Interruptions in multidisciplinary tumor conferences with patient participation: A video interaction analysis.

Objective: To identify a) interruptions (secondary activities disrupting the workflow of the main task) occurring during case discussions in multidisciplinary tumor conferences (MTCs) with patient participation, and b) observable reactions among patients and healthcare professionals (HCPs).

Methods: Within the non-interventional mixed-methods study PINTU, we video-recorded five case discussions during MTCs with patient participation at one breast and gynecological cancer center. A qualitative sequential video interaction analysis was used to identify interruptions and related interactions.

Pathways to Environmental Inequality: How Urban Traffic Noise Annoyance Varies across Socioeconomic Subgroups.

The article investigates how socioeconomic background affects noise annoyance caused by residential road traffic in urban areas. It is argued that the effects of socioeconomic variables (migration background, education, and income) on noise annoyance tend to be underestimated because these effects are mainly indirect. We specify three indirect pathways.

How shared is decision-making in multidisciplinary tumour conferences with patient participation? An observational study.

Background: In some breast and gynaecologic cancer centres in Germany, patients participate in their own case discussion in multidisciplinary tumour conferences (MTCs), where treatment recommendations are discussed and finalized. However, the extent to which patients in MTCs are involved in decision-making on treatment recommendations remains largely unexplored. Hence, this study investigates how recommendations are communicated to patients and the extent to which the interactions with patients in MTCs are in line with shared decision-making (SDM).

Microplastic polymer properties as deterministic factors driving terrestrial plastisphere microbiome assembly and succession in the field.

Environmental microplastic (MP) is ubiquitous in aquatic and terrestrial ecosystems providing artificial habitats for microbes. Mechanisms of MP colonization, MP polymer impacts, and effects on soil microbiomes are largely unknown in terrestrial systems. Therefore, we experimentally tested the hypothesis that MP polymer type is an important deterministic factor affecting MP community assembly by incubating common MP polymer types in situ in landfill soil for 14 months.

Patient participation in multidisciplinary tumor conferences in breast and gynecological cancer care: How patient-centered is the communication?

Objective: Patients' participation is part of patient-centeredness, but it is so far unclear whether providers in multidisciplinary tumor conferences (MTCs) with patient participation communicate in a patient-centered way. Our aim is to explore (a) to what extent providers ask questions to breast and gynecological cancer patients during case discussion in MTCs, (b) how providers respond to patients' expressions of emotions during case discussions, and (c) which patient- and context-related characteristics and responses are associated with patients' trust in the treatment team after the case discussion.

Methods: This observational study included survey data and audio recordings of MTCs with patient participation at three breast and gynecological cancer centers.

Questions and emotional expressions from patients and companions while participating in multidisciplinary tumor conferences in breast and gynecological cancer centers.

Objective: To investigate (a) how many questions and negative emotions (cues/concerns) breast and/or gynecologic cancer patients and companions express during their case discussion in multidisciplinary tumor conferences (MTCs), (b) with which topics the emotions are linked, and (c) which patient- and context-related characteristics determine patients' communicative behavior.

Methods: This observational study included audio/video recordings of MTCs with patient participation in three breast and gynecological cancer centers. Using the Verona Coding Definitions of Emotional Sequences, patients' and companions' questions and negative emotions expressed were analyzed.

Triage 4.0: On Death Algorithms and Technological Selection. Is Today's Data- Driven Medical System Still Compatible with the Constitution?

Health data bear great promises for a healthier and happier life, but they also make us vulnerable. Making use of millions or billions of data points, Machine Learning (ML) and Artificial Intelligence (AI) are now creating new benefits. For sure, harvesting Big Data can have great potentials for the health system, too.

Annoyance due to residential road traffic and aircraft noise: Empirical evidence from two European cities.

Based on a study in two European cities, Mainz in Germany and Zurich in Switzerland, the article investigates both acoustical and non-acoustical factors affecting indoor annoyance due to residential road traffic and aircraft noise. We specifically focus on three factors: (1) the role of windows as a feature of the building where people live; (2) the role of individual environmental concern as a general attitude; and (3) the role of household income as an indicator of socioeconomic resources. Empirical results show that closed windows in general and closed high-quality windows in particular are an important barrier against outdoor road traffic and aircraft noise, as well as a helpful subjective coping tool against corresponding annoyances.

Parochial cooperation and the emergence of signalling norms.

Why do people adorn themselves with elaborate body piercings or tattoos, wear obstructing garbs, engage in life-threatening competitions and other wasteful and harmful but socially stipulated practices? Norms of cooperation and coordination, which promote the efficient attainment of collective benefits, can be explained by theories of collective action. However, social norms prescribing wasteful and harmful behaviours have eluded such explanations. We argue that signalling theory constitutes the basis for the understanding of the emergence of such norms, which we call signalling norms.

Is patient participation in multidisciplinary tumour conferences associated with their information needs? A multicentre prospective observational study.

Objectives: To determine the association between participation of patients with breast cancer and patients with gynaecological cancer in their own multidisciplinary tumour conference (MTC) and their information needs with regard to their disease and treatment options.

Methods: This is a prospective observational study that took place at six breast cancer and gynaecological cancer centres in North Rhine-Westphalia, Germany. Patient inclusion criteria included a minimum age of 18 years and at least one diagnosis of breast cancer or gynaecological cancer.

A Research Agenda to Better Understand the Human Dimensions of Energy Transitions.

The Social Sciences and Humanities (SSH) have a key role to play in understanding which factors and policies would motivate, encourage and enable different actors to adopt a wide range of sustainable energy behaviours and support the required system changes and policies. The SSH can provide critical insights into how consumers could be empowered to consistently engage in sustainable energy behaviour, support and adopt new technologies, and support policies and changes in energy systems. Furthermore, they can increase our understanding of how organisations such as private and public institutions, and groups and associations of people can play a key role in the sustainable energy transition.

Decision-Making in Multidisciplinary Tumor Boards in Breast Cancer Care - An Observational Study.

Purpose: Healthcare providers decide on recommendations for further treatment of patients with cancer in multidisciplinary tumor boards (MTBs). As such, communicative processes during MTBs are assumed to influence decision-making and, thereby, treatment planning. The aim of this exploratory study is to gain insights into decision-making during MTBs.

Large and persistent effects of green energy defaults in the household and business sectors.

Non-monetary incentives that encourage pro-environmental behaviour can contribute to combating climate change. Here, we investigated the effect of green energy defaults in the household and business sectors. In two large-scale field studies in Switzerland of over 200,000 households and 8,000 enterprises, we found that presenting renewable energy to existing customers as the standard option led to around 80% of the household and business sector customers staying with the green default, and the effects were largely stable over a time span of at least four years.

Patient Participation in Multidisciplinary Tumor Conferences from the Providers' Perspective: Is It Feasible in Routine Cancer Care?

Objective: Recent studies from Germany show that a small amount of breast and gynecological cancer patients participate in multidisciplinary tumor conferences (MTCs) at some cancer centers. One reason for the variation by center might be the providers' attitudes about and experiences with MTC patient participation (MTCpp), which has not been analyzed before. Therefore, it is the aim of this study to analyze the providers' expected or experienced feasibility concerning MTCpp at breast and gynecological cancer centers in Germany.

Patient participation in multidisciplinary tumour conferences in breast cancer care (PINTU): a mixed-methods study protocol.

Introduction: A central instrument of multidisciplinary care is the multidisciplinary tumour conference (MTC). In MTCs, diagnosis and treatment of cancer patients are discussed, and therapy recommendations are worked out. As we found previously, patients participate in MTCs in some breast cancer centres in the state of North Rhine-Westphalia, Germany.

Polycyclic aromatic hydrocarbons in consumer goods made from recycled rubber material: A review.

Vast amounts of rubber waste are produced every year, where end-of-life tires (ELT) mount up the largest share with several million tonnes in the EU each year. This points up the necessity for reusing end-of-life rubber material. The recycled material shows nearly the same advantages like the origin materials.

How do breast cancer patients experience multidisciplinary tumor conferences? - A description from the patient perspective.

Objectives: Aim of this study was to investigate the experiences of breast cancer patients who participated in multidisciplinary tumor conferences (MTCs).

Study Design: Data from two consecutive years of an annual postal survey of patients with primary breast cancer were combined. Data was collected between February and July 2015 (response rate 72%) and 2016 (response rate 73%) from N = 8893 patients (ICD-10 C50) after hospital discharge from 86 breast cancer center hospitals in North Rhine-Westphalia, Germany.

Heterogeneous groups overcome the diffusion of responsibility problem in social norm enforcement.

Social norms promote cooperation in everyday life because many people are willing to negatively sanction norm breakers at a cost to themselves. However, a norm violation may persist if only one person is required to sanction the norm breaker and everyone expects someone else to do it. Here we employ the volunteer's dilemma game (VOD) to model this diffusion of responsibility in social norm enforcement.