Utilization and quality of primary and specialized palliative homecare in nursing home residents vs. community dwellers: a claims data analysis.

Background: There are hardly any data on the extent to which nursing home residents are provided with palliative homecare. We want to add evidence by comparing nursing home residents (who had been living in a nursing home for at least one year) and nursing-care-dependent community dwellers in terms of utilization and quality of palliative homecare.

Methods: We conducted a population-based study with nationwide claims data from deceased beneficiaries of a large German health insurance provider.

Structural characteristics and contractual terms of specialist palliative homecare in Germany.

Background: Multi-professional specialist palliative homecare (SPHC) teams care for palliative patients with complex symptoms. In Germany, the SPHC directive regulates care provision, but model contracts for each federal state are heterogeneous regarding staff requirements, cooperation with other healthcare providers, and financial reimbursement. The structural characteristics of SPHC teams also vary.

[Concept-dependent and -independent care effects of site-specific care concepts using "pain" as an example].

Background: Structures of palliative care, cross-sectoral transitions and care pathways of patients with palliative care needs were investigated at two sites. The systematic comparison of similarities and differences using the topic of 'pain' as an example is intended to provide information on the extent to which these are related to site-specific palliative care concepts (integrated and cooperative).

Methods: The study follows a mixed-methods design.

Palliative care as a digital working world (PALLADiUM) - A mixed-method research protocol.

Background: In Palliative Care, actors from different professional backgrounds work together and exchange case-specific and expert knowledge and information. Since Palliative Care is traditionally distant from digitalization due to its holistically person-centered approach, there is a lack of suitable concepts enabling digitalization regarding multi-professional team processes. Yet, a digitalised information and collaboration environment geared to the requirements of palliative care and the needs of the members of the multi-professional team might facilitate communication and collaboration processes and improve information and knowledge flows.

Emphasizing speed or accuracy in an eye-tracking version of the Trail-Making-Test: Towards experimental diagnostics for decomposing executive functions.

The Trail-Making-Test (TMT) is one of the most widely used neuropsychological tests for assessing executive functions, the brain functions underlying cognitively controlled thought and action. Obtaining a number of test scores at once, the TMT allows to characterize an assortment of executive functions efficiently. Critically, however, as most test scores are derived from test completion times, the scores only provide a summary measure of various cognitive control processes.

Working memory and active sampling of the environment: Medial temporal contributions.

Working memory (WM) refers to the ability to maintain and actively process information-either derived from perception or long-term memory (LTM)-for intelligent thought and action. This chapter focuses on the contributions of the temporal lobe, particularly medial temporal lobe (MTL) to WM. First, neuropsychological evidence for the involvement of MTL in WM maintenance is reviewed, arguing for a crucial role in the case of retaining complex relational bindings between memorized features.

Differentiating Progressive Supranuclear Palsy and Parkinson's Disease With Head-Mounted Displays.

Progressive supranuclear palsy (PSP) is a neurodegenerative disorder that, especially in the early stages of the disease, is clinically difficult to distinguish from Parkinson's disease (PD). This study aimed at assessing the use of eye-tracking in head-mounted displays (HMDs) for differentiating PSP and PD. Saccadic eye movements of 13 patients with PSP, 15 patients with PD, and a group of 16 healthy controls (HCs) were measured.

[Patient-reported outcomes and quality of care in specialized palliative home care: a nationwide, prospective longitudinal cohort trial].

Introduction: Since 2007, patients receiving palliative care have been entitled to specialised outpatient palliative care (SAPV). Until now, the quality of care of the SAPV was only regionally focussed or in relation to individual SAPV teams. A nationwide analysis of outcome quality is still awaited.

The desmin mutation R349P increases contractility and fragility of stem cell-generated muscle micro-tissues.

Aims: Desminopathies comprise hereditary myopathies and cardiomyopathies caused by mutations in the intermediate filament protein desmin that lead to severe and often lethal degeneration of striated muscle tissue. Animal and single cell studies hinted that this degeneration process is associated with massive ultrastructural defects correlating with increased susceptibility of the muscle to acute mechanical stress. The underlying mechanism of mechanical susceptibility, and how muscle degeneration develops over time, however, has remained elusive.

Action Selection and Execution in Everyday Activities: A Cognitive Robotics and Situation Model Perspective.

We examine the mechanisms required to handle everyday activities from the standpoint of cognitive robotics, distinguishing activities on the basis of complexity and transparency. Task complexity (simple or complex) reflects the intrinsic nature of a task, while task transparency (easy or difficult) reflects an agent's ability to identify a solution strategy in a given task. We show how the CRAM cognitive architecture allows a robot to carry out simple and complex activities such as laying a table for a meal and loading a dishwasher afterward.

[Quality of care in specialized palliative homecare from the provider perspective: A qualitative study].

Background: Since its introduction in 2007, the quality of care in specialized palliative home care (SAPV) is being measured using the patients' perspective. The perception of beneficial or inhibiting factors on the quality of care from the perspective of care providers received only little attention.

Objective: To investigate the factors that promote or impede the quality of care in SAPV from the care providers' perspective.

A low-cost uniaxial cell stretcher for six parallel wells.

Cells in the lungs, the heart, and numerous other organs, are constantly exposed to dynamic forces and deformations. To mimic these dynamic mechanical loading conditions and to study the resulting cellular responses such as morphological changes or the activation of biochemical signaling pathways, cells are typically seeded on flexible 2D substrates that are uniaxially or biaxially stretched. Here, we present an open-source cell stretcher built from parts of an Anet A8 3D printer.

[Palliative care at the end of life in Germany : Utilization and regional distribution].

Background: Palliative care supply increased in Germany in recent years. But how many people use which forms of palliative care and how does this differ between regions?

Method: Retrospective cohort study with claims data from insured persons who died in 2016: Based on services billed at least once in the last six months of life, we determined the use of primary palliative care (PPC), specialized palliative homecare (SPHC), as well as inpatient palliative and hospice care, using regional billing codes for PPC and SPHC services for the first time.

Results: Of the 95,962 deceased in the study population, 32.

micrObs - A customizable time-lapse camera for ecological studies.

Camera traps for motion-triggered or continuous time-lapse recordings are readily available on the market. For demanding applications in ecology and environmental sciences, however, commercial systems often lack flexibility to freely adjust recording time intervals, suffer from mechanical component wear, and can be difficult to combine with auxiliary sensors such as GPS, weather stations, or light sensors. We present a robust time-lapse camera system that has been operating continuously since 2013 under the harsh climatic conditions of the Antarctic and Subantarctic regions.

High-Force Magnetic Tweezers with Hysteresis-Free Force Feedback.

Magnetic tweezers based on a solenoid with an iron alloy core are widely used to apply large forces (∼100 nN) onto micron-sized (∼5 μm) superparamagnetic particles for mechanical manipulation or microrheological measurements at the cellular and molecular level. The precision of magnetic tweezers, however, is limited by the magnetic hysteresis of the core material, especially for time-varying force protocols. Here, we eliminate magnetic hysteresis by a feedback control of the magnetic induction, which we measure with a Hall sensor mounted to the distal end of the solenoid core.

Oculomotor capture by search-irrelevant features in visual working memory: on the crucial role of target-distractor similarity.

When searching for varying targets in the environment, a target template has to be maintained in visual working memory (VWM). Recently, we showed that search-irrelevant features of a VWM template bias attention in an object-based manner, so that objects sharing such features with a VWM template capture the eyes involuntarily. Here, we investigated whether target-distractor similarity modulates capture strength.

Task-Irrelevant Features in Visual Working Memory Influence Covert Attention: Evidence from a Partial Report Task.

Selecting a target based on a representation in visual working memory (VWM) affords biasing covert attention towards objects with memory-matching features. Recently, we showed that even task-irrelevant features of a VWM template bias attention. Specifically, when participants had to saccade to a cued shape, distractors sharing the cue's search-irrelevant color captured the eyes.

Neuropsychological assessment of visual selective attention and processing capacity with head-mounted displays.

Objective: Neuropsychological patients often suffer from impairments in visual selective attention and processing capacity components. Their assessment demands a high standardization of testing conditions, which is difficult to achieve across institutions. Head-mounted displays (HMDs) provide a solution.

Feature prediction across eye movements is location specific and based on retinotopic coordinates.

With each saccadic eye movement, internal object representations change their retinal position and spatial resolution. Recently, we suggested that the visual system deals with these saccade-induced changes by predicting visual features across saccades based on transsaccadic associations of peripheral and foveal input (Herwig & Schneider, 2014). Here we tested the specificity of feature prediction by asking (a) whether it is spatially restricted to the previous learning location or the saccade target location, and (b) whether it is based on retinotopic (eye-centered) or spatiotopic (world-centered) coordinates.

Attentional competition across saccadic eye movements.

Human behavior is guided by visual object recognition. For being recognized, objects compete for limited attentional processing resources. The more objects compete, the lower is performance in recognizing each individual object.

Ultrahigh temporal resolution of visual presentation using gaming monitors and G-Sync.

Vision unfolds as an intricate pattern of information processing over time. Studying vision and visual cognition therefore requires precise manipulations of the timing of visual stimulus presentation. Although standard computer display technologies offer great accuracy and precision of visual presentation, their temporal resolution is limited.

Involuntary top-down control by search-irrelevant features: Visual working memory biases attention in an object-based manner.

Many everyday tasks involve successive visual-search episodes with changing targets. Converging evidence suggests that these targets are retained in visual working memory (VWM) and bias attention from there. It is unknown whether all or only search-relevant features of a VWM template bias attention during search.

Development of the competency-based medical curriculum for the new Augsburg University Medical School.

With the resolution from April 28, 2014, the Bavarian state government in Germany decided to found a new medical school at Augsburg University, thereby requiring the development of a competency-based medical curriculum. Two interdisciplinary groups developed a spiral curriculum (following Harden) employing the model of Thumser-Dauth & Öchsner. The curriculum focuses on specifically defined competencies: medical expertise, independent scientific reasoning, argumentation and scholarship, as well as communication skills.

Breaking object correspondence across saccades impairs object recognition: The role of color and luminance.

Rapid saccadic eye movements bring the foveal region of the eye's retina onto objects for high-acuity vision. Saccades change the location and resolution of objects' retinal images. To perceive objects as visually stable across saccades, correspondence between the objects before and after the saccade must be established.