[Psychosomatic health inventory: Basic psychosomatic documentation for quality assurance inpatient care]. / Gesundheitsinventar Psychosomatik: Psychosomatische Basisdokumentation zur Qualitätssicherung im stationären Alltag.

Objectives: As part of the quality assurance of inpatient treatment, the severity of the disease and the course of therapy must be mapped. However, there is a high degree of heterogeneity in the implementation of basic diagnostics in psychosomatic facilities.There is a lack of scientifically based standardisation in determining the quality of outcomes. Methods: With the help of scientifically established test instruments, a resource-saving basic documentation instrument was developed. Many existing psychometric instruments were checked for test quality, costs and computer-supported application. Results: The Psychosomatic Health Inventory (gi-ps) consists of three basic modules with a total of 63 items: sociodemography, screening and psychosomatic health status.The latter is represented bymeans of construct-based recording on eight scales. Its collection at admission and discharge allows the presentation of the quality of outcomes.The development of a proprietary software solution with LimeSurvey enables the computer-based collection, evaluation, and storage of data. A list of test inventories for confirming diagnoses and predictors has been compiled, which are recommended for use in clinical routine. Discussion: With the gi-ps, a modular basic documentation instrument including the software solution is available to all interested institutions free of charge.

How do schema modes and mode factors align with defense styles and personality disorder symptoms?

Maladaptive schema modes (or modes) are a key concept in schema therapy; they reflect sets of currently activated maladaptive schemas, schema-evoked emotional distress, and coping attempts. Drawing on a set of 20 modes, this study aimed to replicate personality disorder (PD)-specific mode models, to investigate relationships among modes, higher order mode factors (i.e., Internalization, Externalization, and Compulsivity), and defense styles and to test the contributions of higher order mode factors and defense styles to variance in PD symptoms. The sample consisted of N = 533 German-speaking psychiatric inpatients. A total of 67 practically significant correlations between 20 modes and 10 PD scores were found (range: |.44| to |.76|), and 36 out of 47 hypothesized PD-mode associations were confirmed. In a series of 23 regression analyses, the immature, neurotic, and mature defense styles showed 23, 10, and 12 significant effects on mode variables, respectively. Defense styles jointly accounted for 9.0% to 42.4% of variance in mode variables after controlling for the effects of age and sex, implying that modes and defense styles are related yet distinguishable constructs. Finally, mode factors and defense styles independently accounted for unique variance in all 10 PD scores, with mode factors contributing significantly more to variance in antisocial, obsessive-compulsive, and avoidant PD symptoms. Implications of the results for theory and practice are discussed. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Clinical performance of complete dentures: a retrospective study.

PURPOSE: Denture survival, or the time between the date of a denture's insertion and the date of its renewal for any clinical reason, was assessed in this retrospective study on 353 complete dentures. The procedures required to prolong the useful time of the study sample-relines, repair of denture base fractures, or replacement of lost artificial teeth-were also evaluated. MATERIALS AND METHODS: All dentures were examined by the authors and were constructed according to a standardized protocol by full-time staff members of the Department of Prosthodontics, Regensburg University Medical Center, between 1984 and 2009. Two subgroups were assigned: 94 patients had one complete denture in each arch (group 1), while 165 patients had one complete denture in either the mandible or the maxilla (group 2). RESULTS: In group 1, the median (75th, 90th percentile) survival time of dentures was 15.8 years in the mandible (15.7, 7.0; 95% confidence interval [CI]: 15.5 to 16.1) and 19.4 years in the maxilla (15.8, 8.7; 95% CI: 14.0 to 24.7). Reline procedures were required most frequently in the maxilla, while 5-year event-free rates were 69.7% for the maxilla and 80.5% for the mandible. Denture base fractures were reported in 5.8% of patients in group 1 and tended to occur more frequently (median: 15.2%) if patients had only one denture (group 2, n = 25 [maxilla: n = 23, mandible: n = 2]). Loss of artificial teeth was a rare complication and found in only 5.8% of patients in group 1 and 10.9% of patients in group 2. During the first 5 years of service, more than 95% of patients in group 1 and 90% of patients in group 2 were "event free" with regard to loss of artificial teeth. CONCLUSIONS: Long-term functional service of complete dentures requires a high number of maintenance procedures, and there is a greater need for interventions in patients wearing only one complete denture (group 2).

Unusual karyotype aberrations involving 2p12, 3q27, 18q21, 8q24, and 14q32 in a patient with non-Hodgkin lymphoma/acute lymphoblastic leukemia.

The t(2;18)(p12;q21), known as a rare variant of the t(14;18)(q32;q21), together with t(3;14)(q27;q32), t(8;15)(q24;q22) and two other unusual translocations involving chromosomes 6, 9, 12, and 13, were demonstrated in the bone marrow cells of a 70-year-old male with suspected non-Hodgkin lymphoma/acute lymphoblastic leukemia. The complex chromosomal aberrations were identified by chromosome banding analysis and by fluorescence in situ hybridization (FISH) with whole chromosome painting probes, centromere-specific alpha-satellite probes, and probes specific for genomic sequences of some likely to be involved candidate genes. Several but not all of the chromosomal aberrations could be proved by multicolor FISH. Possible mechanisms leading to this unusual karyotype commonly associated with different histologic lymphoma subtypes and their prognostic implications are discussed.