TY - CHAP A1 - Krug, Henriette A1 - Bittner, Uta A1 - Rolfes, Vasilija A1 - Fangerau, Heiner A1 - Weber, Karsten ED - Frewer, Andreas ED - Bergemann, Lutz ED - Langmann, Elisabeth T1 - Verunsicherung des ärztlichen Selbstverständnisses durch Künstliche Intelligenz? Ein Überblick über potenzielle Auswirkungen ihres Einsatzes im ärztlichen Alltag T2 - Unsicherheit in der Medizin ; zum Umgang mit Ungewissheit im Gesundheitswesen Y1 - 2020 SN - 978-3-8260-7226-0 SP - 195 EP - 210 PB - Königshausen & Neumann CY - Würzburg ER - TY - JOUR A1 - Krug, Henriette A1 - Gerhards, Helene A1 - Bittner, Uta A1 - Scorna, Ulrike A1 - Kaufner, Nicla A1 - Kokott, Linda Ellen A1 - Rolfes, Vasilija A1 - Fangerau, Heiner A1 - Weber, Karsten T1 - Einwilligungsfähig oder nicht? Zur Praxis der Prüfung von Einwilligungsfähigkeit im klinischen Alltag und deren Herausforderungen JF - Zeitschrift für Evidenz Fortbildung und Qualität im Gesundheitswesen N2 - Die Einwilligungsfähigkeit (EWF) von Patient*innen ist eine unabdingbare Voraussetzung der informierten Zustimmung zu medizinischen Maßnahmen. Im Fall von Zweifeln an der EWF ist daher eine sorgfältige ärztliche Prüfung und Beurteilung erforderlich. Trotz einer breiten theoretischen Diskussion über die Konzeption von EWF sowie mögliche Vorgehensweisen zu ihrer Prüfung mangelt es im klinischen Alltag oft an verbindlichen standardisierten Verfahrensvorgaben, sodass die Ergebnisse der EWF-Einschätzung interdisziplinär wie interindividuell uneinheitlich ausfallen. Um die Qualität der EWF-Beurteilung verbessern zu können, bedarf es daher genauerer Kenntnisse über die Praxis sowie Schwierigkeiten bei der Prüfung von EWF. Mit dem Ziel, einen Einblick in die konkreten Vorgehensweisen und Schwierigkeiten von Klinikärzt*innen bei der Beurteilung der EWF zu erlangen, wurde eine explorative Telefonumfrage durchgeführt, in der die Teilnehmer*innen nach der Gewichtung der einzelnen Voraussetzungen von EWF sowie den Schwierigkeiten bei deren Prüfung befragt wurden. Methoden Im Rahmen eines „convenience samplings“ wurden fragebogenbasierte strukturierte Telefon-Interviews mit 26 an deutschen Kliniken tätigen Ärzt*innen aus den Fachbereichen Neurologie, Anästhesiologie, Chirurgie, Innere Medizin, Gynäkologie und rekonstruktive/ästhetische Chirurgie durchgeführt. Die Antworten wurden im Paper-and-Pencil-Verfahren dokumentiert, Antworten auf offene Fragen mit Hilfe thematischer Codierungen zusammengefasst und computergestützt ausgewertet. Ergebnisse Die Mehrheit der Befragten gab manchmal bis sehr häufig vorkommende Zweifel an der EWF ihrer Patient*innen an, wobei deren Prüfung vornehmlich in individueller Vorgehensweise ohne formalisierte, standardisierte Vorgaben erfolgte. In der Frage nach der Gewichtung der sieben im Fragebogen vorgeschlagenen kognitiv sowie emotional basierten Beurteilungskriterien wurden diese überwiegend innerhalb des Spektrums von „teilweise wichtig“ bis „sehr wichtig“ beurteilt. Schwierigkeiten bei der Beurteilung wurden in Bezug auf die Patient*innen selbst, das Verhältnis zwischen Ärzt*innen und Patient*innen sowie die Situation der Beurteilung angegeben. Die Wahrnehmung von Schwierigkeiten bei der Prüfung erfolgt dabei offenbar unabhängig von der Relevanz, die dem jeweiligen Kriterium für die EWF zugeschrieben wird. Diskussion und Schlussfolgerung Insgesamt zeigen die Ergebnisse eine hohe Zustimmung zu der Relevanz der abgefragten sieben EWF-Kriterien, allerdings wurden zugleich diverse Schwierigkeiten bei ihrer tatsächlichen Überprüfung deutlich. Ein Teil der Befragten wünscht sich mehr Unterstützung bei der Bestimmung der EWF. Die Befragungsergebnisse stützen die Forderung, dass in diesem sensiblen medizinischen Kontext eine präzise Ausbildung und ausreichende zeitliche Ressourcen unbedingt erforderlich sind. KW - Capacity to consent KW - Physicians KW - Assessment KW - Interviews KW - Structured questionnaires KW - Einwilligungsfähigkeit KW - Beurteilung KW - Ärzt*innen KW - Interviews KW - Strukturierte Fragebögen Y1 - 2022 U6 - https://doi.org/10.1016/j.zefq.2022.04.030 VL - 171 IS - August SP - 20 EP - 30 PB - Elsevier ER - TY - JOUR A1 - Schüz, B. A1 - Dräger, D. A1 - Richter, Stefanie A1 - Kummer, K. A1 - Kuhlmey, Adelheid A1 - Tesch-Römer, C. T1 - Autonomie trotz Multimorbidität im Alter - Der Berliner Forschungsverbund AMA JF - Zeitschrift fur Gerontologie und Geriatrie N2 - Mit zunehmendem Alter steigt der Anteil mehrfach erkrankter Menschen und immer mehr Menschen erreichen ein sehr hohes Lebensalter. Trotz des medizinischen Fortschritts und verbesserter Lebenslagen müssen viele alte Menschen körperliche, psychische und soziale Einschränkungen bewältigen. Es ist eine große gesundheits- und sozialpolitische Herausforderung, diese alten Frauen und Männer mit gesundheitlichen Beeinträchtigungen in ihrem Bestreben nach einer weitestgehend autonomen Lebensgestaltung zu unterstützen und zu stärken. Vor diesem Hintergrund widmete sich der Forschungsverbund „Autonomie trotz Multimorbidität im Alter“ (AMA I) der Leitfrage, inwieweit eine selbstbestimmte Lebensgestaltung alter mehrfach erkrankter Menschen erhalten werden kann. Um der Vielfalt der Lebenswelten älterer Menschen gerecht zu werden, wurden im Alltag wenig eingeschränkte und pflegebedürftige sowie kognitiv beeinträchtigte Personen in die Untersuchung einbezogen. Darunter waren Frauen und Männer, die noch im eigenen Haushalt und solche die im Pflegeheim lebten. Im Fokus der Untersuchungen standen die Ressourcen, die den alten Menschen in ihrer jeweiligen Lebenssituation zur Verfügung standen und die Frage, wie diese gestärkt werden können. Der Beitrag präsentiert Ergebnisse zu dieser Forschungsfrage aus der 1. Förderphase des AMA-Verbundes. Darauf aufbauend werden in einer 2. Förderphase (2011–2013, AMA II) nunmehr nachhaltige praxisrelevante Interventionen zur Mobilisierung von autonomierelevanten Ressourcen mehrfach erkrankter alter Menschen entwickelt und auf ihre Praxistauglichkeit getestet. T2 - Autonomy despite multimorbidity in old age – The Berlin-based AMA research consortium KW - Aged KW - Aged, 80 and over KW - Chronic Disease/epidemiology KW - Clinical Trials as Topic KW - Comorbidity KW - Evidence-Based Medicine KW - Germany KW - Health Services for the Aged KW - Health Services Research/organization & administration KW - Humans KW - Interinstitutional Relations KW - United States Y1 - 2011 U6 - https://doi.org/10.1007/s00391-011-0248-4 SN - 1435-1269 SN - 0948-6704 VL - 44 IS - Suppl. 2 SP - 9 EP - 26 PB - Springer Medizin ER - TY - CHAP A1 - Krug, Henriette A1 - Frommeld, Debora A1 - Bittner, Uta T1 - Schöner nach der Coronakrise? Multidisziplinäre Überlegungen zur erhöhten Nachfrage nach kosmetischer Chirurgie während der Coronapandemie T2 - Gesellschaften in der Krise N2 - Bereits in den vergangenen Jahren sind die Zahlen für kosmetisch motivierte Eingriffe innerhalb der Medizin kontinuierlich gestiegen. Fachbezogene Umfragen wie Medienberichte weisen nun auf eine im Vergleich hierzu weiter verstärkte Nachfrage nach ästhetisch-plastischen Maßnahmen während der Coronapandemie. Diese Entwicklung steht im Zusammenhang mit einem gesellschaftlichen Streben nach einem möglichst optimierten, normschönen Körper und einer zunehmenden Medikalisierung des körperlichen Erscheinungsbildes, um damit den gängigen Vorstellungen und Idealen von Schönheit näher zu kommen. Ist dieses Feld der Medizin per se Gegenstand philosophisch-ethischer, professionspolitischer und sozialwissenschaftlicher Diskussionen, so stellt sich angesichts des gegenwärtigen Trends die Frage nach dessen zugrunde liegenden Motiven und Konsequenzen. Dieser Beitrag bildet in Form eines Problemaufrisses in multidisziplinärer Perspektive eine erste Annäherung an Hintergründe und Bedeutung des Trends zur Körperverschönerung während der Coronapandemie und soll unter anderem ermöglichen, Implikationen für die medizinische Praxis aufzuzeigen. Y1 - 2023 U6 - https://doi.org/10.1007/978-3-658-39129-4_4 SP - 85 EP - 105 PB - Springer ER - TY - JOUR A1 - Schott, Gisela A1 - Klemperer, David A1 - Lieb, Klaus T1 - Arzneimittel: Sinnvolle Studien nach der Zulassung JF - Deutsches Ärzteblatt N2 - Die Arzneimittelkommission der deutschen Ärzteschaft erklärt, an welchen Postzulassungsstudien Ärztinnen und Ärzte teilnehmen sollten – und an welchen nicht. T2 - Drugs: Useful trials after the approval Y1 - 2021 UR - https://www.aerzteblatt.de/archiv/219443/Arzneimittel-Sinnvolle-Studien-nach-der-Zulassung VL - 118 IS - 23 SP - A-1148 / B-945 PB - Deutscher Ärzteverlag CY - Berlin ER - TY - JOUR A1 - Weber, Karsten A1 - Krug, Henriette A1 - Haug, Sonja A1 - Kühn, Andrea A. A1 - Scharf, Anna T1 - External Observations and Subjective Experiences: Metaphors Used by DBS Patients JF - AJOB Neuroscience Y1 - 2023 U6 - https://doi.org/10.1080/21507740.2023.2246219 VL - 14 IS - 3 SP - 323 EP - 325 PB - Taylor&Francis ER - TY - JOUR A1 - Lempert, Thomas A1 - Schott, Gisela A1 - Köbberling, Johannes A1 - Klemperer, David A1 - Lieb, Klaus T1 - Fortbildungen: Keine Punkte bei Sponsoring JF - Deutsches Ärzteblatt T2 - Continuing education: No credits in sponsoring Y1 - 2019 VL - 116 IS - 13 SP - A620 EP - A621 PB - Deutscher Ärzteverlag CY - Berlin ER - TY - CHAP A1 - Leusch, Vera A1 - Corsten, Sabine A1 - Giordano, Katharina A1 - Kreiter, Daniel A1 - Lauer, Norina ED - Heese, Carl ED - Schütz, Sandra ED - Obergrießer, Stefanie T1 - Tablet-gestützte Biographiearbeit in Senioreneinrichtungen T2 - Die Nachhaltigkeitsziele der UN im Spiegel der Wissenschaft N2 - Ältere Menschen in Senioreneinrichtungen zeigen häufig ein eingeschränktes psychologisches Wohlbefinden. Biographisch-narrative Interventionen können Anpassungsprozesse unterstützen und Lebensqualität verbessern. Sowohl Einzel- als auch Gruppensitzungen können zu signifikanten Verbesserungen der Lebensqualität bei institutionalisierten Menschen im Alter führen, wobei besonders Gruppensitzungen zur Förderung der sozialen Integration empfohlen werden. Dabei bieten digitale Medien die Möglichkeit, eigenständig eine an kognitive und sensomotorische Fähigkeiten angepasste Biographiearbeit durchzuführen. Digitale Medien und das Einbinden von Ehrenamtlichen können den Personalaufwand in Senioreneinrichtungen bei der Umsetzung von Biographiearbeit verringern und Pflegefachkräfte entlasten. Es fehlen jedoch systematische Studien zu digital gestützter Biographiearbeit mit Bewohner*innen in Senioreneinrichtungen. In dem vom Bundesministerium für Bildung und Forschung (BMBF) geförderten Forschungsprojekt Biographiearbeit in Senioreneinrichtungen mit Tablet-Unterstützung zur Verbesserung von Lebensqualität und Kommunikation (BaSeTaLK) wurde daher untersucht, ob mit einer Tablet-gestützten Biographiearbeit die Lebensqualität von Bewohner*innen in Senioreneinrichtungen, im Sinne erhöhter sozialer und kommunikativer Teilhabe sowie Depressionsprävention, gesteigert werden kann. Das Projekt, das von der OTH Regensburg und der Katholischen Hochschule Mainz gemeinsam durchgeführt wird, setzt damit am Ziel 3 Gesundheit und Wohlergehen der UN-Nachhaltigkeitsziele an. Unter Einbezug der Zielgruppe wurde eine App entwickelt, mit deren Unterstützung ältere Ehrenamtliche mit Bewohner*innen in Senioreneinrichtungen biographisch-orientierte Gespräche führen können. Die Maßnahme wurde im Einzel- und Gruppensetting erfolgreich erprobt. Durch das Erzählen über sich selbst im Austausch mit anderen werden Erinnerungs- und Identitätsprozesse aktiviert, und ein positives Selbstbild wird gefördert, was sich nachweislich auf die Lebensqualität auswirkt. KW - Nachhaltigkeit KW - Biografieforschung KW - Älterer Mensch KW - Biographiearbeit KW - Tablet Y1 - 2025 SN - 978-3-658-43333-8 U6 - https://doi.org/10.1007/978-3-658-43334-5_9 SP - 143 EP - 158 PB - Springer VS CY - Wiesbaden ER - TY - JOUR A1 - Maurer, Julia A1 - Saibold, Anna A1 - Gerl, Katharina A1 - Koller, Michael A1 - Kölbl, Oliver A1 - Pukrop, Tobias A1 - Windschuettl, Sandra A1 - Einhell, Sabine A1 - Herrmann-Johns, Anne A1 - Raptis, Georgios A1 - Mueller, Karolina T1 - Systematic development of a patient-reported ONCOlogical-ROUTinE-Screening (ONCO-ROUTES) procedure at the University Cancer Center Regensburg JF - Journal of Cancer Research and Clinical Oncology N2 - Purpose The evaluation of treatment success and progression in oncology patient-reported outcomes (PROs) is playing an increasingly important role. Meanwhile, PROs are a component of the certification requirements of the German Cancer Society for oncology centers. PROs are used to provide supportive therapy. There is currently no instrument that fully covers the requirements. At the University Hospital Regensburg (UKR), a digital ONCOlogical-ROUTinE-Screening (ONCO-ROUTES) procedure was developed in order to assess the need for supportive therapy in a standardized way and to provide patients with supportive interventions tailored to their needs. Methods On the basis of current requirements and guidelines, the development of ONCO-ROUTES was supported by experts in focus groups and interviews, and digitalization was carried out in connection with the IT infrastructure. Results A Needs-based, Quality-of-life (QoL) and Symptoms Screening (NQS2) tool already established in the routine at the UKR was further developed into ONCO-ROUTES, which is made up of the domains therapy phase, nutrition, tobacco use, alcohol use, quality of life, general condition/functional status, physical activity, psychooncology, social services, and further support needs. By linking the digitized questionnaire to the hospital information system, the results are available for immediate use in routine operations and thus for the referral of patients for further supportive therapy. Conclusion The digital PRO application ONCO-ROUTES is designed to involve patients in monitoring additional supportive needs and thus, improves supportive interdisciplinary treatment. Y1 - 2024 U6 - https://doi.org/10.1007/s00432-024-05955-4 SN - 1432-1335 VL - 150 IS - 9 PB - Springer Science and Business Media LLC ER - TY - CHAP A1 - Koenig, Eric A1 - Guertler, Katherine A1 - Tluková, Jolana ED - Vranova, Martina T1 - Harnessing learners’ domain expertise for LSP curriculum development: Experience-based best practices and strategies T2 - New to the LSP Classroom? A Selection of Monographs on Successful Practices N2 - In Chapter 7, a team of authors from European technical universities addresses the most common challenge novice LSP practitioners usually have—inadequate knowledge of the target domain. They propose strategies to develop the language instructor’s technical terminology and concepts. Struggling with feelings of intimidation in an alienating environment of the technical English classroom led the authors to a realization that the best source of target-domain knowledge is their own students. Interacting with students and receiving and appreciating subject-matter input from them bridges the gap between LSP practitioners with humanistic training and their technology-oriented students. By creating the classroom culture of two sets of experts in cooperation to solve a problem, both the teachers and the students can symbiotically learn from each other. Such teacher-student cooperation will give novice LSP practitioners a considerable head start. Moreover, it ensures that course design and curriculum can be tailored to the students’ needs. Such student-guided input will also make up for the intensely felt lack of contact between LSP instructors and experts teaching subject-matter courses. The reflections on the unenviable situation of LSP instructors in an environment where everybody else but them has the target-domain knowledge is then followed by a list of specific in-class and take-home activities that incorporate the student-domain expertise in the ESP classroom. All these activities can be adapted to any language, level of proficiency, or target domain. Y1 - 2023 SN - 978-1-64889-150-2 SP - 131 EP - 146 PB - Vernon Press CY - Wilmington, DE ER - TY - CHAP A1 - Kurfeß, Christina A1 - Ammer, Franziska A1 - Grötzbach, Holger ED - Frommelt, Peter ED - Thöne-Otto, Angelika ED - Grötzbach, Holger T1 - Rehabilitation von Personen mit einer Aphasie und Dysarthrie T2 - NeuroRehabilitation : Ein Praxisbuch für interdisziplinäre Teams N2 - Erworbene Sprach- oder Sprechstörungen haben nicht nur Konsequenzen für die Patient*innen wegen ihrer beeinträchtigten Sprach- oder Sprechleistungen, sondern wirken sich auch auf ihr gesamtes soziales Umfeld aus. Denn Kommunikationsschwierigkeiten führen oft zu Veränderungen der Selbstidentität und der Beziehungen der Betroffenen. Es kann zu Resignation, Frustration, Vermeidungsverhalten gegenüber kommunikativen Situationen und sozialem Rückzug kommen. Aphasien und Dysarthrien betreffen damit in der sozialen Teilhabe Unterhaltungen im Familien- und Freundeskreis, am Arbeitsplatz oder in der Öffentlichkeit. Um die Veränderungen erfassen zu können, werden ein personzentriertes Verständnis der Sprech- und Sprachstörungen sowie eine genaue Erfassung der Symptomatik und der daraus resultierenden Einschränkungen benötigt. Dazu steht eine Reihe von Testverfahren zur Verfügung, die verschiedene Parameter erfassen. Die personzentrierte Therapie bezieht sich gleichermaßen auf Körperfunktion, Aktivitäten und Teilhabe sowie auf Umweltfaktoren. Neben der Aufgabe, die Erwartungen, Hoffnungen und Wünsche der Patient*innen wahrzunehmen und zu verstehen, gilt es, Therapieansätze der jeweils bestehenden Symptomatik und den Zielen anzupassen und – auch im Zuge der zunehmenden Forderung nach evidenzbasierten Behandlungsmethoden – kritisch zu hinterfragen. Y1 - 2024 SN - 978-3-662-66956-3 SN - 978-3-662-66957-0 U6 - https://doi.org/10.1007/978-3-662-66957-0_14 SP - 223 EP - 245 PB - Springer CY - Berlin ER - TY - JOUR A1 - Angerer, Linda A1 - Haberkern, Annika A1 - Lauer, Norina T1 - Mundmotorische Übungen in der Artikulationstherapie? BT - Ergebnisse einer Online-Befragung von Fachkräften der Logopädie/Sprachtherapie JF - Forum Logopädie N2 - Der Artikel präsentiert die Ergebnisse einer deutschlandweiten quantitativen Online-Befragung von Therapeut*innen der Logopädie/Sprachtherapie zur Nutzung mundmotorischer Übungen (MÜ) in der Artikulationstherapie bei Kindern. Demnach setzen 70 Prozent der 239 Befragten MÜ in der Therapie phonetischer Störungen ein und kennen MÜ aus ihrer Ausbildung, aus der Fachliteratur sowie aus Fortbildungen. Die am häufigsten ausgewählten Gründe für den Einsatz waren die Empfehlung der (früheren) Ausbildungseinrichtung, die eigene Berufserfahrung und Erkenntnisse der besuchten Fortbildungen. MÜ werden eingesetzt, weil sie im Rahmen von Fortbildungen, in Ratgebern und Lehrbüchern empfohlen werden. Dies widerspricht jedoch der Studienlage, welche die Wirksamkeit von MÜ zur Intervention bei phonetischen Störungen widerlegt. Die Erhebung zeigt, dass viele Therapeut*innen MÜ dennoch weiterhin verwenden. Der Artikel plädiert für ein effektives und effizientes Arbeiten auf der Grundlage evidenzbasierter Methoden auch in der Artikulationstherapie. KW - Artikulation KW - Online-Umfrage KW - Mundmotorik KW - Phonetische Störung KW - Motorik KW - Mund Y1 - 2025 UR - https://forum-logopaedie.de/artikel/mundmotorische-uebungen-in-der-artikulationstherapie/ VL - 39 IS - 2 SP - 20 EP - 26 ER - TY - JOUR A1 - Kurfess, Christina A1 - Corsten, Sabine A1 - Nickel, Maren A1 - Kreiter, Daniel A1 - Lauer, Norina T1 - Improving health-related quality of life for people with aphasia through peer support using the digital network PeerPAL JF - Aphasiology N2 - Background: Aphasia is often associated with psychosocial changes that may affect health-related quality of life, risk of depression or social participation. One possible intervention to address these psychosocial changes is peer contact. However, this often requires professional support (e.g. supervised support groups), whereas a digital option may allow for autonomous, asynchronous peer contact. Therefore, we developed an app adapted to the specific needs of people with aphasia to stimulate digital and analogue interactions. Aims: The aim of the study was to evaluate a tailored app for people with aphasia that can be used to establish peer contact and enable digital and analogue interactions. The impact of using the app on health-related quality of life, social participation and depression prevention was analysed. Methods & Procedures: The study design was a pre-post wait-list-controlled comparison in which half of the participants (n = 18) waited three months before starting the intervention, and the other half of the participants (n = 18) started the intervention immediately. During the intervention, the app was used by all participants (n = 36) for three months after a training session, followed by three months of optional app use until follow-up. Health-related quality of life (SAQOL39g, GHQ-12), communicative participation (CPIB), social support (F-SozU), depression markers (GDS, DISCs), and activity in the app were recorded at each time point. Analyses were mainly non-parametric to calculate changes during the intervention and to compare the intervention with the waiting period. The study is registered in the German Register of Clinical Trials (DRKS00023855). Outcomes & Results: SAQOL-39g data improved significantly for the whole group during the intervention period (z = -3.043, p = 0.002, r = -0.598), but not during the waiting period (z = 0.402, p = 0.705). Scores remained stable until follow-up, and there was no worsening of depression markers over the entire period. No linear correlation was found between the improvement in SAQOL-39g and activity in the app (p = 0.329, r = 0.167). Conclusions: People with aphasia were able to use the app and showed an intervention-specific effect on health-related quality of life. The amount of activity in the app seems to be less critical for changes. Other factors, such as feeling connected to peers, appear to be relevant. Future studies should explore who might benefit most from the app. KW - Aphasie KW - Partizipation KW - Lebensqualität KW - Inklusion KW - aphasia KW - digital inclusion KW - digital network KW - peer support KW - health-related quality of life Y1 - 2025 U6 - https://doi.org/10.1080/02687038.2025.2505641 SP - 1 EP - 24 PB - Taylor & Francis ER - TY - JOUR A1 - Dendorfer, Sebastian A1 - Maier, Hans Jürgen A1 - Hammer, Joachim T1 - Fatigue damage in cancellous bone: an experimental approach from continuum to micro scale JF - Journal of the Mechanical Behavior of Biomedical Materials N2 - Repeated loadings may cause fatigue fractures in bony structures. Even if these failure types are known, data for trabecular bone exposed to cyclic loading are still insufficient as the majority of fatigue analyses on bone concentrate on cortical structures. Despite its highly anisotropic and inhomogeneous structure, trabecular bone is treated with continuum approaches in fatigue analyses. The underlying deformation and damage mechanism within trabecular specimens are not yet sufficiently investigated. In the present study different types of trabecular bone were loaded in monotonic and cyclic compression. In addition to the measurement of integral specimen deformations, optical deformation analysis was employed in order to obtain strain distributions at different scale levels, from the specimens' surface to the trabeculae level. These measurements allowed for the possibility of linking the macroscopic and microscopic mechanical behaviour of cancellous bone. Deformations were found to be highly inhomogeneous across the specimen. Furthermore strains were found to already localise at very low load levels and after few load cycles. Microcracks in individual trabeculae were induced in the very early stage of cyclic testing. The results provide evidence of the capability of the method to supply essential data on the failure behaviour of individual trabeculae in future studies. KW - Knochen KW - Spongiosa KW - Ermüdungsbruch KW - Fatigue KW - Cancellous bone KW - Deformation behaviour KW - Damage KW - Measurement and testing KW - Mechanical behaviour Y1 - 2009 U6 - https://doi.org/10.1016/j.jmbbm.2008.03.003 VL - 2 IS - 1 SP - 113 EP - 119 ER - TY - CHAP A1 - Dendorfer, Sebastian A1 - Maier, Hans Jürgen A1 - Hammer, Joachim T1 - How do age and anisotropy affect the fatigue behaviour of cancellous bone? T2 - Medicine Meets Engineering N2 - The fatigue behaviour of materials is of particular interest for the failure prediction of materials and structures exposed to cyclic loading. For trabecular bone structures only a few sets of lifetime data have been reported in the literature and structural measures are commonly not considered. The influence of load contributions not aligned with the main physiological axis remains unclear. Furthermore age effects on the fatigue behaviour are not well described. In the present study, different groups of human vertebral cancellous bone were exposed to cyclic compression. The inital modulus and therefore lifetimes were found to be highly dependent on age. The decrease in both with increasing age was much more pronounced in specimens which were not aligned with the main physiological axis. This implies that old bone is much more sensitive to (cyclic) failure loads in general but particularly to loads which are not coincident with the physiological main axis. KW - Knochenbruch KW - Spongiosa KW - Alter KW - Anisotropie Y1 - 2008 SP - 68 EP - 74 PB - IOS Press ER - TY - CHAP A1 - Pfingsten, Andrea A1 - Schedel, Valentin A1 - Michel, Natalie ED - Weber, Karsten ED - Haug, Sonja ED - Lauer, Norina ED - Mohr, Christa ED - Pfingsten, Andrea ED - Raptis, Georgios ED - Bahr, Gudrun T1 - Physiotherapeutische Tele-Intervention – Machbarkeit und funktionelle Veränderungen bei Schlaganfallbetroffenen T2 - Digitale Technik für ambulante Pflege und Therapie III N2 - Dieser Artikel untersucht die Machbarkeit und Wirksamkeit einer physiotherapeutischen Tele-Intervention bei Schlaganfallpatient*innen. Die prospektive, nicht kontrollierte Interventionsstudie basiert auf einem Mixed-Methods-Design und analysiert funktionelle Veränderungen sowie die Lebensqualität der Teilnehmenden vor und nach der Intervention. Eingeschlossen wurden postakute und chronische Schlaganfallpatient*innen mit stabilen Krankheitsbildern, die in ihrem häuslichen Umfeld lebten. Die Intervention bestand aus videobasierten Einzelsitzungen und einer optionalen Gruppenintervention, die Physiotherapie und Logopädie kombinierte. Die Ergebnisse zeigten signifikante Verbesserungen in der Arm-Hand-Funktion und der Teilhabefähigkeit. Die Teletherapie erwies sich als eine praktikable Ergänzung zur traditionellen Rehabilitation, insbesondere in ländlichen Regionen, und förderte die Autonomie und das aktive Engagement der Patient*innen in ihrem Genesungsprozess. Die Studie belegt das Potenzial teletherapeutischer Maßnahmen zur Überbrückung von Versorgungslücken und zur Sicherstellung einer kontinuierlichen, hochfrequenten Rehabilitation. T3 - Regensburger Beiträge zur Digitalisierung des Gesundheitswesens - 4 KW - Schlaganfall KW - Physikalische Therapie KW - Telemedizin KW - Lebensqualität KW - Teilhabe KW - Arm-Hand-Funktion KW - Mixed-Methods-Design Y1 - 2024 SN - 978-3-8394-6728-2 U6 - https://doi.org/10.14361/9783839467282-007 SP - 125 PB - transcript CY - Bielefeld ER - TY - CHAP A1 - Greiner, Nina A1 - Currle, Edda A1 - Ettl, Katrin A1 - Frommeld, Debora A1 - Haug, Sonja A1 - Kudienko, Natalie A1 - Lauer, Norina A1 - Lichtenauer, Norbert A1 - Meussling-Sentpali, Annette A1 - Middel, Luise A1 - Mohr, Christa A1 - Pfingsten, Andrea A1 - Popp, Christof A1 - Raptis, Georgios A1 - Weber, Karsten T1 - Technik im Alltag – Technik zum Leben : Telepräsenzgestützte Pflege und Therapie bei Schlaganfallpatient*innen T2 - Kann Digital Pflege?: Clusterkonferenz ,,Zukunft der Pflege", 3., September 2020, Nürnberg N2 - Vorgestellt wird das Forschungsvorhaben des interdisziplinären Forschungsprojekts „DeinHaus 4.0 – Telepräsenzroboter für die Pflege und Unterstützung von Schlaganfallpatientinnen und -patienten (TePUS)“. Über geeignete Robotersysteme sollen den Proband*innen individuell abgestimmte Angebote aus den Bereichen Telenursing und Teletherapie zur Verfügung gestellt werden. Hierbei werden einerseits Telepräsenzsitzungen durchgeführt, anderseits kommen verschiedene Apps zum Einsatz. Die Interventionen werden mittels eines Mixed-Methods-Ansatzes evaluiert. Begleitend werden Technikakzeptanz und Nutzungsbereitschaft untersucht. T2 - Technology in Everyday Life - Technology for Living : Telenursing and Telepractice for Stroke Patients KW - Schlaganfall KW - Schlaganfall KW - Patient KW - Roboter KW - Telepräsenz KW - Telemedizin KW - Telepräsenzroboter KW - Telenursing KW - Teletherapie KW - Technikakzeptanz Y1 - 2021 UR - https://pflege-professionell.at/konferenz SN - 2710-3048 VL - Konferenzband Teil 1 SP - 57 EP - 61 CY - Königstetten, Österreich ER - TY - CHAP A1 - Koenig, Eric A1 - Guertler, Katherine ED - Haase, Christoph T1 - Supporting weaker students in the mixed-level ESL classroom T2 - English Language Teaching Through the Lens of Experience Y1 - 2019 SN - 978-1-5275-3718-7 SP - 181 EP - 194 PB - Cambridge Scholars Publisher CY - Newcastle-upon-Tyne ER - TY - JOUR A1 - Giordano, Katharina A1 - Lauer, Norina A1 - Leusch, Vera A1 - Danner, Cäcilia A1 - Kreiter, Daniel A1 - Corsten, Sabine T1 - Präventionsforschung mit Menschen im Alter JF - Forum Logopädie N2 - Mit dem demografischen Wandel wird der Anteil der institutionalisierten Menschen im hohen Alter in den kommenden Jahrzehnten stark zunehmen. Sie sind oftmals betroffen von altersbedingten Einschränkungen in der Kommunikation, dem Erleben von Einsamkeit, Einbußen in der Lebensqualität und tragen ein erhöhtes Risiko, an einer Demenz zu erkranken. Mit Blick auf die mögliche Entwicklung logopädisch relevanter Beeinträchtigungen erscheint es sinnvoll, entsprechende Präventionsmaßnahmen zu erarbeiten. Die Rekrutierung und Einbindung der Zielgruppe gestaltet sich durch ihre institutionelle Einbettung und besonderen Bedarfe komplex. Barrieren und potenzielle Förderfaktoren für die Forschung mit Bewohner*innen von Senioreneinrichtungen werden anhand der aktuellen Literatur und der Erfahrungen aus dem Forschungsprojekt BaSeTaLK vorgestellt. Es werden erste Ideen generiert, wie sich die genannten Herausforderungen durch die Einbindung von Logopäd*innen an der Schnittstelle von Forschung und Praxis überwinden lassen und welche besondere Rolle auch Studierende der Logopädie in der geriatrischen Forschung einnehmen können. Außerdem wird der Mehrwert für die klinisch-praktische Versorgung diskutiert. KW - Prävention KW - Geriatrie KW - Logopädie KW - Forschung KW - Menschen im Alter KW - Senioreneinrichtung Y1 - 2023 U6 - https://doi.org/10.2443/skv-s-2023-53020230104 VL - 37 IS - 7 SP - 26 EP - 31 ER - TY - JOUR A1 - Kurfeß, Christina A1 - Lauer, Norina A1 - Knieriemen, Marie A1 - Kreiter, Daniel A1 - Corsten, Sabine T1 - Gut vernetzt ist halb befreundet!? BT - Partizipative Entwicklung eines Smartphone-basierten sozialen Netzwerks für Menschen mit Aphasie JF - Forum Logopädie N2 - Die Entwicklung einer an die spezifischen Bedürfnisse von Menschen mit Aphasie angepassten Smartphone-basierten App erfordert einen umfangreichen Entwicklungsprozess. Dabei ist es wichtig, die Zielgruppe von Anfang an in den Prozess einzubeziehen, um die spezifischen Wünsche und Anforderungen an die App erfassen und in den Entwicklungsprozess integrieren zu können. In diesem Beitrag wird die nutzerzentrierte, partizipative Entwicklung der App PeerPAL vorgestellt. Mit der App sollen neben einem digitalen Austausch auch reale Face-to-Face-Treffen stimuliert werden mit dem Ziel, die autonome Vernetzung unter den Betroffenen zu fördern und dadurch die Lebensqualität von Menschen mit Aphasie zu steigern. KW - Aphasie KW - Digitalisierung KW - Partizipation KW - App-Entwicklung KW - Peer-Befriending Y1 - 2022 UR - https://www.dbl-ev.de/wp-content/uploads/2025/03/22_03_6-11_Kurfess_Gut_vernetzt_ist_halb_befreundet.pdf VL - 36 IS - 3 SP - 6 EP - 11 PB - Schulz-Kirchner-Verlag ER - TY - JOUR A1 - Knieriemen, Marie A1 - Lauer, Norina A1 - Giordano, Katharina A1 - Kreiter, Daniel A1 - Corsten, Sabine T1 - In den Austausch kommen BT - Eine App zur Biographiearbeit in der Altenpflege JF - Pflegezeitschrift N2 - Mit der BaSeTaLK-App wird eine Tablet-gestützte Biographiearbeit für institutionalisierte ältere Menschen zur Steigerung der Lebensqualität ermöglicht. Um Gelingensbedingungen für die Erprobung und die mögliche Implementierung der Maßnahme zu bestimmen, wurde die Perspektive von Mitarbeitenden einer Pflegeeinrichtung eingeholt. Insbesondere eine umfassende Informationsvermittlung und eine flexible, enge Zusammenarbeit mit den Forschenden wurden hervorgehoben. KW - Biografieforschung KW - Altenpflege KW - App KW - Soziale Teilhabe Y1 - 2022 U6 - https://doi.org/10.1007/s41906-022-1922-4 VL - 75 IS - 10 SP - 58 EP - 63 PB - Springer Nature ER - TY - JOUR A1 - Hölscher, Thomas A1 - Weber, Tim A. A1 - Lazarev, Igor A. A1 - Englert, Carsten A1 - Dendorfer, Sebastian T1 - The influence of rotator cuff tears on glenohumeral stability during abduction tasks JF - Journal of Orthopaedic Research N2 - One of the main goals in reconstructing rotator cuff tears is the restoration of glenohumeral joint stability, which is subsequently of utmost importance in order to prevent degenerative damage such as superior labral anterior posterior (SLAP) lesion, arthrosis, and malfunction. The goal of the current study was to facilitate musculoskeletal models in order to estimate glenohumeral instability introduced by muscle weakness due to cuff lesions. Inverse dynamics simulations were used to compute joint reaction forces for several static abduction tasks with different muscle weakness. Results were compared with the existing literature in order to ensure the model validity. Further arm positions taken from activities of daily living, requiring the rotator cuff muscles were modeled and their contribution to joint kinetics computed. Weakness of the superior rotator cuff muscles (supraspinatus; infraspinatus) leads to a deviation of the joint reaction force to the cranial dorsal rim of the glenoid. Massive rotator cuff defects showed higher potential for glenohumeral instability in contrast to single muscle ruptures. The teres minor muscle seems to substitute lost joint torque during several simulated muscle tears to maintain joint stability. Joint instability increases with cuff tear size. Weakness of the upper part of the rotator cuff leads to a joint reaction force closer to the upper glenoid rim. This indicates the comorbidity of cuff tears with SLAP lesions. The teres minor is crucial for maintaining joint stability in case of massive cuff defects and should be uprated in clinical decision-making. KW - Abduction tasks KW - Glenohumeral stability KW - Musculoskeletal Modeling KW - Muscle weakness KW - Rotator cuff tears KW - Rotatorenmanschettenriss KW - Schultergelenk KW - Stabilität Y1 - 2016 U6 - https://doi.org/10.1002/jor.23161 VL - 34 IS - 9 SP - 1628 EP - 1635 ER - TY - JOUR A1 - Lindert, Jutta A1 - Wehrwein, Annette A1 - Klemperer, David A1 - Walter, U. T1 - Public health education in health-related study programs in Germany: Perspectives from course coordinators JF - Gesundheitswesen N2 - Hintergrund Inhalte von Public Health werden in Deutschland in gesundheitsbezogenen Studiengängen an Hochschulen und Universitäten gelehrt. Ziel dieser Studie war es, Daten zur Lehre und zur Kooperation von Lehrenden von Public Health in gesundheitsbezogenen Studiengängen in Deutschland zur Verfügung zu stellen. Methode Eine Querschnittsuntersuchung wurde online-basiert vom 01.06. bis 15.09.2015 an 93 Hochschulen/Universitäten in Deutschland mit 351 Studiengangsverantwortlichen aus gesundheitsbezogenen Studiengängen durchgeführt. Einbezogen wurden Public Health Studiengänge und gesundheitsbezogene Studiengänge, deren Hochschulen bzw. Universitäten entweder Mitglied in der "Deutschen Gesellschaft für Sozialmedizin und Prävention" (DGSMP) oder in der Gesellschaft "Hochschulen für Gesundheit" (HOGE) sind. Teilgenommen an dieser Studie haben N=104 Studiengangsverantwortliche (43% Männer, 57% Frauen). In Public Health Studiengängen wurden „Global Health" und "Umwelt und Gesundheit" als Studieninhalte häufiger als in gesundheitsbezogenen Studiengängen benannt; in gesundheitsbezogenen Studiengängen wurden häufiger "Ethik" und "Gesundheitspsychologie" als Lehrinhalte benannt. Finanzielle Unterstützungen durch die Hochschulen/ Universitäten sowie strukturierte Partnerschaften zwischen Hochschulen und/ oder Universitäten werden von Lehrenden an Hochschulen (36%) und an Universitäten (40%) gewünscht. Lehrende an Hochschulen wünschen darüber hinaus Promotionspartnerschaften. Schlussfolgerung Bisher gibt es in Deutschland keine einheitlichen fachlichen Qualitätskriterien für Absolvierende von Public Health bzw. gesundheitsbezogenen Studiengängen. Zudem gibt es nach Aussage der Studiengangsverantwortlichen dieser Studiengänge wenig Kooperation zwischen Lehrenden der Public Health bzw. der gesundheitsbezogenen Studiengänge. T2 - Lehre von Public Health in gesundheitsbezogenen Studiengängen in Deutschland: die Sicht von Studiengangsverantwortlichen KW - public hearlth KW - gesundheitsbezogene Studiengänge KW - Lehre Y1 - 2019 U6 - https://doi.org/10.1055/s-0043-116940 VL - 81 SP - 599 EP - 605 PB - Thieme ER - TY - JOUR A1 - Wagner, Maria Stella A1 - Kranz, Michael A1 - Krenkel, Lars A1 - Pointner, Daniel A1 - Foltan, Maik A1 - Lubnow, Matthias A1 - Lehle, Karla ED - Becatti, Matteo T1 - Computer based visualization of clot structures in extracorporeal membrane oxygenation and histological clot investigations for understanding thrombosis in membrane lungs JF - Frontiers in Medicine N2 - Extracorporeal membrane oxygenation (ECMO) was established as a treatment for severe cardiac or respiratory disease. Intra-device clot formation is a common risk. This is based on complex coagulation phenomena which are not yet sufficiently understood. The objective was the development and validation of a methodology to capture the key properties of clots deposed in membrane lungs (MLs), such as clot size, distribution, burden, and composition. One end-oftherapy PLS ML was examined. Clot detection was performed using multidetector computed tomography (MDCT), microcomputed tomography (μCT), and photography of fiber mats (fiber mat imaging, FMI). Histological staining was conducted for von Willebrand factor (vWF), platelets (CD42b, CD62P), fibrin, and nucleated cells (4′, 6-diamidino-2-phenylindole, DAPI). The three imaging methods showed similar clot distribution inside the ML. Independent of the imaging method, clot loading was detected predominantly in the inlet chamber of the ML. The μCT had the highest accuracy. However, it was more expensive and time consuming than MDCT or FMI. The MDCT detected the clots with low scanning time. Due to its lower resolution, it only showed clotted areas but not the exact shape of clot structures. FMI represented the simplest variant, requiring little effort and resources. FMI allowed clot localization and calculation of clot volume. Histological evaluation indicated omnipresent immunological deposits throughout the ML. Visually clot-free areas were covered with leukocytes and platelets forming platelet-leukocyte aggregates (PLAs). Cells were embedded in vWF cobwebs, while vWF fibers were negligible. In conclusion, the presented methodology allowed adequate clot identification and histological classification of possible thrombosis markers such as PLAs. KW - ECMO KW - membrane lung KW - µCT KW - MDCT KW - shear induced clotting KW - vWF KW - histological evaluation Y1 - 2024 U6 - https://doi.org/10.3389/fmed.2024.1416319 IS - 11 PB - Frontiers ER - TY - JOUR A1 - Lingel, Maximilian P. A1 - Haus, Moritz A1 - Paschke, Lukas A1 - Foltan, Maik A1 - Lubnow, Matthias A1 - Gruber, Michael A1 - Krenkel, Lars A1 - Lehle, Karla T1 - Clinical relevance of cell-free DNA during venovenous extracorporeal membrane oxygenation JF - Artificial organs N2 - BACKGROUND: Thrombosis remains a critical complication during venovenous extracorporeal membrane oxygenation (VV ECMO). The involvement of neutrophil extracellular traps (NETs) in thrombogenesis has to be discussed. The aim was to verify NETs in the form of cell-free DNA (cfDNA) in the plasma of patients during ECMO. METHODS: A fluorescent DNA-binding dye (QuantifFluor®, Promega) was used to detect cell-free DNA in plasma samples. cfDNA concentrations from volunteers (n = 21) and patients (n = 9) were compared and correlated with clinical/technical data before/during support, ECMO end and time of a system exchange. RESULTS: Before ECMO, patients with a median (IQR) age of 59 (51/63) years, SOFA score of 11 (10/15), and ECMO run time of 9.0 (7.0/19.5) days presented significantly higher levels of cfDNA compared to volunteers (6.4 (5.8/7.9) ng/μL vs. 5.9 (5.4/6.3) ng/μL; p = 0.044). Within 2 days after ECMO start, cfDNA, inflammatory, and hemolysis parameters remained unchanged, while platelets decreased (p = 0.005). After ECMO removal at the end of therapy, cfDNA, inflammation, and coagulation data (except antithrombin III) remained unchanged. The renewal of a system resulted in known alterations in fibrinogen, d-dimers, and platelets, while cfDNA remained unchanged. CONCLUSION: Detection of cfDNA in plasma of ECMO patients was not an indicator of acute and circuit-induced thrombogenesis. KW - blood KW - cell- free DNA KW - coagulation KW - ECMO KW - inflammation KW - neutrophil extracellular traps Y1 - 2023 U6 - https://doi.org/10.1111/aor.14616 SN - 1525-1594 VL - 47 IS - 11 SP - 1720 EP - 1731 PB - Wiley ER - TY - JOUR A1 - Foltan, Maik A1 - Dinh, D. A1 - Gruber, Michael A1 - Müller, Thomas A1 - Hart, C. A1 - Krenkel, Lars A1 - Schmid, C. A1 - Lehle, Karla T1 - Incidence of neutrophil extracellular traps (NETs) in different membrane oxygenators: pilot in vitro experiments in commercially available coated membranes JF - Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs N2 - Neutrophil extracellular traps (NETs) were detected in blood samples and in cellular deposits of oxygenator membranes during extracorporeal membrane oxygenation (ECMO) therapy and may be responsible for thrombogenesis. The aim was to evaluate the effect of the base material of gas fiber (GF, polymethylpentene) and heat exchange (HE) membranes and different antithrombogenic coatings on isolated granulocytes from healthy volunteers under static culture conditions. Contact of granulocytes with membranes from different ECMO oxygenators (with different surface coatings) and uncoated-GFs allowed detection of adherent cells and NETotic nuclear structures (normal, swollen, ruptured) using nuclear staining. Flow cytometry was used to identify cell activation (CD11b/CD62L, oxidative burst) of non-adherent cells. Uncoated-GFs were used as a reference. Within 3 h, granulocytes adhered to the same extent on all surfaces. In contrast, the ratio of normal to NETotic cells was significantly higher for uncoated-GFs (56-83%) compared to all coated GFs (34-72%) (p < 0.001) with no difference between the coatings. After material contact, non-adherent cells remained vital with unchanged oxidative burst function and the proportion of activated cells remained low. The expression of activation markers was independent of the origin of the GF material. In conclusion, the polymethylpentene surfaces of the GFs already induce NET formation. Antithrombogenic coatings can already reduce the proportion of NETotic nuclei. However, it cannot be ruled out that NET formation can induce thrombotic events. Therefore, new surfaces or coatings are required for future ECMO systems and long-term implantable artificial lungs. Y1 - 2025 U6 - https://doi.org/10.1007/s10047-024-01486-4 ER - TY - JOUR A1 - Kurfess, Christina A1 - Corsten, Sabine A1 - Nickel, Maren A1 - Knieriemen, Marie A1 - Kreiter, Daniel A1 - Lauer, Norina T1 - Peer-to-peer support: digital networking in aphasia to improve quality of life (PeerPAL) JF - Frontiers in Communication N2 - Background: People with aphasia (PWA) often suffer from reduced participation and quality of life. Nevertheless, there are currently only a few specific interventions that respond to this problem. Participation and quality of life could be increased by interacting with peers who have similar experiences. Digital social networks could stimulate an autonomous interaction. However, digital social networks need to be adapted to the specific needs of PWA. Therefore, a participatory, agile process involving the target group should be chosen to develop such a olution, i.e., an app. The research project consists of a total of three phases. In the first phase—app development—the app was developed and programmed including the target group. In the second phase—app testing—the usability and user-friendliness of the app were evaluated with four PWA. In the third phase—feasibility and preliminary effcacy—that will be described in the article, the impact of the app on PWA will be evaluated. Aims: The overarching aim of our study is to provide preliminary effcacy of the intervention. Digital social interaction with other PWA can lead to increased social integration. In addition to digital interaction, personal encounters between PWA should be encouraged. As a result, we expect an improvement in quality of life of PWA. Additionally, we focus on identification of the most appropriate measurements to discover changes associated with the intervention. Methods: The evaluation, which is described in this paper, takes place in a pre-test - post-test design with a total of n = 48 PWA. Participants will be recruited in regional clusters to facilitate face-to-face meetings. Half of the participants will be assigned to the delayed intervention group and the other half to the immediate intervention group. Participants in the delayed intervention group will go through a 3-month waiting period before using the app, while the participants of the immediate intervention group will start using the app for 3 months right away. Inclusion criteria are the presence of chronic aphasia (at least 6 months) and possession of a smartphone with internet access. Questionnaires on quality of life (SAQOL-39, GHQ-12), depression (GDS, DISCs), communicative participation (CPIB), and social support (F-SozU) will be conducted at inclusion (t0), after 3 months of app use (t1), and after another 3 months for follow-up (t2). Participants in the delayed intervention group will be assessed twice before the intervention, before the 3-month waiting period (t0a) and after the waiting period (t0b). In addition to the quantitative measures, interviews will take place with 6 to 8 selected participants after 3 months of app use. Responses will be analysed using Thematic Analysis. Discussion: The app will be the first social network tool that is systematically developed with PWA. Initial indications from the first phases are that the app can be used by PWA, so that the evaluation of this app version can take place in the third phase. Results of this study can provide an initial indication of whether social network support is a suitable intervention. Findings will help provide information on the feasibility of digital connectivity for PWA. Preliminary findings on its impact on the participation and quality of life of PWA could be made available. KW - Aphasie KW - Partizipation KW - Lebensqualität KW - Soziales Netzwerk KW - peer-to-peer support Y1 - 2023 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:898-opus4-64881 VL - 8 PB - Frontiers Media S.A. ER - TY - THES A1 - Marterer, Verena T1 - A Characterisation of Motives and Barriers to Taking up Academic Study in the Field of Electrical Engineering N2 - The problem description comes to the fore when the wide-ranging subject area of electrical engineering is combined and analyzed with different types of schools. It is becoming increasingly rare for elementary school children to come to grips with technology in the sense of recognizing functional interrelationships and understanding modes of action in the context of technical-practical confrontation. The picture at secondary schools is also rather sobering. Here, a strong focus on facts and knowledge and too little emphasis on modeling, application and problem solving lead to insufficient results in the cognitive area. In addition, a massive shortage of engineers and specialists with a technical and scientific orientation has been predicted for years and is being increasingly observed. The motivation of students in traditional lectures is decreasing and in general there is a decline of university students in technical subjects. These problems are not only known throughout Germany, but also internationally. Especially in developing countries, additional problems make technical education more difficult, regardless of the type of school. Therefore, this master thesis is evaluated in South Africa in order to consider as many influencing factors as possible. "Learning is experience. Everything else is simply information." - Methods and concepts developed in the thesis build upon this quote of Albert Einstein. Teaching methods are elaborated and applied for three different age groups and school types, depending on known influencing factors. The aim of this thesis is not to produce further findings in the sense of basic research, but to show ways in which the current situation can be steered in a different direction. It has been shown that technology lessons in elementary/secondary schools inspire interest in technical professions in the field of electrical engineering. Furthermore, the combination of frontal teaching, for a necessary theoretical background, together with student-active, action-oriented teaching shows advantages in terms of learning efficiency and an increase in performance levels for all three age groups. However, it could also be observed that factors such as social background, family influence and gender have partial effects on the promotion and education in the field of electrical engineering. Y1 - 2023 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:898-opus4-62550 CY - Regensburg ER - TY - JOUR A1 - Paschke, Lukas A1 - Foltan, Maik A1 - Wagner, Maria S. A1 - Lubnow, Matthias A1 - Gruber, Michael A1 - Krenkel, Lars A1 - Lehle, Karla T1 - Clinical Relevance of Platelet-Leukocyte Aggregates and Platelet P-Selectin Expression During Venovenous Extracorporeal Membrane Oxygenation JF - ASAIO Journal N2 - Thrombosis continues to be a significant complication during venovenous extracorporeal membrane oxygenation (V-V ECMO). Platelet activation markers might serve as indicators of inflammation and thrombogenesis. The aim was to identify these markers in ECMO patients. Blood from 10 ECMO patients (before, during, after ECMO) and 11 healthy volunteers were collected to determine platelet-neutrophil-aggregates (PNAs), platelet-monocyte-aggregates (PMAs), fibrinogen-binding, and P-selectin-expression on platelets by flow cytometry. Critical illness was associated with significantly elevated levels of PNAs and PMAs, increased P-selectin expression, reduced fibrinogen-binding, and restricted activation of platelets. Although PNAs and PMAs decreased significantly within 2 hours after the initiation of ECMO and remained at those levels, ECMO did not affect basal P-selectin expression and fibrinogen-binding. These results correlated with coagulation activation. Platelet markers before ECMO were not indicators for an imminent system exchange and end of therapy. In conclusion, platelet dysfunction during ECMO was mainly attributed to the critical illness. Extracorporeal membrane oxygenation support strengthened the restricted response of platelets to exogenous agonists (P-selectin). Furthermore, a decrease in PNAs/PMAs after ECMO started identified a reduced inflammatory response. There was no correlation of analyzed platelet parameters with the incidence of thrombotic complications. Y1 - 2025 U6 - https://doi.org/10.1097/MAT.0000000000002421 SN - 1058-2916 IS - April 03 PB - Wolters Kluwer ER - TY - BOOK A1 - Lauer, Norina A1 - Wagner, Susanne A1 - Kubitz, Katharina T1 - Auditive Verarbeitungsstörungen bei Kindern, Jugendlichen und Erwachsenen : Grundlagen - Klinik - Diagnostik - Therapie N2 - Das Buch vermittelt fundierte Grundlagen, Diagnostik und Interventionsmöglichkeiten bei auditiven Verarbeitungsstörungen (AVS) im Kindes-, Jugend- und Erwachsenenalter. Auf Basis des Modells der auditiven Verarbeitung und der zugrunde liegenden Hörverarbeitungsprozesse bietet es einen umfassenden Einblick in das Störungsbild AVS und dessen Auswirkungen. Es stellt gängige Diagnostikverfahren vor und diskutiert effektive Maßnahmen zur Beratung, Kompensation und Therapie. KW - Zentrales Hören KW - Wahrnehmung KW - Verarbeitung KW - auditiv KW - AVS KW - AVWS KW - Auditive Verarbeitung Y1 - 2025 SN - 9783132454941 PB - Thieme CY - Stuttgart ET - 5., vollst. überarb. u. erweit. Aufl. ER - TY - JOUR A1 - Schmidbauer, Simon A1 - Becker, Maria A1 - Haug, Sonja T1 - Online Political Participation of Refugees in Germany: Analysis of a Survey in Bavaria JF - Sage Online N2 - New media are an important resource for the political participation of marginalized groups. However, there is still a lack of knowledge about the factors that influence whether this opportunity is used. Influencing factors emerge from both the Civic Voluntarism Model and previous research on migrants’ political activity. Using data collected in 2019/2020 from 486 refugees living in Bavaria, we estimate linear probability models to investigate facilitating factors for the use of new media for political participation. The analysis shows that refugees in Germany who inform themselves about politics online tend to be predominantly male, higher educated, and politically involved. Language skills and the duration of stay also appear to be important. For the expression of one’s political opinion online, gender and language skills have an impact, but informing oneself about German politics, political interest, and offline political activity in Germany are the most relevant factors. This indicates that there is a close link between on- und offline activity. However, using the internet requires particular resources, so that people with lower language skills, for example, are particularly disadvantaged. KW - political participation KW - internet use KW - refugees KW - political online participation Y1 - 2024 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:898-opus4-77671 N1 - Corresponding author der OTH Regensburg: Sonja Haug PB - Sage CY - Thousand Oaks ER - TY - CHAP A1 - Schmidbauer, Simon A1 - Haug, Sonja ED - Villa, Paula-Irene T1 - Quantitative surveys of refugees BT - Between pragmatism and the claim of generalizability of empirical data T2 - Polarisierte Welten, 41. Kongress der Deutschen Gesellschaft für Soziologie, 26.-30. Sept. 2022, Bielefeld N2 - Contribution to the Ad Hoc Group “Möglichkeiten der quantitativen Erforschung schwer erreichbarer, versteckter und marginalisierter Bevölkerungsgruppen” KW - Migration KW - Flüchtling KW - Demoskopie Y1 - 2023 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:898-opus4-78368 UR - https://publikationen.soziologie.de/index.php/kongressband_2022/article/view/1571/1788 CY - Bielefeld ER - TY - JOUR A1 - Haerter, Martin A1 - Dirmaier, Jörg A1 - Scholl, Isabelle A1 - Donner-Banzhoff, Norbert A1 - Dierks, Marie-Luise A1 - Eich, Wolfgang A1 - Müller, Hardy A1 - Klemperer, David A1 - Koch, Klaus A1 - Bieber, Christiane T1 - The long way of implementing patient-centered care and shared decision making in Germany JF - Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen N2 - The main focus of the paper is on the description of the development and current state of research and implementation of patient-centered care (PCC) and shared decision making (SDM) after fifteen years of substantial advances in health policy and health services research. What is the current state of SDM in health policy? The "Patients' Rights Act" from 2013 standardizes all rights and responsibilities within the framework of medical treatment for German citizens and legal residents. This comprises the right to informed decisions, comprehensive and comprehensible information for patients, and decisions based on a clinician-patient-partnership. What is the current state of SDM interventions and patient decision support tools? SDM training programs for healthcare professionals have been developed. Their implementation in medical schools has been successful. Several decision support tools - primarily with support from health insurance funds and other public agencies - are to be implemented in routine care, specifically for national cancer screening programs. What is the current state of research and routine implementation? The German government and other public institutions are constantly funding research programs in which patient-centered care and shared decision-making are important topics. The development and implementation of decision tools for patients and professionals as well as the implementation of CME trainings for healthcare professionals require future efforts. What does the future look like? With the support of health policy and scientific evidence, transfer of PCC and SDM to practice is regarded as meaningful. Research can help to assess barriers, facilitators, and needs, and subsequently to develop and evaluate corresponding strategies to successfully implement PCC and SDM in routine care, which remains challenging. KW - COMMUNICATION KW - DISORDERS KW - health policy KW - implementation KW - INFORMATION KW - MANAGEMENT KW - MULTIPLE-SCLEROSIS KW - NEEDS KW - patient involvement KW - patient-centered care KW - PHYSICIANS KW - PSYCHOMETRIC PROPERTIES KW - QUESTIONNAIRE KW - SATISFACTION KW - shared decision making Y1 - 2017 U6 - https://doi.org/10.1016/j.zefq.2017.05.006 VL - 123 SP - 46 EP - 51 PB - Elsevier ER - TY - JOUR A1 - Knödler, Leonard A1 - Berkin, Özdemir A1 - Moog, Philipp A1 - Prantl, Lukas A1 - Broer, P. Niclas A1 - Knödler, Christoph A1 - Rieger, Ulrich M. A1 - Perl, Markus A1 - von Isenburg, Sarah A1 - Gassner, Ulrich M. A1 - Obed, Doha A1 - Haug, Valentin A1 - Panayi, Adriana C. A1 - Knoedler, Samuel T1 - Thinking like a Lawyer - Human Rights and Their Association with the Plastic Surgeon of Today JF - Aesthetic Plastic Surgery N2 - Plastic surgeons are trained to perform a wide repertoire of surgeries-ranging from standard local procedures to highly specialized operations. Therefore, plastic surgeons treat a plethora of clinical presentations and address multiple patient needs. Their daily workflow is increasingly entwined with legal topics. The concrete legal interpretation falls within the remit of legal experts. However, by understanding the legal basics of selected surgical procedures, plastic surgeons may generate synergies in patient care and clinical practice. The legal situation is to be elucidated based on the German Basic Law (GBL) and the European Convention on Human Rights (ECHR). KW - European Convention on Human Rights KW - European Law KW - German Basic Law KW - Human Rights KW - Reconstructive Surgery Y1 - 2022 U6 - https://doi.org/10.1007/s00266-022-02990-9 VL - 114 PB - Springer-Verlag GmbH CY - Heidelberg ER - TY - JOUR A1 - Knödler, Leonard A1 - Knoedler, Samuel A1 - Kauke-Navarro, Martin A1 - Knödler, Christoph A1 - Höfer, Simon A1 - Bächer, Helena A1 - Gassner, Ulrich M. A1 - Machens, Hans-Günther A1 - Prantl, Lukas A1 - Panayi, Adriana C. T1 - Three-dimensional Medical Printing and Associated Legal Issues in Plastic Surgery: A Scoping Review JF - Plastic & Reconstructive Surgery-Global Open N2 - Three-dimensional printing (3DP) represents an emerging field of surgery. 3DP can facilitate the plastic surgeon’s workflow, including preoperative planning, intraoperative assistance, and postoperative follow-up. The broad clinical application spectrum stands in contrast to the paucity of research on the legal framework of 3DP. This imbalance poses a potential risk for medical malpractice lawsuits. To address this knowledge gap, we aimed to summarize the current body of legal literature on medical 3DP in the US legal system. By combining the promising clinical use of 3DP with its current legal regulations, plastic surgeons can enhance patient safety and outcomes. Y1 - 2023 U6 - https://doi.org/10.1097/GOX.0000000000004965 SN - 2169-7574 VL - 11 IS - 4 PB - Wolters Kluwer ER - TY - VIDEO A1 - Haug, Sonja A1 - Lauer, Norina A1 - Meussling-Sentpali, Annette A1 - Mohr, Christa A1 - Pfingsten, Andrea A1 - Raptis, Georgios A1 - Weber, Karsten A1 - Bahr, Gudrun A1 - Currle, Edda A1 - Ettl, Katrin A1 - Frommeld, Debora A1 - Greiner, Nina A1 - Kudienko, Natalie A1 - Lichtenauer, Norbert A1 - Middel, Luise A1 - Mücke, Vanessa A1 - Popp, Christof T1 - Telepräsenzroboter für die Pflege und Unterstützung von Schlaganfallpatinnen und -patienten (TePUS) T2 - Virtuelle Tagung "DeinHaus 4.0 Oberpfalz", 2020, Ostbayerische Technische Hochschule Regensburg Y1 - 2020 UR - https://www.youtube.com/watch?v=9Ze8dK31TuI ER - TY - GEN A1 - Haug, Sonja A1 - Schmidbauer, Simon T1 - Erhebungsmaterialien im Projekt Demokratieakzeptanz und Partizipation von Geflüchteten (DePaGe) N2 - Erhebungsmaterialien (Fragebogen und Informationstext) des Forschungsprojekts Demokratieakzeptanz und Partizipation von Geflüchteten (DePaGe) im Rahmen des bayerischen Forschungsverbunds zur Zukunft der Demokratie (ForDemocracy). Y1 - 2024 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:898-opus4-77296 N1 - Die Materialien sind ein Anhang zur diesen Veröffentlichungen: Simon Schmidbauer, Maria Becker, Sonja Haug: Online Political Participation of Refugees in Germany: Analysis of a Survey in Bavaria Nachweis auf dem Publikationsserver unter: https://opus4.kobv.de/opus4-oth-regensburg/frontdoor/index/index/docId/7767 Sonja Haug, Simon Schmidbauer: Politische Partizipation von Geflüchteten Nachweis auf dem Publikationsserver unter: https://opus4.kobv.de/opus4-oth-regensburg/frontdoor/index/index/docId/6135 ER - TY - CHAP A1 - Pfingsten, Andrea ED - Weber, Karsten ED - Haug, Sonja ED - Lauer, Norina ED - Mohr, Christa T1 - Telepräsenzroboter - Potenzial als Unterstützung von Pflege und Therapie T2 - Digitale Technik für ambulante Pflege und Therapie III: Nutzung Akzeptanz Wirkung und Lebensqualität T3 - Regensburger Beiträge zur Digitalisierung des Gesundheitswesens - 4 Y1 - 2024 U6 - http://nbn-resolving.de/urn/resolver.pl?10.14361/9783839467282-002 SN - 978-3-8376-6728-8 SP - 7 EP - 12 PB - transcript CY - Bielefeld ER - TY - JOUR A1 - Röhrl, Simon A1 - Staufer, Susanne A1 - Bugert, Flemming A1 - Nadimpalli, Vamsi Krishna A1 - Hauser, Florian A1 - Grabinger, Lisa A1 - Bittner, Dominik A1 - Ezer, Timur A1 - Altweck, Ricardo A1 - Graf, Sabine A1 - Kriza, Thomas A1 - Mottok, Jürgen T1 - Ethical Considerations of AI in Education: A Case Study based on Pythia Learning Enhancement System JF - IEEE Access N2 - As the use of AI in education increases, addressing ethical concerns is essential for its responsible use and implementation. This study explores the ethical considerations of AI in education by analyzing a concrete application, the Pythia Learning Enhancement System, which enables personalized and adaptive educational experiences. In this case study, the concrete implementation of Pythia, contrary to high-level abstract analyses, provides practical insights into these ethical issues. To achieve this goal, we first define Pythia and outline its implementation. Using the various topics covered by Pythia, the ethical issues associated with each of these topics are outlined, resulting in a list of ten distinct ethical issues. Because there is overlap in issues covered by similar applications, they can benefit from this identification. An ethical (human rights) and didactic (constructivism) theoretical background is then provided as a basis for further discussion. This is used to build the arguments used in the main study. This consists of analyzing each of the issues and providing recommendations to mitigate potential harm arising from these issues. This helps to provide guidelines for future applications. In the analysis, the ethical discussion is mainly based on the human rights of the stakeholders involved, emphasizing human dignity. After the analysis, each of the issues is contextualized with the recent AI Act of the European Union, providing a novel mapping of the issues of AI in education to the AI Act. Finally, the limitations of the study are stated and a plan for future research is presented. KW - Ethics KW - Artificial intelligence KW - Education KW - Stakeholders KW - Psychology KW - Privacy KW - Search problems KW - Guidelines KW - Focusing KW - Europe Y1 - 2025 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:898-opus4-83403 SN - 2169-3536 N1 - Corresponding author der OTH Regensburg: Simon Röhrl VL - 11 SP - 1 EP - 25 PB - Institute of Electrical and Electronics Engineers (IEEE) ER - TY - RPRT A1 - Kunhardt, Horst A1 - Zerth, Jürgen A1 - Eberl, Inge A1 - Flemming, Daniel A1 - Hilbert, Josef A1 - Weber, Karsten A1 - Kohls, Niko A1 - Rester, David A1 - Engel, Lars A1 - Engel, Christian T1 - Hochschulinitiative für eine personenzentrierte und nachhaltige Gestaltung von Technik und Digitalisierung in der Pflege - Wege von der Anwendungsforschung zur Implementierung und Evaluierung in der Praxis und Lebenswelt N2 - The professors from universities and universities of applied sciences and their educational partners who support this initiative are all joined by a research agenda and a sense of responsibility, according to which it is essential for applied research to further explore the effects of technological assistance systems and digital solutions in and for realistic settings with theoretically and methodologically sound and scientific support, based on the highest possible level of evidence, and to make a contribution to evidence-based translation and transferability to society. T2 - University initiative for a person-centered and sustainable design of technology and digitalization in care – paths from application research to implementation and evaluation in practice and real life Y1 - 2023 U6 - https://doi.org/10.13140/RG.2.2.32095.64160 ER - TY - BOOK A1 - Dehlinger, Friedrich A1 - Banarjee, M. A1 - Baur-Melnyk, A. A1 - Berth, A. A1 - Bökeler, Ulf W. A1 - Brandt, Hanna A1 - Brunnader, Lars A1 - Büttner, Carl Christopher A1 - Clausen, J. A1 - Eden, Lars A1 - Englert, Carsten A1 - Freislederer, F. A1 - Grimm, C. A1 - Grossmann, Irmgard A1 - Jung, C. A1 - Kopkow, Christian A1 - Krifter, R.M. A1 - Martetschläger, Frank A1 - Mehrens, D. A1 - Michalk, Katrin A1 - Müller-Rath, Ralf A1 - Pfingsten, Andrea A1 - Prill, Robert A1 - Schmalzl, J. A1 - Wörtler, K. T1 - Schultersteife : eine S2e Leitlinie der Deutschen Gesellschaft für Orthopädie und Unfallchirurgie e.V. (DGOU) mit Beteiligung der Deutsche Vereinigung für Schulter- und Ellenbogenchirurgie e.V. (DVSE) N2 - Bei der Schultersteife handelt es sich um ein häufiges Krankheitsbild in der Orthopädie bzw. Schulterchirurgie, das sowohl bei Ärztinnen und Ärzten (Allgemeinmedizinerinnen und mediziner, Fachärztinnen und -ärzte) als auch bei sonstigem medizinischem Fachpersonal, z.B. der Physiotherapie oder Pflege, nur einen geringen Bekanntheitsgrad besitzt. Zielorientierung dieser Leitlinie war es, eine fundierte Hilfestellung und Richtlinie in Bezug auf das Krankheitsbild für Ärztinnen, Ärzte und medizinisches Fachpersonal zu schaffen, den aktuellen evidenz-basierten Wissensstand zu vermitteln und eine bessere Patientinnen- und Patientenversorgung zu erzielen, inkl. der intensiven Aufklärung der Betroffenen durch die behandelnden Berufsgruppen und – wenn von den Betroffenen gewünscht – einer gemeinsamen Entscheidungsfindung bezüglich der Behandlung. KW - Schultersteife KW - Leitlinie Y1 - 2022 UR - https://www.awmf.org/uploads/tx_szleitlinien/187-020l_S2e_Schultersteife_2022-07.pdf PB - AWMF online CY - Berlin ET - Version 1.0 ER - TY - JOUR A1 - Niedling, Katharina A1 - Richter, Stefanie A1 - Hämel, Kerstin T1 - Triadic relationships in home care nursing: an integrative review of the views and experiences of older couples and nurses JF - BMC nursing N2 - BACKGROUND The need for long-term home care for older people with chronic health conditions is rising, and family members are bearing the brunt of this care work. Caring for a partner is a common scenario. Caregiving partners are often of advanced age themselves and have limiting health conditions of their own. Nurses need to consider the specific characteristics of partner caregiving to provide relationship-centred care. This review aims to analyse perceptions of the triadic relationship between older persons with long-term care needs, their caregiving partners and nurses and to identify approaches that can be supportive approaches that can help couples to cope with at-home care situations. METHODS This integrative review following the method outlined by Whittemore and Knafl focuses on qualitative and mixed methods studies. A systematic search in the PubMed and CINAHL databases served to identify studies dealing with experiences and perceptions of triadic care arrangements in home-based care from the perspectives of nurses, care recipients and caregiving partners. Eight studies met the inclusion criteria and investigated perceptions of the triadic relationship between nurses providing home care and older couples. They were analysed using thematic analysis. RESULTS The results show that triadic relationships in home-based care are shaped by social dynamics, role conflicts and barriers to communication. Although many couples are initially reluctant to integrate nursing professionals into home caregiving, mutual trust can develop when personnel continuity is given and sustained relationship work is performed. Clear communication, clarity on the distribution of tasks and proactive knowledge sharing by nurses facilitate cooperation. Caregiving partners desire support with self-care to preserve their ability to continue in their caregiving roles in the long term. CONCLUSIONS Understanding the dynamics of triadic relationships in nursing care and the care situation in couple relationships enables nurses to provide more targeted support to older couples. Proactive communication, role clarity and continuity of care can reduce the burden shouldered by caregiving partners and improve care quality. Further research focusing on strategies for strengthening relationship-centred interventions in home-based care is desirable. CLINICAL TRIAL NUMBER Not applicable. Y1 - 2025 U6 - https://doi.org/10.1186/s12912-025-03378-1 VL - 24 PB - BMC ER - TY - CHAP A1 - Bopp, Katharina A1 - Michel, Natalie A1 - Brandt, Hanna A1 - Maric, Fillip A1 - Pfingsten, Andrea ED - Heese, Carl ED - Schütz, Sandra ED - Obergrießer, Stefanie T1 - Die Komplexität nachhaltiger Physiotherapie T2 - Die Nachhaltigkeitsziele der UN im Spiegel der Wissenschaft: Beispiele aus der Sozial- und Gesundheitsforschung N2 - Um mögliche Forschungsperspektiven in Bezug auf die UN-Nachhaltigkeitsziele 3 (Gesundheit und Wohlergehen) und 13 (Maßnahmen zum Klimaschutz) aufzeigen zu können, stellten sich die Autor*innen dieses Beitrags die Frage, wie Physiotherapie langfristig Nachhaltigkeit fördern kann und was es dafür in der Versorgung braucht. Wie Physiotherapeut*innen ihre Therapie nachhaltig gestalten können wurde mit Teilnehmenden des Workshops Planetare Gesundheit auf dem 6. Forschungssymposium der Deutschen Gesellschaft für Physiotherapiewissenschaft (DGPTW) in Freiburg diskutiert. Dabei stellte sich heraus, dass sich die Physiotherapeut*innen neben dem Wie? vor allem die Frage nach dem Warum (wir)? stellten und angaben unsicher mit dem Thema Klimawandel in der Behandlung zu sein. Daraus wurden zwei Schwerpunktthemen abgeleitet, welche in diesem Beitrag ausgearbeitet werden. 1) Emotionalität im professionellen Handeln: Wie Professionalität die richtigen Emotionen zur Bewältigung der heutigen Krisen fördern kann und 2) Komplexe Entscheidungsprozesse fördern – ‚sustainable decision-making‘ am Beispiel der Teletherapie. Aus den Ausarbeitungen kann geschlossen werden, dass Physiotherapie in ihrer Komplexität zunehmen wird, wenn sie nachhaltig sein soll, weil sie vielfältige Probleme berücksichtigen muss. Dafür braucht es qualifizierte Physiotherapeut*innen, die befähigt und bemächtigt sind, die komplexen Anforderungen zu bewältigen. Y1 - 2025 SN - 978-3-658-43333-8 U6 - https://doi.org/10.1007/978-3-658-43334-5_15 SP - 247 EP - 269 PB - Springer Nature CY - Wiesbaden ET - 1. Aufl. ER - TY - JOUR A1 - Englert, Carsten A1 - Angele, Peter A1 - Fierlbeck, J. A1 - Dendorfer, Sebastian A1 - Schubert, T. A1 - Müller, R. A1 - Lienhard, S. A1 - Zellner, Johannes A1 - Nerlich, Michael A1 - Neumann, Carsten T1 - Conductive bone substitute material with variable antibiotic delivery JF - Der Unfallchirurg N2 - A new bone substitute, consisting of hydroxylapatite and calcium sulphate, was prepared in two formulations and analysed for its mechanical strength and antibiotic elution.The bone substitute PerOssal has osteoconductive and degradable properties. The material has a built-in capillary structure, which results in an immediate fluid uptake. Antibiotics absorbed to the bone substitute resulted in a prolonged release rate. Mechanical strength was investigated by an unconfined compression test up to failure under both wet and dry conditions for both formulations of the bone substitute. Antibiotic release was analysed microbiologically for two antibiotics, vancomycin and gentamicin, over an elution period of 10 days using the agar diffusion method.The drug release analysis resulted in a prolonged release rate of both antibiotics over 10 days. In vitro the amount of gentamicin and vancomycin eluted at day 10. From one pellet still exceeded the minimal inhibitory concentration of most aetiologically important pathogens. Formulation two of the present bone substitute is significantly harder in both wet and dry conditions when compared to formulation one. Both formulations lose strength in the wet condition relative to their performance in the dry condition. However, formulation two is as hard under wet conditions as formulation one is when dry.PerOssal is a suitable new degradable osteoconductive bone substitute that can be loaded with antibiotic solutions, which are released in effective doses over 10 days. The mechanical strength of PerOssal is sufficient to support cancellous bone defects in non-weight-bearing areas or in combination with osteosynthesis. KW - Knochenersatz KW - Leitfähgkeit KW - Antibiotika KW - Biomechanik KW - Bone substitute materials KW - Osteoconductive KW - Osteomyelitis KW - Multiresistant KW - Biomechanics Y1 - 2007 U6 - https://doi.org/10.1007/s00113-007-1229-3 VL - 110 IS - 5 SP - 408 EP - 413 PB - Springer ER - TY - CHAP A1 - Christen, Markus A1 - Gordijn, Bert A1 - Weber, Karsten A1 - van de Poel, Ibo A1 - Yaghmaei, Emad ED - Oleksiewicz, Izabela T1 - A review of value-conflicts in cybersecurity T2 - Bezpieczeństwo informacyjne w wymiarze systemowym N2 - The growing complexity of the digital ecosystem in combination with increasing global risks has created the following dilemma. Overemphasizing cybersecurity may violate fundamental values like equality, fairness, freedom, or privacy but neglecting cybersecurity could undermine citizens’ trust and confidence in the digital infrastructure as well as in policy makers and state authorities. In order to increase our understanding of this dilemma, this contribution aims to provide an overview on value conflicts in cybersecurity based on a systematic review on the ethical, legal and technological literature on cybersecurity. It shall be emphasized that a focus on the opposition of cybersecurity vs. privacy is insufficient for understanding the ethical complexity of cybersecurity. KW - Computersicherheit KW - Rechnernetz KW - Literaturbericht Y1 - 2018 UR - https://www.researchgate.net/publication/327646764_A_review_of_value-conflicts_in_cybersecurity SP - 67 EP - 92 PB - Rambler Press CY - Warszawa ER - TY - GEN A1 - Haug, Sonja A1 - Lauer, Norina A1 - Meussling-Sentpali, Annette A1 - Mohr, Christa A1 - Pfingsten, Andrea A1 - Raptis, Georgios A1 - Weber, Karsten A1 - Bahr, Gudrun A1 - Currle, Edda A1 - Ettl, Katrin A1 - Frommeld, Debora A1 - Greiner, Nina A1 - Kudienko, Natalie A1 - Lichtenauer, Norbert A1 - Middel, Luise A1 - Mücke, Vanessa A1 - Popp, Christof T1 - TePUS - Telepräsenzroboter für die Pflege BT - Digitale Technik kann einen Beitrag zur Verbesserung der Versorgungssituation von Schlaganfallpatientinnen und -patienten sowie der Situation für Pflegekräfte und Angehörige leisten T2 - TRIOKON 2020 : Wissenschaft, Wirtschaft, Gesellschaft in Ostbayern, 29.09.2019, Landshut Y1 - 2020 UR - www.transfer-und-innovation-ostbayern.de/fileadmin/Veranstaltungen/2020-09-29_TRIOKON_2020/Poster_OTHR_DeinHaus4.0.pdf ER - TY - GEN A1 - Schmidbauer, Simon A1 - Rohrer, Ricarda A1 - Haug, Sonja T1 - Politische Beteiligungsmöglichkeiten von Migrant*innen in Deutschland - Handreichung für Multiplikator*innen N2 - Begleittext zum Poster Politische Beteiligungsmöglichkeiten von Migrant*innen in Deutschland im Rahmen des Projekts "Demokratieakzeptanz und Partizipation von Geflüchteten (DePaGe) im Bayerischen Forschungsverbund ForDemocracy Y1 - 2021 U6 - https://doi.org/10.13140/RG.2.2.33297.30568 ER - TY - JOUR A1 - Steiger, Tamara A1 - Foltan, Maik A1 - Philipp, Alois A1 - Müller, Thomas A1 - Gruber, Michael A1 - Bredthauer, Andre A1 - Krenkel, Lars A1 - Birkenmaier, Clemens A1 - Lehle, Karla T1 - Accumulations of von Willebrand factor within ECMO oxygenators: Potential indicator of coagulation abnormalities in critically ill patients? JF - Artificial Organs N2 - Clot formation within membrane oxygenators (MOs) remains a critical problem during extracorporeal membrane oxygenation (ECMO). The composition of the clots-in particular, the presence of von Willebrand factor (vWF)-may be an indicator for prevalent nonphysiological flow conditions, foreign body reactions, or coagulation abnormalities in critically ill patients. Mats of interwoven gas exchange fibers from randomly collected MOs (PLS, Maquet, Rastatt, Germany) of 21 patients were stained with antibodies (anti-vWF and anti-P-selectin) and counterstained with 4 ',6-diamidino-2-phenylindole. The extent of vWF-loading was correlated with patient and technical data. While 12 MOs showed low vWF-loadings, 9 MOs showed high vWF-loading with highest accumulations close to crossing points of adjacent gas fibers. The presence and the extent of vWF-fibers/"cobwebs," leukocytes, platelet-leukocyte aggregates (PLAs), and P-selectin-positive platelet aggregates were independent of the extent of vWF-loading. However, the highly loaded MOs were obtained from patients with a significantly elevated SOFA score, severe thrombocytopenia, and persistent liver dysfunction. The coagulation abnormalities of these critically ill patients may cause an accumulation of the highly thrombogenic and elongated high-molecular-weight vWF multimers in the plasma which will be trapped in the MOs during the ECMO therapy. KW - ECMO KW - PLATELET ACTIVATION KW - THROMBOSIS KW - BLOOD FLOW KW - INFLAMMATION Y1 - 2019 U6 - https://doi.org/10.1111/aor.13513 SN - 1525-1594 VL - 43 IS - 11 SP - 1065 EP - 1076 PB - Wiley CY - Hoboken ER - TY - JOUR A1 - Knödler, Leonard A1 - Dean, Jillian A1 - Knoedler, Samuel A1 - Kauke-Navarro, Martin A1 - Hollmann, Katharina A1 - Alfertshofer, Michael A1 - Helm, Sabrina A1 - Prantl, Lukas A1 - Schliermann, Rainer T1 - Hard shell, soft core? Multi-disciplinary and multi-national insights into mental toughness among surgeons JF - Frontiers in Surgery N2 - Background: With the prevalence of burnout among surgeons posing a significant threat to healthcare outcomes, the mental toughness of medical professionals has come to the fore. Mental toughness is pivotal for surgical performance and patient safety, yet research into its dynamics within a global and multi-specialty context remains scarce. This study aims to elucidate the factors contributing to mental toughness among surgeons and to understand how it correlates with surgical outcomes and personal well-being. Methods: Utilizing a cross-sectional design, this study surveyed 104 surgeons from English and German-speaking countries using the Mental Toughness Questionnaire (MTQ-18) along with additional queries about their surgical practice and general life satisfaction. Descriptive and inferential statistical analyses were applied to investigate the variations in mental toughness across different surgical domains and its correlation with professional and personal factors. Results: The study found a statistically significant higher level of mental toughness in micro-surgeons compared to macro-surgeons and a positive correlation between mental toughness and surgeons' intent to continue their careers. A strong association was also observed between general life satisfaction and mental toughness. No significant correlations were found between the application of psychological skills and mental toughness. Conclusion: Mental toughness varies significantly among surgeons from different specialties and is influenced by professional dedication and personal life satisfaction. These findings suggest the need for targeted interventions to foster mental toughness in the surgical community, potentially enhancing surgical performance and reducing burnout. Future research should continue to explore these correlations, with an emphasis on longitudinal data and the development of resilience-building programs. KW - mental toughness KW - mental health KW - resilience KW - robustness KW - psychology KW - surgery Y1 - 2024 U6 - https://doi.org/10.3389/fsurg.2024.1361406 N1 - Correspondign author der OTH Regensburg: Rainer Schliermann (und Leonard Knoedler) VL - 11 PB - Frontiers ER - TY - JOUR A1 - Walter, Sebastian F. A1 - Schmidt, Andreas A1 - Körkel, Stefan T1 - Adjoint-based optimization of experimental designs with many control variables JF - Journal of Process Control N2 - We propose a method for an efficient optimization of experimental designs, using a combination of discrete adjoint computations, Taylor arithmetic and matrix calculus. Compared to the state of the art of using finite differences or the forward mode of automatic differentiation, our proposed approach leads to a reduction of the relative temporal complexity from linear to constant time in the number of control variables and measurement weights. We demonstrate that the advantageous complexity results are not only of theoretical nature, but lead to significant speedups in practice as well. With our implementation we are very close to the theoretical bound of the cheap gradient principle. We present one academic (spatially discretized heat equation) and two industrial application examples (biochemical process/Diesel-oxidation catalysis process) where we achieve speedups that range between 10 and 100. In addition to our core results, we also describe an efficient adjoint approach for the treatment of differential algebraic equations and present adjoint formulas for constrained least-squares problems. KW - Automatic differentiation KW - Constrained least-squares KW - Differential algebraic equation KW - Optimum experimental design KW - Reverse mode Y1 - 2014 U6 - https://doi.org/10.1016/j.jprocont.2014.06.019 SN - 0959-1524 VL - 24 IS - 10 SP - 1504 EP - 1515 PB - Elsevier CY - Amsterdam ER - TY - GEN A1 - Krenkel, Lars A1 - Michel, Johanna A1 - Keil, Niklas A1 - Daschner, Jan T1 - Experimental Investigation of Logitudinal Folds in Endotracheal Tube Cuffs and their Correlation to Silent Breathing T2 - 23. DGLR Fach-Symposium Strömungen mit Ablösung, 09./10. November 2022, Berlin, Deutschland N2 - Air leakage past High-Volume-Low-Pressure (HVLP) endotracheal tube (ETT) cuffs creates a potential infection risk for health care professionals during ventilation of patients suffering from contagious airborne diseases. However, unlike silent aspiration, a phenomenon where fluids enter the airways of intubated patients, the aspect of aerosol emergence through cuff folds -what we called accordingly “silent breathing” (SB)- has not been investigated in detail so far. This study investigates air leakage past HVLP cuffs with varying cuff pressures under realistic artificial breathing scenarios experimentally and in addition numerically. The focus was laid on the parametric investigation of the occurrence and furthermore on different influencing factors of silent breathing. The morphology of the folds responsible for the leakage was captured using high-resolution 3D microcomputed tomography (μCT). For the numerical investigations (Com-putational Fluid Dynamics - CFD), the commercial CFD Software package FLUENT 2021 R2 (ANSYS, Inc., Canonsburg, PA, US), as well as the DLR in-house research code THETA has been used. KW - Silent Breathing KW - Aerosols KW - CFD KW - Endotracheal Intubation Y1 - 2022 UR - https://www.dlr.de/as/Portaldata/5/Resources/dokumente/veranstaltungen/stab_workshop/Jahresbericht2022.pdf CY - Göttingen ER - TY - CHAP A1 - Heese, Carl A1 - Stein, Margit A1 - Schmidt, Hans-Ludwig ED - Heese, Carl ED - Schmidt, Hans-Ludwig ED - Preger, Rudolf T1 - Zielorientierung als Merkmal intelligenter Praxis und als transdisziplinäre und therapieintegrierende Einstellung T2 - Patientenorientierte Versorgung im Team - POVIT KW - Personalentwicklung KW - Rehabilitation Y1 - 2003 SN - 3-927728-61-6 SP - 39 EP - 48 PB - BPB-Verlag diritto Publikationen CY - Eichstätt ER - TY - RPRT A1 - Heese, Carl A1 - Schmidt, Hans-Ludwig A1 - Preger, Rudolf T1 - Patientenorientierte Versorgung im Team - POVIT BT - Ein Forschungsbericht aus der Neurochirurgischen und Neurologischen Klinik Kipfenberg KW - Organisationsentwicklung KW - Personalentwicklung KW - Rehabilitation KW - Krankenhausmanagement Y1 - 2003 SN - 3-927728-61-6 PB - BPB CY - Eichstätt ER - TY - CHAP A1 - Heese, Carl A1 - Stein, Margit A1 - Schmidt, Hans-Ludwig ED - Heese, Carl ED - Schmidt, Hans-Ludwig ED - Preger, Rudolf T1 - Das Kipfenberger Team-Controlling: Ein Instrument der Teamentwicklung und Qualitätssicherung T2 - Patientenorientierte Versorgung im Team KW - Organisationsentwicklung Y1 - 2003 SP - 83 EP - 98 PB - BPB CY - Eichstätt ER - TY - CHAP A1 - Heese, Carl ED - Heese, Carl ED - Schmidt, Hans-Ludwig ED - Preger, Rudolf T1 - Das Goal-Attainment-Scaling (GAS) in der Rehabilitation BT - Ein Probelauf in der Klinik Kipfenberg KW - Organisationsentwicklung KW - Rehabilitation Y1 - 2003 SP - 49 EP - 82 PB - BPB CY - Eichstätt ER - TY - JOUR A1 - Heese, Carl A1 - Preger, Rudolf T1 - Die Einführung des Patientenorientierten Flussprinzips in der Neurologischen Rehabilitation JF - Das Krankenhaus KW - Krankenhausmanagement KW - Rehabilitation Y1 - 2003 VL - Band 95 IS - H. 4 SP - 297 EP - 305 PB - Kohlhammer CY - Stuttgart ER - TY - THES A1 - Heese, Carl T1 - Die Entwicklung des Gesundheits- und Sozialmanagements im Vergleich BT - Studie auf der Grundlage einer inhaltanalytischen Untersuchung von einschlägigen Fachzeitschriften KW - Sozialmanagement KW - Gesundheitsmanagment Y1 - N1 - Habilitationsschrift: Katholische Universität Eichstätt-Ingolstadt ER - TY - CHAP A1 - Hauser, Florian A1 - Grabinger, Lisa A1 - Mottok, Jürgen A1 - Jahn, Sabrina A1 - Nadimpalli, Vamsi Krishna T1 - The Expert’s View: Eye Movement Modeling Examples in Software Engineering Education T2 - Proceedings of the 5th European Conference on Software Engineering Education, Seeon/Germany, June 19 - 21, 2023 N2 - This study investigates the impact of eye movement modeling examples in Software Engineering education. Software Engineering is a highly visual domain. The daily tasks of a software engineer (e.g., formulating requirements, creating UML diagrams, or conducting a code review) require in many cases the use of certain visual strategies. Although these strategies can be found for experts, it has been observed in different eye tracking studies that students have difficulties in learning and applying them. To familiarize students with these visual strategies and to provide them with a better understanding for the cognitive processes involved, a total of seven eye movement modeling examples was created. The seven eye movement modeling examples cover relevant parts of an introductory Software Engineering lecture; they are focused on typical situations in which visual strategies are applied. The results of a questionnaire-based evaluation shows that students consider the eye movement modeling examples as useful, feel supported in their learning process, and would like to see more use of them in the Software Engineering lecture. Furthermore, the students suggested that eye movement modeling examples should also be used in other lectures. Y1 - 2023 SN - 978-1-4503-9956-2 U6 - https://doi.org/10.1145/3593663.3593683 SP - 148 EP - 152 PB - ACM ER - TY - CHAP A1 - Haug, Sonja A1 - Schmidbauer, Simon T1 - Politische Partizipation von Geflüchteten T2 - Kursbuch Bürgerbeteiligung #5 N2 - Der Beitrag befasst sich mit dem Spannungsfeld der politischen Beteiligung im Migrationskontext vor dem Hintergrund der Partizipation von unterrepräsentierten Gruppen. Empirisch untersucht werden die politische Partizipation von Geflüchteten in Bayern sowie ihre Einstellungen zur Demokratie. Die Ergebnisse werden vor dem Stand der Forschung diskutiert und es werden Empfehlungen abgeleitet. Y1 - 2023 SN - 978-3942466-60-8 SP - 444 EP - 455 PB - Republik-Verlag ER - TY - JOUR A1 - Haus, Moritz A1 - Foltan, Maik A1 - Philipp, Alois A1 - Müller, Thomas A1 - Lingel, Maximilian P. A1 - Krenkel, Lars A1 - Gruber, Michael A1 - Lehle, Karla T1 - Neutrophil extracellular traps -a potential trigger for the development of thrombocytopenia during extracorporeal membrane oxygenation N2 - Neutrophil extracellular traps (NETs) have recently emerged as a potential link between inflammation, immunity, and thrombosis, as well as other coagulation disorders which present a major challenge in the context of extracorporeal membrane oxygenation (ECMO). By examining blood from ECMO patients for NETs and their precursors and correlating them with clinical and laboratory biomarkers of coagulation and inflammation, this study aims to evaluate the association between the presence of NETs in the bloodstream of ECMO patients and the development of potentially severe coagulation disorders during ECMO therapy. Therefore, blood samples were collected from healthy volunteers (n=13) and patients receiving veno-venous (VV) ECMO therapy (n=10). To identify NETs and their precursors, DNA and myeloperoxidase as well as granulocyte marker CD66b were visualized simultaneously by immunofluorescence staining in serial blood smears. Differentiation of DNA-containing objects and identification of NETs and their precursors was performed semiautomatically by a specific algorithm using the shape and size of DNA staining and the intensity of MPO and CD66b signal. Neutrophil extracellular traps and their precursors could be detected in blood smears from patients requiring VV ECMO. Compared to volunteers, ECMO patients presented significantly higher rates of NETs and NET precursors as well as an increased proportion of neutrophil granulocytes in all detected nucleated cells. A high NET rate prior to the initiation of ECMO therapy was associated with both increased iL-6 and TNF-α levels as an expression of a high cytokine burden. These patients with increased NET release also presented an earlier and significantly more pronounced decrease in platelet counts and ATIII activity following initiation of therapy compared with patients with less elevated NETs. These findings provide further indications for the development of immune-mediated acquired thrombocytopenia in ECMO patients. KW - Neutrophil extracellular traps (NET) KW - Immunoflorescence KW - Thrombocytopenia KW - Extracorporeal membrane oxygenation (ECMO) KW - Sepsis KW - immunothrombosis KW - Coagulation disorder Y1 - 2024 UR - https://www.frontiersin.org/journals/immunology/articles/10.3389/fimmu.2024.1339235/abstract U6 - https://doi.org/10.3389/fimmu.2024.1339235 VL - 15 PB - frontiers ER - TY - JOUR A1 - Lichtenauer, Norbert A1 - Schlachetzki, Felix A1 - Eberl, Inge A1 - Meussling-Sentpali, Annette T1 - Differences in teletherapy and telecare?-Experiences of health professionals and patients with video communication in nursing, physiotherapy, occupational therapy, and speech therapy JF - Digital health N2 - INTRODUCTION The spread and implementation of digital synchronous video communication in telecare and teletherapy has recently increased significantly, not just because of COVID-19 but also due to a global trend towards more digital healthcare services in the last two decades. This shift prompts the question of how digital telesetting differs from a face-to-face setting and which aspects are fundamental. METHODS As the first part of a mixed-method study, qualitative interviews (n = 20) were conducted from July 2021 to January 2022. Health professionals (n = 13) and patients (n = 7) from occupational therapy, physiotherapy, speech therapy, and nursing were interviewed. All interviewees came from Germany, Austria, and Switzerland. The results were categorized using structured content analysis. RESULTS Six main categories and 20 sub-categories were summarized, which can act as barriers or resources in a telesetting. Both sides described a high level of acceptance and approval of telesetting. Motivation and digital skills were of great importance. Furthermore, special features in communication and interaction were described, as well as changes in organizational procedures and a specific process flow in telesetting. Including relatives was more feasible, although several environmental factors should be considered. DISCUSSION A number of specific changes in a telesetting compared to a face-to-face setting show the need for a structured guide for interested parties. Appropriate basic principles must be taught in training and further education to support the spread of this new form of care. Furthermore, it is crucial to adapt the methodological and content-related aspects of telesetting and develop new approaches that specifically integrate audio-visual possibilities. Y1 - 2024 U6 - https://doi.org/10.1177/20552076241301963 VL - 10 PB - Sage ER - TY - JOUR A1 - Deuter, Daniel A1 - Haj, Amer A1 - Brawanski, Alexander A1 - Krenkel, Lars A1 - Schmidt, Nils Ole A1 - Doenitz, Christian T1 - Fast simulation of hemodynamics in intracranial aneurysms for clinical use JF - Acta Neurochirurgica N2 - BACKGROUND: A widely accepted tool to assess hemodynamics, one of the most important factors in aneurysm pathophysiology, is Computational Fluid Dynamics (CFD). As current workflows are still time consuming and difficult to operate, CFD is not yet a standard tool in the clinical setting. There it could provide valuable information on aneurysm treatment, especially regarding local risks of rupture, which might help to optimize the individualized strategy of neurosurgical dissection during microsurgical aneurysm clipping. METHOD: We established and validated a semi-automated workflow using 3D rotational angiographies of 24 intracranial aneurysms from patients having received aneurysm treatment at our centre. Reconstruction of vessel geometry and generation of volume meshes was performed using AMIRA 6.2.0 and ICEM 17.1. For solving ANSYS CFX was used. For validational checks, tests regarding the volumetric impact of smoothing operations, the impact of mesh sizes on the results (grid convergence), geometric mesh quality and time tests for the time needed to perform the workflow were conducted in subgroups. RESULTS: Most of the steps of the workflow were performed directly on the 3D images requiring no programming experience. The workflow led to final CFD results in a mean time of 22 min 51.4 s (95%-CI 20 min 51.562 s-24 min 51.238 s, n = 5). Volume of the geometries after pre-processing was in mean 4.46% higher than before in the analysed subgroup (95%-CI 3.43-5.50%). Regarding mesh sizes, mean relative aberrations of 2.30% (95%-CI 1.51-3.09%) were found for surface meshes and between 1.40% (95%-CI 1.07-1.72%) and 2.61% (95%-CI 1.93-3.29%) for volume meshes. Acceptable geometric mesh quality of volume meshes was found. CONCLUSIONS: We developed a semi-automated workflow for aneurysm CFD to benefit from hemodynamic data in the clinical setting. The ease of handling opens the workflow to clinicians untrained in programming. As previous studies have found that the distribution of hemodynamic parameters correlates with thin-walled aneurysm areas susceptible to rupture, these data might be beneficial for the operating neurosurgeon during aneurysm surgery, even in acute cases. Y1 - 2025 U6 - https://doi.org/10.1007/s00701-025-06469-9 VL - 167 PB - Springer ER - TY - CHAP A1 - Zürner, Christian ED - Heese, Carl ED - Schütz, Sandra ED - Obergrießer, Stefanie T1 - Was macht die Kunst mit der Welt? T2 - Die Nachhaltigkeitsziele der UN im Spiegel der Wissenschaft : Beispiele aus der Sozial- und Gesundheitsforschung N2 - Der Beitrag bestimmt die Kunst als eine spezifische, feierliche Praxis des Kommunizierens mit der Welt, nicht über die Welt. Dies wird zunächst anhand ihrer Präsenz bei Festen und Feiern, dann auch anhand ihrer autonomen öffentlichen und privaten Vollzugsformen aufgezeigt. Solche Kommunikation mit der Welt hat existenzielle Bedeutung für Menschen und lässt sich daher mit der etablierten Vorstellung einer spielerischen Zweckfreiheit des Ästhetischen nicht erfassen. Kunst ist vielmehr eine Praxis existenziellen ästhetischen Sorgens um das menschliche Dasein in der Welt. In dieser Eigenschaft trifft sie sich mit den ebenfalls von einem existenziellen Sorgen um dieses Dasein motivierten Nachhaltigkeitszielen der Vereinten Nationen, in deren Rahmen sie durch ihren spezifischen Weltbezug eine bildungsbedeutsame Funktion entfalten kann. Die folgenden Ausführungen fassen die in meiner Monographie Ästhetisches Sorgen (Zürner, C. (2020). Ästhetisches Sorgen. Eine Theorie der Kunst. Bielefeld: transcript.) dargelegte Kunsttheorie zusammen und perspektivieren sie im Hinblick auf das Thema dieses Sammelbandes. KW - Ästhetik KW - Existenz KW - Kunst und Leben KW - Kunsttheorie Y1 - 2025 SN - 978-3-658-43333-8 U6 - https://doi.org/10.1007/978-3-658-43334-5_23 SN - 2731-8834 SP - 413 EP - 428 PB - Springer VS CY - Wiesbaden ER - TY - CHAP A1 - Richter, Stefanie ED - Heese, Carl ED - Schütz, Sandra ED - Obergrießer, Stefanie T1 - Herausforderungen für Wissenschaft und Forschung im Kontext von nachhaltiger Entwicklung. Ein Essay mit gesundheitswissenschaftlichem Fokus T2 - Die Nachhaltigkeitsziele der UN im Spiegel der Wissenschaft : Beispiele aus der Sozial- und Gesundheitsforschung N2 - In der Agenda 2030 wird dem Zusammenspiel von Technologie, Innovation und Wissenschaft eine zentrale Bedeutung zur nachhaltigen Entwicklung beigemessen. Wissenschaft und Forschung werden neben Politik, Gesellschaft und Wirtschaft als Co-Akteure zur Lösung komplexer gesellschaftlicher und globaler Herausforderungen betrachtet. Ausgehend von den Entwicklungslinien der UN-Debatte und den darin zutage tretenden Erwartungen an Wissenschaft und Forschung setzt sich der Artikel kritisch mit dem Innovationsverständnis und den Anforderungen an Forschungs- und Entwicklungszusammenhänge unter besonderer Berücksichtigung von Transdisziplinarität und Gesundheitsforschung auseinander. KW - Gesundheitsforschung KW - Innovationen KW - Nachhaltige Entwicklung KW - Transdisziplinarität Y1 - 2025 SN - 978-3-658-43333-8 U6 - https://doi.org/10.1007/978-3-658-43334-5_19 SN - 2731-8834 SP - 337 EP - 354 PB - Springer VS CY - Wiesbaden ER - TY - CHAP A1 - Ortner, Martina ED - Kemal, Bozay ED - Borstel, Dierk T1 - Heimatliebe, Nationalstolz und Rassismus - Einzelmeinung oder Trend? BT - Extrem rechte politische Weltanschauungen von Migrant_innen (in München) T2 - Ungleichwertigkeitsideologien in der Einwanderungsgesellschaft N2 - Spricht hierzulande jemand von „Rechtsextremismus“ werden damit üblicherweise Einstellungsmuster und Verhaltensweisen von Deutschen assoziiert. Wenig Beachtung findet bislang, wie verbreitet entsprechende Einstellungen und Verhaltensweisen bei Migrant_innen sind und ob das Beobachtete mit der Zuschreibung „Rechtsextremismus“ treffend benannt ist. Die Fachinformationsstelle Rechtsextremismus in München (firm) wollte einen Beitrag zur Klärung liefern und führte von 2009 bis 2013 ein Projekt dazu durch. Y1 - 2017 SN - 978-3-658-14245-2 U6 - https://doi.org/10.1007/978-3-658-14245-2_15 SP - 235 EP - 259 PB - Springer ET - 1. Aufl. ER - TY - CHAP A1 - Rütten, Markus A1 - Krenkel, Lars A1 - Quadrio, Maurizio T1 - Simulation and Analyis of the Unsteady Flow within Nasal Airways T2 - 9th European Congress on Computational Methods in Applied Sciences and Engineering - ECCOMAS Congress, 3-7 June 2024, Lisbon, Portugal Y1 - 2024 UR - https://re.public.polimi.it/handle/11311/1269952 ER - TY - JOUR A1 - Markov-Glazer, Alon A1 - Elbe, Anne-Marie A1 - Schliermann, Rainer T1 - From their eyes: Deaflympic athletes' and coaches' perspectives on mental training JF - Frontiers in sports and active living N2 - INTRODUCTION Sport psychology research has largely overlooked athletes with hearing impairments competing in Deaflympic sports, the designated elite sporting movement for this population. This study therefore explored Deaflympic athletes' and coaches' perspectives on mental training in the elite Deaf sports. METHODS A qualitative approach was used, involving six focus group interviews with 23 athletes (Mage = 33.09; 26.1% female) and four coaches from individual and team Deaf sports. Data were analyzed using reflexive thematic analysis. RESULTS Three themes emerged: sport psychology consultation, the influence of visual orientation on psychological skills and demands, and Deaf sport culture and communication. While participants expressed strong interest in sport psychology, engagement with professionals was limited by accessibility issues, lack of sign language-fluent consultants, and structural barriers. Deaf athletes reported adapting some techniques to match their visual-spatial orientation and both advantages and challenges of visual reliance in sports. Distinct communication dynamics between native signers and spoken-language users within Deaf teams were also revealed. DISCUSSION These findings highlight the importance of culturally sensitive sport psychology frameworks that support the needs and preferences of Deaflympic athletes and promote equitable access to effective mental training resources. Y1 - 2025 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:898-opus4-84183 N1 - Corresponding author der OTH Regensburg: Alon Markov-Glazer VL - 7 PB - Frontiers ER - TY - GEN A1 - Saffert, Anne-Sophie A1 - Melzner, Maximilian A1 - Dendorfer, Sebastian T1 - Biomechanical Analysis of the Right Elevated Glenohumeral Joint in Violinists during Legato-Playing T2 - Biomdlore 2021: 21-23 October 2021 Vilnius/Trakai, Lithuania N2 - BACKGROUND: Many statistics reveal that violin players suffer most often from musculoskeletal disorders compared to musicians of other instrument groups. A common phenomenon, especially observed in violin beginners, is the tendency to elevate the right shoulder during playing the violin. This can probably lead to serious disorders in long-term practice with repetitive movements. OBJECTIVE: For this reason, this study investigated the relationship between the right shoulder elevation and the force in the right glenohumeral joint during violin playing. It was hypothesized that the forces in the right glenohumeral joint are higher during playing with the right shoulder raised compared to playing in normal posture. METHODS: Motion capture data from four experienced violinists was recorded and processed by means of musculoskeletal simulation to get the force and elevation angle while playing with raised shoulder and in normal position. RESULTS: The results indicate that the absolute values of the resulting force, as well as the forces in the mediolateral, inferosuperior, and anteroposterior directions, are higher in playing the violin with the shoulder raised than in a normal posture. CONCLUSIONS: Elevating the right shoulder while playing the violin may pose a potential problem. Y1 - 2021 U6 - https://doi.org/10.3233/THC-219001 N1 - Veröffentlicht in: Technology and Health Care, vol. 30, no. 1 (Selected Papers From the 13th International Conference BIOMDLORE 2021), pp. 177-186, 2022 ER - TY - JOUR A1 - Kheiroddin, Parastoo A1 - Schöberl, Patricia A1 - Althammer, Michael A1 - Cibali, Ezgi A1 - Würfel, Thea A1 - Wein, Hannah A1 - Kulawik, Birgit A1 - Buntrock-Döpke, Heike A1 - Weigl, Eva A1 - Gran, Silvia A1 - Gründl, Magdalena A1 - Langguth, Jana A1 - Lampl, Benedikt A1 - Judex, Guido A1 - Niggel, Jakob A1 - Pagel, Philipp A1 - Schratzenstaller, Thomas A1 - Schneider-Brachert, Wulf A1 - Gastiger, Susanne A1 - Bodenschatz, Mona A1 - Konrad, Maike A1 - Levchuk, Artem A1 - Roth, Cornelius A1 - Schöner, David A1 - Schneebauer, Florian A1 - Rohrmanstorfer, René A1 - Burkovski, Andreas A1 - Ambrosch, Andreas A1 - Wagner, Thomas A1 - Kabesch, Michael ED - Buonsenso, Danilo T1 - Results of WICOVIR Gargle Pool PCR Testing in German Schools Based on the First 100,000 Tests JF - Frontiers in Pediatrics N2 - Background: Opening schools and keeping children safe from SARS-CoV-2 infections at the same time is urgently needed to protect children from direct and indirect consequences of the COVID-19 pandemic. To achieve this goal, a safe, efficient, and cost-effective SARS-CoV-2 testing system for schools in addition to standard hygiene measures is necessary. Methods: We implemented the screening WICOVIR concept for schools in the southeast of Germany, which is based on gargling at home, pooling of samples in schools, and assessment of SARS-CoV-2 by pool rRT-PCR, performed decentralized in numerous participating laboratories. Depooling was performed if pools were positive, and results were transmitted with software specifically developed for the project within a day. Here, we report the results after the first 13 weeks in the project. Findings: We developed and implemented the proof-of-concept test system within a pilot phase of 7 weeks based on almost 17,000 participants. After 6 weeks in the main phase of the project, we performed >100,000 tests in total, analyzed in 7,896 pools, identifying 19 cases in >100 participating schools. On average, positive children showed an individual CT value of 31 when identified in the pools. Up to 30 samples were pooled (mean 13) in general, based on school classes and attached school staff. All three participating laboratories detected positive samples reliably with their previously established rRT-PCR standard protocols. When self-administered antigen tests were performed concomitantly in positive cases, only one of these eight tests was positive, and when antigen tests performed after positive pool rRT-PCR results were already known were included, 3 out of 11 truly positive tests were also identified by antigen testing. After 3 weeks of repetitive WICOVIR testing twice weekly, the detection rate of positive children in that cohort decreased significantly from 0.042 to 0.012 (p = 0.008). Interpretation: Repeated gargle pool rRT-PCR testing can be implemented quickly in schools. It is an effective, valid, and well-received test system for schools, superior to antigen tests in sensitivity, acceptance, and costs. KW - children KW - COVID-19 KW - Germany KW - PCR KW - pooling KW - gargle KW - schools KW - pandemic KW - Covid-19 KW - Polymerase-Kettenreaktion KW - Nachweis KW - Schulkind KW - Deutschland Y1 - 2021 U6 - https://doi.org/10.3389/fped.2021.721518 SN - 2296-2360 VL - 9 PB - frontiers ER - TY - JOUR A1 - Schedlbauer, Jürgen A1 - Raptis, Georgios A1 - Ludwig, Bernd T1 - Medical informatics labor market analysis using web crawling, web scraping, and text mining JF - International Journal of Medical Informatics N2 - 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. KW - Medical informatics KW - Graduate employability KW - Text mining KW - Competence-based education KW - Soft skills Y1 - 2021 U6 - https://doi.org/10.1016/j.ijmedinf.2021.104453 SN - 1386-5056 VL - 150 IS - June PB - Elsevier ER - TY - CHAP A1 - Schneider, Diana A1 - Sonar, Arne A1 - Weber, Karsten T1 - Zwischen Automatisierung und ethischem Anspruch – Disruptive Effekte des KI-Einsatzes in und auf Professionen der Gesundheitsversorgung T2 - Künstliche Intelligenz im Gesundheitswesen N2 - Künstliche Intelligenz (KI) und algorithmische Systeme der Entscheidungsfindung entwickeln sich rapide zu wichtigen neuen Technologien in unserem täglichen Leben und es kann kaum Zweifel geben, dass sie einen großen Einfluss auf die Gesellschaft haben – auch in Professionen der Gesundheitsversorgung. Aufgrund ihrer Wirkkraft auf vorhandene ökonomische und organisatorische Strukturen werden diesen Technologien gleichzeitig disruptive Effekte auf ihre jeweiligen Anwendungsdomänen zugesprochen. Im vorliegenden Beitrag wird an den Beispielen der klinischen Medizin sowie der Einzelfallhilfe der Sozialen Arbeit dargelegt, in welcher Weise KI professionelle Praxen in der Gesundheitsversorgung verändert, welche Konsequenzen daraus für die Professionen erwachsen und welche Handlungsaufforderungen sich für die jeweiligen Professionen ergeben. Y1 - 2022 U6 - https://doi.org/10.1007/978-3-658-33597-7_14 SP - 325 EP - 348 PB - Springer CY - Wiesbaden ER - TY - JOUR A1 - Dillinger, Andrea Elisabeth A1 - Weber, Gregor R. A1 - Mayer, Matthias A1 - Schneider, Magdalena A1 - Göppner, Corinna A1 - Ohlmann, Andreas A1 - Shamonin (Chamonine), Mikhail A1 - Monkman, Gareth J. A1 - Fuchshofer, Rudolf A1 - Keller, Kate A1 - Lozano, Diana C. A1 - Clark, Abbot T1 - CCN2/CTGF-A Modulator of the Optic Nerve Head Astrocyte JF - Frontiers in cell and developmental biology (Front Cell Dev Biol.) N2 - In primary open-angle glaucoma (POAG), a neurodegenerative disease of the optic nerve (ON) and leading cause of blindness, the optic nerve head (ONH) undergoes marked structural extracellular matrix (ECM) changes, which contribute to its permanent deformation and to degeneration of ON axons. The remodeling process of the ECM causes changes in the biomechanical properties of the ONH and the peripapillary sclera, which is accompanied by an increased reactivity of the resident astrocytes. The molecular factors involved in the remodeling process belong to the Transforming growth factor (TGF)-β superfamily, especially TGF-β2. In previous publications we showed that TGF-β2 induced ECM alterations are mediated by Cellular Communication Network Factor (CCN)2/Connective Tissue Growth Factor (CTGF) and recently we showed that CCN2/CTGF is expressed by astrocytes of the ON under normal conditions. In this study we wanted to get a better understanding of the function of CCN2/CTGF under normal and pathologic conditions. To this end, we analyzed the glial lamina and peripapillary sclera of CCN2/CTGF overexpressing mice and studied the effect of CCN2/CTGF and increasing substratum stiffness on murine ON astrocytes in vitro. We observed enhanced astrocyte reactivity in the ONH, increased ECM protein synthesis in the peripapillary sclera and increased Ccn2/Ctgf expression in the ONH during the pathologic development in situ. CCN2/CTGF treatment of primary murine ON astrocytes induced a higher migration rate, and increase of ECM proteins including fibronectin, elastin and collagen type III. Furthermore, the astrocytes responded to stiffer substratum with increased glial fibrillary acidic protein, vimentin, actin and CCN2/CTGF synthesis. Finally, we observed the reinforced appearance of CCN2/CTGF in the lamina cribrosa of glaucomatous patients. We conclude that reactive changes in ONH astrocytes, induced by the altered biomechanical characteristics of the region, give rise to a self-amplifying process that includes increased TGF-β2/CCN2/CTGF signaling and leads to the synthesis of ECM molecules and cytoskeleton proteins, a process that in turn augments the stiffness at the ONH. Such a scenario may finally result in a vicious circle in the pathogenesis of POAG. The transgenic CTGF-overexpressing mouse model might be an optimal model to study the chronic pathological POAG changes in the ONH. KW - astrocytes KW - extracellar matrix KW - glaucoma KW - glial lamina KW - growth factors KW - optic nerve KW - stiffness Y1 - 2022 U6 - https://doi.org/10.3389/fcell.2022.864433 VL - 10 PB - frontiers ER - TY - GEN A1 - Weber, Karsten A1 - Sonar, Arne A1 - Gerhards, Helene A1 - Bittner, Uta A1 - Krug, Henriette A1 - Reuter-Oppermann, Melanie A1 - Pumplun, Luisa A1 - Müller, Helene A1 - Buxmann, Peter A1 - Schneider, Diana A1 - Zoglauer, Thomas ED - Sonar, Arne ED - Weber, Karsten T1 - Künstliche Intelligenz und Gesundheit BT - Ethische, philosophische und sozialwissenschaftliche Explorationen N2 - Der Einsatz von künstlicher Intelligenz im Gesundheitsbereich verspricht besonders großen Nutzen durch eine bessere Versorgung sowie effizientere Abläufe und bietet damit letztlich auch ökonomische Vorteile. Dem stehen unter anderem Befürchtungen entgegen, dass sich durch den Einsatz von künstlicher Intelligenz das Arzt-Patienten-Verhältnis verändern könnte, Arbeitsplätze gefährdet seien oder die Ökonomisierung des Gesundheitswesens einen weiteren Schub erfahren könnte. Zuweilen wird die Debatte um diese Technologie, zumal in der Öffentlichkeit, emotional und fern sachlicher Argumente geführt. Die Autorinnen und Autoren untersuchen die Geschichte des KI-Einsatzes in der Medizin, deren öffentliche Wahrnehmung, Governance der KI, die Möglichkeiten und Grenzen der Technik sowie Einsatzgebiete, die bisher noch nicht oder nur wenig im Fokus der Aufmerksamkeit waren. Dabei erweist sich die KI als leistungsfähiges Werkzeug, das zahlreiche ethische und soziale Fragen aufwirft, die bei der Einführung anderer Technologien bereits gestellt wurden; allerdings gibt es auch neue Herausforderungen, denen sich Professionen, Politik und Gesellschaft stellen müssen. KW - Ethik KW - Künstliche Intelligenz KW - Gesundheit KW - Technikfolgenabschätzung Y1 - 2022 SN - 978-3-515-12977-0 U6 - https://doi.org/10.25162/9783515129770 PB - Franz Steiner CY - Stuttgart ER - TY - GEN A1 - Schliermann, Rainer A1 - Saad, Amr Mohamed Roushdy ED - Ohlert, Jeannine ED - Kleinert, Jens T1 - Evaluation einer von Trainern durchgeführten psychologischen Intervention am Beispiel der Sportart Rollstuhlbasketball T2 - Sport vereinT : Psychologie und Bewegung in Gesellschaft ; 43. Jahrestagung der Arbeitsgemeinschaft für Sportpsychologie (asp) vom 2.-4. Juni 2011 in Köln ; Abstractband KW - Vereinssport KW - Sportpsychologie Y1 - 2011 SN - 978-3-88020-566-6 SN - 3880205663 PB - Feldhaus, Edition Czwalina CY - Hamburg ER - TY - JOUR A1 - Scheidt-Nave, Christa A1 - Richter, Stefanie A1 - Fuchs, Judith A1 - Kuhlmey, Adelheid T1 - Herausforderungen an die Gesundheitsforschung für eine alternde Gesellschaft am Beispiel "Multimorbidität" JF - Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz N2 - Indem ein wachsender Anteil der Bevölkerung ein hohes Alter erreicht, ändern sich Krankheitsspektrum und Versorgungsbedarf. Besondere Herausforderungen für das Gesundheitssystem ergeben sich durch Mehrfacherkrankung (Multimorbidität) älterer Menschen. Im Gegensatz zu krankheitsspezifischen Endpunkten treten Funktion im Alltag und subjektive Ergebnisdimensionen wie selbstbestimmte Lebensführung (Autonomie), soziale Teilhabe und Lebensqualität als Präventions- und Behandlungsziel in den Vordergrund. Die Gesundheitsforschung hat die Aufgabe, auf die Bedürfnisse spezifischer Zielgruppen alter Menschen abgestimmte Präventions- und Versorgungsmodelle zu entwickeln. Entscheidend dabei ist die Stärkung von personalen, sozialen und organisatorischen Ressourcen. Voraussetzung hierfür sind genaue Kenntnisse zur Entwicklung und zum Verlauf des Krankheitsgeschehens und zu zentralen Einflussfaktoren auf der Grundlage epidemiologischer Beobachtungsstudien. Gezielte Maßnahmen sind in Interventions- und Evaluationsstudien auf Wirksamkeit, Wirkung und Wirtschaftlichkeit zu überprüfen. Der vom Bundesministerium für Bildung und Forschung (BMBF) initiierte Förderungsschwerpunkt „Gesundheit im Alter“ fördert insgesamt sechs Forschungsverbünde zum Thema Multimorbidität, die hier kurz vorgestellt werden. T2 - Challenges to health research for aging populations using the example of "multimorbidity" KW - Aging KW - Altern KW - Bevölkerung KW - Frailty KW - Gebrechlichkeit KW - Health care service research KW - Multimorbidität KW - Multimorbidity KW - Population KW - Versorgungsforschung Y1 - 2010 U6 - https://doi.org/10.1007/s00103-010-1052-9 SN - 1437-1588 SN - 1436-9990 VL - 53 IS - 5 SP - 441 EP - 450 PB - Springer ER - TY - JOUR A1 - Scheidt-Nave, Christa A1 - Richter, Stefanie A1 - Fuchs, Judith A1 - Kuhlmey, Adelheid T1 - Challenges to health research for aging populations using the example of "multimorbidity" JF - Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz N2 - Patterns of morbidity and health care needs are changing as the proportion of the population reaching old age increases. A particular challenge to the health care system results from coexisting health problems (multimorbidity) among the elderly. Regarding prevention and treatment goals, the focus needs to shift from disease-specific outcomes to function in daily life and subjective outcome dimensions, such as self-determination (autonomy), social participation, and quality of life. Health research faces the task of developing prevention and health care models adapted to the needs of specific subgroups of older people. Strengthening personal, social, and organizational resources is crucial. This requires precise knowledge about the development, course, and main determinants of disease processes based on observational epidemiological studies. Strategies need to be tested in intervention and evaluation studies with respect to efficacy, effectiveness, and efficiency. A targeted research funding program “Health in older age” was initiated by the Federal Ministry of Education and Research and is currently funding six multimorbidity research consortia, which are briefly presented here. KW - Versorgungsforschung KW - Bevölkerung KW - Altern KW - Gebrechlichkeit KW - Multimorbidität KW - Frailty KW - Multimorbidity KW - Health care services research KW - Population KW - Aging Y1 - 2010 U6 - https://doi.org/10.1007/s00103-010-1052-9 VL - 53 IS - 5 SP - 441 EP - 450 ER - TY - GEN A1 - Attenberger, Eva A1 - Conrad, Jacob A1 - Freis, Annabella A1 - Kappelmeier, Judith A1 - Strauch, Felix A1 - Pfingsten, Andrea A1 - Schedel, Valentin T1 - Die Interrater-Reliabilität von Berufsanfänger*innen bei der Bewertung von Patient*innen mit Knieproblemen beim Sit-to-Stand T2 - physioscience N2 - Hintergrund: In der Physiotherapie existieren zahlreiche Assessments zur Befunderhebung der unteren Extremität bei Kniepatient*innen. Damit können praktizierende Physiotherapeut*innen das Problem der Patient*innen genauer erfassen und dementsprechend die Behandlung aufbauen. Das Ergebnis der Beurteilung einer Patient#ast#in hängt oftmals stark von den Bewertenden ab. Fragestellung: Deshalb überprüft die Studie die Hypothese, ob innerhalb einer Tester*innengruppe mehr gleiche Ausgleichsbewegung bei der Befundung des Sit-to-Stand (STS) anhand von Videomaterial erkannt werden, als es der Standard erwarten würde. Methode: In dieser beobachtenden klinischen Querschnittsstudie wurde die Vergleichbarkeit der Befundergebnisse von 4 Therapeut*innen zum abgewandelten STS untersucht. Die zu beurteilenden Proband*innen wurden während der Durchführung des abgewandelten STS standardisiert in der Frontal- und Sagittalebene gefilmt und mittels eines Fragebogens von Berufsanfänger*innen der Physiotherapie beurteilt. Bei dem erstellten Fragebogen handelte es sich um eine systematische Abfrage aller möglichen Bewegungen der großen Gelenke der unteren Extremität mit dichotomen Antwortmöglichkeiten. Eingeschlossen wurden Proband*innen mit oder ohne diagnostizierten Knieproblemen, die älter als 18 Jahre und deutschsprachig sind. Proband*innen mit einschränkenden Nebenerkrankungen wie z.B. neurologische Erkrankungen und Operationen in den letzten 6 Monaten wurden ausgeschlossen. Anschließend wurden die Antworten der Therapeut*innen auf die Übereinstimmung der Ergebnisse überprüft. Ergebnisse: Die vollständigen Ergebnisse werden auf dem Poster nachgereicht. Die Interrater-Reliabilität wird mit Hilfe des Fleiss’ Kappa bestimmt. Voraussichtlich werden 25 Proband*innen in die Studie eingeschlossen. Schlussfolgerung: Mittels der Ergebnisse soll auf die Interrater-Reliabilität von Bewegungsbefunden des abgewandelten STS bei Kniepatient*innen geschlossen werden KW - Kniegelenk KW - Beobachtung KW - Reliabilität KW - Berufsanfänger KW - Physiotherapie KW - Inter-Rater-Reliabilität KW - Sit-to-Stand Y1 - 2023 U6 - https://doi.org/10.1055/s-00000128 VL - 20 SP - S20 (P28) PB - Thieme ER - TY - JOUR A1 - Huszák, Loretta A1 - Kauppinen, Antti A1 - Saßmannshausen, Sean Patrick A1 - Sobolieva, Tetiana A1 - Steger, Thomas ED - Huszák, Loretta ED - Kauppinen, Antti ED - Saßmannshausen, Sean Patrick ED - Sobolieva, Tetiana ED - Steger, Thomas T1 - Entrepreneurship Education in the Danube Region JF - JEEMS - Journal of East European Management Studies, Special Issue 2024: Entrepreneurship Education in Central and East Europe N2 - Resources for entrepreneurship education are not evenly distributed around the world, and territorial cooperation is often necessary. This is particularly true for the Eastern European region and especially for the Danube region. Entrepreneurship research (including entrepreneurship education) has a long tradition in Western countries but catching up and integration into international networks poses a challenge, especially for Eastern countries. The aim of this special issue is to contribute to the development of this international cooperation by presenting research and best practices in entrepreneurship education in Central and Eastern Europe. The special issue is part of the Danube Cup initiative, which combines entrepreneurship teaching and research to provide opportunities for entrepreneurship educators to benchmark best educational practices and develop inspiring research results in the field of entrepreneurship education. KW - Entrepreneurship KW - Entrepreneurship Education KW - Entrepreneurship Research Y1 - 2025 SN - 9783748949602 U6 - https://doi.org/10.5771/9783748949602-7 SP - 7 EP - 14 PB - Nomos ER - TY - CHAP A1 - Schildbach, Ina ED - Heese, Carl ED - Schütz, Sandra ED - Obergrießer, Stefanie T1 - Klimapolitik als neuer Grund für verschärfte globale Armut und Ungleichheiten? – Immanente Zielkonflikte der Agenda 2030 T2 - Die Nachhaltigkeitsziele der UN im Spiegel der Wissenschaft : Beispiele aus der Sozial- und Gesundheitsforschung - [SDG - Forschung, Konzepte, Lösungsansätze zur Nachhaltigkeit] N2 - Mit der 2015 verabschiedeten sogenannten Agenda 2030 haben sich die 193 Mitglieder der Vereinten Nationen auf 17 globale Ziele verpflichtet, die der Öffentlichkeit unter dem Schlagwort UN-Nachhaltigkeitsziele bekannt sind. Dabei wird im öffentlichen Diskurs kaum registriert, dass die Ziele durchaus in Konflikt zueinander geraten können. So kann die Bekämpfung des Klimawandels zu neuer Armut und Ungleichheit führen. Der Beitrag beleuchtet diese Zusammenhänge, indem mehrere Ebenen der Widersprüchlichkeit herausgearbeitet werden. KW - Agenda 2030 KW - Armut KW - Klimapolitik KW - Ungleichheit KW - UN-Nachhaltigkeitsziele Y1 - 2025 SN - 978-3-658-43333-8 U6 - https://doi.org/10.1007/978-3-658-43334-5_2 SN - 2731-8834 SP - 13 EP - 29 PB - Springer VS CY - Wiesbaden ER - TY - CHAP A1 - Rudolph, Clarissa ED - Heese, Carl ED - Schütz, Sandra ED - Obergrießer, Stefanie T1 - „…dieser verbissene und humorlose Hühnerhaufen…“ - Sexismus und Antifeminismus in der Politik T2 - Die Nachhaltigkeitsziele der UN im Spiegel der Wissenschaft : Beispiele aus der Sozial- und Gesundheitsforschung N2 - Das Versprechen der Demokratie – die gleichberechtigte Partizipation aller – scheint in Bezug auf Geschlecht umgesetzt zu sein, zumindest im Hinblick auf das Wahlrecht. Trotzdem sind Frauen seltener in deutschen Parlamenten vertreten und Politikerinnen sind zudem vielfältigen Anfeindungen und Herabwürdigungen aufgrund ihres Geschlechts ausgesetzt. Der in diesem Beitrag analysierte Sexismus und Antifeminismus verdeutlicht, wie relevant das UN-Nachhaltigkeitsziel der Bekämpfung von Sexismus und der Durchsetzung der Geschlechtergleichstellung auch in Deutschland noch ist. KW - Antifeminismus KW - Demokratisierung KW - Geschlechtergerechtigkeit KW - Partizipation KW - Sexismus Y1 - 2025 SN - 978-3-658-43333-8 U6 - https://doi.org/10.1007/978-3-658-43334-5_3 SN - 2731-8834 SP - 31 EP - 51 PB - Springer VS CY - Wiesbaden ER - TY - CHAP A1 - Klemperer, David A1 - Kuhn, Joseph A1 - Robra, Bernt-Peter T1 - Pandemiemanagement durch nicht-pharmakologische Interventionen in der COVID-19-Pandemie T2 - Leitbegriffe der Gesundheitsförderung und Prävention: Glossar zu Konzepten, Strategien und Methoden N2 - Nicht-pharmakologische Interventionen (NPIs) sind Public Health-Interventionen ohne Einsatz von Medikamenten oder Impfstoffen mit dem Ziel, die Ausbreitung eines Krankheitserregers zu reduzieren. Im Zusammenhang mit der SARS-CoV-2-Pandemie wurden vor allem Maßnahmen ergriffen, um übertragungsrelevante Kontakte zu reduzieren oder sicherer zu machen. Die Wirksamkeit einzelner Maßnahmen auf Bevölkerungsebene ist schwer zu beurteilen, die von Maßnahmenbündeln kann als gesichert gelten. Die rechtlichen Grundlagen für die grundrechtseinschränkenden Maßnahmen erscheinen noch nicht gesichert. KW - COVID-19 KW - SARS-CoV-2 KW - Coronavirus KW - Pandemiemanagement KW - Nicht-pharmakologische Maßnahmen Y1 - 2023 U6 - https://doi.org/10.17623/BZGA:Q4-LBPGF-23 ER - TY - CHAP A1 - Schöpf, Nicolas A1 - Hildner, Sonja A1 - Lieb, Veronika ED - Heese, Carl ED - Schütz, Sandra ED - Obergrießer, Stefanie T1 - Lebensweltbezug und Hilfe zur Selbsthilfe bei Langzeitarbeitslosigkeit: Ein Beitrag zu nachhaltiger Reintegration in Beschäftigung? T2 - Die Nachhaltigkeitsziele der UN im Spiegel der Wissenschaft : Beispiele aus der Sozial- und Gesundheitsforschung N2 - Die Reintegration in Erwerbstätigkeit wird bei langzeitarbeitslosen Personen dann zur Herausforderung, wenn individuelle multiple Problemlagen aus physischen und psychischen Krankheiten, mangelnder sozialer Teilhabe, Schwierigkeiten in der Bewältigung des Alltags und geringen (beruflichen) Kompetenzen vorliegen. Konventionelle Konzepte der Arbeitsmarktdienstleistung, insbesondere auch das Beschäftigungsorientierte Fallmanagement der Jobcenter, sind hier mitunter auch deshalb überfordert, weil zeitliche und materielle Ressourcen für eine angemessene Betreuung nicht ausreichen und das Prinzip der Beschäftigungsorientierung eine niedrigschwellige, ggf. auch aufsuchende sozialpädagogische Unterstützung nicht erlaubt. Der Beitrag beschäftigt sich vor diesem Hintergrund mit den Möglichkeiten, die ein lebensweltbezogenes Fallmanagement für eine nachhaltige berufliche Reintegration eröffnen könnte. Dabei geht es um die Fragen, was Lebensweltorientierung im Bereich der Arbeitsmarktdienstleistung bedeuten kann, welchen Beitrag sie zu einer nachhaltigen Verbesserung sozialer und beruflicher Teilhabe leisten und wie Nachhaltigkeit in diesem Zusammenhang verstanden werden kann. KW - Arbeitsmarktintegration KW - Bürgergeld KW - Health Literacy KW - Langzeitarbeitslosigkeit KW - Lebenswelt KW - Nachhaltigkeit KW - Selbsthilfe Y1 - 2025 SN - 978-3-658-43333-8 U6 - https://doi.org/10.1007/978-3-658-43334-5_6 SN - 2731-8834 SP - 89 EP - 106 PB - Springer VS CY - Wiesbaden ER - TY - CHAP A1 - Krenkel, Lars A1 - Wagner, Claus A1 - Wolf, Ursula A1 - Scholz, Alexander-Wigbert K. A1 - Terekhov, Maxim A1 - Rivoire, Julien A1 - Schreiber, W. ED - Hirschel, Ernst Heinrich ED - Schröder, Wolfgang ED - Fujii, Kozo ED - Haase, Werner ED - Leer, Bram ED - Leschziner, Michael A. ED - Pandolfi, Maurizio ED - Periaux, Jacques ED - Rizzi, Arthur ED - Roux, Bernard ED - Shokin, Yurii I. ED - Dillmann, Andreas ED - Heller, Gerd ED - Klaas, Michael ED - Kreplin, Hans-Peter ED - Nitsche, Wolfgang T1 - Protective Artificial Lung Ventilation: Impact of an Endotracheal Tube on the Flow in a Generic Trachea T2 - New Results in Numerical and Experimental Fluid Mechanics VII : Contributions to the 16th STAB/DGLR Symposium Aachen, Germany 2008 N2 - Computational Fluid Dynamics (CFD) and experimental investigations on a generic model of the trachea have been carried out focusing on the impact of an endotracheal tube (ETT) on the resulting flow regime. It could be shown that detailed modelling of the airway management devices is essential for proper flow prediction, but secondary details as Murphy Eyes can be neglected. Models with bending and connector promote the formation of stronger secondary flows and disturbances which persist for a longer time. KW - computational fluid dynamics KW - Computational Fluid Dynamics Simulation KW - Endotracheal Tube KW - Particle Image Velocimetry KW - Turbulent Kinetic Energy Y1 - 2010 SN - 978-3-642-14242-0 U6 - https://doi.org/10.1007/978-3-642-14243-7_62 SP - 505 EP - 512 PB - Springer Berlin Heidelberg CY - Berlin, Heidelberg ER - TY - CHAP A1 - Altenbuchner, Amelie A1 - Haug, Sonja A1 - Weber, Karsten ED - Hayn, Dieter ED - Eggerth, A. ED - Schreier, Günter T1 - Exploratory Analysis of Motion Tracking Data in the Rehabilitation Process of Geriatric Trauma Patients T2 - Studies in Health Technology and Informatic. Volume 260: dHealth 2019 - From eHealth to dHealth N2 - Background: This article is based on an ongoing long-term study, in which customary motion trackers measure steps during rehabilitation of geriatric trauma patients (Med=86 years). Objectives: Exploring steps after 28 days of measurement. Finding similarities in the data by running cluster analysis and formulating linear regressions models to predict steps through time. Methods: Two types of motion trackers (FitBitAlta HR and Garmin vívofit 3) have been used to measure patients' (N=24) steps after hip fracture in two study groups. Cluster analysis detected three clusters for progress in number of steps that were tested for group differences with ANOVA. Regression analysis tested models for individual patients. Results: Three-cluster solutions showed significant differences for the average amount of steps after 5, 14, 21 and 28 days. Regression models could predict 71 % of the individual patients' progress in study group 2. Conclusion: The long-term study will provide more data in the future to examine the three-cluster solution and to find out in what stage of rehabilitation the measurement of the steps could be used to predict individual rehabilitation. Y1 - 2019 U6 - https://doi.org/10.3233/978-1-61499-971-3-138 SP - 138 EP - 145 PB - IOS Press ER - TY - JOUR A1 - Schaeffer, Leon A1 - Herrmann, David A1 - Schratzenstaller, Thomas A1 - Dendorfer, Sebastian A1 - Böhm, Valter T1 - Theoretical considerations on stiffness characteristics of a 3-dimensional tensegrity joint model for the use in dynamic hand orthoses JF - Journal of Medical Robotics Research Y1 - 2025 U6 - https://doi.org/10.1142/S2424905X25400069 PB - World Scientific ER - TY - JOUR A1 - Maier, Eva A1 - Zentgraf, Jan A1 - Angele, Eveline A1 - Zorzin, José A1 - Taschner, Michael A1 - Widbiller, Matthias A1 - Galler, Kerstin A1 - Schratzenstaller, Thomas T1 - A re-usable 3D-printed training model for the endodontic management of dental trauma in immature teeth JF - International endodontic journal N2 - AIM: To develop a 3D-printed model enabling treatment simulation of trauma-related endodontic and restorative procedures like revitalization or placement of an apical plug on teeth with incomplete root formation. METHODOLOGY: To generate a realistic training model suitable for trauma-related simulations, CT-Data sets were segmented, combined, adjusted and optimized using computer-aided design features. Specific focus was on optimally reflecting characteristics of immature teeth like open apical foramina and thin root walls. For reflection of the revitalization process, a set-up including a tube filled with red liquid under pressure was developed to be perforated during the procedure by the trainee, simulating bleeding from the apical papilla into the root canal system. Design was based on a combination of cost-effective simple parts combined with 3D-printed components to achieve maximal accessibility, exchangeability and re-usability. Model assembly and preparation were described in step-by-step instructions. RESULTS: As a result of the developmental process, the presented model qualifies for the training of the endodontic management of complications on immature teeth after dental trauma. Step-by-step descriptions aligned with the clinical procedures are performable for a revitalization procedure, for pulpotomy followed by fragment re-attachment and splint application and for placement of an apical plug using hydraulic calcium silicate cements. CONCLUSIONS: The model successfully achieved its intended objectives, so that it may be used in the future in various dental trauma treatment simulations for undergraduate and postgraduate education on the endodontic management of trauma-related therapies in immature teeth. Its common manufacturing process, affordability and re-usability support accessibility and sustainability. Y1 - 2025 U6 - https://doi.org/10.1111/iej.14235 SN - 1365-2591 VL - 2025 PB - Wiley ER - TY - CHAP A1 - Ortner, Martina ED - Schöpf, Nicolas T1 - Didaktik und Lehre im berufsbegleitenden Studiengang Soziale Arbeit – ein Erfahrungsbericht T2 - Akademische Weiterbildung für Soziale Berufe: Theoretische, empirische und praktische Aspekte N2 - Der Erfahrungsbericht ist zugleich ein Ideenpool für experimentierfreudige Lehrende. Nach einer kurzen Beschreibung des Settings im berufsbegleitenden Studiengang werden ausgewählte Grundlagen der Didaktik skizziert und vor diesem Hintergrund drei Beispiele aus unterschiedlichen Semestern vorgestellt. Daran wird gezeigt, wie Lehre und Didaktik im Studiengang Soziale Arbeit den Bedürfnissen der berufsbegleitend Studierenden dialogorientiert angepasst und weiterentwickelt werden. Die Erkenntnisse werden abschließend in drei Kernaussagen gebündelt. Y1 - 2022 SN - 9783763966479 U6 - https://doi.org/10.3278/9783763966479 SP - 161 EP - 191 PB - wbv CY - Bielefeld ET - 1. Aufl. ER - TY - GEN A1 - Brandt, Hanna A1 - Steinhilber, Bernd A1 - Dendorfer, Sebastian A1 - Pfingsten, Andrea T1 - Exoskelettale Unterstützung in der Pflege - eine Untersuchung der Muskelaktivität, des Hüftflexionswinkels und des subjektiven Belastungsempfinden bei einem simulierten Transfer. T2 - Physioscience N2 - Die dargestellten Ergebnisse weisen darauf hin, dass das in der Studie verwendete passive rückenunterstützende Exoskelett die (wahrgenommene) körperliche Belastung beim dynamischen Transfer eines 45 kg schweren Dummys potenziell reduzieren kann und sich der maximale Hüftgelenksflexionswinkel mit Exo verkleinert. Dieses Ergebnis deckt sich mit bereits publizierten Studienergebnissen von Arbeitsaufgaben im Bereich des Hebens und Tragens von Gegenständen aus der Logistik Y1 - 2025 U6 - https://doi.org/10.1055/s-0045-1808226 VL - 21 IS - S 01 SP - S61 EP - S62 PB - Thieme ER - TY - JOUR A1 - Markov-Glazer, Alon A1 - Elbe, Anne-Marie A1 - Schliermann, Rainer T1 - The use of psychological skills in deaflympic sport JF - European Journal of Adapted Physical Activity N2 - This study explores the use of psychological skills among Deaflympic athletes and aims to provide initial insights into sport psychology practices in this overlooked population. To this end, the frequency of psychological skills’ usage, usage patterns, and differences between subgroups were examined within this population. The Test of Performance Strategies (TOPS) was administered to 84 German Deaflympic athletes (mean age = 28; 27% female) along with biographical questions (e.g., hearing status). The findings indicate that Deaflympic athletes regularly utilize psychological skills in training and competition, displaying similar usage to that of Olympic athletes. However, only a minority of Deaflympic athletes train their skills with professional consultants. Additionally, relaxation techniques were employed rarely in comparison to the other investigated skills. This study’s findings contribute to the foundation of sport psychology research with Deaflympic athletes and underscore the need for a differentiated approach in tailoring interventions for this population. KW - Deaf culture KW - Deaflympian KW - psychological skills training KW - TOPS Y1 - 2024 U6 - https://doi.org/10.5507/euj.2024.012 VL - 17 IS - 15 PB - European Federation of Adapted Physical Activity CY - Olomouc ER - TY - CHAP A1 - Heese, Carl A1 - Preger, Rudolf ED - Preger, Rudolf T1 - Die Konvergenz von neurologischer Rehabilitation und Pädagogik T2 - Alltag wieder lernen : Berichte vom 7. Symposium der Neurochirurgischen und Neurologischen Fachklinik Kipfenberg. - (Eichstätter sozialpädagogische Arbeiten ; 9) KW - *pubEx Y1 - 2002 SN - 978-3927728462 SP - 65 EP - 71 PB - BPB-Verl. diritto-Publikationen CY - Eichstätt ER - TY - CHAP A1 - Scheffler, Gabriele ED - Fthenakis, Wassilios E. ED - Textor, Martin R. T1 - Finanzielle Unterstützung für Alleinerziehende T2 - Knaurs Handbuch Familie : Alles was Eltern wissen müssen KW - *pubEx Y1 - 2004 SN - 978-3-426-66940-2 SP - 482 EP - 485 PB - Droemer Knaur CY - München ER - TY - CHAP A1 - Weber, Karsten ED - Neumaier, O. ED - Sedmak, Clemens ED - Zichy, M. T1 - Die andere Seite der Verteilungsgerechtigkeit T2 - Philosophische Perspektiven. Beiträge zum VII. Österreichischen Kongress für Philosophie Y1 - 2005 UR - https://www.researchgate.net/publication/263818730_Die_andere_Seite_der_Verteilungsgerechtigkeit PB - Ontos CY - Lancaster ER - TY - JOUR A1 - Schliermann, Rainer A1 - Klein, Petra A1 - Schulze, Annette T1 - Deaflympischer Sport – die unbekannte Sportbewegung JF - Leistungssport : Zeitschrift für die Fortbildung von Trainern, Übungsleitern und Sportlehrern N2 - Der deaflympische Sport (Syn.: Gehörlosensport) ist sowohl in der medialen als auch in der sportaktiven Öffentlichkeit weithin unbekannt. Der paralympische Behindertensport wird zunehmend stärker beachtet, der deaflympische hingegen insgesamt wenig. Im vorliegenden Beitrag wird deshalb ein Überblick gegeben. Es wird zunächst dessen geschichtliche Entwicklung näher beschrieben und verdeutlicht, dass der institutionalisierte Sport von Athleten mit Hörbeeinträchtigungen die längste Tradition im Behindertensport aufweist. Außerdem erfolgt eine Beschreibung der institutionellen Rahmenbedingungen dieser Sportbewegung. Dabei ist hervorzuheben, dass für die Belange des Leistungssports von Menschen mit Hörbeeinträchtigungen der Deutsche GehörlosenSportverband (DGS) und nicht der Deutsche Behindertensportverband (DBS) zuständig ist, da es sich beim deaflympischen Sport um eine historisch gewachsene, eigenständige Sportbewegung handelt. Die weiteren Ausführungen betreffen Aspekte zum Training und Wettkampf von Athleten mit Hörschädigungen. Um an Wettkämpfen im Gehörlosensport teilnehmen zu dürfen, muss ein Mindestmaß an Hörminderung vorliegen. Die Teilnahme an hochrangigen (internationalen) Wettkämpfen (z. B. Deaflympics) erfordert dann – wie im Spitzensport generell – ein systematisches und regelmäßiges Training. In Bezug auf Athleten mit Hörminderungen bedeutet dies insbesondere eine bestimmte Art der Kommunikation, des Vermittelns bzw. Erlernens (neuer) Bewegungen sowie die Beachtung etwaiger Einschränkungen der Gleichgewichtsfähigkeit. Auf diese Aspekte wird in diesem Übersichtsbeitrag ausführlich eingegangen. Es wird unter anderem verdeutlicht, dass „gehörlose“ Sportler häufig durchaus noch über ein Resthörvermögen verfügen. Außerdem erfordert das Training eine bestimmte Art der Kommunikation zwischen Trainer und Athlet, um effektiv im Sinne einer Leistungsentwicklung sein zu können. Schließlich gehen mit Höreinschränkungen häufig auch Defizite der Gleichgewichtsfähigkeit einher, die jedoch nicht a priori vorhanden sind und sich durch Training verbessern lassen. Im Resümee wird nochmals herausgestellt, weshalb Grundkenntnisse über den deaflympischen Sport nicht nur zur Leistungsentwicklung hörgeschädigter Spitzenathleten beitragen, sondern auch Trainern und Vereinen des Regelsportsystems des Deutschen Olympischen Sportbundes (DOSB) nützlich sein können. Y1 - 2016 UR - https://www.iat.uni-leipzig.de/datenbanken/iks/open_archive/ls/lsp16_04_39_44.pdf? SN - 0341-7387 VL - 46 IS - 4 SP - 39 EP - 44 PB - Philippka-Verlag CY - Münster ER - TY - JOUR A1 - Schliermann, Rainer A1 - Schulze, Annette A1 - Saad, Amr Mohamed Roushdy T1 - Inklusion im Leistungssport: Deaflympischer Sport in der Wahrnehmung von Funktionsträgern des Regelsport-Systems JF - Leipziger Sportwissenschaftliche Beiträge N2 - Inklusion von Spitzenathleten mit Hörbeeinträchtigungen im Leistungssport kann nur gelingen, wenn zentrale Funktionsträger des Regelsportsystems diesbezüglich eine positive Einstellung aufweisen. Auch ist ein ausreichender Kenntnisstand zum sogenannten deaflympischen Behindertensport (Syn.: Gehörlosensport) inklusive der speziellen Bedürfnisse und Besonderheiten von Spitzenathleten mit Höreinschränkungen unabdingbar. Die vorliegende explorative Studie analysiert den Wissensstand von Funktionsträgern des Deutschen Olympischen Sportbundes (DOSB) hinsichtlich dieser Aspekte. Im Ergebnis ist eine insgesamt lückenhafte Wissensgrundlage sowie positive Einstellung zur Inklusion zu konstatieren. N2 - The inclusion of peak performance athletes with hearing disabilities in competitive sports needs official of mainstream sports to possess positive attitudes towards people with disabilities. Further, they need to have sufficient knowledge about deaflympic sports (syn.: deaf sports) as well as the special needs and features of these athletes. This exploratory study analyses the knowledge base of officials of German Olympic Sports Association (DOSB) addressing the mentioned aspects. In summary, the official have fragmentary knowledge and positive attitudes about inclusion. (Autor) KW - Behindertenpädagogik KW - Behinderter KW - Behinderung KW - Deutscher Olympischer Sportbund KW - Entwicklungsstand KW - Explorative Studie KW - Fachwissen KW - Funktionär KW - Gehörlosigkeit KW - Heterogenität KW - Hörbehinderung KW - Inklusion KW - Integration KW - Leistungssport KW - Soziale Integration KW - Sport KW - Sportpädagogik KW - Sportsoziologie KW - Sportwissenschaft KW - Wettkampfsport KW - Wissen Y1 - 2018 UR - https://www.spowi.uni-leipzig.de/forschung/leipziger-sportwissenschaftliche-beitraege VL - 59 IS - 1 SP - 241 EP - 253 PB - Verlag Lehmanns Media ER - TY - JOUR A1 - Beyer, Thomas A1 - Weigert, Markus A1 - Quick, Harald H. A1 - Pietrzyk, Uwe A1 - Vogt, Florian A1 - Palm, Christoph A1 - Antoch, Gerald A1 - Müller, Stefan P. A1 - Bockisch, Andreas T1 - MR-based attenuation correction for torso-PET/MR imaging BT - pitfalls in mapping MR to CT data JF - European Journal of Nuclear Medicine and Molecular Imaging N2 - Purpose MR-based attenuation correction (AC) will become an integral part of combined PET/MR systems. Here, we propose a toolbox to validate MR-AC of clinical PET/MRI data sets. Methods Torso scans of ten patients were acquired on a combined PET/CT and on a 1.5-T MRI system. MR-based attenuation data were derived from the CT following MR–CT image co-registration and subsequent histogram matching. PET images were reconstructed after CT- (PET/CT) and MR-based AC (PET/MRI). Lesion-to-background (L/B) ratios were estimated on PET/CT and PET/MRI. Results MR–CT histogram matching leads to a mean voxel intensity difference in the CT- and MR-based attenuation images of 12% (max). Mean differences between PET/MRI and PET/CT were 19% (max). L/B ratios were similar except for the lung where local misregistration and intensity transformation leads to a biased PET/MRI. Conclusion Our toolbox can be used to study pitfalls in MR-AC. We found that co-registration accuracy and pixel value transformation determine the accuracy of PET/MRI. KW - PET/MRI KW - PET/CT KW - Attenuation correction KW - Kernspintomografie KW - Positronen-Emissions-Tomografie KW - Schwächung Y1 - 2008 U6 - https://doi.org/10.1007/s00259-008-0734-0 VL - 35 IS - 6 SP - 1142 EP - 1146 ER - TY - JOUR A1 - Hartmann, Robin A1 - Nieberle, Felix A1 - Palm, Christoph A1 - Brébant, Vanessa A1 - Prantl, Lukas A1 - Kuehle, Reinald A1 - Reichert, Torsten E. A1 - Taxis, Juergen A1 - Ettl, Tobias T1 - Utility of Smartphone-based Three-dimensional Surface Imaging for Digital Facial Anthropometry JF - JPRAS Open N2 - Background The utilization of three-dimensional (3D) surface imaging for facial anthropometry is a significant asset for patients undergoing maxillofacial surgery. Notably, there have been recent advancements in smartphone technology that enable 3D surface imaging. In this study, anthropometric assessments of the face were performed using a smartphone and a sophisticated 3D surface imaging system. Methods 30 healthy volunteers (15 females and 15 males) were included in the study. An iPhone 14 Pro (Apple Inc., USA) using the application 3D Scanner App (Laan Consulting Corp., USA) and the Vectra M5 (Canfield Scientific, USA) were employed to create 3D surface models. For each participant, 19 anthropometric measurements were conducted on the 3D surface models. Subsequently, the anthropometric measurements generated by the two approaches were compared. The statistical techniques employed included the paired t-test, paired Wilcoxon signed-rank test, Bland–Altman analysis, and calculation of the intraclass correlation coefficient (ICC). Results All measurements showed excellent agreement between smartphone-based and Vectra M5-based measurements (ICC between 0.85 and 0.97). Statistical analysis revealed no statistically significant differences in the central tendencies for 17 of the 19 linear measurements. Despite the excellent agreement found, Bland–Altman analysis revealed that the 95% limits of agreement between the two methods exceeded ±3 mm for the majority of measurements. Conclusion Digital facial anthropometry using smartphones can serve as a valuable supplementary tool for surgeons, enhancing their communication with patients. However, the proposed data suggest that digital facial anthropometry using smartphones may not yet be suitable for certain diagnostic purposes that require high accuracy. KW - Three-dimensional surface imaging KW - Stereophotogrammetry KW - Smartphone-based surface imaging KW - Digital anthropometry KW - Facial anthropometry Y1 - 2024 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:898-opus4-70348 VL - 39 SP - 330 EP - 343 PB - Elsevier ER - TY - JOUR A1 - Ebigbo, Alanna A1 - Mendel, Robert A1 - Scheppach, Markus W. A1 - Probst, Andreas A1 - Shahidi, Neal A1 - Prinz, Friederike A1 - Fleischmann, Carola A1 - Römmele, Christoph A1 - Gölder, Stefan Karl A1 - Braun, Georg A1 - Rauber, David A1 - Rückert, Tobias A1 - Souza Jr., Luis Antonio de A1 - Papa, João Paulo A1 - Byrne, Michael F. A1 - Palm, Christoph A1 - Messmann, Helmut T1 - Vessel and tissue recognition during third-space endoscopy using a deep learning algorithm JF - Gut N2 - In this study, we aimed to develop an artificial intelligence clinical decision support solution to mitigate operator-dependent limitations during complex endoscopic procedures such as endoscopic submucosal dissection and peroral endoscopic myotomy, for example, bleeding and perforation. A DeepLabv3-based model was trained to delineate vessels, tissue structures and instruments on endoscopic still images from such procedures. The mean cross-validated Intersection over Union and Dice Score were 63% and 76%, respectively. Applied to standardised video clips from third-space endoscopic procedures, the algorithm showed a mean vessel detection rate of 85% with a false-positive rate of 0.75/min. These performance statistics suggest a potential clinical benefit for procedure safety, time and also training. KW - Artificial Intelligence KW - Endoscopy KW - Medical Image Computing Y1 - 2022 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:898-opus4-54293 VL - 71 IS - 12 SP - 2388 EP - 2390 PB - BMJ CY - London ER - TY - JOUR A1 - Knödler, Leonard A1 - Baecher, Helena A1 - Kauke-Navarro, Martin A1 - Prantl, Lukas A1 - Machens, Hans-Günther A1 - Scheuermann, Philipp A1 - Palm, Christoph A1 - Baumann, Raphael A1 - Kehrer, Andreas A1 - Panayi, Adriana C. A1 - Knoedler, Samuel T1 - Towards a Reliable and Rapid Automated Grading System in Facial Palsy Patients: Facial Palsy Surgery Meets Computer Science JF - Journal of Clinical Medicine N2 - Background: Reliable, time- and cost-effective, and clinician-friendly diagnostic tools are cornerstones in facial palsy (FP) patient management. Different automated FP grading systems have been developed but revealed persisting downsides such as insufficient accuracy and cost-intensive hardware. We aimed to overcome these barriers and programmed an automated grading system for FP patients utilizing the House and Brackmann scale (HBS). Methods: Image datasets of 86 patients seen at the Department of Plastic, Hand, and Reconstructive Surgery at the University Hospital Regensburg, Germany, between June 2017 and May 2021, were used to train the neural network and evaluate its accuracy. Nine facial poses per patient were analyzed by the algorithm. Results: The algorithm showed an accuracy of 100%. Oversampling did not result in altered outcomes, while the direct form displayed superior accuracy levels when compared to the modular classification form (n = 86; 100% vs. 99%). The Early Fusion technique was linked to improved accuracy outcomes in comparison to the Late Fusion and sequential method (n = 86; 100% vs. 96% vs. 97%). Conclusions: Our automated FP grading system combines high-level accuracy with cost- and time-effectiveness. Our algorithm may accelerate the grading process in FP patients and facilitate the FP surgeon’s workflow. Y1 - 2022 U6 - https://doi.org/10.3390/jcm11174998 VL - 11 IS - 17 PB - MDPI CY - Basel ER - TY - JOUR A1 - Souza Jr., Luis Antonio de A1 - Palm, Christoph A1 - Mendel, Robert A1 - Hook, Christian A1 - Ebigbo, Alanna A1 - Probst, Andreas A1 - Messmann, Helmut A1 - Weber, Silke A. T. A1 - Papa, João Paulo T1 - A survey on Barrett's esophagus analysis using machine learning JF - Computers in Biology and Medicine N2 - This work presents a systematic review concerning recent studies and technologies of machine learning for Barrett's esophagus (BE) diagnosis and treatment. The use of artificial intelligence is a brand new and promising way to evaluate such disease. We compile some works published at some well-established databases, such as Science Direct, IEEEXplore, PubMed, Plos One, Multidisciplinary Digital Publishing Institute (MDPI), Association for Computing Machinery (ACM), Springer, and Hindawi Publishing Corporation. Each selected work has been analyzed to present its objective, methodology, and results. The BE progression to dysplasia or adenocarcinoma shows a complex pattern to be detected during endoscopic surveillance. Therefore, it is valuable to assist its diagnosis and automatic identification using computer analysis. The evaluation of the BE dysplasia can be performed through manual or automated segmentation through machine learning techniques. Finally, in this survey, we reviewed recent studies focused on the automatic detection of the neoplastic region for classification purposes using machine learning methods. KW - Speiseröhrenkrankheit KW - Diagnose KW - Mustererkennung KW - Maschinelles Lernen KW - Literaturbericht KW - Barrett's esophagus KW - Machine learning KW - Adenocarcinoma KW - Image processing KW - Pattern recognition KW - Computer-aided diagnosis Y1 - 2018 U6 - https://doi.org/10.1016/j.compbiomed.2018.03.014 VL - 96 SP - 203 EP - 213 PB - Elsevier ER - TY - JOUR A1 - Ott, Tankred A1 - Palm, Christoph A1 - Vogt, Robert A1 - Oberprieler, Christoph T1 - GinJinn: An object-detection pipeline for automated feature extraction from herbarium specimens JF - Applications in Plant Sciences N2 - PREMISE: The generation of morphological data in evolutionary, taxonomic, and ecological studies of plants using herbarium material has traditionally been a labor-intensive task. Recent progress in machine learning using deep artificial neural networks (deep learning) for image classification and object detection has facilitated the establishment of a pipeline for the automatic recognition and extraction of relevant structures in images of herbarium specimens. METHODS AND RESULTS: We implemented an extendable pipeline based on state-of-the-art deep-learning object-detection methods to collect leaf images from herbarium specimens of two species of the genus Leucanthemum. Using 183 specimens as the training data set, our pipeline extracted one or more intact leaves in 95% of the 61 test images. CONCLUSIONS: We establish GinJinn as a deep-learning object-detection tool for the automatic recognition and extraction of individual leaves or other structures from herbarium specimens. Our pipeline offers greater flexibility and a lower entrance barrier than previous image-processing approaches based on hand-crafted features. KW - Deep Learning KW - herbarium specimens KW - object detection KW - visual recognition KW - Deep Learning KW - Objekterkennung KW - Maschinelles Sehen KW - Pflanzen Y1 - 2020 U6 - https://doi.org/10.1002/aps3.11351 SN - 2168-0450 VL - 8 IS - 6 SP - e11351 PB - Wiley, Botanical Society of America ER - TY - JOUR A1 - Ebigbo, Alanna A1 - Palm, Christoph A1 - Probst, Andreas A1 - Mendel, Robert A1 - Manzeneder, Johannes A1 - Prinz, Friederike A1 - Souza Jr., Luis Antonio de A1 - Papa, João Paulo A1 - Siersema, Peter A1 - Messmann, Helmut T1 - A technical review of artificial intelligence as applied to gastrointestinal endoscopy: clarifying the terminology JF - Endoscopy International Open N2 - The growing number of publications on the application of artificial intelligence (AI) in medicine underlines the enormous importance and potential of this emerging field of research. In gastrointestinal endoscopy, AI has been applied to all segments of the gastrointestinal tract most importantly in the detection and characterization of colorectal polyps. However, AI research has been published also in the stomach and esophagus for both neoplastic and non-neoplastic disorders. The various technical as well as medical aspects of AI, however, remain confusing especially for non-expert physicians. This physician-engineer co-authored review explains the basic technical aspects of AI and provides a comprehensive overview of recent publications on AI in gastrointestinal endoscopy. Finally, a basic insight is offered into understanding publications on AI in gastrointestinal endoscopy. KW - Diagnose KW - Maschinelles Lernen KW - Gastroenterologie KW - Künstliche Intelligenz KW - Barrett's esophagus KW - Deep learning Y1 - 2019 U6 - https://doi.org/10.1055/a-1010-5705 VL - 07 IS - 12 SP - 1616 EP - 1623 PB - Georg Thieme Verlag CY - Stuttgart ER -