"Etwas Kluges, Entscheidendes und Unsichtbares". Über das Wesen des pädagogischen Wissens über die Unterrichtsinhalte

Ziel des Aufsatzes ist es, "neuere Erkenntnisse hinsichtlich des pädagogischen Wissens über den Unterrichtsinhalt bekannt zu machen und die Erörterung durch Fakten zu beleben, die sowohl mit Hilfe von Shulman\u27s Modell als auch mittels des Klafkischen Fragenkatalogs gewonnen wurden". Vorgestellt wird Shulman\u27s Modell, welches den "Prozeß der pädagogischen Qualifizierung beschreibt, der sich auf einen Bestand an Wissen stützt". Es wird eingegangen auf die praktischen Folgen dieses Modells, wie sie für die Beziehung zwischen Forschenden und Lehrkräften, für die Ausbildung von Lehrkräften und für die Beurteilung letzterer entstanden. Der Aufsatz weist folgende Gliederung auf: (1) Die Suche nach dem fehlenden Paradigma für die Unterrichtsforschung; (2) Pädagogisches Wissen über die Unterrichtsinhalte; (3) Die praktischen Folgen des SHULMAN-Modells. (DIPF/We.

The effect of a short educational intervention on the use of urinary catheters: a prospective cohort study.

To access publisher's full text version of this article, please click on the hyperlink in Additional Links field or click on the hyperlink at the top of the page marked FilesTo assess the effectiveness of implementation of evidence-based recommendations to reduce catheter-associated urinary tract infections (CAUTIs).Prospective cohort study, conducted in 2010-12, with a before and after design.A major referral university hospital.Data were collected before (n = 244) and 1 year after (n = 255) the intervention for patients who received urinary catheters.The intervention comprised two elements: (i) aligning doctors' and nurses' knowledge of indications for the use of catheters and (ii) an educational effort consisting of three 30- to 45-minute sessions on evidence-based practice regarding catheter usage for nursing personnel on 17 medical and surgical wards.The main outcome measures were the proportion of (i) admitted patients receiving urinary catheters during hospitalization, (ii) catheters inserted without indication, (iii) inpatient days with catheter and (iv) the incidence of CAUTIs per 1000 catheter days. Secondary outcome measures were the proportion of (i) catheter days without appropriate indication and (ii) patients discharged with a catheter.There was a reduction in the proportion of inpatient days with a catheter, from 44% to 41% (P = 0.006). There was also a reduction in the proportion of catheter days without appropriate indication (P < 0.001) and patients discharged with a catheter (P = 0.029). The majority of catheters were inserted outside the study wards.A short educational intervention was feasible and resulted in significant practice improvements in catheter usage but no reduction of CAUTIs. Other measures than CAUTI may be more sensitive to detecting important practice changes.Icelandic Nurses' Association Research Fund Landspitali University Hospital Research Fund Ministry of Welfare in Icelan

Cohort Profile: Burden of Obstructive Lung Disease (BOLD) study

The Burden of Obstructive Lung Disease (BOLD) study was established to assess the prevalence of chronic airflow obstruction, a key characteristic of chronic obstructive pulmonary disease, and its risk factors in adults (≥40 years) from general populations across the world. The baseline study was conducted between 2003 and 2016, in 41 sites across Africa, Asia, Europe, North America, the Caribbean and Oceania, and collected high-quality pre- and post-bronchodilator spirometry from 28 828 participants. The follow-up study was conducted between 2019 and 2021, in 18 sites across Africa, Asia, Europe and the Caribbean. At baseline, there were in these sites 12 502 participants with high-quality spirometry. A total of 6452 were followed up, with 5936 completing the study core questionnaire. Of these, 4044 also provided high-quality pre- and post-bronchodilator spirometry. On both occasions, the core questionnaire covered information on respiratory symptoms, doctor diagnoses, health care use, medication use and ealth status, as well as potential risk factors. Information on occupation, environmental exposures and diet was also collected

Gudmundsdottir, Sigrun, The Teller, the Tale, and the One Being Told: The Narrative Nature of the Research Interview, Curriculum Inquiry, 26 (Fall, 1996), 293-306.

Examines issues related to interviewer and interviewee in narrative inquiry and the interpretation of interview reports

Variations in elderly peoples’ visits to the emergency departments in Iceland: A five-year population study

To access publisher's full text version of this article click on the hyperlink belowINTRODUCTION: Elderly people visiting emergency departments (ED) are a non-homogenous group. Gender and other socio-demographic variations in emergency care might be present. However, gender-specific ED-data is scarce. METHODS: We retrieved retrospective data on all ED-visits, by 67years and older from 2008 to 2012, and calculated incidence of visits applying population registries. The relationship of age-categories, marital status, health and residence with outcomes were analyzed descriptively by Chi-square tests. Regression models were built to analyze gender-specific variations. RESULTS: Of the total ED-visits, 20% were from the elderly population (n=66,141), at a mean 3.1 visits per individual. Men (n=30.269) had higher incidence of visits in all age-categories. They were mostly married (69%) and women widowed (43%), although the incidence of partnered visitors underrepresented population-data while widowed and single living overrepresented. Women had more often co-morbidities, their most common causes of visits were musculoskeletal (20%) and men circulatory causes (14%). Men were more likely to be admitted (OR: 1.23; 95% CI 1.16-1.30) and had more unplanned ED-revisits (HR: 1.20; 95% CI 1.06-1.35) within 30 days. DISCUSSION: Elderly men visiting the ED were more often married than women. Gender differences were found in causes of visits and outcomes. In clinical practice, gender may be considered when identifying risk and planning adequate care related elderly ED-visits.Nursing Association Research fund Landspitali University Hospital Science Fund Icelandic Geriatric Association Research Fun

Virulence of Listeria monocytogenes isolates from humans and smoked salmon, peeled shrimp, and their processing environments

To access publisher full text version of this article. Please click on the hyperlink in Additional Links fieldThe virulence of 82 Listeria monocytogenes isolates from human cases and cold-smoked salmon, cooked peeled shrimp, and their production environments was assessed using the plaque-forming assay and a subcutaneous inoculation test in mice. These isolates were previously typed using serotyping and pulsed-field gel electrophoresis. The isolates from food-production environments were collected in several surveys over the period of 5 years. Sixty-eight (99.8%) of 69 isolates tested from food and food-processing environments were considered virulent while only one was avirulent. All clinical isolates (13) were highly virulent. The isolates were from raw materials, final products, and the production environment. This stresses the importance of hygiene in the processing environment as well as among personnel to avoid contamination of the final product