Open Access

Background: IT is getting an increasing importance in hospitals. In this context, major IT decisions are often made by CEOs who are not necessarily IT experts. Objectives: Therefore, this study aimed at a) exploring different types of IT decision makers at CEO level, b) identifying hypotheses if trust exists between these different types of CEOs and their CIOs and c) building hypotheses on potential consequences regarding risk taking and innovation. Methods: To this end, 14 qualitative interviews with German hospital CEOs were conducted to explore the research questions. Results: The study revealed three major types: IT savvy CEOs, IT enthusiastic CEOs and IT indifferent CEOs. Depending on these types, their relationship with the CIO varied in terms of trust and common language. In case of IT indifferent CEOs, a potential vicious circle of lack of IT knowledge, missing trust, low willingness to take risks and low innovation power could be identified. Conclusion: In order to break of this circle, CEOs seem to need more IT knowledge and / or greater trust in their CIO.

Distributed Energy Management (DEM) will play a vital role in future smart grids. An important and often overlooked factor in this concept is privacy. This paper presents two privacy-preserving DEM algorithms called PrivADE+ and PPPM. PrivADE+ uses a round-based energy management procedure for switchable and dynamically adaptable loads. PPPM utilises on the market-based PowerMatcher approach. Both algorithms apply homomorphic encryption to privately gather aggregated data and exchange commands. Simulations show that PrivADE+ and PPPM achieve good energy management quality with low communication requirements and without negative influences on robustness.

Purpose Attracting skilled students is an important aim of many cities in a knowledge-based society. This paper focuses on urban factors of attractiveness from a student's perspective and analyses their influence on locational choices of students. The criteria found were also used to evaluate how the City of Osnabrück, Germany, is rated in terms of these criteria and to reveal the greatest discrepancies. Design / Methodology / Approach The paper is based on a multi-level empirical research concept, including qualitative and quantitative approaches. A survey of 2,300 students was conducted in Osnabrück on the basis of focus group discussions with students and interviews with various experts such as a neighbourhood manager, an urban planner, a district mayor, a college president, a real estate manager. Originality/value To date, little research has been undertaken to empirically examine the specific requirements that German students look for in a place to live and study. According to the author’s present state of knowledge (January 2018), a comparable study has not been done. The main contribution of this paper is the empirical analysis of what makes cities attractive to students. In contrast to the findings of Richard Florida about the Creative Class, the cleanliness of a city, beautiful city scenery, and attractive apartments are more important to students than cultural offers, interesting job opportunities, or a multicultural population. Practical Implications Insights from the empirical survey can both help to analyse important factors in students' decision-making process and provide possible measures that the city stakeholders can take. Keywords 1. Knowledge-based urban development 2. Mobility decisions by students and skilled professionals 3. Location factors 4. Place branding Proposed paper: Academic Research Paper

Biogas plants produce nutrient rich digestates as side products, which are usually used as local fertilisers. Yet the large amount and regional gradients of biogas plants in Germany necessitate management, conditioning, and transportation of digestates, in order to follow good fertilising procedure and prohibit local over-fertilisation. With a membrane-based treatment chain, i.e. centrifugation, ultrafiltration, and reverse osmosis, digestates can be separated into a solid N,P-fertiliser, a liquid N,K-fertiliser, and dischargeable water. Up to now, the high energy demand of the process chain, in particular the ultrafiltration step, limits the economical market launch of the treatment chain. A reduction of the energy demand is challenging, as digestates exhibit a high fouling potential and ultrafiltration fluxes differ considerably for digestates from different biogas plants. In a systematic screening of 28 digestate samples from agricultural biogas plants and 6 samples from bio-waste biogas plants, ultrafiltration performance could be successfully linked to the rheological properties of the digestate’s liquid phase and to its macromolecular biopolymer concentration. By modification of the fluid characteristics through enzymatic treatment, ultrafiltration performance was considerably increased by factor 2.8 on average, which equals energy savings in the ultrafiltration step of approximately 45%. Consequently, the energy demand of the total treatment chain decreases, which offers potential for further rollout of the membrane-based digestate treatment.

The increasing complexity of caseloads in SLT practice, e.g. due to higher comorbidity, lacking information or experience in the treatment of complicated cases, calls for support from experienced as well as specialist practitioners from within the field - especially for novice therapists. One way to tackle these challenges may be peer coaching and how it can be employed within the educational and professional SLT setting. Peer coaching was implemented across five semesters of a successive SLT study programme at a University of Applied Sciences in Germany. The approach was embedded in a clinical reasoning seminar with 25 SLT students who each presented a challenging case study from their current workload. All participants completed a short online survey to evaluate the feasibility of the team approach within this setting as well as their personal benefit and development re. the discussed case studies. Students felt encouraged by being able to share their experience and tackle actual challenges. They particularly valued receiving answers from a broad range of other SLTs but also contributing to other students’ queries and providing practical solutions for them. All participants felt that peer coaching was an appropriate approach for clinical reasoning to support their professional as well as personal development. Other outcomes were a perceived increased ability to employ metacognitive reflection to be used with their whole caseload but also a prospective need for further training. Some students suggested the employment of peer coaching within their work setting. In the educational as well as professional SLT setting, peer coaching can be successfully employed, triggering metacognitive reflection re. practitioner’s thinking and acting, resulting in an increased awareness of needs and skills as part of the clinical reasoning process.

This document is an abstract of a workshop delivered at the 36th Symposium of the Performing Arts Medicine Association (PAMA)

Background: Muscle fatigue has been reported as a risk factor for the development of performance-related musculoskeletal disorders (PRMD) in musicians. However, little research exists to support this claim. The aim of this study was to investigate whether changes occur in muscle activity patterns during high string performance over a prolonged playing period, and whether this is influenced by PRMD. Methods: High string musicians were divided into a PRMD and a non-PRMD group. They played a chromatic scale pre and post and a self-chosen “hard” (Borg scale 16-17) piece of music for one hour. Electromyography data recorded from arm, shoulder and trunk muscles was analyzed: the amplitude to measure muscle activity characteristics and the lower frequency to measure muscle fatigue. Differences between and within groups and the frequency spectrum were analyzed using linear mixed models. Results: Fifteen musicians participated (7 PRMD: 22.8 years, 2 male/5 female and 8 non-PRMD: 34.3 years, 2 male/6 female). Changes in muscle activation patterns were observed between and within both groups, however changes varied significantly depending on group affiliation. Significant low frequency spectrum changes between groups were observed in overall muscles of the right arm (p=0.04) and left forearm flexors (p=0.05) following one hour of playing. Conclusions: Muscle activity and frequency spectrum shifts differ in high string musicians with and without PRMD, suggesting possible differential muscle fatigue effects between the groups.

No loss of accuracy out of lab. Large volume (long distance of cameras) leads to merging of close markers. No conclusion about accuracy when markers are changing positions. However: no assessment of accuracy possible due to missing gold Standard. No guarantee of accuracy with calibration by wand.

This chapter presents the process of establishing a laboratory for mobile eye tracking focussing on real-world, open-space environments within the field of landscape architecture at the Osnabrück University of Applied Sciences (D) as well as the latest results from the feasibility study ‘Point de Vue’, which defines the basis for qualitative interaction analyses in landscape architecture. Eye tracking is a tool that has been used extensively in the domains of psychology, marketing, usability and user experience in remote and mobile applications, but has rarely been used in real-world open spaces because of technical limitations. To check the possibilities of mobile eye tracking as a new application in open spaces, several exploratory tests and a feasibility study with long-term experiments have been carried out in urban settings as well as in world famous parks such as ‘Grosser Garten’ in Hannover (D) and ‘Stourhead’ in Wiltshire (GB). These experiments have shown extraordinary results that enable us to use mobile eye tracking as a new tool in open space research to gain knowledge about how people act, react and interact in open-space environments. Being able to see and understand what catches one’s eye and the response to it will be a guide to better design.

In idea creation and assessment processes the accruement and the description of an idea are mostly allocated to a fixed point in time, defined as the end of the generating process and the start of the idea assessment. This static approach does not fit the reality in industrial idea processes. A dynamic approach for idea assessment is therefore introduced. An idea is not seen as a static but as a dynamic state, characterized by different degrees of maturity. Maturity is understood as a measure of the assessability of the individual evaluation characteristics. Based on Crosby’s maturity model and on classical Capability Maturity Models, a new Idea Maturity Model (IMM) has been developed and is introduced for the first time. The five Idea Maturity Levels (IML) are named Initial, Awareness, Appraisability, Valuation, and Realisability and harmonize well with other maturity models. The levels are described by general characteristics, although the development of the maturity model focussed on new product or service development. The compatibility of the IMM with idea assessment processes and conditions in organisations and companies has been checked.

Background Forced migration significantly endangers health. Women face numerous health risks, including sexual violence, lack of contraception, sexually transmitted disease, and adverse perinatal outcomes. Therefore, sexual and reproductive healthcare is a significant aspect of women asylum seekers’ health. Even when healthcare costs of asylum seekers are covered by the government, there may be strong barriers to healthcare access and specific needs may be addressed inadequately. The study’s objectives were a) to assess the accommodation and healthcare services provided to women asylum seekers in standard and specialised health care, b) to assess the organisation of healthcare provision and how it addresses the sexual and reproductive healthcare needs of women asylum seekers. Methods The study utilised a multi-method approach, comprising a less-dominant quantitative component and dominant qualitative component. The quantitative component assessed accommodation conditions for women in eight asylum centres using a survey. The qualitative component assessed healthcare provision on-site, using semi-structured interviews with health and social care professionals (n = 9). Asylum centres were selected to cover a wide range of characteristics. Interview analysis was guided by thematic analysis. Results The accommodation in the asylum centres provided gender-separate rooms and sanitary infrastructure. Two models of healthcare were identified, which differed in the services they provided and in their organisation: 1) a standard healthcare model characterised by a lack of coordination between healthcare providers, unavailability of essential services such as interpreters, and fragmented healthcare, and 2) a specialised healthcare model specifically tailored to the needs of asylum-seekers. Its organisation is characterised by a network of closely collaborating health professionals. It provided essential services not present in the standard model. We recommend the specialised healthcare model as a guideline for best practise. Conclusions The standard, non-specialised healthcare model used in some regions in Switzerland does not fully meet the healthcare needs of women asylum seekers. Specialised healthcare services used in other regions, which include translation services as well as gender and culturally sensitive care, are better suited to address these needs. More widespread use of this model would contribute significantly toward protecting the sexual and reproductive integrity and health of women asylum seekers.

The demographic shift in the age structure has the effects that many ageing employees work in organisations. Migration can slow down the ageing of population but could not stop it. More and more people with immigration background work in organisations. Therefore, the question is, whether diversity sensitive attitudes count for all diversity aspects. The central aim of the study is to deal with the problem fields of multicultural teamwork. Thereby, the focus is on the collaboration of employees with and without immigration background. The interviews with employees with and without an immigra-tion background of various company branches were conducted. The results show that employees with an immigration background have more contact and feel comfortable with persons from different cultures than employees without an immigration back-ground. The qualitative analysis indicates that there is a high need of competence devel-opment, especially intercultural and social competences in organisations. The results of the study reveal that personality traits and characteristics of employees play a role to what extent they accept diversity and are willing to work with persons from another culture. Age is not important regarding intercultural competence development.