Müller, Frank

[["dc.bibliographiccitation.journal","Notfall + Rettungsmedizin"],["dc.contributor.author","Müller, Frank"],["dc.contributor.author","Hummers, Eva"],["dc.contributor.author","Jablonka, Alexandra"],["dc.contributor.author","Schmidt, Tobias"],["dc.contributor.author","Noack, Eva Maria"],["dc.date.accessioned","2021-06-01T09:42:55Z"],["dc.date.available","2021-06-01T09:42:55Z"],["dc.date.issued","2021"],["dc.description.abstract","Hintergrund Zur Bekämpfung der SARS-CoV-2-Pandemie wurden in Deutschland Mitte März 2020 weitgehende Kontaktbeschränkungen erlassen (sog. Lockdown). Die vorliegende Arbeit soll klären, welche Auswirkungen diese Maßnahmen auf Rettungsdiensteinsätze hatten. Material und Methoden Retrospektive Auswertung von 6668 Einsatzprotokollen von vier Rettungswachen in Ostniedersachsen der beiden ersten Quartale 2020. Deskription und teststatistischer Vergleich der Einsätze sechs Wochen vor den Kontaktbeschränkungen mit einem gleich großen Zeitraum nach deren Erlass. Ergebnisse In den sechs Wochen im Lockdown gab es 17,7 % weniger Einsätze als in den Wochen vor dem Lockdown. Insbesondere zeigte sich eine Abnahme von Einsätzen wegen Atemwegserkrankungen um 40,6 % (91 Fälle), die insbesondere auf den Rückgang von Pneumonien und exazerbierten chronisch-obstruktiven Lungenerkrankungen (COPD) zurückgeht. Gleichzeitig zeigte sich ein Anstieg des durchschnittlichen Alters der Patienten mit einer Verringerung des Anteils der unter 65-Jährigen. Veränderungen bei psychiatrischen Erkrankungen, verstorbenen oder verletzten Patienten oder der Verweigerung von Behandlung und Transport wurden nicht beobachtet. Insgesamt wurden im Zeitraum 67 Patienten (1,0 %) mit Verdacht auf oder bestätigter COVID-19-Erkrankung behandelt. Diskussion Im Rettungsdienst zeigt sich eine Reduktion der Einsätze in Folge der Kontaktbeschränkungen, wobei diese nicht so stark ausfällt, wie für Notaufnahmen beschrieben wurde. Dieser Rückgang könnte auf eine Reduktion insbesondere weniger schwerer Erkrankungsfälle und jüngerer Patienten zurückzuführen sein. Auffällig ist die Reduktion von Pneumonien und exazerbierter COPD. Dies könnte einerseits bedeuten, dass Kontaktbeschränkungen das Infektionsgeschehen bei anderen Atemwegserkrankungen reduziert haben, aber ebenfalls, dass Patienten Krankenhausbehandlungen vermeiden wollten."],["dc.description.abstract","Background As a response to the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic, extensive contact restrictions were imposed by law in Germany as in other European countries. The present study intends to clarify the effect of these restrictions on emergency medical service (EMS) operations. Materials and methods Retrospective chart review of EMS operation protocols over the first 6 months of 2020 ( n  = 6668 rescue missions) in four rescue stations in eastern Lower Saxony (Germany). Description and statistical comparison of operations 6 weeks before the restrictions with an equally long period after the order of the restrictions (“lockdown”). Results During the 6 weeks after the lockdown the frequency of rescue operations decreased by 17.7%. In particular, there was a 40.6% ( n  = 91) decrease of emergency cases with respiratory diseases, mainly due to a decline of pneumonia and exacerbated chronic–obstructive pulmonary disease (COPD). At the same time, patients’ mean age increased with fewer patients under 65 years. There were no changes in the frequency of psychiatric disorders, deceased or injured patients, or refusal of treatment and transport. A total of 67 patients with suspected or confirmed SARS-CoV‑2 infection (1.0%) were observed during this period. Discussion EMS experienced a reduction of operations as a result of contact restrictions, although not as pronounced as was recently described for emergency rooms. This supports the hypothesis that the reduction is particularly evident in less severe cases and in younger patients. The reduction in pneumonia and COPD cases is striking. On the one hand, this could indicate that contact restrictions reduce the incidence of other respiratory infections and their impact on chronic respiratory disorders, but it could also mean that patients try to avoid hospital treatment."],["dc.identifier.doi","10.1007/s10049-021-00873-1"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/85385"],["dc.language.iso","de"],["dc.notes.intern","DOI-Import GROB-425"],["dc.relation","DICTUM-Braunschweig Digitale Kommunikationshilfen für nicht-deutschsprechende Patienten im Rettungsdienst"],["dc.relation.eissn","1436-0578"],["dc.relation.issn","1434-6222"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 4.0"],["dc.title","Auswirkung des COVID-19-Lockdowns auf Rettungseinsätze"],["dc.title.translated","Impact of the COVID-19 lockdown on emergency medical service operations"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","6823"],["dc.bibliographiccitation.issue","18"],["dc.bibliographiccitation.journal","International Journal of Environmental Research and Public Health"],["dc.bibliographiccitation.volume","17"],["dc.contributor.author","Müller, Frank"],["dc.contributor.author","Hummers, Eva"],["dc.contributor.author","Hillermann, Nele"],["dc.contributor.author","Dopfer, Christian"],["dc.contributor.author","Jablonka, Alexandra"],["dc.contributor.author","Friede, Tim"],["dc.contributor.author","Simmenroth, Anne"],["dc.contributor.author","Wetzke, Martin"],["dc.date.accessioned","2021-04-14T08:32:34Z"],["dc.date.available","2021-04-14T08:32:34Z"],["dc.date.issued","2020"],["dc.identifier.doi","10.3390/ijerph17186823"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/83952"],["dc.language.iso","en"],["dc.notes.intern","DOI Import GROB-399"],["dc.publisher","MDPI"],["dc.relation","DICTUM Friedland - Digitale Kommunikationshilfen für nicht-deutschsprechende Patienten im Grenzdurchgangslager Friedland"],["dc.relation.eissn","1660-4601"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 4.0"],["dc.title","Factors Influencing the Frequency of Airway Infections in Underage Refugees: A Retrospective, Cross Sectional Study"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","6306"],["dc.bibliographiccitation.issue","17"],["dc.bibliographiccitation.journal","International Journal of Environmental Research and Public Health"],["dc.bibliographiccitation.volume","17"],["dc.contributor.author","Müller, Frank"],["dc.contributor.author","Hummers, Eva"],["dc.contributor.author","Noack, Eva Maria"],["dc.date.accessioned","2021-04-14T08:32:34Z"],["dc.date.available","2021-04-14T08:32:34Z"],["dc.date.issued","2020"],["dc.identifier.doi","10.3390/ijerph17176306"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/83953"],["dc.language.iso","en"],["dc.notes.intern","DOI Import GROB-399"],["dc.publisher","MDPI"],["dc.relation","DICTUM Friedland - Digitale Kommunikationshilfen für nicht-deutschsprechende Patienten im Grenzdurchgangslager Friedland"],["dc.relation.eissn","1660-4601"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 4.0"],["dc.title","Medical Characteristics of Foreign Language Patients in Paramedic Care"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.journal","Frontiers in Public Health"],["dc.bibliographiccitation.volume","10"],["dc.contributor.affiliation","Schröder, Dominik; 1Department of General Practice, University Medical Center, Göttingen, Germany"],["dc.contributor.affiliation","Heesen, Gloria; 1Department of General Practice, University Medical Center, Göttingen, Germany"],["dc.contributor.affiliation","Heinemann, Stephanie; 1Department of General Practice, University Medical Center, Göttingen, Germany"],["dc.contributor.affiliation","Hummers, Eva; 1Department of General Practice, University Medical Center, Göttingen, Germany"],["dc.contributor.affiliation","Jablonka, Alexandra; 2Department of Rheumatology and Immunology, Hannover Medical School, Hanover, Germany"],["dc.contributor.affiliation","Steffens, Sandra; 2Department of Rheumatology and Immunology, Hannover Medical School, Hanover, Germany"],["dc.contributor.affiliation","Mikuteit, Marie; 2Department of Rheumatology and Immunology, Hannover Medical School, Hanover, Germany"],["dc.contributor.affiliation","Niewolik, Jacqueline; 2Department of Rheumatology and Immunology, Hannover Medical School, Hanover, Germany"],["dc.contributor.affiliation","Overbeck, Tobias R.; 4Department of Hematology and Medical Oncology, University Medical Center Göttingen, Göttingen, Germany"],["dc.contributor.affiliation","Kallusky, Jonathan; 4Department of Hematology and Medical Oncology, University Medical Center Göttingen, Göttingen, Germany"],["dc.contributor.affiliation","Müller, Frank; 1Department of General Practice, University Medical Center, Göttingen, Germany"],["dc.contributor.author","Schröder, Dominik"],["dc.contributor.author","Heesen, Gloria"],["dc.contributor.author","Heinemann, Stephanie"],["dc.contributor.author","Hummers, Eva"],["dc.contributor.author","Jablonka, Alexandra"],["dc.contributor.author","Steffens, Sandra"],["dc.contributor.author","Mikuteit, Marie"],["dc.contributor.author","Niewolik, Jacqueline"],["dc.contributor.author","Kallusky, Jonathan"],["dc.contributor.author","Müller, Frank"],["dc.contributor.author","Overbeck, Tobias R."],["dc.date.accessioned","2022-04-26T12:34:44Z"],["dc.date.available","2022-04-26T12:34:44Z"],["dc.date.issued","2022"],["dc.date.updated","2022-05-10T16:09:22Z"],["dc.description.abstract","Background: Restrictions to contain the COVID-19 pandemic affect the social participation of people worldwide. Especially those at high risk for a severe disease tend to abstain from social gatherings. While there are a few questionnaires to measure social participation in elderly or chronic patients, a valid survey instrument that includes pandemic-related social participation is needed. Methods We developed a social participation questionnaire that aims to assess pandemic-related restrictions in social participation. Items were developed using a theory and literature-based approach and then compiled in a discursive process involving experts and lay people. This was followed by the validation of the questionnaire through a cross-sectional survey on 431 individuals. Items with low item-total correlations and low factor loadings using exploratory factor analysis [EFA] were excluded. Using EFA on the remaining items, the factor structure was retrieved and tested with a confirmatory factor analysis [CFA]. Internal consistency was assessed with Chronbachs α. Results Initially, 27 items were developed which were used for validation. 13 items were excluded due to low item-total correlations and factors loadings. EFA of the remaining 14 items revealed three factors which were identified as domains “active social participation,” “wellbeing,” and “restrictions”. CFA showed an acceptable model fit using the three-dimensional structure. Chronbachs α of 0.81 and McDonalds Ω of 0.87 indicate good internal consistency. Correlation analysis showed an association between the developed questionnaire and previously-established participation and mental health scales. Conclusion This study suggests that our 14 item questionnaire is of high reliability and validity and can be used to measure social participation during a pandemic."],["dc.identifier.doi","10.3389/fpubh.2022.831087"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/106769"],["dc.language.iso","en"],["dc.publisher","Frontiers Media S.A."],["dc.relation","DEFEnse Against COVID-19 STudy"],["dc.relation.issn","2296-2565"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights.uri","http://creativecommons.org/licenses/by/4.0/"],["dc.title","Development and Validation of a Questionnaire to Assess Social Participation of High Risk-Adults in Germany During the COVID-19 Pandemic"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","1"],["dc.bibliographiccitation.journal","Zeitschrift für Rheumatologie"],["dc.bibliographiccitation.lastpage","11"],["dc.bibliographiccitation.volume","May 6"],["dc.contributor.author","Müller, Frank"],["dc.contributor.author","Heinemann, Stephanie"],["dc.contributor.author","Hummers, Eva"],["dc.contributor.author","Noack, Eva Maria"],["dc.contributor.author","Heesen, Gloria"],["dc.contributor.author","Dopfer-Jablonka, Alexandra"],["dc.contributor.author","Mikuteit, Marie"],["dc.contributor.author","Niewolik, Jacqueline"],["dc.contributor.author","Steffens, Sandra"],["dc.contributor.author","Schröder, Dominik"],["dc.creator.author","Frank Müller"],["dc.creator.author","Stephanie Heinemann"],["dc.creator.author","Eva Hummers"],["dc.creator.author","Eva Maria Noack"],["dc.creator.author","Gloria Heesen"],["dc.creator.author","Alexandra Dopfer-Jablonka"],["dc.creator.author","Marie Mikuteit"],["dc.creator.author","Jacqueline Niewolik"],["dc.creator.author","Sandra Steffens"],["dc.creator.author","Dominik Schröder"],["dc.date.accessioned","2022-05-07T01:54:33Z"],["dc.date.available","2022-05-07T01:54:33Z"],["dc.date.issued","2022"],["dc.description.abstract","Immunocompromised people are less likely to be vaccinated, despite an increased benefit of many vaccinations in terms of benefit-risk assessment, including the vaccines against SARS CoV-2 (COVID-19). Attitudes, expectations, and experiences with previous vaccinations influence the decision to get vaccinated."],["dc.identifier.doi","10.1007/s00393-022-01213-5"],["dc.identifier.pmid","35523964"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/108140"],["dc.identifier.url","https://publications.goettingen-research-online.de/handle/2/107676"],["dc.language.iso","de"],["dc.relation","DEFEnse Against COVID-19 STudy"],["dc.relation.eissn","1435-1250"],["dc.relation.issn","0340-1855"],["dc.relation.issn","1435-1250"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.subject.gro","Immunosuppression; SARS-CoV‑2; Vaccination; Vaccination acceptance; Vaccine Uptake; Vaccine hesitancy"],["dc.title","Impfeinstellung, Erwartungen und Impferfahrung von Immunsupprimierten bei COVID-19 Impfungen - Ergebnisse einer Längsschnittstudie"],["dc.title.alternative","Immunosuppressed people's beliefs, expectations, and experiences with COVID-19 vaccinations: Results of a longitudinal study"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.artnumber","403"],["dc.bibliographiccitation.firstpage","403"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","BMC Infectious Diseases"],["dc.bibliographiccitation.volume","22"],["dc.contributor.author","Dopfer-Jablonka, Alexandra"],["dc.contributor.author","Steffens, Sandra"],["dc.contributor.author","Müller, Frank"],["dc.contributor.author","Mikuteit, Marie"],["dc.contributor.author","Niewolik, Jacqueline"],["dc.contributor.author","Cossmann, Anne"],["dc.contributor.author","Stankov, Metodi V."],["dc.contributor.author","Behrens, Georg M. N."],["dc.contributor.author","Hummers, Eva"],["dc.contributor.author","Heesen, Gloria"],["dc.contributor.author","Schröder, Dominik"],["dc.contributor.author","Roder, Sascha"],["dc.contributor.author","Klawonn, Frank"],["dc.contributor.author","Vahldiek, Kai"],["dc.contributor.author","Hasenkamp, Justin"],["dc.contributor.author","Kallusky, Jonathan"],["dc.contributor.author","Falk, Christine S."],["dc.contributor.author","Overbeck, Tobias R."],["dc.contributor.author","Heinemann, Stephanie"],["dc.date.accessioned","2022-04-29T07:33:23Z"],["dc.date.accessioned","2022-08-12T12:57:45Z"],["dc.date.available","2022-04-29T07:33:23Z"],["dc.date.available","2022-08-12T12:57:45Z"],["dc.date.issued","2022-04-25"],["dc.date.updated","2022-07-29T12:00:25Z"],["dc.description.abstract","Background\r\n Immunocompromised people (ICP) and elderly individuals (older than 80 years) are at increased risk for severe coronavirus infections. To protect against serious infection with SARS-CoV-2, ICP are taking precautions that may include a reduction of social contacts and participation in activities which they normally enjoy. Furthermore, for these people, there is an uncertainty regarding the effectiveness of the vaccination. The COVID-19 Contact (CoCo) Immune study strives to characterize the immune response to COVID-19 vaccination in immunocompromised, elderly people, and patients with hematological or oncological diseases. The study uses blood-based screenings to monitor the humoral and cellular immune response in these groups after vaccination. Questionnaires and qualitative interviews are used to describe the level of social participation.\r\n \r\n \r\n Methods\r\n The CoCo Immune Study is a mixed methods prospective, longitudinal, observational study at two large university hospitals in Northern Germany. Starting in March 2021, it monitors anti-SARS-CoV-2 immune responses and collects information on social participation in more than 600 participants, at least 18 years old. Inclusion criteria and subcohorts: Participants with (1) regularly intake of immunosuppressive medication (ICP-cohort) or (2) age ≥ 80 years (80 + -cohort). Additionally, patients with current or former (3) myeloid, (4) lymphatic disease or (5) solid tumor under checkpoint inhibition (3–5: HO-cohort). Exclusion criteria: (1) refusal to give informed consent, (2) contraindication to blood testing, (3) inability to declare consent. Participants complete a questionnaire at four different time points: prior to full vaccination, and 1, 6 and 12 months after completed vaccination. In addition, participants draw blood samples themselves or through a local health care provider and send them with their questionnaires per post at the respective time points after vaccination. Patients of the HO cohort dispense additional blood samples at week 3 to 12 and at month 6 to 9 after 2nd vaccination to gain additional knowledge in B and T cell responses. Selected participants are invited to qualitative interviews about social participation.\r\n \r\n \r\n Discussion\r\n This observational study is designed to gain insight into the immune response of people with weakened immune systems and to find out how social participation is affected after COVID-19 vaccination.\r\n Trial registration: This study was registered with German Clinical Trial Registry (registration number: DRKS00023972) on 30th December 2020."],["dc.description.sponsorship","Open-Access-Publikationsfonds 2022"],["dc.identifier.citation","BMC Infectious Diseases. 2022 Apr 25;22(1):403"],["dc.identifier.doi","10.1186/s12879-022-07347-w"],["dc.identifier.pmid","35468758"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/106987"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/112723"],["dc.language.iso","en"],["dc.relation","DEFEnse Against COVID-19 STudy"],["dc.relation.eissn","1471-2334"],["dc.relation.issn","1471-2334"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 4.0"],["dc.rights.holder","The Author(s)"],["dc.subject","SARS-CoV-2"],["dc.subject","COVID-19"],["dc.subject","Pandemic"],["dc.subject","Humoral and cellular immunity"],["dc.subject","Immunocompromised people"],["dc.subject","Elderly"],["dc.subject","Hematology"],["dc.subject","Solid tumor"],["dc.subject","Checkpoint inhibition"],["dc.subject","Serological testing"],["dc.subject","Coronavirus"],["dc.subject","Social participation"],["dc.subject","Immunogenicity"],["dc.title","SARS-CoV-2-specific immune responses in elderly and immunosuppressed participants and patients with hematologic disease or checkpoint inhibition in solid tumors: study protocol of the prospective, observational CoCo immune study"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.journal","Notfall + Rettungsmedizin"],["dc.contributor.author","Müller, Frank"],["dc.contributor.author","Hummers, Eva"],["dc.contributor.author","Schulze, Jennifer"],["dc.contributor.author","Noack, Eva Maria"],["dc.date.accessioned","2021-08-12T07:46:11Z"],["dc.date.available","2021-08-12T07:46:11Z"],["dc.date.issued","2021"],["dc.description.abstract","Zusammenfassung Hintergrund Im Rettungsdienst können, im Gegensatz zum stationären Setting, adäquate Dolmetscher häufig nicht ohne Weiteres hinzugezogen werden. Gleichzeitig erfordern Notfallsituationen aber eine rasche Anamnese und ein Assessment als Basis für jedes therapeutische Handeln. Material und Methoden Eine Smartphone-App, die auf 18 Sprachen eine basale Kommunikation mittels 600 fest eingesprochener unterschiedlicher Phrasen auf 20 Sprachen ermöglicht, wurde über 6 Monate in vier Rettungswachen pilotiert. Abschließend wurde die Nutzbarkeit der App durch das gesamte Rettungsdienstpersonal in einer Fragebogenstudie unter Verwendung des System Usability Scores und des AttrakDiff-Fragebogens bewertet. Ergebnisse Die Rücklaufquote betrug 48,5 % und n  = 48 Fragebögen wurden ausgewertet. Das Durchschnittsalter der Befragten betrug 36 Jahre und fast zwei Drittel waren männlichen Geschlechts. Der System Usability Score zeigte im Median 67,5 Punkte, was eine grenzwertig gute Nutzbarkeit zeigte. Im AttrakDiff-Fragebogen zeigte sich die pragmatische Qualität mit durchschnittlich 0,69 (SD 0,86), die hedonische Qualität mit 0,59 (SD 0,58) und die Attraktivität (ATT) mit 0,64 Punkten (SD 0,83). Die Durchschnittswerte zeigen zufriedenstellende Werte jeweils oberhalb der neutral markierenden Grenze von 0. Auffällig zeigte sich, dass in wesentlichen Bewertungskriterien diejenigen Rettungsdienstkräfte, die angaben, die App bereits aktiv im Einsatz mit Patienten genutzt zu haben, die App signifikant besser einschätzten. Diskussion Vor dem Hintergrund, dass es sich bei der untersuchten App um ein komplexes Arbeitswerkzeug handelt, werden die Nutzbarkeit und Attraktivität als insgesamt gut eingeschätzt, wobei in der Nutzung erfahrene Rettungskräfte diese noch positiver einschätzten. Dies könnte auf eine Art Schwellenangst hindeuten, einer bereits durch Sprach- und kulturelle Barrieren geprägten Rettungssituation mit einer ebenfalls recht komplexen Intervention zu begegnen."],["dc.description.abstract","Abstract Background Communication with foreign-speaking patients in emergency medical situations can be challenging. In contrast to the inpatient setting, adequate interpreters are often not readily available in emergency services. At the same time, however, emergency situations require rapid assessment as the basis for any treatment. Materials and methods A smartphone app that enables basic communication in 18 languages using 600 different phrases was piloted over a period of 6 months in four emergency medical service stations. Finally, the usability of the app was evaluated by the whole rescue service staff in a questionnaire study using the System Usability Score and the AttrakDiff questionnaire. Results The response rate was 48.5% and n  = 48 questionnaires were evaluated. The average age of the respondents was 36 years and almost two-thirds were male. The System Usability Score showed a median of 67.5 points, indicating borderline good usability. The AttrakDiff questionnaire showed pragmatic quality with an average of 0.69 (SD 0.86), hedonic quality with 0.59 (SD 0.58), and attractiveness (ATT) with 0.64 points (SD 0.83). The average values show satisfying results above the neutral limit of 0. It was observed that those rescue workers who stated that they had already actively used the app with patients rated the app significantly better. Discussion Given that the app studied is a complex work tool, its usability and attractiveness were rated as overall good, and paramedics who had already used the app rated it even more positively. This could indicate a hesitancy by some paramedics to use a complex digital tool in complex situations that are already characterized by language and cultural barriers."],["dc.identifier.doi","10.1007/s10049-021-00913-w"],["dc.identifier.pii","913"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/88637"],["dc.language.iso","de"],["dc.notes.intern","DOI Import GROB-448"],["dc.relation","DICTUM-Braunschweig Digitale Kommunikationshilfen für nicht-deutschsprechende Patienten im Rettungsdienst"],["dc.relation.eissn","1436-0578"],["dc.relation.issn","1434-6222"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 4.0"],["dc.title","Nutz- und Bedienbarkeit einer App zur Überwindung von Sprachbarrieren im Rettungsdienst"],["dc.title.translated","Usability of an app to overcome language barriers in paramedic care"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.artnumber","315"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","BMC Primary Care"],["dc.bibliographiccitation.volume","23"],["dc.contributor.author","Müller, Frank"],["dc.contributor.author","Holman, Harland"],["dc.contributor.author","Hummers, Eva"],["dc.contributor.author","Schröder, Dominik"],["dc.contributor.author","Noack, Eva M."],["dc.date.accessioned","2022-12-12T08:14:49Z"],["dc.date.available","2022-12-12T08:14:49Z"],["dc.date.issued","2022-12-06"],["dc.date.updated","2022-12-11T04:11:38Z"],["dc.description.abstract","Abstract\r\n \r\n Background\r\n Providing medical care to newly arrived migrants presents multiple challenges. A major challenge is a lack of a common language in the absence of language interpretation services. We examine the multilingualism of German physicians and clinical psychotherapists providing ambulatory care.\r\n \r\n \r\n Methods\r\n We retrieved publicly available data from the Associations of Statutory Health Insurance Physicians provider registry of three German federal states (Lower Saxony, Saarland, Bavaria). We selected and grouped relevant practice-based disciplines. We used descriptive statistics to analyze the provider’s multilingualism among different disciplines.\r\n \r\n \r\n Results\r\n 69.6% of ambulatory providers offer consultations only in German. 15.5% of providers reported offering consultations in one additional non-German language, and 14.9% in two or more additional languages. Most common additional languages were English (28.6%) and French (9.9%). 1.4% of providers reported offering consultation in at least one language of the Middle Eastern region (Arabic, Dari, Hebrew, Kurdish, Pashtu, Farsi, and Turkish). There were differences in the offered languages between the medical disciplines with the highest mean rates found for gynecologists and obstetricians, urologists, and general surgeons. Psychotherapeutic disciplines offered consultation in other languages significantly less often.\r\n \r\n \r\n Conclusion\r\n Our study suggests a significant numeric mismatch in the number of providers offering consultations in the languages of people seeking protection in Germany. The resulting language barriers are compromising equitable access and quality of care."],["dc.identifier.citation","BMC Primary Care. 2022 Dec 06;23(1):315"],["dc.identifier.doi","10.1186/s12875-022-01926-1"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/118498"],["dc.language.iso","en"],["dc.publisher","BioMed Central"],["dc.relation.issn","2731-4553"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights.holder","The Author(s)"],["dc.subject","Language proficiency"],["dc.subject","Primary care"],["dc.subject","Migration"],["dc.subject","Language barrier"],["dc.title","Multilingual competencies among ambulatory care providers in three German Federal States"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","npj Primary Care Respiratory Medicine"],["dc.bibliographiccitation.volume","31"],["dc.contributor.author","Jablonka, Alexandra"],["dc.contributor.author","Dopfer, Christian"],["dc.contributor.author","Happle, Christine"],["dc.contributor.author","Shalabi, Andree"],["dc.contributor.author","Wetzke, Martin"],["dc.contributor.author","Hummers, Eva"],["dc.contributor.author","Friede, Tim"],["dc.contributor.author","Heinemann, Stephanie"],["dc.contributor.author","Hillermann, Nele"],["dc.contributor.author","Simmenroth, Anne"],["dc.contributor.author","Müller, Frank"],["dc.date.accessioned","2021-12-21T12:22:50Z"],["dc.date.available","2021-12-21T12:22:50Z"],["dc.date.issued","2021"],["dc.description.abstract","The presence of acute infectious respiratory diseases (ARD) is one of the main reasons why recently arrived refugees seek medical help. This paper investigates the incidence rates of acute respiratory diseases in an adult refugee population as well as associated sociodemographic factors and drug treatments. We conducted a retrospective observational study of deidentified medical records. The data were collected between 2015 and 2019 in the health care centers of two large German initial reception centers for refugees. Multivariable analyses controlling for sociodemographics were carried out using generalized estimating equations. Out of 10,431 eligible residents, 6965 medical encounters of 2840 adult patients were recorded over 30 months. Of all the adult patients, 34.4% sought medical help for a respiratory symptom or diagnosis at least once. Older patients and patients from Sub-Saharan Africa sought help less often. The occurrence of ARD showed a typical distribution over the course of the year. Facility occupancy was not associated with ARD occurrence. Acute respiratory symptoms are a leading cause for adult refugee patients to seek medical care. The doctor contact rates due to ARD were consistently two to three times higher among refugees than among German residents."],["dc.identifier.doi","10.1038/s41533-021-00261-9"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/97163"],["dc.language.iso","en"],["dc.relation","DICTUM Friedland - Digitale Kommunikationshilfen für nicht-deutschsprechende Patienten im Grenzdurchgangslager Friedland"],["dc.relation.issn","2055-1010"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 4.0"],["dc.title","Acute respiratory infections in an adult refugee population: an observational study"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.journal","Frontiers in Public Health"],["dc.bibliographiccitation.volume","10"],["dc.contributor.affiliation","Heesen, Gloria; 1Department of General Practice, University Medical Center, Göttingen, Germany"],["dc.contributor.affiliation","Schröder, Dominik; 1Department of General Practice, University Medical Center, Göttingen, Germany"],["dc.contributor.affiliation","Müller, Frank; 1Department of General Practice, University Medical Center, Göttingen, Germany"],["dc.contributor.affiliation","Hummers, Eva; 1Department of General Practice, University Medical Center, Göttingen, Germany"],["dc.contributor.affiliation","Klawonn, Frank; 2Department of Computer Science, Ostfalia University of Applied Sciences, Wolfenbuettel, Germany"],["dc.contributor.affiliation","Mikuteit, Marie; 4Department of Rheumatology and Immunology, Hannover Medical School, Germany"],["dc.contributor.affiliation","Niewolik, Jacqueline; 4Department of Rheumatology and Immunology, Hannover Medical School, Germany"],["dc.contributor.affiliation","Steffens, Sandra; 4Department of Rheumatology and Immunology, Hannover Medical School, Germany"],["dc.contributor.affiliation","Cossmann, Anne; 4Department of Rheumatology and Immunology, Hannover Medical School, Germany"],["dc.contributor.affiliation","Behrens, Georg; 4Department of Rheumatology and Immunology, Hannover Medical School, Germany"],["dc.contributor.affiliation","Dopfer-Jablonka, Alexandra; 4Department of Rheumatology and Immunology, Hannover Medical School, Germany"],["dc.contributor.affiliation","Heinemann, Stephanie; 1Department of General Practice, University Medical Center, Göttingen, Germany"],["dc.contributor.author","Heesen, Gloria"],["dc.contributor.author","Schröder, Dominik"],["dc.contributor.author","Müller, Frank"],["dc.contributor.author","Hummers, Eva"],["dc.contributor.author","Klawonn, Frank"],["dc.contributor.author","Mikuteit, Marie"],["dc.contributor.author","Niewolik, Jacqueline"],["dc.contributor.author","Steffens, Sandra"],["dc.contributor.author","Cossmann, Anne"],["dc.contributor.author","Behrens, Georg"],["dc.contributor.author","Dopfer-Jablonka, Alexandra"],["dc.contributor.author","Heinemann, Stephanie"],["dc.date.accessioned","2022-06-13T06:22:30Z"],["dc.date.available","2022-06-13T06:22:30Z"],["dc.date.issued","2022-06-10"],["dc.date.updated","2022-06-24T06:43:46Z"],["dc.description.abstract","Immunocompromised persons are at an increased risk for a severe SARS-CoV-2 infection and their safety behaviors may influence their social participation. Vaccinated persons have a lower incidence of infection and severe disease when infected compared to non-vaccinated persons. Therefore, their behavior may change and their social participation may increase after a complete vaccination. The aim of this study was to explore social participation of immunocompromised persons before and after complete COVID-19 vaccination. Between March and September 2021, 274 immunocompromised participants were recruited. Survey data were collected at baseline and follow-up from 194 participants including the Index for the Assessment of Health Impairments [IMET], Patient Health Questionnaire-4 [PHQ-4], subjective health status and quality of life. At baseline, participants were not yet completely vaccinated. Complete vaccination was achieved prior to the follow-up questionnaire. IMET scores decreased significantly at follow-up, indicating a higher social participation after complete vaccination. PHQ-4, subjective health status and quality of life did not differ between baseline and follow-up. There were no significant differences across sociodemographic factors. Significant PHQ-4 differences were observed regarding the population size of the participants' home community. Social participation of immunocompromised persons in our study increased after COVID-19 vaccination. Therefore, social participation should be explored further, especially with regards to the impact of vaccination on groups with a high health risk."],["dc.identifier.doi","10.3389/fpubh.2022.877623"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/111155"],["dc.language.iso","en"],["dc.relation","DEFEnse Against COVID-19 STudy"],["dc.relation.eissn","2296-2565"],["dc.relation.issn","2296-2565"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights.uri","http://creativecommons.org/licenses/by/4.0/"],["dc.title","The Impact of COVID-19 Vaccination on the Social Participation of Immunocompromised Persons – Results of a Multicenter Observational Study"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]