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Objective: To compare the efficacy of the Sémont maneuver (SM) with the new "SémontPLUS maneuver" (SM+) in patients with posterior canal BPPV canalolithiasis (pcBPPVcan). Methods and Patients: In a prospective trinational (Germany, Italy, and Belgium) randomized trial, patients with pcBPPVcan were randomly assigned to SM or SM+; SM+ means overextension of the head by 60+° below earth horizontal line during the movement of the patient toward the affected side. The first maneuver was done by the physician, and the subsequent maneuvers by the patients 9 times/day on their own. Each morning the patient documented whether vertigo could be induced. The primary endpoints were: "How long (in days) does it take until no attacks can be induced?" and "What is the efficacy of a single SM/SM+?" Results: In the 194 patients analyzed (96 SM, 98 SM+), it took 2 days (median, range 1-21 days, mean 3.6 days) for recovery with SM and 1 day (median, range 1-8 days, mean 1.8 days) with SM+ (p = 0.001, Mann-Whitney U-test). There was no difference in the second primary endpoint (chi2-test, p = 0.39). Interpretation: This prospective trial shows that SM+ is more effective than SM when repeated therapeutic maneuvers are performed but not when a single maneuver is performed. It also supports the hypothesis of the biophysical model: overextension of the head during step 2 brings the clot of otoconia beyond the vertex of the canal, which increases the effectivity. Classification of Evidence: This study provides Class I evidence that SM+ is superior to SM for multiple treatment maneuvers of pcBPPVcan.

In this interview, epidemiologists Dorle Hoffmann and Oliver Bayer give an insight into their experience with systematic reviews and related topics such as meta-analyses. They describe how the tasks have expanded step by step in recent years and the importance of local networking – especially with the medical library staff. Finally, the interview describes the role librarians can play in the preparation of systematic reviews and gives an insight into how the cooperation in Mainz is progressing with the development of a practical guide and joint training courses., Im vorliegenden Interview geben die Epidemiolog*innen Dorle Hoffmann und Oliver Bayer Einblick in ihre Erfahrungen mit systematischen Reviews bzw. damit verwandten Themen wie Metaanalysen. Sie beschreiben, wie sich die Aufgaben in den letzten Jahren Schritt für Schritt erweitert haben und welchen Stellenwert die Vernetzung vor Ort spielt – insbesondere mit der medizinischen Bibliothek. Zuletzt wird im Interview dargestellt, welche Rolle Bibliothekar*innen bei der Erstellung systematischer Reviews spielen können und sie geben einen Einblick, wie sich die konkrete Zusammenarbeit in Mainz mit der Entwicklung eines Praxisleitfadens und gemeinsamer Schulungsangebote gestaltet., GMS Medizin - Bibliothek - Information; 20(1-2):Doc10

Based on the analysis of multiple studies, an attempt to describe the relationship between emotional stability and creativity is made. Creativity is considered as an ability to create new ways of solving problems that one may face in her or his professional field as well as personal life. A connection not only between emotional stability and creativity as a personal trait, but also between emotional stability and creative thinking, which is considered a process included into general creativity, is described. The analysis shows that there is no common point of view on the described relationship in the worldwide psychology. Some of the earliest studies say that there is a positive connection between high neuroticism scores and creativity. Some studies, conversely, demonstrate the absence of any connection between emotional stability and creativity. There also exists another opinion based on some studies showing that highly creative persons get high scores on emotional stability. In addition, there is the analysis of the relationship between emotional stability and creative thinking in different, Розглянуто проблему зв’язку емоційної стійкості та креативності. Проаналізовано результати відповідних вітчизняних та зарубіжних емпіричних досліджень. Визначено наявність розбіжностей у поглядах науковців на існування зв’язку емоційної стійкості та креативності, а також емоційної стійкості та креативного мислення як окремого компонента креативності. Наведено теоретичне обґрунтування цих розбіжностей, висвітлено групи підходів до розуміння зв’язку емоційної стійкості та креативності, а також обговорено вірогідність нелінійного характеру цього зв’язку.

Ultrases dalgalar n n yay ld olursa, verilen ve al nan ultrases dalgalar aras nda esas alarak M. Sedlacek [1] korelasyon yöntemi denilen bir ölçü yöntemini geli tirmi tir. Çal mam zda bu teorik yönteme uygunp bir deney düzene ine de i lerlik kazand rmak için (20±0.02) oC de ve (5, 15, 26, 36, 45) MHz frekanslar nda saf su, CS2, CCI4, ve CHCI3 s v lar nda kalibrasyon ölçüleri yap ld . Daha sonra gravimetrik ölçümleri al nd . Kare rileri olarak tan mlanan v=F(x) e rileri çizildi. /f2 = F(x) e rilerinin Pinkerton (2) taraf ndan ortaya konulan teorik ba nt ya uymad

Einleitung: Die mesenteriale Ischämie ist eine seltene Komplikation nach kardiochirurgischen Eingriffen mit hoher Letalität. Ihr Auftreten wird häufig mit prädisponierenden Risikofaktoren in Zusammenhang gebracht. Die Bedeutung der intraoperativen Verlaufsparameter ist unklar. Es[for full text, please go to the a.m. URL], 131. Kongress der Deutschen Gesellschaft für Chirurgie

Einleitung: Die nicht okklusive mesenteriale Ischämie ist eine gefürchtete Komplikation nach kardiochirurgischen Eingriffen, die mit einer hohen Letalität einhergeht. Ein schwieriger intra- und postoperativer Verlauf mit akuter Linksherzinsuffizienz und daraus resultierender Katecholamin-[for full text, please go to the a.m. URL], 131. Kongress der Deutschen Gesellschaft für Chirurgie