126 research outputs found
Aussiger BeitrĂ€ge 5/2011 : SchlĂŒsselkompetenz Germanistik. Profile und Perspektiven einer Disziplin im Wandel
Das Rahmenthema der vorliegenden Ausgabe der Aussiger BeitrĂ€ge 5 lautet "SchlĂŒsselkompetenz Germanistik. Profile und Perspektiven einer Disziplin im Wandel". Mit diesem Thema verbinden sich Fragestellungen, die nicht nur hinsichtlich aktueller Debatten um Deutsch als Wissenschaftssprache, sondern auch fĂŒr das gesellschaftliche VerstĂ€ndnis eines Faches bzw. das SelbstverstĂ€ndnis seiner Vertreter von höchster Bedeutung sind. Die Herausgeber nahmen dies zum Anlass, die Situation der Germanistik vor dem Horizont ihrer schwierigen Herausforderungen, vor allem aber ihrer Ressourcen, Potentiale und Möglichkeiten in den Blick zu rĂŒcken.
Dazu fĂŒhrte zunĂ€chst eine einfache analytische VorĂŒberlegung: In den vergangenen zwei Jahrzehnten haben die Geisteswissenschaften einen grundlegenden Wandlungsprozess durchlaufen, der mit einschneidenden VerĂ€nderungen in allen Bereichen einherging. Auch in der Germanistik lĂ€sst sich diese Entwicklung beobachten â wenngleich in oft zwiespĂ€ltiger Form: Haben sich auf der einen Seite vielfĂ€ltige Möglichkeiten ergeben, philologische Forschungen technisch zu optimieren, zu vernetzen, zu publizieren und damit eine gröĂere Ăffentlichkeit zu erreichen, so ist auf der anderen Seite ein schwindendes gesellschaftliches Interesse zu vermerken, das den philologischen Disziplinen letzthin einen eher marginalen Platz in der Wissenschaftslandschaft zuweist. Die Umprofilierung der Geisteswissenschaften zu 'Hilfswissenschaften' mag vielen als irreversibler Imageverlust erscheinen, ist aber bei nĂ€herem Besehen durchaus als Chance zu begreifen: Wo immer es gilt, innerhalb hochspezialisierter 'Leitwissenschaften' wichtige Schnittstellen herzustellen, könnten Geisteswissenschaften entscheidende BeitrĂ€ge leisten. Die FĂ€higkeit zu Reflexion und interdisziplinĂ€rem Denken auf der Basis gemeinsamer referenzieller Bezugswerte â Sprache, Literatur, Kultur â erweist sich unter solchen Vorzeichen als SchlĂŒsselkompetenz. Aber sind sich Geisteswissenschaftler dessen immer bewusst
Community networks of sport and physical activity promotion: an analysis of structural properties and conditions of cooperation
BACKGROUND: The importance of intersectoral cooperation networks among community organizations located in peopleâs immediate environments in addressing population health problems such as physical inactivity has come into focus in recent years. To date, there is limited evidence on how and why such networks emerge. Therefore, the aims of this study were (a) to analyze the structural properties and (b) to identify the conditions of cooperation in interorganizational community networks of sport and physical activity promotion. METHODS: Survey data on cooperative relationships and organizational attributes of sports and physical activity providers as well as sports administrating organizations in two community networks located in urban districts in southern Germany were collected (Network I: nâ=â133 organizations; Network II: nâ=â50 organizations). Two quantitative descriptive procedures â network analysis and stochastic analyses of network modeling (exponential random graphs) â were applied. RESULTS: Similar structures and conditions of cooperation were found in the networks (e.g. low density, centralization). The community sports administrations had the most central positions in both networks. Exponential random graph modeling showed that cooperation took place more frequently in triangular structures (closure effect) and revolved around a few central actors (preferential attachment effect). Organizations from different sectors cooperated more often than organizations from the same sector (heterophily effect). CONCLUSION: The study provided valid and robust findings on significant mechanisms and conditions of interorganizational cooperation in community networks focused on sport and physical activity promotion. Based on the results, implications for the development and most efficient governance of these networks can be derived. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-022-14383-3
How to disseminate national recommendations for physical activity: a qualitative analysis of critical change agents in Germany
Physical activity recommendations are reached by only a small part of the population. A common problem is that research findings on public health-related topics such as physical activity promotion are oftentimes not translated into practice. The involvement of relevant stakeholders, such as change agents (role models, decision-makers, and/or knowledge mediators), is a common strategy to implement physical activity recommendations in specific settings, as they have the necessary knowledge of contextual factors. However, dissemination and implementation of physical activity recommendations are often prevented by focusing exclusively on the health sector and by underestimating the individual perceptions and needs of change agents. Therefore, the purpose of this study was to address the problem of how physical activity recommendations can be translated into practice through comprehensive consideration of the situation and context of change agents from various sectors of society at different administrative levels. This allows for deriving recommendations for action on how a national dissemination strategy of physical activity recommendations should be designed.
Methods
Qualitative expert interviews were conducted with change agents from different sectors of society and administrative levels in Germany (Nâ=â21). Case selection took place via a sampling plan. The interviews were recorded, transcribed verbatim, and analysed by two trained researchers using qualitative content analysis.
Results
The change agentsâ perceived relevance of physical activity and physical activity promotion and their knowledge of physical activity recommendations varied across different sectors. Nine themes were identified covering the change agentsâ needs for the implementation of physical activity recommendations: strengthening of political will and cooperation, availability of public space for physical activity, change in awareness and health education, professional qualification, financial incentives, development of physical activity-promoting programmes and structures, provision of resources, bridging the theoryâpractice gap, and knowledge of physical activity recommendations.
Conclusions
This exploratory study contributes to the development of an evidence-based dissemination strategy of physical activity recommendations involving change agents from various sectors. Cross-sectoral needs and obstacles were identified indicating gaps that have to be addressed. Future research should choose practice-oriented approaches to develop dissemination strategies that are adapted to the needs of local contexts
Relationship between Birth Weight, Early Growth Rate, and Body Composition in 5- to 7-Year-Old Children
Background: Programing of body composition during intrauterine growth may contribute to the higher risk for cardio-metabolic disease in individuals born small or large for gestational age (SGA, LGA). Compensations of intrauterine growth by catch-up or catch-down postnatal growth may lead to adverse consequences like a thin-fat phenotype. Methods: The impact of (i) birth weight as well as (ii) the interaction between birth weight and catch-up or catch-down growth during the first 2 years of life on fat-free mass index (FFMI) and fat mass index (FMI) in 3,204 5â7-year-old children were investigated using Hattoriâs body composition chart. Body composition results were compared to appropriate for gestational age (AGA) birth weight with the same body mass index (BMI). Results: In total, 299 children at age 5â7 years were categorized as SGA, 2,583 as AGA, and 322 as LGA. When compared to AGA-children, BMI at 5â7 years of age was higher in LGA-children (15.5 vs. 16.2 kg/m2; p < 0.001) but not different in SGA-children. Compared to AGA with the same BMI, LGA was associated with higher FMI and a lower FFMI in 5â7-year-old girls. This phenotype was also seen for both sexes with catch-down growth during the first 2 years of life whereas catch-up growth prevented the higher FMI and lower FFMI per BMI. By contrast, SGA was associated with a higher FFMI and lower FMI in 5â7-year-old boys compared to AGA boys with the same BMI. This phenotype was also seen with catch-down growth in both genders whereas catch-up growth in girls led to more gain in FMI per BMI. Conclusion: LGA with a compensatory catch-down postnatal growth may be a risk factor for the development of disproportionate gain in fat over lean mass whereas SGA with a catch-down postnatal growth seems to favor the subsequent accretion of lean over fat mass. A higher propensity of lean mass accretion during postnatal growth in boys compared to girls explains sex differences in these phenotypes
Trends in COVID-19-associated mortality in patients with pulmonary hypertension: a COMPERA analysis
In patients with pulmonary hypertension, the mortality rate associated with COVID-19 has declined sharply with the emergence of the Omicron variants https://bit.ly/42OMsf
In-depth analysis of T cell immunity and antibody responses in heterologous prime-boost-boost vaccine regimens against SARS-CoV-2 and Omicron variant.
With the emergence of novel Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) Variants of Concern (VOCs), vaccination studies that elucidate the efficiency and effectiveness of a vaccination campaign are critical to assess the durability and the protective immunity provided by vaccines. SARS-CoV-2 vaccines have been found to induce robust humoral and cell-mediated immunity in individuals vaccinated with homologous vaccination regimens. Recent studies also suggest improved immune response against SARS-CoV-2 when heterologous vaccination strategies are employed. Yet, few data exist on the extent to which heterologous prime-boost-boost vaccinations with two different vaccine platforms have an impact on the T cell-mediated immune responses with a special emphasis on the currently dominantly circulating Omicron strain. In this study, we collected serum and peripheral blood mononuclear cells (PBMCs) from 57 study participants of median 35-year old's working in the health care field, who have received different vaccination regimens. Neutralization assays revealed robust but decreased neutralization of Omicron VOC, including BA.1 and BA.4/5, compared to WT SARS-CoV-2 in all vaccine groups and increased WT SARS-CoV-2 binding and neutralizing antibodies titers in homologous mRNA prime-boost-boost study participants. By investigating cytokine production, we found that homologous and heterologous prime-boost-boost-vaccination induces a robust cytokine response of CD4+ and CD8+ T cells. Collectively, our results indicate robust humoral and T cell mediated immunity against Omicron in homologous and heterologous prime-boost-boost vaccinated study participants, which might serve as a guide for policy decisions
Multicenter Standardization of Phase-Resolved Functional Lung MRI in Patients With Suspected Chronic Thromboembolic Pulmonary Hypertension
BACKGROUND
Detection of pulmonary perfusion defects is the recommended approach for diagnosing chronic thromboembolic pulmonary hypertension (CTEPH). This is currently achieved in a clinical setting using scintigraphy. Phase-resolved functional lung (PREFUL) magnetic resonance imaging (MRI) is an alternative technique for evaluating regional ventilation and perfusion without the use of ionizing radiation or contrast media.
PURPOSE
To assess the feasibility and image quality of PREFUL-MRI in a multicenter setting in suspected CTEPH.
STUDY TYPE
This is a prospective cohort sub-study.
POPULATION
Forty-five patients (64â±â16âyears old) with suspected CTEPH from nine study centers.
FIELD STRENGTH/SEQUENCE
1.5âT and 3âT/2D spoiled gradient echo/bSSFP/T2 HASTE/3D MR angiography (TWIST).
ASSESSMENT
Lung signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR) were compared between study centers with different MRI machines. The contrast between normally and poorly perfused lung areas was examined on PREFUL images. The perfusion defect percentage calculated using PREFUL-MRI (QDP ) was compared to QDP from the established dynamic contrast-enhanced MRI technique (QDP ). Furthermore, QDP was compared between a patient subgroup with confirmed CTEPH or chronic thromboembolic disease (CTED) to other clinical subgroups.
STATISTICAL TESTS
t-Test, one-way analysis of variance (ANOVA), Pearson's correlation. Significance level was 5%.
RESULTS
Significant differences in lung SNR and CNR were present between study centers. However, PREFUL perfusion images showed a significant contrast between normally and poorly perfused lung areas (mean delta of normalized perfusion -4.2% SD 3.3) with no differences between study sites (ANOVA: Pâ=â0.065). QDP was significantly correlated with QDP (râ=â0.66), and was significantly higher in 18 patients with confirmed CTEPH or CTED (57.9â±â12.2%) compared to subgroups with other causes of PH or with excluded PH (in total 27 patients with meanâ±âSD QDP â=â33.9â±â17.2%).
DATA CONCLUSION
PREFUL-MRI could be considered as a non-invasive method for imaging regional lung perfusion in multicenter studies.
LEVEL OF EVIDENCE
3 TECHNICAL EFFICACY: Stage 1
Chronic thromboembolic pulmonary hypertension and impairment after pulmonary embolism: the FOCUS study
AIMS: To systematically assess late outcomes of acute pulmonary embolism (PE) and to investigate the clinical implications of post-PE impairment (PPEI) fulfilling prospectively defined criteria.
METHODS AND RESULTS: A prospective multicentre observational cohort study was conducted in 17 large-volume centres across Germany. Adult consecutive patients with confirmed acute symptomatic PE were followed with a standardized assessment plan and pre-defined visits at 3, 12, and 24 months. The co-primary outcomes were (i) diagnosis of chronic thromboembolic pulmonary hypertension (CTEPH), and (ii) PPEI, a combination of persistent or worsening clinical, functional, biochemical, and imaging parameters during follow-up. A total of 1017 patients (45% women, median age 64 years) were included in the primary analysis. They were followed for a median duration of 732 days after PE diagnosis. The CTEPH was diagnosed in 16 (1.6%) patients, after a median of 129 days; the estimated 2-year cumulative incidence was 2.3% (1.2-4.4%). Overall, 880 patients were evaluable for PPEI; the 2-year cumulative incidence was 16.0% (95% confidence interval 12.8-20.8%). The PPEI helped to identify 15 of the 16 patients diagnosed with CTEPH during follow-up (hazard ratio for CTEPH vs. no CTEPH 393; 95% confidence interval 73-2119). Patients with PPEI had a higher risk of re-hospitalization and death as well as worse quality of life compared with those without PPEI.
CONCLUSION: In this prospective study, the cumulative 2-year incidence of CTEPH was 2.3%, but PPEI diagnosed by standardized criteria was frequent. Our findings support systematic follow-up of patients after acute PE and may help to optimize guideline recommendations and algorithms for post-PE care
Guidelines for developing optical clocks with fractional frequency uncertainty
There has been tremendous progress in the performance of optical frequency
standards since the first proposals to carry out precision spectroscopy on
trapped, single ions in the 1970s. The estimated fractional frequency
uncertainty of today's leading optical standards is currently in the
range, approximately two orders of magnitude better than that of the best
caesium primary frequency standards. This exceptional accuracy and stability is
resulting in a growing number of research groups developing optical clocks.
While good review papers covering the topic already exist, more practical
guidelines are needed as a complement. The purpose of this document is
therefore to provide technical guidance for researchers starting in the field
of optical clocks. The target audience includes national metrology institutes
(NMIs) wanting to set up optical clocks (or subsystems thereof) and PhD
students and postdocs entering the field. Another potential audience is
academic groups with experience in atomic physics and atom or ion trapping, but
with less experience of time and frequency metrology and optical clock
requirements. These guidelines have arisen from the scope of the EMPIR project
"Optical clocks with uncertainty" (OC18). Therefore, the
examples are from European laboratories even though similar work is carried out
all over the world. The goal of OC18 was to push the development of optical
clocks by improving each of the necessary subsystems: ultrastable lasers,
neutral-atom and single-ion traps, and interrogation techniques. This document
shares the knowledge acquired by the OC18 project consortium and gives
practical guidance on each of these aspects
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