Feddersenwhitehead9285

To identify the efficacy of a design thinking and health care innovation course in improving medical students' self-awareness regarding design thinking metrics.

The assessment of the design thinking mindset was measured pre- and post-course. The target population included medical students at our institution participating in the Innovation & Design Thinking (IDT) course. A paired t-test was used to compare scores from before and after taking the course with p-value set at <0.05.

Students reported significantly improvements in the domains of tolerance for uncertainty, embracing risk, human-centeredness, mindfulness and awareness of process, team knowledge, experimentation, transforming in something tangible, abductive thinking, envisioning new things, and creative confidence (p<0.05). The greatest improvements were in tolerance for uncertainty (0.48), mindfulness and awareness of process (0.47), and creative confidence (0.40). No significant change was observed in constructs such as empathy, problem reframing, team member's interaction, multidisciplinary collaborative teams, openness to diversity, being learning oriented, learning from mistakes, bias for action, critical thinking, desire to make a difference, and optimism to have an impact.

Instructing medical students on the principles of design thinking and their applications in health care improves their self-awareness regarding the design thinking mindset.

Instructing medical students on the principles of design thinking and their applications in health care improves their self-awareness regarding the design thinking mindset.The SARS-CoV-2 pandemic has affected millions across the world. Significant patient surges have caused severe resource allocation challenges in personal protective equipment, medications, and staffing. The virus produces bilateral lung infiltrates causing significant oxygen depletion and respiratory failure thus increasing the need for ventilators. The patients who require ventilation are often requiring prolonged ventilation and depleting hospital resources. Tracheostomy is often utilized in patients requiring prolonged ventilation, and early tracheostomy in critical care patients has been shown in some studies to improve a variety of factors including intensive care unit (ICU) length of stay, ventilation weaning, and decreased sedation medication utilization. In a patient surge setting, as long as adequate personal protective equipment (PPE) is available to minimize spread to healthcare workers, early tracheostomy may be a beneficial management of these patients. Decreasing sedative medication utilization mhile decreasing sedation, allowing for earlier transfer out of the ICU, and improving hospital resource utilization.

Open mesh repair is one of the most frequently performed general surgery operations worldwide. Unfortunately, the classic technique using stitches to fix the mesh is still associated with a high risk of chronic pain. We propose a new technique that uses autologous Platelet-Rich Fibrin (PRF) to fix the mesh.

PRF is prepared in theatre by centrifugation of the patient's own blood and immediately applied to fix the mesh. In this feasibility pilot study, five patients were operated upon with the PRF-mesh repair technique. Postoperative pain was evaluated with a visual analogue scale (VAS) up to 6 months after surgery. Time to recovery was also recorded for all patients. SCH-442416 VAS in this small group of patients was grossly compared with that in a historical cohort of patients who underwent Lichtenstein repair; due to the small sample size, no statistical comparison was performed.

Postoperative pain remained at low levels and no patient experienced chronic pain, recurrence or any other complication within 6 months. All patients returned to their usual activities within 3 days after surgery. The VAS scores confirmed that PRF-mesh repair may be associated with less pain than the Lichtenstein technique.

PRF-mesh repair is a safe and effective option in the treatment of inguinal hernias as it couples the safety of physiologically enhanced healing with the efficacy of prompt fixation of the mesh.

PRF-mesh repair is a safe and effective option in the treatment of inguinal hernias as it couples the safety of physiologically enhanced healing with the efficacy of prompt fixation of the mesh.

The aim of this study was to compare the outcomes of monotherapy in individuals with bipolar disorder who are prescribed lithium, valproate, quetiapine, olanzapine, venlafaxine, or citalopram in private psychiatric practices in Germany.

This retrospective study included bipolar disorder patients who had initially started on a monotherapy with lithium, valproate, quetiapine, olanzapine, venlafaxine, or citalopram in 93 private neuropsychiatric practices in Germany between January 2006 and December 2017. Treatment failure was defined as time to discontinuation of medication or addition of another mood stabilizer, antipsychotic, antidepressant, or benzodiazepine.

A total of 4990 bipolar patients was examined for the period between 2006 and 2019. Initially, monotherapy with lithium (n=1.098), valproate (n=502), quetiapine (n=927), olanzapine (n=927), venlafaxine (n=574), or citalopram (n=962) was prescribed. Within 24 months, treatment failure had occurred in 76.3% (lithium), 85.1% (valproate), 84.6% (quetiapine), 85.2% (venlafaxine), 92.1% (olanzapine), and 86.6% (citalopram) of patients, respectively. The hazard ratio for treatment failure compared to lithium as reference was highest for olanzapine at 1.66 (1.46-1.88), followed by citalopram 1.27 (1.15-1.39), quetiapine 1.18 (1.07-1.29), valproate 1.18 (1.06-1.33), and venlafaxine 1.14 (1.02-1.27).

Our results underline the importance of lithium in the maintenance treatment of bipolar disorders.

Our results underline the importance of lithium in the maintenance treatment of bipolar disorders.

 Thanks to a simplified special approval process that was valid until October 1st, 2020, a large number of particle-filtering half masks have come onto the German market. When caring for SARS-CoV-2 infected patients, the RKI recommends wearing particle-filtering half masks with a filter performance of at least 94 %, which corresponds to FFP class 2 according to EN 1492001+A12009. We have examined 15 particle-filtering half masks with different specifications for their filter performance METHOD  The masks were clamped in a jig in an airtight test box. Radioactive particles with a size of 0.6 ± 0.4 µm were nebulized into the box and sucked into a filter through the port of the jig and an unfiltered reference port using an artificial lung. The activity deposited on the filter was measured by means of a gamma camera. The filter performance was calculated from this.

 Five of the 15 masks tested had a filter performance of less than 94 % and therefore do not meet the FFP2 standard. The filter performance of these masks was 71.8 ± 2.3 %, 73.2 ± 2.3 %, 78.2 ± 6.7 %, 92.2 ± 0.5 % and 85.9 ± 1.6 %.

 One third of the examined masks did not meet the recommended FFP2 standard, which is recommended for the care of SARS-CoV-2 infected patients. A comprehensive review of already approved products by the supervisory authorities is advisable.

 One third of the examined masks did not meet the recommended FFP2 standard, which is recommended for the care of SARS-CoV-2 infected patients. A comprehensive review of already approved products by the supervisory authorities is advisable.

 Digitalization in surgery makes it necessary to develop modern surgical concepts. New approaches to system networking with integration and open standardized communication of all medical devices are being pursued.

 At the University Hospital Leipzig, a demonstration of the integrated OR was carried out together with the Innovation Center for Computer Assisted Surgery (ICCAS) using the example of a cochlea implantation. The preoperative management, technical preparation, surgical procedure and postoperative documentation by a total of n = 30 study participants (2 expert groups) were evaluated. In addition to the collection of objective parameters, qualitative questionnaires and quantitative, interval-scaled questions were used.

 Preoperatively, the digital presentation of the patient's clinical data was considered as helpful by both groups (group 1 median = 5, group 2 median = 4). This also applies to the personalized OR settings, the intraoperative display options and the dynamic, surgeon-centered visualization (median = 4). Similar positive conclusions were drawn for postoperative documentation and postoperative follow-up (median = 4). A significant difference in the final evaluation of the integrated surgical concept between the two expert groups could not be determined (p > 0.05).

 The positive study results show that the theoretical idea of system networking based on open standards can be successfully implemented in practice using the example of a cochlea implantation. Thus, the intelligent "operating room of the future" no longer seems to be a fictitious idea, but a realistic image of modern surgical medicine.

 The positive study results show that the theoretical idea of system networking based on open standards can be successfully implemented in practice using the example of a cochlea implantation. Thus, the intelligent "operating room of the future" no longer seems to be a fictitious idea, but a realistic image of modern surgical medicine.

Child development is determined by both biological (e. g. gender, natal maturity) and psychosocial (e. g. socioeconomic status, daycare) factors.

To examine how familial socioeconomic status (SES) as well as biological and other psychosocial factors are associated with the state of development of 4- and 6-year-old children.

Data linkage of primary data from a birth cohort study and routine data from the Saxon public health departments on children born between 2007 and 2008, who underwent both daycare health examination and school entry health examination (N=615), was used to examine speech and motor skills, both fine and gross, for associations with psychosocial and biological factors. Potential associations were tested for significance and shown as odds ratios by using binary logistic regression.

There were no noticeable problems in the development of the majority of Saxon children until school entry. Nevertheless, language seems to be a sensitive area of development, since 37% of the children showede issues.On the basis of the current hospital financing system, the economically viable operation of small departments is hardly possible. Ensuring the availability of medical specialists "round the clock" in these departments leads to high fixed costs. Remuneration through the diagnosis-related system is currently calculated using the cost accounting of specialized service providers and large clinics. In contrast to the smaller departments providing basic care, the maintenance of basic services represents only a smaller percentage of costs for large facilities.There are legal and economic limits to the political influence on the hospital financing system. If adequate provision of healthcare is at risk, takeover of a private hospital by the local authority can be considered under certain conditions. In addition to quality indicators, the municipal subsidiarity principle must be complied with in a takeover of a hospital. Even under municipal sponsorship, work must be done to ensure economic efficiency. It is questionable whether a municipal authority can achieve greater efficiency than a large private hospital group.