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Search Results: 1 - 10 of 163 matches for " Stucki Gerold "
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Validation of the International Classification of Functioning, Disability and Health Core Set for chronic widespread pain from the perspective of fibromyalgia patients
Robin Hieblinger, Michaela Coenen, Gerold Stucki, Andreas Winkelmann, Alarcos Cieza
Arthritis Research & Therapy , 2009, DOI: 10.1186/ar2696
Abstract: The sampling of patients followed the maximum variation strategy. Sample size was determined by saturation. The focus groups were digitally recorded and transcribed verbatim. The meaning condensation procedure was used for qualitative data analysis. After qualitative data analysis, the identified concepts were linked to ICF categories.Thirty-three patients participated in six focus groups. Fifty-four ICF categories out of 67 categories of the Comprehensive ICF Core Set for CWP were reported by the patients. Forty-eight additional categories that are not covered in the Comprehensive ICF Core Set for CWP were raised.Most ICF categories of the existing version of the Comprehensive ICF Core Set for CWP could be confirmed from the patient perspective. However, several categories not included in the Core Set emerged and should be considered for inclusion.The perspective of functioning, disability and health of the World Health Organization [1] establishes the basis for a comprehensive description of the experience of patients suffering from a determined disease. This perspective recognizes different aspects of health from a biological, individual and social perspective, providing for a coherent view of illness [2]. This holistic approach guided the development of the International Classification of Functioning, Disability and Health (ICF), which was approved by the World Health Assembly in May 2001. Since the ICF has been developed in a worldwide, comprehensive process and was endorsed by the World Health Assembly as a member of the World Health Organization Family of International Classifications, it is likely to become the generally accepted framework to describe functioning, disability and health from a bio-psycho-social perspective.Based on the bio-psycho-social perspective, the ICF classification contains the so-called ICF components Body Functions, Body Structures and Activities and Participation as well as the contextual factors Environmental and Personal Factors (
Identification of ICF categories relevant for nursing in the situation of acute and early post-acute rehabilitation
Martin Mueller, Christine Boldt, Eva Grill, Ralf Strobl, Gerold Stucki
BMC Nursing , 2008, DOI: 10.1186/1472-6955-7-3
Abstract: First, in a consensus process, "Leistungserfassung in der Pflege" (LEP) nursing interventions relevant for the situation of acute and early post-acute rehabilitation were selected. Second, in an integrated two-step linking process, two nursing experts derived goals of LEP nursing interventions from their practical knowledge and selected corresponding ICF categories most relevant for patients in acute and post-acute rehabilitation (ICF Core Sets).Eighty-seven percent of ICF Core Set categories could be linked to goals of at least one nursing intervention variable of LEP. The ICF categories most frequently linked with LEP nursing interventions were respiration functions, experience of self and time functions and focusing attention. Thirteen percent of ICF Core Set categories could not be linked with LEP nursing interventions. The LEP nursing interventions which were linked with the highest number of different ICF-categories of all were "therapeutic intervention", "patient-nurse communication/information giving" and "mobilising".The ICF Core Sets for the acute hospital and early post-acute rehabilitation facilities are highly relevant for rehabilitation nursing. Linking nursing interventions with ICF Core Set categories is a feasible way to analyse nursing. Using the ICF Core Sets to describe goals of nursing interventions both facilitates inter-professional communication and respects patient's needs. The ICF may thus be a useful framework to set nursing intervention goals.The recovery of patients after an acute episode of illness or injury depends both on adequate medical treatment and on the early identification of needs for rehabilitation care. Acute rehabilitation is carried out by dedicated post-acute rehabilitation facilities, or by specialized wards within acute hospitals. Rehabilitation care in the acute situation is given individually by health professionals, mostly and typically by nurses with the goal to prevent complications and to restore functioning. In t
New international classification of functioning, disability and health
Stucki Gerold,Maksimovi? Milo?,Davidovi? Dragana,Jorga Jagoda
Srpski Arhiv za Celokupno Lekarstvo , 2007, DOI: 10.2298/sarh0706371s
Abstract: The WHO International Classification of Functioning, Disability and Health (ICF) provides a coherent view of health from a biological, individual and social perspective. This view may be defined both as multi- and interdisciplinary management of one’s functioning and health. This new classification is currently being assessed in multiple centers in 32 countries, on 12 health conditions. The Institute of Hygiene and Medical Ecology, School of Medicine, University of Belgrade, is one of them, serving as the centre where the classification is being tested in obese population. The objective of this paper is to provide information needed for further development and practical application of this classification in various health conditions. The new language of ICF is an exciting landmark event for preventive medicine and rehabilitation. It may lead to a stronger position of rehabilitation within the medical community, change multiprofessional communication and improve communication between patients and health professionals. .
Validation of the International Classification of Functioning, Disability and Health (ICF) Core Set for rheumatoid arthritis from the patient perspective using focus groups
Michaela Coenen, Alarcos Cieza, Tanja A Stamm, Edda Amann, Barbara Kollerits, Gerold Stucki
Arthritis Research & Therapy , 2006, DOI: 10.1186/ar1956
Abstract: Functioning is recognized as an important study outcome in rheumatoid arthritis (RA). The number of clinical studies addressing functioning as a study endpoint in patients with RA has steadily increased during the past decade [1]. These investigations have predominantly been guided by the medical perspective, from which the measurement of functioning and health is required to evaluate the patient-relevant outcomes of an intervention and from which functioning and health are seen primarily as a consequence of the disease [2]. Many of these investigations include patient-oriented instruments, for example, patient and proxy self-reports on health status, quality of life, and health preferences. In rheumatology, the Health Assessment Questionnaire Disability Index (HAQ [3]) and the Arthritis Impact Measurement Scales (AIMS2 [4]), which can be considered a generic instrument specific for RA, are widely used.These instruments have also been developed according to the medical perspective and in line with the current concept in outcomes and quality-of-life research of condition-specific measures [5], that is, they are based on the assumption that different conditions are associated with salient patient problems in functioning. The individual influence of the environment and personal factors is, however, rarely taken into account [6,7]. In addition, widely used RA-specific health-status measures, like the Health Assessment Questionnaire Disability Index, mainly address activities far more than participation [8]. However, patients' experiences of functioning are determined by their interaction with the environment and their own personal characteristics and not only by the health condition [9-12]. RA is also very much associated with the inability to continue working, ultimately leading to the experience of restriction in participation [13-16]. Thus, a very comprehensive approach is required when addressing RA.The bio-psycho-social model of Functioning, Disability and Health o
Identification of candidate categories of the International Classification of Functioning Disability and Health (ICF) for a Generic ICF Core Set based on regression modelling
Alarcos Cieza, Szilvia Geyh, Somnath Chatterji, Nenad Kostanjsek, Bedirhan T üstün, Gerold Stucki
BMC Medical Research Methodology , 2006, DOI: 10.1186/1471-2288-6-36
Abstract: While condition-specific ICF Core Sets are useful, a Generic ICF Core Set is needed to describe and compare problems in functioning across health conditions.The aims of the multi-centre, cross-sectional study presented here were: a) to propose a method to select ICF categories when a large amount of ICF-based data have to be handled, and b) to identify candidate ICF categories for a Generic ICF Core Set by examining their explanatory power in relation to item one of the SF-36.The data were collected from 1039 patients using the ICF checklist, the SF-36 and a Comorbidity Questionnaire.ICF categories to be entered in an initial regression model were selected following systematic steps in accordance with the ICF structure. Based on an initial regression model, additional models were designed by systematically substituting the ICF categories included in it with ICF categories with which they were highly correlated.Fourteen different regression models were performed. The variance the performed models account for ranged from 22.27% to 24.0%. The ICF category that explained the highest amount of variance in all the models was sensation of pain. In total, thirteen candidate ICF categories for a Generic ICF Core Set were proposed.The selection strategy based on the ICF structure and the examination of the best possible alternative models does not provide a final answer about which ICF categories must be considered, but leads to a selection of suitable candidates which needs further consideration and comparison with the results of other selection strategies in developing a Generic ICF Core Set.Functioning is an important study outcome in relation to chronic health conditions. The number of studies addressing functioning as a study endpoint in patients with chronic conditions has steadily increased during the last decades.In health outcome research, functioning is measured from different perspectives. In clinical research, functioning is assessed to describe the limitations an
Understanding human functioning using graphical models
Markus Kalisch, Bernd AG Fellinghauer, Eva Grill, Marloes H Maathuis, Ulrich Mansmann, Peter Bühlmann, Gerold Stucki
BMC Medical Research Methodology , 2010, DOI: 10.1186/1471-2288-10-14
Abstract: We show the applicability of graphical models on ICF data for different tasks: Visualization of the dependence structure of the data set, dimension reduction and comparison of subpopulations. Moreover, we further developed and applied recent findings in causal inference using graphical models to estimate bounds on intervention effects in an observational study with many variables and without knowing the underlying causal structure.In each field, graphical models could be applied giving results of high face-validity. In particular, graphical models could be used for visualization of functioning in patients with spinal cord injury. The resulting graph consisted of several connected components which can be used for dimension reduction. Moreover, we found that the differences in the dependence structures between subpopulations were relevant and could be systematically analyzed using graphical models. Finally, when estimating bounds on causal effects of ICF categories on general health perceptions among patients with chronic health conditions, we found that the five ICF categories that showed the strongest effect were plausible.Graphical Models are a flexible tool and lend themselves for a wide range of applications. In particular, studies involving ICF data seem to be suited for analysis using graphical models.In recent years, research in health conditions with high impact such as cancer, cardiovascular, and neurodegenerative diseases has been redefined from simplistic cause models towards a systems approach. This permits complex interactions of multiple components embedded in the cellular machinery of the body, and hence a new understanding of disease and aetiology. Similar to this new approach to genomic and cellular disease mechanisms, macroscopic views on health and disease are changing.Health is increasingly understood as a complex interaction of functioning with a multifaceted environment. Functioning and disability are universal human experiences in which body, b
Funcionamiento y discapacidad: la Clasificación Internacional del Funcionamiento (CIF)
Fernández-López,Juan Antonio; Fernández-Fidalgo,María; Geoffrey,Reed; Stucki,Gerold; Cieza,Alarcos;
Revista Espa?ola de Salud Pública , 2009, DOI: 10.1590/S1135-57272009000600002
Abstract: the world health organization's international classification of functioning, disability and health (icf) has provided a new foundation for our understanding of health, functioning, and disability. it covers most of the health and health-related domains that make up the human experience, and the most environmental factors that influence that experience of functioning and disability. with the exhaustive icf, patients' functioning -including its components body functions and structures and activities and participation-, becomes a central perspective in medicine. to implement the icf in medicine and other fields, practical tools (= icf core sets) have been developed. they are selected sets of categories out of the whole classification which serve as minimal standards for the assessment and reporting of functioning and health for clinical studies and clinical encounters (brief icf core set) or as standards for multiprofessional comprehensive assessment (comprehensive icf core set). different from generic and condition-specific health-status measures, the icf core sets include important body functions and structures and contextual factors. the use of the icf core sets provides an important step towards improved communications between healthcare providers and professionals, and will enable patients and their families to understand and communicate with health professionals about their functioning and treatment goals. specific applications include multi- and interdisciplinary assessment in clinical settings and in legal expert evaluations and use in disease or functioning-management programs. the icf has also a potential as a conceptual framework to clarify an interrelated universe of health-related concepts which can be elucidated based on the icf and therefore will be an ideal tool for teaching students in all medical fields and may open doors to multi-professional learning.
Continuum percolation for Gibbs point processes
Kaspar Stucki
Mathematics , 2013, DOI: 10.1214/ECP.v18-2837
Abstract: We consider percolation properties of the Boolean model generated by a Gibbs point process and balls with deterministic radius. We show that for a large class of Gibbs point processes there exists a critical activity, such that percolation occurs a.s. above criticality. For locally stable Gibbs point processes we show a converse result, i.e. they do not percolate a.s. at low activity.
200 Jahre Darwin und 250 Jahre Theory of Moral Sentiments von Adam Smith
Gerold Bluemle
International Journal of Economic Sciences and Applied Research , 2009,
Abstract: The author emphasizes that 2009 must be remembered not only for the 200 birthday of Charles Darwin, but as well as the 250-year anniversary of Adam Smith’s “Theory of Moral Sentiments”. Proceeding from the fact that Darwin as well as Robert Malthus refer to a classical economist, it is investigated whether the analogies between Evolution Theory and Economy are justified. In both fields, the competition between the selfishly functioning units plays an important/dominating role. Smith, indeed, stresses in his “Theory of Moral Sentiments” apart from the ‘self-interest’ principle, the meaning of the principle of ‘Sympathy’ as a second in importance one which, as the author indicates, forms a prerequisite for the successful co-operation and harmony that the“invisible hand” establishes. The one-sided meaning of the “Wealth of Nations” as an eulogy of the egoism, that is the only motive, has its cause in the political interest of the rising liberalism. Finally, it is investigated whether Smith’s optimism for a free developing social harmony is justified nowadays, in relation to the rising centra lization and globalization. The author arrives at a conclusion that an economic regulation according to the “Freiburger Schule” views, which will be accomplished by the state and it will correspond with the previous developments, it will be in the position to setmeasures to the consequences of ethic deficit.Der Autor betont, dass 2009 neben dem 200. Geburtstag von Charles Darwin als zweitesJubil um an das Erscheinen der Theory of Moral Sentiments“ von Adam Smith vor250 Jahren zu erinnern ist. Ausgehend davon, dass sich Darwin selbst mit RobertMalthus auf einen Klassiker der konomen berief, wird der Frage nachgegangeninwieweit Analogien zwischen der Evolutionstheorie und der konomik gerechtfertigtsind. Bei beiden Ans tzen kommt ja dem Wettbewerb zwischen egoistisch handelndenWesen zentrale Bedeutung zu. Smith indessen hat in seiner Theory of MoralSentiments“ das Prinzip der `Sympathy` als ein zweites mit dem `self-interest′wirkendes Prinzip betont, welches, wie gezeigt wird, Voraussetzung für das erfolgreicheZusammenwirken und damit die Harmonie ist, die die berühmte invisible hand“herstellt. Die einseitige Deutung des Wealth of Nations“ als eine Lobrede auf denEgoismus als alleiniges Motiv hat ihre Ursache in den politischen Interessen desaufkommenden Liberalismus. Schlie lich wird der Frage nachgegangen ob derSmith′sche Optimismus einer sich frei entwickelnden gesellschaftlichen Harmonie inAnbetracht zunehmender Zentralisierung und Globalisierung heute noch gere
Review Essay: Studieren durch Forschen in der Lehrerbildung Review Essay: Learning through Researching in Teacher Training Ensayo: Aprendiendo a través de la investigación en el entrenamiento a maestros
Gerold Scholz
Forum : Qualitative Social Research , 2006,
Abstract: Das Buch enth lt einerseits eine Reihe von Fallstudien zu unterschiedlichen p dagogischen Fragen. Gemeinsam ist ihnen, dass qualitative Methoden angewandt werden, die Studierenden erm glichen, eine "forschende Haltung" zu entwickeln. Andere Beitr ge beschreiben die Bedingungen für eine Integration von wissenschaftlichen Methoden im Rahmen der Ausbildung von Lehrerinnen und Lehrern. Das Buch arbeitet keine Theorie auf, sondern zeigt, wie die Analyse empirisch erhobener Daten sinnvoll in der ersten Phase der Lehrerbildung zur Selbstreflexion der Studierenden beitragen kann. Die praktische Philosophie des Freiburger Verst ndnisses einer Interpretationswerkstatt kann Lehrende zur Arbeit mit Fallstudien ermuntern und Studierenden einen Einblick in die M glichkeiten von Fallstudien bieten. URN: urn:nbn:de:0114-fqs0602319 This book covers a number of case studies on different educational problems. These have in common the application of qualitative methods in ways that enable students to develop a "research attitude". Other contributions describe the conditions for integrating scientific methods into teacher training. The book does not offer a theoretical approach but shows in what way the analysis of empirically collected data may appropriately contribute to students' self-reflection during the first phase of teacher-training. The practical philosophy of the Freiburg way of understanding an interpretation workshop may encourage students to work by way of case studies and may offer students insight into the possibilities of case studies. URN: urn:nbn:de:0114-fqs0602319 Este libro contiene varios estudios de casos sobre diferentes problemas educativos. Lo común en ellos es la aplicación de métodos cualitativos de forma tal que se capacita a los estudiantes para desarrollar una "actitud de investigación". Otras contribuciones describen condiciones para integrar los métodos científicos en la capacitación de los maestros. El libro no ofrece un enfoque teórico aunque muestra la forma en que el análisis de datos recolectados empíricamente puede contribuir apropiadamente a la autoreflexión de los estudiantes durante la primera fase del entrenamiento del maestro. La filosofía práctica al estilo de Freiburg para entender al taller de interpretación puede alentar a los estudiantes a trabajar por medio de estudios de caso y ofrecerles ideas sobre las posibilidades de los mismos. URN: urn:nbn:de:0114-fqs0602319
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