Klassifikationsmodelle in der Gesundheitsförderung und Prävention: Möglichkeiten und Grenzen für die Konzeption und Evaluation von Projekten und Programmen

Zusammenfassung: Hintergrund: Um die komplexe Planung und Evaluation von Projekten und Programmen im Gesundheitsbereich zu unterstützen, kommen heute v.a. im angelsächsischen Raum unterschiedliche Klassifikationsmodelle zum Einsatz. In diesem Artikel geht es um eine kritische Prüfung von 2 Klassifikationsmodellen, die derzeit in diversen Institutionen der Schweiz angewendet werden. Methode: Das Ergebnismodell von Gesundheitsförderung Schweiz sowie das "Program-Logic-Modell" von Sue Funnell werden als 2 Typen von Klassifikationsmodellen verglichen und auf ihre Einsatzmöglichkeiten in der Planungs- und Evaluationsphase von Gesundheitsprojekten untersucht. Dazu verdeutlichen wir die vielfältigen Implikationen von Klassifikationssystemen im Gesundheitsbereich und zeigen anhand von 2 Fallstudien die Problematiken bei der praktischen Umsetzung der Modelle. Ergebnisse: Die Modelle basieren auf unterschiedlichen, impliziten Annahmen und unterscheiden sich im Strukturierungsgrad der Kategorien sowie im Grad der Explizierung von Kausalitäten. Bei der Nutzung der Modelle ergeben sich dadurch spezifische Vor- und Nachteile. Schlussfolgerungen: Unter Berücksichtigung ihrer Grenzen und inhärenten Logik sind Klassifikationsmodelle nützliche Instrumente, um die Komplexität in der Planung und Evaluation von Gesundheitsprojekten zu reduzieren. Darüber hinaus erzwingen sie einen Austausch der Stakeholder über Gesundheitsvorstellungen und Ziele im Gesundheitsbereic

Determination of partial photoionisation cross sections of methyl bromide in the first autoionisation range by use of spin polarisation photoelectron spectroscopy

Schäfers F, Baig MA, Heinzmann U. Determination of partial photoionisation cross sections of methyl bromide in the first autoionisation range by use of spin polarisation photoelectron spectroscopy. Journal of Physics B: Atomic, Molecular and Optical Physics. 1983;16(1):L1-L6.Using recent experimental data on photoelectron spin polarisation combined with the high-resolution spectrum of methyl bromide, which has also been recently reported, the partial photoionisation cross sections for the ionisation of CH3Br from the 4 pi ground-state orbital into the energy degenerate continua epsilon sigma , epsilon pi and epsilon delta have been determined separately. Quantitative results, obtained for the autoionising resonances between 116 and 118 nm, are reported and discussed

Spin polarization of Auger- and of photoelectrons from barium atoms exposed to circularly polarized radiation and their cross comparison

Kuntze R, Salzmann M, Böwering N, Heinzmann U. Spin polarization of Auger- and of photoelectrons from barium atoms exposed to circularly polarized radiation and their cross comparison. Zeitschrift für Physik D: Atoms, Molecules and Clusters. 1994;30(2-3):235-237.New results of spin polarization of both photoelectrons and Auger electrons are reported after 5[Rho] photoionization of free Ba atoms with circularly polarized light. A substantial polarization transfer from the spin polarized photons to the spin polarized photoelectrons and via the hole state orientation to the spin polarized Auger-electrons is observed. The cross comparison of the results for photoelectrons and Auger-electrons allows a quantitative test of the assumed two step model where both electron-emission processes occur in sequence

Angle- and spin-resolved photoelectron spectroscopy in the region of the 6s6p(2) autoionisation of Tl

Müller M, Böwering N, Svensson A, Heinzmann U. Angle- and spin-resolved photoelectron spectroscopy in the region of the 6s6p(2) autoionisation of Tl. Journal of Physics B: Atomic, Molecular and Optical Physics. 1990;23(13):2267S-2275S.An angle-, energy- and spin-resolved photoionisation experiment was performed in the region of the 6s6p(2)autoionisation resonances of thallium. Using monochromatic circularly polarised synchrotron radiation the energy dependence of the spin-polarisation parameters A, xi and alpha and the angular asymmetry parameter beta of the differential cross section were determined. In the wavelength region investigated these dynamical parameters show a pronounced variation which agrees well with the results of the random phase approximation with exchange' calculation by Cherepkov (1980). A detailed discussion of the resonance behaviour for the autoionising states is given in terms of dipole-matrix elements and phaseshift differences which are extracted from the experimental data

Photoelectron spin polarization approaching unity: photoionization of TI

Böwering N, Salzmann M, Müller M, Klausing H-W, Heinzmann U. Photoelectron spin polarization approaching unity: photoionization of TI. Physica Scripta. 1990;41(4):429-432.It is shown that a complete photoelectron-spin polarization occurs independent of emission angle for two special sets of values of the dynamical photoionization parameters. In spin- and angle-resolved photoelectron spectroscopy of thallium the dynamical parameters were measured near the autoionization resonances at 149 nm and 82 nm. A pronounced angular variation of the polarization component A[Theta] was observed at 83 nm. For both resonances the parameters were found to approach different limiting values such that the length of the spin-polarization vector assumes values close to unity at all emission angles. The implications of these results for the corresponding dipole transition matrix elements are discussed

High-threshold mechanosensitive ion channels blocked by a novel conopeptide mediate pressure-evoked pain

Little is known about the molecular basis of somatosensory mechanotransduction in mammals. We screened a library of peptide toxins for effects on mechanically activated currents in cultured dorsal root ganglion neurons. One conopeptide analogue, termed NMB-1 for noxious mechanosensation blocker 1, selectively inhibits (IC50 1 µM) sustained mechanically activated currents in a subset of sensory neurons. Biotinylated NMB-1 retains activity and binds selectively to peripherin-positive nociceptive sensory neurons. The selectivity of NMB-1 was confirmed by the fact that it has no inhibitory effects on voltage-gated sodium and calcium channels, or ligand-gated channels such as acid-sensing ion channels or TRPA1 channels. Conversely, the tarantula toxin, GsMTx-4, which inhibits stretch-activated ion channels, had no effects on mechanically activated currents in sensory neurons. In behavioral assays, NMB-1 inhibits responses only to high intensity, painful mechanical stimulation and has no effects on low intensity mechanical stimulation or thermosensation. Unexpectedly, NMB-1 was found to also be an inhibitor of rapid FM1-43 loading (a measure of mechanotransduction) in cochlear hair cells. These data demonstrate that pharmacologically distinct channels respond to distinct types of mechanical stimuli and suggest that mechanically activated sustained currents underlie noxious mechanosensation. NMB-1 thus provides a novel diagnostic tool for the molecular definition of channels involved in hearing and pressure-evoked pain

Orientation dependence of the sticking probability of NO at Ni(100)

Fecher GH, Volkmer M, Pawlitzky B, Böwering N, Heinzmann U. Orientation dependence of the sticking probability of NO at Ni(100). Vacuum. 1990;41(1-3):265-268

Influence of autoionisation and predissociation on the photoelectron parameters in HBr

Lefebvre-Brion H, Salzmann M, Klausing H-W, Müller M, Böwering N, Heinzmann U. Influence of autoionisation and predissociation on the photoelectron parameters in HBr. Journal of Physics B: Atomic, Molecular and Optical Physics. 1989;22(23):3891-3900