Wirken – erkennen – sich selbst sein: Validierung unterschiedlicher Interessen von Studierenden und Praxislehrpersonen in Unterrichtsbesprechungen

Auf der Basis je einer Stichprobe von Studierenden (N=243) und von Praxislehrpersonen (N=198) aus insgesamt drei Institutionen der Lehrerbildung geht der vorliegende Beitrag der Frage nach, ob sich unterschiedliche Rationalitätsansprüche in Unterrichtsbesprechungen auf faktorenanalytischem Wege in drei kommunikativen Bereichen kategorisieren lassen. Vorgeschlagen wurden: (a) Feedbackgespräche für zweckrationales Handeln, (b) Reflexionsgespräche für das propositionale Berufswissen, (c) Orientierungsgespräche für den gegenseitigen Austausch zu Fragen der Selbstregulation. Dabei zeigte es sich, dass sich die drei theoretisch postulierten Ebenen tatsächlich in den kommunikativen Interessen der Probanden widerspiegeln. Zusätzlich wurden Unterschiede zwischen Studierenden und Lehrkräften deutlich, die auch für die Betreuung im Praktikum von Bedeutung sind

Calcium waves driven by "sensitization” wave-fronts

Objective: Cellular Ca2+ waves are understood as reaction-diffusion systems sustained by Ca2+-induced Ca2+ release (CICR) from Ca2+ stores. Given the recently discovered sensitization of Ca2+ release channels (ryanodine receptors; RyRs) of the sarcoplasmic reticulum (SR) by luminal SR Ca2+, waves could also be driven by RyR sensitization, mediated by SR overloading via Ca2+ pump (SERCA), acting in tandem with CICR. Methods: Confocal imaging of the Ca2+ indicator fluo-3 was combined with UV-flash photolysis of caged compounds and the whole-cell configuration of the patch clamp technique to carry out these experiments in isolated guinea pig ventricular cardiomyocytes. Results: Upon sudden slowing of the SERCA in cardiomyocytes with a photoreleased inhibitor, waves indeed decelerated immediately. No secondary changes of Ca2+ signaling or SR Ca2+ content due to SERCA inhibition were observed in the short time-frame of these experiments. Conclusions: Our findings are consistent with Ca2+ loading resulting in a zone of RyR ‘sensitization' traveling within the SR, but inconsistent with CICR as the predominant mechanism driving the Ca2+ waves. This alternative mode of RyR activation is essential to fully conceptualize cardiac arrhythmias triggered by spontaneous Ca2+ releas

Different Carotenoids and Potential Information Content of Red Coloration of Male Three-Spined Stickleback

Female sticklebacks (Gasterosteus aculeatus) use the red coloration of males as a criterion for mate choice. Redder males are more attractive. However, males often differ not only in the intensity of their coloration (from dull to bright red) but also in color quality (from yellowish to purple-red). We investigated whether the red coloration of the stickleback is actually a multiple signal made by several pigments. We kept wild caught males singly in tanks until they had built a nest and were ready to accept females. Then, we took standard photographs and measured their colors by spectrometer analyses of the slides and by descriptions of human observers. These two measurements were highly correlated. When analyzing the carotenoid content of the sticklebacks' skin we found two groups of carotenoids (astaxanthin and tunaxanthin/lutein) that were quantified for each individual. The differences in color observed in the fish are correlated to this pigment quantification. Redder fish have more astaxanthin in their skin than yellowish fish, while the color of the yellowish fish appears to be made by tunaxanthin/lutein. Our results suggest that the red coloration of sticklebacks is a multiple trait that is made of at least two different carotenoids. This opens the possibility that male sticklebacks signal more detailed information to females than a one-dimensional trait would allo

Protonentherapie mit "Spot-Scanning" bei Rhabdomyosarkomen im frühen Kindesalter: Erste Erfahrungen am PSI

Ziel:: Die Durchführbarkeit und Verträglichkeit der Spot-Scanning-Protonentherapie in tiefer Sedierung bei Kindern mit Rhabdomyosarkomen (RMS) sollten geprüft werden. Patienten und Methodik:: Seit 2004 werden junge Kinder am Paul Scherrer Institut (PSI), Villigen, Schweiz, auch in tiefer Sedierung mit Protonen bestrahlt. Ausgewertet wurden Kinder unter 5 Jahren mit RMS im Bereich des Kopfes und Körperstamms. Alle Kinder waren in eine Therapieoptimierungsstudie eingeschlossen und wurden prospektiv hinsichtlich der Verträglichkeit der Bestrahlung untersucht. Ergebnisse:: Neun Kinder im medianen Alter von 1,9 Jahren wurden untersucht (sechs embryonale RMS und je ein alveoläres, undifferenziertes und nicht klassifizierbares RMS). Die Lokalisationen waren parameningeal (n = 4), orbital (n = 3), Kopf-Hals-Bereich (n = 1) und Prostata (n = 1). Bei allen Kindern lag ein IRS-Stadium III vor. Die Bestrahlung erfolgte ausschließlich mit Protonen (Gesamtdosen 46-54 CGE [Cobalt-Gray-Äquivalent]). Akuttoxizitäten Grad 3 oder 4 nach RTOG/EORTC traten ausschließlich im Bereich des Knochenmarks auf. Schlussfolgerung:: Die Protonentherapie bei RMS im frühen Kindesalter war problemlos durchführbar und hervorragend verträglich. Prospektive, standardisierte Erhebungen von Spättoxizität und Lebensqualität sind essentiel

A psychoeducational intervention reduces the need for anesthesia during radiotherapy for young childhood cancer patients

<p>Abstract</p> <p>Background</p> <p>Radiotherapy (RT) has become an important treatment modality in pediatric oncology, but its delivery to young children with cancer is challenging and general anesthesia is often needed.</p> <p>Methods</p> <p>To evaluate whether a psychoeducational intervention might reduce the need for anesthesia, 223 consecutive pediatric cancer patients receiving 4141 RT fractions during 244 RT courses between February 1989 and January 2006 were studied. Whereas in 154 RT courses corresponding with 2580 RT fractions patients received no psychoeducational intervention (group A), 90 RT courses respectively 1561 RT fractions were accomplished by using psychoeducational intervention (group B). This tailored psychoeducational intervention in group B included a play program and interactive support by a trained nurse according to age to get familiar with staff, equipment and procedure of radiotherapy.</p> <p>Results</p> <p>Group A did not differ significantly from group B in age at RT, gender, diagnosis, localization of RT and positioning during RT. Whereas 33 (21.4%) patients in group A got anesthesia, only 8 (8.9%) patients in group B needed anesthesia. The median age of cooperating patients without anesthesia decreased from 3.2 to 2.7 years. In both uni- and multivariate analyses the psychoeducational intervention significantly and independently reduced the need for anesthesia.</p> <p>Conclusion</p> <p>We conclude that a specifically tailored psychoeducational intervention is able to reduce the need for anesthesia in children undergoing RT for cancer. This results in lower costs and increased cooperation during RT.</p

In vivo imaging and quantitative analysis of leukocyte directional migration and polarization in inflamed tissue

Directional migration of transmigrated leukocytes to the site of injury is a central event in the inflammatory response. Here, we present an in vivo chemotaxis assay enabling the visualization and quantitative analysis of subtype-specific directional motility and polarization of leukocytes in their natural 3D microenvironment. Our technique comprises the combination of i) semi-automated in situ microinjection of chemoattractants or bacteria as local chemotactic stimulus, ii) in vivo near-infrared reflected-light oblique transillumination (RLOT) microscopy for the visualization of leukocyte motility and morphology, and iii) in vivo fluorescence microscopy for the visualization of different leukocyte subpopulations or fluorescence-labeled bacteria. Leukocyte motility parameters are quantified off-line in digitized video sequences using computer-assisted single cell tracking. Here, we show that perivenular microinjection of chemoattractants [macrophage inflammatory protein-1alpha (MIP-1alpha/Ccl3), platelet-activating factor (PAF)] or E. coli into the murine cremaster muscle induces target-oriented intravascular adhesion and transmigration as well as polarization and directional interstitial migration of leukocytes towards the locally administered stimuli. Moreover, we describe a crucial role of Rho kinase for the regulation of directional motility and polarization of transmigrated leukocytes in vivo. Finally, combining in vivo RLOT and fluorescence microscopy in Cx3CR1(gfp/gfp) mice (mice exhibiting green fluorescent protein-labeled monocytes), we are able to demonstrate differences in the migratory behavior of monocytes and neutrophils.Taken together, we propose a novel approach for investigating the mechanisms and spatiotemporal dynamics of subtype-specific motility and polarization of leukocytes during their directional interstitial migration in vivo

Emicizumab prophylaxis in infants with hemophilia A (HAVEN 7): primary analysis of a phase 3b, open-label trial

Subcutaneous emicizumab enables prophylaxis for people with hemophilia A (HA) from birth, potentially reducing risk of bleeding and intracranial hemorrhage (ICH). HAVEN 7 (NCT04431726) is the first clinical trial of emicizumab dedicated to infants, designed to investigate the efficacy, safety, pharmacokinetics, and pharmacodynamics of emicizumab in those aged ≤12 months with severe HA without factor VIII (FVIII) inhibitors. Participants in this phase 3b trial received emicizumab 3 mg/kg maintenance dose every 2 weeks for 52 weeks and are continuing emicizumab during the 7-year long-term follow-up. Efficacy end points included annualized bleed rate (ABR): treated, all, treated spontaneous, and treated joint bleeds. Safety end points included adverse events (AEs), thromboembolic events (TEs), thrombotic microangiopathies (TMAs), and immunogenicity (anti-emicizumab antibodies [ADAs] and FVIII inhibitors). At primary analysis, 55 male participants had received emicizumab (median treatment duration: 100.3; range, 52-118 weeks). Median age at informed consent was 4.0 months (range, 9 days to 11 months 30 days). Model-based ABR for treated bleeds was 0.4 (95% confidence interval, 0.30–0.63), with 54.5% of participants (n = 30) having zero treated bleeds. No ICH occurred. All 42 treated bleeds in 25 participants (45.5%) were traumatic. Nine participants (16.4%) had ≥1 emicizumab-related AE (all grade 1 injection-site reactions). No AE led to treatment changes. No deaths, TEs, or TMAs occurred. No participant tested positive for ADAs. Two participants were confirmed positive for FVIII inhibitors. This primary analysis of HAVEN 7 indicates that emicizumab is efficacious and well tolerated in infants with severe HA without FVIII inhibitors

Wirken – erkennen – sich selbst sein: Validierung unterschiedlicher Interessen von Studierenden und Praxislehrpersonen in Unterrichtsbesprechungen

Auf der Basis je einer Stichprobe von Studierenden (N=243) und von Praxislehrpersonen (N=198) aus insgesamt drei Institutionen der Lehrerbildung geht der vorliegende Beitrag der Frage nach, ob sich unterschiedliche Rationalitätsansprüche in Unterrichtsbesprechungen auf faktorenanalytischem Wege in drei kommunikativen Bereichen kategorisieren lassen. Vorgeschlagen wurden: (a) Feedbackgespräche für zweckrationales Handeln, (b) Reflexionsgespräche für das propositionale Berufswissen, (c) Orientierungsgespräche für den gegenseitigen Austausch zu Fragen der Selbstregulation. Dabei zeigte es sich, dass sich die drei theoretisch postulierten Ebenen tatsächlich in den kommunikativen Interessen der Probanden widerspiegeln. Zusätzlich wurden Unterschiede zwischen Studierenden und Lehrkräften deutlich, die auch für die Betreuung im Praktikum von Bedeutung sind