Beschleunigter Patienteneinschluss bei Bildgebungsstudien

Author(s):  
Claus Zippel ◽  
Sebastian Sauer ◽  
Sabine Bohnet-Joschko ◽  
Frederik L. Giesel ◽  
Klaus Kopka

Zusammenfassung Hintergrund In den letzten Jahren werden zunehmend klinische Bildgebungsstudien initiiert. Die zeitnahe Umsetzung der damit verbundenen administrativen Vorgänge wirkt sich positiv auf den Rekrutierungsstart und die Studienkosten aus. Ziel war es, wesentliche Aspekte zum administrativen Management von Bildgebungsstudien zu identifizieren und nutzbar zu machen. Methodik Hierfür wurde beispielhaft das Setup der prospektiv-nuklearmedizinischen Prüfung „[68Ga]Ga-PSMA-11 bei Hochrisiko-Prostatakrebs“ fokussiert. Durch qualitativ-explorative Interviews mit Verwaltungsexperten und der Studienleitung konnten administrative Aspekte und Kriterien, die für den Studienstart wesentlich waren, retrospektiv erhoben und mittels gängiger Prozessmanagementmethoden aufbereitet werden. Ergebnisse Für die Teilprozesse (i) Beschaffung von Studienmaterialien/-dienstleistungen, (ii) Probanden-/Strahlenhaftpflichtversicherung und (iii) Studienverträge werden Checkboxen vorgelegt. Diese können Experten in der Klinikadministration sowie Studienleiter und PIs zur operationalen Vorbereitung/Initiierung künftig weiterer (Bildgebungs-)Studien nutzen. Schlussfolgerung Durch EDV-gestützte Verwaltungsworkflows und in der Studienkoordination versierte Mitarbeiter können der Rekrutierungsstart und nachfolgende Patienteneinschlüsse bei klinischen Studien beschleunigt und damit Kosten gesenkt werden. Für Bildgebungsstudien ist dies besonders wichtig, da diese wegen der Anwendung radioaktiver Stoffe bzw. Strahlung am Menschen besonders komplex und daher bei Verwaltungsvorgängen teils viele weitere Fachabteilungen in der Organisation wie Strahlenschutz, Medizinphysik/-technik oder Qualitätsmanagement zu involvieren sind.

Author(s):  
Alexander Herzfeldt ◽  
Sebastian Floerecke ◽  
Christoph Ertl ◽  
Helmut Krcmar

With the increasing maturity of cloud technologies and the growing demand from customers, the cloud computing ecosystem has been expanding continuously with both incumbents and new entrants, whereby it has become more distributed and less transparent. For cloud service providers previously focusing on growth strategies, it is now necessary to shift the attention to providing service efficiently, as well as profitably. Based on 14 explorative interviews with cloud service experts, the relationship between cloud service provider profitability and value facilitation, which stands for the capability to build up resources in advance of future customer engagements, is investigated. The results indicate a positive relationship between cloud service profitability and value facilitation and deliver valuable insights for both researchers and practitioners. In particular, guidelines on how to design profitable cloud service offerings are discussed.


Author(s):  
Alexander Herzfeldt ◽  
Sebastian Floerecke ◽  
Christoph Ertl ◽  
Helmut Krcmar

With the increasing maturity of cloud technologies and the growing demand from customers, the cloud computing ecosystem has been expanding continuously with both incumbents and new entrants, whereby it has become more distributed and less transparent. For cloud service providers previously focusing on growth strategies, it is now necessary to shift the attention to providing service efficiently, as well as profitably. Based on 14 explorative interviews with cloud service experts, the relationship between cloud service provider profitability and value facilitation, which stands for the capability to build up resources in advance of future customer engagements, is investigated. The results indicate a positive relationship between cloud service profitability and value facilitation and deliver valuable insights for both researchers and practitioners. In particular, guidelines on how to design profitable cloud service offerings are discussed.


2020 ◽  
Vol 12 (15) ◽  
pp. 6137
Author(s):  
Xiomara F. Quiñones-Ruiz

This paper addresses the understandings of quality recognized by diverse actors along the coffee chain with focus on specialty coffee producers. In the specialty coffee niche, the assessment of (physical) quality acts as a coordination device among chain actors that enables the identification of divergences on how quality is practiced. This paper aims to uncover how quality attributes (e.g., physical, symbolic) are understood (perceived) by value chain actors and are interwoven with quality conventions (e.g., market, green). Explorative interviews were carried out with Colombian producers located in selected coffee regions. A cupping exercise (tasting of coffee) was organized with producers. Afterwards, another informal cupping was done with roasters in Vienna, Austria. By coupling the concepts of quality attributes and conventions, the paper proposes a theoretical framework that connects quality attributes, conventions and the links to value addition (i.e., from parchment coffee to roasted coffee). Results show that the understandings of quality produce risky battles and ruptures among producers to follow certain conventions. The divergences, risky battles and ruptures in the understandings of quality acknowledged by producers are not only based on “roaster-driven” quality definitions penetrating the producers’ community, or the (individual) knowledge gained by producers, but also on the regulatory framework pursued by producers in a country with a strong coffee federation aiming to legitimize and safeguard the product’s reputation. To what extent is sound experimentation allowed, and direct exchange and interaction between producers, buyers and roasters desirable? Specialty coffee represents a differentiation alternative for small producers located in remote rural areas. Therefore, a transparent and inclusive dialogue between chain actors is required to reduce the divergences in the understandings of quality to balance the value appropriation along the chain.


2016 ◽  
Vol 3 (4) ◽  
pp. 143 ◽  
Author(s):  
Dhini Dewiyanti ◽  
Bambang Setia Budi

This article is a part of a journey to understand the existential meaning of the Salman Mosque. One of the topics to be raised is the knowledge that the Salman mosque is capable of becoming a reformer in various fields. The focus of discussion is on the design idea and the Salman Mosque as the pioneer for coinage of the term ‘campus mosque’ in Indonesia. The design of the Salman Mosque that brought about a radical change in its beginning, established the Salman mosque as reformer. Through the qualitative approach conducted between 2011 until 2015, information was obtained through explorative interviews with the mosque architects: Achmad Noeman and those involved with the daily activities of the mosque such as: management, members of mosque units and divisions, residents of the mosque dormitory and prominent figures of society. This assessment is expected to be able to provide knowledge on the Salman mosque especially as it is associated with the term ‘campus mosque’.


Author(s):  
Anke Langner ◽  
Clemens Milker

Der Artikel greift vor dem Hintergrund der Theorieperspektive der Synthetischen Humanwissenschaften auf, wie sich Kooperationsbeziehungen von Schüler*innen und Lehrpersonen in ihrer Intensität wie Funktionalität durch die pandemiebedingt plötzlich und signifikant auftretenden Änderungen des Alltags der Institution Schule verändern. Dies wird hinsichtlich der Auswirkungen auf individuelle Entwicklung und Entwicklungspotentiale von Schüler*innen gespiegelt, um daran anknüpfend Ableitungen für Bildungsprozesse zu ziehen. Einzelne Ausschnitte aus explorativ geführten Interviews erweitern den theoretischen Bezugsrahmen durch Aussagen von Praktiker*innen hinsichtlich einer schulischen und professionstheoretischen Perspektive.   Abstract The article discuses theoretically how cooperation among students and teachers changed in its intensity and functionality for learning during the significant changes of the institution school due to the Corona-pandemic restrictions. Those changes are to be analysed in their influence on individual development and potentials. Selected explorative interviews with teachers and parents about their perception on the crisis and its caused changes may add a practical perspective from school to the pedagogical theory.


2003 ◽  
Vol 12 (2-3) ◽  
pp. 263-279 ◽  
Author(s):  
Christina Hellström ◽  
Tomas Hellström

This article explores the dimensions of time and temporality in the context of product design. The study builds on a phenomenological approach, where in-depth, explorative interviews with six product designers were conducted. The results provide insights into how the designers use mental experimentation and imagination by actively envisioning various futures, or ‘possible worlds’ in the design process, and how they use these temporal explorations in conceiving of novel design concepts. Apart from temporality figuring as the designer drawing actively on past experiences, we were able to discern two additional cognitive factors affecting how designers use temporality: by projecting a future goal; and by investing this goal or image with an emotional loading, i.e. by ‘emoting a vision of the future’. Finally, these results are used to extend current thinking on the role of time and temporality in design processes, and suggest a line of further inquiry into the significance of affective dispositions and moods on temporal orientation in other creative contexts.


2021 ◽  
Vol 13 (24) ◽  
pp. 13871
Author(s):  
Franzisca Weder ◽  
Swastika Samanta

The story of climate change, of destruction and loss, is well represented in mass media around natural hazards and new scientific data (i.e., the newest IPCC report); in contrast, new concepts of restoration, eco-cultural identities, social change and sustainable development are not picked up in public discourses—similarly to how the voices of NGO communicators, activists or queer communicators are not heard in the media. Additionally, the growth of digital publishing technologies and related audience behavior not only influence public communication processes, but also challenge professional communicators, including journalists and PR professionals to scientists, artists and activists. With a series of explorative interviews in different cultural settings (Central Europe, Australia, New Zealand), we can show that queer communicators have the potential to cultivate a new understanding of sustainability communication as social conversation about sustainability, and thus, overcome the very visible old story about climate change and rather propagate the new story of sustainability and transformation. The interviews show that queer communicator advocacy focuses on mobilizing and initiating dialectic conversations, which includes community building and queering existing norms, thus choosing new pathways for communication for sustainability. The findings and the developed concept of advocacy for sustainability communication are discussed at the end of the paper, including a reflection on the limitations of the explorative character of the analysis and future research potential.


Author(s):  
Jacobus Daniel van der Walt ◽  
Paul Stephanus Botha ◽  
Eric Scheepbouwer

Large and complex projects have become commonplace, increasing the need to engage contractors in pre-construction services (PCS). Clients now have a range of procurement options that can involve a contractor in any phase of the pre-construction process. This research investigated what factors are important when deciding how soon to engage the contractor. Furthermore, it investigated the issues of engaging the contractor too early or too late. This study collected results through structured explorative interviews with senior staff from client, consultant, and contractor organizations in New Zealand. The results are presented, compared, and discussed for each respective viewpoint. The results show that cost (scale) and complexity of the project, the reputation of the involved parties, and the nature of the relationships are the most crucial factors. However, the parties differ on the best timing for PCS. The contractor argued that PCS should occur in the concept design phase. The client opined that for some projects they would prefer involvement by the contractor in the project definition phase, while for others this should occur later, in the detailed design phase. Consultants recommended that the contractor should be included in the later phases before construction commences. It is interesting to note that the contractor does not always want to be involved early. Generally, the contractor does not want to be involved when the award of the project is still uncertain. Finally, it became apparent that a significant number of issues stem from the contractual arrangements of PCS, which poorly dictates who controls the design process.


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