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Der Beitrag gibt einen Uberblick uber allgemeine Faktoren, die ein in der Krankenversorgung tatiger Psychoanalytiker uber die Suizidalitat wissen sollte. Dazu gehoren die Haufigkeit suizidaler Verhaltensweisen, die demografische Verteilung von Suiziden und suizidalen Verhaltensweisen sowie bestimmte Risikofaktoren und Warnsignale, welche in die Reflexion uber die Patienten einbezogen werden sollten.

Candidemia epidemiology varies significantly by region; thus, local data are essential for evidence-based decision-making in prophylaxis and treatment. Current management strategies are derived from large randomized controlled trials mostly executed in large high-volume tertiary care centers. Results may not be entirely transferable to smaller hospitals. This study investigates epidemiology, diagnosis, and treatment standards in six hospitals in the Cologne metropolitan area (number of inhabitants approx. one million). We assessed adherence to the current guideline of the European Society for Clinical Microbiology and Infectious Diseases (ESCMID) and the Infectious Diseases Society of America (IDSA) using the EQUAL Candida Score of the European Confederation of Medical Mycology (ECMM). Data were documented by trained medical students as part of an integrated research and teaching concept at the University of Cologne. Between January 2014 and June 2017, 77 patients had candidemia, corresponding to an incidence of 0.2 cases/1000 admissions. While 55 patients were enrolled, 22 patients were excluded due to incompletely retrievable health records. Fluconazole monotherapy was the preferred first-line treatment in cases with Candida albicans infection (21/29). A central vascular catheter was present in 40 patients and was removed in 17 (43%) during treatment. Overall mortality at 30 days was 44%. Patients reached a mean EQUAL Candida Score of 9.9 (range 8-14), which was well below the maximum score of 22 for perfect guideline adherence. In summary, management of candidemia differed from current European recommendations. It remains unclear to what extent enhanced adherence would improve patient outcome. Larger prospective studies need to answer that question.

Motivated by both still open fundamental theoretical questions as well as novel applications, the electro-kinetics of highly charged model colloids have attracted considerable interest in the last few years. The present paper reviews corresponding new developments and trends emerging mainly from novel instrumentations for both strongly interacting and extremely dilute systems. We also highlight recent uses of local electric fields and electro-kinetic currents to realize complex micro-swimmers or prescribe crystal micro-structures.