Imitating the Wisdom of the Almighty: Ziegenbalg\u27s Program of Evangelism

By a happy coincidence the quarter-millennium jubilee year of the Tranquebar Mission again brought to light a long forgotten but most valuable source on that great pioneer enterprise of Protestant world missions, permitting a unique inside look into the evangelistic principles and techniques employed by Barrholomaeus Ziegenbalg and his co-workers and thus revealing the very heart and soul of their work. It is a small volume of 352 pages, and its full title may be of interest: Thirty-Four Conferences Between the Danish Missionaries and the Malabarian Bramans (or Heathen Priests) in the East Indies, Concerning the Truth of the Christian Religion: Together with some letters written by the Heathens to the said Missionaries. Translated out of High Dutch by Mr. Philipps. London, 1719

Rationale, design and conduct of a comprehensive evaluation of a primary care based intervention to improve the quality of life of osteoarthritis patients. The PraxArt-project: a cluster randomized controlled trial [ISRCTN87252339] ; study protocol

Background: Osteoarthritis (OA) has a high prevalence in primary care. Conservative, guideline orientated approaches aiming at improving pain treatment and increasing physical activity, have been proven to be effective in several contexts outside the primary care setting, as for instance the Arthritis Self management Programs (ASMPs). But it remains unclear if these comprehensive evidence based approaches can improve patients' quality of life if they are provided in a primary care setting. Methods/Design: PraxArt is a cluster randomised controlled trial with GPs as the unit of randomisation. The aim of the study is to evaluate the impact of a comprehensive evidence based medical education of GPs on individual care and patients' quality of life. 75 GPs were randomised either to intervention group I or II or to a control group. Each GP will include 15 patients suffering from osteoarthritis according to the criteria of ACR. In intervention group I GPs will receive medical education and patient education leaflets including a physical exercise program. In intervention group II the same is provided, but in addition a practice nurse will be trained to monitor via monthly telephone calls adherence to GPs prescriptions and advices and ask about increasing pain and possible side effects of medication. In the control group no intervention will be applied at all. Main outcome measurement for patients' QoL is the GERMAN-AIMS2-SF questionnaire. In addition data about patients' satisfaction (using a modified EUROPEP-tool), medication, health care utilization, comorbidity, physical activity and depression (using PHQ-9) will be retrieved. Measurements (pre data collection) will take place in months I-III, starting in June 2005. Post data collection will be performed after 6 months. Discussion: Despite the high prevalence and increasing incidence, comprehensive and evidence based treatment approaches for OA in a primary care setting are neither established nor evaluated in Germany. If the evaluation of the presented approach reveals a clear benefit it is planned to provide this GP-centred interventions on a much larger scale

E-Learning in family medicine education : faculty support in a community clerkship ; an evaluation

E-Learning soll im Rahmen der allgemeinmedizinischen Ausbildung von Medizinstudierenden erprobt werden. Ein zielgruppenspezifisches, multimodulares Online-Angebot begleitet Medizinstudenten des 10. Semesters während ihres dezentralen Praktikums in hausärztlichen Praxen. Folgende Lehrziele werden angestrebt: (1) Einführung in das E-Learning, (2) Klinische Allgemeinmedizin - Online-Modul, (3) Chronic Care Online-Modul, (4) Online-Bewerbung. Die systematische Evaluation zeigt, dass E-Learning die Kommunikation der Studierenden untereinander und mit der universitären Lehreinheit während des Praktikum fördert. Auf der Grundlage der in diesem Pilotversuch gewonnenen Erfahrungen erscheint die Kombination mit Präsenzunterricht (Blended Learning) eine vielversprechende Option für die allgemeinmedizinische Ausbildung zu sein.E-learning was planned as a test for medical students within their curriculum of family medicine. A multi-modular onlineoffer specific to the target group accompanies the 10th term medical students during their peripheral practical courses in family practices. Teaching objectives are as follows: (1) Introduction into e-learning, (2) clinical general medicine - onlinemodule, (3) chronic care online-module, (4) online-application. The systematic evaluation shows that e-learning promotes the communication of students both among themselves and with the university during their practical courses. On the basis of the experiences from this pilot test the combination with blended learning seems to be a promising option for medical education

ELSID-diabetes study-evaluation of a large scale implementation of disease management programmes for patients with type 2 diabetes. Rationale, design and conduct : a study protocol

Background: Diabetes model projects in different regions of Germany including interventions such as quality circles, patient education and documentation of medical findings have shown improvements of HbA1c levels, blood pressure and occurrence of hypoglycaemia in before-after studies (without control group). In 2002 the German Ministry of Health defined legal regulations for the introduction of nationwide disease management programs (DMP) to improve the quality of care in chronically ill patients. In April 2003 the first DMP for patients with type 2 diabetes was accredited. The evaluation of the DMP is essential and has been made obligatory in Germany by the Fifth Book of Social Code. The aim of the study is to assess the effectiveness of DMP by example of type 2 diabetes in the primary care setting of two German federal states (Rheinland-Pfalz and Sachsen-Anhalt). Methods/Design: The study is three-armed: a prospective cluster-randomized comparison of two interventions (DMP 1 and DMP 2) against routine care without DMP as control group. In the DMP group 1 the patients are treated according to the current situation within the German-Diabetes-DMP. The DMP group 2 represents diabetic care within ideally implemented DMP providing additional interventions (e.g. quality circles, outreach visits). According to a sample size calculation a sample size of 200 GPs (each GP including 20 patients) will be required for the comparison of DMP 1 and DMP 2 considering possible drop-outs. For the comparison with routine care 4000 patients identified by diabetic tracer medication and age (> 50 years) will be analyzed. Discussion: This study will evaluate the effectiveness of the German Diabetes-DMP compared to a Diabetes-DMP providing additional interventions and routine care in the primary care setting of two different German federal states

Redécouverte d’une grotte de Salomon de Caus à Heidelberg ?

Les jardins du château de Heidelberg, le Hortus Palatinus, possèdent une petite salle voûtée très peu connue, la « Brunnenstube », située dans un mur de soutènement des terrasses. Quelques fragments d’une décoration de grotte y sont conservés : ils ont pu être documentés dans les archives afin de déterminer la fonction de cette salle. Ces vestiges, ainsi qu’une statue de Nymphe récemment retrouvée, datent de l’origine du Hortus Palatinus et peuvent donc être attribués à Salomon de Caus, bien que la salle n’apparaisse pas dans sa description du jardin publiée en 1620. Ainsi, l’analyse de ces fragments de la Brunnenstube apporte des observations originales sur la décoration des grottes de Salomon de Caus à Heidelberg. Elle contribue à une approche archéologique dans la connaissance de ce jardin et des techniques hydrauliques. En effet, la question se pose de la fonction originelle de la Brunnenstube comme réservoir du réseau hydraulique de l’ancien Hortus Palatinus.The gardens of Heidelberg Castle, the Hortus Palatinus, contain a small, little-known vaulted hall, the “Brunnenstube”, located in a retaining wall of the terraces. Some fragments of a grotto decoration are preserved there: they have been documented in the archives to determine the function of this room. These remains, as well as a recently found statue of a Nymph, date from the origin of the Hortus Palatinus and can therefore be attributed to Salomon de Caus, although the room does not appear in his description of the garden published in 1620. The analysis of these fragments of the Brunnenstube provides some interesting observations on the decoration of the Salomon de Caus grottos in Heidelberg. It contributes to an archeological approach in the knowledge of the gardens history and its hydraulic techniques. Indeed, the question arises as to the original function of the Brunnenstube as a reservoir for the hydraulic network of the former Hortus Palatinus

EXPLORING THE POTENTIALS OF PATIENT-GENERATED HEALTH DATA FOR THE TREATMENT OF DEPRESSION

Patient-generated health data (PGHD) enables healthcare professionals to get deeper insights into patients with depression, thus offering the opportunity to improve their treatment. However, due to the variety and methods for collecting PGHD, not all types are relevant for healthcare professionals in depression care. To identify relevant types of PGHD for the treatment of depression, we conducted a qualitative focus group study with 13 healthcare professionals and follow-up interviews. The study\u27s key findings include relevant identified PGHD concerning their collection effort. In addition, the results show a clear preference for PGHD that both have strong connections to depressive symptoms and use passive collection methods, such as sleep data and activity levels. With this article, we contribute to the usage of PGHD in clinical settings and thus create a better understanding of relevant types of PGHD for the treatment of depression

Aus Marie Seebach's Leben

AUS MARIE SEEBACH'S LEBEN Aus Marie Seebach's Leben / Gensichen, Otto Franz (Public Domain) ( - ) Title page ( - ) Meteogleiches Aufleuchten ([1]) Herkunft und Erziehung ([12]) Erste Lehrjahre ([23]) Selbstständige Wanderjahre ([28]) Erste Liebe ([35]) Kasseler Sturmjahre ([47]) Erste Ferienreise ([59]) Gretchen ([68]) Beginnende Meisterjahre ([78]) Hamburgs Liebling ([90]) Der Stern des Nordens ([99]) Am Wiener Burgtheater ([112]) Verstimmungen ([122]) Wandersehnsucht ([133]) Freie Bahnen ([142]) Weimarer Erinnerungen ([155]) An Fürstenhöfen ([167]) Bräutliches Glück ([180]) Eheglück ([189]) Mutterglück ([197]) Scheidung ([208]) Vereinsamt ([217]) Stella ([229]) Wandernsmüde ([239]) Zum Frieden! ([247]) ColorChart ( -

E-Learning: Aktueller Stand und Chancen in der Allgemeinmedizin Frankfurt a.M. 08. - 09. Juli 2005 : vom Kongress zum Netzwerk "ELA" (E-Learning in der Allgemeinmedizin)

Kongressbericht: Auf der Tagung der Deutschen Gesellschaft für Allgemeinmedizin und Familienmedizin e.V. (DEGAM) 2004 entstand die Idee, E-Learning-Aktivitäten in der Allgemeinmedizin sichtbar zu machen und zu bündeln. Ein Kongress sollte die allgemeinmedizinischen Vertreter aus Lehre und Forschung sowie Industrievertreter zusammenbringen, um das Spektrum der Möglichkeiten und laufende Projekte kennen zu lernen. Mit motivierten Referenten, über 60 aktiven Teilnehmern und einem positiven Feedback, kann der Kongress in Frankfurt am 8. und 9. Juli 2005 als erster dieser Art in Deutschland als erfolgreich bezeichnet werden