341 research outputs found
[The guidelines of the Federal Joint Committee on acute pain management : Background and consequences for the practice in hospitals].
No full textThe quality of postoperative pain therapy in Germany shows a heterogeneous treatment practice and large differences in quality between individual institutions, The patient representatives in the Federal Joint Committee (G-BA) have therefore decisively campaigned for many years that instruments of non-legislative standards are employed in order to noticeably improve the quality of perioperative pain therapy for patients in Germany. As a result of these efforts, in October 2020 a binding specification for internal quality management was included in the quality management guidelines (QM-RL) by the G‑BA. This describes in concrete terms the structural and procedural requirements for an internal quality management of acute pain for all institutions in which operations and comparable potentially painful interventions are carried out. This article describes the content of this regulation and the resulting consequences for the institutions, the medical and administrative management and especially the role of anesthesia
Hjalmar Meissner (1885-1940)
No full textCarl Hjalmar Meissner was born 1 March 1865 in Helsinki, Finland and died 28 May 1940 in Stockholm. He was a Finnish-Swedish pianist, conductor, arranger, composer and author. As a conductor, he worked mainly as a bandleader for military music and theatre ensembles, but also as an opera and symphony orchestra conductor. His profession as a composer arose mostly from his work as pianist and conductor. He was married to operetta singer Emma Meissner in 1899.</p
The Quality of Postoperative Pain Therapy in German Hospitals.
No full textBACKGROUND
Many patients in German hospitals complain of inadequate treatment of their postoperative pain. Hospital-related structural and procedural variables may affect pain perception and patient satisfaction. We studied the association of individual variables with outcome quality.
METHODS
Data from the years 2011 to 2014 from the world's largest acute pain registry (QUIPS) were evaluated. The analysis was performed with mixed linear regression models.
RESULTS
We studied registry data from 138 German hospitals concerning four commonly performed types of operations (total number of operations, 21 114) and found that the intensity of pain, functional impairment, and satisfaction with postoperative pain therapy were all highly variable from one hospital to another. Patients in university hospitals complained more often than those in standard care facilities of highly intense pain (odds ratio [OR] 2.44; 95% con - fidence interval [CI] [1.18; 5.04]) and dissatisfaction (OR 3.58 [1.85; 6.93]). In specialized centers as well, pain intensity (OR 1.39 [1.06; 1.83]) and dissatisfaction (OR 1.59 [1.25; 2.02]) were higher. Pain-related limitation of movement was also reported more commonly in university hospitals (OR 2.12 [0.87; 5.16]) and specialized centers (OR 1.87 [1.33; 2.65]) than in standard care facilities. Less pain-related limitation of movement and higher satisfaction were reported in hospitals in which pain was documented in the patients' charts and the patients felt adequately informed about the treatment options.
CONCLUSION
The current state of postoperative pain therapy leaves much room for improvement. Quality indicators in the field of acute pain medicine might help improve patient care
Observation and control of hybrid spin-wave-Meissner-current transport modes
No full textSuperconductors are materials with zero electrical resistivity and the ability to expel magnetic fields, which is known as the Meissner effect. Their dissipationless diamagnetic response is central to magnetic levitation and circuits such as quantum interference devices. In this work, we used superconducting diamagnetism to shape the magnetic environment governing the transport of spin waves-collective spin excitations in magnets that are promising on-chip signal carriers-in a thin-film magnet. Using diamond-based magnetic imaging, we observed hybridized spin-wave-Meissner-current transport modes with strongly altered, temperature-tunable wavelengths and then demonstrated local control of spin-wave refraction using a focused laser. Our results demonstrate the versatility of superconductor-manipulated spin-wave transport and have potential applications in spin-wave gratings, filters, crystals, and cavities.Green Open Access added to TU Delft Institutional Repository 'You share, we take care!' - Taverne project https://www.openaccess.nl/en/you-share-we-take-care Otherwise as indicated in the copyright section: the publisher is the copyright holder of this work and the author uses the Dutch legislation to make this work public.QN/vanderSarlabQN/Kavli Nanolab DelftQN/Blanter Grou
Anwendbarkeit von QUIKS bei stationär konservativ behandelten Tumorpatienten
No full textBACKGROUND: Quality improvement in conservative pain management (QUIKS), a module for nonoperative patients in the QUIPS project was tested on a cohort of tumor patients regarding its applicability. MATERIAL AND METHODS: Conservatively treated inpatients at the University Hospital of Würzburg (UKW) were prospectively surveyed on the quality of pain management using the QUIKS outcome questionnaire (AZ 129/17, Ethics Committee at UKW). Information on therapy and demographics was taken from the hospital’s internal documentation system. RESULTS: During the data collection period 100 conservatively treated inhouse tumor patients from different hospitals were included. Of the patients 74% required assistance in answering the questionnaire. Functional limitations or pain treatment-related side effects were present in 77% of the patients; the average pain level was 6 on the numerical rating scale. The most commonly reported type of pain was back pain and headache. Of the patients 18% received pain therapy with opioids and 26% with nonopioids, adjustment was made in 5% with opioids and in 44% with nonopioids and pain medicine specialists were consulted in 9% of cases. CONCLUSION: The application of the questionnaire was well accepted by the patients but required a high level of assistance in completing it. A high level of pain was observed during the hospital stay and the adjustment of pain therapy or the involvement of pain medicine specialists was rare. The interpretation of statements regarding the quality of tumor pain may be limited as other (pre-existing) pain entities, such as nontumor-associated pain or chronic tumor pain could not be clearly delineated
The use of the special theory of relativity for the Meissner Effect in superconductor
No full textThe electromagnetic waves are considered in this article as the mediators of interaction in the Meissner Effect or the diamagnetic property of the superconductors. During the cooling of a superconductor electromagnetic waves may be released when the electrons occupy lower states of the energy. These electromagnetic waves may combine in circularly, elliptically and spherically rotating ways, being called in this article the rounded electromagnetic fields. The application of the Lorentz transformation of the Special Theory of Relativity to the magnetic vectors of the mediating electromagnetic fields implies the magnetic orthogoniopedic effect inside the bulk of a superconductor in the Meissner Effect.PhysicsApplied Science
First person – Justyna Meissner
No full textABSTRACT
First Person is a series of interviews with the first authors of a selection of papers published in Journal of Cell Science, helping early-career researchers promote themselves alongside their papers. Justyna Meissner is the first author on ‘The ARF guanine nucleotide exchange factor GBF1 is targeted to Golgi membranes through a PIP-binding domain’, published in Journal of Cell Science. Justyna is a postdoctoral fellow in the laboratory of Dr Elizabeth Sztul at University of Alabama at Birmingham, USA, investigating the structure and function of large GEFs.</jats:p
StatusDiversity: Methoden der Datenerhebung
No full textIn diesem Teilbericht wird die Entwicklung des innovativen Interviewinstruments digital-narrative- photo-elicitation (DNP) zur Erhebung von Migrations-Status-Geschichten beschrieben. Die im Rahmen des Forschungsprojektes StatusDiversity angelegte Forschung will durch die Rekonstruktion individueller Migrations-Status-Geschichten besser verstehen, wie räumlich und zeitlich differenzierte Muster von legal status diversity entstehen (Meissner 2017). Neben der reinen Entwicklung der DNP wird auch das Vorgehen bei der methodischen Realisierung der Datenerhebung reflektiert, insbesondere der Zugang zu und die Auswahl von InterviewpartnerInnen. Abschließend wird das Vorgehen zur Auswertung der mit Hilfe der DNP gesammelten Daten erläutert.OLD Urban Renewal and Housin
Current practice of acute pain management in children - a national follow-up survey in Germany
No full textOBJECTIVES
This study aimed to summarize the current standard practices for acute pain management in children in Germany and the implementation of these procedures. The last survey on acute pain management in children was performed in 1999, highlighting the need for an up to date review.
METHODS
A questionnaire was mailed to German departments of anesthesiology (n = 885), asking for structures and processes of acute pain management in children. Results were compared between hospitals with and without an acute pain service and with and without a pediatric department.
RESULTS
Of the 407 responding hospitals (response rate of 46%), 342 treated children younger than 14 years. These were considered for analysis. Of the 342 hospitals, 42% contained either a general pediatric department or a department of pediatric surgery, and the majority of the responding hospitals had an acute pain service (83%). Pain intensities were measured at least once per shift in 40% of the institutions, and at least once or twice a day in 27%. Of the institutions, 31% did not document pain scores regularly, without any difference between hospitals with or without a pediatric department. Standard operating procedures for acute pain management existed in 68% of the hospitals, with large differences in content and length. Opioids were administered to children in 85% of the hospitals. Nonopioid analgesics were the first choice baseline analgesics in most hospitals. Peripheral regional and epidural analgesia were performed in children in 18% and 8% of the hospitals, respectively (21%/16% with a paediatric department, 16%/1% without; P < 0.001).
CONCLUSION
Current practice of pediatric pain management varied widely and the recommendations of guidelines, like regular pain management, were frequently not met. However, improvements could be observed since 1999, for example, an increase in regular pain measurements (4% vs 67%). Furthermore, pain management in hospitals running a pediatric department had a higher degree of organization, and more sophisticated analgesic techniques
- …
