989 resultados para Friedrich Wilhelm, Elector of Brandenburg, 1620-1688.


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Pós-graduação em Educação - FFC

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Pós-graduação em Filosofia - FFC

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Pós-graduação em Filosofia - FFC

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Pós-graduação em Filosofia - FFC

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Pós-graduação em Estudos Literários - FCLAR

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Pós-graduação em Estudos Literários - FCLAR

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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

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Pós-graduação em Filosofia - FFC

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Pós-graduação em Educação - FFC

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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

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ZusammenfassungDie selbstkondensierende Gruppenübertragungspolymerisation von 2-[(2-Methyl-1-triethylsiloxy-1-propenyl)oxy]ethyl-methacrylat (MTSHEMA) und die Copolymerisation mit Methylmethacrylat und tert-Butylmethacrylat wurde untersucht. Da MTSHEMA eine polymerisierbare Methacryloyl-Einheit und eine zur Initiierung einer Gruppenübertragungspolymerisation befähigte Silylketenacetal-Einheit besitzt, führt die Homopolymerisation zu hyperverzweigten und die Copolymerisation zu hochverzweigten Polymeren.Bei der Homopolymerisation von MTSHEMA konnten nur niedrige Molekulargewichte erreicht werden. Dies wird auf Nebenreaktionen der aktiven Kettenenden zurückgeführt, welche die Carbonylgruppen nucleophil angreifen und, mit der Doppelbindung Kern-Einheit reagieren. Die Copolymerisation mit Methylmethacrylat verlauft ohne Nebenreaktionen. Durch die Variation des molaren Verhältnisses von MTSHEMA zu den Comonomeren war es möglich, das Molekulargewicht, den Verzweigungsgrad und dadurch die Viskosität in Lösung zu kontrollieren. Die Bestimmung der Molekulargewichtsverteilung sämtlicher Polymere erfolgte durch Kopplung der Gelpermeationschromatographie mit einem Viskositätsdetektor und einem Vielwinkel Lichtstreu-Photometer. Die aus dem Vergleich der Viskositäten und Trägheitsradien ermittelten Schrumpfungspa-rameter lassen Schlüsse auf den Verzweigungsgrad zu.Nach den Ergebnissen der viskoelastischen Spektroskopie folgt das Verhalten der verzweigten Polymere in der Schmelze der Rouse-Theorie und deutet damit auf die Abwesenheit von Verschlaufungen hin.Durch die Copolymerisation mit tert-Butylmethacrylat und MTSHEMA konnte hochverzweigtes Poly(tert-butylmethacrylat) synthetisiert werden. Die Verseifung dieser Polymere ergab verzweigte Polymethacrylsäure.

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OBJECTIVE: Assessment of postoperative quality of life in patients over 80 years after cardiac surgery including coronary artery bypass grafting (CABG), aortic valve replacement (AVR) and combined procedures. METHODS: Quality of life of n=136 patients over 80 years at operation (82.3+/-2.1 years), undergoing isolated CABG in 61 patients (45%), isolated AVR in 34 patients (25%) and a combination of CABG and AVR in 41 patients (30%) between January 1999 and December 2003 was reviewed. Preoperatively 66.2% presented in NYHA-class III/IV or CCS-class III/IV. Mean ejection fraction (EF) was 59.5%+/-14.0 (range 25-90%). Quality of life assessment was performed via a Seattle Angina Questionnaire. Follow-up was 100% complete for a total of 890 days (69-1853 days). RESULTS: Five-year survival was 70% for the CABG group, 75% for the AVR group and 65% for the CABG/AVR group. Quality of life was remarkable in all of the three groups after surgery. Overall 97 patients (81%) were not or little disabled in their daily activity. One hundred and twelve patients (93%) were free or considerably less symptomatic. Seventy-eight patients or 65% reported to be very satisfied with their current quality of life and 112 patients (93%) felt very reassured to have continuous full access to medical treatment despite of their advanced age. CONCLUSIONS: A remarkable quality of life and important improvement in the functional status after cardiac surgery in patients over 80 paired with a satisfactory medium-term survival justify early intervention for heart disease in this age group. Therefore, referral practice for patients over 80 years for heart surgery should be handled liberally.