Das Erinnerungs-Puzzle zusammensetzen : Angebote von Pflegefachpersonen zur Erinnerungsklärung bei Patientinnen und Patienten im Zusammenhang mit dem Aufenthalt auf der Intensivstation

Patientinnen und Patienten, welche auf der Intensivstation betreut worden sind, weisen häufig verwirrende Erinnerungen und / oder Erinnerungslücken im Zusammenhang mit dem Aufenthalt auf der Intensivstation auf. Sie haben das dringende Bedürfnis, diese Erinnerungen zu klären. In dieser Bachelorarbeit werden Angebote von Pflegefachpersonen der Intensivstation zur Klärung verschiedener Erinnerungen und / oder Erinnerungslücken der Patientinnen und Patienten im Zusammenhang mit dem Aufenthalt auf der Intensivstation aufgezeigt. Es wurde eine systematisierte Literaturrecherche in den Datenbanken Cinahl, Medline, Psychinfo und Cochrane durchgeführt. Angebote von Pflegefachpersonen für die Patientinnen und Patienten wie das Tagebuch, das Gespräch nach der Verlegung von der Intensivstation auf der Normalstation und die Nachbetreuung nach Spitalaustritt mit einem Besuch der Intensivstation, bieten eine Unterstützung zur Erinnerungsklärung. Mit den einzelnen Angeboten können allerdings nicht alle Erinnerungen geklärt und Erinnerungslücken geschlossen werden. Die verschiedenen Angebote durch die Pflegefachpersonen zur Erinnerungsklärung werden optimalerweise miteinander kombiniert. Die Nachbetreuung der Patientinnen und Patienten nach Aufenthalt auf der Intensivstation wird als ein mögliches Tätigkeitsfeld von Pflegeexpertinnen und Pflegeexperten gesehen. Es braucht kreative Lösungen, um diese in der Praxis mit moderatem Aufwand umzusetzen

"Als Frau auf dem Land habe ich mich noch nie gesehen": zur Wirkung der Kategorie Geschlecht auf die Lebenssituation von Frauen in ländlichen Räumen

"Das Forschungsprojekt 'Perspektiven und Probleme von Frauen in ländlichen Räumen' wurde 2003 bei der Forschungsgesellschaft Agrarpolitik und Agrarsoziologie in Bonn begonnen und wird aktuell am Institut für ländliche Räume der Bundesforschungsanstalt für Landwirtschaft in Braunschweig fortgeführt. Projektende ist Oktober 2005. Der folgende Beitrag behandelt generell die Lebenssituation von Frauen in ländlichen Räumen. Trotz einer angestrebten Vollerhebung der Frauen in der Landwirtschaft zeigte sich für die Untersuchung die Bedeutung der Landwirtschaftlediglich in Einzelfällen - abhängig von der Agrarstruktur in den Untersuchungsregionen. Fragestellung: Ausgehend von ausgewählten Ergebnissen des Forschungsprojekts wird in diesem Beitrag diskutiert, in wie weit eine Konzentration auf die Kategorie Geschlecht für die Untersuchung der Lebenssituation von Frauen in ländlichen Räumen treffend ist." (Textauszug

Genome stability during serial sub-culturing in hyperepidemic multidrug-resistant Klebsiella pneumoniae and Escherichia coli.

BACKGROUND Core-genome single-nucleotide variant (cgSNV) analysis represents a powerful tool for epidemiological investigations of multidrug-resistant (MDR) bacteria. However, cgSNV thresholds to confirm whether isolates are the same clone are not formally defined. METHODS We implemented hybrid whole-genome sequencing to study the genomic changes of 4 MDR isolates belonging to hyperepidemic sequence types (STs) during 20 propagation steps (T20) on MacConkey and CHROMID ESBL plates. The following strains were analyzed: K. pneumoniae AE-2247421 (OXA-48/NDM-1-producing, ST101), K. pneumoniae MCL-2017-2 (CTX-M-15-producing, ST307), E. coli Ec-042 (OXA-181-producing, ST410), and E. coli Ec-050 (NDM-5-producing, ST167). The genome assembly at T5 and T20 was compared to that at time point zero (T0) and to two reference genomes. RESULTS At T20, AE-2247421 lost the IncL blaOXA-48-carrying plasmid when grown on CHROMID ESBL plates, while a large fragment encompassing blaNDM-1 was lost from its IncC plasmid when grown on both plates. In contrast, no structural changes were noted for the other 3 strains. With regard to the cgSNVs, the following results were obtained at T5 and T20 (ranges considering the different agar plates and reference genomes): AE-2247421 (1-8 and 2-12 cgSNVs), MCL-2017-2 (both 1-2 cgSNVs), Ec-042 (both 0 cgSNVs), and Ec-050 (0-6 and 0-9 cgSNVs). CONCLUSIONS We showed that structural changes and accumulation of cgSNVs can occur in few propagation steps under laboratory conditions. These changes might also arise in the clinical context in a short time, especially under antibiotics treatment. This phenomenon should be carefully considered because it might affect the final interpretation of epidemiological genomic analyses

Spinning correlators in large-charge CFTs

We systematically study correlators of a generic conformal field theory with a global symmetry in a sector of large global charge. We focus in particular on three- and four-point correlators with conserved current insertions sandwiched between spinful excited states corresponding to phonons over the large-charge vacuum. We also discuss loop corrections to the scaling dimensions and observe the presence of multiple logarithms in even dimensions

Complete Genome Sequence of Entomomonas sp. Strain E2T0, Isolated from the Darkling Beetle Zophobas morio Larvae.

Here, we present the complete genome sequence of Entomomonas sp. E2T0, a strain isolated from larvae of the darkling beetle Zophobas morio. The isolate was fully resistant to aztreonam and possessed a novel class D β-lactamase gene. The 3,325,929-bp genome consists of a chromosome and a 9,996-bp plasmid

Insufficient access to harm reduction measures in prisons in 5 countries (PRIDE Europe): a shared European public health concern

Background: Prisoners constitute a high-risk population, particularly for infectious diseases. The aim of this study was to estimate the level of infectious risk in the prisons of five different European countries by measuring to what extent the prison system adheres to WHO/UNODC recommendations. Methods: Following the methodology used in a previous French survey, a postal/electronic questionnaire was sent to all prisons in Austria, Belgium, Denmark and Italy to collect data on the availability of several recommended HIV-HCV prevention interventions and HBV vaccination for prisoners. A score was built to compare adherence to WHO/UNODC recommendations (considered a proxy of environmental infectious risk) in those 4 countries. It ranged from 0 (no adherence) to 12 (full adherence). A second score (0 to 9) was built to include data from a previous French survey, thereby creating a 5-country comparison. Results: A majority of prisons answered in Austria (100 %), France (66 %) and Denmark (58 %), half in Belgium (50 %) and few in Italy (17 %), representing 100, 74, 89, 47 and 23 % coverage of the prison populations, respectively. Availability of prevention measures was low, with median adherence scores ranging from 3.5 to 4.5 at the national level. These results were confirmed when using the second score which included France in the inter-country comparison. Overall, the adherence score was inversely associated with prison overpopulation rates (p = 0.08). Conclusions: Using a score of adherence to WHO/UNODC recommendations, the estimated environmental infectious risk remains extremely high in the prisons of the 5 European countries assessed. Public health strategies should be adjusted to comply with the principle of equivalence of care and prevention with the general community

Detection of blaCTX-M and blaDHA genes in stool samples of healthy people: comparison of culture- and shotgun metagenomic-based approaches.

We implemented culture- and shotgun metagenomic sequencing (SMS)-based methods to assess the gut colonization with extended-spectrum cephalosporin-resistant Enterobacterales (ESC-R-Ent) in 42 volunteers. Both methods were performed using native and pre-enriched (broth supplemented with cefuroxime) stools. Native culture screening on CHROMID® ESBL plates resulted in 17 positive samples, whereas the pre-enriched culture (gold-standard) identified 23 carriers. Overall, 26 ESC-R-Ent strains (24 Escherichia coli) were identified: 25 CTX-M and 3 DHA-1 producers (2 co-producing CTX-Ms). Using the SMS on native stool ("native SMS") with thresholds ≥60% for both identity and coverage, only 7 of the 23 pre-enriched culture-positive samples resulted positive for blaCTX-M/blaDHA genes (native SMS reads mapping to blaCTX-M/blaDHAs identified in gold-standard: sensitivity, 59.0%; specificity 100%). Moreover, an average of 31.5 and 24.6 antimicrobial resistance genes (ARGs) were detected in the 23 pre-enriched culture-positive and the 19 negative samples, respectively. When the pre-enriched SMS was implemented, more blaCTX-M/blaDHA genes were detected than in the native assay, including in stools that were pre-enriched culture-negative (pre-enriched SMS reads mapping to blaCTX-M/blaDHAs identified in gold-standard: sensitivity, 78.3%; specificity 75.0%). In addition, the pre-enriched SMS identified on average 38.6 ARGs/sample, whereas for the corresponding native SMS it was 29.4 ARGs/sample. Notably, stools resulting false-negative by using the native SMS had lower concentrations of ESC-R-Ent (average: ~105 vs. ~107 CFU/g) and E. coli classified reads (average: 193,959 vs. 1.45 million) than those of native SMS positive samples. Finally, the detection of blaCTX-M/blaDHA genes was compared with two well-established bioinformatic tools. In conclusion, only the pre-enriched SMS assured detection of most carriers of ESC-R-Ent. However, its performance was not comparable to the pre-enriched culture-based approach

Falls Risk, Circadian Rhythms and Melatonin: Current Perspectives

Aging is associated with weakening of the circadian system. The circadian amplitude of most physiological variables is reduced, while the circadian phase becomes more labile and tends to occur earlier with advancing age. As the incidence of falls in older persons could follow circadian variations, a better understanding of conditions in which falls occur can lead to the implementation of countermeasures (such as adjusting the scheduling of hospital staff, or changing the timing of anti-hypertensive medication if falls are related to undesirable circadian patterns of blood pressure and/or heart rate). This includes knowing the times of the day, days of the week, and times of the year when falls are more likely to occur at home or in the hospital. Additionally, the links between aging processes and factors associated with an increased risk of developing autonomic dysfunction are well established. A strong association between heart rate variability indexes and aging has been shown. Circadian rhythms of autonomous nervous system activity may play important role for maintenance of orthostatic tolerance. Whether one is concerned with disease prediction and prevention or maintenance of healthy aging, the study of circadian rhythms and the broader time structure underlying physiopathology is helpful in terms of screening, early diagnosis and prognosis, as well as the timely institution of prophylactic and/or palliative/ curative treatment. Timing the administration of such treatment as a function of circadian (and other) rhythms also could lead to reduction of falls in older persons. Finally, a prominent circadian rhythm characterizes melatonin, which peaks during the night. The circadian amplitude of melatonin decreases as a function of age, raising the questions whether such a decrease in the circadian amplitude of melatonin relates to a higher risk of falls and, if so, whether melatonin supplementation may be an effective countermeasure. This narrative review assesses the relationships between fall risk and the potential role circadian rhythms and melatonin play in mitigating this risk. We aim to provide healthcare workers adequate information about fall risk in older persons, including the potential role of the circadian rhythms and/or melatonin, as well as to lay foundations for future fall prevention interventional studies.Fil: Goswami, Nandu. University of Graz; AustriaFil: Abulafia, Carolina Andrea. Pontificia Universidad Católica Argentina "Santa María de los Buenos Aires". Instituto de Investigaciones Biomédicas. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Investigaciones Biomédicas; ArgentinaFil: Vigo, Daniel Eduardo. Pontificia Universidad Católica Argentina "Santa María de los Buenos Aires". Instituto de Investigaciones Biomédicas. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Investigaciones Biomédicas; ArgentinaFil: Moser, Maximilian. University of Graz; AustriaFil: Cornelissen, Germaine. University of Minnesota; Estados UnidosFil: Cardinali, Daniel Pedro. Pontificia Universidad Católica Argentina "Santa María de los Buenos Aires". Instituto de Investigaciones Biomédicas. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Investigaciones Biomédicas; Argentin

Positives Feedback erhöht die soziale Akzeptanz unter Kindern

Lehrpersonen beeinflussen mit ihrem Feedbackverhalten, wie die Schülerinnen und Schüler miteinander umgehen. Zwei Studien untersuchten die Situation in der Schweiz