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House, Scrubs, ER) Unter Besonderer Betrachtung Von Nierenerkrankungen

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House, Scrubs, ER) Unter Besonderer Betrachtung Von Nierenerkrankungen Die Darstellung und Analyse von Erkrankungen in medizinischen Fernsehserien (House, Scrubs, ER) unter besonderer Betrachtung von Nierenerkrankungen Dissertation Zur Erlangung des akademischen Grades doctor medicinae (Dr. med.) Klinik für Innere Medizin III (Direktor Prof. Dr. Gunter Wolf, MHBA) vorgelegt dem Rat der Medizinischen Fakultät der Friedrich-Schiller-Universität Jena von Lisa Leucht Geboren am 14.11.1987 in Oelsnitz/V. Gutachter 1. 2. 3. Tag der öffentlichen Verteidigung: Meiner Familie Abkürzungsverzeichnis - CA - Karzinom (z.B. Lungen-CA) (Dr.) Doktortitel steht in Klammern, wenn eine TV-Figur diesen erst im Verlauf einer Serie erwirbt AB Antibiotikum AIDS Acquired Immune Deficiency Syndrome ALS amyotrophe Lateralsklerose ANV Akutes Nierenversagen art. arteriell BRCA Brustkrebsgen (BReast CAncer) CA Chefarzt CNV Chronisches Nierenversagen CT Computertomographie DIC disseminierte intravasale Koagulopathie DSM-IV Diagnostic and Statistical Manual of Mental Disorders ECMO extrakorporale Membranoxygenierung EKG Elektrokardiogramm ER Originaltitel der Serie Emergency Room (USA), deutscher Titel: Emergency Room - Die Notaufnahme H. Dr. Gregory House (in Tabellen) House Originaltitel der TV-Serie (USA) ab Staffel 2, deutscher Titel: Dr. House HPV Humanes Papillomavirus HRST Herzrhythmusstörungen HTx Herztransplantation HVL Hypophysenvorderlappen HWI Harnwegsinfekt HWS Halswirbelsäule ICD International Classification of Diseases J.D. (Dr.) John Dorian, eine Hauptfigur der Serie Scrubs KHK koronare Herzkrankheit KM Kontrastmittel LKS Lymphknotenschwellung LTx Lebertransplantation MRT Magnetresonanztomographie MTA medizinisch-technische(r) Assistent(in) MTS Metastasen n.n.b. nicht näher bezeichnet NTx Nierentransplantation NW Nebenwirkung OP Operation OTC Ornithintranscarbamylase p.o. postoperativ Pat. Patient(in) pAVK periphere arterielle Verschlusskrankheit RM Rückenmark SAB Subarachnoidalblutung Scrubs Originaltitel der TV-Serie (USA), deutscher Titel: Scrubs - Die Anfänger Sectio Sectio caesarea (Kaiserschnitt) SHT Schädel-Hirn-Trauma SLE systemischer Lupus erythematodes SS Schwangerschaft SSPE Subakute sklerosierende Panenzephalitis T 1 bis T 9 Bezeichnung der neun durchgeführten statistischen Testreihen TBC Tuberkulose TIA transiente ischämische Attacke traumat. traumatisch TV Television V.a. Verdacht auf vs. versus ZNA Zentrale Notaufnahme I-1 Staffel 1 – Episode 1; Beispiel für Kennzeichnung der Episoden einer Serie Tabellen – und Abbildungsverzeichnis Tabelle 1: Einteilung der Erkrankungen nach Hauptkategorien ....................................................................... 15 Tabelle 2: Subklassifikation der Diagnosekategorie 4 ......................................................................................... 19 Tabelle 3: Komplette Aufschlüsslung der TV-Ärzte mit eigenen Erkrankungen ....................................... 59 Tabelle 4: P-Werte** zum Verhältnis der Krankheitsgruppen – interserieller Vergleich ........................ 62 Tabelle 5: Absolutes vs. erwartetes Auftreten der einzelnen Krankheitsgruppen ....................................... 64 Tabelle 6: P-Werte** Nachweis der Unterschiede in beobachteten vs. erwarteten Häufigkeiten ......... 66 Tabelle 7: P-Werte** Nachweis der Unterschiede im Auftreten einzelner Nierendiagnosen (T 7) ..... 69 Tabelle 8: P-Werte** Nachweis der Unterschiede in Anwendung der Therapieformen (T 9) ............... 71 Abbildung 1: Säulen der Serienanalyse ....................................................................................................................... 8 Abbildung 2: Unterpunkte der dramaturgischen Analyse .................................................................................. 11 Abbildung 3: Struktur der Arztrollenanalyse ......................................................................................................... 12 Abbildung 4: Definierte Kriterien für die Erfassung der Diagnosen .............................................................. 14 Abbildung 5: Langzeiteffekte ...................................................................................................................................... 23 Abbildung 6: Zusammenhänge der Fernsehanalyse ............................................................................................. 24 Abbildung 7: Diagnoseverteilung House ................................................................................................................. 60 Abbildung 8: Diagnoseverteilung Scrubs ................................................................................................................ 61 Abbildung 9: Diagnoseverteilung ER ....................................................................................................................... 61 Abbildung 10: Arten der Nierenerkrankung - House ........................................................................................... 67 Abbildung 11: Arten der Nierenerkrankung - Scrubs .......................................................................................... 67 Abbildung 12: Arten der Nierenerkrankung - ER ................................................................................................. 68 Abbildung 13: Arten der Therapie bei Nierenerkrankung - House ................................................................. 69 Abbildung 14: Arten der Therapie bei Nierenerkrankung - Scrubs ................................................................ 70 Abbildung 15: Arten der Therapie bei Nierenerkrankung - ER ...................................................................... 70 Inhaltsverzeichnis 1 ZUSAMMENFASSUNG ............................................................................................................... 1 2 EINLEITUNG ............................................................................................................................... 3 3 ZIELE DER ARBEIT ................................................................................................................... 6 3.1 Medienwissenschaftliche und serienanalytische Grundlagen ............................................... 6 3.2 Erfassung der Krankheitshäufigkeiten im Serienvergleich (quantitative Analyse) ............ 7 3.3 Darstellung von Nierenerkrankungen in den gewählten Fernsehserien .............................. 7 4 METHODIK .................................................................................................................................. 7 4.1 Auswahl der Serien ................................................................................................................... 7 4.2 Untersuchungsmaterialien ........................................................................................................ 9 4.3 Analyse der Dramaturgie und Arztrolle im Serienvergleich ................................................. 9 4.4 Erfassung der Krankheitshäufigkeiten ................................................................................. 13 4.5 Vergleich der Häufigkeiten der einzelnen Serien untereinander ........................................ 15 4.6 Vergleich der Häufigkeiten mit realen Daten der amerikanischen Bevölkerung .............. 17 4.7 Analyse der Nierenerkrankungen .......................................................................................... 19 4.8 Hypothesen ............................................................................................................................... 21 5 ERGEBNISSE ............................................................................................................................. 21 5.1 Medienwissenschaftliche und serienanalytische Grundlagen ............................................. 21 5.1.1 Medien- und kommunikationswissenschaftlicher Ansatz bzgl. des Einflusspotentials von Fernsehsendungen ............................................................................................................................. 21 5.1.2 Fernsehanalytische Grundlagen mit Bedeutung für die Arbeit ............................................. 24 5.2 Bedeutung medizinischer Fernsehserien für das Arztbild der Zuschauer ......................... 25 5.2.1 Arztimage im Fernsehen........................................................................................................ 25 5.2.2 Die Auswirkungen verzerrter TV-Arztbilder auf den Zuschauer .......................................... 26 5.3 Analyse und Vergleich dreier Arztfiguren der gewählten Fernsehserien .......................... 28 5.3.1 Dr. Gregory House ................................................................................................................ 28 5.3.1.1 Allgemeines zu Dr. House ............................................................................................. 28 5.3.1.2 Berufliche Identität ........................................................................................................ 29 5.3.1.3 Dramaturgische Umsetzung der Rollenfigur Dr. House................................................ 31 5.3.1.4 Gesamtbild und Schlussfolgerung ................................................................................. 32 5.3.2 Dr. Mark Greene .................................................................................................................... 34 5.3.2.1 Allgemeines zu Dr. Greene ........................................................................................... 34 5.3.2.2 Berufliche Identität .......................................................................................................
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