Fakultät III - Medien, Information und Design
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The Logical Observation Identifiers, Names and Codes (LOINC) is a common terminology used for standardizing laboratory terms. Within the consortium of the HiGHmed project, LOINC is one of the central terminologies used for health data sharing across all university sites. Therefore, linking the LOINC codes to the site-specific tests and measures is one crucial step to reach this goal. In this work we report our ongoing efforts in implementing LOINC to our laboratory information system and research infrastructure, as well as our challenges and the lessons learned. 407 local terms could be mapped to 376 LOINC codes of which 209 are already available to routine laboratory data. In our experience, mapping of local terms to LOINC is a widely manual and time consuming process for reasons of language and expert knowledge of local laboratory procedures.
The German Corona Consensus (GECCO) established a uniform dataset in FHIR format for exchanging and sharing interoperable COVID-19 patient specific data between health information systems (HIS) for universities. For sharing the COVID-19 information with other locations that use openEHR, the data are to be converted in FHIR format. In this paper, we introduce our solution through a web-tool named “openEHR-to-FHIR” that converts compositions from an openEHR repository and stores in their respective GECCO FHIR profiles. The tool provides a REST web service for ad hoc conversion of openEHR compositions to FHIR profiles.
Purpose: Radiology reports mostly contain free-text, which makes it challenging to obtain structured data. Natural language processing (NLP) techniques transform free-text reports into machine-readable document vectors that are important for creating reliable, scalable methods for data analysis. The aim of this study is to classify unstructured radiograph reports according to fractures of the distal fibula and to find the best text mining method.
Materials & Methods: We established a novel German language report dataset: a designated search engine was used to identify radiographs of the ankle and the reports were manually labeled according to fractures of the distal fibula. This data was used to establish a machine learning pipeline, which implemented the text representation methods bag-of-words (BOW), term frequency-inverse document frequency (TF-IDF), principal component analysis (PCA), non-negative matrix factorization (NMF), latent Dirichlet allocation (LDA), and document embedding (doc2vec). The extracted document vectors were used to train neural networks (NN), support vector machines (SVM), and logistic regression (LR) to recognize distal fibula fractures. The results were compared via cross-tabulations of the accuracy (acc) and area under the curve (AUC).
Results: In total, 3268 radiograph reports were included, of which 1076 described a fracture of the distal fibula. Comparison of the text representation methods showed that BOW achieved the best results (AUC = 0.98; acc = 0.97), followed by TF-IDF (AUC = 0.97; acc = 0.96), NMF (AUC = 0.93; acc = 0.92), PCA (AUC = 0.92; acc = 0.9), LDA (AUC = 0.91; acc = 0.89) and doc2vec (AUC = 0.9; acc = 0.88). When comparing the different classifiers, NN (AUC = 0,91) proved to be superior to SVM (AUC = 0,87) and LR (AUC = 0,85).
Conclusion: An automated classification of unstructured reports of radiographs of the ankle can reliably detect findings of fractures of the distal fibula. A particularly suitable feature extraction method is the BOW model.
Key Points:
- The aim was to classify unstructured radiograph reports according to distal fibula fractures.
- Our automated classification system can reliably detect fractures of the distal fibula.
- A particularly suitable feature extraction method is the BOW model.
The Wnt signaling pathway has been associated with many essential cell processes. This study aims to examine the effects of Wnt signaling on proliferation of cultured HEK293T cells. Cells were incubated with Wnt3a, and the activation of the Wnt pathway was followed by analysis of the level of the β-catenin protein and of the expression levels of the target genes MYC and CCND1. The level of β-catenin protein increased up to fourfold. While the mRNA levels of c-Myc and cyclin D1 increased slightly, the protein levels increased up to a factor of 1.5. Remarkably, MTT and BrdU assays showed different results when measuring the proliferation rate of Wnt3a stimulated HEK293T cells. In the BrdU assays an increase of the proliferation rate could be detected, which correlated to the applied Wnt3a concentration. Oppositely, this correlation could not be shown in the MTT assays. The MTT results, which are based on the mitochondrial activity, were confirmed by analysis of the succinate dehydrogenase complex by immunofluorescence and by western blotting. Taken together, our study shows that Wnt3a activates proliferation of HEK293 cells. These effects can be detected by measuring DNA synthesis rather than by measuring changes of mitochondrial activity.
Harmonisation of German Health Care Data Using the OMOP Common Data Model – A Practice Report
(2023)
Data harmonization is an important step in large-scale data analysis and for generating evidence on real world data in healthcare. With the OMOP common data model, a relevant instrument for data harmonization is available that is being promoted by different networks and communities. At the Hannover Medical School (MHH) in Germany, an Enterprise Clinical Research Data Warehouse (ECRDW) is established and harmonization of that data source is the focus of this work. We present MHH’s first implementation of the OMOP common data model on top of the ECRDW data source and demonstrate the challenges concerning the mapping of German healthcare terminologies to a standardized format.
Diese Arbeit thematisiert die unausgeschöpften Potentiale der von Designer*innen erzeugten Formen. Um zu klären, welche Wichtigkeit der Formfindung innerhalb des gestalterischen Prozesses zukommt, wird die Form mit anderen Parametern der Gestaltung verglichen. Es wird untersucht, welche Wirkungen die Formen auf Menschen haben können, die mit ihnen interagieren wollen oder müssen. Auf der Suche nach Möglichkeiten, die so ermittelten Potentiale freizuschalten, wird der bisher begrenzende Rahmen betrachtet. In einem phänomenologischen Versuch wird geprüft, welche Mannigfaltigkeit von dem generativen Prozess einer künstlichen Intelligenz vorgeschlagen werden kann. Das Ergebnis sind verschobene Grenzen, die zahlreiche Felder der Formausprägung zu einem Größeren erschließen. Eine absolute Entgrenzung des Formendenkens muss derweil scheitern.
The NOA project collects and stores images from open access publications and makes them findable and reusable. During the project a focus group workshop was held to determine whether the development is addressing researchers’ needs. This took place before the second half of the project so that the results could be considered for further development since addressing users’ needs is a big part of the project. The focus was to find out what content and functionality they expect from image repositories.
In a first step, participants were asked to fill out a survey about their images use. Secondly, they tested different use cases on the live system. The first finding is that users have a need for finding scholarly images but it is not a routine task and they often do not know any image repositories. This is another reason for repositories to become more open and reach users by integrating with other content providers. The second finding is that users paid attention to image licenses but struggled to find and interpret them while also being unsure how to cite images. In general, there is a high demand for reusing scholarly images but the existing infrastructure has room to improve.
Die vorliegende Bachelorarbeit untersucht Onboarding-Prozesse wissenschaftlicher Bibliotheken, insbesondere anhand einer Analyse der Universitätsbibliothek der Friedrich-Alexander-Universität Erlangen-Nürnberg. Im ersten Teil werden organisationstheoretische und interdisziplinäre Grundlagen beleuchtet. Dabei liegt ein Fokus auf den Herausforderungen, Nutzen und Zielen von Onboarding-Maßnahmen in Abhängigkeit ihres Zeitpunktes und der Zielgruppe. Im Praxisteil werden die gewonnenen Erkenntnisse auf die spezifischen Anforderungen von wissenschaftlichen Bibliotheken angewendet. Die Analyse von Onboarding-Prozessen der Universitätsbibliothek der Friedrich-Alexander-Universität Erlangen-Nürnberg beinhaltet eine Mitarbeitendenbefragung von Onboardees und beteiligten Personen. Die Ergebnisse werden nach der SWOT-Methode eingeordnet. Anschließend folgen Konzepte zur Entwicklung von Arbeitsmaterialien, Unterlagen interner Kommunikation und ein Datenbankkonzept.
Schließlich erfolgt eine ableitende Handlungsempfehlung für eine effektive Umsetzung von Onboarding in wissenschaftlichen Bibliotheken. Das Fazit fasst die wichtigsten Erkenntnisse zusammen, während der Anhang alle Informationen zu den durchgeführten Befragungen, deren Auswertung und die erstellten Arbeitsmaterialien bzw. deren Konzept enthält.
Building a well-founded understanding of the concepts, tasks and limitations of IT in all areas of society is an essential prerequisite for future developments in business and research. This applies in particular to the healthcare sector and medical research, which are affected by the noticeable advances in digitization. In the transfer project “Zukunftslabor Gesundheit” (ZLG), a teaching framework was developed to support the development of further education online courses in order to teach heterogeneous groups of learners independent of location and prior knowledge. The study at hand describes the development and components of the framework.
After kidney transplantation graft rejection must be prevented. Therefore, a multitude of parameters of the patient is observed pre- and postoperatively. To support this process, the Screen Reject research project is developing a data warehouse optimized for kidney rejection diagnostics. In the course of this project it was discovered that important information are only available in form of free texts instead of structured data and can therefore not be processed by standard ETL tools, which is necessary to establish a digital expert system for rejection diagnostics. Due to this reason, data integration has been improved by a combination of methods from natural language processing and methods from image processing. Based on state-of-the-art data warehousing technologies (Microsoft SSIS), a generic data integration tool has been developed. The tool was evaluated by extracting Banff-classification from 218 pathology reports and extracting HLA mismatches from about 1700 PDF files, both written in german language.
In this poster we present the ongoing development of an integrated free and open source toolchain for semantic annotation of digitised cultural heritage. The toolchain development involves the specification of a common data model that aims to increase interoperability across diverse datasets and to enable new collaborative research approaches.
This paper aims to provide a structured overview of four open, participatory formats that are particularly applicable in inquiry-based teaching and learning contexts: hackathons, book sprints, barcamps, and learning circles. Using examples, mostly from the work and experience context of the Open Science Lab at TIB Hannover, we address concrete processes, working methods, possible outcomes and challenges.
The compilation offers an introduction to the topic and is intended to provide tools for testing in practice.
Diese Bachelorarbeit untersucht den Einfluss von Fitness-Influencer*innen auf Instagram auf die Körperzufriedenheit der Rezipierenden. Sie untersucht die Auswirkungen von Fitness-Influencer*innen und dessen Internetauftritt auf die Zufriedenheit mit dem eigenen Körper der Rezipierenden unter Einbeziehung sozialer Vergleichsprozesse. Um empirische Befunde liefern zu können, wurde eine standardisierte Online-Befragung durchgeführt.
This research focuses on the fundamental ideas and underlying principles of E-Learning technology, as well as theoretical considerations for an optimal learning environment. This theoretical exploration was then used as a basis for the design and construction of a new, interactive Web-Based ESH-Training. The quality and effectiveness of this new course was then compared with that of the existing analog PDF-Training via a test with a diverse sample of employee learners. Learners were later surveyed to ascertain their views on both trainings in terms of the quality of the content, facilitator, resources, and length. Results clearly showed that regardless of demographic factors, most employee learners preferred the new, Web-Based ESH-Training to the analog PDF-Training.
Hate Speech hat im Zeitalter des Web 2.0 eine neue Dimension und Dynamik angenommen. Der Wunsch nach Regulierung ist moralisch begründbar und erste Staaten haben bereits reagiert. Dabei sind die Verfechter der freien Rede tief gespalten. Wo endet das Recht auf freie Meinungsäußerung und wann sollte Hassrede strafbar sein? Die Vereinten Nationen liefern mit dem Rabat Plan of Action eine Hilfestellung für eine qualifizierte Entscheidung. In dieser Studienarbeit werden die Gefahren der Hate Speech und damit die Chancen ihrer Regulierung wie auch deren Risiken aus ethischer Sicht erörtert und die Bedeutung des Rabat Threshold Test vor diesem Hintergrund beleuchtet; ehe sie mit einer persönlichen Stellungnahme schließt.
New Work als innovativer Ansatz zur Überwindung des Fachkräftemangels in der Veranstaltungsbranche
(2023)
In der vorliegenden Arbeit wird mittels einer Einzelfallstudie über die Live-Kommunikations Agentur Klubhaus untersucht, ob New Work ein Ansatz zur Überwindung des Fachkräftemangels sein kann. Die Veranstaltungsbranche leidet derzeit unter einem Fachkräftemangel. Zentrale Gründe dafür sind die Corona Pandemie und ein schlechtes Branchenimage im Hinblick auf die Arbeitsbedingungen. Folgen des Fachkräftemangels in der Veranstaltungsbranche sind eine eingeschränkte Geschäftsfähigkeit der Akteur*innen, ein Kompetenzverlust der Branche, eine sinkende Mitarbeitendenzufriedenheit, steigende Personalkosten und der Wegfall kleinteiliger Branchenstrukturen. Die Veranstaltungsbranche ist geprägt von herausfordernden, personalbezogenen Strukturen, wie einer hohen Anzahl an Soloselbstständigen und einer projektorientierten Arbeitsweise. Darüber hinaus stellen die Digitalisierung, der demografische Wandel und der gesellschaftliche Wertewandel zentrale Herausforderungen für das Personalmanagement dar. Um diesen angemessen zu begegnen, sind Strategien zur Personalbindung und -rekrutierung notwendig. Eine Strategie kann die Implementierung von New Work Merkmalen sein. Das Ziel von New Work ist, die Arbeit so zu transformieren, dass die Arbeit dem Menschen und nicht der Mensch der Arbeit dient. Die Ausübung einer sinnstiftenden Tätigkeit und eine selbstbestimmte Arbeitsweise zählen z.B. zu New Work. Innovative Bürokonzepte, Agilität und flache Hierarchien, Flexibilität sowie Personalentwicklung sind zudem moderne New Work Merkmale. Für eine erfolgreiche Implementierung und Ausübung von New Work ist der regelmäßige Austausch über die New Work Merkmale im gesamten Team elementar. Zu einer nachhaltigen Fachkräftebindung und -rekrutierung können vor allem sinnstiftende Tätigkeiten und eine selbstbestimmte Arbeitsweise beitragen. Doch auch die modernen New Work Merkmale tragen zu einer nachhaltigen Fachkräftebindung und -rekrutierung bei. Wichtig zu beachten ist, dass ein branchenweiter Wandel in Richtung New Work zur Überwindung des Fachkräftemangels notwendig ist. Die Umsetzung von New Work Merkmalen ist auch in einer unter Fachkräftemangel leidenden und zugleich wachsenden Branche möglich. Insgesamt stellt die Kombination aus New Work und einem erhöhten Gehaltsniveau den zentralen Ansatz zur Überwindung des Fachkräftemangels in der Veranstaltungsbranche dar.
Purpose: The calculation of aggregated composite measures is a widely used strategy to reduce the amount of data on hospital report cards. Therefore, this study aims to elicit and compare preferences of both patients as well as referring physicians regarding publicly available hospital quality information.
Methods: Based on systematic literature reviews as well as qualitative analysis, two discrete choice experiments (DCEs) were applied to elicit patients’ and referring physicians’ preferences. The DCEs were conducted using a fractional factorial design. Statistical data analysis was performed using multinomial logit models.
Results: Apart from five identical attributes, one specific attribute was identified for each study group, respectively. Overall, 322 patients (mean age 68.99) and 187 referring physicians (mean age 53.60) were included. Our models displayed significant coefficients for all attributes (p < 0.001 each). Among patients, “Postoperative complication rate” (20.6%; level range of 1.164) was rated highest, followed by “Mobility at hospital discharge” (19.9%; level range of 1.127), and ‘‘The number of cases treated” (18.5%; level range of 1.045). In contrast, referring physicians valued most the ‘‘One-year revision surgery rate’’ (30.4%; level range of 1.989), followed by “The number of cases treated” (21.0%; level range of 1.372), and “Postoperative complication rate” (17.2%; level range of 1.123).
Conclusion: We determined considerable differences between both study groups when calculating the relative value of publicly available hospital quality information. This may have an impact when calculating aggregated composite measures based on consumer-based weighting.
Die fortschreitende Digitalisierung unserer modernen Welt betrifft zwangsläufig auch den Bereich der Nachlässe. Fast jede verstorbene Person hinterlässt nicht nur Hausrat, Bücher, Bargeld oder Wohnungen, sondern auch digitale Spuren in Form von Daten auf heimischen Computern sowie E-Mail Konten, Chatverläufe in Nachrichtensofortdiensten auf Smartphones, Online-Bankkonten, Konten bei Bezahldiensten, Internethandelsplattformen, sozialen Netzwerken, sowie Daten unterschiedlichster Art in Cloudspeicherorten oder in anderer nicht genannter Form im World-Wide-Web. Wahrscheinlich werden diese digitalen Speicherorte oder Zugangsdaten deshalb noch nicht grundsätzlich in Vorsorgevollmachten bzw. Testamenten benannt, weil sie noch nicht im nachlass-verwaltenden Bewusstsein der Bevölkerung verankert sind. Der nahezu selbstverständlich gewordene Umgang mit den digitalen Formaten sollte diese jedoch in die Auflistung des Nachlasses miteinschließen, damit eine Erbengemeinschaft die Möglichkeit erhält, sich auch um diesen Teil des Nachlasses adäquat kümmern zu können.
Chronic kidney disease is one of the main causes of mortality worldwide. It affects more than 800 million patients globally, accounting for approximately 10% of the general population. The significant burden of the disease prompts healthcare systems to implement adequate preventive and therapeutic measures. This systematic review and meta-analysis aimed to provide a concise summary of the findings published in the existing body of research about the influence that mobile health technology has on the outcomes of patients with the disease. A comprehensive systematic literature review was conducted from inception until March 1st, 2023. This systematic review and meta-analysis included all clinical trials that compared the efficacy of mobile app-based educational programs to that of more conventional educational treatment for the patients. Eleven papers were included in the current analysis, representing 759 CKD patients. 381 patients were randomly assigned to use the mobile apps, while 378 individuals were assigned to the control group. The mean systolic blood pressure was considerably lower in the mobile app group (MD -4.86; 95%-9.60, -0.13; p=0.04). Meanwhile, the mean level of satisfaction among patients who used the mobile app was considerably greater (MD 0.75; 95% CI 0.03, 1.46; p=0.04). Additionally, the mean self-management scores in the mobile app groups were significantly higher (SMD 0.534; 95% CI 0.201, 0.867; p=0.002). Mobile health applications are potentially valuable interventions for patients. This technology improved the self-management of the disease, reducing the mean levels of systolic blood pressure with a high degree of patient satisfaction.
Der Bericht bezieht sich auf ein Forschungssemester, das die Relevanz und Zukunft der Inhaltserschließung zum Gegenstand hatte. Er beschreibt den Verlauf des Semesters zwischen Wunsch und Wirklichkeit und erörtert Fehler, die in den verschiedenen Phasen des Projekts gemacht wurden. Aus der Beschreibung wird deutlich, dass Motivation, Leidenschaft und vor allem Spaß wichtige Voraussetzungen dafür sind, dass Forschung gelingt bzw. als gelungen erlebt werden kann.