994 resultados para 38-338


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„Untersuchung des Aggregationsverhaltens amphiphiler Diblockcopolymere in überkritischem Kohlendioxid mittels dynamischer Lichtstreuung“ In der vorliegenden Arbeit wurde die Mizellenbildung von Diblockcopolymeren des Typs PS-b-PDMS in überkritischem Kohlendioxid (CO2,SC) mittels dynamischer Lichtstreuung (DLS) charakterisiert. Zu diesem Zweck wurden Mischungen aus den Diblockcopolymeren in CO2,SC mit Styrol als Monomer druckabhängig auf diese Fähigkeit hin untersucht. Eine Mizellenbildung konnte anhand der gemessenen hydrodynamischen Radien Rh gezeigt werden. Um eine Vergleichsmöglichkeit gegenüber den mit Styrol gefüllten Kern-Hüllen-Mizellen zu bekommen, wurde das Diblockcopolymer PS-b-PDMS (9/27) zunächst ohne Styrol auf die Fähigkeit hin untersucht ungefüllte Mizellen zu bilden. Durch Druckvariation konnte ein kritischer Mizellendruck von ca. 46,7 MPa bei einer Temperatur von 338 K im Experiment bestätigt werden, der gefundene Rh liegt bei ca. 34 nm. Dagegen setzt die Aggregation bei einer PS-b-PDMS (9/27)/Styrol/CO2,SC- Mischung bei einem wesentlich niedrigeren Druck ein. Durch Druckvariation zwischen 38 MPa und 45,7 MPa wurde eine Größenänderung der Mizellen beobachtet. Durch zeitabhängige-DLS-Messungen am gleichen System bei einem bestimmten Druck wurde ein langsames Schrumpfen der Mizellen gefunden. Um den Einfluß der Blockgröße der verwendeten Amphiphile auf die Mizellenbildung zu untersuchen wurde das System PS-b-PDMS(6/37)/Styrol/CO2,SC mit Hilfe der DLS im Bereich zwischen 39,4 MPa und 43,1 MPa untersucht. Die Druckänderung zeigte für Rh ein nahezu invariantes Verhalten, daß durch eine verlängerte PDMS-Blocklänge und eine damit verbundene Kompensation der verschiedenen Wechselwirkungskräfte zwischen Mizellenkern, -hülle und CO2,SC erklärt werden kann. Im System PS-b-PDMS(6/16)/Styrol/CO2,SC konnte experimentell mit Hilfe der DLS erst nach einer ver-änderten molaren Zusammensetzung eine Mizellenbildung ab 40 MPa ermöglicht werden. Allerdings ändert sich auch in diesem System der hydrodynamische Radius ebenfalls mit dem Druck. Je nach Druck-, Temperatur- und molarer Zusammensetzung variiert die Tendenz der Systeme, Mizellen zu bilden die eine Emulsion stabilisieren können. Für die in Dispersions-Polymerisationsreaktionen eingesetzten Diblockcopolymere bedeutet dieses Ergebnis differenzierte Applikationsmöglichkeiten. Mit den ermittelten Konzentrationsverhältnissen an Amphiphil und Monomer konnte ein Bereich gefunden werden, in dem die thermodynamischen Bedingungen für die Mizellenbildung einerseits und die Vorraussetzungen für die DLS andererseits gegeben sind.

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Modellazione al CAD di un aliante sviluppato in Germania nei primi decenni dello scorso secolo e studio preliminare di fattibilità della motorizzazione del velivolo.

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La sindrome nefrosica (SN) è definita come la presenza concomitante di una proteinuria maggiore di 3.5g/24 h, ipoalbuminemia, ipercolesterolemia e presenza di edemi. I pazienti con SN sono più a rischio di quelli che presentano una nefropatia glomerulare non nefrosica (NNGD) per lo sviluppo di ipertensione, ipernatremia, complicazioni tromboemboliche e comparsa di insufficienza renale. In Medicina Veterinaria, la Letteratura riguardante l’argomento è molto limitata e non è ben nota la correlazione tra SN e gravità della proteinuria, ipoalbuminemia e sviluppo di tromboembolismo. L’obiettivo del presente studio retrospettivo è stato quello di descrivere e caratterizzare le alterazioni cliniche e clinicopatologiche che si verificano nei pazienti con rapporto proteine urinarie:creatinina urinaria (UPC) >2 con lo scopo di inquadrare con maggiore precisione lo stato clinico di questi pazienti e individuare le maggiori complicazioni a cui possono andare incontro. In un periodo di nove anni sono stati selezionati 338 cani e suddivisi in base ad un valore cut-off di UPC≥3.5. Valori mediani di creatinina, urea, fosforo, albumina urinaria, proteina C reattiva (CRP) e fibrinogeno sono risultati al di sopra del limite superiore dell’intervallo di riferimento, valori mediani di albumina sierica, ematocrito, antitrombina al disotto del limite inferiore di riferimento. Pazienti con UPC≥3.5 hanno mostrato concentrazioni di albumine, ematocrito, calcio, Total Iron Binding Capacity (TIBC), significativamente minori rispetto a quelli con UPC<3.5, concentrazioni di CRP, di urea e di fosforo significativamente maggiori. Nessuna differenza tra i gruppi nelle concentrazioni di creatinina colesterolo, trigliceridi, sodio, potassio, cloro, ferro totale e pressione sistolica. I pazienti con UPC≥3.5 si trovano verosimilmente in uno “stato infiammatorio” maggiore rispetto a quelli con UPC<3.5, questa ipotesi avvalorata dalle concentrazioni minori di albumina, di transferrina e da una concentrazione di CRP maggiore. I pazienti con UPC≥3.5 non presentano concentrazioni di creatinina più elevate ma sono maggiormente a rischio di anemia.

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INTRODUCTION: Winter sports have evolved from an upper class activity to a mass industry. Especially sledging regained popularity at the start of this century, with more and more winter sports resorts offering sledge runs. This study investigated the rates of sledging injuries over the last 13 years and analysed injury patterns specific for certain age groups, enabling us to make suggestions for preventive measures. METHODS: We present a retrospective analysis of prospectively collected data. From 1996/1997 to 2008/2009, all patients involved in sledging injuries were recorded upon admission to a Level III trauma centre. Injuries were classified into body regions according to the Abbreviated Injury Scale (AIS). The Injury Severity Score (ISS) was calculated. Patients were stratified into 7 age groups. Associations between age and injured body region were tested using the chi-squared test. The slope of the linear regression with 95% confidence intervals was calculated for the proportion of patients with different injured body regions and winter season. RESULTS: 4956 winter sports patients were recorded. 263 patients (5%) sustained sledging injuries. Sledging injury patients had a median age of 22 years (interquartile range [IQR] 14-38 years) and a median ISS of 4 (IQR 1-4). 136 (51.7%) were male. Injuries (AIS≥2) were most frequent to the lower extremities (n=91, 51.7% of all AIS≥2 injuries), followed by the upper extremities (n=48, 27.3%), the head (n=17, 9.7%), the spine (n=7, 4.0%). AIS≥2 injuries to different body regions varied from season to season, with no significant trends (p>0.19). However, the number of patients admitted with AIS≥2 injuries increased significantly over the seasons analysed (p=0.031), as did the number of patients with any kind of sledging injury (p=0.004). Mild head injuries were most frequent in the youngest age group (1-10 years old). Injuries to the lower extremities were more often seen in the age groups from 21 to 60 years (p<0.001). CONCLUSION: Mild head trauma was mainly found in very young sledgers, and injuries to the lower extremities were more frequent in adults. In accordance with the current literature, we suggest that sledging should be performed in designated, obstacle-free areas that are specially prepared, and that children should always be supervised by adults. The effect of routine use of helmets and other protective devices needs further evaluation, but it seems evident that these should be obligatory on official runs.

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This phase I trial was designed to develop a new effective and well-tolerated regimen for patients with aggressive B cell lymphoma not eligible for front-line anthracycline-based chemotherapy or aggressive second-line treatment strategies. The combination of rituximab (375 mg/m(2) on day 1), bendamustine (70 mg/m(2) on days 1 and 2), and lenalidomide was tested with a dose escalation of lenalidomide at three dose levels (10, 15, or 20 mg/day) using a 3 + 3 design. Courses were repeated every 4 weeks. The recommended dose was defined as one level below the dose level identifying ≥2/6 patients with a dose-limiting toxicity (DLT) during the first cycle. Thirteen patients were eligible for analysis. Median age was 77 years. WHO performance status was 0 or 1 in 12 patients. The Charlson Comorbidity Index showed relevant comorbidities in all patients. Two DLTs occurred at the second dose level (15 mg/day) within the first cycle: one patient had prolonged grade 3 neutropenia, and one patient experienced grade 4 cardiac adverse event (myocardial infarction). Additional grade 3 and 4 toxicities were as follows: neutropenia (31 %), thrombocytopenia (23 %), cardiac toxicity (31 %), fatigue (15 %), and rash (15 %). The dose of lenalidomide of 10 mg/day was recommended for a subsequent phase II in combination with rituximab 375 mg/m(2) on day 1 and bendamustine 70 mg/m(2) on days 1 and 2.

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Open-ended interviews of 90 min length of 38 patients were analyzed with respect to speech stylistics, shown by Schucker and Jacobs to differentiate individuals with type A personality features from those with type B. In our patients, Type A/B had been assessed by the Bortner Personality Inventory. The stylistics studied were: repeated words swallowed words, interruptions, simultaneous speech, silence latency (between question and answer) (SL), speed of speech, uneven speed of speech (USS), explosive words (PW), uneven speech volume (USV), and speech volume. Correlations between both raters for all speech categories were high. Positive correlations between extent of type A and SL (r = 0.33; p = 0.022), USS (r = 0.51; p = 0.002), PW (r = 0.46; p = 0.003) and USV (r = 0.39; p = 0.012) were found. Our results indicate that the speech in nonstress open-ended interviews of type A individuals tends to show a higher emotional tension (positive correlations for USS PW and USV) and is more controlled in conversation (positive correlation for SL).

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