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Hoffmann S.,University of Kiel | Schlicht J.,Steinbeis University of Appied Sciences of Berlin
International Journal of Consumer Studies | Year: 2013

Previous research has mainly focused on consumers' environmental values and attitudes to explain green consumption. However, it has been neglected how situational factors like the way a consumer is affected by the impacts of environmental pollution influence environmental attitudes and the demand for organic food products. To fill this void, we firstly introduce a taxonomy of different types of factual concernment and perceived concern. Factual concernment describes the manner in which a person is affected by the negative consequences of environmental pollution, whereas perceived concern expresses an anxious sense of interest. Building on that taxonomy, an experimental study analyses how four types of factual concernment (direct vs. indirect; material vs. immaterial) influence consumers' perceived concerns (in terms of environmental and health concern) as well as the readiness to gather information, the readiness to make sacrifices, the willingness to pay higher prices and purchase intentions. The study reveals that particularly direct concernment fosters the consumption of organic food. However, the study did not find any differences between the influences of material and immaterial concernment on the organic food purchase decision. © 2013 John Wiley & Sons Ltd.

Habermann-Horstmeier L.,Steinbeis University of Appied Sciences of Berlin | Limbeck K.,Furtwangen University of Applied Sciences
Pravention und Gesundheitsforderung | Year: 2016

Background: In the past, various studies have shown that burnout plays a major role in the care of persons with disability. Unlike most investigations, this study asked participants for their subjective assessment in terms of their burnout risk and correlated them with factors which can play a role in the development of burnout at work. Methods: The data were from the BMBD study, in which 400 caregivers in residential facilities for people with disabilities in Germany were questioned. They were analyzed using univariate and bivariate methods, tests of significance and regression analysis. Results and conclusion: The subjective idea of developing burnout in the foreseeable future primarily correlated to the working (time) conditions, but also to personal factors and the institutional framework. Stress and overburdening led to the feeling to develop a burnout. The groups that were especially at risk were 25- to 34-year-old caregivers, male caregivers without management function, and female executives. Because 83.3 % of caregivers who had experienced burnout in the past again feared a repeat burnout, early identification of risk structures in the workplace is of great importance as well as timely initiation of environmental prevention measures. © 2016 Springer-Verlag Berlin Heidelberg

Iacopini F.,Dell | di Lorenzo N.,University of Rome Tor Vergata | Altorio F.,University of Rome Tor Vergata | Schurr M.-O.,Steinbeis University of Appied Sciences of Berlin | Scozzarro A.,Dell
World Journal of Gastroenterology | Year: 2010

Gastrointestinal perforations are conservatively managed at endoscopy by through-the-scope endoclips and covered self expandable stents, according to the size and tissue features of the perforation. This is believed to be the first report of successful closure of two gastrocutaneous fistulas with over-the-scope clips (OTSCs). After laparoscopic gastric banding, a 45-year old woman presented with band erosion and penetration. Despite surgical band removal and gastric wall suturing, external drainage of enteric material persisted for 2 wk, and esophagogastroduodenoscopy demonstrated two adjacent 10-mm and 15-mm fistulous orifices at the esophagogastric junction. After cauterization of the margins, the 10-mm fistulous tract was grasped by the OTSC anchor, invaginated into the applicator cap, and closed by a traumatic OTSC. The other 15-mm fistula was too large to be firmly grasped, and a fully-covered metal stent was temporarily placed. No leak occurred during the following 6 wk. At stent removal: the OTSC was completely embedded in hyperplastic overgrowth; the 15-mm fistula significantly reduced in diameter, and it was closed by another traumatic OTSC. After the procedure, no external fistula recurred and both OTSCs were lost spontaneously after 4 wk. The use of the anchor and the OTSC seem highly effective for successful closure of small chronic perforations. © 2010 Baishideng.

The fontanels and the syndesmoses of the calvaria as well as the synchondroses of the cranial base act as areas of great flexibility and enable the cranial fault to adapt to the maternal labor channel during birth. The knowledge of the anatomical differences of the cranium and the cervical spine in this age build up the baseline for understanding the symptoms that may occur in case of birth trauma.

Weiland T.,Novineon CRO | Fehlker M.,Novineon CRO | Gottwald T.,University of Tubingen | Gottwald T.,Ovesco Endoscopy AG | And 2 more authors.
Minimally Invasive Therapy and Allied Technologies | Year: 2012

Background: Conventional endoscopic treatment options for closure of gastrointestinal fistulae are impaired by several limitations and therefore yield high rates of recurrence. Aim of the study is the evaluation of the primary-technical and secondary-clinical success rates in closure of gastrointestinal fistulae by means of the OTSC System. Design/Methods: The database Medline was systematically searched for primary research on the evaluation of the OTSC System in closure of gastrointestinal fistulae. Appraisal of studies for inclusion and data extraction were performed independently by two reviewers using an a priori determined data extraction grid. Results: A total of 19 primary research articles were identified. The examined studies comprised case reports as well as case series and clinical single-arm studies (n = 7) with a limited number of participants. Reviewed studies revealed a high rate of procedural success (mean 84.6%; 95% confidence interval 66.6 to 93.8%) and durable clinical success (mean 69.0%; 95% confidence interval 51.8 to 82.2%). Failed attempts and incomplete closures were mainly ascribed to the challenging effort of treating highly fibrotic chronic fistulae. Conclusion: Endoscopic closure of gastrointestinal fistulae by means of the OTSC System is a safe and effective method. © 2012 Informa Healthcare.

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