TY - JOUR A1 - Stein, Roland T1 - Zur Raumvorstellungs-Fähigkeit Lernbeeinträchtigter - eine Untersuchung mit dem LPS-Untertest 8 N2 - Die hier untersuchten Lernbeeinträchtigten, die eine vereinfachte Ausbildung zum Dreher oder Fräser absolvieren, liegen bereits zu Ausbildungsbeginn hinsichtlich der Gruppen-Ergebnisse im LPS-Untertest 82, der das räumliche Vorstellen untersucht, gemessen an der Eichstichprobe gut im Bevölkerungsdurchschnitt. Es wurde vergleichend eine Variante des LPS-8 eingesetzt, die eine Erleichterung für die Probanden bedeuten sollte. Sie erbrachte jedoch keine Verbesserung der Testergebnisse. Die Durchführung einer "power" -Variante des Tests beläßt für einen Teil der Stichprobe die Rangreihen, verglichen mit einer Durchführung der Original-( speed)Version, auf signifikantem Niveau gleich. Für einen zweiten Teil der Stichprobe findet sich diese Signifikanz allerdings nicht. N2 - Young people with Major Learning Difficulties (MWs) were tested with suhtest 8 of the LPS (Leistungs-PrüfSystem, Horn 1962), a suhtest concerning the ability to imaginatively perceive space. These MWs are participating in a simplified training course to become a turner or a miller. F or this sampie we received a result in the upper average range according to the LPS-8 test manual. In addition to the usual version of the test we created a second version which should have simplijied the task. This second version led to no improvement in the results. Even after two tests with a four-week interval with this population of MWs we found a significant learning effect. We added a "power" -version to this "speed" -test. The sequences of results inboth versions "speed" and "power" remain significantly the same for one sub-group of the population whereas this significance could not be found with another special suh-group. KW - Sonderpädagogik Y1 - 1992 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-40137 ER - TY - JOUR A1 - Kleber, Eduard W. A1 - Stein, Roland T1 - Konzentrationsprobleme: Fehldiagnose oder Zeitkrankheit? N2 - Konzentration ist ein psychologisches Konstrukt, das hochkomplexe Interaktions-Situations-Phänomene bezeichnet. Die hohe Komplexität läßt unmittelbare Folgerungen für therapeutische Maßnahmen nicht zu und enthält spezielle Probleme der Validität bei niedrigen Leistungswerten in Tests. Die Diagnose von Konzentrationsproblemen dient nicht selten Lehrern, Schülern und Eltern als Entlastung. Dabeiführen oberflächliche Analysen oft zu Mißverständnissen und Fehldiagnosen. Bei solchen Diagnosen werden dann Konzentration, Interesse, Motivation, Belastbarkeit, "aus dem Felde gehen" und "auswandern" konfundiert. Ohne eine sorgfältige und möglichst umfassende Analyse der Aufmerksamkeitssituation können Maßnahmen zur Beseitigung oder Reduktion der Schwierigkeiten nicht effektiv ausgewählt werden. N2 - Concentration is a psychological construct characterizing highly complex phenomena of interaction-situation. This high complexity does not allow direct deductions to be used for therapeutical measures and contains special problems ofvalidity when low test ranges occur. Frequently the diagnosis of a weakness in concentration is used to relieve teachers, pupils and parents. Due to this superjicial analyses often lead to misunderstandings and wrong diagnoses. In such diagnoses concentration, interest, motivation, stress capacity, "leaving the field" and "emigration" are confused with one another. Measures for removal or reduction of concentration deficits cannot be chosen in an effective manner without an analysis of the situation in which attention is being payed - an analysis as careful and as extensive as possible. KW - Sonderpädagogik Y1 - 1993 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-40116 ER - TY - JOUR A1 - Stein, Roland T1 - Lernbeeinträchtigte nach der Schule - Arbeit oder Sozialhilfe? : Erfahrungen aus der Berufsausbildung ehemaliger Sonderschüler N2 - Nach der Schulzeit droht Lernbeeinträchtigten durch die allgemeine Entwicklung auf dem Arbeits- und Ausbildungsmarkt eine schwierige Berufsfindung, hochgradig unbefriedigende Hilfsarbeiter-Tätigkeit und - in erheblich zunehmendem Maße - Arbeitslosigkeit und der Verlust von Lebensperspektiven. Der Beitrag zeigt Möglichkeiten und Grenzen der qualifizierten und zukunfts orientierten Berufsausbildung dieser Gruppe auf, wobei sowohl moderne technologische Entwicklungen als auch die Förderung personaler und sozialer Kompetenzen Berücksichtigung finden. Die Fragestellung der Integration Lernbeeinträchtigter wird nicht mit der Schulzeit abgeschlossen - sie stellt sich umso stärker danach. KW - Sonderpädagogik / Zeitschrift Y1 - 1994 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-40091 ER - TY - CHAP A1 - Kleber, Eduard W. A1 - Stein, Roland T1 - Neue Wege für die Integration Lernbehinderter ins Berufsleben N2 - No abstract available KW - Integrationspädagogik / Deutsches Sprachgebiet / Kongress / Saarbrücken <1990> Y1 - 1991 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-40127 ER - TY - CHAP A1 - Stein, Roland T1 - Werkstatt für Behinderte N2 - No abstract available KW - Sonderpädagogik / Wörterbuch Y1 - 1994 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-40239 ER - TY - CHAP A1 - Stein, Roland T1 - Verhaltensauffälligkeit N2 - No abstract available KW - Sonderpädagogik / Wörterbuch Y1 - 1994 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-40222 ER - TY - JOUR A1 - Kleber, Eduard W. A1 - Stein, Roland T1 - Neue Wege in die moderne Berufswelt N2 - No abstract available Y1 - 1991 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-40157 ER - TY - JOUR A1 - Kleber, Eduard W. A1 - Stein, Roland T1 - Neue Wege in die moderne Berufswelt N2 - In Hessen wurde 1989 ein Modellversuch zum Einsatz neuer Technologien in der Berufsausbildung lernbehinderter Jugendlicher gestartet. Die Chancen Lernbehinderter für qualifizierte Arbeitsplätze im Bereich Metall der Fachrichtungen Drehen, Fräsen und Produktionstechnik sollen dadurch verbessert werden. KW - Sonderpädagogik Y1 - 1991 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-40105 ER - TY - JOUR A1 - Stein, Roland Gregor A1 - Wollschläger, Daniel A1 - Kreienberg, Rolf A1 - Janni, Wolfgang A1 - Wischnewsky, Manfred A1 - Diessner, Joachim A1 - Stüber, Tanja A1 - Bartmann, Catharina A1 - Krockenberger, Mathias A1 - Wischhusen, Jörg A1 - Wöckel, Achim A1 - Blettner, Maria A1 - Schwentner, Lukas T1 - The impact of breast cancer biological subtyping on tumor size assessment by ultrasound and mammography - a retrospective multicenter cohort study of 6543 primary breast cancer patients JF - BMC Cancer N2 - Background Mammography and ultrasound are the gold standard imaging techniques for preoperative assessment and for monitoring the efficacy of neoadjuvant chemotherapy in breast cancer. Maximum accuracy in predicting pathological tumor size non-invasively is critical for individualized therapy and surgical planning. We therefore aimed to assess the accuracy of tumor size measurement by ultrasound and mammography in a multicentered health services research study. Methods We retrospectively analyzed data from 6543 patients with unifocal, unilateral primary breast cancer. The maximum tumor diameter was measured by ultrasound and/or mammographic imaging. All measurements were compared to final tumor diameter determined by postoperative histopathological examination. We compared the precision of each imaging method across different patient subgroups as well as the method-specific accuracy in each patient subgroup. Results Overall, the correlation with histology was 0.61 for mammography and 0.60 for ultrasound. Both correlations were higher in pT2 cancers than in pT1 and pT3. Ultrasound as well as mammography revealed a significantly higher correlation with histology in invasive ductal compared to lobular cancers (p < 0.01). For invasive lobular cancers, the mammography showed better correlation with histology than ultrasound (p = 0.01), whereas there was no such advantage for invasive ductal cancers. Ultrasound was significantly superior for HR negative cancers (p < 0.001). HER2/neu positive cancers were also more precisely assessed by ultrasound (p < 0.001). The size of HER2/neu negative cancers could be more accurately predicted by mammography (p < 0.001). Conclusion This multicentered health services research approach demonstrates that predicting tumor size by mammography and ultrasound provides accurate results. Biological tumor features do, however, affect the diagnostic precision. KW - histopathology KW - breast cancer KW - ultrasound KW - mammography KW - tumor size Y1 - 2016 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-161050 VL - 16 IS - 549 ER - TY - JOUR A1 - Diessner, Joachim A1 - Wischnewsky, Manfred A1 - Blettner, Maria A1 - Häusler, Sebastian A1 - Janni, Wolfgang A1 - Kreienberg, Rolf A1 - Stein, Roland A1 - Stüber, Tanja A1 - Schwentner, Lukas A1 - Bartmann, Catharina A1 - Wöckel, Achim T1 - Do Patients with Luminal A Breast Cancer Profit from Adjuvant Systemic Therapy? A Retrospective Multicenter Study JF - PLoS ONE N2 - Background Luminal A breast cancers respond well to anti-hormonal therapy (HT), are associated with a generally favorable prognosis and constitute the majority of breast cancer subtypes. HT is the mainstay of treatment of these patients, accompanied by an acceptable profile of side effects, whereas the added benefit of chemotherapy (CHT), including anthracycline and taxane-based programs, is less clear-cut and has undergone a process of critical revision. Methods In the framework of the BRENDA collective, we analyzed the benefits of CHT compared to HT in 4570 luminal A patients (pts) with primary diagnosis between 2001 and 2008. The results were adjusted by nodal status, age, tumor size and grading. Results There has been a progressive reduction in the use of CHT in luminal A patients during the last decade. Neither univariate nor multivariate analyses showed any statistically significant differences in relapse free survival (RFS) with the addition of CHT to adjuvant HT, independent of the nodal status, age, tumor size or grading. Even for patients with more than 3 affected lymph nodes, there was no significant difference (univariate: p = 0.865; HR 0.94; 95% CI: 0.46–1.93; multivariate: p = 0.812; HR 0.92; 95% CI: 0.45–1.88). Conclusions The addition of CHT to HT provides minimal or no clinical benefit at all to patients with luminal A breast cancer, independent of the RFS-risk. Consequently, risk estimation cannot be the initial step in the decisional process. These findings–that are in line with several publications–should encourage the critical evaluation of applying adjuvant CHT to patients with luminal A breast cancer. KW - breast cancer KW - hormones KW - endocrine therapy KW - cancer detection and diagnosis KW - cancer treatment KW - cancer chemotherapy KW - lymph nodes KW - hormona therapy Y1 - 2016 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-178217 VL - 11 IS - 12 ER - TY - JOUR A1 - Diessner, Joachim A1 - Wischnewsky, Manfred A1 - Stüber, Tanja A1 - Stein, Roland A1 - Krockenberger, Mathias A1 - Häusler, Sebastian A1 - Janni, Wolfgang A1 - Kreienberg, Rolf A1 - Blettner, Maria A1 - Schwentner, Lukas A1 - Wöckel, Achim A1 - Bartmann, Catharina T1 - Evaluation of clinical parameters influencing the development of bone metastasis in breast cancer JF - BMC Cancer N2 - Background The development of metastases is a negative prognostic parameter for the clinical outcome of breast cancer. Bone constitutes the first site of distant metastases for many affected women. The purpose of this retrospective multicentre study was to evaluate if and how different variables such as primary tumour stage, biological and histological subtype, age at primary diagnosis, tumour size, the number of affected lymph nodes as well as grading influence the development of bone-only metastases. Methods This retrospective German multicentre study is based on the BRENDA collective and included 9625 patients with primary breast cancer recruited from 1992 to 2008. In this analysis, we investigated a subgroup of 226 patients with bone-only metastases. Association between bone-only relapse and clinico-pathological risk factors was assessed in multivariate models using the tree-building algorithms “exhausted CHAID (Chi-square Automatic Interaction Detectors)” and CART(Classification and Regression Tree), as well as radial basis function networks (RBF-net), feedforward multilayer perceptron networks (MLP) and logistic regression. Results Multivariate analysis demonstrated that breast cancer subtypes have the strongest influence on the development of bone-only metastases (χ2 = 28). 29.9 % of patients with luminal A or luminal B (ABC-patients) and 11.4 % with triple negative BC (TNBC) or HER2-overexpressing tumours had bone-only metastases (p < 0.001). Five different mathematical models confirmed this correlation. The second important risk factor is the age at primary diagnosis. Moreover, BC subcategories influence the overall survival from date of metastatic disease of patients with bone-only metastases. Patients with bone-only metastases and TNBC (p < 0.001; HR = 7.47 (95 % CI: 3.52–15.87) or HER2 overexpressing BC (p = 0.007; HR = 3.04 (95 % CI: 1.36–6.80) have the worst outcome compared to patients with luminal A or luminal B tumours and bone-only metastases. Conclusion The bottom line of different mathematical models is the prior importance of subcategories of breast cancer and the age at primary diagnosis for the appearance of osseous metastases. The primary tumour stage, histological subtype, tumour size, the number of affected lymph nodes, grading and NPI seem to have only a minor influence on the development of bone-only metastases. KW - BRENDA KW - breast cancer KW - bone metastases KW - skeleton KW - breast cancer subtypes Y1 - 2016 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-161173 VL - 16 IS - 307 ER -