Refine
Year of publication
- 2019 (175) (remove)
Document Type
- Article (69)
- Part of a Book (27)
- Conference Proceeding (19)
- Other (19)
- Book (17)
- Moving Images (12)
- Sound (8)
- Bachelor Thesis (2)
- Report (1)
- Study Thesis (1)
Keywords
- Catchment order (2)
- Conservation planning (2)
- Danube (2)
- Digitalisierung (2)
- Species distribution modelling (2)
- Adhärenz (1)
- Alar ligaments (1)
- Anreizsysteme (1)
- Arbeitspsychologie (1)
- Bass model (1)
- Berufsausstieg (1)
- Blockchain Adoption (1)
- Breitenwirkung (1)
- Cervical (1)
- Cranial tissue (1)
- Dance (1)
- Delphi Method (1)
- Diffusion of innovation (1)
- Digitalen Transformation (1)
- Diversity Climate (1)
- Diversity Competence (1)
- Diversity Potentials (1)
- Dokumentenanalyse (1)
- Effort-Reward Imbalance (1)
- Electronic health records (1)
- Entwicklung (1)
- Evaluation (1)
- Expertenstandard (1)
- Freiberufliche Hebammen (1)
- Freshwater fish (1)
- Förderung der sozial-emotionalen Entwicklung (1)
- Generalized additive models (1)
- German Logistics Service Providers (1)
- Gestaltungsorientierung (1)
- Gesundheitsförderung (1)
- Gesundheitskompetenz (1)
- Gratifikationskrisen (1)
- Health Literacy (1)
- Health policy (1)
- Hebammensprechstunde (1)
- Immigrants (1)
- Implementierung (1)
- Informatik (1)
- Innovative Lehre (1)
- Intercultural Competence (1)
- Kinder mit Verhaltensauffälligkeiten (1)
- Kindertageseinrichtungen (1)
- Kindes- und Jugendalter (1)
- Kommunikation (1)
- Leadership (1)
- Location factors of the creative class (1)
- Medizinische Informatik (1)
- Mental Health Literacy (1)
- Midwifery (1)
- Mobility decisions of students and skilled professionals (1)
- Netzwerk (1)
- Partizipation Lehrender (1)
- Patientenüberleitung (1)
- Personality (1)
- Physiotherapy (1)
- Place quality evaluation (1)
- Qualifizierung frühpädagogischer Fachkräfte (1)
- Rahmenbedingungen (1)
- Reliability (1)
- Resident satisfaction (1)
- Risk factors (1)
- Selbststeuerung (1)
- Somatosensory dysfunction (1)
- Stay Abroad (1)
- Students (1)
- TOE Framework (1)
- Talent, Gender, Career, Neo-Institutionalism (1)
- Temporomandibular (1)
- Unternehmenskommunikation (1)
- Upstream area (1)
- Urban management, (1)
- Wirtschaftsinformatik (1)
- Wirtschaftskommunikation (1)
- Workforce (1)
- adherence (1)
- antenatal consultation (1)
- biomechanics (1)
- clinical tests (1)
- grading system (1)
- high string players (1)
- implementation (1)
- kinematics (1)
- motion capture (1)
- neuropathic pain (1)
- quantitative content analysis (1)
- quantitative sensory testing (1)
- screening questionnaires (1)
- upper body motion (1)
- validation (1)
- validity – MRI (1)
Institute
- Fakultät WiSo (175) (remove)
Climate change is the biggest social challenge facing the globalised world. The aim of this paper is to investigate the requirements for governance structures in regional sustainability programmes against climate change.
The study is an explorative case study. It is based on a literature review and expert interviews. It also involves the participatory observation of working groups meetings, and a design thinking workshop.
In spite of their enormous importance, little is known about the institutional conditions of the regional governance of climate change projects in Germany.
For this reason, the research project focuses on the important aspect of networking and governance structures. Consequently, the investigation will contribute to answering the question of which institutional framework conditions can raise the likelihood of climate change projects having a sustainable effect.
The outcomes of the application
This research has not only practical implications for the single case. The exploration of the critical factors of success also offers other regions important food for thought in shaping their governance structures. In particular, the design thinking process and the business network in the District of Steinfurt offer valuable points of reference.
Im Rahmen dieser Arbeit sollen anhand der PEFA Bewertung, welche im Jahr 2018 stattfand
und die Qualität des öffentlichen Finanzmanagements der Stadt Osnabrück auf Grundlage von internationalen Standards darstellt, Handlungsempfehlungen zur Verbesserung der Transparenz erarbeitet werden. Die entwickelten Maßnahmen sollen den Grundsätzen der Open Government Partnership entsprechen und die Weiterentwicklung der Stadt Osnabrück,
insbesondere im Bereich der Transparenz, unterstützen. Sie sind somit dem übergeordneten
Begriff Open Data zuzuordnen. Um Handlungsempfehlungen zu erarbeiten, werden aus den insgesamt 31 Leistungsindikatoren mit den verschiedenen Dimensionen, die bewertet wurden, diejenigen ausgesucht, welche schlechter als A bewertet wurden. Die gesamten 31 Leistungsindikatoren wurden im Jahr 2018 von A bis D auf einer vierstufigen Ordinalskala bemessen. Anhand der Leistungsindikatoren, die Verbesserungsbedarf aufweisen, werden Maßnahmen entwickelt, die sowohl die Bewertung der Stadt Osnabrück in der PEFA-Analyse verbessern, als auch die Transparenz, das Bürgerengagement und die Modernisierung der Verwaltung im Mindesten unterstützen, wenn nicht sogar verbessern.
Despite normal neurological bedside and electrodiagnostic, some patients with non-specific neck arm pain (NSNAP) have heightened nerve mechanosensitivity upon neurodynamic testing [1, 2]. It remains however unclear whether this is associated with a minor nerve injury. The aim of this study was to evaluate potential differences in somatosensory function among patients with unilateral NSNAP with and without positive neurodynamic tests and healthy controls.
Quantitative sensory testing was performed in 40 patients with unilateral NSNAP; 23 with positive upper limb neurodynamic tests (ULNTPOS) and 17 with negative neurodynamic tests (ULNTNEG). The protocol comprised thermal and mechanical detection and pain thresholds as well as mechanical pain sensitivity, wind-up ratio and dynamic mechanical allodynia. All parameters were measured in the maximal pain area on the affected side as well as over the corresponding area on the unaffected side. Symptom severity, functional deficits, psychological parameters, quality of life and sleep disturbance were also recorded.
Fifty-seven percent of patients with NSNAP had positive neurodynamic tests despite normal bedside neurological integrity tests and nerve conduction parameters. Clinical profiles did not differ between patient groups. Somatosensory profiling revealed a more pronounced loss of function phenotype in ULNTPOS patients compared to healthy controls. Hyperalgesia (cold, heat and pressure pain) was present bilaterally in both NSNAP group. The ULNTNEG subgroup represented an intermediate phenotype between ULNTPOS patients and healthy controls in both thermal and pressure pain thresholds as well as mechanical detection thresholds.
In conclusion, heightened nerve mechanosensitivity was present in over half of patients with NSNAP. Our data suggest that NSNAP presents as a spectrum with some patients showing signs suggestive of a minor nerve dysfunction.
[1] Elvey RL. Physical evaluation of the peripheral nervous system in disorders of pain and dysfunction. J Hand Ther 1997;10:122-129.
[2] van der Heide B, Bourgoin C, Eils G, Garnevall B, Blackmore M. Test-retest reliability and face validity of a modified neural tissue provocation test in patients with cervicobrachial pain syndrome. J Man Manip Ther 2006;14:30-36.
Relationship of QST measures between low back and leg sites in people with radicular leg pain
(2019)
Background and Aims
Clinicians and researchers often rely on altered neurological integrity tests in the leg to identify radicular pain, however neurological integrity is often not tested in the low back region even in the presence of pain in this region. There have been suggestions that the low back pain itself could be neuropathic in nature in some patients (Baron et al., 2016). This study aims to explore the relationship between quantitative sensory testing (QST) measures in the leg and low back in participants with radicular leg pain to consider if sensory testing should be performed in both areas in clinical practice.
Methods
13 participants (mean age 48.2 SD 13.8, gender (female) 8) with radicular leg pain were recruited from National Health Service spinal clinics in the UK. After assessment with the clinician, a full QST profile was taken from each participant’s affected leg and low back. Z scores were calculated using data from age matched healthy controls. Correlations using Pearson’s if the data was normally distributed or Kendall’s Tau-b if not, were undertaken between QST scores of the low back and leg. Paired t tests or Mann Whitney tests were performed to assess differences in QST scores between the leg and low back regions.
Results
There were no significant correlations (P>0.05) in any of the QST measures between the leg and the low back regions. However, only vibration detection threshold measures showed statistically significant differences between the leg and low back (p<0.001), with the low back region showing greater loss of function (mean -2.84) than the leg (mean -0.61).
Conclusions
Significantly lower vibration thresholds were found in the back compared to the leg. This may suggest some alteration in posterior primary ramus large diameter afferent nerve function, and indicate that the low back pain itself may indeed have a neuropathic component. Our findings suggest that sensory testing of the lumbar spine may be advisable in this group of individuals. The small sample size means that these results must be taken with some caution, however these results warrant further investigation in people with radicular leg pain.
Background:
The evaluation of somatosensory dysfunction is important for diagnostics and may also have implications for prognosis and management. The current standard to evaluate somatosensory dysfunction is quantitative sensory testing (QST), which is expensive and time consuming. This study describes a low-cost and time-efficient clinical sensory test battery (CST), and evaluates its concurrent validity compared to QST.
Method: Three patient cohorts with carpal tunnel syndrome (CTS, n=86), non-specific neck and arm pain (NSNAP, n=40) and lumbar radicular pain/radiculopathy (LR n=26) were included. The CST consisted of 13 tests, each corresponding to a QST parameter and evaluating a broad spectrum of sensory functions using mechanical and thermal detection and pain thresholds and testing both loss and gain of function. Agreement rate, significance and strength of correlation between CST and QST were calculated.
Results: Several CST parameters (cold and warm detection, cold pain, mechanical detection, mechanical pain for loss of function, pressure pain) were significantly correlated with QST, with a majority demonstrating >60% agreement rates and weak to relatively strong correlations. However, agreement varied among cohorts. Gain of function parameters showed stronger correlation in the CTS and NSNAP cohort, whereas loss of function parameters performed better in the LR cohort. Other CST parameters (vibration detection, heat pain, mechanical pain for gain of function, windup ratio) did not significantly correlate with QST.
Conclusion: Some, but not all tests in the CST battery can detect somatosensory dysfunction as determined with QST. The CST battery may perform better when the somatosensory phenotype is more pronounced.