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The article describes the history of Jews in Europe from the end of the Middle Ages until the aftermath of the Second World War as a sequence of migrational processes. It thereby demonstrates how the migration paradigm can contribute to a comprehensive understanding of European Jewish history during the given period by better explaining the various types of settlement, as well as other central phenomena of Jewish existence, such as inclusion/exclusion, assimilation/acculturation, and anti-Semitism. The article tries to assess the significance of the "religious factor" within the complex interdependencies between so-called "push" and "pull" factors that determined the individual migrations. In most cases, religious motives played only a minor role, while economic factors tended to dominate, particularly in regard to the functions Jews, as members of a minority, were permitted to carry out in the context of non-Jewish majority societies.
As an example of migration of the Franciscans, this article pursues the effects of their idea of mission: acquisition and transfer of knowledge concerning non-Christians in the communication of missionaries, using the examples of journeys to Mongolia or the encounter with indigenous peoples in the New World (Aztecs).
These friars wanted to teach non-Christians rather than subjugate them. The context of religion and migration resulted in a "boom" of inculturation. And the same context shows the way the Franciscans claimed their identity as well as their struggle, how Franciscans connected pastoral care with recognition of the cultural and religious plurality of Christendom. They embodied what it could mean to say: "our monastery is the world".
Had Hitler still managed to win at the End? Europe's Jews between Shoa Restructuring and new Dangers
(2015)
Background: So far, for center comparisons in inpatient cardiac rehabilitation (CR), the objective outcome quality was neglected because of challenges in quantifying the overall success of CR. In this article, a multifactorial benchmark model measuring the individual rehabilitation success is presented.
Methods: In 21 rehabilitation centers, 5 123 patients were consecutively enrolled between 01/2010 and 12/2012 in the prospective multicenter registry EVA-Reha (R) Cardiology. Changes in 13 indicators in the areas cardiovascular risk factors, physical performance and subjective health during rehabilitation were evaluated according to levels of severity. Changes were only rated for patients who needed a medical intervention. Additionally, the changes had to be clinically relevant. Therefore Minimal Important Differences (MID) were predefined. Ratings were combined to a single score, the multiple outcome criterion (MEK).
Results: The MEK was determined for all patients (71.7 +/- 7.4 years, 76.9 % men) and consisted of an average of 5.6 indicators. After risk adjustment for sociodemographic and clinical baseline parameters, MEK was used for center ranking. In addition, individual results of indicators were compared with means of all study sites.
Conclusion: With the method presented here, the outcome quality can be quantified and outcome-based comparisons of providers can be made.
In long-term mechanically ventilated patients, dysphagia is a common and potentially life-threatening complication, which can lead to aspiration and pneumonia. Nevertheless, many intensive care unit (ICU) patients are fed by mouth without evaluation of their deglutition capability.
The goal of this work was to evaluate the prevalence of aspiration due to swallowing disorders in long-term ventilated patients who were fed orally in the ICU while having a blocked tracheotomy tube.
In all, 43 patients participated-each underwent a fiberoptic investigation of deglutition on the day of admission to the rehabilitation clinic.
A total of 65 % of the patients aspirated, 71 % of these silently. There were no associations between aspiration and any of the following: gender, indication for mechanical ventilation (underlying disease) or the duration of intubation and ventilation by tracheotomy tube. However, the association between aspiration and age was statistically significant (p = 0.041). Aspirating patients were older (arithmetic mean = 70 years, median = 74 years) than patients who did not aspirate (arithmetic mean = 66 years, median = 67 years).
Intubation and add-on tracheotomies can lead to potentially life-threatening swallowing disorders that cause aspiration, independent of the underlying disease. Before feeding long-term mechanically ventilated patients by mouth, their ability to swallow needs to be investigated using fiberoptic endoscopic evaluation of swallowing (FEES) or a saliva dye test, if a cuff deflation and the use of a speaking valve are possible during spontaneous respiration.
In this contribution we present innovative methods for broadband and resonance-free sensing and emitting of ultrasound. The sensing method uses a polyethylene foil and a laser vibrometer as a broadband and resonance-free sound receiver. In general, this method enables absolute measurement of sound particle velocity and sound pressure in arbitrary, laser beam transparent liquids and gases with known density and sound velocity. The resonance-free emitting method is based on the electro-thermo-acoustic principle and enables, contrary to conventional ultrasound transducers, generation of arbitrary shaped acoustic signals without resonances and post-oscillations.