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Projekt P
(2014)
Projekt »P« – Wohnen und Arbeiten in einem nachhaltig geplanten Modulsystem: Der Architekt Wolfgang Bühler wandte sich mit der Idee eines Forschungsprojektes über Inneneinrichtungen zu dem von ihm entwickelten Modulbausystem an die Fakultät für Innenarchitektur der Hochschule Rosenheim, seinen ehemaligen Studienort. »P’s« sind für den Transport zusammenfaltbare und flexibel sowie temporär aufstellbare Raumeinheiten. Wie können diese universellen Strukturen nun individuell als Wohneinheiten, Büros, Hotels, Seminarräume, Flüchtlingsunterkünfte etc. ausgestattet werden, ohne dass die schnelle Auf- und Abbaubarkeit darunter leidet? Wie können die Strukturen von einer individuellen Nutzung zu einer anderen in kurzer Zeit und mit geringem Aufwand umgerüstet werden? Dies war der Kern des Forschungsprojektes, welches mit Studierenden des 6. Semesters im Fach Interior Design durchgeführt wurde. Zuerst standen dabei unterschiedliche Nutzungsszenarien im Fokus, von denen dann die Gemeinsamkeiten herausgearbeitet wurden. Zum Projektende wurden zwei Ausstattungsszenarien von den Studierenden als Prototypen im Maßstab 1:1 umgesetzt. Das Projekt fand im Sommersemester 2014 statt.
Prof. Kilian Stauss
Im Rahmen der vorliegenden Dissertation werden förderliche und hemmende Faktoren im Erreichen einer Leitungsposition von Frauen analysiert. Der besondere Fokus ist dabei auf die obere Führungsebene in Organisationen der Sozialen Arbeit gerichtet, im Besonderen auf die Freie Wohlfahrtspflege. Ziel ist darüber hinaus die Darstellung von Handlungsimplikationen zur Förderung weiblicher Karrieren in der Sozialen Arbeit, als Beitrag zur besseren Nutzung weiblichen Know-Hows. Die Arbeit berücksichtigt dabei sowohl die Sicht von Frauen in Führungspositionen, als auch die Sicht von Personalentscheiderinnen und -entscheidern und leistet einen Beitrag dazu, wie Frauen in Verbänden und Organisationen der Freien Wohlfahrtspflege der Zugang zu Führungspositionen ermöglicht werden kann.
Kunststoff-Fertigung unter quasi Reinraumbedingungen Vortrag zum Clustertreffen Medizintechnik.
(2014)
Texas Instruments' MSP430 Launch Pad is used as a key component for remote labs that complement an introduction course to microcomputer technology in the bachelor program Mechatronic at the University of Applied Sciences in Rosenheim. The remote labs use breakout boards and include a timer experiment with generation of pulse width modulation signals, I2C communication and analog to digital conversion.
Am 01. Januar 2011 ist das Gesetz zur Neuordnung des Arzneimittelmarktes (Arzneimittelmarktneuordnungsgesetz, AMNOG) in Kraft getreten. In diesem Rahmen wurde für den Impfstoffmarkt ein Referenzpreissystem eingeführt um die deutschen Impfstoffpreise an das als niedriger vermutete Preisniveau anderer Staaten der europäischen Union (EU) anzupassen. Im Folgenden wird die Umsetzung, die Funktionsweise und die Auswirkungen dieses neuen Systems beschrieben. Des Weiteren wird anhand des Beispiels der Grippeimpfstoffe analysiert, welchen Einfluss die Referenzpreise auf das Preisgefüge haben.
Methodik:
Das Referenzpreissystem wird anhand des Gesetzes zur Neuordnung des Arzneimittelmarktes und des Schreibens des Spitzenverbandes Bund der Krankenkassen (GKV-Spitzenverband, GKV-SV) vom 22. Juni 2011 an die Verbände der Arzneimittelhersteller und Arzneimittelimporteure beschrieben. Der Analyse der Impfstoffpreise liegen die Daten des i:data-Report (Stand: 01. September 2011) des ifap Service-Instituts zugrunde.
Ergebnisse:
Der europäische Referenzpreis eines Impfstoffes wird als Durchschnittspreis aus den tatsächlich gültigen Abgabepreisen des entsprechenden Impfstoffes in den 4 Ländern der europäischen Union, deren Bruttonationaleinkommen dem deutschen am nächsten kommt und in denen der Impfstoff vertrieben wird, berechnet. Die hierzu herangezogenen Preise werden dabei mit den Umsatzanteilen und Kaufkraftparitäten (KKP) für Gesundheitspflege der jeweiligen Länder gewichtet. Die vorliegende Analyse weist darauf hin, dass insbesondere die praktische Umsetzung des Referenzpreissystems weiter verbessert und konkretisiert werden sollte. Zum einen sollte die Berechnung der Referenzpreise durch den GKV-SV so ausgestaltet werden, dass eine Vergleichbarkeit der Preise gewährleistet ist. Außerdem bestehen erhebliche Probleme bei der Abrechnung der Abschläge, da in der Dokumentation der impfenden Ärzte zunächst nicht unterschieden werden konnte, ob eine Impfung als Pflicht- oder Satzungsleistung erbracht wurde. Der Vergleich der Herstellerabgabepreise der einzelnen Grippeimpfstoffe mit den entsprechenden Referenzpreisen zeigt jedoch sowohl bei den Einzelpackungen als auch bei den Zehnerpackungen nach Einführung des Referenzpreissystems eine Vergrößerung der bereits bestehenden Preisunterschiede, die sich im wettbewerblichen System entwickelt haben.
Schlussfolgerung:
Bei der Umsetzung des Referenzpreissystems besteht weiterhin Verbesserungsbedarf. Bei den Grippeimpfstoffen kann voraussichtlich durch das Referenzieren eine Reduktion der Ausgaben für die GKV erreicht werden, allerdings wird das wettbewerbliche Preisniveau verzerrt.
IT-Management
(2014)
Negotiating disability in everyday life: Ethnographical accounts of women with rheumatoid arthritis
(2014)
Purpose: Drawing on data from a larger study, the aim of this paper is to illuminate how the everyday doings of women with disabilities are coordinated to and shaped by organizational processes and social context, particularly as these relate to the potential of being labelled disabled.
Methods: An institutional ethnography was conducted with seven Austrian women diagnosed with rheumatoid arthritis (RA). Interviews and participant observations were conducted, and texts about the historical development of disability policies were identified. Data analysis included grouping similar doings of participants together to subsequently explore links between what the women did and how their doings are shaped by disability policies and the social context.
Results: The women, who participated in this study, spent time and effort to keep the disease invisible, resist disability and negotiate a disability pass. By drawing upon the historical development of Austrian disability policies, the interpretation reveals how this development infiltrates into participants’ lives and shapes their everyday doing.
Conclusion: This study furthers understanding of how broader policies and practices, shaped over historical time, infiltrate into the daily lives of women with disabilities. It illustrates how full participation may not necessarily be a lived reality for people with disabilities at this point in Austria.
Implications for Rehabilitation
Maximising full participation for people with rheumatoid arthritis is important.
This requires focusing not only on the bodily health of people with rheumatoid arthritis but also on their interaction with the social, cultural and political context in their daily lives.
This requires also understanding how knowledge about disability is passed on from previous generations.
Background
Self-reported outcome instruments in health research have become increasingly important over the last decades. Occupational therapy interventions often focus on occupational balance. However, instruments to measure occupational balance are scarce. The aim of the study was therefore to develop a generic self-reported outcome instrument to assess occupational balance based on the experiences of patients and healthy people including an examination of its psychometric properties.
Methods
We conducted a qualitative analysis of the life stories of 90 people with and without chronic autoimmune diseases to identify components of occupational balance. Based on these components, the Occupational Balance-Questionnaire (OB-Quest) was developed. Construct validity and internal consistency of the OB-Quest were examined in quantitative data. We used Rasch analyses to determine overall fit of the items to the Rasch model, person separation index and potential differential item functioning. Dimensionality testing was conducted by the use of t-tests and Cronbach’s alpha.
Results
The following components emerged from the qualitative analyses: challenging and relaxing activities, activities with acknowledgement by the individual and by the sociocultural context, impact of health condition on activities, involvement in stressful activities and fewer stressing activities, rest and sleep, variety of activities, adaptation of activities according to changed living conditions and activities intended to care for oneself and for others. Based on these, the seven items of the questionnaire (OB-Quest) were developed. 251 people (132 with rheumatoid arthritis, 43 with systematic lupus erythematous and 76 healthy) filled in the OB-Quest. Dimensionality testing indicated multidimensionality of the questionnaire (t = 0.58, and 1.66 after item reduction, non-significant). The item on the component rest and sleep showed differential item functioning (health condition and age). Person separation index was 0.51. Cronbach’s alpha changed from 0.38 to 0.57 after deleting two items.
Conclusions
This questionnaire includes new items addressing components of occupational balance meaningful to patients and healthy people which have not been measured so far. The reduction of two items of the OB-Quest showed improved internal consistency. The multidimensionality of the questionnaire indicates the need for a summary of several components into subscales.
The empirical model explaining microsolvation of molecules in superfluid helium droplets proposes a non-superfluid helium solvation layer enclosing the dopant molecule. This model warrants an empirical explanation of any helium induced substructure resolved for electronic transitions of molecules in helium droplets. Despite a wealth of such experimental data, quantitative modeling of spectra is still in its infancy. The theoretical treatment of such many-particle systems dissolved into a quantum fluid is a challenge. Moreover, the success of theoretical activities relies also on the accuracy and self-critical communication of experimental data. This will be elucidated by a critical resume of our own experimental work done within the last ten years.
We come to the conclusion that spectroscopic data and among others in particular the spectral resolution depend strongly on experimental conditions. Moreover, despite the fact that none of the helium induced fine structure speaks against the empirical model for solvation in helium droplets, in many cases an unequivocal assignment of the spectroscopic details is not possible. This ambiguity needs to be considered and a careful and critical communication of experimental results is essential in order to promote success in quantitatively understanding microsolvation in superfluid helium nanodroplets.
The present study represents a test of a conceptual model predicting how the structure of funding might influence country’s performance developing sector of high technology. Using the framework provided by Triple helix theory and Eurostat suggested methodology, this model assesses whether aspects of the funding structure may have a positive effect on country’s performance developing sector of high technology through their influence on sector’s, business, national and international levels of evaluation: number of patents, number of innovative enterprises, turnover of high technology trade and share of high technology in national export. The result indicates that the theoretical framework can identify specific leverage points that can increase efficiency of funding structure and, therefore, productivity of the sector of high technology.
Introduction:
Occupation-based approaches are a hallmark of excellence in occupational therapy practice. This article focuses on the disjuncture between how women with rheumatoid arthritis go about their daily lives, that is to say their occupations, and what is addressed during routine visits at a specialized rheumatology outpatient clinic.
Method:
Institutional ethnography was employed as a method of inquiry to identify the occupations and related issues that were or were not accounted for in health records and addressed within institutional processes. Interviews and participant observations were conducted with seven women with rheumatoid arthritis who were mothers. Hospital records were analysed as texts mediating between the women's daily lives and the rheumatology outpatient clinic.
Findings:
The analysis revealed that despite the diversity in the ways that the women managed their daily lives, the things that they did were viewed, understood, and addressed only within the boundaries of the standardizing relations that ruled practice in this clinical setting. Institutional processes grounded in biomedical concepts such as functional status or disease activity, as well as clinical assessments that depict these concepts, both shape and limit opportunities for occupational therapists to advance and enact occupation-based practice.
Conclusion:
In this setting, the complexity of the participants' daily lives and the occupations they engage in remain unaddressed.
Predictive Modeling (PM) techniques are gaining importance in the worldwide health insurance business. Modern PM methods are used for customer relationship management, risk evaluation or medical management. This article illustrates a PM approach that enables the economic potential of (cost-)effective disease management programs (DMPs) to be fully exploited by optimized candidate selection as an example of successful data-driven business management. The approach is based on a Generalized Linear Model (GLM) that is easy to apply for health insurance companies. By means of a small portfolio from an emerging country, we show that our GLM approach is stable compared to more sophisticated regression techniques in spite of the difficult data environment. Additionally, we demonstrate for this example of a setting that our model can compete with the expensive solutions offered by professional PM vendors and outperforms non-predictive standard approaches for DMP selection commonly used in the market.
In adults, selective memory retrieval can both impair and improve recall of other memories. The study reported here examined whether children also show these two faces of memory retrieval. Employing a variant of the directed-forgetting task, we asked second, fourth, and seventh graders to study a list of target and nontarget words. After study, the participants received a cue to either forget or continue remembering the list. We subsequently asked some participants to recall the nontarget words before we tested their memory for the target words; for the remaining participants, we tested memory only for the target words. Prior retrieval of nontarget words impaired retrieval of to-be-remembered target words, regardless of children's age. In contrast, prior retrieval of nontarget words improved recall of to-be-forgotten target words in seventh graders, though not in fourth and second graders. These results suggest a developmental dissociation between the two faces of memory retrieval and indicate later maturation of the beneficial effect than of the detrimental effect of selective memory retrieval.
Ein Verfahren zur Einbettung von Dekor-Körpern in eine Silikongummi-Matrix umfasst das Auftragen einer ersten aushärtbaren Polysiloxanzusammensetzung auf eine Grundplatte und Angelieren der ersten Polysiloxanzusammensetzung; das Aufbringen der Dekorkörper auf die angelierte erste Polysiloxanzusammensetzung; das Ausfüllen von Zwischenräumen zwischen den Dekorkörpern mit einer zweiten aushärtbaren Polysiloxanzusammensetzung; und das Aushärten der Polysiloxanzusammensetzungen zu einer transparenten Polysiloxan-Matrix mit darin eingebetteten Dekor-Körpern. Ein weiteres Verfahren zur Einbettung von Dekor-Körpern in eine Silikongummi-Matrix umfasst das Auftragen einer aushärtbaren Polysiloxanzusammensetzung auf eine Grundplatte und Aufbringen der Dekor-Körper vor dem Angelieren der ersten Polysiloxanzusammensetzung; das Einsinkenlassen der aufgebrachten Dekor-Körper in die aushärtende Polysiloxanzusammensetzung derart, dass die aufgebrachten Dekor-Körper von der Polysiloxanzusammensetzung vollständig umschlossen werden; und das Aushärten der Polysiloxanzusammensetzungen zu einer transparenten Polysiloxan-Matrix mit den darin eingebetteten Dekor-Körpern derart, dass eine Mehrzahl der eingebetteten Dekor-Körper von der Polysiloxanzusammensetzung vollständig umschlossen bleibt.
In this article, we describe a semi-automatic calibration algorithm for dereverberation by spectral subtraction. We verify the method by a comparison to a manual calibration derived from measured room impulse responses (RIR). We conduct extensive experiments to understand the effect of all involved parameters and to verify values suggested in the literature. The experiments are performed on a text read by 31 speakers and recorded by a headset and three far-field microphones. Results are measured in terms of automatic speech recognition (ASR) performance using a 1-gram model to emphasize acoustic recognition performance. To accommodate for the acoustic change by dereverberation we apply supervised MAP adaptation to the hidden Markov model output probabilities. The combination of dereverberation and adaptation yields a relative improvement of about 35% in terms of word error rate (WER) compared to the original signal.
In this paper we present an algorithm that produces pitch and probability-of-voicing estimates for use as features in automatic speech recognition systems. These features give large performance improvements on tonal languages for ASR systems, and even substantial improvements for non-tonal languages. Our method, which we are calling the Kaldi pitch tracker (because we are adding it to the Kaldi ASR toolkit), is a highly modified version of the getf0 (RAPT) algorithm. Unlike the original getf0 we do not make a hard decision whether any given frame is voiced or unvoiced; instead, we assign a pitch even to unvoiced frames while constraining the pitch trajectory to be continuous. Our algorithm also produces a quantity that can be used as a probability of voicing measure; it is based on the normalized autocorrelation measure that our pitch extractor uses. We present results on data from various languages in the BABEL project, and show a large improvement over systems without tonal features and systems where pitch and POV information was obtained from SAcC or getf0.
In this paper we describe Erlangen-CLP, a large speech database of children with Cleft Lip and Palate. More than 800 German children with CLP (most of them between 4 and 18 years old) and 380 age matched control speakers spoke the semi-standardized PLAKSS test that consists of words with all German phonemes in different positions. So far 250 CLP speakers were manually transcribed, 120 of these were analyzed by a speech therapist and 27 of them by four additional therapists. The tharapists marked 6 different processes/criteria like pharyngeal backing and hypernasality which typically occur in speech of people with CLP. We present detailed statistics about the the marked processes and the inter-rater agreement.
Im Beitrag wird dargelegt, warum und wie über die auf der Bauproduktenverordnung basierenden DE-Kennzeichnung von Bausprodukten und Bausätzen die nationale Klassifizierung von Brandverhalten und Feuerwiderstand zwangsweise verdrängt wird, obwohl beide Klassifizierungen in Deutschland zum Veröffentlichkeitszeitpunkt noch parallel gültig und nutzbar waren.
Krankenhäuser sind ständig auf der Suche nach Verbesserungs- und Optimierungspotenzialen im Kosten- und Erlösbereich. Die Prozessoptimierung gehört hierbei zu einem beliebten Instrument; als Optimierungsobjekt schälen sich immer mehr Querschnittsprozesse heraus. Das im Folgenden beschriebene Projekt untersuchte in Kooperation mit mehreren kommunalen Häusern im Rahmen eines strukturierten Benchmarkings, ob die Anstrengungen im Prozess „Stationäre Entlassung“ im Vergleich mit anderen Häusern ausreichten oder ob noch weiteres Potenzial vorhanden war. Das Neue hierbei war die detaillierte Modellierung der Prozesse und die Analyse anhand von Kennzahlenvergleichen.
Purpose: The aim of this study was to identify health-relevant aspects of functioning and disability of persons aged 65 years or older with joint contractures, to link the findings to corresponding ICF categories and to describe the patients’ perspective.
Methods: We conducted 43 qualitative, semi-structured, face-to-face interviews with affected persons in two different locations (Witten, Munich) and in three different settings. Data were analyzed using the “meaning condensation procedure” and then linked to ICF categories.
Results: From all interviews a total of 2499 single meaning-concepts were extracted which were linked to 324 different ICF categories. The participants in all settings mainly reported problems related to “Mobility of a single joint (b710)”, “Sensation of pain (b280)” and problems related to “Walking (d450)”. Almost all participants reported “Products and technology for personal indoor and outdoor mobility and transportation (e120)” as a relevant environmental factor. Conclusions: From the patients’ perspective, joint contractures have an impact on multifaceted aspects of functioning and disability, mainly body functions, environmental factors and activities and participation. The results of this study will contribute to the development of a standard instrument for measuring functioning, disability and health-relevant aspects for patients with joint contractures.
Implications for Rehabilitation
Joint contractures are a major cause for the development of disability in older people.
Patients’ perspectives and their personal experiences have to be considered when assessing the impact of joint contractures.
The International Classification of Functioning, Disability and Health (ICF) is an appropriate framework for describing the patients’ multifaceted experience of joint contractures.
Purpose
The aim of this study was to identify disease‐related aspects of functioning and disability in people with joint contractures from a health professionals' perspective and to describe the findings, using categories of the International Classification of Functioning, Disability, and Health (ICF).
Design
An Internet‐based expert survey.
Methods
We asked international health professionals for typical problems in functioning and important contextual factors of individuals with joint contractures using an Internet‐based open‐ended questionnaire. All answers were linked to the ICF according to established rules. Absolute and relative frequencies of the linked ICF categories were reported.
Findings
Eighty experts named 1785 meaning units which could be linked to 256 ICF categories. Among the categories, 24.2% belonged to the component Body Functions, 20.7% to Body Structures, 36.3% to Activities and Participation, and 18.8% to Environmental Factors.
Conclusion
Health professionals addressed a large variety of functional problems and multifaceted aspects due to the symptom joint contractures.
Clinical Relevance
International health professionals reported a large variety of aspects of functioning and health, which are related to joint contractures
Purpose
The impact of vertigo and dizziness on healthy ageing, and especially on participation, is not fully understood. The objective of this study was to investigate the association of vertigo and dizziness with self-perceived participation and autonomy in older non-institutionalised individuals, adjusted for the presence of other health conditions. Specifically, we wanted to investigate the different effects of vertigo and dizziness on specific components of participation, i.e. restrictions in indoor and outdoor autonomy, family role, social life and relationships, and work and education.
Methods
Data originate from the second wave of the German KORA-Age cohort study collected in 2012. Participation and autonomy was investigated with the Impact on Participation and Autonomy Questionnaire. We used robust regression to analyse the association of vertigo and dizziness with self-perceived participation and autonomy adjusted for covariates.
Results
A total of 822 participants (49.6 % female) had a mean age of 78.1 years (SD 6.39). Participation and autonomy were significantly lower in participants with vertigo and dizziness across all domains. Adjusted for age, sex, and chronic conditions, vertigo and dizziness were significantly associated with participation restrictions in all domains except social life and relationships.
Conclusion
The results of our study indicate that vertigo and dizziness contribute to restrictions in participation and autonomy in individuals of older age. Recognising vertigo and dizziness as independent contributors to loss of autonomy and decreased chances for independent living may create new options for patient care and population health, such as the designing of complex interventions to maintain participation and autonomy.