387 resultados para Ramcke, Jochim Hinrich.
Resumo:
Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
Resumo:
In this thesis, different complex colloids were prepared by the process of solvent evaporation from emulsion droplets (SEED). The term “complex” is used to include both an addressable functionality as well as the heterogeneous nature of the colloids.Firstly, as the SEED process was used throughout the thesis, its mechanism especially in regard to coalescence was investigated,. A wide variety of different techniques was employed to study the coalescence of nanodroplets during the evaporation of the solvent. Techniques such as DLS or FCS turned out not to be suitable methods to determine droplet coalescence because of their dependence on dilution. Thus, other methods were developed. TEM measurements were conducted on mixed polymeric emulsions with the results pointing to an absence of coalescence. However, these results were not quantifiable. FRET measurements on mixed polymeric emulsions also indicated an absence of coalescence. Again the results were not quantifiable. The amount of coalescence taking place was then quantified by the application of DC-FCCS. This method also allowed for measuring coalescence in other processes such as the miniemulsion polymerization or the polycondensation reaction on the interface of the droplets. By simulations it was shown that coalescence is not responsible for the usually observed broad size distribution of the produced particles. Therefore, the process itself, especially the emulsification step, needs to be improved to generate monodisperse colloids.rnThe Janus morphology is probably the best known among the different complex morphologies of nanoparticles. With the help of functional polymers, it was possible to marry click-chemistry to Janus particles. A large library of functional polymers was prepared by copolymerization and subsequent post-functionalization or by ATRP. The polymers were then used to generate Janus particles by the SEED process. Both dually functionalized Janus particles and particles with one functionalized face could be obtained. The latter were used for the quantification of functional groups on the surface of the Janus particles. For this, clickable fluorescent dyes were synthesized. The degree of functionality of the polymers was found to be closely mirrored in the degree of functionality of the surface. Thus, the marriage of click-chemistry to Janus particles was successful.Another complex morphology besides Janus particles are nanocapsules. Stimulus-responsive nanocapsules that show triggered release are a highly demanding and interesting system, as nanocapsules have promising applications in drug delivery and in self-healing materials. To achieve heterogeneity in the polymer shell, the stimulus-responsive block copolymer PVFc-b-PMMA was employed for the preparation of the capsules. The phase separation of the two blocks in the shell of the capsules led to a patchy morphology. These patches could then be oxidized resulting in morphology changes. In addition, swelling occurred because of the hydrophobic to hydrophilic transition of the patches induced by the oxidation. Due to the swelling, an encapsulated payload could diffuse out of the capsules, hence release was achieved.The concept of using block copolymers responsive to one stimulus for the preparation of stimulus-responsive capsules was extended to block copolymers responsive to more than one stimulus. Here, a block copolymer responsive to oxidation and a pH change as well as a block copolymer responsive to a pH change and temperature were studied in detail. The release from the nanocapsules could be regulated by tuning the different stimuli. In addition, by encapsulating stimuli-responsive payloads it was possible to selectively release a payload upon one stimulus but not upon the other one.In conclusion, the approaches taken in the course of this thesis demonstrate the broad applicability and usefulness of the SEED process to generate complex colloids. In addition, the experimental techniques established such as DC-FCCS will provide further insight into other research areas as well.
Resumo:
Combined-modality treatment consisting of four to six cycles of chemotherapy followed by involved-field radiotherapy (IFRT) is the standard of care for patients with early unfavorable Hodgkin's lymphoma (HL). It is unclear whether treatment results can be improved with more intensive chemotherapy and which radiation dose needs to be applied.
Resumo:
The ATS 3f Enable® Bioprosthesis is a self-expanding valve with a tubular design that allows for decreased leaflet stress and preservation of aortic sinuses. We report the midterm results of a prospective, multicenter clinical study evaluating the safety and efficacy of this stented bioprosthesis in patients undergoing isolated aortic valve replacement with or without concomitant procedures.
Resumo:
Nitrous oxide (N2O) is an important greenhouse gas and ozone-depleting substance that has anthropogenic as well as natural marine and terrestrial sources. The tropospheric N2O concentrations have varied substantially in the past in concert with changing climate on glacial–interglacial and millennial timescales. It is not well understood, however, how N2O emissions from marine and terrestrial sources change in response to varying environmental conditions. The distinct isotopic compositions of marine and terrestrial N2O sources can help disentangle the relative changes in marine and terrestrial N2O emissions during past climate variations. Here we present N2O concentration and isotopic data for the last deglaciation, from 16,000 to 10,000 years before present, retrieved from air bubbles trapped in polar ice at Taylor Glacier, Antarctica. With the help of our data and a box model of the N2O cycle, we find a 30 per cent increase in total N2O emissions from the late glacial to the interglacial, with terrestrial and marine emissions contributing equally to the overall increase and generally evolving in parallel over the last deglaciation, even though there is no a priori connection between the drivers of the two sources. However, we find that terrestrial emissions dominated on centennial timescales, consistent with a state-of-the-art dynamic global vegetation and land surface process model that suggests that during the last deglaciation emission changes were strongly influenced by temperature and precipitation patterns over land surfaces. The results improve our understanding of the drivers of natural N2O emissions and are consistent with the idea that natural N2O emissions will probably increase in response to anthropogenic warming.
Resumo:
von W. J. Gerber
Resumo:
von Friedrich Delitzsch
Resumo:
The present study tested a theoretically derived link between rumination and depressive symptoms through behavioural avoidance and reduced motive satisfaction as a key aspect of positive reinforcement. Rumination, behavioural avoidance, motive satisfaction and levels of depression were assessed via self-report measures in a clinical sample of 160 patients with major depressive disorder. Path analysis-based mediation analysis was used to estimate the direct and indirect effects as proposed by the theoretical model. Operating in serial, behavioural avoidance and motive satisfaction partially mediated the association between rumination and depressive symptoms, irrespective of gender, medication and co-morbid anxiety disorders. This is the first study investigating the associations between behavioural avoidance, rumination and depression in a clinical sample of depressed patients. The findings are in line with an understanding of rumination in depression as also serving an avoidance function. Copyright © 2014 John Wiley & Sons, Ltd.
Resumo:
bearb. von Arthur Ungnad
Resumo:
CONCLUSION Bone conduction implants are useful in patients with conductive and mixed hearing loss for whom conventional surgery or hearing aids are no longer an option. They may also be used in patients affected by single-sided deafness. OBJECTIVES To establish a consensus on the quality standards required for centers willing to create a bone conduction implant program. METHOD To ensure a consistently high level of service and to provide patients with the best possible solution the members of the HEARRING network have established a set of quality standards for bone conduction implants. These standards constitute a realistic minimum attainable by all implant clinics and should be employed alongside current best practice guidelines. RESULTS Fifteen items are thoroughly analyzed. They include team structure, accommodation and clinical facilities, selection criteria, evaluation process, complete preoperative and surgical information, postoperative fitting and assessment, follow-up, device failure, clinical management, transfer of care and patient complaints.
Resumo:
Background Mindfulness has its origins in an Eastern Buddhist tradition that is over 2500 years old and can be defined as a specific form of attention that is non-judgmental, purposeful, and focused on the present moment. It has been well established in cognitive-behavior therapy in the last decades, while it has been investigated in manualized group settings such as mindfulness-based stress reduction and mindfulness-based cognitive therapy. However, there is scarce research evidence on the effects of mindfulness as a treatment element in individual therapy. Consequently, the demand to investigate mindfulness under effectiveness conditions in trainee therapists has been highlighted. Methods/Design To fill in this research gap, we designed the PrOMET Study. In our study, we will investigate the effects of brief, audiotape-presented, session-introducing interventions with mindfulness elements conducted by trainee therapists and their patients at the beginning of individual therapy sessions in a prospective, randomized, controlled design under naturalistic conditions with a total of 30 trainee therapists and 150 patients with depression and anxiety disorders in a large outpatient training center. We hypothesize that the primary outcomes of the session-introducing intervention with mindfulness elements will be positive effects on therapeutic alliance (Working Alliance Inventory) and general clinical symptomatology (Brief Symptom Checklist) in contrast to the session-introducing progressive muscle relaxation and treatment-as-usual control conditions. Treatment duration is 25 therapy sessions. Therapeutic alliance will be assessed on a session-to-session basis. Clinical symptomatology will be assessed at baseline, session 5, 15 and 25. We will conduct multilevel modeling to address the nested data structure. The secondary outcome measures include depression, anxiety, interpersonal functioning, mindful awareness, and mindfulness during the sessions. Discussion The study results could provide important practical implications because they could inform ideas on how to improve the clinical training of psychotherapists that could be implemented very easily; this is because there is no need for complex infrastructures or additional time concerning these brief session-introducing interventions with mindfulness elements that are directly implemented in the treatment sessions.
Resumo:
Achtsamkeit hat seine Ursprünge in einer über 2500 Jahre alten, östlich-buddhistischen Tradition und kann konzeptualisiert werden als eine spezifische Form der Aufmerksamkeit, die nicht-bewertend, absichtsvoll und auf den aktuellen Moment fokussiert ist. Zentrale Ziel dieser Studie zu identifizieren, ob Übungen mit Achtsamkeitselementen, die zu Beginn von Therapiesitzungen durchgeführt werden, helfen können, den therapeutischen Prozess zu verbessern. Spezifischer werden die Effekte einer kurzen Übung mit Achtsamkeitselementen auf den therapeutischen Prozess und Behandlungserfolg unter Effectiveness-Bedingungen untersucht, die von ambulanten Patienten und Therapeuten gemeinsam zu Beginn jeder Therapiestunde durchgeführt wird. Dabei werden 150 Patienten vor dem Start ihrer therapeutischen Behandlung und nach Abschluss einer sechs Sitzungen andauernden diagnostischen Phase randomisiert auf entweder eine Achtsamkeitsinterventionsgruppe (AIG), eine Kontrollgruppe (KG), die eine Kurzversion von Progressiver Muskelrelaxation (PMR) durchführt, oder auf eine Treatment As Usual (TAU)-Gruppe. Das Studiendesign und erste Ergebnisse einer Vorstudie werden skizziert.
Resumo:
von Franz Böhl