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Introduction Currently, there are only a small number of comprehensive study results on adherence and acceptance of telemonitoring applications (TMAs) regarding multi-morbid older patients. The ATMoSPHAERE study aimed to develop an information and communication platform for an intersectoral networking of, for example, general practitioners, therapists, social services and the multi-morbid older patient. Methods The study presented was designed as a longitudinal bicentric intervention study which focused on multi-morbid patients aged ≥65 years using home-based telemedical measurement and input devices. The development and testing of this TMA aimed to optimise patients’ health care through intersectoral networking of all treating actors. Quantitative methods of data collection and analysis were used. Results Patients who completed the study were significantly younger than drop-outs and non-participants. The mental health of study patients significantly improved between the beginning and end of TMA use. The main reason for non-participation in the study was the high time expenditure when participating in the study. No perceived (information) benefits for health and insufficient content variety were the main reasons for drop-out. Appropriateness and handling of TMAs must be aligned with the needs of the heterogeneous user group of multi-morbid patients in order to increase acceptance and the added value of TMAs. Telemonitoring hardware should be oriented on functional capabilities of the older target group. Telemonitoring software content requires an individual, disease-specific approach for patients. The TMA should be unobtrusively integrated into usual daily life and be used to an appropriate extent according to the underlying disease in order to avoid stressing patients. With regard to adherence concerning TMAs, it is crucial to provide a contact person who is always available for patients having problems handling TMAs. Health concerns and questions can thus be addressed early, providing a feeling of safety in the care process. Discussion User acceptance of TMAs is an essential indicator and driver for use and for future implementation efforts in health care. In order to achieve maximum user centricity in development processes, patients must be involved as experts, co-designers and future users, considering their needs and perceptions.

An analysis is reported on the channel e + e ! + (n ), n=1,2.., using data taken with the DELPHI detector at LEP from 1990 to 1992. Di erential cross sections of the radiative photons as a function of photon energy and of the angle between the photon and the muon are presented. No signi cant deviations from expectations are observed. The data are also used to extract the muon-pair cross section and asymmetry below the Z 0 peak by using those events with relatively hard initial state radiative photon(s). The measured cross section and asymmetry show no signi cant deviation from the Standard Model expectations. These results together with the DELPHI cross section and asymmetry measurements at the LEP energies from the 1990 to 1992 running periods are used to determine limits on the Z 0 -Z 0 gauge boson mixing angle Z 0 and on the Z 0 mass. There is no indication of the existence of a Z 0 ; the limits obtained on the mixing angle substantially improve upon existing limits. The 95% con dence level allowed ranges of Z 0 in various models are: 0:0070

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Explanations of different patterns of preferences for redistribution either highlight the role of the institutional framework in a country or highlight the importance of self‐interest and rational expectations. The study introduces a unified approach to explain differences in preferences for redistributive measures for the case of intergenerational monetary transfers for families and children. Both explanatory approaches are integrated into the action‐based Model of Frame Selection that incorporates normative motives and economic self‐interest into the process of decision making. Using a large sample that deals with questions on the approval of public policies for families and accounts for the normative importance of children and family life in Germany, evidence is provided that both approaches are valid in explaining preferences for government transfers.

This article investigates the decision of consumers at bottle refund machines to either reclaim their bottle deposit or to donate the refund to a non-profit organization. The study documents the unique pre-intervention data on donating behaviour and introduces a field experiment to increase donation levels. The design comprised the strategic framing of the situation by highlighting different cues about the normative, descriptive and local expectations of charitable giving as well as cues about the warm glow of donating money. The experiment took place in 20 supermarkets in Germany and lasted for 12 months. By varying the experimental design and using different modelling approaches, the study arrives at the conclusion that individuals largely act consistent with the assumption having self-regarding preferences that are stable and difficult to change. Hence, our pre-test and postintervention data stand in sharp contrast to results from lab experiments.

In addition to the fluoroscopic time, number of images, fade-in and zoom some other dose-influencing factors, radiation geometry is especially decisive for organ exposure. The risk of cataracts or thyroid gland carcinomas/hypothyrosis can be neglected with median values of 40 and 70 mGy relating to the ocular lens and 17 mGy for the thyroid gland during cerebral angiographies.