Zusammenfassung Das Lungenkarzinom ist eine der h?ufigsten Krebserkrankungen und die h?ufigste Krebstodesursache. Mit der Einf?hrung innovativer Substanzen ist die M?glichkeit einer individualisierten Therapie gegeben, die eine Verbesserung von Prognose und Lebensqualit?t verspricht. Die Wirksamkeit dieser Therapeutika basiert auf spezifischen molekularen Eigenschaften des Lungenkarzinoms und stellt neue Anforderungen an die pathohistologische Diagnostik. Neben dem Histotyp haben sich molekulare Alterationen, insbesondere EGFR-Mutationen, als pr?diktive Marker erwiesen. Die histologische Typisierung umfasst daher nicht nur die Unterscheidung von SCLC und NSCLC, sondern die Subtypisierung der NSCLC unter Einbezug immunhistologischer und molekularer Untersuchungen. Zusammenfassend werden Kri...
ZusammenfassungDie Botulinumtoxinbehandlung ist eine etablierte Methode in der Behandlung von spasmodischen Dysphonien. Prinzipiell kann eine Behandlung transkutan zervikal, transoral mit einer gebogenen Spritze unter visueller Kontrolle w?hrend der Laryngoskopie sowie mittels flexibler Endoskope bzw. Videoendoskope mit Arbeitskanal erfolgen. Insbesondere die transkutane Injektion unter Larynx-EMG-Kontrolle (LEMG) ist ein verh?ltnism??ig einfaches Verfahren. Aufgrund der visuellen Kontrolle bei transoral oder flexibel transnasal verabreichtem Botulinumtoxin scheint eine bessere Wirksamkeit zu bestehen. Aus verschiedenen Gr?nden kann dieses Verfahren aber nicht bei allen Patienten verwendet werden. Wir berichten ?ber unsere Erfahrungen mit den verschiedenen Techniken und unsere Erw?gungen i...
The methods introduced for the field of cleaning waste water can be classified under various processes. Chemical oxidation is done with ozone, hydrogen peroxide and ultraviolet irradiation with subsequent biological decomposition. Another method is ultra-filtration with recovery of valuable materials or waste water ponds with algae biomass to decompose ammonium compounds, nitrates and phosphates. (EF) [Deutsch] Die auf dem Gebiet der Abwasserreinigung vorgestellten Methoden kann man in verschiedene Verfahren einordnen. Die chemische Oxidation erfolgt mit Ozon, Wasserstoff-Peroxid, UV Bestrahlung und anschliessenden biologischen Abbau. Eine andere Methode ist die Ultrafiltration mit Rueckgewinnung von Wertstoffen oder Abwasserteiche mit Algenbiomasse zum Abbau von Ammoniumverbindungen, Nitraten und Phosphaten. (EF)
Already in 1998, the city of Hanover, the Stadtwerke Hannover and six further cities of the region initiated the funding programme 'Hannover proKlim' for promoting energy-relevant modernization measures in domestic buildings. One year later, the social marketing campaign 'Haus-Partner Hannover / Der (H)Eissbaer'' was started, which addresses building owners in Hanover with the intention to induce them to action. The 'Energiepass Hannover' is another important instrument of the campaign. This report takes stock of the results achieved so far. [German] Beim Klimaschutz im Gebaeudebestand lassen sich in Hannover drei Ansaetze hervorheben, die parallel zueinander entwickelt wurden und die in besonderer Weise dazu beitragen, die CO{sub 2}-Emissionen im Gebaeudebestand zu reduzieren: Bereits 1998 hat die Landeshauptstadt Hannover gemeinsam mit den Stadtwerken Hannover und sechs weiteren Staedten der Region den Klimaschutz-Fonds ...
Fundamental investigations into the biosorption of environmentally relevant heavy metals were carried out with different microbial adsorbents, and processes were proposed for industrial effluents. In order to improve the technology of biosorption processes, attempts were made to improve the sorption efficiency of biological sorbents, and investigations were carried out on the immobilisation of biological adsorbents. (orig.) [Deutsch] Es wurden Grundlagenuntersuchungen zur Biosorption von umweltrelevanten Schwermetallen mit verschiedenen mikrobiellen Adsorbentien durchgefuehrt und an technischen Abwaessern Technologievorschlaege erarbeitet. Zur Verbesserung der Technologie von Biosorptionsprozessen wurden Moeglichkeiten der Steigerung der Sorptionsleistung von Biosorbentien erarbeitet und Untersuchungen zur Immobilisierung der biologischen Adsorbentien durchgefuehrt. (orig.)
Policy strategies for the promotion of electricity from renewable energy sources differ significantly among the Member States of the European Union with respect to the amount of additional installed capacity as well as concerning the country-specific support costs. The present report aims to assess the effectiveness and the economic efficiency of the support policies in the EU based on both historical experiences and prospective model-based analysis. The main message of the investigation is that the most effective policy instruments tend to be cost-efficient at the same time. In particular, feed-in tariff systems were identified as a successful instrument for supporting renewable energies in terms of effectiveness and efficiency, whereas quota systems still have to prove themselves in practice. (orig.) [German] Bezueglich des Erfolges bei der Foerderung erneuerbarer Energietraeger im Stromsektor bestehen deutliche Unterschiede zwischen den Mitgliedsstaaten der Europaeischen Union. Dies ...
About ten years ago microbiologically influenced corrosion manifested on stainless steel pipes used with river water for cooling a chemical plant. The pipe material was similar to Type 316 L. After only six weeks of operation pinhole leaks occurred nearly simultaneously at several welded joints of the pipe. The material degradation was simulated in laboratory and field corrosion tests. Microbiologically influenced corrosion failures also appeared on the pipes of a tubular heat exchanger of duplex steel Type 31803 and on carbon and stainless steel pipes in industrial waste water purification plants after these plants had been modernized with a biological purification unit. The basics of microbiologically influenced corrosion phenomena and typical corrosion failures of pipes will be described. (orig.) [German] Vor etwa zehn Jahren sind in einer neu errichteten chemischen Produktionsanlage an einer mit Flusswasser beaufschlagten Kuehlwasserleitung aus hochlegiertem nichtrostendem Stahl ...
Pyrolysis and combustion of CH are investigated. In order to reduce the work required for the present combination of parameters, the following substances were selected: Hexachloroethane, hexachlorocyclohexane, hexachlorobenzene and hexachlorophene. The model substances were pyrolyzed or combusted in varying conditions, and the combustion or pyrolysis products were analyzed. Only the main products were of interest; trace components are important only as far as they may throw light on the reaction mechanisms. The furnace design resulted in incomplete combustion and pyrolysis reactions, so that products of all stages of combusition or pyrolysis were available for analysis. Reaction processes can be derived from the products. As an alternative to thermal treatment of refuse, biological degradation of chlorinated hydrocarbons was gone into. The efficiency of decomposition by microorganisms was to be compared with the efficiency of thermal destruction of chlorohydrocarbons. The ...
To study the biogeochemical behaviour, mobility and transport of trace metals in seawater (Se, Mo, Cd, Pb, Hg, Cu, Co, Fe, Ni, Zn), in suspended particulate matter (Mo, Cd, Pb, Cu, Co, Fe, Ni, Zn, Al, Mn) and in sediments of the inner and outer coastal regions, samples were collected on 3 separate cruises during a one year period (Mai 1993 - April 1994) at 20 stations in the coastal area of Mecklenburg-Vorpommern. Standard hydrographic parameters, nutrients and dissolved oxygen were also measured. Priority was taken to establish the methods for the determination of molybdenum and selenium. To study the behaviour of these two elements in detail, longterm measurements were carried out weekly between January 1993 and June 1994 at the `Messsteg/Warnemuende`. Because of parallel measurements correlations to biological, chemical and hydrographic parameters have been tested. The total database is summarized in the Appendix. The results are presented in 30 figures and 13 tables and are ...
Purpose: In vitro evaluation of possible deflection and heating of present-day prosthetic heart valves, 12 technical and 5 biological, were investigated using a 1.5 Tesla Siemens Vision system. Deflection was measured at the edge of a 1.5 Tesla superconducting magnet. Each valve was then submerged in a vial of a 1/1 electrolyte solution and temperature was measured before and after imaging with a turbo-spin-echo sequence (TR 5200 ms, TE 138 ms, Flip angle 180 C, acquisition time 10.5 minutes, length of echo train 29). MR imaging was performed with phase encoding parallel and perpendicular to the plane of the valves. Results: None of the investigated prosthetic heart valves was deflected. The maximal observed temperature rise was 0.5 C. During MR investigation of the prostheses, artifacts caused by metallic parts were less evident using a spin-echo sequence than a gradient-echo sequence. Conclusions: Patients with the tested present-day prosthetic heart valves can be safely imaged by ...