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Institute
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Growing evidence shows interrelations of psychological factors, neurological and immunological processes. Therefore, constructs like a balance of activities, the so called “occupational balance”, could also have biological correlates. The aim of this study was to investigate potential associations between occupational balance, functioning, cytokines and C-reactive protein (CRP) in patients suffering from a chronic inflammatory disease like rheumatoid arthritis (RA) and healthy people. Moreover, we wanted to explore potential differences in gender and employment status.
A descriptive study in patients with RA and healthy people was conducted using the Occupational Balance-Questionnaire (OB-Quest) and the Short-Form 36 Health Survey (SF-36). Serum levels of cytokines, such as interleukin 6 (IL-6) and 8 (IL-8), interferon alpha (INFα), tumour necrosis factor alpha (TNFα), rheumatoid factor (RF) and of CRP were measured. Descriptive statistics, as well as Mann-Whitney U tests and Spearmen's rank correlation coefficients (rs) were calculated.
One-hundred-thirty-two patients with RA and 76 healthy people participated. Occupational balance was associated with functioning, cytokines and CRP. The strongest associations were identified in the unemployed healthy-people sample with cytokines and CRP being within the normal range. For example, the OB-Quest item challenging activities was associated with IL-8 (rs = − 0.63, p = 0.04) and the SF-36 sub-scale bodily pain was associated with IFNα (rs = − 0.69, p = 0.02). The items rest and sleep (rs = − 0.71, p = 0.01) and variety of different activities (rs = − 0.74, p < 0.01) correlated with the SF-36 sub-scale social functioning. Employed and unemployed people differed in their age and CRP levels. Additionally, gender differences were found in two OB-Quest items in that fewer women were able to adapt their activities to changing living conditions and fewer men were overstressed. In conclusion, we found preliminary biological evidence for the link between occupation and health in that the concepts encompassed in the construct of occupational balance were associated with functioning, cytokines and CRP.
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 International Spinal Cord Injury (InSCI) community survey has been developed to collect internationally comparable data on the lived experience of persons with spinal cord injury (SCI) in all 6 WHO regions.
The InSCI survey provides a crucial first step to generate evidence on functioning, health maintenance, and subjective well-being in persons with SCI globally.
A major challenge in setting up the InSCI community survey was to develop a data model and questionnaire that comprehensively captures what matters to people and, at the same time, is feasible and parsimonious in terms of participant’s burden.
This paper outlines the components of the InSCI data model and presents the question selection to operationalize the data model along the 4 guiding principles of efficiency, feasibility, comparability, and truth and discrimination.
The data model consists of 6 components operationalized with 125 questions including functioning (n = 28 body functions and structures; n = 42 activities and participation), contextual factors (n = 26 environmental; n = 19 personal factors), lesion characteristics (n = 2), and appraisal of health and well-being (n = 8).
The InSCI questionnaire presents an efficient and feasible solution with satisfying comparability to other populations; however, its validity and reliability still needs to be confirmed.
Purpose
The content of and methods for collecting health information often vary across settings and challenge the comparability of health information across time, individuals or populations. The International Classification of Functioning, Disability and Health (ICF) contains an exhaustive set of categories of information which constitutes a unified and consistent language of human functioning suitable as a reference for comparing health information.
Methods and results In two earlier papers, we have proposed rules for linking existing health information to the ICF. Further refinements to these existing ICF Linking Rules are presented in this paper to enhance the transparency of the linking process. The refinements involve preparing information for linking, perspectives from which information is collected and the categorization of response options. Issues regarding the linking of information not covered or unspecified within the ICF are also revisited in this paper.
Conclusion:
The ICF Linking Rules are valuable for enhancing comparability of health information to ensure that information is available in a consistent manner to serve as a foundation for evidence-based decision-making across all levels of health systems. The refinements presented in this paper enhance transparency in, and ultimately reliability of the process of, linking health information to the ICF.
Implications for Rehabilitation
The International Classification of Functioning, Disability and Health (ICF) constitutes a unified and consistent language of human functioning suitable as a reference for comparing health information.
Comparability of information is essential to ensure that the widest range of information is available in a consistent manner for any decision-maker at all levels of the health system.
The refined ICF Linking Rules presented in this article outline the method to establish comparability of health information based on the ICF.
Background
acquired joint contractures have significant effects on quality of life and functioning.
Objective
to determine the effects of interventions to prevent and treat disabilities in older people with acquired joint contractures.
Methods
systematic search (last 8/2016) via Cochrane Library, PubMed, EMBASE, PEDro, CINAHL, trial registries, reference lists of retrieved articles and scientific congress pamphlets. Controlled and randomised controlled trials in English or German comparing an intervention with another intervention or standard care were included. Two independent researchers performed the selection of publications, data extraction and critical appraisal.
Results
seventeen studies with 992 participants met the inclusion criteria: 16 randomised controlled trials and 1 controlled trial (nursing homes = 4, community settings = 13). The methodological quality of the studies varied. Splints were examined in four studies, stretching exercises in nine studies, and ultrasound, passive movement therapy, bed-positioning and group exercise were each examined in one study. Studies on splints revealed inconclusive results regarding joint mobility or spasticity. Five of seven studies that assessed active stretching programmes for healthy older people reported statistically significant effects on joint mobility in favour of the intervention. Pain, quality of life, activity limitations and participation restrictions were rarely assessed.
Conclusion
the evidence for the effectiveness of interventions to prevent and treat disability due to joint contractures is weak, particularly for established nursing interventions such as positioning and passive movement. Better understanding is required regarding the delivery of interventions, such as their intensity and duration. In addition to functional issues, activities and social participation should also be studied as outcomes.
Betriebliche Prozesse
(2010)
In this methodological note on applying the ICF in rehabilitation, we introduce suitable tools that allow us to document comprehensively and systematically the lived experience of health to guide clinical practice, the management of services, evidence-informed policy and scientific inquiry.
The objective of this methodological note is to present the currently available tools with respect to four questions: 1) what ICF domains to document; 2) what perspective to take; 3) what data collection tools to apply; and 4) which approach to use for reporting. The application of these tools is illustrated using the Swiss Spinal Cord Injury (SwiSCI) Cohort Study.
Existing ICF Sets provide a practical approach for identifying the domains to document. One can document from the perspective of biological health, lived health, and appraised health. For identifying suitable data collection tools, either existing tools can be linked to the ICF or available ICF-based data collection tools can be used.
For reporting, an interval scale metric is suggested. The four step approach presented provides users with a logical sequence to follow when planning the documentation of functioning using the ICF as a health information reference system in practice and research.
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-Universität München and of the Technische Universität 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.
The System HAILsens implements a device for Real-Time sensor data processing, running on a Texas Instruments Concerto M3 core. An I2C interface is used for sensor communications. Ethernet with UDP on a custom developed three layered frame organisation of sensor data serves as a link to the main system on board of an aeroplane. For backing up the acquired data, all frames are locally stored on an SD Card. To have the possibility of easily checking the current system status, an LCD module and a push-button provide a minimal user interface.
Zahlensysteme und binäre Arithmetik
Nachricht und Information
Codierung und Datenkompression
Verschlüsselung
Schaltalgebra, Schaltnetze und Elemente der Computerhardware
Rechnerarchitekturen
Rechnernetze
Betriebssysteme
Datenbanken
Automatentheorie und formale Sprachen
Berechenbarkeit und Komplexität
Suchen und Sortieren
Bäume und Graphen
prozedurale und objektorientierte Programmierung (C und Java)
Anwendungsprogrammierung im Internet (HTML, CSS, JavaScript und PHP)
Software-Engineering
This paper deals with the preparation of the Small GEO mission and the accommodation of a GPS receiver as an experiment. The expected benefits of using the GPS receiver for Small GEO are explained. The feasibility of using GPS for position determination is investigated by simulation using a MosaicGNSS receiver, which was stimulated by a Spirent RF signal generator. A procedure, how to evaluate flight data on ground is outlined. Success criteria of the experiment and the minimal size of the downlink stream required and reserved for the receiver TM are presented.
The advanced Attitude and Orbit Control System (AOCS) design of the Small GEO platform is now being adapted for the first commercial mission.
The Small GEO telecommunications satellite is a new development to fill a niche in the telecom industry for small platforms weighing about 1.5 tonnes and targeting payloads of 300 kg and 3 kW. The first mission will launch into Geostationary Transfer Orbit (GTO).
Small GEO is being developed by a Consortium led by OHBSystem AG. The Swedish Space Corporation is a partner in the Consortium and supplies the AOCS and Electric Propulsion (EP) subsystems. The project is currently in Phase C and the first mission will fly in 2012. This article gives an overview of the AOCS development status.
The AOCS architecture is a three-axis stabilized system using reaction wheels for attitude control, star trackers for attitude determination, and EP for orbit control. The AOCS software is being developed using model-based design techniques and test driven development. Results from subsystem level testing of flight code will be presented.
The AOCS design is characterized by a number of advances in technology beyond traditional telecom satellite designs. Perhaps the largest deviation from a traditional design is complete reliance on EP for orbit control. Angular momentum management of the reaction wheels relies solely upon EP in the nominal modes. The EP is not used in the safe modes and therefore a cold gas system is included On-board.
The cold gas system uses Xenon, the same fuel used by the EP. Another advance is the reliance upon APS-based star trackers. APS (Active Pixel Sensor) star trackers have a number of advantages over their CCD-based cousins in terms of robustness. The traditional fine sun sensor is simplified to a fault tolerant system of solar cells giving low, but more than adequate, accuracy.
In addition, a GPS sensor will be flown on-board as an experiment.
Die wachsenden Anforderungen an Beschäftigte in Kitas lassen nicht nur für älter werdende Fachkräfte das Thema Gesundheit als zentralen Punkt für Träger und Leitung erkennen. Die Förderung von Gesundheit im Betrieb stellt daher eine „moderne Unternehmensstrategie dar und zielt darauf ab, Krankheiten am Arbeitsplatz vorzubeugen […], Gesundheitspotentiale zu stärken und das Wohlbefinden am Arbeitsplatz zu verbessern." (ENWHP 2007, S. 3). Unter dem Begriff Gesundheitsmanagement sollen daher im folgenden Beitrag Maßnahmen und Angebote verstanden werden, die als betriebliches Gesundheitsmanagement in Organisationen in unterschiedlichen Kontexten die Gesundheit von Beschäftigten fördern.
Agenda:
Studienziel Software-Ingenieur(in) Projekte im Rahmen des Informatik-Studiums Projektbeispiele -IT Partner in Forschungsprojekten
Labor für Software-Technik
-IT Partner in Forschungsprojekten -Einzelanfertigungen für genau einen Kunden -Unterstützung von Startups / Testen von Geschäftsideen -Projekte mit kleinen und mittleren Unternehmen Zusammenarbeit mit FH: Nächste Schritte
Aktuelle Projekte werden nur noch selten von einem einzigen Team an einem einzigen Standort bearbeitet. Um verteilt arbeitende Teams, Auftrag- und Unterauftragnehmer zu koordinieren, ist einerseits ein abgestimmtes Vorgehen notwendig, andererseits müssen Projekte in solchen Szenarios durch Werkzeuge unterstützt werden.
Die problemorientierte und organisationsspezifische Integration von Werkzeugen und Vorgehensmodellen ist ein wesentliches Erfolgskriterium für Organisationen und ihre Projekte. Werkzeuge können Anwender unterstützen und durch vorgegebene Prozesse wie z.B. Risikomanagement oder Berichtswesen führen. Eine nahtlose Integration eines Vorgehensmodells in eine gegebene und akzeptierte Werkzeugumgebung kann sich positiv auf den Erfolg von Prozessanpassungen auswirken.
Effizienzsteigerungen, bspw. durch die automatische Generierung von Vorlagen oder Dokumentation, machen Werkzeugintegrierte Prozesse auch für Entwickler interessant. Auf der anderen Seite müssen Projektspezifische Anforderungen an Werkzeuge und Prozesse berücksichtigt werden, die eine Flexibilität in der Anwendung und Benutzung erforderlich machen.
Dieser 3. Workshop diskutiert in Fortsetzung der Workshops Formalisierung und Anwendung sowie Reife und Qualität unterschiedliche und facettenreiche Fragen, die sich hinsichtlich der Werkzeugunterstützung und der werkzeuggeführten Anwendung von Vorgehensmodellen ergeben. Insbesondere die semi- und vollautomatische Integration von Vorgehensmodellen, die Generierung von Arbeitsumgebungen und Optionen zur Anwenderunterstützung und Anwenderführung spielen hier zentrale Rollen.
Im Zentrum des Workshops steht der Lifecycle von Vorgehensmodellen mit dem Schwerpunkt der Operationalisierung durch Werkzeuge und der geführten/unterstützten Anwendung. Von besonderem Interesse sind Fragen nach der Konzeption und Durchführung von Werkzeugen und Anwenderunterstützung im Kontext verschiedener Vorgehensmodelle, wie bspw. dem V-Modell XT, Scrum, Prince2, RUP, XP.
Themenüberblick:
Der 1-täige Workshop zielt im Wesentlichen auf folgende Themen:
Verbesserung der Akzeptanz von Vorgehensmodellen
Werkzeugunterstützte Prozesseinführung:
Einführung und Einführbarkeit mithilfe von Werkzeugen
Etablierung und Durchsetzung, Do's und Dont's
Kontinuierliche werkzeugunterstützte Prozessverbesserung
Kosten und Nutzen, Abhängigkeiten, Vor- und Nachteile
Werkzeugunterstützung bei der Projektdurchführung
Lose gekoppelte Werkzeuglandschaften vs. integrierte Tools
Werkzeugunterstützte Planung, Steuerung von Agilen Projekten
Unterstützung für kleine, große und verteilte Teams
Werkzeugunterstützung bei Auswahl, Anpassung und Tailoring
Grenzen der Werkzeugunterstützung
Formalisierung und Werkzeugunterstützung von Prozessen und Prozessschritten
Vorgehens- und Reifegradmodelle: V-Model XT, XP, CMMI, RUP, Scrum etc.
Nowadays, in software development usually various models and description fragments are created. Some of these artifacts describe the core of the application, such as the data model or the user interaction model. Other artifacts describe cross-cutting concerns, such as security or the requirement: “every change of data has to be confirmed by the user, before it is written into the database”. During the development process these artifacts are combined, transformed, and finally implemented manually or even automatically. For instance a designer may combine a model of a dialog component specifying an action, that changes data, with a common description of a generic confirm dialog. The integrated dialog description may be afterwards implemented by a programmer. The manual combination of both artifacts and the transformation of the combined description into code are errorprone and hard to change. Industry basically tests or actually uses two approaches for the combination today: 1. At the level of code and execution Aspect-Oriented Programming (AOP) is used [KLM+97]. An aspect defines a cross-cutting concern and the weaving instructions. A code weaver provides the actual weaving at compile or runtime. 2. At the level of design models and analysis models Model-Driven Software Development (MDSD) is used [KWB03]. A model in MDSD is a first class development artifact. Thus models are significantly more abstract than the implementation of code. However, these models cannot be executed. Hence, a abstract model is transformed into another, typically more detailed. A series of such transformations results in executable code. Thereby, a model transformer or a code generator reads some of the artifacts. The other artifacts and the combination rules are implemented in transformation rules or code generation templates (or somewhere else in the transformation / generation approach).