Apache Kafka: Real-Time Messaging System
Apache Kafka is a high-performance, real-time messaging system developed by Linkedin and open-sourced in 2011. It provides distributed and partitioned messaging capabilities, with the ability to handle node failures and automatic recovery. Kafka uses a publish-subscribe model for passing messages between producers and consumers, with data centralized through brokers, topics, and partitions. Many big companies including LinkedIn, Microsoft, Netflix, and Uber use Kafka in their systems.
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Holistically strengthening families with hearing-impaired children A. Illg Medical University of Hannover Department of Otolaryngology, Hannover, Germany Chairman: Prof. Prof. h.c. Dr. med. Thomas Lenarz
Language acquisition in children implanted below 25 month High variations of results in speech and language acquisition tests Significant differences between best and poor performer www.mhh-hno.de www.mhh-hno.de
Influencing factors Internal factors Cognitive and psychological abilities: Attention Motivation Anxiety Experiences External factors: Family constellation and parents' time for the children Socioeconomic status, parental education, Migration background Support system: Participation and education www.mhh-hno.de www.mhh-hno.de
Knowledge from treatment of patients with other chronic diseases Patient education is the keystone of medical care and is described in other medical guidelines (e.g. asthma, diabethes, dermatitis). Holistic and salutogenic therapeutic approaches are the most effective approaches in patients with other chronic diseases to increase the quality of life via the activation of soft skills. ICF: WHO Sence of Coherence: Resilience model by Aaron Antonovsky, 1987 www.mhh-hno.de www.mhh-hno.de
Holistic approaches "International Classification of Functioning, Disability and Health (ICF)". World Health Organization. 22 July 2016. www.mhh-hno.de www.mhh-hno.de
The salutogenic Model based by Antonovsky, 1996 Salutogenic model of health (SMH) Vinje HF, Langeland E, Bull T. Aaron Antonovsky s Development of Salutogenesis, 1979 1994. 2022 Jan 1. In: Mittelmark MB, Bauer GF, Vaandrager L, Pelikan JM, Sagy S, Eriksson M, Lindstr m B, Meier Magistretti C, editors. The Handbook of Salutogenesis [Internet]. 2nd ed. Cham (CH): Springer; 2022. Chapter 5. PMID: 36121997. www.mhh-hno.de www.mhh-hno.de
Pilot Study Objectives: developing and evaluating of an education program for hearing impaired patients and supporters make hearing impaired patients their own experts. increasing Empowerment, Self-Management, Resilience, LQ, Life satisfaction in hearing impaired patients. Methods: starting point: assessment and evaluation of the patient's needs with ICF, SoC. Modular educational program enables the creation of an individual training plan. Interdisciplinary team Combined methods: mHealth and life workshops Evaluation of the program: Knowledge, LQ, Life satisfaction, burden of disease before and after participation www.mhh-hno.de www.mhh-hno.de
Main Content Main Content: Explanation of the disease, its treatment and prognosis Competencies and motivation for basis therapy Hearing- and Listening strategies Competencies for preventing or managing acute crises Coping with the hearing loss alone, in family live, job, social activities Pilot group: Parents of children 0-6 years with sensorineural deafness/deafness and CI Duration: 4 dates online (2.5 h) face-to-face (7 h) online (2.5 h) self-tutoring session (1 h) www.mhh-hno.de www.mhh-hno.de
Discussion Which (holistic) content are most important? Which group settings are necessary for an educational program? (homogenious or heterogenious groups) Additional Ideas? www.mhh-hno.de www.mhh-hno.de
Thank you for your attention! Illg.angelika@mh-hannover.de www.mhh-hno.de
