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Minima philologica

Minima philologica

Primary care clinicians’ strategies to overcome financial barriers to specialty health care for uninsured patients

作者： (author.)Hamacher werner 等

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Family Medicine and Community Health 2015年第3期3卷 18-24页

作者： James J.werner Kitty K.Corbett Department of Family Medicine and Community Health Mandel School of Applied Social SciencesCase Western Reserve University11000 Cedar AvenueSuite 402ClevelandOH 44106USA School of Public Health and Health Systems University of Waterloo200 University Avenue WestWaterlooOntarioN2L 3G1Canada

Objective:This study describes strategies used by federally qualified health centers(FQHCs)to assist medically uninsured patients in obtaining specialty health care ***:Qualitative methods were used to study strategies for obtaining specialty health care for uninsured *** were gathered from 10 primary care clinicians at three FQHC clinics by means of 10 semistructured interviews,23 brief interviews,and 45 h of direct *** captured additional data by studying cases of referred uninsured ***:The following six strategies were identified:(1)quid pro quo-a specialist accept-ing the clinic’s medically uninsured patients was rewarded with referrals of the clinic’s insured patients;(2)over referral-clinicians referred insured patients whose needs could have been met at the FQHC;(3)brief hospitalization-when a specialist could not be obtained,high-risk patients were briefly hospitalized;(4)case building-diagnostic tests were conducted at the FQHC to justify a referral;(5)direct communication-communication between clinicians and specialists was neces-sary when requesting a referral;(6)specialty clinics-in return for conducting a specialty clinic at the FQHC,the specialist received all referrals of insured ***:Uninsured FQHC patients encountered difficulties accessing specialty health care,and in response,clinicians developed a range of innovative strategies.

关键词： Health services accessibility barriers to health care medically uninsured health care inequities access to specialty care qualitative methods

Impact of COVID-19 effective reproductive rate on cryptocurrency

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Financial Innovation 2022年第1期8卷 1432-1458页

作者： Marcel C.Minutolo werner Kristjanpoller Prakash Dheeriya Robert Morris University 6001 University BlvdMoon TownshipPA 15108USA Departamento de Industrias Universidad Técnica Federico Santa MaríaAv.España 1680ValparaísoChile California State University Dominguez Hills 1000 E Victoria StCarsonCA 90747USA

The importance of cryptocurrency to the global economy is increasing steadily,which is evidenced by a total market capitalization of over$2.18T as of December 17,2021,according to ***(Coin,2021).Cryptocurrencies are too confusing for laymen and require more *** this study,we analyze the impact that the effective reproductive rate,an epidemiological indicator of the spread of COVID-19,has on both the price and trading volume of eight of the largest digital currencies—Bitcoin,Ethereum,Tether,Ripple,Litecoin,Bitcoin Cash,Cardano,and *** hypothesize that as the rate of spread decreases,the trading price of the digital currency *** Generalized Autoregressive Conditional Heteroskedasticity models,we find that the impact of the spread of COVID-19 on the price and trading volume of cryptocurrencies varies by currency and *** findings offer novel insight into the cryptocurrency market and the impact that the viral spread of COVID-19 has on the value of the major cryptocurrencies.

关键词： COVID-19 Cryptocurrency Bitcoin GARCH Digital currency Fintech

Esports players,got muscle?Competitive video game players’physical activity,body fat,bone mineral content,and muscle mass in comparison to matched controls

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Journal of Sport and Health Science 2022年第6期11卷 725-730页

作者： Joanne DiFrancisco-Donoghue William G.werner Peter C.Douris Hallie Zwibel Department of Osteopathic Medicine New York Institute of Technology College of Osteopathic Medicine(NYIT-COM)Old WestburyNY 11568USA Center for Sports Medicine NYIT-COMOld WestburyNY 11568USA Department of Physical Therapy NYITOld WestburyNY 11568USA Department of Family Medicine NYIT-COMOld WestburyNY 11568USA

Background:Esports players,like traditional athletes,practice for long hours and,thus,are vulnerable to the negative health effects of prolonged *** is a lack of research on the physical activity and the health ramifications of prolonged sitting by competitive *** purpose of this study was to investigate activity levels,body mass index(BMI),and body composition in collegiate esports players as compared to agematched ***:Twenty-four male collegiate esports players and non-esports players between 18 and 25 years of age signed a written consent to *** activity was examined using daily activity(step count)with a wrist-worn activity tracker.A questionnaire assessing physical activity was also *** outcomes included body-fat percentage,lean-body mass,BMI,and bone mineral content measured using dual X-ray ***:The step count in the esports players was significantly lower than the age-matched controls(6040.2±3028.6 vs.12843.8±5661.1;p=0.004).Esports players exhibited greater body-fat percentage(p=0.05),less lean body mass(p=0.003),and less bone mineral content(p=0.03),despite no difference in BMI between the esports and non-esports ***:As compared to non-esports players,collegiate esports players were significantly less active and had a higher body-fat percentage,with lower lean body mass and bone mineral *** BMIs showed no difference between the 2 *** athletes displayed significantly less activity and poor body composition,which are all correlated with potential health issues and risk of *** did not capture this difference and should not be considered as an accurate measure of health in competitive esports players.

关键词： Body composition Body mass index Gaming

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BZN陶瓷墨水的制备及其性质研究

无机材料学报 2008年第2期23卷 257-261页

作者：施建章汪宏 werner Jillek 姚熹西安交通大学电子陶瓷与器件教育部重点实验室西安710049 西安电子科技大学技术物理学院西安710071 Electronic Package Laboratory University of Applied Sciences Nurnberg D90489 Germany

采用一种水性多功能有机试剂Sokalan PM70对喷墨打印用Bi_2O_3-ZnO-Nb_2O_5(BZN)微波陶瓷材料的墨水制备及其性质进行了研究,重点讨论了PM70的添加量和BZN固含量对陶瓷墨水的稳定性和粘度的影响,获得了具有较高稳定性和较高固含量的喷... 详细信息

采用一种水性多功能有机试剂Sokalan PM70对喷墨打印用Bi_2O_3-ZnO-Nb_2O_5(BZN)微波陶瓷材料的墨水制备及其性质进行了研究,重点讨论了PM70的添加量和BZN固含量对陶瓷墨水的稳定性和粘度的影响,获得了具有较高稳定性和较高固含量的喷墨打印用BZN陶瓷墨水,并利用MD-E-201H控制系统打印制备了平面电容器.利用Rodenstock RM600S激光厚度测试仪测量了不同条件下喷墨打印所制备的实际电容的厚度分布,讨论了打印脉冲控制参数对打印效果的影响.实验发现,当Sokalan PM70的添加量约为3.2wt%时,陶瓷墨水的稳定性最高,其固含量最高可达48.8wt%.此体系的墨水在驱动电压为10V,输出脉冲宽度为1.5,脉冲周期为800μs左右时可获得较好的打印效果.

关键词：喷墨打印 Sokalan PM70 水基陶瓷墨水 BZN微波陶瓷

The Globalization of Traditional Medicines: Perspectives Related to the European Union Regulatory Environment

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Engineering 2019年第1期5卷 22-31页

作者： werner Knoess Jacqueline Wiesner Federal Institute for Drugs and Medical Devices Bonn 53175 Germany

In the Member States of the European Union (EU), a harmonized legislation on medicinal products has been enforced, which specifically defines herbal medicinal products and traditional herbal medicinal products. The scope was to create a regulatory environment that takes into account the particular characteristics of herbal medicinal products. The harmonization of standards is intended to harmonize assessment and facilitate access to the market in different Member States. The standards defined by the EU herbal monographs of the Committee on Herbal Medicinal Products (HMPC) and the quality requirements laid down in the European Pharmacopoeia represent an excellent model of multinational harmonization of the regulatory environment for herbal and traditional medicines. It has also been demonstrated that this framework is at least partially applicable for herbal and traditional medicines from traditional Chinese medicine (TCM) to gain access to the EU market. Moreover, the HMPC provides specific guidance documents and pilot projects on monographs on the safety and efficacy of Chinese herbal drugs. In the European Pharmacopoeia, the number of quality monographs of herbal drugs with an origin in TCM is continuously growing. These developments indicate that globalization of traditional medicines is an ongoing process. Communication and cooperation between regulators, the scientific community, and interested stakeholders will set the stage for the convergence of diverse regulatory environments. This will contribute to worldwide availability of traditional medicines based on appropriate standards.

关键词： Traditional medicine Traditional Chinese medicine Committee on Herbal Medicinal Products Herbal medicines Traditional medicines Regulation Globalization

Embolization of an unusual metastatic site of hepatocellular carcinoma in the humerus

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World Journal of Gastroenterology 2009年第18期15卷 2280-2282页

作者： Andreas Hansch Rotraud Neumann Alexander Pfeil Ivan Marintchev Stefan Pfleiderer Mieczyslaw Gajda werner A Kaiser Institute of Diagnostic and Interventional Radiology Friedrich Schiller University JenaErlanger Allee 101D-07747 JenaGermany Department of Traumatology Hand and Reconstructive SurgeryFriedrich Schiller University JenaErlanger Allee 101D-07740 JenaGermany Institute of Pathology Friedrich Schiller University JenaZiegelmuehlenweg 1D-07740 JenaGermany

Hepatocellular carcinoma （HCC） is the fish most common cancer in the world. This case documents an unusual metastatic presentation of HCC in the humerus. Preoperative palliative arterial embolization of the tumor was performed to arrest severe tumor bleeding caused by the biopsy. Embolization turned out to be useful also in limiting/preventing potential uncontrolled bleeding during subsequent amputation.

关键词： Hepatocellular carcinoma Humerus Upperarm Metastasis Embolization

Transjugular intrahepatic portosystemic shunt in liver transplant recipients

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World Journal of Gastroenterology 2009年第16期15卷 1999-2004页

作者： Armin Finkenstedt Ivo W Graziadei Karin Nachbaur werner Jaschke Walter Mark Raimund Margreiter Wolfgang Vogel Department of Internal Medicine (Gastroenterology and Hepatology) Medical University of Innsbruck Department of Radiology Medical University of Innsbruck Department of Transplant Surgery Medical University of Innsbruck

AIM： To evaluate the efficacy of transjugular intrahepatic portosystemic shunts （TIPSs） after liver transplantation （LT）. METHODS： Between November 1996 and December 2005, 10 patients with severe recurrent hepatitis C virus infection （n = 4）, ductopenic rejection （n = 5） or portal vein thrombosis （n = 1） were included in this analysis. Eleven TIPSs （one patient underwent two TIPS procedures） were placed for management of therapy-refractory ascites （n = 7）, hydrothorax （n = 2） or bleeding from colonic varices （n = 1）. The median time interval between LT and TIPS placement was 15 （4-158） mo. RESULTS： TIPS placement was successful in all patients. The mean portosystemic pressure gradient was reduced from 12.5 to 8.7 mmHg. Complete and partial remission could be achieved in 43% and 29% of patients with ascites. Both patients with hydrothorax did not respond to TIPS. No recurrent bleeding was seen in the patient with colonic varices. Nine of 10 patients died during the study period. Only one of two patients, who underwent retransplantation after the TIPS procedure, survived. The median survival period after TIPS placement was 3.3 （range 0.4-20） too. The majority of patients died from sepsis with multiorgan failure. CONCLUSION： Indications for TIPS and technical performance in LT patients correspond to those in non-transplanted patients. At least partial control of therapy-refractory ascites and variceal bleeding could be achieved in most patients. Nevertheless, survival rates were disappointing, most probably because of the advanced stages of liver disease at the time of TIPS placement and the high risk of sepsis as a consequence of immunosuppression.

关键词： Portal hypertension Ascites Variceal bleeding Immunosuppression Liver transplantation

Near-Optimal Placement of Secrets in Graphs

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Open Journal of Discrete Mathematics 2016年第4期6卷 238-247页

作者： werner Poguntke Fachbereich Technische Betriebwirtschaft Fachhochschule Südwestfalen Hagen Germany

We consider the reconstruction of shared secrets in communication networks, which are modelled by graphs whose components are subject to possible failure. The reconstruction probability can be approximated using minimal cuts, if the failure probabilities of vertices and edges are close to zero. As the main contribution of this paper, node separators are used to design a heuristic for the near-optimal placement of secrets sets on the vertices of the graph.

关键词： Graph Algorithm Cut Secret Sharing Approximation Network Design