Anxiety Death and its Relation to Emotional Security – Field Study with the specimens of students of Faculty of Education – University of Aden –: قلق الموت وعلاقته بالأمن النفسي – دراسة ميدانية لدى عينة من طلبة كلية التربية في جامعة عدن –

The study aimed to reveal the natural relation between the anxiety death and Emotional security among the specimen students of educated faculty university of Aden, to Identify the level of all the anxiety of death and Emotional security of the specimen members of study. And to find out if there are statistical differences at the level 0,05 among the average grades of the students the researched specimens according to the criteria of the anxiety death and Emotional security according to the changing educational standard (in the first and the third). The specimens research was made up of (446) male and female students of the students of the faculty of education in the university of Aden. then they have been chosen random, and the anxiety death criteria applied on to them prepared by AL-omer (2016) and criteria psychological security prepared by NAEISA (2014) after their verification of their credibility and authenticity. The researcher used the descriptive method Correlative to the appropriateness of the nature of the study problem and its objectives and the results inquired of the study on the existence of a weak positive correlation between anxiety death and psychological security, where the link (rate * 0.153) was also the arithmetic average reached total degree of scale anxiety death (2.09) and (2.13) for Emotional security. And the existence of essential differences between the sample members in the anxiety of death in favor of the third level. And no differences between specimen members average in the Emotional security among the first and third. And the top important recommendations that the research have been reached about the necessity to create guideline program to mitigate the level of anxiety of death or to set rehabilitation course to extent the awareness with the importance of to fulfill the Psychological tranquility to University students furthermore to establish consultant office to guidance and direction in Aden University to discuss the future problems with the academic students.

Guideline-Based Quality Indicators for Kidney and Bladder Cancer in Germany: Development and Implementation

<b><i>Introduction:</i></b> As part of the development of the evidence-based (S3) clinical practice guidelines for kidney and bladder cancer by the German Guideline Program in Oncology, quality indicators (QIs) were defined to measure the quality of care. Based on these guidelines and QIs, the German Cancer Society (DKG) developed two new certification systems. The aim of this article is to show the process of development and implementation of QIs in certified cancer centres. <b><i>Methods:</i></b> Based on strong recommendations of each guideline and an additional systematic literature review for national and international QIs, two sets of QIs were derived in a multistep standardized approach. These QIs were implemented in the centres in certification data sheets to measure their outcomes. First results of treatment years 2018 and 2019 are available. <b><i>Results:</i></b> The final sets include 9 QIs for kidney cancer and 12 QIs for bladder cancer. Two-thirds of the QIs were transferred to the data sheets. In 2018 and 2019, the results of all but one QI are within the plausibility limits. From 2020 on, they are replaced by stricter target values that will challenge centres to improve their outcomes. <b><i>Conclusions:</i></b> Guideline-derived QIs make relevant aspects of patient care measurable and consequently improvable. The first QI results are encouraging. However, the DKG certification system and the methods of measuring quality are under ongoing development. Systematic QI implementation and evaluation may help to generate broader databases and thus expand knowledge.