940 resultados para 1-ALLYL-3-METHYLIMIDAZOLIUM CHLORIDE
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PURPOSE: To determine whether a 3-mm isotropic target margin adequately covers the prostate and seminal vesicles (SVs) during administration of an intensity-modulated radiation therapy (IMRT) treatment fraction, assuming that daily image-guided setup is performed just before each fraction. MATERIALS AND METHODS: In-room computed tomographic (CT) scans were acquired immediately before and after a daily treatment fraction in 46 patients with prostate cancer. An eight-field IMRT plan was designed using the pre-fraction CT with a 3-mm margin and subsequently recalculated on the post-fraction CT. For convenience of comparison, dose plans were scaled to full course of treatment (75.6 Gy). Dose coverage was assessed on the post-treatment CT image set. RESULTS: During one treatment fraction (21.4+/-5.5 min), there were reductions in the volumes of the prostate and SVs receiving the prescribed dose (median reduction 0.1% and 1.0%, respectively, p<0.001) and in the minimum dose to 0.1 cm(3) of their volumes (median reduction 0.5 and 1.5 Gy, p<0.001). Of the 46 patients, three patients' prostates and eight patients' SVs did not maintain dose coverage above 70 Gy. Rectal filling correlated with decreased percentage-volume of SV receiving 75.6, 70, and 60 Gy (p<0.02). CONCLUSIONS: The 3-mm intrafractional margin was adequate for prostate dose coverage. However, a significant subset of patients lost SV dose coverage. The rectal volume change significantly affected SV dose coverage. For advanced-stage prostate cancers, we recommend to use larger margins or improve organ immobilization (such as with a rectal balloon) to ensure SV coverage.
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The amino acid glutamate is the primary excitatory neurotransmitter for the CNS and is responsible for the majority of fast synaptic transmission. Glutamate receptors have been shown to be involved in multiple forms of synaptic plasticity such as LTP, LTD, and the formation of specific synaptic connections during development. In addition to contributing to the plasticity of the CNS, glutamate receptors also are involved in, at least in part, various pathological conditions such as epilepsy, ischemic damage due to stroke, and Huntington's chorea. The regulation of glutamate receptors, particularly the ionotropic NMDA and AMPA/KA receptors is therefore of great interest. In this body of work, glutamate receptor function and regulation by kinase activity was examined using the Xenopus oocyte which is a convenient and faithful expression system for exogenous proteins. Glutamate receptor responses were measured using the two-electrode voltage clamp technique in oocytes injected with rat total forebrain RNA. NMDA elicited currents that were glycine-dependent, subject to block by Mg$\sp{2+}$ in a voltage-dependent manner and sensitive to the specific NMDA antagonist APV in a manner consistent with those types of responses found in neural tissue. Similarly, KA-evoked currents were sensitive to the specific AMPA/KA antagonist CNQX and exhibited current voltage relationships consistent with the calcium permeable type II KA receptors found in the hippocampus. There is evidence to indicate that NMDA and AMPA/KA receptors are regulated by protein kinase A (PKA). We explored this by examining the effects of activators of PKA (forskolin, 1-isobutyl-3-methylxanthine (IBMX) and 8-Br-cAMP) on NMDA and KA currents in the oocyte. In buffer where Ca$\sp{2+}$ was replaced by 2 mM Ba$\sp{2+},$ forskolin plus IBMX and 8-Br-cAMP augmented currents due to NMDA application but not KA. This augmentation was abolished by pretreating the oocytes in the kinase inhibitor K252A. The use of chloride channel blockers resulted in attenuation of this effect indicating that Ba$\sp{2+}$ influx through the NMDA channel was activating the endogenous calcium-activated chloride current and that the cAMP mediated augmentation was at the level of the chloride channel and not the NMDA channel. This was confirmed by (1) the finding that 8-Br-cAMP increased chloride currents elicited via calcium channel activation while having no effect on the calcium channels themselves and (2) the fact that lowering the Ba$\sp{2+}$ concentration to 200 $\mu$M abolished the augmentation NMDA currents by 8-Br-cAMP. Thus PKA does not appear to modulate ionotropic glutamate receptors in our preparation. Another kinase also implicated in the regulation of NMDA receptors, calcium/phospholipid-dependent protein kinase (PKC), was examined for its effects on the NMDA receptor under low Ba$\sp{2+}$ (200 $\mu$M) conditions. Phorbol esters, activators of PKC, induced a robust potentiation of NMDA currents that was blockable by the kinase inhibitor K252A. Furthermore activation of metabotropic receptors by the selective agonist trans-ACPD, also potentiated NMDA albeit more modestly. These results indicate that neither NMDA nor KA-activated glutamate receptors are modulated by PKA in Xenopus oocytes whereas NMDA receptors appear to be augmented by PKC. Furthermore, the endogenous chloride current of the oocyte was found to be responsive to Ba$\sp{2+}$ and in addition is enhanced by PKA. Both of these latter findings are novel. In conclusion, the Xenopus oocyte is a useful expression system for the analysis of ligand-gated channel activity and the regulation of those channels by phosphorylation. ^
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del S. Telemann
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[Carl Oestreich]
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A new series of cationic dinuclear arene ruthenium complexes bridged by three thiophenolato ligands, [(η6-arene)2Ru2(μ2-SR)3]+ with arene = indane, R = met: 1 (met = 4-methylphenyl); R = mco: 4 (mco = 4-methylcoumarin-7-yl); arene = biphenyl, R = met: 2; R = mco: 5; arene = 1,2,3,4-tetrahydronaphthalene, R = met: 3; R = mco: 6, have been prepared from the reaction of the neutral precursor [(η6-arene)Ru(μ2-Cl)Cl]2 and the corresponding thiophenol RSH. All cationic complexes have been isolated as chloride salts and fully characterized by spectroscopic and analytical methods. The molecular structure of 1, solved by X-ray structure analysis of a single crystal of the chloride salt, shows the two ruthenium atoms adopting a pseudo-octahedral geometry without metal–metal bond in accordance with the noble gas rule. All complexes are stable in H2O at 37 °C, but only 1 remains soluble in a 100 mM aqueous NaCl solution, while significant percentages (30–60 %) of 2–6 precipitate as chloride salts under these conditions. The 4-methylphenylthiolato complexes (R = met) are highly cytotoxic towards human ovarian cancer cells, the IC50 values being in the sub-micromolar range, while the 4-methylcoumarin-7-yl thiolato complexes (R = mco) are only slightly cytotoxic. Complexes 1 and 3 show the highest in vitro anticancer activity with IC50 values inferior to 0.06 μM for the A2780 cell line. The results demonstrate that the arene ligand is an important parameter that should be more systematically evaluated when designing new half-sandwich organometallic complexes.
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PURPOSE To evaluate the accuracy, safety, and efficacy of cervical nerve root injection therapy using magnetic resonance guidance in an open 1.0 T MRI system. METHODS Between September 2009 and April 2012, a total of 21 patients (9 men, 12 women; mean age 47.1 ± 11.1 years) underwent MR-guided cervical periradicular injection for cervical radicular pain in an open 1.0 T system. An interactive proton density-weighted turbo spin echo (PDw TSE) sequence was used for real-time guidance of the MR-compatible 20-gauge injection needle. Clinical outcome was evaluated on a verbal numeric rating scale (VNRS) before injection therapy (baseline) and at 1 week and 1, 3, and 6 months during follow-up. RESULTS All procedures were technically successful and there were no major complications. The mean preinterventional VNRS score was 7.42 and exhibited a statistically significant decrease (P < 0.001) at all follow-up time points: 3.86 ± 1.53 at 1 week, 3.21 ± 2.19 at 1 month, 2.58 ± 2.54 at 3 months, and 2.76 ± 2.63 at 6 months. At 6 months, 14.3 % of the patients reported complete resolution of radicular pain and 38.1 % each had either significant (4-8 VNRS score points) or mild (1-3 VNRS score points) relief of pain; 9.5 % experienced no pain relief. CONCLUSION Magnetic resonance fluoroscopy-guided periradicular cervical spine injection is an accurate, safe, and efficacious treatment option for patients with cervical radicular pain. The technique may be a promising alternative to fluoroscopy- or CT-guided injections of the cervical spine, especially in young patients and in patients requiring repeat injections.
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BACKGROUND Treatment of retinopathy of prematurity (ROP) stage 3 plus with bevacizumab is still very controversial. We report the outcome of 6 eyes of 4 premature infants with ROP stage 3 plus disease treated with ranibizumab monotherapy. METHODS Six eyes of 4 premature infants with threshold ROP 3 plus disease in zone II, were treated with one intravitreal injection of 0.03 ml ranibizumab. No prior laser or other intravitreal therapy was done. Fundus examination was performed prior to the intervention and at each follow-up visit. Changes in various mean vital parameters one week post intervention compared to one week pre-intervention were assessed. RESULTS The gestational age (GA) of patient 1, 2, 3, and 4 at birth was 24 5/7, 24 5/7, 24 4/7, and 26 1/7 weeks, respectively. The birth weight was 500 grams, 450 grams, 665 grams, and 745 grams, respectively. The GA at the date of treatment ranged from 34 3/7 to 38 6/7 weeks. In one infant, upper air way infection was observed 2 days post injection of the second eye. Three eyes required paracentesis to reduce the intraocular pressure after injection and to restore central artery perfusion. After six months, all eyes showed complete retinal vascularisation without any signs of disease recurrence. CONCLUSIONS Treatment of ROP 3 plus disease with intravitreal ranibizumab was effective in all cases and should be considered for treatment. One infant developed an upper air way infection suspicious for nasopharyngitis, which might be a possible side effect of ranibizumab. Another frequent complication was intraocular pressure rise after injection. More patients with longer follow-up duration are mandatory to confirm the safety and efficacy of this treatment. TRIAL REGISTRATION NUMBER NCT02164604 ; Date of registration: 13.06.2014.
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Glycogen levels in liver and skeletal muscle assessed non-invasively using magnetic resonance spectroscopy after a 48-h pre-study period including a standardized diet and withdrawal from exercise did not differ between individuals with well-controlled Type 1 DM and matched healthy controls.
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Background. Limited data exist on human immunodeficiency virus (HIV)-infected individuals' ability to work after receiving combination antiretroviral therapy (cART). We aimed to investigate predictors of regaining full ability to work at 1 year after starting cART. Methods. Antiretroviral-naive HIV-infected individuals <60 years who started cART from January 1998 through December 2012 within the framework of the Swiss HIV Cohort Study were analyzed. Inability to work was defined as a medical judgment of the patient's ability to work as 0%. Results. Of 5800 subjects, 4382 (75.6%) were fully able to work, 471 (8.1%) able to work part time, and 947 (16.3%) were unable to work at baseline. Of the 947 patients unable to work, 439 (46.3%) were able to work either full time or part time at 1 year of treatment. Predictors of recovering full ability to work were non-white ethnicity (odds ratio [OR], 2.06; 95% confidence interval [CI], 1.20-3.54), higher education (OR, 4.03; 95% CI, 2.47-7.48), and achieving HIV-ribonucleic acid <50 copies/mL (OR, 1.83; 95% CI, 1.20-2.80). Older age (OR, 0.55; 95% CI, .42-.72, per 10 years older) and psychiatric disorders (OR, 0.24; 95% CI, .13-.47) were associated with lower odds of ability to work. Recovering full ability to work at 1 year increased from 24.0% in 1998-2001 to 41.2% in 2009-2012, but the employment rates did not increase. Conclusions. Regaining full ability to work depends primarily on achieving viral suppression, absence of psychiatric comorbidity, and favorable psychosocial factors. The discrepancy between patients' ability to work and employment rates indicates barriers to reintegration of persons infected with HIV.
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[Carl Oestreich]
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di Telemann
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1. Friedrich Pollock: Verzeichnis der Änderungen in den Essays nach der Bearbeitung durch Alfred Schmidt, 4 Blatt; 2. Derselbe: Eigenhändige Korrekturnotiz zum Manuskript Schmidt, 1 Blatt; 3. Derselbe: Eigenhändige Notiz über Verteilung von Korrekturen, 1 Blatt; 4. Derselbe: Ergänzungen zu den Korrekturen vom 15. und 20.03.1968. a) 8 Blatt b) 8 Blatt; 5. Korrekturen, 2 Blatt; 6. Friedrich Pollock [?]: Verzeichnis der Essays von Max Horkheimer und der Korrekturen. a) 8 Blatt b) Teilstücke, 2 Blatt; 7. Derselbe [?]: Verzeichnis der Korrekturen, 3 Blatt; 8. Derselbe: Eigenhändige Gesprächsnotiz, 1 Blatt; 9. Derselbe: Eigenhändige Gesprächsnotiz, 1 Blatt; 10. Derselbe: "Sprachregeln", eigenhändige Notiz, 1 Blatt; 11. Derselbe: "Bedenkliche Stellen", eigenhändiges Verzeichnis, 1 Blatt; 12. Derselbe: "Vorschlag für den Inhalt von Max Horkheimers Essays I", eigenhändiges Verzeichnis, 1 Blatt; 13. Derselbe: Eigenhändige Gesprächsnotiz Friedrich Pollocks - Max Horkheimers über Pro und Contra, Neuveröffentlichung, 1 Blatt; 14. S. Fischer Verlaf: Schätzung des Umfangs der Essys, 1 Blatt; 15. Friedrich Pollock: Verzeichnis der Essays von Max Horkheimer, 3 Blatt; 16. Handschriftliches Verzeichnis der Aufsätze, Reden und Schriften Max Horkheimers, 4 Blatt; 17. "Max Horkheimer Essays" Verzeichnis, 1 Blatt; 18. Schönbach, Peter: 1 Brief mit Unterschrift an Max Horkheimer Frankfurt, 11.09.1964, 7 Blatt; 19. Liste der Anmerkungen Frau Dr. Adornos zu den Aufsätzen Prof. Horkheimers in der Zeitschrift für Sozialforschung, 2 Blatt; 20. Adorno, Gretel: 4 Briefe mit Unterschrift an Max Horkheimer, Korrekturvorschläge Frankfurt am Main 1962-1963, 5 Blatt; Vowort zur Neupublikation 1968 der Aufsätze aus der Zeitschrift für Sozialforschung (GS 3, S. 14-19); 1964-1968; Veröffentlicht in: Max Horkheimer "Kritische Theorie", Frankfurt am Main 1968, Seite IX- IXV; 1. Entwürfe Juli- September 1968; 2. Kalb, Peter E.: 1 Brief an Max Horkheimer und Beilage, Frankfurt am Main, 02.08.1968, 2 Blatt; 3. Klappentext der Buchausgabe, Korrekturfahne mit handschriftlichen Korrekturen; 4. Adorno, Theodor W.: 1 Brief mit Unterschrift an Max Horkheimer, Frankfurt, 17.07.1968, 1 Blatt; 5. Horkheimer, Max: "Der neuste Angriff auf die Metaphysik". Sonderdruck der Zeitschrift für Sozialforschung VI, 1937, mit eigenhändigen Korrekturen; 6. Derselbe: "Autoritärer Staat" Teilstücke aus der Gedenkschrift für Walter Benjamin, 1942. Als Typoskript vervielfältigt, 21 Blatt; 7. "Zitate aus 'Autoritärer Staat' heute", 4 Blatt; 8. Schmidt, Alfred: "Zur Idee der kritischen Theorie" = Nachwort zur Buchausgabe. Typoskript mit handschriftlichen Korrekturen von Max Horkheimer, 38 Blatt; 9. N.N.: Ergänzungsvorschläge zu dem Nachwort von Dr. Schmidt, 3 Blatt;
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"The Aftermath of National Socialism. On the Cultural Aspects of the Collapse of National Socialism". Vorlesungsreihe des Instituts für Sozialforschung, März 1945; 1. Vorlesungsankündigung und Typoskripte der Beiträge von: Theodor W. Adorno, "The Fate of the Arts" (= "What National Socialism Has Done to the Arts"); Frederick Pollock, "Prejudice and the Social Classes"; Leo Löwenthal, "The Aftermath of Totalitarian Terror". Bibliographie, Typoskripte, geheftet, mit eigenhändiger Korrektur von Frederick Pollock, 93 Blatt; 2. Vorlesungsankündigung, als Typoskript vervielfältigt, 1 Blatt; 3. Max Horkheimer: "Totalitarism and the Crisis of European Culture". Eigene Notizen zur Vorlesung, 3 Blatt; 4. Theodor W. Adorno: Notizen zur Vorlesungsreihe. Typoskript, 2 Blatt; Max Horkheimer: "National Socialism and Philosophy". Seminar Frühjahr 1945; 1. Protokolle zu den Sitzungen vom 5.2, 24.4., 1.5. und 8.5.1945. Typoskript mit eigenhändiger Korrektur, 16 Blatt; 2. Dasselbe. Gebunden, 16 Blatt; 3. Eigenhändige Notizen, 8 Blatt; Max Horkheimer: "The Idea of Philosophy". Vorlesung Winter 1945/46; 1. Eigenhändige Notizen, 3 Blatt; 2. Eigenhändige Notizen, 4 Blatt; 3. Eigenhändige Notizen, 2 Blatt; 4. Abschriften aus Werken unter anderem von Friedrich von Bezold, Karl Lamprecht, Richard Pietchman, Leopold von Ranke, Edwin R.A. Seligman. Typoskripte, 8 Blatt; 5. Paul Tillich: "Conscience in Western Thought and the Idea a Transmoral Conscience". Sonderdruck aus: Crozer Quarterly, Vol. XXII, Nr. 4, Oktober 1945, 6 Blatt; Max Horkheimer: Programm einer Intereuropäischen Akademie, 1944/45 (?); 1. Typoskriptfassungen, englisch. a) Typoskript, 18 Blatt b) Typoskript mit handschriftlicher Korrektur von Theodor W. Adorno (GS 12, S.195-213), 18 Blatt c) Typoskript (Kopie) mit handschriftliche Korrektur, 18 Blatt (Kopie 1989 aus der Hoover Institution, Standford, California) d) Typoskript mit eigenhändiger Korrektur, 17 Blatt e) Korrektur-Teilstücke, Typoskripte mit eigenhändiger Korrektur, 2 Blatt; 2. Zeitungsausschnitt 1944, 1 Blatt;
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"The International Institute of Social Research. Its History, Program and Needs" (1943?), als Typoskript vervielfältigt, 18 Blatt, mit 6 Photographien und einem Anhang: Rezensionen von "Autorität und Familie" und "Abstracts" von Aufsätzen aus der Zeitschrift für Sozialforschung, Photokopien, 12 Blatt; "Über Geschichte, Organisation und Tätigkeiten des Instituts für Sozialforschung. Aus einem Bericht" (1943), Teilstück, Typoskript mit handschriftlichen Korrekturen, 10 Blatt; "Annual Report on the Activities of the Social Studies Association, Inc." (6.5.1944), Typoskript, 6 Blatt; "Ten Years on Morningside Hights. A Report on the Institute's History 1934 to 1944 (Dezember 1944): 1. Report, a) als Typoskript vervielfältigt, 36 Blatt, b) Typoskript, 48 Blatt, c) Entwurf des Teils "Philosophical Studies", Typoskript, 4 Blatt; 2. "Letters Regarding Ten Years Report", 1 Blatt; 3. Liste der Empfänger des Reports. 1 Blatt; 4. Max Horkheimer: 1 Brief an Nicholas Murray Butler, New York, 17.4.1945 , 1 Blatt; 5. Briefentwürfe zur Versendung des Reports, 2 Blatt; Theodore Abel: "Evaluation of the Institute's Work" (1944?): 1. Würdigung, Typoskript, englisch, 4 Blatt; 2. Theodore Abel: 1 Brief mit Unterschrift an Leo Löwenthal, New York, 6.3.1946; 3. Abschrift von 1. und 2., Typoskript, 5 Blatt; Über Organisation und Tätigkeiten des Instituts für Sozialforschung (Mai 1945), Typoskript, 3 Blatt;
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Institute of Social Research; "Research Project on Anti-Semitism. General Statement of Scope of Project, Fields to be investigated, First Assignements, Plan of Operation, Joint Conferences" (15.3.1943), a) Typoskript, 5 Blatt, b) Typoskript, 3 Blatt, c) Typoskript mit handschriftlichen Ergänzungen, 5 Blatt; Institute of Social Research: "Notes on Some Methodological Principles and Some Tentative Assumptions for the Work of the Anti-Semitism Project" (15.3.1943), Typoskript, 3 Blatt; "Project on Anti-Semitism. Excerpt from a letter of D.R. (American Jewish Committee), dated 3/31/43" (31.03.1943), Typoskript mit handschriftlichen Ergänzungen, 2 Blatt; Institute of Social Research: "Research Project on Anti-Semitism. General Statement of Scope of Project, Fields to be investigated, First Assignements etc. Supplement: Los Angeles Group" (26.4.1943), a) Typoskript mit handschriftlichen Ergänzungen, 13 Blatt, b) Typoskript, 13 Blatt, c) Typoskript, 8 Blatt; Heinz Langerhans: "Methods to Evaluate the Attitude of Different Sections of the German Population toward Institutionalized Antisemitism" (6.5.1943), Typoskript mit eigenhändiger Korrektur, 5 Blatt; "Discussion with Messrs. George Mintzer and Newman Levy on present day U.S.A. Antisemitism" (5.3.1943), a) Typoskript, 4 Blatt b) Typoskript mit handschriftlichen Korrekturen, 4 Blatt; Re.: Antisemitism Project. Statement of Expense 15.03.1943 - 15.06.1943, Preliminary Budget 15.06.1943 - 15.03.1944, Aufstellungen für das American Jewish Committee, 15.06.1943, 4 Blatt; Paul Massing: "Some Notes to Fineberg's 'Overcoming Antisemitism'" (16.06.1943), Typoskript, 4 Blatt; "Luncheon with Mr. Hexter. Present: Dr. Pollock, Weil, Gurland, Massing and Mr. Hexter. Purpose: Discussion of S.A. Fineberg's book 'Overcoming Antisemitism'" (17.06.1943), Typoskript, 2 Blatt; "Luncheon with Mr. R.C. Rothschild in the Yale Club", Über Antisemitismus in den USA, 28.6.1943, Typoskript mit handschriftlichen Korrekturen, 1 Blatt; Friedrich Pollock: Memoranden über Besprechungen mit R.C. Rothschild, betreffs Anti-Semitism-Project (September 1943): 1. "Remarks of Mr. Rothschild concerning our Psychological Study in a meeting between him, P. and L." (21.9.1943); 2. "Memorandum on work's progress of Anti-Semitism-Project" (15.09.1943), Typoskript, 1 Blatt; 3. "Meeting R.C. Rothschild and Pollock", (15.09.1943), Typoskript, 2 Blatt; 4. "Memorandum No. 1" (14.09.1943), Typoskript, 1 Blatt; "Memorandum re: Antisemitism Project" (29.10.1943), Typoskript mit handschriftlichen Ergänzungen, 2 Blatt;