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The Maternity Protection Act is intended to protect the mother and the child from hazards, excessive demands and damage to health in the workplace, and from financial disadvantages and loss of employment. However, the objectives defined by the Maternity Protection Act—the safety and health of the pregnant employee on the one hand and the prevention of disadvantages in working life on the other—are not yet adequately achieved in the intensive care unit (ICU). Implementation of the Maternity Protection Act to the benefit of all involved parties should also be promoted in the specialist areas represented by the DIVI, in particular the work of pregnant physicians and nursing staff and other working specialists (respiratory therapists, physiotherapists, speech therapists, psychotherapists, and social workers) in the ICU. The aim of this paper is to raise awareness of the need to consider each pregnant and breastfeeding staff member individually and to work together to find a personal solution for continuing to work in the ICU. Possible ways and solutions to achieve this goal are outlined and practical examples are given for implementation in everyday clinical routine. These are also based on comprehensive presentation of activities according to a traffic light color-code system for all occupational groups. Arguments against pregnant employees working in the ICU are discussed and possible solutions are presented [ABSTRACT FROM AUTHOR]

Scholars usually understand Κύρια Δόξα (ΚΔ) 33 as an antiplatonic polemic. This paper denies the communis opinio. First, it argues for an ontological reading of the maxim according to which justice (understood as virtue) is not a body but a property. Second, it shows that the Stoics hold the very thesis disputed in ΚΔ 33, namely that virtue is a body. This makes the Stoa the natural target of the maxim. Finally, the paper deals with De rerum natura I.464-482: here Lucretius criticizes nameless opponents with regard to the thesis that events are to be understood as bodies. If these opponents can be identified with the Stoics, as is usually assumed, there is further evidence besides ΚΔ 33 that the Epicureans engaged with the Stoic thesis of corporealism. [ABSTRACT FROM AUTHOR]

Freud claimed that objects are means of satisfying drives (Freud, 1916), a view that was strengthened by object-relation theories, which claims that drives are primarily object-seeking (Fairbairn, 1946). In a recently published paper, I have suggested modifying this assumption. I argue that while drives are consciously directed at objects, they are unconsciously directed solely at characteristics (Saad, 2022). In this paper, I examine the distinction between directing drives at characteristics and directing drives at objects. I then use this distinction to make a distinction between transference relations and real relations. Finally, I show that the characteristic/object distinction might reveal intrapsychic conflicts in which the subject is consciously attracted to an object and unconsciously repulsed by its characteristics (or vice versa), and I examine how these conflicts can be analyzed within the psychoanalytic situation. [ABSTRACT FROM AUTHOR]

The goal of this paper is to present a Christian mission of hunger and poverty alleviation through a life in communion with the trinity and in the context of the Ga celebration of homowo in Ghana. It is in the hope of the renewal of all things at the end of the world. It is to appreciate the essence of homowo in order to appropriate it for a Christian mission. The paper seeks to achieve this goal of mission by connecting the hunger and poverty alleviation and life-giving essence as well as the sense of unity embedded in the homowo feast to the mission of the triune God in the cosmos and with the "give us this day our daily bread" statement of Jesus Christ. Although the Kpelelogical method seems to be easily understood because it is mutually critical and connects seamlessly with the praxis of Christianity among Ga Christians, it has previously not been adopted as a theological method, as it is in this article. It is the paradoxical Ga Christian articulation of the Christian faith whereby the Christian faith is enlightened by the Kpele homowo and yet transforms the Kpele homowo after rejecting it. At the end of the engagement, Jesus in the homowo celebration is seen as the Okpelejen Wulormor Homoyiwolor ker Naanowalahalor (the cosmic priest, king, prophet who jeers at hunger, and giver of eternal life). [ABSTRACT FROM AUTHOR]

Background: Various professional groups are involved in the daily work of the central operating room with the aim of providing the best possible treatment for each individual using modern medical technology (sociotechnical system) in a cost-effective manner. Ensuring perioperative patient safety is of particular importance. At the same time, the efficient use of the central operating room is essential for the economic success of a hospital. Preoperative preparation is a complex process with many substeps that are often difficult to manage. Historically, the focus has been on retrospective learning from errors and incidents. More recent approaches take a systemic view. A central idea is to consider the mostly positive course of treatment and the adjustments to daily work that are currently required by the people involved (Safety-II). By taking greater account of how the many components of the system interact, processes can be better understood and specific measures derived. This strengthens the system's ability to adapt to changes and disturbances, thus ensuring that goals are achieved. The functional resonance analysis method (FRAM) is an internationally recognized method for modelling work as done compared to work as imagined. This paper presents the application of FRAM to preoperative preparation in a major regional hospital. Objective: Is FRAM suitable for improving process understanding in preoperative preparation? Material and methods: An interdisciplinary project team identified relevant functions of preoperative preparation through document analysis and walkthroughs. Based on this, more than 30 guided interviews were conducted with functionaries. The results were presented graphically and specific information, such as safety-related statements or reasons for the variability of functions, were also presented textually. In the next phase, statements were evaluated and compared with the target model and the job descriptions. Results: The FRAM revealed the process as a complex network of relationships. During the modelling process, a varying degree of centrality and variability of certain functions became apparent. From the observations, the project team selected those with high relevance for patient safety and for the efficiency of the overall process in order to prioritize starting points for deriving measures to increase resilience. These starting points relate either to single functions, such as surgical site marking or to multiple functions that are variable in their execution, such as delays due to nonsynchronized duty times. Conclusion: The FRAM conducted provides valuable new insights into the functioning of complex sociotechnical systems that go far beyond classical linear methods. The awareness of operational processes gained and the resulting dynamic view of interactions within the system enable specific measures to be derived that promote resilient behavior and reduce critical variability, thus contributing to increased patient safety and efficiency. [ABSTRACT FROM AUTHOR]

Disposal has always been a source of conflict in academic and scientific libraries. Amid the increasing relevance of electronic resources, the disposal of e-books is becoming pertinent as well. Weighing up the pros and cons, every academic library should consider carefully whether it sides with the "Das frisst kein Brot/It doesn't consume space" team or the "Need to weed" team. The paper makes a proposal where to start the negotiation process. [ABSTRACT FROM AUTHOR]

Summary The significant cultural achievement of the development of the cultivation of Coca (Erythroxylum coca) by the indigenous South Americans was never adequately recognised by the European Conquerors. The aim of this paper is to demonstrate its importance for Western science by summarising its perception during the colonial period and the 19th century and reviewing the isolation of cocaine, its use as local anaesthetic, determination of its chemical structure and synthesis of substitutes as milestones of Western chemistry, pharmacy and medicine. Finally, it summarises the culturally impact of cocaine on the Western culture during the 20th century and the economic impact of coca production in South America. [ABSTRACT FROM AUTHOR]

According to a traditional interpretation of Kierkegaard, he endorses a strong form of direct doxastic voluntarism on which we can, by brute force of will, make a “leap of faith” to believe propositions that we ourselves take to be improbable and absurd. Yet most leading Kierkegaard scholars now wholly reject this reading, instead interpreting Kierkegaard as holding that the will can affect what we believe only indirectly. This paper argues that Kierkegaard does in fact endorse a restricted, sophisticated, and plausible version of direct doxastic voluntarism. On Kierkegaard's view, when we take ourselves to be in an epistemically permissive situation, we have the ability to form outright beliefs (but not credences) at will in virtue of our ability to voluntarily 1) open or close inquiry and 2) determine our attitude towards epistemic risk. [ABSTRACT FROM AUTHOR]

This is a reply to George Pattison's magistral triology on a "Philosophy of Christian Life" – focusing on its second part: "A Rhetorics of the Words" (2019). The paper offers an analysis of the main concept, namely the 'call' or the 'vocation'. This leads to three basic questions concerning the lack of vocation's communal character in Pattison's account; his one-sided inclination to pessimism in his cultural critique; and, the only marginal role that other articulations than the call might play within a "devout life" and its ambivalent authority. [ABSTRACT FROM AUTHOR]

Background and objective: The Working Group on Ethics in Anesthesia and Intensive Care Medicine of the Austrian Society for Anesthesiology Resuscitation and Intensive Care Medicine (ÖGARI) already developed documentation tools for the adaption of therapeutic goals 10 years ago. Since then the practical implementation of Comfort Terminal Care in the daily routine in particular has raised numerous questions, which are discussed in this follow-up paper and answered in an evidence-based manner whenever possible. Results: The practical implementation of pain therapy and reduction of anxiety, stress and respiratory distress that are indicated in the context of Comfort Terminal Care are described in more detail. The measures that are not (or no longer) indicated, such as oxygen administration and ventilation as well as the administration of fluids and nutrition, are also commented on. Furthermore, recommendations are given regarding monitoring, (laboratory) findings and drug treatment and the importance of nursing actions in the context of Comfort Terminal Care is mentioned. Finally, the support for the next of kin and the procedure in the time after death are presented. Discussion: A change in treatment goals with a timely switch to Comfort Terminal Care enables good and humane care for seriously ill patients and their relatives at the end of life and the appreciation of their previous life with the possibility of positive experiences until the end. [ABSTRACT FROM AUTHOR]

In this paper from 1980, the author addresses the concept of regression from a primarily ego-psychological and interactional perspective. Thus, Freud's aspect of topical regression moves into the center of consideration. Regression appears here as a revival of outdated functional levels and forms of organization of mental experience and behavior. For Loewald, this was not just about retrograde development but also about a reorganization of the psychological material and the connection between different levels of mental organization. In this process the bilateral regression of the patient and the therapist has a restitutive function. This represents opportunities for the individual, for the therapeutic relationship and for society. [ABSTRACT FROM AUTHOR]

Background and objective of the study: Hospitals, especially surgical departments, are among the largest producers of waste in Germany. Data on waste management in the operating room (OR) are largely lacking. The aim of this study was to assess and discuss the possibilities of reducing waste and recovering recyclable materials in general surgery against the background of current practice. Methodology: Surgical departments throughout Germany were surveyed on waste management. First, the theoretical waste separation possibilities for laparoscopic appendectomy were determined. Subsequently, a simple system for the separation of recyclables was established and practically tested in 35 operations. These were compared with 35 appendectomies without separation. Results: Only 25.7% of hospitals perform waste separation. Theoretically, 20.7% of waste can be recycled, in practice up to 18.9%. Paper, cardboard and plastics, especially polyethylene terephthalate (PET) and high-density polyethylene (HDPE) were separated. This leads to a significant reduction in residual waste without extending the operation time. Discussion: Separation of recyclables can contribute to more sustainable waste management in the OR. High-value recyclables can be recycled and the residual waste mass can be significantly reduced. This is possible without special effort and does not delay the processes in the OR. The opportunities for this have hardly been used in Germany to date. [ABSTRACT FROM AUTHOR]

»Style of life« (Adler) and the individual positioning in group analysis This paper is about the application of Adler's concept of »style of life« in group analysis. Adler's »style of life« is collected during the initial individual assessment. When the group conductor listens to the adult recalling the first five memories of life, the conductor is listening to the unconscious material, to get a glimpse of the child's internal world and reactions to the external world. The life-style script can be used as a tool post-group to understand pivotal moment in the group from an individual perspective. During the group session itself, the group conductor needs a different focus: a group-related thinking. This is because in group analysis, especially according to S. H. Foulkes, the focus is on what is happening in the group as a whole. The group conductor must always ask herself the question: Which unconscious fantasy is currently being enacted and negotiated in the group? Which group member or which subgroup gets which function or role (localization)? Who can recognize themselves in whom in the group right now (mirroring) and when does healing and calming take place (resonance)? Special moments between members with a witnessing by the whole group. Resonances which greatly intensify the affects in the group, the group acts as a sounding body, thus making group analytic psychotherapy so effective. The combination of Foulkes' (group action) and Adler's (individual movement) approach can be applied across other disciplines in non-clinical groups because both the concept formation and the language are non-pathologizing. Non-pathologizing language seems to me to be so valuable as it gives me as a therapist a new lens to understand and hear the life realities of group members especially those from marginalized groups in Society. This has been an important piece of learning for me as I acknowledge my own privileged position in Society. [ABSTRACT FROM AUTHOR]

»You're not really dead, are you?« The move from pretending to play, to pretend play. The development of symbolic capacity in a child that suffered early deprivation and traumatisation This article deals with the consequences of early childhood traumatisation on the development of a boy, the development of his symbolic capacity in the course of child psychotherapy in the ambulant clinic »die Boje« in Vienna, and the challenges facing the therapeutic technique with this deprived and traumatised child. In the first part of the paper, I address theoretical concepts concerning the early mother-child dyad, early traumatisation, and the effects of these on the development of symbolic functioning. I then link these theories with the clinical case material. In the second part, the theoretical considerations of Anne Alvarez, who in her work with disturbed children distinguishes between three levels of psychological states which need differing technical approaches, are examined in terms of their relevance to my clinical material: the three-phase treatment of the boy. [ABSTRACT FROM AUTHOR]

Big data and artificial intelligence are buzzwords that everyone is talking about and yet always provide a touch of science fiction to the scenery. What is the status of these topics in anesthesia? Are the first robots already rolling through the corridors while doctors are getting bored as all the work has been done? Spoiler alert! We are still far away from achieving this. Initially, paper charts and analogue notes stand in the way of comprehensive digitization. Source systems need to be merged and data standardized, harmonized and validated. Therefore, the friendly android that is rolling towards us, waving and holding a freshly brewed cup of coffee in our thoughts will have to wait; however, a glimpse of the future is already evident in some clinics and the first promising developments are already showing what could be the standard tomorrow. Learning algorithms calculate the length of stay individually for each patient in the intensive care unit (ICU), reducing negative consequences such as readmission and mortality. The field of ultrasound technology for regional anesthesia and closed-loop anesthesia systems is also demonstrating the benefits of artificial intelligence (AI)-assisted technologies in practice. The efforts are diverse and ambitious but they repeatedly collide with privacy challenges and significant capital expenditure, which weigh heavily on an already financially strained healthcare system; however, anyone who listens carefully to the medical staff knows that robots are not what they would expect and the buzzwords big data and artificial intelligence might be less science fiction than initially assumed. [ABSTRACT FROM AUTHOR]

Background: The level of perceived control in people with Parkinson's disease plays a significant role in affecting their quality of life. Simpson et al. developed a scale of perceived control specific to Parkinson's disease called the Parkinson's UK Scale of Perceived Control (PUKSoPC). In this work, we present a cross-culturally adapted German translation of the original English version. Methods: After receiving approval by the original authors, an internationally established procedure was used for cross-cultural adaptation. Firstly, the original English version was translated into German independently by two bilingual neuroscientists, who then agreed on a consensus version. This was tested on 10 people with Parkinson's disease and independently back translated into English by two different neuroscientists. After forming a consensus version, this English version was compared with the original version by all four translators. Differences between the versions resulted in modifications to the German translation so that the back translation matched the original as closely as possible. The final version was approved by two of the original authors and clinically tested on 50 people with Parkinson's disease. Results: During the translation process, the four translators agreed on a culturally adapted German version of the PUKSoPC. Testing of the final version on 50 people with Parkinson's disease did not reveal any linguistic or content-related problems. Conclusion: The linguistically validated German version of the PUKSoPC presented in this paper is now freely available for measuring the levels of perceived control in people with Parkinson's disease to advance both research and clinical practice. [ABSTRACT FROM AUTHOR]

Dual subtitles show the spoken words of the audio track simultaneously in the original and as a translation when viewing audiovisual media. Since DVD players and TV sets usually do not have a function that allows dual subtitles to be switched on, the paper first describes how this can nonetheless be done by using a computer and special software. Then 36 empirical studies are reviewed that have investigated the effects of dual subtitles. The article comes to the conclusion that they are only of limited use for the classroom but have great value for self-directed learning outside the classroom. [ABSTRACT FROM AUTHOR]

This paper argues that the distinction between the dynamic and the descriptive unconscious is in danger of being lost and indicates some of the practical, clinical consequences of this loss. It does so against the background of Freud’s own struggles with his radical conception of the dynamic unconscious as ultimately unknown, as they appear in the revisions of The Interpretation of Dreams, invoking Laplanche’s recognition of Freud’s Copernican Revolution and the temptation he felt to make a Ptolemaic Return. It also comments on confusion about whether feelings can be said to be unconscious and the implications of this confusion for clinical practice, especially for our understanding of the concepts of transference and countertransference. An extended analysis of a dream is presented to show the dynamic unconscious in action. [ABSTRACT FROM AUTHOR]

The urgency of the energy transition is in conflict with delaying effects and options that are not optimally used in the complex, multi-stage German planning system. This also applies to the law and procedures of spatial planning, as well as the interaction of spatial planning with construction planning and sectoral law. Here, fundamental reform options have not yet been exhausted, despite many current legislative projects. Some procedural steps and options for legislative deviations can be eliminated altogether, the interaction of planning and decision-making levels can be made more effective, and subject-related certain hierarchical levels in the planning system could be omitted on a topic-specific basis. Based on a brief analysis of the initial situation for spatial planning, this paper first provides corresponding general considerations on such far-reaching acceleration options and their consequences. This is followed by the presentation of numerous specific spatial planning-related optimisation options. [ABSTRACT FROM AUTHOR]

Since the beginning of this decade, society has been confronted with multiple crises that also act as new drivers of spatial development. Based on a literature review and qualitative interviews with housing market actors, this paper presents an interim balance of the lasting influence of the Covid-19 pandemic on housing preferences and location decisions as well as initial empirical knowledge and theses on the effects of the 2022 energy crisis on these decisions. It emerges that the energy crisis already has a greater impact on spatial development today and will probably have a greater impact in the medium and long term than the pandemic. Housing preferences that arose during the pandemic have already shifted again or can no longer be implemented at present. At the same time, the influences of the pandemic can no longer be considered in isolation from the energy crisis. While the pandemic will further intensify spatial deconcentration processes, the effects of the energy crisis are spatially more differentiated. Moreover, in a time of multiple crises, future spatial development will not be shaped by individual crises, but by their interaction - also with long-standing trends such as the ageing of society. [ABSTRACT FROM AUTHOR]

During the horrors of the Second World War, Henri de Lubac and Simone Weil both discovered the potential of tropological self-techniques and applied biblical resources to shed light on the crises and catastrophes of their time to develop possible ways out. There is an original understanding of revelation at the heart of tropological hermeneutics. According to this understanding, the object of interpretation regarding divine revelation is the lived now and it applies Scripture as its interpretative tool. The paper outlines the individual perspectives of Henri de Lubac and Simone Weil by suggesting a concept how this understanding of revelation can be described within the historical horizon of the Second World War. [ABSTRACT FROM AUTHOR]

This paper examines the approaches of Heidegger and Peter Knauer SJ in order to make sense of the Christian notion of an "incarnation of the word". By drawing upon the parallels between Heidegger's famous "Being" and Knauer's understanding of "createdness", an argument is made for the insurmountability of the horizon within which revelation can possibly occur. Further parts are dedicated to the crucial role of "Dasein" and its ability to reveal divine truth by virtue of human speech. Against the background of the strict correlation of God, word and faith, considerations on the mutual conditionality of a ** try to outline a trinitarian understanding of revelation. [ABSTRACT FROM AUTHOR]

The paper responds to the exegetical view that the argumentation of Gal 3.10 employs a suppressed praemissa minor (ʻthe Torah cannot be fully observed') and argues against the thesis of P. C. Moore, according to which the words taken up in 2.16c from Ps 143(142).2 do in fact provide exactly this premise. Not least the sequence of the particles γάρ, (ὅτι) δέ, ὅτι and δέ in Gal 3.10b, 11a, 11b, 12a draws attention to a more probable scenario: Paul argues in 3.10–12 by means of two syllogisms, and he uses premises secured by biblical formulations (from Deut 27.26; Hab 2.4; Lev 18.5). [ABSTRACT FROM AUTHOR]

Background: The coronavirus disease 2019 (COVID-19) pandemic represented a serious challenge for healthcare systems worldwide. Special psychiatric patients represent a vulnerable group and are particularly affected by lockdown interventions. Knowledge on the possible effects for this group of patients in an emergency physician setting is low. Objective: The aim of this paper is to investigate the impact of the first lockdown during the COVID-19 pandemic in 2020 on emergency ambulance services for psychiatric patients in a large German city. Material and methods: A retrospective analysis was conducted on all prehospital psychiatric emergencies in a large German city during the first pandemic-related lockdown from 22 March 2020 to 4 May 2020, with the same period in 2019 serving as a reference. Results: During the first lockdown there was a significant increase in the number of emergency missions with respect to psychiatric cases. A substantial rise in substance-associated deployments was observed. Moreover, there was an increase in the proportion of psychiatric patients who did not meet emergency criteria. Suicidal tendencies and agitation status played a minor role during the lockdown. Conclusion: The lockdown had a notable impact on the frequency and profile of emergency physician calls in the metropolitan area studied. The substantial increase in substance-associated callouts can be interpreted as both a deterioration in access to the healthcare system and an expression of the increased stress faced by the general population and vulnerable groups in particular. [ABSTRACT FROM AUTHOR]