[Acute care of alcoholics in Finland - point of intersection between social and health services].
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After the fall of the Berlin Wall in November 1989, there was an immediate need for collaboration between rheumatologists from East- and West-Berlin from the very beginning, which could be taken as an example for the rest of Germany. This was achieved through different activities in patient care and research. The "Regionales Rheumazentrum Berlin" which was started at about that time played a special role in making this enterprise a success.
An unusual confluence of historical factors may be responsible for nineteenth-century Sioux being able to sustain high statures despite enduring adverse conditions during the early reservation experience. An exceptionally long span of Dakota Sioux history was examined for secular trends using a cross-sectional design. Two primary sources were used: One anthropometric data set was collected in the late nineteenth century under the direction of Franz Boas, and another set was collected by James R. Walker in the early twentieth century. Collectively, the data represent the birth years between 1820 and 1880 for adult individuals 20 years old or older. Adult heights (n = 1197) were adjusted for aging effects and regressed on age, with each data set and each sex analyzed separately. Tests for differences between the adult means of age cohorts by decade of birth (1820-1880) were also carried out. Only one sample of adults showed any convincing secular trend (p < 0.05): surprisingly, a positive linear trend for Walker's sample of adult males. This sample was also the one sample of adults that showed significant differences between age cohorts. The failure to find any negative secular trend in this population of Amerindians is remarkable, given the drastic socioeconomic changes that occurred with the coming of the reservation period (ca. 1868). Comparisons with contemporary white Americans show that the Sioux remained consistently taller than whites well into the reservation period and that Sioux children (Prince 1989) continued to grow at highly favorable rates during this time of severe conditions. A possible explanation for these findings involves the relatively favorable level of subsistence support received by most of the Sioux from the US government, as stipulated by various treaties. Conservative estimates suggest that the Sioux may have been able to sustain net levels of per capita annual meat consumption that exceeded the US average for several years before 1893.
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Based upon ethnographic fieldwork in a rural village community in Northeast Thailand, this article explores issues relating to the quality of care received in reproductive health services from the perspective of village women. Inequalities of power fundamental to gender, class, and ethnic relations are described as elements affecting the service-giving process. The subordinate position of village women is subtly reinforced in the spatial organization, style of communication, and management of the services.
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The introduction establishes a general view of the literature in which philosophers have profited from their encounters with analysis. It provides a frame within which to present more specific ideas about the method and language of psychoanalysis as viewed by philosophers. The method of interpretive reconstruction is unfolded from its original context of Freud's archaeological analogy. Further, the vocabulary of reconstruction, which is an intimate part of this analogy, is employed by Anna Freud is her discussion of defense mechanisms. Texts are cited and explicated. Meanwhile, the method of reconstruction is given independent, though related, application in the work of R. G. Collingwood, an archaeologist-philosopher-historian. The juxtaposition of Freud and Collingwood suggests that the methods of philosophy and analysis are more alike than the particular problems they try to solve. Both methods are oriented toward solving the problem of discovering meaning amid absurdity. The introduction of two specific examples lends substances to this claim. In the final section on the practice of interpretation, the question is raised as to how the introduction of the method of reconstruction affects the debate about the epistemological status of psychoanalysis as a science. Psychoanalytic knowledge shows itself to be more like that available to the historian than that accessible through physical theories. Still, physics and analysis can be compared. One must look to the interpretation of symbols. In psychoanalysis, giving an interpretation--in which nonsense becomes understandable--is a form of explanation. This methodological result suggests a conclusion about the relation between metapsychology and clinical practice.
A clinical case is presented in which a systemic approach to psychotherapy was used. This approach to clinical work is crucial in that the interactive pattern of social and institutional relationships is seen as the context for treatment. Systems theory allows the clinician to move away from a cultural way of thinking about clinical work focused on the individual, and instead views the individual in interaction with multiple systems as the focus for clinical intervention. This case study illustrates the nature of systemic work by demonstrating four levels of systems that have an impact on work with the patient: the individual level, the family systems level, the clinic system level, and the agency level. The case highlights how therapists in training might consider the context of larger systems that influence the environmental and psychological factors in their patients' lives.
The introduction of statutory long-term care insurance into the German social security system led to connections and need of distinction between the different bodies providing benefits to severely disabled persons. In this paper, a general survey describes the different claims for these benefits based on expert assessment by the Medical Services of Statutory Health Insurance.
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Humans do not confound the motion of shadows cast upon a surface with the motion of the surface itself, although schemes that propose recombination of orientation-selective motion signals into a rigid motion percept of two-dimensional patterns would predict that they should do so. We propose a simple scheme that avoids recombination and instead attributes perception of two-dimensional pattern motion to the activation of orientation-selective end-stopped units that operate on the logarithm of the luminance. The proposed units respond to the change of contrast along a line, which typically occurs at an intersection. They are not active, however, when a shadow border intersects the edge of an object, because contrast does not change along either of these edges. Thus, end-stopped units signal the motion of transparent intersections weakly or not at all, and the independent motions of the shadow border and the object prevail. We tested two implications of this scheme, using plaids with variable intersection luminance. First, when the intersection luminance was such that it kept the contrast along the intersecting lines nearly constant, the sensitivity for the rigid plaid's direction of motion was minimal, and the sliding motion of the components prevailed. This occurred for light bars on dark backgrounds and for dark bars on light backgrounds. Thus, the effect of the intersection's luminance on the balance between the percepts of rigid-plaid motion and the motion of sliding components was independent of contrast inversion of bar and background. Secondly, when thin lines with the same luminance as the bars covered the borders of the intersection, the intersection's luminance did not affect the rigid-plaid motion percept very much, even when it corresponded to a transparent intersection. This indicates that, when the edges of the intersection and those of the bars were not collinear, the nulling of the end-stopped units did not occur. This result is in line with physiological studies, which showed that the response of an end-stopped cell to a line is only partially inhibited when a similar line is presented non-collinearly with the first in the inhibitory end-zone of its receptive field. Our results are consistent with a scheme in which a second stage of motion detectors combines signals of orientation-selective end-free and orientation-selective end-stopped units for perception of the rigid motion of two-dimensional patterns.
Given the nucleophilicity of the [Pt(2)S(2)] ring, the evolution of [Pt(2)(mu-S)(2)(P intersection P)(2)] (P intersection P=1,2-bis(diphenylphosphino)ethane (dppe), 1,3-bis(diphenylphosphino)propane (dppp)) metalloligands in the presence of the simplest electrophilic species, the proton, has been studied. Combined use of experimental and theoretical data has allowed the whole set of reactions ensuing the protonation of the [Pt(2)S(2)] core to be established. The titration of [Pt(2)(mu-S)(2)(P intersection P)(2)] with HCl or HClO(4) was monitored mainly by (31)P[(1)H] NMR and mass techniques. Characterization of all the species involved was completed with the determination of the crystal structure of [Pt(SH)(2)(P intersection P)], for dppe and dppp, and [Pt(3)(mu(3)-S)(2)(dppp)(3)](PF(6))(2). The first protonation step of the [Pt(2)S(2)] core leads to the stable [Pt(2)(mu-S)(mu-SH)(P intersection P)(2)](+) complex, but the second step implies disintegration of the ring, thus giving rise to various mononuclear species. The subsequent evolution of some of these species allows regeneration of [Pt(2)(mu-S)(mu-SH)(P intersection P)(2)](+), evidencing the cyclic nature of this process. Whereas the reaction pathway is essentially common for both phosphine ligands, dppe and dppp, the different coordinating ability of Cl(-) or ClO(4) (-) determines the nature of the final products, [PtCl(2)(P intersection P)], [Pt(3)(mu(3)-S)(2)(P intersection P)(3)]Cl(2) or [Pt(3)(mu(3)-S)(2)(P intersection P)(3)](ClO(4))(2). DFT calculations have corroborated the thermodynamic feasibility of the reactions proposed on the basis of experimental data.
A microfluidic valve was fabricated with a cross intersection and two tee intersections in close proximity and evaluated for repetitive pinched injections. Electrokinetic forces were used to mobilize the sample and control diffusive transport at a cross intersection to produce sample plugs of short axial extent in an analysis channel similar to the standard pinched valve. The addition of a tee intersection in the sample channel maintained the sample close to the injection valve under "pullback"conditions allowing more rapid loading into the cross intersection. A second tee intersection allowed unidirectional transport in the analysis channel enabling loading of subsequent injections during an analysis. The two tee intersections were each located 80 microm from the cross intersection. Injection frequencies of 1, 2.5, 5, and 10 Hz were tested with a duty cycle of 0.5 for sample loading and dispensing. With 1 kV applied to the microchip during dispensing, the relative standard deviation of the peak areas for 15 injections was 1.6%. The peak width (4sigma) for the repetitive injections increased from 71 to 96 microm compared to a standard pinched injection due to the presence of the tee intersection in the analysis channel.
Four experiments investigated the use of cognitive strategies for encoding spatial location in visual figures. Subjects reproduced the position of a dot in a square figure that had distance markers placed along two sides. Subjects' responses were biased toward imaginary points of intersection formed by the distance markers when subjects responded from memory (Experiment 1) or while viewing the figures (Experiment 2). Dots located at an intersection point were reproduced more accurately than those located off an intersection. These findings demonstrate that empty regions of a figure can serve as subjective landmarks for spatial localization. In Experiment 3, dot relocation was found to be similarly distorted toward physical cross marks placed at the intersections of distance markers, supporting the landmark hypothesis. The attraction of dots to intersection points depends on the viewer employing a strategy of mentally projecting from distance markers to form imaginary intersections, which makes intersection points salient landmarks for coding location of nearby stimulus dots. In Experiment 4, attraction toward intersection points was observed only when subjects employed the projection strategy and not when instructed to use a different encoding strategy.
The oxidation processes undergone by the [Pt2(mu-S)2] core in [Pt2(P[intersection]P)2(mu-S)2](P[intersection]P = Ph2P(CH2)nPPh2, n= 2,3) complexes have been analysed on the basis of electrochemical measurements. The experimental results are indicative of two consecutive monoelectronic oxidations after which the [Pt2(mu-S)2] core evolves into [Pt2(mu-S2)]2+, containing a bridging disulfide ligand. However, the instability of the monoxidised [Pt2(P[intersection]P)2(mu-S)2]+ species formed initially, which converts into [Pt3(P[intersection]P)3(mu-S)2]2+, hampered the synthesis and characterisation of the mono and dioxidised species. These drawbacks have been surpassed by means of DFT calculations which have also allowed the elucidation of the structural features of the species obtained from the oxidation of [Pt2(P[intersection]P)2(mu-S)2] compounds. The calculated redox potentials corresponding to the oxidation processes are consistent with the experimental data obtained. In addition, calculations on the thermodynamics of possible processes following the degradation of [Pt2(P[intersection]P)2(mu-S)2]+ are fully consistent with the concomitant formation of monometallic [Pt(P[intersection]P)S2)] and trimetallic [Pt3(P[intersection]P)3(mu-S)2]2+ compounds. Extension of the theoretical study on the [Pt2Te2] core and comparisons with the results obtained for [Pt2S2] have given a more general picture of the behaviour of [Pt2X2](X = chalcogenide) cores subject to oxidation processes.
The goal of this study was to determine if traffic signals that are synchronized along a route are associated with fewer red-light violations than traffic signals that are not synchronized. A total 3600 cycles of traffic signals at 12 intersections along 2 major urban arteries were observed. Synchronized intersections were effective in reducing the likelihood of red-light running (RLR) by (a) providing fewer opportunities than nonsynchronized intersections for RLR and (b) having a lower rate of RLR relative to the number of opportunities. After adjustment for the number of opportunities, the odds of entering the intersections in red in synchronized intersections were nearly 1/7 the odds of RLR in nonsynchronized intersections. Congestion reduced the effectiveness of synchronized intersections relative to nonsynchronized intersections. Male drivers were slightly more likely to run red lights than female drivers, and the effects of synchronization were fairly constant across age, gender, and the presence or absence of passengers. Actual or potential applications of this research involve signal synchronization to reduce aggressive driving in general and RLR in particular.