Entwicklung eines Algorithmus zur elektiven OP-Einbestellung in der Klinik für Orthopädie und Rheumatologie

Die Arbeit entwickelt eine bedarfsorientierte langfristige Operationsplanung. Dabei werden die gegebenen Rahmenbedingungen der Klinik für Orthopädie und Rheumatologie in Marburg identifiziert und berücksichtigt. Erklärtes Ziel ist die Reduktion des präoperativen stationären Aufenthaltes und somit eine Verminderung der gesamten Aufenthaltsdauer. Dabei soll die Menge an Operationen pro Jahr indes unverändert bleiben. Mithilfe einer Prozessanalyse werden die gegebenen Arbeitsabläufe untersucht und mit dem eigens entwickelten Dokumentationswerkzeug (MaPDok) erfasst, sowie diskutiert. Die Rahmenbedingungen der Klinik werden als innere und äußere Bedingungen aus Sicht des Patienten identifiziert. Innere Bedingungen sind Wahloptionen für den Patienten, äußere Bedingungen sind Vorgaben, auf die der Patient keinen Einfluss hat. Aus diesen Bedingungen ergeben sich vier Merkmale, die zur Entwicklung eines Algorithmus zur OP-Einbestellung berücksichtigt werden. Es werden verschieden Algorithmen mit unterschiedlichem Komplexitätsgrad entwickelt. Um die Hypothese der Reduktion des präoperativen stationären Aufenthaltes und der gesamten Aufenthaltsdauer zu prüfen, erfolgt ein Vergleich der Algorithmen mit der Ausgangssituation durch stochastische Simulation. Bereits der einfachste Algorithmus kann eine deutliche Reduktion des präoperativen Aufenthaltes und der gesamten Aufenthaltsdauer erreichen. Algorithmen mit einem höheren Grad an Komplexität bringen keine wesentlichen Verbesserungen, sind jedoch in der Anwendung schwieriger. Der favorisierte Algorithmus kann mit oder ohne EDV Unterstützung weitgehend Interventions- und Investitionsneutral umgesetzt werden

Entwicklung eines Algorithmus zur elektiven OP-Einbestellung in der Klinik für Orthopädie und Rheumatologie

Die Arbeit entwickelt eine bedarfsorientierte langfristige Operationsplanung. Dabei werden die gegebenen Rahmenbedingungen der Klinik für Orthopädie und Rheumatologie in Marburg identifiziert und berücksichtigt. Erklärtes Ziel ist die Reduktion des präoperativen stationären Aufenthaltes und somit eine Verminderung der gesamten Aufenthaltsdauer. Dabei soll die Menge an Operationen pro Jahr indes unverändert bleiben. Mithilfe einer Prozessanalyse werden die gegebenen Arbeitsabläufe untersucht und mit dem eigens entwickelten Dokumentationswerkzeug (MaPDok) erfasst, sowie diskutiert. Die Rahmenbedingungen der Klinik werden als innere und äußere Bedingungen aus Sicht des Patienten identifiziert. Innere Bedingungen sind Wahloptionen für den Patienten, äußere Bedingungen sind Vorgaben, auf die der Patient keinen Einfluss hat. Aus diesen Bedingungen ergeben sich vier Merkmale, die zur Entwicklung eines Algorithmus zur OP-Einbestellung berücksichtigt werden. Es werden verschieden Algorithmen mit unterschiedlichem Komplexitätsgrad entwickelt. Um die Hypothese der Reduktion des präoperativen stationären Aufenthaltes und der gesamten Aufenthaltsdauer zu prüfen, erfolgt ein Vergleich der Algorithmen mit der Ausgangssituation durch stochastische Simulation. Bereits der einfachste Algorithmus kann eine deutliche Reduktion des präoperativen Aufenthaltes und der gesamten Aufenthaltsdauer erreichen. Algorithmen mit einem höheren Grad an Komplexität bringen keine wesentlichen Verbesserungen, sind jedoch in der Anwendung schwieriger. Der favorisierte Algorithmus kann mit oder ohne EDV Unterstützung weitgehend Interventions- und Investitionsneutral umgesetzt werden

Adolescents\u27 Behavior in the Presence of Interparental Hostility: Developmental and Emotion Regulatory Influences

Within-family covariation between interparental hostility and adolescent behavior across three interactions over a 2-year period was explored in a sample that included 37 typical adolescents and 35 adolescents recently hospitalized for psychiatric difficulties. More interparental hostility across the three interactions was associated with more adolescent hostility and more positive engagement (at a trend level) regardless of psychiatric background. Parent-to-child hostility in each interaction mediated the link for adolescent hostility but not for positive adolescent engagement. Emotion regulation capacities and age were linked to variability in adolescents\u27 behavior in the presence of interparental conflict. In interactions with more interparental hostility, adolescents with greater capacity to tolerate negative affect were more likely to show increased positive engagement, and adolescents who were better able to modulate their emotional expression were less likely to show increased hostility. Covariation between interparental and adolescent hostility across the three family interactions decreased as the adolescent aged. These findings are consistent with the theory that exposure to inter-parental hostility is emotionally disequilibrating, and that adolescent responses may reflect differences in emotion regulation and other developmentally based capacities. Gender and variations across families in overall levels of hostile parenting were also linked with adolescent behavior in the presence of interparental hostility

Adolescents\u27 Behavior in the Presence of Interparental Hostility: Developmental and Emotion Regulatory Influences

Within-family covariation between interparental hostility and adolescent behavior across three interactions over a 2-year period was explored in a sample that included 37 typical adolescents and 35 adolescents recently hospitalized for psychiatric difficulties. More interparental hostility across the three interactions was associated with more adolescent hostility and more positive engagement (at a trend level) regardless of psychiatric background. Parent-to-child hostility in each interaction mediated the link for adolescent hostility but not for positive adolescent engagement. Emotion regulation capacities and age were linked to variability in adolescents\u27 behavior in the presence of interparental conflict. In interactions with more interparental hostility, adolescents with greater capacity to tolerate negative affect were more likely to show increased positive engagement, and adolescents who were better able to modulate their emotional expression were less likely to show increased hostility. Covariation between interparental and adolescent hostility across the three family interactions decreased as the adolescent aged. These findings are consistent with the theory that exposure to inter-parental hostility is emotionally disequilibrating, and that adolescent responses may reflect differences in emotion regulation and other developmentally based capacities. Gender and variations across families in overall levels of hostile parenting were also linked with adolescent behavior in the presence of interparental hostility

Reading Others’ Emotions: The Role of Intuitive Judgments in Predicting Marital Satisfaction, Quality and Stability

This study examined links between emotion expression in couple interactions and marital quality and stability. Core aspects of emotion expression in marital interactions were identified using naïve observational coding by multiple raters. Judges rated 47 marital discussions using 15 emotion descriptors. Coders’ pooled ratings yielded good reliability on four types of emotion expression: hostility, distress, empathy, and affection. These four types were linked with concurrent marital satisfaction and interviewer ratings of marital adjustment, as well as with marital stability at 5-year follow-up. The study also examined the extent to which naïve judges’ ratings of emotion expression correspond to “expert” ratings using the Specific Affect Coding System (SPAFF). The unique advantages of naïve coding of emotion expression in marital interaction are discussed

Prospective Associations from Family-of-Origin Interactions to Adult Marital Interactions and Relationship Adjustment

To test the social learning-based hypothesis that marital conflict resolution patterns are learned in the family-of-origin, we used longitudinal, observational data to assess prospective associations between family conflict interaction patterns during adolescence and offspring’s later marital conflict interaction patterns. Forty-seven participants completed an observed family conflict resolution task with their parents at age 14. Seventeen years later, they completed an observed marital conflict interaction task with their spouse, as well as a measure of marital adjustment. As predicted, levels of hostility and positive engagement expressed by parents and adolescents during family interactions were prospectively linked with levels of hostility and positive engagement expressed by offspring and their spouses during marital interactions. Family-of-origin hostility was a particularly robust predictor of marital interaction behaviors; it predicted later marital hostility and engagement controlling for psychopathology and positive family-of-origin engagement. For men, family-of-origin hostility also predicted poorer marital adjustment, an effect that was mediated through hostility in marital interactions. These findings suggest a long-lasting influence of family communication patterns, particularly hostility, on offspring’s intimate communication and relationship functioning

Prospective Associations from Family-of-Origin Interactions to Adult Marital Interactions and Relationship Adjustment

To test the social learning-based hypothesis that marital conflict resolution patterns are learned in the family-of-origin, we used longitudinal, observational data to assess prospective associations between family conflict interaction patterns during adolescence and offspring’s later marital conflict interaction patterns. Forty-seven participants completed an observed family conflict resolution task with their parents at age 14. Seventeen years later, they completed an observed marital conflict interaction task with their spouse, as well as a measure of marital adjustment. As predicted, levels of hostility and positive engagement expressed by parents and adolescents during family interactions were prospectively linked with levels of hostility and positive engagement expressed by offspring and their spouses during marital interactions. Family-of-origin hostility was a particularly robust predictor of marital interaction behaviors; it predicted later marital hostility and engagement controlling for psychopathology and positive family-of-origin engagement. For men, family-of-origin hostility also predicted poorer marital adjustment, an effect that was mediated through hostility in marital interactions. These findings suggest a long-lasting influence of family communication patterns, particularly hostility, on offspring’s intimate communication and relationship functioning

Damage to the prefrontal cortex increases utilitarian moral judgements

The psychological and neurobiological processes underlying moral judgement have been the focus of many recent empirical studies1–11. Of central interest is whether emotions play a causal role in moral judgement, and, in parallel, how emotion-related areas of the brain contribute to moral judgement. Here we show that six patients with focal bilateral damage to the ventromedial prefrontal cortex (VMPC), a brain region necessary for the normal generation of emotions and, in particular, social emotions12–14, produce an abnor- mally ‘utilitarian’ pattern of judgements on moral dilemmas that pit compelling considerations of aggregate welfare against highly emotionally aversive behaviours (for example, having to sacrifice one person’s life to save a number of other lives)7,8. In contrast, the VMPC patients’ judgements were normal in other classes of moral dilemmas. These findings indicate that, for a selective set of moral dilemmas, the VMPC is critical for normal judgements of right and wrong. The findings support a necessary role for emotion in the generation of those judgements

Evaluating a Novel Class of Biomaterials: Magnesium-Containing Layered Double Hydroxides

Metallic magnesium and compounds such as magnesium hydroxide Mg(OH)2 have been shown to have osteoconductive properties under experimental conditions and are gaining an increasing interest in the field of degradable biomaterials. The application of the compounds as implant coatings could support implant incorporation, resulting in an increased period of use of the implants. A variety of Mg-containing Layered Double Hydroxides (Mg-LDHs) has been synthesized and examined. These materials have been tested in various in vitro and in vivo studies; the latter took place in different sites like in the middle ear or in the condyle of New Zealand White Rabbits. In the latest study newly formed bone could be found around the Mg-Al-CO3-LDH pellets, making it a promising compound for bone-healing applications.DFG/SFB/59

The Ursinus Weekly, October 10, 1969

Seven join, six leave Ursinus faculty • UC and 500 colleges schedule Vietnam moratorium Wednesday; Classes not officially cancelled • William D. Reimert dies, Ursinus Board President • Dr. E. Lewis\u27 math textbook aids Ursinus blind students • Pre-Med convention • Dean Harris weds Bryn Mawr man • Editorial: A very good year • Focus: Mike Stoner in exile • Compulsory convocation: Its validity and purpose • New view of Ursinus • Dr. Rice endorses Vietnam moratorium • Kitchen cynic: Suppose U.C. had mandatory convocations • Perspectives • To eat or not to eat • Board names new members • Spotlight: Mr. Jones, cook • Centennial plans • Opinion: Suggestions for revision of the school calendar • Weaver raps • Faculty portrait: Mrs. Lucas • Woodstock vs. Ursinus • Essay on the new age • Building plans • Freshman class • Harriers extend streak to 26 • Shuman, Mangan potential greats • Flying Dutchmen edge Bears on late T.D. • Ursinus drops grid opener to Diplomats • Registration system analyzed • Lack of needed funds signals impending collapse of agency • Astronaut Scott Carpenter opens Fall Forum series • Ursinus accounting students rank first twice, and secondhttps://digitalcommons.ursinus.edu/weekly/1149/thumbnail.jp