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The Bündnis Junger Ärztinnen und Ärzte (BJÄ, Alliance of Young Physicians in Germany) has presented a position paper (PP) on Postgraduate Medical Education (PGME) against the background of an unfolding hospital reform in Germany, and they describe existing deficits of PGME in Germany. Based on this, demands were made of legislators, employers and medical associations which could result in a sweeping reformation of PGME. Hospital reforms can only be accomplished with well trained and motivated physicians. In this respect the BJÄ regards the reform of hospitals and the health-care system as a chance for a reform of PGME, which is long overdue. Legislative competence for PGME lies with the States of the Federal Republic of Germany and this warrants an adjustment of state medical association laws to accommodate the demands of the BJÄ. Generally PGME must be taken into consideration in all health-care legislation, in analogy to the meanwhile globally adopted principle of "Health in all Politics (HiAP)". The BJÄ has made every endeavour to produce this PP. The responsible stakeholders and actors in the health-care system would be well-advised to take the position paper seriously with a dwindling physician work force in hospitals and serious quality deficits in PGME. Hence, the BJÄ must be comprehensively supported. They need congenial partners to define the scientific foundation of all their demands, to test their application under real life conditions in hospital and outpatient care, to pursue research on the impact on patient care and on the intended transformation of the health-care system. This might best be accomplished by partnering with a scientific Association for Postgraduate Medical Education as has been the case in many countries for decades. [ABSTRACT FROM AUTHOR]

This essay explores the material imperatives of nineteenth-century statistical ambition, at a time when the nature of paper itself underwent rapid change. It expands the concept of paper technologies to include knowledge about the materials themselves, as well as the infrastructures, techniques, and agreements that made it possible for the right kind of paper to be made available for particular purposes. Taking the production of the forms for the Prussian census as a case in point, it argues that the enumeration effort of Prussian census statisticians went far beyond designing a form, collecting information, noting and compiling figures, or creating tables. Paper knowledge to define and control the material substance of the forms mattered as much as political impetus and statistical methods in getting the census right. [ABSTRACT FROM AUTHOR]

Ultrasound practice is a longstanding tradition for radiology departments, being part of the family of imaging techniques. Ultrasound is widely practiced by non-radiologists but becoming less popular within radiology. The position of ultrasound in radiology is reviewed, and a possible long-term solution to manage radiologist expectations is proposed. An international group of experts in the practice of ultrasound was invited to describe the current organisation of ultrasound within the radiology departments in their own countries and comment on the interaction with non-radiologists and training arrangements. Issues related to regulation, non-medical practitioners, and training principles are detailed. A consensus view was sought from the experts regarding the position of ultrasound within radiology, with the vision of the best scenario for the continuing dominance of radiologists practising ultrasound. Comments were collated from nine different countries. Variable levels of training, practice, and interaction with non-radiologist were reported, with some countries relying on non-physician input to manage the service. All experts recognised there was a diminished desire to practice ultrasound by radiologists. Models varied from practising solely ultrasound and no other imaging techniques to radiology departments being central to the practice of ultrasound by radiologists and non-radiologist, housed within radiology. The consensus view was that the model favoured in select hospitals in Germany would be the most likely setup for ultrasound radiologist to develop and maintain practice. The vision for 20 years hence is for a central ultrasound section within radiology, headed by a trained expert radiologist, with non-radiologist using the facilities. Critical relevance statement The future of ultrasound within the radiology department should encompass all ultrasound users, with radiologists expert in ultrasound, managing the ultrasound section within the radiology department. The current radiology trainees must learn of the importance of ultrasound as a component of the 'holistic' imaging of the patient. Key points: 1. Ultrasound imaging within radiology departments precedes the introduction of CT and MR imaging and was first used over 50 years ago. 2. Non-radiology practitioners deploy ultrasound examinations to either 'problem solve' or perform a comprehensive ultrasound examination; radiologists provide comprehensive examinations or use ultrasound to direct interventional procedures. 3. Radiology does not 'own' ultrasound, but radiologists are best placed to offer a comprehensive patient-focused imaging assessment. 4. A vision of the future of ultrasound within the radiology department is encompassing all ultrasound users under radiologists who are experts in ultrasound, positioned within the radiology department. 5. The current radiology trainee must be aware of the importance of ultrasound as a component of the 'holistic' imaging of the patient. [ABSTRACT FROM AUTHOR]

The German school system employs centrally organized performance assessments (some of which are called "VERA") as a way of promoting lesson development. In recent years, several German federal states introduced a computer-based performance testing system which will replace the paper-pencil testing system in the future. Scores from computer-based testing are required to be equivalent to paper-pencil testing scores so that the new testing medium does not lead to disadvantages for students. Therefore, the current study aimed at investigating the size of the mode effect and the moderating impact of students' gender, academic achievement and mainly spoken language in everyday life. In addition, the variance of the mode effect across tasks was investigated. The study was conducted in four German federal states in 2019 using a field experimental design. The test scores of 5140 eighth-graders from 165 schools in the subject German were analysed. The results of multi-level modelling revealed that students' test scores in the computerized version of the VERA test were significantly lower than in the paper-pencil version. Students with a lower academic achievement were more disadvantaged by the VERA computerized test. The results were inconsistent regarding the interactions between testing mode and students' gender and mainly spoken language in everyday life. The variance of the mode effect across tasks was high. Research into different subjects and in other federal states and countries under different testing conditions might yield further evidence about the generalizability of these results. [ABSTRACT FROM AUTHOR]

Seemingly mundane bureaucratic papers – such as birth and marriage certificates – are official proof of legal identities and relations to kin, usually issued by the state of origin. For Syrians who have sought asylum in Germany, these documents are necessary during the asylum procedure and beyond, for certain bureaucratic procedures and the recording of crucial life events. Retracing the crafting of these documents in Syria, and their encounter with German bureaucracy, captures the depth of the entanglement between the Syrian and German citizenship regimes, as well as their discrepancies in relation to paperwork and legality. Drawing on ethnographic research with Syrians in Lebanon and in Germany, this article argues that the legal production of legality in Germany can only be achieved through legally ambiguous, if not so-called illegal, practices in Syria. [ABSTRACT FROM AUTHOR]

In the wake of local initiatives and developmental funding programs, interprofessionality is now included in national curricula in the German-speaking countries. Based on the 3P model (presage, process, product), this position paper presents the development of interprofessional education in recent years in Germany, Austria and Switzerland and places it in an international context. Core aspects as legal frameworks, including amendments to occupational regulations as well as the formation of networks and faculty development are basic requirements for interprofessional education. New topics and educational settings take shape in the process of interprofessional education: patient perspectives and teaching formats, such as online courses, become more important or are newly established. The influence of the COVID-19 pandemic on interprofessional education is explored as well. Among many new interprofessional courses, particularly the implementation of interprofessional training wards in Germany and Switzerland are positive examples of successful interprofessional education. The objective of interprofessional education continues to be the acquisition of interprofessional competencies. The main focus is now centered on evaluating this educational format and testing for the corresponding competencies. In the future, more capacities will be required for interprofessional continuing education and post-graduate education. Structured research programs are essential to ascertain the effects of interprofessional education in the German-speaking countries. In this position paper the GMA committee on interprofessional education encourages further advancement of this topic and expresses the aim to continue cooperating with other networks to strengthen and intensify interprofessional education and collaboration in healthcare. [ABSTRACT FROM AUTHOR]

Background: A large part of the population in Germany makes use of naturopathic, complementary and integrative medical treatments. There are now numerous scientific studies that provide evidence of efficacy for certain indications. At German medical faculties, selected procedures and their application are taught within the cross-sectoral unit called QB 12 and some elective courses, with a focus on specific aspects are offered. So far, however, there has been no structured curriculum that longitudinally anchors teaching across medical studies and enables all students to consider naturopathic and complementary medical options for patient care later on and to integrate them effectively into the diagnostic and treatment process. Objective: The aim of this position paper is to show the relevance of this topic for medical education, to clarify terminology and to present core competencies and possible implementation options for training. Method: The Integrative Medicine and Perspective Pluralism Committee of the German Association for Medical Education developed this position paper in a multi-stage consensual process, in cooperation with the Forum of University Work Groups on Naturopathic Treatment and Complementary Medicine. Results: First, different umbrella terms were discussed and an existing definition of integrative medicine and health was chosen for subsequent use. Building on this step, the status of education and its scientific foundation in Germany was considered in an international context. In the next step, a competency profile for medical training, consisting of seven areas of competency, was developed and described in detail with regard to naturopathic, complementary and integrative medicine. Implementation options were identified using possible starting points in the curriculum and using established examples of best practice. Conclusion: Despite different priorities at each faculty, it was possible to find an agreement on the development of competencies and anchoring them in medical education on the basis of a common definition of terms. Currently, the implementation in the mandatory and elective areas is very heterogeneous. As part of the current revision of the Medical Licensure Act, there are many possible starting points for the integration of naturopathic and complementary medical teaching content, especially in interprofessional and general practice courses. The implementation and accompanying research of targeted teaching settings should lay the foundations for a long-term and binding integration into medical education. Overall, it is clear that medical education in the field of naturopathy and complementary and integrative medicine has the potential to develop comprehensive core medical competencies. [ABSTRACT FROM AUTHOR]

This brief introduction summarizes and gives the biographical context of Roger Money-Kyrle's 1934 paper "A psychological analysis of the causes of war". It also contextualizes his interest in the interplay between the psychological mechanisms operating within the individual, the society and groups and his personal experience with Germany in between and after two catastrophic wars. [ABSTRACT FROM AUTHOR]

In this paper, we analyze the subjective inclusion experiences of visually impaired (VI) adult tennis players from an ableism-critical perspective. The primary focus of this research is the inclusive potential of blind tennis from the perspective of VI individuals. Episodic interviews were conducted to capture subjective perspectives. A qualitative text analysis revealed that the interviewees were confronted with multiple ability assumptions by sighted people in their everyday lives. Deficit notions on the performance of VI people included sports, work, and general activities. Participation in blind tennis helped the interviewees build a "competent identity" and acquire various skills useful for their everyday lives as participation in blind tennis was a pathway for competence in sports. Further research is needed to identify exclusion experiences from the perspective of disabled people to recognize the potential of different sports in reducing barriers to participation. [ABSTRACT FROM AUTHOR]

Since the first statement of the German Society of Oto-Rhino-Laryngology, hypoglossal nerve stimulation (HNS) is meanwhile an established treatment option for obstructive sleep apnea (OSA). There are three HNS systems available in Germany which differ in their technical details of the underlying comparable basic principle. For the unilateral HNS with respiratory sensing, several comparative studies, high-volume register analysis and long-term reports exist. The continuous HNS without respiratory sensing does not require a sleep endoscopy for indication. For the bilateral continuous HNS as the single partially implantable device, a feasibility study exists. For indication, the assessment of positive airway pressure failure by sleep medicine is crucial, and the decision for HNS should be made in discussion of other treatment options for at least moderate OSA. The implantation center holds primarily responsibility among the interdisciplinary sleep team and is primary contact for the patient in problems. This depicts why structural processes are required to secure outcome quality and minimize the complications. The aftercare of HNS patients can be provided interdisciplinary and by different medical institutions, whereat, minimal reporting standards to document outcome and usage are recommended. [ABSTRACT FROM AUTHOR]

Veterinarians have to face many communicative challenges in their professional capacity. Successful professional communication increases satisfaction among pet owners, staff members and colleagues, and ultimately also the veterinarians' own satisfaction. On the other hand, unsuccessful communication can easily lead to rejection, distrust and dissatisfaction. However, communicative skills are not explicitly taught as part of the compulsory courses in veterinary medicine in Germany. The position paper of the GMA Veterinary Medicine Committee and the DVG work group Didactics and Communication Competence describes the importance of successful communication for working veterinarians as well as the training situation in Germany and addresses topics that are often discussed in connection with the implementation. The authors come to the conclusion that there is both a necessity and a possibility for the introduction of communicative training contentand provide recommendations thatare intended to support the sustainable introduction of courses and exams to develop the communicative skills of veterinary students. [ABSTRACT FROM AUTHOR]

This paper reports follow-up findings for an Mentalization based treatment (MBT) parenting intervention delivered to a community mental health sample. Parents completed the 12-week version of the Lighthouse Parenting Program (LPP) and were evaluated on parenting practices, parent-child relationships, parental mental health indicators, and child problem behaviour levels. We evaluated the extent to which improvements in mentalizing at follow-up mediated changes in parenting, parental adjustment, mental health, and child outcomes. Results included a reduction in parental coercive behaviours and child problems, improved parent-child relationship, and better parental psychological adjustment and mental health. Improvement in self-focused mentalizing were observed. Self-focused mentalizing mediated the changes in most outcomes from baseline to 3-month follow-up. These results provide strong preliminary evidence that the LPP improves parent and child outcomes. [ABSTRACT FROM AUTHOR]

This paper examines new forms of study-abroad expertise on social media and their role in mediating Indian student mobility to Germany. Firstly, it explores how mutual-support Facebook and WhatsApp groups—used by prospective international students in India to support each other through the process of applying to German universities—have contributed to the emergence of new forms of education consultancy, offered by Indian students or graduates of German universities, whom I call 'Student Guides'. In addition, it shows how some Indians studying in Germany have started 'Study in Germany' YouTube channels, aimed at aspirant student migrants, and have become important 'study-abroad influencers'. The paper analyses how these new forms of study-abroad expertise offer prospective international students social and cultural capital important for successful student migration, apart from shaping their imaginative geographies of Germany, and embedding them in cultures of mobility. Furthermore, the paper highlights how these new forms of study-abroad expertise intersect with, and critique, a more 'traditional' study-abroad expert: the professional education consultant. The paper draws on a digital ethnography of 'Study in Germany' Facebook and WhatsApp groups and YouTube channels, as well as interviews with the YouTubers, Student Guides, and Indian students in Germany. [ABSTRACT FROM AUTHOR]

The escalating demand for renewable energy solutions and the imperative for efficient energy storage mechanisms have catalyzed the evolution of Power-to-X (PtX) technologies. Germany has the most PtX projects, accounting for 44% of all projects that have been reported. PtX encompasses a spectrum of processes engineered to convert surplus renewable energy into versatile energy carriers or chemical commodities, such as hydrogen, methane, or synthetic fuels. The Paramount to this domain is to synergistically harness renewable energy sources and hydrogen carriers to curtail waste and bolster sustainability. Central to achieving this synergy is the effective control of PtX processes, ensuring optimal performance, cost efficiency, and seamless integration within existing energy frameworks. This paper delves into the control processes and environmental prerequisites within the PtX landscape, elucidating key challenges, and strategies within this dynamic realm. While providing an initial overview of fundamental PtX process chains, this paper accentuates the critical role of geographical considerations. Subsequently, it conducts a thorough analysis of equipment modeling challenges, addressing performance metrics, operational requisites, and capital investments, particularly focusing on methanol and hydrogen production and storage. Through holistic examination, this paper endeavors to delineate the evolving landscape of PtX control processes and conditions, advancing our understanding of this expanding field. [Display omitted] • Comprehensive overview of PtX control process, challenges, strategies, and advancements. • Overview of PtX process chains and geographical conditions. • Analysis of equipment modeling challenges for methanol and hydrogen. • Addressing crucial storage challenges in PtX system. • Exploration of diverse influences on PtX control processes. [ABSTRACT FROM AUTHOR]

This paper examines the influence of class on migrants' social positioning strategies in transnational spaces. It contributes to debates about the processes of transnational class‐making and class formation. Going beyond an analysis of class in socio‐economic terms, the paper focuses on peoples' (changing) subjective understandings of middle‐class membership as a relevant factor in migrants' transnational social positioning strategies. Based on qualitative interview data with middle‐class migrants in Germany, the presentation relates their experiences with downward social mobility before and after migration to their subjective perspectives on middle‐class membership over time and in different places. The findings show that middle‐class performance is shaped by migration experiences but also shapes peoples' mobility trajectories and therefore influences and promotes different transnational lifestyles. [ABSTRACT FROM AUTHOR]

For the career development of postdocs in academia, universities in Germany are offering mentoring programs to postdocs. They aim to encourage, support and mentor the postdocs toward professorship via face-to-face mentoring, workshops, and networking support. The mentoring programs are carefully designed; however, their success is dependent on multiple factors. The study explores the communication patterns in mentoring between professors and postdocs, and its impact on their professional development. Data was collected and analyzed using Grounded Theory. The data was collected from twenty-five semi-structured in-depth interviews with professors and postdocs across Germany. Classicand Constructivist Grounded Theory was used for data analysis. The paper presents a Communication in Mentoring Model for the professional development of postdocs. The model can be used as a tool to ensure successful communication for better professional relationships in mentoring as well as in professional environments. The paper recommends a longitudinal study to further explore Communication in Mentoring and its impact on postdocs over a period of time. [ABSTRACT FROM AUTHOR]

Recent research in economics and sociology demonstrates the existence of significant occupational segregation by sexual orientation and gender identity and differences in a range of labor market outcomes, such as hiring chances, earnings, and leadership positions. In this paper, we examine one possible cause of these differences that is associated with the disadvantaged position of sexual and gender minorities in the labor market: LGBTQ* individuals' choices aimed at avoiding possible discrimination. This paper examines LGBTQ* people's relative importance of income, time, promotion prospects, an LGBTQ*-friendly work environment, and diversity management in the decision for or against a job. Based on a discrete choice experiment conducted in a large online sample recruited through social media in Germany (N = 4,507), an LGBTQ*-friendly work climate accounted, on average, for 33.8 percent of respondents' decisions which is comparable with the relative importance of income. Overtime, a diversity management on company level and promotion prospects are less important in the job decision process of LGBTQ* people. While the results show only small differences by sexual orientation, they show group-specific preferences by gender identity. An LGBTQ*-friendly work climate is more important for cisgender women of the LGBTQ* community and gender minorities than for cisgender men of the LGBTQ* community. In contrast, income is less important for gender minorities and cisgender women of the LGBTQ* community than for cisgender men of the LGBTQ* community. [ABSTRACT FROM AUTHOR]

• Field experiment in mandatory recycling scheme tests effectiveness of door stepping. • Majority of households in mandatory recycling schemes separates waste correctly. • Minority of households is responsible for most miss sorting. • Door stepping does not influence behavior of households in mandatory schemes. • Door stepping can improve recycling behavior in voluntary recycling schemes. Household organic waste has great potential for closing nutrient cycles in agriculture. This requires proper waste separation by households. Personal communication at the doorstep potentially improves household waste separation behaviour but it is expensive and findings from existing research are mixed. Based on results of previous studies and from a quasi-experiment with non-equivalent groups design in two German municipalities, this paper argues that efficiency of personal communication depends on its context. It can positively influence behaviour when recycling is voluntary and participation rates are low. However, it has no significant effects if recycling is mandatory. One explanation could be different perceptions of recycling in mandatory and voluntary schemes. In voluntary schemes door stepping can activate the intrinsic motivation of households. In mandatory schemes, all households need to participate irrespective of intrinsic motivation. This research shows that this creates a situation in which a small share of households is responsible for almost all contamination. This can be overcome by considering extrinsic factors that affect recycling behaviour. The paper recommends further research to understand which combination of incentives, sanctions and information is efficient in affecting behaviour change in mandatory recycling schemes. [ABSTRACT FROM AUTHOR]

The history of the Hilfsschule (special school) is contested and multifaceted. For the German context, most research to date has focused on institutions or professional pioneers in special education. This paper, through a "New Historicism" perspective, asks how a group of pupils, described as "retarded", could become a new pedagogical object within a discourse among teachers, psychiatrists, school doctors and local administrations at the end of the nineteenth century. Linking national and local discourses, this paper analyses the emergence of the special school pupil (Hilfsschulkind) in Germany within a broader discourse of educability as well as through knowledge practices, namely record-keeping systems. [ABSTRACT FROM AUTHOR]

This paper presents the investigation and analysis of speech accommodation effects in data obtained from Spanish learners of German with varying proficiency levels. The production data were recorded during a collaborative map task of the Spanish learners of German among each other and with a native speaker of German. The map task was designed to target words and phrases with specific segmental and suprasegmental characteristics. These characteristics were derived from contrastive analyses of Spanish and German. The main objectives of the paper were to investigate whether segmental and suprasegmental characteristics of the target language German are affected by phonetic accommodation to varying degrees and whether these differences depend on the proficiency level of the speaker or the interlocutor. The statistical analysis, using regression analyses, revealed inconsistent accommodation effects across learners of different proficiency levels as well as different linguistic phenomena. In line with previous findings the results can best be accounted for by an adaptation of a dynamic system approach. [ABSTRACT FROM AUTHOR]

Purpose: The main purpose of the paper is to offer a personal view on the development of documentation/information and documentation (IuD) in Germany, while pointing out the need to further investigate the specific features of its development paths. The methodology is based on critical review of the available literature sources in the German language. Design/methodology/approach: The paper uses the method of critical review of published documents in journals (especially in Nachrichten für Dokumentation), books and reports of state and provincial administrations that are directly related to monitoring and/or encouraging the development of the young field of documentation. Findings: The paper offers a review and interpretation of the most significant development phases, the contributions of individuals and the influence of the official state and information policy based on the consulted sources. Research limitations/implications: This research is limited to the literature written in German language. Practical implications: The paper could be of interest to researchers and professionals who are interested in the development of documentation. Social implications: The paper covers the period after the World War II until the end of 1980s that is especially interesting from the social point of view in divided Germany. Originality/value: To the author's knowledge, there is no comprehensive history of documentation in German-speaking countries written in English. This paper is the result of a research project started three years ago with colleagues from Germany, Austria and Switzerland, that aims to cover all phases of the appearance and development of information science in German-speaking countries and could be understood as a kind of introduction to papers planned to follow. [ABSTRACT FROM AUTHOR]

The political landscape of the radical right has long been a major discussion point in the political and social sciences. By considering the variety of radical right organizations (movement parties and non-parliamentary organizations) and the particular national and transnational political and discursive opportunity structures, the paper aims at a comparative analysis of the main discursive frames present in political programs and manifestoes of radical right social movement organizations and movement parties in Poland (Konfederacja Wolność i Niepodległość and Obóz Narodowo-Radykalny) and Germany (Alternative für Deutschland and Identitäre Bewegung Deutschland). Moreover, based on approaches developed by Cas Mudde and Jens Rydgren, this article analyses how the features presumed essential to the radical right (nativism, authoritarianism and populism) are reflected and interconnected in the official discourses of the selected radical right organizations. [ABSTRACT FROM AUTHOR]

How do far-right actors and issues structure public debates and become mainstream over time? Previous research has shown that far-right actors are central actors in political conflicts in Western Europe, partly due to their dominance in struggles on cultural issues. The entrenchment of the far right substantially depends on their networks and public visibility. However, we still lack a long-term understanding of public debates about far-right actors and their discursive interconnections across issues. In this paper, we deliver the first longitudinal analysis of the evolution and structure of far-right discourse networks and the diffusion of far-right ideas in public debates since the 1990s. Methodologically, this paper innovates by combining discourse network analysis with automated text analysis to investigate how the relations between far-right actors and issues are represented in mass media. We analyze more than 500,000 newspaper articles in six different mass media outlets in Germany. The results show that far-right actors have gained more public visibility since the 1990s. The study demonstrates that the mass media debates have introduced and amplified cultural issues "owned" by the far right. Far-right discourse networks in mass media have grown, discursive interactions have intensified and discourse networks have become more centralized. Our results indicate that the discursive mainstreaming of the far right evolved in the context of the "refugee crisis" in 2015, and was linked to the AfD's institutional access. Overall, the study aids in developing a better understanding of the success of the far right and the crucial role of public debates. [ABSTRACT FROM AUTHOR]

In times of economic crisis, academics, policy-makers, and pundits often debate the correct level and best use of government debt. This paper argues structural political and economic factors grant core economies more fiscal space than peripheral economies. While the federal governments of the US, Germany, and other core economies may easily issue and sell debt in private markets, smaller economies, both municipalities within countries, and countries in the global periphery, are more vulnerable to demand fluctuations. All economies may benefit from explicit commitments by monetary authorities to resume their historic roles as governments' banks, especially during crises. By highlighting present political constraints, monetary structures, and market factors that may inhibit governments' successful placement of bonds, this paper deepens present debate about the potential feasibility of functional finance to facilitate fiscal activity, even in unprecedented times. [ABSTRACT FROM AUTHOR]

• Drivers on slip roads want vehicles on the target lane to decelerate. • Drivers in target lanes rate the behaviour of vehicles on slip roads ambiguously. • AVs are rated identically or even more positively than MVs with identical behaviour. • No different safety distance is kept from automated vehicles. • Results show that cross-border traffic between Germany and UK with AVs is feasible. • Intercultural aspects must still be considered in the development of AVs. To ensure safe and uninterrupted traffic flow, (semi-)automated vehicles must be capable of providing comprehensible and agreeable implicit communication cues to human drivers. This driving simulator study investigated the assessment of implicit communication at a motorway slip road through longitudinal driving dynamics (acceleration, deceleration, and maintaining speed). The second aim of the study was to determine whether expectations of automated vehicles are different from those of human drivers. And thirdly, we investigated whether these findings are country-specific or can be (partially) generalised to other countries. The perception of three means of communication in connection with the presence of a labelling as an automated vehicle (eHMI) was examined in two samples in Germany and England. 27 participants drove from a slip road onto the motorway and interacted with another vehicle. After a stretch on the motorway, they passed a second slip road on which there was a vehicle merging onto the participants lane. This was repeated six times to test all variables. After each situation, the perceived cooperativity and criticality was recorded, as well as the time headway (THW) to the other vehicle. This paper presents the findings from the UK sample and compares them with the German results, which were previously published. Results show, that when the cooperating vehicles are on the slip road, participants from both countries prefer this vehicle to decelerate. However, when participants themselves are on the slip road, expectations for vehicles on the target lane are ambiguous in the UK sample. Except for one aspect (perceived cooperativity of decelerating vehicles on the slip road), the perception of automated vehicles is similar to those of manual drivers. Also, UK participants do not maintain a different safety distance from these vehicles, while this is the case in the German sample. This paper contributes valuable insights into the cross-cultural evaluation of driving dynamics, shedding light on implications for the development and acceptance of automated vehicles. [ABSTRACT FROM AUTHOR]

The context for this paper is a shift in the way citizens engage in democratic processes which has received increasing attention in the literature. Building on previously conducted research, this paper contributes to the conceptualisation of citizenship activities in terms of young people below the voting age from rural communities. Based on reviewing current research, seven emerging contexts that can assist with exploring young people's citizenship activities are proposed, namely unofficial, individual, glocal, sporadic, online, issues-based, and justice-oriented. These contexts were translated into a framework which is introduced and explored in this paper. To explore this framework, focus groups (n = 26) and a qualitative questionnaire (n = 106) were conducted with young people aged 13–16 from a secondary school in Germany. The proposed framework extends previous conceptualisations of emerging citizenship contexts by looking beyond citizen types and taxonomies to explore the spaces, modes, goals, and the frequency of participants' citizenship activities. Results indicate that the proposed framework was useful in exploring multiple emerging citizenship contexts. Focus group and questionnaire participants were particularly engaged in glocal, unofficial, sporadic, and issues-based contexts and to a lower degree in individual, online, and justice-oriented contexts. A key challenge is achieving conceptual clarity around the seven contexts. [ABSTRACT FROM AUTHOR]

The emerging energy transition is particularly described as a move towards a cleaner, lower-carbon system. In the context of the global shift towards sustainable energy sources, this paper reviews the potential and roadmap for hydrogen energy as a crucial component of the clean energy landscape. The primary objective is to present a comprehensive literature overview, illuminating key themes, trends, and research gaps in the scientific discourse concerning hydrogen production and energy policy. This review focuses particularly on specified geographic contexts, with an emphasis on understanding the unique energy policies related to renewable energy in Brazil, Austria, and Germany. Given their distinct social systems and developmental stages, this paper aims to delineate the nuanced approaches these countries adopt in their pursuit of renewable energy and the integration of hydrogen within their energy frameworks. Brazil exhibits vast renewable energy potential, particularly in wind and solar energy sectors, positioning itself for substantial growth in the coming years. Germany showcases a regulatory framework that promotes innovation and technological expansion, reflecting its highly developed social system and commitment to transitioning away from fossil fuels. Austria demonstrates dedication to decarbonization, particularly through the exploration of biomethane for residential heating and cooling. [ABSTRACT FROM AUTHOR]

This paper asks the question, 'What does Islamic education mean for the 21st century university?' To begin with, the paper addresses the modern university as an institution facing numerous challenges, which can be conceived of by understanding the nature of the 'academic imagination'. In so doing, this argument draws on the fundamental elements of thought itself by foregrounding imagination as a primary route by which knowledge is conceived, created and disseminated. At root, it is an argument that suggests that to understand the university is to apprehend its imaginative functions. 'Problems of the imagination' are thereafter defined as 'depth perception', 'vertigo' and 'paralysis', respectively. In light of these challenges, the rise of Centers of Islamic Theology in Germany, and Islamic education as a discipline in particular, are considered as uncharted paths towards a discussion of the dilemmas of contemporary academia. Methodologically, the paper is a philosophical reflection on the role of the future of the university and the place of Islamic Theology and Islamic education therein. As such, use of the contemporary literature on higher education, as well as classical works on Islamic education, shall be employed for the purposes of the argument. In so doing, this paper turns the normative discussion of contemporary Islamic education on its head: from how we may make room for such education in the modern university, to consider how its presence may help the institution and its imaginative conundrums. [ABSTRACT FROM AUTHOR]

Pursued by authorities throughout the 1930s, Heinrich Habitz left behind a significant paper trail of official documentation, arrest warrants and imprisonment records. As Germany slipped further under National Socialist oppression, Habitz's status as a homosexual man who sold sex marked him as a target of police repression. Even after the end of the war, the Hamburg Prosecutor's Office attempted to locate and again prosecute him under the infamous §175 'sodomy law'. By rights, the study of Habitz should provide insights into the continuities of anti-queer repression between authoritarianism and democracy, but for one key point: 'Heinrich Habitz' existed only as a paper identity in official bureaucracy, and the 'man' authorities repeatedly persecuted was, in fact, a self-identified woman named 'Liddy Bacroff'. Through a series of semi-autobiographical writings, alongside official paperwork, Liddy Bacroff presents the value of but also the difficulties facing the (re)construction of queer and, in particular, transgender (pre)histories. In this instance, the historian is not just faced with the problem of how this life, and others like it, should be represented in historiographical terms. We are left also with the question of how this victim of National Socialist barbarity should (or rather, can) be remembered: as the paper identity that provided a succession of carceral authorities with the justification to persecute and ultimately murder a cisgender gay man, or as the lived experience of a woman whose unique self-understanding allowed her to carve out her place in a society that otherwise relegated her to its margins. [ABSTRACT FROM AUTHOR]

This paper investigates the politics of refugee arrival and integration at urban level in Germany following the migration influx in summer 2015. How have cities redefined themselves? How have newcomers and residents with different subjectivities constructed their identity, social belonging, and justified their rights-claiming? What kind of changes can be observed in city's social spaces? Supported by critical geography, securitization, ethnographic approaches, the paper aims to identify the grey areas of the urban social spaces and presents two accounts centred on: (1) city as sites of bureaucratic politics, austerity urbanism and surveillance; (2) city as sites of sanctuary/solidarity practices. It argues that the refugees' arrival offers the chance for German cities to envision a social project through engaging a politics of 'bounding' which involves the re-framing of refugee displacement in relation to urban development by covering both the lived (camp) experiences of those on the move and local population's needs. [ABSTRACT FROM AUTHOR]

The present paper is the second of a series of publications that aim at investigating relevant directions to turn the nuclear energy density functional (EDF) method as an effective field theory (EFT). The EDF approach has known numerous successes in nuclear theory over the past decades [1] and is currently the only microscopic technique that can be applied to all atomic nuclei. However, the phenomenological character of the EDF method also comes with important limitations, such as the lack of an explicit connection with quantum chromodynamics (QCD). As was argued in the first paper of this series [2], reformulating the EDF framework as an EFT would enable us to overcome these limitations. In particular, path-integral (PI) techniques are suited to achieve such a purpose as they allow us to design numerous non-perturbative approximations and can take Lagrangians possibly derived from EFTs of QCD as inputs. In our previous paper [2], we have illustrated such technical features for diagrammatic PI techniques in a study of the (0+0)-D O(N)-symmetric φ 4 -theory. In the present work, we consider another class of PI techniques, i.e. functional renormalization group (FRG) approaches, that we apply to the same toy model. Despite our explicit interest for the nuclear many-body problem, the presented study is also directed towards FRG practitioners from various fields: technical details are provided for FRG techniques based on 1-particle-irreducible (1PI), 2-particle-irreducible (2PI) and 2-particle-point-irreducible (2PPI) effective actions, coined respectively as 1PI-, 2PI- and 2PPI-FRGs, and the treatment of the O(N) symmetry is also addressed thoroughly. Connections between these various FRG methods are identified as well. [ABSTRACT FROM AUTHOR]

The German government appointed an advisory committee to negotiate the design of a structural change prompted by energy and climate policy. The Coal Exit Commission was assigned with this complex mandate on how to end coal-fired power generation. Against many expectations, the Commission, comprised of stakeholders with competing interests, achieved a consensus outlining the coal exit in Germany by 2038. Considering that the result of this compromise serves as the basis for a major policy change, it is legitimate to ask if the final recommendations of the Coal Exit Commission were balanced, reliable and socially robust, and if the Commissions' advice satisfies the need for quality standards in negotiated multi-source policy advice? This paper investigates the Commission in that regard, while testing a framework for hybrid multi-source stakeholder advisory committees. The research shows broad compatibility with the framework. Simultaneously, this paper argues for additional factors such as the careful reflection of the composition of a hybrid advisory group, a precise, clear-cut mandate, development of trust between group members, independence of the adviser from the appointing authority. Finally, while the Coal Exit Commission seems an interesting model to reach consensus in difficult societal issues, the paper critically assesses its limits. [ABSTRACT FROM AUTHOR]

This paper introduces a theoretical perspective for the comparative analysis of the advocacy behavior of political parties and interest groups in legislative policy-making. It conceptualizes the policy-centered and group-centered statements of political actors as policy frames and constituency frames, respectively. In order to gauge the analytical leverage provided by policy and constituency frames, I will theorize the extent to which political parties and interest groups rely on these two types of frames respectively. The empirical relevance of both types of frames is assessed in two cases of legislative policy-making in Germany. Drawing on parliamentary debates, position papers presented in committee hearings, and press statements released by interest groups, I show, amongst others, that constituency frames play a significant role in these actors' advocacy. While the use of policy and constituency frames varies between radical and moderate parties, there are hardly any differences in their use between parties and interest groups. [ABSTRACT FROM AUTHOR]

Events as urban development formats have been relevant strategies for cities for several decades. They may have diverse economic, political, social and ecological effects on the host cities and are accordingly used in a variety of ways and closely linked to urban development and renewal. Complex processes can be identified in the context of the application, planning, implementation and after-use of an event. Furthermore, the planning of events is subject to an extensive multilevel governance of actor constellations and interactions. Against this background, in this paper we introduce a multi-level governance phase framework for formats of event-led urban development in order to create a better understanding of the structures and processes involved. For this purpose, we first use regional garden shows as a case study, which are event formats with a focus on small and medium-sized cities in Germany and on the (further) development of urban green spaces. We then generalize the framework using the governance capacity concept for events and approaches of event-led urban development. The model is well suited to illustrate the relevance of different actors in the process as well as the complexity of diverse processes that occur in the course of event planning. [ABSTRACT FROM AUTHOR]

The global trend in manufacturing has shifted from a manufacturing-centric process toward a user-centric process. This has resulted in a shorter lifespan and a high product replacement rate of any consumer product. Germany has introduced the concept of Industry Revolution 4.0 (IR 4.0) to convert manufacturing processes and mechanisms into cyber-physical systems (CPS). Digital factory, being the first step into CPS and IR4.0, is being targeted as the most important evolution of the manufacturing industry. This paper defines digital factories and their differences between other similar domains such as smart factories, CPS, and virtual factories. The requirements and goals of a digital factory are explained in detail to facilitate future digital factory tool developments. Furthermore, the current challenges faced in the implementation of the digital factory are proposed to be approached by adapting an interoperable virtual reality technology. This paper emphasizes the usage of virtual reality (VR) in simulating a digital factory that aids in the decision-making and efficient operation of a manufacturing facility. Furthermore, recommendations gathered from previous studies for developing VR-based digital factory tools are also explained in detail in this paper. [ABSTRACT FROM AUTHOR]

The global climate budget for 1.5°C necessitates distributing future CO2 emissions to individual countries. In Germany, this translates to 3.1 billion tons (January 2022). All sectors must engage to meet this target, particularly the lignite (i.e. low-grade brown coal) sector. This entails leaving significant reserves untapped. Also, economic factors are already driving a decline in coal consumption, aided by Germany's renewable expansion and rising CO2 prices. Forecasts suggest lignite phase-out by 2030, prompting reevaluation of mining plans without devastation of villages. The paper proposes new mining plans for the main lignite regions Rhineland and Lusatia. [ABSTRACT FROM AUTHOR]

While maker platforms, such as FabLabs and Makerspaces, are commonly perceived as drivers for transformative trajectories, little is known about how the dynamics of experimental collective agency are mobilizing transformative capacities that foster change on the local level. This paper contributes to the understanding of collective innovation dynamics of maker platforms that aim to support collective experimentation and translate novel practices to incumbent institutions on the local level. By drawing on the strategic niche management literature, a comparative case study of six maker platforms in Germany is conducted. Findings indicate three relevant modes of translation that could be identified: Firstly, translation by active shielding and institutionalized adaption emphasizes the role of harbouring universities in fencing off market pressures and offering events as well as workshops to regime actors. Secondly, translation by enabling learning mechanisms highlights the effect of implementing proper formats for assessment and learning on mutual translation. Thirdly, translation by sustained cooperation and coordination between maker platforms and local institutions stresses capacities for cooperation and a demand-oriented coordination between maker platforms and incumbent institutions. [ABSTRACT FROM AUTHOR]

In this paper, we estimate the causal effects of a set of active labor market programs for male unemployed refugees on welfare who entered Germany between, 2013 and September, 2016. Using rich administrative data, we employ covariate balancing propensity scores combined with inverse probability weighting to estimate effects up to 33 months after the start of treatment. Our results show that relatively short-term training in the form of Schemes by Providers and In-Firm Training, as well as longer-term Further Vocational Training programs have a positive impact on both the employment chances as well as labor market earnings of refugees in the medium run. So-called "One Euro Jobs", a public employment program, does not yield positive effects on employment or earnings. Sensitivity analyses confirm that our results are unlikely to be driven by unobserved confounding. [ABSTRACT FROM AUTHOR]

The political participation literature has documented a long-term trend of the normalization of noninstitutional participation that is often equated with the conventionalization of engagement in protest politics. Less is known on the extent to which noninstitutional forms are differentiated by their mobilization context. Population surveys find it difficult to contextualize individual engagement, and on-site surveys point to effects that are hard to generalize. This study fills this gap by emphasizing differentiation and distinguishing participation according to the issue of engagement. It introduces a conceptual distinction between political insiders and outsiders, defined based on the extent to which they are embedded in the organizational landscape of the dominant cleavage dimension. Using an original survey conducted in Germany during the Covid-19 crisis, the analysis demonstrates that general-population surveys are fit to examine issue-specific participation patterns. The results expose an insider and outsider divide, captured by the effect of attitudinal and behavioral indicators, and demonstrates that the two groups are equally likely to participate in noninstitutional forms. However, insiders engage on the established issues of climate and anti-racism, whereas outsiders engage on the new issues of Covid-19 related economic assistance and civil liberties restrictions. In addition, dynamic models reveal that noninstitutional participation is rooted in volatile issue preferences. Overall, the paper argues that participation during the Covid-19 crisis has furthered the trend towards a differentiated protest arena. [ABSTRACT FROM AUTHOR]

The outbreak of the COVID-19 pandemic in early 2020 not only put the public health system under considerable pressure, but it also posed a huge challenge for established routines of intergovernmental coordination in Germany. As the Länder are responsible for implementing infection prevention measures, the most senior intergovernmental council, the minister presidents' conference (MPK), became the central body for pandemic crisis management. In light of high uncertainty, time pressure and public attention, drastic actions were taken to contain the dissemination of the corona virus. Against this background, our paper investigates how party politics impacted on horizontal coordination in times of crisis. The analysis shows that indeed territorial party politics interferes with routines of intergovernmental coordination. While congruence between the federal and Länder governments promotes homogenous implementation of joint MPK resolutions, increasing coalition size and intense party competition make deviations more likely. Finally, partisan ideology plays a key role as parties pursue clearly distinct pandemic management strategies. [ABSTRACT FROM AUTHOR]

This paper explores the role of family trajectories during childhood in explaining inequalities by maternal education in children's math and reading skills using harmonized, longitudinal, and nationally representative surveys, which follow children over the course of primary and lower secondary school in four high‐income countries (England, France, Germany, and the United States). As single parenthood and family transitions are more likely among less educated parents and are associated with fewer resources for children, we explore whether growing up outside a stable two‐parent family mediates educational inequalities in math and reading scores. Results show a strong educational gradient in family trajectories in the four countries, but this varies by child age and by country. Children who experience a family transition record lower test scores, although the magnitude differs by the type of postseparation arrangements. Overall, family trajectories are strongly associated with children's math and reading scores but, because of the importance of selectivity in family trajectories, they play only a modest role in explaining the skills gaps by maternal education, considerably less than determinants such as income. The penalties associated with not living within a stable two‐parent family are always larger in the United States and England than in France and Germany. [ABSTRACT FROM AUTHOR]

Multiple conflicts of spatial planning are currently intensifying in the context of sustainability transformations. This paper aims to better understand the conflicts involved in planning inter-municipal commercial areas (IMCA) in city-regional constellations. Choosing an explicit conflict perspective integrating different strands of literature, a qualitative in-depth case study using cognitive-affective mapping (CAM) is carried out. The case study analyzes a region comprising a large urban center and multiple smaller surrounding communities in Southern Germany, where several attempts to cooperate have failed, ostensibly due to poor urban-rural relations. Our findings reveal that the situation is more complex: IMCA is hindered by vertical and horizontal governance conflicts and sectoral conflicts of interest. While land use conflicts on where to implement IMCA are hindering concrete projects, a deeper conflict potential lies in the question of whether to plan new commercial areas at all. Albeit IMCA are proposed as the solution for reducing land take and realizing economic growth, the planning of IMCA reflects this global tension on the regional and local level without being able to solve it per se. We conclude that an explicit conflict perspective as well as the CAM method can be fruitful for planning research and practice. [ABSTRACT FROM AUTHOR]

Political participation is socially distorted: Socio-economic resources affecting the probability of individuals becoming politically active question the principle of political equality. Such inequality in participation based on social stratification is well documented for elections, while research on inequality in referendum participation is still scarce. Based on the observation that such inequality varies between referendums, this paper explores referendum-specific contextual factors that may affect socially distorted referendum participation. We leverage information from an original dataset covering 1788 districts in 35 German municipalities for 68 local referendums held between 2000 and 2019. The results of our multilevel models indicate that concurrent first-order elections boost referendum turnout and decrease social stratification, while the closeness of the decision increases turnout but does not affect stratification bias. Moreover, we find a curvilinear relationship between turnout and stratification, with stratification only diminishing from participation levels above 40–50%. [ABSTRACT FROM AUTHOR]

Addressing the complexities of transitioning to a sustainable bioeconomy, this paper presents a novel approach for developing regional transformation pathways (RTPs) based on narratives derived from the shared socioeconomic pathways. The methodology emphasizes a comprehensive understanding of underlying perspectives and perceptions, incorporating socio‐economic, environmental, and political dimensions. The developed indicator framework captures a balanced representation of diverse interests by integrating insights from stakeholder analyses. The case study in the Rheinisches Revier region, Germany, exemplifies the approach's applicability, providing valuable insights for decision‐making processes in the context of regional transitions toward a low‐carbon economy. The results consist of five developed RTPs, offering a multitude of potential future trajectories of possible directions for regional transformations. Understanding potential pathways and related consequences is crucial for informed decision‐making concerning resource use optimization since transformations of that scale influence the composition of supply chains and resource networks. This informed approach contributes to strategic planning and helps ensure resources are utilized efficiently and sustainably. By emphasizing the crucial role of transparency and reflection of assumptions in addressing the complexities of societal transformation processes, our approach seeks to support the implementation of a sustainable and inclusive bioeconomy at the regional level. [ABSTRACT FROM AUTHOR]

Aim: To describe activities and professional characteristics of nurses in expanded roles in acute care in Germany and achieve a greater understanding of the current situation of advanced practice nursing. Background: Advanced practice nursing plays an important role in meeting increased demands in healthcare and promoting high‐quality care. Introduction: In Germany, advanced practice nursing is still at an early stage with a lack of studies describing the scope of practice of nurses in expanded roles. Methods: We conducted a cross‐sectional‐study using a paper‐and‐pencil questionnaire. In a nationwide convenience sample, we surveyed nurses with an academic degree, who work in an acute care hospital and take over expanded roles in direct patient care. Reporting followed the STROBE checklist. Results: Of 108 eligible nurses, 84 (77%) completed the survey. The majority had a Master's degree (63.1%) and the average work experience was 18.2 years. Participants carried out activities in all the domains that were queried (direct clinical practice, guidance and coaching, consultation, leadership and research) with differences within and between domains. Foci were on direct clinical practice and coaching and guidance. Discussion: In Germany, qualifications are nearing the international standard of advanced practice nursing. Results suggest that participants partly undertake activities within the scope of registered nurses' practice that do not correspond fully to their formal qualifications. Conclusion and implications for nursing and/or health policy: In order to foster the role development of expanded practice nurses in Germany, political efforts are needed in terms of training (e.g. specific Master's programmes), funding of corresponding positions in practice and control mechanisms (e.g. professional registration). [ABSTRACT FROM AUTHOR]

This paper explores how girls' education developed in Norway and Prussia (and later North Rhine-Westphalia, NRW) during the first and second wave of women's political mobilisation. It analyses how organisations and activists of the women's movement were included in different cross-interest coalitions in education politics. The cases are interpreted in light of Rokkanian cleavage theory. In Germany, the women's movement was split along class lines but also along denominational lines. The Catholic women's movement became a part of the Catholic and later the Christian democratic political alliance. In Norway, influential sections of the women's movement were linked first to the liberal movement and later to the social democratic movement. In both cases, women's rights activists left a mark on education policy, but Norwegian women's rights activists enjoyed successes earlier and more consistently. This is a result of the Norwegian women's movement's comparatively greater unity and related to the different cleavage structures. [ABSTRACT FROM AUTHOR]

The massive expansion of English in Germany over the past few decades has not challenged a robustly exonormative orientation, which still by and large recognises standardised British and American English as the most authentic and prestigious representations of the language. Attitudes to the use of English in the national context are diverse, ranging from enthusiastic embracement via grudging acceptance to active resistance. This diversity of opinion reflects the fact that English is currently transitioning from a foreign language (EFL) to a lingua franca (ELF). On the national scale, ELF use is promoted in business, academia and, more generally, among young and well‐educated Germans with an international orientation, but deeply resented by sectors of society. This paper argues that English (in its lingua franca function) has become the only language other than German that has open prestige. The task ahead will be to develop strategies of intelligent multilingualism that will help to 'domesticate' English in the national sociolinguistic context. [ABSTRACT FROM AUTHOR]

In the context of the COVID-19 pandemic, there has been a scarcity of resources with various effects on the care of cancer patients. This paper provides an English summary of a German guideline on prioritization and resource allocation for colorectal and pancreatic cancer in the context of the pandemic. Based on a selective literature review as well as empirical and ethical analyses, the research team of the CancerCOVID Consortium drafted recommendations for prioritizing diagnostic and treatment measures for both entities. The final version of the guideline received consent from the executive boards of nine societies of the Association of Scientific Medical Societies in Germany (AWMF), 20 further professional organizations and 22 other experts from various disciplines as well as patient representatives. The guiding principle for the prioritization of decisions is the minimization of harm. Prioritization decisions to fulfill this overall goal should be guided by (1) the urgency relevant to avoid or reduce harm, (2) the likelihood of success of the diagnostic or therapeutic measure advised, and (3) the availability of alternative treatment options. In the event of a relevant risk of harm as a result of prioritization, these decisions should be made by means of a team approach. Gender, age, disability, ethnicity, origin, and other social characteristics, such as social or insurance status, as well as the vehemence of a patient's treatment request and SARS-CoV-2 vaccination status should not be used as prioritization criteria. The guideline provides concrete recommendations for (1) diagnostic procedures, (2) surgical procedures for cancer, and (3) systemic treatment and radiotherapy in patients with colorectal or pancreatic cancer within the context of the German healthcare system. [ABSTRACT FROM AUTHOR]

Home delivery services require the attendance of the customer during delivery. Hence, retailers and customers mutually agree on a delivery time window in the booking process. However, when a customer requests a time window, it is not clear how much accepting the ongoing request significantly reduces the availability of time windows for future customers. In this paper, we explore using historical order data to manage scarce delivery capacities efficiently. We propose a sampling-based customer acceptance approach that is fed with different combinations of these data to assess the impact of the current request on route efficiency and the ability to accept future requests. We propose a data-science process to investigate the best use of historical order data in terms of recency and amount of sampling data. We identify features that help to improve the acceptance decision as well as the retailer's revenue. We demonstrate our approach with large amounts of real historical order data from two cities served by an online grocery in Germany. [ABSTRACT FROM AUTHOR]

Purpose: In Germany, children diagnosed with cancer survive their initial disease in more than 80%, and the majority will become long‐term survivors. Around the age of 18, survivors are transferred to adult healthcare. The transition can be a critical period in the process of care at which many childhood cancer survivors discontinue to participate in regular follow‐up care. Hence, the objective of the paper was to explore (a) survivors' attitudes towards pediatric follow‐up care and (b) their concerns regarding the transition process to draw conclusions for optimizing pediatric care and transition processes. Methods: We conducted semi‐structured interviews with 21 adolescent childhood cancer survivors between the ages of 14 and 20. The survivors were recruited via a pediatric oncology department of a university hospital in Germany. Based on the principles of qualitative content analysis, a deductive‐inductive method according to Kuckartz was applied. Results: Based on the interview guide and derived from the exploratory research questions, two key categories were generated: (a) Survivors' attitudes towards pediatric follow‐up care, which encompasses all formal and emotional aspects of survivors regarding follow‐up care, and (b) their concerns regarding transition from pediatric to adult healthcare, where hindering and facilitating factors for a successful transition occur. Our results show high satisfaction among survivors with follow‐up care. Nevertheless, they wish to be more integrated into processes and the organization of their follow‐up care. Most adolescent survivors do not feel ready for transition. Conclusion: The integration of survivors into the organization processes and routines, and the promotion of emotional detachment from pediatric health care professionals (HCPs) are important to reduce concerns and uncertainties of adolescent survivors regarding the transition process and to promote subjective readiness for transition. To gain confidence in the adult healthcare, it is crucial to provide tailored education depending on individual requirements and needs and to build trusting relationships between survivors and adult HCPs. [ABSTRACT FROM AUTHOR]