Einsatz von Simulationspatienten im Kommunikations- und Interaktionstraining für Medizinerinnen und Mediziner (Medi-KIT): Bedarfsanalyse — Training — Perspektiven

Communication skills are of central importance within daily medical life providing effective treatment. In the modern high-tech field of medicine, trustful conversations play a prominent role. In order to help students of the Heidelberg Medical Faculty to be ready for their highly responsible role as communication partner, training is carried out in the framework of HeiCuMed (short for Heidelberger Curriculum Medicinale) using specially trained simulation patients. The communication and interaction training program (referred to as Medi-KIT) enables to practice conducting conversations with challenging communication partners and grave conversational content in difficult situations. Feedback from the standardized patients, as well as from peers and tutors represents a central didactic element.In order to secure knowledge transfer into daily clinic life and as well to build a relation to cognitive knowledge transfer, all medical students are assigned, alongside Medi-KIT lessons, to a ward, and training units are coordinated in terms of content to correspond with symptom-oriented lectures and parallel POL-groups (problem-oriented learning groups). In addition, communication learning objectives are examined at the end of the semester in the form of a clinical practical exam (OSCE: Objective Structured Clinical Examination) and at patient’s bedside (Mini-CEX: Mini Clinical Examination). The goal in imparting communication skills within medical education is that the longitudinal communication curriculum be maintained and continued in subsequent medical specialization studies.     

Die Einstellung zur Einführung des „Doppelpasses“

In this study the attitude towards the new nationality law in Germany is explained by a value/expectancy theory of attitude. 215 standardized face-to-face-interviews were performed with a quota sample. The results of this survey show that the value and expectancy theory of attitude is extremely successful in explaining the attitude towards the new nationality law. Models explaining the predictor variable of the attitude theory and a feedback-model were tested.     

Separator-based data reduction for signed graph balancing

Polynomial-time data reduction is a classical approach to hard graph problems. Typically, particular small subgraphs are replaced by smaller gadgets. We generalize this approach to handle any small subgraph that has a small separator connecting it to the rest of the graph. The problem we study is the NP-hard Balanced Subgraph problem, which asks for a 2-coloring of a graph that minimizes the inconsistencies with given edge labels. It has applications in social networks, systems biology, and integrated circuit design. The data reduction scheme unifies and generalizes a number of previously known data reductions, and can be applied to a large number of graph problems where a coloring or a subset of the vertices is sought. To solve the instances that remain after reduction, we use a fixed-parameter algorithm based on iterative compression with a very effective heuristic speedup. Our implementation can solve biological real-world instances exactly for which previously only approximations were known. In addition, we present experimental results for financial networks and random networks.     

The game Grundy number of graphs

Given a graph G=(V,E), two players, Alice and Bob, alternate their turns in choosing uncoloured vertices to be coloured. Whenever an uncoloured vertex is chosen, it is coloured by the least positive integer not used by any of its coloured neighbours. Alice’s goal is to minimise the total number of colours used in the game, and Bob’s goal is to maximise it. The game Grundy number of G is the number of colours used in the game when both players use optimal strategies. It is proved in this paper that the maximum game Grundy number of forests is 3, and the game Grundy number of any partial 2-tree is at most 7.     

从《苔丝》译本比较“增译法”的运用

应用现代翻译理论中的增译法,从景色描写、动作行为、人物语言、心理描写及句式结构几方面对张谷若、吴笛及蒋坚松、彭代合译的《苔丝》译本进行比较研究,并通过具体选段译语分析了三位译者在翻译原著时对增译法的不同理解和运用。     

The acquisition of tacts,mands, and intraverbals by individuals with traumatic brain injury

Two individuals who sustained traumatic brain injuries from motorcycle accidents were taught several verbal responses by using tact, mand, and intraverbal training procedures. The rate of acquisition for each operant and the transfer to untrained verbal operants involving the same response topography were measured. The results showed that tacts and intraverbals were acquired quickest, and training on the tact produced the greatest amount of transfer to the untrained verbal operants. Intraverbal training also resulted in transfer for both subjects, but to varying degrees. Direct mand training proved to be the least efficient way to generate a mand repertoire, and when acquired showed least amount of transfer to the untrained operants. These results seem to be in contrast with the findings of similar research with developmentally disabled individuals, and may have implications for methods of language instruction for the brain injured population.

     

Analysis of breeding bird communities along an urban-rural gradient in Berlin,Germany, by Hasse Diagram Technique

Breeding bird communities in Berlin were investigated at five study sites, which represent an structural urban-rural gradient, from densely built-up areas with sealed ground to green areas such as large parks. In this paper, we tested the Hasse Diagram Technique (HDT), an approach belonging to partial order theory, for its appropriateness to extract information about changes in species composition from our data set. As expected, the overall number of bird species was positively correlated with the urban-rural gradient, increasing from 12 found in the city center to 28 in an urban park. By HDT analysis, four different sub-groups of birds could be identified, contributing differentially to the increase in species number: (1) ubiquists, i.e., species found at each study site, (2) a sub-group, the species’ number of which was positively correlated with the urban-rural gradient, increasing with increasingly green areas, (3) a sub-group, the species’ number of which was negatively correlated with the urban-rural gradient, decreasing with a declining density of buildings, and (4) species, the distribution of which did not show any correlation with the urban-rural gradient. The results show that HDT is a suitable tool for formalized analysis of the pattern of species’ communities along an environmental gradient.     

Auftragsklärung: Interventionen auf dem Wege zur Konstituierung eines Beratungssystems*

The author demonstrates basing on a case study, that the development of a consultation system is a process that requires time and patience of everyone involved. Not a fast decided definition of a consultation method with the corresponding setting is the first step but a clarification of the request. That is what the author is pleading for a phase of detailed analysis with the potential client.