Defining consensus norms for palliative care of people with intellectual disabilities in Europe using Delphi methods: A White Paper from the European Association of Palliative care

Background: People with intellectual disabilities often present with unique challenges that make it more difficult to meet their
palliative care needs.
Aim: To define consensus norms for palliative care of people with intellectual disabilities in Europe.
Design: Delphi study in four rounds: (1) a taskforce of 12 experts from seven European countries drafted the norms, based on available empirical knowledge and regional/national guidelines; (2) using an online survey, 34 experts from 18 European countries evaluated the draft norms, provided feedback and distributed the survey within their professional networks. Criteria for consensus
were clearly defined; (3) modifications and recommendations were made by the taskforce; and (4) the European Association for
Palliative Care reviewed and approved the final version.
Setting and participants: Taskforce members: identified through international networking strategies. Expert panel: a purposive sample identified through taskforce members’ networks.
Results: A total of 80 experts from 15 European countries evaluated 52 items within the following 13 norms: equity of access, communication, recognising the need for palliative care, assessment of total needs, symptom management, end-of-life decision making, involving those who matter, collaboration, support for family/carers, preparing for death, bereavement support, education/training
and developing/managing services. None of the items scored less than 86% agreement, making a further round unnecessary. In light of respondents’ comments, several items were modified and one item was deleted.
Conclusion: This White Paper presents the first guidance for clinical practice, policy and research related to palliative care for people with intellectual disabilities based on evidence and European consensus, setting a benchmark for changes in policy and practice.

Illness perceptions and coping in physical health conditions: A meta-analysis

Objective: There is a considerable body of research linking elements of Leventhal’s Common Sense Model (CSM) to emotional well-being/distress outcomes among people with physical illness. The present study aims to consolidate this literature and examine the evidence for the role of coping strategies within this literature.
Methods: A systematic review was conducted where the outcomes of interest were: depression, anxiety and quality of life. A total of 1050 articles were identified and 31 articles were considered eligible to be included in the review.
Results: Across a range of illnesses, perceptions of consequences of the illness and emotional representations were consistently the illness perceptions with the strongest relationship with the outcomes. Coping variables tend to be stronger predictors of outcomes than the illness perception variables. The evidence for the mediating effect of coping was inconsistent.
Conclusions: Illness perceptions and coping have an important role to play in the explanation of distress outcomes across a range of physical health conditions. However, some clarity about the theoretical position of coping in relation to illness perceptions, and further longitudinal work is needed if we are to apply this information to the design of interventions for the improvement of psychological health among people with physical health conditions.

Intrinsische und extrinsische Motivation von Studierenden der Hochschule Hannover : Messung an den Fakultäten III und IV

Bei der vorliegenden Arbeit handelt es sich um eine überarbeitete Version einer Hausarbeit im Modul Research Management im Masterstudiengang Unternehmensentwicklung im Sommersemester 2014 bei Prof. Dr. Sven Litzcke. In der Arbeit wird untersucht, ob die oftmals vorherrschende Meinung zutrifft, dass Studierende wirtschaftsorientierter Studiengänge ihre Studiengangwahl aufgrund der positiven Karriere- und Verdienstmöglichkeiten und unter Vernachlässigung ihrer persönlichen Neigungen und Interessen getroffen haben. Mittels eines Fragebogens werden die Ausprägungen der Motivationsformen extrinsische und intrinsische Motivation von Studierenden der Fakultät IV Wirtschaft und Informatik der Hochschule Hannover gemessen. Da Studierenden von künstlerischen und kreativen Studiengängen dieses Verhalten nicht unterstellt wird, werden Studierende der Fakultät III Medien, Information und Design der Hochschule Hannover als Vergleichsgruppe herangezogen. Die Untersuchung orientiert sich an der Hypothese, dass die extrinsische Motivation von Studierenden der Fakultät IV der Hochschule Hannover in Bezug auf ihr Studium stärker ausgeprägt ist als die von Studierenden an der Fakultät III der Hochschule Hannover. Da vermutet wird, dass die Fakultät IV der Hochschule Hannover nicht aus einer homogenen Gruppe besteht, untersucht diese Arbeit zudem die Hypothese, dass die extrinsische Motivation von Studierenden im Studiengang Betriebswirtschaftslehre in Bezug auf ihr Studium stärker ausgeprägt ist, als die von Studierenden der Angewandten Informatik. Die Auswertung von 312 Fragebögen hat beide Hypothesen bestätigt. Studierende der Fakultät III sind weniger extrinsisch und stärker intrinsisch motiviert als Studierende der Fakultät IV. Zudem sind Studierende der Betriebswirtschaftslehre an der Hochschule Hannover stärker extrinsisch motiviert als Studierende der Angewandten Informatik an der Hochschule Hannover.

Squaric acid/4-aminoquinoline conjugates: novel potent antiplasmodial agents

We report the synthesis and structure–activity relationship (SAR) analysis of a series of hybrid compounds containing a squaric moiety conjugated with heterocyclic moieties from well-known antimalarials. This novel series of compounds presents improved antiplasmodial activity compared with the squaric derivatives described in our previous work. Three compounds, 8b (IC50 = 99 nM), 8c (IC50 = 95 nM), and 8d (IC50 = 105 nM) had greater in vitro potency than chloroquine 1 (IC50 = 140 nM) against chloroquine resistant Plasmodium falciparum. In addition, they were noncytotoxic against NIH 3T3 and Hek 293T cells.