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Learning digital competencies can be successful if the information is also tried out immediately using interactive elements. However, interactive teaching poses a particular challenge, especially in large group formats. Various strategies are used to promote interaction, but there is little known about the results. This article shows different strategies and evaluates their influence on the interaction rate in a large group course over two terms that teaches digital medicine. Log files and participation in surveys as well as participation in chat were quantitatively evaluated. In addition, the chat messages themselves were evaluated qualitatively. For the evaluation, relation to the total number of participants was particularly relevant in order to be able to determine an interaction rate in the individual course sessions. A maximum average interaction rate of 90.97% could be determined over the entire term while the participants wrote an average of 3.96 comments during a session in the chat. In summary, this research could show that interactive elements should be well planned and used at regular intervals in order to reap the benefits.
BACKGROUND Interest in digital technologies in the health care sector is growing and can be a way to reduce the burden on professional caregivers while helping people to become more independent. Social robots are regarded as a special form of technology that can be usefully applied in professional caregiving with the potential to focus on interpersonal contact. While implementation is progressing slowly, a debate on the concepts and applications of social robots in future care is necessary. OBJECTIVE In addition to existing studies with a focus on societal attitudes toward social robots, there is a need to understand the views of professional caregivers and patients. This study used desired future scenarios to collate the perspectives of experts and analyze the significance for developing the place of social robots in care. METHODS In February 2020, an expert workshop was held with 88 participants (health professionals and educators; [PhD] students of medicine, health care, professional care, and technology; patient advocates; software developers; government representatives; and research fellows) from Austria, Germany, and Switzerland. Using the scenario methodology, the possibilities of analog professional care (Analog Care), fully robotic professional care (Robotic Care), teams of robots and professional caregivers (Deep Care), and professional caregivers supported by robots (Smart Care) were discussed. The scenarios were used as a stimulus for the development of ideas about future professional caregiving. The discussion was evaluated using qualitative content analysis. RESULTS The majority of the experts were in favor of care in which people are supported by technology (Deep Care) and developed similar scenarios with a focus on dignity-centeredness. The discussions then focused on the steps necessary for its implementation, highlighting a strong need for the development of eHealth competence in society, a change in the training of professional caregivers, and cross-sectoral concepts. The experts also saw user acceptance as crucial to the use of robotics. This involves the acceptance of both professional caregivers and care recipients. CONCLUSIONS The literature review and subsequent workshop revealed how decision-making about the value of social robots depends on personal characteristics related to experience and values. There is therefore a strong need to recognize individual perspectives of care before social robots become an integrated part of care in the future.
Verockerung wasserbaulicher Filteranlagen: Stand der Wissenschaft und notwendige Untersuchungen
(2022)
In den letzten Jahrzehnten kam es in Einzelfällen zu schweren Schäden an wasserbaulichen geotextilen Filteranlagen infolge der Verstopfung durch ausgeflockte ockerhaltige Produkte. Durch eine starke Verminderung der Durchlässigkeit der Geokunststoffe in Kombination mit einem hohen hydrostatischen Druck wurden unter anderem die Deckschichten verschiedener Deckwerke in den tidebeeinflussten Wasserstraßen Ems und Weser angehoben und beschädigt. Bisher wurden die Milieubedingungen, d.h. Grundwasser- und Oberflächenwasserbeschaffenheit sowie Aquifer- und Deckwerksmaterial, unter denen die Ockerbildung in geotextilen und mineralischen Filteranlagen auftritt, noch nicht systematisch untersucht. Im Rahmen des vorliegenden Beitrags werden im ersten Schritt aus theoretischen Untersuchungen und Datenanalysen von Grundwasser- und Oberflächenwasseruntersuchungen Kriterien zur Bewertung der Verockerungsneigung abgeleitet. Diese Kriterien bzw. DOCP (decisive ochre clogging parameters) zeigen in den Ästuaren Ems, Weser und Elbe Beträge an, die Verockerungserscheinungen begünstigen bzw. ermöglichen. Auf Basis dieser Untersuchungen werden im zweiten Schritt Randbedingungen für zukünftige systematische in-situ Untersuchungen an wasserbaulichen Filteranlagen sowie im experimentellen Modell abgeleitet.
This survey study investigates surgical patients’ use and perception of digital health technologies in Germany in the pre–COVID-19 era. The objective of this study was to relate surgical patients’ characteristics to the use and perception of several digital health technologies. In this single-center, cross-sectional survey study in the outpatient department of a university hospital in Germany, 406 patients completed a questionnaire with the following three domains: general information and use of the internet, smartphones, and general digital health aspects. Analyses were stratified by age group and highest education level achieved. We found significant age-based differences in most of the evaluated aspects. Younger patients were more open to using new technologies in private and medical settings but had more security concerns. Although searching for information on illnesses on the web was common, the overall acceptance of and trust in web-based consultations were rather low, with <50% of patients in each age group reporting acceptance and trust. More people with academic qualifications than without academic qualifications searched for information on the web before visiting physicians (73/121, 60.3% and 100/240, 41.7%, respectively). Patients with academic degrees were also more engaged in health-related information and communication technology use. These results support the need for eHealth literacy, health literacy, and available digital devices and internet access to support the active, meaningful use of information and communication technologies in health care. Uncertainties and a lack of knowledge exist, especially regarding telemedicine and the use of medical and health apps. This is especially pronounced among older patients and patients with a low education status.
Das vorliegende Handbuch ist im Rahmen des EU-Projektes "Energyducation" (Förderkennzeichen KA2 2018-1-ES01-KA202-050327) entstanden und von Berufspädagogen, überwiegend praktizierenden Berufsschullehrerinnen und -lehrern, aus Deutschland (Institut für Berufliche Lehrerbildung an der FH Münster), den Niederlanden (Alfa-college in Groningen), Norwegen (NTI-MMM AS in Oslo) und Spanien (CIFP USURBIL LHII in Usurbil) verfasst worden. Vorlage war eine englische Fassung die umfangreich überarbeitet und im Hinblick auf die im deutschen Sprachraum vorherrschenden Begrifflichkeiten und Konzepte hin geschärft wurde.
Es dokumentiert die mit dem projektbasierten Lernen gesammelten Erfahrungen aus der Sicht von Praktikern. Die Besonderheit ist, dass die Erfahrungen untereinander abgeglichen wurden und damit länderübergreifende Erkenntnisse zusammengeführt wurden. Das vorliegende Handbuch versteht sich dabei nicht als wissenschaftliches Werk, greift aber Erkenntnisse aus der Lehreraus- und -fortbildung auf und stellt diese vor dem Hintergrund der gesammelten Erfahrungen dar.
In Germany, the current sectoral urban planning often leads to inefficient use of resources, partly because municipalities lack integrated planning instruments and argumentation strength toward politics, investors, or citizens. The paper develops the ResourcePlan as (i) legal and (ii) a planning instrument to support the efficient use of resources in urban neighborhoods. The integrative, multi-methodological approach addresses the use of natural resources in the building and infrastructural sectors of (i) water (storm- and wastewater) management, (ii) construction and maintenance of buildings and infrastructure, (iii) urban energy system planning, and (iv) land-use planning. First, the development as legal instrument is carried out, providing (i) premises for integrating resource protection at all legal levels and (ii) options for implementing the ResourcePlan within German municipal structures. Second, the evaluation framework for resource efficiency of the urban neighborhoods is set up for usage as a planning instrument. The framework provides a two-stage process that runs through the phases of setting up and implementing the ResourcePlan. (Eco)system services are evaluated as well as life cycle assessment and economic aspects. As a legal instrument, the ResourcePlan integrates resource protection into municipal planning and decision-making processes. The multi-methodological evaluation framework helps to assess inter-disciplinary resource efficiency, supports the spatial identification of synergies and conflicting goals, and contributes to transparent, resource-optimized planning decisions.
Diese Arbeit befasst sich mit Kostentrends in Zusammenhang mit technologischem Lernen von Windenergie an Land in den USA, in Deutschland und weltweit. Ziel dieser Arbeit ist es, eine Lernkurve für Windenergie an Land zu bestimmen. Dafür wurden Daten zu Stromgestehungskosten (LCOE) und Kosten für die Installation (COP) von Windenergieanlagen (WEA) im Zeitraum von 1983 bis einschließlich 2020 gesammelt, grafisch dargestellt und weitergehend ausgewertet. Die grafische Darstellung der Datenlage verdeutlicht die zeitliche Entwicklung der Technologie. Zur Beschreibung dieser Lernkurven wurden die Progress Ratio (PR) und Learning Rate (LR) in fünf unterschiedlichen Modellen bestimmt. Anhand derer sich in Kombination mit der zukünftig installierten Leistung von WEA eine Prognose über zukünftige Kosten ableiten lässt. Die ermittelten LR bewegen sich zwischen 13 % und 28 %, woraus sich LCOE im Jahr 2030 zwischen 44,03 US$/MWh und 61 US$/MWh ergeben.
Steigerung der Versorgungsqualität in der Palliativversorgung durch elektronische Gesundheitsakten
(2021)
Die Transformation der Energiesysteme im Rahmen der Energiewende macht diese durch zusätzliche Komponenten und Wechselwirkungen immer komplexer. Das ökonomische und ökologische Potenzial, dass sich aus der Nutzung der Synergien dieser Komponenten ergeben kann, erfordert eine gemeinsame Betrachtung des gesamten Energiesystems hinsichtlich sämtlicher Energie- und Verbrauchssektoren.
Die Energiesystemmodellierung stellt eine geeignete Methode zur Modellierung und Optimierung dieser urbanen Energiesysteme dar. Mit dem „Spreadsheet Energy System Model Generator“ (SESMG) hat die FH Münster ein Open Source Tool entwickelt, das die Betrachtung urbaner Quartiere ermöglicht. Diese können hinsichtlich verschiedener Zielkriterien wie z. B. monetären Kosten und THG-Emissionen optimiert werden. Die tabellenbasierte Eingabe erfordert keine Programmierkenntnisse. Das implementierte Urban District Upscaling Tool erleichtert die effektive Modellierung auch größerer Systeme. Die automatisierte Ergebnisaufbereitung ermöglicht eine schnelle Analyse der Ergebnisse.
The energy demand of the residential sector contributed to about 29 % of Germany’s final energy consumption in 2020. For the planning and optimization of energy systems, an understanding of the temporal energy consumption is necessary. This paper discusses tools for estimating these load profiles. Load profiles for electricity, space heating and domestic hot water (DHW) are investigated. A total of ten tools were applied. It turns out that the selected load profiles are dependent on the field of application. Load profiles influence the results of energy system modeling and therefore it is important to differentiate load profile tools. Standardized load profiles are well suited when a large number of buildings are considered. Stochastic load profiles, behavioral load profiles and the reference load profiles are well suited for building-specific simulations. Physical load pro- files are well suited for single building models, but as soon as several buildings are considered, the input effort for a sufficient accuracy is high.
Background: Electronic medical records (EMRs) play a key role in improving documentation and quality of care in paediatric palliative care (PPC). Inadequate EMR design can cause incorrect prescription and administration of medications. Due to the fact of complex diseases and the resulting high level of medical complexity, patients in PPC are vulnerable to medication errors. Consequently, involving users in the development process is important. Therefore, the aim of this study was to evaluate the acceptance of a medication module from the perspective of potential users in PPC and to involve them in the development process. Methods: A qualitative observational study was conducted with 10 nurses and four physicians using a concurrent think-aloud protocol and semi-structured qualitative interviews. A qualitative content analysis was applied based on a unified theory of acceptance and use of technology. Results: Requirements from the user’s perspective could be identified as possible influences on acceptance and actual use. Requirements were grouped into the categories “performance expectancies” and “effort expectancies”. Conclusions: The results serve as a basis for further development. Attention should be given to the reduction of display fragmentation, as it decreases cognitive load. Further approaches to evaluation should be taken.
Background: Electronic medical records (EMRs) play a key role in improving documentation and quality of care in paediatric palliative care (PPC). Inadequate EMR design can cause incorrect prescription and administration of medications. Due to the fact of complex diseases and the resulting high level of medical complexity, patients in PPC are vulnerable to medication errors. Consequently, involving users in the development process is important. Therefore, the aim of this study was to evaluate the acceptance of a medication module from the perspective of potential users in PPC and to involve them in the development process. Methods: A qualitative observational study was conducted with 10 nurses and four physicians using a concurrent think-aloud protocol and semi-structured qualitative interviews. A qualitative content analysis was applied based on a unified theory of acceptance and use of technology. Results: Requirements from the user’s perspective could be identified as possible influences on acceptance and actual use. Requirements were grouped into the categories “performance expectancies” and “effort expectancies”. Conclusions: The results serve as a basis for further development. Attention should be given to the reduction of display fragmentation, as it decreases cognitive load. Further approaches to evaluation should be taken.
NRW isst besser!
(2021)