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Background: Since January 2018 performance of urethroplasties is done on regular basis at the University Hospital Frankfurt (UKF). We aimed to implement and transfer an institutional standardized perioperative algorithm for urethral surgery (established at the University Hospital Hamburg-Eppendorf—UKE) using a validated Urethral Stricture Surgery Patient-Reported Outcome Measure (USS-PROM) in patients undergoing urethroplasty at UKF. Materials and Methods: We retrospectively analyzed all patients who underwent urethroplasty for urethral stricture disease between January 2018 and January 2020 at UKF. All patients were offered to revisit for clinical follow-up (FU) and completion of USS-PROM. Primary end point was stricture recurrence-free survival (RFS). Secondary endpoints were functional outcomes, quality of life (QoL), and patient satisfaction. Results: In total, 50 patients underwent urethroplasty and 74 and 24% had a history of previous urethrotomy or urethroplasty, respectively. A buccal mucosal graft urethroplasty was performed in 86% (n = 43). After patient's exclusion due to lost of FU, FU <3 months, and/or a pending second stage procedure, 40 patients were eligible for final analysis. At median FU of 10 months (interquartile-range 5.0–18.0), RFS was 83%. After successful voiding trial, the postoperative median Qmax significantly improved (24.0 vs. 7.0 mL/s; p < 0.01). Conversely, median residual urine decreased significantly (78 vs. 10 mL; p < 0.01). Overall, 95% of patients stated that QoL improved and 90% were satisfied by the surgical outcome. Conclusions: We demonstrated a successful implementation and transfer of an institutional standardized perioperative algorithm for urethral surgery from one location (UKE) to another (UKF). In our short-term FU, urethroplasty showed excellent RFS, low complication rates, good functional results, improvement of QoL and high patient satisfaction. PROMs allow an objective comparison between different centers.
Zum Themenfeld "Diversität und Vielfalt" diskutierten im Rahmen des 8. Treffens des Nachwuchsnetzwerkes "Stadt, Raum, Architektur" Wissenschaftler_innen aus den Sozial-, Geistes- und Raumwissenschaften an den Instituten für Humangeographie, Kulturanthropologie und Europäische Ethnologie der Goethe-Universität Frankfurt am Main am 9. und 10. November 2012. Vor dem Hintergrund aktueller Debatten um die Konzeptualisierung von sowie den praktischen Umgang mit soziokultureller Vielfalt fand ein produktiver Austausch aus den Perspektiven der Stadtplanung, der Architekturwissenschaft sowie der sozial- und kulturwissenschaftlichen Stadt- und Raumforschung statt. Die Ergebnisse dieser interdisziplinären Auseinandersetzung hinsichtlich einer globalen Diskursverschiebung von "Multikulturalismus" zu "Diversität" und der Adaption entsprechender Strategien in Politik, Wirtschaft und Gesellschaft werden in diesem Tagungsbericht anhand theoretischer Ansätze zu "Super-Diversity", Kosmopolitismus und Transnationalismus diskutiert. Empirisch werden insbesondere Fragen zu Standortmarketing, Integrationspolitiken und der Verräumlichung von Diversität sowie konkreter Praktiken der Segregation, Marginalisierung und Aushandlung von Differenz aufgegriffen. Abschließend wird die Frage nach Konflikten und Potenzialen einer "neuen Diversität" aus stadtplanerischer, dekolonialer und poststrukturalistischer Perspektive diskutiert.
A measurement of the transverse momentum spectra of jets in Pb-Pb collisions at sNN−−−√=2.76 TeV is reported. Jets are reconstructed from charged particles using the anti-kT jet algorithm with jet resolution parameters R of 0.2 and 0.3 in pseudo-rapidity |η|<0.5. The transverse momentum pT of charged particles is measured down to 0.15 GeV/c which gives access to the low pT fragments of the jet. Jets found in heavy-ion collisions are corrected event-by-event for average background density and on an inclusive basis (via unfolding) for residual background fluctuations and detector effects. A strong suppression of jet production in central events with respect to peripheral events is observed. The suppression is found to be similar to the suppression of charged hadrons, which suggests that substantial energy is radiated at angles larger than the jet resolution parameter R=0.3 considered in the analysis. The fragmentation bias introduced by selecting jets with a high pT leading particle, which rejects jets with a soft fragmentation pattern, has a similar effect on the jet yield for central and peripheral events. The ratio of jet spectra with R=0.2 and R=0.3 is found to be similar in Pb-Pb and simulated PYTHIA pp events, indicating no strong broadening of the radial jet structure in the reconstructed jets with R<0.3.
Simple Summary: Treatment of metastatic renal cell carcinoma (mRCC) remains a challenge due to the lack of biomarkers indicating the optimal drug for each patient. This study analyzed blood samples of patients with predominant clear cell mRCC who were treated with the mTOR inhibitor everolimus after failure of one prior tumor therapy. In an exploratory approach, predictive blood biomarkers were searched. We found lower levels of the protein thrombospondin-2 (TSP-2) at the start of the therapy and higher lactate dehydrogenase (LDH) levels in serum two weeks after therapy initiation to be associated with therapy response. Of note, these blood biomarkers had a higher predictive value than baseline patient parameters or risk classifications. Polymorphisms in the mTOR gene appeared to be associated with therapy response, but were not significant. To conclude, it seems feasible to identify patients showing longtime responses to everolimus and possible to increase tumor therapy response rates based on biomarkers for individual therapy selection.
Abstract: There is an unmet need for predictive biomarkers in metastatic renal cell carcinoma (mRCC) therapy. The phase IV MARC-2 trial searched for predictive blood biomarkers in patients with predominant clear cell mRCC who benefit from second-line treatment with everolimus. In an exploratory approach, potential biomarkers were assessed employing proteomics, ELISA, and polymorphism analyses. Lower levels of angiogenesis-related protein thrombospondin-2 (TSP-2) at baseline (≤665 parts per billion, ppb) identified therapy responders with longer median progression-free survival (PFS; ≤665 ppb at baseline: 6.9 months vs. 1.8, p = 0.005). Responders had higher lactate dehydrogenase (LDH) levels in serum two weeks after therapy initiation (>27.14 nmol/L), associated with a longer median PFS (3.8 months vs. 2.2, p = 0.013) and improved overall survival (OS; 31.0 months vs. 14.0 months, p < 0.001). Baseline TSP-2 levels had a stronger relation to PFS (HR 0.36, p = 0.008) than baseline patient parameters, including IMDC score. Increased serum LDH levels two weeks after therapy initiation were the best predictor for OS (HR 0.21, p < 0.001). mTOR polymorphisms appeared to be associated with therapy response but were not significant. Hence, we identified TSP-2 and LDH as promising predictive biomarkers for therapy response on everolimus after failure of one VEGF-targeted therapy in patients with clear cell mRCC.
Various mechanisms can facilitate the success of plant invasions simultaneously, but may be difficult to disentangle. In the present study, plants of the range-expanding species Bunias orientalis from native, invasive and naturalised, not yet invasive populations were compared in a field common garden over two years. Plants were grown under two nitrate-regimes and multiple traits regarding growth, defence, antagonist loads and reproduction were measured. A rank-based clustering approach was used to assign correlated traits to distinct suites. These suites were analysed for "syndromes" that are expressed as a function of population origin and/or fertilisation treatment and might represent different invasion mechanisms. Indeed, distinct suites of traits were differentially affected by these factors. The results suggest that several preadaptation properties, such as certain growth characteristics and intraspecific chemical variation, as well as post-introduction adaptations to antagonists and resource availability in novel habitats, are candidate mechanisms that facilitate the success of invasive B. orientalis in parallel. It was concluded that rank-based clustering is a robust and expedient approach to integrate multiple traits for elucidating invasion syndromes within individual species. Studying a multitude of traits at different life-history and establishment stages of plants grown under distinct resource treatments reveals species-specific trade-offs and resource sinks and simplifies the interpretation of trait functions for the potential invasive success of plants.
Two-particle angular correlations between unidentified charged trigger and associated particles are measured by the ALICE detector in p–Pb collisions at a nucleon–nucleon centre-of-mass energy of 5.02 TeV. The transverse-momentum range 0.7 < pT,assoc < pT,trig < 5.0 GeV/c is examined, to include correlations induced by jets originating from low momentum-transfer scatterings (minijets). The correlations expressed as associated yield per trigger particle are obtained in the pseudorapidity range |η| < 0.9. The near-side long-range pseudorapidity correlations observed in high-multiplicity p–Pb collisions are subtracted from both near-side short-range and away-side correlations in order to remove the non-jet-like components. The yields in the jet-like peaks are found to be invariant with event multiplicity with the exception of events with low multiplicity. This invariance is consistent with the particles being produced via the incoherent fragmentation of multiple parton–parton scatterings, while the yield related to the previously observed ridge structures is not jet-related. The number of uncorrelated sources of particle production is found to increase linearly with multiplicity, suggesting no saturation of the number of multi-parton interactions even in the highest multiplicity p–Pb collisions. Further, the number scales only in the intermediate multiplicity region with the number of binary nucleon–nucleon collisions estimated with a Glauber Monte-Carlo simulation.
Die französische Künstlerin Bettina Rheims zeigte im Château de Vincennes bei Paris unter dem Ausstellungstitel DÉTENUES über sechzig Fotografien von in Frankreich inhaftierten Frauen. Détenues, so heißen die weiblichen Häftlinge auf Französisch. Mit der Themenwahl schließt Rheims an frühere Fotografieprojekte an. In den 1990er Jahren wurde die Fotografin aufgrund einfühlsamer Portraits bekannt, die sie von Prostituierten am legendären Place Pigalle machte. Auch in ihrem Projekt DÉTENUES beweist Rheims eine solche Einfühlsamkeit. Sie nähert sich ihren Modellen in erster Linie als Frauen, die ein Gesicht, einen Körper und Augen haben, die Geschichten erzählen. Erst in zweiter Linie zeigt Rheims inhaftierte Verbrecherinnen, in deren Vergangenheit ein Mord, ein Raub, Drogenmissbrauch oder eine andere Straftat stand. ...
Wie Antanas Sutkus Jean-Paul Sartre fotografierte : oder das Verhältnis von Kunst und Philosophie
(2018)
Von den französischen Existenzialisten wurden viele Fotografien gemacht. Gerade Henri Cartier-Bresson verstand es, die philosophische Avantgarde – insbesondere Jean-Paul Sartre und Albert Camus – in das rechte Licht zu rücken. Die vermutlich berühmteste Fotografie von Sartre stammt jedoch nicht aus dessen Dunkelkammer, sondern wurde von dem jungen (nicht mal fünfundzwanzigjährigen) litauischen Fotografen Antanas Sutkus aufgenommen. Die Aufnahme ist 1965 auf der Kurischen Nehrung in Litauen entstanden und schmückt heute knapp zweihundert Sartre-Bucheinbände. ...
Background: The standard electrode array for the MED-EL MAESTRO cochlear implant system is 31 mm in length which allows an insertion angle of approximately 720°. When fully inserted, this long electrode array is capable of stimulating the most apical region of the cochlea. No investigation has explored Electrically Evoked Compound Action Potential (ECAP) recordings in this region with a large number of subjects using a commercially available cochlear implant system. The aim of this study is to determine if certain properties of ECAP recordings vary, depending on the stimulation site in the cochlea. Methods: Recordings of auditory nerve responses were conducted in 67 subjects to demonstrate the feasibility of ECAP recordings using the Auditory Nerve Response Telemetry (ART™) feature of the MED-EL MAESTRO system software. These recordings were then analyzed based on the site of cochlear stimulation defined as basal, middle and apical to determine if the amplitude, threshold and slope of the amplitude growth function and the refractory time differs depending on the region of stimulation. Results: Findings show significant differences in the ECAP recordings depending on the stimulation site. Comparing the apical with the basal region, on average higher amplitudes, lower thresholds and steeper slopes of the amplitude growth function have been observed. The refractory time shows an overall dependence on cochlear region; however post-hoc tests showed no significant effect between individual regions. Conclusions :Obtaining ECAP recordings is also possible in the most apical region of the cochlea. However, differences can be observed depending on the region of the cochlea stimulated. Specifically, significant higher ECAP amplitude, lower thresholds and steeper amplitude growth function slopes have been observed in the apical region. These differences could be explained by the location of the stimulating electrode with respect to the neural tissue in the cochlea, a higher density, or an increased neural survival rate of neural tissue in the apex. Trial registration: The Clinical Investigation has the Competent Authority registration number DE/CA126/AP4/3332/18/05.