190 research outputs found

    Aktivierende Methodik im Fremdsprachenunterricht – Nutzen, Wirkung, praktische Beispiele

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    "Spielen im Unterricht macht Spaß, aber dafĂŒr fehlt uns die Zeit, wir haben in einem Semester so viel Stoff zu bewĂ€ltigen, dass wir kaum Zeit fĂŒr Spiele haben, außerdem finden die Studierenden das eher kindisch." Im Folgenden zeigen wir anhand theoretischer Überlegungen und praktischer Beispiele, dass man gerade bei spielerischen, aktivierenden Methoden lernt. Im ersten Teil dieses Beitrags werden theoretische Grundlagen fĂŒr das aktivierende, spielerische Lernen vorgestellt. Im zweiten Teil werden methodische GrundsĂ€tze prĂ€sentiert, und im dritten und letzten Teil berichten wir von praktischen Beispielen aus unserem Unterricht. Die Tatsache, dass die Beispiele dem Fremdsprachenunterricht entnommen sind, bedeutet jedoch nicht, dass aktivierende Methodik nur dort sinnvoll eingesetzt werden kann. Vielmehr hat sie einen allgemeinen Nutzen fĂŒr die Hochschuldidaktik in allen Fachgebieten. Gerade heute, wo Lernziele an Hochschulen zunehmend nicht nur ĂŒber den „Stoff“ definiert werden, sondern kompetenzorientiert sein und die Autonomie der Lernenden fördern sollen, können aktivierende Methoden in jedem Fachgebiet und in jeder Art von Lehrveranstaltung bedeutsam sein

    Wound infection in clinical practice : principles of best practice

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    The International Wound Infection Institute (IWII) is an organisation of volunteer interdisciplinary health professionals dedicated to advancing and improving practice relating to prevention and control of wound infection. This includes acute wounds (surgical, traumatic and burns) and chronic wounds of all types, although principally chronic wounds of venous, arterial, diabetic and pressure aetiologies. Wound infection is a common complication of wounds. It leads to delays in wound healing and increases the risk of loss of limb and life. Implementation of effective strategies to prevent, diagnose and manage, is important in reducing mortality and morbidity rates associated with wound infection. This second edition of Wound Infection in Clinical Practice is an update of the first edition published in 2008 by the World Union of Wound Healing Societies (WUWHS). The original document was authored by leading experts in wound management and endorsed by the WUWHS. The intent of this edition is to provide a practical, updated resource that is easy-to-use and understand. For this edition, the IWII collaborative team has undertaken a comprehensive review of contemporary literature, including systematic reviews and meta-analyses when available. In addition, the team conducted a formal Delphi process to reach consensus on wound infection issues for which scientific research is minimal or lacking. This rigorous process provides an update on the science and expert opinion regarding prevention, diagnosis and control of wound infection. This edition outlines new definitions relevant to wound infection, presents new paradigms and advancements in the management and diagnosis of a wound infection, and highlights controversial areas of discussion

    Keck Spectra of Pleiades Brown Dwarf Candidates and a Precise Determination of the Lithium Depletion Edge in the Pleiades

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    We have obtained intermediate resolution spectra of eleven candidate brown dwarf members of the Pleiades open cluster using the Keck II telescope and LRIS spectrograph. Our primary goal was to determine the location of the "lithium depletion edge" in the Pleiades and hence to derive a precise age for the cluster. All but one of our 11 program objects have radial velocities appropriate for Pleiades members, have moderately strong H alpha emission, and have spectral types M6 to M8.5, as expected for their (R-I) colors. We have constructed a color-magnitude diagram for the faint end of the Pleiades main sequence, including only stars for which high S/N spectra in the region of the lithium 6708 Angstrom absorption line have been obtained. These data allow us to accurately determine the Pleiades single-star lithium depletion edge at I(c0) = 17.80, R-I(c0) = 2.20, spectral type = M6.5. By reference to theoretical evolutionary models, this converts fairly directly into an age for the Pleiades of 125 Myr. This is significantly older than the age that is normally quoted, but does agree with some other recent estimates.Comment: 12 pages, including 3 Figures. Accepted by ApJ Letter

    A Test of Pre-Main Sequence Evolutionary Models Across the Stellar/Substellar Boundary Based on Spectra of the Young Quadruple GG Tau

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    We present spatially separated optical spectra of the components of the young hierarchical quadruple GG Tau. Spectra of GG Tau Aa and Ab (separation 0".25 ~ 35 AU) were obtained with the Faint Object Spectrograph aboard the Hubble Space Telescope. Spectra of GG Tau Ba and Bb (separation 1".48 ~ 207 AU) were obtained with both the HIRES and the LRIS spectrographs on the W. M. Keck telescopes. The components of this mini-cluster, which span a wide range in spectral type (K7 - M7), are used to test both evolutionary models and the temperature scale for very young, low mass stars under the assumption of coeval formation. Of the evolutionary models tested, those of Baraffe et al. (1998, A&A, 337, 403) yield the most consistent ages when combined with a temperature scale intermediate between that of dwarfs and giants. The version of the Baraffe et al. models computed with a mixing length nearly twice the pressure scale height is of particular interest as it predicts masses for GG Tau Aa and Ab that are in agreement with their dynamical mass estimate. Using this evolutionary model and a coeval (at 1.5 Myrs) temperature scale, we find that the coldest component of the GG Tau system, GG Tau Bb, is substellar with a mass of 0.044 +/- 0.006 Msun. This brown dwarf companion is especially intriguing as it shows signatures of accretion, although this accretion is not likely to alter its mass significantly. GG Tau Bb is currently the lowest mass, spectroscopically confirmed companion to a T Tauri star, and is one of the coldest, lowest mass T Tauri objects in the Taurus-Auriga star forming region.Comment: 25 pages, 6 figures, accepted for publication in The Astrophysical Journa

    Impact of positive cytology in uterine serous carcinoma: A reassessment

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    Objectives: The aim of this study was to evaluate the prognostic value of peritoneal cytology status among other clinicopathological parameters in uterine serous carcinoma (USC). Methods: A retrospective study of 148 patients diagnosed with uterine serous carcinoma from 1997 to 2016 at two academic medical centers in the Detroit metropolitan area was done. A central gynecologic pathologist reviewed all available slides and confirmed the histologic diagnosis of each case of USC. We assessed the prognostic impact of various clinicopathological parameters on overall survival (OS) and endometrial cancer-specific survival (ECSS). Those parameters included race, body mass index (BMI), stage at diagnosis, tumor size, lymphovascular invasion (LVSI), peritoneal cytology status, receipt of adjuvant treatment, and comorbidity count using the Charlson Comorbidity Index (CCI). We used Cox proportional hazards models and 95% confidence intervals for statistical analysis. Results: Positive peritoneal cytology had a statistically significant effect on OS (HR: 2.09, 95% CI: [1.19, 3.68]) and on ECSS (HR: 2.02, 95% CI: [1.06 - 3.82]). LVSI had a statistically significant effect on both OS (HR: 2.27, 95% CI: [1.14, 4.53]) and ECSS (HR: 3.45, 95% CI: [1.49, 7.99]). Black or African American (AA) race was also found to have a significant effect on both OS (HR: 1.92, 95% CI: [1.07, 3.47]) and ECSS (HR: 2.01, 95% CI: [1.02, 3.98]). Other factors including BMI and tumor size \u3e 1 cm did not show a statistically significant impact on OS or ECSS. Conclusions: Peritoneal washings with positive cytology and LVSI are important prognostic tools that may have a significant impact on overall survival in USC and can be used as independent negative prognosticators to help guide adjuvant treatment

    Surfactants: Role in biofilm management and cellular behaviour

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    Appropriate and effective wound cleaning represents an important process that is necessary for preparing the wound for improved wound healing and for helping to dislodge biofilms. Wound cleaning is of paramount importance to wound bed preparation for helping to enhance wound healing. Surfactant applications in wound care may represent an important area in the cleaning continuum. However, understanding of the role and significance of surfactants in wound cleansing, biofilm prevention and control, and enhancing cellular viability and proliferation is currently lacking. Despite this, some recent evidence on poloxamer-based surfactants where the surfactants are present in high concentration have been shown to have an important role to play in biofilm management; matrix metalloproteinase modulation; reducing inflammation; and enhancing cellular proliferation, behaviour, and viability. Consequently, this review aims to discuss the role, mode of action, and clinical significance of the use of medically accepted surfactants, with a focus on concentrated poloxamer-based surfactants, to wound healing but, more specifically, the role they may play in biofilm management and effects on cellular repair
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