scholarly journals Current Status and Prospects for Development of Nursing Professions in Germany

2018 ◽  
Vol 8 (2) ◽  
pp. 7-14
Author(s):  
Natalya Bidyuk ◽  
Halyna Oleskova

AbstractThis article deals with the study of current status and prospects for development of nursing professions in Germany. It outlines the classification of “Healthcare Professions” and “Healthcare and Nursing Professions”, which are also identified with “Nursing Professions”. Besides, such concepts as “nursing”, “qualification level 2”, “qualification level 3”, “job vacancy duration” have been defined here. It describes more detailed the second and third qualification levels of nursing professions according to the German Classification of Occupations of 2010. In addition, the article highlights the problem of shortage of nursing personnel in Germany at the level of skilled workers and specialists. Within this paper, the authors analyze the actual data on the shortage of German nursing personnel in healthcare and nursing and geriatric nursing at the level of skilled workers and specialists. Special attention in the paper is paid to the fact that Germany as a member of International Council of Nurses and World Health Organisation, takes part in a worldwide care campaign “Nursing Now”, that was launched on 27 February 2018. It is designed for three years and aims to achieve many goals by the end of 2020: strengthen the role and potential of the nursing professions, thereby improving the health of the world’s population. Much attention in the article is paid to the description of the new German Nursing Professions Act of 17 July 2017 that will enter into force on 1 January 2020. That is why rather perspective is further studies on the peculiarities of professional training of German nursing personnel before and after 1 January 2020.

Author(s):  
Khlowd Mohammed Jasem ◽  
Taha H. Alnasrawi ◽  
Haneen Haleem Shiblawi ◽  
Hameedah Hadi Abdul Wahid ◽  
Narjis Hadi Al-Saadi

Infertility is an important medical issue that has serious medical and psychosocial effects on affected individuals. In 2003, the Iraqi community suffered from profanation acts because of conflicts in the country. Toxic chemicals and radioactive materials caused numerous injuries and deaths. The people who survived these horrific events eventually suffered either from cancer or infertility. The aim of this study was to determine the levels of malondialdehyde (MDA) and some trace elements in the seminal plasma of infertile males and determine their effects on sperm parameters. This study included 41 infertile males 18-40 years old. Levels of MDA, zinc, copper and magnesium were measured in their semen via spectrophotometry. According to the classification of the World Health Organisation, the patients were classified into three groups: normospermia, oligospermia and asthenspermia. Results showed significant differences in MDA and zinc levels among the three groups (p < 0.001). Moreover, results showed a mildly positive correlation between MDA levels and sperm count (r = 0.57). This study established that levels of MDA and some trace elements contribute to male infertility.


2017 ◽  
Vol 18 (1) ◽  
pp. 27-34 ◽  
Author(s):  
Jennifer Larsen ◽  
Nigel Hoggard ◽  
Fiona M McKevitt

The management of low-grade glioma (LGG) is shifting as evidence has emergedthat refutes the previously commonplace imaging-based ‘watch and wait’ approach, in favour of early aggressive surgical resection. This coupled with the recent 2016 update to the World Health Organisation Classification of Tumours of the Central Nervous System is changing LGG imaging and management. Recently in Practical Neurology the contemporary management of low-grade glioma and the changes to this grading system were discussed in detail. 1 In this complementary article, we discuss the role of imaging in the diagnosis, surgical planning and post-treatment follow-up of LGG. We describe the principles of imaging these tumours and use several cases to highlight some difficult scenarios.


2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
W. Gaebel

In the course of the revision of the International Classification of Mental Disorders (currently 10th revision, hence ICD-10), an international scientific partnership network group was founded by the World Health Organisation (Chair: N. Sartorius, Geneva) in order to review the international scientific evidence of putative significance for the revision of ICD-10 in different language areas.In the course of this project we reviewed several areas of activity that may be of importance for the review process to develop ICD-11. First of all, general questions arise about how a psychiatric classification system should be organized. Will it still depend on classical psychopathological information with additional information from imaging, genetic and laboratory studies, and finally the patient history? An alternative approach is based on functional psychopathology be based on functional neural modules which represent functional activities of the human brain and their disturbances in mental disorders. Another area of debate is whether dimensions rather than categories shall lay a new foundation for the classification of mental disorders. A further issue arises when considering narrative elements of psychiatric history taking. In how far can or should such factors be integrated? All these questions are interwoven with the classical German contributions to psychiatric nosology by Kraepelin and Bleuler, which will be reassessed on the background of these current topics in revising ICD-10.


2014 ◽  
Vol 92 (3) ◽  
pp. 259-262 ◽  
Author(s):  
David Opitz ◽  
Thorsten Kreutz ◽  
Edward Lenzen ◽  
Benedict Dillkofer ◽  
Patrick Wahl ◽  
...  

We investigated the cellular distribution of lactate transporter (MCT1) and its chaperone CD147 (using immunohistochemistry and fluorescence-activated cell sorting) in the erythrocytes of men with non-insulin-dependent type-2 diabetes (NIDDM, n = 11, 61 ± 8 years of age) under acute exercise (ergometer cycling test, World Health Organisation scheme) performed before and after a 3-month strength training program. Cytosolic MCT1 distribution and membraneous CD147 density did not change after acute exercise (ergometer). After the 3-month strength training, MCT1-density was increased and the reaction of MCT1 (but not that of CD147) towards acute exercise (ergometer) was altered. MCT1 localisation was shifted from the centre to the cellular membrane. This resulted in a decrease in the immunohistochemically measured cytosolic MCT1-density. We conclude that strength training alters the acute exercise reaction of MCT1 but not that of CD147 in erythrocytes in patients with NIDDM. This reaction may contribute to long-term normalisation and stabilisation of the regulation of lactate plasma concentration in NIDDM.


Author(s):  
Hidayatulfathi Othman ◽  
Saiful Azlan Nordin ◽  
Norazimah Abdul Rashid ◽  
Mohamed Badrul Hisham Abas ◽  
Rozita Hod ◽  
...  

Background: One of the key requirements for accomplishing a mutual goal is the formation of partnerships. ‘Partnership’ is an ill-defined concept, subject to multiple interpretations and frequently used interchangeably with alliance, coalition, network and collaboration among other terms. World Health Organisation had emphasized dengue prevention and control as a top priority, thus an inter agencies strategy and intervention study was launched to document the effectiveness of a local-level inter agencies approach and partnerships.Methods: The Free-Dengue Community approach, which involved stakeholder partnerships between parties such as the Ministry of Health, Ministry of Science, Technology, Local Municipalities, Health District Offices and National University of Malaysia, was developed as an inter-agencies plan for dengue prevention, of which the core objective was to design and implement activities for communication and social mobilization. In the control area, routine dengue control activities continued without additional input.  Entomological indices were compared within and between the areas before and after the 12 week intervention period.Results: The approach consolidated the inter-agencies partnerships whereby the dengue cases in the localities had dropped and via this study, the module of Dengue-Free Community was mapped and documented. The result also highlighted the contributions made by each of the partner in bringing down the dengue cases in the selected localities. Furthermore, the number of ovitrap index also decreasing proving that the approach is effective. The community kit and home-kit provided to the community also helped in reducing the number of Aedes eggs in the intervention program.Conclusions: The partnership using the Dengue-Free Community approach achieved its aim of increasing the level of cooperation between the authorities to support social mobilization, and results shed light on how to tackle the challenges of inter-agency partnerships and the required approach for a better understanding of the levels at which individuals operate within such partnerships. 


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