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Fischer S.,TU Dresden | Soyez K.,University of Cooperative Education | Gurtner S.,Helmholtz Center Dresden
Medical Decision Making | Year: 2015

Objective. Research testing the concept of decision-making styles in specific contexts such as health care-related choices is missing. Therefore, we examine the contextuality of Scott and Bruce's (1995) General Decision-Making Style Inventory with respect to patient choice situations. Methods. Scott and Bruce's scale was adapted for use as a patient decision-making style inventory. In total, 388 German patients who underwent elective joint surgery responded to a questionnaire about their provider choice. Confirmatory factor analyses within 2 independent samples assessed factorial structure, reliability, and validity of the scale. Results. The final 4-dimensional, 13-item patient decision-making style inventory showed satisfactory psychometric properties. Data analyses supported reliability and construct validity. Besides the intuitive, dependent, and avoidant style, a new subdimension, called "comparative" decision-making style, emerged that originated from the rational dimension of the general model. Conclusions. This research provides evidence for the contextuality of decision-making style to specific choice situations. Using a limited set of indicators, this report proposes the patient decision-making style inventory as valid and feasible tool to assess patients' decision propensities. © The Author(s) 2015. Source

Coimbra S.,Biochemistry Laboratory | Coimbra S.,University of Porto | Coimbra S.,University of Cooperative Education | Figueiredo A.,University of Coimbra | And 6 more authors.
International Journal of Dermatology | Year: 2012

Psoriasis is considered an immune chronic disease in which T cells are accepted as important. Nowadays, it is believed that psoriasis is most likely a T helper (Th)1/Th17 induced inflammatory disease. However, some other cells, such as endothelial cells, dendritic cells, monocytic cells, neutrophils, keratinocytes, and several cytokines, appear to have, at different stages of the disease, an important role in its pathogenesis. For instance, the response to psoriasis therapy is dependent not only on the inactivation of Th1 and Th17 immune responses but also on the inactivation of dendritic cell products. Moreover, interleukin (IL)-23 deregulation appears to be an independent factor in the pathogenesis of psoriasis. Indeed, currently, the IL-23/Th17 axis is believed to be crucial in psoriasis pathogenesis, and its inhibition appears to be important for therapeutic achievement. This review presents the roles and interactions of cells and cytokines that are related to psoriasis pathogenesis. © 2012 The International Society of Dermatology. Source

Harker D.,University of The Sunshine Coast | Sharma B.,University of The Sunshine Coast | Harker M.,University of The Sunshine Coast | Reinhard K.,University of Cooperative Education
Journal of Business Research | Year: 2010

Like other western countries, Germany too reports record numbers of overweight and obese individuals with young German adults in a particularly high-risk position. As such, this study sought to investigate if food choice varied by the place of residence (dependent or independent) of these young adults. Using a self-administered questionnaire, analyses of quantitative data from 305 German students between the ages of 18 to 24 years indicate that students living in the family home consume more serves of both fruit and vegetables each day in comparison to young adults living independently. Further, higher proportions of dependent students eat more serves of every food group each day in comparison to their independent counterparts. The study finds a significant difference in mood, weight concern, and attitudes towards healthy eating between students under 21 years old and those above 21 years old. This study demonstrates clear implications for a number of stakeholders. The individuals themselves must better develop skills in both food choice and food management, including budgeting. Parents can facilitate this development whilst the children are in the family home and then encouraging empowerment once the student makes the transition to college or university. The article includes implications for marketers and social marketers; the former must offer more information and guidance on food choice, for example, through better food labelling, the latter must address these message issues for future attitude and behavioural change campaigns. Crown Copyright © 2009. Source

Weghorn H.,University of Cooperative Education
ISSNIP Biosignals and Biorobotics Conference, BRC | Year: 2013

Nowadays, stationary clinical patient monitoring is achieved with professional, but very expensive devices, which are well established and commonly used. Also mobile monitoring is possible through devices from the same vendors of medical instruments, for instance during diagnosis and rehabilitation. A look on the sports consumer market shows that there are similar devices and systems available. For instance, heart rate monitoring with warning signals can be achieved at a much lower price with such devices quite easily. Furthermore, the versatile sensors, which are available today as sports equipment, can be linked through an open RF communication standard to other computing units, in particular to smartphones, which meanwhile also implement this new protocol. In this work, the possibilities and capabilities of such semi-professional device approaches are discussed. Scenarios like health and rehabilitation activities are under major scope in this comparative evaluation. The argumentation as also the derived concepts are complemented by experiments on the behavior and reliability of such sports sensors. © 2013 IEEE. Source

Klausler O.,ETH Zurich | Rehm K.,Bern University of Applied Sciences | Elstermann F.,University of Cooperative Education | Niemz P.,ETH Zurich
International Wood Products Journal | Year: 2014

This study determines the influence of mechanical surfacing on tensile shear strength (TSS) and wood failure percentage (WFP) of beech wood (Fagus sylvatica L.) at the wet stage according to prEN 302-1:2011 (tensile shear tests). The wood was planed, sanded and face milled, using different qualities of cutting edges and sanding grits. Roughness and wettability of the adherends were characterised, supplemented by environmental scanning electron microscopy images. The specimens were bonded by means of a one-component polyurethane adhesive and tested at the dry stage (pretreatment A1), at the wet stage (A4) and after re-drying (mA5). Results determined that the wettability and the wood structure's integrity are considered more decisive for the TSS at the wet stage than surface roughness. Planing with very dull knives caused the lowest TSS and WFP after A4 and the most subsurface damage. Face milled and sanded batches revealed the best performance. The TSS and WFP decreased significantly from A1 to A4, but recovered after mA5. © 2014 IWSc, the Wood Technology Society of the Institute of Materials, Minerals and Mining. Source

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