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Both the genomes of the epsilonproteobacteria Wolinella succinogenes and Campylobacter jejuni contain operons (sdhABE) that encode for so far uncharacterized enzyme complexes annotated as ‘non-classical’ succinate:quinone reductases (SQRs). However, the role of such an enzyme ostensibly involved in aerobic respiration in an anaerobic organism such as W. succinogenes has hitherto been unknown. We have established the first genetic system for the manipulation and production of a member of the non-classical succinate:quinone oxidoreductase family. Biochemical characterization of the W. succinogenes enzyme reveals that the putative SQR is in fact a novel methylmenaquinol:fumarate reductase (MFR) with no detectable succinate oxidation activity, clearly indicative of its involvement in anaerobic metabolism. We demonstrate that the hydrophilic subunits of the MFR complex are, in contrast to all other previously characterized members of the superfamily, exported into the periplasm via the twin-arginine translocation (tat)-pathway. Furthermore we show that a single amino acid exchange (Ala86→His) in the flavoprotein of that enzyme complex is the only additional requirement for the covalent binding of the otherwise non-covalently bound FAD. Our results provide an explanation for the previously published puzzling observation that the C. jejuni sdhABE operon is upregulated in an oxygen-limited environment as compared with microaerophilic laboratory conditions.
Perturbation theory for non-abelian gauge theories at finite temperature is plagued by infrared
divergences which are caused by magnetic soft modes ~ g2T, corresponding to gluon fields of
a 3d Yang-Mills theory. While the divergences can be regulated by a dynamically generated
magnetic mass on that scale, the gauge coupling drops out of the effective expansion parameter
requiring summation of all loop orders for the calculation of observables. Some gauge invariant
possibilities to implement such infrared-safe resummations are reviewed. We use a scheme based
on the non-linear sigma model to estimate some of the contributions ~ g6 of the soft magnetic
modes to the QCD pressure through two loops. The NLO contribution amounts to ~ 10% of the
LO, suggestive of a reasonable convergence of the series.
The so-called sign problem of lattice QCD prohibits Monte Carlo simulations at finite baryon
density by means of importance sampling. Over the last few years, methods have been developed
which are able to circumvent this problem as long as the quark chemical potential is m=T <~1.
After a brief review of these methods, their application to a first principles determination of the
QCD phase diagram for small baryon densities is summarised. The location and curvature of the
pseudo-critical line of the quark hardon transition is under control and extrapolations to physical
quark masses and the continuum are feasible in the near future. No definite conclusions can as
yet be drawn regarding the existence of a critical end point, which turns out to be extremely quark
mass and cut-off sensitive. Investigations with different methods on coarse lattices show the lightmass
chiral phase transition to weaken when a chemical potential is switched on. If persisting on
finer lattices, this would imply that there is no chiral critical point or phase transition for physical
QCD. Any critical structure would then be related to physics other than chiral symmetry breaking.
The chiral critical surface is a surface of second order phase transitions bounding the region of
first order chiral phase transitions for small quark masses in the fmu;d;ms;mg parameter space.
The potential critical endpoint of the QCD (T;m)-phase diagram is widely expected to be part of
this surface. Since for m = 0 with physical quark masses QCD is known to exhibit an analytic
crossover, this expectation requires the region of chiral transitions to expand with m for a chiral
critical endpoint to exist. Instead, on coarse Nt = 4 lattices, we find the area of chiral transitions
to shrink with m, which excludes a chiral critical point for QCD at moderate chemical potentials
mB < 500 MeV. First results on finer Nt = 6 lattices indicate a curvature of the critical surface
consistent with zero and unchanged conclusions. We also comment on the interplay of phase
diagrams between the Nf = 2 and Nf = 2+1 theories and its consequences for physical QCD.
We perform a two-flavor dynamical lattice computation of the Isgur-Wise functions t1/2 and t3/2
at zero recoil in the static limit. We find t1/2(1) = 0.297(26) and t3/2(1) = 0.528(23) fulfilling
Uraltsev’s sum rule by around 80%. We also comment on a persistent conflict between theory and
experiment regarding semileptonic decays of B mesons into orbitally excited P wave D mesons,
the so-called “1/2 versus 3/2 puzzle”, and we discuss the relevance of lattice results in this
context.
We present a lattice QCD calculation of the heavy-light decay constants fB and fBs performed with Nf = 2 maximally twisted Wilson fermions, at four values of the lattice spacing. The decay constants have been also computed in the static limit and the results are used to interpolate the observables between the charmand the infinite-mass sectors, thus obtaining the value of the decay constants at the physical b quark mass. Our preliminary results are fB = 191(14)MeV, fBs = 243(14)MeV, fBs/ fB = 1.27(5). They are in good agreement with those obtained with a novel approach, recently proposed by our Collaboration (ETMC), based on the use of suitable ratios having an exactly known static limit.
We present first results from runs performed with Nf = 2+1+1 flavours of dynamical twisted mass fermions at maximal twist: a degenerate light doublet and a mass split heavy doublet. An overview of the input parameters and tuning status of our ensembles is given, together with a comparison with results obtained with Nf = 2 flavours. The problem of extracting the mass of the K- and D-mesons is discussed, and the tuning of the strange and charm quark masses examined. Finally we compare two methods of extracting the lattice spacings to check the consistency of our data and we present some first results of cPT fits in the light meson sector.
"Entre direitos iguais, a força decide", proferiu karl marx ao descrever a antinomia do direito em situações antagônicas das relações de produção capitalistas, em que "o direito [oferece resistência] ao direito" nesse ponto, marx aborda uma questão que se situa no centro de todas as teorias jurídicas críticas: que tipo de violência é velada por meio do mecanismo de ocultação denominado "direito"? Para responder a esta questão, tentar-se-á, a seguir, tornar a teoria da hegemonia de antonio gramsci e seu modelo de direito hegemônico produtivos para o campo da teoria do direito. Tal tarefa tem de lidar com a dupla dificuldade de que, por um lado, gramsci não foi um teórico do direito no sentido mais estrito, razão pela qual o potencial de sua teoria para uma análise do direito raramente foi utilizada. Por outro lado, sua abordagem só pode ser empregada por meio de uma crítica às restrições relacionadas a seu tempo. isso se aplica especialmente à sua concepção de economia como a base e a núcleo essencialista oculto (laclau; mouffe, 2001:69), assim como à sua ideia de 'classismo' sob a forma de um enfoque unilateral das classes, em que há preferencialmente mais de um "pluralismo de poder" e inúmeras lutas (litowitz, 2000: 536). Recuperar-se-á, consequentemente, argumentos-chave, ampliando-os pela utilização das recentes descobertas feitas pelas abordagens feminista e neomaterialista da teoria jurídica, bem como as análises de foucault acerca das tecnologias de poder. por fim, uma interpretação da teoria sistêmica das autonomizações comunicativas.
O 11 de setembro acelerou o desenvolvimento de uma arquitetura transnacional de segurança que intervém profundamente nas liberdades civis individuais, tanto nos direitos básicos dos cidadãos dos Estados como nos direitos humanos dos cidadãos mundiais. O artigo delineia essa arquitetura, mostra como ela dissolve as categorias jurídicas tradicionais que preservam a liberdade e discute por que hoje se aceita amplamente a prioridade da segurança sobre a liberdade.
Os limites da tolerância
(2009)
Este artigo apresenta os elementos constitutivos do conceito de tolerância e discute duas concepções diferentes do termo, como permissão e como respeito moral, que expressam modos diversos de demarcar os limites da tolerância. A tolerância é apresentada como um conceito que, para ganhar algum conteúdo, depende normativamente de um direito à justificação baseado na idéia de um uso público da razão segundo o qual as práticas e as instituições político-jurídicas que determinam a vida social dos cidadãos devem ser justificáveis à luz de normas que eles não podem recíproca e genericamente rejeitar.
Background: A growing number of German hospitals have been privatized with the intention of increasing cost effectiveness and improving the quality of health care. Numerous studies investigated what possible qualitative and economic consequences these changes issues might have on patient care. However, little is known about how this privatization trend relates to physicians' working conditions and job satisfaction. It was anticipated that different working conditions would be associated with different types of hospital ownership. To that end, this study's purpose is to compare how physicians, working for both public and privatized hospitals, rate their respective psychosocial working conditions and job satisfaction.
Methods: The study was designed as a cross-sectional comparison using questionnaire data from 203 physicians working at German hospitals of different ownership types (private for-profit, public and private nonprofit).
Results: The present study shows that several aspects of physicians' perceived working conditions differ significantly depending on hospital ownership. However, results also indicated that physicians' job satisfaction does not vary between different types of hospital ownership. Finally, it was demonstrated that job demands and resources are associated with job satisfaction, while type of ownership is not.
Conclusion: This study represents one of a few studies that investigate the effect of hospital ownership on physicians work situation and demonstrated that the type of ownership is a potential factor accounting for differences in working conditions. The findings provide an informative basis to find solutions improving physicians' work at German hospitals.
Die Arbeit analysiert den Begriff sowie den Wert der Freiheit in den Schriften des kanadischen Philosophen Charles Taylor, unter Bezugnahme auf dessen politische Philosophie und philosophische Anthropologie. Die begriffliche Klärung basiert auf einer Systematisierung der positiven Verwendung des Freiheitsbegriffes in Taylors Gesamtwerk. Die Wertanalyse interpretiert die Ergebnisse der Systematisierung in Bezug auf die Frage, ob Freiheit in Taylors Verständnis ein extrinsischer oder ein intrinsischer Wert ist.
In its admissibility decision in the Al-Saadoon case the ECtHR held that the United Kingdom had jurisdiction over the applicants, who had been arrested by British forces and kept in a British-run military prison in Iraq. Just before the respective mandate of the Security Council expired on 31 December 2008, the applicants were transferred to Iraqi custody at Iraqi request and thereby exposed to the risk of an unfair trial followed by capital punishment. In this respect, the case resembles the Soering case, although the applicants were, unlike Soering, not on British territory but on occupied Iraqi soil before they were handed over. This aspect raises the question of Iraqi sovereignty as a norm competing with the UK's human rights obligations. The authors trace back the ECtHR's case law concerning the extraterritorial application of the Convention and analyse the UK judgments and the ECtHR's admissibility decision in the Al-Saadoon affair from this angle. Furthermore they consider the doctrinal consequences of the ECHR's extraterritorial effect in cases like Soering and Al-Saadoon, where contracting parties violate guarantees of the Convention by exposing a person within their jurisdiction to a risk of a treatment contrary to these guarantees by a third state. Finally, they test the argument brought forward by the UK that not transferring the applicants would have violated Iraqi sovereignty and establish patterns how the ECtHR and the UK Courts did cope in the past with international law norms potentially competing with the Convention.
* Cooperation between "jeder-fehlerzaehlt.de" and the Techniker statutory insurance company
* "PRIoritising multiple medication in multi-morbid patients" – PRIMUM-Pilot study gets off to successful start
* New work area: Quality promotion and concept development
* Frankfurt Training Program in Evidence-Based Medicine
* Another change in our institute is the new arrival of Sabine Pommeresch
* 2nd General Practice Day in Frankfurt
kurz und kn@pp news : Nr. 17
(2009)
kurz und kn@pp news : Nr. 16
(2009)
* Kooperation von "jeder-Fehler-zaehlt.de" mit der Techniker Krankenkasse
* "PRIorisierung von MUltimedikation bei Multimorbidität" – PRIMUM-Pilotstudie erfolgreich gestartet
* Neuer Arbeitsbereich: Qualitätsförderung und Konzeptentwicklung
* Neu im Institut ist Sabine Pommeresch
* Frankfurter Fortbildungsreihe Evidenzbasierte Medizin
* 2. Frankfurter Tag der Allgemeinmedizin: Jetzt online
kurz und kn@pp news : Nr. 15
(2009)
GOeTHEO : Ausgabe 1
(2009)
GoeTheo ist ein Projekt, welches der Transparenz des Fachbereichs und der Informationsweitergabe an Studierende, Förderer und Interessierte dient.
Die Fachbereichszeitschrift ist eine gemeinsame Publikation des Vereins der Freunde und Förderer der Evangelischen Theologie in Frankfurt/Main und des Fachbereichs Evangelische Theologie der Goethe-Universität. Seit Wintersemester 2009/10 erscheint GoeTheo immer zum Semesteranfang und informiert über die Lehrveranstaltungen des kommenden Semesters, sowie über aktuelle Entwicklungen des Fachbereichs in Forschung und Lehre.
In contrast to the US and recently Europe, Japan appears to be unsuccessful in establishing new industries. An oft-cited example is Japan's practical invisibility in the global business software sector. Literature has ascribed Japan's weakness – or conversely, America's strength – to the specific institutional settings and competences of actors within the respective national innovation system. It has additionally been argued that unlike the American innovation system, with its proven ability to give birth to new industries, the inherent path dependency of the Japanese innovation system makes innovation and establishment of new industries quite difficult. However, there are two notable weaknesses underlying current propositions postulating that only certain innovation systems enable the creation of new industries: first, they mistakenly confound context specific with general empirical observations. And second, they grossly underestimate – or altogether fail to examine – the dynamics within innovation systems. This paper will show that it is precisely the dynamics within innovation systems – dynamics founded on the concept of path plasticity – which have enabled Japan to charge forward as a global leader in a highly innovative field: the game software sector as well as the biotechnology industry.
European scholars, colonial administrators, missionaries, bibliophiles and others were the main collectors of Malay books in the nineteenth century, both in manuscript or printed form. Among these persons were many well-known names in the field of Malay literature and culture like Raffles, Marsden, Crawfurd, Klinkert, van der Tuuk, von Dewall, Roorda, Favre, Maxwell, Overbeck, Wilkinson and Skeat, to name only a few. Their collections were often handed over to public libraries where they form an important part of the relevant Oriental or Southeast Asian manuscript collections.
Therefore the knowledge of the intellectual culture of the Malay Peninsula and the Malay World in general depended very much on these manuscripts and printed books collected often by chance or in a rather unsystematic way. The collections reflect in a strong sense the interests of its administrative or philologist collectors: court histories, genealogies of aristocratic lineages, law collections (adat-istiadat as well as undangundang) or prose belles-lettres build a vast bulk of these collections, while Islamic religious texts and poetry forms popular in the 19th century (especially syair) are fairly underrepresented. Malay manuscripts and books located in religious institutions like mosques or pondok/pesantren schools have not been searched for; until today there are more or less no systematic studies of these collections. As in some statistics religious texts build about 20% of all existing Malay manuscripts, their neglect by Europeans scholars leads to a distorted view of the literary culture in the Malay language.
Following the discovery of context-dependent synchronization of oscillatory neuronal responses in the visual system, the role of neural synchrony in cortical networks has been expanded to provide a general mechanism for the coordination of distributed neural activity patterns. In the current paper, we present an update of the status of this hypothesis through summarizing recent results from our laboratory that suggest important new insights regarding the mechanisms, function and relevance of this phenomenon. In the first part, we present recent results derived from animal experiments and mathematical simulations that provide novel explanations and mechanisms for zero and nero-zero phase lag synchronization. In the second part, we shall discuss the role of neural synchrony for expectancy during perceptual organization and its role in conscious experience. This will be followed by evidence that indicates that in addition to supporting conscious cognition, neural synchrony is abnormal in major brain disorders, such as schizophrenia and autism spectrum disorders. We conclude this paper with suggestions for further research as well as with critical issues that need to be addressed in future studies.
The cerebral cortex presents itself as a distributed dynamical system with the characteristics of a small world network. The neuronal correlates of cognitive and executive processes often appear to consist of the coordinated activity of large assemblies of widely distributed neurons. These features require mechanisms for the selective routing of signals across densely interconnected networks, the flexible and context dependent binding of neuronal groups into functionally coherent assemblies and the task and attention dependent integration of subsystems. In order to implement these mechanisms, it is proposed that neuronal responses should convey two orthogonal messages in parallel. They should indicate (1) the presence of the feature to which they are tuned and (2) with which other neurons (specific target cells or members of a coherent assembly) they are communicating. The first message is encoded in the discharge frequency of the neurons (rate code) and it is proposed that the second message is contained in the precise timing relationships between individual spikes of distributed neurons (temporal code). It is further proposed that these precise timing relations are established either by the timing of external events (stimulus locking) or by internal timing mechanisms. The latter are assumed to consist of an oscillatory modulation of neuronal responses in different frequency bands that cover a broad frequency range from <2 Hz (delta) to >40 Hz (gamma) and ripples. These oscillations limit the communication of cells to short temporal windows whereby the duration of these windows decreases with oscillation frequency. Thus, by varying the phase relationship between oscillating groups, networks of functionally cooperating neurons can be flexibly configurated within hard wired networks. Moreover, by synchronizing the spikes emitted by neuronal populations, the saliency of their responses can be enhanced due to the coincidence sensitivity of receiving neurons in very much the same way as can be achieved by increasing the discharge rate. Experimental evidence will be reviewed in support of the coexistence of rate and temporal codes. Evidence will also be provided that disturbances of temporal coding mechanisms are likely to be one of the pathophysiological mechanisms in schizophrenia.
A suite of diagnostics is applied to in-situ aircraft measurements and one Chemistry-Climate Model (CCM) data to characterize the vertical structure of the Tropical Tropopause Layer (TTL). The diagnostics are based on vertical tracer profiles and relative vertical tracer gradients, using tropopause-referenced coordinates, and tracer-tracer relationships in the tropical Upper Troposphere/Lower Stratosphere (UT/LS).
Observations were obtained during four tropical campaigns performed from 1999 to 2006 with the research aircraft Geophysica and have been compared to the output of the ECHAM5/MESSy CCM. The model vertical resolution in the TTL (~500 m) allows for appropriate comparison with high-resolution aircraft observations and the diagnostics used highlight common TTL features between the model and the observational data.
The analysis of the vertical profiles of water vapour, ozone, and nitrous oxide, in both the observations and the model, shows that concentration mixing ratios exhibit a strong gradient change across the tropical tropopause, due to the role of this latter as a transport barrier and that transition between the tropospheric and stratospheric regimes occurs within a finite layer. The use of relative vertical ozone and carbon monoxide gradients, in addition to the vertical profiles, helps to highlight the region where this transition occurs and allows to give an estimate of its thickness. The analysis of the CO-O3 and H2O-O3 scatter plots and of the Probability Distribution Function (PDF) of the H2O-O3 pair completes this picture as it allows to better distinguish tropospheric and stratospheric regimes that can be identified by their different chemical composition.
The joint analysis and comparison of observed and modelled data allows to state that the model can represent the background TTL structure and its seasonal variability rather accurately. The model estimate of the thickness of the interface region between tropospheric and stratospheric regimes agrees well with average values inferred from observations. On the other hand, the measurements can be influenced by regional scale variability, local transport processes as well as deep convection, that can not be captured by the model.
A suite of diagnostics is applied to in-situ aircraft measurements and one Chemistry-Climate Model (CCM) data to characterize the vertical structure of the Tropical Tropopause Layer (TTL). The diagnostics are based on the vertical tracers profiles, relative vertical tracers gradients, and tracer-tracer relationships in the tropical Upper Troposphere/Lower Stratosphere (UT/LS), using tropopause coordinates.
Observations come from the four tropical campaigns performed from 1998 to 2006 with the research aircraft Geophysica and have been directly compared to the output of the ECHAM5/MESSy CCM. The model vertical resolution in the TTL allows for appropriate comparison with high-resolution aircraft observations and the diagnostics used highlight common TTL features between the model and the observational data.
The analysis of the vertical profiles of water vapour, ozone, and nitrous oxide, in both the observations and the model, shows that concentration mixing ratios exhibit a strong gradient change across the tropical tropopause, due to the role of this latter as a transport barrier and that transition between the tropospheric and stratospheric regimes occurs within a finite layer. The use of relative vertical ozone gradients, in addition to the vertical profiles, helps to highlight the region where this transition occurs and allows to give an estimate of its thickness. The analysis of the CO-O3 and H2O-O3 scatter plots and of the Probability Distribution Function (PDF) of the H2O-O3 pair completes this picture as it allows to better distinguish tropospheric and stratospheric regimes that can be identified, first, by their differing chemical composition.
The joint analysis and comparison of observed and modelled data allows us to evaluate the capability of the model in reproducing the observed vertical structure of the TTL and its variability, and also to assess whether observations from particular regions on a monthly timescale can be representative of the fine scale mean structure of the Tropical Tropopause Layer.
The small leucine-rich proteoglycans (SLRPs) are biologically active components of the extracellular matrix (ECM), consisting of a protein core with leucine rich-repeat (LRR) motifs covalently linked to glycosaminoglycan (GAG) side chains. The diversity in composition resulting from the various combinations of protein cores substituted with one or more GAG chains along with their pericellular localization enables SLRPs to interact with a host of different cell surface receptors, cytokines, growth factors, and other ECM components, leading to modulation of cellular functions. SLRPs are capable of binding to: (i) different types of collagens, thereby regulating fibril assembly, organization, and degradation; (ii) Toll-like receptors (TLRs), complement C1q, and tumor necrosis factor-alpha (TNFα), regulating innate immunity and inflammation; (iii) epidermal growth factor receptor (EGF-R), insulin-like growth factor receptor (IGF-IR), and c-Met, influencing cellular proliferation, survival, adhesion, migration, tumor growth and metastasis as well as synthesis of other ECM components; (iv) low-density lipoprotein receptor-related protein (LRP-1) and TGF-β, modulating cytokine activity and fibrogenesis; and (v) growth factors such as bone morphogenic protein (BMP-4) and Wnt-I-induced secreted protein-1 (WISP-1), controlling cell proliferation and differentiation. Thus, the ability of SLRPs, as ECM components, to directly or indirectly regulate cell-matrix crosstalk, resulting in the modulation of various biological processes, aptly qualifies these compounds as matricellular proteins.
Mit der neuen Umgangspflegschaft verabschiedet sich der Gesetzgeber vom Grundsatz, dass Eingriffe in das elterliche Sorgerecht erst bei (nicht anders abwendbaren) erheblichen Kindeswohlgefährdungen zulässig sind. Bleibt zu hoffen, dass die Praxis mit größter Behutsamkeit von der Bestellung von Umgangspflegschaften Gebrauch macht, insbesondere dann, wenn Umgang gegen den Kindeswillen durchgesetzt werden soll, was sich aus rechtlichen, fachlichen und ethischen Gründen verbietet. Die massive Bedrohung der eigenständigen Interessenvertretung Minderjähriger – die bislang eine Erfolgsgeschichte zu werden schien – tritt am 01.09.2009 in Kraft. Verfahrenspfleger/-beistände werden sich auf die neue vergütungsrechtliche Situation einzustellen haben, mit welchen persönlichen Konsequenzen, das kann nur von ihnen beantwortet werden. Es wäre schade, insbesondere für die auf qualifizierte und einfühlsame erfahrenspfleger/-beistände angewiesenen Minderjährigen, wenn allzu viele dieser erfahrenen und bewährten Interessenvertreter Minderjähriger sich von diesem bedeutsamen, aber auch herausfordernden Arbeitsfeld abwenden müssten, geht es doch bei der Gruppe von Minderjährigen, die auf einen Verfahrenspfleger bzw. -beistand zur eigenständigen Wahrnehmung ihrer Interessen angewiesen sind, um Minderjährige, die bereits erheblich gefährdet sind oder waren bzw. denen eine solch massive Beeinträchtigung ihres Wohls droht. Sicherlich: Auf die Situation vor 1998 sind wir noch nicht zurückgeworfen, aber es gilt in mühsamer Arbeit die Rechtspolitik davon zu überzeugen, dass diese Fehlentscheidung alsbald korrigiert werden muss.
Dieser Band dokumentiert die Vorträge des ersten „Familienrechtlichen Forums Göttingen“, das am 28. Juni 2008 stattgefunden hat. Unmittelbar vor dem Abschluss des Gesetzgebungsverfahrens erörterten Experten aus Wissenschaft, Politik und Praxis das im September 2009 in Kraft tretende „Gesetz über das Verfahren in Familiensachen und in den Angelegenheiten der freiwilligen Gerichtsbarkeit“ (FamFG). Der Band enthält einen Überblick über die Grundzüge des neuen Familienverfahrensrechts sowie Analysen und Stellungnahmen zu einzelnen Bereichen. Dabei werden schwerpunktmäßig das neue Rechtsmittel- und Vollstreckungssystem, das Hinwirken auf Einvernehmen, das Vermittlungsverfahren, der Verfahrensbeistand, der Umgangspfleger und das Verfahren bei Kindeswohlgefährdung behandelt. Darüber hinaus wird eine interdisziplinäre Perspektive durch die soziologische Einordnung der derzeitigen Reformen in den Kontext der allgemeinen Familien- und Sozialpolitik eröffnet.
Background: During the last two decades the German hospital sector has been engaged in a constant process of transformation. One obvious sign of this is the growing amount of hospital privatization. To date, most research studies have focused on the effects of privatization regarding financial outcomes and quality of care, leaving important organizational issues unexplored. Yet little attention has been devoted to the effects of privatization on physicians' working routines. The aim of this observational real-time study is to deliver exact data about physicians' work at hospitals of different ownership. By analysing working hours, further impacts of hospital privatization can be assessed and areas of improvement identified.
Methods: Observations were made by shadowing 100 physicians working in private, for-profit or non-profit as well as public hospital departments individually during whole weekday shifts in urban German settings. A total of 300 days of observations were conducted. All working activities were recorded, accurate to the second, by using a mobile personal computer.
Results: Results have shown significant differences in physicians' working activities, depending on hospital ownership, concerning working hours and time spent on direct and indirect patient care.
Conclusion: This is the first real-time analysis on differences in work activities depending on hospital ownership. The study provides an objective insight into physicians' daily work routines at hospitals of different ownership, with additional information on effects of hospital privatization.
Background: Publications related to scoliosis have increased enormously. A differentiation between publications of major and minor importance has become difficult even for experts. Scientometric data on developments and tendencies in scoliosis research has not been available to date. The aim of the current study was to evaluate the scientific efforts of scoliosis research both quantitatively and qualitatively.
Methods: Large-scale data analysis, density-equalizing algorithms and scientometric methods were used to evaluate both the quantity and quality of research achievements of scientists studying scoliosis. Density-equalizing algorithms were applied to data retrieved from ISI-Web.
Results: From 1904 to 2007, 8,186 items pertaining to scoliosis were published and included in the database. The studies were published in 76 countries: the USA, the U.K. and Canada being the most productive centers. The Washington University (St. Louis, Missouri) was identified as the most prolific institution during that period, and orthopedics represented by far the most productive medical discipline. "BRADFORD, DS" is the most productive author (146 items), and "DANSEREAU, J" is the author with the highest scientific impact (h-index of 27).
Conclusion: Our results suggest that currently established measures of research output (i.e. impact factor, h-index) should be evaluated critically because phenomena, such as self-citation and co-authorship, distort the results and limit the value of the conclusions that may be drawn from these measures. Qualitative statements are just tractable by the comparison of the parameters with respect to multiple linkages. In order to obtain more objective evaluation tools, new measurements need to be developed.
Background: The increasing economic pressure characterizes the current situation in health care and the need to justify medical decisions and organizational processes due to limited financial resources is omnipresent. Physicians tend to interpret this development as a decimation of their own medical influence. This becomes even more obvious after a change in hospital ownership i.e. from a public to a private profit oriented organization. In this case each work procedure is revised.
To date, most research studies have focused mainly on differences between hospitals of different ownership regarding financial outcomes and quality of care, leaving important organizational issues unexplored. Little attention has been devoted to the effects of hospital ownership on physicians' working routines.
The aim of this observational real time study is to deliver exact data about physicians' work at hospitals of different ownership.
Methods: The consequences of different management types on the organizational structures of the physicians' work situation and on job satisfaction in the ward situation are monitored by objective real time studies and multi-level psycho diagnostic measurements.
Discussion: This study is unique in its focus. To date no results have been found for computer-based real time studies on work activity in the clinical field in order to objectively evaluate a physician's work-related stress. After a complete documentation of the physicians' work processes the daily work flow can be estimated and systematically optimized. This can stimulate an overall improvement of health care services in Germany.
The role of endocarditis, myocarditis and pericarditis in qualitative and quantitative data analysis
(2009)
The current study is the first scientometric analysis of research activity and output in the field of inflammatory disorders of the heart (endo-, myo- and pericarditis). Scientometric methods are used to compare scientific performance on national and on international scale to identify single areas of research interest. Interest and research productivity in inflammatory diseases of the heart have increased since 1990. The majority of publications about inflammatory heart disorders were published in Western Europe and North America. The United States of America had a leading position in terms of research productivity and quality; half of the most productive authors in this study came from American institutions. The analysis of international cooperation revealed research activity in countries that are less established in the field of inflammatory heart disorder research, such as Brazil, Saudi Arabia and Tunisia. These results indicate that future research of heart inflammation may no longer be influenced predominantly by a small number of countries. Furthermore, this study revealed weaknesses in currently established scientometric parameters (i.e., h-index, impact factor) that limit their suitability as measures of research quality. In this respect, self-citations should be generally excluded from calculations of h-index and impact factor.