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Residents Achieve a High Patient Satisfaction in Pre-Anesthetic Patient Assessment. An Observational Study

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Open Journal of Anesthesiology 2014年第11期4卷 263-275页

作者： ulrike reuter Babette Jurack Nils Engelmann Thilo Busch Joerg Schnoor Department of Anesthesiology and Intensive Care Medicine University Hospital Leipzig Leipzig Germany Department of Anaesthesiology King’s College Hospital Clinics Abu Dhabi UAE

A physician’s empathetic attitude is regarded as an important influencing factor towards patient satisfaction. However, physicians’ self-assessed empathy declines during medical school and through residency, which may limit patient satisfaction in the doctor-patient contact. In conse-quence, we hypothesized that residents might fail in generating high levels of patient satisfaction. We conducted an observational study in the setting of a pre-anesthetic assessment center, univer-sity Hospital Leipzig, Germany. Patient satisfaction was measured using the overall ZuF-8 score (8 - 32 points;increasing with patient satisfaction). Data were collected by questionnaires (ZuF-8 items, additional satisfaction items, and items of organizational and logistical processes). Key items for patient satisfaction as primary endpoints were defined. Statistical evaluation was performed in dependency of the anesthesiologists’ level of training (residents vs. consultants) by using the Mann-Whitney-u test or the chi square test, as required. Statistical significance was accepted for p usion. 978 questionnaires were submitted with 517 questionnaires being excluded because of missing values. Finally, 461 questionnaires could be analysed. Both residents and consultants achieved a high level of patient satisfaction. The ZuF-8-scores were comparable between the groups (p = 0.91), whilst the quality of consultation was rated slightly better by patients being assessed by residents (p = 0.047). The results in additional satisfaction items were comparable between the groups. We found a trend in residents assessing to be rated more friendly. Residents are able to generate a high level of patient satisfaction which is comparable to that of consultants with scores ranging between “good” and “very good”. Small albeit significant differences in favor of residents underline the quality of their performance

关键词： Patient Satisfaction Pre-Anesthetic Patient Education ZuF-8 Questionnaire Physicians’ Educational Level

在德国对颈部脊柱按摩治疗引发椎动脉夹层的3年以上研究

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世界核心医学期刊文摘(神经病学分册) 2006年第12期 57-58页

作者： reuter u. Hmling M. Kavuk I. 李青波 Dr.Charité-universittsmedizin Berlin Dept.of Neurology Schumannstr.20-21 Germany 10098 Berlin

Vertebral artery dissection(VAD)has been observed in association with chirotherapy of the ***,most publications describe only single case reports or a small number of *** analyzed data from neurological departments at university hospitals in Germany over a three year period of time of subjects with vertebral artery dissections associated with chiropractic neck *** conducted a countrywide survey at neurological departments of all medical schools to identify patients with VAD after chirotherapy followed by a standardized questionnaire for each patient.36 patients(mean age 40 ±11 years)with VAD were identified in 13 neurological *** symptoms consistent with VAD started in 55%of patients within 12 hours after neck *** of VAD was established in most cases using digital subtraction angiography(DSA),magnetic resonance angiography(MRA)or duplex sonography.90%of patients admitted to hospital showed focal neurological deficits and among these 11 %had a reduced level of consciousness.50%of subjects were discharged after 20 ±14 hospital days with focal neurological deficits,1 patient died and 1 was in a persistent vegetative *** factors associated with artery dissections(*** dysplasia)were present in only 25%of *** summary,we describe the clinical pattern of 36 patients with vertebral artery dissections and prior chiropractic neck manipulation.

关键词：椎动脉夹层颈部躯干按摩治疗脊柱德国

Tip-and Laser-based 3D Nanofabrication in Extended Macroscopic Working Areas

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Nanomanufacturing and Metrology 2021年第3期4卷 132-148页

作者： Ingo Ortlepp Thomas Frohlich Roland FuBl Johann Reger Christoph Schaffel Stefan Sinzinger Steffen Strehle ReneTheska Lena Zentner Jens-Peter Zollner Ivo WRangelow Carsten Reinhardt Tino Hausotte Xinrui Cao Oliver Dannberg Florian Fern David Fischer Stephan Gorges Martin Hofmann Johannes Kirchner Andreas Meister Taras Sasiuk Ralf Schienbein Shraddha Supreeti Laura Mohr-Weidenfeller Christoph Weise Christoph reuter Jaqueline Stauffenberg Eberhard Manske Institute of Process Measurement and Sensor Technology Technische Universitat IlmenauEhrenbergstrasse 2998693 IlmenauGermany Control Engineering Group Technische Universitat IlmenauIlmenauGermany Optical Engineering Group.Technische universitat Ilmenau IlmenauGermany Microsystems Technology Group.Technische universitat Ilmenau IlmenauGermany Precision Engineering Group.Technische universitat Ilmenau IlmenauGermany Compliant Systems Group Technische Universitat IlmenauIlmenauGermany Micro-and Nanoelectronic Systems Group Technische Universitat IlmenauIlmenauGermany Nanoscale Systems Group.Technische universitat Ilmenau IlmenauGermany Division for Research Service and Technology Transfer Technische Universitat IlmenauIlmenauGermany Electronics Technology Group.Technische universitat Ilmenau IlmenauGermany IMMS Institut flir Mikroelektronik-und Mechatronik-Systeme Gemeinniitzige GmbH(IMMS GmbH) IlmenauGermany Fachgebiet Technische Physik City University of Applied SciencesBremenGermany Lehrstuhl fiir Fertigungsmesstechnik Friedrich-Alexander-U niversitat(FAU)Erlangen-NiirnbergGermany JuMO GmbH&Co.KG FuldaGermany Asphericon GmbH JenaGermany

The field of optical lithography is subject to intense research and has gained enormous ***,the effort necessary for creating structures at the size of 20 nm and below is considerable using conventional *** effort and the resulting financial requirements can only be tackled by few global companies and thus a paradigm change for the semiconductor industry is conceivable:custom design and solutions for specific applications will dominate future development(Fritze in:Panning EM,Liddle JA(eds)Novel patterning *** society for optics and ***,Bellingham,***://***/10.1117/12.2593229).For this reason,new aspects arise for future lithography,which is why enormous effort has been directed to the development of alternative fabrication ***,the technologies emerging from this process,which are promising for coping with the current resolution and accuracy challenges,are only demonstrated as a proof-of-concept on a lab scale of several square *** scale is not adequate for the requirements of modern lithography;therefore,there is the need for new and alternative cross-scale solutions to further advance the possibilities of unconventional *** challenges arise because of the technical progress in various other fields,realizing new and unique functionalities based on nanoscale effects,e.g.,in nanophotonics,quantum computing,energy harvesting,and life *** platforms for basic research in the field of scale-spanning nanomeasuring and nanofabrication are necessary for these tasks,which are available at the Technische universitiit Ilmenau in the form of nanopositioning and nanomeasuring(NPM)*** this equipment,the limits of technical structurability are explored for high-performance tip-based and laser-based processes for enabling real 3D nanofabrication with the highest precision in an adequate working range of several thousand cubic millimete

关键词： Nanomeasuring Nanopositioning Nanomanufacturing Scale-spanning Tip-based Laser-based Nanofabrication

2型糖尿病患者血小板脱颗粒与颈总动脉内膜中膜增厚进展相关

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中国动脉硬化杂志 2005年第5期13卷 661-661页

作者： Fateh-Moghadam S Li Z Ersel S reuter T Htun P Plockinger u 阳辉

三点苜蓿盲蝽线粒体Cyt b基因扩增条件研究

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内蒙古师范大学学报（自然科学汉文版） 2011年第2期40卷 171-173页

作者：吕秀华内蒙古师范大学生命科学与技术学院内蒙古呼和浩特010022

以三点苜蓿盲蝽为材料,采用SDS-蛋白酶K消化法提取其基因组DNA,利用CB-1、CB-2昆虫通用特异性引物对线粒体Cyt b基因433 bp片段进行PCR扩增,获得三点苜蓿盲蝽线粒体Cyt b基因的最佳扩增条件.

关键词：三点苜蓿盲蝽 Cyt b基因 PCR 扩增条件

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苜蓿盲蝽属10种昆虫同工酶的比较研究

内蒙古师范大学学报（自然科学汉文版） 2006年第3期35卷 344-348页

作者：吕秀华齐宝瑛内蒙古师范大学生命科学与技术学院内蒙古呼和浩特010022

运用聚丙烯酰胺凝胶垂直板型电泳技术,对苜蓿盲蝽属(Adelphocorisreuter)10种苜蓿盲蝽的酯酶同工酶、过氧化物同工酶和乳酸脱氢酶同工酶进行比较研究.同工酶电泳图谱及聚类结果表明,苜蓿盲蝽属10个种的酯酶同工酶谱带清晰、多态性强、... 详细信息

运用聚丙烯酰胺凝胶垂直板型电泳技术,对苜蓿盲蝽属(Adelphocorisreuter)10种苜蓿盲蝽的酯酶同工酶、过氧化物同工酶和乳酸脱氢酶同工酶进行比较研究.同工酶电泳图谱及聚类结果表明,苜蓿盲蝽属10个种的酯酶同工酶谱带清晰、多态性强、稳定性好,酯酶同工酶酶谱特征可以用于苜蓿盲蝽属昆虫的分类鉴定.应用系统发育分析软件包WinClada 1.00.04对酶谱数据进行分析运算,获得10个种间的系统发育关系为:(***,***)(***(***,***))(***(***(***(***,***)))).

关键词：苜蓿盲蝽属同工酶系统发育关系

苜蓿盲蝽属6种昆虫不同地理种群同工酶比较研究

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内蒙古师范大学学报（自然科学汉文版） 2007年第1期36卷 104-107页

作者：吕秀华齐宝瑛栗淑媛内蒙古师范大学生命科学与技术学院内蒙古呼和浩特010022

应用聚丙烯酰胺凝胶垂直板型电泳技术,对内蒙古苜蓿盲蝽属(Adelphocorisreuter)的6种苜蓿盲蝽不同种群的酯酶同工酶(EST)、过氧化物同工酶(POD)、乳酸脱氢酶同工酶(LDH)进行比较研究.结果表明,6种苜蓿盲蝽属昆虫不同种群的酯酶同工酶(E... 详细信息

应用聚丙烯酰胺凝胶垂直板型电泳技术,对内蒙古苜蓿盲蝽属(Adelphocorisreuter)的6种苜蓿盲蝽不同种群的酯酶同工酶(EST)、过氧化物同工酶(POD)、乳酸脱氢酶同工酶(LDH)进行比较研究.结果表明,6种苜蓿盲蝽属昆虫不同种群的酯酶同工酶(EST)谱带清晰、稳定,且不同种群间有差异;6种苜蓿盲蝽中,只有苜蓿盲蝽***的POD同工酶染出的酶带最多,且在雌雄两性间的活性差异较大,但染出的酶带数少于EST同工酶,活性也弱于EST同工酶,其余种类染出的酶带较少.POD同工酶特征的支序分析结果表明,苜蓿盲蝽***的4个种群分为2大支系,不同的地理分布和生态环境是导致同工酶酶谱趋异的主要原因.

关键词：苜蓿盲蝽属地理种群同工酶

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桃园主要害虫及天敌生态位研究

江苏农业学报 2008年第2期24卷 153-158页

作者：吕文彦秦雪峰张育平游娟娟河南科技学院资源与环境学院河南新乡453003

通过对桃园主要害虫及天敌在时间、空间及时-空序列上的生态位研究,分析了各昆虫间的竞争动态。结果表明:在害虫中,桃小绿叶蝉的时间生态位宽度最大,三点盲蝽的空间生态位宽度最大;桃粉蚜与山楂叶螨的时-空生态位重叠最大,二者在时-空... 详细信息

通过对桃园主要害虫及天敌在时间、空间及时-空序列上的生态位研究,分析了各昆虫间的竞争动态。结果表明:在害虫中,桃小绿叶蝉的时间生态位宽度最大,三点盲蝽的空间生态位宽度最大;桃粉蚜与山楂叶螨的时-空生态位重叠最大,二者在时-空二维上的竞争最激烈。在天敌中,大草蛉的时间、空间和时-空生态位宽度均最大;龟纹瓢虫与桃粉蚜、山楂叶螨的生态位重叠在时间、空间及时-空二维上均较大,且其与这2个害虫在时间上的同步性和在空间上的同域性都优于其它天敌,为优势种群。

关键词：桃园害虫天敌生态位