TY - GEN A1 - Kaucher, Simone A1 - Khil, Laura A1 - Kajüter, Hiltraud A1 - Becher, Heiko A1 - Reder, Maren A1 - Kolip, Petra A1 - Spallek, Jacob A1 - Winkler, Volker A1 - Berens, Eva-Maria T1 - Breast cancer incidence and mammography screening among resettlers in Germany T2 - BMC public health N2 - Background – European studies showed that women with a migration background are less likely to participate in mammography screenings than autochthonous women. However, the participation in the German mammography screening programme (MSP) among ethnic German migrants from countries of the former Soviet Union (called resettlers) is unclear so far. The aim of this study was to identify possible differences regarding MSP participation between resettlers from the FSU and the general German population. Methods – Data from two independent, complementary studies from North Rhine-Westphalia, Germany (a retrospective cohort study 1994–2013; a cross-sectional study 2013/14) were used for comparisons between resettlers and the general population: Odds Ratios (ORs) for MSP participation utilizing the cross-sectional data and time trends of breast cancer incidence rates as well as Chi-Square tests for breast cancer stages utilizing the cohort data. Results – Resettlers showed higher Odds to participate in the MSP than the general population (OR 2.42, 95% CI 1.08–5.42). Among resettlers, a large increase in incidence rates was observed during the MSP implementation (2005–2009), resulting in stable and comparable incidence rates after the implementation. Furthermore, pre-MSP implementation, the proportion of advanced breast cancer stages was higher among resettlers than in the German population, post-MSP implementation the proportion was comparable. Conclusions – MSP participating seems surprisingly high among resettlers. An explanation for the increased willingness to participate might be the structured invitation procedure of the MSP. However, the exact reasons remain unclear and future research is needed to confirm this hypothesis and rule out the possibility of selection bias in the cross-sectional study. KW - Resettlers KW - Migrants KW - Breast cancer KW - Stage at diagnosis KW - Mammography screening programme KW - Participation Y1 - 2020 U6 - https://doi.org/10.1186/s12889-020-08534-7 VL - 20 IS - 1 ER - TY - GEN A1 - Lugert, Andreas A1 - Winkler, Herwig A1 - Völker, Kevin T1 - Dynamization of Value Stream Management by technical and managerial approach T2 - Procedia CIRP N2 - Value Stream Mapping (VSM) is a widely known lean tool to improve manufacturing systems. Despite having many benefits VSM also has some shortcomings in today’s more dynamic production environment. To eliminate these weaknesses and to further increase flexibility, we developed a dynamic value stream management concept taking both the recent digitalization technologies and organizational structures into account. Therefore, we designed a concept with two dimensions: on one hand a technical infrastructure facing Industry 4.0, on the other hand a management approach describing involved roles and relevant day-to-day activities. The analysis of value streams is facilitated by data analytics and simulation using real-time data. Our contribution possesses first insights in the conceptual considerations. KW - Industry 4.0 KW - Lean Management KW - Toyota Production System KW - Value Stream KW - Value Stream Management KW - Value Stream Mapping Y1 - 2018 U6 - https://doi.org/10.1016/j.procir.2018.03.284 SN - 2212-8271 VL - 72 SP - 701 EP - 706 ER -