Health sciences libraries in Germany: new directions

This feature is part of a series about medical library services in various countries. It gives an overview of the state of and selected current developments of medical library services to support research, education and clinical practice in Germany. Findings from an online survey and issues of access to health information are discussed in relation to the German health care system.J.M.     

Collaborative environmental projects in a multicultural society: working from within separate or mutual landscapes?

A multicultural socio-environmental project that is framed in the ideas of education for sustainability brought together Jew and Arab students was investigated to identify the participants’ views of the program’s objectives and their accomplishments. We investigated the project’s strengths and weaknesses according to the participants’ views and the way culturally diverse students addressed the main local socio-environmental conflict related to conservation versus development of a local creek. The participants agreed that the environmental objectives were properly attained, while the social objectives were accomplished to a limited extent. All the participants emphasized the importance of multicultural knowledge and expected to learn and work together. We found different views of the Jewish and the Arab participants regarding expectations, collaboration and overall satisfaction, with higher expectations of the Arab students and leaders. The students’ views of the local conflict varied but were not associated with their ethnic background. We suggest that the differences between the groups result from the different positions and needs of each community, and mainly as a consequence of the difficulties that the Arab minority faces in Israel. Overall, we found that the project allowed the expression of multiple voices of both groups, and suggested an applicable program for education for sustainability in a multicultural society.      

The effect of westward travel across five time zones on sleep and subjective jet-lag ratings in athletes before and during the 2015’s World Rowing Junior Championships

This study examined sleep-wake habits and subjective jet-lag ratings of 55 German junior rowers (n = 30 male, 17.8 ± 0.5 years) before and during the World Rowing Junior Championships 2015 in Rio de Janeiro, Brazil. Athletes answered sleep logs every morning, and Liverpool John Moore’s University Jet-Lag Questionnaires each evening and morning. Following an 11-h westward flight with 5-h time shift, advanced bedtimes (?1 h, P < .001, η_p² = 0.68), reduced sleep onset latency (P = .002, η_p² = 0.53) and increased sleep duration (P < .001, η_p² = 0.60) were reported for the first two nights. Jet-lag symptoms peaked upon arrival but were still present after 6 days. Sleep quality improved (P < .001, η_p² = 0.31) as well as some scales of the Recovery-Stress Questionnaire for Athletes. Participation was successful as indicated by 11 of 13 top 3 placings. Overall, the initial desynchronisation did not indicate negative impacts on competition performance. As travel fatigue probably had a major effect on perceptual decrements, sleep during travel and time to recover upon arrival should be emphasised. Coaches and practitioners should consider higher sleep propensity in the early evening by scheduling training sessions and meetings until the late afternoon.     

Deviating glucose results in an international dual-center study. A root cause investigation

During a dual-center study on obese and normal weight children and adolescents, focusing on glucose metabolism, we observed a marked difference in glucose results (N = 16,840) between the two sites, Salzburg, Austria and Uppsala, Sweden (P < 0.001). After excluding differences in patient characteristics between the two populations as cause of this finding, we investigated other preanalytic influences. Finally, only the tubes used for blood collection at the two sites were left to evaluate. While the Vacuette FC-Mix tube (Greiner Bio-One, Kremsmünster, Austria) was used in Uppsala, in Salzburg blood collections were performed with a lithium heparin tube (LH-Monovette, Sarstedt, Germany). To prove our hypothesis, we collected two blood samples in either of these tubes from 51 children (Salzburg N = 27, Uppsala N = 24) and compared the measured glucose results. Indeed, we found the suspected bias and calculated a correction formula, which significantly diminished the differences of glucose results between the two sites (P = 0.023). Our finding is in line with those of other studies and although this issue should be widely known, we feel that it is widely neglected, especially when comparing glucose concentrations across Europe, using large databases without any information on preanalytic sample handling.     

A Field-Based Testing Protocol for Assessing Gross Motor Skills in Preschool Children: The CHAMPS Motor Skills Protocol (CMSP)

The purpose of the study was to develop a valid and reliable tool for use in assessing motor skills in preschool children in field based settings. The development of the CHAMPS (Children's Activity and Movement in Preschool Study) Motor Skills Protocol (CMSP) included evidence of its reliability and validity for use in field-based environments as part of large epidemiological studies. Following pilot work, 297 children (3-5 years old) from 22 preschools were tested using the final version of the CMSP and the TGMD-2. Reliability of the CMSP and interobserver reliability were determined using intraclass correlation procedures (ICC; ANOVA). Concurrent validity was assessed using Pearson correlation coefficients to compare the CMSP to the original Test of Gross Motor Development (2(nd) Edition) (TGMD-2). Results indicated that test reliability, interobserver reliability and validity coefficients were all high, generally above R/r = 0.90. Significant age differences were found. Outcomes indicate that the CMSP is an appropriate tool for assessing motor development of 3-, 4-, and 5-year-old children in field-based settings that are consistent with large-scale trials.     

职业概念的性别差异研究——以男女经理为例

研究与男女两性形成职业经理人的有关问题,包括组织中管理身份的改变以及男女两性在工作、生活和家庭中身份的改变。研究基于对来自4个IT企业的15位男女经理的深度访谈,并以此探究他们在管理身份、职业和工作——生活关系上的观念变化,特别强调从性别角色出发进行分析,以揭示职业概念上的性别差异。     

The influence of diagnostic labeling on special education placement decisions

The present study investigated the possible bias of diagnostic labeling on special education placement decisions. Two groups of child study team members were given the task of either placing or both labeling and placing ten exceptional children. Results showed that the labeling process did not lead diagnosticians to place children in more restrictive educational programs. A comprehensive assessment-intervention-follow-through model that would minimize some of the potential dangers and abuses of labeling is proposed.