Simmenroth, Anne

[["dc.bibliographiccitation.firstpage","1074"],["dc.bibliographiccitation.issue","8"],["dc.bibliographiccitation.journal","Pharmacoepidemiology and Drug Safety"],["dc.bibliographiccitation.lastpage","1083"],["dc.bibliographiccitation.volume","30"],["dc.contributor.author","Kleinert, Evelyn"],["dc.contributor.author","Hillermann, Nele"],["dc.contributor.author","Jablonka, Alexandra"],["dc.contributor.author","Happle, Christine"],["dc.contributor.author","Müller, Frank"],["dc.contributor.author","Simmenroth, Anne"],["dc.date.accessioned","2021-06-01T09:42:24Z"],["dc.date.available","2021-06-01T09:42:24Z"],["dc.date.issued","2021"],["dc.description.abstract","Abstract Purpose Unnecessary and inappropriate use of antibiotics is a widespread problem in primary care. However, current data on the care of refugees and migrants in initial reception centers is pending. This article provides data on prescription frequencies of various antibiotics and associated diagnoses. Methods In this retrospective observational study, patient data of 3255 patients with 6376 medical contacts in two initial reception centers in Germany were analyzed. Patient data, collected by chart review, included sociodemographic characteristics, diagnoses, and prescriptions. Antibiotic prescription behavior and corresponding physician‐coded diagnoses were analyzed. Results Nineteen percent of all patients in our study received systemic antibiotics during the observation period, with children below the age of 10 years receiving antibiotics most frequently (24%). The most commonly prescribed antibiotics were penicillins (65%), macrolides (12%), and cephalosporins (7%). The most frequent diagnoses associated with antibiotic prescription were acute tonsillitis (26%), bronchitis (21%), infections of the upper respiratory tract (14%), and urinary tract infections (10%). In case of acute bronchitis 74% of the antibiotic prescriptions were probably not indicated. In addition, we found a significant number of inappropriate prescriptions such as amoxicillin for tonsillitis (67%), and ciprofloxacin and cotrimoxazol for urinary tract infections (49%). Conclusion Regarding inappropriate prescription of antibiotics in refugee healthcare, this study shows a rate ranging from 8% for upper respiratory tract infections to 75% for acute bronchitis. Unnecessary use of antibiotics is a global problem contributing to gratuitous costs, side effects, and antimicrobial resistance. This research contributes to the development of stringent antibiotic stewardship regiments in the particularly vulnerable population of migrants and refugees."],["dc.description.sponsorship","European Social Fund http://dx.doi.org/10.13039/501100004895"],["dc.description.sponsorship","German Centre for Infection Research at Hannover Medical School"],["dc.description.sponsorship","Land Niedersachsen"],["dc.description.sponsorship","Medizinischen Hochschule Hannover http://dx.doi.org/10.13039/501100005624"],["dc.description.sponsorship","Robert Bosch Stiftung http://dx.doi.org/10.13039/501100001646"],["dc.identifier.doi","10.1002/pds.5254"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/85240"],["dc.language.iso","en"],["dc.notes.intern","DOI-Import GROB-425"],["dc.publisher","John Wiley \\u0026 Sons, Inc."],["dc.relation","DICTUM Friedland - Digitale Kommunikationshilfen für nicht-deutschsprechende Patienten im Grenzdurchgangslager Friedland"],["dc.relation.eissn","1099-1557"],["dc.relation.issn","1053-8569"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY-ND 4.0"],["dc.title","Prescription of antibiotics in the medical care of newly arrived refugees and migrants"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","1368"],["dc.bibliographiccitation.issue","4"],["dc.bibliographiccitation.journal","International Journal of Environmental Research and Public Health"],["dc.bibliographiccitation.volume","17"],["dc.contributor.author","Müller, Frank"],["dc.contributor.author","Chandra, Shivani"],["dc.contributor.author","Furaijat, Ghefar"],["dc.contributor.author","Kruse, Stefan"],["dc.contributor.author","Waligorski, Alexandra"],["dc.contributor.author","Simmenroth, Anne"],["dc.contributor.author","Kleinert, Evelyn"],["dc.date.accessioned","2020-12-10T18:47:08Z"],["dc.date.available","2020-12-10T18:47:08Z"],["dc.date.issued","2020"],["dc.description.sponsorship","European Social Fund"],["dc.description.sponsorship","Robert Bosch Stiftung"],["dc.identifier.doi","10.3390/ijerph17041368"],["dc.identifier.eissn","1660-4601"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/78654"],["dc.language.iso","en"],["dc.notes.intern","DOI Import GROB-354"],["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","A Digital Communication Assistance Tool (DCAT) to Obtain Medical History from Foreign-Language Patients: Development and Pilot Testing in a Primary Health Care Center for Refugees"],["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.artnumber","Doc42"],["dc.bibliographiccitation.issue","3"],["dc.bibliographiccitation.journal","GMS Journal for Medical Education"],["dc.bibliographiccitation.volume","33"],["dc.contributor.author","Simmenroth-Nayda, Anne"],["dc.contributor.author","Marx, Gabriella"],["dc.contributor.author","Lorkowski, Thorsten"],["dc.contributor.author","Himmel, Wolfgang"],["dc.date.accessioned","2021-08-26T14:45:43Z"],["dc.date.available","2021-08-26T14:45:43Z"],["dc.date.issued","2016"],["dc.description.abstract","Persons who simulate patients during medical education understand the routines and the underlying script of medical consultations better. We aimed to explore how simulated patients (SPs) integrated this new understanding into their daily life, how this work affected their private life as patients, and what we can learn from these changes for concepts of empowerment."],["dc.identifier.doi","10.3205/zma001041"],["dc.identifier.pmid","27275507"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/88871"],["dc.language.iso","en"],["dc.relation.eissn","2366-5017"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 4.0"],["dc.title","Working as simulated patient has effects on real patient life - Preliminary insights from a qualitative study"],["dc.title.alternative","Hat die Tätigkeit von Simulationspatienten Effekte auf deren realen Patienten-Alltag? Eine qualitative Interviewstudie"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["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"]]

[["dc.bibliographiccitation.firstpage","64"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","Journal of Surgical Research"],["dc.bibliographiccitation.lastpage","73"],["dc.bibliographiccitation.volume","191"],["dc.contributor.author","Kiehl, Christoph"],["dc.contributor.author","Simmenroth-Nayda, Anne"],["dc.contributor.author","Goerlich, Yvonne"],["dc.contributor.author","Entwistle, Andrew"],["dc.contributor.author","Schiekirka, Sarah"],["dc.contributor.author","Ghadimi, B. Michael"],["dc.contributor.author","Raupach, Tobias"],["dc.contributor.author","Koeniga, Sarah"],["dc.date.accessioned","2018-11-07T09:36:09Z"],["dc.date.available","2018-11-07T09:36:09Z"],["dc.date.issued","2014"],["dc.description.abstract","Background: Communication skills combined with specialized knowledge are fundamental to the doctor-patient relationship in surgery. During a single-station video-recorded objective structured clinical examination (VOSCE), students were tasked with obtaining informed consent. Our aim was to develop a standardized and quality-assured assessment method in undergraduate education. Methods: One hundred fifty-five students in their fifth year of medical school (78 videos) participated in a summative VOSCE within the framework of the teaching module \"Operative Medicine.\" They prepared for three clinical scenarios and the surgical procedures involved. The examination comprised participants having to obtain informed consent from simulated patients, video recording their performance. Students were assessed by two independent raters, the background of one of whom was nonsurgical. Results were statistically tested using SPSS. Results: Students' scores were all beyond the pass mark of 70%, averaging 91.0% (+/- 4.0%), 88.4% (+/- 4.4%), and 87.0% (+/- 4.7%) for the appendectomy, cholecystectomy, and inguinal hernia repair checklist, respectively. Most items (68%-89% of the checklists) were found to have fair to excellent discrimination values. Cronbach's alpha values ranged between 0.565 and 0.605 for the individual checklists. Interrater agreement was strong (Pearson correlation coefficient = 0.80, P < 0.01; intraclass correlation coefficient 2.1 = 0.78). Conclusions: The VOSCE is both feasible and reliable as a method of assessing student communication skills and the application of clinical knowledge while obtaining informed consent in surgery. This method is efficient (flexible rating outside normal working hours possible with reductions in administrative load) and may be used for high-stakes evaluation of student performance. (C) 2014 The Authors. Published by Elsevier Inc. All rights reserved."],["dc.description.sponsorship","Office of the Dean of Studies"],["dc.identifier.doi","10.1016/j.jss.2014.01.048"],["dc.identifier.isi","000341023700010"],["dc.identifier.pmid","24746952"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/10857"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/32549"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.relation.issn","1095-8673"],["dc.relation.issn","0022-4804"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY-NC-SA 3.0"],["dc.rights.uri","https://creativecommons.org/licenses/by-nc-sa/3.0"],["dc.title","Standardized and quality-assured video-recorded examination in undergraduate education: informed consent prior to surgery"],["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"]]

[["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"]]

[["dc.bibliographiccitation.artnumber","Doc02"],["dc.bibliographiccitation.journal","GMS Psycho-Social Medicine"],["dc.bibliographiccitation.volume","5"],["dc.contributor.author","Scherer, Martin"],["dc.contributor.author","Himmel, Wolfgang"],["dc.contributor.author","Kochen, Michael M."],["dc.contributor.author","Koschack, Janka"],["dc.contributor.author","Ahrens, Dirk"],["dc.contributor.author","Chenot, Jean-Francois"],["dc.contributor.author","Simmenroth-Nayda, Anne"],["dc.contributor.author","Herrmann-Lingen, Christoph"],["dc.date.accessioned","2021-09-14T13:26:41Z"],["dc.date.available","2021-09-14T13:26:41Z"],["dc.date.issued","2008-04-02"],["dc.description.abstract","Psychosocial symptoms are common in patients with heart failure. Little research, however, has been done to determine which psychosocial factors influence primary care patients' consultation frequency in the case of heart failure."],["dc.identifier.pmid","19742279"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/89395"],["dc.language.iso","en"],["dc.relation.issn","1860-5214"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY-NC-ND 3.0"],["dc.title","Psychosocial determinants for frequent primary health care utilisation in patients with heart failure"],["dc.title.alternative","Psychosoziale Determinanten für häufige Hausarztkontakte bei Patienten mit Herzinsuffizienz"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["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.artnumber","486"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","BMC Research Notes"],["dc.bibliographiccitation.volume","5"],["dc.contributor.author","Simmenroth-Nayda, Anne"],["dc.contributor.author","Weiss, Cora"],["dc.contributor.author","Fischer, Thomas"],["dc.contributor.author","Himmel, Wolfgang"],["dc.date.accessioned","2019-07-09T11:53:57Z"],["dc.date.available","2019-07-09T11:53:57Z"],["dc.date.issued","2012"],["dc.description.abstract","Background Although it is taken for granted that history-taking and communication skills are learnable, this learning process should be confirmed by rigorous studies, such as randomized pre- and post-comparisons. The purpose of this paper is to analyse whether a communication course measurably improves the communicative competence of third-year medical students at a German medical school and whether technical or emotional aspects of communication changed differently. Method A sample of 32 randomly selected students performed an interview with a simulated patient before the communication course (pre-intervention) and a second interview after the course (post-intervention), using the Calgary-Cambridge Observation Guide (CCOG) to assess history taking ability. Results On average, the students improved in all of the 28 items of the CCOG. The 6 more technically-orientated communication items improved on average from 3.4 for the first interview to 2.6 in the second interview (p < 0.0001), the 6 emotional items from 2.7 to 2.3 (p = 0.023). The overall score for women improved from 3.2 to 2.5 (p = 0.0019); male students improved from 3.0 to 2.7 (n.s.). The mean interview time significantly increased from the first to the second interview, but the increase in the interview duration and the change of the overall score for the students’ communication skills were not correlated (Pearson’s r = 0.03; n.s.). Conclusions Our communication course measurably improved communication skills, especially for female students. These improvements did not depend predominantly on an extension of the interview time. Obviously, “technical” aspects of communication can be taught better than “emotional” communication skills."],["dc.identifier.doi","10.1186/1756-0500-5-486"],["dc.identifier.fs","592278"],["dc.identifier.pmid","22947372"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/8276"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/60535"],["dc.language.iso","en"],["dc.notes.intern","Merged from goescholar"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 2.0"],["dc.rights.uri","https://creativecommons.org/licenses/by/2.0"],["dc.title","Do communication training programs improve students' communication skills? - a follow-up study"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]