Alternativ finansiering af fremtidens infrastruktur

Referat af ”Alternativ finansiering af fremtidens infrastruktur” Kort introduktion af Ute efterfulgt af mødelederen Brian Gardner Mogensen Grontmij A/S, som præsenterede formålet med sessionen

Undervisningsdifferentiering i dansk og matematik i 5. klasse – med fokus på elever med særlige behov: Vol. 1

En af de mest markante udfordringer, som lærere møder i deres respektive klasser, er en øget mangfoldighed i elevgruppen, hvad angår måder at lære på. Det stiller lærerne over for store udfordringer i forhold til at differentiere undervisningen, hvad angår skolens og klasserummets fysiske rammer, sociale organiseringer, fagligt indhold, undervisningsmaterialernes art og sværhedsgrader, arbejdsformer, tempo etc. Lærerne kan således differentiere i forhold til, hvad eleven skal lære, dvs. indholdet, hvordan eleven skal lære, dvs. processen, eller resultatet, dvs. hvad eleven giver udtryk for at have lært.Projektet ’Undervisningsdifferentiering med fokus på elever med særlige behov’ er gennemført i håbet om at kunne inspirere lærere og lærerstuderende til at udvikle skolens praksis i en mere undervisningsdifferentieret retning. Derfor er der lagt vægt på en webbaseret formidling af resultater og erfaringer fra projektet, som skolens aktører og andre interesserede let kan få adgang til via en temahjemmeside på www.Inklusionsudvikling.d

Operative versus non-operative treatment for 2-part proximal humerus fracture: A multicenter randomized controlled trial

Background Although increasingly used, the benefit of surgical treatment of displaced 2-part proximal humerus fractures has not been proven. This trial evaluates the clinical effectiveness of surgery with locking plate compared with non-operative treatment for these fractures. Methods and findings The NITEP group conducted a superiority, assessor-blinded, multicenter randomized trial in 6 hospitals in Finland, Estonia, Sweden, and Denmark. Eighty-eight patients aged 60 years or older with displaced (more than 1 cm or 45 degrees) 2-part surgical or anatomical neck proximal humerus fracture were randomly assigned in a 1:1 ratio to undergo either operative treatment with a locking plate or non-operative treatment. The mean age of patients was 72 years in the non-operative group and 73 years in the operative group, with a female sex distribution of 95% and 87%, respectively. Patients were recruited between February 2011 and April 2016. The primary outcome measure was Disabilities of Arm, Shoulder, and Hand (DASH) score at 2-year follow-up. Secondary outcomes included Constant–Murley score, the visual analogue scale for pain, the quality of life questionnaire 15D, EuroQol Group’s 5- dimension self-reported questionnaire EQ-5D, the Oxford Shoulder Score, and complications. The mean DASH score (0 best, 100 worst) at 2 years was 18.5 points for the operative treatment group and 17.4 points for the non-operative group (mean difference 1.1 [95% CI −7.8 to 9.4], p = 0.81). At 2 years, there were no statistically or clinically significant between-group differences in any of the outcome measures. All 3 complications resulting in secondary surgery occurred in the operative group. The lack of blinding in patient-reported outcome assessment is a limitation of the study. Our assessor physiotherapists were, however, blinded. Conclusions This trial found no significant difference in clinical outcomes at 2 years between surgery and non-operative treatment in patients 60 years of age or older with displaced 2-part fractures of the proximal humerus. These results suggest that the current practice of performing surgery on the majority of displaced proximal 2-part fractures of the humerus in older adults may not be beneficial. Trial registration ClinicalTrials.gov NCT01246167.Peer reviewe

A model of theory-practice relations in mathematics teacher education

International audienceThe paper presents and discusses an ATD based (Chevallard, 2012) model of theory-practice relations in mathematics teacher education. The notions of didactic transposition and praxeology are combined and concretized in order to form a comprehensive model for analysing the theory-practice problematique. It is illustrated how the model can be used both as a descriptive tool to analyse interactions between and interviews with student teachers and teachers and as a normative tool to design and redesign learning environments in teacher education, in this case a lesson study context

The Use of Ultrasound to Exclude Extremity Fractures in Adults

Background:. The purpose of the present study was to investigate whether ultrasonography can be used as a diagnostic tool to exclude extremity fractures in adults. Methods:. This prospective comparative study involved 91 patients (age, ≥18 years) who had been referred by general practitioners for a conventional radiographic examination of a suspected extremity fracture. No additional clinical examination was performed. Ultrasound examination was consistently carried out prior to conventional radiographic examination, which was regarded as the gold standard. At the end of the study, the positive scans were confirmed by a specialist who was highly skilled in ultrasonography. Results:. The prevalence of fractures in the study population was 27%. Ultrasonography had a sensitivity of 92%, a specificity of 94%, a positive predictive value of 85%, a negative predictive value of 97%, a positive likelihood ratio of 15.33, and a negative likelihood ratio of 0.085. There seemed to be no association between the anomalous results and patient age or the specific anatomical region of the fracture. Conclusions:. The present study indicates that ultrasonography, when performed and interpreted by experienced ultrasonographers, has high accuracy for the diagnosis of a suspected extremity fracture. No systematic differences were found between the results of radiography and ultrasonography, and ultrasonography showed a high sensitivity and specificity. Level of Evidence:. Diagnostic Level II. See Instructions for Authors for a complete description of levels of evidence