Vorbereitung der Evaluation während der Entwicklung des MANET-Systems im Bezug auf die Anwenderfreundlichkeit

Die Koordination von Großschadenslagen mit vielen Verletzten stellt die Verantwortlichen vor eine schwere Aufgabe. Gemeinsam mit anderen Partnern aus Wissenschaft und Industrie bearbeitet die Fachhochschule Köln das orschungsprojekt "Beherrschbarkeit von Katastrophenereignissen durch autonom vernetzte Sensoren (MANET)". Mit dem Ergebnis dieses Projekts soll die Koordination der Einsatzkräfte, der Fahrzeuge und des Materials verbessert werden, mit dem Ziel eine schnellere Patientenversorgung zu gewährleisten. Bisher existieren Prototypen des entwickelten Systems. Dieses wird in realitätsnahen Übungen, in denen Groÿschadenslagen dargestellt werden, von Einsatzkräften verwendet. Um die Anwenderfreundlichkeit des Systems zu ermitteln wurde eine Befragung konzipiert, mit der die Erfahrungen der Anwender nach der Übung ermittelt werden können. Im Vorlauf der Befragungserstellung wurden allgemeine Regeln zur Fragen- und Antwortgestaltung sowie Grundlagen zur Auswertung de niert. Die Befragung wird mithilfe eines elektronischen Befragungssystems durchgeführt, wodurch die Fragen und Antworten besondere Vorgaben zu erfüllen haben. Diese wurden bei der Erstellung der Fragen, zusätzlich zu den allgemeinen Regeln, berücksichtigt. Neben den Fragen wurden für die Befragung Umgebungsbedingungen de niert, die für eine erfolgreiche Durchführung notwendig sind. Gemeinsam mit den Fragen wurden diese Bedingungen in einem Fragebogen zusammengefasst, der den gesamten Ablauf der Befragung vorgibt. Durch diese Vorgabe ist eine Vergleichbarkeit von mehreren Befragungsdurchgängen gewährleistet

Consumer Evaluation of an Earth-insulated Solar House

Housing, Design, and Consumer Resource

Multicolour STED nanoscopy with hyperspectral detection

Within the scope of this thesis, a new multicolour STED microscope with a hyperspectral detection was designed and built. The challenges regarding the limitation of usable fluorophores as well as the stability of the optical set-up were overcome. Different existing spectral unmixing methods were compared to a self-implemented algorithm, both in simulations and using experimental data. A detailed study of the best separation conditions for several dye combinations was carried out for each of the methods. During the experiments, a spectral blue shift of several dyes was observed and its mechanisms were investigated. The optical resolution of the set-up was dye dependent and better than 80nm for all dyes. Moreover, an excellent separation for three fluorescent bead species and good a separation for a four-colour fixed-cell sample was achieved. This was done for the first time by purely distinguishing the different emission spectra using only one wavelength for excitation and a single STED beam for depletion

Deletion of the Ca2+-activated potassium (BK) alpha-subunit but not the BK-beta-1-subunit leads to progressive hearing loss

The large conductance voltage- and Ca2+-activated potassium (BK) channel has been suggested to play an important role in the signal transduction process of cochlear inner hair cells. BK channels have been shown to be composed of the pore-forming alpha-subunit coexpressed with the auxiliary beta-1-subunit. Analyzing the hearing function and cochlear phenotype of BK channel alpha-(BKalpha–/–) and beta-1-subunit (BKbeta-1–/–) knockout mice, we demonstrate normal hearing function and cochlear structure of BKbeta-1–/– mice. During the first 4 postnatal weeks also, BKalpha–/– mice most surprisingly did not show any obvious hearing deficits. High-frequency hearing loss developed in BKalpha–/– mice only from ca. 8 weeks postnatally onward and was accompanied by a lack of distortion product otoacoustic emissions, suggesting outer hair cell (OHC) dysfunction. Hearing loss was linked to a loss of the KCNQ4 potassium channel in membranes of OHCs in the basal and midbasal cochlear turn, preceding hair cell degeneration and leading to a similar phenotype as elicited by pharmacologic blockade of KCNQ4 channels. Although the actual link between BK gene deletion, loss of KCNQ4 in OHCs, and OHC degeneration requires further investigation, data already suggest human BK-coding slo1 gene mutation as a susceptibility factor for progressive deafness, similar to KCNQ4 potassium channel mutations. © 2004, The National Academy of Sciences. Freely available online through the PNAS open access option

Making open data work for plant scientists

Despite the clear demand for open data sharing, its implementation within plant science is still limited. This is, at least in part, because open data-sharing raises several unanswered questions and challenges to current research practices. In this commentary, some of the challenges encountered by plant researchers at the bench when generating, interpreting, and attempting to disseminate their data have been highlighted. The difficulties involved in sharing sequencing, transcriptomics, proteomics, and metabolomics data are reviewed. The benefits and drawbacks of three data-sharing venues currently available to plant scientists are identified and assessed: (i) journal publication; (ii) university repositories; and (iii) community and project-specific databases. It is concluded that community and project-specific databases are the most useful to researchers interested in effective data sharing, since these databases are explicitly created to meet the researchers’ needs, support extensive curation, and embody a heightened awareness of what it takes to make data reuseable by others. Such bottom-up and community-driven approaches need to be valued by the research community, supported by publishers, and provided with long-term sustainable support by funding bodies and government. At the same time, these databases need to be linked to generic databases where possible, in order to be discoverable to the majority of researchers and thus promote effective and efficient data sharing. As we look forward to a future that embraces open access to data and publications, it is essential that data policies, data curation, data integration, data infrastructure, and data funding are linked together so as to foster data access and research productivity

Improving Health Literacy Responsiveness:A Randomized Study on the Uptake of Brochures on Doctor-Patient Communication in Primary Health Care Waiting Rooms

Presenting attractive and useful health education materials in waiting rooms can help improve an organization's health literacy responsiveness. However, it is unclear to what extent patients may be interested in health education materials, such as brochures. We conducted a three-week field study in waiting rooms of three primary care centers in Groningen. Three versions of a brochure on doctor-patient communication were randomly distributed, 2250 in total. One version contained six short photo stories, another version was non-narrative but contained comparable photos, and the third version was a traditional brochure. Each day we counted how many brochures were taken. We also asked patients (N = 471) to participate in a brief interview. Patients who consented (N = 390) were asked if they had noticed the brochure. If yes (N = 135), they were asked why they had or had not browsed the brochure, and why they had or had not taken it. Interview responses were categorized by two authors. Only 2.9% of the brochures were taken; no significant association with brochure version was found. Analysis of the interview data showed that the version with the photo narrative was noticed significantly more often than the non-narrative version or the traditional version. These results suggest that designing attractive and comprehensible health materials is not enough. Healthcare organizations should also create effective strategies to reach their target population

Using Photo Stories to Support Doctor-Patient Communication:Evaluating a Communicative Health Literacy Intervention for Older Adults

Older adults often have limited health literacy and experience difficulties in communicating about their health. In view of the need for efficacious interventions, we compared a narrative photo story booklet regarding doctor-patient communication with a non-narrative but otherwise highly similar brochure. The photo story booklet included seven short picture-based stories about themes related to doctor-patient communication. The non-narrative brochure had comparable pictures and layout and dealt with the same themes, but it did not include any stories. We conducted two Randomized Controlled Trials (RCTs) among older adults with varying levels of health literacy: one RCT in Germany (N = 66) and one RCT in the Netherlands (N = 54); the latter one was followed by an in-depth interview study among a subset of the participants (81.5%; n = 44). In the RCTs, we did not find significant differences between the photo story booklet and the non-narrative brochure. In the interview study, a majority of the participants expressed a preference for the photo story booklet, which was perceived as recognizable, relevant, entertaining and engaging. We conclude that photo story booklets are a promising format but that there is room for improving their effectiveness

How to specify healthcare process improvements collaboratively using rapid, remote consensus-building: a framework and a case study of its application.

BackgroundPractical methods for facilitating process improvement are needed to support high quality, safe care. How best to specify (identify and define) process improvements - the changes that need to be made in a healthcare process - remains a key question. Methods for doing so collaboratively, rapidly and remotely offer much potential, but are under-developed. We propose an approach for engaging diverse stakeholders remotely in a consensus-building exercise to help specify improvements in a healthcare process, and we illustrate the approach in a case study.MethodsOrganised in a five-step framework, our proposed approach is informed by a participatory ethos, crowdsourcing and consensus-building methods: (1) define scope and objective of the process improvement; (2) produce a draft or prototype of the proposed process improvement specification; (3) identify participant recruitment strategy; (4) design and conduct a remote consensus-building exercise; (5) produce a final specification of the process improvement in light of learning from the exercise. We tested the approach in a case study that sought to specify process improvements for the management of obstetric emergencies during the COVID-19 pandemic. We used a brief video showing a process for managing a post-partum haemorrhage in women with COVID-19 to elicit recommendations on how the process could be improved. Two Delphi rounds were then conducted to reach consensus.ResultsWe gathered views from 105 participants, with a background in maternity care (n = 36), infection prevention and control (n = 17), or human factors (n = 52). The participants initially generated 818 recommendations for how to improve the process illustrated in the video, which we synthesised into a set of 22 recommendations. The consensus-building exercise yielded a final set of 16 recommendations. These were used to inform the specification of process improvements for managing the obstetric emergency and develop supporting resources, including an updated video.ConclusionsThe proposed methodological approach enabled the expertise and ingenuity of diverse stakeholders to be captured and mobilised to specify process improvements in an area of pressing service need. This approach has the potential to address current challenges in process improvement, but will require further evaluation