Refine
Year of publication
- 2018 (3230) (remove)
Document Type
- Article (1487)
- Part of Periodical (421)
- Book (274)
- Part of a Book (208)
- Doctoral Thesis (204)
- Contribution to a Periodical (195)
- Review (146)
- Working Paper (132)
- Preprint (75)
- Conference Proceeding (49)
Language
- English (1776)
- German (1342)
- Portuguese (35)
- Spanish (18)
- French (17)
- Multiple languages (17)
- Turkish (13)
- Italian (6)
- Ukrainian (2)
- Hebrew (1)
Has Fulltext
- yes (3230) (remove)
Is part of the Bibliography
- no (3230) (remove)
Keywords
- taxonomy (61)
- Geschichte (52)
- Begriff (51)
- Deutsch (48)
- new species (38)
- Literatur (34)
- Übersetzung (20)
- Financial Institutions (17)
- Fremdsprachenunterricht (17)
- Vormärz (16)
Institute
- Medizin (520)
- Präsidium (304)
- Physik (224)
- Wirtschaftswissenschaften (179)
- Sustainable Architecture for Finance in Europe (SAFE) (129)
- Gesellschaftswissenschaften (117)
- Biowissenschaften (106)
- Center for Financial Studies (CFS) (102)
- Frankfurt Institute for Advanced Studies (FIAS) (97)
- Neuere Philologien (89)
Ventriculoperitoneal shunts equipped with a reservoir and a valve to manually switch off the shunt function can be used for intraventricular injections of therapeutics in patients suffering from a communicating hydrocephalus caused by leptomeningeal metastases. These shunt devices avoid the risk of injecting therapeutics through the distal leg of the shunt system into the intraperitoneal space, which may cause toxicity. Furthermore, regular intraventricular injections of chemotherapeutics help to maintain sufficient concentrations in the ventricular space. Therefore, ventriculoperitoneal shunts equipped with an on-off valve are a useful tool to reliably inject chemotherapeutics into the ventricles. In order to systematically assess feasibility, safety, and efficacy of this procedure, we performed a retrospective analysis of all patients with leptomeningeal metastases who had received a shunt system at our institution. In total, six adult patients had a ventriculoperitoneal shunt equipped with an on-off valve implanted. Out of these six patients, two patients subsequently received intraventricular injections of chemotherapeutics. The configuration of the valve setting and the intraventricular injections were easily feasible in the setting of a neuro-oncology department. The complication of a shunt leakage occurred in one patient following the first intraventricular injection. No extra-central nervous system (CNS) toxicities were observed. In summary, ventriculoperitoneal shunts with on-off valves are useful tools for reliable intraventricular administration of therapeutics.
Artificial intelligence (AI)1, together with big data, is the driving force behind the ever-accelerating digital revolution. AI has what it takes to call into question our fundamental concepts and processes of political, social, economic etc. order (Macron, 2018; Zuboff, 2018), and the law will not be spared. Therefore, all societal actors (inter alia from politics, the economy, legal practice and academia) must take responsibility for the crucial twin tasks of determining the right, balanced relationship between AI and the law, and even to hybridise them. ...
Background: No observational studies have evaluated the "real-world" effectiveness of dual bronchodilation comprising a long-acting β2-agonist plus a long-acting muscarinic antagonist vs that of triple therapy (long-acting β2-agonist plus long-acting muscarinic antagonist plus inhaled corticosteroid) in COPD.
Materials and methods: DACCORD is a non-interventional, observational clinical study that recruited patients following COPD maintenance therapy initiation or change in maintenance therapy between or within therapeutic class. Given the non-interventional nature of the study, the decision to initiate or change medication had to be made by the patients’ physicians prior to inclusion in DACCORD. We used a matched-pairs analysis to compare disease progression in two patient groups: those receiving dual bronchodilation vs those receiving triple therapy (each group n=1,046).
Results: In two subgroups of patients matched according to a broad range of demographic and disease characteristics, over 1 year, fewer patients receiving dual bronchodilation exacerbated than those receiving triple therapy (15.5% vs 26.6%; P<0.001), with a greater improvement from baseline in COPD Assessment Test total score at 1 year (mean±SD -2.9±5.8 vs -1.4±5.5; P<0.001). When analyzed according to prior therapy, the highest rate of exacerbations was in patients on triple therapy prior to the study who remained on triple therapy. Those changing from mono-bronchodilator to dual bronchodilation had the greatest COPD Assessment Test total score improvement.
Conclusion: In this "real-life" cohort of patients with COPD, most of whom had not exacerbated in the 6 months prior to entry, triple therapy did not seem to improve outcomes compared with dual bronchodilation in terms of either exacerbations or health status. Our analyses clearly demonstrate the potential impact of prior medication on study results, something that should be taken into account when interpreting the results even of controlled clinical trials.
Staatliches Hacking von Computern und Smartphones hat Konjunktur. Durch das Gesetz zur effektiveren und praxistauglicheren Ausgestaltung des Strafverfahrens vom 17. August 2017 (BGBl. I S. 3202) wurden Online-Durchsuchung und Quellen-TKÜ mittels "Staatstrojanern" zu Standardmaßnahmen im strafrechtlichen Ermittlungsverfahren. Die StPO erlaubt seither den Einsatz von Staatstrojanern in mehreren zehntausend Fällen im Jahr: Sie sind nun immer dann zulässig, wenn bisher eine klassische Telekommunikationsüberwachung gem. § 100a Abs. 1 StPO unter Einbindung der jeweiligen Provider (vgl. § 100b StPO a.F.) vorgenommen wurde.
Background: Treatment complexity rises in line with the number of drugs, single doses, and administration methods, thereby threatening patient adherence. Patients with multimorbidity often need flexible, individualised treatment regimens, but alterations during the course of treatment may further increase complexity. The objective of our study was to explore medication changes in older patients with multimorbidity and polypharmacy in general practice.
Methods: We retrospectively analysed data from the cluster-randomised PRIMUM trial (PRIoritisation of MUltimedication in Multimorbidity) conducted in 72 general practices. We developed an algorithm for active pharmaceutical ingredients (API), strength, dosage, and administration method to assess changes in physician-reported medication data during two intervals (baseline to six-months: ∆1; six- to nine-months: ∆2), analysed them descriptively at prescription and patient levels, and checked for intervention effects.
Results: Of 502 patients (median age 72 years, 52% female), 464 completed the study. Changes occurred in 98.6% of patients (changes were 19% more likely in the intervention group): API changes during ∆1 and ∆2 occurred in 414 (82.5%) and 338 (67.3%) of patients, dosage alterations in 372 (74.1%) and 296 (59.2%), and changes in API strength in 158 (31.5%) and 138 (27.5%) respectively. Administration method changed in 79 (16%) of patients in both ∆1 and ∆2. Simvastatin, metformin and aspirin were most frequently subject to alterations.
Conclusion: Medication regimens in older patients with multimorbidity and polypharmacy changed frequently. These are mostly due to discontinuations and dosage alterations, followed by additions and restarts. These findings cast doubt on the effectiveness of cross-sectional assessments of medication and support longitudinal assessments where possible.
Trial registration: 1. Prospective registration: Trial registration number: NCT01171339; Name of registry: ClinicalTrials.gov; Date of registration: July 27, 2010; Date of enrolment of the first participant to the trial: August 12, 2010.
2. Peer reviewed trial registration: Trial registration number: ISRCTN99526053; Name of registry: Controlled Trials; Date of registration: August 31, 2010; Date of enrolment of the first participant to the trial: August 12, 2010.
Im Beitrag wird die Frage des korporativen Gedächtnisses erörtert, wie es sich 1949–1951 in betriebsinternen Zeitschriften als Basis für eine neue korporative Identität der volkseigenen Textilunternehmen gestaltete. Hierbei wird besonders mit den betriebsinternen, von Arbeiter/innen oder den Gewerkschaften verfassten Zeitschriften "Naše pětiletka" (Unser Fünfjahresplan) des Vlnap-Konzerns und "Mosilana píše" (Mosilana schreibt) des Mosilana-Konzerns gearbeitet. Der Schwerpunkt der Untersuchung liegt auf dem Umgang dieser Zeitschriften mit ihrer korporativen Vergangenheit bzw. mit der Vergangenheit der tschechoslowakischen Textilbranche generell. Trotz der schon 1949 dominierenden Ideologisierung des korporativen Gedächtnisses im Sinne des kommunistischen Regimes zeigen sich vor allem in der Auseinandersetzung darüber, welche Art von Kritik in den neuen Konzernen wünschenswert wäre, durchaus auch nicht machtkonforme Kontinuitäten mit der kapitalistischen Ära. Diese verflüchtigen sich jedoch spätestens im Laufe des Jahres 1951.
This scientific article focuses on Ursula Ackrill’s novel ˮZeiden, im Januarˮ and its aim is to examine the specificity of present-day literature of the Transylvanian Saxons. Starting from the methodological considerations of Jan Assmann and Aleida Assmann, the concept of memorial culture will be exemplified and analyzed through relevant scenes of the novel, in close connection with Leontina Philippi’s approach of writing the chronicle of Codlea. Antonescu’s fascist dictatorship, the obligation for Saxon men to serve in the SS troops, the friendly collaboration between Antonescu and Hitler, the collaboration between German and Saxon military, the role of collaborators at that time, the Saxons’ customs and traditions, the portrait of the Jew of Lipscani street, Bucharest society during the rule of Ion Antonescu are just a few aspects of the novel which emphasize the intercultural character of this writing on the basis of communicative and cultural memory.
Besides some well-established forms like autoritär 'authoritarian'; humanitär 'humanitarian'; new coinages ending with -itär can be found in German. These adjectives are closely related to nouns ending with -ität. From an etymological point of view; these formations are morphologically transparent. Not only are the adjectives new; but -itär emerges as a new suffix.
Intestinal graft-versus-host disease (GvHD) is a life-threatening, inflammatory donor T cell-mediated complication of allogeneic hematopoietic stem cell transplantation (allo-HSCT). In the light of the reported efficacy of interleukin-23 (IL-23)-blockade to mitigate syngeneic intestinal inflammation in inflammatory bowel disease patients, targeting IL-23 and thereby interleukin-17a (IL-17a) producing T helper (Th17) cells as the T cell subset assumed to be mostly regulated by IL-23, has emerged as a putatively general concept to harness immune-mediated mucosal inflammation irrespective of the underlying trigger. However, the role of Th17 cells during allo-response driven colitis remains ambiguous due to a series of studies with inconclusive results. Interestingly, we recently identified granulocyte-macrophage colony-stimulating factor (GM-CSF+) T cells to be promoted by interleukin-7 (IL-7) signaling and controlled by the activating protein-1 transcription factor family member basic leucine zipper transcription factor ATF-like (BATF) as critical mediators of intestinal GvHD in mice. Given the dual role of BATF, the contribution of IL-23-mediated signaling within donor T cells and bona fide Th17 cells remains to be delineated from the regulation of GM-CSF+ T cells in the absence of BATF. Here, we found in a complete MHC class I-mismatched model that genetic inactivation of the IL-23 receptor (IL-23R) or the transcription factor retinoic acid-related orphan receptor gamma t (RORγt) within donor T cells similarly ablated Th17 cell formation in vivo but preserved the T cells’ ability to induce intestinal GvHD in a compared to wild-type controls indistinguishable manner. Importantly, RORγt-independent manifestation of intestinal GvHD was completely dependent on BATF-regulated GM-CSF+ T cells as BATF/RORγt double-deficient T cells failed to induce colitis and the antibody-mediated blockage of IL-7/IL-7R interaction and GM-CSF significantly diminished signs of intestinal GvHD elicited by RORγt-deficient donor T cells. Finally, in analogy to our murine studies, colonic RORC expression levels inversely correlated with the presence of GvHD in allo-HSCT patients. Together, this study provides a crucial example of a BATF-dependent, however, IL-23R signaling- and RORγt-, i.e., Th17 fate-independent regulation of a colitogenic T cell population critically impacting the current understanding of intestinal GvHD.
Das Kleine Schneeglöckchen (Galanthus nivalis) zählt zu den klassischen Frühjahrsgeophyten, wobei die Bezeichnung Wintergeophyt an dieser Stelle viel treffender wäre, denn die Art gehört neben dem Winterling (Eranthis hyemalis) bei uns zu den allerersten blühenden Pflanzen im Jahr. Ihre Blüten erscheinen massenhaft zwischen Januar und März, in milden Jahren blühen einzelne Pflanzen auch schon im Dezember. Somit kommt dem Schneeglöckchen nicht nur unter Botanikern eine symbolische Bedeutung zu: Sein Erscheinen versinnbildlicht das allmähliche Erwachen der Natur nach der Winterruhe und den Neubeginn des Pflanzenjahres.