ESF. Eureka Software Factory. Teilprojekt: HADES Abschlussbericht

Available from TIB Hannover: F96B699+a / FIZ - Fachinformationszzentrum Karlsruhe / TIB - Technische InformationsbibliothekSIGLEBundesministerium fuer Forschung und Technologie (BMFT), Bonn (Germany)DEGerman

Projekt ESF (Eureka Software Factory) Schlussbericht

During the treatment of the project ESF some methods for the object oriented system design were further developed and corresponding tools were implemented. The research work of our team as a subcontractor of Systemhaus CAP debis in Aachen were concentrated on the high-level design of hardware. As a result of it were created some theoretical foundations of the high-level design of hardware. A hardware design system named HADES was developed and implemented as a component of the CAD system ProMod"+. Theorectical and practical results for the administration of CAD objects, for acquiring and storing of design experience also for typification of elements of construction accompanied the main research work. Results mentioned above were achieved with the support of the program components object management system FRAMES, archive system ARCHIVE and a tool for the administration of type hierachies TYPEEDITOR. The design of HADES was made in conformance with an object oriented design method which was developed in our project team during a couple of years. The capacity and practical capability of this method was proved on the design process. The scientific-technical results of the project ESF are directly applied and further developed in the research and education at the institute of computer science at the University of Potsdam. (orig.)SIGLEAvailable from TIB Hannover: D.Dt.F.QN1(20,25) / FIZ - Fachinformationszzentrum Karlsruhe / TIB - Technische InformationsbibliothekBundesministerium fuer Forschung und Technologie (BMFT), Bonn (Germany)DEGerman

Patients' Trust in Physician, Patient Enablement, and Health-Related Quality of Life During Colon Cancer Treatment

In cancer care, where patients and their families experience significant emotional distress and patients have to deal with complex medical information, patient centeredness is an important aspect of quality of care. The aim of this study is to examine the impact of patients' trust in their oncologists and patients' enablement on changes in health-related quality of life of colon cancer patients during follow-up care. We conducted a prospective study in a representative sample of private practices of German oncologists (N = 44). Patients (N = 131) filled out a standardized questionnaire prior to their first consultation (T0), directly after the first consultation (T1) and after two months (T2). Data were analyzed by structural equation modeling. Significant associations were found between trust in physician and changes in physical functioning between T1 and T2, and between trust in physician and patient enablement. Patient enablement is significantly associated with changes in physical functioning between T1 and T2. The results underline the importance of building a close and trustful patient-physician relationship in the oncology encounter. A central mechanism of the association between the quality of the relationship and health outcomes seems to be patient enablement. To enable patients to cope with their situation by making them understand their diagnosis, treatments, and side effects can impact health-related quality of life in physical domains