@misc{SkudlikHirtDoeringeretal.2022, author = {Skudlik, Stefanie and Hirt, Julian and D{\"o}ringer, Tobias and Thalhammer, Regina and L{\"u}ftl, Katharina and Prodinger, Birgit and M{\"u}ller, Martin}, title = {Challenges and care strategies during the transition to nursing home in Germany: A scoping review. European Nursing Kongress am 5. Oktober 2022, online}, year = {2022}, language = {de} } @article{SkudlikHirtDoeringeretal.2023, author = {Skudlik, Stefanie and Hirt, Julian and D{\"o}ringer, Tobias and Thalhammer, Regina and L{\"u}ftl, Katharina and Prodinger, Birgit and M{\"u}ller, Martin}, title = {Challenges and care strategies associated with the admission to nursing homes in Germany: a scoping review}, series = {BMC Nursing}, volume = {22}, journal = {BMC Nursing}, doi = {10.1186/s12912-022-01139-y}, year = {2023}, abstract = {Background The admission to a nursing home is a critical life-event for affected persons as well as their families. Admission related processes are lacking adequate participation of older people and their families. To improve transitions to nursing homes, context- and country-specific knowledge about the current practice is needed. Hence, our aim was to summarize available evidence on challenges and care strategies associated with the admission to nursing homes in Germany. Methods We conducted a scoping review and searched eight major international and German-specific electronic databases for journal articles and grey literature published in German or English language since 1995. Further inclusion criteria were focus on challenges or care strategies in the context of nursing home admissions of older persons and comprehensive and replicable information on methods and results. Posters, only-abstract publications and articles dealing with mixed populations including younger adults were excluded. Challenges and care strategies were identified and analysed by structured content analysis using the TRANSCIT model. Results Twelve studies of 1,384 records were finally included. Among those, seven were qualitative studies, three quantitative observational studies and two mixed methods studies. As major challenges neglected participation of older people, psychosocial burden among family caregivers, inadequate professional cooperation and a lack of shared decision-making and evidence-based practice were identified. Identified care strategies included strengthening shared decision-making and evidence-based practice, improvement in professional cooperation, introduction of specialized transitional care staff and enabling participation for older people. Conclusion Although the process of nursing home admission is considered challenging and tends to neglect the needs of older people, little research is available for the German health care system. The perspective of the older people seems to be underrepresented, as most of the studies focused on caregivers and health professionals. Reported care strategies addressed important challenges, however, these were not developed and evaluated in a comprehensive and systematic way. Future research is needed to examine perspectives of all the involved groups to gain a comprehensive picture of the needs and challenges. Interventions based on existing care strategies should be systematically developed and evaluated to provide the basis of adequate support for older persons and their informal caregivers.}, language = {en} } @article{FuerboeckLitzenbergerPoganyetal.1999, author = {F{\"u}rb{\"o}ck, C. and Litzenberger, M. and Pogany, D. and Gornik, E. and Seliger, Norbert and M{\"u}ller-Lynch, T. and Stecher, M. and Goßner, H. and Werner, W.}, title = {Laser interferometric method for ns-time scale thermal mapping of Smart Power ESD protection devices during ESD stress}, series = {Microelectronics Reliability}, volume = {39}, journal = {Microelectronics Reliability}, number = {6}, issn = {0026-2714}, doi = {10.1016/S0026-2714(99)00124-9}, pages = {925 -- 930}, year = {1999}, language = {en} } @article{PoganySeligerLitzenbergeretal.1999, author = {Pogany, D. and Seliger, Norbert and Litzenberger, M. and Gossner, H. and Stecher, M. and M{\"u}ller-Lynch, T. and Werner, W. and Gornik, E.}, title = {Damage analysis in smart-power technology electrostatic discharge (ESD) protection devices}, series = {Microelectronics Reliability}, volume = {39}, journal = {Microelectronics Reliability}, number = {6}, issn = {0026-2714}, doi = {10.1016/S0026-2714(99)00162-6}, pages = {1143 -- 1148}, year = {1999}, language = {en} } @inproceedings{FuerboeckPoganyLitzenbergeretal.1999, author = {F{\"u}rb{\"o}ck, C. and Pogany, D. and Litzenberger, M. and Gornik, E. and Seliger, Norbert and Gossner, H. and M{\"u}ller-Lynch, T. and Stecher, M. and Werner, W.}, title = {Interferometric temperature mapping during ESD stress and failure analysis of smart power technology ESD protection devices}, series = {Electrical Overstress/Electrostatic Discharge Symposium Proceedings}, booktitle = {Electrical Overstress/Electrostatic Discharge Symposium Proceedings}, publisher = {IEEE}, doi = {10.1109/EOSESD.1999.819067}, pages = {241 -- 250}, year = {1999}, language = {en} } @article{FuerboeckPoganyLitzenbergeretal.2000, author = {F{\"u}rb{\"o}ck, C. and Pogany, D. and Litzenberger, M. and Gornik, E. and Seliger, Norbert and Gossner, H. and M{\"u}ller-Lynch, T. and Stecher, M. and Werner, W.}, title = {Interferometric temperature mapping during ESD stress and failure analysis of smart power technology ESD protection devices}, series = {Journal of Electrostatics}, volume = {49}, journal = {Journal of Electrostatics}, pages = {195 -- 213}, year = {2000}, language = {en} } @inproceedings{WiedlKarlingerMuelleretal.2023, author = {Wiedl, Sebastian and Karlinger, Peter and M{\"u}ller, Norbert and Ruckd{\"a}schel, Holger}, title = {Cellulosefaserverst{\"a}rktes Polypropylen - Eigenschaftsbeeinflussung durch die Schmelzeaufbereitung}, series = {Technomer 2023}, booktitle = {Technomer 2023}, publisher = {Technische Universit{\"a}t Chemnitz}, address = {Chemnitz}, isbn = {978-3-939382-16-4}, pages = {1 -- 14}, year = {2023}, abstract = {Verarbeitungstemperaturen, Verweilzeit und Scherkr{\"a}fte sind entscheidend, um die strukturelle Integrit{\"a}t von cellulosebasierten Fasern zu gew{\"a}hrleisten. In dieser Studie wurden die Einfl{\"u}sse durch die Schmelzeaufbereitung eines cellulosefaserverst{\"a}rkten Polypropylens auf die Faser und den Faserverbund untersucht. Die Schmelze wurde in einem Plastographen mit verschiedenen Rotordrehzahlen, Schmelzetemperaturen und Verweilzeiten aufbereitet. Um die Auswirkung der Einspeisungsmethode auf den Faserabbau zu analysieren, wurden die Fasern entweder direkt der thermoplastischen Schmelze oder zusammen mit dem Kunststoffgranulat dem Plastographen zugef{\"u}hrt. Die Zugabe der Fasern in die Schmelze geht mit einer erh{\"o}hten thermischen und verminderten mechanischen Belastung der Fasern einher. Bei der Pr{\"u}fung der mechanischen Eigenschaften der verschieden aufbereiteten Compounds zeigten sich signifikante Unterschiede. Wurden die Fasern direkt der Schmelze hinzugef{\"u}gt, so f{\"u}hrte dies zu einer deutlich reduzierten Zugfestigkeit. Optische Unterschiede in den Schliffbildern der spritzgegossenen Pr{\"u}fst{\"a}be sowie in den Faserl{\"a}ngen nach Compoundierung konnten nicht festgestellt werden. Die verminderte Festigkeit wird folglich auf die unterschiedliche thermische Belastung der Faser w{\"a}hrend der Verarbeitung zur{\"u}ckgef{\"u}hrt.}, language = {de} } @inproceedings{DoeringerHorstmannshoffKieseletal.2023, author = {D{\"o}ringer, Tobias and Horstmannshoff, Caren and Kiesel, Theresia and Sch{\"a}dler, and Voigt, Karen and M{\"u}ller, Martin and Bauer, Petra}, title = {Entwicklung und Evaluierung einer evidenzbasierten Schulung zur physiotherapeutischen Versorgung von Patient*innen mit Schwindel und/oder Gleichgewichtsst{\"o}rungen im Rahmen eines Versorgungspfades}, series = {7. Forschungssymposium Physiotherapie}, booktitle = {7. Forschungssymposium Physiotherapie}, year = {2023}, abstract = {Hintergrund Schwindel und/oder Gleichgewichtsst{\"o}rungen (SG) sind h{\"a}ufige Symptome bei {\"a}lteren Menschen und beeintr{\"a}chtigen das t{\"a}gliche Leben erheblich. Physiotherapie kann eine wichtige Komponente in der Behandlung von SG sein. Aufgrund der multifaktoriellen Ursachen sind die physiotherapeutische Diagnostik und Therapie komplex, werden aber in der Ausbildung kaum thematisiert. Klar strukturierte und evidenzbasierte Schulungen f{\"u}r die differentialdiagnostische Herangehensweise k{\"o}nnen den Clinical-Reasoning-Prozess und die Therapie von SG verbessern. Eine entsprechende evidenzbasierte Schulung wurde in einem Interventionszweig der multizentrischen Cluster-RCT MobilE-PHY2 begleitend zu einem Decision Tree (DT) f{\"u}r den Clinical-Reasoning-Prozess in der Physiotherapie konzipiert und durchgef{\"u}hrt. Methodik Die Schulung wurde aus den Ergebnissen der Pilotstudie (MobilE-PHY1) und deren Prozessevaluation sowie auf der Grundlage einer dreit{\"a}gigen Fortbildung von und mit einem Schwindelexperten entwickelt. Inhalte waren die Anwendung des DT, theoretische Grundlagen {\"u}ber Schwindel sowie praktische {\"U}bungsanteile. Bei der eint{\"a}gigen Schulung konnten die Physiotherapeut*innen entweder online oder in Pr{\"a}senz teilnehmen. Zudem wurde eine Online-Lernplattform bereitgestellt, die neben umfassendem Vor- und Nachbereitungsmaterial die M{\"o}glichkeit bot, Feedback z. B. in Form einer Videoanalyse zu bekommen. Die Evaluation erfolgte durch Frageb{\"o}gen und leitfadengest{\"u}tzte Interviews und ist Teil der Prozessevaluation von MobilE-PHY2. Die Auswertung ab Juni 2023 wird im Mixed-Methods-Design nach R{\"a}diker stattfinden. Ergebnis und Schlussfolgerung Es konnten neun Physiotherapiepraxen am Studienstandort Bayern in die Studie eingeschlossen werden. Aus diesen nahmen 17 Therapeut*innen an den insgesamt drei Schulungen teil. Es wurden zehn Therapeut*innen online und sieben in Pr{\"a}senz geschult. Basierend auf Interviews mit sechs Therapeut*innen sowie dreizehn Frageb{\"o}gen werden wichtige Erkenntnisse gewonnen, inwiefern die Schulung (begleitend zum DT) eine geeignete Methode darstellt, die evidenzbasierte physiotherapeutische Versorgung f{\"u}r Patient*innen mit SG zu verbessern. Zudem k{\"o}nnen Vor- und Nachteile der Online- und Pr{\"a}senzlehre diskutiert werden.}, language = {de} } @article{KirschBergmannKolleretal.2018, author = {Kirsch, R. and Bergmann, A. and Koller, D. and Leidl, R. and Mansmann, U. and M{\"u}ller, Martin and Sanftenberg, L. and Schelling, J. and Sundmacher, L. and Voigt, Karen and Grill, E.}, title = {Patient trajectories and their impact on mobility, social participation and quality of life in patients with vertigo/dizziness/balance disorders and osteoarthritis (MobilE-TRA): study protocol of an observational, practice-based cohort study}, series = {BMJ Open}, volume = {8}, journal = {BMJ Open}, number = {4}, pages = {e022970}, year = {2018}, abstract = {Introduction Mobility limitations have a multitude of different negative consequences on elderly patients including decreasing opportunities for social participation, increasing the risk for morbidity and mortality. However, current healthcare has several shortcomings regarding mobility sustainment of older adults, namely a narrow focus on the underlying pathology, fragmentation of care across services and health professions and deficiencies in personalising care based on patients' needs and experiences. A tailored healthcare strategy targeted at mobility of older adults is still missing. Objective The objective is to develop multiprofessional care pathways targeted at mobility sustainment and social participation in patients with vertigo/dizziness/balance disorders (VDB) and osteoarthritis (OA) . Methods Data regarding quality of life, mobility limitation, pain, stiffness and physical function is collected in a longitudinal observational study between 2017 and 2019. General practitioners (GPs) recruit their patients with VDB or OA. Patients who visited their GP in the last quarter will be identified in the practice software based on VDB and OA-related International Classification of Diseases 10th Revision. Study material will be sent from the practice to patients by mail. Six months and 12 months after baseline, all patients will receive a mail directly from the study team containing the follow-up questionnaire. GPs fill out questionnaires regarding patient diagnostics, therapy and referrals. Ethics and dissemination The study was approved by the ethical committee of the Ludwig-Maximilians-Universit{\"a}t M{\"u}nchen and of the Technische Universit{\"a}t Dresden. Results will be published in scientific, peer-reviewed journals and at national and international conferences. Results will be disseminated via newsletters, the project website and a regional conference for representatives of local and national authorities.}, language = {en} } @inproceedings{HorstmannshoffKieselDoeringeretal.2023, author = {Horstmannshoff, Caren and Kiesel, Theresia and D{\"o}ringer, Tobias and Voigt, Karen and Bauer, Petra and M{\"u}ller, Martin}, title = {Care pathway for evidence-based healthcare of patients with vertigo, dizziness or balance disorders in primary care. First results of the mixed-methods process evaluation}, series = {7. Forschungssymposium Physiotherapie}, booktitle = {7. Forschungssymposium Physiotherapie}, year = {2023}, abstract = {BACKGROUND Vertigo, dizziness or balance disorders (VDB) affect the mobility and participation of many older people and are also one of the most frequent reasons for visiting the general practitioner's (GP) practice due to multifactorial causes. Physiotherapy (PT) can be crucial for the complex care of people with VDB but is rarely prescribed by GPs. So we developed an evidence-based, multidisciplinary care pathway as a complex intervention following the UK Medical Research Council guideline, which was piloted and is now being evaluated for effectiveness, accompanied by a process evaluation. METHOD The care pathway of the multicentre cluster-RCT (MobilE-PHY2) included decision aids and training for PTs and GPs in the intervention group and optimised standard care in the control group. A mixed-methods process evaluation following Grant's framework for designing process evaluations examined barriers, facilitating factors and mechanisms of impact in recruiting and reaching participants, implementing the intervention and the response of all participants. Therefore, a logic model was developed illustrating the relationship between the planned work to implement the intervention, the expected mechanism of impact (based on the behaviour change wheel as a change theory), the intended results (output, outcome and impact), and categories of possible influencing factors. The underlying assumption is that a behavioural change in PT and GP is a prerequisite for a change in patient behaviour, which can lead to improved mobility and participation (outcome of MobilE-PHY2). Guided interviews were conducted with patients before the intervention and after six months and with PTs and GPs after six months. Additionally, the training evaluations, completed decision aids and structural questionnaires will be analysed from June 2023. RESULTS AND CONCLUSION At one study site, a total of 37 patients, 17 PTs and nine GPs were included. Interviews were conducted with 16 patients, six PTs and GPs. In the intervention group, 12 PTs and 18 GPs completed decision aids, 13 PTs and two GPs completed evaluation forms, and eight PTs and four GPs completed structural data. The preliminary results of the process evaluation will be reported at the Congress. The results are intended to give indications for a broad implementation of the care pathway, including and promoting physiotherapy and therefore contributing to improved evidence-based healthcare for older people with VDB.}, language = {en} }