This Special Issue “Ecocentric education” contains articles focused on ecological values in environmental education (EE) and education for sustainable development (ESD). Ecocentric education is based on a critical theory, originating from Erich Fromm [1], Herbert Marcuse [2], and Paulo Freire [3], and on ecological pedagogy (ecopedagogy), developed by Richard Kahn [4]. These critical theorists served as catalysts in the transformation of education towards the recognition of the “domination” of capitalist, corporate, and/or political power in shaping societies, challenging the broadly shared assumptions and practices [5]. Fromm [1] and his peers believed that education makes learners internalize alienation from humanity and nature, a process which is inherent in the industrial capitalist society. This process increases uncritical adherence to dominant values such as consumerism, downplaying the negative side effects of technocratically defined “progress”. https://doi.org/10.3390/educsci10090217 LinkedIn: https://www.linkedin.com/in/helenkopnina/
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Previous research has shown clinical effectiveness of dermal substitution; however, in burn wounds, only limited effect has been shown. A problem in burn wounds is the reduced take of the autograft, when the substitute and graft are applied in one procedure. Recently, application of topical negative pressure (TNP) was shown to improve graft take. The aim of this study was to investigate if application of a dermal substitute in combination with TNP improves scar quality after burns. In a four-armed multicenter randomized controlled trial, a split-skin graft with or without a dermal substitute and with or without TNP was compared in patients with deep dermal or full-thickness burns requiring skin transplantation. Graft take and rate of wound epithelialization were evaluated. Three and 12 months postoperatively, scar parameters were measured. The results of 86 patients showed that graft take and epithelialization did not reveal significant differences. Significantly fewer wounds in the TNP group showed postoperative contamination, compared to other groups. Highest elasticity was measured in scars treated with the substitute and TNP, which was significantly better compared to scars treated with the substitute alone. Concluding, this randomized controlled trial shows the effectiveness of dermal substitution combined with TNP in burns, based on extensive wound and scar measurements.
