119 research outputs found
Geschichte diversifizieren und lebendig werden lassen – letzte Kriegsjahre, Ende des Zweiten Weltkriegs und Nachkriegszeit im DaF-Unterricht
In diesem Beitrag soll dargestellt werden, wie einige für das gegenwärtige Deutschland überaus wichtige Jahre, nämlich die Zeit der letzten Jahre des Zweiten Weltkriegs, das Kriegsende, die Gründung von Bundesrepublik Deutschland und Deutscher Demokratischer Republik sowie die Nachkriegszeit im DaF-Unterricht an Hochschulen mit fortgeschrittenen Studierenden (Niveau: C1) behandelt werden können. Dabei soll der Schwerpunkt auf Aspekten liegen, die im Geschichtsunterricht der Schule – zumindest in Italien und man darf annehmen auch in vielen anderen Ländern – eher vernachlässigt werden, so u.a. der Bombardierung deutscher Städte am Beispiel Hamburgs (1943) und der für die Bevölkerung schwierigen Nachkriegszeit. Ziel des Beitrags ist es, zu zeigen, wie kulturreflexives Lernen in Bezug auf diese Geschichte im hochschuldidaktischen Kontext gefördert werden kann. Dabei sollen das geschichtsdidaktische Paradigma der Multiperspektivität und emotionale Aspekte der Auseinandersetzung mit der Geschichte durch den Einsatz unterschiedlicher Medien gleichermaßen gewährleistet werden
Geschichte diversifizieren und lebendig werden lassen – letzte Kriegsjahre, Ende des Zweiten Weltkriegs und Nachkriegszeit im DaF-Unterricht
In diesem Beitrag soll dargestellt werden, wie einige für das gegenwärtige Deutschland überaus wichtige Jahre, nämlich die Zeit der letzten Jahre des Zweiten Weltkriegs, das Kriegsende, die Gründung von Bundesrepublik Deutschland und Deutscher Demokratischer Republik sowie die Nachkriegszeit im DaF-Unterricht an Hochschulen mit fortgeschrittenen Studierenden (Niveau: C1) behandelt werden können. Dabei soll der Schwerpunkt auf Aspekten liegen, die im Geschichtsunterricht der Schule – zumindest in Italien und man darf annehmen auch in vielen anderen Ländern – eher vernachlässigt werden, so u.a. der Bombardierung deutscher Städte am Beispiel Hamburgs (1943) und der für die Bevölkerung schwierigen Nachkriegszeit. Ziel des Beitrags ist es, zu zeigen, wie kulturreflexives Lernen in Bezug auf diese Geschichte im hochschuldidaktischen Kontext gefördert werden kann. Dabei sollen das geschichtsdidaktische Paradigma der Multiperspektivität und emotionale Aspekte der Auseinandersetzung mit der Geschichte durch den Einsatz unterschiedlicher Medien gleichermaßen gewährleistet werden.This article aims to show how a number of years that are extremely important for contemporary Germany, namely the last years of World War II, the end of the war, the foundation of the Federal Republic of Germany and the German Democratic Republic, as well as the post-war period can be dealt with in German as a foreign language (DaF) classes for advanced students (level: C1) at universities. The focus should be on aspects which are often neglected in history lessons at school – at least in Italy and one may assume in many other countries as well –, such as the bombing of German cities using the example of Hamburg (1943) and the difficulties the population was facing during the post-war period. The aim of this contribution is to show how one can promote cultural reflexive learning in relation to this historic period in the context of university didactics. Both, the historical-didactic paradigm of multi-perspectivity as well as the emotional aspects of confronting this period in history are equally guaranteed by using different media
An exploratory study of information sources and key findings on UK cocaine-related deaths.
Cocaine-related deaths have increased since the early 1990s in Europe, including the UK. Being multi-factorial, they are difficult to define, detect and record. The European Monitoring Centre for Drugs and Drug Addiction commissioned research to: describe trends reported to Special Mortality Registries and General Mortality Registers; provide demographic and drug-use characteristic information of cases; and establish how deaths are identified and classified. A questionnaire was developed and piloted amongst all European Monitoring Centre for Drugs and Drug Addiction Focal Point experts/Special Mortality Registries: 19 (63%) responded; nine countries provided aggregated data. UK General Mortality Registers use cause of death and toxicology to identify cocaine-related deaths. Categorisation is based on International Classification of Diseases codes. Special Mortality Registries use toxicology, autopsy, evidence and cause of death. The cocaine metabolites commonly screened for are: benzoylecgonine, ecgonine methyl ester, cocaethylene and ecgonine. The 2000s saw a generally accelerating upward trend in cases, followed by a decline in 2009. The UK recorded 2700-2900 deaths during 1998-2012. UK Special Mortality Registry data (2005-2009) indicate: 25-44 year-olds account for 74% of deaths; mean age=34 (range 15-81) years; 84% male. Cocaine overdoses account for two-thirds of cases; cocaine alone being mentioned/implicated in 23% in the UK. Opioids are involved in most (58%) cocaine overdose cases
Validation of 2006 WHO Prediction Scores for True HIV Infection in Children Less than 18 Months with a Positive Serological HIV Test
All infants born to HIV-positive mothers have maternal HIV antibodies, sometimes persistent for 18 months. When Polymerase Chain Reaction (PCR) is not available, August 2006 World Health Organization (WHO) recommendations suggest that clinical criteria may be used for starting antiretroviral treatment (ART) in HIV seropositive children <18 months. Predictors are at least two out of sepsis, severe pneumonia and thrush, or any stage 4 defining clinical finding according to the WHO staging system.From January 2005 to October 2006, we conducted a prospective study on 236 hospitalized children <18 months old with a positive HIV serological test at the national reference hospital in Kigali. The following data were collected: PCR, clinical signs and CD4 cell count. Current proposed clinical criteria were present in 148 of 236 children (62.7%) and in 95 of 124 infected children, resulting in 76.6% sensitivity and 52.7% specificity. For 87 children (59.0%), clinical diagnosis was made based on severe unexplained malnutrition (stage 4 clinical WHO classification), of whom only 44 (50.5%) were PCR positive. Low CD4 count had a sensitivity of 55.6% and a specificity of 78.5%.As PCR is not yet widely available, clinical diagnosis is often necessary, but these criteria have poor specificity and therefore have limited use for HIV diagnosis. Unexplained malnutrition is not clearly enough defined in WHO recommendations. Extra pulmonary tuberculosis (TB), almost impossible to prove in young children, may often be the cause of malnutrition, especially in HIV-affected families more often exposed to TB. Food supplementation and TB treatment should be initiated before starting ART in children who are staged based only on severe malnutrition
The GISMO Two-millimeter Deep Field in GOODS-N
We present deep continuum observations using the GISMO camera at a wavelength of 2 mm centered on the Hubble Deep Field in the GOODS-N field. These are the first deep field observations ever obtained at this wavelength. The 1σ sensitivity in the innermost ~4' of the 7' diameter map is ~135 μJy beam^(−1), a factor of three higher in flux/beam sensitivity than the deepest available SCUBA 850 μm observations, and almost a factor of four higher in flux/beam sensitivity than the combined MAMBO/AzTEC 1.2 mm observations of this region. Our source extraction algorithm identifies 12 sources directly, and another 3 through correlation with known sources at 1.2 mm and 850 μm. Five of the directly detected GISMO sources have counterparts in the MAMBO/AzTEC catalog, and four of those also have SCUBA counterparts. HDF850.1, one of the first blank-field detected submillimeter galaxies, is now detected at 2 mm. The median redshift of all sources with counterparts of known redshifts is med(z) = 2.91±0.94. Statistically, the detections are most likely real for five of the seven 2 mm sources without shorter wavelength counterparts, while the probability for none of them being real is negligible
Biomarkers in Painful Symptomatic Knee OA Demonstrate That MRI Assessed Joint Damage and Type II Collagen Degradation Products Are Linked to Disease Progression
Background: Osteoarthritis (OA) is the most prevalent arthritis worldwide, but the evolution of pain in relation to joint damage and biochemical markers are not well understood. We evaluated the relation between clinical pain measures and evoked pain in relation to structural damage and biochemical biomarkers in knee OA.
Methods: A cross-sectional study in people with knee OA and healthy controls was conducted. A total of 130 participants with advanced OA requiring total knee replacement (TKR) (n = 78), mild OA having standard care (n = 42) and non-OA controls (n = 6), with four drop-outs were assessed. Pain scoring was performed by the Western Ontario and McMaster Universities OA Index (WOMAC_P) and the Visual Analog Scale (VAS). Pain sensitization was assessed by pain pressure thresholds (PPTs). Knee magnetic resonance imaging (MRI) assessed joint damage using the MRI Knee OA Score (MOAKS). Overall MOAKS scores were created for bone marrow lesions (BMLs), cartilage degradation (CD), and effusion/Hoffa synovitis (tSyn). Type II collagen cleavage products (CTX-II) were determined by ELISA.
Results: The advanced OA group had a mean age of 68.9 ± 7.7 years and the mild group 63.1 ± 9.6. The advanced OA group had higher levels of pain, with mean WOMAC_P of 58.8 ± 21.7 compared with the mild OA group of 40.6 ± 26.0. All OA subjects had pain sensitization by PPT compared with controls (p < 0.05). WOMAC_P correlated with the total number of regions with cartilage damage (nCD) (R = 0.225, p = 0.033) and total number of BMLs (nBML) (R = 0.195, p = 0.065) using body mass index (BMI), age, and Hospital Anxiety and Depression Scale (HADS) as covariates. Levels of CTX-II correlated with tSyn (R = 0.313, p = 0.03), nBML (R = 0.252, p = 0.019), number of osteophytes (R = 0.33, p = 0.002), and nCD (R = 0.218, p = 0.042), using BMI and age as covariates. A multivariate analysis indicated that BMI and HADS were the most significant predictors of pain scores (p < 0.05).
Conclusion: People with both mild and advanced OA show features of pain sensitization. We found that increasing MRI-detected joint damage was associated with higher levels of CTX-II, suggesting that increasing disease severity can be assessed by MRI and CTX-II biomarkers to evaluate OA disease progression
Clinical profiling of specific diagnostic subgroups of women with chronic pelvic pain
Introduction: Chronic pelvic pain (CPP) is a common condition affecting up to 26.6% of women, with many suffering for several years before diagnosis and/or treatment. Its clinical presentation is varied and there are frequently comorbid conditions both within and outside the pelvis. We aim to explore whether specific subgroups of women with CPP report different clinical symptoms and differing impact of pain on their quality of life (QoL).
Methods: The study is part of the Translational Research in Pelvic Pain (TRiPP) project which is a cross-sectional observational cohort study. The study includes 769 female participants of reproductive age who completed an extensive set of questions derived from standardised WERF EPHect questionnaires. Within this population we defined a control group (reporting no pelvic pain, no bladder pain syndrome, and no endometriosis diagnosis, N = 230) and four pain groups: endometriosis-associated pain (EAP, N = 237), interstitial cystitis/bladder pain syndrome (BPS, N = 72), comorbid endometriosis-associated pain and BPS (EABP, N = 120), and pelvic pain only (PP, N = 127).
Results: Clinical profiles of women with CPP (13–50 years old) show variability of clinical symptoms. The EAP and EABP groups scored higher than the PP group (p p p p p p p 
Discussion: Our results demonstrate the negative impact that chronic pain has on CPP patients' QoL and reveal an increased negative impact of pain on the comorbid EABP group. Furthermore, it demonstrates the importance of dyspareunia in women with CPP. Overall, our results demonstrate the need for further exploration of interventions targeting QoL more broadly and suggest that novel approaches to classifying women with CPP are needed
A Reappraisal of Children’s ‘Potential’
What does it mean for a child to fulfil his or her potential? This article explores the contexts and implications of the much-used concept of potential in educational discourses. We claim that many of the popular, political and educational uses of the term in relation to childhood have a problematic blind spot: interpersonality, and the necessary coexistence for the concept to be receivable of all children’s ‘potentials’. Rather than advocating abandoning the term—a futile gesture given its emotive force—we argue that the concept of children’s potential must be profoundly rethought to be workable as a philosophical notion in education. In an era marked by the unspoken assumption that ‘unlimited potential’ is always a good thing, we argue that it might be necessary to think about the limitations of the notion of individual potential; namely, the moment when it comes into contact with other people’s projects. We propose a conceptualisation of potential as the negotiated, situated, ever-changing creation of a group of individuals, in a process marked by conflict, and which remains essentially difficult.This is the final version of the article. It first appeared from Springer via http://dx.doi.org/10.1007/s11217-016-9508-
Validation of 2006 WHO Prediction Scores for True HIV Infection in Children Less than 18 Months with a Positive Serological HIV Test
All infants born to HIV-positive mothers have maternal HIV antibodies, sometimes persistent for 18 months. When Polymerase Chain Reaction (PCR) is not available, August 2006 World Health Organization (WHO) recommendations suggest that clinical criteria may be used for starting antiretroviral treatment (ART) in HIV seropositive children <18 months. Predictors are at least two out of sepsis, severe pneumonia and thrush, or any stage 4 defining clinical finding according to the WHO staging system.From January 2005 to October 2006, we conducted a prospective study on 236 hospitalized children <18 months old with a positive HIV serological test at the national reference hospital in Kigali. The following data were collected: PCR, clinical signs and CD4 cell count. Current proposed clinical criteria were present in 148 of 236 children (62.7%) and in 95 of 124 infected children, resulting in 76.6% sensitivity and 52.7% specificity. For 87 children (59.0%), clinical diagnosis was made based on severe unexplained malnutrition (stage 4 clinical WHO classification), of whom only 44 (50.5%) were PCR positive. Low CD4 count had a sensitivity of 55.6% and a specificity of 78.5%.As PCR is not yet widely available, clinical diagnosis is often necessary, but these criteria have poor specificity and therefore have limited use for HIV diagnosis. Unexplained malnutrition is not clearly enough defined in WHO recommendations. Extra pulmonary tuberculosis (TB), almost impossible to prove in young children, may often be the cause of malnutrition, especially in HIV-affected families more often exposed to TB. Food supplementation and TB treatment should be initiated before starting ART in children who are staged based only on severe malnutrition
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