Schneeberger (Switzerland)

Was ist zu diesem Thema bereits bekannt? Die Berufsgruppe der Pflege unterscheiden sich im internationalen Vergleich hinsichtlich Ausbildung, Arbeitsinhalte und -kompetenzen. Die ICN-Leitlinien beschreiben den aktuellen Bedarf für fachgerechte Pflege und dafür notwendige Konsequenzen für die Praxis und der Aus- und Weiterbildung psychiatrischer Pflege. Wie wird eine neue Perspektive eingebracht? Wir haben Fachpersonen aus Deutschland, Österreich und der Schweiz eingeladen, die potenziellen Auswirkungen der ICN-Leitlinien auf die einzelnen Länder zu bewerten. Was sind die Auswirkungen für die Praxis? Die Ablösung einer primär medizinisch-biologischen Ausrichtung in der psychiatrischen Pflege hin zu einem menschenrechtsbasierten, ganzheitlichen Ansatz stellt in allen drei Ländern eine zentrale Herausforderung dar. Der Entwicklungsstand der akademischen Pflege hinkt im internationalen Vergleich weiterhin hinterher.

Priročnik za izvedbo delavnic kreativnega pisanja za otroke in mladostnike je rezultat štirimesečnega projekta Analiza bralne pismenosti otrok z učnimi težavami in delavnice kreativnega pisanja kot model reševanja bralnih težav. Publikacija je nastala kot izdelek priprav na delavnice kreativnega pisanja, oblikovane v okviru dela na projektu. Namenjena je vsem, ki mladim poskušate približati umetnost besede – pisane, govorjene, zapete ali celo narisane – in jih skozi igro spodbuditi, da kakšno misel namenijo tudi jeziku, torej: učiteljem, pedagoškim delavcem, delavcem v kulturi, staršem.

Die Cidaroiden-Fauna des Callovien war bis anhin nur sehr lückenhaft bekannt. Die wenigen, historischen Funde bestanden aus meistens unvollständigen Primärstacheln. Neue systematische Aufsammlungen in unterschiedlichen Lithologien des Calloviens und des frühen Oxfordiens brachten besser erhaltene Cidaroidenreste an den Tag. Diese können folgenden sieben Gattungen zugeordnet werden: Polycidaris, Paracidaris (Anisocidaris), Romanocidaris, Nudicidaris, Diplocidaris, Rhabdocidaris und Plegiocidaris. Die Gattung Diplocidaris wird erstmals im Callovien des Schweizer Jura nachgewiesen. Von Paracidaris (Anisocidaris) desori (Cotteau, in Cotteau & Triger, 1857) und Diplocidaris cf. mauritanicus Jeannet, 1936 liegen Exemplare mit anhaftenden Primärstacheln vor. Von Romanocidaris radeti Vadet, 1991 wird hier erstmals seit der Erstbeschreibung durch Vadet (1991) vollständigeres Material der Corona abgebildet. Für die Arten Polycidaris spinosa (Agassiz, 1840) und Plegiocidaris monasteriensis (Thurmann, 1851) wird je ein Neotypus bestimmt, da die Holotypen nicht auffindbar sind.

Die Höhe des Verwaltungskostenbeitrages, den Antragsteller für Auskunftsbescheide iSd § 118 BAO zu entrichten haben, richtet sich im Wesentlichen nach der Umsatzhöhe bzw der Konzernverbundenheit des antragstellenden Unternehmens. Bemessungsgrundlagen sind somit Kriterien, die in keiner Relation zur Komplexität der zu beauskunftenden Rechtsfrage und auch nicht zum Interesse des Antragstellers im Einzelfall stehen. Ein Blick über die Grenze nach Deutschland könnte hier Abhilfe schaffen.

V monografiji so zbrane študije, posvečene nekaterim ključnim vidikom raznovr­stnega literarnega ustvarjanja Prima Levija. Pomembnost njegovega dela v med­narodnem okolju in zanimanje, ki ga vzbuja pri bralcih in strokovnjakih za itali­jansko književnost, sta botrovala avtoričini odločitvi, da napiše prvi del knjige v italijanščini. Slovenski prevodi študij v drugem delu pa naj bi zapolnili vsaj nekaj vrzeli v poznavanju Levijevih del v Sloveniji, saj nismo imeli doslej skoraj nobene študije o avtorju v slovenščini.

It is important to analyze the manifestations of the crisis at the regional level, which allows both regional (local) and national authorities to develop effective support tools. From this point of view, it is important to clearly understand which aspects of economic development the crisis has a key impact on, and whether such impact is uniform across different sectors and areas of economic development. Much attention is paid to the problem of assessing the state of the business environment. However, the main disadvantage of most of them is that they are sometimes difficult to conduct in terms of operational analysis and availability of open data. The object of research is the processes of studying the state of the region's economy. The subject of the research is the impact of the COVID-19 pandemic and the current economic crisis on the region's economies. In the process of scientific research, we solved such tasks: identification of key problematic factors in relation to regional economic development, including caused by pandemic and lockdown; reliable, freely available and up-to-date sources of statistical information on regional economic development are identified; a comprehensive method of generalizing the impact of the COVID-19 pandemic and the economic crisis on regional economic development. We proposed to analyze the impact of the COVID-19 pandemic and the current economic crisis on the economic development of the regions of Ukraine on the example of Sumy region. The analysis is based on open data from static authorities, which periodically publish monthly and quarterly information. The study confirmed the serious negative impact of lockdown and pandemic on the economic development of the region in a number of key indicators: the index of industrial production, the volume of industrial products sold, freight turnover and passenger turnover. At the same time, we observe a generally neutral impact of the crisis on such regional indicators of economic development as the volume of commodity export and import transactions and the stability of retail trade.

A definição do espectro obsessivo-compulsivo indica um conjunto de transtornos que se caracterizam por pensamentos obsessivos (obsessões) e por comportamentos repetitivos ou atos mentais (compulsões). O desenvolvimento desses transtornos associa-se a uma base multifatorial que abrange fatores de ordem genética, neurológica, e psicológica. O presente artigo objetiva revisar alguns aspectos que englobam os principais aspectos sintomatológicos dos transtornos que integram o espectro obsessivo-compulsivo e as teorias explicativas que incluem os aspectos de ordem genética, neurológica e psicológica.

Background:Although second opinions are rather restricted to the surgical disciplines,they have become more and more important to the health system in the last 20years. The demand has been triggered by rising health costs and theeconomization of the field. The Internet has also made a considerablecontribution to the demand for patient-initiated second opinions. Giventhese developments, it is surprising that second opinions have not becomemore important in the field of psychiatry. This article highlights thespecial situation of second opinions in psychiatry, discusses possiblebarriers to the adoption of second opinions in psychiatry, and the potentialfor greater use of second opinions in this field.Objective:In psychiatry, second opinions have been neglected by the typical drivers ofinnovations in health care, including insurers and other commercial driversas well as psychiatrists and patients themselves. This review identifiescurrent barriers to widespread adoption of second opinions in psychiatricpractice, discusses the benefits of second opinions that have beendemonstrated in other disciplines, and outlines the potential gains to berealized through use of second opinions in psychiatry.Methods:Literature in the area was reviewed through a search of the main medicaldatabases. This literature review was supported by in-depth interviews withhealth care personnel and insurers.Conclusions:Second opinions are rarely obtained in psychiatry and there is littleliterature on this subject. The stigmatization of psychiatric disorders andpatients and the uniqueness of the patient-doctor relationship inpsychiatry, especially in psychotherapeutic care, may pose considerableobstacles to the use of second opinions in this field. In addition, morestakeholders, such as social workers, government agencies and regulators,health care and disability insurers, and social security agencies, areinvolved in the mental health compared with the somatic health sector, whichmay make it more difficult to achieve a coordinated approach in psychiatriccare. However, we have found no convincingly good reason why second opinionshave not been at least discussed in psychiatry. Psychiatry could benefitfrom ongoing discussions concerning the outcomes of second opinions in othermedical disciplines.

Adolescents undergoing allogeneic hematopoietic stem cell transplantation (HSCT) experience multiple symptoms during and after the transplant. These symptoms can increase the need for medical care and reduce the quality of their life. However, little is known about symptom experiences specific to adolescents undergoing HSCT. The primary aim was to describe symptom incidence, severity, and distress trajectories among adolescents from pre-HSCT through 90 days post-HSCT. A secondary aim was to examine the relationship between symptom trajectories and demographic and treatment factors. A repeated-measures design was used for this prospective study. Demographic and treatment information was collected from the medical record. Symptoms were assessed with the Memorial Symptom Assessment Scale 10-18. Symptom trajectories were identified by latent class growth analysis with growth mixture modeling; logistic regression evaluated relationships of demographic and treatment characteristics on the latent classes of symptom trajectories. Two distinct latent class trajectories were identified for symptom incidence, severity, and distress. Symptom incidence declined, but symptom severity and distress remained stable. No significant relationships were noted among any demographic or treatment characteristics to any of the symptom trajectories. Symptoms persist and remain severe and distressing throughout the first 90 days after HSCT, with pain and lack of energy among the highest in incidence, severity, and distress. Awareness of symptom trajectories empowers nurses to assess for symptoms throughout the HSCT process and conduct meaningful symptom discussions with their patients.

Assessment of weight loss options can help consumers and practitioners determine the best way to manage weight. This quasi-experimental study evaluated outcomes for participants (n = 1592; body mass index: 35.7±7.5 kg/m2) enrolled in the LIFESTEPS Weight Management Program. Body adiposity, self-efficacy, and lifestyle behaviors were assessed at program entry and exit. Body weight, body mass index, waist circumference, and waist-to-height ratio decreased and self-efficacy increased. More participants reported keeping food records, consuming fruits and vegetables, and participating in physical activity at program exit. Programs that emphasize nutrition, physical activity, and behavior therapy, such as LIFESTEPS, are appropriate options for weight loss.