TY - JOUR A1 - Hille, Julia A1 - Brandstetter, Manuela A1 - Schulze, Mandy A1 - Keller, Samuel T1 - Rural areas and social work: Reflection on research in German-speaking countries JF - International Social Work N2 - Demographic change, securing social services, dealing with migration and agreeing to democratic participation are particularly rural challenges in Austria, Switzerland and Germany. Although social work is responsible for all these issues, there is a lack of a differentiated view. What exactly are rural areas? Who are the relevant actors in and for social work? As the social contexts are very different, research must differentiate and take into account the cultural and historical contexts of regional challenges. This article aims to strengthen the research perspective on rural areas and demonstrate their relevance in the discourse on social work. KW - Intergenerationality, rural areas, social capital, social work, space KW - rural areas KW - social capital KW - social work KW - space Y1 - 2024 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:898-opus4-80748 SN - 1461-7234 SP - 1 EP - 7 PB - Sage ER - TY - JOUR A1 - Fillenberg, Barbara A1 - Gollor, Birgit A1 - Hartmann, Kerstin A1 - Hämmerle, Verena A1 - Luegmair, Karolina T1 - Staatliche Prüfungen im primärqualifizierenden Studium: Zwei Praxisbeispiele aus Bayern JF - Zeitschrift für Hebammenwissenschaft = Journal of Midwifery Science Y1 - 2022 SN - 2196-4416 VL - 11 IS - 1 SP - 21 EP - 29 PB - Deutsche Gesellschaft für Hebammenwissenschaft ER - TY - JOUR A1 - Knoedler, Samuel A1 - Schliermann, Rainer A1 - Knödler, Leonard A1 - Wu, Mengfan A1 - Hansen, Frederik J. A1 - Matar, Dany Y. A1 - Obed, Doha A1 - Vervoort, Dominique A1 - Haug, Valentin A1 - Hundeshagen, Gabriel A1 - Paik, Angie A1 - Kauke-Navarro, Martin A1 - Kneser, Ulrich A1 - Pomahac, Bohdan A1 - Orgill, Dennis P. A1 - Panayi, Adriana C. T1 - Impact of sarcopenia on outcomes in surgical patients: A systematic review and meta-analysis JF - International journal of surgery N2 - BACKGROUND Surgeons have historically used age as a preoperative predictor of postoperative outcomes. Sarcopenia, the loss of skeletal muscle mass due to disease or biological age, has been proposed as a more accurate risk predictor. The prognostic value of sarcopenia assessment in surgical patients remains poorly understood. Therefore, we aimed to synthesize the available literature and investigate the impact of sarcopenia on peri- and postoperative outcomes across all surgical specialties. METHODS We systematically assessed the prognostic value of sarcopenia on postoperative outcomes by conducting a systematic review and meta-analysis according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, searching the PubMed/MEDLINE and EMBASE databases from inception to 1st October 2022. Our primary outcomes were complication occurrence, mortality, length of operation and hospital stay, discharge to home, and postdischarge survival rate at one, three, and five years. Subgroup analysis was performed by stratifying complications according to the Clavien-Dindo classification system. Sensitivity analysis was performed by focusing on studies with an oncological, cardiovascular, emergency, or transplant surgery population, and on those of higher quality or prospective study design. RESULTS A total of 294 studies comprising 97,643 patients, of which 33,070 had sarcopenia, were included in our analysis. Sarcopenia was associated with significantly poorer postoperative outcomes including greater mortality, complication occurrence, length of hospital stay, and lower rates of discharge to home (all P<0.00001). A significantly lower survival rate in patients with sarcopenia was noted at one, three, and five years (all P<0.00001) after surgery. Subgroup analysis confirmed higher rates of complications and mortality in oncological (both P<0.00001), cardiovascular (both P<0.00001), and emergency (P=0.03 and P=0.04, respectively) patients with sarcopenia. In the transplant surgery cohort, mortality was significantly higher in patients with sarcopenia (P<0.00001). Among all patients undergoing surgery for inflammatory bowel disease, the frequency of complications was significantly increased among sarcopenic patients (P=0.007). Sensitivity analysis based on higher-quality studies and prospective studies showed that sarcopenia remained a significant predictor of mortality and complication occurrence (all P<0.00001). CONCLUSION Sarcopenia is a significant predictor of poorer outcomes in surgical patients. Preoperative assessment of sarcopenia can help surgeons to identify patients at risk, critically balance eligibility, and refine perioperative management. Large-scale studies are required to further validate the importance of sarcopenia as a prognostic indicator of perioperative risk, especially in surgical sub-specialties. KW - Sarcopenia KW - Aging KW - Muscle Loss KW - Muscle KW - Surgical Outcomes KW - Surgery Y1 - 2023 U6 - https://doi.org/10.1097/JS9.0000000000000688 PB - Wolters Kluwer ET - accepted 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 - Currle, Edda A1 - Haug, Sonja A1 - Weber, Karsten T1 - Akzeptanz des Einsatzes von Künstlicher Intelligenz im Anamneseprozess: Ergebnisse einer Bevölkerungsbefragung in Deutschland JF - Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen N2 - Hintergrund und Zielsetzung Zunehmend werden digitale Anamneseverfahren, wie z. B. Chatbots, entwickelt und evaluiert, sind jedoch in Arztpraxen in Deutschland noch nicht flächendeckend implementiert. Ziel dieser Arbeit ist die Erhebung der Akzeptanz der Bevölkerung in Deutschland gegenüber KI-gestützten Verfahren im Anamneseprozess, durch die es möglich wird, Rückschlüsse auf die Nutzung der Verfahren und ihre Eignung als Bestandteil von Digitalisierungsstrategien der Praxen zu ziehen. Methode Die Studie basiert auf einer Onlinebefragung der Bevölkerung in Deutschland (Feldphase 18.-24.11.2024, n = 1.000). Zurückgehend auf die „Unified Theory of Acceptance and Use of Technology“ (UTAUT) wurden drei zentrale Hypothesen zur Nutzung von Künstlicher Intelligenz (KI) im Anamneseprozess aufgestellt und mit linearen Regressionsmodellen getestet. Ergebnisse Die Akzeptanz für die Nutzung von KI-gestützten Systemen fällt in beiden untersuchten Szenarien, der Nutzung eines Chatbots zu Hause und der Nutzung eines Chatbots in einer Arztpraxis, hoch aus. Dabei bestätigen sich die erwarteten Zusammenhänge von Leistungserwartung, Aufwandserwartung und erwartetem Sozialem Einfluss mit der Verhaltensabsicht, einen Chatbot in der Arztpraxis oder vor dem Besuch einer Arztpraxis zu nutzen. Die Einflüsse von Alter, Geschlecht oder Erfahrung mit der Technologie zeigen jedoch nicht die vermuteten Zusammenhänge. Diskussion und Schlussfolgerung Die Praktikabilität ist von entscheidender Bedeutung für eine positive Einstellung gegenüber der Nutzung. Dabei zeigt sich kein Unterschied zwischen den Geschlechtern. Bei der Implementierung von Chatbots im Anamneseprozess sollten die Aspekte Praktikabilität, Datenschutz und Datensicherheit eine wesentliche Rolle spielen. Angesichts der Tatsache, dass ein großer Teil der älteren Bevölkerung in Deutschland nach wie vor über begrenzte Erfahrung mit digitalen Technologien verfügt, ist Gebrauchstauglichkeit für diese Bevölkerungsgruppe sowie für Menschen mit Beeinträchtigungen von hoher Relevanz. N2 - Background and objectives Digital tools for medical history-taking, such as chatbots, are increasingly being developed and evaluated but have not yet been implemented across the board in medical practices in Germany. The aim of this study was to survey the acceptance of AI-supported tools for medical history-taking among the German population, thereby allowing conclusions to be drawn about the use of these tools and their suitability as part of digitalization strategies in medical practices. Method The study is based on an online survey among the German population (fieldwork November 18 to 24, 2024, n = 1,000). Based on the ‘Unified Theory of Acceptance and Use of Technology’ (UTAUT), three central hypotheses on the use of artificial intelligence (AI) in the medical history-taking process were generated and tested using linear regression models. Results In the two scenarios examined — patients using a chatbot at home and at the doctor’s office — there was a high level of acceptance for the use of AI-supported systems. The expected relationships between Performance Expectancy, Effort Expectancy and expected Social Influence with the behavioral intention to use a chatbot either in the doctor’s office or before visiting the doctor’s office have been confirmed. However, influential factors such as age, gender, or experience with technology do not show the expected correlations. Discussion and conclusion Practicability is crucial for a favorable attitude towards AI applications. There were no apparent gender differences. When implementing chatbots in the medical history-taking process, the aspects of practicability, data protection, and data security should play a key role. Given that a large number of the elderly in Germany still have limited experience with digital technologies, usability is highly relevant for both this population group and for people with disabilities. T2 - Acceptance of artificial intelligence tools for medical history-taking: Findings of a population survey in Germany KW - Künstliche Intelligenz KW - Anamnese KW - Technologieakzeptanz KW - UTAUT KW - Bevölkerungsumfrage Y1 - 2025 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:898-opus4-86715 N1 - Corresponding author der OTH Regensburg: Edda Currle VL - 198-199 SP - 9 EP - 17 PB - Elsevier ER - TY - JOUR A1 - Schöpf, Nicolas T1 - Der Qualifikationsrahmen als Weg in mehr Wettbewerb? Potenziale und Herausforderungen europäischer Bildungspolitik für die Erwachsenenbildung JF - DIE-Zeitschrift für Erwachsenenbildung N2 - Der vorliegende Beitrag sondiert Potenziale und Gefährdungen, die für die Erwachsenenbildung aus dem Prozess der Europäisierung von Bildungspolitik resultieren. Die zugehörigen strukturellen Wirkmechanismen im Spannungsfeld von Kooperation und Konkurrenz belegt der Text am Beispiel des Europäischen Qualifikationsrahmens (EQR). Mit dem Zweck einer besseren Vergleichbarkeit von Bildungssystemen und Bildungsgängen geht vom EQR unweigerlich der Impuls zu mehr Wettbewerb einher, international wie national. Der Autor ordnet diese Dynamik in die übergreifenden bildungspolitischen Prozesse ein, die mit Bolgna, Lissabon und Kopenhagen assoziiert werden. KW - Auswirkung KW - Bildungspolitik KW - Europa KW - Europäischer Qualifikationsrahmen KW - Kompetenz KW - Leistungsmessung KW - Qualifikation KW - Weiterbildung Y1 - 2010 U6 - https://doi.org/10.3278/DIE1002W045 SN - 0945-3164 IS - 2 SP - 45 EP - 48 PB - Bertelsmann CY - Bielefeld ER - TY - JOUR A1 - Gschoßmann, Lukas A1 - Schedel, Valentin A1 - Süß, Franz A1 - Weber, Markus A1 - Pfingsten, Andrea A1 - Dendorfer, Sebastian T1 - Comparing kinematic and kinetic demands on the knee joint during selected physiotherapy exercises and activities of daily living JF - Technology and health care ; Special issue: BIOMDLORE N2 - Background: The knee is one of the most common areas to suffer injuries or be affected by surgery. Physiotherapy rehabilitation was shown to support recovery, but evidence guiding optimal rehabilitation practices is limited. To recommend appropriate exercises, it is essential to understand the musculoskeletal requirements involved in both physiotherapy and activities of daily living (ADLs).ObjectiveThis study aimed to evaluate and compare the knee joint kinematics, joint forces and muscle activity in knee flexors and extensors during selected rehabilitation exercises and ADLs.MethodsKinematic and kinetic data from 30 healthy participants were collected during 20 different tasks. Full-body musculoskeletal simulations were performed to estimate peak knee joint angles, angular velocities, joint reaction forces, and muscle activity of the knee flexors and extensors.ResultsComparatively high requirements were observed for lunges, squats, stair walking and gait. Medium requirements were observed for sitting down and rising from a chair. Low requirements were observed for balance shifts and variations of the single leg stand.ConclusionOverall, ADLs like gait and stair walking show surprisingly high requirements compared to many exercises employed in physiotherapy. These findings are a step towards biomechanically informed exercise selection and the development of personalized rehabilitation programs. Y1 - 2026 U6 - https://doi.org/10.1177/09287329251413413 N1 - Corresponding author der OTH Regensburg: Lukas Gschoßmann PB - Sage ER - TY - JOUR A1 - Scharf, Anna A1 - Haug, Sonja A1 - Ritthaler, Markus A1 - Raptis, Georgios T1 - Chancen und Herausforderungen der Digitalisierung bei der Rehabilitation – Ergebnisse einer Befragung von Rehabilitationseinrichtungen JF - Die Rehabilitation: Zeitschrift für Praxis und Forschung in der Rehabilitation N2 - Ziel der Studie: Ziel der Studie ist die Messung des Stands der Digitalisierung und die mit einer Anbindung an die Telematikinfrastruktur verbundenen Chancen und Herausforderungen für Rehabilitationseinrichtungen. Methodik: Teilstandardisierte Online-Befragung bei Trägern von Rehabilitationseinrichtungen in Bayern (n=33). Der Fragebogen mit 36 Fragen beinhaltet eine leicht veränderte Skala auf Basis des „Electronic Medical Record Adoption Model (EMRAM)“. Ergebnisse: Der Digitalisierungsgrad wurde in 70 Prozent der Rehabilitationseinrichtungen mit Stufe 0 angegeben (Stufenmodell bis 7). Die Übermittlung patientenbezogener Daten (Eingang und Ausgang) erfolgt häufig analog, wohingegen die Verarbeitung innerhalb der Einrichtung in vielen Fällen bereits überwiegend digital ist. Beim Anschluss an die Telematikinfrastruktur wird hoher Aufwand bei der Installation, aber auch der Schulung des Personals und der Anpassung der Arbeitsorganisation gesehen. Schlussfolgerung: Durch Änderung der gesetzlich-finanziellen Lage in Deutschland eröffnen sich für Rehabilitationseinrichtungen neue Möglichkeiten einer verstärkten Digitalisierung. Hürden hängen mit Anforderungen an IT-Sicherheit, Schulung des Personals und sowie dem ebenfalls geringen Digitalisierungsstand bei Krankenhäusern und Ärzt*innen sowie Patient*innen zusammen, die eine digitale Datenübermittlung erschweren. T2 - Opportunities and Challenges of Digitalization in Rehabilitation: Results of a Survey of Rehabilitation Facilities KW - Patientenbezogene Daten KW - Digitalisierungsgrad KW - Telematikinfrastruktur KW - IT-Management Y1 - 2023 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:898-opus4-64726 N1 - Corresponding author: Sonja Haug VL - 62 IS - 5 SP - 299 EP - 307 PB - Thieme CY - Stuttgart ER - TY - JOUR A1 - Altenbuchner, Amelie A1 - Haug, Sonja A1 - Weber, Karsten T1 - Die ersten Schritte nach einer hüftnahen Fraktur BT - Sensorbasierte Bewegungsexploration bei geriatrischen Traumapatient/-innen JF - Zeitschrift für Gerontologie und Geriatrie N2 - Nach einer Fraktur ist Mobilisierung Behandlungsziel und Therapiesäule. Das Festlegen von Outcomes basiert jedoch auf vielen Unsicherheiten, da Assessments nicht für alle Patient/-innen geeignet sind. Sie können agesabhängig beeinflusst und subjektiv geprägt sein. Sensorbasiertes Bewegungsmonitoring bietet eine Ergänzung zur Operationalisierung der Gehfähigkeit. Für Längsschnittuntersuchungen, die auch im häuslichen Umfeld durchgeführt werden, eignet sich die tägliche Schrittzahl als Variable. Sie kann durch einen handelsüblichen Fitnesstracker beobachtet werden. T2 - The first steps after a proximal femoral fracture: Sensor-based mobility exploration in geriatric trauma patients KW - Schrittzahlen KW - Rehabilitation KW - Mobilität KW - Motion-Tracker KW - Alterstraumatologie Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:898-opus4-14251 SN - 0948-6704 N1 - Corresponding author: Amelie Altenbuchner VL - 54 SP - 555 EP - 560 PB - Springer Nature ER - TY - JOUR A1 - Greiner, Nina A1 - Lauer, Norina A1 - Schedel, Valentin A1 - Pfingsten, Andrea T1 - Group rehabilitation for adults with acquired neurological disorders: A systematic review of mono- and interdisciplinary interventions in physical and speech-language therapy JF - PM&R N2 - Background: Group treatments and interdisciplinary collaboration are recommended in evidence-based guidelines for neurorehabilitation, including physical and speech-language therapy. Evidence suggests that activating overlapping neural networks for upper extremity motor control and speechlanguage processing produces synergistic effects during therapy. This systematic review aims to overview and appraise the efficacy of group treatments in traditional rehabilitation and telerehabilitation. In addition to summarizing evidence on monodisciplinary approaches in physical and speech-language therapy, it seeks data on integrative approaches involving one or both disciplines to inform further interdisciplinary collaboration. Methods: The review was registered with PROSPERO (CRD42021288012) and followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Systematic searches were conducted in PubMed, CINAHL, and the Cochrane Library. Two reviewers independently screened studies, extracted data, and assessed quality using AMSTAR 2, the Physiotherapy Evidence Database (PEDro) scale, or the Joanna Briggs Institute (JBI) Checklist, as appropriate. The evidence was summarized in a systematic narrative synthesis and its certainty rated based on the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach. Results: A total of 29 studies were included: 16 on speech-language therapy (861 participants) and 13 on physical therapy (1757 participants). No studies addressed interdisciplinary group interventions, and only two evaluated group telerehabilitation. Outcome domains and measures varied across studies and the certainty of evidence was predominantly low. However, moderate-certainty evidence supports that group speech-language therapy improves quality of life, communication, and language in stroke survivors, especially when interventions emphasize verbal production in communicative settings with multimodal materials and cueing. In physical therapy, circuit class training may be more effective than other group approaches for enhancing quality of life and mobility. Conclusion: Group treatments in neurorehabilitation show some benefits, but further research is needed – especially regarding interdisciplinary approaches and telerehabilitation. KW - Gruppentherapie KW - Logopädie KW - Physiotherapie KW - Neurologie KW - systematic review KW - group treatment KW - interdisciplinary collaboration KW - speech-language therapy KW - physical therapy Y1 - 2025 U6 - https://doi.org/10.1002/pmrj.70006 N1 - Corresponding author der OTH Regensburg: Nina Greiner PB - Wiley ER -