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Introduction End-of-life care is an essential task performed by most healthcare providers and often involves decision-making about how and where patients want to receive care. To provide decision support to healthcare professionals and patients in this difficult situation, we will systematically review a knowledge cluster of the end-of-life care preferences of older patients with multimorbidity that we previously identified using an evidence map.
Methods and analysis We will systematically search for studies reporting end-of-life care preferences of older patients (mean age ≥60) with multimorbidity (≥2 chronic conditions) in MEDLINE, CINAHL, PsycINFO, Social Sciences Citation Index, Social Sciences Citation Index Expanded, PSYNDEX and The Cochrane Library from inception to September 2019. We will include all primary studies that use quantitative, qualitative and mixed methodologies, irrespective of publication date and language.
Two independent reviewers will assess eligibility, extract data and describe evidence in terms of study/population characteristics, preference assessment method and end-of-life care elements that matter to patients (eg, life-sustaining treatments). Risk of bias/applicability of results will be independently assessed by two reviewers using the Mixed-Methods Appraisal Tool. Using a convergent integrated approach on qualitative/quantitative studies, we will synthesise information narratively and, wherever possible, quantitatively.
Ethics and dissemination Due to the nature of the proposed systematic review, ethics approval is not required. Results from our research will be disseminated at relevant (inter-)national conferences and via publication in peer-reviewed journals. Synthesising evidence on end-of-life care preferences of older patients with multimorbidity will improve shared decision-making and satisfaction in this final period of life.
Geochemical analyses result of prehistoric pottery from the site of Tol-e Kamin (Fars, Iran) by pXRF
(2020)
A series of pottery samples from the Iranian site Tol-e Kamin, ranging from pre-historical period to the New Elamite, were analyzed in order to study the geochemical variability of the pottery assemblage. A total amount of 168 measurements were obtained using a portable XRF device and were statistically handled. The results could successfully distinguish the geochemical composition of potteries from the chalcolithic to the New Elamite periods in the Kur River Basin. A major shift in the use of different clay sources could be detected since the Proto Elamite period and afterward, in which the carbonated and marl content clays represented by Ca, Ba and Sr shifted to clay sources with a tendency to non-carbonate silty clay Al, Ti, and Fe from a different geological background. The results stress the importance of further provenance studies to address issues of trade and exchange possibilities in southwestern Iran.
Recent studies suggested an important contribution of sphingosine-1-phospate (S1P) signaling via its specific receptors (S1PRs) in the production of pro-inflammatory mediators such as Interleukin (IL)-1β in cancer and inflammation. In an inflammation-driven cancer setting, we previously reported that myeloid S1PR1 signaling induces IL-1β production by enhancing NLRP3 (NOD-, LRR- and Pyrin Domain-Containing Protein 3) inflammasome activity. However, the autocrine role of S1P and enzymes acting on the S1P rheostat in myeloid cells are unknown. Using human and mouse macrophages with pharmacological or genetic intervention we explored the relative contribution of sphingosine kinases (SPHKs) in NLRP3 inflammasome activity regulation. We noticed redundancy in SPHK1 and SPHK2 activities towards macrophage NLRP3 inflammasome transcriptional induction and IL-1β secretion. However, pharmacological blockade of both kinases in unison completely abrogated NLRP3 inflammasome induction and IL-1β secretion. Interestingly, human and mouse macrophages demonstrate varied responses towards SPHKs inhibition and IL-1β secretion. Clinical datasets of renal cell carcinoma and psoriasis patients showed a positive correlation between enzymes affecting the S1P rheostat with NLRP3 inflammasome components expression, which corroborates our finding. Our data provide a better understanding on the role of SPHKs and de novo synthesized S1P in macrophage NLRP3 inflammasome activation
Discussions regarding the planned European Deposit Insurance Scheme (EDIS), the missing third pillar of the European Banking Union, have been ongoing since the Commission published its initial legisla-tive proposal in 2015. A breakthrough in negotiations has yet to be achieved. The gridlock on EDIS is most commonly attributed to moral hazard concerns over insufficient risk reduction harboured on the side of northern member states, particularly Germany, due to the weak state of some other member states’ banking sectors. While moral hazard based on uneven risk reduction is helpful for explaining divergent member-state preferences on the scope of necessary risk reduction, this does not explain preferences on the institutional design of EDIS. In this paper, we argue that contrary to persistent differences on necessary risk reduction, preferences regarding the institutional design of EDIS have become more closely aligned. We analyse how preferences on EDIS developed in the key member states of Germany, France, and Italy. In all sampled countries, we find path-dependent benefits con-nected to the current design of national Deposit Guarantee Schemes (DGS) that shifted preferences of the banking sector or significant subsectors in favour of retaining national DGSs. Overall, given that a compromise on risk-reduction can be accomplished, we argue that current preferences in these key member states provide an opportunity to implement EDIS in the form of a reinsurance system that maintains national DGSs in combination with a supranational fund.
Background: Lipoprotein(a) concentration is associated with cardiovascular events. Alirocumab, a proprotein convertase subtilisin/kexin type 9 inhibitor, lowers lipoprotein(a) and low-density lipoprotein cholesterol (LDL-C).
Objectives: A pre-specified analysis of the placebo-controlled ODYSSEY Outcomes trial in patients with recent acute coronary syndrome (ACS) determined whether alirocumab-induced changes in lipoprotein(a) and LDL-C independently predicted major adverse cardiovascular events (MACE).
Methods: One to 12 months after ACS, 18,924 patients on high-intensity statin therapy were randomized to alirocumab or placebo and followed for 2.8 years (median). Lipoprotein(a) was measured at randomization and 4 and 12 months thereafter. The primary MACE outcome was coronary heart disease death, nonfatal myocardial infarction, ischemic stroke, or hospitalization for unstable angina.
Results: Baseline lipoprotein(a) levels (median: 21.2 mg/dl; interquartile range [IQR]: 6.7 to 59.6 mg/dl) and LDL-C [corrected for cholesterol content in lipoprotein(a)] predicted MACE. Alirocumab reduced lipoprotein(a) by 5.0 mg/dl (IQR: 0 to 13.5 mg/dl), corrected LDL-C by 51.1 mg/dl (IQR: 33.7 to 67.2 mg/dl), and reduced the risk of MACE (hazard ratio [HR]: 0.85; 95% confidence interval [CI]: 0.78 to 0.93). Alirocumab-induced reductions of lipoprotein(a) and corrected LDL-C independently predicted lower risk of MACE, after adjustment for baseline concentrations of both lipoproteins and demographic and clinical characteristics. A 1-mg/dl reduction in lipoprotein(a) with alirocumab was associated with a HR of 0.994 (95% CI: 0.990 to 0.999; p = 0.0081).
Conclusions: Baseline lipoprotein(a) and corrected LDL-C levels and their reductions by alirocumab predicted the risk of MACE after recent ACS. Lipoprotein(a) lowering by alirocumab is an independent contributor to MACE reduction, which suggests that lipoprotein(a) should be an independent treatment target after ACS. (ODYSSEY Outcomes: Evaluation of Cardiovascular Outcomes After an Acute Coronary Syndrome During Treatment With Alirocumab; NCT01663402).
Bei der Aufmerksamkeitsdefizit-/Hyperaktivitätsstörung (ADHS) handelt es sich um eine hochprävalente Erkrankung, die bisher insbesondere im Erwachsenenalter nur unzureichend berücksichtigt wurde. Neben den Kernsymptomen bestehend aus Einschränkungen in der Aufmerksamkeit sowie einem erhöhten Maß an Hyperaktivität und Impulsivität gilt es, Komorbiditäten und Beeinträchtigungen zu berücksichtigen, die mit dieser Erkrankung einhergehen. In früheren Studien konnte bereits nachgewiesen werden, dass sowohl Kinder als auch Erwachsene mit einer ADHS vermehrte Unfälle und infolgedessen eine erhöhte Rate an stationären Behandlungen aufweisen. Zusätzlich besteht bei ADHS-Betroffenen ein höheres Risiko, frühzeitig zu versterben, wobei Unfälle als unnatürliche Todesursache den häufigsten Grund darstellen. Bisher existieren auf internationaler Ebene einige Studien, die sich mit den Zusammenhängen von adulter ADHS und Unfallraten beschäftigten. Eine differenzierte Betrachtung, die eine deutsche Population einschließt und den Einfluss des Geschlechts auf das Unfallgeschehen bei ADHS-Betroffenen untersucht, wurde bisher nicht realisiert. Aus diesen Gründen führten wir eine Querschnittsstudie auf unfallchirurgischen Stationen an zwei Kliniken in Frankfurt am Main durch. Im Rahmen der Studie sollte die Prävalenz von adulter ADHS bei stationär betreuten Unfallopfern ermittelt und mögliche unfallcharakteristische Unterschiede zwischen den Geschlechtern der ADHS-Positivkohorte erfasst werden.
Mithilfe der etablierten Adult ADHD Self-Report Scale (ASRS v1.1) der WHO wurden alle Unfallopfer, die den Einschlusskriterien entsprachen, auf adulte ADHS gescreent. Bei der Auswertung des ASRS verwendeten wir zwei unterschiedliche Methoden, die bereits in früheren Studien zur Anwendung kamen. Durch einen eigens erstellten Unfallfragebogen konnten Unfallcharakteristika sowie psychische Komorbiditäten der ADHSPositivkohorte erfasst werden. Zusätzlich erhoben wir zum Vergleich die Unfallcharakteristika bei einer nicht von ADHS betroffenen Kontrollgruppe. Bei einem Teil der positiv gescreenten Patienten wurde eine ausführliche Testung in der ADHS Spezialambulanz des Universitätsklinikums Frankfurt am Main vorgenommen. Mittels diagnostischer Interviews und weiteren Selbstauskunftsfragebögen (DIVA, HASE) konnte eine definitive ADHS-Diagnose gestellt und das positive Screeningergebnis verifiziert werden.
Wir stellten fest, dass die Prävalenz adulter ADHS unter Unfallopfern mit 6,89 % bzw. 8,68 % in Abhängigkeit der ASRS Auswertungskriterien im Vergleich zu der Prävalenz der adulten ADHS in der Allgemeinbevölkerung erhöht war. Des Weiteren gab es mehr Männer mit einem positiven ADHS-Screeningergebnis und einem Unfallgeschehen. Es konnten keine signifikanten geschlechtsspezifischen Unterschiede in den Unfallcharakteristika und Unfallorten in der ADHS Positivkohorte festgestellt werden. Auch in dem Vorhandensein psychischer Komorbiditäten unterschieden sich die beiden Geschlechtergruppen der ADHS-Positivkohorte nicht. Unabhängig der Geschlechterzugehörigkeit wurden die meisten Unfälle der ADHS-Positivkohorte im Straßenverkehr verzeichnet und als selbstverschuldet eingestuft. Es konnten signifikant mehr Unfälle außerhalb des Straßenverkehrs in der nicht von ADHS betroffenen Kontrollgruppe im Vergleich zu der ADHS Positivkohorte nachgewiesen werden. Insgesamt war nur bei 14 % aller positiv gescreenten Patienten eine ADHS-Erkrankung bereits bekannt und diagnostiziert worden.
Auf Grundlage der Ergebnisse dieser Studie lässt sich schlussfolgern, dass Menschen mit einer ADHS-Symptomatik vermehrt auf unfallchirurgischen Stationen anzutreffen sind und im Einklang mit früheren Forschungsergebnissen ein erhöhtes Unfall- und Verletzungsrisiko aufweisen. Darüber hinaus folgern wir aus unseren Ergebnissen, dass sich Männer und Frauen mit einer ADHS-Erkrankung hinsichtlich Symptomatik, Komorbidität und spezifischer Unfallcharakteristika ähnlicher sein könnten, als dass sie sich in diesen Bereichen unterscheiden. Im Hinblick auf die geringen vorbestehenden ADHS-Diagnosen in der Positivkohorte erscheint eine Etablierung eines Screeningsystems bei Patienten sinnvoll, die im Rahmen von Unfallgeschehen gehäuft stationär betreut werden müssen. Da ADHS-Betroffene ein erhöhtes Risiko für multiple Unfälle zu haben scheinen, könnte unter diesen Voraussetzungen eine adulte ADHS-Symptomatik früher erkannt und negative Folgen wie eine erhöhte Unfallrate reduziert werden. Methodologische Limitierungen bestanden in unserer Erhebung durch eine geringe Anzahl an ausführlichen Testungen zur Verifizierung der ADHS-Diagnose sowie dem Informationsgewinn auf der Basis einer Selbstauskunft. Um Ergebnisse aussagekräftiger zu gestalten und auch kleinere Unfälle zu erfassen, erscheint eine Ausweitung der Testung in Ambulanzen sinnvoll.
Chronic inflammation is considered to be a cause of the autoimmune diseases such as rheumatoid arthritis, Alzheimer’s disease, multiple sclerosis, etc. The search for effective compounds with anti-inflammatory properties to combat these diseases is still ongoing. Natural compound narciclasine, derived from plants of Narcissus species, demonstrated its anti-inflammatory activity in in vivo arthritis models. Further investigation of narciclasine’s anti-inflammatory activity together with its impact on the interaction between leukocytes and endothelial cells was the main focus of this PhD thesis.
Narciclasine reduced the infiltration of monocytes and neutrophils to the abdomen and the concentration of the pro-inflammatory cytokines TNF, IL-6 and IL-1β. Together with this, it reduced acute visceral pain caused by zymosan injection. Narciclasine interfered with leukocyte-endothelial cell interaction in both in vivo and in vitro models. In vivo microscopy revealed that the compound reduced rolling, adhesion and transmigration of leukocytes in the vessels of an injured murine cremaster muscle. This observation was confirmed in the in vitro models for adhesion and transmigration where narciclasine reduced the level of leukocyte’s interaction with HUVECs. Narciclasine demonstrated profound anti-inflammatory properties based on its interference with leukocyte-endothelium interaction by downregulation of endothelial cell adhesion molecules expression (ICAM-1, VCAM-1, E-selectin, CX3CL1) and shutdown of NF-κB pathway. All these effects were a result of the TNF receptor 1 protein translation blocking by narciclasine.
In this work the ability of the compound to reduce visceral pain, downregulate the expression of the endothelial cell adhesion molecules and to interfere with the interaction between leukocytes and endothelial cells was demonstrated for narciclasine for the first time. Obtained results open a promising insight into the understanding of narciclasine’s anti-inflammatory properties and justify further investigation of its potential for treatment of inflammatory diseases.
In der durchgeführten Studie erfolgte die Untersuchung des visuellen Arbeits-gedächtnisses von bipolaren Patienten im Vergleich zu gesunden Kontrollen. Es erfolgten bereits viele Untersuchungen an Patienten mit bipolarer Störung. Wird das Hauptaugenmerk auf die kognitiven Funktionen der Patienten gelegt, so konnte bereits in einigen Studien gezeigt werden, dass nicht nur in depressi-ver oder manischer, sondern auch in euthymer Stimmungslage kognitive Defizi-te vorliegen. Zur näheren Untersuchung der Funktionen des visuellen Arbeits-gedächtnisses der Patienten mit bipolarer Störung wurde daher eine fMRT-Untersuchung durchgeführt. Hier wurden Patienten, die an bipolarer Störung erkrankt sind, mit gesunden Kontrollen verglichen. Dabei wurden die bipolaren Patienten in euthymer Stimmungslage untersucht. Weder in Antwortrichtigkeit noch Reaktionsgeschwindigkeit konnte ein signifikanter Gruppenunterschied nachgewiesen werden. Außerdem wurde in der Untersuchung eine Differenzie-rung zwischen den einzelnen Phasen gemacht, die eine Gedächtnisinformation durchläuft. Bei diesen Phasen handelt es sich um Enkodierungs-, Halte- und Abrufphase. Hierbei konnten veränderte Aktivierungsmuster an diversen Hirn-strukturen der bipolaren Patienten dargestellt werden. Diese Veränderungen ziehen sich durch alle drei Phasen der Gedächtniskonsolidierung und können vor allem im präfrontalen Kortex nachgewiesen werden. Es handelt sich dabei vor allem um eine schwächere Aktivierung des präfrontalen Kortex (PFC) der bipolaren Patienten im Vergleich zu gesunden Kontrollen. Unter anderem ist das Arbeitsgedächtnis im PFC lokalisiert. Diese Ergebnisse scheinen ein Hin-weis dafür zu sein, dass bei den bipolaren Patienten neuronale Defizite im visu-ellen Arbeitsgedächtnis vorliegen.
The one-dimensionality of econometric data: the Frankfurt School and the critique of quantification
(2020)
Econometric data are used to produce authoritative facts about the world. Yet, as numbers enjoy a central place in modern reasoning (particularly in government as their presumed objectivity and neutrality assist impartial decision-making), it is important that they receive scrutiny. Using methodological techniques from Western Marxism, with special reference to the work of Lukács, Horkheimer and Adorno, and Marcuse to inform a critique of Acemoglu and Robinson, I argue that the historical emergence of econometrics as a mode of mediated knowledge is a reified practice within the broader technical administration of social life, a practice that is not a transparent representation of social phenomena. This is because when econometrics transforms the thing being measured into a statistical indicator it eclipses political disputes with technical disputes, sidestepping good faith democratic deliberation about what goods are worth pursuing. Effectively, one-dimensional thought cannot perceive the origins of items put into circulation and so ideology is produced – what seems value-free is value-laden.
Este artigo pretende analisar o efeito da operação de enquadramento editorial levada a cabo pela Editora Sur, vinculada à Revista Sur, na circulação do repertório frankfurtiano na Argentina da década de 1960. Ao traduzirem e divulgarem autores como Adorno, Horkheimer e Benjamin, a partir de sua posição específica no campo cultural argentino, a coleção Estudios Alemanes contribui para que seus autores sejam desvinculados da tradição marxista e alocados em uma categoria mais ampla de “pensamento alemão”. Com isso, a circulação desses autores fica restritra a certo público, já cativo da perspectiva teórica e política da Revista Sur. Neste artigo, descrevo a coleção nos marcos da difusão mais ampla da tradição alemã no campo letrado argentino, atentando para os deslocamentos de prestígio que ela mobiliza e, sobretudo, para a composição de uma “atitude intelectual” que, a despeito do conteúdo dos textos em circulação, condiciona a recepção e ressignificação dos textos frankfurtianos.
Historiadora do cinema, Miriam Hansen examinou e sistematizou as contribuições de Siegfried Kracauer, Walter Benjamin e Theodor Adorno para a teorização do cinema. Nesta pesquisa bibliográfica, buscamos sintetizar e apresentar aos leitores de língua portuguesa o desenvolvimento de sua investigação sobre o tema. Mostramos como Hansen foi capaz de identificar as principais diferenças entre os teóricos frankfurtianos, bem como evidenciar que eles, em comum, pensaram este fenômeno cultural contemporâneo em relação às condições sociais e econômicas de produção. Em suas reflexões, o cinema aparece como expressão da sociedade urbano-industrial, como um elemento sintomático da cultura de massa.
Hope and reasons
(2020)
This paper argues that hope can be understood as an attitude or an attitudinal complex that is partially sensitive to reasons. One way that an attitude is sensitive to reasons is that it is permitted given the reasons available. A second way in which an attitude is sensitive to reasons is that it might be required in light of available reasons. This paper argues that hope may be permitted by the available reasons, and although it is sometimes good or praiseworthy to hope, hope is never categorically required. In that sense, hope is partially sensitive to reasons.
Light is one of the most important abiotic factors for plant physiological processes. In addition to light intensity, the spectral quality of light can also influence the plant morphology and the content of secondary metabolites. In the horticultural industry, artificial light is used in to enable year-round production of herbs, ornamental plants and vegetables in winter terms.
Until today, discharge lamps like high-pressure sodium (HPS) lamps, emitting predominantly orange and red light and high amounts of infrared radiation, are the most common lamp systems in greenhouses. In the last decades, light-emitting diodes (LEDs) emerged as an efficient alternative light source. LEDs have the advantage of distinct adjustments to the light spectrum. For a usage in horticultural industry LEDs are often too expensive. Furthermore, reduced plant growth can occur due to incorrectly adjusted light spectra and lower leaf temperatures caused by the lack of infrared radiation.
In a research project (LOEWE, funding no. 487/15-29) funded by the Hessen State Ministry of Higher Education, Research and Arts, Microwave plasma lamps (MPL) were tested as new light sources for horticultural industry and plant research. The electrodeless lamp systems emit light in similar properties like sun light. The aim of the study was to determine the influence of artificial sunlight of the MPL on the accumulation of secondary metabolites, plant architecture and plant physiology of three different species (coleus, basil and potted roses). The MPL was compared with other light systems such as commercial HPS lamps, LEDs or ceramic metal halide lamps (CDM). In addition to morphological parameters such as plant height, internode length or fresh and dry weight, the phenolic content of leaves grown under the respective light sources were examined.
Overall an increased far-red light content in the emission spectra of the MPL showed high influence on the plant architecture which was observed in all three plant species. Artificial sunlight from MPL induced stem elongation in coleus and basil plants, compared to the other tested light sources. In potted roses a reduced branching degree was observed under MPL light compared to HPS grown plants.
In addition to the impact of far-red light also the blue light content of the emission spectra was found to be a strong influencing factor for plant physiological processes. A positive correlation between blue light content and leaf thickness was determined in coleus cultivated under MPL, LED, HPS and CDM lamps. Low blue light content in HPS emission spectra resulted in shade-adapted leaves with low photosynthetic capacity and susceptibility to high irradiances. Blue light was assumed to increase phenolic metabolites in basil and rose leaves. Furthermore, the different light treatments resulted in an alteration of the composition of essential oils of basil.
Experiments with coleus plants demonstrated that besides light color also the infrared radiation, had an influence on secondary metabolites by causing different leaf temperatures. Coleus plants grown with MPL showed the lowest content of phenolic compounds such as rosmarinic acid per dry weight. Infrared radiation resulted in a faster plant development indicated by increased biomass production and higher leaf formation rate as observed in coleus and basil plants.
The results obtained in this study show that the influence of leaf temperature should always be considered when comparing different lamp systems. Especially when LEDs are compared to discharge lamps an overestimation of light color can be a consequence since also infrared radiation influences the content of phenolic compounds and plant growth.
Tissue injury and inflammation may result in chronic pain, a severe debilitating disease that is associated with great impairment of quality of life. An increasing body of evidence indicates that members of the Rab family of small GTPases contribute to pain processing; however, their specific functions remain poorly understood. Here, we found using immunofluorescence staining and in situ hybridization that the small GTPase Rab27a is highly expressed in sensory neurons and in the superficial dorsal horn of the spinal cord of mice. Rab27a mutant mice, which carry a single-nucleotide missense mutation of Rab27a leading to the expression of a nonfunctional protein, show reduced mechanical hyperalgesia and spontaneous pain behavior in inflammatory pain models, while their responses to acute noxious mechanical and thermal stimuli is not affected. Our study uncovers a previously unrecognized function of Rab27a in the processing of persistent inflammatory pain in mice.
Pulmonary failure is the main cause of morbidity and mortality in the human chromosomal instability syndrome Ataxia-telangiectasia (A-T). Major phenotypes include recurrent respiratory tract infections and bronchiectasis, aspiration, respiratory muscle abnormalities, interstitial lung disease, and pulmonary fibrosis. At present, no effective pulmonary therapy for A-T exists. Cell therapy using adipose-derived mesenchymal stromal/stem cells (ASCs) might be a promising approach for tissue regeneration. The aim of the present project was to investigate whether ASCs migrate into the injured lung parenchyma of Atm-deficient mice as an indication of incipient tissue damage during A-T. Therefore, ASCs isolated from luciferase transgenic mice (mASCs) were intravenously transplanted into Atm-deficient and wild-type mice. Retention kinetics of the cells were monitored using in vivo bioluminescence imaging (BLI) and completed by subsequent verification using quantitative real-time polymerase chain reaction (qRT-PCR). The in vivo imaging and the qPCR results demonstrated migration accompanied by a significantly longer retention time of transplanted mASCs in the lung parenchyma of Atm-deficient mice compared to wild type mice. In conclusion, our study suggests incipient damage in the lung parenchyma of Atm-deficient mice. In addition, our data further demonstrate that a combination of luciferase-based PCR together with BLI is a pivotal tool for tracking mASCs after transplantation in models of inflammatory lung diseases such as A-T.
The Culex pipiens complex encompasses five species and subspecies of the genus Culex. Over time, a multitude of morphologically indistinguishable species has been assigned to this complex with several species being classified as important vectors for different diseases. Some species of this complex hibernate in subterranean habitats, and it has been proven that viruses can survive this phase of hibernation. However, studies focusing on the environmental requirements, ecology and spatial and temporal distribution patterns of mosquitos in underground habitats are sparse. Here, we investigate the main environmental factors and dependencies of Culex, considering the number of individuals and survival probabilities in underground habitats during the winter months. Methods. Since the State of Hesse, Germany harbors about 3500 to 4000 subterranean shelters ample availability of subterranean habitats there provides a good opportunity to conduct detailed investigations of the Culex pipiens complex. In this study, we identified a sample of 727 specimens of overwintering females within the Culex pipiens complex from 52 different underground sites collected over a period of 23 years using qPCR. A complete data set of samplings of hibernating mosquitos from 698 subterranean habitats in Central Germany over the same period was available to study the spatial and temporal patterns and the effect of temperature and precipitation conditions on these hibernating populations using a generalized linear model (GLM). Results. Our qPCR-results show, similar to aboveground studies of mosquitos, that Culex pipiens pipiens and Culex torrentium occur sympatrically. On the other hand, Culex pipiens molestus occurred very rarely. The GLM revealed no shifts in species composition over time, but different preferences for subterranean hibernacula, chemical effects on overwintering populations as well as effects of annual and seasonal mean temperature and precipitation during the active phase from March to November. Cx. p. pipiens and Cx. torrentium are the most common species within Hessian caves and other underground habitats during winter. They co-occur with different frequency without any patterns in species composition. Weather conditions influence the number of overwintering mosquitos during the activity phase. Depending on cave parameters, the number of mosquitos decreases during the winter months.
Progressive bladder cancer growth is associated with abnormal activation of the mammalian target of the rapamycin (mTOR) pathway, but treatment with an mTOR inhibitor has not been as effective as expected. Rather, resistance develops under chronic drug use, prompting many patients to lower their relapse risk by turning to natural, plant-derived products. The present study was designed to evaluate whether the natural compound, sulforaphane (SFN), combined with the mTOR inhibitor everolimus, could block the growth and proliferation of bladder cancer cells in the short- and long-term. The bladder cancer cell lines RT112, UMUC3, and TCCSUP were exposed short- (24 h) or long-term (8 weeks) to everolimus (0.5 nM) or SFN (2.5 µM) alone or in combination. Cell growth, proliferation, apoptosis, cell cycle progression, and cell cycle regulating proteins were evaluated. siRNA blockade was used to investigate the functional impact of the proteins. Short-term application of SFN and/or everolimus resulted in significant tumor growth suppression, with additive inhibition on clonogenic tumor growth. Long-term everolimus treatment resulted in resistance development characterized by continued growth, and was associated with elevated Akt-mTOR signaling and cyclin-dependent kinase (CDK)1 phosphorylation and down-regulation of p19 and p27. In contrast, SFN alone or SFN+everolimus reduced cell growth and proliferation. Akt and Rictor signaling remained low, and p19 and p27 expressions were high under combined drug treatment. Long-term exposure to SFN+everolimus also induced acetylation of the H3 and H4 histones. Phosphorylation of CDK1 was diminished, whereby down-regulation of CDK1 and its binding partner, Cyclin B, inhibited tumor growth. In conclusion, the addition of SFN to the long-term everolimus application inhibits resistance development in bladder cancer cells in vitro. Therefore, sulforaphane may hold potential for treating bladder carcinoma in patients with resistance to an mTOR inhibitor.
Treatment of large bone defects is one of the great challenges in contemporary orthopedic and traumatic surgery. Grafts are necessary to support bone healing. A well-established allograft is demineralized bone matrix (DBM) prepared from donated human bone tissue. In this study, a fibrous demineralized bone matrix (f-DBM) with a high surface-to-volume ratio has been analyzed for toxicity and immunogenicity. f-DBM was transplanted to a 5-mm, plate-stabilized, femoral critical-size-bone-defect in Sprague-Dawley (SD)-rats. Healthy animals were used as controls. After two months histology, hematological analyses, immunogenicity as well as serum biochemistry were performed. Evaluation of free radical release and hematological and biochemical analyses showed no significant differences between the control group and recipients of f-DBM. Histologically, there was no evidence of damage to liver and kidney and good bone healing was observed in the f-DBM group. Reactivity against human HLA class I and class II antigens was detected with mostly low fluorescence values both in the serum of untreated and treated animals, reflecting rather a background reaction. Taken together, these results provide evidence for no systemic toxicity and the first proof of no basic immunogenic reaction to bone allograft and no sensitization of the recipient.
Although the therapeutic armamentarium for bladder cancer has considerably widened in the last few years, severe side effects and the development of resistance hamper long-term treatment success. Thus, patients turn to natural plant products as alternative or complementary therapeutic options. One of these is curcumin, the principal component of Curcuma longa that has shown chemopreventive effects in experimental cancer models. Clinical and preclinical studies point to its role as a chemosensitizer, and it has been shown to protect organs from toxicity induced by chemotherapy. These properties indicate that curcumin could hold promise as a candidate for additive cancer treatment. This review evaluates the relevance of curcumin as an integral part of therapy for bladder cancer.
kurz und kn@pp news : Nr. 49
(2020)
Ribosome biogenesis is one cell function-defining process. It depends on efficient transcription of rDNAs in the nucleolus as well as on the cytosolic synthesis of ribosomal proteins. For newly transcribed rRNA modification and ribosomal protein assembly, so-called small nucleolar RNAs (snoRNAs) and ribosome biogenesis factors (RBFs) are required. For both, an inventory was established for model systems like yeast and humans. For plants, many assignments are based on predictions. Here, RNA deep sequencing after nuclei enrichment was combined with single molecule species detection by northern blot and in vivo fluorescence in situ hybridization (FISH)-based localization studies. In addition, the occurrence and abundance of selected snoRNAs in different tissues were determined. These approaches confirm the presence of most of the database-deposited snoRNAs in cell cultures, but some of them are localized in the cytosol rather than in the nucleus. Further, for the explored snoRNA examples, differences in their abundance in different tissues were observed, suggesting a tissue-specific function of some snoRNAs. Thus, based on prediction and experimental confirmation, many plant snoRNAs can be proposed, while it cannot be excluded that some of the proposed snoRNAs perform alternative functions than are involved in rRNA modification
The Early Permian coal is of great value in the Tengxian Coalfield, Shandon Province, Eastern China. This work deals with the new data focusing on mineralogical characteristics in the Early Permian Shanxi Formation No. 3 coal from the Jinyuan Mine. The Jinyuan coal is a low ash and highly volatile A bituminous coal. Minerals in the No. 3 coal mainly comprise of kaolinite, ankerite, illite, calcite, siderite, and quartz, with varying compositions of trace amounts of pyrite, jarosite, bassanite, anatase, and rutile. According to mineral assemblage in the coal plies, three Types (A to C) can be identified in the No. 3 coal. The dominant minerals in Type A are poorly-ordered kaolinite, illite, quartz, pyrite, and jarosite. Type B is mainly composed of well-ordered kaolinite, illite, siderite, ankerite, and calcite. Type C, with just one sample (JY-3-7c), which contains high proportions of calcite (54%) and ankerite (34%). Terrigenous minerals are elevated in coal plies that typically have relatively high contents of ash yield. The formation of syngenetic pyrite was generally due to seawater, while the sulphate minerals (jarosite and coquimbite) were derived from the oxidation of pyrite. Epigenetic vein-like or fracture-fillings carbonate minerals (ankerite, calcite, and siderite), kaolinite, and pyrite, as well as authigenic quartz were derived from the influx of hydrothermal fluids during different periods, from the authigenic to epigenetic. The paragonite in the coal may have been formed by the precipitated from Na-rich hydrothermal fluids. No effects of magmatic intrusion on mineralogy were investigated in this research.
Genetic association studies have shown their usefulness in assessing the role of ion channels in human thermal pain perception. We used machine learning to construct a complex phenotype from pain thresholds to thermal stimuli and associate it with the genetic information derived from the next-generation sequencing (NGS) of 15 ion channel genes which are involved in thermal perception, including ASIC1, ASIC2, ASIC3, ASIC4, TRPA1, TRPC1, TRPM2, TRPM3, TRPM4, TRPM5, TRPM8, TRPV1, TRPV2, TRPV3, and TRPV4. Phenotypic information was complete in 82 subjects and NGS genotypes were available in 67 subjects. A network of artificial neurons, implemented as emergent self-organizing maps, discovered two clusters characterized by high or low pain thresholds for heat and cold pain. A total of 1071 variants were discovered in the 15 ion channel genes. After feature selection, 80 genetic variants were retained for an association analysis based on machine learning. The measured performance of machine learning-mediated phenotype assignment based on this genetic information resulted in an area under the receiver operating characteristic curve of 77.2%, justifying a phenotype classification based on the genetic information. A further item categorization finally resulted in 38 genetic variants that contributed most to the phenotype assignment. Most of them (10) belonged to the TRPV3 gene, followed by TRPM3 (6). Therefore, the analysis successfully identified the particular importance of TRPV3 and TRPM3 for an average pain phenotype defined by the sensitivity to moderate thermal stimuli.
Iron is part of many redox and other enzymes and, thus, it is essential for all living beings. Many oxic environments have extremely low concentrations of free iron. Therefore, many prokaryotic species evolved siderophores, i.e., small organic molecules that complex Fe3+ with very high affinity. Siderophores of bacteria are intensely studied, in contrast to those of archaea. The haloarchaeon Haloferax volcanii contains a gene cluster that putatively encodes siderophore biosynthesis genes, including four iron uptake chelate (iuc) genes. Underscoring this hypothesis, Northern blot analyses revealed that a hexacistronic transcript is generated that is highly induced under iron starvation. A quadruple iuc deletion mutant was generated, which had a growth defect solely at very low concentrations of Fe3+, not Fe2+. Two experimental approaches showed that the wild type produced and exported an Fe3+-specific siderophore under low iron concentrations, in contrast to the iuc deletion mutant. Bioinformatic analyses revealed that haloarchaea obtained the gene cluster by lateral transfer from bacteria and enabled the prediction of enzymatic functions of all six gene products. Notably, a biosynthetic pathway is proposed that starts with aspartic acid, uses several group donors and citrate, and leads to the hydroxamate siderophore Schizokinen.
NIMA (never-in-mitosis gene A)-related kinase 1 (Nek1) is shown to impact on different cellular pathways such as DNA repair, checkpoint activation, and apoptosis. Its role as a molecular target for radiation sensitization of malignant cells, however, remains elusive. Stably transduced doxycycline (Dox)-inducible Nek1 shRNA HeLa cervix and siRNA-transfected HCT-15 colorectal carcinoma cells were irradiated in vitro and 3D clonogenic radiation survival, residual DNA damage, cell cycle distribution, and apoptosis were analyzed. Nek1 knockdown (KD) sensitized both cell lines to ionizing radiation following a single dose irradiation and more pronounced in combination with a 6 h fractionation (3 × 2 Gy) regime. For preclinical analyses we focused on cervical cancer. Nek1 shRNA HeLa cells were grafted into NOD/SCID/IL-2Rγc−/− (NSG) mice and Nek1 KD was induced by Dox-infused drinking water resulting in a significant cytostatic effect if combined with a 6 h fractionation (3 × 2 Gy) regime. In addition, we correlated Nek1 expression in biopsies of patients with cervical cancer with histopathological parameters and clinical follow-up. Our results indicate that elevated levels of Nek1 were associated with an increased rate of local or distant failure, as well as with impaired cancer-specific and overall survival in univariate analyses and for most endpoints in multivariable analyses. Finally, findings from The Cancer Genome Atlas (TCGA) validation cohort confirmed a significant association of high Nek1 expression with a reduced disease-free survival. In conclusion, we consider Nek1 to represent a novel biomarker and potential therapeutic target for drug development in the context of optimized fractionation intervals.
The oomycete genus Ectrogella currently comprises a rather heterogeneous group of obligate endoparasitoids, mostly of diatoms and algae. Despite their widespread occurrence, little is known regarding the phylogenetic affinities of these bizarre organisms. Traditionally, the genus was included within the Saprolegniales, based on zoospore diplanetism and a saprolegnia/achlya-like zoospore discharge. The genus has undergone multiple re-definitions in the past, and has often been used largely indiscriminately for oomycetes forming sausage-like thalli in diatoms. While the phylogenetic affinity of the polyphyletic genus Olpidiopsis has recently been partially resolved, taxonomic placement of the genus Ectrogella remained unresolved, as no sequence data were available for species of this genus. In this study, we report the phylogenetic placement of Ectrogella bacillariacearum infecting the freshwater diatom Nitzschia sigmoidea. The phylogenetic reconstruction shows that Ectrogella bacillariacearum is grouped among the early diverging lineages of the Saprolegniomycetes with high support, and is unrelated to the monophyletic diatom-infecting olpidiopsis-like species. As these species are neither related to Ectrogella, nor to the early diverging lineages of Olpidiopsis s. str. and Miracula, they are placed in a new genus, Diatomophthora, in the present study.
We employ a representative sample of 80,972 Italian firms to forecast the drop in profits and the equity shortfall triggered by the COVID-19 lockdown. A 3-month lockdown generates an aggregate yearly drop in profits of about 10% of GDP, and 17% of sample firms, which employ 8.8% of the sample’s employees, become financially distressed. Distress is more frequent for small and medium-sized enterprises, for firms with high pre-COVID-19 leverage, and for firms belonging to the Manufacturing and Wholesale Trading sectors. Listed companies are less likely to enter distress, whereas the correlation between distress rates and family firm ownership is unclear.
(JEL G01, G32, G33)
We analyze the ESG rating criteria used by prominent agencies and show that there is a lack of a commonality in the definition of ESG (i) characteristics, (ii) attributes and (iii) standards in defining E, S and G components. We provide evidence that heterogeneity in rating criteria can lead agencies to have opposite opinions on the same evaluated companies and that agreement across those providers is substantially low. Those alternative definitions of ESG also a↵ect sustainable investments leading to the identification of di↵erent investment universes and consequently to the creation of di↵erent benchmarks. This implies that in the asset management industry it is extremely dicult to measure the ability of a fund manager if financial performances are strongly conditioned by the chosen ESG benchmark. Finally, we find that the disagreement in the scores provided by the rating agencies disperses the e↵ect of preferences of ESG investors on asset prices, to the point that even when there is agreement, it has no impact on financial performances.
Density visualization pipeline: a tool for cellular and network density visualization and analysis
(2020)
Neuron classification is an important component in analyzing network structure and quantifying the effect of neuron topology on signal processing. Current quantification and classification approaches rely on morphology projection onto lower-dimensional spaces. In this paper a 3D visualization and quantification tool is presented. The Density Visualization Pipeline (DVP) computes, visualizes and quantifies the density distribution, i.e., the “mass” of interneurons. We use the DVP to characterize and classify a set of GABAergic interneurons. Classification of GABAergic interneurons is of crucial importance to understand on the one hand their various functions and on the other hand their ubiquitous appearance in the neocortex. 3D density map visualization and projection to the one-dimensional x, y, z subspaces show a clear distinction between the studied cells, based on these metrics. The DVP can be coupled to computational studies of the behavior of neurons and networks, in which network topology information is derived from DVP information. The DVP reads common neuromorphological file formats, e.g., Neurolucida XML files, NeuroMorpho.org SWC files and plain ASCII files. Full 3D visualization and projections of the density to 1D and 2D manifolds are supported by the DVP. All routines are embedded within the visual programming IDE VRL-Studio for Java which allows the definition and rapid modification of analysis workflows.
Recent research has identified significant correlations between traumatic events and depression in refugees. However, few studies have addressed the role of acculturation strategies in this relationship. This study explored the relationship between cultural orientation, traumatic events and depression in female refugees from Syria, Afghanistan, Eritrea, Iran, Iraq, and Somalia living in Germany. We expected acculturation strategies to moderate the effect of traumatic experiences on depression. The sample included 98 female refugees in Germany. The depression scale of the Hopkins Symptom Checklist (HSCL) represented the dependent measure. The trauma checklists derived from the Post-traumatic Diagnostic Scale (PDS) and the Harvard Trauma Questionnaire (HTQ) as well as the Frankfurt Acculturation Scale (FRACC) were used as independent measures for traumatic events and orientation toward the host culture as well as orientation toward the culture of origin, respectively. A moderation analysis was conducted to examine whether the relationship between the number of traumatic events and depression was influenced by the women’s orientation toward the culture of origin and the host culture. We identified a significant model explaining 26.85% of the variance in depressive symptoms (Cohen’s f2 = 0.37). The number of traumatic events and the orientation toward the host culture exerted significant effects on depressive symptoms. The moderating effect was not significant, indicating that the effect of the number of traumatic events was not influenced by cultural orientation. Based on our results, orientation toward the host culture as well as traumatic experiences exert independent effects on depressive symptoms in refugees.
Non-alcoholic fatty liver disease (NAFLD) is gaining in importance and is linked to obesity. Especially,thedevelopmentoffibrosisandportalhypertensioninNAFLDpatientsrequirestreatment. Transgenic TGR(mREN2)27 rats overexpressing mouse renin spontaneously develop NAFLD with portal hypertension but without obesity. This study investigated the additional role of obesity in this model on the development of portal hypertension and fibrosis. Obesity was induced in twelve-week old TGR(mREN2)27 rats after receiving Western diet (WD) for two or four weeks. Liver fibrosis was assessed using standard techniques. Hepatic expression of transforming growth factor-β1 (TGF-β1), collagen type Iα1, α-smooth muscle actin, and the macrophage markers Emr1, as well as the chemoattractant Ccl2, interleukin-1β (IL1β) and tumor necrosis factor-α (TNFα) were analyzed. Assessment of portal and systemic hemodynamics was performed using the colored microsphere technique. Asexpected,WDinducedobesityandliverfibrosisasconfirmedbySiriusRedandOilRed O staining. The expression of the monocyte-macrophage markers, Emr1, Ccl2, IL1β and TNFα were increasedduringfeedingofWD,indicatinginfiltrationofmacrophagesintotheliver,eventhoughthis increase was statistically not significant for the EGF module-containing mucin-like receptor (Emr1) mRNA expression levels. Of note, portal pressure increased with the duration of WD compared to animals that received a normal chow. Besides obesity, WD feeding increased systemic vascular resistance reflecting systemic endothelial and splanchnic vascular dysfunction. We conclude that transgenic TGR(mREN2)27 rats are a suitable model to investigate NAFLD development with liver fibrosis and portal hypertension. Tendency towards elevated expression of Emr1 is associated with macrophage activity point to a significant role of macrophages in NAFLD pathogenesis, probably due to a shift of the renin–angiotensin system towards a higher activation of the classical pathway. The hepatic injury induced by WD in TGR(mREN2)27 rats is suitable to evaluate different stages of fibrosis and portal hypertension in NAFLD with obesity.
Background: The purpose of this pilot study was to create a valid and reliable set of assessment questions for examining Evidence-based Dentistry (EbD) knowledge. For this reason, we adapted and validated for dental students the Berlin Questionnaire (BQ), which assesses Evidence-based Medicine (EbM) abilities.
Methods: The Berlin Questionnaire was validated with medical residents. We adapted it for use in a dentistry setting. An expert panel reviewed the adapted BQ for content validity. A cross-sectional cohort representing four training levels (EbD-novice dental students, EbD-trained dental students, dentists, and EbM−/EbD-expert faculty) completed the questionnaire. A total of 140 participants comprised the validation set. Internal reliability, item difficulty and item discrimination were assessed. Construct validity was assessed by comparing the mean total scores of students to faculty and comparing proportions of students and faculty who passed each item.
Results: Among the 133 participants (52 EbD-novice dental students, 53 EbD-trained dental students, 12 dentists, and 16 EbM-/ EbD-expert faculty), a statistically significant (p < 0.001) difference was evident in the total score corresponding to the training level. The total score reliability and psychometric properties of items modified for discipline-specific content were acceptable. Cronbach’s alpha was 0.648.
Conclusion: The adapted Berlin Questionnaire is a reliable and valid instrument to assess competence in Evidence-based Dentistry in dental students. Future research will focus on refining the instrument further.
Receptor tyrosine kinases (RTKs) orchestrate cell motility and differentiation. Deregulated RTKs may promote cancer and are prime targets for specific inhibitors. Increasing evidence indicates that resistance to inhibitor treatment involves receptor cross-interactions circumventing inhibition of one RTK by activating alternative signaling pathways. Here, we used single-molecule super-resolution microscopy to simultaneously visualize single MET and epidermal growth factor receptor (EGFR) clusters in two cancer cell lines, HeLa and BT-20, in fixed and living cells. We found heteromeric receptor clusters of EGFR and MET in both cell types, promoted by ligand activation. Single-protein tracking experiments in living cells revealed that both MET and EGFR respond to their cognate as well as non-cognate ligands by slower diffusion. In summary, for the first time, we present static as well as dynamic evidence of the presence of heteromeric clusters of MET and EGFR on the cell membrane that correlates with the relative surface expression levels of the two receptors
Direct acting antivirals (DAAs) revolutionized the therapy of chronic hepatitis C infection. However, unexpected high recurrence rates of hepatocellular carcinoma (HCC) after DAA treatment became an issue in patients with advanced cirrhosis and fibrosis. In this study, we aimed to investigate an impact of DAA treatment on the molecular changes related to HCC development and progression in hepatoma cell lines and primary human hepatocytes. We found that treatment with sofosbuvir (SOF), a backbone of DAA therapy, caused an increase in EGFR expression and phosphorylation. As a result, enhanced translocation of EGFR into the nucleus and transactivation of factors associated with cell cycle progression, B-MYB and Cyclin D1, was detected. Serine/threonine kinase profiling identified additional pathways, especially the MAPK pathway, also activated during SOF treatment. Importantly, the blocking of EGFR kinase activity by erlotinib during SOF treatment prevented all downstream events. Altogether, our findings suggest that SOF may have an impact on pathological processes in the liver via the induction of EGFR signaling. Notably, zidovudine, another nucleoside analogue, exerted a similar cell phenotype, suggesting that the observed effects may be induced by additional members of this drug class.
Background: Point of care devices for performing targeted coagulation substitution in bleeding patients have become increasingly important in recent years. New on the market is the Quantra® from HemoSonics (LC, Charlottesville, VA, US). It uses sonorheometry, a sonic estimation of elasticity via resonance (SEER), a novel ultrasound-based technology that measures viscoelastic properties of whole blood. Several studies have already shown the comparability with devices already established on the market such as the ROTEM® (TEM International GmbH, Munich, Germany).
Objective: In contrast to existing studies, the planned study will be the first prospective interventional study using the new Quantra® system in a cardiac surgical patient cohort. The aim is to investigate the non-inferiority between an already existing coagulation algorithm, based on ROTEM®/Multiplate®, and a new algorithm based on the Quantra®, for the treatment of coagulopathic cardiac surgical patients.
Methods: The study is divided into two phases. In an initial observation phase, whole blood samples of 20 patients will be analyzed using both ROTEM®/Multiplate® and Quantra® obtained at three defined points of time (prior to surgery, after completion of cardiopulmonary bypass, on arrival in the intensive care unit). The obtained threshold values will be used to create an algorithm for hemotherapy. In a second intervention phase, the new algorithm will be tested against an algorithm used routineously for years at our department for non-inferiority.
Results: The main objective of the examination is the cumulative loss of blood within 24 hours after surgery. Statistical calculations based on literature and in-house data suggest that the new algorithm is not inferior if the difference in cumulative blood loss is < 150ml/24 h.
Conclusions: Because of the comparability of the Quantra® sonorheometry system with ROTEM® rotational thromboelastometric measurement methods, the existing hemotherapy treatment algorithm can be adapted to the Quantra device with a proof of non-inferiority. Clinical Trial: International Registered Report Identifier (IRRID): clinicaltrials.gov: NCT03902275
The healthcare industry sees great potential in consolidating medical data on one and the same person which is currently distributed across various practices and hospitals. This would not only save costs on repeating procedures; physicians also hope that artificial intelligence will help them identify new connections and thereby treat diseases earlier, or even prevent them.
So far, personal feedback in the case of lectures with hundreds of students still seems utopic – even after the digitalization boom in times of the coronavirus. Tools from the research field of »learning analytics« could in future give students feedback and at the same time provide their supervisors with clues about where help is still needed.
A question of striking the right balance : how do digital media influence how we think and act?
(2020)
What influence do digital technologies have on human perception, thinking and action? Do computer games harm the development of young brains? And is there really such a thing as »digital dementia«, an increasing forgetfulness caused by the use of modern technologies? For some of these questions, answers are available that are empirically corroborated.
Through digitalization, the social importance of copyright law has grown considerably. Moreover, the culture of exclusivity established by copyright law conflicts fundamentally with the culture of access prevalent on the internet. An example for this is the dispute over the EU’s latest copyright directive. Does it ring in the end of the internet as we know it, or does it »only« see to fair remuneration for those working in the creative economy?
The issue of data security has become increasingly complex in the age of the internet and artificial intelligence. The developments seem to be almost unmanageable in some areas. Cooperation between jurisprudence and information technology is the only thing that can protect the individual and certain social groups from discrimination.
As a network researcher, sociologist Professor Christian Stegbauer also deals with communication in social media. That people prefer to stay in a bubble with like-minded others rather than get to grips with different opinions and ways of thinking was in his view inherent to digital communication from the outset. He considers many of the utopian ideas of a digital culture of participation to be exaggerated.
Interview mit dem Soziologen Christian Stegbauer: Der Soziologe Prof. Christian Stegbauer beschäftigt sich als Netzwerkforscher auch mit Kommunikation in Social Media. Dass sich Menschen lieber in einer Blase gleichdenkender Akteure aufhalten, anstatt sich mit anderen Meinungen und Denkformen zu beschäftigen, war seiner Ansicht nach der digitalen Kommunikation von Anfang an inhärent. Viele der utopischen Vorstellungen von einer digitalen Partizipationskultur hält er für übertrieben.
Im Gesundheitswesen verspricht man sich viel davon, in Praxen und Kliniken verstreut liegende Daten ein und derselben Person zusammenzuführen. So ließen sich nicht nur Kosten für wiederholte Untersuchungen sparen; Mediziner hoffen zudem, mit künstlicher Intelligenz neue Zusammenhänge erkennen und so Krankheiten früher behandeln oder ihnen gar vorbeugen zu können.
Was Daten angeht, setzen Marketingforschung und -lehre bisher vor allem auf Masse statt Klasse. Doch um fundierte Entscheidungen zu treffen, brauchen Unternehmen hoch entwickelte statistische Modelle. Das ist das Forschungsgebiet von Prof. Thomas Otter, der auch das gute alte Bauchgefühl in Algorithmen umzusetzen vermag.
Große Tasten, ein übersichtliches Display – die Hersteller von Mobiltelefonen haben sich geirrt, als sie spezielle Geräte für ältere Menschen entwickelten: Die Angebote sind gründlich gefloppt. Doch aus gerontologischer und erziehungswissenschaftlicher Sicht lohnt es sich durchaus, die besonderen Bedürfnisse von Seniorinnen und Senioren näher zu untersuchen. Nicht erst die Corona-Krise hat gezeigt, dass das Smartphone ein Schlüssel zu mehr Teilhabe und Lebensqualität sein kann. Dazu arbeitet Friedrich Wolf am Fachbereich Erziehungswissenschaften
Die Erziehungswissenschaften sind eine Schlüsseldisziplin für die Zukunft unserer Gesellschaft; der Umgang der Menschen mit der Digitalisierung ist hier ein wichtiges Thema für Forschung und Lehre. An der Goethe-Universität kümmert sich eigens eine Arbeitsgruppe Medien darum, die unterschiedlichen Aktivitäten im Fachbereich und auch außerhalb zu begleiten und zu vernetzen.
Persönliches Feedback bei Vorlesungen mit Hunderten Studierenden erscheint bisher utopisch – auch nach dem Digitalisierungsschub in Corona-Zeiten. Tools aus dem Forschungsgebiet der »Learning Analytics« könnten künftig den Studierenden Rückmeldung geben und zugleich den Betreuern Hinweise liefern, wo noch Hilfestellung nötig ist.
Auf das richtige Maß kommt es an : wie beeinflussen digitale Medien unser Denken und Handeln?
(2020)
Welchen Einfluss haben digitale Technologien auf das menschliche Wahrnehmen, Denken und Handeln? Schaden Computerspiele der Entwicklung junger Gehirne? Und gibt es tatsächlich so etwas wie eine »digitale Demenz«, eine durch die Nutzung moderner Technologien bedingte wachsende Vergesslichkeit? Auf einige dieser Fragen gibt es bereits Antworten, die empirisch belegt sind.
Durch die Digitalisierung ist die soziale Bedeutung des Urheberrechts stark gewachsen. Die vom Urheberrecht etablierte Exklusivitätskultur steht überdies in einem fundamentalen Konflikt mit der im Internet vorherrschenden Zugangskultur. Ein Beispiel hierfür ist der Streit um die jüngste Urheberrechtsrichtlinie der EU.
Das Thema Datenschutz wird in Zeiten von Internet und künstlicher Intelligenz immer komplexer. Die Entwicklungen scheinen in manchen Bereichen kaum noch beherrschbar zu sein. Nur ein Zusammenspiel von Rechtswissenschaft und Informatik kann den Einzelnen und bestimmte gesellschaftliche Gruppen vor Diskriminierung schützen.
The early-diverging oomycetes contain a large number of holocarpic obligate parasites of diatoms, algae, aquatic phycomycetes, and invertebrate animals. These organisms are diverse and widespread. However, taxonomic placement most of the early-diverging oomycetes remains provisional and unresolved, since many have not been sequenced and studied for molecular phylogeny. Here, we report the taxonomy and phylogeny of several holocarpic oomycetes that we have rediscovered and newly classified, including several new species combinations. Phylogenetic reconstructions revealed that the type species of genus Ectrogella (E. bacillariacearum) is a member of the early-diverging Saprolegniales, while the type species of Olpidiopsis (O. saprolegniae) and Pontisma (P. lagenidioides) grouped within the early-diverging lineage of oomycetes forming distinct clades. Since the monophyletic red-algae parasitoids are unrelated to the Olpidiopsis, these were reclassified to the genus Pontisma, while genus Diatomophthora was introduced to accommodate all the diatom parasitoids that were previously assigned to Olpidiopsis. In addition, four new oomycete parasitoids, Miracula helgolandica, Miracula moenusica, Diatomophthora drebesii and Olpidiopsis parthenogenetica and a single rediscovered species, Diatomophthora gillii, are also classified here, including eight new species combinations of red-algae parasites (Pontisma bostrychiae, P. heterosiphoniae, P. muelleri, P. palmariae, P. porphyrae, P. pyropiae) and diatom parasitoids (Diatomophthora drebesii, D. gillii). The results obtained in this study have further improved the resolution and expanded the knowledge on the phylogeny of the earlydiverging oomycetes, leading to the establishment of three new orders (Miraculales, Diatomophthorales, Pontismatales) and one order (Anisolpidiales) being reintroduced.
Mit der COLTRIMS-Technik können immer kompliziertere Reaktionen untersucht werden, dabei steigt aber die Zahl der zu detektierenden Reaktionsfragmente. Der Nachweis von Ionen ist üblicherweise gut möglich, da die entsprechenden Flugzeiten groß sind im Vergleich zur Totzeit der benutzten Detektoren. Elektronen hingegen sind sehr leicht und erreichen den Detektor innerhalb von wenigen 10 ns. Aktuelle Detektoren erlauben aber nur den Nachweis weniger Elektronen und es werden somit neue Detektoren benötigt, um alle Teilchen nachzuweisen. Ziel dieser Arbeit war es also, einen Detektor zu entwickeln, der dies erreicht.
Zu Beginn dieser Monografie wird die COLTRIMS-Technik vorgestellt. Die Experimente mit dieser Messmethode finden hauptsächlich mit einer Laufzeitanode statt. Diese stößt aber bei dem Nachweis von mehreren Teilchen an ihre Grenzen und manche Experimente können nur unvollständig analysiert werden.
Damit ein neuer Detektor entwickelt werden kann, muss erst verstanden werden, wie die zu detektierenden Teilchen/Signale entstehen und wie ihre Eigenschaften sind. Aus diesem Grund wird das Sekundärteilchen-erzeugende MCP ausführlich vorgestellt.
Weiterhin gibt diese Arbeit einen umfassenden Überblick über bereits realisierte Anoden. Verschiedene Repräsentanten der fünf Anodenarten (Flächen-, Streifen-/Pixel-, Laufzeit-, Kamera-, sowie Halbleiter-Anode) werden vorgestellt und bewertet.
Mit diesem Wissen konnten drei Ansätze für neue Anoden entwickelt, designt, produziert, getestet und bewertet werden. Alle neu entwickelten Anoden benutzen Leiterplatinen als Basis und werden in derselben Vakuumkammer getestet. Auch wenn die Detektionsprinzipien der drei getesteten Detektoren unterschiedlich sind, so verläuft die Auskopplung, Verarbeitung und Digitalisierung der Signale nach dem gleichen Schema. Außerdem wurden im Rahmen dieser Arbeit diverse Algorithmen entwickelt und programmiert, mit deren Hilfe die Signalauswertung und Positionsbestimmung erfolgt.
Das dritte Kapitel beschreibt die neu entwickelte Draht-Harfen-Anode. Dieser Detektor besteht aus vielen kurzen Drähten die parallel auf Rahmen aus Leiterplatinen gespannt werden. Aus dieser Anode ließ sich im Rahmen dieser Arbeit aber kein funktionsfähiger Detektor entwickeln und es wird empfohlen, diesen Ansatz nicht weiterzuverfolgen.
Im Kapitel über die Pixel-Anode mit Streifenauslese wird ein Ansatz vorgestellt, bei dem die Elektronenwolke von einem Muster aus leitenden Rauten absorbiert wird. Es wurde ein funktionsfähiger Detektor mit MAMA-Verschaltung realisiert. Die aktive Fläche ist mit einem Durchmesser von 50 mm aber zu klein. Eine große Variante der Anode ist in der realisierten Form aber nicht als Detektor geeignet.
Als dritter neuer Detektor wird die Streifen-Laufzeit-Anode beschrieben. Diese besteht aus einem rechteckigen Muster von Pixeln, die in einer Richtung über eine Zeitverzögerung ausgelesen werden. Dieser Ansatz ist sehr vielversprechend und es ließen sich nicht nur einzelne Teilchen nachweisen, sondern auch beim Aufbruch eines D2+-Moleküls konnten beide Fragmente gemessen werden.
Das letzte Kapitel befasst sich mit weiteren Konzepten, die als Detektor realisiert werden könnten.
Genotoxicity assessment is of high relevance for crude and refined petroleum products, since oil compounds are known to cause DNA damage with severe consequences for aquatic biota as demonstrated in long-term monitoring studies. This study aimed at the optimization and evaluation of small-scale higher-throughput assays (Ames fluctuation, micronucleus, Nrf2-CALUX®) covering different mechanistic endpoints as first screening tools for genotoxicity assessment of oils. Cells were exposed to native and chemically dispersed water-accommodated fractions (WAFs) of three oil types varying in their processing degree. Independent of an exogenous metabolic activation system, WAF compounds induced neither base exchange nor frame shift mutations in bacterial strains. However, significantly increased chromosomal aberrations in zebrafish liver (ZF-L) cells were observed. Oxidative stress was indicated for some treatments and was not correlated with observed DNA damage. Application of a chemical dispersant increased the genotoxic potential rather by the increased bioavailability of dissolved and particulate oil compounds. Nonetheless, the dispersant induced a clear oxidative stress response, indicating a relevance for general toxic stress. Results showed that the combination of different in vitro assays is important for a reliable genotoxicity assessment. Especially, the ZF-L capable of active metabolism and DNA repair seems to be a promising model for WAF testing.
Objective: Phenotypic (Sensititre Myco, pDST) and genotypic drug susceptibility testing (GenoType NTM DR, gDST) in M. avium complex (MAC) have become available as standardized assays, but comparable data is needed. This study aimed to investigate the phenotypic and genotypic drug susceptibility patterns in MAC clinical isolates.
Methods: Overall, 98 isolates from 85 patients were included. pDST and gDST were performed on all isolates and results compared regarding specificity and sensitivity using pDST as a reference method. The impact of drug instability on pDST results was studied using a biological assay over 14 days. In addition, the evolution of antimicrobial resistance was investigated in sequential isolates of 13 patients.
Results: Macrolide resistance was rare, 1.2% (95% CI 0.7–7.3) of isolates in the base cohort. No aminoglycoside resistances were found, but 14.1% of the studied isolates (95% CI 7.8–23.8) showed intermediate susceptibility. The GenoType NTM DR identified two out of four macrolide-resistant isolates. Antibiotic stability was demonstrated to be poor in rifampicin, rifabutin, and doxycycylin.
Conclusions: pDST results in NTM for unstable antibiotics must be interpreted with care. A combination of pDST and gDST will be useful for the guidance of antimicrobial therapy in MAC-disease.
Molecular and cellular research modalities for the study of liver pathologies have been tremendously improved over the recent decades. Advanced technologies offer novel opportunities to establish cell isolation techniques with excellent purity, paving the path for 2D and 3D microscopy and high-throughput assays (e.g., bulk or single-cell RNA sequencing). The use of stem cell and organoid research will help to decipher the pathophysiology of liver diseases and the interaction between various parenchymal and non-parenchymal liver cells. Furthermore, sophisticated animal models of liver disease allow for the in vivo assessment of fibrogenesis, portal hypertension and hepatocellular carcinoma (HCC) and for the preclinical testing of therapeutic strategies. The purpose of this review is to portray in detail novel in vitro and in vivo methods for the study of liver cell biology that had been presented at the workshop of the 8th meeting of the European Club for Liver Cell Biology (ECLCB-8) in October of 2018 in Bonn, Germany.
Radar technology in the millimeter-wave frequency band offers many interesting features for wind park surveillance, such as structural monitoring of rotor blades or the detection of bats and birds in the vicinity of wind turbines (WTs). Currently, the majority of WTs are affected by shutdown algorithms to minimize animal fatalities via direct collision with the rotor blades or barotrauma effects. The presence of rain is an important parameter in the definition of those algorithms together with wind speed, temperature, time of the day, and season of the year. A Ka-band frequency-modulated continuous-wave radar (33.4-36.0 GHz) installed at the tower of a 2-MW WT was used during a field study. We have observed characteristic rain-induced patterns, based on the range-Doppler algorithm. To better understand those signatures, we have developed a laboratory experiment and implemented a numerical modeling framework. Experimental and numerical results for rain detection and classification are presented and discussed here. Based on this article, a bat- and bird-friendly adaptive WT control can be developed for improved WT efficiency in periods of rain and, at the same time, reduced animal mortality.
Objective: To study the effect of total hip replacement (THR) on serum cartilage oligomeric matrix protein concentration (sCOMP) and its correlation with joint loading during gait in patients with unilateral hip osteoarthritis.
Design: In this prospective multimodal (clinical, biomechanical, biochemical) study blood samples from 15 patients were taken before and up to three times after THR (7 days, 3 months and 1 year), each after a resting period of at least 30 min, for analysis of sCOMP. Gait analysis was performed before and 1 year after THR to determine hip and knee joint moments.
Results: Seven days after THR, sCOMP decreased significantly compared to the preoperative measurement (p < 0.001). Three months and 1 year postoperatively, sCOMP reverted to concentrations in the range of the preoperative value. One year postoperatively, a linear correlation between sCOMP and the maximum hip flexion moment was indicated in the first half of the stance phase on the unaffected side (r = −0.736, p = 0.024). No further correlations could be determined.
Conclusions: Surprisingly, the removal of a joint affected by osteoarthritis did not have a sustained effect on sCOMP. Both before and after THR there was no scientifically substantiated correlation between sCOMP and joint moments from gait analysis. Consequently, the examination of sCOMP is not useful to detect altered joint loads that may influence degenerative changes of adjacent joints after THR.
The registration number in the German Registry of Clinical Trials is DRKS00015053.
With the rapid growth of technology in recent years, we are surrounded by or even dependent on the use of technological devices such as smartphones as they are now an indispensable part of our life. Smartphone applications (apps) provide a wide range of utilities such as navigation, entertainment, fitness, etc. To provide such context-sensitive services to users, apps need to access users' data including sensitive ones, which in turn, can potentially lead to privacy invasions. To protect users against potential privacy invasions in such a vulnerable ecosystem, legislation such as the European Union General Data Protection Regulation (EU GDPR) demands best privacy practices. Therefore, app developers are required to make their apps compatible with legal privacy principles enforced by law. However, this is not an easy task for app developers to comprehend purely legal principles to understand what needs to be implemented. Similarly, bridging the gap between legal principles and technical implementations to understand how legal principles need to be implemented is another barrier to develop privacy-friendly apps. To this end, this paper proposes a privacy and security design guide catalog for app developers to assist them in understanding and adopting the most relevant privacy and security principles in the context of smartphone apps. The presented catalog is aimed at mapping the identified legal principles to practical privacy and security solutions that can be implemented by developers to ensure enhanced privacy aligned with existing legislation. Through conducting a case study, it is confirmed that there is a significant gap between what developers are doing in reality and what they promise to do. This paper provides researchers and developers of privacy-related technicalities an overview of the characteristics of existing privacy requirements needed to be implemented in smartphone ecosystems, on which they can base their work.
Inclusions of breyite (previously known as walstromite-structured CaSiO3) in diamond are usually interpreted as retrogressed CaSiO3 perovskite trapped in the transition zone or the lower mantle. However, the thermodynamic stability field of breyite does not preclude its crystallization together with diamond under upper-mantle conditions (6–10 GPa). The possibility of breyite forming in subducted sedimentary material through the reaction CaCO3 + SiO2 = CaSiO3 + C + O2 was experimentally evaluated in the CaO–SiO2–C–O2 ± H2O system at 6–10 GPa, 900–1500 ∘C and oxygen fugacity 0.5–1.0 log units below the Fe–FeO (IW) buffer. One experimental series was conducted in the anhydrous subsystem and aimed at determining the melting temperature of the aragonite–coesite (or stishovite) assemblage. It was found that melting occurs at a lower temperature (∼1500 ∘C) than the decarbonation reaction, which indicates that breyite cannot be formed from aragonite and silica under anhydrous conditions and an oxygen fugacity above IW – 1. In the second experimental series, we investigated partial melting of an aragonite–coesite mixture under hydrous conditions at the same pressures and redox conditions. The melting temperature in the presence of water decreased strongly (to 900–1200 ∘C), and the melt had a hydrous silicate composition. The reduction of melt resulted in graphite crystallization in equilibrium with titanite-structured CaSi2O5 and breyite at ∼1000 ∘C. The maximum pressure of possible breyite formation is limited by the reaction CaSiO3 + SiO2 = CaSi2O5 at ∼8 GPa. Based on the experimental results, it is concluded that breyite inclusions found in natural diamond may be formed from an aragonite–coesite assemblage or carbonate melt at 6–8 GPa via reduction at high water activity.
Background: Experienced and anticipated regret influence physicians’ decision-making. In medicine, diagnostic decisions and diagnostic errors can have a severe impact on both patients and physicians. Little empirical research exists on regret experienced by physicians when they make diagnostic decisions in primary care that later prove inappropriate or incorrect. The aim of this study was to explore the experience of regret following diagnostic decisions in primary care.
Methods: In this qualitative study, we used an online questionnaire on a sample of German primary care physicians. We asked participants to report on cases in which the final diagnosis differed from their original opinion, and in which treatment was at the very least delayed, possibly resulting in harm to the patient. We asked about original and final diagnoses, illness trajectories, and the reactions of other physicians, patients and relatives. We used thematic analysis to assess the data, supported by MAXQDA 11 and Microsoft Excel 2016.
Results: 29 GPs described one case each (14 female/15 male patients, aged 1.5–80 years, response rate < 1%). In 26 of 29 cases, the final diagnosis was more serious than the original diagnosis. In two cases, the diagnoses were equally serious, and in one case less serious. Clinical trajectories and the reactions of patients and relatives differed widely. Although only one third of cases involved preventable harm to patients, the vast majority (27 of 29) of physicians expressed deep feelings of regret.
Conclusion: Even if harm to patients is unavoidable, regret following diagnostic decisions can be devastating for clinicians, making them ‘second victims’. Procedures and tools are needed to analyse cases involving undesirable diagnostic events, so that ‘true’ diagnostic errors, in which harm could have been prevented, can be distinguished from others. Further studies should also explore how physicians can be supported in dealing with such events in order to prevent them from practicing defensive medicine.
We contribute to the foundations of tropical geometry with a view toward formulating tropical moduli problems, and with the moduli space of curves as our main example. We propose a moduli functor for the moduli space of curves and show that it is representable by a geometric stack over the category of rational polyhedral cones. In this framework, the natural forgetful morphisms between moduli spaces of curves with marked points function as universal curves.
Our approach to tropical geometry permits tropical moduli problems—moduli of curves or otherwise—to be extended to logarithmic schemes. We use this to construct a smooth tropicalization morphism from the moduli space of algebraic curves to the moduli space of tropical curves, and we show that this morphism commutes with all of the tautological morphisms.
Background: Point of care devices for performing targeted coagulation substitution in patients who are bleeding have become increasingly important in recent years. New on the market is the Quantra. It is a device that uses sonorheometry, a sonic estimation of elasticity via resonance, which is a novel ultrasound-based technology that measures viscoelastic properties of whole blood. Several studies have already shown the comparability of the Quantra with devices already established on the market, such as the rotational thromboelastometry (ROTEM) device.
Objective: In contrast to existing studies, this study is the first prospective interventional study using this new system in a cardiac surgical patient cohort. We will investigate the noninferiority between an already existing coagulation algorithm based on the ROTEM/Multiplate system and a new algorithm based on the Quantra system for the treatment of coagulopathic cardiac surgical patients.
Methods: The study is divided into two phases. In an initial observation phase, whole blood samples of 20 patients obtained at three defined time points (prior to surgery, after completion of cardiopulmonary bypass, and on arrival in the intensive care unit) will be analyzed using both the ROTEM/Multiplate and Quantra systems. The obtained threshold values will be used to develop a novel algorithm for hemotherapy. In a second intervention phase, the new algorithm will be tested for noninferiority against an algorithm used routinely for years in our department.
Results: The main objective of the examination is the cumulative loss of blood within 24 hours after surgery. Statistical calculations based on the literature and in-house data suggest that the new algorithm is not inferior if the difference in cumulative blood loss is <150 mL/24 hours.
Conclusions: Because of the comparability of the Quantra sonorheometry system with the ROTEM measurement methods, the existing hemotherapy treatment algorithm can be adapted to the Quantra device with proof of noninferiority.
Trial Registration: ClinicalTrials.gov NCT03902275; https://clinicaltrials.gov/ct2/show/NCT03902275
International Registered Report Identifier (IRRID): DERR1-10.2196/17206
The present paper aims at providing empirical evidence for dialectal variation concerning the perception of the central vowel [ɐ] in European Portuguese (EP). More concretely, this study compares the perception of the contrast between [a] and [ɐ] by native speakers of two varieties of EP: 23 speakers of a northern Portuguese dialect (from the city of Braga) and 23 speakers of the Littoral Center variety of EP (from the city of Lisbon, defined as Standard European Portuguese (SEP)). Based on a discrimination test, the results show that the two groups of speakers differ with respect to the perception of the contrast between the two central vowels under investigation. The speakers of the northern variety differentiate less between the two central vowels compared to the speakers from Lisbon.
Zoos attract millions of visitors every year, many of whom are schoolchildren. For this reason, zoos are important institutions for the environmental education of future generations. Empirical studies on the educational impact of environmental education programs in zoos are still rare. To address this issue, we conducted two studies: In study 1, we investigated students’ interests in different biological topics, including zoos (n = 1,587). Data analysis of individual topics revealed large differences of interest, with advanced students showing less interest in zoos. In study 2, we invited school classes of this age group to visit different guided tours at the zoo and tested connection to nature before and after each educational intervention (n = 608). The results showed that the guided tours are an effective tool to raise students’ connection to nature. Add-on components have the potential to further promote connection to nature. The education programs are most effective with students with a low initial nature connection.
Der vorliegende Beitrag stellt die Bedeutsamkeit emotionaler und transformationaler Führungskompetenzen im Kontext inklusiver Schulentwicklung sowie allgemein im Rahmen eines transformationalen Schulmanagements dar. Daran anknüpfend werden als Praxisbeispiele zur Weiterqualifizierung ein Master-Fernstudiengang für Schulmanagement sowie ein in weiterer Entwicklung befindliches digitales Leadership-Training für Schulentwicklung vorgestellt. Letzteres fokussiert insbesondere die Förderung emotionaler und transformationaler Führungskompetenzen, welche wesentlich dazu beitragen können, inspirierend zu motivieren, kollegiale Beziehungen gewinnbringend zu gestalten und adäquat durch inklusive Schulentwicklungsprozesse zu begleiten.
Fragen von Weiterbildungsbeteiligung – und damit Fragen von Inklusion/Exklusion in einem soziologisch-sozialstrukturellen Sinn – spielen in der Erwachsenenbildung seit jeher eine große Rolle. Inklusion unter der Perspektive von geistig-körperlicher Beeinträchtigung ist in der Erwachsenenbildungswissenschaft dagegen ein (noch) randständiges Thema. Erst seit wenigen Jahren beginnen Erwachsenenbildungseinrichtungen wie auch die Erwachsenenbildungswissenschaft, sich verstärkt mit Fragen von Inklusion auf organisationaler, professioneller und didaktischer Ebene zu befassen. Ein großes Desiderat sowohl in der wissenschaftlichen Fokussierung als auch handlungspraktischen Ausgestaltung stellt die Professionalität bzw. Qualifizierung des Personals für eine inklusive Erwachsenenbildung dar, insbesondere unter der Perspektive einer nicht isolierenden, sondern für die Gesamteinrichtung funktionalen Weise.
Der Text vertritt die These, dass gerade in der Erwachsenenbildung Fachlichkeit aus einem komplexen Zusammenspiel von makro-, meso- und mikrodidaktischen Faktoren resultiert. Die komplexe Beziehung zwischen Bedarfsanalyse, Teilnehmendengewinnung und Angebotsrealisierung verlangt in der Erwachsenenbildung eine Fachlichkeit, die in einem kooperativen Miteinander von Leitung, Planung, Kursgestaltung und administrativer Begleitung aufgespannt ist. Inklusive Fachlichkeit muss aus diesem komplexen Miteinander hervorgehen, was für die theoretische Konzeptionalisierung inklusionsorientierter Professionalitätsentwicklung von großer Bedeutung ist.
Im Folgenden wird daher der Versuch unternommen, diese inklusionsorientierte, kooperative Fachlichkeit im Rahmen öffentlicher Weiterbildung und am Beispiel von Blindheit und Sehbehinderung genauer zu bestimmen. Dazu wird zunächst in einer allgemeinen Perspektive inklusive Fachlichkeit als kooperative Gesamtleistung öffentlicher allgemeiner Erwachsenenbildung skizziert, um dann die damit verbundenen Herausforderungen am Beispiel der Adressatengruppe blinder und sehbeeinträchtigter Personen zu verdeutlichen. In dieser Perspektive zeigt sich inklusive Erwachsenenbildung als eine komplexe Bildungsdienstleistung, die professionstheoretisch als kooperative Verknüpfungsleistung im Mehrebenensystem von Erwachsenenbildung zu konzipieren ist.
Professionelle Kompetenz gilt als zentrale Handlungsressource unterrichtlichen Handelns. Berufsbezogene Überzeugungen und Werte (beliefs) können dessen Qualität maßgeblich beeinflussen und sind Gegenstand zahlreicher empirischer Untersuchungen. Eine Vielzahl von Forschungsvorhaben präzisieren den gewählten Beliefbegriff hinsichtlich fachwissenschaftlicher, fachdidaktischer oder (sonder)pädagogischer Fragestellungen. In dem vorliegenden Beitrag wird zunächst unser Begriffsverständnis von professioneller Handlungskompetenz, Inklusion und Teachers’ Beliefs theoretisch begründet. Von diesen Betrachtungen ausgehend, wird das Forschungsdesign einer qualitativen Studie abgeleitet, welches die inklusionsbezogenen Überzeugungen von angehenden Lehrkräften hinsichtlich eines gemeinsamen Unterrichts beschreibt sowie Implikationen für die Hochschullehre aus Studierendenperspektive ermöglicht. Die Ergebnisse geben Aufschluss über das Heterogenitätsverständnis von Lehramtsstudierenden der Regelschule, deren vorherrschenden Rollenbildern und ideellen Überzeugungen zu inklusivem Unterricht. Sie skizzieren außerdem hochschuldidaktische Maßnahmen, welche aus Studierendenperspektive einen Beitrag für die Vorbereitung im Unterricht inklusiver Klassen leisten können. Konsequenzen, die sich aus unserer Sicht für die Ausbildung von Lehramtsstudierenden ergeben, werden mit Fokus auf die Entmystifizierung inklusionsbezogener Überzeugungen diskutiert.
Der Beitrag arbeitet den Expertisebegriff für die inklusionsbezogene Professionalisierungsforschung auf und diskutiert diesen im Kontext des Desiderats nach einem übergreifenden Forschungsparadigma, das den strukturtheoretischen, den berufsbiografischen und den kompetenztheoretischen Ansatz verbindet. Die Überlegungen werden anhand von empirischen Befunden einer qualitativen (Teil-)Studie zur Expertise von Fortbildner*innen im Feld der inklusionsbezogenen Fortbildung exemplifiziert.
Der vorliegende Beitrag fasst Inklusion unter Bezugnahme auf Oevermanns (1996) „Skizze einer revidierten Theorie professionalisierten Handelns“ als Auftrag zur Professionalisierung entlang der therapeutischen Dimension in der Beziehung von Lehrpersonen und Schüler*innen. Dieser trifft in der beruflichen Bildung auf ein spezifisches Spannungsfeld, insofern unter dem Primat der Beruflichkeit eine starke Fokussierung auf ‚Wissen und Können‘ prozessiert wird. Vor diesem Hintergrund wird exemplarisch die Ausgestaltung der pädagogischen Praxis anhand von im BMBF-geförderten Forschungsprojekt StiEL entstandenen Datenmaterial mittels der Dokumentarischen Methode der Textinterpretation analysiert. Ziel ist es, die Orientierungen von Lehrpersonen hinsichtlich pädagogischer Fachlichkeit aus deren handlungsleitenden Wissensbeständen heraus zu rekonstruieren, um die Bedingungen für die Aufnahme des Inklusionsanspruchs in den eigenen Unterricht sowie implizite, durch den Anspruch ‚Inklusion‘ hervorgerufene Ambivalenzen des pädagogisch-professionellen Handelns sichtbar zu machen. Abschließend werden Ansatzpunkte für Fort- und Weiterbildungen abgeleitet.
Ausgehend von spezifischen Anforderungen inklusiver Settings wird in diesem Beitrag ein Ansatz zur Weiterentwicklung des Modells der professionellen Handlungskompetenz von Lehrkräften für inklusiven (Mathematik-)Unterricht vorgestellt. Inklusion wird dabei verstanden als fachliches Lernen und gemeinsame Teilhabe aller Schülerinnen und Schüler. Für die Weiterentwicklung werden zunächst Anforderungen durch inklusive Bildung betrachtet, einerseits abgeleitet aus verschiedenen Aufgaben- und Kompetenzkatalogen, andererseits basierend auf Kernbeständen für den Umgang mit Heterogenität im (Mathematik-)Unterricht im Allgemeinen und für inklusiven (Mathematik-)Unterricht im Speziellen. Anschließend wird daraus Wissen zur Bewältigung dieser Anforderungen abgeleitet und unter Rückgriff auf die verschiedenen Bereiche des Professionswissens (Fachwissen, pädagogisches Wissen, fachdidaktisches Wissen, Organisationswissen und Beratungswissen) weiter ausgeführt, wobei der Fokus auf das fachdidaktische Wissen im inklusiven Mathematikunterricht gelegt wird. Die affektiven und motivationalen Merkmale (Überzeugungen, Selbstregulation und Motivation) der professionellen Handlungkompetenz werden ebenfalls in die Weiterentwicklung des Modells einbezogen. Insgesamt erfolgt die Weiterentwicklung des Modells somit im Rahmen einer Erweiterung der einzelnen bestehenden Kompetenzbereiche um Aspekte, die unter Inklusionsgesichtspunkten besondere Bedeutung erfahren. Mit der Identifizierung von Kompetenzbereichen bei Lehrkräften zu Beginn einer Fortbildung zu inklusivem Mathematikunterricht wird ein Beispiel präsentiert, wie das weiterentwickelte Modell angewendet werden kann. In diesem Zusammenhang konnten in den Äußerungen der Lehrkräfte – abgesehen vom Fachwissen – alle Kompetenzbereiche identifiziert werden. Abschließend werden Möglichkeiten vorgestellt, wie das Modell im Kontext der Lehrerprofessionalisierungsforschung weiterhin eingesetzt werden kann.
Inklusion ist (k)eine Frage der Persönlichkeit - Inklusive Kompetenzen institutionell verankern!
(2020)
Orientiert am Themenschwerpunkt der „theoretischen und empirischen Klärung des Verständnisses pädagogischer Fachlichkeit“ beschäftigt sich unser Beitrag mit den Barrieren und Chancen, die sich in der Hochschulstruktur und –kultur und der universitären Lehre darstellen, wobei wir uns exemplarisch der Ausbildung inklusionsbezogener pädagogischer Fachlichkeit bei angehenden Lehrkräften zuwenden. Mit Bezug zu aktuellen Entwicklungen der bildungspolitischen Landschaft in Deutschland wird zunächst die Notwendigkeit eines Umdenkens in der Lehramtsausbildung, wie auch in der gesamten Hochschullandschaft, dargelegt und diskutiert. Dabei wird das dem Beitrag zugrunde liegende Verständnis von Inklusion verdeutlicht. Die sich daraus ergebenden Anforderungen an Hochschulen, besonders in Bezug auf ihr Selbstverständnis, das Verständnis von Wissenschaftlichkeit und die gelebte Hochschulkultur, werden daraufhin formuliert. Daran schließen Überlegungen zur Umsetzung inklusionsorientierter Praxen in der Lehrer*innenbildung an. Ein besonderer Fokus liegt dabei auf der partizipativen Lehre als möglichem Werkzeug für eine inklusionssensible Hochschulentwicklung. Am Beispiel partizipativer Lehre gemeinsam mit Menschen mit Lernschwierigkeiten1 werden Möglichkeiten aufgezeigt, wie Menschen, die bisher keinen Zugang zur akademischen Wissensvermittlung hatten, als Lehrende tätig sein und so sowohl von Biografien unter der Erfahrung von Diskriminierung berichten, als auch diese Erfahrungen in die Produktion von Wissen einfließen lassen können. In der Diskussion um partizipative Lehre werden verschiedene Widersprüche und Diskurse deutlich, die geeignet sind, um über Hochschulkulturen und -praxen neu nachzudenken.
Das Spektrum kunstpädagogischer Thematisierungen von Inklusion ist – vergleichbar mit anderen Fachdidaktiken - wenig entfaltet. Die bisher vorliegenden Beiträge sind bisher kaum auf eine inklusionsbezogene Professionalisierung hin reflektiert. Die kontinuierliche Weiterentwicklung pädagogischer Professionalität zählt aber zu den grundlegenden Aufgaben der Kunstpädagogik und Bildungswissenschaft. Insbesondere da einzelne Zugänge der Professionalisierungsforschung theoretisch wie empirisch leistungsfähig sind und eine Reihe spezifischer Untersuchungen zu Aspekten der Professionalisierung hervorgebracht haben. Damit geht jedoch eine Zersplitterung der Professionalisierungsforschung in wenig miteinander kommunizierende Forschungslinien einher – diese Problematik lässt sich analog im kunstpädagogischen Diskurs wiederfinden. Unter den Erklärungsansätzen nehmen die verschiedenen Spielarten und Fortentwicklungen der struktur- und kompetenztheoretischen Argumentationen eine Schlüsselstellung ein, wobei sie jedoch eher Dissens als Konsens widerspiegeln. Infolgedessen wird das Konzept der Kontingenz im Beitrag als verbindendes Element herausgestellt und ein integrierender Vorschlag der Professionalisierung auf Basis von Kontingenzbearbeitung entwickelt.
Auf der Grundlage empirischer Rekonstruktion der Tiefenstrukturen der inklusionsbezogenen Professionalisierungsprozesse von angehenden Kunstlehrkräften (n=23) wird dazu ein Vorschlag unterbreitet, der auf zwei Pfeilern beruht: erstens der Analyse der Wahrnehmung und Deutung von Kontingenz im Professionalisierungsprozess und zweitens der Rekonstruktion von Mechanismen der Kontingenzbearbeitung. Das Moment der Kontingenzbearbeitung erweist sich zugleich als Ausgangs- wie Endpunkt entwicklungsgerichteter (kunst-)pädagogischer Professionalisierungsprozesse und als entscheidendes, anschlussfähiges Brückenglied zwischen den tradierten Argumentationslinien.