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Die Krupps
(2005)
Poster presentation at 5th German Conference on Cheminformatics: 23. CIC-Workshop Goslar, Germany. 8-10 November 2009 Protein kinases are important targets for drug development. The almost identical protein folding of kinases and the common co-substrate ATP leads to the problem of inhibitor selectivity. Type II inhibitors, targeting the inactive conformation of kinases, occupy a hydrophobic pocket with less conserved surrounding amino acids. Human polo-like kinase 1 (Plk1) represents a promising target for approaches to identify new therapeutic agents. Plk1 belongs to a family of highly conserved serine/threonine kinases, and is a key player in mitosis, where it modulates the spindle checkpoint at metaphase/anaphase transition. Plk1 is over-expressed in all today analyzed human tumors of different origin and serves as a negative prognostic marker in cancer patients. The newly identified inhibitor, SBE13, a vanillin derivative, targets Plk1 in its inactive conformation. This leads to selectivity within the Plk family and towards Aurora A. This selectivity can be explained by docking studies of SBE13 into the binding pocket of homology models of Plk1, Plk2 and Plk3 in their inactive conformation. SBE13 showed anti-proliferative effects in cancer cell lines of different origins with EC50 values between 5 microM and 39 microM and induced apoptosis. Increasing concentrations of SBE13 result in increasing amounts of cells in G2/M phase 13 hours after double thymidin block of HeLa cells. The kinase activity of Plk1 was inhibited with an IC50 of 200 pM. Taken together, we could show that carefully designed structure-based virtual screening is well-suited to identify selective type II kinase inhibitors targeting Plk1 as potential anti-cancer therapeutics.
The comparison of persons is pervasive in social judgement and human decision making and yet its neural substrate is poorly explored. Using functional magnetic resonance imaging we investigated the brain activities of participants comparing other persons with each other (other vs. other comparison - OOC) and with themselves (self vs. other comparison - SOC) as regards psychological (intelligence) and physical (height) characteristics. We found that the comparison of these two person characteristics differ in their neural activation patterns in the OOC as well as in the SOC with higher activity increases for intelligence than height comparison in several areas in medial frontal and orbitofrontal cortex and posterior cingulate cortex suggesting that their activation scales with the demand on person comparison. The person comparison network strikingly overlaps the one commonly described for the classic theory of mind tasks. We interpret this overlap as indicating perspective taking common to person comparison and theory of mind. Furthermore, we suggest that the neural differences between the SOC and the OOC especially in the dorsal part of the medial frontal cortex rely on the different degree of the self involved in the two types of comparisons. The results additionally suggest that the decision directions of self-relevant comparisons, especially in the intelligence comparison of the SOC, resulted in differences in the activation of the medial frontal cortex, which also relies on differences in the reward anticipation and self-relatedness of these decisions.
Die Wahrnehmung unserer Umwelt erfolgt über verschiedene Sinnesmodalitäten, deren Informationen bevorzugt in bestimmten Hirnarealen verarbeitet werden und sich schließlich zu einem kohärenten Bild ergänzen. Wie diese Prozesse ablaufen und durch welche Vorgänge die Wahrnehmungen einen einheitlichen Sinneseindruck formen, sind fundamentale Fragen der kognitiven Neurowissenschaft. Ziel der vorliegenden Studie war es, diese sensorischen Verarbeitungsprozesse genauer zu untersuchen und bisherige Ergebnisse zu bestätigen sowie neue Erkenntnisse bezüglich audio-haptischer und audio-visuo-haptischer Integration zu gewinnen. Weiterhin sollten angemessene Kriterien für die Auswertung der Daten untersucht werden mit dem Schwerpunkt sinnvoller Kontrollbedingungen. Sechzehn Probanden wurden hierzu mittels fMRT während uni-, bi- und trimodaler Stimulation untersucht. Die Stimulation bestand aus der Darbietung von schwarz-weißen Tierbildern, Tierstimmen und Tierfiguren, die einzeln oder in unterschiedlichen Kombinationen präsentiert wurden. Weiterhin gab es eine motorische Kontrollbedingung ohne sensorische Stimulation. Die unisensorischen Ergebnisse fanden sich in den modalitätsspezifischen Kortexarealen und bestätigten zum großen Teil bisherige Erkenntnisse und die Existenz der Was- und Wo-Pfade. Bimodale audio-visuelle Stimulation führte zu Aktivierungen im Temporallappen um den STS/STG, welcher bei audio-visueller Integration von großer Bedeutung ist. Aktivierungen im Gyrus cinguli, Gyrus fusiformis und Precuneus spielen anscheinend eine Rolle bei der Präsentation von familiären Stimuli und kongruenten Darbietungskombinationen. Auf Ebene früher visueller und auditorischer Leitungsbahnen zeigte sich ebenfalls audio-visuelle Interaktion. Visuo-haptische Integration scheint sich nach den vorliegenden Daten im LOtv, IPS und ventralen Zerebellum abzuspielen. LOtv und IPS sind vermutlich insbesondere für die Verarbeitung von geometrischen Formen von Bedeutung. Im ventralen Zerebellum kommt es durch kortiko-zerebelläre Verschaltungen zur Beteiligung bei visuo-haptischer Informationsverarbeitung. Die Aktivationsmuster bei audio-haptischer Stimulation deuteten auf Verarbeitung bilateral im temporo-parietalen Bereich hin in Temporallappen, Parietallappen und der Insula. Die Aktivierungen kommen vermutlich durch Feedforward-Projektionen und Konnektivität zwischen auditorischem und somatosensorischem Kortex zustande, in der Insula durch Konvergenz der auditorischen und somatosensorischen Was-Informationen. Trimodale Stimulation zeigte bei Anwendung des Max-Kriteriums, bei welchem die audio-visuo-haptische Aktivität stärker als die einzelnen unisensorischen Signalantworten ausfallen sollte, ein Areal im linken temporo-parietalen Bereich. Bei weniger strenger Auswertung wurde eine weitere Region im rechten Zerebellum nachgewiesen. Beide konnten der Erweiterung des Max-Kriteriums zum Vergleich zwischen tri- und bisensorischer Aktivität nicht standhalten. Beim Affen existiert eine superior temporale polysensorische Region, welche auf visuelle, auditorische und haptische Reize reagiert. Ob ein integratives trisensorisches Areal beim Menschen existiert, sollte in weiteren Studien untersucht werden. Vielleicht liegt eine ausgeprägte interindividuelle Variabilität der Lokalisation des Konvergenzpunktes vor. Eine andere Möglichkeit ist, dass die Verarbeitung im Gehirn vermehrt bisensorisch gegliedert verläuft. Um dies in zukünftigen Studien besser zu untersuchen, könnte es von Vorteil sein simple sensorische Stimuli zu verwenden. Eine Reizdegradierung hätte verminderte Signalamplituden zur Folge, was multisensorische Interaktionen mit nachfolgendem Signalanstieg besser beurteilen ließe. Darüber hinaus könnte in den Studien fMRT-Adaptation angewendet werden. Über die repetitive Stimulusdarbietung kommt es ebenfalls zu verminderter BOLD-Signalantwort. Die vorliegende Studie hat weiterhin die Notwendigkeit der Einführung von Kontrollbedingungen demonstriert. Neben unisensorischen sollten bisensorische Kontrollbedingungen zur Beurteilung trisensorischer Aktivität herangezogen werden. Eine Kontrollbedingung zur Beurteilung des Ruhezustandes ohne sensorischen Reiz sollte ebenfalls vorhanden sein. Prinzipiell scheint das Max-Kriterium zur Detektion multisensorischer Integration angemessen zu sein.
In der vorliegenden Arbeit wurden zwei motivationale Erklärungsmodelle, Zielorientierungen und das kognitiv-motivationale Prozessmodell, im Rahmen des selbstregulierten Lernens integriert. Selbstregulationsprozesse sind nach Carver und Scheier (1981) zyklisch angelegt. Zu den Bestandteilen der Selbstregulation gehören nach Boekaerts (1999)Regulation der Informationsverarbeitung, Regulation des Lernprozesses und Regulation des Selbsts. Auf dieser Ebene sind die Zielorientierungen angesiedelt. In dieser Arbeit das 2 x 2 Modell von Elliot und McGregor (2001) herangezogen. Es berücksichtigt zwei Dimensionen, die Valenz (Annäherungs- und Vermeidungskomponente) und die Kompetenz (Vergleichsmaßstab intern und extern). Hieraus resultieren: 1) Lern-Annäherungs-Ziele (positive Valenz & interner Vergleich, 2) Lern-Vermeidungs-Ziele (negative Valenz & interner Vergleich), 3) Leistungs-Annäherungs-Ziele (positive Valenz & externer Vergleich) und 4) Leistungs-Vermeidungs-Ziele (negative Valenz & externer Vergleich). Diese vier Zielorientierungen sind der erste Teil des integrierten Modells, der zweite zentrale Teil ist das kognitiv-motivationale Prozessmodell (Vollmeyer & Rheinberg, 1999, 2006). Ausgangspunkt ist die aktuelle Motivation, die aus 1) der Erfolgswahrscheinlichkeit, 2) der Misserfolgsbefürchtung, 3) dem Interesse und 4) der Herausforderung als unabhängige Faktoren besteht. Diese aktuelle Motivation wirkt nicht direkt auf die Leistung, sondern durch kognitive (hier: Metakognition) und motivationale (hier: Flow-Erleben) Mediatoren. Es wurden drei Fragestellungen bearbeitet. Die erste Fragestellung betraf das Zusammenspiel der Zielorientierungen und der aktuellen Motivation. Eine Überprüfung dieses integrierten Motivationsmodell erfolgte mittels Pfadanalyse. Die zweite und dritte Fragestellung befasste sich spezifisch mit dem kognitiv-motivationalen Prozessmodell. Es wurden Subgruppen auf der Basis der aktuellen Motivation identifiziert und ihre Bedeutung für die Mediatoren und die Leistung untersucht. Die dritte Fragestellung fokussierte den Prozesscharakter des Modells. Hier erfolgten Analysen über den Arbeitsprozess hinweg. Die Fragebögen (Achievement Goal Questionnaire (Elliot & McGregor, 2001), Metakognitionsfragebogen (aufbauend auf LIST (Wild, 2000) und Metacognitive Awareness Inventory (Schraw & Dennison, 1994), Fragebogen zur aktuellen Motivation (Rheinberg, Vollmeyer & Burns, 2001), Flow-Kurz-Skala (Rheinberg, Vollmeyer & Engeser, 2003)) und die Problemlöseaufgaben (Sudokus) wurden in einer Pilotstudie getestet. An der Hauptstudie nahmen 202 Personen teil (73% weiblich). Das integrierte Motivationsmodell geht davon aus, dass eine positiver Effekt der Zielorientierungen als Personenvariable auf die aktuelle Motivation besteht. Die aktuelle Motivation als Startpunkt des situationalen Geschehens wiederum wirkt positiv auf die Mediatoren Flow-Erleben und Metakognition, hat aber keinen direkten Effekt auf die Leistung. Dieser wird nämlich über die Mediatoren vermittelt. Deswegen wird ein positiver Effekt des Flow-Erlebens und der Metakognition auf die Leistung erwartet. Das Zusammenwirken der beiden Mediatoren kann aus dem kognitiv-motivationalen Prozessmodell nicht abgeleitet werden. Ob ein Zusammenhang besteht oder nicht wird geprüft. Für das Vorwissen wird ein positiver Effekt auf die aktuelle Motivation und die Leistung erwartet. Die Pfadanalyse zur Überprüfung des integrierten Motivationsmodells zeigte, dass eine Integration nicht nur theoretisch sinnvoll ist, sondern auch empirisch gestützt wird. Die Bedeutung der Metakognition als kognitiver Mediator wurde gezeigt. Die zweite Fragestellung fokussierte auf die aktuelle Motivation. Auf der Basis dieser wurden mittels Clusteranalyse drei distinkte Gruppen identifiziert: hoch Motivierte, niedrig Motivierte und ängstlich Motivierte (vergleichbar zu Vollmeyer & Rheinberg, 2004). Diese Gruppen unterschieden sich hinsichtlich ihres Flow-Erlebens, ihrer Metakognition und ihrer Leistung. Die hoch Motivierten erlebten am meisten Flow, berichteten mehr Metakognition und zeigten bessere Leistung. Der Prozesscharakter des kognitiv-motivationalen Prozessmodells stand im Mittelpunkt der dritten Fragestellung. Diese Analyse über die drei Sudokus hinweg zeigte eine ähnliche Entwicklung des Flow-Erlebens bei den hoch und niedrig Motivierten. Vom ersten zum zweiten Sudoku stieg es an, um dann wieder abzufallen. Dies war bei der Metakognition nicht der Fall. Die hoch Motivierten berichteten einen stärkeren Rückgang der Metakognition beim dritten Sudoku als die niedrig Motivierten. Bei der Leistung zeigte sich für die hoch Motivierten ein Anstieg beim zweiten Sudoku und dann ein Rückgang beim dritten, wohingegen die Leistung der niedrig Motivierten kontinuierlich abfiel. Abschließend wurden die Schwierigkeiten und Grenzen der vorliegenden Arbeit diskutiert und Implikationen der Ergebnisse für die Theorieentwicklung und ihre Bedeutung für den Anwendungskontext aufgezeigt.
Influenza A (H1N1) 2009 : impact on Frankfurt in due consideration of health care and public health
(2010)
Background: In April 2009 a novel influenza A H1N1/2009 virus was identified in Mexico and in the United States which quickly spread around the world. Most of the countries established infection surveillance systems in order to track the number of (laboratory-confirmed) H1N1 cases, hospitalizations and deaths. Methods: The impact of the emergence of the novel pandemic (H1N1) 2009 virus on Frankfurt was statistically evaluated by the Health Protection Authority, City of Frankfurt am Main. Vaccination rates of the health care workers (HCWs) of the University Hospital Frankfurt were measured by the Occupational Health Service. Results: Although the virulence of pandemic (H1N1) 2009 seems to be comparable with seasonal influenza, a major patient load and wave of hospital admissions occurred in the summer of 2009. Even though the 2009 vaccination rate of the University Hospital Frankfurt (seasonal influenza [40.5%], swine flu [36.3%]) is better than the average annual uptake of influenza vaccine in the German health care system (approximately 22% for seasonal and 15% for swine flu), vaccination levels remain insufficient. However, physicians were significantly (p < 0.001) more likely to have been vaccinated against swine flu and seasonal influenza than nurses. Conclusions: The outbreak of the pandemic (H1N1) 2009 in April 2009 provided a major challenge to health services around the world. Nosocomial transmission of H1N1/2009 has been documented. Present experience should be used to improve pandemic preparedness plans and vaccination programs ought to target as many HCWs as possible.
Due to an increasing awareness of the potential hazardousness of air pollutants, new laws, rules and guidelines have recently been implemented globally. In this respect, numerous studies have addressed traffic-related exposure to particulate matter using stationary technology so far. By contrast, only few studies used the advanced technology of mobile exposure analysis. The Mobile Air Quality Study (MAQS) addresses the issue of air pollutant exposure by combining advanced high-granularity spatial-temporal analysis with vehicle-mounted, person-mounted and roadside sensors. The MAQS-platform will be used by international collaborators in order 1) to assess air pollutant exposure in relation to road structure, 2) to assess air pollutant exposure in relation to traffic density, 3) to assess air pollutant exposure in relation to weather conditions, 4) to compare exposure within vehicles between front and back seat (children) positions, and 5) to evaluate "traffic zone"- exposure in relation to non-"traffic zone"-exposure. Primarily, the MAQS-platform will focus on particulate matter. With the establishment of advanced mobile analysis tools, it is planed to extend the analysis to other pollutants including including NO2, SO2, nanoparticles, and ozone.
Background: Hemorrhagic shock/resuscitation is associated with aberrant neutrophil activation and organ failure. This experimental porcine study was done to evaluate the effects of Fas-directed extracorporeal immune therapy with a leukocyte inhibition module (LIM) on hemodynamics, neutrophil tissue infiltration, and tissue damage after hemorrhagic shock/resuscitation. Methods: In a prospective controlled double-armed animal trial 24 Munich Mini Pigs (30.3 +/- 3.3 kg) were rapidly haemorrhaged to reach a mean arterial pressure (MAP) of 35 +/- 5 mmHg, maintained hypotensive for 45 minutes, and then were resuscitated with Ringer's solution to baseline MAP. With beginning of resuscitation 12 pigs underwent extracorporeal immune therapy for 3 hours (LIM group) and 12 pigs were resuscitated according to standard medical care (SMC). Haemodynamics, haematologic, metabolic, and organ specific damage parameters were monitored. Neutrophil infiltration was analyzed histologically after 48 and 72 hours. Lipid peroxidation, and apoptosis were specifically determined in lung, bowel, and liver. Results: In the LIM group, neutrophil counts were reduced versus SMC during extracorporeal immune therapy. After 72 hours, the haemodynamic parameters MAP and cardiac output (CO) were significantly better in the LIM group. Histological analyses showed reduction of shock-related neutrophil tissue infiltration in the LIM group, especially in the lungs. Lower amounts of apoptotic cells and lipid peroxidation were found in organs after LIM treatment. Conclusions: Transient Fas-directed extracorporeal immune therapy may protect from posthemorrhagic neutrophil tissue infiltration and tissue damage.
Prognostische Bedeutung der R1 Resektion : verbessertes Überleben in der Ära elektiver Chemotherapie
(2008)
Einleitung: Die Resektion kolorektaler Lebermetastasen ist der alleinigen Chemotherapie überlegen und erfolgt unter kurativer Zielsetzung. Multimodale Therapiekonzepte erlauben zunehmend primär irresektable Metastasen sekundär zu resezieren. Bei einem Teil der Patienten wird das Ziel der Tumorfreiheit nicht erreicht. Anhand einer retrospektiven Analyse wurde der Anteil der nicht kurativ resezierten Patienten nach primärer und sekundärer Resektion und ihr Überleben bestimmt. Material und Methoden: Bei 152 Patienten wurden zwischen 1/02 – 7/07 insgesamt 174 Leberresektionen aufgrund kolorektaler Metastasen durchgeführt. Dieses Kollektiv wurde anhand des R-Status der Leberresektion in eine kurativ- (Gruppe I) und in eine nicht kurativ resezierte Gruppe (Gruppe II) unterteilt. Die Auswertung erfolgte retrospektiv nach Überleben, Metastasenausdehnung, neoadjuvanter Chemotherapie und primärem Tumorstadium. Ergebnisse: 174 Leberresektionen schlossen 44 Re-Resektion und 6 zweizeitige Resektionen ein. Bei 61 Patienten erfolgte eine neoadjuvante Chemotherapie vor der Leberresektion. Die demographischen Daten beider Gruppen zeigten keinen signifikanten Unterschied (Gr. I: Männer: 60%, Alter: 63+/-1; Gr. II: Männer: 65%, Alter: 57+/-2,4). Die Anzahl der resezierten Metastasen war in Gruppe II signifikant höher (Gr. I: 1,5+/-0,1; Gr. II: 3,5+/-0,7, p<0,01), während die lokale Primärtumor-Ausdehnung gemessen am T-Stadium (Gr. I: 2,8 +/- 0,1, Gr. II: 2,8 +/- 0,13, n.s.) keinen Unterschied zeigte. Der Anteil der nicht kurativ resezierten Patienten war nach primärer und sekundärer Resektion gleich (17% vs. 21%, n.s.). Das Gesamtüberleben (4-Jahre, Kaplan-Meier) (Gr. I: 61%, Gr. II: 29%, p<0,05) und das mediane Überleben (Gr. I: 4,4, Gr. II: 2,4 [Jahre], p<0,05) wiesen einen signifikanten Unterschied auf. Schlussfolgerung: Der R-Status nach Resektion kolorektaler Lebermetastasen ist weiterhin ein entscheidender prognostischer Faktor. R-1 resezierte Patienten erreichen jedoch mit 2,4 Jahren ein besseres medianes Überleben als vergleichbare historische Kollektive. Sekundäre Resektionen nach neoadjuvanter Therapie weisen eine vergleichbar hohe Rate an R1 Resektionen auf wie bei primären Resektionen.
Zur Vorbereitung des hundertjährigen Firmenjubiläums gegründet, hat das Historische Archiv Krupp 2005 nun selbst schon eine hundertjährige Geschichte hinter sich. Und so hat es auch eine Festschrift erhalten. Es ist keine gravitätische Erbauungsschrift geworden, sondern ein handlicher Band, reich bebildert, der anschaulich und gut lesbar vielerlei Aspekte dieser hundertjährigen Archivgeschichte mit Themen der Firmengeschichte von Krupp und der allgemeinen Geschichte verknüpft. Zugleich, eingeflochten in die Darstellung, gibt Ralf Stremmel, der das Krupp-Archiv seit 2003 leitet, einen Einblick in die Arbeit dieses Wirtschaftsarchivs. Wie kommen Akten ins Archiv? Was machen Archivare und Benutzer mit den Akten? Was leistet das Archiv rur das Unternehmen? ...
Die Relevanz der Zuschreibung von "Hochbegabung" in der Biografie von besonders begabten Erwachsenen
(2007)
Mit dieser Arbeit konnten erstmalig Erkenntnisse über "hochbegabte" Erwachsene gewonnen werden, die bisher entweder nicht untersucht wurden oder aber hinter dem Schleier der Mystifizierung im Verborgenen blieben. Eine der wichtigsten Erkenntnis dieser Arbeit ist entgegen der Darstellung vieler Publikationen zu diesem Thema, dass die Zuschreibung von "Hochbegabung" nicht grundsätzlich biografisch relevant ist. Vielmehr ist die Relevanzeinstufung von "Hochbegabung" von entsprechenden Dispositionen und Ausprägungen mit ihren spezifischen Wirkungsmechanismen im Lebensablauf abhängig, die je nach Zusammenspiel in eine non-exklusive oder in eine exklusive "Hochbegabtenidentität" münden. Eine Normalitätserfahrung – und das ist die weitere wichtige Erkenntnis dieser Untersuchung – ist für eine non-exklusive "Hochbegabtenidentität" die notwendige Voraussetzung. Erst dadurch relativiert sich die durch die Zuschreibung bedingte Abgrenzung von Anderen. In diesem Zusammenhang erstaunt es nicht, dass ein kooperatives und annehmendes Umfeld gute Voraussetzungen für einen positiven Umgang mit der Begabung und somit auch für die Gelegenheit der Normalitätserfahrung gute Voraussetzungen liefert. Zu der vieldiskutierten Frage, ob eine vermutete "Hochbegabung" formal getestet und schließlich zertifiziert werden soll, kann somit auf Grundlage der Analyse nach der Marnier des Biografieforschers mit einem "je nach Lebenslage" Stellung genommen werden: Fühlt sich die betreffende Person mit der gegebenen Situation wohl und hat keine gravierenden, die weitere Identitätsentwicklung behindernde Schwierigkeiten und erfährt sich die besonders begabte Person als normal, so ist kritisch nach dem Nutzen einer Zuschreibung von "Hochbegabung" zu fragen. Nimmt sich die Person jedoch als ständiger Außenseiter wahr und resultieren daraus aufgrund des geringen Selbstwertes maßgebliche Schwierigkeiten in alltäglichen Situationen, so könnten die mit einer formalen Zuschreibung verbundenen Zutrittsmöglichkeiten zu entsprechenden Fördermaßnahmen durchaus eine Möglichkeit sein, Personen mit ähnlichen Erfahrungen kennenzulernen. Um diese Frage jedoch zufriedenstellend beantworten zu können, sind weitere, auf diese Frage zentrierte Untersuchungen notwendig. Ebenso sind ergänzend weitere Untersuchungen zur Identitätskonstruktion von per Zuschreibung ‚Hochbegabten’ unerlässlich, da die Methode des autobiografisch-narrativen Interviews hierbei an ihre Grenzen stößt (vgl. voriges Kapitel 8.6). Um das Moment der Etablierung einer Denkstruktur der "binären Schematisierung" und ihre Wirksamkeit zu erforschen, bedarf es unter anderem neurowissenschaftlichen Wissens, welches in dieser Arbeit nicht berücksichtigt werden konnte. Dennoch konnte anhand der Interviewtechnik des autobiografisch-narrativen Interviews erst die persönliche Relevanz der Zuschreibung von ‚Hochbegabung’ in den Biografien herausgearbeitet werden.
"Meine Ungeduld ist ein Crocodill, das läßt sich nicht bezähmen ..." : der Kanonenkönig Alfred Krupp
(2000)
Objective: To summarise the benefits and harms of treatments for women with gestational diabetes mellitus. Design: Systematic review and meta-analysis of randomised controlled trials. Data sources: Embase, Medline, AMED, BIOSIS, CCMed, CDMS, CDSR, CENTRAL, CINAHL, DARE, HTA, NHS EED, Heclinet, SciSearch, several publishers’ databases, and reference lists of relevant secondary literature up to October 2009. Review methods: Included studies were randomised controlled trials of specific treatment for gestational diabetes compared with usual care or "intensified" compared with "less intensified" specific treatment. Results: Five randomised controlled trials matched the inclusion criteria for specific versus usual treatment. All studies used a two step approach with a 50 g glucose challenge test or screening for risk factors, or both, and a subsequent 75 g or 100 g oral glucose tolerance test. Meta-analyses did not show significant differences for most single end points judged to be of direct clinical importance. In women specifically treated for gestational diabetes, shoulder dystocia was significantly less common (odds ratio 0.40, 95% confidence interval 0.21 to 0.75), and one randomised controlled trial reported a significant reduction of pre-eclampsia (2.5 v 5.5%, P=0.02). For the surrogate end point of large for gestational age infants, the odds ratio was 0.48 (0.38 to 0.62). In the 13 randomised controlled trials of different intensities of specific treatments, meta-analysis showed a significant reduction of shoulder dystocia in women with more intensive treatment (0.31, 0.14 to 0.70). Conclusions: Treatment for gestational diabetes, consisting of treatment to lower blood glucose concentration alone or with special obstetric care, seems to lower the risk for some perinatal complications. Decisions regarding treatment should take into account that the evidence of benefit is derived from trials for which women were selected with a two step strategy (glucose challenge test/screening for risk factors and oral glucose tolerance test).
Die spezifische Funktion des Sri Cakras in der beschriebenen externen Verehrung besteht in seiner doppelten Funktion zum einen als externes physisches Verehrungsobjekt und zum anderen als mentales Betrachtungsobjekt. Als externes physisches Verehrungsobjekt ermöglicht es dem Sadhaka, sich selbst als Göttin gegenüber zu treten und seine Identität mit der Göttin in der Zusammenführung von sich selbst mit der Göttin im Darbringen von materiellen Gaben, welche symbolisch für die Hingabe seiner selbst stehen, körperlich und sinnlich nachzuvollziehen. Hierbei richtet der Sadhaka seinen Geist und seine Handlung ganz auf die Göttin bzw. ihre Verehrung im Sri Cakra aus, so dass er sich selbst dabei vergisst und zur Göttin wird. Bei seiner externen Verehrung dient das Sri Cakra gleichzeitig auch als mentales Betrachtungsobjekt, dessen konzentrische Form den Verehrer in seine eigene Mitte, und somit zur Identifizierung mit der Göttin führt, und welches dem Sadhaka als Vorlage zur geistigen Durchschreitung des Kosmos und seines eigenen Inneren dient. Während der Sadhaka also seine Identität mit der Göttin in der körperlichen Verehrung nachvollzieht und realisiert, durchschreitet er es geistig und betrachtet hierbei ihre einzelnen Teilkräfte. In mentalen Verehrungsformen funktioniert das Sri Cakra, ebenso wie in der externen Verehrung, als mentales Betrachtungsobjekt, welches den Sadhaka in seine Mitte führt und in dessen Durchschreitung er den Teilkräften der Göttin begegnet, sich ihrer kosmische Bedeutung bewusst wird und sie in sich verwirklicht. Gleichzeitig dient das Sri Cakra als Verehrungsobjekt, während dessen Verehrung der Verehrer die Zusammenführung seiner selbst mit der Göttin jedoch nicht mit Körper und Sinnen nachvollzieht, sondern rein geistig. In der Bhavana-Verehrung wird die Verehrung als Zusammenführung der zwei Ebenen, der Teilgottheit und des Selbst, weder körperlich noch mental nachvollzogen, sondern die Identität der zwei zusammengeführten Ebenen durch Meditation dieselbe direkt verwirklicht. Das Sri Cakra dient hier als Vorlage für die Kräfte und die Reihenfolge, in welcher die Kräfte und ihre Identität mit ihren mikrokosmischen Entsprechungen meditiert werden. Die Identifizierung mit der Gottheit über die schrittweise Verwirklichung ihrer Teilkräfte beinhaltet das Erlangen von psychischen Kräften und Fähigkeiten, Siddhi. Diese Kräfte kann der Sadhaka im Rahmen magischer Rituale im Makrokosmos zum Wohle und zum Schaden anderer einsetzen. Magische Rituale beinhalten eine Verehrung, mittels welcher der Sadhaka sich mit seiner inneren Kraft verbindet und einen Akt, in welchem diese Kraft angewendet wird. In Anwendungen zur Heilung von Krankheiten funktionieren Yantras oft als Amulett, d. h. als Träger in welchen der Sadhaka seine innere Kraft einsetzt und von welchem aus sie auf den Amulett-Träger wirkt. Yantras können wie im Beispiel zum 37. Vers des Saundaryalaharis gezeigt, auch als Verehrungsobjekte funktionieren, durch dessen Verehrung die dem Yantra entsprechende Kraft im Verehrer aktiviert wird. Krankheit hat verschiedene ursächliche Ebenen und verschiedene Ebenen der Manifestation. Sie kann somit auf diesen verschiedenen Ebenen behandelt werden. Das Yantra, welches in einer heilenden Anwendung eingesetzt wird, wird jeweils in Abhängigkeit der Ebene, deren Kräfte mobilisiert werden sollen, ausgewählt. Der nach religiösem Heil strebende Sadhaka verwirklicht im Rahmen seiner schrittweisen Identifikation mit der Göttin nach und nach die Kräfte aller Seinsebenen, und somit auch die Kräfte zur Kontrolle der körperlichen und psychischen Ebenen, sowie Kräfte, die vor negativen Einflüssen schützen und Krankheit und Leiden ausgleichen. Der Weg zu religiösem Heil führt somit über das Erlangen von Gesundheit und die Auflösung von Krankheit und Leiden, sowie zum Schutz vor Gefahren und schädlichen äußeren Einflüssen. Diese auf dem Weg zur Erkenntnis der Göttin erworbenen inneren Kräfte kann der Sadhaka im Makrokosmos einsetzen. Oft dienen hierbei Yantras als Medien, über welche diese Kräfte weitergegeben werden.
Ein Unsichtbarer posiert für das Erinnerungsfoto eines Ereignisses, das nicht stattgefunden hat: In der Ritterrüstung steckt Gustav Krupp von Bohlen und Halbach, Ehemann der Krupp -Erbin Bertha und Aufsichtsratsvorsitzender des größten deutschen Industrieunternehmens im Kaiserreich, des Stahlkonzerns und Waffenproduzenten Krupp. Er war einer der Teilnehmer an einem Historienspiel, das den Fortschritt, natürlich besonders denjenigen der Waffentechnik, dazu den Kaiser und Deutschland glorifizieren sollte. Die Handlung des Stückes war trivial, doch die Ausstattung mit Kostümen und Requisiten opulent. Die 314 Mitwirkenden waren leitende Angestellte des Unternehmens, ihre Frauen und Kinder. Sie hatte monatelang für das Spektakel geprobt, das im Rahmen der Feierlichkeiten zum 100-jährigen Jubiläum der Firmengründung der Fried. Krupp AG und des Geburtsjahres von Alfred Krupp im Sommer 1912 aufgeführt werden sollte. Zum Abschluss des Besuches von Kaiser Wilhelm II., der am 8. und 9. August Essen und das KruppWerk besuchte, sollte die einzige geplante Aufführung nur für das Staatsoberhaupt und sein Gefolge stattfinden. Doch sie fiel aus, denn am Vormittag des 8. August hatte sich im benachbarten Bochum eines der schwersten Grubenunglücke des Ruhrgebietes ereignet, dem 112 Bergleute zum Opfer gefallen waren. ...
Feral cats (Felis catus), introduced into Australia with European settlers in the 19th century, colonized the entire Australian continent in less than 100 years, including the Australian arid zone which covers more than 70% of the continent. Feral cats are responsible for the decline and extinction of a number of native species and the failure of a number of reintroduction attempts, especially in the arid zone. Many ecological studies on feral cats have been conducted on home range size and movement patterns in different environments, abundance and diet, with the aim of gaining a better understanding about their successful invasion of the Australian continent. There are no physiological studies on the feral cat to date. However, there is evidence that there is a strong interrelation between physiology and abiotic factors such as climate. Thus, distribution, habitat, and dispersal of species can not fully be understood without background knowledge of physiology. This PhD aims to contribute to a better understanding of three physiological parameters: metabolism, body mass and body temperature patterns. These parameters may possibly identify physiological adaptation to different climate zones, seasonal conditions and island isolation.
Varnedoe zeigt an zahlreichen Werkbeispielen die Aneignung und Transformation von Pollocks Erbe, das als Ausgangspunkt für eine antiidealistische, die europäische Tradition hinter sich lassende Abstraktion verstanden wird. Der Titel "Pictures of Nothing", mit Bezug auf eine zeitgenössische Äußerung zu Turners Werk gewählt, impliziert dabei nicht die Beschränkung auf das Medium Bild. Vielmehr stehen mit der minimalistischen und postminimalistischen Kunst ganz besonders auch Plastik und Installation im Zentrum. Auch zur popartistischen Verarbeitung der Abstraktion nimmt der Verfasser des Buches ausführlich Stellung. ...
Trotz der wachsenden fachwissenschaftlichen Forschungsliteratur und der inzwischen beträchtlichen Anzahl von Anthologien, Methoden-Readern und Einführungen fehlt es bislang an übergreifenden historisch-kritischen Darstellungen, die auch der neuesten Fachdiskussion gerecht werden. Hatt und Klonk haben sich dieser Aufgabe gestellt. Ihr Buch liefert auf nur 250 Seiten eine angenehm lesbare, klar gegliederte und problembewusste Erörterung der Fachgeschichte von ihren Anfängen im 19. Jahrhundert bis zur Gegenwart. ...
Während für Immunkompetente eine HCMV-Infektion meist asymptomatisch verläuft, ist sie bei immunsupprimierten Patienten eine der häufigsten Ursachen für eine erhöhte Mortalität und Morbidität. Zur Risikogruppe gehören u.a. Organtransplantierte, AIDS-Patienten, Patienten mit malignen Tumoren und Bluttransfusionsempfänger. Die HCMV-Infektion ist außerdem die häufigste prä- und perinatale Infektion. Im Hinblick auf die besonders bei Immunsupprimierten teilweise schweren HCMV-bedingten Krankheitsbilder und die Effizienz einer rechtzeitigen Therapie mit antiviralen Chemotherapeutika (Ganciclovir, Foscarnet) ist eine frühe, schnelle und zuverlässige Diagnose notwendig. Auch das Blutspenderscreening bedarf einer zuverlässigen HCMV-Immunstatusbestimmung, um einer transfusionsassoziierten Zytomegalieinfektion vorzubeugen. Der Diagnostik einer HCMV-Infektion stehen eine Vielzahl virologischer und serologischer Methoden zur Verfügung. In der Routinediagnostik wird der ELiSA als schnelles, wenig aufwendiges und billiges Nachweisverfahren eingesetzt. Jedes Jahr werden von der Industrie neue Antikörpertests, basierend auf der ELlSA-Technologie, angeboten. Mit dem Ziel der Verbesserung der Technik werden immer neue Testkits entwickelt. In dieser Arbeit wurden neue indirekte HCMV-lgG-ELISAs (Cytomegalovirus IgG EIA (Radim, Italien); CMV IgG ELiSA (GuII, USA); CMV IgG ELiSA (DMD, Deutschland», ein kompetetiver indirekter HCMV-ELiSA (Captia CMV-TA (Mercia, England» und HCMV-lgG-IFT-Testsysteme (VIRGO Cytomegalo-Virus IgG 1FT (Pharmacia-LKB, Deutschland); Cytomegalovirus IgG 1FT (Viramed, Deutschland» untersucht und verglichen. Als Referenztest fungierte der seit mehreren Jahren etablierte und zugelassene ELiSA Enzygnost-Cytomegalie-lgG-EIA (Behring, Deutschland). Es wurden HCMV-lgG positive Seren und Verdünnungsreihen HCMV-lgG positiver Seren untersucht und verglichen. Außerdem wurden HCMV-lgG negative Seren sowie potentiell kreuzreaktive Seren mit Antikörpern gegen andere Herpesviren und antinukleäre Antikörper- bzw. Rheumafaktor-positive Seren untersucht. Nachtestungen wurden mit dem Enzygnost-Cytomegalie-lgG-EIA (Behring), dem Cytomegalovirus IgG 1FT (Viramed) und selten auch mit dem Western Blot durchgeführt. Die Testauswertung der verschiedenen kommerziell erhältlichen EUSAs und IFTs zeigte zum Teil relativ große Unterschiede bei den HCMV-lgG positiven Seren sowie bei den potentiell kreuzreaktiven Seren, während sie bei HCMV-lgG negativen Seren nur geringfügige Abweichungen aufwies. Das Ziel, die ELlSA-Testsysteme weiterhin zu verbessern, wird mit dem Einsatz hochspezifischer, rekombinanter Antigene verfolgt. Die grundsätzliche Entscheidung für eine serologische, molekularbiologische oder virologische Methode zur HCMV-Diagnostik ist sowohl von der klinischen Fragestellung als auch vom Immunstatus des Patienten abhängig. Bei HCMV-Risikopatienten ist für eine zuverlässige Frühdiagnostik eine Kombination aus Virusisolierung, Antigennachweis, möglicherweise PCR und Serologie zu empfehlen (102). Für die Diagnostik einer aktiven oder latenten HCMV-Infektion beim Screening von Blutspendern wird eine sensitive IgG-Antikörperbestimmung mit Hilfe der ELlSA-Technik als ausreichend bewertet. Da bis zu 60% der potentiellen Blutspender HCMV-seropositiv sind, kommt es allerdings zu extremen Engpässen in der Versorgung mit seronegativen Blutspenden. Nur 2-12% der HCMV-lgG positiven Blutspender werden das Virus auf seronegative Empfänger übertragen, so daß es erstrebenswert ist, die humorale Immunität gegen das humane Zytomegalievirus weiter zu erforschen.
An interior delta in the lower course of the Ntem River near the sub-prefecture Ma’an was identified after interpretation of satellite images, topographical maps of SW Cameroon and geological as well as hydrological references and a reconnaissance fieldtrip to the study area. Here neotectonic processes have initiated the establishment of a ‘sediment trap’ (step fault), which in combination with environmental changes strongly generated the fluvial morphology. It transitionally led to temporary lacustrine and palustrine conditions in parts of this river section. Inside the interior delta an anastomosing multi-branched river system has developed, which contains ‘stillwater locations', periodically inundated sections, islands and rapids. Following geomorphological, physiogeographical and sedimentological research approaches, the alluvial plain has been prospected and studied extensively. 91 hand-corings, including three NE–SW transects, were carried out on river benches, levees, cut-off and periodical branches, islands as well as terraces throughout the entire alluvial plain and have unveiled multi-layered, sandy to clayey alluvia reaching up to 440 cm depth. At many locations, fossil organic horizons and palaeosurfaces were discovered, containing valuable palaeoenvironmental proxy data. At these sites, through additional detailed stratigraphical analysis (close-meshed hand-coring and exposure digging) a comprehensive insight into the stratification (lamination) of the alluvia could be gained, clarifying processes and conditions that prevailed in the catchment area during the period of their deposition. 32 Radiocarbon data of macro-rests (leafs, wood), charcoal and organic sediment sampled from these horizons provided ages between 48.230 ± 6.411 and 217 ± 46 years BP (not calibrated). This constitutes the importance of the alluvia as an additional, innovative palaeoarchive for proxy data contributing to the reconstruction of palaeoenvironment and palaeoclimate in western Equatorial Africa. The further examination of the alluvia will not only provide additional information on the dynamics of vegetation, climate and hydrology (esp. fluvial morphology) in SW Cameroon since the ‘First Millennium BC Crisis’ (around 3.000 years BP), the main focus of the DFG-research project, but also on conditions prevailing since the Late Pleistocene, during the Last Glacial Maximum (~18.000 years BP), the Younger Dryas impact (~11.000 years BP) and the ‘Humid African Period’ (~9.000–6.000 years BP). Delta13C-values (–31,4 to –26,4‰) evidence that at the particular drilling sites rain forest has prevailed during the corresponding time period (rain forest refuge theory). The sampled macrorests all indicate rain forest dominated ecosystems, which were able to persist in fluvial habitats, even during arid periods.
Until now, the NW Indian Ocean was sparsely covered with coral proxy records, and records from the Maldives Archipelago do not exist. The first such coral proxy record from the central Maldives is presented in this study. It originates from a massive Porites lutea (Quoy and Gaimard, 1833) colony that was sampled March 2007 in the lagoon of Rasdhoo Atoll (4°N/ 73°W), which is located in the central Maldives. The record spans a period of 90 yrs and reaches back to 1917 AD with monthly to bimonthly resolution. This study investigates temporal variations of the skeletal stable oxygen (delta18O) and carbon (delta13C) isotopes, the strontium-to-calcium (Sr/Ca), and the annual extension-rates, and their relationship to historical climate variations 1917-2007. Annual extension-rates show an increase over the 20th century, and are correlated with instrumental sea surface temperatures (SST). The interannual variation of the extension-rates within 2.5-4 years is driven by the El Niño-Southern Oscillation (ENSO). The amount of skeletal extension during the summer months is triggered by variations in the strength of the SW monsoon. Interannual and decadal variability in monsoon current activity (18-19 yrs) and rainfall over India are an expression of the summer monsoon strength. This is the reason why a statistical link between coral extension-rates and precipitation over India can be established. This implies that annual extension-rates in corals can be used as a new proxy for Indian monsoon variability on decadal resolution. The delta18O record exhibits the 20th century warming trend that is influenced by the effect of monsoon-induced cooling. delta18O also reveals interannual ENSO triggered variability, which is due to ENSO-forced variations in SST and sea surface salinity (SSS). A decadal variation at 12-14 yrs cannot be linked to SST variations in the NW Indian Ocean, but with decadal variations of SSS. They could be caused by ENSO- forced variations of the monsoon currents during the mature phase of ENSO teleconnections in the Indian Ocean in boreal winter. The Sr/Ca record does not indicate a significant warming, in spite of the observed SST rise at the sampling site. Changes in seawater Sr/Ca cannot be excluded. Nevertheless, interannual ENSO forcing is still evident. Evidence for the Pacific Decadal Oscillation (PDO) is found during 1917-1955. Afterwards, the Sr/Ca data indicate the disappearance of PDO forcing. By the combination of Sr/Ca and delta18O it is possible to detect ~80% of historical El Niño and La Niña events at the sample site. This study confirms the notion that interannual to multi-decadal climate fluctuations in the Pacific play a crucial role for climate variability in the Indian Ocean.
Through the use of information about the biological target structure, the optimization of potential drugs can be improved. In this work I have developed a procedure that uses the quantitative change in the chemical perturbations (CSP) in the protein from NMR experiments for driving protein-ligand docking. The approach is based on a hybrid scoring function (QCSPScore) which combines traditional DrugScore potentials, which describe the interaction between protein and ligand, with Kendall’s rank correlation coefficient, which evaluates docking poses in terms of their agreement with experimental CSP. Prediction of the CSP for a specific ligand pose is done efficiently with an empirical model, taking into account only ring current effects. QCSPScore has been implemented in the AutoDock software package. Compared to previous methods, this approach shows that the use of rank correlation coefficient is robust to outliers. In addition, the prediction of native-like complex geometries improved because the CSP are already being used during the docking process, and not only in a post-filtering setting for generated docking poses. Since the experimental information is guaranteed to be quantitatively used, CSP effectively contribute to align the ligand in the binding pocket. The first step in the development of QCSPScore was the analysis of 70 protein-ligand complexes for which reference CSP were computed. The success rate in the docking increased from 71% without involvement of CSP to 100% if CSP were considered at the highest weighting scheme. In a second step QCSPScore was used in re-docking three test cases, for which reference experimental CSP data was available. Without CSP, i.e. in the use of conventional DrugScore potentials, none of the three test cases could be successfully re-docked. The integration of CSP with the same weighting factor as described above resulted in all three cases successfully re-docked. For two of the three complexes, native-like solutions were only produced if CSP were considered.Conformational changes in the binding pockets of up to 2 Å RMSD did not affect the success of the docking. QCSPScore will be particularly interesting in difficult protein-ligand complexes. They are in particular those cases in which the shape of the binding pocket does not provide sufficient steric restraints such as in flat protein-protein interfaces and in the virtual screening of small chemical fragments.
In diesem Aufsatz konzentriere ich mich auf einen wichtigen und überaus kühnen, praktisch-politischen Vorschlag des Projekts der kosmopolitischen Demokratie (Archibugi/Held 1995; Archibugi et al. 1998; Beck 2004; Held 1998): auf die Parlamentarisierung der Weltpolitik (Übersicht bei Bienen et al. 1998). Das kosmopolitische Projekt unterstellt, dass die Vergemeinschaftung der Menschheit einen Grad erreicht hat, der es erlaubt oder gar erfordert, die Herstellung von Recht – einschließlich von Weltbürgerrecht (Brunkhorst et al. 1999) und die Kontrolle seiner richtigen exekutiven Anwendung in die Hände einer globalen Legislative zu geben.
Rezensionen zu: Bonfils, Henry ; Fauchille, Paul : Manuel de droit international public : (droit des gens); destiné aux étudiants des facultés de droit et aux aspirants aux fonctions diplomatiques et consulaires / Henry Bonfils; Paul Fauchille [Hrsg.] ; 6. éd., rev. et mise au courant, contenant le commentaire des actes des conférences de la paix de 1899 et de 1907 et de la déclaration navale de Londres du 26 février 1909 / par Paul Fauchille ; Paris : Rousseau, 1912 Fiore, Pasquale ; Antoine, Charles F. : Le droit international codifié et sa sanction juridique ; Trad. de l'italien, Paris : Pedone : 1911 : II, 893 S., nouvelle édition Nys, Ernest : Le droit international, Les principes, les théories, les faits. Nouvelle édition, tome I-III, Bruxelles : (Moens Frère et Soeur) M. Weissenbruch imprimeur du roi : 1912 Oppenheim, Lassa : International Law, London ; New York : Longmans, Green and Co : 1912, 2nd edition tome I, v. 1. Peace
Rezension zu: Das Werk vom Haag. Unter Mitwirkung von v. Bar, Fleischmann, Kohler, Lammasch, v. Liszt, Meurer, Niemeyer, Nippold, v. Ullmann und Wehberg, herausgegegen von Walter Schücking, Professor an der Universität Marburg, Associe de l'Institut de droit international. Erster Band: Schücking, Der Staatenverband der Haager Konferenzen. Zweiter Band: Wehberg, Das Problem eines internationalen Staatengerichtshofes. Müinchen und Leipzig. Verlag von Duncker & Humblot 1912.
This thesis presents a 5.9 Å map of yeast FAS obtained by cryo-electron microscopy using single particle analysis (SPA). The EM-map has been analyzed both by quantitative and qualitative analysis to aid in understanding of the structure and dynamics of yeast FAS. This study approaches the factors limiting the resolution in EM (>20 Å) and further discusses the possibilities of achieving higher-resolutions (<10 Å) in cryo-EM by single particle analysis. Here, SPA is highlighted as a powerful tool for understanding the structure and dynamics of macro-molecular complexes at near native conditions. Though SPA has been used over the last four decades, the low-resolution range (20-30 Å) of the method has limited its use in structural biology. Over the last decade, sub nanometer resolution (<10 Å) structures solved by SPA have been reported --both in studies involving symmetric particles, such as GroEL (D7) and asymmetric particles, such as ribosomes (C1). Recently, near-atomic resolution in the range of 3.8-4.2 Å has been achieved in cases of highly symmetric icosahedral viral capsid structures as well. The yeast FAS structure (D3) presented here is one of two low symmetry structures submitted to the EM-database in a resolution range of 5-6 Å; the other being GroEL (D7). Fatty acid synthase (FAS) is the key enzyme for the biosynthesis of fatty acids in living organisms. There are two types of FAS, namely the type II FAS system in prokaryotes, consisting of a set of individual enzymes, and type I FAS found in eukaryotes as a multienzyme complex. Yeast fatty acid synthase (FAS) is a 2.6 MDa barrel-shaped multienzyme complex, which carries out cyclic synthesis of fatty acids. By electron cryomicroscopy of single particles we obtained a 3D map of yeast FAS at 5.9 Å resolution. Compared to the crystal structures of fungal FAS, the EM map reveals major differences and new features that indicate a considerably different arrangement of the complex in solution, as well as a high degree of variance inside the barrel. Distinct density regions in the reaction chambers next to each of the catalytic domains fit well with the substratebinding acyl carrier protein (ACP) domain. In each case, this resulted in the expected distance of ~18 Å from the ACP substrate binding site to the active site of the catalytic domains. The multiple, partially occupied positions of the ACP within the reaction chamber provide direct insight into the proposed substrate-shuttling mechanism of fatty acid synthesis in this large cellular machine.