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    DigitalGesundAngewandte GesundheitswissenschaftenTC Freyung

    Beitrag (Sammelband oder Tagungsband)

    Ludwig Schiller, Manuela Wühr, Rainer Pöschl, Wolfgang Dorner

    Concept for the Large Scale Deployment of Ambient Assisted Living Systems

    Proceedings of the 2020 10th International Conference on Advanced Computer Information Technologies (ACIT) [September 6-8, 2020; Deggendorf]

    2020

    DOI: 10.1109/ACIT49673.2020.9208911

    Abstract anzeigen

    This paper deals with the problem of equipping 100 households in Lower Bavarian with sensors using different interfaces and protocols. This sensor set in the households is used in the context of the research project DeinHaus 4.0 of Deggendorf Institute of Technology. This project focuses on supporting technologies to enable elderly people to live as long as possible in their own house or apartment. Therefore, a set of sensors and Ambient Assisted Living (AAL) technologies are used to build a supporting system. Furthermore, the system collects, anonymizes and stores the sensor data for further technical and social analysis.

    GesundAngewandte GesundheitswissenschaftenInstitut Betriebliches Gesundheitsmanagement u. Arbeitssicherheit

    Zeitschriftenartikel

    Stephan Gronwald, Jasmin Weber

    Betriebliches Gesundheitsmanagement in der Pflegeausbildung. Eine Chance für nachhaltige Veränderungen in Pflegeeinrichtungen

    PADUA - Die Fachzeitschrift für Pflegepädagogik, Patientenedukation und -bildung, vol. 15, no. 1, pp. 38-42

    2020

    DOI: 10.1024/1861-6186/a000533

    Abstract anzeigen

    Die Arbeitsbedingungen in der Pflege frühzeitig in die richtigen Wege zu leiten, beginnt bereits bei der Ausbildung des Pflegefachpersonals. Sowohl Lehrende als auch Auszubildende brauchen grundlegende Kenntnisse, wie sie die Arbeit mitgestalten können. Die Erweiterung des Curriculums um die Kompetenzen eines systemischen Prozessberaters für betriebliches Gesundheitsmanagement bringt dabei für beide Seiten Vorteile.

    GesundEuropan Campus Rottal-Inn

    Zeitschriftenartikel

    T. Talanow, Anna-Maria Kasparbauer, J. Lippold, B. Weber, U. Ettinger

    Neural Correlates of Proactive and Reactive Inhibition of Saccadic Eye Movements

    Brain Imaging and Behavior, vol. 14, pp. 72-88

    2020

    DOI: 10.1007/s11682-018-9972-3

    Abstract anzeigen

    Although research on goal-directed, proactive inhibitory control (IC) and stimulus-driven, reactive IC is growing, no previous study has compared proactive IC in conditions of uncertainty with regard to upcoming inhibition to conditions of certain upcoming IC. Therefore, we investigated effects of certainty and uncertainty on behavior and blood oxygen level dependent (BOLD) signal in proactive and reactive IC. In two studies, healthy adults performed saccadic go/no-go and prosaccade/antisaccade tasks. The certainty manipulation had a highly significant behavioral effect in both studies, with inhibitory control being more successful under certain than uncertain conditions on both tasks (p ≤ 0.001). Saccadic go responses were significantly less efficient under conditions of uncertainty than certain responding (p < 0.001). Event-related functional magnetic resonance imaging (fMRI) (one study) revealed a dissociation of certainty- and uncertainty-related proactive inhibitory neural correlates in the go/no-go task, with lateral and medial prefrontal and occipital cortex showing stronger deactivations during uncertainty than during certain upcoming inhibition, and lateral parietal cortex being activated more strongly during certain upcoming inhibition than uncertainty or certain upcoming responding. In the antisaccade task, proactive BOLD effects arose due to stronger deactivations in uncertain response conditions of both tasks and before certain prosaccades than antisaccades. Reactive inhibition-related BOLD increases occurred in inferior parietal cortex and supramarginal gyrus (SMG) in the go/no-go task only. Proactive IC may imply focusing attention on the external environment for encoding salient or alerting events as well as inhibitory mechanisms that reduce potentially distracting neural processes. SMG and inferior parietal cortex may play an important role in both proactive and reactive IC of saccades.

    GesundAngewandte Gesundheitswissenschaften

    Zeitschriftenartikel

    Stephanie Hecht

    Bewegungsbezogene Gesundheitskompetenz (bGK). Die Vermittlung von bGK in der Lehre für eine qualitativ hochwertige Klientenversorgung

    PADUA - Die Fachzeitschrift für Pflegepädagogik, Patientenedukation und -bildung, vol. 15, no. 1, pp. 1-7

    2020

    DOI: 10.1024/1861-6186/a000529

    Abstract anzeigen

    Regelmäßige körperliche Aktivität birgt enorme gesundheitsförderliche Wirkungen. Ein Großteil der Bevölkerung erreicht jedoch die Mindestempfehlungen für Bewegung nicht. Das Konstrukt Bewegungsbezogene Gesundheitskompetenz adaptiert Ressourcen und Barrieren, um körperliche Aktivität bestmöglich zu initiieren und zu verstetigen. Die Umsetzung verlangt hoch kompetente Gesundheitsexperten, die unterschiedliche Handlungsansätze für die Bedarfe einer Zielgruppe bzw. eines Menschen entwickeln.

    DigitalGesundAngewandte Informatik

    Beitrag (Sammelband oder Tagungsband)

    L. Trestioreanu, Patrick Glauner, J. Meira, M. Gindt, R. State

    Using Augmented Reality and Machine Learning in Radiology

    Innovative Technologies for Market Leadership: Investing in the Future

    2020

    ISBN: 978-3-030-41308-8

    GesundAngewandte Gesundheitswissenschaften

    Zeitschriftenartikel

    Bernhard Bleyer

    Casuistry: On a Method of Ethical Judgement in Patient Care

    HealthCare Ethics Committee (HEC) Forum, no. Published 09 March 2020, pp. 1-16

    2020

    DOI: 10.1007/s10730-020-09396-7

    Abstract anzeigen

    The article is dedicated to the application questions of a case study method known as casuistry. In its long tradition, it focuses on an influential variant of the early modern period and reconstructs its functionality. In the course of reading recent receptions, it is noted that some studies speak of a “casuistic revival” in moral case deliberation in health care. As a result of this revival, casuistry has been modified in such a way that it guides case discussions in practice with the help of a tripartite methodology (morphology, taxonomy, and kinetics). However, as it turns out, casuistry, a case comparison method of ethical judgement based on reasoning logic, is less suitable for moral case deliberations in direct patient care. This stems from the fact that casuistry is a detailed procedure of ethical learning beneficial to institutionalized ethics committees or similar forms of ethics consultation in health care.

    GesundAngewandte Gesundheitswissenschaften

    Vortrag

    Oliver Quer

    Nursing Development Unit Onkologie - Praxisentwicklung Pflege im Umfeld von Tod und Sterben. Umgangsweisen von Pflegenden mit Wünschen von Sterbenden

    1. ACP Kongress Deutschland (Erster Deutscher Kongress für Advance Care Planning), Köln

    2020

    GesundAngewandte Gesundheitswissenschaften

    Zeitschriftenartikel

    N. Schmidkonz, Doris Eberhardt

    Mit Leadership zur personenzentrierten Vermittlung von Gesundheitsinformationen

    Ein Praxisentwicklungsprojekt zur Förderung selbständiger Bewegung nach Kniegelenksimplantation

    PADUA - Die Fachzeitschrift für Pflegepädagogik, Patientenedukation und -bildung, vol. 15, no. 1, pp. 31-37

    2020

    GesundAngewandte Gesundheitswissenschaften

    Zeitschriftenartikel

    C. Kölblin, Doris Eberhardt

    Bedürfnisgerechte Information von Angehörigen kritisch Kranker

    Eine Analyse des Informationsangebots auf Webseiten bayrischer Intensivstationen

    PADUA - Die Fachzeitschrift für Pflegepädagogik, Patientenedukation und -bildung, vol. 15, no. 1, pp. 15-22

    2020

    DOI: 10.1024/1861-6186/a000530

    Abstract anzeigen

    Angehörige kritisch kranker Menschen haben ein vielschichtiges und umfassendes Bedürfnis nach Informationen. Die Webseiten von Intensivstationen könnten mit relevanten und verlässlichen Informationen einen wichtigen Beitrag dazu leisten, Angehörige im Umgang mit der belastenden Situation zu unterstützen. In Rahmen einer Bachelorarbeit wurde untersucht, inwiefern die Webseiten bedürfnisgerechte Informationen anbieten.

    GesundAngewandte Gesundheitswissenschaften

    Zeitschriftenartikel

    S. Kaufmann, O. Hoos, T. Kuehl, T. Tietz, D. R. Reim, K. Fehske, Richard Latzel, R. Beneke

    Energetic Profiles of the Yo-Yo Intermittent Recovery Tests 1 and 2

    International Journal of Sports Physiology and Performance, pp. 1-6

    2020

    DOI: 10.1123/ijspp.2019-0702

    Abstract anzeigen

    Purpose: To analyze the energetic profiles of the Yo-Yo Intermittent Recovery Tests 1 and 2 (YYIR1 and YYIR2). Methods: Intermittent running distance (IR1D and IR2D), time to exhaustion (IR1T and IR2T), and total recovery time between shuttles (IR1R and IR2R) were measured in 10 well-trained male athletes (age 24.4 [2.0] y, height 182 [1] cm, weight 75.8 [7.9] kg). Respiratory gases and blood lactate (BLC) were obtained preexercise, during exercise, and until 15 min postexercise. Metabolic energy, average metabolic power , and energy share (percentage of aerobic [WAER], anaerobic lactic [WBLC], and anaerobic alactic energy system [WPCr]) were calculated using the PCr-La-O2 method. Results: Peak oxygen consumption was possibly higher in YYIR2 (60.3 [5.1] mL·kg-1·min-1) than in YYIR1 (P = .116, 57.7 [4.5] mL·kg-1·min-1, d = -0.58). IR1D, IR1T, and IR1R were very likely higher than IR2D, IR2T, and IR2R, respectively (P < .001, 1876 [391] vs 672 [132] m, d = -2.83; P < .001, 916 [175] vs 304 [57] s, d = -3.03; and P < .001, 460 [100] vs 150 [40] s, d = -2.83). Metabolic energy was most likely lower in YYIR2 than in YYIR1 (P < .001, 493.5 [118.1] vs 984.8 [171.7] kJ, d = 3.24). Average metabolic power was most likely higher in YYIR2 than in YYIR1 (P < .001, 21.5 [1.7] vs 14.5 [2.2] W·kg-1, d = 3.54). When considering aerobic phosphocreatine restoration during breaks between shuttles, WAER (P = .693, 49% [10%] vs 48% [5%], d = -0.16) was similar, WPCr (P = .165, 47% [11%] vs 42% [6%], d = -0.54) possibly higher, and WBLC (P < .001, 4% [1%] vs 10% [3%], d = 1.95) almost certainly lower in YYIR1 than in YYIR2. Conclusions: WAER and WPCr are predominant in YYIR1 and YYIR2 with almost identical WAER. Higher IR1D and IR1T in YYIR1 result in higher metabolic energy but lower average metabolic power and slightly lower peak oxygen consumption. Higher IR1R allows for higher reliance on WPCr in YYIR1, while YYIR2 requires a higher fraction of WBLC.

    GesundEuropan Campus Rottal-Inn

    Vortrag

    Georgi Chaltikyan

    Digital Health Revolution: Has the Future of Medicine Arrived Yet?

    Keynote

    7th IEEE International Conference on e-Health and Bioengineering (EHB): Smarter technology for a better health, Iași, Romania

    2019

    GesundAngewandte Gesundheitswissenschaften

    Beitrag (Sammelband oder Tagungsband)

    Mareike Hechinger, F. Domeisen Benedetti, S. Stängle, V. Waldboth, D. Kroh, E. Arrer, A. Fringer

    Buchser Pflegeinventar für häusliche Krisen

    Das Buchser Pflegeinventar für häusliche Krisensituationen (BLiCK), Bern

    2019

    ISBN: 9783456858562

    GesundAngewandte Gesundheitswissenschaften

    Beitrag (Sammelband oder Tagungsband)

    Mareike Hechinger, A. Fringer

    Häusliche Krisensituation: Eine Literaturübersicht

    Das Buchser Pflegeinventar für häusliche Krisensituationen (BLiCK), Bern

    2019

    ISBN: 9783456858562

    GesundAngewandte Gesundheitswissenschaften

    Beitrag (Sammelband oder Tagungsband)

    Mareike Hechinger, A. Fringer

    Krisen in der Häuslichkeit: Eine Annäherung

    Das Buchser Pflegeinventar für häusliche Krisensituationen (BLiCK), Bern

    2019

    ISBN: 9783456858562

    GesundAngewandte Gesundheitswissenschaften

    Beitrag (Sammelband oder Tagungsband)

    A. Fringer, Mareike Hechinger, S. Stängle, V. Waldboth

    Projekt BLICK: Eine Einführung.

    Das Buchser Pflegeinventar für häusliche Krisensituationen (BLiCK), Bern

    2019

    ISBN: 9783456858562

    GesundAngewandte Gesundheitswissenschaften

    Zeitschriftenartikel

    Mareike Hechinger, A. Büscher

    Pflegerische Beziehung im ambulanten Pflegesetting

    QuPuG - Journal für Qualitative Forschung in Pflege- und Gesundheitswissenschaft, vol. 6, no. 2, pp. 82-91

    2019

    Abstract anzeigen

    Die Beziehungsgestaltung zwischen Pflegenden und pflegebedürftigen Menschen ist ein wichtiger Aspekt der ambulanten Pflege, der bislang kaum erforscht ist. In einer qualitativen Studie wurde die pflegerische Beziehungsgestaltung im deutschen, ambulanten Pflegesetting untersucht. Die Studie orientierte sich an den Prinzipien der Grounded-Theory nach Strauss und Corbin. Acht Interviews mit beruflich Pflegenden und 24 teilnehmende Beobachtungen wurden durchgeführt. Dem Ergebnis zufolge investieren Pflegende zu Beginn in den Beziehungsaufbau, um einen Zugang zum Gegenüber zu erhalten und förderliche sowie hinderliche Einflussfaktoren auf die Beziehung auszubalancieren. Die Ausrichtung der Beziehung auf dieser Ebene ist funktional in enger Anlehnung an pflegerische Tätigkeiten. Ausgehend von einem erfolgreichen Beziehungsaufbau auf der funktionalen Ebene können Pflegende optional die Beziehung auf einer menschlich-privaten Ebene gestalten. Diese ist geprägt von Reziprozität, dem Zeigen von Gefühlen und verstärktem Sich privat involvieren. Die Ergebnisse zeigen, dass es einer Sensibilisierung der Pflegepraxis für Beziehungsentwicklung bedarf. Es gilt, bereits in der Ausbildung Fähigkeiten zur Reflexion und Abgrenzung zu fördern, damit Pflegende Beziehungen bewusst gestalten lernen.

    GesundAngewandte Gesundheitswissenschaften

    Zeitschriftenartikel

    Mareike Hechinger, H. Mayer, A. Fringer

    Kenneth Gergen’s concept of multi-being: an application to the nurse-patient relationship

    Medicine, Health Care and Philosophy, vol. 22, no. Published: 15 April 2019, pp. 599-611

    2019

    DOI: 10.1007/s11019-019-09897-4

    Abstract anzeigen

    The nurse–patient relationship is of great significance for both nurses and patients. The purpose of this article is to gain an understanding of how the individual is constituted through a focus on the execution of the patient’s and nurse’s role in the joint relationship. The article represents a social-constructionist consideration using Kenneth Gergen’s concept of multi-being. Gergen’s notions of the self as a multi-being focuses on the individual’s relational character through former relationships and social interactions. Gergen’s concept is applied onto nurses and patients as individuals to gain an understanding of the broader institutional and social context of each role and their interactions within the nurse–patient relationship. The article focuses on the nurse–patient relationship in general with regard to specific challenges in the home care setting. Various demands and experiences from a myriad of past relationships merge as potential actions for nurses and patients during the forming of a relationship. Nurses as multi-beings see themselves confronted with guidelines and legal conditions, their own as well as the patients’ expectations and the actual possible forming of a relationship in the light of daily nursing care. Patients as multi-beings experience an extended social environment that comprises the nurse–patient relationship while simultaneously having to cope with illness and increasing care dependency within their own homes. Discrepancies can be observed in the relationship with regard to the inherent human qualities, the demands of forming a relationship, and the actual relationship arising due to framework conditions.

    GesundEuropan Campus Rottal-Inn

    Zeitschriftenartikel

    I. Meyhöfer, Anna-Maria Kasparbauer, M. Steffens, U. Ettinger

    Effects of nicotine on smooth pursuit eye movements in healthy non-smokers

    Psychopharmacology, vol. 236, pp. 2259-2271

    2019

    DOI: 10.1007/s00213-019-05223-1

    Abstract anzeigen

    Rationale The non-selective nicotinic acetylcholine receptor (nAChR) agonist nicotine has been argued to improve attention via enhanced filtering of irrelevant stimuli. Here, we tested this hypothesis in the context of smooth pursuit eye movements (SPEMs), an oculomotor function previously shown to improve with nicotine in some but not all studies. Objectives In order to test whether nicotine improves performance particularly when the inhibition of distracting stimuli is required, SPEM was elicited in conditions with or without peripheral distractors. Additionally, different target frequencies were employed in order to parametrically vary general processing demands on the SPEM system. Methods Healthy adult non-smokers (N = 18 females, N = 13 males) completed a horizontal sinusoidal SPEM task at different target frequencies (0.2 Hz, 0.4 Hz, 0.6 Hz) in the presence or absence of peripheral distractors in a double-blind, placebo-controlled, cross-over design using a 2 mg nicotine gum. Results Nicotine increased peak pursuit gain relative to placebo (p < .001), but an interaction with distractor condition (p = .001) indicated that this effect was most pronounced in the presence of distractors. Catch-up saccade frequency was reduced by nicotine (p = .01), particularly at higher target frequencies (two-way interaction, p = .04). However, a three-way interaction (p = .006) indicated that the reduction with nicotine was strongest at the highest target frequency (0.6 Hz) only without distractors, whereas in the presence of distractors, it was strongest at 0.4-Hz target frequency. There were no effects of nicotine on subjective state measures. Conclusions Together, these findings support a role of both distractor inhibition and general processing load in the effects of nicotine on smooth pursuit.

    GesundEuropan Campus Rottal-Inn

    Zeitschriftenartikel

    Anna-Maria Kasparbauer, N. Petrovsky, P.-M. Schmidt, P. Trautner, B. Weber, B. Sträter, U. Ettinger

    Effects of Nicotine and Atomoxetine on Brain Function During Response Inhibition

    European Neuropsychopharmacology, vol. 29, no. 2 (February), pp. 235-246

    2019

    DOI: 10.1016/j.euroneuro.2018.12.004

    Abstract anzeigen

    The nicotinic acetylcholine receptor (nAChR) agonist nicotine and the noradrenaline transporter inhibitor atomoxetine are widely studied substances due to their propensity to alleviate cognitive deficits in psychiatric and neurological patients and their beneficial effects on some aspects of cognitive functions in healthy individuals. However, despite growing evidence of acetylcholine-noradrenaline interactions, there are only very few direct comparisons of the two substances. Here, we investigated the effects of nicotine and atomoxetine on response inhibition in the stop-signal task and we characterised the neural correlates of these effects using blood oxygen level dependent (BOLD) functional magnetic resonance imaging (fMRI) at 3T. Nicotine (7 mg dermal patch) and atomoxetine (60 mg per os) were applied to N = 26 young, healthy adults in a double-blind, placebo-controlled, cross-over, within-subjects design. BOLD images were collected during a stop-signal task that controlled for infrequency of stop trials. There were no drug effects on behavioural performance or subjective state measures. However, there was a pronounced upregulation of activation in bilateral prefrontal and left parietal cortex following nicotine during successful compared to unsuccessful stop trials. The effect of nicotine on BOLD during failed stop trials was correlated across individuals with a measure of trait impulsivity. Atomoxetine, however, had no discernible effects on BOLD. We conclude that nicotine effects on brain function during inhibitory control are most pronounced in individuals with higher levels of impulsivity. This finding is compatible with previous evidence of nicotine effects on stop-signal task performance in highly impulsive individuals and implicates the nAChR in the neural basis of impulsivity.

    GesundMobilEuropan Campus Rottal-Inn

    Vortrag

    Marcus Herntrei

    Closing the gap between medical evidence and marketable products. A model for the future in the training of employees in health tourism?

    ITB Medical Tourism Conference; ITB Convention, Berlin

    2019