Simon, Alfred

[["dc.bibliographiccitation.firstpage","A212"],["dc.bibliographiccitation.issue","5"],["dc.bibliographiccitation.journal","Deutsches Ärzteblatt"],["dc.bibliographiccitation.lastpage","A216"],["dc.bibliographiccitation.volume","108"],["dc.contributor.author","Lipp, Volker"],["dc.contributor.author","Simon, Alfred"],["dc.date.accessioned","2019-07-10T08:13:56Z"],["dc.date.available","2019-07-10T08:13:56Z"],["dc.date.issued","2011"],["dc.description.abstract","Im Zusammenhang mit dem Berufsrecht geht es beim ärztlich assistierten Suizid weniger um grundsätzliche moralische als vielmehr um praktische Probleme."],["dc.identifier.fs","576009"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/8347"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/61384"],["dc.language.iso","de"],["dc.notes.intern","Merged from goescholar"],["dc.relation.issn","0012-1207"],["dc.relation.orgunit","Universitätsmedizin Göttingen"],["dc.rights","Goescholar"],["dc.rights.uri","https://goescholar.uni-goettingen.de/licenses"],["dc.subject.ddc","610"],["dc.title","Beihilfe zum Suizid : keine ärztliche Aufgabe"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","105"],["dc.bibliographiccitation.issue","22"],["dc.bibliographiccitation.journal","Diametros"],["dc.bibliographiccitation.lastpage","115"],["dc.contributor.author","Simon, Alfred"],["dc.date.accessioned","2019-07-10T08:13:28Z"],["dc.date.available","2019-07-10T08:13:28Z"],["dc.date.issued","2009"],["dc.description.abstract","Due to the increasing significance of clinical ethics consultation the question arises concerning the quality of these services. The author develops criteria for the quality of structure, process, and outcomes of ethics consultation on the basis of his own experiences in ethics consultation and of the US-American debate."],["dc.identifier.fs","562389"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/5963"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/61252"],["dc.language.iso","en"],["dc.notes.intern","Merged from goescholar"],["dc.relation.issn","1733-5566"],["dc.relation.orgunit","Universitätsmedizin Göttingen"],["dc.rights","Goescholar"],["dc.rights.uri","https://goescholar.uni-goettingen.de/licenses"],["dc.subject.ddc","610"],["dc.title","Quality standards for clinical ethics consultation"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.artnumber","A31"],["dc.bibliographiccitation.journal","Astronomy and Astrophysics"],["dc.bibliographiccitation.volume","580"],["dc.contributor.author","Hatzes, Artie"],["dc.contributor.author","Cochran, William D."],["dc.contributor.author","Endl, Michael"],["dc.contributor.author","Guenther, E. W."],["dc.contributor.author","MacQueen, P. J."],["dc.contributor.author","Hartmann, M."],["dc.contributor.author","Zechmeister, Mathias"],["dc.contributor.author","Han, Inwoo"],["dc.contributor.author","Lee, B.-C."],["dc.contributor.author","Walker, G. A. H."],["dc.contributor.author","Yang, S."],["dc.contributor.author","Larson, A. M."],["dc.contributor.author","Kim, K.-M."],["dc.contributor.author","Mkrtichian, D. E."],["dc.contributor.author","Doellinger, M."],["dc.contributor.author","Simon, Alfred"],["dc.contributor.author","Girardi, L."],["dc.date.accessioned","2018-11-07T09:53:39Z"],["dc.date.available","2018-11-07T09:53:39Z"],["dc.date.issued","2015"],["dc.description.abstract","Aims. We investigate the nature of the long-period radial velocity variations in a Tau first reported over 20 yr ago. Methods. We analyzed precise stellar radial velocity measurements for a Tau spanning over 30 yr. An examination of the Ha and Ca II lambda 8662 spectral lines, and HIPPARCOS photometry was also done to help discern the nature of the long-period radial velocity variations. Results. Our radial velocity data show that the long-period, low amplitude radial velocity variations are long-lived and coherent. Furthermore, Ha equivalent width measurements and HIPPARCOS photometry show no significant variations with this period. Another investigation of this star established that there was no variability in the spectral line shapes with the radial velocity period. An orbital solution results in a period of P = 628.96 +/- 0.90 d, eccentricity, e = 0.10 +/- 0.05, and a radial velocity amplitude, K = 142.1 +/- 7.2 m s(-1) Evolutionary tracks yield a stellar mass of 1.13 +/- 0.11 M-circle dot, which corresponds to a minimum companion mass of 6.47 +/- 0.53 M-Jup with an orbital semi-major axis of a = 1.46 +/- 0.27 AU. After removing the orbital motion of the companion, an additional period of approximate to 520 d is found in the radial velocity data, but only in some time spans. A similar period is found in the variations in the equivalent width of H alpha and Ca II. Variations at one-third of this period are also found in the spectral line bisector measurements. The similar to 520 d period is interpreted as the rotation modulation by stellar surface structure. Its presence, however, may not be long-lived, and it only appears in epochs of the radial velocity data separated by similar to 10 yr. This might be due to an activity cycle. Conclusions. The data presented here provide further evidence of a planetary companion to a Tau, as well as activity-related radial velocity variations."],["dc.identifier.doi","10.1051/0004-6361/201425519"],["dc.identifier.isi","000360020200031"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/12449"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/36371"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Edp Sciences S A"],["dc.relation.issn","1432-0746"],["dc.relation.orgunit","Fakultät für Physik"],["dc.title","Long-lived, long-period radial velocity variations in Aldebaran: A planetary companion and stellar activity"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.artnumber","188"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","BMC Neurology"],["dc.bibliographiccitation.volume","22"],["dc.contributor.author","Salzmann, Laura"],["dc.contributor.author","Alt-Epping, Bernd"],["dc.contributor.author","Simon, Alfred"],["dc.date.accessioned","2022-06-01T09:39:41Z"],["dc.date.accessioned","2022-08-18T12:35:32Z"],["dc.date.available","2022-06-01T09:39:41Z"],["dc.date.available","2022-08-18T12:35:32Z"],["dc.date.issued","2022-05-23"],["dc.date.updated","2022-07-29T12:07:19Z"],["dc.identifier.citation","BMC Neurology. 2022 May 23;22(1):188"],["dc.identifier.doi","10.1186/s12883-022-02718-x"],["dc.identifier.pii","2718"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/108537"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/112941"],["dc.language.iso","en"],["dc.notes.intern","DOI-Import GROB-572"],["dc.publisher","BioMed Central"],["dc.relation.eissn","1471-2377"],["dc.relation.iserratumof","/handle/2/108536"],["dc.rights.holder","The Author(s)"],["dc.rights.uri","https://creativecommons.org/licenses/by/4.0"],["dc.title","Correction: Palliative sedation in amyotrophic lateral sclerosis: results of a nationwide survey among neurologists and palliative care practitioners in Germany"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","erratum_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","217"],["dc.bibliographiccitation.issue","3"],["dc.bibliographiccitation.journal","Ethik in der Medizin"],["dc.bibliographiccitation.lastpage","28"],["dc.bibliographiccitation.volume","16"],["dc.contributor.author","Simon, Alfred"],["dc.date.accessioned","2019-07-10T08:13:35Z"],["dc.date.available","2019-07-10T08:13:35Z"],["dc.date.issued","2004"],["dc.description.abstract","Der Beitrag untersucht mögliche Kriterien für die normative Bewertung der künstlichen Ernährung bei nichteinwilligungsfähigen Patienten. Der in der aktuellen Diskussion immer wieder unternommene Versuch, den verpflichtenden Charakter bestimmter Formen der Ernährung aufgrund ihrer Zuordnung zu den Kategorien Basisbetreuung oder Remedia ordinaria zu begründen, erweist sich als naturalistischer Fehlschluss. Die Rechtfertigung der künstlichen Nahrungs- und Flüssigkeitszufuhr setzt vielmehr—wie die jeder anderen medizinischen Maßnahme—voraus, dass ihre Durchführung medizinisch begründet und vom Patienten gewollt ist. Dies trifft grundsätzlich auch auf den nicht mehr einwilligungsfähigen Patienten zu; bei diesem kommt es auf den früher erklärten oder mutmaßlichen Willen an."],["dc.identifier.fs","17621"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/6373"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/61281"],["dc.language.iso","de"],["dc.notes.intern","Merged from goescholar"],["dc.relation.issn","0935-7335"],["dc.relation.orgunit","Universitätsmedizin Göttingen"],["dc.rights","Goescholar"],["dc.rights.uri","https://goescholar.uni-goettingen.de/licenses"],["dc.subject.ddc","610"],["dc.title","Ethische Aspekte der künstlichen Ernährung bei nichteinwilligungsfähigen Patienten"],["dc.title.translated","Ethical aspects of artificial feeding in incompetent patients"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","908"],["dc.bibliographiccitation.issue","7"],["dc.bibliographiccitation.journal","Palliative Medicine"],["dc.bibliographiccitation.lastpage","916"],["dc.bibliographiccitation.volume","26"],["dc.contributor.author","Taghavi, Mahmoud"],["dc.contributor.author","Simon, Alfred"],["dc.contributor.author","Kappus, Stefan"],["dc.contributor.author","Meyer, Nicole"],["dc.contributor.author","Lassen, Christoph L."],["dc.contributor.author","Klier, Tobias"],["dc.contributor.author","Ruppert, David B."],["dc.contributor.author","Graf, Bernhard Martin"],["dc.contributor.author","Hanekop, Gerd-Gunnar"],["dc.contributor.author","Wiese, Christoph Hermann"],["dc.date.accessioned","2018-11-07T09:05:18Z"],["dc.date.available","2018-11-07T09:05:18Z"],["dc.date.issued","2012"],["dc.description.abstract","Background: Advance directives and palliative crisis cards are means by which palliative care patients can exert their autonomy in end-of-life decisions. Aim: To examine paramedics' attitudes towards advance directives and end-of-life care. Design: Questionnaire-based investigation using a self-administered survey instrument. Setting/participants: Paramedics of two cities (Hamburg and Goettingen, Germany) were included. Participants were questioned as to (1) their attitudes about advance directives, (2) their clinical experiences in connection with end-of-life situations (e. g. resuscitation), (3) their suggestions in regard to advance directives, 'Do not attempt resuscitation' orders and palliative crisis cards. Results: Questionnaires were returned by 728 paramedics (response rate: 81%). The majority of paramedics (71%) had dealt with advance directives and end-of-life decisions in emergency situations. Most participants (84%) found that cardiopulmonary resuscitation in end-of-life patients is not useful and 75% stated that they would withhold cardiopulmonary resuscitation in the case of legal possibility. Participants also mentioned that more extensive discussion of legal aspects concerning advance directives should be included in paramedic training curricula. They suggested that palliative crisis cards should be integrated into end-of-life care. Conclusions: Decision making in prehospital end-of-life care is a challenge for all paramedics. The present investigation demonstrates that a dialogue bridging emergency medical and palliative care issues is necessary. The paramedics indicated that improved guidelines on end-of-life decisions and the termination of cardiopulmonary resuscitation in palliative care patients may be essential. Participants do not feel adequately trained in end-of-life care and the content of advance directives. Other recent studies have also demonstrated that there is a need for training curricula in end-of-life care for paramedics."],["dc.identifier.doi","10.1177/0269216311419885"],["dc.identifier.isi","000309141000006"],["dc.identifier.pmid","21865293"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/25287"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Sage Publications Ltd"],["dc.relation.issn","0269-2163"],["dc.rights","Goescholar"],["dc.rights.uri","https://goescholar.uni-goettingen.de/licenses"],["dc.title","Paramedics experiences and expectations concerning advance directives: A prospective, questionnaire-based, bi-centre study"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","BMC Palliative Care"],["dc.bibliographiccitation.volume","6"],["dc.contributor.author","Simon, Alfred"],["dc.contributor.author","Kar, Magdalene"],["dc.contributor.author","Hinz, José"],["dc.contributor.author","Beck, Dietmar"],["dc.date.accessioned","2021-06-01T10:47:59Z"],["dc.date.available","2021-06-01T10:47:59Z"],["dc.date.issued","2007"],["dc.identifier.doi","10.1186/1472-684X-6-4"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?goescholar/1269"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/85790"],["dc.language.iso","en"],["dc.notes.intern","DOI-Import GROB-425"],["dc.notes.intern","Merged from goescholar"],["dc.relation.eissn","1472-684X"],["dc.rights","Goescholar"],["dc.rights.uri","https://goescholar.uni-goettingen.de/licenses"],["dc.title","Attitudes towards terminal sedation: an empirical survey among experts in the field of medical ethics"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.artnumber","216"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","BMC Neurology"],["dc.bibliographiccitation.volume","21"],["dc.contributor.author","Ilse, Benjamin"],["dc.contributor.author","Alt-Epping, Bernd"],["dc.contributor.author","Günther, Albrecht"],["dc.contributor.author","Liman, Jan"],["dc.contributor.author","Simon, Alfred"],["dc.date.accessioned","2021-11-25T11:00:22Z"],["dc.date.available","2021-11-25T11:00:22Z"],["dc.date.issued","2021-06-04"],["dc.date.updated","2021-11-19T12:47:30Z"],["dc.description.abstract","Abstract Background The concept of clinical ethics consultation (CECs) was implemented to provide support in ethical controversies in clinical settings and are offered in at least every second hospital in Germany. Neurological disorders often require complex decision-making. The aims of this study were to determine which situations lead to CEC in neurology and to investigate the influence of the individual patient’s wishes on the recommendation. Methods Standardised CEC protocols in the years 2011 to 2017 at the University Hospitals of Goettingen and Jena were retrospectively surveyed. The contents were categorised along existing protocol templates of CEC scenarios and subsequently paraphrased and reduced to significant meanings. Results 27 CEC scenarios which were facilitated by various professional disciplines were reviewed. Stroke was the most frequent underlying condition. Nearly all patients were not able to consent. Mostly, the relatives acted as representatives or health advocates. In 67 % of cases, a sense of conflict triggered a CEC; in 33 % a sense of uncertainty was the reason for the CEC request. In 21 CEC scenarios, a recommendation was reached in consensus with all parties involved. In 59 % of cases, a decision was made to continue medical therapy. In seven cases, the patient’s wishes led to a limitation of therapy, while in just two cases this decision was made primarily relying on the patient’s best interest. In only 13 % of cases, a valid advance directive led to respective therapeutic consequences. Conclusions CEC is feasible for consensus-finding not only in conflicts, but also in situations of therapeutic uncertainty in neurology. There is a special importance of the patient’s wishes in decision-making in neurology. However, only in a few cases were advance directives precise and specific enough to have sufficient and decisive weight in therapeutic decision-making."],["dc.description.sponsorship","Open-Access-Publikationsfonds 2021"],["dc.identifier.citation","BMC Neurology. 2021 Jun 04;21(1):216"],["dc.identifier.doi","10.1186/s12883-021-02244-2"],["dc.identifier.pii","2244"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/93520"],["dc.language.iso","en"],["dc.notes.intern","DOI Import DOI-Import GROB-441"],["dc.publisher","BioMed Central"],["dc.relation.eissn","1471-2377"],["dc.rights","CC BY 4.0"],["dc.rights.holder","The Author(s)"],["dc.subject","Clinical decision-making"],["dc.subject","Clinical ethics consultation (CEC)"],["dc.subject","Neurology"],["dc.subject","Individual patient will"],["dc.title","Clinical Ethics Consultation in Neurology – a case series"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","67"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","Medicine, Health Care and Philosophy"],["dc.bibliographiccitation.lastpage","69"],["dc.bibliographiccitation.volume","6"],["dc.contributor.author","Fangerau, Heiner"],["dc.contributor.author","Wiesemann, Claudia"],["dc.contributor.author","Simon, A."],["dc.date.accessioned","2017-10-16T10:54:30Z"],["dc.date.available","2017-10-16T10:54:30Z"],["dc.date.issued","2003"],["dc.description.abstract","The efforts of the European Commission to create a “European Research Area” in the field of biotechnology are accompanied by a growing demand for an ethical discourse. Cultural differences between the European Union's member states create a vital need to improve bioethical information structures in Europe so as to foster European bioethics discourses and to cope with ethical pluralism. Responding to the need for an increased European contribution to the international discussion on ethics in medicine and biotechnology, some of Europe's leading bioethics institutions have joined forces to establish the international network “EURETHNET”. 18 partners from nine European countries agreed to develop an information network and knowledge base in the field of ethics in medicine and biotechnology. This short communication displays the aims, scope and realisation of the network."],["dc.format.mimetype","application/pdf"],["dc.identifier.doi","10.1023/a:1022564332516"],["dc.identifier.fs","14718"],["dc.identifier.gro","3146759"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?goescholar/4138"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/9435"],["dc.language.iso","en"],["dc.notes.intern","Migrated from goescholar"],["dc.notes.status","final"],["dc.relation.issn","1386-7423"],["dc.rights","Goescholar"],["dc.rights.access","openAccess"],["dc.rights.uri","https://goescholar.uni-goettingen.de/licenses"],["dc.subject","bioethics; biotechnology; cultural diversity; database; ethics; Europe; European union; internet; literature; medicine"],["dc.subject.ddc","610"],["dc.title","Improving information systems in Europe: EURETHNET"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","no"],["dc.type.version","submitted_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.artnumber","161"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","BMC Neurology"],["dc.bibliographiccitation.volume","22"],["dc.contributor.author","Salzmann, Laura"],["dc.contributor.author","Alt-Epping, Bernd"],["dc.contributor.author","Simon, Alfred"],["dc.date.accessioned","2022-06-01T09:39:41Z"],["dc.date.available","2022-06-01T09:39:41Z"],["dc.date.issued","2022"],["dc.date.updated","2022-07-29T12:07:18Z"],["dc.description.abstract","Background Palliative sedation has become widely accepted as a method to alleviate refractory symptoms in terminally ill patients. Controversies regarding this topic especially concern the use of palliative sedation for psychological symptoms, the use in patients who are not imminently dying and the simultaneous withdrawal of life-sustaining measures. Amyotrophic lateral sclerosis (ALS) is characterized by symptoms including muscle weakness, dysphagia, dysarthria, muscle spasms and progressive respiratory insufficiency. Due to these characteristic symptoms, palliative sedation might be considered to be necessary to alleviate refractory suffering in ALS patients. However, palliative sedation in ALS is only rarely discussed in current medical literature and guidelines. Methods A questionnaire survey was conducted among neurologists and palliative care practitioners in Germany. The participants were asked to evaluate the use of palliative sedation in different situations. Results Two hundred and ninety-six completed questionnaires were analyzed. The results suggest high levels of support for the use of palliative sedation in ALS patients. 42% of the participants stated that they had already used palliative sedation in the treatment of ALS patients. Acceptance of palliative sedation was higher in case of physical symptoms than in case of psychological symptoms. Refusal of artificial nutrition did not lead to a lower acceptance of palliative sedation. Doctors with specialist training in palliative care had already used palliative sedation in ALS patients more often and they were more likely to accept palliative sedation in different situations than the participants without a background in palliative care. Conclusion Our survey showed that palliative sedation in ALS is widely accepted by the attending doctors. In case of psychological symptoms, palliative sedation is looked at with more concern than in case of physical symptoms. The refusal of artificial nutrition does not result in a decreased acceptance of palliative sedation. Doctors with specialist training in palliative care are more likely to approve of palliative sedation in ALS."],["dc.description.sponsorship","Open-Access-Publikationsfonds 2022"],["dc.identifier.citation","BMC Neurology. 2022 Apr 30;22(1):161"],["dc.identifier.doi","10.1186/s12883-022-02681-7"],["dc.identifier.pii","2681"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/108536"],["dc.language.iso","en"],["dc.notes.intern","DOI-Import GROB-572"],["dc.relation.eissn","1471-2377"],["dc.rights","CC BY 4.0"],["dc.rights.holder","The Author(s)"],["dc.rights.uri","https://creativecommons.org/licenses/by/4.0"],["dc.subject","Palliative sedation"],["dc.subject","Amyotrophic lateral sclerosis (ALS)"],["dc.subject","Palliative care"],["dc.title","Palliative sedation in amyotrophic lateral sclerosis: results of a nationwide survey among neurologists and palliative care practitioners in Germany"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]