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Institute
In near- surface geophysics, ground-based mapping surveys are routinely used in a variety of applications including those from archaeology, civil engineering, hydrology, and soil science. The resulting geophysical anomaly maps of, for example, magnetic or electrical parameters are usually interpreted to laterally delineate subsurface structures such as those related to the remains of past human activities, subsurface utilities and other installations, hydrological properties, or different soil types. To ease the interpretation of such data sets, we have developed a multiscale processing, analysis, and visualization strategy. Our approach relies on a discrete redundant wavelet transform (RWT) implemented using cubic-spline filters and the a trous algorithm, which allows to efficiently compute a multiscale decomposition of 2D data using a series of 1D convolutions. The basic idea of the approach is presented using a synthetic test image, whereas our archaeogeophysical case study from northeast Germany demonstrates its potential to analyze and process rather typical geophysical anomaly maps including magnetic and topographic data. Our vertical-gradient magnetic data show amplitude variations over several orders of magnitude, complex anomaly patterns at various spatial scales, and typical noise patterns, whereas our topographic data show a distinct hill structure superimposed by a microtopographic stripe pattern and random noise. Our results demonstrate that the RWT approach is capable to successfully separate these components and that selected wavelet planes can be scaled and combined so that the reconstructed images allow for a detailed, multiscale structural interpretation also using integrated visualizations of magnetic and topographic data. Because our analysis approach is straightforward to implement without laborious parameter testing and tuning, computationally efficient, and easily adaptable to other geophysical data sets, we believe that it can help to rapidly analyze and interpret different geophysical mapping data collected to address a variety of near-surface applications from engineering practice and research.
Background
Postoperative delirium is a common disorder in older adults that is associated with higher morbidity and mortality, prolonged cognitive impairment, development of dementia, higher institutionalization rates, and rising healthcare costs. The probability of delirium after surgery increases with patients’ age, with pre-existing cognitive impairment, and with comorbidities, and its diagnosis and treatment is dependent on the knowledge of diagnostic criteria, risk factors, and treatment options of the medical staff. In this study, we will investigate whether a cross-sectoral and multimodal intervention for preventing delirium can reduce the prevalence of delirium and postoperative cognitive decline (POCD) in patients older than 70 years undergoing elective surgery. Additionally, we will analyze whether the intervention is cost-effective.
Methods
The study will be conducted at five medical centers (with two or three surgical departments each) in the southwest of Germany. The study employs a stepped-wedge design with cluster randomization of the medical centers. Measurements are performed at six consecutive points: preadmission, preoperative, and postoperative with daily delirium screening up to day 7 and POCD evaluations at 2, 6, and 12 months after surgery. Recruitment goals are to enroll 1500 patients older than 70 years undergoing elective operative procedures (cardiac, thoracic, vascular, proximal big joints and spine, genitourinary, gastrointestinal, and general elective surgery procedures.
Discussion
Results of the trial should form the basis of future standards for preventing delirium and POCD in surgical wards. Key aims are the improvement of patient safety and quality of life, as well as the reduction of the long-term risk of conversion to dementia. Furthermore, from an economic perspective, we expect benefits and decreased costs for hospitals, patients, and healthcare insurances.
Trial registration
German Clinical Trials Register, DRKS00013311. Registered on 10 November 2017.
Background
Postoperative delirium is a common disorder in older adults that is associated with higher morbidity and mortality, prolonged cognitive impairment, development of dementia, higher institutionalization rates, and rising healthcare costs. The probability of delirium after surgery increases with patients’ age, with pre-existing cognitive impairment, and with comorbidities, and its diagnosis and treatment is dependent on the knowledge of diagnostic criteria, risk factors, and treatment options of the medical staff. In this study, we will investigate whether a cross-sectoral and multimodal intervention for preventing delirium can reduce the prevalence of delirium and postoperative cognitive decline (POCD) in patients older than 70 years undergoing elective surgery. Additionally, we will analyze whether the intervention is cost-effective.
Methods
The study will be conducted at five medical centers (with two or three surgical departments each) in the southwest of Germany. The study employs a stepped-wedge design with cluster randomization of the medical centers. Measurements are performed at six consecutive points: preadmission, preoperative, and postoperative with daily delirium screening up to day 7 and POCD evaluations at 2, 6, and 12 months after surgery. Recruitment goals are to enroll 1500 patients older than 70 years undergoing elective operative procedures (cardiac, thoracic, vascular, proximal big joints and spine, genitourinary, gastrointestinal, and general elective surgery procedures.
Discussion
Results of the trial should form the basis of future standards for preventing delirium and POCD in surgical wards. Key aims are the improvement of patient safety and quality of life, as well as the reduction of the long-term risk of conversion to dementia. Furthermore, from an economic perspective, we expect benefits and decreased costs for hospitals, patients, and healthcare insurances.
Trial registration
German Clinical Trials Register, DRKS00013311. Registered on 10 November 2017.
Hier geblieben?
(2022)
Die historische Forschung hat seit längerem herausgearbeitet, dass Migration nichts von einer Norm Abweichendes ist, sondern vielmehr ein »konstitutives Element der Menschheitsgeschichte« (J. Oltmer), der Mensch mithin stets ein »homo migrans« (K.-J. Bade) war. Auch die Geschichte Brandenburgs wurde seit jeher von Einwanderungsprozessen geprägt. Von »Toleranz« im modernen Sinne kann freilich keine Rede sein, sondern meistens ging es um ökonomisch nutzbringende Aufnahme bestimmter Gruppen. Sehr oft waren die Ansiedlungen aber auch das Ergebnis von Flucht, Vertreibung und kriegerischer Gewalt. Der vorliegende Band zeigt anhand von Beispielen vom frühen Mittelalter bis zur Gegenwart die Bedeutung der Zuwanderung für Brandenburg auf. Der Bogen reicht von der slawischen Einwanderung des 8./9. Jahrhunderts bis zur Ankunft russisch-jüdischer »Kontingentflüchtlinge« im Gefolge der deutschen Wiedervereinigung, von Niederländern, Juden, Hugenotten, Revolutionsflüchtlingen in der Frühen Neuzeit bis hin zu Muslimen, Zwangsarbeitern, Vertriebenen und DDR-»Fremdarbeitern« im 20. Jahrhundert – eine Geschichte der Vielfalt des brandenburgischen Raumes und seiner Bevölkerung im Spiegel der Zuwanderung.