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Patterns-descriptions of proven and well-documented solutions for recurring problems have gained widespread interest and acceptance in the area of business process modeling. In the past years, a large number of such patterns have been documented in the literature. However, it is still difficult to find patterns that can be useful in a given context. The reason is that the relevant publications are spread in various journals and other types of publications, and there is no guidance for locating a pattern that can be useful for solving a given problem. In this demo, we present an interactive web-site that provides a comprehensive overview on published work in the field of business process modeling patterns. It allows finding publications on business process modeling patterns based on various search criteria. It is intended to be useful both for business process modeling practitioners as for researchers in need of sound literature references. Currently, this catalog (meant to be a growing resource) provides an categorization of 95 publications on patterns as well as 50 publication on anti-patterns.
Hintergrund/Zielstellung: Aufgrund des gestiegenen Informationsbedürfnisses von Patienten wird für Ärzte ein eigener Webauftritt als Informationsmittler mit dem Ziel der Patientengewinnung und -bindung zunehmend bedeutsam. In der vorliegenden Studie wurde daher die Patientenorientierung der Internetauftritte niedergelassener Fachärzte für Orthopädie und/oder Unfallchirurgie in Sachsen untersucht.
Methode/Stichprobe: Alle Websites der im Arztregister der Kassenärztlichen Vereinigung Sachsen gelisteten Fachärzte für Orthopädie und/oder Unfallchirurgie wurden mithilfe einer standardisierten Checkliste analysiert.
Ergebnisse: Von allen untersuchten Fachärzten (n = 349) besaßen 140 (40,1 %) einen eigenen Internetauftritt. In der Arztpraxis durchgeführte diagnostische Methoden und Therapiemaßnahmen wurden auf je ca. 90,0 % der Websites genannt und auf ca. der Hälfte hiervon erklärt. Der Kontrast konnte auf 10 Websites angepasst werden. Eine Meinungsäußerung wurde den Patienten auf 28 Websites ermöglicht. Rechtlich verpflichtende Impressuminhalte wurden auf 45,0 % der Internetauftritte nicht hinreichend beachtet.
Diskussion/Schlussfolgerung: Die Ergebnisse weisen darauf hin, dass die Gestaltung der Internetauftritte sowie deren Informationsgehalt differieren und Verbesserungspotenziale existieren. Ein standardisierter Kriterienkatalog könnte ein einheitliches Qualitätsniveau gewährleisten und von den Ärzten als Handlungsempfehlung genutzt werden.
Analgesic drug use of recreational and competitive badminton players: Starting points for prevention
(2021)
The objective of this survey was to assess badminton-related pain and analgesic drug use in recreational as well as competitive badminton players and to identify factors influencing analgesic drug use in order to create effective preventive strategies. A cross-sectional study addressed all adult badminton players/members registered in the regional badminton association of Saxony, Germany. Badminton-related pain prevalence and analgesic drug use were assessed. Also, predictors for analgesic drug use were identified. Altogether 247 badminton club members (65% male) participated in the study. Lifetime prevalence of badminton-related pain was 95%, and one-year prevalence was 73%. Of the participants with badminton-related pain during the last year, 56% used analgesic drugs; of the participants without badminton-related pain during the last year, 31% used analgesic drugs. Significant predictors were players’ attitudes toward analgesics as doping substances, self-perceived knowledge about effects and side effects, being influenced by others, and self-perceived “sporting culture” in badminton. A gap between self-perceived and actual knowledge about adverse effects can be a first starting point for the prevention of dangerous analgesic drug use in badminton.
Objectives: Evidence-based clinical guidelines play an important role in healthcare and can be a valuable source for quality indicators (QIs). However, the link between guidelines and QI is often neglected and methodological standards for the development of guideline-based QI are still lacking. The aim of this qualitative study was to get insights into experiences of international authors with developing and implementing guideline-based QI.
Setting: We conducted semistructured interviews via phone or skype (September 2017–February 2018) with guideline authors developing guideline-based QI.
Participants: 15 interview participants from eight organisations in six European and North American countries.
Methods: Organisations were selected using purposive sampling with a maximum variation of healthcare settings. From each organisation a clinician and a methodologist were asked to participate. An interview guide was developed based on the QI development steps according to the ‘Reporting standards for guideline-based performance measures’ by the Guidelines International Network. Interviews were analysed using qualitative content analysis with deductive and inductive categories.
Results: Interviewees deemed a programmatic approach, involvement of representative stakeholders with clinical and methodological knowledge and the connection to existing quality improvement strategies important factors for developing QI parallel to or after guideline development. Methodological training of the developing team and a shared understanding of the QI purpose were further seen conducive. Patient participation and direct patient relevance were inconsistently considered important, whereas a strong evidence base was seen essential. To assess measurement characteristics interviewees favoured piloting, but often missed implementation. Lack of measurability is still experienced a serious limitation, especially for qualitative aspects and individualised care.
Conclusion: Our results suggest that developing guideline-based QI can succeed either parallel to or following the guideline process with careful planning and instruction. Strategic partnerships seem key for implementation. Patient participation and relevance, measurement of qualitative aspects and piloting are areas for further development.
Trial registration number: German Clinical Trials Registry (DRKS00013006).
Background: Stroke is one of the most frequent causes of death in Germany and the developed countries. After a stroke, those affected often suffer particularly from functional motor restrictions of the upper extremities. Newer techniques such as the BCI-FES systems aim to establish a communication channel between the brain and external devices with a neuromuscular intervention. The electrical activity of the brain is measured, processed, translated into control signals and can then be used to control an application.
Methods: As a mixed-methods design (exploratory design), eight guideline-based expert interviews were conducted first. For the quantitative expert survey, 95 chief physicians from the field of neuromedicine in rehabilitation facilities nationwide were subsequently invited to participate in an online survey.
Results: In our data analysis, we found that doctors are largely open-minded towards new technical rehabilitation systems. In addition to the proper functioning of the system, they consider the understanding of the functionality and the meaningfulness of the system to be particularly important. In addition, the system should be motivating for individuals, generate meaningful movements, be easy to use, evidence-based and quick to set up. Concerns were expressed regarding the understanding of the system’s processes, especially in the acute phase after a stroke, as well as the excessive expectation of results from the system on the part of the persons. The experts named stroke patients in rehabilitation phase C, which is about mobilization and recovery, as well as all persons who can understand the language requirements as benefiting groups of people.
Conclusion: The present study shows that more research should and must be done in the field of BCI-FES interfaces, and various development trends have been identified. The system has the potential to play a leading role in the rehabilitation of stroke patients in the future. Nevertheless, more work should be done on the improvement and implementation as well as the system’s susceptibility to interference in everyday patient life.
Context: VR as an application to enhance well-being is sparsely researched in the elderly population. The aim of the pilot study was to analyze the effect of 360° videos of different categories on the state of mind of seniors in nursing facilities. Furthermore, for the implementation in everyday life, the usability of the system and the experience for seniors should be evaluated.
Methods: The VR experience was used as a supplement to existing care services in three facilities on eight subjects. Mood state was assessed using the Questionnaire for the Assessment of Happiness before and after the intervention. Demographic data and technology acceptance were collected beforehand. After the intervention, subjects were interviewed about confounding factors and side effects, and nursing home staff were interviewed about the usability of the system and the organizational concept of implementation.
Results: There was a positive effect on state of mind. Gender and spatial mobility turned out to be influencing factors. Categories containing people, animals and action achieved the highest increases in the state of mind. Interest in using technical devices correlated negatively with the change in mood state. None of the subjects found the VR goggles distracting or reported motion sickness. Very good usability was indicated by the employees.
Conclusion: A very high willingness to use this technology was found among nursing staff and residents. The tendencies of the positive effect of 360° videos on the state of mind, as well as differentiation based on the mentioned characteristics gender and spatial mobility, should be verified by a larger sample to empirically validate the use of this technology to increase the quality of life.
