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The introduction of hybrid diagnosis-related groups (DRG) presents new challenges for healthcare providers and health insurances. The same applied in 2023 to the institute designated by the Federal Ministry of Health (BMG) to extract medical procedures and calculate remuneration levels for the first hybrid DRGs. A responsible calculation methodology and a realistic data basis are required as the result of the calculation can lead to controversy, even to a splitting among specialist groups and constructs. There is also the threat of mismanagement with subsequent supply problems. In this context, a loss of quality can occur due to the use of simple surgical procedures that are less complex and not expensive with respect to material costs and are economical but not state of the art and thus directly worsen the medical care of patients in the statutory health insurance (GKV). Furthermore, it is already becoming apparent that procedures that are uneconomical due to the miscalculation are partially no longer being comprehensively rendered by healthcare providers due to adjustment of the service portfolio. An appropriate compensation of procedures is only possible based on a remuneration that adequately covers the costs. In this respect, this article is not intended to be understood as a "solution to the problem of the internal distribution of the remuneration in hybrid DRGs" but more to offer suggestions for solutions for the required further development of the hybrid DRG compensation level calculation to prevent a threat to the treatment of GKV patients due to mismanagement. As required in § 115f of the Sozialgesetzbuch V (SGB V), the recalculation of an economic remuneration must be carried out urgently and promptly using an empirical calculation basis and methodology and this must be regularly adapted. [ABSTRACT FROM AUTHOR]

Background: While laparoscopic cholecystectomy has largely been performed in an outpatient setting in some countries for years, in Germany it is still generally performed on an inpatient basis; however, with the progressive ambitions for more outpatient treatment within the German healthcare system, laparoscopic cholecystectomy will (have to) increasingly be performed on an outpatient basis in the upcoming years. Aim of the work: Presentation of the current framework conditions and the potential for outpatient performance of laparoscopic cholecystectomy in Germany. Presentation and discussion on the current state of knowledge regarding patient selection, treatment pathways and safety of outpatient laparoscopic cholecystectomy. Results: The potential for outpatient management of laparoscopic cholecystectomy in Germany is high. Based on the current literature, there are no safety concerns regarding outpatient performance of laparoscopic cholecystectomy in selected patients. Conclusion: Outpatient management of laparoscopic cholecystectomy is inevitably heading our way in the next years. The key to successful change will be comprehensive patient information, patient selection and structured outpatient treatment pathways. [ABSTRACT FROM AUTHOR]

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The article examines billing fraud in the medical field and emphasizes the importance of professional legal defense. It mentions fraudulent actions in healthcare, such as billing for services not provided. The text discusses legal issues and consequences for doctors and dentists, including the risk of losing their license. It is recommended to take preventive measures to prevent billing fraud and emphasizes the importance of competent legal defense. [Extracted from the article]

The article "Remuneration of the rescue service - standard cases and regulatory gaps" deals with the recognition of treatment methods in the healthcare sector. It discusses how the quality of studies is evaluated in order to explore the therapeutic potential of medical cannabis. In addition, the financing of rescue services and the remuneration claims of resident doctors in the rescue service are addressed. It is emphasized that there is no definitive knowledge about the indications and mode of action of cannabis in the medical field. [Extracted from the article]

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Transformations in healthcare policy and in the global economy in connection with digitalization can be interpreted as realizations of a cybernetic paradigm, for which this article proposes the term 'cybernetism'. This implies a political anthropology that is incompatible with the image of man developed by Aristotle through to Habermas and which forms the basis of the liberal, democratic constitutional state. The medical-technocratic image of man reveals the deformative potential of applied sociocybernetics, which contradicts the foundations of democracy. [ABSTRACT FROM AUTHOR]

Background: Clinical cancer registries are intended to reflect the reality of care through differentiated data analysis and, if necessary, to offer approaches for improving care. Methods: For the years 2000–2018, the data of the Clinical Epidemiological Cancer Registry Brandenburg-Berlin were examined separately for adenocarcinoma and squamous cell carcinoma with respect to epidemiology and health care reality. Results: Between 2000 and 2018 a total of 3207 esophageal cancers were documented in the cancer registry, of which 2182 were squamous cell carcinomas (ESCC), 843 adenocarcinomas (EAC) and 182 various others or missing histology. During the observation period there was a clear dominance of ESCC but with a significant increase in EAC in both sexes. Overall, the rate of new cases was 5 times higher for men than for women. The relative 5‑year survival probability of all esophageal cancers was 17.4% in men and 22.5% in women. Patients with EAC survived significantly longer than those with ESCC. Radiotherapy and chemotherapy, individually or in combination, were mainly used as treatment methods. Surgery was performed on 19% of ESCC and 42% of EAC. Conclusion: The proportion of ESCC in Brandenburg is still significantly higher than EAC, with a significant increase for the latter, especially in men. Although locally advanced tumors have been significantly more common, modern neoadjuvant concepts have rarely been documented, and although the quality of the surgery is comparable to the international standard, surgery is carried out in relatively few patients. [ABSTRACT FROM AUTHOR]

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The subject of this guideline from the Institute of Family Medicine at the University of Zurich (IHAMZ) is the management of venous thrombosis. The review summarizes the current evidence and recommendations from international guidelines (1-6). The IHAMZ-guidelines focus on primary care, they also provide guidance on the coordination of general and specialist medical care as well as on the transition between outpatient and hospital care taking into account the special features of the Swiss healthcare system. The guideline is devided in two parts. Part 1 discusses the diagnosis and treatment of deep vein thrombosis (DVT). A validated algorithm is recommended for the diagnostic process, which begins with the assessment of the clinical probability. With the inclusion of the D-dimer test, the need for subsequent imaging diagnostics can be reduced. The differences between the evaluation of an initial and recurrent DVT are shown and the indications and scope of evidence-based environmental diagnostics (thrombophilia and tumor search) are presented. All patients with DVT should receive anticoagulation (AC) for 3-6 months, as there is a high risk of recurrence with AC < 3 months. The duration of the subsequent secondary prophylaxis depends on the presumed risk of recurrence on the one hand and the risk of bleeding on the other. Part 2 is dedicated to special thrombosis situations such as isolated distal thrombosis of the deep and muscle veins (idDVT, iMVT), shoulder-arm vein thrombosis (SAVT), cancer-associated thrombosis (CAT) and superficial vein thrombosis (SVT). The article on hormone- and pregnancy-associated DVT, developed together with the Department of Gynecology at the University Hospital of Zurich, discusses the importance of hormonal contraception and menopausal hormone replacement therapy (HRT) as thrombogenic risk factor as well as special features in the diagnosis and treatment of thrombosis in pregnancy. [ABSTRACT FROM AUTHOR]

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Copyright of Praxis der Kinderpsychologie und Kinderpsychiatrie is the property of Vandenhoeck & Ruprecht 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.)

Background: With the outbreak of the COVID-19 pandemic medical care focused on management of the infectious event. Elective interventions were cancelled and the general advice was to stay at home. How this impacted urgent and elective cholecystectomies is the subject of this work. Method: Urgent and elective cholecystectomy patients during the first year of the pandemic were compared with those of the previous year. The primary endpoint was the frequency of surgery. Furthermore, the American Society of Anesthesiologists (ASA) score, symptom duration until presentation as well as until surgery, preoperative inflammatory parameters, imaging, positive Murphy's sign, type and duration of surgery, intraoperative drain placement, intraoperative and histological severity, need for and duration of postoperative antibiotic therapy, intensive care stay, length of stay and occurrence of postoperative complications were recorded. Results: During the pandemic patients were sicker (ASA 2.13 vs. 2.31; p = 0.039), the operating time was prolonged (64.4 min vs. 74.9 min; p = 0.001) and patients were more likely to have concomitant peritonitis (15.4% vs. 29.1%: p = 0.007). Furthermore, there was a trend in the presence of leukocytosis, a positive Murphy's sign, intraoperative drain placement, intraoperative severity of inflammation, duration of postoperative antibiotic therapy and complication rate. Conclusion: During the COVID-19 pandemic cholecystitis presented with more pronounced inflammation, the surgical conditions were more difficult and postoperative recovery was prolonged. [ABSTRACT FROM AUTHOR]

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Copyright of Parodontologie: die Zeitschrift für die Praxis (Berlin, Germany) 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.)

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Quality assurance (QA) in outpatient psychotherapy is undergoing significant changes. After the IQTIG (Institute for Quality Assurance and Transparency in Healthcare) was commissioned by the G-BA (Federal Joint Committee) in May 2018, and the planned items for patients and service providers were published, the newly developed system is now set to be tested in a six-year pilot project in North Rhine-Westphalia. Up to this point, it remains unclear, how the pilot project and its results will be (scientifically) evaluated. The present article describes key requirements which are legally binding for all already existing (data-based) QA systems in the German healthcare system, and which were also guiding principles for the IQTIG in developing the QA system for outpatient psychotherapy. We argue that relevant requirements concerning (1) the validity of the newly created items, (2) the comparability of the collected data between service providers, and (3) the usefulness of the feedback have – up to this point - not been adequately adressed and should therefore be a central part of a comprehensive evaluation of the planned pilot project. The article further presents the QVA/QSP project, where all items of the IQTIG system were integrated into the surveys immediately after their publication and have been collected since then. Using the methodology published by IQTIG, the quality indices can be replicated and empirically tested using the sound database available in the project. [ABSTRACT FROM AUTHOR]

The subject of this guideline from the Institute of Family Medicine at the University of Zurich (IHAMZ) is the management of venous thrombosis. The review summarizes the current evidence and recommendations from international guidelines (1-6). The IHAMZ-guidelines focus on primary care, they also provide guidance on the coordination of general and specialist medical care as well as on the transition between outpatient and hospital care taking into account the special features of the Swiss healthcare system. The guideline is devided in two parts. Part 1 discusses the diagnosis and treatment of deep vein thrombosis (DVT). A validated algorithm is recommended for the diagnostic process, which begins with the assessment of the clinical probability. With the inclusion of the D-dimer test, the need for subsequent imaging diagnostics can be reduced. The differences between the evaluation of an initial and recurrent DVT are shown and the indications and scope of evidence-based environmental diagnostics (thrombophilia and tumor search) are presented. All patients with DVT should receive anticoagulation (AC) for 3-6 months, as there is a high risk of recurrence with AC < 3 months. The duration of the subsequent secondary prophylaxis depends on the presumed risk of recurrence on the one hand and the risk of bleeding on the other. Part 2 is dedicated to special thrombosis situations such as shoulder-arm vein thrombosis (SAVT), cancer-associated thrombosis (CAT) and superficial vein thrombosis (SVT). The article on hormone-and pregnancy-associated DVT, developed together with the Department of Gynecology at the University Hospital of Zurich, discusses the importance of hormonal contraception and menopausal hormone replacement therapy (HRT) as a thrombogenic risk factor as well as special features in the diagnosis and treatment of thrombosis in pregnancy. [ABSTRACT FROM AUTHOR]

The article deals with the requirements for a Medical Care Center (MVZ) and the role of the medical director. It emphasizes that an MVZ must have a medical director who manages the operational processes and ensures that medical decisions are made independently. A judgment of the Social Court of Munich deals with the rejection of an application for correction of the fee settlement of an MVZ. In the legal dispute between a dentist and an MVZ, it was determined that the MVZ did not have a dental management and therefore the settlements were not lawful. The correction of the settlements does not constitute a pre-emptive revocation of authorization. [Extracted from the article]

The article deals with the liquidation right of the hospital operator for elective medical services. It is stated that the hospital operator is entitled to bill these services as elective services to the patient, even if the doctor providing the service in the hospital does not have the right to liquidate the patient. A specific judgment of the Cologne Regional Court is cited as an example, in which the defendant was ordered to pay a certain amount. It is argued that the presence of a dental director is constitutive for a medical care center (MVZ) and serves to protect the insured. According to § 17 para. 3 sentence 1 KHEntgG, an agreement on elective medical services extends to all employed or civil servant doctors involved in the patient's treatment in the hospital. These services can also be provided by doctors outside the hospital. The regulation allows the hospital to exercise the liquidation right and bill the treatment by elective doctors. It is not necessary for the doctors in the hospital to have the right to liquidate the patient. The billing of elective medical services can be done by both the elective doctor and the hospital. The purpose of elective doctor agreements is to enable the patient to receive personal attention and treatment from certain leading or particularly qualified doctors. The question of whether an elective doctor appointed by the hospital is entitled to liquidate and whether and to what extent he is involved in the proceeds of elective medical services concerns solely the employment relationship between the doctor and the hospital and is irrelevant to the patient. The obligation to provide personal services by the elective doctors arises from the elective service agreements with the hospital. The Federal Court of Justice (BGH) has stated that a hospital operator can have a liquidation right even without the assignment of claims by the elective doctor if he undertakes to provide all necessary services, including medical care, within the framework of a total hospital admission contract. There are disputes as to whether elective medical services may only be billed by doctors entitled to liquidate. However, the Cologne Regional Court has confirmed that the hospital operator is entitled to bill elective medical services itself. The article deals with the interpretation of § 17 para. 1 sentence 1 KHEntgG, which states that besides the fees for inpatient treatment, other services may be billed separately as elective services as long as the general hospital services are not affected and this is agreed with the hospital. It is argued that this wording does not indicate that the billing of services should be in favor of a third party. It is also pointed out that the elective service agreement is not an independent agreement, but merely a supplement to the total hospital admission contract. It is stated that the hospital operator can be considered the sole creditor, especially when a total hospital admission contract is concluded. It is argued that there is no need to interpret a third party as the holder of the claim in § 17 para. 1 sentence 1 KHEntgG. The Social Court dismissed the claim of the plaintiff for damages for the years 2004 to 2007 and instead granted the counterclaim of the defendant for payment of 374,275. [Extracted from the article]

The article deals with the planned cross-sectoral care facilities in the German healthcare system. It points out that the strict separation of outpatient and inpatient healthcare makes continuous care difficult. The draft of the Hospital Care Improvement Act (KHVVG) attempts to consolidate inpatient, contract medical, and (elderly) nursing care in a new type of hospital. Various services are listed that these facilities are intended to provide, including cardiovascular interventions, oncological therapies, endoprosthetic services, spinal surgeries, and bariatric surgery. The approval and care mandate for these facilities are determined by the state authorities, taking into account the needs and economic situation of the hospitals. The article discusses the competencies of the federal government and the states regarding the regulation of hospital needs planning and quality assurance. It emphasizes that federal quality requirements are permissible as long as they aim to promote the quality of specific statutory health insurance services and not to reshape the hospital landscape. It also notes that the removal of medical-nursing care in the cabinet draft has mitigated the problem. The decision on the approval and care mandate of Level-1i hospitals lies with the states and can be shaped by state law criteria. The privileged participation of Level-1i hospitals in outpatient care does not unconstitutionally disadvantage outpatient physicians. However, Level-1i hospitals can only do what hospitals were already allowed to do before and may not significantly contribute to comprehensive care. [Extracted from the article]

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The article focuses on the roles and responsibilities of nursing assistant professions in Austria, specifically detailing the tasks delegated to them within the healthcare framework. Topics include the scope of nursing assistant professions, encompassing activities in the nursing process such as assessment, observation, and execution of nursing measures. It also covers their involvement in medical diagnostics and therapy under delegation.

The article focuses on the legal entitlement to care in Austrian law, examining constitutional and statutory provisions granting individuals a subjective right to care. Topics include the constitutional framework for social rights, the division of legislative competence between federal and state levels in healthcare regulation, and the complexities of implementing and enforcing patient rights across different legal jurisdictions within Austria.

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Objective: There have been case reports of adverse events of hypoglossal nerve stimulator (HNS) implantation not seen in previous clinical trials, including pneumothorax and pleural effusion. The purpose of this study was to determine the rates of these complications and potential risk factors. Study Design: Retrospective case-control study during 2014 to 2021. Setting: Twenty-five health care organizations across the United States. Methods: The TriNetX Research Network was queried by using disease codes to retrospectively identify patients with obstructive sleep apnea who underwent HNS implantation. Rates of pneumothorax, pleural effusion, other complications, and need for revision/replacement or explant were determined. Results: We identified 1813 patients from 25 health care organizations who underwent HNS implantation. The average age was 60 years, and there were 68% males and 32% females. Of the cohort, 2.4% (n = 44 from 7 implant centers) experienced a pneumothorax, and 0.6% (n = 11) were diagnosed with a pleural effusion on the day of surgery. Patients who experienced pneumothorax were more likely to have a history of chronic lower respiratory diseases when compared with those who did not (odds ratio, 2.2; 95% CI, 1.1–4.1; P =.02). [ABSTRACT FROM AUTHOR]

The article is about a court ruling that determined that there was no valid consent from the patients, which would have justified the bodily harm. The defendant was convicted of aggravated assault in relation to a patient who became blind, while in the other eleven cases, only intentional bodily harm was present. The court determined that both the scalpel and the scissors are to be considered dangerous tools. The verdict was overturned due to the change in the charge and referred back for a new trial to a different criminal chamber. The clinic does not have a mandate for cardiothoracic, cardiological, and geriatric services, as it does not have a mandate in these fields. The training regulations limit the scope of the mandate to the specialty designated in the hospital plan. The clinic also does not have a mandate for the implantation of cardioverters/defibrillators, as this is a cardiothoracic procedure that does not fall within the assigned specialties of the clinic. The clinic also does not have a mandate for percutaneous coronary angioplasty and invasive cardiological diagnostics, as well as geriatric early rehabilitative complex treatments. The clinic is applying for permission to appeal, but there are no serious doubts about the correctness of the verdict. The administrative court has ruled that the implantation is not explicitly listed in the training regulations for the field of cardiology. However, the administrative court does not base its decision solely on the training regulations, but also on the hospital plan and the determination notices. The administrative court has ruled that the specialty boundaries according to the training regulations limit the scope of the mandate in a specialty if the determination notice or the state hospital plan do not provide otherwise. The court emphasizes the importance of focusing and concentrating services for the future security of hospitals. The clinic has not presented any convincing objections to the verdict. Furthermore, the question of geriatric early rehabilitative complex treatments is discussed, with the court determining that the clinic does not have a mandate for these services. The regulation aims to ensure that rehabilitation is an integral part of medical care in hospitals from the beginning. Doctors, nursing staff, and specialized personnel should contribute to this. When determining the individual rehabilitation needs in the hospital, the nature and severity of the illness, as well as individual conditions such as age and multimorbidity of the patient, must be taken into account. The goal of early rehabilitation in hospitals is to restore basic abilities and address functional impairments at an early stage. The provision in § 39 para. 1 sentence 3 SGB V does not establish or expand mandates for hospitals, but assumes their existence. The implementation of this requirement within the framework of hospital planning is the responsibility of each individual state legislator. The first part deals with the fundamental importance of a legal case and the requirements that must be met in order to achieve clarification of the question in the interest of the uniformity of jurisprudence or the development of the law. The second part deals with the granting of discounts or rebates in the pharmaceutical wholesale trade and points out that such price reductions are not allowed. [Extracted from the article]

The article "Municipalities as actors in outpatient healthcare?" deals with the role of municipalities in outpatient healthcare. It considers the possibility of re-municipalizing outpatient healthcare. The article examines the structural changes in outpatient care and highlights why involving municipalities could be meaningful. Various trends and challenges in outpatient healthcare are discussed, justifying a stronger role for municipalities. It emphasizes the need for better allocation and integration of prevention and healthcare to optimize the German healthcare system. The authors argue that so-called structural prevention, which focuses on the living environment and its impact on health, is considered more relevant. They emphasize the role of municipalities in implementing structural prevention and call for greater involvement of municipalities in outpatient healthcare. [Extracted from the article]

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The article deals with the determination of special features in practice within the framework of a benchmark review. It is explained that self-employed doctors are supposed to be protected by the regulation of § 103 para. 4c SGBV from medical care centers (MVZ) predominantly led by capital investors. However, this regulation does not apply to MVZs that were already approved on December 31, 2011, and where the majority of shares and voting rights were not held by the contracted doctors working there. It is emphasized that the court's decision is provisional and does not grant a permanently secured legal position. [Extracted from the article]

The article describes the requirements for structural features for stroke units according to the Operation and Procedure Key (OPS) 8-981.2. Hospitals must meet these structural features and have them assessed by the Medical Service before they can bill for corresponding services. The structural features are met if there is a cooperation agreement with a stroke unit that can perform thrombectomies and intracranial procedures. A concrete example of such cooperation is mentioned in the article. With the decision of November 29, 2021, the certification of the structural features of OPS 9-891.2 was rejected. The justification states that certain requirements, such as the presence of a doctor for 24 hours, the availability of certain medical examinations and treatment options, were not met. The clinic has filed an objection and requested a repeat examination. It was found that the cooperation agreement and the concept for transferring patients do not meet the requirements. The objection was rejected and the clinic has filed a lawsuit. Finally, a cooperation agreement was concluded with the University Hospital SH. The admitting hospital independently performs thrombectomies and/or intracranial procedures as well as comprehensive medical care for patients, regardless of the medical conditions and requirements. The duration of treatment varies depending on individual circumstances. The cooperation agreement between the hospital and a stroke unit ends on December 31, 2022. The Social Court of Hamburg has referred the legal dispute to the Social Court of Munich. The lawsuit of a clinic for the determination of the fulfillment of the structural features for the stroke unit was successfully filed. The structural features include a department of neurology, a cooperation agreement with a stroke unit, and a concept for transferring patients with an indication for thrombectomy. The text deals with the legal binding of a cooperation agreement in the healthcare sector. It emphasizes that an agreement on the essential components is necessary for a contract and that the intention to be legally bound must be present. The Federal Social Court has determined that a cooperation partnership must not only be actually provided, but also legally solidified. It is pointed out that the essential components of a cooperation agreement for the performance of certain medical procedures have been proven. It is also noted that OPS 8-981.2 does not require a more extensive design of the cooperation relationships and that written form is not required for the cooperation agreement. The proof of the cooperation agreement can be provided retrospectively in the judicial process. The article deals with the legal assessment of an administrative act in connection with an obligation lawsuit. It is stated that the decisive point in time for assessing the legality of an administrative act is the last oral hearing in the last instance of fact. It is also noted that the transmission of personal and facility-related data to the Medical Service within the framework of a judicial procedure is not hindered by the obligation according to § 275d para. 1 sentence 3 SGB V. Furthermore, it is explained that the guideline of the Medical Service of the Umbrella Associations of Health Insurance Funds does not exclude the retroactive submission of structural features. [Extracted from the article]

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The article describes the criteria for the approval of a successor for a psychotherapist and emphasizes the best possible care for the insured. It points out the possibility of applying as a medical care center (MVZ) without naming a doctor. The article also contains information about a specific case in which the filling of a contract psychotherapist position was decided. It also reports on a judgment by the Higher Regional Court of Frankfurt, which deals with the granting of discounts by intermediaries of medical services. The court confirmed the prohibition of advertising medical services with discounts or special prices. [Extracted from the article]

The article describes a legal dispute regarding the approval of a Medical Care Center (MVZ) after a partial unlocking of a planning area. The State Social Court (LSG) has ruled that the priority regulation of § 103 para. 4c sentence 3 SGB V is not applicable in this case. The appeal of the clinic was successful because the LSG had affirmed the applicability of this regulation. The article also deals with the selection decision for the employment of a doctor in an MVZ or with a contract doctor according to § 26 para. 4 no. 3 Needs Planning Directive. It is determined that there is a discretionary error and that the priority regulation of § 103 para. 4c sentence 3 SGB V does not apply here. Furthermore, it is explained that an MVZ, where the majority of the shares and voting rights do not lie with doctors, must be considered as a lower priority in the selection of a successor in practice. The text also deals with a judgment of the Federal Court of Justice (BGH) of July 22, 2021, which, however, does not refer to approval procedures after partial opening of the planning area. [Extracted from the article]

Although the morbidity and mortality of neurological diseases in many Asian and African countries is high and are predicted to increase even further in the coming decades, in many areas there is a shortage of medical personnel and high-quality treatment options. This shortage, together with a frequently insufficient healthcare infrastructure, limits the access of many patients to medical treatment. The possibilities of telemedicine are multifarious. It provides new, so far unused possibilities in the diagnostics and treatment of neurological diseases, totally independent of geographical boundaries. In the future it could also be used for the education and training of physicians and medical personnel and to close the existing gaps in healthcare, especially in developing countries. [ABSTRACT FROM AUTHOR]

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ZB MED - Information Center for Life Sciences offers an extended remote access to over 6,500 e-journals and over 15,000 e-books. ZB MED is also a partner in the DIM.RUHR project, which promotes the interprofessional use of health data. The anthology "The Science-Media Interface: On the Relation Between Internal and External Science Communication" was edited by researchers from the BMBF project "MeWiKo - Media and Scientific Communication," under the direction of Prof. Dr. Isabella Peters, Dr. Athanasios Mazarakis, and Dr. Steffen Lemke from the ZBW - Leibniz Information Center for Economics. The exhibition "Bilder werfen" (Throwing Images) at the Schopenhauer Studio of the University Library Frankfurt explores the history of student film culture at Goethe University. In Coburg, the State Library has received a significant donation of five previously unknown letters from and to the writer Jean Paul. The special exhibition "Mit fremder Feder - Der gefälschte Schiller" (With a Foreign Pen - The Fake Schiller) at the Goethe and Schiller Archive in Weimar has been extended until March 17, 2024, due to its popularity. [Extracted from the article]

Copyright of Anaesthesiologie & Intensivmedizin is the property of DGAI e.V. - Deutsche Gesellschaft fur Anasthesiologie und Intensivmedizin e.V. 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: In German forensic psychiatry detention under Sections 63 and 64 of the German Penal Code have been repeatedly reformed over the past years; however, despite the most recent amendments to the law on detention, clinics and state authorities warn of insufficient capacities and worrying conditions. Media reports paint a defiant picture. At the same time, there is a lack of valid data that would allow an objective description of the situation in forensic psychiatry. Against this background the management of institutions in Germany has been surveyed. Material and methods: The survey was conducted as an online survey and sent to all 78 forensic hospitals in Germany. The survey covered topics such as structural data of the facilities, the occupancy and staffing situation, incidents, support from supervisory authorities and funding agencies, and patient characteristics. The results are presented descriptively. Results: Of the 78 facilities contacted, 45 (approximately 60%) participated at least partially in the survey. Many of the clinics (68.5%) complained of significant overcrowding. A clear lack of staff and rooms was reported, at the same time it was stated that patients do not receive adequate treatment. Approximately 1 in 5 patients have a length of stay for more than 10 years and one third of the clinics reported an increasing number of physical assaults by patients. Conclusion: This overview shows that the forensic psychiatric hospitals are in very different but generally strained situations. A significant number of clinics are under great pressure. Financial, structural, spatial and personnel resources were described as insufficient to properly and professionally fulfill the legal mandate. The treatment standards presented by the DGPPN in 2017 are not met in many clinics. [ABSTRACT FROM AUTHOR]