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    GesundAngewandte Gesundheitswissenschaften

    Beitrag (Sammelband oder Tagungsband)

    R. Nissen, Thomas Bartscher

    Digitalisierung und Arbeit 4.0

    Gabler Wirtschaftslexikon Online, Wiesbaden

    2019

    GesundEuropan Campus Rottal-Inn

    Zeitschriftenartikel

    Irmgard Tischner, H. Malson, K. Fey

    Leading ladies: discursive constructions of women leaders in the UK media

    Feminist Media Studies, no. Published online: 10 July 2019

    2019

    DOI: 10.1080/14680777.2019.1640266

    Abstract anzeigen

    Women continue to be economically disadvantaged and under-represented in positions of power and leadership. A discursive disjunction between cultural and media representations of women and leadership has been implicated in these continuing inequalities. We address this issue through an analysis of the ways in which prominent women leaders were portrayed in a UK radio series, BBC Radio 4’s “Profile” broadcast between July 2011 and July 2013. Verbatim transcripts of 12 broadcasts featuring women were analysed within a critical feminist framework, to explore the ways in which these women leaders were discursively constructed. Our analysis explicates three constructions of “women leaders”: as “traditionally” feminine; as having to balance “masculine” and “feminine” attributes; and as exceptional women who may nevertheless fail. We conclude that the impact of equality legislation continues to be limited while androcentric norms prevail and that we therefore need more gynocentric ways of imagining women leaders.

    GesundAngewandte Gesundheitswissenschaften

    Buch (Monographie)

    Bernhard Bleyer

    Pragmatische Urteile in der unmittelbaren Patientenversorgung

    Moraltheorie an den Anfängen Klinischer Ethikberatung

    Gesundheit und Medizin im interdisziplinären Diskurs, Berlin

    2019

    ISBN: 9783662586723

    GesundAngewandte Gesundheitswissenschaften

    Beitrag (Sammelband oder Tagungsband)

    Bernhard Bleyer

    Bedingungen einer katholischen Moraltheologie in der Wissenschaft

    Die Wissenschaftlichkeit der Theologie: Band 2: Katholische Disziplinen und ihre Wissenschaftstheorien (Studien zur systematischen Theologie, Ethik und Philosophie), Münster, vol. 13/2

    2019

    ISBN: 978-3402119181

    GesundAngewandte Gesundheitswissenschaften

    Zeitschriftenartikel

    S. Kuphal, S. Lamm, Melanie Kappelmann-Fenzl, S. Meierjohann, L. Feuerer, S. Haferkamp, C. Hellerbrand, A. Bosserhoff, I. Henz

    Role of MIA (melanoma inhibitory activity) in melanocyte senescence

    Pigment Cell & Melanoma Research, no. First Published: 06 June 2019

    2019

    DOI: 10.1111/pcmr.12801

    Abstract anzeigen

    The protein MIA is known to be expressed in melanoma and to support melanoma progression. Interestingly, previous studies also observed the expression of MIA in nevi. Concentrating on these findings, we revealed that MIA expression is correlated with a senescent state in melanocytes. Induction of replicative or oncogene‐induced senescence resulted in increased MIA expression in vitro. Notably, MIA‐knockdown in senescent melanocytes reduced the percentage of senescence‐associated beta‐Gal‐positive cells and enhanced proliferation. Using the melanoma mouse model Tg(Grm1), MIA‐deficient mice supported the impact of MIA on senescence by showing a significantly earlier tumor onset compared to controls. In melanocytes, MIA‐knockdown led to a downregulation of the cell cycle inhibitor p21 in vitro and in vivo. In contrast, after induction of hTERT in human melanoma cells, p21 regulation by MIA was lost. In summary, our data show for the first time that MIA is a regulator of cellular senescence in human and murine melanocytes.

    GesundAngewandte GesundheitswissenschaftenEuropan Campus Rottal-Inn

    Zeitschriftenartikel

    Irmgard Tischner, N. Moller

    Young people’s perceptions of fat counsellors: “How can THAT help me?”

    Qualitative Research in Psychology, vol. 16, no. 1, pp. 34-53

    2019

    DOI: 10.1080/14780887.2018.153638

    Abstract anzeigen

    Being fat is widely recognised as a stigmatised identity which disproportionately impacts women, both personally and professionally. Women are numerically dominant as therapy practitioners, and we use this group to explore the ways a “fat counsellor” is imagined in the context of counselling. A qualitative story completion task, about a woman starting therapy, was presented to 203 British young people ages 15–24. Participants were 75% female, 88% white, 93% heterosexual, and 98% able-bodied. The story stem did not specify the sex of the counsellor, who was identified as fat; the vast majority of stories assumed the counsellor was female. Overall, fatness was perceived as negatively affecting therapy and the counsellor’s professional credibility because fatness was equated with a lack of psychological health, which rendered fat counsellors professionally “unfit.” This finding extends the literature on “weight bias” in professional settings and has implications for counsellors of all body sizes.

    GesundAngewandte GesundheitswissenschaftenEuropan Campus Rottal-Inn

    Zeitschriftenartikel

    Irmgard Tischner

    Tomorrow is the start of the rest of their life – so who cares about health? Exploring constructions of weight-loss motivations and health using story completion

    Qualitative Research in Psychology, vol. 16, no. 1, pp. 54-73

    2019

    DOI: 10.1080/14780887.2018.1536385

    Abstract anzeigen

    In Western societies, health is closely associated with body weight and weight loss, achieved through individual health behaviour. I examined such associations in constructions of weight-loss motivations and health in stories generated using the novel method of story completion. The story stem featured either a female or male protagonist deciding to lose weight; 148 women and 22 men (ages 18–24) provided stories in response. A social constructionist thematic analysis identified five themes: health as clothing size and means to an end; weight-loss activity as good for every woman; tomorrow is going to be the start of the rest of their life; tell me when I’m okay — it’s not about wellbeing; and weight loss as signifier of the “true self.” Considering the adverse social and psychological consequences reflected in the stories and the longstanding elusiveness of successful weight-loss methods, I support calls to review the dominant weight-focused approach to public health.

    GesundAngewandte Gesundheitswissenschaften

    Zeitschriftenartikel

    Bernhard Bleyer

    Krause, Franziska; Boldt, Joachim (2018): Care in Healthcare. Reflections on Theory and Practice. Basingstoke, UK: Palgrave Macmillan.

    Buchbesprechung

    Ethik in der Medizin, no. 4

    2018

    GesundIQW

    Zeitschriftenartikel

    Andreas Gegenfurtner, Matthew White, Heather Braund, J.J.G. van Merriënboer, D. Howes, A. Szulewski, R. Egan

    Getting Inside the Expert's Head: An Analysis of Physician Cognitive Processes During Trauma Resuscitations

    Annals of emergency medicine, vol. 72, no. 3, pp. 289-298

    2018

    DOI: 10.1016/j.annemergmed.2018.03.005

    Abstract anzeigen

    STUDY OBJECTIVE Crisis resource management skills are integral to leading the resuscitation of a critically ill patient. Despite their importance, crisis resource management skills (and their associated cognitive processes) have traditionally been difficult to study in the real world. The objective of this study was to derive key cognitive processes underpinning expert performance in resuscitation medicine, using a new eye-tracking-based video capture method during clinical cases. METHODS During an 18-month period, a sample of 10 trauma resuscitations led by 4 expert trauma team leaders was analyzed. The physician team leaders were outfitted with mobile eye-tracking glasses for each case. After each resuscitation, participants were debriefed with a modified cognitive task analysis, based on a cued-recall protocol, augmented by viewing their own first-person perspective eye-tracking video from the clinical encounter. RESULTS Eye-tracking technology was successfully applied as a tool to aid in the qualitative analysis of expert performance in a clinical setting. All participants stated that using these methods helped uncover previously unconscious aspects of their cognition. Overall, 5 major themes were derived from the interviews: logistic awareness, managing uncertainty, visual fixation behaviors, selective attendance to information, and anticipatory behaviors. CONCLUSION The novel approach of cognitive task analysis augmented by eye tracking allowed the derivation of 5 unique cognitive processes underpinning expert performance in leading a resuscitation. An understanding of these cognitive processes has the potential to enhance educational methods and to create new assessment modalities of these previously tacit aspects of expertise in this field.

    GesundIQW

    Zeitschriftenartikel

    E. Kok, B. Sorger, Andreas Gegenfurtner, K. van Geel, I. Heyligers, De Bruin, A. B.

    The Neural Implementation of Surgical Expertise Within the Mirror-Neuron System: An fMRI Study

    Frontiers in Human Neuroscience, vol. 12

    2018

    DOI: 10.3389/fnhum.2018.00291

    Abstract anzeigen

    Motor expertise is an important aspect of high-level performance in professional tasks such as surgery. While recently it has been shown that brain activation as measured by functional magnetic resonance imaging (fMRI) within the mirror-neuron system (MNS) is modulated by expertise in sports and music, little is known about the neural underpinnings of professional, e.g., surgical expertise. Here, we investigated whether and (if so) how surgical expertise is implemented in the MNS in medical professionals across three levels of surgical qualification. In order to answer the more specific research question, namely, if the neural implementation of motor expertise develops in a linear or non-linear fashion, the study compares not only brain activation within the MNS related to action observation of novices and experts, but also intermediates. Ten novices (medical students), ten intermediates (residents in orthopedic surgery) and ten experts (orthopedic surgeons) watched 60 video clips (5 s each) of daily-life activities and surgical procedures each while their brain activation was measured using a 3-T fMRI scanner. An established localization procedure was followed to functionally define the MNS for each participant individually. A 2 (video type: daily-life activities, surgical procedures) × 3 (expertise level: novice, intermediate, expert) ANOVA yielded a non-significant interaction. Furthermore, separate analyses of the precentral and parietal part of the MNS also yielded non-significant interactions. However, post hoc comparisons showed that intermediates displayed marginally significantly lower brain activation in response to surgery-related videos within the MNS than novices. No other significant differences were found. We did not find evidence for the hypothesis that the brain-activation level in the MNS evoked by observing surgical videos reflects the level of surgical expertise in the professional task of (orthopedic) surgery. However, the results suggest a potential non-linear relationship between expertise level and MNS-activation level.

    DigitalGesundIQW

    Zeitschriftenartikel

    Andreas Gegenfurtner, K. Emmerdinger, Wolfgang Stern

    Inklusion sehbeeinträchtigter Studierender durch die Implementierung assistiver Technologien und Universal Design in Lern-Management-Systemen

    spuren – Sonderpädagogik in Bayern, vol. 61, no. 2, pp. 40-43

    2018

    GesundIQW

    Zeitschriftenartikel

    Andreas Gegenfurtner, M. Gebhardt

    Sexualpädagogik der Vielfalt: Ein Überblick über empirische Befunde

    Zeitschrift für Pädagogik, vol. 64, no. 3, pp. 379-393

    2018

    DOI: 10.3262/ZP1803379

    DigitalGesundIQW

    Zeitschriftenartikel

    Andreas Gegenfurtner, Andrew Hall, J.J.G. van Merriënboer, H. Braund, A. Szulewski, J. Dagnone, R. Egan

    Through the Learner's Lens: Eye-Tracking Augmented Debriefing in Medical Simulation

    Journal of Graduate Medical Education, vol. 10, no. 3, pp. 340-341

    2018

    DOI: 10.4300/JGME-D-17-00827.1

    GesundAngewandte GesundheitswissenschaftenEuropan Campus Rottal-Inn

    Beitrag (Sammelband oder Tagungsband)

    V. Clarke, Irmgard Tischner, N. Hayfield, V. Braun, N. Moller

    Qualitative story completion: A method with exciting promise

    Innovative Research Methods in Health Social Sciences, Singapore

    2018

    ISBN: 9789811042935

    GesundAngewandte Gesundheitswissenschaften

    Beitrag (Sammelband oder Tagungsband)

    D. Melchart, Stephan Gronwald

    Entwicklung und Erprobung eines Bio-Psycho-Sozialen Analyseinstrumentes zur Identifizierung von Belastungen im Handwerk

    Institut für Betriebliches Gesundheitsmanagement und Arbeitssicherheit

    Forschungsbericht 2016/2017 der Technischen Hochschule Deggendorf

    2017

    DigitalGesundEuropan Campus Rottal-Inn

    Buch (Monographie)

    Georgi Chaltikyan, A. Astvatsatryan

    International Healthcare Systems

    2017

    ISBN: 978-9939-838-54-0

    GesundAngewandte GesundheitswissenschaftenEuropan Campus Rottal-Inn

    Beitrag (Sammelband oder Tagungsband)

    V. Clarke, Irmgard Tischner, N. Hayfield, N. Moller, The Story Completion Research Group

    Once upon a time...: Qualitative story completion methods

    Collecting qualitative data. A practical guide to textual, media and virtual techniques, Cambridge, United Kingdom; New York, NY

    2017

    ISBN: 9781107054974

    Abstract anzeigen

    This chapter introduces the story completion (SC) method of collecting qualitative data, a novel technique that offers intriguing potential to the qualitative researcher. Since the method is new to qualitative research, it has fewer published research studies than some of the other methods covered in this book. For this reason, the chapter aims not only to provide a description of the method and recommendations for how best to use it, but also to explore some of the unresolved theoretical and practical questions about SC. These questions have been identified by the chapter authors, who comprise the Story Completion Research Group. We are a group of researchers who have come together to share our experience of using and further developing the method (see Box 3.1). Our view is that SC has the potential to ‘reach the parts that other methods cannot reach’ (Pope & Mays, 1995); it therefore has advantages over and above being enticingly resource-lite in terms of data collection, although that in itself is a sizeable benefit.

    GesundAngewandte Gesundheitswissenschaften

    Zeitschriftenartikel

    R. Eberle-Sejari, Agnes Nocon, J. Unterhitzenberger, R. Rosner

    The effectiveness of psychosocial interventions in young war-traumatized refugees – systematic review and meta-analysis

    European Journal of Psychotraumatology, vol. 8, no. Sup2

    2017

    DOI: 10.1080/20008198.2017.1388709

    Abstract anzeigen

    Background: The United Nations reported that in 2016 over 65 million people worldwide have forcibly left home. Over 50% are children and adolescents; a substantial number has been traumatized and displaced by war. Objective: To provide an overview of the effectiveness of psychosocial interventions in this group we conducted a narrative review and a meta-analysis of intervention studies providing data on posttraumatic stress symptoms (PTSS), depression, anxiety, grief, and general distress. Method: We searched PILOTS, MEDLINE, WoS, Embase, CENTRAL, LILACS, PsycINFO, ASSIA, CSA, and SA for studies on treatment outcomes for war-traumatized displaced children and adolescents. Between-group effect sizes (ES) and pre-post ES were reconstructed for each trial. Overall pre-post ES were calculated using a random effects model. Results: The narrative review covers 23 studies with a variety of treatments. Out of the 35 calculated between-group ES, only six were significant, all compared to untreated controls. Two of them indicated significant adverse effects on symptoms of general distress or depression. When calculating pre-post effect sizes, the positive between-group results of cognitive behavioural therapy (CBT) and interpersonal therapy (IPT) were reproduced and singular other treatments showed significant positive effects. However, the mean pre-post effects for PTSS and depression could not be interpreted due to the high heterogeneity of the included studies (PTSS: ES = 0.78; I2 = 88.6%; depression: ES = 0.35; I2 = 93.1%). Only the mean pre-post effect for seven active CBT treatment groups for depression (ES = 0.30, 95% CI [0.18, 0.43]) was interpretable (Q = 3.3, df = 6, p = .77). Conclusion: Given the large number of children and adolescents displaced by war there were regrettably few treatment studies available, and many of them were of low methodological quality. The effect sizes lagged behind the effects observed in traumatized minors in general, and often were small or non-significant. However, CBT and IPT showed promising results that need further replication.

    GesundAngewandte Gesundheitswissenschaften

    Zeitschriftenartikel

    C. Blum, C. Wiese, J. Pfirstinger, Bernhard Bleyer, H. Gruber, M. Rechenmacher

    Determinants of completion of advance directives: a cross-sectional comparison of 649 outpatients from private practices versus 2158 outpatients from a university clinic

    British Medical Journal Open (BMJ Open), vol. 7, no. 12, pp. 1-9

    2017

    GesundAngewandte Gesundheitswissenschaften

    Beitrag (Sammelband oder Tagungsband)

    D. Heckmann, D. Schleinkofer, J. Schildt, A. Sonar, E. Herder, K. Müssig, K. Stucken, Bernhard Bleyer, O. Spörkel, S. Weibelzahl

    Technische und ethische Herausforderungen bei der Entwicklung einer Bio-Lifelogging Anwendung für das Assistenz-System "GlycoRec"

    Tagungsband zur 2. OTH-Clusterkonferenz 2017

    2017