Depression impacts the course of recovery in patients with acute low back pain

Little is known about the course of recovery of acute low back pain (LBP) patients as a function of depression. In a prospective study, 286 acute LBP patients were assessed at baseline and followed up over 6 months. Recovery was defined as improvement in the Oswestry Disability Index (ODI). Repeated-measures analysis of covariance was employed with ODI as repeated factor, age, sex, and body mass index as covariates, depression and all other potential prognostic factors as between-subject factors. Of study participants, 18% were classified as depressive (>33 points on the Zung Self-Rating Depression Scale). Of 286 participants, 135 were lost to follow-up. In the longitudinal sample of 151 patients the course of recovery was slower in depressive patients. Depression was associated with LBP especially after 6 weeks and should therefore be included in screening instruments for acute LBP patients to identify those at risk of delayed recovery at an early stage.

Who is likely to develop persistent low back pain? A longitudinal analysis of prognostic occupational factors

OBJECTIVE: Occupational low back pain (LBP) is considered to be the most expensive form of work disability, with the socioeconomic costs of persistent LBP exceeding the costs of acute and subacute LBP by far. This makes the early identification of patients at risk of developing persistent LBP essential, especially in working populations. The aim of the study was to evaluate both risk factors (for the development of persistent LBP) and protective factors (preventing the development of persistent LBP) in the same cohort. PARTICIPANTS: An inception cohort of 315 patients with acute to subacute or with recurrent LBP was recruited from 14 health practitioners (twelve general practitioners and two physiotherapists) across New Zealand. METHODS: Patients with persistent LBP at six-month follow-up were compared to patients with non-persistent LBP looking at occupational, psychological, biomedical and demographic/lifestyle predictors at baseline using multiple logistic regression analyses. All significant variables from the different domains were combined into a one predictor model. RESULTS: A final two-predictor model with an overall predictive value of 78% included social support at work (OR 0.67; 95%CI 0.45 to 0.99) and somatization (OR 1.08; 95%CI 1.01 to 1.15). CONCLUSIONS: Social support at work should be considered as a resource preventing the development of persistent LBP whereas somatization should be considered as a risk factor for the development of persistent LBP. Further studies are needed to determine if addressing these factors in workplace interventions for patients suffering from acute, subacute or recurrent LBP prevents subsequent development of persistent LBP.

Vereint das Universum hacken

Konkurrenz belebt das Geschäft? Das ist ein alter Hut. Aber es gibt längst einen neuen Trend zum Erfolg. Am CERN machen sie’s, am MIT machen sie’s, im FabLab, bei Hackathons – Open Source ist die Grundlage für viele der innovativsten Forschungsprojekte, für viele lukrative Geschäftsmodelle. Und dabei ist das Konzept uralt. Es heißt: Zusammenarbeit.

Multiprofessional collaboration in teaching practices in all-day-schools in Switzerland

Multiprofessional collaboration in settings of extended education has been an important research topic in the past 40 years and has been discussed as a means to improve educational achievement, foster professional development, and support teachers in their everyday work. Several recent studies in multiprofessional settings found that collaboration practices often remain on a student-centered, time-limited, and superficial level of exchange, whereas higher forms of collaboration are very rare (Dizinger, Fussangel, Kasper, 2011). Furthermore there exists an obvious research gap on collaboration in Swiss all-day schools (Jutzi&Thomann, 2012). In this study we analyzed practices of multiprofessional collaboration in school-based and community-based extracurricular activities of all-day schools in Switzerland. The aim of this qualitative study of 10 all-day schools was to answer the following questions: (a) What forms of collaboration (informal/formal) are used between the different professionals? and (b) Are there different types of all-day schools with regard to distinctive and consistent types of collaboration? We conducted 18 problem-centered interviews (with the principals/heads of the all-day schools) and 10 focus group discussions (teams). In the process of data evaluation, we applied the method of qualitative content analysis. The results show that multiprofessional collabo ration is taking place in all of the all-day schools examined in the study. However, the collaborative practices differ in their level of intensity, design, and purpose.

Conditions promoting good multiprofessional collaboration practices in Swiss all-day schools

Multiprofessional collaboration in all-day schools refers to teamwork and coordination that takes place between professionals with different vocational backgrounds. In Switzerland, all-day schoolscomprise regular school instruction and school-based extracurricular activities. Nevertheless, multiprofessional collaboration can also refer to collaboration between education professionals in all-day schools and professionals outside the school in a community-based setting of extracurricular activities. A synthesis of the literature shows that collaboration inside and outside the school setting is promoted by conditions in three areas: structural characteristics of the institution, characteristics of the team, and interpersonal processes (Schüpbach, Jutzi & Thomann 2012). In view of these findings, it was the aim of this study to analyze conditions of good collaboration practices in all-day schools in Switzerland. This qualitative study examined 10 all-day schools in five different cantons in the German-speaking part of Switzerland that showed good collaboration practice. In the course of this study, we conducted 18 problem-centered interviews and 10 focus group discussions. In the process of data evaluation, we applied the method of qualitative content analy sis. The findings show that all of the three areas of conditions promoting good collaboration proved to be relevant in the whole sample of all-day schools. Nevertheless, for the three different types of collaboration found? The school- oriented, the mixed/in termediate, and the social environment-oriented type? We identified different conditions of good collaboration practice.

Tagesschule und Schulerfolg?

Die Nutzung der sekundären Sozialisationsinstanz Schule durch die Kinder – wie sie darin zurechtkommen, in welcher Weise sie von ihr profitieren – hängt vom sozialen, kulturellen und ökonomischen Kapital der Familie ab. Bourdieu (1983) spricht hier von Habitus. Der Einfluss der sozialen Herkunft auf die schulischen Leistungen konnte in vielen Untersuchungen nachgewiesen werden (z.B. Coradi Vellacott 2007). Bereits bei Kindergarten- und Schuleintritt unterscheiden sich die Kinder in sprachlichen und mathematischen Kompetenzbereichen, insbesondere weil sie in ihren Familien unterschiedliche Entwicklungsmöglichkeiten erfahren (Moser & Bayer, 2010). Schlechtere Startbedingungen durchziehen alle Lebensbereiche – in der Schule, im Wohnumfeld oder bei der Freizeitgestaltung an weiteren institutionellen Bildungsorten. Es stellt sich die Frage, ob es dem Bildungssystem gelingt, diese Unterschiede zu kompensieren. Verschiedene Studien zeigen, dass es der Schule nicht im erhofften Umfang gelingt, die primären Disparitäten zu kompensieren. Damit dies besser gelingen kann, müssen sich die Bildungsinstitutionen und die Familie zu Beginn des 21. Jahrhunderts an die veränderten gesellschaftlichen Rahmenbedingungen anpassen. Damit sie auch in der Zukunft ihrer Kernaufgabe – Kinder auf ihrem Weg des Erwachsenwerdens zu unterstützen – gerecht werden können. Der Tagesschule in der Schweiz werden in der erziehungswissenschaftlichen Literatur verbreitet pädagogische Möglichkeiten eingeräumt, die dargestellte Situation im Bildungssystem zu verbessern (Holtappels, 2006). Die Tagesschule soll ermöglichen, weg von einer reinen Unterrichtsschule hin zu einer Schule als Erfahrungs- und Lebensraum zu kommen. In einer solchen Schule sollen – nebst der Förderung von kognitiven Kompetenzen aller Schülerinnen und Schüler (Schulleistung) – eine individuelle Förderung, soziales Lernen sowie insbesondere eine Erhöhung der Chancengerechtigkeit im Bildungssystem im Fokus stehen (Herzog, 2009). Im Hinblick auf Letzteres erhofft man sich durch eine ganztägige Bildung und Betreuung eine kompensatorische Wirkung hinsichtlich sozialer Disparitäten. Ganztägige Bildung und Betreuung für Schulkinder kann in Form einer Tagesschule oder mit Blockzeitenunterricht und zusätzlichen Bildungs- und Betreuungsangeboten an oder ergänzend zur Schule realisiert werden. Unter einer Tagesschule versteht man heute in der Schweiz überwiegend eine schulische Institution mit einem den ganzen Tag abdeckenden Angebot. Sie setzt sich aus dem Unterricht und (Tagesschul-)Angeboten wie Mittagessen, Hausaufgabenbetreuung, freiem Spiel, geleiteten Sequenzen und Kursen u.a. zusammen. Teilweise verschmelzen die beiden Teile im Schultag (Schüpbach, 2010).

CAOR: Context-aware Adaptive Opportunistic Routing in Mobile Ad-hoc Networks

Opportunistic routing (OR) employs a list of candidates to improve wireless transmission reliability. However, conventional list-based OR restricts the freedom of opportunism, since only the listed nodes are allowed to compete for packet forwarding. Additionally, the list is generated statically based on a single network metric prior to data transmission, which is not appropriate for mobile ad-hoc networks (MANETs). In this paper, we propose a novel OR protocol - Context-aware Adaptive Opportunistic Routing (CAOR) for MANETs. CAOR abandons the idea of candidate list and it allows all qualified nodes to participate in packet transmission. CAOR forwards packets by simultaneously exploiting multiple cross-layer context information, such as link quality, geographic progress, energy, and mobility.With the help of the Analytic Hierarchy Process theory, CAOR adjusts the weights of context information based on their instantaneous values to adapt the protocol behavior at run-time. Moreover, CAOR uses an active suppression mechanism to reduce packet duplication. Simulation results show that CAOR can provide efficient routing in highly mobile environments. The adaptivity feature of CAOR is also validated.

REST-based sensor networks with OData

RESTful services gained a lot of attention recently, even in the enterprise world, which is traditionally more web-service centric. Data centric RESfFul services, as previously mainly known in web environments, established themselves as a second paradigm complementing functional WSDL-based SOA. In the Internet of Things, and in particular when talking about sensor motes, the Constraint Application Protocol (CoAP) is currently in the focus of both research and industry. In the enterprise world a protocol called OData (Open Data Protocol) is becoming the future RESTful data access standard. To integrate sensor motes seamlessly into enterprise networks, an embedded OData implementation on top of CoAP is desirable, not requiring an intermediary gateway device. In this paper we introduce and evaluate an embedded OData implementation. We evaluate the OData protocol in terms of performance and energy consumption, considering different data encodings, and compare it to a pure CoAP implementation. We were able to demonstrate that the additional resources needed for an OData/JSON implementation are reasonable when aiming for enterprise interoperability, where OData is suggested to solve both the semantic and technical interoperability problems we have today when connecting systems