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Institute
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Purpose: Acute kidney injury (AKI) is a severe complication in medical and surgical intensive care units accounting for a high morbidity and mortality. Incidence, risk factors, and prognostic impact of this deleterious condition are well established in this setting. Data concerning the neurocritically ill patients is scarce. Therefore, aim of this study was to determine the incidence of AKI and elucidate risk factors in this special population.
Methods: Patients admitted to a specialized neurocritical care unit between 2005 and 2011 with a length of stay above 48 hours were analyzed retrospectively for incidence, cause, and outcome of AKI (AKI Network-stage ≥2).
Results: The study population comprised 681 neurocritically ill patients from a mixed neurosurgical and neurological intensive care unit. The prevalence of chronic kidney disease (CKD) was 8.4% (57/681). Overall incidence of AKI was 11.6% with 36 (45.6%) patients developing dialysis-requiring AKI. Sepsis was the main cause of AKI in nearly 50% of patients. Acute kidney injury and renal replacement therapy are independent predictors of worse outcome (hazard ratio [HR]: 3.704; 95% confidence interval [CI]: 1.867-7.350; P < .001; and HR: 2.848; CI: 1.301-6.325; P = .009). Chronic kidney disease was the strongest independent risk factor (odds ratio: 12.473; CI: 5.944-26.172; P < .001), whereas surgical intervention or contrast agents were not associated with AKI.
Conclusions: Acute kidney injury in neurocritical care has a high incidence and is a crucial risk factor for mortality independently of the underlying neurocritical condition. Sepsis is the main cause of AKI in this setting. Therefore, careful prevention of infectious complications and considering CKD in treatment decisions may lower the incidence of AKI and hereby improve outcome in neurocritical care.
Although there are many dialect speakers in Bavaria, the dialect - mainly because of its non-standardized spelling - is usually not used in common print media or on nationwide television. Nevertheless, the Bavarian dialect appears on Bavarian television (BR) and in cinema films. However, the Bavarian used on television or in films is frequently not a genuine dialect; instead it is a synthetic language which resembles the German standard and merely refers to the dialect. This is mainly due to the needs of non-dialect speakers, who would definitely have comprehension problems with the genuine dialect. Furthermore, the Bavarian dialect is often used on online platforms, such as Facebook or YouTube. In these conversational situations, face-to-face communication is replaced by written texts. In the case of dialect speakers, these texts can appear as written dialect; due to the non-standardized spelling, the texts are strongly individualized.
The aim of this study is to trace back the translator of "Reinhold Lubenau Seyahatnamesi [Osmanlı Ülkesinde, 1587-1589]" and focus on her translation approach through paratexts. The traveller portrays the Muslim 'other' whom he met in the Ottoman Empire where he spent his time between the years 1587-1589, when the Ottoman Empire had the power and Islam was being perceived as a threat to them versus his own culture which he belonged to as a Prussian Protestant. The translation of this itinerary is available to Turkish readers after approximately 400 years in 2012. What makes this translation interesting is the translation of a source text, in which the target culture was being portrayed from the perspective of the 'other', into a target language. How was this 'foreign' perspective constructed by the traveler translated and reflected in the paratext? What was the approach of the translator against the challenges he encountered during the translation process? Answers to these questions among many others were being searched through an examination of paratexts. In addition, it was also discussed whether the author moved to the reader or the reader moved to the author. Paratexts encourage reading and direct the reception (Genette 2016). In this study, book covers, names, titles, genre, graphics illustration and footnotes were examined. Translator footnotes, which were provided by the translator in order to make the text clear, were classified in order to underline the functions of these footnotes. Translator footnotes are the tools, which make translators visible and help them to raise their voices in the texts. In peritexts, translator can provide extra information to the readers, explain and justify his/her translation decisions.
Aus einem ultranationalistischen Blickwinkel skizzierte Kuffner auf 32 Seiten und fünf beigefügten Karten die aus seiner Sicht notwendige territoriale Neuordnung Europas, die sowohl die allslawische Frage "od Šumavy až po Bajkal či Tichý Oceán" [vom Böhmerwald bis zum Baikalsee bzw. Pazifik] lösen als auch einen dauerhaften Frieden garantieren sollte. Die Hauptrolle dabei hatte er einem neu zu formierenden Staat zugedacht, dem er zwar den Namen "Čechy" (Böhmen) gab, der jedoch nicht nur die historischen Grenzen des Königreichs, sondern auch diejenigen der 1918 gegründeten ČSR deutlich überschritt. [...] Mit dieser überzogenen Denkschrift sollte Kuffer (unbeabsichtigt) einer antitschechischen Propaganda dies- und jenseits der 1919 sanktionierten Grenzen für 20 Jahre Dauermunition liefern: Binnen weniger Jahre avancierte sie zum meistzitierten tschechischen Werk im völkisch-deutschnationalen Schrifttum der 1920er und 1930er Jahre. Man glaubte in Kuffners Schrift "das heimliche Grundkonzept des tschechischen Imperialismus" aufgedeckt zu haben.
Konflikte erfüllen eine wesentliche Funktion in der Zusammenarbeit der Menschen. Sie werden meistens allgemein nur als negativ angesehen, sie können jedoch auch positive Funktionen haben. Dieser Beitrag fokussiert sich auf die Rolle des Translators als "Mittler/Mediator" und der Translation als eines Produkts, d. h. eines zielsprachlichen Textes, der auf der Grundlage eines ausgangssprachlichen Textes entstanden ist, in Bezug auf verschiedene mögliche Konfliktsituationen. Im Zentrum der Aufmerksamkeit steht auch die interkulturelle Funktion der Übersetzung als einer sog. sprachlichen "Mittlerin" zwischen unterschiedlichen Welten und Kulturen in der heutigen globalisierten Welt.
"Eames-the architect and the painter" ist ein Dokumentarfilm über das Paar Ray und Charles Eames, der sowohl ihr Arbeits-, als auch ihr Privatleben vorstellt. Der Film erzählt über die sehr eindrucksvolle Schaffenskraft und Arbeitsweise des kreativen Paares, das in seiner Werkstatt, dem Design Office Eames, ab Mitte der 1940er Jahre vor allem eine neue, moderne Formensprachen für Möbel suchte. Ihr Hauptanliegen galt von Beginn an der seriellen Anfertigung von Stühlen und Möbeln, die den neuen Ansprüchen des nach Aufbruch strebenden Zeitgeistes gerecht werden sollten. Dementsprechend wichtig war es ihnen, einen Ort zu etablieren, in dem, fern jeglicher Dogmatik und gängiger Arbeitsweisen, experimentell und freigeistig gearbeitet werden konnte. ...
Buchbesprechungen
(2018)
Es werden folgende Publikation rezensiert: Hessen Forst & Nordwestdeutsche Forstliche Versuchsanstalt (Hrsg.): Hessische Naturwaldreservate im Portrait.Stirnberg, Hessen Forst & Nordwestdeutsche Forstliche Versuchsanstalt (Hrsg.): Hessische Naturwaldreservate im Portrait. Weiherskopf, Kremer & Merz: Naturparadies Mittelrhein, Lehmann & Lübcke: Artenvielfalt im Naturpark Diemelsee, Lübcke: Die Ederaue bei Rennertehausen, Lüder: Grundkurs Pflanzenbestimmung, Jäger (Hrsg.): Rothmaler: Exkursionsflora von Deutschland.
Erinnerung an Gerhard Neumann (1934–2017) : Rede bei der Trauerfeier in Berlin am 13. Januar 2018
(2018)
Are stereotypes possible pillars supporting the learning of a foreign language or are they possible sources of intercultural misunderstandings? In most coursebooks, intercultural materials are embedded in teaching units. The understanding of others is closely related to the understanding of someone's own culture as well as the target culture. Only when someone is aware of the own culture, then the target culture can be understood. In foreign language learning, it plays an important role, so that the knowledge of language structures alone is not enough to use the language successfully. At the same time, it requires cultural knowledge of the target language culture. This study focuses on the effects of culture-based fossilized prejudices on foreign language learning and to show the quantity of these stereotypes in given coursebooks. A coursebook analysis reveals to what extent stereotypes can be found in the respective GFL and TFL coursebooks. A compile of given stereotypes create an overall picture of foreign cultures. To what extent this overall picture reflects the reality has been handled at the end of this study
Önümüzdeki çalışma, Türkçe Çeviriler Bibliyografyası adlı çalışmada yer alan bilgiler ışığında Türkiye Cumhuriyeti’nin kuruluşundan 2016 yılına kadar Türkçeye çevrilmiş ve/ veya Türkiye’de yayımlanmış Alman edebi eserlerini raporlamayı amaçlamaktadır. Bu amaçla öncelikle, Türkçe Çeviriler Bibliyografyası kaynak kitabında da belirtildiği gibi çeşitli basılı ve elektronik kaynaklar (http://www.toplukatalog.gov.tr; https://kasif.mkutup.gov.tr ve http://koha.ekutuphane.gov.tr) taranarak bir veri tabanı oluşturulmuştur. Önümüzdeki çalışmada bu bilgilerden yola çıkılarak aşağıdaki soruların yanıtları aranmıştır: 1. Yıllara göre Almancadan Türkçeye çevrilen eserler belirlendiğinde karşımıza nasıl bir tablo çıkacaktır? 2. Her edebi türden toplam kaç kitap yayımlanmıştır? 3. En çok hangi yazarların eserleri Türkçeye çevrilmiştir? 4. Almancadan Türkçeye çevrilen eserler en çok hangi yayınevi tarafından basılmıştır? 5. En çok hangi çevirmenler Almancadan Türkçeye eserler kazandırmıştır? Bu soruların yanıtlarına istinaden niceliksel değerlere dayanan grafikler hazırlanmıştır. Daha sonra ise hazırlanan bu grafikler niteliksel olarak değerlendirilerek eserler Türkçeye çevrilirken hangi ölçütlerin esas alındığı, çeviri tercihlerinin- dönemine veya çevirmenine göre- nasıl yapıldığı tartışılmaktadır.
Der Lehrstuhl für Fremdsprachen der Philosophischen Fakultät der Universität Pardubice veranstaltete schon zum siebtem Mal seine traditionelle "bienale" internationale Konferenz "Interkulturelle und transkulturelle Dimension im linguistischen, kulturellen und historischen Kontext" zum aktuellen Thema Multikulturalismus in allen möglichen Erscheinungen, Dimensionen, Engpässen sowie Konsequenzen. In Bezug auf die Tradition der vorherigen erfolgreichen Begegnungen hat man ein großes Interesse von Akademikern an der aktiven Teilnahme auch im Jahre 2017 erwartet, und zwar nicht nur aus der Tschechischen Republik, sondern auch vor allem aus dem Ausland.
2007 wurde vom Verfasser auf dem Großen Feldberg im Taunus ein Bestand des Grauen Alpendost (Adenostyles alliariae) entdeckt, der noch heute (2017) existiert. Der von der Art dominierte Pflanzenbestand kann als subalpine Hochstaudenflur (Verband Adenostylion, Ordnung Adenostyletalia, Klasse Betulo-Adenostyletea) eingestuft werden. Da der Große Feldberg früher regelmäßig von Botanikern aufgesucht wurde, ist es höchst wahrscheinlich, dass es sich um eine Neuansiedlung handelt. Weil in der Umgebung in jüngster Zeit mehrere Ansalbungen erfolgten, ist zu vermuten, dass es sich auch bei Adenostyles alliariae um eine Ansalbung handelt. Entsprechendes gilt wohl auch für den dort mit Adenostyles vergesellschafteten Blauen Eisenhut (Aconitum napellus). Aus Sicht des Schutzes der Biodiversität sind jegliche Ansalbungen zu verurteilen.
Im Rahmen der Kartierung der Gefäßpflanzenflora des Vor-, Hoch- und kammnahen Hintertaunus wurden vom Verfasser drei Amaranthus-Arten gefunden, für die in der Literatur bisher aus der gesamten Region Nordwest (A. caudatus und A. cruentus) oder zumindest aus dem Taunus (A. albus) keine Nachweise vorliegen. A. cruentus wurde auf einer Gartenbrache sowie auf einer in Gartennähe gelegenen Ackerbrache gefunden. Beide Pflanzenbestände lassen sich eindeutig dem Chenopodio-Oxalidetum, einer für bodensaure Standorte bezeichnenden Garten-Unkrautgesellschaft zuordnen. Kleine, aber dennoch blühende und fruchtende Individuen von A. caudatus wuchsen in Pflasterritzen im für derartige Standorte typischen Bryo-Saginetum und A. albus fand sich in einer zum wärmeliebenden Flügel der Klasse Artemisietea gehörenden, ansonsten aber nicht eindeutig klassifizierbaren Vergesellschaftung.
Willi Schütz
(2018)
Der vorliegende Beitrag rekonstruiert anhand eines bisher in der Forschung kaum beachteten Textes Schernikaus den Weg, den dieser geht, um mit ästhetischen Mitteln "die welt [zu] verändern". In seinem Theaterstück "Die Schönheit", das im Dezember 1987 im Berliner SchwulenZentrum (SchwuZ) durch das Tuntenensemble "Ladies Neid" uraufgeführt wurde, gibt schon der Titel die Frage nach der Ästhetik vor. Das Theaterstück "Die Schönheit" stellt die Frage nach Schernikaus schriftstellerischer Schönheit. Schernikaus Schönheit, das ist zu zeigen, ist nicht Zierrat für sein politisches Anliegen, sondern seine Schönheit ist selbst der Bereich, in dem "die welt veränder[t]" wird.
The article investigates a particular mode of semanticization of space in storytelling: it explores cases of narrative de-semanticization of space, especially of interior space. The focus of this endeavor is on the relation of the narrative creation of space and narratological self-reflection. In a reading of Descartes' "Discours de la méthode", the article exposes how the philosophical construction of the spaceless "je pense, donc je suis" diminishes the production of spatial meaningfulness provided by the narrative from which it emerges, thus exhibiting the disparity of Descartes' philosophical and narrative concepts of space. - Unlike Descartes' "Discours", Richard Ford's story "I'm Here" (from the volume "Let Me Be Frank With You") performs spatial desemanticization by staging physical destruction of interior space. The article examines how the narrative, by introducing the disintegration of a home, constructs its own starting point and thus exposes its self-generation originating in an imaginary lack of spatial significance.
In den hier skizzierten Kontext kollektiver Selbstverständigung zeitgenössischer Kulturdiagnostiker fügt sich auch das Mem-Konzept ein, dessen Urheber jedoch nicht im Entferntesten daran dachte, einen Beitrag zur Lösung kulturanthropologischer Grundprobleme zu leisten. Der englische Evolutionsbiologe Richard Dawkins, der den Neologismus "Mem" eingeführt hat, ist in einem ganz anderen Kontext beheimatet und verfolgt ganz andere Intentionen. Es war vor allem der Gedanke der Replikation, der Dawkins so fasziniert hat, dass er die Frage stellte, ob nicht auch die kulturelle Evolution als ein autoreproduktiver Replikationsprozess begriffen werden könnte. Aber wer oder was sollte sich replizieren? Ließ sich eine Struktureinheit mit einem variablen Komplexitätsgrad annehmen, die analog zum Gen als ein Replikator fungieren könnte? Die Antwort auf diese Frage war die Mem-Hypothese. Gene stellen als biologische Erbeinheiten eine Art von Grundbausteinen der belebten Materie dar. Daran anknüpfend führte Dawkins als Analogon zum Gen die Größe ein, die er Mem nannte. Er definierte Mem als die Einheit kultureller Vererbung, die sich dadurch auszeichnet, dass sie Kopien von sich herstellen kann. Aufgrund eines solchen Wirkungsvermögens können Meme als Quasiakteure der Replikation betrachtet werden, sie seien die Replikatoren, die die kulturelle Evolution in Gang hielten.
Bei aller Diversität und Variabilität der Körperbilder und Körperregimes, über die die Genese kollektiver Identität erfolgt, ist eine ihnen allen gemeinsame Dimension kaum zu übersehen: als sichtbare‚ Verkörperung des Imaginären der Nation werden ausschließlich weibliche Körperbilder eingesetzt. Plastisch lässt sich diese eigentümliche Politisierung des weiblichen Körpers an künstlerischen Darstellungen der Nation wie etwa an der französischen Marianne als Sinnbild Frankreichs, an der US-amerikanischen Freiheitsstatue oder aber an der bayerischen Bavaria nachvollziehen. Wie lässt sich diese spezifische (ethno-)nationalistische Funktionalisierung des weiblichen Körpers erklären? In welchem Verhältnis steht sie zum jeweiligen historischen Geschlechterdiskurs? Welchen psychosozialen Bedürfnissen kommt sie entgegen? Welche konkreten Folgen zieht sie für die Repräsentantinnen des "anderen Geschlechts" (S. de Beauvoir) nach sich? - diesen Fragen geht der erste Teil des vorliegenden Beitrags nach, während der zweite die "aufgerichteten" weiblichen Siegesallegorien im Nationalsozialismus genauer unter die Lupe nimmt.
Über das Verhältnis von Germanistik und universitärem Spracherwerb geht es in dem Beitrag von Andrea Riedel von der Universität Lissabon. Ihre Überlegungen zielen auf eine Umstrukturierung des universitären DaF-Unterrichts, der so erneuert auch die Germanistik unterstützt und Literatur schon auf Anfängerniveau berücksichtigt.
Dieser Aufsatz umfasst zunächst einen Exkurs über die neuesten Ansätze im Rahmen der literatur- und kulturwissenschaftlichen Forschung im Fach DaF, die für einen dynamischen Kulturbegriff plädieren, und in denen der Umgang mit fremdsprachiger Literatur innerhalb eines allgemeineren Konzeptes von Kultur als Lernprozess abläuft. Anschließend beschreibt er, wie man im Literatur- bzw. Kulturunterricht anhand des Themas "Holocaust" mit diesem Modell operieren kann.
Her ne kadar Almanya politikası çeşitli fikirlerde de olsa; Almanya, tarihinde her zaman göç alan bir devlet olmuştur ve göçmenlere Almanca öğretimi konusunda oldukça köklü bir geçmişe, engin tecrübelere sahiptir. 60'lı yılların başlangıcında göçmenlere dil öğretimini gerekli görmeyen bu ülke 'dilsizliğin' getirdiği sosyal, siyasal ve ekonomik sorunlar sonrasında başarılı bir entegrasyon süreci için göçmenlere Alman dilinin öğretilmesinin gerekliliğini anlamış ve bu konuda çeşitli modeller denemiştir. Bu araştırmanın amacı; Almancanın ikinci dil olarak öğretimi alanındaki kuram ve modellerin, Türkçenin ikinci dil olarak öğretimine uyarlanabilirliğini göstermek ve Almanya'nın bu alandaki tecrübelerinden ikinci dil olarak Türkçe öğretimi alanında yararlanmaktır. Bu nedenle öncelikle 'yabancı dil' ve 'ikinci dil' kavramlarını birbirinden ayıran faktörler üzerinde durulacak ve böylece 'ikinci dil olarak Türkçe' kuramı incelenecektir. Sonrasında yine ikinci dil olarak Almanca öğretimi alanından çeşitli göçmen öğrenci tipleri ve bunlara Almanca öğretimi modelleri ortaya konacak, 'ikinci dil olarak Türkçe' kuramında karşılaşılacak öğrenci kavramının çeşitliliği değerlendirilecektir. Bu noktada okul çağında olan, okullara yatay geçiş yapması gereken ancak henüz Latin alfabesini bilmeyen, kurum olarak 'okul' kavramıyla hiç tanışmamış ve güncel Türkçenin dışında eğitim Türkçesi öğrenmesi gereken gençler üzerinde durulacaktır; çünkü toplumun birliği, bütünlüğü ve geleceği açısından özellikle bu gençlerin kazanılması büyük önem taşımaktadır. Aynı şekilde yetişkinlere Almanca öğretme modelleri tanıtılacak ve bu deneyimlerden 'ikinci dil olarak Türkçe' kuramı ve entegrasyon sürecinde nasıl yararlanılabileceği tartışılacaktır.
Background: Immigration has a strong impact on the development of health systems, medicine and science worldwide. Therefore, this article provides a descriptive study on the overall research output.
Methods: Utilizing the scientific database Web of Science, data research was performed. The gathered bibliometric data was analyzed using the established platform NewQIS, a benchmarking system to visualize research quantity and quality indices.
Findings: Between 1900 and 2016 a total of 6763 articles on immigration were retrieved and analyzed. 86 different countries participated in the publications. Quantitatively the United States followed by Canada and Spain were prominent regarding the article numbers. On comparing by additionally taking the population size into account, Israel followed by Sweden and Norway showed the highest performance. The main releasing journals are the Public Health Reports, the Journal of Immigrant and Minority Health and Social Science & Medicine. Over the decades, an increasing number of Public, Environmental & Occupational Health articles can be recognized which finally forms the mainly used subject area.
Conclusion: Considerably increasing scientific work on immigration cannot only be explained by the general increase of scientific work but is also owed to the latest development with increased mobility, worldwide crises and the need of flight and migration. Especially countries with a good economic situation are highly affected by immigrants and prominent in their publication output on immigration, since the countries’ publication effort is connected with the appointed expenditures for research and development. Remarkable numbers of immigrants throughout Europe compel medical professionals to consider neglected diseases, requires the public health system to restructure itself and finally promotes science.
Im Bereich des Deutschen als Fremdsprache bietet etwa das Goethe-Institut Prüfungen auf allen Niveaus (A1-C2) an und entwickelt entsprechende Vorbereitungsmaterialien. Dazu gehören neben Modellprüfungen auch Wortlisten A1, A2 und B1 (vgl. z. B. Goethe-Institut 2016). Zur Arbeit mit den Wortlisten im DaF-Unterricht liegen nach Auskunft des Informationszentrums für Fremdsprachenforschung der Philipps-Universität Marburg vom 01.12.2017 weder wissenschaftliche Untersuchungen noch Praxisberichte vor. Mit der vorliegenden Arbeit soll versucht werden, zum Beheben dieses Desiderats beizutragen. Der Untersuchungsfokus liegt dabei auf den Erfahrungen der DaF-Studierenden mit dem Einsatz der Wortliste im Unterricht sowie ihren persönlichen Speicherstrategien beim Vokabellernen.
Testing for liver-related autoantibodies should be included in the workup of patients with hepatitis or cholestasis of unknown origin. Although most of these autoantibodies are not disease specific, their determination is a prerequisite to diagnose autoimmune hepatitis (AIH) and primary biliary cholangitis (PBC), and they are components of the diagnostic scoring system in these diseases. In primary sclerosing cholangitis (PSC), on the other hand, autoantibodies are frequently present but play a minor role in establishing the diagnosis. In PSC, however, data on antibodies suggest a link between disease pathogenesis and the intestinal microbiota. This review will focus on practical aspects of antibody testing in the three major autoimmune liver diseases AIH, PBC, and PSC.
In AD 79 the town of Herculaneum was suddenly hit and overwhelmed by volcanic ash-avalanches that killed all its remaining residents, as also occurred in Pompeii and other settlements as far as 20 kilometers from Vesuvius. New investigations on the victims' skeletons unearthed from the ash deposit filling 12 waterfront chambers have now revealed widespread preservation of atypical red and black mineral residues encrusting the bones, which also impregnate the ash filling the intracranial cavity and the ash-bed encasing the skeletons. Here we show the unique detection of large amounts of iron and iron oxides from such residues, as revealed by inductively coupled plasma mass spectrometry and Raman microspectroscopy, thought to be the final products of heme iron upon thermal decomposition. The extraordinarily rare preservation of significant putative evidence of hemoprotein thermal degradation from the eruption victims strongly suggests the rapid vaporization of body fluids and soft tissues of people at death due to exposure to extreme heat.
Background: Bacterial meningitis is associated with high mortality and long-term neurological sequelae. Increasing the phagocytic activity of microglia could improve the resistance of the CNS against infections. We studied the influence of activin A, a member of the TGF-β family with known immunoregulatory and neuroprotective effects, on the functions of microglial cells in vitro.
Methods: Primary murine microglial cells were treated with activin A (0.13 ng/ml–13 μg/ml) alone or in combination with agonists of TLR2, 4, and 9. Phagocytosis of Escherichia coli K1 as well as release of TNF-α, IL-6, CXCL1, and NO was assessed.
Results: Activin A dose-dependently enhanced the phagocytosis of Escherichia coli K1 by microglial cells activated by agonists of TLR2, 4, and 9 without further increasing NO and proinflammatory cytokine release. Cell viability of microglial cells was not affected by activin A.
Conclusions: Priming of microglial cells with activin A could increase the elimination of bacteria in bacterial CNS infections. This preventive strategy could improve the resistance of the brain to infections, particularly in elderly and immunocompromised patients.
Lymphangioleiomyomatosis (LAM) is a rare disease that generally affects young women and involves the abnormal proliferation of smooth muscle-like cells (LAM cells) in the lungs (pulmonary LAM) and extrapulmonary sites (extrapulmonary LAM). This disease is rare in males. It is hard to distinguish between lung cancer and pulmonary LAM, especially during early stages. Herein, we present a case of a 66-year-old man with a small nodule in the right upper lobe that was first diagnosed as a lung malignancy using a chest CT scan. After a wedge dissection, a pathologist performed a histologic and immunohistochemical examination, and a diagnosis of pulmonary LAM was made. We further performed a 518-gene panel analysis using next-generation sequencing, and only three genes, BARD1, BLM, and BRCA2, were found to have mutations. We also provide a summary of the diagnosis and treatment of this disease.
Çeviri, birer eyleyen olarak çevirmenlerin yönlendirdiği bir eylemdir. Bu gerçek, bilgi teknolojilerinin bu uygulama sahasında varlıklarını yoğun biçimde hissettirdikleri günümüz çeviri dünyası içinde de geçerliliğini korumaktadır. İnsanın merkezde bulunduğu her uygulama sahasında olduğu gibi çeviri alanında da nesnel ölçütlerin bulunup uygulanabilmesi, beklenen ve arayışında olunan bir konu olagelmiştir.
Bugün özerk bir araştırma alanı olarak çeviribilim, salt araştırma alanında (pure research) çeviri olgusuna dâhil bütün boyutları betimlemeye ve buradan üst ilkelere ulaşmaya çalışırken, uygulamalı araştırma alanında (applied research) ise çeviri edimi ile ilgili nesnel ölçütler üretmeyi denemektedir. Bu yönüyle çeviribilimciler, çeviri eleştirisi, çeviri politikası, çeviri araçları alanlarında olduğu gibi akademik çeviri eğitiminde de nesnel ölçütleri aramaktadır.
Konu somut olarak çeviri uygulamalarının yaptırıldığı derslere indirgenirse, çeviri derslerinde metin seçiminin, bugün öznel gerekçelere dayandığı söylenebilir. Bu durum, bu çalışmada seçilen konunun sorunsallaştırılmasını önemli hale getirmektedir. Bu çalışmanın temel amacı, çeviri derslerinde metin seçiminin ölçütlerini saptamaya çalışmaktır.
Cyclin-dependent kinase (CDK) 4/6 inhibitors have shown great results in numerous clinical trials and have improved the clinical outcome for patients with hormone-receptor-positive, human epidermal growth factor receptor 2-negative advanced breast cancer significantly. To date, three CDK4/6 inhibitors are approved by the US Food and Drug Administration (FDA): palbociclib, ribociclib and abemaciclib; the first two compounds are aproved by the European Medicines Agency (EMA) as well. In combination with endocrine therapy, all of them led to significantly improved progression-free survival compared with endocrine therapy alone. The aim of this article is to give an overview of the efficacy data and to describe the CDK4/6 inhibitor-based treatment-associated adverse events, including hematological and nonhematological adverse events. In addition, it describes the corrrect approach to patient monitoring and adverse event mangement and summarizes the current recommendations for dose reductions and dose interruptions regarding the key adverse events, such as neutropenia, diarrhea, QTc prolongation and hepatobiliary toxicity. Accurate patient monitoring and management of the side effects is crucial, as several clinical trials in early breast cancer are in progress and may lead to an additional approval in the neo-/adjuvant setting.
Vom 15. bis 16. November 2018 fand in Prag die erste internationale Fachtagung mit dem Titel "Wie schreibt man transkulturelle Literaturgeschichte?" statt. Veranstaltet wurde sie von der Akademie der Wissenschaften der Tschechischen Republik anlässlich der Gründung der Germano-bohemistischen Forschungsgruppe 2017.
BACKGROUND: Adjuvant chemotherapy (ACT) for breast cancer improves relapse-free survival (BCRFS) and overall survival. Differences in terms of efficacy and toxicity could partly be explained by the significant interpatient variability in pharmacokinetics which cannot be captured by dosing according to body surface area. Consequently, tailored dosing was prospectively evaluated in the PANTHER trial.
PATIENTS AND METHODS: PANTHER is a multicenter, open-label, randomized phase III trial which compared tailored, dose-dense (DD) epirubicin/cyclophosphamide (E/C) and tailored docetaxel (D) (tDD) with standard interval 5-fluorouracil/E/C and D. The primary end point was BCRFS and the primary efficacy analysis has been previously published. In this secondary analysis, we aimed to retrospectively explore the concept of dose tailoring. Our two hypotheses were that BCRFS would not vary depending on the cumulative administered epirubicin dose; and that dose tailoring would lead to appropriate dosing and improved outcomes for obese patients, who are known to have worse prognosis and increased toxicity after DD ACT.
RESULTS: Patients treated with tDD had similar BCRFS regardless of the cumulative epirubicin dose (P = 0.495), while obese patients in this group [body mass index (BMI) ≥30] had improved BCRFS compared with nonobese ones (BMI <30) [hazard ratio (HR) = 0.51, 95% confidence interval (CI) 0.30-0.89, P = 0.02]. Moreover, tDD was associated with improved BCRFS compared with standard treatment only in obese patients (HR = 0.49, 95% CI 0.26-0.90, P = 0.022) but not in nonobese ones (HR = 0.79, 95% CI 0.60-1.04, P = 0.089). The differences were not formally statistically significant (P for interaction 0.175). There were no differences in terms of toxicity across the epirubicin dose levels or the BMI groups.
CONCLUSIONS: Dose tailoring is a feasible strategy that can potentially improve outcomes in obese patients without increasing toxicity and should be pursued in further clinical studies.
Background: The management of intraductal papilloma without atypia (IDP) in breast needle biopsy remains controversial. This study investigates the upgrade rate of IDP to carcinoma and clinical and radiologic features predictive of an upgrade. Methods: Patients with a diagnosis of IDP on image-guided (mammography, ultrasound, magnetic resonance imaging) core needle or vacuum-assisted biopsy and surgical excision of this lesion at a certified breast center between 2007 and 2017 were included in this institutional review board-approved retrospective study. Appropriate statistical tests were performed to assess clinical and radiologic characteristics associated with an upgrade to malignancy at excision. Results: For 60 women with 62 surgically removed IDPs, the upgrade rate to malignancy was 16.1% (10 upgrades, 4 invasive ductal carcinoma, 6 ductal carcinoma in situ). IDPs with upgrade to carcinoma showed a significantly greater distance to the nipple (63.5 vs. 36.8 mm; p = 0.012). No significant associations were found between upgrade to carcinoma and age, menopausal status, lesion size, microcalcifications, BI-RADS descriptors, initial BI-RADS category, and biopsy modality. Conclusion: The upgrade rate at excision for IDPs diagnosed with needle biopsy was higher than expected according to some guideline recommendations. Observation only might not be appropriate for all patients with IDP, particularly for those with peripheral IDP.
Impaired NO-cGMP signaling has been linked to several neurological disorders. NO-sensitive guanylyl cyclase (NO-GC), of which two isoforms—NO-GC1 and NO-GC2—are known, represents a promising drug target to increase cGMP in the brain. Drug-like small molecules have been discovered that work synergistically with NO to stimulate NO-GC activity. However, the effects of NO-GC stimulators in the brain are not well understood. In the present study, we used Förster/fluorescence resonance energy transfer (FRET)-based real-time imaging of cGMP in acute brain slices and primary neurons of cGMP sensor mice to comparatively assess the activity of two structurally different NO-GC stimulators, IWP-051 and BAY 41-2272, in the cerebellum, striatum and hippocampus. BAY 41-2272 potentiated an elevation of cGMP induced by the NO donor DEA/NO in all tested brain regions. Interestingly, IWP-051 potentiated DEA/NO-induced cGMP increases in the cerebellum and striatum, but not in the hippocampal CA1 area or primary hippocampal neurons. The brain-region-selective activity of IWP-051 suggested that it might act in a NO-GC isoform-selective manner. Results of mRNA in situ hybridization indicated that the cerebellum and striatum express NO-GC1 and NO-GC2, while the hippocampal CA1 area expresses mainly NO-GC2. IWP-051-potentiated DEA/NO-induced cGMP signals in the striatum of NO-GC2 knockout mice but was ineffective in the striatum of NO-GC1 knockout mice. These results indicate that IWP-051 preferentially stimulates NO-GC1 signaling in brain slices. Interestingly, no evidence for an isoform-specific effect of IWP-051 was observed when the cGMP-forming activity of whole brain homogenates was measured. This apparent discrepancy suggests that the method and conditions of cGMP measurement can influence results with NO-GC stimulators. Nevertheless, it is clear that NO-GC stimulators enhance cGMP signaling in the brain and should be further developed for the treatment of neurological diseases.
The neomycin sensing riboswitch is the smallest biologically functional RNA riboswitch, forming a hairpin capped with a U-turn loop—a well-known RNA motif containing a conserved uracil. It was shown previously that a U→C substitution of the eponymous conserved uracil does not alter the riboswitch structure due to C protonation at N3. Furthermore, cytosine is evolutionary permitted to replace uracil in other U-turns. Here, we use molecular dynamics simulations to study the molecular basis of this substitution in the neomycin sensing riboswitch and show that a structure-stabilizing monovalent cation-binding site in the wild-type RNA is the main reason for its negligible structural effect. We then use NMR spectroscopy to confirm the existence of this cation-binding site and to demonstrate its effects on RNA stability. Lastly, using quantum chemical calculations, we show that the cation-binding site is altering the electronic environment of the wild-type U-turn so that it is more similar to the cytosine mutant. The study reveals an amazingly complex and delicate interplay between various energy contributions shaping up the 3D structure and evolution of nucleic acids.
As adapter molecules to convert the nucleic acid information into the amino acid sequence, tRNAs play a central role in protein synthesis. To fulfill this function in a reliable way, tRNAs exhibit highly conserved structural features common in all organisms and in all cellular compartments active in translation. However, in mitochondria of metazoans, certain dramatic deviations from the consensus tRNA structure are described, where some tRNAs lack the D- or T-arm without losing their function. In Enoplea, this miniaturization comes to an extreme, and functional mitochondrial tRNAs can lack both arms, leading to a considerable size reduction. Here, we investigate the secondary and tertiary structure of two such armless tRNAs from Romanomermis culicivorax. Despite their high AU content, the transcripts fold into a single and surprisingly stable hairpin structure, deviating from standard tRNAs. The three-dimensional form is boomerang-like and diverges from the standard L-shape. These results indicate that such unconventional miniaturized tRNAs can still fold into a tRNA-like shape, although their length and secondary structure are very unusual. They highlight the remarkable flexibility of the protein synthesis apparatus and suggest that the translational machinery of Enoplea mitochondria may show compensatory adaptations to accommodate these armless tRNAs for efficient translation.
Spielfilme als dominante Ausdrucksform kultureller Identität sind ein modernes, motivierendes, emotional ansprechendes und effizientes (ergänzendes) Lehr- und Lernmedium im Sprachunterricht, dass die Lernenden in "realistisch wirkende Kommunikation" und aktuelle Landeskunde einführt sowie interkulturelle kommunikative Kompetenz entwickelt. Das Interesse der Deutschlernenden an Spielfilmen ist groß und vor allem auf das Erleben authentischer Sprache in realen Situationen, auf den Alltag und die zwischenmenschlichen Beziehungen in deutschsprachigen Ländern ausgerichtet. In der Mehrzahl der außeruniversitären DaF-Programme in Malaysia ist das Medium Film trotz aller theoretischen Einsichten seitens der Lehrenden noch immer unterrepräsentiert und beschränkt sich zumeist auf reine Unterhaltung bzw. auf die Vermittlung von landeskundlichen Aspekten. Die Ursachen liegen in der fehlenden Aus- und Fortbildung im Bereich Filmarbeit im Fremdsprachenunterricht und der sich daraus ergebenden Unsicherheit der Lehrkräfte bei der zielgerichteten Implementierung filmischer Textsorten im Unterricht. Hinzu kommen ein stark prüfungszentrierter, traditionell grammatikorientierter Unterricht sowie Zeitmangel, aber auch das Desinteresse vieler Lehrender an der aufwändigen didaktisch-methodischen Vorentlastung und Nachbereitung einer Filmvorführung. Lediglich in den BA-German Programmen werden Filme in verschiedenen Kursen zur Vermittlung von Sprache, Landeskunde, Geschichte, Literatur, Kunst und zum fremd- und eigenkulturellen Vergleich eingesetzt. Am German-Malaysian-Institute dienen deutsche Spielfilme vor allem der interkulturellen Vorbereitung künftiger Studierender ingenieurswissenschaftlicher Programme an deutschen Fachhochschulen.
Ein Vorschlag des dialektbasierten Hochdeutschunterrichts für die Wolgadeutschen in Argentinien
(2018)
Wie in vielen anderen deutschen Gemeinschaften in Amerika wurde bei den Wolgadeutschen in Argentinien bis heute eine dialektale Varietät des Deutschen aufrechterhalten. Diese wurde i.d.R. nur mündlich weitergegeben, verfügt über covert prestige für die Sprecher und dient als Marker ethnischer Identität. Die Sprache der Mehrheitsgesellschaft (Spanisch im Falle der Wolgadeutschen in Argentinien) verfügt dagegen über overt prestige und objektiven Nutzen für den Alltag. Auch dem Hochdeutschen wird ein objektiver Nutzen, z.B. für die berufliche Zukunft, zugesprochen. Gleichzeitig wird die von der Gemeinschaft gesprochene Varietät meist als inkompatibel mit dem Hochdeutschen wahrgenommen: Die Sprecher des Dialekts sind oft der Meinung, dass die Dialektkenntnisse für sie eher ein Hindernis als eine Hilfe beim Erwerb des Hochdeutschen darstellen. Nichtsdestotrotz gab es bereits Initiativen dialektbasierten Hochdeutschunterricht für die Wolgadeutschen in Argentinien voranzutreiben: So initiierte z.B. Arndt Schmidt ein Programm zur Ausbildung der Lehrer im wolgadeutschen Dorf Santa Maria in der Provinz Buenos Aires. Der vorliegende Artikel geht auf die Frage des Deutschunterrichts für Dialektlerner ein, gibt einen kurzen Überblick über die soziolinguistische Situation der Wolgadeutschen in Argentinien und macht einen Vorschlag eines ursprungsdialektbasierten Hochdeutschunterrichts.
Die Germanistik ist in besonderem Maße mit dem Umstand vertraut, dass Literatur an Prozessen der Nationenbildung teilhat. Schließlich ist im deutschsprachigen Raum jene besondere Form entstanden, die als Kulturnation angesprochen wird. In der Frühphase der nationalen Bewegung waren Literaten federführend an ihrer Hervorbringung beteiligt. Bald sorgte die Literarhistorie für identitäre Selbstversicherung, indem sie eine endogene, aus autochthonen Quellen gespeiste Kulturentwicklung beschrieb. Die Geschichte der deutschen Literatur wurde als ein Prozess der Entfaltung gedeutet, der die Nation zu sich selbst kommen ließ. Mithin ist die Selbstkritik der Soziologie, einer anderen Wissenschaft aus dem 19. Jahrhundert, auch auf die Philologie zu beziehen: Sie hatte teil an einem "methodologischen Nationalismus", der die Forschung von vornherein auf den Nationalstaat und dessen angebliche Vorgeschichte beschränkte. Man näherte sich der Literatur so als ob diese innerhalb geschlossener Grenzen stattfände; grenzüberschreitende Prozesse blieben außer Acht. Seit einiger Zeit bemühen sich die Philologien um eine "transnationale Wende", ohne der eigenen Fachgeschichte entnehmen zu können, wie dabei vorzugehen ist. Insofern die Komparatistik Nationalliteraturen als distinkte Vergleichseinheiten voraussetzte, bot sie ebenfalls keine Orientierung. Doch bediente die "vergleichende Literaturgeschichte" sich auch anderer Verfahren, wo sie etwa die "Wanderungen von Stoffen und Formen" untersuchte. Deshalb schlug Fritz Strich schon in den 1930er Jahren die Bezeichnung "Weltliteraturgeschichte" vor.
Heißt es "er buk" oder "er backte", "staubgesaugt" oder "gestaubsaugt", "den Pilot" oder "den Piloten"? Derlei Zweifelsfragen bringen einen immer wieder ins Grübeln. Sie sind jedoch kein Beleg des Unwissens – im Gegenteil. Das Nachdenken darüber bringt Licht in die Natur von Sprache und Sprachwandel.
Dietmar Dath steht als Autor deutschsprachiger Science Fiction Literatur spätestens seit der Aufnahme von Die Abschaffung der Arten auf die Shortlist des Deutschen Buchpreises 2008 im Fokus der germanistischen Forschung. Dieser Beitrag widmet sich einer wiederkehrenden Korrelation in Daths Erzählwerk: Der zwischen einer unzuverlässigen Erzählweise und der Thematisierung von Körpern und Identitäten, die einen Transformationsprozess durchlaufen oder durchlaufen haben. In Daths Romanen schaffen diese Identitäten sowohl fiktionsintern als auch für den Rezipienten immer wieder Irritationsmomente. Das vorliegende Sonderheft versammelt eine Reihe von Überlegungen, die Unschärfe bzw. Irritation als typische Kennzeichen von Metamorphosen und Übergangsphänomenen beschreiben. Diesen Ansatz soll der Beitrag weiterverfolgen und im Zuge einer Analyse von Daths Erzählungen "Pulsarnacht" (2012) und "Feldeváye. Roman der letzten Künste" (2014) auf die aktuelle Debatte über technologische Eingriffe bzw. Manipulationen des humanen Körpers beziehen.
The statistical model with exact conservation of baryon number, electric charge, and strangeness – the Canonical Statistical Model (CSM) – is used to analyze the dependence of yields of light nuclei at midrapidity on charged pion multiplicity at the LHC. The CSM calculations are performed assuming baryon-symmetric matter, using the recently developed Thermal-FIST package. The light nuclei-to-proton yield ratios show a monotonic increase with charged pion multiplicity, with a saturation at the corresponding grand-canonical values in the high-multiplicity limit, in good qualitative agreement with the experimental data measured by the ALICE collaboration in pp and Pb–Pb collisions at different centralities and energies. Comparison with experimental data at low multiplicities shows that exact conservation of charges across more than one unit of rapidity and/or a chemical freeze-out temperature which decreases with the charged pion multiplicity improves agreement with the data.
Background: Transient elastography (TE) has been validated as an effective noninvasive tool for the assessment of liver fibrosis. The XL probe is a new probe that was initially designed for use in patients with obesity. A meta-analysis was performed to assess the feasibility and efficacy of TE using the XL probe.
Methods: In September 2016, we systematically searched the PubMed and Science Direct search engines. The feasibility of TE was evaluated based on the failure rate and the results of the unreliable liver stiffness measurement (LSM). The efficacy of TE was measured using sensitivity, specificity, and summary receiver-operating characteristic as measures/indices assessed in different stages of fibrosis. Heterogeneity was measured using the chi-squared test and the Q-statistic. We used the 95% confidence interval (95% CI) as an effect measure.
Results: We included 8 studies in the meta-analysis. When the XL was compared to the M probe, the former showed a lower risk of failure rate [relative risk (RR) 0.24, 95% CI 0.14–0.38]. In patients with a body mass index ≥30 kg/m2, the XL probe showed a statistically significantly lower risk of failure rate (RR 0.16, 95% CI 0.08–0.32) but no significant improvement (RR 0.76, 95% CI 0.50–1.16) in the unreliable LSM result. In patients showing liver fibrosis stage ≥F2, the XL probe showed a sensitivity of 0.56 (95% CI 0.39–0.72), specificity of 0.71 (95% CI 0.61–0.79), and an area under the curve (AUC) of 0.71. The results observed in patients with liver fibrosis stage F4 were more promising with a sensitivity of 0.84 (95% CI 0.76–0.90), specificity of 0.78 (95% CI 0.70–0.84), and an AUC of 0.88.
Conclusion: TE using the XL probe demonstrates significant diagnostic utility in patients with liver fibrosis and is likely to be more reliable than the M probe in patients with obesity. Large prospective multicenter studies are, however, necessary to establish the new cut-off values to be used for the XL probe in patients with obesity.
Seit dem frühen Tode von Parry und der posthumen Herausgabe seiner Schriften durch seinen Sohn (mit einer langen Einleitung, die die außergewöhnliche Leistung des Vaters unterstrich) bewegt sich die Literatur über Parry in der Spannung zwischen zwei Polen: auf der einen Seite steht die Idee, Parry habe die Forschung über Homer und über mündliche Poesie revolutioniert; auf der anderen die Vorstellung, Parry müsse vor allem als Träger und Weiterführer vieler Forschungstraditionen – der deutschen Philologie, der russischen und jugoslawischen Epenforschung, der amerikanischen Anthropologie und Folkloristik, der französischen Linguistik und Anthropologie – gelten. Uns interessiert hier weniger, ob Parry als Entdecker des wahren Homers oder als der "Darwin der Homer-Forschung" angesehen werden kann, sondern inwiefern wir seinen Forschungen etwas für die heutigen Diskussionen um Literatur und Anthropologie entnehmen können.
Mit der Fanfiction sieht sich die Mediävistik der Chance gegenüber, die Frage nach Entwicklung, Form und Dynamik einer Erzählliteratur, die mit der Unmittelbarkeit des direkten Austauschs veröffentlicht, rezipiert und bewertet wird, zu beantworten: Anders als im tatsächlich mündlichen face-to face-Austausch sind die Texte von Erzählung, Kommentar und Rückmeldung einer Geschichte im Internet zumindest einstweilen auf den Servern der Fanfiction-Webseiten gespeichert und stehen dort der wissenschaftlichen Analyse und Bewertung zur Verfügung. Es ist der Blick auf eine neue Form der Literaturentwicklung und -vermittlung, aber im Vergleich zugleich der Blick auf eine sehr alte Form des Erzählens, die nach jahrhundertelangem Pausieren wieder aktuell ist – zusammen mit dem Postulat ihrer adäquaten Erforschung: Für die Erforschung von Fanfiction als neuem Mediomythos scheint das mediävistische Verständnis von Erzählen und Wiedererzählen hochgradig relevant und die Mediävistik kann umgekehrt möglicherweise im Studium dieses postmodernen Phänomens in aller gebotenen Vorsicht Szenarien mittelalterlicher Erzählkultur modellieren.
"Erkennt das Recht, das von Gott verliehene Menschenrecht", denn "wir sind in die Rechte freier Menschenwürde vollständig eingetreten". "Des Menschen Recht ist, durch immer höhere Vervollkommnung seiner geistigen, sittlichen und körperlichen Fähigkeiten zum Genusse eines stets wachsenden, reineren Glückes zu gelangen. [---] Bestimmung und Recht sind eins, und das Recht des Menschen ist einfach: seine Bestimmung zu erreichen". "Nur die Not, welche zum Äußersten treibt, ist die wahre Not; nur diese Not ist aber die Kraft des wahren Bedürfnisses; nur ein gemeinsames Bedürfnis ist aber das wahre Bedürfnis; nur wer ein wahres Bedürfnis empfindet, hat aber ein Recht auf Befriedigung desselben." Das erste Zitat stammt aus dem Manuskript eines Vortrages, den Richard Wagner am 14. Juni 1848 abends in der Hauptversammlung des Sächsischen Vaterlandsvereins [...] vor 3000 Menschen im Garten des polnischen Brauhauses hielt und den er am 15. Juni 1848 als Extra-Beilage (zu Nr.191) des Dresdner Anzeigers und Tageblatts veröffentlichte, [...]. Das zweite Zitat findet sich in einem Beitrag in der Nummer 6 der von August Röckel seit dem 26. August 1848 herausgegebenen "Volksblätter" vom 10. Februar 1849 mit dem Titel "Der Mensch und die bestehende Gesellschaft", anonym erschienen, aber heute überwiegend Richard Wagner zugeschrieben. Diese beiden Zitate werden also Arbeiten zugeordnet, die als seine "Revolutionsschriften" bezeichnet werden. Das dritte Zitat stammt aus der von Wagner 1849 unter seinem Namen veröffentlichten Schrift "Das Kunstwerk der Zukunft", die herkömmlich zu den "Reformschriften" (1849 bis 1852) gezählt werden. Im Hauptteil (unter II.) werden diese drei Schriften im Rahmen aller "Revolutions-" und "Reformschriften" vorgestellt; dabei wird auch die Frage der Autorenschaft der anonymen Beiträge in den "Volksblättern" angesprochen. Überdies wird damit das Verhältnis der "Revolutionsschriften" zu den "Reformschriften" kurz angesprochen. Unter I. ist mit einer kurzen Darstellung der historischen Situation in Sachsen zu dieser Zeit zu beginnen. Als Ausblick unter III. wird kurz schließlich der weitere Bogen zu dem eigentlichen Thema der "Reformschriften" gezogen.
Die Versammlungsfreiheit war ein gesuchtes Gut, das erst einmal zu begründen und im Blick auf mögliche Beschränkungen zu untersuchen war. Die Performativität einer Versammlung – das Beieinandersein freier Individuen zu einem Zweck, der sich nicht oder nicht immer einer reglementierenden Norm verdankte – erscheint heute als Teil jener Ethik der Kohabitation, die aus der Kantischen Notwendigkeit der Koordination der Freiheitsräume als Aneinanderstoßen von Willkürgrenzen kommt und im Blick auf Gefährdungsszenarien aktualisiert ist. Doch Aktualisierungen bedürfen der Grundlage, wollen sie nicht geschichtsvergessen sein (niedergelegt in der Geschichte finden wir die Praktiken, die für die damaligen Akteure Sinn verbürgten).
Im Folgenden werden die Freiheit der Person, vornehmlich das Recht auf Habeas Corpus, mithin der Schutz gegen willkürliche Inhaftierungen und die Freiheit des Eigentums, so wie sie in der Paulskirche konzipiert wurden, in Betracht gezogen. Die Vorgehensweise wird vor allem rechtsphilosophisch bzw. analytisch sein: Zunächst werden die jeweiligen Artikel und Paragraphen der Erklärung der Paulskirchenverfassung erörtert, in welchen die respektiven Grundrechte aufgebaut werden. Anschließend werden sie mit den entsprechenden Vorschriften anderer Grund- und Menschenrechtskatalogen verglichen, insbesondere mit den Verfassungen der süddeutschen Staaten, mit der Französischen Erklärung von 1789, mit der Allgemeinen Erklärung der Menschenrechte von 1948 und mit dem heutigen deutschen Grundgesetz. Hie und da wird gelegentlich auch auf relevante historische Ereignisse und prägende Literatur Bezug genommen, wobei dies den eigentlichen Gegenstand der derzeitigen Untersuchung nicht ausmacht.
Neuropogonoid species in the lichen-forming fungal genus Usnea exhibit great morphological variation that can be misleading for delimitation of species. We specifically focused on the species delimitation of two closely-related, predominantly Antarctic species differing in the reproductive mode and representing a so-called species pair: the asexual U. antarctica and the sexual U. aurantiacoatra. Previous studies have revealed contradicting results. While multi-locus studies based on DNA sequence data provided evidence that these two taxa might be conspecific, microsatellite data suggested they represent distinct lineages. By using RADseq, we generated thousands of homologous markers to build a robust phylogeny of the two species. Furthermore, we successfully implemented these data in fine-scale population genomic analyses such as DAPC and fineRADstructure. Both Usnea species are readily delimited in phylogenetic inferences and, therefore, the hypothesis that both species are conspecific was rejected. Population genomic analyses also strongly confirmed separated genomes and, additionally, showed different levels of co-ancestry and substructure within each species. Lower co-ancestry in the asexual U. antarctica than in the sexual U. aurantiacoatra may be derived from a wider distributional range of the former species. Our results demonstrate the utility of this RADseq method in tracing population dynamics of lichens in future analyses.
Concepts historiques du capitalisme industriel avancé : « capitalisme organisé » et « corporatisme »
(2018)
Les économistes comme les spécialistes de sciences sociales semblent largement s’accorder sur le fait que le capitalisme industriel est entré à un moment donné dans une phase avancée de son développement, tout particulièrement dans ses variantes que l’on observe en Europe de l’Ouest, en Amérique du Nord et au Japon. Que le capitalisme se situe encore à cette étape, ou qu’il l’ait entre-temps déjà dépassée et laissée à nouveau derrière lui, il se différencie à tout le moins de la phase antérieure (ou bien des phases antérieures), à laquelle on peut rattacher le début d’une première industrialisation et l’avènement de l’industrialisation massive (Hochindustrialisierung). ...
It may indeed seem that while the late 1970s and early 1980s were the period when theory was successfully established in western academic discourse, we have now entered an era "after theory" in which not only 'cultural theory' has come to an end but also a specific culture of theory has vanished from our seminars, departments, and universities: a culture of reflection, abstraction, and self-referentiality that had been at the heart of the humanities from the very beginning. And yet, theory is not so easily abolished but rather stored and maintained within each individual reading of a literary text in spite of empirical trends such as DH or pessimistic manifestos. Therefore, in what follows, Nicolas Pethes is interested in an additional aspect of the textual resistance of theory against the institutional resistance to theory: the relation between theory and practice, that is: the question whether acting is also one of the many languages of theory.
In recent years, the interest in theory which has once been a moving force of academic research in the field of literary studies appears to have decreased. The status of theory, its relevance and appropriateness for the understanding of literature have been put into doubt. Faced with this observation, some critics have even suggested that we have now entered into a new era of research which can retrospectively be identified as the era "after theory". Against the background of such pronouncements and to a certain extent in opposition to them, the investigations proposed here wish to uphold the idea of the utility and indeed the need for theoretical approaches to literature. To appreciate the status of theory and its possible contribution to a deepened understanding of literature, it is useful not to focus exclusively on the distinction or supposed divide between literature and theory. Instead we should pay attention to what links and unites them. This common ground or common denominator of literature and theory consists in the dimension of language. Furnishing, so to speak, the intellectual material from which both domains of articulation are formed, language constitutes at once the key element of literature and a principal concern of theory.
Zielsetzung: Beteiligung von Medizinstudierenden im Rahmen der konzeptionellen Entwicklung eines zielgruppenspezifischen und attraktiven allgemeinmedizinischen Lehrangebots im ländlichen Raum.
Methodik: Es wurde ein Fragebogen entwickelt, der die Bewertung der Studierenden hinsichtlich des aktuellen Ablaufs ihres Studiums, den späteren Berufswunsch sowie die Anforderungen an ein zu entwickelndes allgemeinmedizinisches Schwerpunktprogramm im ländlichen Raum erfasst. Mittels einer Online-Befragung wurden im Sommer 2015 alle Medizinstudierende ab dem vierten vorklinischen Semester (n=2.150) der Goethe-Universität Frankfurt einmalig befragt. Die statistische Auswertung erfolgte primär deskriptiv. Die persönliche Einstellung hinsichtlich der Bereitschaft, als Hausarzt tätig zu werden, wurde auf statistische Signifikanz überprüft. Zudem wurde erhoben, ob ein messbarer Zusammenhang zwischen der eigenen Herkunft und dem späteren Wunscharbeitsort besteht.
Ergebnisse: Von insgesamt 2.150 kontaktierten Studierenden nahmen 617 an der Befragung teil (Rücklaufquote=28,7%). Die Ergebnisse repräsentieren eine große Bandbreite an Ideen und Anregungen, die sowohl die Meinung von Befürwortern als auch eher kritisch gegenüber der Lehre in der Allgemeinmedizin eingestellten Medizinstudierenden widerspiegeln. Von dem geplanten Schwerpunktprogramm erwarten die Studierenden einen starken Praxisbezug ebenso wie das Kennenlernen administrativer sowie wirtschaftlicher Hintergründe zum Führen einer Praxis.
Schlussfolgerungen: Durch die Einbeziehung der Zielgruppe am Entwicklungsprozess bestand die Möglichkeit, das zu entwickelnde Schwerpunktprogramm auf die späteren Teilnehmer passgenauer zuzuschneiden. Zudem ist zu erwarten, dass die Beteiligung der Studierenden zu einer höheren Akzeptanz des Programms führt. Die gewonnenen Ergebnisse zur Gestaltung eines Lehrangebots können als Orientierung für die mögliche Entwicklung ähnlicher Schwerpunktprogramme an anderen medizinischen Fakultäten dienen.
Aim: Participation of medical students in the conceptual development of targeted and attractive teaching content for rural areas.
Method: A questionnaire was developed to gather information on students' views of their current medical studies, career interests, and what requirements should be met by an optional rural health program in general practice. By means of an online survey in summer 2015, all medical students from the fourth preclinical semester onwards (n=2,150) at Goethe University Frankfurt were surveyed on one occasion. Statistical analysis was mainly descriptive. Personal attitudes towards a career as a family practitioner were examined for statistical significance. Further information was gathered on whether a measurable correlation exists between personal background and desired work location.
Results: Of the 2,150 students that were contacted, 617 participated in the survey (response rate=28.7%). The results covered a wide range of ideas and recommendations and were representative both of medical students with a positive attitude toward general practice, as well as those that were rather critical of teaching in general practice. The students expected the planned health program to be of strong practical relevance and to acquaint them with the administrative and economic aspects of running a practice.
Conclusions: By including the target group in the development process, it was possible to tailor the health program to meet the needs of future participants more precisely. Student participation can also be expected to result in greater acceptance of the program. The results on teaching content may also provide other medical faculties with orientation when developing comparable programs.
Wenn hier verhandelt wird, wie Florian Henckel von Donnersmarck im Drehbuch zu "Das Leben der Anderen" (2006) an den Plot eines britisch-französischen Filmklassikers anknüpft und an einen Roman aus der späten DDR, so hat das teils mit der herausgehobenen Stellung seines Erfolgswerks und seinen Selbstkommentaren zu tun, teils mit Überlegungen zur Intertextualitätsforschung. Beginnen wir mit den ersten beiden Aspekten und klären dann bei der Drehbuchanalyse die theoretischen Positionen. Vorausgeschickt sei nur, dass mit einem erweiterten Zitatbegriff gearbeitet wird, wie in der neueren Kulturwissenschaft üblich, und entsprechend einer Entwicklung im Kunstsystem seit den 1980er Jahren. Dort versteht man unter Zitieren längst nicht mehr nur die wörtliche Übernahme einer Textstelle, sondern jede beabsichtigte Bezugnahme eines Kunstwerks auf ein anderes, sei es aus der eigenen Sparte oder aus benachbarten: Akte künstlerischer Selbstreferenz. Mit der Erweiterung des Zitat- geht die des Textbegriffs einher, der hier Zeichensysteme in den Grenzen eines Einzelwerks meint, damit auch Bedeutungsträger eines Films. Als literaturwissenschaftlicher Beitrag zu verstehen ist das Folgende zum einen wegen der faktischen Aufwertung des Drehbuchs durch das konsekrationsfähige Verlagshaus Suhrkamp, zum anderen, wichtiger, weil wir den Film fast ausschließlich auf der Plot-, nicht auf der Bildebene betrachten.
Kann die Kunst dem Krieg etwas entgegensetzen? Lassen sich Kriege und Konflikte mit Kunst bekämpfen? Kann ein Kunstwerk das Denken seiner Betrachter beeinflussen und Frieden stiften? Hätte man die englische Künstlerin Evelyn De Morgan (1855-1919) gefragt, hätte sie diese Fragen sicherlich bejaht. Es sind gleich zwei Kriege, die sich in ihrem Schaffen niederschlugen: der zweite Burenkrieg (1899-1902) als letzter großer Krieg des British Empire und der Erste Weltkrieg (1914-1918), die Urkatastrophe des 20. Jahrhunderts. Auch wenn die Künstlerin weder Mutter noch Ehefrau eines Soldaten war, so war sie dennoch zu tiefst bewegt von den politischen Geschehnissen ihrer Zeit und verarbeitete diese in ihren Werken. ...
Das Ziel dieses Beitrags ist die Herausstellung von Geschlechterstereotypen der deutschen Jugendlichen, die in Form von semantischen Assoziationen zu Kategorien "Frau/Mann" auftreten, und der mit den Stereotypen verbundenen Asymmetrie. Dafür wurden die empirischen Daten, die infolge der Befragung mit dem Einsatz des psychoassoziativen Experimentes gewonnen wurden, analysiert. Die geschlechtsspezifische Asymmetrie wurde auch insubstantivischen Kollokationen, deren Basen als negativ gefärbte Substereotype eingeschätzt werden können, mit subordinierten Adjektiven verfolgt.
Kultur - Sprache - Gewalt
(2018)
Zum Verständnis der Gewalt dürfte der Versuch beitragen, einen prointuitiven, in der Natur der Sache begründeten Begriff zu konstruieren, dessen Wert in seinem erhöhten Erklärungspotenzial liegt. Im vorliegenden Text wird der Versuch vorgenommen, den Begriff "Gewalt" aus drei fundamentalen menschenkonstitutiven Faktoren abzuleiten, der es ermöglicht, die Gewalt aus der Sicht des Betroffenen systematisch zu beschreiben und erklären. In die Erörterungen werden Kultur und Sprache involviert und innerhalb von drei Subthemen - Interpretation und Gewalt, sprachliche Ordnung und Gewalt, soziale Interaktion und Gewalt - wird ihre Einbeziehung in die "Welt der Gewalt" aus besonderen Perspektiven ins Visier genommen.
By the fabrication of periodically arranged nanomagnetic systems it is possible to engineer novel physical properties by realizing artificial lattice geometries that are not accessible via natural crystallization or chemical synthesis. This has been accomplished with great success in two dimensions in the fields of artificial spin ice and magnetic logic devices, to name just two. Although first proposals have been made to advance into three dimensions (3D), established nanofabrication pathways based on electron beam lithography have not been adapted to obtain free-form 3D nanostructures. Here we demonstrate the direct-write fabrication of freestanding ferromagnetic 3D nano-architectures. By employing micro-Hall sensing, we have determined the magnetic stray field generated by our free-form structures in an externally applied magnetic field and we have performed micromagnetic and macro-spin simulations to deduce the spatial magnetization profiles in the structures and analyze their switching behavior. Furthermore we show that the magnetic 3D elements can be combined with other 3D elements of different chemical composition and intrinsic material properties.
In the current contribution we present a comprehensive study on the heteronuclear carbonyl complex H2FeRu3(CO)13 covering its low energy electron induced fragmentation in the gas phase through dissociative electron attachment (DEA) and dissociative ionization (DI), its decomposition when adsorbed on a surface under controlled ultrahigh vacuum (UHV) conditions and exposed to irradiation with 500 eV electrons, and its performance in focused electron beam induced deposition (FEBID) at room temperature under HV conditions. The performance of this precursor in FEBID is poor, resulting in maximum metal content of 26 atom % under optimized conditions. Furthermore, the Ru/Fe ratio in the FEBID deposit (≈3.5) is higher than the 3:1 ratio predicted. This is somewhat surprising as in recent FEBID studies on a structurally similar bimetallic precursor, HFeCo3(CO)12, metal contents of about 80 atom % is achievable on a routine basis and the deposits are found to maintain the initial Co/Fe ratio. Low temperature (≈213 K) surface science studies on thin films of H2FeRu3(CO)13 demonstrate that electron stimulated decomposition leads to significant CO desorption (average of 8–9 CO groups per molecule) to form partially decarbonylated intermediates. However, once formed these intermediates are largely unaffected by either further electron irradiation or annealing to room temperature, with a predicted metal content similar to what is observed in FEBID. Furthermore, gas phase experiments indicate formation of Fe(CO)4 from H2FeRu3(CO)13 upon low energy electron interaction. This fragment could desorb at room temperature under high vacuum conditions, which may explain the slight increase in the Ru/Fe ratio of deposits in FEBID. With the combination of gas phase experiments, surface science studies and actual FEBID experiments, we can offer new insights into the low energy electron induced decomposition of this precursor and how this is reflected in the relatively poor performance of H2FeRu3(CO)13 as compared to the structurally similar HFeCo3(CO)12.
Fabrication of three-dimensional (3D) nanoarchitectures by focused electron beam induced deposition (FEBID) has matured to a level that highly complex and functional deposits are becoming available for nanomagnetics and plasmonics. However, the generation of suitable pattern files that control the electron beam’s movement, and thereby reliably map the desired target 3D structure from a purely geometrical description to a shape-conforming 3D deposit, is nontrivial. To address this issue we developed several writing strategies and associated algorithms implemented in C++. Our pattern file generator handles different proximity effects and corrects for height-dependent precursor coverage. Several examples of successful 3D nanoarchitectures using different precursors are presented that validate the effectiveness of the implementation.
Three-dimensional (3D) nanomagnetism, where spin configurations extend into the vertical direction of a substrate plane allow for more complex, hierarchical systems and the design of novel magnetic effects. As an important step towards this goal, we have recently demonstrated the direct-write fabrication of freestanding ferromagnetic 3D nano-architectures of ferromagnetic CoFe in shapes of nano-tree and nano-cube structures by means of focused electron beam induced deposition. Here, we present a comprehensive characterization of the magnetic properties of these structures by local stray-field measurements using a high-resolution micro-Hall magnetometer. Measurements in a wide range of temperatures and different angles of the externally applied magnetic field with respect to the surface plane of the sensor are supported by corresponding micromagnetic simulations, which explain the overall switching behavior of in part rather complex magnetization configurations remarkably well. In particular, the simulations yield coercive and switching fields that are in good quantitative correspondence with the measured coercive and switching fields assuming a bulk metal content of 100 at % consisting of bcc Co 3 Fe. We show that thermally-unstable magnetization states can be repetitively prepared and their lifetime controlled at will, a prerequisite to realizing dynamic and thermally-active magnetic configurations if the building blocks are to be used in lattice structures.
Dass Venedig in Hofmannsthals Komödien nicht nur eine beliebte Kulisse, sondern auch einen zentralen sowie ausdrücklich 'literarischen' Themenkomplex darstellt, davon zeugt nicht zuletzt der Umstand, dass Hofmannsthal bestimmende Anregungen zur Komödiendichtung um 1907 gerade vom Venezianer Carlo Goldoni bekommt; Goldonis Komödien hinterlassen auch später im Werk Hofmannsthals deutliche Spuren. Tatsächlich ist die neuzeitliche europäische Komödientradition, die auf die Commedia dell'Arte zurückgeht und sich dann im 18. Jahrhundert in Goldonis Theaterreform weiterentwickelt, für Hofmannsthal neben dem Wiener Volkstheater prägend gewesen.
In den 1980er Jahren ist Roger Bauer zum ersten Mal den Bezügen von Hofmannsthals Komödien zur venezianischen Tradition nachgegangen und hat sich dabei nicht zuletzt mit Goldoni beschäftigt. Doch seitdem hat die Forschung den Themenkomplex Hofmannsthal und Goldoni nur wenig beachtet. An Bauers Studien anknüpfend, nimmt sich dieser Aufsatz vor, das wichtige Thema weiterzuverfolgen, wobei ein besonderes Augenmerk auf "Cristinas Heimreise" liegen soll.
Neuronal calcium signals propagating by simple diffusion and reaction with mobile and stationary buffers are limited to cellular microdomains. The distance intracellular calcium signals can travel may be significantly increased by means of calcium-induced calcium release from internal calcium stores, notably the endoplasmic reticulum. The organelle, which can be thought of as a cell-within-a-cell, is able to sequester large amounts of cytosolic calcium ions via SERCA pumps and selectively release them into the cytosol through ryanodine receptor channels leading to the formation of calcium waves. In this study, we set out to investigate the basic properties of such dendritic calcium waves and how they depend on the three parameters dendrite radius, ER radius and ryanodine receptor density in the endoplasmic membrane. We demonstrate that there are stable and abortive regimes for calcium waves, depending on the above morphological and physiological parameters. In stable regimes, calcium waves can travel across long dendritic distances, similar to electrical action potentials. We further observe that abortive regimes exist, which could be relevant for spike-timing dependent plasticity, as travel distances and wave velocities vary with changing intracellular architecture. For some of these regimes, analytic functions could be derived that fit the simulation data. In parameter spaces, that are non-trivially influenced by the three-dimensional calcium concentration profile, we were not able to derive such a functional description, demonstrating the mathematical requirement to model and simulate biochemical signaling in three-dimensional space.
Continuous blood glucose monitoring reveals enormous circadian variations in pregnant diabetic rats
(2018)
Aim: Diabetes in pregnancy is a major burden with acute and long-term consequences. Its treatment requires adequate diagnosis and monitoring of therapy. Many experimental research on diabetes during pregnancy has been performed in rats. Recently, continuous blood glucose monitoring of non-pregnant diabetic rats revealed an increased circadian variability of blood glucose that made a single blood glucose measurement per day inappropriate to reflect glycemic status. Continuous blood glucose measurement has never been performed in pregnant rats. We wanted to perform continuous blood glucose monitoring in pregnant rats to decipher the influence of pregnancy on blood glucose in diabetic and normoglycemic status.
Methods: We used the transgenic Tet29 diabetes rat model with an inducible knock down of the insulin receptor via RNA interference upon application of doxycycline (DOX) leading to insulin resistant type II diabetes. All Tet29 rats received a HD-XG telemetry implant (Data Sciences International, USA) that measured blood glucose and activity continuously. Rats were divided into four groups and blood glucose was monitored until end of pregnancy or the corresponding period: Tet29 + DOX (diabetic) non-pregnant, Tet29 + DOX (diabetic) pregnant, Tet29 (normoglycemic) non-pregnant, Tet29 (normoglycemic) pregnant.
Results: All analyzed rats displayed a circadian variation in blood glucose concentration. Circadian variability was much more pronounced in pregnant diabetic rats than in normoglycemic pregnant rats. Pregnancy ameliorated variation in blood glucose in diabetic situation. Pregnancy continuously decreased blood glucose during normoglycemic pregnancy. Diabetic rats were less active than normoglycemic rats. We performed a calculation showing that application of continuous blood glucose measurement reduces animal numbers needed to detect a given effect in experimental setting by decreasing variability and SD.
Interpretation: Continuous blood glucose monitoring via a telemetry device in pregnant rats provides a more informative picture of the glycemic situation in comparison to single measurements. This could improve diagnosis and therapy of diabetes, decrease animal numbers within experimental settings, and add another physiological parameter (activity) to the analysis that could be helpful in testing therapeutic concepts targeting blood glucose levels and peripheral muscle function. We propose continuous glucose monitoring as a new tool for the evaluation of pregnant diabetic rats.
The Hultschin (Hlučín) region - now part of the Czech Republic - was annexed to the former Czechoslovakia in 1920. Throughout the centuries, its turbulent history has been shaped by various conflicting power interests, which have influenced the co-existence of the Czech and German communities which historically lived alongside each other. The Polish and Jewish communities had a relatively minor influence over the culture of this polylingual region, but the large German minority played a significant role. The influence of German language, culture and customs was not only visible in the political and economic life of the local population; it was also reflected in the various clubs and associations that were active in the region.
Im Grunde begann alles wie im Märchen: Es war einmal ein sehr reicher Mann. Er hieß Eugen Esslinger und war ein gütiger, feingliedrig gebauter Mensch. Zwar empfand er sich als kränklich, war aber äußerst reisefreudig (er bestieg sogar das Matterhorn!) und interessierte sich für Kunst. Eugen Esslinger wurde 1871 als Sohn wohlhabender jüdischer Eltern geboren. Bis zum Ersten Weltkrieg brauchte er keinem Beruf nachzugehen, weil er ein außerordentlich großes Vermögen erbte. Was ihm fehlte, war eine Frau. "Eine brave Frau werde ich haben! Comme tout le monde - nicht ganz. - Hübsch soll sie sein, von den Klügeren und fein musikalisch muß sie sein - Also nicht mehr Künstlerin und Frauenrechtlerin, etc." Eugen Esslinger war homosexuell. Eine Ehe, so glaubte er, würde diesen Makel tilgen. Nach jahrelangem Suchen fand er die passende Frau. Es war Emilie ("Mila") Rauch, geboren 1886 als uneheliches Kind in Linz (ihre Mutter war Witwe, der Vater war ihr unbekannt).
nzidenz und Mortalität von Gebärmutterhalskrebs (C53 nach ICD-10) müssen signifikant nach oben korrigiert werden, wenn aus der betrachteten Referenzbevölkerung die Frauen ausgeschlossen werden, deren Gebärmutter operativ entfernt wurde. Diese Arbeit stützt sich auf die Studie zur Gesundheit Erwachsener in Deutschland (DEGS1), nach der die Hysterektomie-Prävalenz in Deutschland 2011 bei über 18-jährigen Frauen bei 17,4% lag. Auf Grundlage der Altersverteilung dieser Prävalenz werden die Inzidenz- und Mortalitätsraten von Gebärmutterhalskrebs entsprechend korrigiert. Maximale Korrekturen resultieren bei 70–79-jährigen Frauen mit einer Inzidenzkorrektur von 13,6 auf 22,5, d.h. um 65,4% und einer Mortalitätskorrektur von 7,5 auf 12,4, d.h. um 65,3%. Die mögliche Prävention durch eine HPV-Impfung gewinnt damit an Relevanz.
In Carl Barks' 1963 comic strip "The Invisible Intruder", the bed becomes the main theme of the story. We get to know how Uncle Scrooge became a creative and successful entrepreneur. Since his parents were too poor to provide a proper sleeping place for their son, Scrooge had to sleep in a cabinet drawer. Therefore, Scrooge's only aim was to buy himself a bed. His capitalist creativity is, as he himself admits, driven by the "desire for a better bed." With the economic growth of his company, his bed becomes bigger too. But in the end, he throws out his enormous mattress because it is too sensitive to the vibrations caused by the money rammer in the money bin; and moreover, the investigation into the cause of the vibrations became far too expensive. Eventually, Scrooge is returning to his childhood bed: the cabinet drawer. What is striking about this story is not the idea that objects of everyday culture play a leading role within a narrative; it is the fact that the usual cultural function of furniture is altered in a significant way. The misapplication of the drawer draws attention to the object of everyday culture as signifier of the everyday experience in capitalist societies. The function of the bed is no longer defined by criteria of good sleep but of economic calculation. The bed thereby becomes an agency within the narrative that questions the stability of the cultural and linguistic semantics of the everyday. In the following, I will press the point that the representation of the bed in literary texts from Homer to Kafka can be read as an implicit linguistic theory of cultural signification.
Objective: Imaging studies in diffuse low-grade gliomas (DLGG) vary across centers. In order to establish a minimal core of imaging necessary for further investigations and clinical trials in the field of DLGG, we aimed to establish the status quo within specialized European centers.
Methods: An online survey composed of 46 items was sent out to members of the European Low-Grade Glioma Network, the European Association of Neurosurgical Societies, the German Society of Neurosurgery and the Austrian Society of Neurosurgery.
Results: A total of 128 fully completed surveys were received and analyzed. Most centers (n = 96, 75%) were academic and half of the centers (n = 64, 50%) adhered to a dedicated treatment program for DLGG. There were national differences regarding the sequences enclosed in MRI imaging and use of PET, however most included T1 (without and with contrast, 100%), T2 (100%) and TIRM or FLAIR (20, 98%). DWI is performed by 80% of centers and 61% of centers regularly performed PWI.
Conclusion: A minimal core of imaging composed of T1 (w/wo contrast), T2, TIRM/FLAIR, PWI and DWI could be identified. All morphologic images should be obtained in a slice thickness of ≤ 3 mm. No common standard could be obtained regarding advanced MRI protocols and PET.
Importance of the study: We believe that our study makes a significant contribution to the literature because we were able to determine similarities in numerous aspects of LGG imaging. Using the proposed "minimal core of imaging" in clinical routine will facilitate future cooperative studies.
Wenn Literatur über biopolitische und technologische Entwicklungen nachdenkt, kommt sie selten ohne wertende Perspektiven aus. Begeisterten Ausblicken auf angeblich erwartbare oder zumindest möglich scheinende Segnungen technologischen Fortschritts in der Zukunft stehen skeptisch-warnende, dystopische Inszenierungen von Machbarkeitsphantasien und menschlicher Hybris gegenüber. Literarische Zukunftsbilder und die in ihnen zum Ausdruck kommenden Ängste oder Hoffnungen lassen sich daher nicht selten als mehr oder weniger geschickt verkappte Kommentare zu gesellschaftspolitischen Tendenzen der jeweiligen Gegenwart verstehen. Insbesondere das Weiterspinnen von bereits existierenden wissenschaftlichen Erfindungen, deren Potentiale kontrovers diskutiert werden, scheint sich hierfür anzubieten.
Am Beispiel von zwei Ausstellungskatalogen historischer Ansichtskarten aus Troppau (Opava) vor 1945 geht der Aufsatz der Frage nach, wie in diesen beiden Medien regionale Kontinuitäten repräsentiert werden können. Die Verwendung deutscher neben tschechischen Ortsbezeichnungen sowohl auf den Karten selbst wie in den Kataloglegenden erweist sich dabei als Indikator für Brüche in der Identität, deren angemessene Repräsentation nicht trivial erscheint. Ansichtskarten als Medium sollen eine lokale oder auch nationale Identität über Räume und Zeiten hinweg vermitteln; sie müssen Sprache und Bild verbinden, welche aber unterschiedlich anfällig für Identitätsbrüche sind. Es wird versucht, die Problematik mit Hilfe von H.U. Gumbrechts Begriffsprägung einer erweiterten Chronotope zu beschreiben. Das erweist sich aber gegenüber der traditionellen historischen Methode bestenfalls partiell als Erkenntnisgewinn.
Die Entscheidung, "Flüchtling" zum Wort des Jahres 2015 zu erklären, bewirkte zweierlei: Sie rief Flucht und Vertreibung in das kulturelle Bewusstsein zurück und rückte ihre medialen Repräsentationsformen in das Blickfeld der Migrationsdiskurse. Der literarische Diskurs der Migration interessiert sich für ästhetische Darstellungsformen von Migrationsformen. Er hinterfragt festgefahrene Vorstellungsmuster und problematisiert die bedeutungskonstruierenden und -konstituierenden Schemata der Migration, zu denen auch die erzwungenen Formen Flucht und Vertreibung zählen. Der literaturwissenschaftliche Diskurs geht der Frage nach Figurationen des Flüchtlings nach und untersucht, in welchen kulturellen Bedeutungszusammenhängen Flüchtlingsfiguren verortet werden, an welchen poetischen Mitteln diese Verortung erprobt wird und welche Erkenntnisse aus dem literarischen Diskurs des Flüchtlings gewonnen werden können. Dieser Diskurs verlöre aber an Wirkung, würde er jene begriffliche Signifikanz nicht auch in ästhetischer Hinsicht begründen. Zugleich gilt es die Wechselwirkung des Literarischen und Gesellschaftlichen im methodischen Vorgehen zu berücksichtigen. Ohne die Wechselwirkung an dieser Stelle historisch vertiefen zu können, sollen die Semantiken, die der öffentlich-politische Diskurs dem Flüchtlingsthema bisher zugeschrieben hat, herangezogen werden, denn in diesen Semantiken lässt sich eine Symbolik erkennen, die Aufschlüsse über das Verständnis des Kulturellen nach einer Definition ex negativo geben kann: Symptomatisch ist die dreifache Annahme, Flüchtlinge betrachteten identitätsstiftende Kriterien der aufnehmenden Gesellschaft nicht als verbindlich, sie teilten deren Geschichte nicht und könnten daher auch nicht an deren Gedächtnishorizont teilhaben; dieses Verständnis erfasst den Flüchtling nicht als Phänomen kultureller und globaler Prozesse, sondern verortet ihn an den Grenzen des Eigenen im Sinne einer Erscheinung außerhalb des eigenkulturellen Raumes.
Vom 20. bis 22. September 2017 fand an der Philologischen Fakultät der Universität des Baskenlandes die nunmehr dritte internationale Fachtagung zu literarischen Repräsentationen von Heimat statt. Unter dem Motto "Unheimliche Heimaträume" widmeten sich die Referentinnen und Referenten mehrheitlich der deutschsprachigen Literatur seit 1918. Dennoch gab es auch dieses Mal eine Sektion zur baskischsprachigen Literatur.
Eine Studie zur fehleranalytischen Kompetenz der Studierenden in der Deutschlehrendenausbildung
(2018)
Die Fehleranalyse gilt seit langem als eine wertvolle Hilfe beim Fremdsprachenunterricht, weil sowohl Lernende als auch Lehrende dadurch wichtige Informationen über den Spracherwerbsprozess bekommen können. Auch die vorliegende Arbeit beabsichtigt mit Hilfe der Fehleranalyse zu Erkenntnissen über die fehleranalytische Kompetenz der künftigen Deutschlehrer zu gelangen. Ausgangspunkt dieser Studie war die Frage, ob es eine direkte Verbindung zwischen dem Sprachniveau und der fehleranalytischen Kompetenz der Studierenden gebe. An der Untersuchung haben 37 Studierenden der Gazi Universität teilgenommen, von denen sieben Rückkehrende aus Deutschland waren und über gute Sprachkenntnisse verfügten. Alle Probanden befanden sich im sechsten Semester und hatten sich im Rahmen der angewandten Linguistik ein semesterlang mit der Fehleranalyse befasst. Den Probanden wurden zwei Texte vorgelegt, deren Fehler sie identifizieren und anhand eines Rasters klassifizieren mussten. Es hat sich herausgestellt, dass bei der Fehleridentifizierung die Fremdsprachenkenntnisse ein entscheidender Faktor waren. Bei der Fehlerklassifizierung dagegen, schienen die Fremdsprachenkenntnisse eher eine untergeordnete Rolle zu spielen.
Berühmt sind Benjamins Überlegungen zum bürgerlichen Interieur vor allem im "Passagen-Werk". Weniger bekannt hingegen sind seine Reflexionen über eine eigenartige Form von Erzählraum, der sich in der Mitte seines Erzähler-Aufsatzes lokalisiert. 'Eigenartig' ist er, weil es dort weniger um mündliches oder schriftliches Erzählen geht, als vielmehr um filmische Projektionen. Was projiziert wird, sind nach Benjamin "Ansichten der eigenen Person, unter denen er ohne es inne zu werden, sich selber begegnet ist". Solche Begegnungen gehören weder zur Erfahrung dieser Person noch zu ihrer Selbsterzählung oder Autobiographie. Diese "Out-takes eines Lebens" werden unwissentlich aufgenommen, unbewusst aufbewahrt und am Sterbebett mechanisch projiziert. Benjamin modifiziert in seinem Erzähler-Aufsatz die geläufige, entscheidend filmische Vorstellung, dass einem kurz vor dem Tod noch einmal das ganze Leben vorgeführt werde: Die Vorführung, die hier stattfindet, projiziert nur die Momente, die nie wirklich zum eigenem Leben gehört haben. Um diese andere Erzählart und diesen anderen Erzählraum zu erkunden, muss die betreffende Stelle im Erzähler-Aufsatz zusammen mit Benjamins Schriften zum buckligen Männlein gelesen werden. Was sich durch diese Lektüre manifestiert, ist eine andere Theorie der erzählerischen Autorität und der Tradierbarkeit von "unvergesslichen" Erfahrungen.
Different response of Ptch mutant and Ptch wildtype Rhabdomyosarcoma toward SMO and PI3K inhibitors
(2018)
Rhabdomyosarcoma (RMS) is the most common pediatric soft tissue sarcoma with poor prognosis. RMS frequently show Hedgehog (HH) pathway activity, which is predominantly seen in the embryonal subtype (ERMS). They also show activation of Phosphatidylinositol-4,5-bisphosphate 3-kinase (PI3K) signaling. Here we compared the therapeutic effectiveness and the impact on HH target gene expression of Smoothened (SMO) antagonists with those of the PI3K inhibitor pictilisib in ERMS with and without mutations in the HH receptor Patched1 (PTCH). Our data demonstrate that growth of ERMS showing canonical Hh signaling activity due to Ptch germline mutations is efficiently reduced by SMO antagonists. This goes along with strong downregulation of the Hh target Gli1. Likewise Ptch mutant tumors are highly responsive toward the PI3K inhibitor pictilisib, which involves modulation of AKT and caspase activity. Pictilisib also modulates Hh target gene expression, which, however, is rather not correlated with its antitumoral effects. In contrast, sporadic ERMS, which usually express HH target genes without having PTCH mutation, apparently lack canonical HH signaling activity. Thus, stimulation by Sonic HE (SHH) or SAG (Smoothened agonist) or inhibition by SMO antagonists do not modulate HH target gene expression. In addition, SMO antagonists do not provoke efficient anticancer effects and rather exert off-target effects. In contrast, pictilisib and other PI3K/AKT/mTOR inhibitors potently inhibit cellular growth. They also efficiently inhibit HH target gene expression. However, of whether this is correlated with their antitumoral effects it is not clear. Together, these data suggest that PI3K inhibitors are a good and reliable therapeutic option for all ERMS, whereas SMO inhibitors might only be beneficial for ERMS driven by PTCH mutations.
The production of hypernuclei is investigated for p̅+A→Λ‾+ΛA reactions in a covariant meson exchange approach. Besides the conventional pseudo-scalar (K) and vector (K*) channels, we study for the first time also contributions from the correlated πK scalar channel, described by the k/K*0 meson. Initial and final state interactions are considered by eikonal theory. The total and angular differential cross sections of the coherent process p̅+AZ→ΛA(Z−1)+Λ̅ are evaluated at the beam momenta 1:5…20 GeV/c within the meson exchange model with bound proton and Λ-hyperon wave functions. It is shown that the shape of the beam momentum dependence of the hypernucleus production cross sections with various discrete Λ states is strongly sensitive to the presence of the scalar k meson exchange in the p̅p→Λ̅Λ amplitude. This can be used as a clean test of the exchange by scalar πK correlation in coherent p̅A reactions.
Background: Histological evidence suggests that autism spectrum disorder (ASD) is accompanied by a reduced integrity of the grey-white matter boundary. This has also recently been confirmed by a structural neuroimaging study in vivo reporting significantly reduced grey-white matter tissue contrast (GWC) in adult individuals (18–42 years of age) with ASD relative to typically developing (TD) controls. However, it remains unknown whether the neuroanatomical differences in ASD at the grey-white matter boundary are stable across development or are age-dependent.
Methods: Here, we examined differences in the neurodevelopmental trajectories of GWC in a cross-sectional sample of 77 male ASD individuals and 76 typically developing (TD) controls across childhood and early adulthood (from 7 to 25 years).
Results: Using nested model comparisons, we first established that the developmental trajectory of GWC is complex in many regions across the cortex and includes linear and non-linear effects of age. Second, while ASD individuals have significantly reduced GWC overall, these differences are age-dependent and are most prominent during childhood (< 15 years).
Conclusions: Taken together, our findings suggest that differences in GWC in ASD are unlikely to reflect atypical grey matter cytoarchitecture alone, but may also represent other aspects of the cortical architecture such as age-dependent variability in myelin integrity.
Temperature- and field-dependent 1H-, 19F-, and 79,81Br-NMR measurements together with zero - field 79,81Br-NQR measurements on polycrystalline samples of barlowite, Cu4(OH)6FBr are conducted to study the magnetism and possible structural distortions on a microscopic level. The temperature dependence of the 79,81Br-NMR spin-lattice relaxation rates 1/T1 indicate a phase transition at TN ≃ 15 K which is of magnetic origin, but with an unusually weak slowing down of fluctuations below TN. Moreover, 1/T1T scales linear with the bulk susceptibility which indicates persisting spin fluctuations down to 2 K. Quadupolare resonance (NQR) studies reveal a pair of zero-field NQR- lines associated with the two isotopes of Br with the nuclear spins of I = 3/2. Quadrupole coupling constants of vQ ≃ 28.5 MHz and 24.7 MHz for 79Br- and 81Br-nuclei are determined from Br-NMR and the asymmetry parameter of the electric field gradient was estimated to η ≃ 0.2. The Br-NQR lines are consistent with our findings from Br-NMR and they are relatively broad, even above TN. This broadening and the relative large η value suggests a symmetry reduction at the Br- site reflecting the presence of a local distortion in the lattice. Our density-functional calculations show that the displacements of Cu2 atoms located between the kagome planes do not account for this relatively large η. On the other hand, full structural relaxation, including the deformation of kagome planes, leads to a better agreement with the experiment.
Damaged mitochondria are selectively eliminated by mitophagy. Parkin and PINK1, gene products mutated in familial Parkinson’s disease, play essential roles in mitophagy through ubiquitination of mitochondria. Cargo ubiquitination by E3 ubiquitin ligase Parkin is important to trigger selective autophagy. Although autophagy receptors recruit LC3-labeled autophagic membranes onto damaged mitochondria, how other essential autophagy units such as ATG9A-integrated vesicles are recruited remains unclear. Here, using mammalian cultured cells, we demonstrate that RABGEF1, the upstream factor of the endosomal Rab GTPase cascade, is recruited to damaged mitochondria via ubiquitin binding downstream of Parkin. RABGEF1 directs the downstream Rab proteins, RAB5 and RAB7A, to damaged mitochondria, whose associations are further regulated by mitochondrial Rab-GAPs. Furthermore, depletion of RAB7A inhibited ATG9A vesicle assembly and subsequent encapsulation of the mitochondria by autophagic membranes. These results strongly suggest that endosomal Rab cycles on damaged mitochondria are a crucial regulator of mitophagy through assembling ATG9A vesicles.
Cdc2-like kinases (CLKs) represent a family of serine-threonine kinases involved in the regulation of splicing by phosphorylation of SR-proteins and other splicing factors. Although compounds acting against CLKs have been described, only a few show selectivity against dual-specificity tyrosine phosphorylation regulated-kinases (DYRKs). We here report a novel CLK inhibitor family based on a 6,7-dihydropyrrolo[3,4-g]indol-8(1H)-one core scaffold. Within the series, 3-(3-chlorophenyl)-6,7-dihydropyrrolo[3,4-g]indol-8(1H)-one (KuWal151) was identified as inhibitor of CLK1, CLK2 and CLK4 with a high selectivity margin towards DYRK kinases. The compound displayed a potent antiproliferative activity in an array of cultured cancer cell lines. The X-ray structure analyses of three members of the new compound class co-crystallized with CLK proteins corroborated a molecular binding mode predicted by docking studies.
Acute myeloid leukemia (AML) is characterized by uncontrolled proliferation and accumulation of immature myeloblasts, which impair normal hematopoiesis. While this definition categorizes the disease into a distinctive group, the large number of different genetic and epigenetic alterations actually suggests that AML is not a single disease, but a plethora of malignancies. Still, most AML patients are not treated with targeted medication but rather by uniform approaches such as chemotherapy. The identification of novel treatment options likely requires the identification of cancer cell vulnerabilities that take into account the different genetic and epigenetic make-up of the individual tumors. Here we show that STK3 depletion by knock-down, knock-out or chemical inhibition results in apoptotic cells death in some but not all AML cell lines and primary cells tested. This effect is mediated by a premature activation of cyclin dependent kinase 1 (CDK1) in presence of elevated cyclin B1 levels. The anti-leukemic effects seen in both bulk and progenitor AML cells suggests that STK3 might be a promising target in a subset of AML patients.
Extracellular vesicles (EVs) are increasingly recognized as important mediators of intercellular communication. In this study, we aimed to further characterize the role of macrophage-derived EVs in immune responses against hepatitis C virus (HCV) and the potential of polyunsaturated fatty acids (PUFAs) to modulate this modality of innate immunity. To this end, EVs were isolated from interferon-stimulated macrophage cultures or from serum of patients with acute or chronic hepatitis C. EVs were characterized by electron microscopy, flow cytometry, RNA-sequencing, and Western blot analysis. The effect of EVs on replication of HCV was assessed in coculture models. Functional analyses were performed to assess the impact of PUFAs on EV-mediated antiviral immunity. We found that macrophages secreted various cytokines shortly after stimulation with type I and II IFN, which orchestrated a fast but short-lasting antiviral state. This rapid innate immune answer was followed by the production of macrophage-derived EVs, which induced a late, but long-lasting inhibitory effect on HCV replication. Of note, exposure of macrophages to PUFAs, which are important regulators of immune responses, dampened EV-mediated antiviral immune responses. Finally, EVs from patients with hepatitis C exhibited long-lasting antiviral activities during IFN therapy as well. The antiviral effect of EVs from Caucasian and Japanese patients differed, which may be explained by different nutritional uptake of PUFAs. In conclusion, our data indicate that macrophage-derived EVs mediate long-lasting inhibitory effects on HCV replication, which may bridge the time until efficient adaptive immune responses are established, and which can be blunted by PUFAs.
"The Cultural Revolution generation always talks about how they lived through such a painful calamity in Chinese history, but I feel that the shock and incredible impact the decade of reform and economic commodification in the 1980s had on individuals was also extremely profound. [...] [Y]ou can't say that simply because that generation's material life is richer, their lives are happier. What I really want to focus on is, over the course of this transformation, who is paying the price? What kinds of people are paying the price?" Beide Äußerungen fielen anlässlich des Erscheinens von "Platform" (2000), Jias zweitem Spielfilm, der Anfang September 2000 auf dem Filmfestival von Venedig seine Weltpremiere feierte. Mit ihm nahm der Regisseur eine Besichtigung der 1980er Jahre in China, genauer: des Zeitraums von 1979 bis 1990, vor; das heißt, wenn man sich eine gewisse Vereinfachung gestattete, könnte man sagen: Worauf die Geschehnisse bei Zhang, Chen und Tian zulaufen, nämlich auf die Kulturevolution, bildet in Platform wenn auch nicht den Ausgangspunkt, so doch zumindest das diesen konkurrenzlos prägende Großereignis. Oder etwas salopp formuliert: Indem er chronologisch dort weitermacht, wo "Lebewohl, meine Konkubine", "Der blaue Drachen" und "Leben!" aufgehört haben, tritt Jias Film als eine Art Sequel der drei Werke in Erscheinung, mag es sich bei ihm auch in vielerlei Hinsicht um eine Revision derselben oder, im Sinne von Harold Blooms "anxiety-of-influence"-Konzept, um eine ödipale Kampfansage eines jungen Filmemachers an die Regie Vätergeneration handeln.
Wenders selbst hatte sein Meisterwerk von 1987 als "vertical road movie" tituliert und damit die Sonderstellung des Films (nicht nur) innerhalb des eigenen Schaffens über Gebühr heruntergespielt. Diese Sonderstellung dadurch herauszuarbeiten, dass das Attribut "vertikal" ernst genommen, die wenig zielführende Zuweisung "Roadmovie" hingegen außer Acht gelassen, dass also die im Film erfolgende(und in dessen Titel bereits vage angekündigte) Verabschiedung des Vorn und Hinten zugunsten des Oben und Unten, oder um es mit Fred van der Kooij zu sagen: die "'Rückeroberung' der Vertikalen", als das wahrgenommen wird, was sie in Wenders' OEuvre ist, nämlich ein radikaler Bruch mit dem Vorangegangenen, ist Ziel der folgenden skizzenhaften Ausführungen.
Introduction: Adipose-derived stromal cells (ASCs) are a promising resource for wound healing and tissue regeneration because of their multipotent properties and cytokine secretion. ASCs are typically isolated from the subcutaneous fat compartment, but can also be obtained from visceral adipose tissue. The data on their equivalence diverges. The present study analyzes the cell-specific gene expression profiles and functional differences of ASCs derived from the subcutaneous (S-ASCs) and the visceral (V-ASCs) compartment.
Material and Methods: Subcutaneous and visceral ASCs were obtained from mouse inguinal fat and omentum. The transcriptional profiles of the ASCs were compared on single-cell level. S-ASCs and V-ASCs were then compared in a murine wound healing model to evaluate their regenerative functionality.
Results: On a single-cell level, S-ASCs and V-ASCs displayed distinct transcriptional profiles. Specifically, significant differences were detected in genes associated with neoangiogenesis and tissue remodeling (for example, Ccl2, Hif1α, Fgf7, and Igf). In addition, a different subpopulation ecology could be identified employing a cluster model. Nevertheless, both S-ASCs and V-ASCs induced accelerated healing rates and neoangiogenesis in a mouse wound healing model.
Conclusion: With similar therapeutic potential in vivo, the significantly different gene expression patterns of ASCs from the subcutaneous and visceral compartments suggest different signaling pathways underlying their efficacy. This study clearly demonstrates that review of transcriptional results in vivo is advisable to confirm the tentative effect of cell therapies.
Autophagy is a cytosolic quality control process that recognizes substrates through receptor‐mediated mechanisms. Procollagens, the most abundant gene products in Metazoa, are synthesized in the endoplasmic reticulum (ER), and a fraction that fails to attain the native structure is cleared by autophagy. However, how autophagy selectively recognizes misfolded procollagens in the ER lumen is still unknown. We performed siRNA interference, CRISPR‐Cas9 or knockout‐mediated gene deletion of candidate autophagy and ER proteins in collagen producing cells. We found that the ER‐resident lectin chaperone Calnexin (CANX) and the ER‐phagy receptor FAM134B are required for autophagy‐mediated quality control of endogenous procollagens. Mechanistically, CANX acts as co‐receptor that recognizes ER luminal misfolded procollagens and interacts with the ER‐phagy receptor FAM134B. In turn, FAM134B binds the autophagosome membrane‐associated protein LC3 and delivers a portion of ER containing both CANX and procollagen to the lysosome for degradation. Thus, a crosstalk between the ER quality control machinery and the autophagy pathway selectively disposes of proteasome‐resistant misfolded clients from the ER.
The identification of pathological atrophy in MRI scans requires specialized training, which is scarce outside dedicated centers. We sought to investigate the clinical usefulness of computer-generated representations of local grey matter (GM) loss or increased volume of cerebral fluids (CSF) as normalized deviations (z-scores) from healthy aging to either aid human visual readings or directly detect pathological atrophy.
Two experienced neuroradiologists rated atrophy in 30 patients with Alzheimer's disease (AD), 30 patients with frontotemporal dementia (FTD), 30 with dementia due to Lewy-body disease (LBD) and 30 healthy controls (HC) on a three-point scale in 10 anatomical regions as reference gold standard. Seven raters, varying in their experience with MRI diagnostics rated all cases on the same scale once with and once without computer-generated volume deviation maps that were overlaid on anatomical slices. In addition, we investigated the predictive value of the computer generated deviation maps on their own for the detection of atrophy as identified by the gold standard raters.
Inter and intra-rater agreements of the two gold standard raters were substantial (Cohen's kappa κ > 0.62). The intra-rater agreement of the other raters ranged from fair (κ = 0.37) to substantial (κ = 0.72) and improved on average by 0.13 (0.57 < κ < 0.87) when volume deviation maps were displayed. The seven other raters showed good agreement with the gold standard in regions including the hippocampus but agreement was substantially lower in e.g. the parietal cortex and did not improve with the display of atrophy scores. Rating speed increased over the course of the study and irrespective of the presentation of voxel-wise deviations.
Automatically detected large deviations of local volume were consistently associated with gold standard atrophy reading as shown by an area under the receiver operator characteristic of up to 0.95 for the hippocampus region. When applying these test characteristics to prevalences typically found in a memory clinic, we observed a positive or negative predictive value close to or above 0.9 in the hippocampus for almost all of the expected cases. The volume deviation maps derived from CSF volume increase were generally better in detecting atrophy.
Our study demonstrates an agreement of visual ratings among non-experts not further increased by displaying, region-specific deviations of volume. The high predictive value of computer generated local deviations independent from human interaction and the consistent advantages of CSF-over GM-based estimations should be considered in the development of diagnostic tools and indicate clinical utility well beyond aiding visual assessments.
Stimulation of renal collecting duct principal cells with antidiuretic hormone (arginine-vasopressin, AVP) results in inhibition of the small GTPase RhoA and the enrichment of the water channel aquaporin-2 (AQP2) in the plasma membrane. The membrane insertion facilitates water reabsorption from primary urine and fine-tuning of body water homeostasis. Rho guanine nucleotide exchange factors (GEFs) interact with RhoA, catalyze the exchange of GDP for GTP and thereby activate the GTPase. However, GEFs involved in the control of AQP2 in renal principal cells are unknown. The A-kinase anchoring protein, AKAP-Lbc, possesses GEF activity, specifically activates RhoA, and is expressed in primary renal inner medullary collecting duct principal (IMCD) cells. Through screening of 18,431 small molecules and synthesis of a focused library around one of the hits, we identified an inhibitor of the interaction of AKAP-Lbc and RhoA. This molecule, Scaff10-8, bound to RhoA, inhibited the AKAP-Lbc-mediated RhoA activation but did not interfere with RhoA activation through other GEFs or activities of other members of the Rho family of small GTPases, Rac1 and Cdc42. Scaff10-8 promoted the redistribution of AQP2 from intracellular vesicles to the periphery of IMCD cells. Thus, our data demonstrate an involvement of AKAP-Lbc-mediated RhoA activation in the control of AQP2 trafficking.
The website Sci-Hub enables users to download PDF versions of scholarly articles, including many articles that are paywalled at their journal’s site. Sci-Hub has grown rapidly since its creation in 2011, but the extent of its coverage was unclear. Here we report that, as of March 2017, Sci-Hub’s database contains 68.9% of the 81.6 million scholarly articles registered with Crossref and 85.2% of articles published in toll access journals. We find that coverage varies by discipline and publisher and that Sci-Hub preferentially covers popular, paywalled content. For toll access articles, green open access via licit services is quite limited, while Sci-Hub provides greater coverage than a major research university. Our interactive browser at https://greenelab.github.io/scihub allows users to explore these findings in more detail. For the first time, nearly all scholarly literature is available gratis to anyone with an Internet connection, suggesting the toll access business model will become unsustainable.
Child maltreatment remains a major health threat globally that requires the understanding of socioeconomic and cultural contexts to craft effective interventions. However, little is known about research agendas globally and the development of knowledge-producing networks in this field of study. This study aims to explore the bibliometric overview on child maltreatment publications to understand their growth from 1916 to 2018. Data from the Web of Science Core Collection were collected in May 2018. Only research articles and reviews written in the English language were included, with no restrictions by publication date. We analyzed publication years, number of papers, journals, authors, keywords and countries, and presented the countries collaboration and co-occurrence keywords analysis. From 1916 to 2018, 47,090 papers (53.0% in 2010–2018) were published in 9442 journals. Child Abuse & Neglect (2576 papers; 5.5%); Children and Youth Services Review (1130 papers; 2.4%) and Pediatrics (793 papers, 1.7%) published the most papers. The most common research areas were Psychology (16,049 papers, 34.1%), Family Studies (8225 papers, 17.5%), and Social Work (7367 papers, 15.6%). Among 192 countries with research publications, the most prolific countries were the United States (26,367 papers), England (4676 papers), Canada (3282 papers) and Australia (2664 papers). We identified 17 authors who had more than 60 scientific items. The most cited papers (with at least 600 citations) were published in 29 journals, headed by the Journal of the American Medical Association (JAMA) (7 papers) and the Lancet (5 papers). This overview of global research in child maltreatment indicated an increasing trend in this topic, with the world’s leading centers located in the Western countries led by the United States. We called for interdisciplinary research approaches to evaluating and intervening on child maltreatment, with a focus on low-middle income countries (LMICs) settings and specific contexts.
Background: Ever since it was discovered that zoophilic vectors can transmit malaria, zooprophylaxis has been used to prevent the disease. However, zoopotentiation has also been observed. Thus, the presence of livestock has been widely accepted as an important variable for the prevalence and risk of malaria, but the effectiveness of zooprophylaxis remained subject to debate. This study aims to critically analyse the effects of the presence of livestock on malaria prevalence using a large dataset from Indonesia.
Methods: This study is based on data from the Indonesia Basic Health Research ("Riskesdas") cross-sectional survey of 2007 organized by the National Institute of Health Research and Development of Indonesia’s Ministry of Health. The subset of data used in the present study included 259,885 research participants who reside in the rural areas of 176 regencies throughout the 15 provinces of Indonesia where the prevalence of malaria is higher than the national average. The variable "existence of livestock" and other independent demographic, social and behavioural variables were tested as potential determinants for malaria prevalence by multivariate logistic regressions.
Results: Raising medium-sized animals in the house was a significant predictor of malaria prevalence (OR = 2.980; 95% CI 2.348–3.782, P < 0.001) when compared to keeping such animals outside of the house (OR = 1.713; 95% CI 1.515–1.937, P < 0.001). After adjusting for gender, age, access to community health facility, sewage canal condition, use of mosquito nets and insecticide-treated bed nets, the participants who raised medium-sized animals inside their homes were 2.8 times more likely to contract malaria than respondents who did not (adjusted odds ratio = 2.809; 95% CI 2.207–3.575; P < 0.001).
Conclusions: The results of this study highlight the importance of livestock for malaria transmission, suggesting that keeping livestock in the house contributes to malaria risk rather than prophylaxis in Indonesia. Livestock-based interventions should therefore play a significant role in the implementation of malaria control programmes, and focus on households with a high proportion of medium-sized animals in rural areas. The implementation of a "One Health" strategy to eliminate malaria in Indonesia by 2030 is strongly recommended.
Hexaploides Chenopodium album ist in Frankfurt am Main (Hessen) häufig. Die Pflanzen unterscheiden sich deutlich in Blütezeit, Höhe, Verzweigung, Blattform und Blütenstandsmorphologie, wobei oft morphologisch einheitliche Pflanzen benachbart wachsen. Die Merkmale variieren unabhängig voneinander und es erscheint nicht sinnvoll, morphologische Gruppen taxonomisch zu fassen.
Spatial modelling of malaria cases associated with environmental factors in South Sumatra, Indonesia
(2018)
Background: Malaria, a parasitic infection, is a life-threatening disease in South Sumatra Province, Indonesia. This study aimed to investigate the spatial association between malaria occurrence and environmental risk factors.
Methods: The number of confirmed malaria cases was analysed for the year 2013 from the routine reporting of the Provincial Health Office of South Sumatra. The cases were spread over 436 out of 1613 villages. Six potential ecological predictors of malaria cases were analysed in the different regions using ordinary least square (OLS) and geographically weighted regression (GWR). The global pattern and spatial variability of associations between malaria cases and the selected potential ecological predictors was explored.
Results: The importance of different environmental and geographic parameters for malaria was shown at global and village-level in South Sumatra, Indonesia. The independent variables altitude, distance from forest, and rainfall in global OLS were significantly associated with malaria cases. However, as shown by GWR model and in line with recent reviews, the relationship between malaria and environmental factors in South Sumatra strongly varied spatially in different regions.
Conclusions: A more in-depth understanding of local ecological factors influencing malaria disease as shown in present study may not only be useful for developing sustainable regional malaria control programmes, but can also benefit malaria elimination efforts at village level.
Background: Published estimates of mortality and progression to AIDS as children with HIV approach adulthood are limited. We describe rates and risk factors for death and AIDS-defining events in children and adolescents after initiation of combination antiretroviral therapy (cART) in 17 middle- and high-income countries, including some in Western and Central Europe (W&CE), Eastern Europe (Russia and Ukraine), and Thailand.
Methods and findings: Children with perinatal HIV aged <18 years initiating cART were followed until their 21st birthday, transfer to adult care, death, loss to follow-up, or last visit up until 31 December 2013. Rates of death and first AIDS-defining events were calculated. Baseline and time-updated risk factors for early/late (≤/>6 months of cART) death and progression to AIDS were assessed. Of 3,526 children included, 32% were from the United Kingdom or Ireland, 30% from elsewhere in W&CE, 18% from Russia or Ukraine, and 20% from Thailand. At cART initiation, median age was 5.2 (IQR 1.4–9.3) years; 35% of children aged <5 years had a CD4 lymphocyte percentage <15% in 1997–2003, which fell to 15% of children in 2011 onwards (p < 0.001). Similarly, 53% and 18% of children ≥5 years had a CD4 count <200 cells/mm3 in 1997–2003 and in 2011 onwards, respectively (p < 0.001). Median follow-up was 5.6 (2.9–8.7) years. Of 94 deaths and 237 first AIDS-defining events, 43 (46%) and 100 (42%) were within 6 months of initiating cART, respectively. Multivariable predictors of early death were: being in the first year of life; residence in Russia, Ukraine, or Thailand; AIDS at cART start; initiating cART on a nonnucleoside reverse transcriptase inhibitor (NNRTI)-based regimen; severe immune suppression; and low BMI-for-age z-score. Current severe immune suppression, low current BMI-for-age z-score, and current viral load >400 c/mL predicted late death. Predictors of early and late progression to AIDS were similar. Study limitations include incomplete recording of US Centers for Disease Control (CDC) disease stage B events and serious adverse events in some countries; events that were distributed over a long time period, and that we lacked power to analyse trends in patterns and causes of death over time.
Conclusions: In our study, 3,526 children and adolescents with perinatal HIV infection initiated antiretroviral therapy (ART) in countries in Europe and Thailand. We observed that over 40% of deaths occurred ≤6 months after cART initiation. Greater early mortality risk in infants, as compared to older children, and in Russia, Ukraine, or Thailand as compared to W&CE, raises concern. Current severe immune suppression, being underweight, and unsuppressed viral load were associated with a higher risk of death at >6 months after initiation of cART.
Objective: To conduct subset analyses of SPIRIT-P2 (Standard Protocol Items: Recommendations for Interventional Trials, NCT02349295) to investigate the efficacy and safety of ixekizumab versus placebo in three subgroups of patients with active psoriatic arthritis (PsA) according to the concomitant conventional synthetic disease-modifying antirheumatic drug (cDMARD) received: any background cDMARDs (including methotrexate), background methotrexate only
Methods: Patients were randomised to receive placebo, ixekizumab 80 mg every 4 weeks (IXEQ4W) or every 2 weeks (IXEQ2W). Efficacy and safety were assessed when patients were subdivided according to cDMARD use at baseline. Efficacy was evaluated versus placebo at week 24 by the American College of Rheumatology criteria (ACR20/50), achievement of minimal disease activity (MDA) state, DiseaseActivityIndex for PsA (DAPSA), 28-joint DiseaseActivityScore using C reactive protein (DAS28-CRP), HealthAssessmentQuestionnaire-Disability Index and the 36-item Short-Form health survey physical functioning domain.
Results: Regardless of background cDMARD status, ACR20, ACR50 and MDA response rates were significantly higher than placebo with IXEQ4W or IXEQ2W treatment. Similarly, significant improvements were observed relative to placebo for DAS28-CRP and DAPSA across subgroups. Physical function also significantly improved relative to placebo with IXEQ4W treatment regardless of background cDMARD status and with IXEQ2W alone. Percentages of reported treatment emergent adverse events (AEs), serious AEs (including serious infections) and discontinuations due to AEs in each subgroup were comparable to the overall SPIRIT-P2 population.
Conclusion: Ixekizumab was efficacious in patients with active PsA and previous tumour necrosis factor inhibitor (TNFi)inadequate response or TNFi intolerance treated with ixekizumab alone or when added to cDMARDswith subgroup safety profiles that were consistent with that observed in the overall SPIRIT-P2 population.