Comparison of different surfaces in resuscitation quality using a real-time feedback device: A manikin study.

Objectives: Delivering chest compressions (CCs) at the targeted depth and rate is a crucial aspect of maintaining the quality of cardiopulmonary resuscitation (CPR). Although administering CCs on a firm surface is recommended, it may not always be feasible. This study aimed to determine whether the underlying surface affects CC depth and rate using a real-time feedback device.

Zero-Shot LLMs for Named Entity Recognition: Targeting Cardiac Function Indicators in German Clinical Texts.

Introduction: Large Language Models (LLMs) like ChatGPT have become increasingly prevalent. In medicine, many potential areas arise where LLMs may offer added value. Our research focuses on the use of open-source LLM alternatives like Llama 3, Gemma, Mistral, and Mixtral to extract medical parameters from German clinical texts.

Fine-Tuning SSL-Model to Enhance Detection of Cilioretinal Arteries on Colored Fundus Images.

Cilioretinal arteries are a common congenital anomaly of retinal blood supply. This paper presents a deep learning-based approach for the automated detection of a CRA from color fundus images. Leveraging the Vision Transformer architecture, a pre-trained model from RETFound was fine-tuned to transfer knowledge from a broader dataset to our specific task.

Blood Vessel Segmentation Using U-Net for Glaucoma Diagnosis with Limited Data.

Glaucoma is one of the leading causes of blindness worldwide. Therefore, early detection and diagnosis are key to preserve full vision in patients. As part of the SALUS study, we create a blood vessel segmentation model based on U-Net.

U-Net-Based Segmentation of Current Imaging Biomarkers in OCT-Scans of Patients with Age Related Macular Degeneration.

Age-related macular degeneration (AMD) is the leading cause of blindness in the Western world. In this work, the non-invasive imaging technique spectral domain optical coherence tomography (SD-OCT) is used to acquire retinal images, which are then analyzed using deep learning techniques. The authors trained a convolutional neural network (CNN) using 1300 SD-OCT scans annotated by trained experts for the presence of different biomarkers associated with AMD.

A project report on the switch from in-class to online tuition in the preparatory course for the knowledge examination for foreign physicians - guidelines for the organization of the online summer semester 2020 at the faculty of medicine of the Westfälische Wilhelms-Universität of Münster.

In Germany, foreign physicians are a fixed component of the medical profession. According to the German Medical Licensure Act, physicians having completed their qualification in another country are required to pass a knowledge examination which falls within the competence of examination offices or the regional governments. The preparatory course consists of 10 modules.

FhirExtinguisher: A FHIR Resource Flattening Tool Using FHIRPath.

Data analysis with popular statistical toolchains like R usually needs to be performed on "flat tables" (so-called dataframes). However, data exchange is often done with FHIR, a format that is based on a hierarchical data model. In this paper, we want to present our tool FhirExtinguisher, which tackles the problems of loading FHIR data into statistical tools by extending the FHIRSearch API with an additional projection layer using FHIRPath.

Hepatoprotective effects of the n-butanol extract from Perralderia coronopifolia Coss. against PCP-induced toxicity in Wistar albino rats.

In the present study, in vivo antioxidant properties of the n-butanol extract obtained from aerial parts of Perralderia coronopifolia were investigated in term of its hepatoprotective effect of female Wistar albino rats (n, 36; average age, 48 ± 5 days; weighing 150 ± 18 g) against PCP (pentachlorphenol)-induced toxicity. PCP (20 mg/kg b.w.

Wearable Technology in Medicine: Machine-to-Machine (M2M) Communication in Distributed Systems.

Smart wearables are capable of supporting physicians during various processes in medical emergencies. Nevertheless, it is almost impossible to operate several computers without neglecting a patient's treatment. Thus, it is necessary to set up a distributed network consisting of two or more computers to exchange data or initiate remote procedure calls (RPC).

Pinball-Like Free-Floating Left Atrial Ball Thrombus Presenting with Hemiplegia: A Challenging Treatment Decision.

We describe a case of a patient with a history of chronic atrial fibrillation who presented with sudden onset of left hemiplegia. Nine months earlier the longstanding warfarin therapy had been suspended due to a hemorrhagic stroke. Transthoracic echocardiography revealed a large free-floating highly mobile mass in the left atrium and severe mitral valve regurgitation.

Surgical Revascularization of the Left Anterior Descending Artery with Multiple Failed Overlapping Stents.

Background: Multiple stents make standard coronary artery bypass techniques difficult. We describe our surgical approach, in patients undergoing coronary artery bypass grafting (CABG), in left anterior descending arteries (LAD) with multiple failed overlapping stents.

Methods: We retrospectively reviewed the data of six patients undergoing CABG with multiple failed overlapping stents in the LAD.

The effects of endocannabinoid receptor agonist anandamide and antagonist rimonabant on opioid analgesia and tolerance in rats.

The role of the cannabinoid (CB) system in the tolerance to analgesic effect of opioid remains obscure. The aim of the present study was to evaluate the effects of the endocannabinoid nonselective receptor agonist anandamide (AEA) and CB1 receptor antagonist rimonabant (SR141716) on morphine analgesia and tolerance in rats. Male Wistar albino rats weighing 215-230 g were used in these experiments.

An Exploratory and Comparative Evaluation on the Spatial Perception of Two Densities of Multioccupancy Hospital Rooms.

Objective: The objective of this article was to explore interior spatial qualifications on patient perception of two densities of multioccupancy hospital rooms.

Background: The research setting of this study was the three- and six-person capacity hospital rooms used for treatment of patients at a large hospital in a major metropolitan city in Turkey.

Method: The subjects used in the study were randomly selected from among patients treated in the surgical medical sciences' departments of the hospital.

Attenuation of morphine antinociceptive tolerance by cannabinoid CB1 and CB2 receptor antagonists.

Cannabinoid CB1 and CB2 receptor antagonists may be useful for their potential to increase or prolong opioid analgesia while attenuating the development of opioid tolerance. The aim of this study was to investigate the effects of AM251 (a selective CB1 antagonist) and JTE907 (a selective CB2 antagonist) on morphine analgesia and tolerance in rats. Adult male Wistar albino rats weighing 205-225 g were used in these experiments.

Effects of interior colors on mood and preference: comparisons of two living rooms.

The purpose was to assess whether various colors across room interiors do, in fact, evoke different moods. Digital images of two imaginary living rooms were used as the experimental settings. For each of the experiments, the rooms' spatial characteristics were fixed, with only the colors changed: either warm, cool, or achromatic colors.

Investigation of the vasorelaxant effects of 3-(5'-hydroxymethyl-2'-furyl)-1-benzyl indazole (YC-1) and diethylamine/nitric oxide (DEA/NO) on the human radial artery used as coronary bypass graft.

The radial artery (RA) is used as a spastic coronary bypass graft. This study was designed to investigate the mechanism of vasorelaxant effects of YC-1 (3-(5'-hydroxymethyl-2'-furyl)-1-benzyl indazole), a nitric oxide (NO)-independent soluble guanylate cyclase (sGC) activator, and DEA/NO (diethylamine/nitric oxide), a NO-nucleophile adduct, on the human RA. RA segments (n = 25) were obtained from coronary artery bypass grafting patients and were divided into 3-4 mm vascular rings.

Investigation of relaxant effects of propofol on sheep sphincter of Oddi.

Background/aims: Intravenous anesthetics are often used for conscious sedation in endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic sphincter of Oddi (SO) manometry. This study was designed to investigate the effects of propofol on sheep SO.

Methods: SO rings were mounted in a tissue bath and tested for changes in isometric tension in response to propofol (10(-8)-10(-4)M) in the presence or absence of L-NAME (3 x 10(-5)M), a non-specific inhibitor of nitric oxide (NO) synthase; indomethacin (10(-5)M), an inhibitor of cyclooxygenase; glibenclamide (10(-5)M), an inhibitor of ATP-sensitive potassium channels; tetraethylammonium (3 x 10(-4)M), inhibitors of calcium-activated potassium channels; 4-aminopyridine (10(-3)M), a voltage-dependent potassium channel blocker.

Effects of intravenous anesthetics on the human radial artery used as a coronary artery bypass graft.

Objective: Intravenous anesthetics are often used for anesthesia, sedation, and analgesia in the intraoperative and postoperative periods of coronary artery bypass graft (CABG) surgery. This study was designed to investigate the direct effects of intravenous anesthetics on the human radial artery (RA).

Design: In vitro, prospective with repeated measures.

Effect of hypothyroidism on the NO/cGMP pathway of corpus cavernosum in rabbits.

Introduction: The incidence of hormonal dysfunction as a cause of impotence remains controversial. However, several recent studies have reported evidence of hormonal abnormalities in 25-35% of impotent men. Hypothyroidism has been reported to occur in 6% of impotent men.

Investigation of the relaxant effects of pinacidil and cromakalim on the sheep sphincter of Oddi.

Background/aims: ATP-sensitive K+ (KATP) channels play an important role in the regulation of smooth muscle membrane potential. This study was designed to investigate the effects of pinacidil and cromakalim, KATP-sensitive channel activators, on sheep sphincters of Oddi (SO).

Methods: SO rings were mounted in a tissue bath and tested for changes in isometric tension in response to pinacidil (10(-9)-10(-4)M) and cromakalim (10(-9)-10(-4)M) in the presence or absence of glibenclamide (10(-6)M), a blocker of KATP channels.

Agmatine facilitates sympathetic neurotransmission in frog myocardium via an action on alfa 2-adrenergic receptors.

Objective: In this study, the effect of agmatine was studied on sympathetic neurotransmission in the frog isolated ventricular strips.

Methods: Ventricular strips were prepared from the heart of the pitched frog. Each strip was mounted vertically in an organ bath.

Aging impairs nitric oxide-mediated relaxant responses of rabbit corporal smooth muscle.

Aging has been reported to cause impotence, the mechanism of which is unknown. Therefore, we investigated the effect of aging on electrical stimulation-induced neurogenic, carbachol-induced, endothelium-dependent, and sodium nitroprusside-induced cGMP-dependent relaxant responses of rabbit corporal smooth muscle. Male New Zealand white rabbits were divided into young (4 months), intermediate (8 months), and old (24 months) groups.