Klinikum Altenburger Land

Abstract China’s one-child policy has led to a significant gender imbalance in the current Han population, which is male-dominated. This demographic disparity has affected the behaviour, psychological state, and life satisfaction of Han men seeking partner relationships. This study explores how these men cope with the challenges that this gender imbalance presents, particularly in the digital sphere. Through in-depth interpretive phenomenological analysis, the research reveals the psychological impact and strategies Han men use in their attempts to establish relationships. This article shows, through several testimonies, how Han men who are trying to establish long-term relationships within their cultural context idealize non-Chinese women, perceiving them as better potential partners and exaggerating their positive qualities while overlooking potential negatives. This study shows the relations between cultural expectations, gender imbalance, and individual relationship-seeking behaviour.

PurposeIntracranial hemorrhage (ICH) is a life-threatening condition requiring rapid diagnostic and therapeutic action. This study evaluates whether Artificial intelligence (AI) can provide high-quality ICH diagnostics and turnaround times suitable for routine radiological practice.MethodsA convolutional neural network (CNN) was trained and validated to detect ICHs on DICOM images of cranial CT (CCT) scans, utilizing about 674,000 individually labeled slices. The CNN was then incorporated into a commercial AI engine and seamlessly integrated into three pilot centers in Germany. A real-world test-dataset was extracted and manually annotated by two experienced experts. The performance of the AI algorithm against the two raters was assessed and compared to the inter-rater agreement. The overall time ranging from data acquisition to the delivery of the AI results was analyzed.ResultsOut of 6284 CCT examinations acquired in three different centers, 947 (15%) had ICH. Breakdowns of hemorrhage types included 8% intraparenchymal, 3% intraventricular, 6% subarachnoidal, 7% subdural, < 1% epidural hematomas. Comparing the AI’s performance on a subset of 255 patients with two expert raters, it achieved a sensitivity of 0.90, a specificity of 0.96, an accuracy of 0.96. The corresponding inter-rater agreement was 0.84, 0.98, and 0.96. The overall median processing times for the three centers were 9, 11, and 12 min, respectively.ConclusionWe showed that an AI algorithm for the automatic detection of ICHs can be seamlessly integrated into clinical workflows with minimal turnaround time. The accuracy was on par with radiology experts, making the system suitable for routine clinical use.

ZusammenfassungDigitale Transformation ist eine der bedeutendsten Herausforderungen der heutigen Zeit und kann entscheidend für die Zukunftsfähigkeit von Unternehmen sein. Von einer dementsprechend hohen Bedeutung diesbezüglicher Informationen ist für die (potenziellen) Stakeholder eines Unternehmens auszugehen, um über die Aufrechterhaltung ihrer bzw. das Eingehen einer Geschäftsbeziehung mit einem Unternehmen entscheiden zu können. Da ein Unternehmen ohne Stakeholder nicht fortbestehen kann, ist ferner von einem beiderseitigen Interesse der Vermittlung von Informationen zur digitalen Transformation des Unternehmens auszugehen. Vor diesem Hintergrund werden in Kapitel 1 des Werkes zunächst die Problemstellung konkretisiert und auf das Fehlen konkreter Vorgaben oder Empfehlungen zu einer Berichterstattung zur digitalen Transformation aufmerksam gemacht. Daran anknüpfend wird in der Arbeit das Ziel verfolgt, ein Berichtskonzept zur externen Unternehmensberichterstattung über digitale Transformation zu entwickeln, um Berichtserstellern eine Hilfestellung zu geben und die Entscheidungsnützlichkeit der Berichterstattung durch eine zweckorientierte Einbeziehung zeitgemäßer Sachverhalte zu erhöhen. Abschließend wird die Vorgehensweise zur Konzeptionierung der Berichterstattung über digitale Transformation anhand des Aufbaus der Arbeit skizziert.

Abstract Background Prolonged and intensified rhythm monitoring is recommended to detect atrial fibrillation (AF) in patients with cryptogenic stroke (CS). Continuous monitoring using implantable cardiac monitors (ICM) results in AF detection rates of up to 30%. Although higher age has been identified as an independent risk factor for AF in patients post CS, there are no specific recommendations for the implantation of ICM in younger patients. Furthermore, the temporal relationship between AF and recurrent stroke in patients with continuous monitoring is a relevant issue and scarcely investigated. Objectives (1)To analyze age-related AF rates in patients with CS and continuous rhythm monitoring using ICM. (2)To determine the rates of oral anticoagulation and recurrent strokes in patients with ICM-detected AF after CS. (3)To describe the temporal relationship of AF detection and recurrent stroke in these patients. Methods From 02/2014 to 11/2021, patients with CS provided with ICMs were systematically followed. All patients underwent 72-h ECG monitoring, transcranial doppler ultrasound and transthoracic echocardiography according to current guidelines prior to ICM insertion. Follow-up was performed by means of a regular outpatient presentation every three months and included medical history, physical examination, and interrogation of the ICM. AF was defined as any episode of absolute arrhythmia &amp;gt;30 seconds. Results One hundred and eighty-six patients (mean age 65 ± 12 years) were included in this analysis. AF was detected in 62 patients (33 %) during a mean follow-up of 36 ± 23 months. AF was found in 6 % (3/52), 27 % (17/62), 56 % (31/55) and 65 % (11/17) (p &amp;lt; 0.001) in patients aged &amp;lt; 60 years, 60-69 years, 70-79 years and ≥ 80 years, respectively (see Figure 1). All patients with AF under 60 years had an impaired systolic left ventricular function (left ventricular ejection fraction &amp;lt; 50 %). Oral anticoagulation was initiated in 85% of the patients with AF. Recurrent stroke occurred in 34 patients (18.3%) of whom fifteen had a diagnosis of AF. In nine patients, AF was diagnosed before the occurrence of a recurrent stroke. In four patients, AF was diagnosed after recurrent stroke and in one patient, AF and recurrent stroke occurred simultaneously (see Figure 2). Conclusion AF was absent in cryptogenic stroke patients with preserved ejection fraction and younger than 60 years. AF prevalence increased with age. The temporal relationship of AF and recurrent stroke was weak. Further research is needed to better identify stroke patients at risk of AF and recurrent stroke. Figure 1: Time to first detection of Atrial fibrillation in patients aged &amp;lt; 60 years, 60-69 years, 70-79 years and ≥80 years, respectively. Figure 2: Temporal relationship of first detected atrial fibrillation (AF) and recurrent stroke in patients with cryptogenic stroke.Figure 1Figure 2

Abstract Farmland birds are declining across Europe and especially grassland breeding waders. A potentially most effective conservation measure of nature oriented agriculture is increasing wet conditions, to counter the growing risk of food scarcity for waders because of desiccation of the topsoil. We tested the effects of locally and temporary raised water levels during the breeding season, distinguishing between three high water types according to current agri-environmental schemes in nature oriented farmland. We measured soil characteristics that determine foraging conditions of waders in three transects at 3, 10 and 50 m from experimental high water ditches and along low water reference ditches. Additionally, foraging behaviour of Black-tailed Godwits was measured along the ditches within reach of the three transects. We found that raising of water levels, regardless of high water type, increased groundwater level by on average 20 cm, increased soil moisture content by 25% and reduced soil penetration resistance by 27% in the adjacent fields. The effect on reduction of the penetration resistance was most pronounced later in the spring (May, June). This effect was greatest directly along the ditches, but reached at least 50 m from the high water ditch into the adjacent field. Raised water levels generally led to increased rates and a higher percentage of succesful probings by foraging adult Black-tailed Godwits. The godwits had a higher intake rate upon area-wide high water levels and foot drains than at single high water ditches. Only at the high water locations soil penetration resistance was low enough for Black-tailed Godwits to forage successfully.

Hintergründe Viele Patienten werden in eine außerklinische invasive Beatmung entlassen, ohne dass zuvor ein Weaning-Versuch in einem hierfür spezialisierten Zentrum erfolgt ist. Im Rahmen der vorliegenden Arbeit wurden Outcomes und Risikoprädiktoren der Beatmungsentwöhnung im Weaning-Zentrum der Thoraxklinik Heidelberg untersucht.

JDDG: Journal der Deutschen Dermatologischen GesellschaftVolume 19, Issue 12 p. 1819-1820 Personalia Was macht eigentlich Bernd-Rüdiger Balda? Friedrich A. Bahmer, Corresponding Author Friedrich A. Bahmer fbahmer@t-online.de Korrespondenzanschrift Prof. Dr. med. Friedrich A. Bahmer Altenberger Straße 17 48161 Münster E-Mail: fbahmer@t-online.deSearch for more papers by this author Friedrich A. Bahmer, Corresponding Author Friedrich A. Bahmer fbahmer@t-online.de Korrespondenzanschrift Prof. Dr. med. Friedrich A. Bahmer Altenberger Straße 17 48161 Münster E-Mail: fbahmer@t-online.deSearch for more papers by this author First published: 11 December 2021 https://doi.org/10.1111/ddg.14681_gRead the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat No abstract is available for this article. Volume19, Issue12December 2021Pages 1819-1820 RelatedInformation