Objectives Male sex, young age, and frequent gambling are considered as risk factors for disorder (GD) stress might be one of the triggers behavior among problem gamblers. Conversely, well-developed coping with counteract problems. The Proactive Coping Theory provides a promising approach further development preventive treatment measures. objective study was to investigate different facets proactive (PC) in male Methods Young men from Bavaria were recruited via Munich citizens' registry (n =...

Palliative care phases (stable, unstable, deteriorating, terminal and bereavement) are routinely used in Australia the UK to describe clinical situation of patients their families evaluate associated plan. In addition, it serves as a benchmark developed by Australian Care Outcome Collaboration (PCOC) is nationwide for comparisons between services. Germany, concept not consistently due various translations. Furthermore, there no systematic approach assess outcomes palliative care. The study...

This study aimed to (a) investigate the relationship between drinking location and adolescent alcohol use, (b) analyze association of culture indicators with (c) explore interaction effects indicators.Analyses were based on 2011 European School Survey Project Alcohol Other Drugs (ESPAD). The analytical sample consisted 15- 16-year-old students (N = 36,366; 51.6% female) from 11 countries. volume perceived drunkenness used as outcomes. Drinking was predictor variable. Per capita consumption...

ObjectivesThere is scarce information about sedation in nursing homes at the end of life. We aimed to assess (1) use sedatives generally and "sedatives with continuous effect," based on objective operational criteria, within last week life (2) factors associated this treatment.DesignRetrospective cohort study, using homes' medical records.Setting ParticipantsResidents who died 4 German from January 2015 December 2017 whose records were available (n = 512).MethodsSedatives analyzed those...

Background: Although young adult men are at an elevated risk for gambling problems (GP), compared to adolescents and adults in general this group is still largely unresearched. The current study investigates whether family functioning, which associated with reduced GP adolescence, also affects adults, who more independent than minors. It analyses the relationship between two core components of effectiveness problem-solving perceived concordance values.Methods: Data came from baseline, 12-...

This study is aimed to determine whether postoperative low dose computed tomography (LDCT) imaging necessary after percutaneous nephrolithotomy (PCNL), or the surgeon's intraoperative assessment of residual fragments (RF) sufficient and avoidance with reduction radiation exposure can be achieved. Data all 610 patients who underwent PCNL in prone position our institution from February 2009 September 2020 was collected. Parameters such as age, gender, BMI, ASA-Classification, stone related...

Sedation is an accepted, but controversially discussed and challenging measure to treat suffering at the end of life. Although most people die in hospitals or nursing homes, little known how professionals these settings deal with sedatives sedation life.To explore 1) challenges regarding use life 2) strategies, supportive measures meet challenges, as perceived by nurses physicians.Multicenter qualitative interview study. Forty-nine participants: 12 general practitioners from five physicians,...

Abstract Introduction and hypothesis The objective was to evaluate sexual function, vaginal prolapse, quality of life (QoL) in women after radical cystectomy (RC) using validated questionnaires pelvic organ prolapse quantification (POP-Q) measurement. Methods Female bladder cancer patients who underwent RC at our tertiary care center were included (January 2008 March 2022). Patients received three (International Consultation on Incontinence Questionnaire Vaginal Symptoms [ICIQ-VS] Part A,...

Sedatives are frequently used at the end of life in specialist palliative care. There is scarce information about their use nursing homes. Therefore, we aimed to assess (1) sedatives generally and (2) 'sedatives with continuous effect', based on objective operational criteria, within last week a home. This was retrospective cohort study residents who died German home between 1/2015 12/2017, using home's medical records, which contained drug sheets nurses' notes. analysed were those...

Evidence on the course of gambling disorder (GD) in clients seeking help from outpatient addiction care facilities is sparse. To close this knowledge gap, longitudinal one-armed cohort study portrays development GD help-seeking over a 3-year timeframe. We investigated changes severity as well frequency and intensity 145 gamblers treatment Bavaria using generalized estimation equations (GEEs). investigate potentially different trajectories between participants with without migration...

Objectives Continuous infusions of sedatives and/or opioids (continuous infusions) are frequently used in end-of-life care. Available data indicate challenges nonspecialist palliative care settings. We aimed to assess the use continuous during last week life different hospital departments. Methods In a sequential mixed-methods design, retrospective cohort study was followed by consecutive qualitative interviews 5 German Medical records 517 patients who died from January 2015 December 2017...

Previous data indicate major differences between countries and settings regarding the intention when administering sedative drugs at end of life perception, which are sedating. Therefore, we aimed to explore concept 'sedative drugs' intentions German healthcare professionals in general palliative care life.Semi-structured qualitative interviews with physicians nurses (n = 49). Recruitment took place via contact persons five hospital departments (haematology/oncology 2), neurology,...

Abstract Objective The prospective naturalistic study ‘Katamnese‐Studie’ conducted between 2014 and 2019 gathers evidence on the course of gambling disorder in German routine outpatient addiction care. This elucidates design methodological advantages caveats study. Methods Participants multi‐centre cohort received written questionnaires at admission 6‐, 12‐, 24‐ 36‐month follow‐up to assess socio‐demographic data, behaviour, gambling‐related consequences care offers sought. Subsequently,...

Introduction Individuals with gambling disorder (GD) harbor cognitive distortions and dysfunctional beliefs about that may foster problematic behaviour. Evidence on particularly detrimental attitudes is however lacking. To close this knowledge gap, we analysed associations between (Gambling Attitudes Beliefs Survey (GABS-15)) severity of (DSM-5 criteria met) in a German cohort 123 individuals receiving outpatient treatment. Methods Data from the "Katamnese-Study" covering 36-months timeframe...

Zusammenfassung Spielersperren stellen eine Maßnahme des Spielerschutzes dar. Ziel der vorliegenden Arbeit ist die Darstellung derzeitigen Gesetzesgrundlage von in Deutschland und den Bundesländern beispielhaft ihrer Nutzung Bayern. Während auf Basis Glücksspielstaatsvertrags für das staatliche Glücksspiel bundesweite Sperrdatei existiert, werden gewerbliche länderspezifisch organisiert. Aufgrund uneinheitlichen Gesetzeslage besteht trotz einer ausgesprochenen Spielersperre Möglichkeit,...

Die inhaltliche Analyse der DSM-5 Diagnosekriterien für eine Störung durch Glücksspielen (GD) zeigt, dass die Thematik Geld bei vier von neun Kriterien Rolle spielt (American Psychiatric Association, 2013). Im Kontext des Glücksspielens kann als primärer Motivator verstanden werden (Neighbors et al., 2002), welcher vor allem niederen Einkommensschichten gravierenden Einfluss auf das Spielverhalten haben (Tabri 2015). Um Verluste auszugleichen, sich ein dringendes Bedürfnis zum Weiterspielen...

Fragestellung Forschung zur Verwendung von Sedativa am Lebensende fokussiert oft auf onkologische Patient*innen. Auch neurologische Erkrankungen gehen mit einer hohen Symptomlast einher. Wie werden in den letzten 7 Lebenstagen bei Patient*innen der Neurologie im Vergleich Onkologie angewendet?

Fragestellung Die Zuordnung von Palliativphasen (Stabil, Instabil, Sich verschlechternd, Sterbend, Verstorben-Trauerbegleitung) ist in Australien und im Vereinigten Königreich ein etabliertes Instrument, um die Krankheitssituation Palliativpatient*innen deren Angehörigen zu beschreiben, auf Grundlage klinische Entscheidungen treffen den Versorgungsplan reevaluieren. Ziel des Projekts Entwicklung einer deutschsprachigen Version der Palliativphasen.

Fragestellung Sedativa werden in der spezialisierten Palliativversorgung (SPV) häufig eingesetzt. Wie und „Sedativa mit kontinuierlichem Effekt“ letzten Lebenswoche Pflegeheimen (PH) verwendet welche Faktoren sind dieser Therapie assoziiert?