Search

Read-alouds boost listening and reading comprehension skills and bring subjects to life in a way that textbooks cannot. This article presents three literature-based social studies units, which offer some fresh choices to invigorate lessons. For each unit, a recently published novel is highlighted as a read-aloud or group reading selection and paired with two supplementary picture books or nonfiction titles. These additional titles will provide context as well as pictures or photos to introduce, and offer other points of view for contrast and comparison. While at first glance the three topics--immigration for elementary grades, Japanese internment for middle school, and Nazi Germany for high school--may seem disparate, all three featured works share themes of prejudice, family, and friendship. Not surprisingly, the gravity and intensity of the themes increases with the audience's age.

Background: Interprofessional medication management in primary care is a recognized strategy for improving medication safety, but it is poorly implemented in Germany. As a pilot project, ARMIN [Arzneimittelinitiative Sachsen-Thüringen] was initiated in 2014 to establish better interprofessional medication management between general practitioners and community pharmacists. Aim: The aim of this study was to explore the views of non-participating general practitioners and community pharmacists towards interprofessional medication management within ARMIN and to identify barriers to participation. Method: This was an interview study comprising a series of semi-structured telephone interviews. In total, 36 general practitioners and 15 community pharmacists were interviewed in the period between March and June 2020. Data were analyzed using thematic analysis as an inductive approach and the consolidated framework for implementation research as a deductive approach. Results: Many general practitioners and community pharmacists had a generally positive attitude towards interprofessional medication management. However, various barriers were identified and categorized into five major themes: (I) collaboration between general practitioners and community pharmacists, e.g. concerning general practitioners' professional sovereignty and pharmacists' fear of jeopardizing their relationship with general practitioners when interfering in therapy; (II) eligibility for participation, e.g., the fact that patients had to be insured with a specific statutory health insurance fund; (III) local circumstances, e.g. many pharmacists could not find a collaborating general practitioner (and vice versa). Moreover, patient demand was low, probably because patients were not aware of the program; (IV) information technology, e.g. concerning the lack of available software and data security concerns; and (V) cost–benefit ratio, e.g. the fact that potential benefits were outweighed by program-associated costs. Conclusion: The perceived discrepancy between positive attitudes and multiple prevalent barriers indicates considerable potential for further interprofessional collaboration between general practitioners and community pharmacists. [ABSTRACT FROM AUTHOR]

The article discusses research which examined to what extent of the care of persons with severe trauma was affected during the COVID-19 pandemic using data from the TraumaRegister Deutsche Gesellschaft für Unfallchirurgie (DGU) of the German Society of Trauma Surgery for the year 2020. Topics include the extent to which the increased hygiene measures changed the absolute treatment time in patients with uncertain COVID-19 status and analysis of research findings.

Aim The aim of this research is to examine the 6-month effects of an Internet-based guided self-help intervention for comorbid depressive symptoms in people with diabetes. Methods Participants ( n = 260) with Type 1 or 2 diabetes and elevated depressive symptoms [Center for Epidemiological Studies Depression Scale ( CES-D) ≥ 23] were randomly assigned to a guided Internet-based self-help intervention or a control condition (treatment as usual + online psychoeducation about depression). The primary outcome was a change in depressive symptom severity ( CES-D) from baseline to 6-month follow-up. The secondary outcomes included numbers of people achieving treatment response (reliable change of depressive symptoms) and remission ( CES-D ≤ 16), as well as the effects on glycaemic control, diabetes-related emotional distress and diabetes acceptance. Repeated measures analysis of variance examined between-group differences using intent-to-treat principles. Results Both conditions showed improvements in depression severity: intervention condition, d = 1.48 [95% confidence interval (95% CI): 1.21 to 1.76]; control condition d = 0.55 (95% CI: 0.30 to 0.80). Changes were significantly greater in the intervention condition with a large between-group effect size ( d = 0.83, 95% CI: 0.57 to 1.08). Accordingly, effects on response [relative risk ( RR) = 2.60 (95% CI: 2.01 to 3.36), P < 0.001] and remission [ RR = 3.36 (95% CI: 2.98 to 5.44), P < 0.001] were in favour of the intervention group, as were differences in change in diabetes emotional distress ( d = 0.50, 95% CI: 0.04 to 0.54), and physical and mental functioning [Short Form Health Survey ( SF-12) Physical d = 0.27 (95% CI: 0.01 to 0.51) and SF-12 Mental d = 0.68 (95% CI: 0.11 to 0.40)]. The intervention group was not superior with regard to glycaemic control, diabetes self-management and diabetes acceptance. Conclusions The trial indicates that Internet-based guided self-help treatments for depression in people with diabetes can have sustained effects on depressive symptoms, well-being and emotional distress associated with diabetes. [ABSTRACT FROM AUTHOR]

The dialect of the Volga Germans is a kind of Hessian as the majority of the settlers came from north and south of the lower river Main. On a historical map of the middle of the 18th century this part of Germany consists of several big territories and of a lot of small and very small ones, owned by counts and Imperial knights (Reichsritter). All of them had their own interests with regard to finances, tax, and population. The Russian ambassador at the Imperial Diet in Regensburg had realised that - in contrast to Russia — property-rights of all subjects were a kind of fundamental right superior even to orders of the central political organs of the Holy Roman Empire (Emperor, Imperial Diet, Imperial Circles). All of them started the prohibition of emigration to Russia in 1766/67. The Russian ambassador tried to exploit the opportunities given by the complicated constitution of the Holy Roman Empire, as regional leagues of knights and Imperial knights were of different opinion. They let their own subjects go and opened the door for Russian propaganda into the territories of their neighbours with the effect of a great wave of Hessian emigration to Russia. [ABSTRACT FROM AUTHOR]

The 47th colloquium of the South-West German and Swiss criminology institutes took place between the 1-3 July 2011 in the Caritas Academy for Health and Social Professions in Freiburg. The organizers of the event were the Freiburg Max-Planck-Institute for foreign and international criminal law and the institute for Criminology and commercial law of the Freiburg University. Several presentations by economists from Switzerland were integrated into the program.

Objectives: The purpose of this study is to assess the cost-effectiveness (net costs per life year gained) of telemedical devices for pre-clinical traffic accident emergency rescue in Germany. Methods: Two equipment versions of a telemedical device are compared from a societal perspective with the baseline in Germany, i.e. the non-application of telemedicine in emergency rescues. The analysis is based on retrospective statistical data covering a period of 10 years with discounted costs not adjusted for inflation. Due to the uncertainty of data, certain assumptions and estimates were necessary. The outcome is measured in terms of "life years gained" by reducing therapy-free intervals and improvements in first-aid provided by laypersons. Results: The introduction of the basic equipment version, "Automatic Accident Alert", is associated with net costs per life year gained of &EUR;247,977 (at baseline assumptions). The full equipment version of the telemedical device would lead to estimated net costs of &EUR;239,524 per life year gained. Multi-way sensitivity-analysis with best and worst case scenarios suggests that decreasing system costs would disproportionately reduce total costs, and that rapid market penetration would largely increase the system's benefit, while simultaneously reducing costs. Conclusion: The net costs per life year gained in the application of the two versions of the telemedical device for pre-clinical emergency rescue of traffic accidents are estimated as quite high. However, the implementation of the device as part of a larger European co-ordinated initiative is more realistic. [ABSTRACT FROM AUTHOR]

The article presents an excerpt of a speech delivered by Dr. Walter Auerbach at a convention for medical insurance plans for various German states that was held on November 14, 1955 in Freudenstadt/Schwarzwald, Germany. The speech addresses relieving the burden on social health insurance companies, rehabilitation and early disability, and health insurance as collective self-help.