Providing guidance on Backstage, a novel digital backchannel for large class teaching

Many articles in the last couple of years argued that it is necessary to promote the active participation of students in lectures with large audiences. One approach to make students actively participate in a lecture is to use a digital backchannel, i.e. a computer-mediated communication platform that allows students to exchange ideas and opinions, without disrupting the lecturer’s discourse. Though, a digital backchannel, in order to be most helpful for learning, have to address the need for guidance of the users interacting. The article presents Backstage, a digital backchannel for large class lectures, and shows how it provides guidance for its users, i.e. the students but also the lecturer. Structural guidance is provided by aligning the usually incoherent backchannel discourse with the presentation slides that are integrated in the backchannel’s user interface. The alignment is thereby asserted by carefully designed backchannel workflows. The article also discusses the guidance of a student’s substantial involvement in both the frontchannel and the backchannel by means of scripts. Through the interactions of guided individuals a social guidance may emerge, leading to a collectively regulated backchannel

General knowledge about climate change, factors influencing risk perception and willingness to insure

In two empirical surveys in Germany the link between the information respondents have about climate change and their risk perception of the phenomenon was analysed. We found that a better understanding of the effects of climate change might lead to a decrease of the perceived hazard. In contrast, a high self-declared knowledge about climate change might correspond with higher risk perception. Further factors affecting the risk perception of climate change are gender, experience of extreme weather events and trust in external aid. Surprisingly, information campaigns based on scientific facts are not effective for increasing risk perception and willingness to insure. Higher risk perception might induce higher interest in precautionary measures like insurance. --Climate Change,Knowledge Illusion,Insurance,Risk Perception,Information,Psychometric paradigm

Pharmacologic treatment of gastroparesis: What is (still) on the horizon?

Gastroparesis is a neuromuscular disorder of the upper gastrointestinal tract. Patients typically complain about early satiety, postprandial fullness, nausea and vomiting. Etiology is multifactorial. Treatment strategies include nutritional support, pharmacologic agents or surgery for refractory cases. Metoclopramide is the first and only FDA approved pharmacologic agent for (diabetic) Gastroparesis. A couple of compounds are currently in clinical testing. Some beacons of hope have failed recently, however. Here we present an update on possible future treatment options

Polyp Resection - Controversial Practices and Unanswered Questions

Detection and complete removal of precancerous neoplastic polyps are central to effective colorectal cancer screening. The prevalence of neoplastic polyps in the screening population in the United States is likely 450%. However, most persons with neoplastic polyps are never destined to develop cancer, and do not benefit for finding and removing polyps, and may only be harmed by the procedure. Further 70–80% of polyps are diminutive (≤5 mm) and such polyps almost never contain cancer. Given the questionable benefit, the high-cost and the potential risk changing our approach to the management of diminutive polyps is currently debated. Deemphasizing diminutive polyps and shifting our efforts to detection and complete removal of larger and higher-risk polyps deserves discussion and study. This article explores three controversies, and emerging concepts related to endoscopic polyp resection. First, we discuss challenges of optical resect-and-discard strategy and possible alternatives. Second, we review recent studies that support the use of cold snare resection for ≥ 5 mm polyps. Thirdly, we examine current evidence for prophylactic clipping after resection of large polyps

Individual adaptation to climate change : the role of information and perceived risk

Given that many of the predicted effects of climate change are considered imminent and unavoidable, the need to mainstream adaptation as a viable coping measure among private households is becoming a topic of increasing importance. However, little research to date has assessed the factors influencing the motivation to autonomously adapt, nor any successful measures for instigating this behavioural change. This study investigates whether providing locally-focused vs. globally-focused information about the effects of climate change influences the personal perceived risk (PPR) of individual people. Based on a socio-psychological model, Protection Motivation Theory (PMT), it is hypothesized that a higher PPR will lead to a higher motivation to adapt. While this hypothesis has been empirically confirmed by the study, it has been found that providing information on climate change effects that is more personally relevant to the individual and is concerned with his local surroundings does not significantly increase PPR. This may be due to a trade-off between spatial-temporal distance and the comparably low severity of predicted effects in the study region. Interestingly, providing any kind of information, irrespective of having a global or local focus, also did not increase PPR as compared to receiving no information. These results suggest that the sole provision of information about expected climate change impacts, even if tailored to one's individual context, does not significantly increase PPR and consequently the motivation to adapt. Another necessary factor might be increasing the knowledge about concrete coping options to allow people to weigh up their personal options

Interventional functional diagnostics in gastrointestinal endoscopy: Combining diagnostic and therapeutic tools in the endoscopy suite with the functional lumen imaging probe

With technical progress of gastrointestinal functional testing, there has been a demand for more comprehensive examination of esophageal physiology and pathophysiology beyond high-resolution manometry. A new interventional technology based on impedance planimetry, the functional lumen imaging probe (FLIP), enables intraluminal measurement of distensibility and compliance of hollow organs. EndoFLIP uses balloon catheters to measure diameter and distension pressure to calculate cross-sectional area and distensibility in different organs (mostly esophagus, stomach, anorectal region) and can be used in wide variety of indications (diagnostics, pre- and post-treatment evaluation) and currently serves as a helpful adjunctive tool in ambiguous clinical cases. EsoFLIP is a therapeutic variation that uses a stiffer balloon catheter allowing for dilation. The trend to simplify the clinical process from diagnosis to treatment tends to a one-session procedure combining diagnostics and therapeutic interventions. In specified conditions like e.g. achalasia or gastroparesis, a combination of EndoFLIP and EsoFLIP procedures may therefore be useful. The aim of this narrative review is to introduce the clinical use of FLIP and its potential benefit in combined diagnostic-therapeutic procedures

Partial Measurement Invariance: Extending and Evaluating the Cluster Approach for Identifying Anchor Items

When measurement invariance does not hold, researchers aim for partial measurement invariance by identifying anchor items that are assumed to be measurement invariant. In this paper, we build on Bechger and Maris’s approach for identification of anchor items. Instead of identifying differential item functioning (DIF)-free items, they propose to identify different sets of items that are invariant in item parameters within the same item set. We extend their approach by an additional step in order to allow for identification of homogeneously functioning item sets. We evaluate the performance of the extended cluster approach under various conditions and compare its performance to that of previous approaches, that are the equal-mean difficulty (EMD) approach and the iterative forward approach. We show that the EMD and the iterative forward approaches perform well in conditions with balanced DIF or when DIF is small. In conditions with large and unbalanced DIF, they fail to recover the true group mean differences. With appropriate threshold settings, the cluster approach identified a cluster that resulted in unbiased mean difference estimates in all conditions. Compared to previous approaches, the cluster approach allows for a variety of different assumptions as well as for depicting the uncertainty in the results that stem from the choice of the assumption. Using a real data set, we illustrate how the assumptions of the previous approaches may be incorporated in the cluster approach and how the chosen assumption impacts the results

Hilfe, ich kann nicht rülpsen: Falldarstellung und Kurzübersicht zur retrograden krikopharyngealen Dysfunktion

In dieser Kurzübersicht wird das erstmalig 2019 durch den Laryngologen Dr. Bastian beschriebene Syndrom der retrograden krikopharyngealen Dysfunktion (R-CPD) anhand eines klassischen Falls vorgestellt. Die Diagnose erfolgt in der Regel klinisch durch die klassischen Symptome wie beispielsweise die Unfähigkeit, Luft aufzustoßen, abdominales Blähgefühl und retrosternale gurgelnde Geräusche. Des Weiteren werden neue Möglichkeiten der Diagnosesicherung mittels hochauflösender Ösophagusmanometrie und die therapeutischen Möglichkeiten mittels Injektion von Botulinumtoxin in den M. cricopharyngeus beschrieben sowie die dazu publizierten Daten diskutiert. // In this short communication, we discuss the recently described syndrome of retrograde cricopharyngeal dysfunction (R-CPD) with its first description in 2019 by the laryngologist Dr. Bastian. Diagnosis is generally based on typical clinical symptoms, e.g., the inability to belch, a bloated abdomen and retrosternal gurgling noises. We also describe high-resolution esophageal manometry as a new tool to further secure the diagnosis of R‑CPD, as well as therapeutic options such as botulinum toxin injections in the cricopharyngeal muscle or cricopharyngeal myotomy and the published data thereon