@article{HornRaptisFischeretal., author = {Horn, Lars-Christian and Raptis, Georgios and Fischer, Uta and Hentschel, Bettina and K{\"o}hler, U. and Richter, Christine E. and Martin, Rosemarie}, title = {CD44-v6 concentrations in carcinoma of the uterine cervix: lack of prognostic significance}, series = {Archives of Gynecology and Obstetrics}, volume = {273}, journal = {Archives of Gynecology and Obstetrics}, number = {2}, doi = {10.1007/s00404-005-0039-5}, pages = {104 -- 106}, abstract = {Several kinds of cellular adhesion molecules, like different splicing variants of CD 44, have gained important as prognostic or markers for metastatic disease. Fresh frozen samples from 64 cervical carcinoma (CX) were stored in liquid nitrogen and examined using ELISA-technique, testing the prognostic impact. Normal cervical tissue served as control. CD 44-v6 concentration, was significant elevated in tumor tissue, when compared to the controls (P=0.04). There was no correlation to tumor stage (P=0.61), lymphovascular space involvement (P=0.075) or pelvic lymph node involvement (P=0.81). The CD 44-v6 concentration was not informative regarding recurrence-free and overall survival. Contrary to immunohistochemistry, the quantification of CD 44-v6 using ELISA-technique does not provide any further information.}, subject = {Geb{\"a}rmutterhalskrebs}, language = {en} } @inproceedings{SpychalskiRodeRitthaleretal., author = {Spychalski, Dominik and Rode, Olaf and Ritthaler, Markus and Raptis, Georgios}, title = {Conceptual Design and Analysis of a Mobile Digital Identity for eHealth Applications}, series = {2021 IEEE EMBS International Conference on Biomedical and Health Informatics (BHI): 27-30 July 2021, Athens, Greece}, booktitle = {2021 IEEE EMBS International Conference on Biomedical and Health Informatics (BHI): 27-30 July 2021, Athens, Greece}, publisher = {IEEE}, issn = {2641-3604}, doi = {10.1109/BHI50953.2021.9508554}, pages = {1 -- 4}, abstract = {As mobile technology continues to improve, more and more professional services are being offered as mobile apps. This paradigm shift also affects eHealth applications. Digital identities in nation-wide eHealth infrastructures are often realized via smart cards, which however, do not support mobile applications well. In this paper we propose a concept of a mobile eID for eHealth based on smartphones with embedded secure hardware, an mobile authenticator app and an account manager as well as an Identity Provider (IdP) as backend services. The practical applicability of the concept is shown using the example of the German eHealth infrastructure. Our method generates a cryptographic key pair in secure hardware on the user's smartphone, registers it on the IdP and uses it to authenticate on the IdP. The security of the private key and the integrity of the smartphone is also validated and attestated. The user's established smartcard-based identity "Electronic Health Card" (EHC) forms the trust anchor. To authenticate against specialist eHealth apps the IdP issues standard-compliant OAuth2.0/OIDC tokens with a limited period of validity. Furthermore, in our security analysis we demonstrate that based on specific security requirements for smartphones and operating systems, at least the eIDAS security level "substantial" related to the technical security aspects of the system can be achieved. On the basis of this research German legislation was adjusted and "digital identities" supplementary to the smartcard-based EHC will be issued from 2023 in the German eHealth infrastructure.}, language = {en} } @inproceedings{RushSchmidRaptis, author = {Rush, Logan and Schmid, Marina and Raptis, Georgios}, title = {Privacy Challenges in Genomic Data: A Scoping Review of Risks, Mitigation Strategies, and Research Gaps.}, series = {Information and Communication Technology: 13th International Symposium, SOICT 2024, Danang, Vietnam, December 13-15, 2024, Proceedings, Part II}, booktitle = {Information and Communication Technology: 13th International Symposium, SOICT 2024, Danang, Vietnam, December 13-15, 2024, Proceedings, Part II}, publisher = {Springer}, address = {Singapore}, doi = {10.1007/978-981-96-4285-4_34}, pages = {416 -- 430}, abstract = {Advances in genomic research have created new privacy challenges. This scoping review analyzes the risks associated with the processing, storage, and sharing of genomic data including epigenetics, and examines current privacy protection strategies. It also attempts to identify research gaps in this area. Using the PRISMA methodology, 37 relevant studies were identified and analyzed. The results of the risk assessment can be grouped into four main themes: Risks posed by processing of functional genomic data, sharing of genomic data, patient (re-)identification, and dividuality, i.e. the extending of privacy risks to blood relatives. The identified risk mitigation strategies were systematically categorized into five classes: pre-release measures, governance, secure data processing and exchange, access restriction and transparency, anonymization and masking. However, there are some important research gaps that still need to be addressed. The current literature neglects to assess the likelihood of potential breaches and tends to focus only on assessing possible scenarios of privacy risks. It also mainly fails to assess the role of contextualized data and the effectiveness of policies and governance systems with respect to privacy risks.}, language = {en} } @article{SteinhauserRaptis, author = {Steinhauser, Stefanie and Raptis, Georgios}, title = {Design propositions for nudging in healthcare: Adoption of national electronic health recordsystems}, series = {Digital Health}, volume = {9}, journal = {Digital Health}, publisher = {Sage}, issn = {2055-2076}, doi = {10.1177/20552076231181208}, pages = {1 -- 12}, abstract = {Objectives: Electronic health records (EHRs) are considered important for improving efficiency and reducing costs of ahealthcare system. However, the adoption of EHR systems differs among countries and so does the way the decision to par-ticipate in EHRs is presented. Nudging is a concept that deals with influencing human behaviour within the research streamof behavioural economics. In this paper, we focus on the effects of the choice architecture on the decision for the adoption ofnational EHRs. Our study aims to link influences on human behaviour through nudging with the adoption of EHRs to inves-tigate how choice architects can facilitate the adoption of national information systems. Methods: We employ a qualitative explorative research design, namely the case study method. Using theoretical sampling,we selected four cases (i.e., countries) for our study: Estonia, Austria, the Netherlands, and Germany. We collected and ana-lyzed data from various primary and secondary sources: ethnographic observation, interviews, scientific papers, homepages,press releases, newspaper articles, technical specifications, publications from governmental bodies, and formal studies. Results: The findings from our European case studies show that designing for EHR adoption should encompass choice archi-tecture elements (i.e., defaults), technical elements (i.e., choice granularity and access transparency), and institutional ele-ments (i.e., regulations for data protection, information campaigns, and financial incentives) in combination. Conclusions: Our findings provide insights on the design of the adoption environments of large-scale, national EHR systems.Future research could estimate the magnitude of effects of the determinants.}, language = {en} } @misc{WolterRaptisMiddeletal., author = {Wolter, Jennifer and Raptis, Georgios and Middel, Luise and Ritthaler, Markus and Loss, J. and Ludwig, Bernd}, title = {Requirements for Apps Providing Teleconsultation Services Between Nursing Homes, Home-Based Nursing Care, and Doctors}, series = {2021 IEEE EMBS International Conference on Biomedical and Health Informatics (BHI), 27-30 July 2021, virtual conference}, journal = {2021 IEEE EMBS International Conference on Biomedical and Health Informatics (BHI), 27-30 July 2021, virtual conference}, publisher = {IEEE}, language = {en} } @article{HornRaptisFischer, author = {Horn, Lars-Christian and Raptis, Georgios and Fischer, Uta}, title = {Familial cancer history in patients with carcinoma of the cervix uteri}, series = {European Journal of Obstetrics \& Gynecology and Reproductive Biology}, volume = {101}, journal = {European Journal of Obstetrics \& Gynecology and Reproductive Biology}, number = {1}, doi = {10.1016/s0301-2115(01)00520-6}, pages = {54 -- 57}, subject = {Geb{\"a}rmutterhalskrebs}, language = {en} } @inproceedings{GreinerCurrleEttletal., author = {Greiner, Nina and Currle, Edda and Ettl, Katrin and Frommeld, Debora and Haug, Sonja and Kudienko, Natalie and Lauer, Norina and Lichtenauer, Norbert and Meussling-Sentpali, Annette and Middel, Luise and Mohr, Christa and Pfingsten, Andrea and Popp, Christof and Raptis, Georgios and Weber, Karsten}, title = {Technik im Alltag - Technik zum Leben : Telepr{\"a}senzgest{\"u}tzte Pflege und Therapie bei Schlaganfallpatient*innen}, series = {Kann Digital Pflege?: Clusterkonferenz ,,Zukunft der Pflege", 3., September 2020, N{\"u}rnberg}, volume = {Konferenzband Teil 1}, booktitle = {Kann Digital Pflege?: Clusterkonferenz ,,Zukunft der Pflege", 3., September 2020, N{\"u}rnberg}, address = {K{\"o}nigstetten, {\"O}sterreich}, issn = {2710-3048}, pages = {57 -- 61}, abstract = {Vorgestellt wird das Forschungsvorhaben des interdisziplin{\"a}ren Forschungsprojekts „DeinHaus 4.0 - Telepr{\"a}senzroboter f{\"u}r die Pflege und Unterst{\"u}tzung von Schlaganfallpatientinnen und -patienten (TePUS)". {\"U}ber geeignete Robotersysteme sollen den Proband*innen individuell abgestimmte Angebote aus den Bereichen Telenursing und Teletherapie zur Verf{\"u}gung gestellt werden. Hierbei werden einerseits Telepr{\"a}senzsitzungen durchgef{\"u}hrt, anderseits kommen verschiedene Apps zum Einsatz. Die Interventionen werden mittels eines Mixed-Methods-Ansatzes evaluiert. Begleitend werden Technikakzeptanz und Nutzungsbereitschaft untersucht.}, subject = {Schlaganfall}, language = {de} } @article{SchedlbauerRaptisLudwig, author = {Schedlbauer, J{\"u}rgen and Raptis, Georgios and Ludwig, Bernd}, title = {Medical informatics labor market analysis using web crawling, web scraping, and text mining}, series = {International Journal of Medical Informatics}, volume = {150}, journal = {International Journal of Medical Informatics}, number = {June}, publisher = {Elsevier}, issn = {1386-5056}, doi = {10.1016/j.ijmedinf.2021.104453}, abstract = {Objectives The European University Association (EUA) defines "employability" as a major goal of higher education. Therefore, competence-based orientation is an important aspect of education. The representation of a standardized job profile in the field of medical informatics, which is based on the most common labor market requirements, is fundamental for identifying and conveying the learning goals corresponding to these competences. Methods To identify the most common requirements, we extracted 544 job advertisements from the German job portal, STEPSTONE. This process was conducted via a program we developed in R with the "rvest" library, utilizing web crawling, web extraction, and text mining. After removing duplicates and filtering for jobs that required a bachelor's degree, 147 job advertisements remained, from which we extracted qualification terms. We categorized the terms into six groups: professional expertise, soft skills, teamwork, processes, learning, and problem-solving abilities. Results The results showed that only 45\% of the terms are related to professional expertise, while 55\% are related to soft skills. Studies of employee soft skills have shown similar results. The most prevalent terms were programming, experience, project, and server. Our second major finding is the importance of experience, further underlining how essential practical skills are. Conclusions Previous studies used surveys and narrative descriptions. This is the first study to use web crawling, web extraction, and text mining. Our research shows that soft skills and specialist knowledge carry equal weight. The insights gained from this study may be of assistance in developing curricula for medical informatics.}, language = {en} } @article{DotterHaugSchnelletal., author = {Dotter, Caroline and Haug, Sonja and Schnell, Rainer and Raptis, Georgios and Weber, Karsten}, title = {Sharing health data for research purposes: results of a population survey in Germany}, series = {BMC health services research}, volume = {25}, journal = {BMC health services research}, publisher = {BMC}, doi = {10.1186/s12913-025-12706-9}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:898-opus4-81622}, pages = {9}, abstract = {BACKGROUND: Increased use of health data has the potential to improve both health care and health policies. Several recent policy initiatives at the European and German legislative levels aim to increase the primary and secondary use of health data. However, little is known about general population views on health data access for research. Most studies are based on subsets defined by specific illnesses. METHODS: We commissioned a national computer-assisted dual-frame telephone survey (landline and mobile). Logit estimation models were used to identify predictors of willingness to provide access to health data to different organizations (universities in Germany, universities worldwide, German government organizations, pharmaceutical companies). RESULTS: A high willingness to share health data for research purposes is observed, depending on the specific data recipient. The willingness is highest for research at universities in Germany and German governmental organizations, and lowest regarding research by pharmaceutical companies. The main drivers for sharing health data are the level of trust in public institutions, the respondents' assessment of the seriousness and likelihood of data misuse, and the level of digital literacy. Age, gender, and level of education have small effects and do not determine the willingness to share health data for all organizations. CONCLUSION: We present evidence from a random sample of the German population. The results indicate widespread support among the population for providing access to health data for research purposes. Similar to findings in other countries, the willingness depends strongly on the recipient of the data. This paper evaluates the impact of various determinants - identified in previous qualitative and quantitative research - on the willingness of the German population to share health data. While previous studies have found that patients are generally more willing to share health data, we found that the presence of a medical precondition does not translate into respondents' unequivocal support for health data sharing. We identify privacy concerns, general trust, and digital literacy as key factors influencing the willingness to share health data. Therefore, policymakers and stakeholders need to ensure and communicate the necessary privacy protection measures to increase the willingness of the German population to share health data.}, language = {en} } @article{WinterArtingerBoecketal., author = {Winter, Lina and Artinger, Annalena and B{\"o}ck, Hendrik and Ramakrishnan, Vignesh and Reible, Bruno and Albin, Jan and Sch{\"u}ffler, Peter J. and Raptis, Georgios and Brochhausen, Christoph}, title = {Developing a smart and scalable tool for histopathological education—PATe 2.0}, series = {Journal of Pathology Informatics}, volume = {20}, journal = {Journal of Pathology Informatics}, publisher = {Elsevier}, issn = {2153-3539}, doi = {10.1016/j.jpi.2025.100535}, abstract = {Digital microscopy plays a crucial role in pathology education, providing scalable and standardized access to learning resources. In response, we present PATe 2.0, a scalable redeveloped web-application of the former PATe system from 2015. PATe 2.0 was developed using an agile, iterative process and built on a microservices architecture to ensure modularity, scalability, and reliability. It integrates a modern web-based user interface optimized for desktop and tablet use and automates key workflows such as whole-slide image uploads and processing. Performance tests demonstrated that PATe 2.0 significantly reduces tile request times compared to PATe, despite handling larger tiles. The platform supports open formats like DICOM and OpenSlide, enhancing its interoperability and adaptability across institutions. PATe 2.0 represents a robust digital microscopy solution in pathology education enhancing usability, performance, and flexibility. Its design enables future integration of research algorithms and highlights it as a pivotal tool for advancing pathology education and research.}, language = {en} }