@article{TeipelHeineHeinetal.2017, author = {Teipel, Stefan and Heine, Christina and Hein, Albert and Kr{\"u}ger, Frank and Kutschke, Andreas and Kernebeck, Sven and Halek, Margareta and Bader, Sebastian and Kirste, Thomas}, title = {Multidimensional assessment of challenging behaviors in advanced stages of dementia in nursing homes—The insideDEM framework}, series = {Alzheimer's \& Dementia: Diagnosis, Assessment \& Disease Monitoring}, volume = {8}, journal = {Alzheimer's \& Dementia: Diagnosis, Assessment \& Disease Monitoring}, issn = {2352-8729}, doi = {10.25974/fhms-17330}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-173308}, pages = {36 -- 44}, year = {2017}, abstract = {IntroductionAssessment of challenging behaviors in dementia is important for intervention selection. Here, we describe the technical and experimental setup and the feasibility of long-term multidimensional behavior assessment of people with dementia living in nursing homes.MethodsWe conducted 4 weeks of multimodal sensor assessment together with real-time observation of 17 residents with moderate to very severe dementia in two nursing care units. Nursing staff received extensive training on device handling and measurement procedures. Behavior of a subsample of eight participants was further recorded by videotaping during 4 weeks during day hours. Sensors were mounted on the participants' wrist and ankle and measured motion, rotation, as well as surrounding loudness level, light level, and air pressure.ResultsParticipants were in moderate to severe stages of dementia. Almost 100\% of participants exhibited relevant levels of challenging behaviors. Automated quality control detected 155 potential issues. But only 11\% of the recordings have been influenced by noncompliance of the participants. Qualitative debriefing of staff members suggested that implementation of the technology and observation platform in the routine procedures of the nursing home units was feasible and identified a range of user- and hardware-related implementation and handling challenges.DiscussionOur results indicate that high-quality behavior data from real-world environments can be made available for the development of intelligent assistive systems and that the problem of noncompliance seems to be manageable. Currently, we train machine-learning algorithms to detect episodes of challenging behaviors in the recorded sensor data.}, language = {en} } @article{GoerssHeinBaderetal.2019, author = {Goerss, Doreen and Hein, Albert and Bader, Sebastian and Halek, Margareta and Kernebeck, Sven and Kutschke, Andreas and Kirste, Thomas and Teipel, Stefan J.}, title = {P1-284: AUTOMATED SENSOR-BASED DETECTION OF CHALLENGING BEHAVIORS IN ADVANCED STAGES OF DEMENTIA IN NURSING HOMES}, series = {Alzheimer's \& Dementia}, volume = {15}, journal = {Alzheimer's \& Dementia}, number = {7S_Part_7}, issn = {1552-5260}, doi = {10.1016/j.jalz.2019.06.839}, pages = {P351}, year = {2019}, language = {en} } @article{GoerssHeinBaderetal.2019, author = {Goerss, Doreen and Hein, Albert and Bader, Sebastian and Halek, Margareta and Kernebeck, Sven and Kutschke, Andreas and Kirste, Thomas and Teipel, Stefan J.}, title = {AUTOMATED SENSOR-BASED DETECTION OF CHALLENGING BEHAVIORS IN ADVANCED STAGES OF DEMENTIA IN NURSING HOMES}, series = {Alzheimer's \& Dementia}, volume = {15}, journal = {Alzheimer's \& Dementia}, issn = {1552-5260}, doi = {10.1016/j.jalz.2019.06.4309}, pages = {P151 -- P152}, year = {2019}, language = {en} } @article{AmaefuleGoerssHaleketal.2019, author = {Amaefule, Chimezie O. and Goerss, Doreen and Halek, Margareta and Kernebeck, Sven and Kirste, Thomas and Teipel, Stefan J.}, title = {PREDICTING DAYTIME MANIFESTATIONS OF CHALLENGING BEHAVIOURS IN ADVANCED STAGES OF DEMENTIA USING PRE-DAYTIME ACCELEROMETRY: POST-HOC ANALYSIS OF THE DZNE ROSTOCK INSIDEDEM STUDY}, series = {Alzheimer's \& Dementia}, volume = {15}, journal = {Alzheimer's \& Dementia}, issn = {1552-5260}, doi = {10.1016/j.jalz.2019.06.4340}, pages = {P165 -- P166}, year = {2019}, language = {en} } @article{JahnelKernebeckBoebeletal.2020, author = {Jahnel, Tina and Kernebeck, Sven and B{\"o}bel, Simone and Buchner, Benedikt and Grill, Eva and Hinck, Sebastian and Ranisch, Robert and Rothenbacher, Dietrich and Sch{\"u}z, Benjamin and Starke, Dagmar and Wienert, Julian and Zeeb, Hajo and Gerhardus, Ansgar}, title = {Contact-Tracing-Apps als unterst{\"u}tzende Maßnahme bei der Kontaktpersonennachverfolgung von COVID-19}, series = {Das Gesundheitswesen}, volume = {82}, journal = {Das Gesundheitswesen}, issn = {0941-3790}, doi = {10.1055/a-1195-2474}, pages = {664 -- 669}, year = {2020}, abstract = {Die Kontaktpersonennachverfolgung ist derzeit eine der wirksamsten Maßnahmen zur Eind{\"a}mmung der COVID-19 Pandemie. Digitales Contact Tracing mittels Smartphones scheint eine sinnvolle zus{\"a}tzliche Maßnahme zur manuellen Kontaktpersonennachverfolgung zu sein, um Personen zu identifizieren, die nicht bekannt oder nicht erinnerlich sind und um den zeitlichen Verzug beim Melden eines Infektionsfalles und beim Benachrichtigen von Kontaktpersonen so gering wie m{\"o}glich zu halten. Obwohl erste Modellierungsstudien eine positive Wirkung in Bezug auf eine zeitnahe Kontaktpersonennachverfolgung nahelegen, gibt es bislang keine empirisch belastbaren Daten, weder zum bev{\"o}lkerungsweiten Nutzen noch zum potenziellen Schaden von Contact-Tracing-Apps. Die Beurteilung der Zweckerf{\"u}llung und eine wissenschaftliche interdisziplin{\"a}re Begleitforschung sowohl zur Wirksamkeit, Risiken und Nebenwirkungen als auch zu Implementierungsprozessen (z. B. Planung und Einbezug verschiedener Beteiligter) sind wesentliche Bestandteile einer Nutzen-Risiko Bewertung. Dieser Beitrag betrachtet daher den m{\"o}glichen Public-Health-Nutzen sowie technische, soziale, rechtliche und ethische Aspekte einer Contact-Tracing-App zur Kontaktpersonennachverfolgung im Rahmen der COVID-19-Pandemie. Weiterhin werden Bedingungen f{\"u}r eine m{\"o}glichst breite Nutzung der App aufgezeigt.}, language = {mul} } @article{CakmakDaugardtKnecht2023, author = {Cakmak, Seyma Nur and Daugardt, Katja and Knecht, Christiane}, title = {Advanced Practice Nurses in der Notaufnahme. Eine Literatur{\"u}bersicht zu Rollen und Aufgaben.}, series = {Pflege \& Gesellschaft}, volume = {28}, journal = {Pflege \& Gesellschaft}, number = {4}, issn = {1430-9653}, pages = {384 -- 386}, year = {2023}, language = {de} } @article{CakmakDaugardtKnecht2023, author = {Cakmak, Seyma Nur and Daugardt, Katja and Knecht, Christiane}, title = {Advanced Practice Nurses in der Notaufnahme. Eine Literatur{\"u}bersicht zu Rollen und Aufgaben.}, series = {Pflege \& Gesellschaft}, volume = {28}, journal = {Pflege \& Gesellschaft}, number = {4}, issn = {1430-9653}, pages = {384 -- 386}, year = {2023}, language = {de} } @article{GoerssHeinBaderetal.2020, author = {Goerss, Doreen and Hein, Albert and Bader, Sebastian and Halek, Margareta and Kernebeck, Sven and Kutschke, Andreas and Heine, Christina and Krueger, Frank and Kirste, Thomas and Teipel, Stefan}, title = {Automated sensor-based detection of challenging behaviors in advanced stages of dementia in nursing homes}, series = {Alzheimer's \& Dementia}, volume = {16}, journal = {Alzheimer's \& Dementia}, issn = {1552-5260}, doi = {10.1016/j.jalz.2019.08.193}, pages = {672 -- 680}, year = {2020}, abstract = {Sensor-based assessment of challenging behaviors in dementia may be useful to support caregivers. Here, we investigated accelerometry as tool for identification and prediction of challenging behaviors. We set up a complex data recording study in two nursing homes with 17 persons in advanced stages of dementia. Study included four-week observation of behaviors. In parallel, subjects wore sensors 24 h/7 d. Participants underwent neuropsychological assessment including MiniMental State Examination and Cohen-Mansfield Agitation Inventory. We calculated the accelerometric motion score (AMS) from accelerometers. The AMS was associated with several types of agitated behaviors and could predict subject's Cohen-Mansfield Agitation Inventory values. Beyond the mechanistic association between AMS and behavior on the group level, the AMS provided an added value for prediction of behaviors on an individual level. We confirm that accelerometry can provide relevant information about challenging behaviors. We extended previous studies by differentiating various types of agitated behaviors and applying long-term measurements in a real-world setting.}, language = {mul} } @article{KernebeckBusseBoettcheretal.2020, author = {Kernebeck, Sven and Busse, Theresa S and B{\"o}ttcher, Maximilian D and Weitz, J{\"u}rgen and Ehlers, Jan and Bork, Ulrich}, title = {Impact of mobile health and medical applications on clinical practice in gastroenterology}, series = {World Journal of Gastroenterology}, volume = {26}, journal = {World Journal of Gastroenterology}, issn = {1007-9327}, doi = {10.3748/wjg.v26.i29.4182}, pages = {4182 -- 4197}, year = {2020}, abstract = {Mobile health apps (MHAs) and medical apps (MAs) are becoming increasingly popular as digital interventions in a wide range of health-related applications in almost all sectors of healthcare. The surge in demand for digital medical solutions has been accelerated by the need for new diagnostic and therapeutic methods in the current coronavirus disease 2019 pandemic. This also applies to clinical practice in gastroenterology, which has, in many respects, undergone a recent digital transformation with numerous consequences that will impact patients and health care professionals in the near future. MHAs and MAs are considered to have great potential, especially for chronic diseases, as they can support the self-management of patients in many ways. Despite the great potential associated with the application of MHAs and MAs in gastroenterology and health care in general, there are numerous challenges to be met in the future, including both the ethical and legal aspects of applying this technology. The aim of this article is to provide an overview of the current status of MHA and MA use in the field of gastroenterology, describe the future perspectives in this field and point out some of the challenges that need to be addressed.}, language = {en} } @article{Schwermann2004, author = {Schwermann, Meike}, title = {Respekt erweisen. Betreuung sterbender in der Altenpflege _ Konzept und Umsetzung der Weiterbildung "Palliative Geriatrie".}, series = {Nightingale}, volume = {2004}, journal = {Nightingale}, number = {4}, issn = {1619-4039}, pages = {17 -- 26}, year = {2004}, language = {de} }