Project evaluation “classroom of the future”

U uvjetima sve veće informatizacije društva, kada znanja postaju osnovni proizvodni resurs, od institucije škole očekuje se da zauzme ulogu predvodnika promjena. Obrazovni sustav mora biti osjetljiv i adaptabilan kako bi postao generator promjena i stalni pratitelj boljeg i kvalitetnijeg rada škole te obrazovanja kao cjeline. Danas se sve više naglašava potreba za obrazovanjem zasnovanom na metodama koje koriste informacijske i komunikacijske tehnologije zbog čega je naše istraživanje bilo usmjereno na procjenu stupnja iskorištenosti suvremenih nastavih sredstava i kvaliteta nastave u “Učionici budućnosti” gimnazije Frana Galovića u Koprivnici. Istraživanje je provedeno na 52 nastavnika navedene škole s ciljem ocjene trenutnog stanja u vezi sa stupnjem korištenja informacijskih tehnologija u nastavi te efektima njihove primjene. To je tek preliminarno istraživanje koje otvara mogućnosti za daljnja istraživanja o suvremenim metodama poučavanja baziranim na korištenju novih informacijskih tehnologija. Dobiveni rezultati upućuju na promišljanje o uspješnosti i kvaliteti korištenja informacijske i komunikacijske tehnologije, praćenje napretka te nude prijedloga od strane nastavnika za njihov daljnji razvoj.In terms of increasing computerization of society, where knowledge is becoming a basic production resource, it is expected that the school as an educational institution takes a leading role in these changes. The education system must be responsive and adaptive to become a generator of change and constant companion of a high quality school work and education as a whole. Today, the need for education based on methods that use information and communication technology is more and more emphasized, which is why our research was focused on evaluating the degree of utilization of modern means of teaching and the quality of teaching in the “classroom of the future” of the Gymnasium Fran Galović in Koprivnica. The study involved 52 teachers of the mentioned school in order to evaluate the current situation in relation to the degree of use of information technology in teaching and the effects of their use. It is only a preliminary study that opens up opportunities for further research in modern teaching methods based on the use of new information technologies. The results indicate reflection on the success and quality of the information and communication technology, tracking progress and offer suggestions from teachers for their further development

Evolution of Plasma Composition in an Eruptive Flux Rope

Magnetic flux ropes are bundles of twisted magnetic field enveloping a central axis. They harbor free magnetic energy and can be progenitors of coronal mass ejections (CMEs). However, identifying flux ropes on the Sun can be challenging. One of the key coronal observables that has been shown to indicate the presence of a flux rope is a peculiar bright coronal structure called a sigmoid. In this work, we show Hinode EUV Imaging Spectrometer observations of sigmoidal active region (AR) 10977. We analyze the coronal plasma composition in the AR and its evolution as a sigmoid (flux rope) forms and erupts as a CME. Plasma with photospheric composition was observed in coronal loops close to the main polarity inversion line during episodes of significant flux cancellation, suggestive of the injection of photospheric plasma into these loops driven by photospheric flux cancellation. Concurrently, the increasingly sheared core field contained plasma with coronal composition. As flux cancellation decreased and a sigmoid/flux rope formed, the plasma evolved to an intermediate composition in between photospheric and typical AR coronal compositions. Finally, the flux rope contained predominantly photospheric plasma during and after a failed eruption preceding the CME. Hence, plasma composition observations of AR 10977 strongly support models of flux rope formation by photospheric flux cancellation forcing magnetic reconnection first at the photospheric level then at the coronal level

Nonlinear force-free extrapolation of emerging flux with a global twist and serpentine fine structures

We study the flux emergence process in NOAA active region 11024, between 29 June and 7 July 2009, by means of multi-wavelength observations and nonlinear force-free extrapolation. The main aim is to extend previous investigations by combining, as much as possible, high spatial resolution observations to test our present understanding of small-scale (undulatory) flux emergence, whilst putting these small-scale events in the context of the global evolution of the active region. The combination of these techniques allows us to follow the whole process, from the first appearance of the bipolar axial field on the east limb, until the buoyancy instability could set in and raise the main body of the twisted flux tube through the photosphere, forming magnetic tongues and signatures of serpentine field, until the simplification of the magnetic structure into a main bipole by the time the active region reaches the west limb. At the crucial time of the main emergence phase high spatial resolution spectropolarimetric measurements of the photospheric field are employed to reconstruct the three-dimensional structure of the nonlinear force-free coronal field, which is then used to test the current understanding of flux emergence processes. In particular, knowledge of the coronal connectivity confirms the identity of the magnetic tongues as seen in their photospheric signatures, and it exemplifies how the twisted flux, which is emerging on small scales in the form of a sea-serpent, is subsequently rearranged by reconnection into the large-scale field of the active region. In this way, the multi-wavelength observations combined with a nonlinear force-free extrapolation provide a coherent picture of the emergence process of small-scale magnetic bipoles, which subsequently reconnect to form a large-scale structure in the corona. © 2011 Springer Science+Business Media B.V

Cytoreductive surgery followed by chemotherapy versus chemotherapy alone for recurrent platinum- sensitive epithelial ovarian cancer (SOCceR trial):a multicenter randomised controlled study

BACKGROUND: Improvement in treatment for patients with recurrent ovarian cancer is needed. Standard therapy in patients with platinum-sensitive recurrent ovarian cancer consists of platinum-based chemotherapy. Median overall survival is reported between 18 and 35 months. Currently, the role of surgery in recurrent ovarian cancer is not clear. In selective patients a survival benefit up to 62 months is reported for patients undergoing complete secondary cytoreductive surgery. Whether cytoreductive surgery in recurrent platinum-sensitive ovarian cancer is beneficial remains questionable due to the lack of level I-II evidence. METHODS/DESIGN: Multicentre randomized controlled trial, including all nine gynecologic oncologic centres in the Netherlands and their affiliated hospitals. Eligible patients are women, with first recurrence of FIGO stage Ic-IV platinum-sensitive epithelial ovarian cancer, primary peritoneal cancer or fallopian tube cancer, who meet the inclusion criteria. Participants are randomized between the standard treatment consisting of at least six cycles of intravenous platinum based chemotherapy and the experimental treatment which consists of secondary cytoreductive surgery followed by at least six cycles of intravenous platinum based chemotherapy. Primary outcome measure is progression free survival. In total 230 patients will be randomized. Data will be analysed according to intention to treat. DISCUSSION: Where the role of cytoreductive surgery is widely accepted in the initial treatment of ovarian cancer, its value in recurrent platinum-sensitive epithelial ovarian cancer has not been established so far. A better understanding of the benefits and patients selection criteria for secondary cytoreductive surgery has to be obtained. Therefore the 4(th) ovarian cancer consensus conference in 2010 stated that randomized controlled phase 3 trials evaluating the role of surgery in platinum-sensitive recurrent epithelial ovarian cancer are urgently needed. We present a recently started multicentre randomized controlled trial that will investigate the role of secondary cytoreductive surgery followed by chemotherapy will improve progression free survival in selected patients with first recurrence of platinum-sensitive epithelial ovarian cancer. TRIAL REGISTRATION: Netherlands Trial Register number: NTR3337

Mapping gene associations in human mitochondria using clinical disease phenotypes

Nuclear genes encode most mitochondrial proteins, and their mutations cause diverse and debilitating clinical disorders. To date, 1,200 of these mitochondrial genes have been recorded, while no standardized catalog exists of the associated clinical phenotypes. Such a catalog would be useful to develop methods to analyze human phenotypic data, to determine genotype-phenotype relations among many genes and diseases, and to support the clinical diagnosis of mitochondrial disorders. Here we establish a clinical phenotype catalog of 174 mitochondrial disease genes and study associations of diseases and genes. Phenotypic features such as clinical signs and symptoms were manually annotated from full-text medical articles and classified based on the hierarchical MeSH ontology. This classification of phenotypic features of each gene allowed for the comparison of diseases between different genes. In turn, we were then able to measure the phenotypic associations of disease genes for which we calculated a quantitative value that is based on their shared phenotypic features. The results showed that genes sharing more similar phenotypes have a stronger tendency for functional interactions, proving the usefulness of phenotype similarity values in disease gene network analysis. We then constructed a functional network of mitochondrial genes and discovered a higher connectivity for non-disease than for disease genes, and a tendency of disease genes to interact with each other. Utilizing these differences, we propose 168 candidate genes that resemble the characteristic interaction patterns of mitochondrial disease genes. Through their network associations, the candidates are further prioritized for the study of specific disorders such as optic neuropathies and Parkinson disease. Most mitochondrial disease phenotypes involve several clinical categories including neurologic, metabolic, and gastrointestinal disorders, which might indicate the effects of gene defects within the mitochondrial system. The accompanying knowledgebase (http://www.mitophenome.org/) supports the study of clinical diseases and associated genes

Mast cells and eosinophils in invasive breast carcinoma

<p>Abstract</p> <p>Background</p> <p>Inflammatory cells in the tumour stroma has gained increasing interest recently. Thus, we aimed to study the frequency and prognostic impact of stromal mast cells and tumour infiltrating eosinophils in invasive breast carcinomas.</p> <p>Methods</p> <p>Tissue microarrays containing 234 cases of invasive breast cancer were prepared and analysed for the presence of stromal mast cells and eosinophils. Tumour infiltrating eosinophils were counted on hematoxylin-eosin slides. Immunostaining for tryptase was done and the total number of mast cells were counted and correlated to the proliferation marker Ki 67, positivity for estrogen and progesterone receptors, clinical parameters and clinical outcome.</p> <p>Results</p> <p>Stromal mast cells were found to correlate to low grade tumours and estrogen receptor positivity. There was a total lack of eosinophils in breast cancer tumours.</p> <p>Conclusion</p> <p>A high number of mast cells in the tumours correlated to low-grade tumours and estrogen receptor positivity. Eosinophils are not tumour infiltrating in breast cancers.</p

Periconceptional Maternal Folic Acid Use of 400 µg per Day Is Related to Increased Methylation of the IGF2 Gene in the Very Young Child

Background: Countries worldwide recommend women planning pregnancy to use daily 400 mg of synthetic folic acid in the periconceptional period to prevent birth defects in children. The underlying mechanisms of this preventive effect are not clear, however, epigenetic modulation of growth processes by folic acid is hypothesized. Here, we investigated whether periconceptional maternal folic acid use and markers of global DNA methylation potential (S-adenosylmethionine and S-adenosylhomocysteine blood levels) in mothers and children affect methylation of the insulin-like growth factor 2 gene differentially methylation region (IGF2 DMR) in the child. Moreover, we tested whether the methylation of the IGF2 DMR was independently associated with birth weight. Methodology/Principal Findings: IGF2 DMR methylation in 120 children aged 17 months (SD 0.3) of whom 86 mothers had used and 34 had not used folic acid periconceptionally were studied. Methylation was measured of 5 CpG dinucleotides covering the DMR using a mass spectrometry-based method. Children of mother who used folic acid had a 4.5% higher methylation of the IGF2 DMR than children who were not exposed to folic acid (49.5% vs. 47.4%; p = 0.014). IGF2 DMR methylation of the children also was associated with the S-adenosylmethionine blood level of the mother but not of the child (+1.7% methylation per SD S-adenosylmethionine; p = 0.037). Finally, we observed an inverse independent association between IGF2 DMR methylation and birth weight (-1.7% methylation per SD birthweight; p = 0.034). Conclusions: Periconceptional folic acid use is associated with epigenetic changes in IGF2 in the child that may affect intrauterine programming of growth and development with consequences for health and disease throughout life. These results indicate plasticity of IGF2 methylation by periconceptional folic acid use

Maternal Genome-Wide DNA Methylation Patterns and Congenital Heart Defects

The majority of congenital heart defects (CHDs) are thought to result from the interaction between multiple genetic, epigenetic, environmental, and lifestyle factors. Epigenetic mechanisms are attractive targets in the study of complex diseases because they may be altered by environmental factors and dietary interventions. We conducted a population based, case-control study of genome-wide maternal DNA methylation to determine if alterations in gene-specific methylation were associated with CHDs. Using the Illumina Infinium Human Methylation27 BeadChip, we assessed maternal gene-specific methylation in over 27,000 CpG sites from DNA isolated from peripheral blood lymphocytes. Our study sample included 180 mothers with non-syndromic CHD-affected pregnancies (cases) and 187 mothers with unaffected pregnancies (controls). Using a multi-factorial statistical model, we observed differential methylation between cases and controls at multiple CpG sites, although no CpG site reached the most stringent level of genome-wide statistical significance. The majority of differentially methylated CpG sites were hypermethylated in cases and located within CpG islands. Gene Set Enrichment Analysis (GSEA) revealed that the genes of interest were enriched in multiple biological processes involved in fetal development. Associations with canonical pathways previously shown to be involved in fetal organogenesis were also observed. We present preliminary evidence that alterations in maternal DNA methylation may be associated with CHDs. Our results suggest that further studies involving maternal epigenetic patterns and CHDs are warranted. Multiple candidate processes and pathways for future study have been identified

Posttraumatic Stress Disorder Prevalence and Risk of Recurrence in Acute Coronary Syndrome Patients: A Meta-analytic Review

BACKGROUND:Acute coronary syndromes (ACS; myocardial infarction or unstable angina) can induce posttraumatic stress disorder (PTSD), and ACS-induced PTSD may increase patients' risk for subsequent cardiac events and mortality. OBJECTIVE:To determine the prevalence of PTSD induced by ACS and to quantify the association between ACS-induced PTSD and adverse clinical outcomes using systematic review and meta-analysis. DATA SOURCES:Articles were identified by searching Ovid MEDLINE, PsycINFO, and Scopus, and through manual search of reference lists. METHODOLOGY/PRINCIPAL FINDINGS:Observational cohort studies that assessed PTSD with specific reference to an ACS event at least 1 month prior. We extracted estimates of the prevalence of ACS-induced PTSD and associations with clinical outcomes, as well as study characteristics. We identified 56 potentially relevant articles, 24 of which met our criteria (N = 2383). Meta-analysis yielded an aggregated prevalence estimate of 12% (95% confidence interval [CI], 9%-16%) for clinically significant symptoms of ACS-induced PTSD in a random effects model. Individual study prevalence estimates varied widely (0%-32%), with significant heterogeneity in estimates explained by the use of a screening instrument (prevalence estimate was 16% [95% CI, 13%-20%] in 16 studies) vs a clinical diagnostic interview (prevalence estimate was 4% [95% CI, 3%-5%] in 8 studies). The aggregated point estimate for the magnitude of the relationship between ACS-induced PTSD and clinical outcomes (ie, mortality and/or ACS recurrence) across the 3 studies that met our criteria (N = 609) suggested a doubling of risk (risk ratio, 2.00; 95% CI, 1.69-2.37) in ACS patients with clinically significant PTSD symptoms relative to patients without PTSD symptoms. CONCLUSIONS/SIGNIFICANCE:This meta-analysis suggests that clinically significant PTSD symptoms induced by ACS are moderately prevalent and are associated with increased risk for recurrent cardiac events and mortality. Further tests of the association of ACS-induced PTSD and clinical outcomes are needed