were assessed on 31 March 2004. Results There were 157 heel ulcers in the patients referred in the period. Three ulcers were excluded from analysis because of associated osteomyelitis. Of 154 remaining ulcers (121 limbs; 97 patients, 55 male; mean age 68.5 ± 12.8 sd years), 101 (65.6%) healed after a median (range) 200 (24,1225) days. Of 53 non-healed ulcers, 11 (7.1% of 154) were resolved by major amputation, 30 (19.5% of 154) were unhealed at time of patient's death, and 12 (7.8% of 154) remained unhealed. Ulcers healed in 59 of 97 affected patients (60.8%). Twenty-six patients (26.8% of 97) died during the period, of whom 20 died with ulcers unhealed. Worse outcomes were observed in larger ulcers (P = 0.001, Mann,Whitney U -test = 1883.5) and limbs with clinical evidence of peripheral arterial disease (P = 0.001, Mann,Whitney U -test = 1163.00). Backward step-wise logistic regression analysis showed 70.1% of healing could be predicted from these two baseline characteristics. Conclusions The common perception that ,heel ulcers don't heal' is not reflected in clinical practice. Outcome is generally favourable even in a population often affected by serious comorbidity and with limited life expectancy. These data can be used to help define management plans, as well as a basis for counselling of the individual patient. [source] The Impact of a Concurrent Trauma Alert Evaluation on Time to Head Computed Tomography in Patients with Suspected StrokeACADEMIC EMERGENCY MEDICINE, Issue 3 2006Esther H. Chen MD Background: Emergency department (ED) overcrowding threatens quality of care by delaying the time to diagnosis and treatment of patients with time-sensitive diseases, such as acute stroke. Objective: The authors hypothesized that the presence of a trauma alert evaluation would impede the time to head computed tomography (hCT) in patients with stroke-like symptoms. Methods: This was a secondary analysis of prospectively collected data on patients with potential stroke who received an hCT in an urban trauma center ED from January 1, 2004, to November 30, 2004. Structured data collection included historical and examination items, National Institutes of Health (NIH) stroke scale score, laboratory and radiographic results, and final diagnosis. Admitted patients were followed in hospital. Patients who presented within one hour following a trauma evaluation were compared with patients who presented without concurrent trauma for triage time until completion of hCT. Chi-square, t-tests, and 95% confidence intervals (95% CIs) were used for comparisons. Results: The 171 patients enrolled had a mean (± standard deviation) age of 60.7 (± 7) years; 60% were female; and 58% were African American. Of these, 72 patients had a significant cerebrovascular event (38 [22%] ischemic stroke, 25 [15%] transient ischemic attack, seven [4%] intracranial hemorrhage, one [0.6%] subarachnoid hemorrhage, and one [0.6%] subdural hematoma). The remaining diagnoses included 4.6% migraine, 2.3% seizure, 2.9% syncope, 2.3% Bell's palsy, and 2.9% vertigo. There was no significant difference in time to hCT in patients who presented during a trauma activation and those who did not (99 minutes [interquartile range (IQR) = 24,156] vs. 101 minutes [IQR = 43,151.5]; p = 0.537). In subgroup analysis of patients with a significant cerebrovascular event, times to hCT were also similar (24 minutes [IQR = 12,99] vs. 61 minutes [IQR = 15,126]; p = 0.26). Conclusions: In the authors' institution, the presence of concurrent trauma evaluation does not delay CT imaging of patients with potential stroke. [source] Neuroleptic malignant syndrome during olanzapine and levomepromazine treatmentACTA PSYCHIATRICA SCANDINAVICA, Issue 3 2000K. Järventausta Objective: To date only five reports of neuroleptic malignant syndrome (NMS) related to olanzapine exist. The first case report was published in November 1998. Method: We report the case of a 78-year-old woman suffering from chronic schizophrenia who developed a NMS while being treated with olanzapine and levomepromazine. Before this her medication had been unchanged for more than 2 years. Results: When treated with olanzapine and levomepromazine, the patient had a fulminant NMS which was complicated with pneumonia. When the neuroleptic drug treatment was discontinued, the patient recovered. However, when this combination was restarted later due to severe agitation and hallucinations, the symptoms of NMS reappeared. Conclusion: This case report shows that the neuroleptic malignant syndrome can occur during olanzapine treatment as well as during treatment with conventional neuroleptics. This syndrome may develop even after a long and stable neuroleptic treatment. [source] Änderung der Bauregelliste B Teil 1.DIBT MITTEILUNGEN (FORMERLY-MITTEILUNGEN DEUT INST FUER BAUTECHNIK), Issue 1 2010Ausgabe 2009/ Abstract Aufgrund von Art. 2 Abs. 2 des Abkommens über das Deutsche Institut für Bautechnik vom 22. April 1993 (Gesetz- und Verordnungsblatt für Berlin, S. 195) wird im Einvernehmen mit den obersten Bauaufsichtsbehörden der Länder die Bauregelliste B Teil 1 , Ausgabe 2009/2 , vom 16. November 2009 (DIBt Mitteilungen Nr. 6 vom 8. Dezember 2009) wie folgt geändert. Die Ausgabe 2009/3 ändert und ergänzt die Ausgabe 2009/2 der Bauregelliste B Teil 1 in der nachfolgend aufgeführten laufenden Nummer: Bauregelliste B Teil 1 Kapitel 1 Bauprodukte im Geltungsbereich harmonisierter Normen nach der Bauproduktenrichtlinie: Anlage lfd. Nr. 1/18.3 Diese Änderung tritt rückwirkend am 22. Dezember 2009 in Kraft. Mit ihrem Inkrafttreten tritt die Anlage 1/18.3 (2009/2) außer Kraft. Berlin, den 3. Februar 2010 Der Präsident des Deutschen Instituts für Bautechnik Dipl.-Ing. Gerhard Breitschaft [source] Änderungen der Bauregellisten A und B und der Liste C,DIBT MITTEILUNGEN (FORMERLY-MITTEILUNGEN DEUT INST FUER BAUTECHNIK), Issue 6 2009Ausgabe 2009/ Abstract Aufgrund von Art. 2 Abs. 2 des Abkommens über das Deutsche Institut für Bautechnik vom 22. April 1993 (Gesetz- und Verordnungsblatt für Berlin, S. 195) werden im Einvernehmen mit den obersten Bauaufsichtsbehörden der Länder die Bauregelliste A Teil 1 bis Teil 3, die Bauregelliste B Teil 1 und die Liste C jeweils , Ausgabe 2009/1 , vom 10. Juli 2009 (DIBt Mitteilungen, Sonderheft Nr. 38) wie folgt geändert. Die Ausgabe 2009/2 ändert und ergänzt die Ausgabe 2009/1 der Bauregellisten A und B und der Liste C in den nachfolgend aufgeführten laufenden Nummern: Bauregelliste A Teil 1: Kapitel 1 Bauprodukte für den Beton- und Stahlbetonbau: lfd. Nrn. 1.2.6, 1.6.9 und 1.6.16 Kapitel 3 Bauprodukte für den Holzbau: lfd. Nrn. 3.1.1.2, 3.1.1.3, 3.1.2.1, 3.1.2.2, 3.1.3, 3.1.4, 3.3.1.1.1, 3.3.1.1.2, 3.3.1.2.1, 3.3.1.2.2, 3.3.1.3, 3.3.2.1, 3.3.2.2, 3.4.1 und 3.4.2 Kapitel 4 Bauprodukte für den Metallbau: lfd. Nrn. 4.5.4, 4.8.17, 4.8.71, 4.9.15, 4.10.2, 4.10.3, 4.10.4 und 4.10.5 Kapitel 8 Sonderkonstruktionen: lfd. Nrn. 8.5.1 und 8.5.2 Kapitel 9 Bauprodukte für Dächer und Bedachungen, Wände und Wandbekleidungen sowie Decken und Deckenbekleidungen und nicht tragende innere Trennwände: lfd. Nr. 9.7 Kapitel 12 Bauprodukte der Grundstücksentwässerung: lfd. Nrn. 12.1.12 und 12.1.14 Kapitel 14 Feuerungsanlagen: lfd. Nr. 14.2.1 Kapitel 15 Bauprodukte für ortsfest verwendete Anlagen zum Lagern, Abfüllen und Umschlagen von wassergefährdenden Stoffen: lfd. Nrn. 15.4, 15.5, 15.6, 15.30 und 15.32 Anlagen: lfd. Nrn. 1.29, 1.30, 1.33, 1.42, 3.1, 3.8, 3.9, 3.10, 4.56, 8.4, 11.11, 15.4, 15.5, 15.9, 15.11, 15.18, 15.19 und 15.20 Bauregelliste A Teil 2: Kapitel 2: lfd. Nrn. 2.1, 2.2, 2.3 und 2.10.3 Anlagen: lfd. Nr. 18 Bauregelliste A Teil 3: Kapitel 2: lfd. Nrn. 2.1, 2.2 und 2.3 Bauregelliste B Teil 1: Kapitel 1 Bauprodukte im Geltungsbereich harmonisierter Normen nach der Bauproduktenrichtlinie: lfd. Nrn. 1.1.2.3, 1.1.3.1, 1.1.6.2, 1.2.4.1, 1.2.4.3, 1.8.4, 1.8.9, 1.8.10, 1.9.3, 1.9.9, 1.9.13, 1.9.14, 1.9.15, 1.12.13, 1.12.14, 1.14.8, 1.14.9, 1.14.10, 1.14.11, 1.15.9, 1.18.1, 1.18.3 und 1.18.4 Kapitel 2 Bauprodukte im Geltungsbereich von Leitlinien für europäische technische Zulassungen: lfd. Nrn. 2.4.1.4, 2.6.4.2 und 2.11.4.1 Kapitel 3 Bausätze im Geltungsbereich von Leitlinien für europäische technische Zulassungen: lfd. Nrn: 3.2.3.1, 3.2.3.2, 3.2.5.2, 3.3.5.5, 3.4.4.11, 3.5.5.1 und 3.11.4.1 Kapitel 4 Bauprodukte, für die europäische technische Zulassungen ohne Leitlinie erteilt werden: lfd. Nrn. 4.3.1.39 und 4.6.5.15 Kapitel 5 Bausätze, für die europäische technische Zulassungen ohne Leitlinie erteilt werden: lfd. Nrn. 5.1.3.2, 5.4.2.17, 5.4.2.20, 5.5.2.3, 5.6.5.16 und 5.6.5.17 : lfd. Nrn. 06, 08, 1/1.3, 1/1.4, 1/8.2, 1/8.4 und 1/18.3 Liste C: Kapitel 2: Bauprodukte für den Ausbau: lfd. Nr. 2.24 Diese Änderungen treten am 22. Dezember 2009 in Kraft. Mit ihrem Inkrafttreten treten die entsprechenden Nummern der Bauregelliste A Teil 1 bis Teil 3, der Bauregelliste B Teil 1 und der Liste C jeweils , Ausgabe 2009/1 , außer Kraft. Berlin, den 16. November 2009 Der Präsident des Deutschen Instituts für Bautechnik Dipl.-Ing. Gerhard Breitschaft [source] Bericht über die 68.DIBT MITTEILUNGEN (FORMERLY-MITTEILUNGEN DEUT INST FUER BAUTECHNIK), Issue 1 2009Sitzung des Ständigen Ausschusses für das Bauwesen Am 10. und 11. November 2008 fand die 68. Sitzung des Ständigen Ausschusses für das Bauwesen (StAB) in Brüssel statt. Den Vorsitz hatte der Leiter des Referats "Baugewerbe" bei den Kommissionsdiensten. Im Folgenden werden die wesentlichen Beratungsinhalte kurz wiedergegeben. 1. Berichte über die Ergebnisse verschiedener europäischer Arbeitsgruppen 2. Harmonisierte Normen 3. Änderung zweier Mandate an EOTA 4. Kommissionsentscheidungen 5. Mandate 6. Entwurf einer Verordnung über Bauprodukte 7. Verordnung über gegenseitige Anerkennung 8. Sonstiges [source] Comparison of Outcomes of Two Skills-teaching Methods on Lay-rescuers' Acquisition of Infant Basic Life Support SkillsACADEMIC EMERGENCY MEDICINE, Issue 9 2010Itai Shavit MD ACADEMIC EMERGENCY MEDICINE 2010; 17:979,986 © 2010 by the Society for Academic Emergency Medicine Abstract Objectives:, The objective was to determine if lay-rescuers' acquisition of infant basic life support (BLS) skills would be better when skills teaching consisted of videotaping practice and providing feedback on performances, compared to conventional skills-teaching and feedback methods. Methods:, This pilot-exploratory, single-blind, prospective, controlled, randomized study was conducted on November 12, 2007, at the Rappaport Faculty of Medicine, Technion,Israel Institute of Technology, Haifa, Israel. The population under study consisted of all first-year medical students enrolled in the 2007,2008 year. BLS training is part of their mandatory introductory course in emergency medicine. Twenty-three students with previous BLS training were excluded. The remaining 71 were randomized into four and then two groups, with final allocation to an intervention and control group of 18 and 16 students, respectively. All the students participated in infant BLS classroom teaching. Those in the intervention group practiced skills acquisition independently, and four were videotaped while practicing. Tapes were reviewed by the group and feedback was provided. Controls practiced using conventional teaching and feedback methods. After 3 hours, all subjects were videotaped performing an unassisted, lone-rescuer, infant BLS resuscitation scenario. A skills assessment tool was developed. It consisted of 25 checklist items, grouped into four sections: 6 points for "categories" (with specific actions in six categories), 14 points for "scoring" (of accuracy of performance of each action), 4 points for "sequence" (of actions within a category), and 1 point for "order" of resuscitation (complete and well-sequenced categories). Two blinded expert raters were given a workshop on the use of the scoring tool. They further refined it to increase scoring consistency. The main outcome of the study was defined as evidence of better skills acquisition in overall skills in the four sections and in the specific skills sets for actions in any individual category. Data analysis consisted of descriptive statistics. Results:, Means and mean percentages were greater in the intervention group in all four sections compared to controls: categories (5.72 [95.33%] and 4.69 [92.66%]), scoring (10.57 [75.50%] and 7.41 [43.59%]), sequence (2.28 [57.00%] and 1.66 [41.50%]), and order of resuscitation (0.96 [96.00%] and 0.19 [19.00%]). The means and mean percentages of the actions (skill sets) in the intervention group were also larger than those of controls in five out of six categories: assessing responsiveness (1.69 [84.50%] and 1.13 [56.50%]), breathing technique (1.69 [93.00%] and 1.13 [47.20%]), chest compression technique (3.19 [77.50%] and 1.84 [46.00%]), activating emergency medical services (EMS) (3.00 [100.00%] and 2.81 [84.50%]), and resuming cardiopulmonary resuscitation (0.97 [97.00%] and 0.47 [47.00%]). These results demonstrate better performance in the intervention group. Conclusions:, The use of videotaped practice and feedback for the acquisition of overall infant BLS skills and of specific skill sets is effective. Observation and participation in the feedback and assessment of nonexperts attempting infant BLS skills appeared to improve the ability of this group of students to perform the task. [source] ,We All Knew that a Cyclone Was Coming': Disaster Preparedness and the Cyclone of 1999 in Orissa, IndiaDISASTERS, Issue 4 2004Frank Thomalla Imagine that a cyclone is coming, but that those living in the affected areas do nothing or too little to protect themselves. This is precisely what happened in the coastal state of Orissa, India. Individuals and communities living in regions where natural hazards are a part of daily life develop strategies to cope with and adapt to the impacts of extreme events. In October 1999, a cyclone killed 10,000 people according to government statistics, however, the unofficial death toll is much higher. This article examines why such a large loss of life occurred and looks at measures taken since then to initiate comprehensive disaster-preparedness programmes and to construct more cyclone shelters. The role of both governmental organisations and NGOs in this is critically analysed. The good news is that, based on an assessment of disaster preparedness during a small cyclone in November 2002, it can be seen that at community-level awareness was high and that many of the lessons learnt in 1999 were put into practice. Less positive, however, is the finding that at the state level collaboration continues to be problematic. [source] The Use of Cluster Sampling to Determine Aid Needs in Grozny, Chechnya in 1995DISASTERS, Issue 3 2000Sean Drysdale War broke out in Chechnya in November 1994 following a three-year economic blockade. It caused widespread destruction in the capital Grozny. In April 1995 Medical Relief International - or Merlin, a British medical non-governmental organisation (NGO) - began a programme to provide medical supplies, support health centres, control communicable disease and promote preventive health-care in Grozny. In July 1995 the agency undertook a city-wide needs assessment using a modification of the cluster sampling technique developed by the Expanded Programme on Immunisation. This showed that most people had enough drinking-water, food and fuel but that provision of medical care was inadequate. The survey allowed Merlin to redirect resources earmarked for a clean water programme towards health education and improving primary health-care services. It also showed that rapid assessment by a statistically satisfactory method is both possible and useful in such a situation. [source] Utility of software analysis of esophageal manometry studies in patients with aperistalsisDISEASES OF THE ESOPHAGUS, Issue 1 2009P. A. Hart SUMMARY Esophageal manometry is the gold standard for the diagnosis of esophageal aperistalsis. There is computer software that analyzes peristalsis on esophageal manometry, but this automated analysis has not been formally evaluated. Our primary aim was to evaluate the software analysis of esophageal aperistalsis by esophageal manometry in patients diagnosed with aperistalsis by an experienced clinician. Esophageal manometry studies from January 2006 to November 2007 were retrospectively reviewed for evidence of aperistalsis by an experienced clinician. All studies demonstrating aperistalsis were selected for further review. The automated analysis performed by our software program for each study was recorded. Agreement between the automated analysis and the clinician was measured by the proportion of agreement on the absence of peristalsis. Eighty-seven of the 962 esophageal manometry studies reviewed demonstrated aperistalsis. The automated analysis reported esophageal body peristalsis with wet swallows in 66 out of 87 patients (75.9%). In these patients, the software analyzed an average of 34.2% of the wet swallows as peristaltic. The agreement between the clinician's review and software analysis of aperistalsis was 24.1%. These data suggest there is poor agreement between the automated analysis of peristalsis and that of an experienced reviewer. Automated analysis cannot be relied upon in the diagnostic evaluation of esophageal aperistalsis as it overestimates the presence of peristalsis and may lead to incorrect diagnoses and management strategies. [source] Multichannel intraluminal impedance for the assessment of post-fundoplication dysphagiaDISEASES OF THE ESOPHAGUS, Issue 5 2006T. Yigit SUMMARY., Dysphagia often occurs after fundoplication, although its pathophysiology is not clear. We sought to better understand postfundoplication dysphagia by measuring esophageal clearance with multichannel intraluminal impedance (MII) along with more traditional work-up (manometry, upper gastrointestinal imaging [UGI], endoscopy). We evaluated 80 consecutive patients after laparoscopic fundoplication between April 2002 and November 2004. Patients were evaluated clinically and underwent simultaneous manometry and MII, 24-hour pH monitoring, endoscopy, and UGI. For analysis, patients were divided into the following groups based on the presence of dysphagia and fundoplication anatomy (by UGI/endoscopy): (1) Dysphagia and normal anatomy; (2) Dysphagia and abnormal anatomy; (3) No dysphagia and abnormal anatomy; and (4) No dysphagia and normal anatomy. Patients with dysphagia (Groups 1 & 2) had similar peristalsis (manometry), but were more likely to have impaired clearance by MII (32 pts, 62%) than those without dysphagia (9 pts, 32%, P = 0.01). Patients with abnormal anatomy (Groups 2 & 3) were also more likely to have impaired esophageal clearance (66%vs. 38%, P = 0.01). Finally, of patients that had normal fundoplication anatomy, those with dysphagia were much more likely to have impaired clearance (12 pts, 52%) than those with dysphagia (4 pts, 21%, P = 0.03). MII after fundoplication provides objective evidence of esophageal clearance, and is commonly abnormal in patients with abnormal fundoplication anatomy and/or dysphagia. Esophageal clearance is impaired in the majority of patients with postoperative dysphagia, even with normal fundoplication anatomy and normal peristalsis. MII may detect disorders in esophageal motility not detected by manometry. [source] An evaluation of a heroin overdose prevention and education campaignDRUG AND ALCOHOL REVIEW, Issue 1 2010DANIELLE HORYNIAK Abstract Introduction and Aims. Following detection of an upward trend in the frequency of fatal heroin overdoses in Victoria between 2001 and 2003, Victoria's Department of Human Services planned a campaign aimed at increasing injecting drug users' (IDU) awareness of overdose risks and prevention strategies. Stickers, wallet cards and posters featuring five key messages were distributed via needle and syringe programs (NSP) and other drug and alcohol services between November 2005 and April 2006. An evaluation of the campaign was commissioned to be conducted in late 2006. Design and Methods. The evaluation consisted of analysis of three independent data sets,,quantitative data collected from IDU during the campaign period (n = 855 at baseline; and a range of 146,656 at follow up); qualitative interviews with IDU who were NSP clients during the campaign period (n = 16) and qualitative interviews with NSP staff and other key stakeholders (n = 9). Results. While key experts felt that the campaign messages had engendered lasting impact for at least some IDU, these positive impressions were not borne out by the NSP client data, with less than one quarter of all campaign messages being mentioned by a significantly higher proportion of clients during the post-campaign period compared with baseline. Key experts perceived the greatest weakness of the campaign to be the delay between issue identification and the introduction of campaign materials. Discussion and Conclusions. While IDU are generally responsive to health promotion campaigns, future initiatives in this domain should be designed and implemented rapidly and in ways that are sufficiently flexible to cope with shifts in drug markets which could influence the reception of key messages.[Horyniak D, Higgs P, Lewis J, Winter R, Dietze P, Aitken C. An evaluation of a heroin overdose prevention and education campaign. Drug Alcohol Rev 2009] [source] Morphology of the digestive tract and feeding habits of Loricaria lentiginosa Isbrücker, 1979 in a Brazilian reservoirACTA ZOOLOGICA, Issue 2 2009L. F. Salvador-Jr Abstract The present study describes some aspects of the morphology of the digestive tract and the feeding patterns of Loricaria lentiginosa. Sixty-three specimens with gut contents were captured quarterly from November 2001 to August 2002 in Porto Colômbia reservoir, Rio Grande basin, southeastern Brazil. The species has bicuspid teeth inserted in the lips, unicuspid teeth in the dentary bone and pharyngeal teeth, besides having short, numerous and slightly separated gill rakers. The stomach is rudimentary and the intestine is relatively short (Intestinal Quotient = 1.32 ± 0.15). Molluscs, especially bivalves, represented the most important item on the diet of this species, followed by organic matter. The characteristics of the digestive tract as well as the dietary pattern, suggest that L. lentiginosa is able to explore bottom food resources, being classified as benthophagous with a tendency to malacophagy, and utilizing organic matter as an associated or additional food resource. Loricariidae species are able to use not only algae, sediment and detritus, but also plant and invertebrate items. [source] The development of the Recovery and Prevention of Psychosis Service in Melbourne, AustraliaEARLY INTERVENTION IN PSYCHIATRY, Issue 2 2009Brendan P. Murphy Abstract Aim: To describe the establishment of a multicomponent, phase-specific, early intervention service for young people experiencing psychosis. Methods: The Recovery and Prevention of Psychosis Service commenced streamed clinical service delivery in November 2004, providing comprehensive case management for up to 3 years within Victoria's largest metropolitan health service. It delivers phase-oriented treatment focusing on early detection, recovery and relapse prevention, and minimizing disability and secondary comorbidity. The combined programme covers training and professional development, data collection and evaluation, specialist intervention services, group programme work and community development. Results: Of the first 151 clients, 70.2% were male, the average age at first presentation was 20.9 years, 15% were under 18 at first contact and 67% required inpatient admission at least once. Mean age at first contact was 20.84 years for those requiring inpatient services and 70% admitted were male. The average length of stay was 25.69 days and 23% were secluded, with an average of 2.1 seclusions. A large percentage of Recovery and Prevention of Psychosis Service clients (81%) required involuntary treatment, a significantly greater proportion of admitted patients were on Community Treatment Orders compared to those never admitted (22.5% cf. 4.1%; P = 0.04) and 92% of those admitted subsequently relapsed compared to 8% of those not admitted (P = 0.02). Conclusions: Recovery and Prevention of Psychosis Service is successfully developing a fully integrated first episode service. Recent developments include expanding the period of care up to 5 years for selected patients, the recruitment of a health promotions officer and planning for the development of a youth inpatient unit. [source] | |||||||||||||||||||||||||||||||||||||||||||||||||