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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 < 0.05. In total, 2565 patients were assessed for eligibility. 986 patients met the criteria of inclusion. 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

Global geospatial data from Earth observation:status and issues

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International Journal of Digital Earth 2017年第4期10卷 328-341页

作者： Ian Dowman Hannes I.reuter Department of Civil Environmental and Geomatic EngineeringUniversity College LondonLondonUK Gisexperts TrierGermany

Data covering the whole of the surface of the Earth in a homogeneous and reliable manner has been accumulating over many *** type of data became available from meteorological satellites from the 1960s and from Earth-observing satellites at a small scale from the early 1970s but has gradually accumulated at larger scales up to the present day when we now have data covering many environmental themes at large *** data have been used to generate information which is presented in the form of global data *** paper will give a brief introduction to the development of Earth observation and to the organisations and sensors which collect data and produce global geospatial data *** of accessing global data sets will set out the types of data available that will be *** elevation models are discussed in a separate section because of their importance in georeferencing image data as well as their application to analysis of thematic *** paper will also examine issues of availability,accuracy,validation and reliability and will look at future challenges.

关键词： Global data sets validation standardisation Earth observation

Measures for Logistic Development at Hamburg Port

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上海海事大学学报 2004年第2期25卷 109-110页

作者： Manfred reuter Port of Hamburg

Ladies and Gentlemen,a trip to Shanghai is something very special for anyone from Hamburg and I am delighted to have received your invitation. Thank you very *** cities of Shanghai and Hamburg have long standing ties,... 详细信息

关键词： Measures for Logistic Development at Hamburg Port than

Electrosorption at metal surfaces from first principles

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npj Computational Materials 2020年第1期6卷 517-526页

作者： Nicolas G.Hörmann Nicola Marzari Karsten reuter Chair of Theoretical Chemistry and Catalysis Research Center Technische Universität MünchenGarching 85748Germany Theory and Simulation of Materials(THEOS) and National Centre for Computational Design and Discovery of Novel Materials(MARVEL)École Polytechnique Fédérale de LausanneLausanne 1015Switzerland Fritz-Haber-Institut der Max-Planck-Gesellschaft Faradayweg 4-6Berlin 14195Germany

Electrosorption of solvated species at metal electrodes is a most fundamental class of processes in interfacial ***,we use its sensitive dependence on the electric double layer to assess the performance of ab initio thermodynamics approaches increasingly used for the first-principles description of *** show analytically that computational hydrogen electrode calculations at zero net-charge can be understood as a first-order approximation to a fully grand canonical ***,higher-order terms in the applied potential caused by the charging of the double layer include contributions from adsorbate-induced changes in the work function and in the interfacial *** contributions are essential to yield prominent electrochemical phenomena such as non-Nernstian shifts of electrosorption peaks and non-integer electrosorption *** illustrate this by calculating peak shifts for H on Pt electrodes and electrosorption valencies of halide ions on Ag electrodes,obtaining qualitative agreement with experimental data already when considering only second order *** results demonstrate the agreement between classical electrochemistry concepts and a first-principles fully grand canonical description of electrified interfaces and shed new light on the widespread computational hydrogen electrode approach.

关键词： sorption principles canonical

Resilience in Agriculture: Communication and Energy Infrastructure Dependencies of German Farmers

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International Journal of Disaster Risk Science 2022年第2期13卷 214-229页

作者： Franz Kuntke Sebastian Linsner Enno Steinbrink Jonas Franken Christian reuter Science and Technology for Peace and Security(PEASEC) Technical University of Darmstadt64289 Darmstadt.HesseGermany

Agriculture is subject to high demands regarding resilience as it is an essential component of the food production chain. In the agricultural sector, there is an increasing usage of digital tools that rely on communication and energy infrastructures. Should disruption occur,such strengthened dependencies on other infrastructures increase the probability of ripple effects. Thus, there is a need to analyze the resilience of the agricultural sector with a specific focus on the effects of digitalization. This study works out resilience capacities of the interconnected technologies used in farm systems based on the experiences and opinions of farmers. Information was gathered through focus group interviews with farmers(N = 52) and a survey with participants from the agricultural sector(N =118). In particular, the focus is put on the digital tools and other information and communication technologies they use. Based on a definition of resilience capacities, we evaluate resilience regarding energy and communication demands in various types of farm systems. Especially important are the resilience aspects of modern systems’ digital communication as well as the poorly developed and nonresilient network infrastructure in rural areas that contrast with the claim for a resilient agriculture. The result is a low robustness capacity, as our analysis concludes with the risk of food production losses.

关键词： Digitalization of agriculture Germany Infrastructure failures Resilience capacities

Machine-learning driven global optimization of surface adsorbate geometries

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npj Computational Materials 2023年第1期9卷 1196-1203页

作者： Hyunwook Jung Lena Sauerland Sina Stocker Karsten reuter Johannes T.Margraf Fritz-Haber-Institut der Max-Planck-Gesellschaft Faradayweg 4-6D-14195 BerlinGermany

The adsorption energies of molecular adsorbates on catalyst surfaces are key descriptors in computational catalysis *** the relatively large reaction intermediates frequently encountered,e.g.,in syngas conversion,a multitude of possible binding motifs leads to complex potential energy surfaces(PES),*** implies that finding the optimal structure is a difficult global optimization problem,which leads to significant uncertainty about the stability of many *** tackle this issue,we present a global optimization protocol for surface adsorbate geometries which trains a surrogate machine learning potential *** approach is applicable to arbitrary surface models and adsorbates and minimizes both human intervention and the number of required DFT calculations by iteratively updating the training set with configurations explored by the *** demonstrate the efficiency of this approach for a diverse set of adsorbates on the Rh(111)and(211)surfaces.

关键词： optimization global implies

Novel trends in celiac disease

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Cellular & Molecular Immunology 2011年第2期8卷 121-125页

作者： Torsten Matthias Sandra Neidhofer Sascha Pfeiffer Kai Prager Sandra reuter M Eric Gershwin AESKU.KIPP Institute WendelsheimGermany AESKU.Diagnostics GmbH&Co.KG WendelsheimGermany Division of Rheumatology Allergyand Clinical ImmunologyUniversity of CaliforniaDavisCAUSA

Celiac disease(CD)is one of the most common food intolerances in developed *** affects genetically susceptible individuals and has severe consequences if it remains undiagnosed.A disease known for more than a century,it is still the focus for experts from various fields of research and ***,pathologists,immunologists,food engineers and dieticians share their knowledge and expertise to improve the conditions of CD *** new insights in the pathomechanism of gluten processing and antigen presentation in CD,it was possible to improve the diagnostic antigen mimicking the primary epitope in *** celiac neo-epitopes are comprised of a complex of gliadin peptides crosslinked with transglutaminase(tTg).They are an early diagnostic marker for CD which occurs up to 6 months earlier than classical markers known to miss a certain amount of CD patients.

关键词： celiac disease tissue transglutaminase celiac neo-epitope gluten diagnostic marker

Environmental Footprint of Thermo-Chemical Phosphate Recycling

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Journal of Earth Science and Engineering 2013年第11期3卷 744-749页

作者： Ludwig Hermann Markus reuter 'Senior Consultant Energy Outotec GmbH Oberursel DE-61440 Germany Director Technology Management Outotec Oyj Espoo FI-02201 Finland

Three phosphate fertilizers from fossil and secondary starting materials have been assessed for their accumulated environmental footprint. Fertiliser types have been selected for their similarity in terms of phosphate and secondary nutrient concentrations and small waste flows, although significant and unavoidable differences in terms of phosphate solubility remain. Input data were taken from literature and from process simulations in Aspen Plus and HSC Chemistry, being based on evaluations of plants in operation or under construction. It was tested and confirmed that HSC Chemistry data can be directly exported to GaBi as an LCA evaluation tool. The paper shows in two cases a positive energy balance and a rather low environmental footprint of all three assessed processes.

关键词： Phosphates fertilisers P-recovery environmental footprint life cycle assessment.

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