Exzellenz, Diversität oder Effizienz? „Implicit bias“ in Berufungsverfahren als Zielkonflikte sozialer Praktiken

Gendergerechtes Diversitätsmanagement soll den Einfluss von implicit bias auf die Entscheidungsfindung in Berufungsverfahren reduzieren. Konventionelle Schulungsformate vermitteln jedoch wenig anwendbares Praxiswissen für typische kommunikative Situationen in den Sitzungen einer Berufungskommission. Wird implicit bias als soziale Praktik konzeptualisiert, lassen sich typische Zielkonflikte zwischen Diversität, Exzellenz und Effizienz in solchen Verfahren jedoch operationalisieren und mit überprüfbaren Lernzielen versehen. Dazu wurden fachübergreifend aggregierte Daten aus Berufungsprozessen an einer Schweizer Hochschule narrativ strukturiert und in die Form idealtypischer Vignetten gebracht. Ein webbasierter Videokurs (serious game) simuliert die szenische Umsetzung der sozialen Praktiken von implicit bias sowohl für die Vermittlung von Reflexionswissen als auch das Trainieren von Handlungswissen

Die Internationalisierung der deutschen Hochschule im Zeichen virtueller Lehr- und Lernszenarien

Der Einsatz von offenen und kostenlosen Onlinekursen, "Massive Open Online Courses" (MOOCs) wird seit einiger Zeit an Hochschulen diskutiert. Ob MOOCs die Internationalisierung der Hochschulen befördern können, hat eine Arbeitsgruppe des DAAD thematisiert. Der Band informiert über Anfänge, Status Quo, Auswirkungen und das Internationalisierungspotenzial der virtuellen Lehr-/Lernszenarien und stellt die Ergebnisse und Schlussfolgerungen der Projektgruppe vor.Third level education institutes have been discussing the implementation of open access, free online study courses, aka "Massive Open Online Courses" (MOOCs) for quite some time. A work group of the DAAD looked at whether MOOCs could additionally promote the internationalisation of third level education institutes. The volume offers information about the starting points, status quo, effects and the internationalisation potential of virtual teaching/learning scenarios and presents the findings and conclusions of the project group

Chronic thromboembolic pulmonary hypertension and impairment after pulmonary embolism: the FOCUS study

AIMS: To systematically assess late outcomes of acute pulmonary embolism (PE) and to investigate the clinical implications of post-PE impairment (PPEI) fulfilling prospectively defined criteria. METHODS AND RESULTS: A prospective multicentre observational cohort study was conducted in 17 large-volume centres across Germany. Adult consecutive patients with confirmed acute symptomatic PE were followed with a standardized assessment plan and pre-defined visits at 3, 12, and 24 months. The co-primary outcomes were (i) diagnosis of chronic thromboembolic pulmonary hypertension (CTEPH), and (ii) PPEI, a combination of persistent or worsening clinical, functional, biochemical, and imaging parameters during follow-up. A total of 1017 patients (45% women, median age 64 years) were included in the primary analysis. They were followed for a median duration of 732 days after PE diagnosis. The CTEPH was diagnosed in 16 (1.6%) patients, after a median of 129 days; the estimated 2-year cumulative incidence was 2.3% (1.2-4.4%). Overall, 880 patients were evaluable for PPEI; the 2-year cumulative incidence was 16.0% (95% confidence interval 12.8-20.8%). The PPEI helped to identify 15 of the 16 patients diagnosed with CTEPH during follow-up (hazard ratio for CTEPH vs. no CTEPH 393; 95% confidence interval 73-2119). Patients with PPEI had a higher risk of re-hospitalization and death as well as worse quality of life compared with those without PPEI. CONCLUSION: In this prospective study, the cumulative 2-year incidence of CTEPH was 2.3%, but PPEI diagnosed by standardized criteria was frequent. Our findings support systematic follow-up of patients after acute PE and may help to optimize guideline recommendations and algorithms for post-PE care

Chronic thromboembolic pulmonary hypertension (CTEPH): Updated Recommendations from the Cologne Consensus Conference 2018

Chronic thromboembolic pulmonary hypertension (CTEPH) is a subgroup of pulmonary hypertension that differs fromall other forms of PHin terms of its pathophysiology, patient characteristics and treatment. For implementation of the European Guidelines on Diagnosis and Treatment of Pulmonary Hypertension in Germany, the Cologne Consensus Conference 2016 was held and last updated in spring of 2018. One of the working groups was dedicated to CTEPH, practical and controversial issues were commented and updated. In every patient with suspected PH, CTEPH or chronic thromboembolic disease (CTED, i.e. symptomatic residual vasculopathy without pulmonary hypertension) should be excluded. Primary treatment is surgical pulmonary endarterectomy (PEA) in a multidisciplinary CTEPH centre. Inoperable patients or patients with persistent or recurrent CTEPH after PEA are candidates for targeted drug therapy. There is increasing experience with balloon pulmonary angioplasty (BPA) for inoperable patients; this option, like PEA, is reserved for specialised centres with expertise in this treatment method. (c) 2018 Published by Elsevier B.V

What causes Listeria monocytogenes to colonize various ecological niches and reservoirs?

International audienc

Chronic thromboembolic pulmonary hypertension and impairment after pulmonary embolism: the FOCUS study

Aims To systematically assess late outcomes of acute pulmonary embolism (PE) and to investigate the clinical implications of post-PE impairment (PPEI) fulfilling prospectively defined criteria. Methods and results A prospective multicentre observational cohort study was conducted in 17 large-volume centres across Germany. Adult consecutive patients with confirmed acute symptomatic PE were followed with a standardized assessment plan and pre-defined visits at 3, 12, and 24 months. The co-primary outcomes were (i) diagnosis of chronic thromboembolic pulmonary hypertension (CTEPH), and (ii) PPEI, a combination of persistent or worsening clinical, functional, biochemical, and imaging parameters during follow-up. A total of 1017 patients (45% women, median age 64 years) were included in the primary analysis. They were followed for a median duration of 732 days after PE diagnosis. The CTEPH was diagnosed in 16 (1.6%) patients, after a median of 129 days; the estimated 2-year cumulative incidence was 2.3% (1.2-4.4%). Overall, 880 patients were evaluable for PPEI; the 2-year cumulative incidence was 16.0% (95% confidence interval 12.8-20.8%). The PPEI helped to identify 15 of the 16 patients diagnosed with CTEPH during follow-up (hazard ratio for CTEPH vs. no CTEPH 393; 95% confidence interval 73-2119). Patients with PPEI had a higher risk of re-hospitalization and death as well as worse quality of life compared with those without PPEI. Conclusion In this prospective study, the cumulative 2-year incidence of CTEPH was 2.3%, but PPEI diagnosed by standardized criteria was frequent. Our findings support systematic follow-up of patients after acute PE and may help to optimize guideline recommendations and algorithms for post-PE care