Now showing 1 - 10 of 16
  • 2022Journal Article
    [["dc.bibliographiccitation.firstpage","149"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","BMC primary care"],["dc.bibliographiccitation.volume","23"],["dc.contributor.author","Rohde, Jörn"],["dc.contributor.author","Himmel, Wolfgang"],["dc.contributor.author","Hofinger, Clemens"],["dc.contributor.author","Lâm, Thiên-Trí"],["dc.contributor.author","Schrader, Hanna"],["dc.contributor.author","Wallstabe, Julia"],["dc.contributor.author","Kurzai, Oliver"],["dc.contributor.author","Gágyor, Ildikó"],["dc.date.accessioned","2022-11-20T14:35:30Z"],["dc.date.available","2022-11-20T14:35:30Z"],["dc.date.issued","2022"],["dc.description.abstract","Background: PCR testing is considered the gold standard for SARS-CoV-2 diagnosis but its results are earliest available hours to days after testing. Rapid antigen tests represent a diagnostic tool enabling testing at the point of care. Rapid antigen tests have mostly been validated by the manufacturer or in controlled laboratory settings only. External validation at the point of care, particularly in general practice where the test is frequently used, is needed. Furthermore, it is unclear how well point of care tests are accepted by the practice staff.\r\n\r\nMethods: In this prospective multicenter validation study in primary care, general practitioners included adult individuals presenting with symptoms suggesting COVID-19. Each patient was tested by the general practitioner, first with a nasopharyngeal swab for the point of care test (Roche SARS-CoV-2 Rapid Antigen Test) and then with a second swab for PCR testing. Using the RT-PCR result as a reference, we calculated specificity, sensitivity, positive predictive value and negative predictive value, with their 95% confidence intervals. General practitioners and medical assistants completed a survey to assess feasibility and usefulness of the point of care tests.\r\n\r\nResults: In 40 practices in Würzburg, Germany, 1518 patients were recruited between 12/2020 and 06/2021. The point of care test achieved a sensitivity of 78.3% and a specificity of 99.5% compared to RT-PCR. With a prevalence of 9.5%, the positive predictive value was 93.9% and the negative predictive value was 97.8%. General practitioners rated the point of care test as a helpful tool to support diagnostics in patients with signs and symptoms suggestive for infection, particularly in situations where decision on further care is needed at short notice.\r\n\r\nConclusion: The point of care test used in this study showed a sensitivity below the manufacturer's specification (Sensitivity 96.25%) in the practice but high values for specificity and high positive predictive value and negative predictive value. Although widely accepted in the practice, measures for further patient management require a sensitive interpretation of the point of care test results."],["dc.identifier.doi","10.1186/s12875-022-01756-1"],["dc.identifier.pii","1756"],["dc.identifier.pmid","35690722"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/117162"],["dc.identifier.url","https://publications.goettingen-research-online.de/handle/2/112148"],["dc.language.iso","en"],["dc.notes.intern","DOI-Import GROB-581"],["dc.relatedmaterial.fulltext","https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9187884/pdf/12875_2022_Article_1756.pdf"],["dc.relation.eissn","2731-4553"],["dc.relation.issn","2731-4553"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights.uri","https://creativecommons.org/licenses/by/4.0"],["dc.subject.gro","Attitude of health personnel; COVID-19 testing; Feasibility study; General practice; Sensitivity and specificity"],["dc.title","Diagnostic accuracy and feasibility of a rapid SARS-CoV-2 antigen test in general practice - a prospective multicenter validation and implementation study"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]
    Details DOI PMID PMC
  • 2022Journal Article
    [["dc.bibliographiccitation.firstpage","1558"],["dc.bibliographiccitation.issue","12"],["dc.bibliographiccitation.journal","Clinical Microbiology and Infection"],["dc.bibliographiccitation.lastpage","1566"],["dc.bibliographiccitation.volume","28"],["dc.contributor.author","Kaußner, Yvonne"],["dc.contributor.author","Röver, Christian"],["dc.contributor.author","Heinz, Judith"],["dc.contributor.author","Hummers, Eva"],["dc.contributor.author","Debray, Thomas P.A."],["dc.contributor.author","Hay, Alastair D."],["dc.contributor.author","Heytens, Stefan"],["dc.contributor.author","Vik, Ingvild"],["dc.contributor.author","Little, Paul"],["dc.contributor.author","Moore, Michael"],["dc.contributor.author","Gágyor, Ildikó"],["dc.date.accessioned","2022-09-01T09:49:31Z"],["dc.date.available","2022-09-01T09:49:31Z"],["dc.date.issued","2022"],["dc.description.abstract","Randomised controlled trials (RCTs) investigated analgesics, herbal formulations, delayed prescription of antibiotics, and placebo to prevent overprescription of antibiotics in women with uncomplicated urinary tract infections (uUTI)."],["dc.identifier.doi","10.1016/j.cmi.2022.06.017"],["dc.identifier.pii","S1198743X22003305"],["dc.identifier.pmid","35788049"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/113447"],["dc.identifier.url","https://publications.goettingen-research-online.de/handle/2/113447"],["dc.language.iso","en"],["dc.notes.intern","DOI-Import GROB-597"],["dc.relation.eissn","1469-0691"],["dc.relation.issn","1198-743X"],["dc.title","Reducing antibiotic use in uncomplicated urinary tract infections in adult women: a systematic review and individual participant data meta-analysis"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]
    Details DOI PMID PMC
  • 2010Journal Article Research Paper
    [["dc.bibliographiccitation.artnumber","30"],["dc.bibliographiccitation.journal","BMC Medicine"],["dc.bibliographiccitation.volume","8"],["dc.contributor.author","Bleidorn, Jutta"],["dc.contributor.author","Gagyor, Ildiko"],["dc.contributor.author","Kochen, Michael M."],["dc.contributor.author","Wegscheider, Karl"],["dc.contributor.author","Hummers-Pradier, Eva"],["dc.date.accessioned","2018-11-07T08:43:08Z"],["dc.date.available","2018-11-07T08:43:08Z"],["dc.date.issued","2010"],["dc.description.abstract","Background: Uncomplicated lower urinary tract infections (UTI) are usually treated with antibiotics. However, there is little evidence for alternative therapeutic options. This pilot study was set out 1) to make a rough estimate of the equivalence of ibuprofen and ciprofloxacin for uncomplicated urinary tract infection with regard to symptom resolution, and 2) to demonstrate the feasibility of a double-blind, randomized controlled drug trial in German general practices. Methods: We performed a double-blind, randomized controlled pilot trial in 29 German general practices. Eighty otherwise healthy women aged 18 to 85 years, presenting with at least one of the main UTI symptoms dysuria and frequency and without any complicating factors, were randomly assigned to receive either ibuprofen 3 x 400 mg oral or ciprofloxacin 2 x 250 mg (+1 placebo) oral, both for three days. Intensity of main symptoms-dysuria, frequency, low abdominal pain-was recorded at inclusion and after 4, 7 and 28 days, scoring each symptom from 0 (none) to 4 (very strong). The primary endpoint was symptom resolution on Day 4. Secondary outcomes were the burden of symptoms on Days 4 and 7 (based on the sum score of all symptoms), symptom resolution on Day 7 and frequency of relapses. Equivalence margins for symptom burden on Day 4 were pre-specified as +/-0.5 sum score points. Data analysis was done by intention to treat and per protocol. Randomization was carried out on patient level by computer programme in blocks of six. Results: Seventy-nine patients were analyzed (ibuprofen n = 40, ciprofloxacin n = 39). On Day 4, 21/36 (58.3%) of patients in the ibuprofen-group were symptom-free versus 17/33 (51.5%) in the ciprofloxacin-group. On Day 4, ibuprofen patients reported fewer symptoms in terms of total sum score (1; SD 1,42) than ciprofloxacin patients (1,3; SD 1,9), difference-0,33 (95% CI (-1,13 to + 0,47)), PP (per protocol) analysis. During Days 0 and 9, 12/36 (33%) of patients in the ibuprofen-group received secondary antibiotic treatment due to ongoing or worsening symptoms, compared to 6/33 (18%) in the ciprofloxacin-group (non significant). A total of 58 non-serious adverse events were reported, 32 in the ibuprofen group versus 26 in the ciprofloxacin group (non significant). Conclusions: Our results support the assumption of non-inferiority of ibuprofen compared to ciprofloxacin for treatment of symptomatic uncomplicated UTI, but need confirmation by further trials."],["dc.identifier.doi","10.1186/1741-7015-8-30"],["dc.identifier.isi","000279916700001"],["dc.identifier.pmid","20504298"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/5676"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/19886"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.relation.issn","1741-7015"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 2.0"],["dc.rights.uri","https://creativecommons.org/licenses/by/2.0"],["dc.title","Symptomatic treatment (ibuprofen) or antibiotics (ciprofloxacin) for uncomplicated urinary tract infection? - Results of a randomized controlled pilot trial"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]
    Details DOI PMID PMC WOS
  • 2016Journal Article Research Paper
    [["dc.bibliographiccitation.firstpage","E234"],["dc.bibliographiccitation.issue","645"],["dc.bibliographiccitation.journal","British Journal of General Practice"],["dc.bibliographiccitation.lastpage","E240"],["dc.bibliographiccitation.volume","66"],["dc.contributor.author","Gágyor, Ildikó"],["dc.contributor.author","Haasenritter, Jörg"],["dc.contributor.author","Bleidorn, Jutta"],["dc.contributor.author","McIsaac, Warren"],["dc.contributor.author","Schmiemann, Guido"],["dc.contributor.author","Hummers-Pradier, Eva"],["dc.contributor.author","Himmel, Wolfgang"],["dc.date.accessioned","2020-12-10T18:47:26Z"],["dc.date.available","2020-12-10T18:47:26Z"],["dc.date.issued","2016"],["dc.description.abstract","Background Uncomplicated urinary tract infection (UTI) is often treated with antibiotics, resulting in increasing resistance levels. A randomised controlled trial showed that two-thirds of females with UTI treated symptomatically recovered without subsequent antibiotic treatment. Aim To investigate whether there are differences between females with a UTI who were subsequently prescribed antibiotics and those who recovered with symptomatic treatment only, and to develop a model to predict those who can safely and effectively be treated symptomatically. Design and setting This is a subgroup analysis of females assigned to ibuprofen in a UTI trial in general practices. Method Multiple logistic regression analysis was used to select variables for a prediction model, The discriminative value of the model was estimated by the area under the receiver operator curve (AUC) and the effects of different thresholds were calculated within the model predicting antibiotic prescription and need for follow-up visits. Results Of the 235 females in the ibuprofen group, 79 were subsequently prescribed antibiotics within 28 days of follow-up. The final model included five predictors: urgency/frequency, impaired daily activities, and positive dipstick test results for erythrocytes, leucocytes, and nitrite. The AUC was 0.73 (95% CI = 0.67 to 0.80). A reasonable threshold for antibiotic initiation would result in 58% of females presenting with UTI being treated with antibiotics. Of the remaining females, only 6% would return to the practice because of symptomatic treatment failure. Conclusion The present model revealed moderately good accuracy and could be the basis for a decision aid for GPs and females to find the treatment option that fits best."],["dc.identifier.doi","10.3399/bjgp16X684361"],["dc.identifier.isi","000376585200002"],["dc.identifier.pmid","26965031"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/14110"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/78763"],["dc.language.iso","en"],["dc.notes.intern","DOI Import GROB-354"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.relation.issn","1478-5242"],["dc.relation.issn","0960-1643"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY-NC 3.0"],["dc.rights.uri","https://creativecommons.org/licenses/by-nc/3.0"],["dc.title","Predicting antibiotic prescription after symptomatic treatment for urinary tract infection: development of a model using data from an RCT in general practice"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]
    Details DOI PMID PMC WOS
  • 2011Journal Article Research Paper
    [["dc.bibliographiccitation.artnumber","Doc52"],["dc.bibliographiccitation.issue","4"],["dc.bibliographiccitation.journal","GMS Zeitschrift für medizinische Ausbildung"],["dc.bibliographiccitation.volume","28"],["dc.contributor.author","Simmenroth-Nayda, Anne"],["dc.contributor.author","Alt-Epping, Bernd"],["dc.contributor.author","Gágyor, Ildikó"],["dc.date.accessioned","2019-07-09T11:53:52Z"],["dc.date.available","2019-07-09T11:53:52Z"],["dc.date.issued","2011"],["dc.description.abstract","BACKGROUND: The concerns of patients suffering from life-threatening disease and end-of-life care aspects have gained increasing attention in public perception. The increasing focus on palliative medicine questions can be considered to be paradigmatic for this development. Palliative medicine became a compulsory subject of the undergraduate curriculum in Germany to be implemented until 2013. The preexisting conditions and qualifications at the medical faculties vary, though. We describe the conceptual process, didactic background, and first experiences with the new interdisciplinary course \"Delivering bad news\" as a compulsory part of the palliative medicine curriculum. METHODS: Since autumn 2009, this course has been taught at the University Medical Center Göttingen, consisting of two double lessons in the final year of medical education. Considering the curriculum-based learning goals in Göttingen, the focus of this course is to impart knowledge, attitudes and communication skills relating to \"bad news\". RESULTS: Although the seminar requires adequate staff and is time-consuming, students have accepted it and gave high marks in evaluations. In particular, the teachers' performance and commitment was evaluated positively. DISCUSSION AND CONCLUSIONS: We describe the first experiences with a new course. Didactic structure, theoretical contents, role-plays and usage of media (film, novel) are well- suited to communicate topics such as \"bad news\". Additional experiences and evaluations are necessary. According to the progressive nature of learning, it might be worthwhile to repeat communication- centered questions several times during medical studies."],["dc.description.abstract","Zielsetzung: Verschiedene Aspekte bei der Behandlung lebensbedrohlich erkrankter Patienten und der Begleitung Sterbender rücken zunehmend in den gesellschaftlichen Fokus. Paradigmatisch hierfür kann die zunehmende Aufmerksamkeit gegenüber palliativmedizinischen Inhalten betrachtet werden, die seit der letzten Änderung der ärztlichen Approbationsordnung im Medizinstudium ab 2013 verpflichtend unterrichtet und geprüft werden müssen. Die didaktischen Vorerfahrungen und strukturellen Voraussetzungen zur Integration von Lebensend-Themen in das studentische Curriculum sind an den einzelnen Fakultäten jedoch sehr unterschiedlich. Dieser Artikel beschreibt die Konzeption des neuen Pflichtseminars „Überbringen schlechter Nachrichten“, dessen didaktischen Hintergrund sowie erste Erfahrungen bei der Durchführung für Studierende unmittelbar vor Eintritt in das Praktische Jahr. Methodik: An der Universitätsmedizin Göttingen wird seit dem Wintersemester 2009 ein aus zwei Doppelstunden bestehendes Pflicht-Seminarr zum Thema „Überbringen schwerwiegender Nachrichten“ unterrichtet. Unter Berücksichtigung des Göttinger Lernzielkataloges wird Wissen vermittelt, die kommunikativen Fertigkeiten in Form von Rollenspielen verbessert und die affektive Ebene durch den Einsatz von Literatur mit einbezogen. Ergebnisse und Schlussfolgerung: Das Seminar ist zwar zeit- und personalaufwendig, wird aber von den Studierenden gut angenommen und evaluiert. Besonders positiv wird das Auftreten der Dozenten bewertet. Der didaktische Aufbau von Lerninhalten durch Kombination von Medien (Filmausschnitt, Roman), Kleingruppenarbeit und Rollenspielen ist zur Vermittlung des Themas gut geeignet. Weitere Evaluationen müssen folgen. Wünschenswert wäre im Sinne der Lernspirale ein mehrfaches Aufgreifen des Themas innerhalb des Studiums."],["dc.identifier.doi","10.3205/zma000764"],["dc.identifier.fs","584691"],["dc.identifier.pmid","22205910"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/8180"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/60517"],["dc.language.iso","de"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","final"],["dc.relation.issn","1860-3572"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","Goescholar"],["dc.rights.uri","https://goescholar.uni-goettingen.de/licenses"],["dc.subject.mesh","Communication"],["dc.subject.mesh","Cooperative Behavior"],["dc.subject.mesh","Curriculum"],["dc.subject.mesh","Education, Medical, Undergraduate"],["dc.subject.mesh","Faculty, Medical"],["dc.subject.mesh","Germany"],["dc.subject.mesh","Humans"],["dc.subject.mesh","Interdisciplinary Communication"],["dc.subject.mesh","Medicine"],["dc.subject.mesh","Palliative Care"],["dc.subject.mesh","Physician-Patient Relations"],["dc.subject.mesh","Truth Disclosure"],["dc.title","Überbringen schwerwiegender Nachrichten – ein interdisziplinäres Lehrkonzept im Pflichtcurriculum"],["dc.title.alternative","Breaking bad news - an interdisciplinary curricular teaching-concept"],["dc.title.translated","Überbringen schwerwiegender Nachrichten – ein interdisziplinäres Lehrkonzept im Pflichtcurriculum"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]
    Details DOI PMID PMC
  • 2019Journal Article Research Paper
    [["dc.bibliographiccitation.artnumber","38"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","Research Involvement and Engagement"],["dc.bibliographiccitation.volume","5"],["dc.contributor.author","Schilling, Imke"],["dc.contributor.author","Behrens, Heike"],["dc.contributor.author","Bleidorn, Jutta"],["dc.contributor.author","Gágyor, Ildikó"],["dc.contributor.author","Hugenschmidt, Claudia"],["dc.contributor.author","Jilani, Hannah"],["dc.contributor.author","Schmiemann, Guido"],["dc.contributor.author","Gerhardus, Ansgar"],["dc.date.accessioned","2019-12-01T04:26:32Z"],["dc.date.accessioned","2021-10-27T13:21:39Z"],["dc.date.available","2019-12-01T04:26:32Z"],["dc.date.available","2021-10-27T13:21:39Z"],["dc.date.issued","2019"],["dc.date.updated","2019-12-01T04:26:32Z"],["dc.description.abstract","Background Patient and public involvement (PPI) has become an essential part of the design, conduct, and dissemination of research. While researchers who employed PPI mainly report on the positive aspects, in practice PPI is still an exception in clinical trials in Germany. There are specific challenges in the process of involvement that can jeopardize the conduct of involvement. The aim of our study was to analyze the experience of patients and researchers with PPI in a clinical trial in Germany, so we could learn more about potential challenges and how they could be addressed. Methods We established a patient board for a randomized controlled trial on urinary tract infections, where patients and researchers regularly met to discuss relevant aspects of the trial. Minutes were taken for each meeting and the moderator also noted her observations in a postscript. After four meetings, we conducted two focus groups, one each with the patients and researchers. We analyzed and categorized the minutes, postscripts, and focus group transcripts using thematic qualitative text analysis. Results Patients and researchers felt comfortable with the composition of the patient board and its’ atmosphere. In terms of challenges, patients and researchers needed time to get familiar with PPI. Both parties saw a need for training in PPI but differed in their views on the relevant topics. Patients wished to learn more about their role and tasks within the board at the onset of the PPI. They also preferred to meet more frequently and get more intensely involved in the trial. In contrast, researchers perceived that they were already highly involved. They further felt that the involvement was of benefit to them, the trial and future research. Patients described benefits for themselves, but also wondered if their involvement had had an impact on the trial. Conclusions To facilitate effective PPI, resources, adequate structures, and training are needed. Patients and researchers need to agree on their respective roles, training needs, and the mode of cooperation right at the beginning. The parties involved should continuously reflect on the actual benefits of PPI, describe them explicitly and make them transparent for all."],["dc.identifier.doi","10.1186/s40900-019-0172-0"],["dc.identifier.pmid","31798964"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/16761"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/92038"],["dc.language.iso","en"],["dc.notes.intern","Migrated from goescholar"],["dc.relation.orgunit","Universitätsmedizin Göttingen"],["dc.rights","CC0 1.0 Universal"],["dc.rights.holder","The Author(s)."],["dc.rights.uri","https://creativecommons.org/licenses/by/4.0"],["dc.title","Patients’ and researchers’ experiences with a patient board for a clinical trial on urinary tract infections"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]
    Details DOI PMID PMC
  • 2020Journal Article Research Paper
    [["dc.bibliographiccitation.firstpage","e035883"],["dc.bibliographiccitation.issue","10"],["dc.bibliographiccitation.journal","BMJ Open"],["dc.bibliographiccitation.volume","10"],["dc.contributor.author","Heinz, Judith"],["dc.contributor.author","Röver, Christian"],["dc.contributor.author","Furaijat, Ghefar"],["dc.contributor.author","Kaußner, Yvonne"],["dc.contributor.author","Hummers, Eva"],["dc.contributor.author","Debray, Thomas"],["dc.contributor.author","Hay, Alastair D"],["dc.contributor.author","Heytens, Stefan"],["dc.contributor.author","Vik, Ingvild"],["dc.contributor.author","Little, Paul"],["dc.contributor.author","Moore, Michael"],["dc.contributor.author","Stuart, Beth"],["dc.contributor.author","Wagenlehner, Florian"],["dc.contributor.author","Kronenberg, Andreas"],["dc.contributor.author","Ferry, Sven"],["dc.contributor.author","Monsen, Tor"],["dc.contributor.author","Lindbaek, Morten"],["dc.contributor.author","Friede, Tim"],["dc.contributor.author","Gagyor, Ildiko"],["dc.date.accessioned","2021-04-14T08:27:27Z"],["dc.date.available","2021-04-14T08:27:27Z"],["dc.date.issued","2020"],["dc.identifier.doi","10.1136/bmjopen-2019-035883"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/17636"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/82291"],["dc.language.iso","en"],["dc.notes.intern","DOI Import GROB-399"],["dc.notes.intern","Merged from goescholar"],["dc.relation.eissn","2044-6055"],["dc.relation.issn","2044-6055"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 4.0"],["dc.rights.uri","https://goescholar.uni-goettingen.de/licenses"],["dc.title","Strategies to reduce antibiotic use in women with uncomplicated urinary tract infection in primary care: protocol of a systematic review and meta-analysis including individual patient data"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]
    Details DOI
  • 2012Journal Article Research Paper
    [["dc.bibliographiccitation.artnumber","Doc55"],["dc.bibliographiccitation.firstpage","1"],["dc.bibliographiccitation.issue","4"],["dc.bibliographiccitation.journal","GMS Zeitschrift für medizinische Ausbildung"],["dc.bibliographiccitation.lastpage","12"],["dc.bibliographiccitation.volume","29"],["dc.contributor.author","Gágyor, Ildikó"],["dc.contributor.author","Hilbert, Nadine"],["dc.contributor.author","Chenot, Jean-François"],["dc.contributor.author","Marx, Gabriella"],["dc.contributor.author","Ortner, Tuulia"],["dc.contributor.author","Simmenroth-Nayda, Anne"],["dc.contributor.author","Scherer, Martin"],["dc.contributor.author","Wedeken, Sven"],["dc.contributor.author","Himmel, Wolfgang"],["dc.date.accessioned","2019-07-09T11:54:39Z"],["dc.date.available","2019-07-09T11:54:39Z"],["dc.date.issued","2012"],["dc.description.abstract","AIMS: Negative experiences during the course of medical education have been reported in many countries, but little is known about the perceived severity of these experiences. We studied for the first time how often students at a medical university in Germany have had negative experiences, and how severe they perceive these to be. METHOD: We asked medical students in an online survey whether they felt adequately appreciated, had experienced peer rivalry, verbal abuse by their mentors, physical abuse or mistreatment, sexual harassment, racial or ethnic discrimination, or any other kind of mistreatment. RESULTS: Of 391 students, 56% stated that they felt insufficiently appreciated, 51% had experienced rivalry, and 34% had suffered verbal abuse. Fifty-nine percent of the students felt highly aggrieved because of verbal abuse, while 46% were aggrieved by the ongoing rivalry and 32% by the lack of appreciation. Significantly fewer students felt upset because they were passed over or ignored (21%). Generally, female students felt more often aggrieved by these negative experiences than their male colleagues. CONCLUSION: Of the possible negative experiences, the less prominent ones such as lack of appreciation or verbal abuse are not only frequent, they are also perceived as very upsetting. Medical teachers should reflect this more in their day-to-day dealings with students and aim to improve on their contact with the students accordingly."],["dc.identifier.doi","10.3205/zma000825"],["dc.identifier.fs","592279"],["dc.identifier.pmid","22916081"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/9541"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/60705"],["dc.language.iso","de"],["dc.notes.intern","Merged from goescholar"],["dc.relation.issn","1860-3572"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY-NC-ND 3.0"],["dc.rights.uri","https://goescholar.uni-goettingen.de/licenses"],["dc.subject.mesh","Adult"],["dc.subject.mesh","Attitude of Health Personnel"],["dc.subject.mesh","Data Collection"],["dc.subject.mesh","Education, Medical"],["dc.subject.mesh","Female"],["dc.subject.mesh","Germany"],["dc.subject.mesh","Human Rights Abuses"],["dc.subject.mesh","Humans"],["dc.subject.mesh","Interpersonal Relations"],["dc.subject.mesh","Male"],["dc.subject.mesh","Mentors"],["dc.subject.mesh","Peer Group"],["dc.subject.mesh","Prejudice"],["dc.subject.mesh","Questionnaires"],["dc.subject.mesh","Sexual Harassment"],["dc.subject.mesh","Students, Medical"],["dc.title","Wie häufig und belastend sind negative Erfahrungen im Medizinstudium?"],["dc.title.alternative","Frequency and perceived severity of negative experiences during medical education in Germany--results of an online-survery of medical students"],["dc.title.subtitle","Ergebnisse einer Online-Befragung von Medizinstudierenden"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]
    Details DOI PMID PMC
  • 2018Journal Article Research Paper
    [["dc.bibliographiccitation.firstpage","225"],["dc.bibliographiccitation.issue","2"],["dc.bibliographiccitation.journal","Family Practice"],["dc.bibliographiccitation.lastpage","230"],["dc.bibliographiccitation.volume","36"],["dc.contributor.author","Gágyor, Ildikó"],["dc.contributor.author","Heßling, Arndt"],["dc.contributor.author","Heim, Susanne"],["dc.contributor.author","Frewer, Andreas"],["dc.contributor.author","Nauck, Friedemann"],["dc.contributor.author","Himmel, Wolfgang"],["dc.date.accessioned","2020-12-10T18:19:10Z"],["dc.date.available","2020-12-10T18:19:10Z"],["dc.date.issued","2018"],["dc.identifier.doi","10.1093/fampra/cmy060"],["dc.identifier.eissn","1460-2229"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/75146"],["dc.language.iso","en"],["dc.notes.intern","DOI Import GROB-354"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.relation.orgunit","Klinik für Palliativmedizin"],["dc.rights","CC BY-NC-ND 4.0"],["dc.title","Ethical challenges in primary care: a focus group study with general practitioners, nurses and informal caregivers"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]
    Details DOI
  • 2021Journal Article Research Paper
    [["dc.bibliographiccitation.firstpage","e043328"],["dc.bibliographiccitation.issue","2"],["dc.bibliographiccitation.journal","BMJ Open"],["dc.bibliographiccitation.volume","11"],["dc.contributor.author","Gágyor, Ildikó"],["dc.contributor.author","Rentzsch, Katrin"],["dc.contributor.author","Strube-Plaschke, Stephanie"],["dc.contributor.author","Himmel, Wolfgang"],["dc.date.accessioned","2021-04-14T08:29:59Z"],["dc.date.available","2021-04-14T08:29:59Z"],["dc.date.issued","2021"],["dc.description.sponsorship","Open-Access-Publikationsfonds 2021"],["dc.identifier.doi","10.1136/bmjopen-2020-043328"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/83063"],["dc.language.iso","en"],["dc.notes.intern","DOI Import GROB-399"],["dc.relation","REGATTA - Verringerung des Einsatzes von Antibiotika bei unkomplizierten Harnwegsinfekten durch Behandlung mit Uva ursi – eine vergleichende Effektivitätsstudie in hausärztlichen Praxen"],["dc.relation.issn","2044-6055"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY-NC 4.0"],["dc.title","Psychometric properties of a self-assessment questionnaire concerning symptoms and impairment in urinary tract infections: the UTI-SIQ-8"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]
    Details DOI