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Search Results: 1 - 10 of 1903 matches for " Almuth Berg "
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Preoperative information for ICU patients to reduce anxiety during and after the ICU-stay: protocol of a randomized controlled trial [NCT00151554]
Almuth Berg, Steffen Fleischer, Michael Koller, Thomas R Neubert
BMC Nursing , 2006, DOI: 10.1186/1472-6955-5-4
Abstract: The trial is designed as a prospective randomized controlled trial including an intervention and a control group. The control group receives the standard preparation currently conducted by surgeons and anesthetists. The intervention group additionally receives a standardized information program with specific procedural, sensory and coping information about the ICU.A measurable clinical relevant difference regarding anxiety will be expected after discharge from ICU. Power calculation (α = 0.05; β = 0.20; Δ = 8.50 score points) resulted in a required sample size of N = 120 cardiac surgical patients (n = 60 vs. n = 60). Furthermore, N = 20 abdominal or thoracic surgical patients will be recruited (n = 10 vs. n = 10) to gain insight to a possible generalization to other patient groups.Additionally the moderating effect of specific patient attributes (need for cognition, high trait anxiety) will be investigated to identify certain patient groups which benefit most.The proposed study promises to strengthen evidence on effects of a specific, concise information program that addresses the information needs of patients scheduled for ICU stay.Technological advances during the last decades in intensive care medicine made it possible to treat an increasing number of high risk surgical patients. Nevertheless, many patients awaiting elective surgery experience diffuse anxiety and a lack of subjective predictability regarding their stay on the intensive care unit. The psychological elements that become salient in the perioperative situation can be characterized as loss of control, irritation and uncertainty. These psychological elements are also known for contributing to postoperative complications such as delayed wound healing and an increased intake of sedatives and analgesics [1]. In addition, the strange and unfamiliar situation on the ICU in combination with sleep deprivation and ICU-noises is closely related with the incidence of a postoperative delirium also called ICU-Synd
Snoezelen, structured reminiscence therapy and 10-minutes activation in long term care residents with dementia (WISDE): study protocol of a cluster randomized controlled trial
Almuth Berg, Katharina Sadowski, Melanie Beyrodt, Stephanie Hanns, Markus Zimmermann, Gero Langer, Christiane Becker, Christine Lautenschl?ger, Johann Behrens
BMC Geriatrics , 2010, DOI: 10.1186/1471-2318-10-5
Abstract: The trial is designed as a cluster randomized controlled trial with 20 nursing homes in Saxony and Saxony-Anhalt (Germany) as the units of randomization. Nursing homes will be randomly allocated into 4 study groups consisting of 5 clusters and 90 residents: snoezelen, structured reminiscence therapy, 10-minutes activation or unstructured verbal communication (control group). The purpose is to determine whether the interventions are effective to reduce apathy in long-term care residents with dementia (N = 360) as the main outcome measure. Assessments will be done at baseline, 3, 6 and 12 months after beginning of the interventions.This trial will particularly contribute to the evidence on efficacy of non-pharmacological interventions in dementia care.ClinicalTrials.gov NCT00653731Dementia is one of the most frequent and serious diseases occurring in people of higher age. There are currently more than 6 million people with dementia in the European Union with the prevalence of the disease increasing in the next decades [1].People with dementia are often inapproachable due to symptoms of their illness. Besides cognitive disorders, primarily the non-cognitive symptoms of dementia, such as apathy, anxiety, depression, and challenging behavior, complicate the course of the disease and impede communication. Therefore nurses should establish relationships with dementia patients via their remaining resources and facilitate communication. Emotions, memories, important characteristics of the patients' biography, as well as perceptions on the somatic and emotional level can be used as resources in order to approach persons with dementia by using different pathways, even if communicative relationships are seemingly impeded.In order to achieve this, different conceptualized non-pharmacological interventions are recommended in practice guidelines and practiced [2,3]. However, there is no sufficient evidence about the efficacy of several of these interventions, such as snoezelen and
9th International Bielefeld Conference 2009: Upgrading the eLibrary: Enhanced Information Services Driven by Technology and Economics
Almuth Gastinger
Liber Quarterly : The Journal of European Research Libraries , 2009,
Abstract: Thisarticle reports on the 9th International Bielefeld Conference ‘Upgrading the eLibrary: Enhanced Information Services Driven by Technology and Economics’, 3-5 February 2009, in Bielefeld, Germany. The conference focused on future challenges for libraries regarding the development of information services and infrastructures that meet the changing needs of scholarly communication, collaboration (e-science) and publication (open access) as well as new requirements regarding teaching and learning (virtual learning spaces). In addition attention was paid to economic conditions and strategic positioning of libraries as a general framework for information services.
8th International Bielefeld Conference 2006: Academic Library and Information Services: New Paradigms for the Digital Age
Almuth Gastinger
Liber Quarterly : The Journal of European Research Libraries , 2006,
Abstract: From 7-9 February 2006, Bielefeld University Library in North Rhine-Westphalia, Germany, was host to the 8th International Bielefeld Conference. The subject this year was Academic Library and Information Services: New Paradigms for the Digital Age. The conference has been taking place every two years since 1992 and has proved to be one of the most popular forums for librarians and university managers from Europe and beyond to hear about and discuss new concepts, strategies, services, and technologies for academic and research libraries. This year’s conference attracted almost 500 participants from 35 countries.
Structured information during the ICU stay to reduce anxiety: study protocol of a multicenter randomized controlled trial
Steffen Fleischer, Almuth Berg, Thomas R Neubert, Michael Koller, Johann Behrens, Ralf Becker, Annegret Horbach, Joachim Radke, Mathias Rothmund, Oliver Kuss
Trials , 2009, DOI: 10.1186/1745-6215-10-84
Abstract: The trial is designed as a prospective multicenter randomized controlled trial in the cities of Marburg, Halle and Stuttgart. Elective and non-elective ICU patients will be included. The trial includes an intervention and a control group on the ICU. The control group receives a trivial conversation without any ICU-specific information. The intervention group receives an information program with specific procedural, sensory and coping information about their ICU stay. Both conversations take place in the ICU and are planned to take about 10 minutes.In contrast to former trials on information programs on the ICU-stay our intervention will take place in the ICU itself. This approach will ensure to compensate for memory effects due to anesthesia or preoperative stress. Further the results will be applicable to non-elective ICU-patients.ClinicalTrials NCT00764933ICU stay for ventilated patients is associated with severe impairments and limitations of communication. Additionally, these patients are restricted regarding their activities and ability to participate. These restrictions are mainly due to structural and procedural necessities including therapeutic interventions. The patients are not only handicapped by their vocal restraints, but also by the unknown and unfamiliar situation in the ICU. Nonetheless, ventilated patients are able to actively communicate with their environment. Research shows that nurse-initiated nurse-patient communication is lacking in this phase of ventilation [1]. If the nurses are interacting with the patient, the interaction is nonverbal and rather instrumental. With the patient getting more and more awake and able to respond, nurse-initiated communication increases [1].Research into the communication behavior in intensive care units, not limited to ventilated patients, showed interactions and interaction conditions which had predominantly been perceived as problematic by patients [2-10]. ICU patients often experience these ineffective commun
Sustainable economic growth and exhaustible resources: A model and estimation for the US
Almuth Scholl,Willi Semmler
Discrete Dynamics in Nature and Society , 2002, DOI: 10.1080/1026022021000000248
Abstract: This paper studies current models on sustainable economic growth with resource constraints and explores to what extent resource constraints can be overcome by substitution and technological change. We also study the problem of intergenerational equity and the different criteria that have been suggested in the literature. The central part of this paper is the presentation of stylized facts on exhaustible resources and an estimation of a basic model with resource constraints for US time series data. The estimated years left until depletion and the empirical trends of the ratios of capital stock and consumption to resources seem to indicate that there might be a threat to sustainable growth in the future. In our estimation, we obtain parameter values, which help to interpret the extent to which growth with exhaustible resources is sustainable.
Alguns pontos sobre a história da crítica genética
Grésillon, Almuth;
Estudos Avan?ados , 1991, DOI: 10.1590/S0103-40141991000100002
Abstract: what is the "genetic criticism", that was called by the critic louis hay in 1979?what do we do when we deal with the genetic criticism? this article defines a new interdisciplinary field, which has caused perplexity amongst the literary theorists and critics. the most importam moments (positive and negative) of the reception of the genetic criticism are stressed.
Process Adaption and Modifications of a Nutrient Removing Wastewater Treatment Plant in Sri Lanka Operated at Low Loading Conditions  [PDF]
Johanna Berg, Stig Morling
Materials Sciences and Applications (MSA) , 2013, DOI: 10.4236/msa.2013.45038
Abstract:

The Sri Lankan national water authority, that is The National Water Supply and Drainage Board (NWS&DB) has taken a new wastewater treatment plant into operation at Ja Ela, North of Colombo. The plant has been in operation since September 2011. In April 2012, it was concluded how a test of the aeration efficiency and a performance test should be carried out. The tests have been based on the actual loading of the plant and the analysis results from the daily process control. The evaluation of the aeration efficiency is not reported in this paper. The paper presents the overall performance of the water treatment part of the plant during start-up conditions, from fall 2011 through the first five months of 2012. The results from the operation are found in Table 1. An important circumstance at the plant is the current very low loading in comparison with the design load. This fact has resulted in an introduction of an intermittent mode of the aeration (nitrification) reactor. Based on operation figures, during more than a month (May 2012), it has been possible to give a realistic assessment of the overall performance. The most striking results are summarized as follows: 1) The intermittent operation has enabled an energy efficient operation of the plant. By the introduction of the intermittent aeration, the energy consumption has been reduced by around 75%, compared with the continuous operation mode; 2) The plant performance during the intermittent operation has been improved with respect to virtually all important pollu

Reliability of High Speed Ultra Low Voltage Differential CMOS Logic  [PDF]
Omid Mirmotahari, Yngvar Berg
Circuits and Systems (CS) , 2015, DOI: 10.4236/cs.2015.65013
Abstract: In this paper, we present a solution to the ultra low voltage inverter by adding a keeper transistor in order to make the semi-floating-gate more stable and to reduce the current dissipation. Moreover, we also present a differential ULV inverter and elaborate on the reliability and fault tolerance of the gate. The differential ULV gate compared to both a former ULV gate and standard CMOS are given. The results are obtained through Monte-Carlo simulations.
The Show-Up Identification Procedure: A Literature Review  [PDF]
Mattias Per Sj?berg
Open Journal of Social Sciences (JSS) , 2016, DOI: 10.4236/jss.2016.41012
Abstract: A show-up is an identification procedure that only presents the witness with one suspect in contrast to a lineup where the suspect is presented among a number of fillers (i.e., known innocent people). This feature makes the show-up procedure very suggestive. In this literature review, an overview of the current research about this identification procedure is presented. The different factors that influence the accuracy in show-up procedures are separated into system (e.g., clothing bias, instruction bias, and the impact of multiple show-ups) and estimator variables (e.g., age, cross-race effects, and alcohol) in line with Wells [1]. The implications of the research are discussed together with suggestions for future research.
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