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Background
In health research, indicators of socioeconomic status (SES) are often used interchangeably and often lack theoretical foundation. This makes it difficult to compare results from different studies and to explore the relationship between SES and health outcomes. To aid researchers in choosing appropriate indicators of SES, this article proposes and tests a theory-based selection of SES indicators using chronic back pain as a health outcome.
Methods
Strength of relationship predictions were made using Brunner & Marmot’s model of ‘social determinants of health’. Subsequently, a longitudinal study was conducted with 66 patients receiving in-patient treatment for chronic back pain. Sociodemographic variables, four SES indicators (education, job position, income, multidimensional index) and back pain intensity and disability were obtained at baseline. Both pain dimensions were assessed again 6 months later. Using linear regression, the predictive strength of each SES indicator on pain intensity and disability was estimated and compared to the theory based prediction.
Results
Chronic back pain intensity was best predicted by the multidimensional index (beta = 0.31, p < 0.05), followed by job position (beta = 0.29, p < 0.05) and education (beta = −0.29, p < 0.05); whereas, income exerted no significant influence. Back pain disability was predicted strongest by education (beta = −0.30, p < 0.05) and job position (beta = 0.29, p < 0.05). Here, multidimensional index and income had no significant influence.
Conclusions
The choice of SES indicators influences predictive power on both back pain dimensions, suggesting SES predictors cannot be used interchangeably. Therefore, researchers should carefully consider prior to each study which SES indicator to use. The introduced framework can be valuable in supporting this decision because it allows for a stable prediction of SES indicator influence and their hierarchy on a specific health outcomes.
Background Low back pain (LBP) is a common pain syndrome in athletes, responsible for 28% of missed training days/year. Psychosocial factors contribute to chronic pain development. This study aims to investigate the transferability of psychosocial screening tools developed in the general population to athletes and to define athlete-specific thresholds.
Methods Data from a prospective multicentre study on LBP were collected at baseline and 1-year follow-up (n=52 athletes, n=289 recreational athletes and n=246 non-athletes). Pain was assessed using the Chronic Pain Grade questionnaire. The psychosocial Risk Stratification Index (RSI) was used to obtain prognostic information regarding the risk of chronic LBP (CLBP). Individual psychosocial risk profile was gained with the Risk Prevention Index – Social (RPI-S). Differences between groups were calculated using general linear models and planned contrasts. Discrimination thresholds for athletes were defined with receiver operating characteristics (ROC) curves.
Results Athletes and recreational athletes showed significantly lower psychosocial risk profiles and prognostic risk for CLBP than non-athletes. ROC curves suggested discrimination thresholds for athletes were different compared with non-athletes. Both screenings demonstrated very good sensitivity (RSI=100%; RPI-S: 75%–100%) and specificity (RSI: 76%–93%; RPI-S: 71%–93%). RSI revealed two risk classes for pain intensity (area under the curve (AUC) 0.92(95% CI 0.85 to 1.0)) and pain disability (AUC 0.88(95% CI 0.71 to 1.0)).
Conclusions Both screening tools can be used for athletes. Athlete-specific thresholds will improve physicians’ decision making and allow stratified treatment and prevention.
Together with the gradual change of mean values, ongoing climate change is projected to increase frequency and amplitude of temperature and precipitation extremes in many regions of Europe. The impacts of such in most cases short term extraordinary climate situations on terrestrial ecosystems are a matter of central interest of recent climate change research, because it can not per se be assumed that known dependencies between climate variables and ecosystems are linearly scalable. So far, yet, there is a high demand for a method to quantify such impacts in terms of simultaneities of event time series.
In the course of this manuscript the new statistical approach of Event Coincidence Analysis (ECA) as well as it's R implementation is introduced, a methodology that allows assessing whether or not two types of event time series exhibit similar sequences of occurrences. Applications of the method are presented, analyzing climate impacts on different temporal and spacial scales: the impact of extraordinary expressions of various climatic variables on tree stem variations (subdaily and local scale), the impact of extreme temperature and precipitation events on the owering time of European shrub species (weekly and country scale), the impact of extreme temperature events on ecosystem health in terms of NDVI (weekly and continental scale) and the impact of El Niño and La Niña events on precipitation anomalies (seasonal and global scale).
The applications presented in this thesis refine already known relationships based on classical methods and also deliver substantial new findings to the scientific community: the widely known positive correlation between flowering time and temperature for example is confirmed to be valid for the tails of the distributions while the widely assumed positive dependency between stem diameter variation and temperature is shown to be not valid for very warm and very cold days. The larger scale investigations underline the sensitivity of anthrogenically shaped landscapes towards temperature extremes in Europe and provide a comprehensive global ENSO impact map for strong precipitation events.
Finally, by publishing the R implementation of the method, this thesis shall enable other researcher to further investigate on similar research questions by using Event Coincidence Analysis.
Historical narratives play an important role in constructing contemporary notions of citizenship. They are sites on which ideas of the nation are not only reaffirmed but also contested and reframed. In contemporary Germany, dominant narratives of the country’s modern history habitually focus on the legacy of the Third Reich and tend to marginalize the country’s rich and highly complex histories of immigration. The article addresses this commemorative void in relation to Berlin’s urban landscape. It explores how the city’s multilayered architecture provides locations for the articulation of marginal memories—and hence sites of urban citizenship—that are often denied to immigrant communities on a national scale. Through a detailed examination of a small celebration in 1965 that marked the anniversary of the founding of the modern Turkish republic, the article engages with the layers of history that coalesce around such sites in Berlin.
The article explores how recent changes in the governance of employment services in three European countries (Denmark, Germany and Norway) have influenced accountability relationships. The overall assumption in the growing literature about accountability is that the number of actors involved in accountability arrangements is rising, that accountability relationships are becoming more numerous and complex, and that these changes may lead to contradictory accountability relationships, and finally to ‘multi accountability disorder’. The article tries to explore these assumptions by analysing the different actors involved and the information requested in the new governance arrangements in all three countries. It concludes that the considerable changes in organizational arrangements and more managerial information demanded and provided have led to more shared forms of accountability. Nevertheless, a clear development towards less political or administrative accountability could not be observed.
Traineeprogramme können im öffentlichen Dienst zur Rekrutierung und Ausbildung von Nachwuchskräften dienen. Solche Programme werden, im Gegensatz zur Privatwirtschaft, wo diese schon seit einigen Jahrzehnten Anwendung finden, im deutschen öffentlichen Dienst erst seit einigen Jahren durchgeführt. Eine erste empirische Erhebung zeigt nun, dass Traineeprogramme im öffentlichen Sektor gut geeignet sind, um Nachwuchskräfte auszubilden und in der Organisation zu sozialisieren. Als entscheidende Einflussfaktoren konnten eine klare Struktur des Programms, ein effektives off-the-job Training, bereichsübergreifende Projektarbeit, der Umfang der Betreuung der Trainees und der Einsatz der jeweiligen Behördenleitung für das Programm identifiziert werden. Deutlich wurde auch, dass während der Einführung eines Traineeprogramms die Trainee-Betreuer entsprechend vorbereitet werden müssen und in den Behörden Akzeptanz für diese neue Form der Nachwuchsgewinnung geschaffen werden muss (Change Management). Die Ergebnisse zeigen jedoch ebenso, dass sich solche Programme nicht zur Personalentwicklung bereits Beschäftigter eignen.
Ceauşescus Polizei
(2018)
Das Buch behandelt die gesellschaftliche Wirkung der sozialistischen Volkspolizei, indem es offizielle Bilder derselben in den Jahren vor dem Ceaușescu-Regime und während desselben mit Vorstellungen vergleicht, die in der Bevölkerung von der Polizei bestanden. Damit enthüllt das Buch zugleich das Verhältnis zwischen dem staatlichen Ordnungsdiskurs und einem Gegendiskurs, der ansatzweise sogar vor 1989 stattgefunden hat. Vorrangiges Ziel ist ein klareres Verständnis des (De-)Legitimierungsprozesses des Regimes. Eine Interdependenz der beiden Diskurse, so die Grundaussage des Buches, diente zunächst der Stabilitätsphase des politischen Regimes, bedingte später dann aber zum Teil den schrittweisen Kollaps seiner Herrschaft in Rumänien. In einem weiteren Sinne untermauern die Erkenntnisse über die Entzauberung des sozialistischen "Ordnungshüters" das bessere Verstehen der allgemeinen sozialpolitischen Ernüchterung in Mittelost- und Südosteuropa gegen 1989 hin. Zahlreiche Widersprüche auf der Ebene der Repräsentation untermauern die Hypothese einer De-Legitimation der Volkspolizei als Institution und nicht zuletzt deshalb im Weiteren des politischen Regimes im Allgemeinen.
Dass sich die repräsentative Demokratie in Deutschland im Wandel befindet, ist nicht neu und kaum umstritten. Herausforderungen im Kontext der Partizipation und Repräsentation rufen ihrerseits Probleme auf Seiten der Input-Legitimation hervor. Demgemäß ist das grundlegende demokratiepolitische Anliegen dieser Arbeit, am Beispiel der Bundes- und Berliner Landesebene darzustellen, wie der repräsentative Politikprozess partizipativer und dennoch effektiv gestaltet werden kann. Basierend auf der philosophischen Strömung des Pragmatismus verfolgt und diskutiert die Arbeit die Synthese aus der pragmatistischen Demokratiekonzeption von Archon Fung und dem empirischen Forschungsprogramm der kriterienbasierten Evaluation demokratischer Innovationen. Dabei wird das analytische Vorgehen Archon Fungs kritisch erweitert, um dem dieser Arbeit zugrunde liegenden Konzept einer komplexen Bürgergesellschaft – als normativer und praktischer Bezugspunkt – gerecht zu werden. Fungs Konzept wird demnach um die liberale Sphäre der Öffentlichkeit, mithin um die zivilgesellschaftlichen Handlungszusammenhänge ergänzt. Auf Grundlage der Diskussion von demokratischen Innovationen werden schließlich demokratie- und engagementpolitische Handlungsempfehlungen in der Dimension der Partizipation und in der Dimension der Repräsentation formuliert. Mithin verfolgt die Arbeit eine problem- und lösungsorientierte Ergänzung der repräsentativen Demokratie. Gleichwohl ist die Arbeit als eine pragmatistisch angeleitete Konzeptstudie für die Entwicklung einer beteiligungsorientierten Praxis in der repräsentativen Demokratie zu verstehen, die trotz ihres theoretischen Charakters ganz im Sinne des Pragmatismus die notwendige empirische Orientierung aufweist. Damit wird das zuweilen problematische Verhältnis zwischen Politischer Theorie und empirischer Demokratieforschung überwunden.
Companies have a keen interest in developing skilled negotiators in order to improve their negotiation outcome. A crucial determinant of the negotiation outcome are negotiation styles that represent the negotiator’s actual behavior during the negotiation process. In this context, the author examines the variation in negotiation styles throughout the negotiation process, points out the relevance of the negotiator’s characteristics and situational context as determinants of negotiation styles, and emphasizes the importance not only of actual but also of perceived negotiation behavior. As a result, existing negotiation research is advanced as new perspectives on negotiation styles are offered to improve a negotiator’s performance.