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As online shopping continues to grow in popularity, shoes are increasingly being purchased without being physically tried on. This has resulted in a significant surge in returns, causing both financial and environmental consequences. To tackle this issue, several systems are available to measure foot dimensions accurately either in-store or at home. By obtaining precise foot measurements, individuals can determine their ideal shoe size and prevent unnecessary returns. In order to make such a system as simple as possible for the user, only a single image should be sufficient to measure the foot. To make this possible, point clouds from one side of the foot, which are generated by taking a depth image, are to be used. Since these point clouds represent only one side of the foot, the other side has to be generated. For this purpose, different existing state of the art networks were tested and compared to determine which architecture is best suited for this task. After implementing, re-training on our own dataset and testing the different architectures, it can be concluded that the point/transormer-based network SnowflakeNet is the most efficient to be used for our task. [ABSTRACT FROM AUTHOR]

Due to the increasing trend of online shopping, shoes are more and more often bought without being tried on. This leads to a strong increase in returns, which results in a high financial as well as ecological burden. To prevent this, feet can be measured either in the store or at home by various systems to determine the exact dimensions of the foot and derive an optimal shoe size. In this paper, we want to present an overview of the methods currently available on the market for the measurement of feet. The most important commercial systems are classified according to the underlying basic technology. Subsequently, the most promising methods were implemented and tested. The results of the different methods were finally compared to find out the strengths and weaknesses of each technology. After determining the measurement accuracy of the length and width for each measurement method and also comparing the general shape of the 3D reconstruction with the GT, it can be said that the measurement using a ToF sensor is currently the most robust, the easiest and, among other methods, the most accurate method. [ABSTRACT FROM AUTHOR]

Home treatment (HT) has been proposed as an alternative to inpatient treatment for individuals in acute mental crises. However, there is limited evidence concerning the effectiveness of HT to date. The aim of this study was to investigate which patients benefit most from HT. The concept and utilization of two HT services in Switzerland were retrospectively compared based on routine medical data of all patients who were treated in one of the two HT services between July 2016 and December 2017. We examined which patient characteristics were related to successful replacement of hospital care by HT based on a calculated success score using binary regression analyses. The whole sample included 408 individuals with an average age of 43 years and of whom 68% were female. As a result of conceptual similarities, in both HT settings, the typical patient was middle-aged, female and having an affective disorder as the main diagnosis. Half of the treatment cases met the criteria of successful replacement of hospital care (> 50% of the total treatment episodes in HT, treatment duration < 40 days and treatment terminated by mutual agreement). The results of the regression analyses indicated that patients with a lower symptom severity at admission (lower HoNOS score) and those who were employed had more likely a successful replacement of hospital care.The findings suggest that patients with acute mental disorders who have a certain level of functioning and social support might benefit most from HT in the sense of successful replacement of hospital care. [ABSTRACT FROM AUTHOR]

Background: Most individuals with severe mental illness (SMI) strongly prefer independent living over living in an institution. Independent Supported Housing (ISH) provides housing rehabilitation for persons with SMI in their accommodations. However, most individuals who need housing rehabilitation live in institutional housing settings (housing rehabilitation as usual: HAU). We investigated which housing rehabilitation setting is effective on which variable in the long term to support service users to form an informed preference for either housing rehabilitation setting. Methods: We conducted a two-year longitudinal observational non-inferiority study to test the effectiveness of ISH in improving participants' social inclusion, quality of life, emotional social support, capabilities, symptom severity, functioning, service utilisation and costs. Participants were assessed at baseline and after six, twelve, and 24 months. Mixed effects models were computed to test between-group and within-group effects. Results: The study included 83 participants in ISH (n = 31) and HAU (n = 52) housing rehabilitation settings with a mean age of 36.2 years. Most participants were male (64%) and had a primary psychotic or schizophrenic (35%) or an affective diagnosis (24%). During the study, ISH participants significantly improved their quality of life (β = 0.54; 95% CI: 0.26 to 0.82), symptoms (β = -0.32; 95% CI: -0.60 to -0.03), and capabilities (β = 4.46; 95% CI: 0.14 to 8.77) and decreased psychiatric hospitalisations (p = 0.04). HAU participants improved their quality of life (β = 0.40; 95% CI: 0.12 to 0.69). Housing and rehabilitation support costs were almost half with ISH than with HAU. Conclusion: ISH has been shown to be much less expensive than HAU and was associated with several improvements like reduced psychiatric hospitalisations and improved quality of life. Therefore, our findings strongly argue for a preference-driven provision of housing rehabilitation services and to end the institutionalisation of persons with SMI. Trial registration: The study was registered on December 04, 2018, at ClinicalTrials.gov (NCT03815604). [ABSTRACT FROM AUTHOR]

Measures of human physical capacity are required in ergonomic work design. To avoid biomechanical low-back overload, criteria are needed to differentiate load and overload. With respect to the evaluation of manual materials handling and similar physical exposures regarding potential overload, the compression component of the forces transferred via lumbar discs or vertebrae are compared with the ultimate compressive strength of lumbarspine segments in a common biomechanical approach. As mechanical load-bearing capacity cannot be quantified directly in vivo, forces are applied to dissected spinal elements up to failure, which is interpreted as a measure of ultimate strength or tolerance to compression. Corresponding autopsy-material measurements were collected from literature and examined regarding several conditions: At the very minimum, a specimen consists of a complete vertebra or a disc including the adjacent endplates; failure is identified definitely as lumbar; compressiveforce application is quasi-static; results are given as single values etc. This study continues previous collations, the latest is dated on 2001 including 25 usable out of 47 investigations totally. Currently, 66 newly discovered seemingly appropriate studies were collected via a systematic literature search, 11 of them were added for subsequent analysis. Nearly 4,000 values were compiled, 1,192 remained for analysis. Human lumbar ultimate compressive strength varies between 0.6 and 15.6 kN, mean and standard deviation are 4.84 ± 2.50 kN. For data originating from donors of specified gender and aged 20 years or more, the distributions are characterised by 6.09 ± 2.69 kN for male adults (n=305) and 3.95 ± 1.79 kN for female adults (n=205). According to a linear regression model for donors aged 20 years or more, strength significantly decreases with age: 10.43 kN minus 0.923 kN per 10 years of age for males and 7.65 kN minus 0.685 kN per decade for females. Based on these gendered age relations, the "Revised Dortmund Recommendations" were derived ranging between 5.4 kN for males aged 20 years and 2.2 kN for males of 60 years or more. The corresponding recommended limits for females amount to 4.1 and 1.8 kN, respectively. A specific safety margin was implemented for young adults up to 25 years of age as skeletal strength may not be fully developed. Due to the compression-related and biomechanical nature of this approach, other influences like shear or torsion as well as psychological or psychosocial risk factors remain unconsidered despite their undoubted importance for initiating complaints, disorders and diseases at the low-back region. [ABSTRACT FROM AUTHOR]

We investigate a new phenomenon, where a reciprocal fiber ring laser switches from bidirectional to unidirectional operation above a certain pump power threshold. Significant simplifications regarding earlier experiments are presented, which for the first time allow the identification of individual nonlinear effects. We highlight the unique role of stimulated Raman scattering in triggering unidirectional operation, and that additional conditions apply. The threshold is reduced from 30 to 3.8 W, which eases potential applications. [ABSTRACT FROM AUTHOR]

The therapeutic relationship is not only the basis for the mediation of any medical intervention, but even one of the most effective factors for successful treatment. Informal coercion of varying intensity is often applied within the therapeutic relationship with the intention to improve compliance and patient's health. Since this probably oftentimes happens rather uncritically within clinical routine practice, there is the risk of discontinuation of treatment as an unwanted side effect of the therapeutic relationship. Therefore, it is inherently important that doctors and other medical staff be aware of their own attitudes and always interact in a reflected and appropriate way. An examination of one's own values as well as conceptual issues on the therapeutic relationship can support this challenge. [ABSTRACT FROM AUTHOR]

Methylated dendritic polyglycerol (dPG(OMe)) is proposed as an antifouling coating for the application with silicon on insulator (SOI) bio sensors. Sensors were coated with dPG(OMe). Fibrinogen was used to test the antifouling properties. Using SOI ring resonator sensors for the measurement, a reduction of 87% in the binding of fibrinogen to the silicon surface was shown experimentally. [ABSTRACT FROM AUTHOR]

Subject: This study aims at investigating the formal and content-related quality of medical certificates directing compulsory hospital admissions before the scheduled alteration of the Swiss civil legislation in January 2013. A comparison between physicians with different professional backgrounds concerning certificates and patients was conducted. Methods: Retrospective investigation of medical records of involuntary inpatients at the University Hospital of Psychiatry in Zurich during a period of six months (N=489). Results: Considerable deficits concerning formal and particularly contentrelated aspects of the certificates were found. Psychiatrists issued certificates of the highest quality followed by emergency physicians, hospital doctors and general practitioners. Patients differed with respect to several sociodemographic and clinical variables. Conclusions: The quality of certificates directing involuntary hospital admission has to be improved considering the impact on the individual concerned. The consequences of the new legislation on the quality of the admission practices should be inquired in order to improve professional training on the issue. [ABSTRACT FROM AUTHOR]

Manual patient handling commonly induces high mechanical load on the lower back of healthcare workers. A long-term research project, the ‘Third Dortmund Lumbar Load Study' (DOLLY 3), was conducted to investigate the lumbar load of caregivers during handling activities that are considered ‘definitely endangering’ in the context of worker’s compensation procedures. Nine types of handling activities in or at a bed or chair were analysed. Measurement of action forces via specifically developed devices and posture recording by means of optoelectronic marker capturing and video recordings in order to quantify several lumbar-load indicators was previously described in detail. This paper provides the results of laboratory examinations and subsequent biomechanical model calculations focused on lumbar load and the potentials of load reduction by applying biomechanically ‘optimized’ transfer modes instead of a ‘conventional’ technique and, for a subgroup of tasks, the supplementary usage of small aids such as a sliding mat or a glide board. Lumbosacral-disc compressive force may vary considerably with respect to the performed task, the mode of execution, and individual performance. For any activity type, highest values were found for conventional performance, lower ones for the improved transfer mode, and the lowest compressive-force values were gathered when small aids were applied. Statistical significance was verified for 13 of these 17 comparisons. Analysing indicators for asymmetric loading shows that lateral-bending and torsional moments of force at the lumbosacral disc may reach high values, which can be reduced considerably by implementing an improved handling mode. When evaluating biomechanical loads with respect to age- and gender-specific work-design limits, none of the analysed tasks, despite execution mode, resulted in an acceptable load range. Therefore, applying a biomechanically adequate handling mode combined with small aids to lower the friction between patient and surfaces is highly recommended, especially to prevent overload in older caregivers. [ABSTRACT FROM PUBLISHER]

Despite widespread support for Independent Supported Housing (ISH) interventions, psychiatric housing rehabilitation still commonly takes place in residential care facilities (RCFs). This study compares preferences, attitudes and working conditions of mental healthcare professionals (MHCPs) in ISH and RCFs using an online survey. The survey included setting preferences, stress and strain at work, recovery attitudes, stigmatisation, and factors experienced as particularly important or obstructive in housing rehabilitation. Data were analysed using quantitative and qualitative approaches. Of the 112 participating MHCPs, 37% worked in ISH and 63% in RCFs. Professionals' education, work-related demands and influence at work were higher in ISH, stigmatising attitudes were higher in RCFs. MHCPs in both settings endorsed ISH. The support process was seen as particularly important whereas stigmatisation, regulatory and political requirements were seen as obstructive for successful housing rehabilitation. Results indicate that social inclusion of individuals with severe mental illness is seldom feasible without professional support. [ABSTRACT FROM AUTHOR]

Background. Coercive measures (such as seclusion, mechanical restraint, and forced medication) during psychiatric inpatient treatment should be avoided whenever possible. Different interventions were already developed to reduce coercion, but for their effective application, it is crucial to know the risk factors of individuals and clinical situations that might be associated with coercion. Since the results of previous studies differ considerably the current study aims to fill this gap by evaluating the course of the exertion of coercion in detail. Methods. In this study, we analyzed clinical, procedural, and sociodemographic data from patients (n = 16,607 cases) who were treated as inpatients in Switzerland’s largest psychiatric institution with 320 beds during the years 2017 to 2020. We used regression models to identify predictors for the exertion of coercion, the number of coercive measures during a treatment episode and time until exertion of the first and last coercive measure. Results. Coercive measures are mostly used during the first days of treatment. We identified clinical parameters such as manic or psychotic episodes to be the most relevant predictors for the exertion of coercion. Cases with those disorders also received coercion more often and earlier in their treatment course than other diagnostic groups. Other promoting factors for frequency and early application of coercion were involuntary admission and factors of chronicity and clinical severity. Conclusions. Knowing the risk factors may help to target preventive strategies for those at highest risk. In particular, interventions should focus on the critical timeframe at the beginning of treatment. [ABSTRACT FROM AUTHOR]

A novel integrated sensor for the simultaneous measurement of layer refractive index and thickness based on evanescent fields is proposed. The theoretical limits for the accuracy of the sensor were examined for the example of a TiO 2 layer. The influence of production tolerance on the accuracy was evaluated. In the experimental part of this work, a sensor chip containing nanowire and nanorib waveguides realized in silicon on insulator technology was used to demonstrate the detection of refractive index and thickness of a TiO 2 atomic layer deposition (ALD) layer. [ABSTRACT FROM AUTHOR]

Background: Social inclusion is essential for an adequate rehabilitation process for people with serious mental illness (SMI). Various supported housing settings aim to promote housing competencies and social inclusion in service users. Nevertheless, there is a strong preference in service users for independent living. We aim to evaluate the effectiveness and efficiency of Independent Housing and Support (IHS) compared to institutionalised residential care settings and other treatment as usual conditions (RCS/TAU) in two cities in Switzerland. Methods: This is a prospective multi-centre, four-arm, non-inferiority cohort study investigating the effectiveness and efficiency of IHS and RCS/TAU for people with SMI. Effectiveness will be measured by a standardised measure of social inclusion as primary outcome as well as by measures of functioning and well-being. Efficiency will be analysed on the basis of service usage and costs associated with the different housing settings. Participants will be consecutively recruited and subsequently enrolled between April 2019 and December 2020 and assessed at baseline and after six, twelve and after 24 months. At one study site, 56 participants will be randomly assigned to one of the conditions; the other study site will be conducted as an observational study investigating 112 admitted participants. Discussion: While the UN Convention of the Rights of People with Disabilities aims to promote the opportunity to choose one's place of residence, the limited supply of alternative forms of housing does not guarantee genuine freedom of choice. Increased diversification and flexibility of housing support is essential. If IHS shows non-inferiority in terms of their effectiveness and efficiency, users should be allowed to choose their kind of housing support. Trial registration: ClinicalTrials.gov: NCT03815604, December 04, 2019. [ABSTRACT FROM AUTHOR]

Optical fiber with YPO4:Pr3+ nanocrystals (NCs) is presented for the first time using the glass powder—NCs doping method. The method's advantage is separate preparation of NCs and glass to preserve luminescent and optical properties of NCs once they are incorporated into optical fiber. The YPO4:Pr3+ nanocrystals were synthesized by the co-precipitation and hydrothermal methods, optimized for size (< 100 nm), shape, Pr3+ ions concentration (0.2 mol%), and emission lifetime. The core glass was selected from the non-silica P2O5-containing system with refractive index (n = 1.788) close to the NCs (no = 1.657, ne = 1.838). Optical fiber was drawn by modified powder-in-tube method after pre-sintering of glass powder—YPO4:Pr3+ (wt 3%) mixture to form optical fiber preform. Luminescent properties of YPO4:Pr3+ and optical fiber showed their excellent agreement, including sharp Pr3+ emission at 600 nm (1D2–3H4) and 1D2 level lifetime (τ = 156 ± 5 µs) under 488 nm excitation. The distribution of the YPO4:Pr3+ NCs in optical fiber were analyzed by TEM-EDS in the core region (FIB-SEM-prepared). The successful usage of glass powder—NCs doping method was discussed in the aspect of promising properties of the first YPO4:Pr3+ doped optical fiber as a new way to develop active materials for lasing applications, among others. [ABSTRACT FROM AUTHOR]

Objectives: Small area analysis is a health services research technique that facilitates geographical comparison of services supply and utilization rates between health service areas (HSAs). HSAs are functionally relevant regions around medical facilities within which most residents undergo treatment. We aimed to identify HSAs for psychiatric outpatient care (HSA‐PSY) in Switzerland. Methods: We used HSAr, a new and automated methodological approach, and comprehensive psychiatric service use data from insurances to identify HSA‐PSY based on travel patterns between patients' residences and service sites. Resulting HSA‐PSY were compared geographically, demographically and regarding the use of inpatient and outpatient psychiatric services. Results: We identified 68 HSA‐PSY, which were reviewed and validated by local mental health services experts. The population‐based rate of inpatient and outpatient service utilization varied considerably between HSA‐PSY. Utilization of inpatient and outpatient services tended to be positively associated across HSA‐PSY. Conclusions: Wide variation of service use between HSA‐PSY can hardly be fully explained by underlying differences in the prevalence or incidence of disorders. Whether other factors such as the amount of services supply did add to the high variation should be addressed in further studies, for which our functional mapping on a small‐scale regional level provides a good analytical framework. [ABSTRACT FROM AUTHOR]

Home treatment (HT) has been proposed as a patient-centred alternative to acute mental inpatient care although evidence of patient-reported outcomes has remained limited. The aim of this study was to examine patient experiences and satisfaction with HT. This retrospective mixed-methods study included telephone interviews of 159 patients receiving HT between 2016 and 2019. Associations between patients' characteristics and global satisfaction (ZUF-8 scale) were assessed. Differences between HT patients and inpatients were tested on a propensity score -matched inpatient sample. Qualitative analyses were conducted using thematic analysis. Global satisfaction with HT was slightly higher than in the inpatient sample (p = 0.019). There was no relationship between satisfaction and patients' characteristics, such as gender, age, main psychiatric diagnosis, and treatment duration, but satisfaction was higher for patients who perceived HT as their only treatment option. Participants particularly appreciated the person-centred care and practical support whereas staff continuity and medical treatment were main sources of dissatisfaction. The results indicate that HT seems to be a more patient-centred alternative to inpatient treatment and might close a gap in the psychiatric care of patients who preferred not to use inpatient services but needed higher treatment intensity than outpatient treatment. [ABSTRACT FROM AUTHOR]

Background: The to date evidence for a dose-response relationship between physical workload and the development of lumbar disc diseases is limited. We therefore investigated the possible etiologic relevance of cumulative occupational lumbar load to lumbar disc diseases in a multi-center case-control study. Methods: In four study regions in Germany (Frankfurt/Main, Freiburg, Halle/Saale, Regensburg), patients seeking medical care for pain associated with clinically and radiologically verified lumbar disc herniation (286 males, 278 females) or symptomatic lumbar disc narrowing (145 males, 206 females) were prospectively recruited. Population control subjects (453 males and 448 females) were drawn from the regional population registers. Cases and control subjects were between 25 and 70 years of age. In a structured personal interview, a complete occupational history was elicited to identify subjects with certain minimum workloads. On the basis of job task-specific supplementary surveys performed by technical experts, the situational lumbar load represented by the compressive force at the lumbosacral disc was determined via biomechanical model calculations for any working situation with object handling and load-intensive postures during the total working life. For this analysis, all manual handling of objects of about 5 kilograms or more and postures with trunk inclination of 20 degrees or more are included in the calculation of cumulative lumbar load. Confounder selection was based on biologic plausibility and on the change-in-estimate criterion. Odds ratios (OR) and 95% confidence intervals (CI) were calculated separately for men and women using unconditional logistic regression analysis, adjusted for age, region, and unemployment as major life event (in males) or psychosocial strain at work (in females), respectively. To further elucidate the contribution of past physical workload to the development of lumbar disc diseases, we performed lag-time analyses. Results: We found a positive dose-response relationship between cumulative occupational lumbar load and lumbar disc herniation as well as lumbar disc narrowing among men and women. Even past lumbar load seems to contribute to the risk of lumbar disc disease. Conclusion: According to our study, cumulative physical workload is related to lumbar disc diseases among men and women. [ABSTRACT FROM AUTHOR]

We report on the observation of a new phenomenon occurring in a fiber ring laser. This phenomenon is about the transition from an initially bidirectional emission of a reciprocal fiber ring laser to a unidirectional emission at a certain pump power threshold. In addition, the final direction is not predefined but appears to be randomly chosen every time the threshold is exceeded. Therefore, we term this new phenomenon direction instability. Furthermore, we provide a first discussion of how the instability threshold is influenced by the length and the loss of the cavity. We show that the threshold follows a power times length scaling, indicating a nonlinear origin. [ABSTRACT FROM AUTHOR]

The use of coercion poses a key concern in terms of patients' rights. To reduce coercive interventions, a change in the attitudes of mental health professionals toward coercion has been proposed. This study examined whether individual and workplace characteristics are associated with attitudes toward coercion. A sample of 110 staff members of a large psychiatric hospital working on open or closed wards completed a survey that included measures of issues such as attitudes toward coercion (Staff Attitude to Coercion Scale [SACS]), recovery orientation (RAQ-7), and individual and workplace characteristics. We also assessed ward characteristics from routine medical data. Associations were determined by correlations and regression analysis. Overall, 73.6% of the professionals were critical of the use of coercion, whereas 5.5% had positive attitudes toward coercive measures. Participants with more optimistic recovery expectations, other than nurses, and those working on open wards held more critical attitudes toward coercion (p < 0.05). Wards characterized by less coercive measures, lower bed occupancy, fewer involuntary admissions and substance-use disorders were associated with more critical attitudes (p < 0.05). We conclude that training of mental health professionals—especially nurses and those who work on closed wards—in recovery orientation may help promote critical attitudes toward coercion and may reduce coercive measures. [ABSTRACT FROM AUTHOR]

Stigmatization towards individuals with mental illness is common among mental healthcare professionals, yet poses a key concern regarding the provision of effective support and therapy for those undergoing psychiatric treatment. In this study, we examined to what extent recovery attitudes among mental healthcare professionals are associated with stigmatization. We conducted a survey among staff members (n = 110) of a large psychiatric hospital working on acute or semi-acute wards one year following a multi-professional training session, which included the promotion of recovery orientation as a therapeutic approach. The survey included measures such as gender, age, professional background, years of working experience, ward setting (mostly open or closed doors), recovery attitudes (RAQ-7), and stigmatization of individuals with mental illness (OMS-HC scale). Mental healthcare professionals who attended training in recovery orientation significantly more frequently stated to know the concept of recovery compared to those who did not receive training. In addition, recovery attitudes were more optimistic and significantly associated with levels of stigmatization among professionals who were familiar with the concept of recovery. Despite the cross-sectional study design that did not test causal links, these findings suggest that enhancing recovery attitudes through training may lead to less stigmatization among mental healthcare professionals. [ABSTRACT FROM AUTHOR]

Study Design: A multicenter, population based, case-control study.Objective: The aim of the present analysis is to clarify potential differences in the "occupational risk profiles" of structural lumbar disc diseases on the one hand, and low back pain (LBP) on the other hand.Summary Of Background Data: Physical workplace factors seem to play an important etiological role.Methods: We recruited 901 patients with structural lumbar disc diseases (disc herniation or severe disc space narrowing) and 233 control subjects with "low-back-pain." Both groups were compared with 422 "low-back pain free" control subjects. Case history, pain data, neurological deficits, and movement restrictions were documented. LBP was recorded by the Nordic questionnaire on musculoskeletal symptoms. All magnetic resonance imaging, computed tomography, and X-rays were inspected by an independent study radiologist. The calculation of cumulative physical workload was based on a computer-assisted interview and a biomechanical analysis by 3-D-dynamic simulation tool. Occupational exposures were documented for the whole working life.Results: We found a positive dose-response relationship between cumulative lumbar load and LBP among men, but not among women. Physical occupational risks for structural lumbar disc diseases [odds ratio (OR) 3.7; 95% confidence interval (95% CI) 2.3-6.0] are higher than for LBP (OR 1.9; 95% CI 1.0-3.5).Conclusion: Our finding points to potentially different etiological pathways in the heterogeneous disease group of LBP. Results suggest that not all of the structural disc damage arising from physical workload leads to LBP.Level Of Evidence: 4. [ABSTRACT FROM AUTHOR]

Thulium (Tm)-doped fiber lasers offer a broad emission bandwidth in the 2-μm region, providing the perfect basis to develop broadly tunable laser sources, e.g., for spectroscopic applications. Recently, a tuning principle for pulsed fiber lasers has been reported, which is based on a fiber Bragg grating (FBG) array as a discrete spectral filter. This concept uniquely combines an unrivaled spectral freedom for tailored tuning ranges with a monolithic layout preserving the inherent advantages of fiber-integrated systems. In this study, we investigate this discrete tuning method using a Tm-doped fiber laser in the spectral domain around 1950 nm. While the laser emits linearly polarized light based on a polarization-maintaining (PM) resonator, we also examine the possibility of using standard FBG arrays inscribed in non-PM fiber. In order to highlight the prospect for tunable high-power operation, the tunable seed laser is implemented in a master oscillator power amplifier configuration scaling the average power to ~ 28 W. With a tuning range of up to 76 nm, the emission characteristics of the system are investigated showing pulse durations down to 11 ns and a very good spectral signal contrast with narrow linewidth. [ABSTRACT FROM AUTHOR]

For most crops, like Capsicum, their diversity remains under-researched for traits of interest for food, nutrition and other purposes. A small investment in screening this diversity for a wide range of traits is likely to reveal many traditional varieties with distinguished values. One objective of this study was to demonstrate, with Capsicum as model crop, the application of indicators of phenotypic and geographic diversity as effective criteria for selecting promising genebank accessions for multiple uses from crop centers of diversity. A second objective was to evaluate the expression of biochemical and agromorphological properties of the selected Capsicum accessions in different conditions. Four steps were involved: 1) Develop the necessary diversity by expanding genebank collections in Bolivia and Peru; 2) Establish representative subsets of ~100 accessions for biochemical screening of Capsicum fruits; 3) Select promising accessions for different uses after screening; and 4) Examine how these promising accessions express biochemical and agromorphological properties when grown in different environmental conditions. The Peruvian Capsicum collection now contains 712 accessions encompassing all five domesticated species (C. annuum, C. chinense, C. frutescens, C. baccatum, and C. pubescens). The collection in Bolivia now contains 487 accessions, representing all five domesticates plus four wild taxa (C. baccatum var. baccatum, C. caballeroi, C. cardenasii, and C. eximium). Following the biochemical screening, 44 Bolivian and 39 Peruvian accessions were selected as promising, representing wide variation in levels of antioxidant capacity, capsaicinoids, fat, flavonoids, polyphenols, quercetins, tocopherols, and color. In Peru, 23 promising accessions performed well in different environments, while each of the promising Bolivian accessions only performed well in a certain environment. Differences in Capsicum diversity and local contexts led to distinct outcomes in each country. In Peru, mild landraces with high values in health-related attributes were of interest to entrepreneurs. In Bolivia, wild Capsicum have high commercial demand. [ABSTRACT FROM AUTHOR]

The present study evaluated a new integrated treatment concept offering inpatient care, acute psychiatric day hospital and outpatient treatment by the same therapeutic team. 178 patients participated in this randomized controlled trial. Data on psychopathology, global and social functioning, patient satisfaction, continuity of care and administrative data was gathered on admission, throughout the course of treatment, upon discharge and at 1-year follow-up. In addition, the physicians in charge rated the therapeutic relationship. The data analysis consists of group-wise comparisons and regression analyses (cross-tabulations and χ test statistics for categorical data and Mann-Whitney U tests for continuous data). Differences between groups over time were analyzed with a series of generalized linear mixed model. The integrated care group showed a significant reduction in psychopathological impairment (20.7 %) and an improvement of psychosocial functioning (36.8 %). The mean number of days before re-admission was higher in the control group when compared to the integrated care group (156.8 vs. 91.5). There was no difference in the number of re-admissions and days spent in psychiatric institutions. This new approach offers a treatment model, which facilitates continuity of care. Beside it improves psychopathological outcome measures and psychosocial functioning in patients with mental illness. [ABSTRACT FROM AUTHOR]

The propagation properties of optical fibers can be significantly influenced by intrinsic stress. These effects are often undesired but in some cases essential for certain applications, e.g. in polarization maintaining (PM) fibers. In this paper, we present systematic studies on the influence of the fiber drawing process on the generated stress and demonstrate an approach to significantly increase the stress induced birefringence of PM-fibers. It is shown that the thermal stress caused by the material composition is superimposed with the mechanical stress caused by the fiber fabrication process. This intrinsic stress has a strong effect on the optical and mechanical properties of the glass and thus influences the fiber stability and modal behavior. By applying a thermal annealing step, the mechanical stress due to the fiber drawing process can be canceled. It is shown that this annealing step compensates the stress reducing influence of the drawing process on the birefringence of PM-fibers with panda structure. The comparison of the intrinsic stress states after fabrication with the state after the additional high temperature annealing step clearly shows that it is possible to improve the overall birefringence of panda fibers using appropriate preparation steps. [ABSTRACT FROM AUTHOR]

We demonstrate a distributed measurement technique to observe temperature changes along pumped Yb-doped fibers. This technique is based on an array of fiber Bragg gratings acting as a temperature sensor line. The Bragg gratings are inscribed directly into the Yb-doped fiber core using high-intensity ultrashort laser pulses and an interferometric setup.We studied the temperature evolution in differently co-doped Yb fibers during optical pumping and identified different effects contributing to the observed temperature increase. We found that preloading of fibers with hydrogen supports the formation of Yb2+ during UV irradiation and has a large impact on fiber temperature during pumping. The proposed technique can be applied to investigate the homogeneity of pump absorption in active fibers and to support spatially resolved photodarkening measurements [ABSTRACT FROM AUTHOR]

Abstract: The relationship between patient and therapist in mental health care is one of the most important treatment factors. It is a reliable predictor of treatment outcome, regardless of diagnosis, setting or of the type of therapy used. On the other hand, influence and coercion occur in patient–physician relationships in psychiatry. We investigated the associations between patients'' perceived coercion and the therapeutic relationship. A total of 116 psychiatric patients, who have been admitted to the Psychiatric University Hospital Zurich, were interviewed using a structured interview. Data were collected by using Scale To Assess the Therapeutic Relationship (STAR) (therapeutic relationship) and Mac Arthur Admission Experience Survey (AES) (perceived coercion). Associations were investigated using bivariate and multivariate methods. Perceived coercion predicts the patients'' appraisal of the therapeutic relationship. We found a moderate relation between the patients'' and the clinicians'' view of their relationship. Perceived coercion is related to a higher symptom level and a lower level of global functioning at admission, and higher perceived coercion is related to a more negative patient–therapist relationship rated by the patient. Perceived loss of autonomy goes hand in hand with a more negative relationship between the patient and the clinician. This phenomenon has to be impeded, regarding the unambiguous impact relationship quality has on treatment outcome. [Copyright &y& Elsevier]

Due to the deficits of schizophrenic patients regarding the understanding of vague meanings (D. Ketteler and S. Ketteler (2010)) we develop a special test battery called HOLF (high order linguistic function test), which should be able to detect subtle linguistic performance deficits in schizophrenic patients. HOLF was presented to 40 schizophrenic patients and controls, focussing on linguistic features such as ambiguity, synonymy, hypero-/hyponymy, antinomy, and adages. Using the HOLF test battery we found that schizophrenic patients showed significant difficulties in discriminating ambiguities, hypero- and hyponymy, or synonymy compared to healthy controls. Antonyms and adages showed less significant results in comparing both groups. The more difficult a linguistic task was, the more confusion was measured in the schizophrenic group while healthy controls did not show significant problems in processing high order language tasks. [ABSTRACT FROM AUTHOR]

Background: The human spine is often exposed to mechanical load in vocational activities especially in combination with lifting, carrying and positioning of heavy objects. This also applies in particular to nursing activities with manual patient handling. In the present study a detailed investigation on the load of the lumbar spine during manual patient handling was performed. Methods: For a total of 13 presumably endangering activities with transferring a patient, the body movements performed by healthcare workers were recorded and the exerted action forces were determined with regard to magnitude, direction and lateral distribution in the time course with a "measuring bed", a "measuring chair" and a "measuring floor". By the application of biomechanical model calculations the load on the lowest intervertebral disc of the lumbar spine (L5-S1) was determined considering the posture and action force data for every manual patient handling. Results: The results of the investigations reveal the occurrence of high lumbar load during manual patient handling activities, especially in those cases, where awkward postures of the healthcare worker are combined with high action forces caused by the patient's mass. These findings were compared to suitable issues of corresponding investigations provided in the literature. Furthermore measurement-based characteristic values of lumbar load were derived for the use in statement procedures concerning the disease no. 2108 of the German list of occupational diseases. Conclusions: To protect healthcare workers from mechanical overload and the risk of developing a disc-related disease, prevention measures should be compiled. Such measures could include the application of "back-fairer" nursing techniques and the use of "technical" and" small aids" to reduce the lumbar load during manual patient handling. Further studies, concerning these aspects, are necessary. [ABSTRACT FROM AUTHOR]

Moving patients or other care activities with manual patient handling is characterized by high mechanical load on the lumbar spine of healthcare workers (HCWs). During the patient transfer activity, the caregivers exert lifting, pulling, and pushing forces varying over time with respect to amplitude and direction. Furthermore, the caregivers distinctly change their posture and frequently obtain postures asymmetrical to the median sagittal plane, including lateral bending and turning the trunk. This paper describes a procedure to determine lumbar load during patient transfer supported by measurement techniques and an exemplary application; this methodology represents the basis of a complex research project, the third ‘Dortmund Lumbar Load Study (DOLLY 3)’. Lumbar load was determined by simulation calculations using a comprehensive biomechanical model (‘The Dortmunder’). As the main influencing factors, the hand forces of the caregiver exerted during typical patient transfers and the posture and movements of the HCW were recorded in laboratory studies. The action forces were determined three-dimensionally with the help of a newly developed ‘measuring bed’, two different ‘measuring chairs’, a ‘measuring bathtub’, and a ‘measuring floor’. To capture the forces during transfers in or at the bed, a common hospital bed was equipped with an additional framework, which is attached to the bedstead and connected to the bedspring frame via three-axial force sensors at the four corners. The other measuring systems were constructed similarly. Body movements were recorded using three-dimensional optoelectronic recording tools and video recordings. The posture and force data served as input data for the quantification of various lumbar-load indicators. [ABSTRACT FROM AUTHOR]

Background: The to date evidence for a dose-response relationship between physical workload and the development of lumbar disc diseases is limited. We therefore investigated the possible etiologic relevance of cumulative occupational lumbar load to lumbar disc diseases in a multi-center case-control study.Methods: In four study regions in Germany (Frankfurt/Main, Freiburg, Halle/Saale, Regensburg), patients seeking medical care for pain associated with clinically and radiologically verified lumbar disc herniation (286 males, 278 females) or symptomatic lumbar disc narrowing (145 males, 206 females) were prospectively recruited. Population control subjects (453 males and 448 females) were drawn from the regional population registers. Cases and control subjects were between 25 and 70 years of age. In a structured personal interview, a complete occupational history was elicited to identify subjects with certain minimum workloads. On the basis of job task-specific supplementary surveys performed by technical experts, the situational lumbar load represented by the compressive force at the lumbosacral disc was determined via biomechanical model calculations for any working situation with object handling and load-intensive postures during the total working life. For this analysis, all manual handling of objects of about 5 kilograms or more and postures with trunk inclination of 20 degrees or more are included in the calculation of cumulative lumbar load. Confounder selection was based on biologic plausibility and on the change-in-estimate criterion. Odds ratios (OR) and 95% confidence intervals (CI) were calculated separately for men and women using unconditional logistic regression analysis, adjusted for age, region, and unemployment as major life event (in males) or psychosocial strain at work (in females), respectively. To further elucidate the contribution of past physical workload to the development of lumbar disc diseases, we performed lag-time analyses.Results: We found a positive dose-response relationship between cumulative occupational lumbar load and lumbar disc herniation as well as lumbar disc narrowing among men and women. Even past lumbar load seems to contribute to the risk of lumbar disc disease.Conclusion: According to our study, cumulative physical workload is related to lumbar disc diseases among men and women. [ABSTRACT FROM AUTHOR]