204 research outputs found

    Politische Bildung in Österreich

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    Die vorliegende Arbeit stellt die Kombination aus einer historischen Abhandlung und einer empirischen Studie zur Politischen Bildung dar. Ziel der Arbeit war es Aussagen über den aktuellen politischen Wissensstand von SchülerInnen der Allgemeinbildenden höheren Schulen und SchülerInnen der Handelsakademien treffen zu können, und diese miteinander zu vergleichen. Weiters ging es darum, Informationen über persönlichen Einstellungen und Meinungen der SchülerInnen zu erhalten und diese ebenfalls in Bezug auf den jeweiligen Schultypen, zu vergleichen. Die historische Betrachtung der Entwicklung der Politischen Bildung, sollte einen Überblick zum Thema schaffen und ein besseres Verständnis der momentanen Situation und der vorhandenen Problematik rund um die Politische Bildung unterstützen. Im Laufe der Studie wurden mehr als 550 MaturantInnen an fünf verschiedenen Handelsakademien bzw. Allgemeinbildenden höheren Schulen befragt. Die Befragungen fanden im Zeitraum von Anfang Dezember 2009 bis Ende Februar 2010 im Raum Niederösterreich statt. Die statistische Erfassung und Auswertung der erhobenen Daten erfolgte hauptsächlich mit dem Statistikprogramm SPSS und wurde teilweise durch Microsoft Excel ergänzt. Zusammenfassend konnte festgestellt werden, dass die MaturantInnen der Handelsakademien bessere Ergebnisse bei der Beantwortung der Faktenfragen erzielten. Daraus kann man schließen, dass im Unterrichtsfach „Politische Bildung und Recht“, wie es in der Handelsakademie existiert, vermehrt politisches Faktenwissen vermittelt wird, als im Unterrichtsfach „Geschichte und Sozialkunde/Politische Bildung“ der Allgemeinbildenden höheren Schulen. Weiters ergaben die Untersuchungen, dass sich der Großteil aller Teilnehmer für Politik im Allgemeinen interessiert. Die SchülerInnen der Allgemeinbildenden höheren Schulen sprechen sich ausserdem für mehr politische Bildung in ihrem Geschichteunterricht aus

    Pimecrolimus in dermatology: atopic dermatitis and beyond

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    Pimecrolimus is a calcineurin inhibitor developed for the topical therapy of inflammatory skin diseases, particularly atopic dermatitis (AD). Pimecrolimus selectively targets T cells and mast cells. Pimecrolimus inhibits T-cell proliferation, as well as production and release of interleukin-2 (IL-2), IL-4, interferon-γ and tumour necrosis factor-α. Moreover, pimecrolimus inhibits mast cell degranulation. In contrast to tacrolimus, pimecrolimus has no effects on the differentiation, maturation and functions of dendritic cells. In contrast to corticosteroids, pimecrolimus does not affect endothelial cells and fibroblasts and does not induce skin atrophy. Given the low capacity of pimecrolimus to permeate through the skin, it has a very low risk of systemic exposure and subsequent systemic side-effects. In different randomised controlled trials, topical pimecrolimus as cream 1% (Elidel ® ) has been shown to be effective, well tolerated and safe in both adults and children with mild to moderate AD. In addition, pimecrolimus has been successfully used in inflammatory skin diseases other than AD, including seborrheic dermatitis, intertriginous psoriasis, lichen planus and cutaneous lupus erythematosus.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/73190/1/j.1368-5031.2005.00587.x.pd

    Prospective, Randomized, Multicenter, Double-Blind Placebo-Controlled Trial Comparing Adjuvant Interferon Alfa and Isotretinoin With Interferon Alfa Alone in Stage IIA and IIB Melanoma: European Cooperative Adjuvant Melanoma Treatment Study Group

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    PURPOSE: The combination of interferon alfa (IFN{alpha}) and isotretinoin has shown a direct antiproliferative effect on human melanoma cell lines, but it remained unclear whether this combination is more effective than IFN{alpha} alone in patients with metastatic melanoma. We evaluated safety and efficacy of IFN{alpha} and isotretinoin compared with IFN{alpha} alone as adjuvant treatment in patients with primary malignant melanoma stage IIA and IIB. PATIENTS AND METHODS: In a prospective, randomized, double-blind, placebo-controlled trial, 407 melanoma patients in stage IIA (301 patients) and IIB (106 patients) were randomly assigned to either IFN{alpha} and isotretinoin (isotretinoin group; 206 patients) or IFN{alpha} and placebo (placebo group; 201 patients) after excision of the primary tumor. IFN{alpha} was administered three times a week at a dose of 3 million units subcutaneously for 24 months. Isotretinoin at a dose of 20 mg for patients ≤ 73 kg, 30 mg for patients greater than 73 kg, or placebo daily for 24 months. RESULTS: A scheduled interim analysis revealed no significant differences in survival rates, with the isotretinoin group and the placebo group showing 5-year disease-free survival rates of 55% (95% CI, 46% to 65%) and 67% (95% CI, 59% to 75%), respectively, and overall 5-year survival rates of 76% (95% CI, 67% to 84%) and 81% (95% CI, 74% to 88%), respectively. The trial was stopped for futility. CONCLUSION: The addition of isotretinoin to an adjuvant treatment of low-dose IFN{alpha} in patients with stage IIA and IIB melanoma had no significant effect on disease-free or overall survival and is therefore not recommended

    Updated S2 K guidelines for the management of bullous pemphigoid initiated by the European Academy of Dermatology and Venereology (EADV).

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    BACKGROUND Bullous pemphigoid (BP) is the most common autoimmune subepidermal blistering disease of the skin and mucous membranes. This disease typically affects the elderly and presents with itch and localized or, most frequently, generalized bullous lesions. A subset of patients only develops excoriations, prurigo-like lesions, and eczematous and/or urticarial erythematous lesions. The disease, which is significantly associated with neurological disorders, has high morbidity and severely impacts the quality of life. OBJECTIVES AND METHODOLOGY The Autoimmune blistering diseases Task Force of the European Academy of Dermatology and Venereology sought to update the guidelines for the management of BP based on new clinical information, and new evidence on diagnostic tools and interventions. The recommendations are either evidence-based or rely on expert opinion. The degree of consent among all task force members was included. RESULTS Treatment depends on the severity of BP and patients' comorbidities. High-potency topical corticosteroids are recommended as the mainstay of treatment whenever possible. Oral prednisone at a dose of 0.5 mg/kg/day is a recommended alternative. In case of contraindications or resistance to corticosteroids, immunosuppressive therapies, such as methotrexate, azathioprine, mycophenolate mofetil or mycophenolate acid, may be recommended. The use of doxycycline and dapsone is controversial. They may be recommended, in particular, in patients with contraindications to oral corticosteroids. B-cell-depleting therapy and intravenous immunoglobulins may be considered in treatment-resistant cases. Omalizumab and dupilumab have recently shown promising results. The final version of the guideline was consented to by several patient organizations. CONCLUSIONS The guidelines for the management of BP were updated. They summarize evidence- and expert-based recommendations useful in clinical practice

    The Thomsen-Friedenreich Antigen-Binding Lectin Jacalin Interacts with Desmoglein-1 and Abrogates the Pathogenicity of Pemphigus Foliaceus Autoantibodies In Vivo

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    Pemphigus foliaceus (PF) is an autoimmune skin blistering disease mediated by pathogenic autoantibodies against the desmosomal core glycoprotein desmoglein 1 (Dsg1). This study demonstrated that the O-glycan-specific plant lectin jacalin binds Dsg1 and inhibits the interaction of Dsg1/PF IgG. N-glycosylation is not involved in the interaction of Dsg1/jacalin or Dsg1/PF IgG. Subcutaneous injection of jacalin into neonatal mice drastically reduced PF IgG deposition at the epidermal cell surface and blocked PF IgG-induced skin blisters, both clinically and histologically. Interestingly, another plant lectin peanut agglutinin (PNA), which shares the same carbohydrate specificity toward the O-linked carbohydrate structure known as Thomsen-Friedenreich antigen (TF antigen, Galβ1-3GalNAcα-O-Ser/Thr), also bound Dsg1 and blocked the skin blistering. In contrast, the plant lectin vicia villosa-B4 (VVL-B4), which shares the carbohydrate specificity toward the O-linked monosaccharide known as Thomsennouveau antigen (Tn antigen, GalNAc-α1-O-Ser/Thr) did not bind Dsg1 and did not show a protective effect against the disease induced by the autoantibodies. Collectively, these results suggest that the binding of jacalin to O-linked TF carbohydrate motifs on Dsg1 impairs the Dsg1/PF autoantibody interactions and abrogates its pathogenicity in vivo. TF-specific binding ligands may have a potential therapeutic value for PF
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