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»Denken braucht Zeit«
(2021)
Denis Thouard, Inhaber der Alfred Grosser-Gastprofessur im Wintersemester 2021/22, spricht im Interview über die heutige Rolle der Geistes- und Sozialwissenschaften, über seine Beschäftigung mit Kant und Schleiermacher und über die Aktualität von Georg Simmel.
Zurück zur Präsenz
(2021)
Prof. Christiane Thompson, Vizepräsidentin für Studium, Lehre und wissenschaftliche Weiterbildung an der Goethe-Universität, über einen sehr besonderen Semesterstart. 75 bis 85 Prozent der Lehrveranstaltungen werden wieder in Präsenz angeboten. Thompson bittet um Geduld und gegenseitige Rücksichtnahme.
Vor rund 60 Jahren ist das Buch Mensch und Raum von Otto Friedrich Bollnow erstmals erschienen. Der folgende Beitrag geht der Frage nach, inwieweit die Überlegungen des Philosophen (unter bestimmten Aspekten) noch heute aktuell sind. Bollnows Raum-Verständnis weicht in seiner phänomenologischen Orientierung geradezu grundlegend vom heute vorherrschenden sozialwissenschaftlichen Raumdenken ab. Umso mehr regt Bollnow dazu an, die Lehren des wissenschaftlichen Mainstream kritisch gegen den Strich zu lesen. Ins Zentrum der Suche nach heute möglicherweise bedeutsamen Themen und Methoden des Denkens rückt das Wohnen. Wie denkt Bollnow das Wohnen, und was sagt uns dies in einer Zeit, in der die Menschen ganz anders wohnen als in den 1950er Jahren? Brücken zu methodologisch benachbarten Theorien und Philosophen werden ebenso geschlagen (z. B. Heidegger, Dürckheim, Müller-Freienfels) wie zu anderen thematisch relevanten Arbeiten von Bollnow.
This research project investigated how motor activity, such as cycling, influences the acquisition of foreign language vocabulary under two distinct conditions of auditory-motor-synchronisation. In a mixed subject design, 48 participants had to learn 40 Polish-German vocabulary pairs by auditory presentation over headphones in two different conditions, in which they performed motor activity cycling on a bicycle ergometer: in experiment 1, vocabulary was presented in a fixed rhythm while in experiment 2, participants self-initiated the presentation of vocabulary through pedalling. After having listened to the word pairs, they had to perform online vocabulary tests, one directly after the learning session and a second one 24 hours later from home. Additionally, the individual pitch perception preference (i.e. fundamental vs. spectral pitch perception) of the participants was determined.
The results showed that fundamental listeners forgot significantly more vocabulary than spectral listeners during the fixed than during the self-initiated condition. There was no difference within the groups for the self-initiated condition. The analysis of the motor data revealed a significantly more accurate synchronisation for fundamental listeners during the fixed condition. Therefore, this study provides first evidence for the benefit of self-initiated auditory-motor synchronisation in the process of learning a foreign language in adults. It also reveals that pitch preference has an effect on auditory-motor synchronisation.
Einleitung: Das Arbeiten in einer Notfallsituation ist stark von einer strukturierten Herangehensweise im Patientenmanagement abhängig. Junge Assistenzärzte sind in ihrem Alltag häufig die ersten vor Ort und sollten daher bereits mit Abschluss des Studiums in der Lage sein, häufige Notfallsituationen zu meistern. In den letzten Jahren hat sich die Simulation als hauptsächlich genutzte Methode für die Ausbildung im Fach Notfallmedizin herauskristallisiert, sodass immer mehr Universitäten realitätsnahe Szenarien für die Ausbildung nutzen. Jedoch ist unklar welches Ausmaß an Realitätsnähe in Hinblick auf Kosten/Aufwand-Nutzen-Bilanz sinnvoll ist. Das Ziel der vorliegenden Arbeit ist es, den Effekt von zwei unterschiedlich realitätsnahen Lernumgebungen (Seminarraum vs. realistische Simulationsumgebung) auf die erlernten notfallmedizinischen Kompetenzen zu analysieren. Dazu wurden Krankheitsbilder gewählt, die jedem Arzt in Präklinik, auf Station und im ambulanten Bereich begegnen können und die zügig erkannt und behandelt werden müssen: Asthma, Sepsis und Apoplex.
Material und Methoden: Bei der vorliegenden Arbeit handelt es sich um eine vergleichende Effektivitätsanalyse im crossover-Design. Teilnehmende waren Studierende des 4. Studienjahres der Goethe-Universität Frankfurt am Main, die den 3-TagesNotfallmedizinkurs im Rahmen ihrer curricularen Ausbildung im Querschnittsbereich Notfallmedizin absolvierten. Am ersten Tag durchliefen alle Studierenden ein standardisiertes Skillstraining notfallmedizinischer Basiskompetenzen. An den Folgetagen wurden verschiedene leitsymptombasierte Module vermittelt, die neben der interaktiven Erarbeitung der theoretischen Lerninhalte eine direkte Anwendung in themenspezifischen Szenarien fokussierten. Für die vorliegende Studie wurden die Teilnehmenden in vier Gruppen randomisiert, wobei Gruppen eins und zwei das Training in der Seminarraumumgebung durchliefen, während drei und vier die Szenarien in der realitätsnahen Simulationsumgebung absolvierten. Am dritten Tag fand eine formative Überprüfung der erlernten Fähigkeiten in Form eines OSCEs statt. Bei dieser Überprüfung absolvierten die Gruppen eins und drei in der Seminarraumumgebung und Gruppen zwei und vier im realitätsnahen Umfeld der Simulation das Assessment. Die Datenauswertung erfolgte mit MS Excel und bias.
Ergebnisse und Fazit: Die vorliegende Studie fand zwischen Juli und Oktober 2018 an der Goethe-Universität in Frankfurt am Main statt. 134 Teilnehmer absolvierten die Studie vollständig. Die Ergebnisse zeigen deutliche Unterschiede in der Performance der vier Gruppen, sowohl insgesamt als auch nach Geschlechtern und mit dem van-Elteren-Test. Prozentual betrachtet zeigten die Teilnehmenden der Gruppe 4 (Training und Prüfung im realitätsnahen Umfeld) die höchsten Ergebnisse. Die Realitätsnähe hat einen positiven Einfluss auf die Performance der Studierenden.
Iron deficiency (ID) is a common manifestation of inflammatory bowel disease (IBD), arising primarily due to chronic inflammation and/or blood loss. There is no gold standard for ID diagnosis, which is often complicated by concomitant inflammation. Zinc protoporphyrin (ZnPP) correlates with parameters of iron homeostasis and has been identified as a promising marker for ID, irrespective of inflammation. We investigated the diagnostic performance of ZnPP in ID, iron deficiency anemia, anemia of chronic disease and mixed anemia in a cross-sectional study in 130 patients with IBD. Different parameters were compared by receiver operator characteristic (ROC) analysis as detectors of iron-restricted erythropoiesis (IRE). IRE was detected in 91 patients (70.0%); fifty-nine (64.8%) had absolute ID and 23 (25.4%) functional ID. When inflammation was present, ZnPP was a more reliable sole biomarker of IRE than MCV, transferrin saturation (TSAT) or ferritin (AUC; 0.855 vs. 0.763, 0.834% and 0.772, respectively). The specificity of TSAT was significantly lower than ZnPP when inflammation was present (38% vs. 71%, respectively). We conclude that ZnPP is a reliable biomarker of functional ID in patients with IBD and more dependable than ferritin or TSAT, which are influenced by chronic inflammation. We propose that ZnPP may also have utility in patients with other chronic diseases.
Zellen außer Balance : neue Therapieansätze für komplexe Krankheiten – das Clusterprojekt ENABLE
(2021)
Marmor, Stein, Eisen, Müll, Haare, Staub… es gibt kaum ein Material, das Peter Buggenhout in seinen hybriden Arbeiten nicht verarbeitet. Das Kunstmuseum Reutlingen / konkret gibt in seiner umfassenden Überblicksausstellung „Peter Buggenhout: nicht geheuer“ einen Einblick in bisherige Arbeiten des belgischen Bildhauers.
Z-boson production in p–Pb collisions at √sNN = 8.16 TeV and Pb–Pb collisions at √sNN = 5.02 TeV
(2021)
Measurement of Z-boson production in p-Pb collisions at sNN−−−√=8.16 TeV and Pb-Pb collisions at sNN−−−√=5.02 TeV is reported. It is performed in the dimuon decay channel, through the detection of muons with pseudorapidity −4<ημ<−2.5 and transverse momentum pμT>20 GeV/c in the laboratory frame. The invariant yield and nuclear modification factor are measured for opposite-sign dimuons with invariant mass 60<mμμ<120 GeVc2 and rapidity 2.5<yμμcms<4. They are presented as a function of rapidity and, for the Pb-Pb collisions, of centrality as well. The results are compared with theoretical calculations, both with and without nuclear modifications to the Parton Distribution Functions (PDFs). In p-Pb collisions the center-of-mass frame is boosted with respect to the laboratory frame, and the measurements cover the backward (−4.46<yμμcms<−2.96) and forward (2.03<yμμcms<3.53) rapidity regions. For the p-Pb collisions, the results are consistent within experimental and theoretical uncertainties with calculations that include both free-nucleon and nuclear-modified PDFs. For the Pb-Pb collisions, a 3.4σ deviation is seen in the integrated yield between the data and calculations based on the free-nucleon PDFs, while good agreement is found once nuclear modifications are considered.
Human GLUTs represent a family of specialized transporters that facilitate the diffusion of hexoses through membranes along a concentration gradient. The 14 isoforms share high sequence identity but differ in substrate specificity and affinity, and tissue distribution. According to their structure similarity, GLUTs are divided into three classes, with class 1 comprising the most intensively studied isoforms GLUTs1 4. An abnormal function of different GLUT members has been related to the pathogenesis of various diseases, including cancer and diabetes. Hence, GLUTs are the subject of intensive research, and efforts concentrate on identifying GLUT-selective ligands for putative medical purposes and their application in studies aiming to further unravel the metabolic roles of these transporters.
The hexose transporter deficient (hxt0) yeast strain EBY.VW4000 is devoid of all its endogenous hexose transporters and unable to grow on glucose or related hexoses. This strain has proven to be a valuable platform to investigate heterologous transporters due to its easy handling, increased robustness, and versatile applications. However, the functional expression of GLUTs in yeast requires certain modifications. Single point mutations of GLUT1 and GLUT5 led to their functional expression in EBY.VW4000, whereas the native GLUT1 was actively expressed in EBY.S7, a hxt0 strain carrying the fgy1 mutation that putatively reduces the phosphatidylinositol-4-phosphate (PI4P) content in the plasma membrane. GLUT4 was only actively expressed in the hxt0 strain SDY.022, which also contains the fgy1 mutation and in which ERG4 is additionally deleted. Erg4 is one of the late enzymes in the ergosterol pathway, and therefore SDY.022 probably has an altered sterol composition in its membrane.
The goal of this thesis was to actively express GLUT2 and GLUT3 in a hxt0 yeast strain, providing a convenient system for their ligand screening. A PCR-derived amino acid exchange in the sequence of GLUT3 enabled its functional expression in EBY.VW4000 and the unmodified GLUT3 protein was active in EBY.S7. Functional expression of GLUT2 was achieved by rational design. The extracellular loop between the transmembrane regions 1 and 2 is significantly larger in GLUT2 than in other class 1 GLUTs. By truncating this loop by 34 amino acids and exchanging an alanine for a serine, a GLUT3-like loop was implemented. The resulting construct GLUT2∆loopS was functional in EBY.S7. With an additional point mutation in the transmembrane region 11, GLUT2∆loopS_Q455R was also actively expressed in EBY.VW4000. Inhibition studies with the known GLUT inhibitors phloretin and quercetin showed a reduced transporter activity for GLUT2 and GLUT3 in uptake assays and growth tests when inhibitors were present, demonstrating that both systems are amenable for ligand screening experiments.
The newly established GLUT2 yeast system was then used to screen a library of compounds pre-selected by in silico screening. Thereby, eleven identified GLUT2 inhibitors exhibited strong potencies with IC50 values ranging from 0.61 to 19.3 µM. By employing the other yeast systems, these compounds were tested for their effects on GLUT1, and GLUTs3-5, revealing that nine of the identified ligands were GLUT2-selective. In contrast, one was a pan-class 1 inhibitor (inhibiting GLUTs1-4), and one affected GLUT2 and GLUT5, the two fructose transporting isoforms. These compounds will serve as useful tools for investigations on the role of GLUT2 in metabolic diseases and might even evolve into pharmaceutical agents targeting GLUT2-associated diseases.
Due to the beneficial effect of the putatively changed sterol composition in SDY.022 (by ERG4 deletion) on the functional expression of GLUT4, it was hypothesized that the presence of the human sterol cholesterol, or cholesterol-like sterols, might have a beneficial effect on GLUT expression, too. Thus, it was attempted to generate hxt0 strains that synthesize these sterols by genetic modifications targeting the ergosterol pathway. In the scope of these experiments, several strains with different sterol compositions were generated. Drop tests on glucose medium with the different strains expressing GLUT1 or GLUT4 revealed that the deletion of ERG6 is clearly advantageous for a functional expression of GLUT1 (but not GLUT4). This indicates that the methyl group at the ergosterol side chain (introduced by Erg6 and reduced by Erg4) negatively influences GLUT1 activity. However, this effect on GLUT1 activity was less pronounced than the putative altered PI4P content in EBY.S7.
Additionally, in this thesis, a new tool to measure glucose transport rates of transporters expressed in the hxt0 yeast system was developed to facilitate their kinetic characterization. For this, the pH-sensitive GFP variant pHluorin was employed as a biosensor for the cytosolic pH (pHcyt) by measuring the ratio (R390/470) of emission intensities at 512 nm from two different excitation wavelengths (390 and 470 nm). Sugar-starved cells exhibit a slightly acidic pHcyt because ATP production is depleted, reducing the activity of ATP-dependent proton pumps.
...
Xenocoumacin (Xcn) 1 and 2 are the major antibiotics produced by the insect-pathogenic bacterium Xenorhabdus nematophila. Although the antimicrobial activity of Xcns has been explored, research regarding their action on mammalian cells is lacking. We aimed to investigate the action of Xcns in the context of inflammation and angiogenesis. We found that Xcns do not impair the viability of primary endothelial cells (ECs). Particularly Xcn2, but not Xcn1, inhibited the pro-inflammatory activation of ECs: Xcn2 diminished the interaction between ECs and leukocytes by downregulating cell adhesion molecule expression and blocked critical steps of the NF-κB activation pathway including the nuclear translocation of NF-κB p65 as well as the activation of inhibitor of κBα (IκBα) and IκB kinase β (IKKβ). Furthermore, the synthesis of pro-inflammatory mediators and enzymes, nitric oxide (NO) production and prostaglandin E2 (PGE2), inducible NO synthase (iNOS), and cyclooxygenase-2 (COX-2), was evaluated in leukocytes. The results showed that Xcns reduced viability, NO release, and iNOS expression in activated macrophages. Beyond these anti-inflammatory properties, Xcn2 effectively hindered pro-angiogenic processes in HUVECs, such as proliferation, undirected and chemotactic migration, sprouting, and network formation. Most importantly, we revealed that Xcn2 inhibits de novo protein synthesis in ECs. Consequently, protein levels of receptors that mediate the inflammatory and angiogenic signaling processes and that have a short half-live are reduced by Xcn2 treatment, thus explaining the observed pharmacological activities. Overall, our research highlights that Xcn2 exhibits significant pharmacological in vitro activity regarding inflammation and angiogenesis, which is worth to be further investigated preclinically.
Background: Depression and anxiety are the most prevalent mental health difficulties in the workplace, costing the global economy $1 trillion each year. Evidence indicates that symptoms may be reduced by interventions in the workplace. This paper is the first to systematically review psychosocial interventions for depression, anxiety, and suicidal ideation and behaviours in small-to medium-size enterprises (SMEs).
Methods: A systematic search following PRISMA guidelines, registered in PROSPERO (CRD42020156275), was conducted for psychosocial interventions targeting depression, anxiety, and suicidal ideation/behaviour in SMEs. The PubMed, PsycINFO, Scopus, and two specific occupational health databases were searched, as well as four databases for grey literature, without time limit until 2nd December 2019.
Results: In total, 1283 records were identified, 70 were retained for full-text screening, and seven met the inclusion criteria: three randomised controlled trials (RCTs), three before and after designs and one non-randomised trial, comprising 5111 participants. Study quality was low to moderate according to the Quality Assessment Tool for Quantitative Studies. Five studies showed a reduction in depression and anxiety symptoms using techniques based on cognitive behavioural therapy (CBT), two reported no significant change.
Limitations: Low number and high heterogeneity of interventions and outcomes, high attrition and lack of rigorous RCTs.
Conclusions: Preliminary evidence indicates CBT-based interventions can be effective in targeting symptoms of depression and anxiety in SME employees. There may be unique challenges to implementing programmes in SMEs. Further research is needed in this important area.
WiWi news [1/2021]
(2021)
Background: Using data from the COHERE collaboration, we investigated whether primary prophylaxis for pneumocystis pneumonia (PcP) might be withheld in all patients on antiretroviral therapy (ART) with suppressed plasma human immunodeficiency virus (HIV) RNA (≤400 copies/mL), irrespective of CD4 count.
Methods: We implemented an established causal inference approach whereby observational data are used to emulate a randomized trial. Patients taking PcP prophylaxis were eligible for the emulated trial if their CD4 count was ≤200 cells/µL in line with existing recommendations. We compared the following 2 strategies for stopping prophylaxis: (1) when CD4 count was >200 cells/µL for >3 months or (2) when the patient was virologically suppressed (2 consecutive HIV RNA ≤400 copies/mL). Patients were artificially censored if they did not comply with these stopping rules. We estimated the risk of primary PcP in patients on ART, using the hazard ratio (HR) to compare the stopping strategies by fitting a pooled logistic model, including inverse probability weights to adjust for the selection bias introduced by the artificial censoring.
Results: A total of 4813 patients (10 324 person-years) complied with eligibility conditions for the emulated trial. With primary PcP diagnosis as an endpoint, the adjusted HR (aHR) indicated a slightly lower, but not statistically significant, different risk for the strategy based on viral suppression alone compared with the existing guidelines (aHR, .8; 95% confidence interval, .6–1.1; P = .2).
Conclusions: This study suggests that primary PcP prophylaxis might be safely withheld in confirmed virologically suppressed patients on ART, regardless of their CD4 count.
In Kindertageseinrichtungen und Schulen wird dem pädagogischen Personal in Bezug auf Sprachförderung ein hoher Qualifizierungsbedarf attestiert; zugleich gibt es wenig gesichertes empirisches Wissen über die Wirkungen entsprechender Fortbildungen. Das Fortbildungsangebot und die Teilnehmenden sind heterogen. Um die Heterogenität der Teilnehmenden zu entschlüsseln, wurden im BiSS-Evaluationsprojekt „SPRÜNGE“ (Sprachförderung im Übergang Kindergarten – Grundschule evaluieren) auf Grundlage einer Typenbildung von N = 27 Fach- und Lehrkräften Unterschiede in ihren Sprachförderkompetenzen und im Fortbildungsbesuch empirisch-quantitativ mittels des Online-Tests SprachKoPF überprüft und für zwei Sprachfördertypen ihre handlungsleitenden Orientierungen in Bezug auf die Wirkungen von Fortbildungen rekonstruiert. Bei diesen beiden, stark fortgebildeten Sprachfördertypen konnten differenzierbare Deutungen zu den Wirkungen von Fortbildungen herausgearbeitet werden, wobei einerseits eine stärkere Kita-Orientierung und andererseits eine stärkere Schulorientierung als (implizite) Referenz deutlich wird. Zudem ließen sich Gelingensbedingungen von Fortbildungen wie „Praxisrelevanz“, die als allgemeingültig angenommen werden, typenspezifisch ausdifferenzieren. Mit der multiperspektivischen Untersuchung der differentiellen Wirkungen von Fortbildungen leistet das Projekt einen explorativen Beitrag zu einer quantitativ und qualitativ ausgerichteten Wirkungsforschung am Übergang Kita-Grundschule.
The formation of amyloid-β oligomers plays a key role in the onset of Alzheimer’s disease. We investigated the aggregation of amyloid-β oligomers by mass spectrometry and ion mobility spectrometry, revealing those structural properties, which lead to the formation of mature fibrils. We can show that the arrangement of the first oligomers is crucial for the topology of the resulting species, leading to the formation of non-toxic aggregates or fibrils.
In this article, I question the use of the notion of ‘constituent power’ as a tool for the democratization of the European Union (EU). Rather than seeing the absence of a transnational constituent power as a cause of the EU’s ‘democratic deficit’, I identify it as an opportunity for unfettered democratic participation. Against the reification of power-in-action into a power-constituted-in-law, I argue that the democratization of the EU can only be achieved through the multiplication of ‘constituent moments’. I begin by deconstructing the normative justifications surrounding the concept of constituent power. Here I analyze the structural aporia of constituent power and question the autonomous and emancipatory dimension of this notion. I then test the theoretical hypothesis of this structural aporia of the popular constituent power by comparing it with the historical experiments of a European popular constituent power. Finally, based on these theoretical and empirical observations, I propose to replace the ambivalence of the concept of popular constituent power with a more cautious approach to the bottom-up democratization of European integration: that of a multiplication of transnational constituent moments.
It is increasingly recognized that neuroscience has not delivered the revolutionary clinical possibilities for psychiatry that had been promised. Explanations differ, however: some proponents emphasize the divide between biopsychosocial psychiatry and mechanistic neurology. Others rely on further basic experimental neuroscience as only the most elementary level of explanation will allow us to fully understand and treat mental disorders. From a clinical-neuropsychological perspective, I shall argue that both views are mistaken. Diagnosis and treatment of neurological diseases demands a biopsychosocial perspective similar to psychiatry. Acknowledging this might help to bring both disciplines together and improve clinical outcome.
Species is the fundamental taxonomic unit in biology and its delimitation has implications for conservation. In giraffe (Giraffa spp.), multiple taxonomic classifications have been proposed since the early 1900s.1 However, one species with nine subspecies has been generally accepted,2 likely due to limited in-depth assessments, subspecies hybridizing in captivity,3,4 and anecdotal reports of hybrids in the wild.5 Giraffe taxonomy received new attention after population genetic studies using traditional genetic markers suggested at least four species.6,7 This view has been met with controversy,8 setting the stage for debate.9,10 Genomics is significantly enhancing our understanding of biodiversity and speciation relative to traditional genetic approaches and thus has important implications for species delineation and conservation.11 We present a high-quality de novo genome assembly of the critically endangered Kordofan giraffe (G. camelopardalis antiquorum)12 and a comprehensive whole-genome analysis of 50 giraffe representing all traditionally recognized subspecies. Population structure and phylogenomic analyses support four separately evolving giraffe lineages, which diverged 230–370 ka ago. These lineages underwent distinct demographic histories and show different levels of heterozygosity and inbreeding. Our results strengthen previous findings of limited gene flow and admixture among putative giraffe species6,7,9 and establish a genomic foundation for recognizing four species and seven subspecies, the latter of which should be considered as evolutionary significant units. Achieving a consensus over the number of species and subspecies in giraffe is essential for adequately assessing their threat level and will improve conservation efforts for these iconic taxa.
We consider an additively time-separable life-cycle model for the family of power period utility functions u such that u0(c) = c−θ for resistance to inter-temporal substitution of θ > 0. The utility maximization problem over life-time consumption is dynamically inconsistent for almost all specifications of effective discount factors. Pollak (1968) shows that the savings behavior of a sophisticated agent and her naive counterpart is always identical for a logarithmic utility function (i.e., for θ = 1). As an extension of Pollak’s result we show that the sophisticated agent saves a greater (smaller) fraction of her wealth in every period than her naive counterpart whenever θ > 1 (θ < 1) irrespective of the specification of discount factors. We further show that this finding extends to an environment with risky returns and dynamically inconsistent Epstein-Zin-Weil preferences.
This paper uses a novel account of non-ideal political action that can justify radical responses to severe climate injustice, including and especially deliberate attempts to engineer the climate system in order reflect sunlight into space and cooling the planet. In particular, it discusses the question of what those suffering from climate injustice may do in order to secure their fundamental rights and interests in the face of severe climate change impacts. Using the example of risky geoengineering strategies such as sulfate aerosol injections, I argue that peoples that are innocently subject to severely negative climate change impacts may have a special permission to engage in large-scale yet risky climate interventions to prevent them. Furthermore, this can be true even if those interventions wrongly harm innocent people.
The future of work has become a pressing matter of concern: Researchers, business consultancies, and industrial companies are intensively studying how new work models could be best implemented to increase workplace flexibility and creativity. In particular, the agile model has become one of the “must-have” elements for re-organizing work practices, especially for technology development work. However, the implementation of agile work often comes together with strong presumptions: it is regarded as an inevitable tool that can be universally integrated into different workplaces while having the same outcome of flexibility, transparency, and flattened hierarchies everywhere. This paper challenges such essentializing assumptions by turning agile work into a “matter of care.” We argue that care work occurs in contexts other than feminized reproductive work, namely, technology development. Drawing on concepts from feminist Science and Technology Studies and ethnographic research at agile technology development workplaces in Germany and Kenya, we examine what work it takes to actually keep up with the imperative of agile work. The analysis brings the often invisibilized care practices of human and nonhuman actors to the fore that are necessary to enact and stabilize the agile promises of flexibilization, co-working, and rapid prototyping. Revealing the caring sociotechnical relationships that are vital for working agile, we discuss the emergence of power asymmetries characterized by hierarchies of skills that are differently acknowledged in the daily work of technology development. The paper ends by speculating on the emancipatory potential of a care perspective, by which we seek to inspire careful Emancipatory Technology Studies.
Background: Peanuts are a member of the legume family (botanical family Leguminosae) and peanut allergies are the most common cause of food anaphylaxis in many countries. The prevalence of peanut allergy is increasing.
Methods: Experts from Germany and Austria performed a standardized literature search and published their consensus recommendations in a White Paper on Peanut Allergy, which this care pathway is based upon, thus, providing a comprehensive diagnosis and treatment algorithm.
Results: The most important diagnostic key elements include a detailed clinical medical history, evidence of peanut-specific sensitization by means of skin prick testing and/or in vitro determination of the peanut (extract)-specific IgE and/or the molecular component diagnostics (most important Ara h 2-specific IgE, sometimes also Ara h1-, 3-, 6-, 8- and 9-specific IgE) as well as the gold standard, the double-blind, placebo-controlled food challenge. The diagnostic algorithms were created for the following constellations: Suspected primary peanut allergy with a clear history of systemic immediate-type reaction, suspected primary peanut allergy with questionable symptoms, suspected secondary (possibly pollen-associated) peanut allergy with a history of solely oropharyngeal symptoms and incidental finding of sensitization and no peanut ingestion so far.
Conclusions: After established diagnosis the standard of care is counseling to avoid peanut contact and prescription of emergency medications (oral antihistamines, oral steroids, inhaled β2-agonists, injectable intramuscular epinephrine) as needed. Instruction on the use of these emergency medications should be provided. A preparation for oral immunotherapy (OIT) for 4 to 17 years old peanut allergic children/ adolescents has been recently approved by the regulatory authorities. OIT for peanut allergy shows high efficacy and an acceptable safety profile, improves quality of life, and health economic aspects. Thus it offers a therapeutic option for peanut allergic children and adolescents.
Several psychotherapy treatments exist for posttraumatic stress disorder. This study examines the treatment preferences of treatment-seeking traumatized adults in Germany and investigates the reasons for their treatment choices. Preferences for prolonged exposure, cognitive behavioral therapy (CBT), eye movement desensitization and reprocessing (EMDR), psychodynamic psychotherapy and stabilization were assessed via an online survey. Reasons for preferences were analyzed by means of thematic coding by two independent rates. 104 traumatized adults completed the survey. Prolonged exposure and CBT were each preferred by nearly 30%, and EMDR and psychodynamic psychotherapy were preferred by nearly 20%. Stabilization was significantly less preferred than all other options, by only 4%. Significantly higher proportions of patients were disinclined to choose EMDR and stabilization. Patients who preferred psychodynamic psychotherapy were significantly older than those who preferred CBT. Reasons underlying preferences included the perceived treatment mechanisms and treatment efficacy. Traumatized patients vary in their treatment preferences. Preference assessments may help clinicians comprehensively address patients' individual needs and thus improve therapy outcomes.
Having a gatekeeper position in a collaborative network offers firms great potential to gain competitive advantages. However, it is not well understood what kind of collaborations are associated with such a position. Conceptually grounded in social network theory, this study draws on the resource-based view and the relational factors view to investigate which types of collaboration characterize firms that are in a gatekeeper position, which ultimately could improve firm performance in subsequent periods. The empirical analysis utilizes a unique longitudinal data set to examine dynamic network formation. We used a data crawling approach to reconstruct collaboration networks among the 500 largest companies in Germany over nine years and matched these networks with performance data. The results indicate that firms in gatekeeper positions often engage in medium-intensity collaborations and less likely weak-intensity collaborations. Strong-intensity collaborations are not related to the likelihood of being a gatekeeper. Our study further reveals that a firm's knowledge base is an important moderator and that this knowledge base can increase the benefits of having a gatekeeper position in terms of firm performance.
This in-depth analysis proposes ways to retract from supervisory COVID-19 support measures without perils for financial stability. It simulates the likely impact of the corona crisis on euro area banks’ capital and predicts a significant capital shortfall. We recommend to end accounting practices that conceal loan losses and sustain capital relief measures. Our in-depth analysis also proposes how to address the impending capital shortfall in resolution/liquidation and a supranational recapitalisation.
Despite the increasing interest in leaders’ health-promoting behavior, the employees’ role in the effectiveness of such behavior and the mechanisms underlying how such leadership behavior affects their well-being have largely been ignored. Drawing on implicit leadership theories, we advance the health-oriented leadership literature by examining employees’ ideals, that is, their expectations regarding such leader behavior, as a moderating factor. We propose that higher expectations increase the association between actual health-oriented leader behavior and employee-rated leader-member relationships (LMX) and health-oriented behaviors by employees, which, in turn, positively relate to their well-being (here: exhaustion and work engagement). We tested our theoretical model in three studies, using a cross-sectional design (Study 1, N = 307), a two-wave time-lagged design (Study 2, N = 144) and an experimental design (Study 3, N = 173). We found that the effect of actual health-oriented leader behavior on LMX is contingent on employees’ ideal health-oriented leader behavior. Yet, for employees’ self-care behavior, the proposed moderation was only significant in Study 1. High expectations strengthened the relationship between actual health-oriented leader behavior with LMX and self-care behavior, which, in turn, were associated with less exhaustion and more work engagement (only LMX), supporting most of our mediation hypotheses. Our results highlight the pivotal role of employees’ expectations regarding leaders’ health support and help in building practical interventions with regard to leaders’ health promotion.
The current economic landscape is complex and globalized, and it imposes on individuals the responsibility for their own financial security. This situation has been intensified by the COVID-19 crisis, since short-time work and layoffs significantly limit the availability of financial resources for individuals. Due to the long duration of the lockdown, these challenges will have a long-term impact and affect the financial well-being of many citizens. Moreover, it can be assumed that the consequences of this crisis will once again particularly affect groups of people who have already frequently been identified as having low financial literacy. Financial literacy is therefore an important target for educational measures and interventions. However, it cannot be considered in isolation but must take into account the many potential factors that influence financial literacy alone or in combination. These include personality traits and socio-demographic factors as well as the (in)ability to defer gratification. Against this background, individualized support offers can be made. With this in mind, in the first step of this study, we analyze the complex interaction of personality traits, socio-demographic factors, the (in-)ability to delay gratification, and financial literacy. In the second step, we differentiate the identified effects regarding different groups to identify moderating effects, which, in turn, allow conclusions to be drawn about the need for individualized interventions. The results show that gender and educational background moderate the effects occurring between self-reported financial literacy, financial learning opportunities, delay of gratification, and financial literacy.
The health and genetic data of deceased people are a particularly important asset in the field of biomedical research. However, in practice, using them is compli- cated, as the legal framework that should regulate their use has not been fully developed yet. The General Data Protection Regulation (GDPR) is not applicable to such data and the Member States have not been able to agree on an alternative regulation. Recently, normative models have been proposed in an attempt to face this issue. The most well- known of these is posthumous medical data donation (PMDD). This proposal supports an opt-in donation system of health data for research purposes. In this article, we argue that PMDD is not a useful model for addressing the issue at hand, as it does not consider that some of these data (the genetic data) may be the personal data of the living relatives of the deceased. Furthermore, we find the reasons supporting an opt-in model less convincing than those that vouch for alternative systems. Indeed, we propose a normative framework that is based on the opt-out system for non-personal data combined with the application of the GDPR to the relatives’ personal data.
Analyses of species functional traits are suitable to better understand the coexistence of species in a given environment. Trait information can be applied to investigate diversity patterns along environmental gradients and subsequently to predict and mitigate threats associated with climate change and land use. Species traits are used to calculate community trait means, which can be related to environmental gradients. However, while species traits can provide insights into the mechanisms underlying community assembly, they can lead to erroneous inferences if mean trait values are used. An alternative is to incorporate intraspecific trait variability (ITV) into calculating the community trait means. This approach gains increasing acceptance in plant studies. For macrofungi, functional traits have recently been applied to examine their community ecology but, to our knowledge, ITV has yet to be incorporated within the framework of community trait means. Here, we present a conceptual summary of the use of ITV to investigate the community ecology of macrofungi, including the underlying ecological theory. Inferences regarding community trait means with or without the inclusion of ITV along environmental gradients are compared. Finally, an existing study is reconsidered to highlight the variety of possible outcomes when ITV is considered. We hope this Opinion will increase awareness of the potential for within-species trait variability and its importance for statistical inferences, interpretations, and predictions of the mechanisms structuring communities of macro- and other fungi.
This in-depth analysis provides evidence on differences in the practice of supervising large banks in the UK and in the euro area. It identifies the diverging institutional architecture (partially supranationalised vs. national oversight) as a pivotal determinant for a higher effectiveness of supervisory decision making in the UK. The ECB is likely to take a more stringent stance in prudential supervision than UK authorities. The setting of risk weights and the design of macroprudential stress test scenarios document this hypothesis. This document was provided by the Economic Governance Support Unit at the request of the ECON Committee.
This document was requested by the European Parliament's Committee on Economic and Monetary Affairs. It was originally published on the European Parliament’s webpage: www.europarl.europa.eu/RegData/etudes/IDAN/2021/689443/IPOL_IDA(2021)689443_EN.pdf
Although resilience is a multi-level process, research largely focuses on the individual and little is known about how resilience may distinctly present at the group level. Even less is known about subjective conceptualizations of resilience at either level. Therefore, two studies sought to better understand how individuals conceptualize resilience both as an individual and as a group. Study 1 (N = 123) experimentally manipulated whether participants reported on either individual or group-based responses to real stressors and analysed their qualitative responses. For individual responses, subjective resilience featured active coping most prominently, whereas social support was the focus for group-based responses. As these differences might be attributable to the different stressors people remembered in either condition, Study 2 (N = 171) held a hypothetical stressor (i.e., natural disaster) constant. As expected, resilience at the group level emphasized maintaining group cohesion. Surprisingly, the group condition also reported increased likelihood to engage in blame, denial, and behavioural disengagement. Contrary to expectations, participants in the individual condition reported stronger desire to seek out new groups. The combined findings are discussed within the framework of resilience and social identity and highlight the necessity of accounting for multiple levels and subjective conceptualizations of resilience.
In Spätmittelalter und früher Neuzeit spielten Juristen bei der Pestbekämpfung eine wachsende Rolle: Während die Mediziner darüber stritten, ob die Körpersäfte schuld waren an der Ausbreitung der Seuche oder der Kontakt mit Erkrankten, organisierten juristisch gebildete Amtsträger für ihre Obrigkeiten eine beispiellose Politik staatlicher Intervention. Diese Strategie war zwar erfolgreich, zuweilen jedoch auch gnadenlos.
Viele Krebsarten können heutzutage erfolgreich behandelt werden. Doch häufig entstehen tödliche Hirnmetastasen. Wie es Tumorzellen gelingt, die Blut-Hirn-Schranke zu überwinden und im gut geschützten Organ Hirn zu überleben und sich weiter zu teilen, verfolgt die Arbeitsgruppe von Lisa Sevenich im Georg-Speyer-Haus, dem Institut für Tumorbiologie und Experimentelle Therapie.
Die drei Journalisten Patrick Bauer, Patrick Illinger und Till Krause sind für das Süddeutsche Zeitung Magazin in einer tiefschürfenden Recherche dem Fall des Tübinger Professors Niels Birbaumer nachgegangen, der behauptete, die Gedanken von unheilbar an der Nervenkrankheit ALS leidenden Patienten entschlüsseln zu können. Dabei traten jedoch immer größer werdende Unstimmigkeiten zwischen Datenlage und öffentlichen Erfolgsmeldungen auf. Insbesondere die Daten, auf denen die vermeintlichen Forschungsergebnisse basierten, konnten bei Nachprüfungen von anderen Experten nicht nachvollzogen werden. Die Jury des Goethe-Medienpreises erkannte dieser auch journalistisch herausragend umgesetzten Arbeit den 1. Preis zu. Mit zwei Journalisten des Teams, mit Dr. Till Krause und Dr. Patrick Illinger, konnte der UniReport vor der Preisverleihung sprechen.
Die Eltern sind fassungslos: Ihr 14-jähriger Sohn stürzt beim Training von seinem Rennrad und ist auf der Stelle tot – keine äußere Einwirkung, plötzlicher Herztod, wie die Rechtsmediziner feststellen. »Warum mein Sohn? Was sind die Ursachen?« Diese Fragen beschäftigen die trauernden Angehörigen nach dem ersten Schock unablässig, wissen die kardiologische Expertin Dr. Britt Beckmann und die Professorin für forensische Genetik Silke Kauferstein am Universitätsklinikum Frankfurt. Mit ihrem »Rescued«-Projekt sind sie Ansprechpartnerinnen für Betroffene und versuchen, mit modernsten Methoden der postmortalen Gendiagnostik Anhaltspunkte für eine Diagnose zu finden. Außerdem bauen sie – auch mit finanzieller Unterstützung der Freundesvereinigung in Höhe von 9000 Euro – ein erstes bundesweites Registersystem auf, in dem Fälle von plötzlichem Herztod bei jungen Menschen und ihre Ursachen erfasst werden.
Kontaktbeschränkungen betreffen vor allem auch internationale Studierende. Die digitale Kommunikation mit Freunden und Familie in der Heimat ist für viele ohnehin eine Selbstverständlichkeit. Aber die fehlende Präsenz im Studium und im Alltag an ihrem Studienwunschort Frankfurt ist für viele eine große Herausforderung.
Für die Studie 2019 wurden Jugendliche aus 88 Klassen in 23 Schulen von Ende 2019 bis Anfang 2020 befragt. Sie waren im Durchschnitt 16,7 Jahre alt, 81 Prozent der Befragten wohnten in Frankfurt. Die Daten des Monitoring-System Drogentrends basieren auf Befragungen von jährlich ca. 1500 Frankfurter Schüler*innen, die das Centre for Drug Research der Goethe-Universität Frankfurt seit 2002 durchführt. An den hier dargestellten Ergebnissen der Hauptzielgruppe der 15- bis 18-Jährigen waren ca. 1100 Schüler*innen beteiligt. Ebenfalls abgefragt wurde in der MoSyD-Studie Medienkonsum, Glücksspiel und andere Freizeitaktivitäten. Die MoSyD-Studie (Monitoring-System Drogentrends) 2019 umfasst neben der Befragung der Schüler*-innen auch die Befragung von Expert*innen und Trendscouts. Das Drogenreferat der Stadt Frankfurt am Main fördert die Studie. Die gesamte Studie kann kostenfrei heruntergeladen werden unter https://www.uni-frankfurt.de/99133712/MoSyD_Jahresbericht_2019.pd
Hintergrund: Die Verankerung der Kompetenzorientierung und die Betonung der praktisch-klinischen Ausbildung im Rahmen des Medizinstudiums sind zentrale Punkte in den Neuerungen der Ärztlichen Approbationsordnung. Mit der Entwicklung des Nationalen Kompetenzbasierten Lernzielkatalogs Medizin (NKLM) ist ein Rahmenwerk erstellt und verabschiedet worden, das die Inhalte des gesamten Medizinstudiums in Deutschland abbilden und eine Implementierung kompetenzorientierter Lernziele an den Fakultäten forcieren soll. Um diesem Ziel gerecht zu werden, müssen bereits an den Fakultäten vorhandene Lehrveranstaltungen mit dem NKLM abgeglichen und im Rahmen eines Curriculum Mappings kartiert werden. Ziel der vorliegenden Arbeit ist daher die Kartierung der im Frankfurter Blockpraktikum Chirurgie erlernten Kompetenzen im Sinne eines Curriculum Mappings in Anlehnung an die im NKLM formulierten Lernziele. Zudem wurde folgenden Fragestellungen nachgegangen: Welcher Umfang kompetenzorientierter Lernziele kann Studierenden in einem zweiwöchigen Praktikum Chirurgie vermittelt werden? Wie ist die Vermittlung der einzelnen Kapitel des NKLM im Blockpraktikum Chirurgie gewichtet? Gibt es Unterschiede der erreichten Lernziele in Abhängigkeit des Geschlechts der Studierenden, der besuchten Fachrichtung bzw. des besuchten Lehrkrankenhauses?
Material und Methoden: Im Rahmen der vorliegenden Arbeit wurden Medizinstudierende im zweiten bzw. dritten klinischen Semester unmittelbar nach Abschluss ihres Blockpraktikums Chirurgie gebeten, unter Nutzung eines Online-Fragebogens anzugeben, welche der im NKLM formulierten Lernziele sie im zweiwöchigen Blockpraktikum Chirurgie gelernt haben. Somit konnte für jedes Kapitel dargestellt werden, zu welchem prozentualen Anteil die Lernziele dieses Kapitels erreicht worden sind. Zudem wurden die soziodemographischen Daten der Studierenden, die Fachrichtung des Blockpraktikums und das Lehrkrankenhaus erfasst. Die statistische Auswertung erfolgte mit dem Wilcoxon-Mann-Whitney Test und dem Kruskal-Wallis Test.
Ergebnisse: Insgesamt nahmen 81 Studierenden (28 Männer, 53 Frauen) aus dem 2. bzw 3. klinischen Semester an der Studie teil. Insgesamt wurden im zweiwöchigen Blockpraktikum Chirurgie 8,78 ± 5,10% (Min. 1,01%; Max. 29,84%) aller Lernziele von den Studierenden erreicht. Hierbei wurden anteilig die meisten Lernziele in den Kapiteln 5-11 (Abschnitt 1 „Ärztliche Rollen“) mit 29,92 ± 15,22% (Min. 0,00%; Max. 63,10%) vermittelt. Aus Abschnitt 2 („Medizinisches Wissen, klinische Fähigkeiten und professionelle Haltungen“) wurden vor allem die Lernziele der Kapitel 14b „Klinisch-praktische Fertigkeiten“ (15,49 ± 7,78% (Min. 0,00%; Max. 41,30%) und 14c „Ärztliche Gesprächsführung“ (22,98 ± 16,47% (Min. 0,00%; Max. 70,69%) von den Studierenden erreicht. Männer geben durchschnittlich an, mehr Lernziele erreicht zu haben als Frauen (9,84% vs. 8,22%; p=0.104731). Weiterhin haben Studierende, die ihr Praktikum in einem Lehrkrankenhaus mit weniger als 100 chirurgischen Bettenplätzen (10,60 ± 6,75%; Min. 2,33%; Max. 29,84%) oder in einer Rotation (9,95 ± 6,67%; Min. 1,90%; Max. 29,84%) durch mehrere Fachrichtungen absolvierten, angegeben mehr Lernziele erreicht zu haben als andere Studierende insgesamt.
Schlussfolgerung: Das zweiwöchige Blockpraktikum Chirurgie in Frankfurt kann den Studierenden (im Hinblick auf die Gesamtdauer des Medizinstudiums) einen großen Anteil der im NKLM formulierten Lernziele vermitteln. Vor allem die Lernziele der „Ärztlichen Rollen“ und der „klinisch-praktischen Fertigkeiten“ werden erlernt. Die Vermittlung gelingt besonders umfangreich in kleineren Lehrkrankenhäusern. Trotzdem bietet das Blockpraktikum Chirurgie den Teilnehmer nur einen kleinen Einblick in den Fachbereich Chirurgie. Für die Vermittlung von spezifischen chirurgischen Fähigkeiten, Prinzipen chirurgischer Diagnostik und Therapie, sowie Aspekte der „Patientenzentrierten Gesundheitsversorgung“ sind andere Formate notwendig.
Die vorliegende Dissertation behandelt das Thema der Wechselstromleitfähigkeit nano-granularer Metalle, welche mit Hilfe der fokussierten elektronenstrahlinduzierten Direktabscheidung (FEBID) hergestellt wurden, sowie der dielektrischen Relaxation in metall-organischen Gerüstverbindungen (MOFs). Sie war eingebettet in das interdisziplinäre Projekt „Dielectric and Ferroelectric Surface-Mounted Metal-Organic Frameworks (SURMOFs) as Sensor Devices“ im Rahmen des DPG-Schwerpunktsprogramms „Coordination Networks: Building Blocks for Functional Systems“ (SPP 1928, COORNETs). Dabei verfolgt sie ein Sensorkonzept zur selektiven Detektion von Analytgasen. Der zentrale Erfolg der Arbeit besteht dabei in neuen Erkenntnissen über die Wechselstromleitfähigkeit nano-granularer Pt(C)-FEBID-Deponate. Die hierbei gewonnen Erkenntnisse können in Zukunft einen weiteren Baustein in der theoretischen Beschreibung dieses grundlegend interessanten und für sensorische Anwendungen wichtigen Teilgebiets der Festkörperphysik darstellen.
The authors present evidence of a new propagation mechanism for wealth inequality, based on differential responses, by education, to greater inequality at the start of economic life. The paper is motivated by a novel positive cross-country relationship between wealth inequality and perceptions of opportunity and fairness, which holds only for the more educated. Using unique administrative micro data and a quasi-field experiment of exogenous allocation of households, the authors find that exposure to a greater top 10% wealth share at the start of economic life in the country leads only the more educated placed in locations with above-median wealth mobility to attain higher wealth levels and position in the cohort-specific wealth distribution later on. Underlying this effect is greater participation in risky financial and real assets and in self-employment, with no evidence for a labor income, unemployment risk, or human capital investment channel. This differential response is robust to controlling for initial exposure to fixed or other time-varying local features, including income inequality, and consistent with self-fulfilling responses of the more educated to perceived opportunities, without evidence of imitation or learning from those at the top.
The Global South is facing severe challenges in ensuring livelihood security due to climate change impacts, environmental degradation and population growth as well as changing lifestyles. These complex problems cannot be solely solved by single scientific disciplines – they require transdisciplinary research (TDR). Stakeholders from civil society, the corporate sector, government and science need to pool their knowledge to find solutions for sustainable transformations. In Namibia, we have been involved in TDR projects on water supply, and sanitation services as well as livestock management in rangeland systems. In this paper, we review two TDR projects that differ in multiple ways and hence allow us to carve out structural differences and critically discuss research outcomes, lessons learned and the challenge of North–South collaborations. Our review builds upon published and unpublished project documents as well as expert interviews with Namibian and German researchers who were involved in the projects. Our results show that TDR can be put into practice in different ways, depending on the research focus and the period available. The TDR phases of problem framing, inter- and transdisciplinary integration were implemented with different tools and foci points. We discuss the role of project length and funding conditions for project success and outcome generation. In addition, we critically consider the role of Namibian and German researchers in these international collaborations. The conclusions we draw touch upon the points of preparatory research funding, the equal acknowledgement of Global South contributions to joint research projects and the explicit handling of TDR components in project work. Significance: • The current social-ecological challenges are complex and require TDR as a mode of knowledge coproduction, particularly in a development context. • Inter- and transdisciplinary integration are critical processes for a project to be successful and require the allocation of adequate time and monetary resources. • Longer-term projects with a funded preparatory research phase constitute a structural model for TDR as project outcomes can evolve over time. • Global South researchers carry a hidden burden in international collaborations that has to be adequately acknowledged upfront in project planning and final products.
Nach dem Theologiestudium in Göttingen und Marburg war Tabea Kraaz am Graduiertenkolleg „Theologie als Wissenschaft“ an unserem Fachbereich tätig. 2018 wurde sie mit einer Arbeit zu „Martin Luthers Glaubenswelten“ promoviert. Heute ist sie Gemeindepfarrerin in Arnoldshain im Taunus und engagiert sich als „TheoTabea“ in Sozialen Medien und mit einem Blog für die „digitale Kirche“.
Was ist ein Hindernis? – Fachliche Aushandlungen im Sachunterricht am Beispiel der Mobilitätsbildung
(2021)
Anhand eines Transkripts aus dem Sachunterricht an einer inklusiven Grundschule wird in diesem Beitrag herausgearbeitet, was Fachlichkeit am Beispiel der Radfahrausbildung in einer vierten Klasse ausmacht. Für die Videographien im Sachunterricht wurden Schulen ausgewählt, die sich selbst als inklusiv beschreiben. So beschreiben sie beispielsweise, dass der Anspruch auf sonderpädagogische Förderung erst im Übergang zur weiterführenden Schule festgestellt wird. Untersucht wird, wie die Teilnehmenden in einer Unterrichtsstunde ihre Vorstellungen zu dem fachlichen Begriff Hindernis aushandeln. Es zeigt sich, dass bei der Bearbeitung des Themas Vorbeifahren an einem Hindernis im Material kein Rückgriff auf die begrifflichen Vorstellungen bzw. Konzepte der Kinder vorgesehen ist. Da die Lernenden dennoch einen Aushandlungsprozess initiieren, in den sie auch die Lehrkraft einbeziehen, ist eine Auseinandersetzung mit den kindlichen und fachlichen Vorstellungen zu beobachten.
Trotz der Relevanz des Themas Suizidalität und gut bekannter Risikofaktoren gibt es bisher keine deutsche Leitlinie zur Suizidalität im Erwachsenenalter. In diesem Beitrag werden zunächst die Geschichte und die Hintergründe der Arbeit mit Leitlinien beschrieben. Der aktuelle Stand der Leitlinien für psychische Erkrankungen in Deutschland wird dargestellt und auf suizidpräventive Inhalte hin untersucht. Die Notwendigkeit evidenzbasierter Suizidprävention und einer spezifischen Leitlinie zur Suizidprävention bei Erwachsenen wird diskutiert.
Nur durch gezielte Suizidpräventionsstrategien und Interventionen für die jeweiligen Risikogruppen und unter Beachtung von Alters- und Geschlechtsspezifität kann für alle Betroffenen eine flächendeckende, gut erreichbare, bedarfs- und versorgungsgerechte, finanzierbare sowie nachhaltige medizinische Versorgung auf einem hohen Niveau sichergestellt werden. Dies gilt für den ambulanten und den stationären Bereich sowie für deren Schnittstellen. Bei Suizidalität handelt es sich um ein diagnoseübergreifendes, in unterschiedlichen Versorgungskontexten auftretendes Syndrom mit komplexem Behandlungsbedarf, weshalb intersektorale und multiprofessionelle Aspekte in einer entsprechenden Leitlinie besonders zu adressieren sind. Wissenschaftliche Evidenz und interdisziplinärer Konsens unter Expertinnen und Experten zum Umgang mit suizidalem Verhalten in der medizinischen Versorgung können dazu beitragen, Morbidität und Mortalität im Zusammenhang mit Suizidalität zu reduzieren. Im August 2021 wurde die Finanzierung einer S3-Leitlinie „Umgang mit Suizidalität“ vom Innovationsfonds des Gemeinsamen Bundesausschusses bewilligt.
In recent years, the clinical usefulness of the Wada test (WT) has been debated among researchers in the field. Therefore, we aimed to assess its contribution to the prediction of change in verbal learning and verbal memory function after epilepsy surgery. Data from 56 patients with temporal lobe epilepsy who underwent WT and subsequent surgery were analyzed retrospectively. Additionally, a standard neuropsychological assessment evaluating attentional, learning and memory, visuospatial, language, and executive function was performed both before and 12 months after surgery. Hierarchical linear regression analyses were used to determine the incremental value of WT results over socio-demographic, clinical, and neuropsychological characteristics in predicting postsurgical change in patients’ verbal learning and verbal memory function. The incorporation of WT results significantly improved the prediction models of postsurgical change in verbal learning (∆R2 = 0.233, p = .032) and verbal memory function (∆R2 = 0.386, p = .005). Presurgical performance and WT scores accounted for 41.8% of the variance in postsurgical change in verbal learning function, and 51.1% of the variance in postsurgical change in verbal memory function. Our findings confirm that WT results are of significant incremental value for the prediction of postsurgical change in verbal learning and verbal memory function. Thus, the WT contributes to determining the risks of epilepsy surgery and, therefore, remains an important part of the presurgical work-up of selected patients with clear clinical indications.
Vulnerability comes, according to Orio Giarini, with two risks: human-made risks, also called entrepreneurial risks, and natural or pure risks such as accidents and earthquakes. Both types of risk are growing in dimension and are increasingly interrelated. To control the vulnerability, sophisticated insurance products are called for. Here, mutual insurance is relevant, in particular when risks are large, probabilities uncertain or unknown, and events interrelated or correlated. In this paper the following three examples are discussed and the advantages of mutual insurance are shown: unknown probabilities connected with unforeseeable events, correlated risks and macroeconomic or demographic risks.
Hintergrund: Kardiovaskuläre Erkrankungen sind die Haupttodesursache in den Industrienationen. Viele betroffene Patienten haben nur ein geringes Verständnis für ihre Erkrankung. Insbesondere endovaskuläre Eingriffe überschreiten Vorstellungskraft und Verständnis der Patienten häufig um ein Vielfaches. Die ärztliche Eingriffsaufklärung soll den Patienten Einsicht über das Verfahren und mögliche Komplikationen ermöglichen, um dem Patienten autonome Entscheidungen zu erleichtern. In der einschlägigen Literatur wird vielfach diskutiert, wie sich der Aufklärungsprozess komplizierter Prozeduren, wie etwa einer Herzkatheteruntersuchung, optimieren lässt. Jüngst wurden dabei insbesondere moderne Ansätze, wie multimediale Verfahren oder interaktive Tools evaluiert, wobei diese Methoden nach aktueller Studienlage zu einer Verbesserung des Verständnisses und einer Reduktion der Untersuchungsangst führen konnten. Insbesondere Patienten mit geringem Bildungsniveau profitieren dabei von persönlichen Erfahrungen zur Verbesserung des prozeduralen Verständnisses. Diesen Ergebnissen entsprechend, macht es sich die vorliegende Arbeit zur Aufgabe, zu evaluieren, ob sich die Implementierung eines VR-Simulators in den Aufklärungsprozess einer Herzkatheteruntersuchung positiv auf Informiertheit und Untersuchungsangst bei den Patienten auswirkt.
Patienten und Methoden: Nach mündlicher Einwilligung zur Teilnahme an unserer Studie, erhielt ein Teil der Patienten zusätzlich zur herkömmlichen verbalen Aufklärung eine Demonstration des Untersuchungsablaufs einer PCI an einem VR-Simulator. Zusätzlich erhielten diese Patienten die Möglichkeit eine Katheteruntersuchung am Simulator nachzuempfinden. Für unsere Studie verwendeten wir einen VR-Simulator der Firma Xitact® (später Mentice®) mit einer Software der Firma Cathi®. Der Simulationsgruppe wurden 3 verschiedene Komplikationen mittels Abbildungen demonstriert. Im Anschluss beantworteten sowohl die konventionell, als auch die mit Simulation aufgeklärten Patienten einen von uns konzipierten Fragebogen.
Ergebnisse: Beide Gruppen fühlten sich nach der Aufklärung ausreichend informiert. Bezüglich der subjektiven Informiertheit zeigten sich keine signifikanten Unterschiede zur konventionellen Aufklärungsmethode (p=0.11). In der Kontrollgruppe bestanden nach konventioneller Aufklärung, trotz guter subjektiver Informiertheit, bei fast 90% der Patienten weiterhin offene Fragen bezüglich der Untersuchung, während sich diese Diskrepanz in der Simulationsgruppe nicht ergab (p<0.00001). Ferner standen die Patienten der Simulationsgruppe der anstehenden Untersuchung ruhiger gegenüber (0=0.049), während die Patienten der Kontrollgruppe angaben, tendenziell unruhig in die Untersuchung zu gehen (p=0.002). Es boten sich keinerlei Hinweise darauf, dass die Demonstration möglicher Komplikationen zu einer verstärkten Untersuchungsangst geführt hätte. Die Implementierung des Simulators hat sich insgesamt positiv auf das prozedurale Interesse des Patienten ausgewirkt.
Schlussfolgerung: Insgesamt hatte die Implementierung des VR Simulators in die Patientenaufklärung überwiegend positive Effekte und keinerlei negativen Effekte. Im direkten Vergleich zur konventionellen Aufklärung zeigten sich bezüglich der Informiertheit zunächst keine signifikanten Unterschiede zur konventionellen Aufklärungsmethode. Die erhobenen Daten deuten jedoch auf eine Überlegenheit der simulationsgestützten Aufklärung in Bezug auf Verständnis und Untersuchungsangst hin. Festzuhalten ist allerdings der hohe zusätzliche zeitliche Aufwand, mit dem eine simulationsgestützte Aufklärung verbunden ist. Die generelle Implementierung eines VR Simulators allein zum Zwecke der Patientenaufklärung wird daher nur bedingt empfohlen. Kliniken, die bereits über einen VR Simulator verfügen, sollten allerdings erwägen, diesen nicht nur für Ausbildungszwecke zu verwenden, sondern auch zum Zwecke der Patientenaufklärung.
With Empire of the Black Sea: the Rise and Fall of the Mithridatic World (2020), Duane Roller has published the first English monograph meant to cover the Pontic Kingdom of the Mithradatid dynasty. Although he falls short of presenting an up-to-date bibliography, the book is likely to become an influential reference work. The present chapter aims at closing several of the bibliographical gaps, by surveying recent (and forthcoming) scholarship especially on the kingdom’s history prior to Mithradates VI Eupator. Topics include the Achaemenid ancestry of Mithradates of Kios, the flight of Mithradates I Ktistes to Kimiata, the role of the Galatians in the rise of the kingdom, the historicity of Mithradates III, the wars and diplomacy of Pharnakes I, the putative sibling marriage of Mithradates IV, chronological aspects of the rule of Mithradates V, and the continuity of Mithradatid foreign policies.
Filz zählt neben Fett zu den prägendsten Materialien im Œuvre von Joseph Beuys. Er nutzt es bereits im Frühwerk der 1950er-Jahre und setzt es im Laufe von vier Jahrzehnten künstlerischer Tätigkeit gattungsübergreifend in Collagen, Assemblagen, Skulpturen, Environments und in den Aktionen ein. In den frühen bildhaften Arbeiten in der Fläche verbleibend, nimmt das Textil von hier aus in skulpturalen, installativen und performativen Werken zunehmend räumliche Ausmaße an; mit dieser vielseitigen Verwendung verbunden ist ein selbstreflexiver Impetus, der sich kritisch sowohl gegen die Einheit der Form und damit auch des Kunstwerks als auch gegen die strikte Trennung künstlerischer Gattungen wendet. Das Ausgreifen der Filzarbeiten in den Raum und der damit verknüpfte selbstkritische Ansatz wird in vorliegender Dissertation mit dem Konzept der Selbstkritik der Kunst verknüpft, das von Theodor W. Adorno in seiner 1970 posthum erschienenen „Ästhetischen Theorie“ entwickelt wurde. Das Brüchigwerden der Form, für Adorno Ausgangspunkt werkimmanenter Kritik des Kunstwerks an sich selbst, lässt sich in der jeweiligen Komposition der Filzarbeiten beobachten, wie anhand von Werkanalysen zentraler Filzarbeiten gezeigt wird.
Seit dem Sommersemester 2020 dominieren virtuelle Unterrichtsformen auch die Hochschulen. An der Frage nach Möglichkeiten und Grenzen digitaler Lehre scheiden sich aber schon länger die Geister des akademischen Lebens. Prof. Dr. Stefan Alkier sieht die Digitalisierung der Lehre kritisch. Er betont ihre bildungstheoretischen Grenzen und die Vorzüge „leibhaftiger Kommunikation“.
Von A bis Å. (Fast) alles über die Frankfurter Skandinavistik. Ausgabe 3 ; Wintersemester 2021
(2021)
Von A bis Å. (Fast) alles über die Frankfurter Skandinavistik. Ausgabe 2 ; Sommersemester 2021
(2021)
Vom »Mozartbuch für die Jugend« zu "Little Amadeus" : das Mozart-Bild in Kinderliteratur und -medien
(2021)
Das Bild Wolfgang Amadeus Mozarts ist nicht nur durch seine Musik sowie unzählige biografische und musikhistorische Darstellungen geprägt, bereits früh wird es – angefangen bei E.T.A. Hoffmanns Don Juan (1813) und Eduard Mörikes Mozart auf der Reise nach Prag (1855/56) – durch literarische Texte dämonisiert, romantisiert, idyllisiert, später dann entheroisiert, neutralisiert, sentimentalisiert, trivialisiert oder popularisiert. Betrachtet man das Mozart-Bild im Kinderbuch, so lassen sich zwei Phasen deutlich voneinander trennen: Wird Mozart in den 1940er- und 1950er-Jahren religiös verklärt und zum göttlichen Kind stilisiert, steht in den Mozart-Kinderbüchern und -medien im beginnenden 21. Jahrhundert eine entmystifizierte Sichtweise im Vordergrund., sondern vor allem auch an der breiten Diskussion und der Gründung neuer Institutionen...
Vom Campus »überwältigt«
(2021)
Voll gelohnt
(2021)
We define a sentiment indicator that exploits two contrasting views of return predictability, and study its properties. The indicator, which is based on option prices, valuation ratios and interest rates, was unusually high during the late 1990s, reflecting dividend growth expectations that in our view were unreasonably optimistic. We interpret it as helping to reveal irrational beliefs about fundamentals. We show that our measure is a leading indicator of detrended volume, and of various other measures associated with financial fragility. We also make two methodological contributions. First, we derive a new valuation-ratio decomposition that is related to the Campbell and Shiller (1988) loglinearization, but which resembles the traditional Gordon growth model more closely and has certain other advantages for our purposes. Second, we introduce a volatility index that provides a lower bound on the market's expected log return.
The evaluation of pharmacological data using machine learning requires high data quality. Therefore, data preprocessing, that is, cleaning analytical laboratory errors, replacing missing values or outliers, and transforming data adequately before actual data analysis, is crucial. Because current tools available for this purpose often require programming skills, preprocessing tools with graphical user interfaces that can be used interactively are needed. In collaboration between data scientists and experts in bioanalytical diagnostics, a graphical software package for data preprocessing called pguIMP is proposed, which contains a fixed sequence of preprocessing steps to enable reproducible interactive data preprocessing. As an R-based package, it also allows direct integration into this data science environment without requiring any programming knowledge. The implementation of contemporary data processing methods, including machine-learning-based imputation techniques, ensures the generation of corrected and cleaned bioanalytical data sets that preserve data structures such as clusters better than is possible with classical methods. This was evaluated on bioanalytical data sets from lipidomics and drug research using k-nearest-neighbors-based imputation followed by k-means clustering and density-based spatial clustering of applications with noise. The R package provides a Shiny-based web interface designed to be easy to use for non–data analysis experts. It is demonstrated that the spectrum of methods provided is suitable as a standard pipeline for preprocessing bioanalytical data in biomedical research domains. The R package pguIMP is freely available at the comprehensive R archive network (https://cran.r-project.org/web/packages/pguIMP/index.html).
The development of super-resolution microscopy (SRM) has widened our understanding of biomolecular structure and function in biological materials. Imaging multiple targets within a single area would elucidate their spatial localization relative to the cell matrix and neighboring biomolecules, revealing multi-protein macromolecular structures and their functional co-dependencies. SRM methods are, however, limited to the number of suitable fluorophores that can be imaged during a single acquisition as well as the loss of antigens during antibody washing and restaining for organic dye multiplexing. We report the visualization of multiple protein targets within the pre- and postsynapse in 350–400 nm thick neuronal tissue sections using DNA-assisted single-molecule localization microscopy (SMLM). In a single labeling step, antibodies conjugated with short DNA oligonucleotides visualized multiple targets by sequential exchange of fluorophore-labeled complementary oligonucleotides present in the imaging buffer. This approach avoids potential effects on structural integrity when using multiple rounds of immunolabeling and eliminates chromatic aberration, because all targets are imaged using a single excitation laser wavelength. This method proved robust for multi-target imaging in semi-thin tissue sections with a lateral resolution better than 25 nm, paving the way toward structural cell biology with single-molecule SRM.
The development of super-resolution microscopy (SRM) has widened our understanding of biomolecular structure and function in biological materials. Imaging multiple targets within a single area would elucidate their spatial localization relative to the cell matrix and neighboring biomolecules, revealing multi-protein macromolecular structures and their functional co-dependencies. SRM methods are, however, limited to the number of suitable fluorophores that can be imaged during a single acquisition as well as the loss of antigens during antibody washing and restaining for organic dye multiplexing. We report the visualization of multiple protein targets within the pre- and postsynapse in 350-400 nm thick neuronal tissue sections using DNA-assisted single-molecule localization microscopy. Using antibodies labeled with short DNA oligonucleotides, multiple targets are visualized successively by sequential exchange of fluorophore-labeled complementary oligonucleotides present in the imaging buffer. The structural integrity of the tissue is maintained owing to only a single labelling step during sample preparation. Multiple targets are imaged using a single laser wavelength, minimizing chromatic aberration. This method proved robust for multi-target imaging in semi-thin tissue sections, paving the way towards structural cell biology with single-molecule super-resolution microscopy.