British Library Electronic Table of Contents (United Kingdom)

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...

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Modern commercial alloys are not suited for future steam turbines of operating temperatures beyond 700 C. {gamma}'-hardened alloys like Waspaloy have good mechanical characteristics but have defects when large batches are melted. {gamma}'/{gamma}''-hardened alloys like Inconel 706, on the other hand, are easy to produce but have insufficient microstructural long-term stability and insufficient creep strength. Mixed crystal solidified alloys like Inconel 617 have excessive yield stress at forging temperatures. Two new alloys were therefore developed. Results so far show that they have good production characteristics but insufficient mechanical characteristics. The reasons for this are currently under investigation. (orig.) [German] Die heutigen kommerziellen Legierungen sind nicht geeignet fuer den Einsatz in zukuenftigen Dampfturbinen mit Betriebstemperaturen oberhalb 700 C. {gamma}'-gehaertete Legierungen wie Waspaloy zeigen zwar gute ...

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TENSOMAX enables on-line monitoring of the thermal stress of the shaft to be performed in steam turbines, for which the TURBOMAX probe cannot be installed near the critical area of the shaft. TENSOMAX provides an alternative to the TURBOMAX with a slightly reduced accuracy of the simulation of the temperature distribution in the shaft. The high value placed on the operational performance of TENSOMAX remains, viz. that even with older turbines, and particularly in the case of turbines rehabilitated with a new shaft, careful and transparent operation is assured. (orig.) [German] Die Einrichtung TENSOMAX ermoeglicht eine Ueberwachung der thermischen Beanspruchung der Welle bei Dampfturbinen, bei denen die TURBOMAX-Sonde in der Turbine nahe der kritischen Stelle der Welle nicht einsetzbar ist. Daher stellt der TENSOMAX unter Beruecksichtigung minimaler Ungenauigkeit aufgrund der Nachbildung der Waermeuebergangszahl eine vorteilhafte Alternative zum TURBOMAX dar. Der ...

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The first equipment installed at KfK-HDB was a system with a thin-film evaporator. This was later replaced by two vapor compression evaporating units with forced circulation, for evaporation of liquid LAW, and a steam-heated natural circulation evaporator, for evaporation of liquid MAW. Nuclear activities of the Karlsruhe Nuclear Research Center phasing out, the liquid radwaste quantities to be treated have been shrinking accordingly, so that the current system is planned to be replaced by a smaller system with a thin-film evaporator. (orig./HP) [Deutsch] Im Laufe der Jahre wurde die Anlage mit Duennschichtverdampfer durch zwei Bruedenkompressionsverdampfer mit Zwangsumwaelzung fuer die Eindampfung leicht aktiver waessriger Abfaelle und einem dampfbeheizten Naturumlaufverdampfer fuer die Eindampfung mittelaktiver waessriger Abfaelle ersetzt. Mittlerweile sinkt der Abwasseranfall seit Jahren stetig aufgrund der sinkenden Aktivitaeten des Zentrums auf dem Gebiet der ...

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Damage survey of protective coats of modern gas turbine blade shows that most damages are not due to classic wear mechanisms such as oxydation or high-temperature corrosion but caused by foreign bodies, poor coating during manufacturing, or operation-caused cracks. Mere visual inspection of cracks is often not sufficient to tell whether cracks are superficial or whether they have already progressed into the base material. Non-destructive methods such as ultrasonic inspection or eddy-current testing are helpful tools but there is not yet a fully matured testing concept at hand. Metallographical tests can give important information about crack mechanisms and thermal, chemical and mechanical stresses.(orig.) [German] Die Schadenerfahrung mit Schutzschichten moderner Gasturbinenschaufeln zeigt, dass die meisten Schaeden nicht auf die klassischen Verbrauchsmechanismen wie Oxydation und Hochtemperaturkorrosion zurueckzufuehren sind, sondern durch Fremdkoerper, herstellungsbedingte ...

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In the group of persistent aromatic hydrocarbons, the highest values were determined for polychlorinated biphenyls (PCB), total DDT and hexachlorobenzene (HBC). Comparisons of the relevant median values for the past six years led to the conclusion that the steep initial decline in the breast milk concentrations of DDT and HBC was followed by reductions at a much lower pace in the years after 1987. The time course of the concentration of the total PCB did not appear to follow any particular pattern. The mean contents of lead and cadmium remained by a wide margin below the threshold values for these heavy metals and thus were of no relevance from the toxicological point of view. It was found that the 134 and 137 cesium isotopes constituted no particular health hazard for breast-fed infants, as the relevant concentrations in breast milk were low. (VHE) [Deutsch] In der Gruppe der persistenten Chlorkohlenwasserstoffe werden die hoechsten Konzentrationen bei den polychlorierten Biphenylen ...

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The typical MRI features of the most common pancreatic diseases, such as pancreatitis and adenocarcinoma of the pancreas, have been established. However, even in these common pancreatic disorders, MRI correlation with the underlying pathology is limited for clinical reasons. We emphasize MR-pathological correlation of inflammatory and neoplastic pancreatic changes, including pancreatitis, adenocarcinoma, acinar cell carcinoma, rare cystic and solid pancreatic neoplasms, and islet cell tumors. By highlighting the correlation of key pathological features with MR findings, a better understanding of the MR appearance of pancreatic pathology can be provided. In addition, MRI may prove a powerful tool in detection and characterization of pancreatic tumors. (orig.) [Deutsch] Das MR-tomographische Erscheinungsbild von Pankreatitiden und Adenokarzinomen des Pankreas, als den haeufigsten Pankreaserkrankungen, ist zwar ausreichend bekannt; allerdings ist selbst bei diesen Pankreaserkrankungen die ...

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As an alternative to surgery, endovascular therapy with stent grafts has become the second main treatment option for infrarenal abdominal aortic aneurysms. Unlike surgery, endovascular treatment with stent grafts is also applicable in patients unfit for open repair. Despite current improvements in endovascular repair devices, significant anatomic barriers still exclude this technique for a large number of patients. Computed tomography, magnetic resonance imaging, and ultrasound are essential for diagnostics, preintervention planning, and postintervention follow-up of abdominal aneurysms treated with stent grafts. This review covers etiology, pathology, and diagnostic aspects. Materials and methods for endovascular treatment of abdominal aortic aneurysms are presented in detail, and clinical results and complications are discussed. (orig.) [German] Die endovaskulaere Therapie des infrarenalen Bauchaortenaneurysmas hat sich als Alternative zur offenen chirurgischen Versorgung etabliert. ...

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Owing to their key function in power production the technology of gas- and steam turbines has a very high importance. Gas turbines in particular have become much more efficient and show higher performance in cogeneration plants. The VDI group on materials engineering puts these issues at the centre of this report whose focus is on measures necessary to increase plant availability: damage analysis, materials optimisation, supervision of construction and repair. The report which looks at applications and practical experience is adressed to operators of gas-, steam-, and water turbine plants, manufacturers of turbines and their components as well as maintenance companies, experts and insurance engineers. (orig.) [German] Aufgrund ihrer Schluesselposition bei der Stromerzeugung kommen den Gas- und Dampfturbinen eine sehr hohe technische Bedeutung zu. Insbesondere die Gasturbine macht in den letzten Jahren eine rasante Entwicklung im Hinblick auf Erhoehung von ...

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Purpose: To assess the new method of 3-dimensional echocardiography in comparison to the 'gold standard' MRI as to its ability to calculate left ventricular volumes in patients with congenital heart disease. Materials and methods: Eighteen patients between the ages of 3.9 to 37.3 years (mean: 12.8{+-}9.7) with a geometrically abnormal left ventricle were examined using a 1.5 T scanner with a fast gradient-echo sequence (TR=14 ms, TE=2.6-2.9 ms, FOV=300-400 mm, flip angle=20 , matrix=128:256, slice thickness=5 mm, retrospective gating) in multislice-multiphase technique. Transthoracic 3D-echocardiography was performed with a 3.5 MHz transducer and a Tomtec {sup trademark} (Munich, Germany) system for 3D reconstruction. Results: Volume calculation was possible in all patients with 3D-echocardiography, but the muscle mass calculation only succeeded in 11 to 18 patients (61%) due to inadequate visualization of the entire myocardium. Comparing MRI and 3D-echocardiography, ...

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The transport-relevant basic data recorded within the framework of a federation-wide transport data survey made in 1986 are the best-founded source at present for determining the transport volume of other radioactive materials in different economic areas of the Federal Republic of Germany. Due to the high recording rates, a sufficiently complete survey can be provided in particular with regard to the transport volume (e.g.transports/consignments/cargos, transport distance) - with the exception of transport by ship - for the ranges of application in reserach, medicine and technology. However, as regards the radiologically relevant basic data and transport modalities, the information supplied by the transporting agencies is incomplete. A table gives a comprehensive survey of type and scope of the transport volume of other radioactive materials in the Federal Republic of Germany (excluding the GDR) for transport by road, rail and air. The table also includes data on the dose rate of ...

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In comparison to deterministic criteria, probabilistic reliability indices like interruption frequency and unavailability give a more differentiated insight into reliability in an electrical energy network. One possibility for network planning based on these indices is the definition of limits for customer nodes, another is the monetarisation of reliability in terms of interruption costs. Because of numerous disadvantages, interruption cost methods could not up to now win broad recognition in network planning in Western Europe. A more recent method for the monetarisation of reliability circumventing most of these disadvantages is the insurance system. In this system the customer selects a tariff class in an insurance system, and the utility reimburses its customers in the case of an interruption. In its first section, the paper describes a method for the flexible and realistic optimisation of MV networks. This method based on Genetic optimisation is able to integrate probabilistic ...

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Clinical studies have proved the effectiveness of local ablading methods in pations with non-resectable liver metastases of a colorectal carcinoma. RF ablation and LITT are a potentially curative therapy option and an alternative to systemic chemotherapy; the latter is carried out primarily for reducing tumour size with the goal of secondary resectability. The number of R0-sesectable metastases can be enhanced by a combined therapy of surgery and local ablading methods, e.g. by preoperative, intraoperative or postoperative ablasion of further non-resectable tumours during surgery. Systemic chemotherapy combined with surgery as an adjuvant method is not recommended unless in cases of non-abladable tumour recidivation. Currently, systemic chemotherapy is used as a neo-adjuvant therapy for tumour size reduction with the goal of secondary resectability or, in case of inoperability, local ablation. (orig.) [German] Abladierende Verfahren. Klinische Studien belegen die Effektivitaet der ...

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Low-cost titanium alloy components are getting increasing attention in aerospace applications. Cost reductions are possible in the alloys themselves and in the production techniques. The former aspect is less promising as titanium alloys are costly to produce. Of course, there are some new developments like the (alpha plus beta) alloy Ti-6 Al-2 Fe-0.2 Si (TIMETAL 62S) and the beta-alloy Ti-6.8 Mo-4.5 Fe-1.5 Al (TIMETAL LCB), in which low-cost iron replaces costly beta alloying elements like vanadium or molybdenum, but these will be used mainly on the mass production markets, e.g. motor car construction. In consequence, optimisation of production methods is the more promising option. Near net shape processes will reduce the production cost and improve the fly-to-buy ratio. Some of these production processes are explained. [Deutsch] Die Herstellung preiswerter Bauteile aus Titanlegierungen gewinnt auch in der Luft- und Raumfahrt zunehmend an Bedeutung. Zwei Wege werden hier beschritten: ...

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The aim of the presented investigation was to gain information about the behaviour of the initiation and growth of intercrystalline creep cracks during creep deformation from the evaluation of metallographic micrographs. The austenitic steel X10 NiCrAlTi 32 20 HT (Alloy 800 HT) was investigated by carrying out creep tests at 800 and 900 C with different nominal stresses until fracture. Additional tests are carried out on certain creep strains in the late tertiary creep stage. The creep tests are followed by a metallographic investigation of the crept specimens. The statistical distribution of the microcrack lengths was used to estimate the rate of crack initiation and crack growth. It is found that the rate of growth of the intercrystalline creep cracks in Alloy 800 HT is dependent on the applied stress and the creep strain reached. The rate of growth of long cracks was only slightly higher than that of short cracks and was lower than predictions based on fracture mechanics concepts. ...

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The role of high-resolution computed tomography (HRCT) and magnetic resonance imaging (MRI) in the diagnosis of preoperative and postoperative complications caused by acquired cholesteatomas will be described in this paper. The pre- and postoperative imaging of the temporal bone was performed with HRCT and MRI. HRCT and MRI were performed in the axial and coronal plane. MRI was done with T2 weighted and T1 weighted sequences both before and after the intravenous application of contrast material. All imaging findings were confirmed clinically or surgically. The preoperative cholesteatoma-caused complications depicted by HRCT included bony erosions of the ossicles, scutum, facial canal in the middle ear, tympanic walls including the tegmen tympani, and of the labyrinth. The preoperative cholesteatoma-caused complications depicted by MRI included signs indicative for labyrinthitis, and brain abscess. Postoperative HRCT depicted bony erosions caused by recurrent cholesteatoma, bony defects ...

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The aim of this work was the examination of the coarse grain recrystallisation of the {gamma}-free ODS nickel-based alloy PM 1000 depending on the various parameters due to the processing during heat treatment. After isotropic hot compacting (HIP) of the mechanically alloyed powder, one observes a homogeneous sub-microscopic fine grain structure which can coarsen during high temperature heat treatment, due to sufficiently high driving force from the grain boundary energy via abnormal grain growth to 600 times its size. The setting of the elongated high temperature resistant recrystallisation structure is, however, not connected with this. The dependence of the sucess of re-crystallisation on the re-forming parameters (re-forming temperature and degree of re-forming) was shown by a socalled re-forming card. In order to achieve re-crystallisation to a coarse and aligned grain structure, apart from a certain absolute minimum degree of re-forming, the re-forming must occur within a defined ...

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Initially, the decision of the operator in Dortmund-Derne to select the impact-type separator concept is explained. None of the tenderers for this 52 t/h boiler could supply references for this fluidized bed steam generator concept with staged combustion in a high-expansion fluidized bed. Under the circumstances, the simple configuration of the Steinmueller fluidized bed steam generator, its compact construction, the reduced amount of refractory and the operational behaviour of the boiler resulting therefrom were decisive in the operator`s decision to select this concept. The development schedule shows the individual stages from cold and hot trials in various test rigs and pilot plants to the final design. So far, this fluidized bed steam generator concept has been realized in the plants Derne (52 t/h), commissioned in November 1989, and Brilon (100 t/h), commissioned in November 1990. The discussion on the essential design features points out to the deliberate differences in the two ...

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Present day mammography has not been able to make use of the advantages of digital luminescence radiography because of the limited spatial resolution. The recent development of electromagnetic focusing X-ray tube with effective focal spot sizes from 0.04 to 0.12 mm allows radiographic direct magnification with less geometric blur. It is now possible to combine direct magnification mammography with digital luminescence radiography. By combining high quality storage phosphor screens with an HQ-workstation a spatial resolution of 8 lp/mm is possible for 1.7-fold magnification. For 4-fold spot magnification views spatial resolution can be theoretically increased to approx. 20 lp/mm. One important advantage of digital radiography is the possibility of image-postprocessing. This article presents two sets of standard parameters and three sets of image dependent parameters for better imaging of specific lesions, such as microcalcifications. The introduction of the storage phosphor screen ...

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Nuclear medicine and magnetic resonance imaging (MRI) are widely used in cardiac diagnostics. Both techniques have been carefully evaluated and are equivalent for the assessment of regional and global wall motion as well as the evaluation of ejection fraction and cardiac volumes, though MRI is herein currently seen as gold standard. For evaluation of myocardial perfusion, extensive data exist for nuclear imaging, that, next to high diagnostic accuracy for evaluation of coronary artery disease, show incremental prognostic information and allow for independent risk stratification. Because of rapid technical advance, myocardial perfusion imaging has also become feasible with cardiac MRI. Results of recent studies are promising, but the data are few compared to perfusion scintigraphy. For viability assessment in patients with ischemic cardiomyopathy, positron emission tomography (PET) with FDG is currently seen as gold standard. However, single photon emission computed tomography (SPECT) ...

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This thesis deals with the analysis of dominant loss mechanisms in direct methanol fuel cells (DMFC) and hydrogen fed polymer electrolyte membrane fuel cells (PEFC) by means of experimental characterization and modeling work. Due to different fuels used in these two fuel cell types, the dominant loss mechanisms are different in their nature. All in-situ characterization techniques that are used in this work are based on a novel test fuel cell with embedded reference electrodes. The first part of this work presents a new concept for realizing a reference electrode configuration in a polymer electrolyte membrane fuel cell by means of laser ablation. The laser beam is used to evaporate a small gap into the electrode surface of a catalyst coated membrane (CCM) to isolate the reference electrode from the working/counter electrode (WE/CE). This method enables the simultaneous ablation of the electrodes on both sides of the CCM because the membrane is transparent for the laser beam. ...