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Background: In Germany, hospice and palliative care is well covered through inpatient, outpatient, and home-based care services. It is unknown if, and to what extent, there is a need for additional day care services to meet the specific needs of patients and caregivers.
Methods: Two day hospices and two palliative day care clinics were selected. In the first step, two managers from each facility (n = 8) were interviewed by telephone, using a semi-structured interview guide. In the second step, four focus groups were conducted, each with three to seven representatives of hospice and palliative care from the facilities’ hospice and palliative care networks. Interviews and focus groups were audio recorded, transcribed verbatim and analyzed using qualitative content analysis.
Results: The interviewed experts perceived day care services as providing additional patient and caregiver benefits. Specifically, the services were perceived to meet patient needs for social interaction and bundled treatments, especially for patients who did not fit into inpatient settings (due to, e.g., their young age or a lack of desire for inpatient admission). The services were also perceived to meet caregiver needs for support, providing short-term relief for the home care situation.
Conclusions: The results suggest that inpatient, outpatient, and home-based hospice and palliative care services do not meet the palliative care needs of all patients. Although the population that is most likely to benefit from day care services is assumed to be relatively small, such services may meet the needs of certain patient groups more effectively than other forms of care.
The paper sheds light on the change in the concept of obedience within the Society of Jesus since the 1960s. In the aftermath of the Second Vatican Council, a so-called crisis of authority and obedience took place in the Catholic Church and the religious orders. As a consequence, the notions of responsibility and conscience came to the fore in the Jesuit definition of obedience. The religious concept of obedience, that is the obedience towards God, was reassessed as a service to humanity. The paper analyzes how the change in the concept of obedience gave rise to the promotion of social justice, which the Society of Jesus proclaimed at General Congregation 32 in 1974/75. By including the promotion of social justice into their central mission, Jesuits not only fundamentally transformed their self-conception, but also their ethical values. The paper argues that the pursuit of social justice became a form of religious obedience.
This formal guide serves as a tool for questioning adult witnesses and accused persons. The utilisation of this framework follows the standard procedure of questioning and is underpinned by a purpose-built set of flash cards. Starting with concrete sample phrasings for informing the person of their rights, tried-and-tested questions and queries follow and lead through the questioning like the central theme. In addition, you will find supplementary explanations for each flash card. This technique enables law-enforcement professionals to obtain comprehensive statements of high quality from individuals willing to testify, which in turn permits a subsequent evaluation of truthfulness of statements to be conducted. The entire technique of questioning is geared towards the most recent scientific consensus. We selected the flash card format in order to allow police officers, for instance, to be able to conduct a questioning at any time and in whichever context. The specified structure contributes to ensuring that the general legislative framework is upheld and that we achieve statements that are considered solid in court. The final section addresses FAQs about this questioning technique, as well as references to further reading for those wishing to delve deeper.
An important part of computed tomography is the calculation of a three-dimensional reconstruction of an object from series of X-ray images. Unfortunately, some applications do not provide sufficient X-ray images. Then, the reconstructed objects no longer truly represent the original. Inside of the volumes, the accuracy seems to vary unpredictably. In this paper, we introduce a novel method to evaluate any reconstruction, voxel by voxel. The evaluation is based on a sophisticated probabilistic handling of the measured X-rays, as well as the inclusion of a priori knowledge about the materials that the object receiving the X-ray examination consists of. For each voxel, the proposed method outputs a numerical value that represents the probability of existence of a predefined material at the position of the voxel while doing X-ray. Such a probabilistic quality measure was lacking so far. In our experiment, false reconstructed areas get detected by their low probability. In exact reconstructed areas, a high probability predominates. Receiver Operating Characteristics not only confirm the reliability of our quality measure but also demonstrate that existing methods are less suitable for evaluating a reconstruction.
Primary data is an important source ofinformation for Competitive Intelligence. Traditionally, it has been collected from interviews with stakeholders, talks at conferences and other means of direct interpersonal communication. The role of the Internet in the data collection – if it was used at all – was that of a provider of supplementary secondary data. Here, this approach is challenged and, using three examples of Social Media, it is shown that the Internet can and does provide valuable primary information to the Competitive Intelligence professional. Accordingly, a case is made for a shift of focus in the data collection process.
On April, 23rd 2007 a series of postings started on Infobib.de, where guest authors from all over the world introduced the library and library related blogs of their own country. This book is a collection of 30 revised LibWorld articles, accompanied by a foreword by Walt Crawford. Included are articles about the blogosphere of: Argentina, Australia, Austria, Belarus, Belgium, Brazil, Canada, Denmark, Finland, France, Greece, Hungary, Iran, Italy, Japan, Latvia, Malawi, Netherlands, New Zealand, Norway, Peru, Puerto Rico, Russia, Singapore, Spain, Sweden, Switzerland, Trinidad & Tobago, USA.
A German university has developed a learning information system to improve information literacy among German students. An online tutorial based on this Lerninformationssystem has been developed. The structure of this learning information system is described, an online tutorial based on it is illustrated, and the different learning styles that it supports are indicated.