Streets in the Sky: The Balconies of Lima and the Road to Intercultural Competence

The KSU country-study program ( Year of Peru ) forms the backdrop to this descriptive case study. German and Spanish faculty explored the research question: How does intercultural inquiry anchored in discipline-based methodology help advance intercultural competence in undergraduate learners? According to national standards, students attain learning outcomes, for example, by examining cultural products (e.g. balconies), in connection with cultural practices and perspectives (ACTFL, 2006). In studying products of different countries (e.g. Peruvian and German balconies) and by engaging in level-appropriate intercultural inquiry, learners develop knowledge, ski lls, and dispositions- key components in advancing intercultural competence

Integrating intercultural communicative competence into the curriculum of a department of foreign languages: an exploratory case study

Der vorliegende Artikel beschreibt die Initiative, interkulturelle Kommunikationskompetenz als festen Bestandteil in das Curriculum eines Institutes für Fremdsprachen zu integrieren. Zudem werden die neun relevanten Schritte, die während dieses Prozesses unternommen wurden, erläutert. Den auftretenden Herausforderungen, Niederlagen und Erfolgen wurde besondere Aufmerksamkeit gewidmet. Darüber hinaus präzisieren die Autoren die Erkenntnisse, die sie aus dem Projekt gewonnen haben, so dass sich andere Einrichtungen, wie z. B. Fremdsprachenabteilungen oder andere interessierte Institutionen, die hier gesammelten Erfahrungen zunutze machen können. Die Autoren schließen ihren Beitrag mit einer Ausführung über die Schwierigkeit des Projektes ab, beleuchten den derzeitigen Status und geben einen Ausblick auf zukünftige Pläne der Initiative.This article presents an ongoing initiative to integrate intercultural communicative competence into the curriculum of a department of foreign languages. This work identifies and describes the nine emergent steps that were taken as part of the process, giving special attention to the challenges, failures, and successes encountered by the group. In addition, the authors articulate five lessons learned from the project so that other departments, from foreign languages or other disciplines, may learn from the experiences described. The authors conclude with a general statement about the relative difficulty of the project, highlighting the current status and future plans for the initiative

Was Adam Smith an individualist?

Smith is generally regarded as an individualist without qualification. This article argues that his predominantly individualist policy prescription is rooted in a more complex philosophy. He sees nature, including human nature, as a vast machine supervised by God and designed to maximize human happiness. Human weaknesses, as well as strengths, display the wisdom of God and play their part in this scheme. While Smith pays lip-service to justice, it is really social order that preoccupies him, and, within that, the defence of property. Individuals are valued as bearers of property. As persons, individuals are deceived by nature into acting in a socially beneficial way. In different ways Smith systematically denies the autonomy of the individual with respect to the whole of which he or she is part. For Smith, individual liberty is not the end, but the means, of sustaining social order and property

Integrating Intercultural Communicative Competence into the curriculum of a department of Foreign Languages: An Exploratory Case Study

Der vorliegende Artikel beschreibt die Initiative, interkulturelle Kommunikationskompetenz als festen Bestandteil in das Curriculum eines Institutes für Fremdsprachen zu integrieren. Zudem werden die neun relevanten Schritte, die während dieses Prozesses unternommen wurden, erläutert. Den auftretenden Herausforderungen, Niederlagen und Erfolgen wurde besondere Aufmerksamkeit gewidmet. Darüber hinaus präzisieren die Autoren die Erkenntnisse, die sie aus dem Projekt gewonnen haben, so dass sich andere Einrichtungen, wie z. B. Fremdsprachenabteilungen oder andere interessierte Institutionen, die hier gesammelten Erfahrungen zunutze machen können. Die Autoren schließen ihren Beitrag mit einer Ausführung über die Schwierigkeit des Projektes ab, beleuchten den derzeitigen Status und geben einen Ausblick auf zukünftige Pläne der Initiative.This article presents an ongoing initiative to integrate intercultural communicative competence into the curriculum of a department of foreign languages. This work identifies and describes the nine emergent steps that were taken as part of the process, giving special attention to the challenges, failures, and successes encountered by the group. In addition, the authors articulate five lessons learned from the project so that other departments, from foreign languages or other disciplines, may learn from the experiences described. The authors conclude with a general statement about the relative difficulty of the project, highlighting the current status and future plans for the initiative

Fukushima Daiichi-derived radionuclides in the ocean: Transport, fate, and impacts

The events that followed the Tohoku earthquake and tsunami on March 11, 2011, included the loss of power and overheating at the Fukushima Daiichi nuclear power plants, which led to extensive releases of radioactive gases, volatiles, and liquids, particularly to the coastal ocean. The fate of these radionuclides depends in large part on their oceanic geochemistry, physical processes, and biological uptake. Whereas radioactivity on land can be resampled and its distribution mapped, releases to the marine environment are harder to characterize owing to variability in ocean currents and the general challenges of sampling at sea. Five years later, it is appropriate to review what happened in terms of the sources, transport, and fate of these radionuclides in the ocean. In addition to the oceanic behavior of these contaminants, this review considers the potential health effects and societal impacts

The rapid assessment of aggregated wastewater samples for genomic surveillance of sars-cov-2 on a city-wide scale

Throughout the course of the ongoing SARS-CoV-2 pandemic there has been a need for approaches that enable rapid monitoring of public health using an unbiased and minimally invasive means. A major way this has been accomplished is through the regular assessment of wastewater samples by qRT-PCR to detect the prevalence of viral nucleic acid with respect to time and location. Further expansion of SARS-CoV-2 wastewater monitoring efforts to include the detection of variants of interest/concern through next-generation sequencing has enhanced the understanding of the SARS-CoV-2 outbreak. In this report, we detail the results of a collaborative effort between public health and metropolitan wastewater management authorities and the University of Louisville to monitor the SARS-CoV-2 pandemic through the monitoring of aggregate wastewater samples over a period of 28 weeks. Through the use of next-generation sequencing approaches the polymorphism signatures of Variants of Concern / Interest were evaluated to determine the likelihood of their prevalence within the community on the basis of their relative dominance within sequence datasets. Our data indicate that wastewater monitoring of water quality treatment centers and smaller neighbor-hood-scale catchment areas is a viable means by which the prevalence and genetic variation of SARS-CoV-2 within a metropolitan community of approximately one million individuals may be monitored, as our efforts detected the introduction and emergence of variants of concern in the city of Louisville. Importantly, these efforts confirm that regional emergence and spread of variants of interest/concern may be detected as readily in aggregate wastewater samples as compared to the individual wastewater sheds. Furthermore, the information gained from these efforts enabled targeted public health efforts including increased outreach to at-risk communities and the deployment of mobile or community-focused vaccination campaigns

A phase 1/2 study of the oral FLT3 inhibitor pexidartinib in relapsed/refractory FLT3-ITD-mutant acute myeloid leukemia.

FMS-like tyrosine kinase 3 (FLT3) tyrosine kinase inhibitors (TKIs) have activity in acute myeloid leukemia (AML) patients with FLT3 internal tandem duplication (ITD) mutations, but efficacy is limited by resistance-conferring kinase domain mutations. This phase 1/2 study evaluated the safety, tolerability, and efficacy of the oral FLT3 inhibitor PLX3397 (pexidartinib), which has activity against the FLT3 TKI-resistant F691L gatekeeper mutation in relapsed/refractory FLT3-ITD-mutant AML. Ninety patients were treated: 34 in dose escalation (part 1) and 56 in dose expansion (part 2). Doses of 800 to 5000 mg per day in divided doses were tested. No maximally tolerated dose was reached. Plasma inhibitory assay demonstrated that patients dosed with ≥3000 mg had sufficient levels of active drug in their trough plasma samples to achieve 95% inhibition of FLT3 phosphorylation in an FLT3-ITD AML cell line. Based on a plateau in drug exposure, the 3000-mg dose was chosen as the recommended phase 2 dose. The most frequently reported treatment-emergent adverse events were diarrhea (50%), fatigue (47%), and nausea (46%). Based on modified response criteria, the overall response rate to pexidartinib among all patients was 21%. Twenty-three percent of patients treated at ≥2000 mg responded. The overall composite complete response rate for the study was 11%. Six patients were successfully bridged to transplantation. Median overall survival (OS) of patients treated in dose expansion was 112 days (90% confidence interval [CI], 77-150 days), and median OS of responders with complete remission with or without recovery of blood counts was 265 days (90% CI, 170-422 days). This trial was registered at www.clinicaltrials.gov as #NCT01349049

A systematic outbreak investigation of SARS-CoV-2 transmission clusters in a tertiary academic care center

BACKGROUND We sought to decipher transmission pathways in healthcare-associated infections with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) within our hospital by epidemiological work-up and complementary whole genome sequencing (WGS). We report the findings of the four largest epidemiologic clusters of SARS-CoV-2 transmission occurring during the second wave of the pandemic from 11/2020 to 12/2020. METHODS At the University Hospital Basel, Switzerland, systematic outbreak investigation is initiated at detection of any nosocomial case of SARS-CoV-2 infection, as confirmed by polymerase chain reaction, occurring more than five days after admission. Clusters of nosocomial infections, defined as the detection of at least two positive patients and/or healthcare workers (HCWs) within one week with an epidemiological link, were further investigated by WGS on respective strains. RESULTS The four epidemiologic clusters included 40 patients and 60 HCWs. Sequencing data was available for 70% of all involved cases (28 patients and 42 HCWs), confirmed epidemiologically suspected in house transmission in 33 cases (47.1% of sequenced cases) and excluded transmission in the remaining 37 cases (52.9%). Among cases with identical strains, epidemiologic work-up suggested transmission mainly through a ward-based exposure (24/33, 72.7%), more commonly affecting HCWs (16/24, 66.7%) than patients (8/24, 33.3%), followed by transmission between patients (6/33, 18.2%), and among HCWs and patients (3/33, 9.1%, respectively two HCWs and one patient). CONCLUSIONS Phylogenetic analyses revealed important insights into transmission pathways supporting less than 50% of epidemiologically suspected SARS-CoV-2 transmissions. The remainder of cases most likely reflect community-acquired infection randomly detected by outbreak investigation. Notably, most transmissions occurred between HCWs, possibly indicating lower perception of the risk of infection during contacts among HCWs

Nanoinformatics: developing new computing applications for nanomedicine

Nanoinformatics has recently emerged to address the need of computing applications at the nano level. In this regard, the authors have participated in various initiatives to identify its concepts, foundations and challenges. While nanomaterials open up the possibility for developing new devices in many industrial and scientific areas, they also offer breakthrough perspectives for the prevention, diagnosis and treatment of diseases. In this paper, we analyze the different aspects of nanoinformatics and suggest five research topics to help catalyze new research and development in the area, particularly focused on nanomedicine. We also encompass the use of informatics to further the biological and clinical applications of basic research in nanoscience and nanotechnology, and the related concept of an extended ?nanotype? to coalesce information related to nanoparticles. We suggest how nanoinformatics could accelerate developments in nanomedicine, similarly to what happened with the Human Genome and other -omics projects, on issues like exchanging modeling and simulation methods and tools, linking toxicity information to clinical and personal databases or developing new approaches for scientific ontologies, among many others

Psychological and demographic characteristics of 368 patients with dissociative seizures: data from the CODES cohort

Background We examined demographic, clinical, and psychological characteristics of a large cohort (n = 368) of adults with dissociative seizures (DS) recruited to the CODES randomised controlled trial (RCT) and explored differences associated with age at onset of DS, gender, and DS semiology. Methods Prior to randomisation within the CODES RCT, we collected demographic and clinical data on 368 participants. We assessed psychiatric comorbidity using the Mini-International Neuropsychiatric Interview (M.I.N.I.) and a screening measure of personality disorder and measured anxiety, depression, psychological distress, somatic symptom burden, emotional expression, functional impact of DS, avoidance behaviour, and quality of life. We undertook comparisons based on reported age at DS onset (<40 v. ⩾40), gender (male v. female), and DS semiology (predominantly hyperkinetic v. hypokinetic). Results Our cohort was predominantly female (72%) and characterised by high levels of socio-economic deprivation. Two-thirds had predominantly hyperkinetic DS. Of the total, 69% had ⩾1 comorbid M.I.N.I. diagnosis (median number = 2), with agoraphobia being the most common concurrent diagnosis. Clinical levels of distress were reported by 86% and characteristics associated with maladaptive personality traits by 60%. Moderate-to-severe functional impairment, high levels of somatic symptoms, and impaired quality of life were also reported. Women had a younger age at DS onset than men. Conclusions Our study highlights the burden of psychopathology and socio-economic deprivation in a large, heterogeneous cohort of patients with DS. The lack of clear differences based on gender, DS semiology and age at onset suggests these factors do not add substantially to the heterogeneity of the cohort