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Copyright of Die Urologie is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

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]

Copyright of Medizinische Klinik: Intensivmedizin & Notfallmedizin is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Zeitschrift für Slawistik is the property of De Gruyter and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Zeitschrift für Internationale Bildungsforschung und Entwicklungspädagogik is the property of Waxmann Verlag GmbH and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

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]

Copyright of Projekt-Management Aktuell is the property of Narr Francke Attempto Verlag GmbH & Co.KG and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Kölner Zeitschrift für Soziologie und Sozialpsychologie ( KZfSS) is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Thanks to a conscientious work-up in the general practitioner's office and referral to goal-directed diagnostics, the benign thoracic tumor could be submitted to curative resection. Although the radiological and laboratory examinations made the benign entity of a mature teratoma in a young, postpubertal male highly probable, the clinic is usually nonspecific and makes classification difficult, so that a histo-pathological work-up and resection were mandatory in this case in order to obtain diagnostic certainty about the dignity and to allow for timely therapy according to the guidelines. [ABSTRACT FROM AUTHOR]

Copyright of Polizei & Wissenschaft is the property of Verlag für Polizeiwissenschaft and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The paper examines the notion of integration through formal education by focusing on immigrant families in Germany. The article focuses on the predominant discourse that persists in reiterating the binary code of the formal education system, which encompasses educational success or failure as a synonym for the migration policy code of integration or disintegration. This equation is made even stronger by a meritocratic philosophy that doesn't consider the othering processes and ignores all the restrictions that migrant youth face in education, the labour market, and the market for vocational training. The ambiguity between the actual possibilities and the attainable goals, embodied in the predominant imperative of “social mobility through education”, creates resistance within the group of immigrant parents and youth. The article argues that under these conditions, the family system may provide alternative ways of recognition for young people, which can be taken as a counter-concept with its own values that reject media-mediated narratives of integration and their symbolic representatives. By utilizing empirical data, the article provides insight into the past and present experiences of family members and the factors that contribute to the resistance of immigrant families. [ABSTRACT FROM AUTHOR]

The article "Climate crisis as an existential challenge - a topic for counseling?" deals with the inclusion of existential issues in counseling and psychotherapy. It emphasizes that the inclusion of values and life goals requires an open attitude and that counselors and psychotherapists must be careful not to bring their own values into the conversations. The text discusses the psychological effects of the climate crisis and the belief in technological progress as a solution. It emphasizes that consciousness work and an experience of values towards nature are necessary to bring about change. Psychotherapists and counselors have a responsibility to address this issue and bring individual crises into societal debates. [Extracted from the article]

Copyright of Linguistische Treffen in Wrocław is the property of Oficyna Wydawnicza ATUT and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The success of the energy transition in relation to achieving a low carbon fossil‐free energy of the future largely depends on the extent to which collective efforts are geared towards specific goals, as the actual transformation of the energy sector is shaped by many challenges and uncertainties. Pandemics, uninterrupted supply chains and ongoing conflicts add to the complexity of the situation. The International Energy Agency has published its "World Energy Outlook" since 1998 and demonstrates ways of achieving a decarbonised energy of the future based on different scenarios. Taking three energy scenarios as the starting point, possible routes and corresponding effects by 2050 are outlined. [ABSTRACT FROM AUTHOR]

Copyright of HeilberufeSCIENCE is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Zeitschrift für Pädagogik is the property of Julius Beltz GmbH & Co. KG Beltz Juventa and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Adults also develop or get stuck in the middle of development. If we know where they got stuck, we can help them take the next step at hand. Those who are on the body level can try to reach the affect level and use the energy of their vital impulses. Those who are on the affect level can free themselves from dependence on their emotions and needs by stepping onto the thinking level. There he can regulate his affects and act in a goal-oriented manner – find self-efficacy. For those who are at the thinking level, stepping onto the empathy level allows them to put back ego interests and compassionately experience the other’s perspective so that they can handle relationships well. The starting point for these therapy and development strategies can be development diagnostics with VDS31-KADE. In this study, the three scales A, D and E were examined and related to personal strengths (VDS19+), structural skills and resources (VDS38 RDR) and the development of mentalization (VDS48). In this way, indications of their validity could be found. [ABSTRACT FROM AUTHOR]

Background: Parents of children with profound intellectual and multiple disability (PIMD), who use Augmentative and Alternative Communication (AAC), implemented AAC interventions at home already prior to the COVID-19 pandemic (Deliberato & Manzini, 2012). With respect to the implementation process for these options, they reported various challenges (McNaughton et al., 2008). Aims: The study investigates the goals that parents of children with PIMD set and pursue for their children under pandemic conditions and the ways in which practitioners support the parents in the pursuit of these goals. Methods: In a Reflexive Grounded Theory approach, five interviews with parents of children with complex disabilities were conducted by (video) telephone. Results: In AAC implementation at home, the parents' main goal is to enable their children to pursue their own intentions. To support parents in the implementation of AAC at home, professionals use digital communication tools and prepared forms of AAC. Conclusions: To implement AAC, conditions of the use and transfer of AAC, but also the support of the parents should be reflected in designing AAC interventions at home. [ABSTRACT FROM AUTHOR]

Copyright of Discourse: Journal of Childhood & Adolescense Research / Diskurs Kindheits- und Jugendforschung is the property of Verlag Barbara Budrich GmbH and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Zeitschrift für Pädagogik is the property of Julius Beltz GmbH & Co. KG Beltz Juventa and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

An interview with Enrico Steger, founder of the Zirkonzahn company, about dreams, thrift and the never-ending desire for knowledge is presented. Topics include talks about several years of Zirkonzahn as how do you look back on the beginnings of the company; and focuses on several dental technology that is a small, relatively manageable world and in the course of time they have created a large, almost unmanageable world.

Copyright of Implantologie is the property of Quintessenz Verlags GmbH and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)