The aim of this review is to evaluate the role of inflammatory spine disease in patients with chronic back pain. The contribution of imaging modalities for the diagnostic evaluation of back pain is discussed. A systematic literature search based on the classification of seronegative spondyloarthropathies and rheumatoid arthritis was performed. The results of this search and the experiences in a large collective of rheumatological patients are analyzed. The prevalence of rheumatoid arthritis (1-2%) is comparable to that of spondyloarthropathies (1.9%). The etiology of these entities is not fully elucidated. Magnetic resonance imaging is increasingly used for early detection and surveillance of therapy with TNF-{alpha} antagonists. Bone marrow edema, which is only detectable with MRI, represents an early sign of inflammation. Therapy with TNF-{alpha} antagonists is based on clinical and laboratory criteria, and signs of inflammation in MRI. MRI ...
Sprengel deformity is a congential malformation with usually unilateral elevation and medial rotation of the scapula. An omovertebral bone is generally present. Associated skeletal malformations are frequently present. Though functional impairment is mild, the cosmetic and psycho-social impairment can be considerable. The prognosis of early surgical therapy is good. The presented case also justifies surgical correction in the older child. (orig.) [German] Die Sprengel-Deformitaet ist eine angeborene Fehlbildung mit meist einseitiger Elevation und Medialrotation der Skapula. Meist ist ein Os omovertebrale vorhanden. Assoziierte skelettale Fehlbildungen sind haeufig. Obgleich funktionell wenig einschraenkend, ist die kosmetische und psycho-soziale Beeintraechtigung oft erheblich. Die Prognose der fruehen operativen Therapie ist gut. Der vorliegende Fall ermutigt zur operativen ...
Clinical information is indispensable for swift and cost-effective clarification of diseases of the larynx. While quality clarification of neurological changes in the area of the posterior cranial fossa and in the course of the vagus nerve as a cause of glottis malfunction is possible with MRI, localized disease of the larynx can more effectively be assessed with low-artifact CT. In the particularly difficult assessment of the post-operative larynx, a recurrence can be diagnosed only after a baseline study has been carried out after the end of therapy. With knowledge of the pretherapeutic findings, the findings immediately post-therapy, and the operation technique used, the optimal CT examination, which can be carried out quickly, will be able to provide more information about recurrence. (orig.) [Deutsch] Zur schnellen und kostenguenstigen Abklaerung von Erkrankungen des Larynx ist die klinische Information unabdingbar: Wenn neurologische ...
Patients with haemarthros of the knee were examined by MRI and arthroscopy to identify the bleeding source and to determine surgical or conservative therapy. A prospective study was performed on 120 patients who underwent MRI and arthroscopy, point lesions and bleeding sources were documented separately on a standardised form. Arthroscopy demonstrated a ruptured anterior cruciate ligament in 86%, meniscal tears in 55%, disruption of collateral ligaments in 17%, osteochondral lesions in 5% and tears of capsule or plicae in 13%. Disruption of cruciate ligaments caused haemorrhage in all but three cases. In contrast, only meniscal tears located very adjacent to the meniscal basement had bled. Those types of osteochondral lesions caused haemorrhage characterised on MRI by destruction of the subchondral plate and overlying cartilage. Severe lesions of the knee were diagnosed by MRI in 71% to 100%, slight lesions in 13% to 40% of the cases. Single, combined and bland ...
Infrainguinal peripheral occlusive disease is increasingly being treated by endovascular techniques. Bare metal stainless steel, self-expanding nitinol stents, drug-eluting and covered stents (stent grafts) are becoming increasingly more important adjuncts to percutaneous translumninal angioplasty in the treatment of peripheral artery disease. In this article the available evidence supporting the use of stents in the femoropopliteal and tibial arteries will be described as well as their limitations. Future stent developments will also be discussed. (orig.) [German] Die endovaskulaere Therapie spielt bei derTherapieder peripheren arteriellen Verschlusskrankheit (PAVK) eine wichtige Rolle. Unbeschichtete ballonexpandierbare Stahlstents, selbstexpandierende Nitinolstents sowie medikamentenbeschichtete und ''covered stents'' (Stentgrafts) haben eine zunehmende Bedeutung ...
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 ...
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 ...
35 patients with ankle sprain were examined by MRI and stress radiographs. 13 were operated afterwards, 22 patients underwent a functional conservative therapy and were examined by MRI and stress radiographs and second time after three months. MRI reports were correct in 12 of 13 operated cases. After conservative therapy we did not find any disrupted ankle ligament. MRI showed intact ligaments thickened by scar. (orig./MG) [Deutsch] 35 Patienten mit klinischem Verdacht auf Aussenbandruptur wurden mit der MRT untersucht. 13 Patienten wurden operiert, 22 konzervativ therapiert. Letztere wurden nach drei Monaten erneut mit MRT und gehaltenen Aufnahmen untersucht. Die MRT-Befunde stimmten in 12 von 13 Faellen mit den operativ erhobenen Befunden ueberein. Nach dreimonatiger konzervativer Therapie waren alle 22 Sprunggelenke stabil. Die rupturierten Baender stellten sich verdickt und durchgaengig dar. ...
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...
Technical innovations such as the availability of movable patient platforms and the introduction of 32-channel systems have made whole-body MRI for tumor staging feasible. In addition, the development of dual-modality PET/CT systems offers the opportunity to perform anatometabolic tumor staging with whole-body coverage in a single session. Based on an increase in patient survival when applying a stage-adapted therapy in different malignant diseases the relevant question relates to the accuracies of whole-body MRI and whole-body PET/CT for TNM staging. This review article addresses whole-body tumor staging with MRI and FDG-PET/CT with special emphasis on diagnostic accuracies for staging different malignant diseases. (orig.) [German] Technische Neuerungen, wie die Verfuegbarkeit beweglicher Tischaufsaetze oder die Einfuehrung von 32-Kanal-Systemen, haben die Ganzkoerperbildgebung mit der MRT ermoeglicht. Die Entwicklung kombinierter ...
Until recently no active treatment for advanced or metastatic gastrointestinal stroma tumors (GIST) was available. The tyrosine kinase inhibitor imatinib has revolutionized the treatment of this disease and the median overall survival now reaches 5 years. The standard dose of imatinib is 400 mg per day. Locally advanced GIST should be treated with systemic therapy prior to surgical resection. Imatinib was recently licensed for adjuvant therapy following complete surgical removal of GIST in patients with a significant risk of recurrence. (orig.) [German] Bis vor einigen Jahren existierte keine wirksame systemische Therapie fuer fortgeschrittene oder metastasierte gastrointestinale Stromatumoren (GIST). Der Tyrosinkinaseinhibitor Imatinib hat die Behandlung dieser Tumoren revolutioniert, die mediane Ueberlebenszeit liegt heute bei etwa 5 Jahren. Die Standarddosierung von Imatinib betraegt initial 400 ...
During their life, intervertebral discs undergo degenerative changes which need not necessarily become lesions. Conventional X-rays do not provide information on the condition of the intervertebral discs, so MRT or CT are recommended as primary techniques as they are non-invasive. Invasive methods like myelography and especially discography should not be used unless a case is highly problematic. In infants with pains in the back, MRT should be carried out as early as possible as there is nearly always an organic cause. (orig.) [German] Die Bandscheibe ist im Laufe des Lebens degenerativen Veraenderungen unterworfen, die klinisch zu Beschwerden fuehren koennen, aber nicht fuehren muessen. Konventionlle Roentgenaufnahmen lassen zwar die Hoehenminderung des Bandscheibenfachs und begleitende knoecherne Veraenderungen erkennen, nicht aber den Zustand der Bandscheibe selbst. Die Beurteilung der Bandscheibe und des Knochens gelingt mit ...
Purpose: Evaluation of the diagnostic efficacy and cost-benefit of contrast enhanced CT (CT) and MRI pre- and post-SPIO-particles in focal hepatic disease with consideration of therapeutic outcome. Results: In 34/52 (65.4%) of the cases the correct diagnosis was primarily stated by CT (sensitivity [se.] 85.2%, specificity [sp.] 44.0%). In additional 10/52 of the cases unenhanced MRI (se. 91.4%, sp. 75.0%) enabled correct diagnoses, and in another 6 cases the diagnosis was established only by SPIO-MRI (se. 100%, sp. 86.7%). Considering the possible therapeutic recommendation arising from each modality, CT would have induced needless therapy costs of 191,042 DM, unenhanced MRI of 171,035 DM, and SPIO-MRI of 7,311 DM. In comparison to the real therapy costs of 221,873 DM, this would have corresponded to an unnecessary increase of therapy costs of 86.1%, 77.1%, and 3.3%, respectively. In two cases (91 hemangioma, 1 regenerative ...
Objective: To evaluate the treatment of malignant biliary stenoses and occlusions using a new stent. Methods: In a prospective study, 25 patients with malignant obstructive jaundice were treated with SMART stents. The handling and the quality of stent expansion were documented. Stent function was assessed 2-4 days after intervention by cholangiography and laboratory tests. A follow-up was performed three months, after stent placement. Results: All lesions were treated successfully, with a total of 35 stents implanted. In 14 patients a further balloon dilatation was performed after stent placement (8-10 mm diameter/40-80 mm length). The mean serum bilirubin level decreased significantly from 11.6 mg/dl to 4.6 mg/dl after intervention (p<0.05). The follow-up showed a mean serum bilirubin level at 4.0 mg/dl. In 4 cases (16%) a further intervention (PTCD or stent) was performed. Six patients died due to tumor progression. The stents proved to be patent in 79% (n=15) of patients ...
Purpose: To evaluate the success rates of the implantation of stent grafts in the treatment of peripheral aneurysms. Materials and methods: in 13 patients with 15 aneurysms at the common iliac artery (n = 6), external iliac artery (n = 1), hypogastric artery (n = 2), femoral artery (n = 2) or popliteal artery (n = 4), implantation of dacron-covered nitinol stents was performed. The patients were followed up for three to 20 months (mean, 8.8 months) with intravenous digital subtraction angiography, CT or colour-coded Doppler sonography. Results: In all cases, the aneurysm was successfully occluded after stent implantation. In one case with a popliteal aneurysm, kinking of the vessel caused thrombosis of the stent. The stent was successfully reopened. The aneurysm however, had to be surgically treated 9 months later. The primary and secondary patency rates at 6 months were 93% and 100%, respectively. Conclusion: The method described might be an alternative therapy to ...
Background. In multiple myeloma 5 different infiltration patterns can be differentiated: 1. Normal appearance of bone marrow, 2. focal involvement, 3. homogeneous diffuse infiltration, 4. combined diffuse and focal infiltration, 5. 'salt-and pepper' pattern with inhomogeneous bone marrow with interposition of fat islands. Methods. For the fast and total acquisition of all patterns a combination of a T1-weighted spin echo sequence and a fat suppression technique is superior. The focal involvement is clearly demonstrated as areas of high signal intensity on e.g. STIR images. Diffuse involvement can be quantified objectively by calculation of the percentage of signal intensity increase after contrast material injection. MRI is superior to X-ray in focal and diffuse involvement. With ultrafast sequences a 'screening' of the whole red bone marrow as for myeloma infiltration is possible. Prognosis. In prognosis studies diffuse infiltration is inferior to ...
To evaluate the current situation and implementation of embolization of uterine leiomyomas into the treatment concept in women with symptomatic uterine leiomyomas in Germany. A questionnaire addressing the clinical background of uterine myomas, recommended treatment concepts, preclinical evaluation, technical approach and complications was sent to 164 departments of gynecology and radiology in Germany. 33 radiological departments and 19 gynecological departments submitted a completed questionnaire. Only 7 departments of radiology reported to have own experience with embolization of uterine leiomyomas, while only 2 departments of gynecology considered embolization as an alternative treatment option in patients with symptomatic leiomyomas. 18/33 radiological departments offer this treatment option but get no patient referrals. Agreement was found concerning the indications for treatment, preclinical evaluation by ultrasound and MRI, preferable location of treatable fibroids, technical ...
Purpose: Budd-Chiari syndrome is a fairly uncommon disease in Europe. This often leads to its late diagnosis. The syndrome is characterised by portal hypertension and splanchnic congestion due to obstruction of hepatic venous outflow. This paper describes the treatment of three patients with Budd-Chiari syndrome by interventional therapeutic techniques and discusses alternative treatment modalities. Patients and Methods: The first patient presented with veno-occlusive disease and was treated by the placement of a transjugular intrahepatic portosystemic stentshunt. The second patient showed an occlusion of the major hepatic veins. After percutaneous recanalisation, a stent was placed in the right hepatic vein which remained patent. The third patient had a membranous obstruction of the right hepatic vein which was treated by percutaneous balloon dilatation. Results: In all patients the clinical symptoms resolved completely after treatment and no complications were encountered. ...
Purpose: The determination of tumor volume in ocular tumors is very important for the planning and success of radiation therapy. This study uses an animal model to evaluate the accuracy of MR-based volumetry of ocular tumors. Materials and methods: In a total of 25 porcine eyes obtained from the slaughterhouse, ocular tumors were produced by injecting a mixture of hand creme and Gd-DTPA under ophthalmoscopic guidance. The injected volume varied between 0.05 ml and 2.7 ml. The eyes were examined with a 1.5 Tesla scanner and a 4 cm circular surface coil especially developed for ocular MRI. After data transfer to a separate workstation, volumetric analysis was carried out by three independent radiologists using semiautomated software. The determined volume was compared with the injected volume. Results: Of the 25 prepared porcine eyes, 23 were suitable for volumetric analysis. The injection of the mixture of hand creme and GD-DTPA produced two different types of ...
Methods: Systemic irradiation of neuroaxis is an essential part in the management of medulloblastoma, stPNET and intracranial germ cell tumors. The introduction of quality assurance programs in radiooncology assures a precise radiotherapy of target volumes and is a prerequisite to improve survival. Results: Hyperfractionated radiotherapy has the potential of increasing dose to tumor more safely without increasing the risk for late adverse effects. Pilot studies revealed excellent tumor control in medulloblastoma with acceptable acute toxicity and a long-term survival of up to 96%. In medulloblastoma stereotactic radiation techniques reveal an acceptable toxicity and promising results in tumor control in recurrent disease or as primary treatment. They are now part of future treatment protocols in case of persisting residual tumor. Radiotherapy alone in pure germinoma is continuously yielding high cure rates. In secreting germ cell tumors cisplatin containing chemotherapies in ...
The R and D activities of the institute focused on two major projects, ``Molecular and cellular environmental toxicology``, and ``Biophysics of multi-cellular systems``. For assessment of health risks emanating from the uptake of heavy metal compounds, work performed under the first mentioned project studies the formation of allergy-inducing metabolic products from membrane lipids, and the effects of related cellular signaling processes. These studies are accompanied by an approach to quantify and classify the toxicity of environmental organometallic compounds. Another major task is research into the pathogenesis of lung disease induced by dusts, gases, and gas-dust mixtures and the liberation of inflammatory agents by immunological cell reactions (alveolar macrophages). Atomic force microscopy is the tool used to visualize the related dynamic changes in bronchial cells. Studies for detection of the localisation and structure of the Fe-Mo co-factor in nitrogenase by means of the method ...
Primary malignant lymphoma of the brain is a disease of unknown etiology, which is increasing in incidence and has an unfavorable prognosis. Despite the lack of specific changes on CT or MRI in most cases, these procedures may typically facilitate the diagnosis: A focal-enhancing mass with subependymal spread on CT or MRI and hyperattenuation on nonenhanced CT are the most reliable features in the diagnosis of primary malignant lymphoma of the brain. Peritumoral edema and mass effect are usually not prominent features. On unenhanced CT scans they usually appear homogeneously isodense to mildly hyperdense relative to the gray matter. On MRI these tumors are slightly hypointense on T1-weighted images and slightly hpyerintense on PD- and T2-weighted images relative to the gray matter. On CT and MRI enhancement is usually homogeneous. Contrast-enhanced MRI, with its multiplanar capability, lack of bone-induced artifacts, and high-contrast resolution, is likely to reveal subependymal spread ...
To evaluate the usefulness of radiation therapy alternative to surgery for clinical N0-N1 non-small cell lung cancer (NSCLC). From 1976 through 1989, 116 patients with NSCLC without mediastinal involvement were treated with definitive radiation therapy alone at Gunma University Hospital. All patients were treated with once-daily standard fractionation using 10 MV X-rays. The total dose ranged from 60 Gy to 80 Gy. The actuarial 2- and 5-year survival rates of the entire group were 43% and 20%, respectively with a median survival time of 19 months. The survival of 76 patients with stage T2 tumors was significantly better than that of 28 patients with T3 tumors (mean survival time 21 versus 15.5 months; p<0.05). Sixty-two patients with tumors less than 5 cm in diameter had a 2-year progression rate of 20%, in comparison with 39% of 54 patients with tumors greater than 5 cm. The difference of survivals for these 2 groups was statistically ...
... or she will start intensive rehabilitation. This includes physical therapy and occupational therapy. Physical and occupational therapies aim at strengthening the remaining ...
Aim: The purpose of this prospective study was to evaluate the value of immunoscintigraphy (ISG) with anti-225.28S in clinically suspected ocular melanoma. Methods: For this purpose standardized ISG was performed in 36 patients using both planar acquisition and emission computed tomography (ECT). Ocular melanoma was present in 31 patients. In 21 patients therapy was enucleation of the eye. These specimens were evaluated by histology and immunohistochemistry in 11 of 21 patients. Results: Regarding the clinical diagnosis, ISG was positive only in 15 of 31 patients with ocular melanoma, regarding histology in 11 of 21 and regarding immunohistochemistry in 5 of 6 patients with a positive immunoreaction. 5 patients showed no immunoreactivity, their ISG was negative. Conclusion: Thus a good correlation between ISG and immunohistochemistry was observed. However ISG using the cutaneous melanoma antibody 225.28S cannot be recommended for the diagnostic work-up of an ocular ...
Aim: Treatment of carcinoma of the uterine cervix by remote afterloading brachytherapy has been accompanied with new isotopes having dose rates different from the classical low-dose rate (LDR) radium source. The dose rate conversion factor from LDR to high-dose rate (HDR) found to be around 0.54 in most studies. As regards medium-dose rate (MDR) brachytherapie, the published data are very few and the experience is still short. In this study the experience of Osaka University Hospital with micro-HDR-Selectron and Selectron-MDR, as a preliminary report of the clinical trial, is presented. Results: The 3-year survival and loco-regional control rates for both modalities were nearly equivalent (62% and 67% for HDR and 68% and 74% for MDR)(totally 45 patients). The cumulative rectal and bladder complication rates were the same in both groups (29% at 3 years), with only 1 patient (MDR-group) developed grade 3 rectal and bladder complication. In this study, point A dose rate correction factor ...
Magnetic resonance imaging (MRI) in stroke makes it possible to visualize the initial infarct in cases of acute cerebral ischemia. Perfusion MRI serves to determine which tissues are additionally at risk of infarction due to persistent hypoperfusion. MRI also allows those examiners with limited experience to reliably confirm an infarct. The most important differential diagnosis of cerebral ischemia, intracerebral hemorrhage, can likewise be recognized with certainty using MRI. Although diffusion and perfusion MRI only demonstrate the pathophysiology of cerebral ischemia approximately, the method is suited for identifying those patients who would profit from reperfusion therapy. Whether MRI is also appropriate as an aid to reaching a prognosis on the risk of secondary hemorrhage has not yet been resolved. (orig.) [German] Die Schlaganfall-MRT ermoeglicht es, bei akuter zerebraler Ischaemie den bereits initial entstandenen Infarkt darzustellen. Mittels Perfusions-MRT ...
Abstract The authors provide a survey of how images are used in radiation therapy to improve the precision of radiation therapy plans, and delivery of radiation treatment. In contrast...Full Text Available
Subject of this study is the question of whether cone beam CT (CBCT) images with reduced projection data are suitable for use in adaptive radiation therapy (ART) treatment planning. For this purpose image quality and dose calculation accuracy depending on imaging modality were analysed. In this context, two CBCT-methods will be indicated having reduced projection data sets: Scans acquired with 200^o rotation angle in order to accelerate the CBCT process (half scan), or scans with an asymmetric cone beam and detector offset, used to enlarge the field-of-view (half fan). Methods: For three different CBCT-modes (On-Board-Imaging, Varian Medical Systems), two of them based on reduced projection data, and a conventional multidetector CT system, the main image quality parameters were studied. Tr...
Purpose: To report on the nephron-sparing, percutaneous ablation of a large renal cell carcinoma by combined superselective embolization and percutaneous radiofrequency ablation. Materials and Methods: A 5 cm renal cell carcinoma of a 43-year-old drug abusing male with serologically proven HIV, hepatitis B and C infection, who refused surgery, was superselectively embolized using microspheres (size: 500 - 700 {mu}m) and a platinum coil under local anesthesia. Percutaneous radiofrequency ablation using a 7F LeVeen probe (size of expanded probe tip: 40 mm) and a 200 Watt generator was performed one day after transcatheter embolization under general anesthesia. Results: The combined treatment resulted in complete destruction of the tumor without relevant damage of the surrounding healthy renal tissue. The patient was discharged 24 hours after RF ablation. No complications like urinary leaks or fistulas were observed and follow up CT one day and 4 weeks after the radiofrequency ...
This is the first interdisciplinary approach to urban water and waste water managment. The author presents the knowledge acquired during the project. [German] Die ganzheitliche Betrachtung der Wasserwirtschaft in urbanen Gebieten ist sowohl in der Forschung als auch in der Praxis neu. Zwischen der Bearbeitung eines Forschungsprojektes und eines Ingenieurprojektes gibt es grundsaetzliche Differenzen, trotzdem sind wir der Meinung, dass es bezueglich der interdisziplinaeren Aspekte und der ganzheitlichen Betrachtung der Wasserwirtschaft sowohl in der Forschung als auch in der Praxis aehnliche Probleme gibt. Aus diesem Grunde wird in dieser Arbeit versucht ueber einige Erfahrungen aus dem interdisziplinaeren und ganzheitlichen Forschungsprojekt zu berichten. (orig.)
Zusammenfassung Der vom Bundesamt f?r Sicherheit in der Informationstechnik (BSI) entwickelte Ansatz des IT-Grundschutzes war bereits Gegenstand von Beitr?gen in der DuD. Inzwischen hat das ?Grundschutzhandbuch? Eingang in die internationale Standard-Familie ISO 2700x gefunden. Der Autor berichtet ?ber die Erfahrungen mit den ersten durchgef?hrten Zertifizierungen nach dem neuen ISO-Standard auf der Basis von IT-Grundschutz.
Introduction: The goal of this study was to compare contrast-enhanced T1-weighted Flash and Turbo-Flash sequences with conventional spin-echo sequences as a basis for planning high-precision radiotherapy. Methods: A total of 25 consecutive patients with different intracranial tumors and a disrupted blood-brain barrier were studied. T1-weighted Flash, Turbo-Flash and conventional spin-echo images were evaluated after controlled 30-s infusion of 0.1 mmol/kg body weight of Gd-DTPA. The evaluation of the three sequences included the measurement of the signal- and contrast-to-noise ratios, the visual inspection of the tumors and artifacts, and the measurement of tumor size. Results: The signal- and contrast-to-noise ratios were significantly (P<0.05-0.01) lower for Flash and Turbo-Flash than for conventional spin-echo sequences. However, visual inspection of the contrast-enhancing tumors revealed in 23 and 24 of 25 lesions of Flash and Turbo-Flash images, respectively, good or very good ...
Zusammenfassung Die Festigkeitshypothesen und Flie?fl?chen aus den klassischen Kursen der Mechanik (die Normalspannungshypothese, die Modelle nach von Mises und Tresca) reichen oft nicht aus, das tats?chliche Verhalten von Bauteilen unter Belastung zu erfassen. Deshalb werden in der Literatur weitere Modelle mit einem oder mehreren Parametern vorgeschlagen. Diese Modelle beschr?nken allerdings die Geometrien der zul?ssigen Formen der Fl?chen im Spannungsraum. In dieser Arbeit wird ein auf die Zugspannung normiertes Druck-Torsion-Diagramm vorgestellt, in dem sich die Modelle inkompressiblen Materialverhaltens miteinander vergleichen lassen. Mit diesem Diagramm wird der Begriff der Symmetrie der Fl?che in der ?-Ebene verdeutlicht. Die konvexen Fl?chen inkompressiblen Materialverhaltens sind ...
The incidence of hilar cholangiocarcinoma is very rare worldwide. Radical resection is the only prognostic factor for long survival in patients with hilar cholangiocarcinoma. Postoperative radiation therapy can improve local control and survival rates for patients with palliative resection, but it remains controversial in patients with radical resection. Biliary drainage can effectively release bile duct obstruction for the majority of patients with locally advanced disease, and may even prolong survival when combined with radiation therapy. Radiation therapy includes extrernal beam therapy alone, external beam therapy with intraluminal brachytheapy and new radiation technique, such as three dimentional conformal therapy and intensity modulated radiation therapy. The propective randomized clinical study is needed for further investigation in ...
BackgroundTransarterial chemoembolization (TACE) therapy is an effective locoregional treatment in hepatocellular cancer (HCC) patients. For early modification of therapy, markers...Full Text Available
Forty-four patients with histologically proven Hodgkin's disease underwent initial treatment with extended-field radiation therapy. Nineteen of these patients also received combination chemotherapy....Full Text Available
The importance of intact host defense mechanisms for successful antimicrobial therapy was investigated in an animal model. Recovery from lobar pneumococcal pneumonia as a result of penicillin therapy...Full Text Available
Radionuclide bone metastases therapy is a major achievement of nuclear medicine. Development of less radiotoxic and more effective radiopharmaceuticals is therefore a challenge for radiopharmacists and industry. This paper reviews the application of rhenium-188 HEDP as a reactor- or generator-produced nuclide for bone metastases therapy. (author)
Abstract Der folgende Artikel setzt die Reihe unserer ChiuZ-Beitrge zur Chemi- und Biolumineszenz mit einer interessanten und neuen experimentellen Arbeit zum -kalten Licht- spezieller ungesttigter Verbindungen fort, deren Anwendung auch in der modernen Zeit der Nanotechnologie im biochemischen bzw. medizinisch-chemischen Labor vllig neue Akzente gesetzt hat.
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 ...
The current therapy for extrinsic and intrinsic asthma, together with that of ‘wheezing bronchitis’, is presented, with special attention to bronchodilators and adrenocorticosteroids....Full Text Available
The eye is an easily accessible, highly compartmentalised and immune-privileged organ that offers unique advantages as a gene therapy target. Significant advancements have been made in understanding...Full Text Available
PurposeTo determine the dosimetric impact of inter-fraction anatomical movements in prostate cancer patients receiving proton therapy.Full Text Available
1 Recommendations for correct therapy with digoxin from twenty-five sources are reviewed. 2 Some recommendations may be unsuitable for use with high bioavailability...Full Text Available
... radiation during clinical therapy and exposures due to radiation accidents or attacks, in which the doses are uncontrolled ... only be used off-label in victims of radiation accidents or attacks. The idea...
The author investigates whether waste fermentation is an economically feasible alternative to composting. Decisions on projects and sites should not be made until the basic problems of feasibility and economic efficiency are solved. [German] In Anbetracht der derzeitigen Situation bei der Restmuellbehandlung, in der die mechanisch-biologische Behandlung als Alternative zu einer rein thermischen Behandlung immer mehr an Bedeutung gewinnt, stellt sich immer haeufiger die Frage, ob die Restmuellvergaerung eine Alternative zur ausschliesslichen Restmuellrotte darstellt. Diese Frage muss zunaechst prinzipiell aus Sicht der technischen Machbarkeit und von der Sinnhaftigkeit, hier vor allem von der Kostenseite her, betrachtet werden. Erst daran anschliessend lassen sich projekt- und standortbezogene Betrachtungen anstellen. Hinsichtlich der ...
Radiation therapy has shown definite technical improvement due to application of proton beam irradiation. Clinical results of proton beam therapy also suggested enlargement of indication ranges in radial treatment and decrease of post radiation damages of the treatment of cancers in deep-seated organs. Inprovement of result in cancer therapy could be expected by this treatment technique in the future.
BackgroundTo compare two strategies of dynamic intensity modulated radiation therapy (dIMRT) with 3-dimensional conformal radiation therapy (3DCRT) in the setting of hypofractionated...Full Text Available
Radiotherapy can be very significant as the treatment for ocular lesions, eyes need to be preserved as properly as possible on their functions and cosmetics. The application of conventional X ray therapy has been gradually abandoned as conventional X ray therapy ceased to be accepted as the general treatment for malignant tumors. Consequently the necessity of electron beam therapy has been rising even as the substituted method for conventional X ray therapy. The department of radiology of Gunma University was obliged to establish a new therapy for ocular lesions, and has been trying electron beam therapy since 1973. It is concluded that electron beam therapy is not at all inferior to conventional X ray therapy as reported above. Basic therapeutic methods for ocular lesions are the following: 1) For epidermoid carcinoma, ...
MPA research activities focus on fracture prevention and on the development of a generally applicable method of component integrity testing which, independent of the safety relevance of the components involved, is also part of ageing management. (orig.) [German] Die Forschungsaktivitaeten an der MPA im Hinblick auf die Erhoehung der Sicherheit und Zuverlaessigkeit komplex beanspruchter Bauteile orientieren sich an den Grundgedanken des Basissicherheitskonzepts (Prinzip des Bruchausschlusses). Zielsetzung war dabei die Entwicklung eines allgemein anwendbaren Nachweisverfahrens zur Komponentenintegritaet, das, abhaengig von der sicherheitstechnischen Relevanz der zu betrachtenden Komponenten, auch Bestandteil des Alterungsmanagements ist. (orig.)
The paper presents fundamental studies on natural biosorption to algae of heavy metals. The investigations were carried out by TU Berlin University in a special research project (Sfb 193, 'Biologische Behandlung industrieller und gewerblicher Abwaesser'). The chlorophyceae C. vulgaris was used as reference alga, and 38 further algae were analzyed with regard to their sorption characteristics for lead, cadmium, nickel and zinc. The most effective algae were the chlorophyceae C. salina, the cyanophyceae S. hofmani and L. taylorii. The biosorption characteristics of C. salina and L. taylorii were investigated in detail. L. taylorii was found to be exploitable successfully in a technical process, so the investigations were extended to include copper. Knowledge about the chemical processes of biosorption is important for any attempt to modify the biosorption characteristics. Experiments on the incorporation of additional functional groups in the cell wall polysaccharides ...
In a prospective study 102 patients with malignant tumors of the tongue, oropharynx, hypopharynx, and larynx were staged by means of MRI. Special attention was directed at those tumour extensions that could influence the treatment strategy. The MR findings were correlated with the results of palpation, endoscopy, ultrasound, computerised tomography and histopathological findings. MRI showed a good delineation of pT{sub 2} to pT{sub 4} tumours. However, visualisation of small tumours in the soft palate, the tonsils, the pyriform sinuses and vocal cords was difficult. In conclusion our results suggest that in addition to endoscopy MRI is a valuable tool for the examination of tumours of tongue, oropharynx, hypopharynx and larynx. (orig.) [Deutsch] In einer prospektiven Studie wurden 102 Patienten mit malignen Tumoren der Mundhoehle, des Oro- und Hypopharynx sowie des Larynx mit der Mgnetresonanztomographie (MRT) untersucht, wobei besonders Wert ...
The complete determination of stroke/throughput curves at steam turbines for arbitrary valve positions usually only follows after the fundamental layout of the control valves, of the possible nozzle segments and of the turbine blading. A general fundamental equation and some design norms based on it are presented which may serve already before a fluidic layout of the turbine in detail as an optimizing predetermination of the properties concerning pressure loss and control statics of the metering components in the admission area. (orig.) [Deutsch] Die vollstaendige Bestimmung der Hub-/Durchsatzkurven an Dampfturbinen fuer beliebige Ventilstellungen erfolgt ueblicherweise erst nach der Grundauslegung der Stellventile, etwaiger Duesensegmente und der Turbinenbeschaufelung. Es werden eine allgemeine Grundgleichung und einige auf ihr aufbauende Entwurfsregeln angegeben, die zu einer optimierenden ...
BackgroundSensitization to house dust mite allergens is strongly correlated with asthma. Der p 7 elicits strong IgE antibody and T-cell responses in mite allergic...Full Text Available
In two pilot projects Maingas AG has complemented an existing marketing mix with a telephone marketing segment. One of these telephone marketing campaigns was conducted for the purpose of `Intensification`, the other for `Activation of Unused Mains Connections`. The aim was to provide professional support to canvassing campaigns in their various phases in order to minimise diffusion losses and increase the probability of winning new customers. The slogan chosen for the drive was therefore: `Its no good being present unless one`s efficient in the preparation, execution, and revision of a campaign`. (orig.) [Deutsch] Die Maingas AG hat in zwei Pilotprojekten das bestehende Marketing-Mix durch das Segment Telefonmarketing ergaenzt. Es wurde eine Telefonmarketing-Aktion im Bereich `Verdichtung` und eine Telefonmarketing-Aktion im Bereich `Aktivierung Inaktive Hausanschluesse` durchgefuehrt. Ziel war es, durch einen professionellen flankierenden Service in den verschiedenen Phasen ...
An aqueous house dust mite extract was separated by SDS-PAGE and transferred to nitrocellulose membranes by Western Blotting. Two major allergens, Der pI and Der pII associated with the mite faeces...Full Text Available
The second volume contains a comprehensive presentation of inflammatory bone diseases, including seldom primary chronic osteomyelitis and morbus Paget. Substantial chapters on bone tumors and tumor-like lesions of bone joints are covering the state-of-the-art of diagnostic techniques of these seldom but important diseases. Besides the importance of projection radiography the contribution of MRI within differential diagnosis und staging of these diseases is emphasized. [German] Der zweite Band des Muskuloskelettalen Systems befasst sich mit der umfassenden Darstellung zur Diagnostik entzuendlicher Knochenerkrankungen und beinhaltet neben den klassischen infektioesen auch die seltenen, primaer chronischen Osteomyelitiden und den Morbus Paget. Umfangreiche Kapitel ueber die Knochentumoren und tumoraehnlichen Laesionen der Gelenke stellen in modernster Weise den aktuellen Stand des Wissens und der ...
The goal of this project was to develop a new technology for preparing samples for transmission electron microscopy (TEM) on the basis of ion fine beam processing. For this purpose processes of ion-beam-assisted removal (sputtering), separation, sample handling and ion-beam-assisted chemical etching as well of system-inherent components were examined. As an alternative to a Ga-source a liquid-metal ion source based on a AuGeSi alloy was developed, characterised and used in the FIB 4400. [German] Aufgabe des Projektes war die Entwicklung einer neuen Technologie zur Probenpraeparation fuer die Transmissions-Elektronenmikroskopie (TEM) auf der Basis der Ionenfeinstrahlbearbeitung. Dazu wurden Prozesse der ionenstrahlgestuetzten Abtragung (Sputtern), der Abscheidung, des Probenhandling, des ionenstrahlgestuetzten chemischen Aetzens sowie systemeigener Komponenten untersucht. Als Alternative zur Ga-Quelle ...
Problems with the refractory liners of incinerator combustion chambers have accompanied incinerators from the very beginning. They increased during the past decade, owing to higher combustion temperatures required by law (17. BImSchV), the higher calorific values of the waste to be combusted, and the higher or changed pollutant concentrations in the waste materials. This caused the providers and the materials and the producers of incinerators to develop new refractory products and new design concepts, with a great variety of processes and cost levels. [German] Seit Beginn der Abfallverbrennung, insbesondere aber mit zunehmender Tendenz in den vergangenen 10 Jahren, wird ueber Probleme mit der Feuerfestauskleidung in den Brennkammern von Abfallverbrennungsanlagen geklagt. Als Gruende fuer die zunehmenden Korrosionsprobleme werden die hoeheren gesetzlich geforderten Verbrennungstemperaturen (17. BImSchV), die hoeheren Heizwerte ...
The analyses were carried out using real climate data for the years 1987 and 1989. The course of the indoor climate for year-round free ventilation with a constant flow volume is discussed. Numerous diagrams inform on ambient temperature, water vapour content, the condition of space air, and temperature drops below dew point. For the event of heating of the central part of the church, space air condition, the annual air humidification requirement, and the temperature field in this part of the building are described. (MSK) [Deutsch] Die Untersuchungen wurden mit aktuellen Klimadaten fuer die Jahre 1987 und 1989 durchgefuehrt. Der Verlauf des Raumklimas bei ganzjaehrig freier Klimatisierung mit konstantem Foerderstrom wird erlaeutert. Dabei wird die Raumlufttemperatur, der Wasserdampfgehalt, der Raumluftzustand sowie die Taupunktunterschreitung in zahlreichen Diagrammen aufgezeigt. Weiter werden fuer den Fall ...
This paper provides some results of the research works at low pressure components of steam turbines and some construction solutions resulting in a modernisation. The problems of turbine phases for the transonic flow are analysed with respect to reducing profile and margin losses. The origin and flow of wet steam and its influence on corrosion and erosion is investigated. Inlet and outlet casing of the flow channels and transfer diffuser between second last and last phase are mentioned. (orig.) [Deutsch] Im Beitrag werden einige Ergebnisse der Forschung der Teile von ND-Teilen der Dampfturbinen angegeben, und werden irgendeine Konstruktionsloesungen, die fuer ihre Modernisierung guenstig sind, beschrieben. Kurz wird die Problematik der Turbinenstufen fuer die transsonische Stroemung analysiert, mit Hinsicht auf die Erniederung der Profil- und Randverluste. Weiter ist die ...
Purpose: In an experimental study, the correlation between the trabecular bone density of the different regions of the proximal femur and the fracture load in the setting of femoral neck fractures was examined. Methods: The bone mineral density 41 random proximal human femora was estimated by single-energy quanitative CT (SE-QCT). The trabecular bone density was measured at the greatest possible extracortical volume at midcapital, midneck and intertrochanteric level and in the 1 cm{sup 3} volumes of the centres of these regions in a standardised 10 mm thick slice in the middle of the femoral neck axis (in mg/ml Ca-hydroxyl apatite). The proximal femora were then isolated and mounted on a compression/bending device under two-legged stand conditions and loaded up to the point when a femoral neck fracture occurred. Results: Statistical analysis revealed a linear correlation between the trabecular bone density and the fracture load for the greater regions, with the highest value in the ...
In this book the notion of time in classical physics and relativity theory is discussed. After a criticism of the absolute time some alternative measures of time in mechanics are considered. Thereafter the problem of equal time at different points of the space as well as the time in different inertial systems are considered. In this framework the clock paradox is discussed. Then the Lorentz transformation is considered. Thereafter the reconstruction of the absolute time in relativity theory is described. Finally the notion of time in general relativity theory is considered.
The comprehensive survey explains the indications and the specific value of the modern tomographic modalities with respect to the various diagnostic issues. Numerous reproductions of CT, MRI, US scans illustrate the aspects discussed. (orig./CB) [German] Bildgebende Verfahren kommen bei der Abklaerung von Erkrankungen des weiblichen Urogenitaltrakts ergaenzend zu der klinischen Untersuchung zur Anwendung. Kongenitale Uterusanomalien werden primaer mit der HSG oder der Laparoskopie diagnostiziert. Zusaetzlich koennen der transvaginale US und in unklaren Faellen die MRT eingesetzt werden. Die Diagnose entzuendlicher Erkrankungen des weiblichen Genitaltrakts erfolgt in der Regel klinisch. Schnittbildverfahren werden bei therapieresistenten, komplizierten Faellen angewendet. Initial werden benigne Neoplasien des Uterus mit dem transvaginalen US abgeklaert. Eine ...
In an effort to accelerate deployment of Distributed Energy Resources (DER) such as wind, solar, and conventional backup generators to our nation's electrical grid, Northern Power Systems (NPS), the California Energy Commission (CEC), and the National Renewable Energy Laboratory (NREL) collaborated to create a prototype universal interconnect device called the DER Switch.
The author cites the example of Gelsenkirchen in order to illustrate the measures taken in the field of power supply with regard to air pollution abatement. (orig.) [Deutsch] Der Verfasser gibt am Beispiel der Stadt Gelsenkirchen einen Ueberblick darueber, was hinsichtlich des Klimaschutzes - und zwar bezogen auf die Energieversorgung - in den letzten Jahren in Gelsenkirchen getan wurde. (orig.)
A singular stress field can occur at the edge of the joint plane in a thermally or mechanically loaded material compound. This stress field was calculated analytically and was compared with the results from the finite element method. If one of the two partners consists of ceramic material, unstable crack spread starting from faults in this strongly stressed area can lead to failure. In linear elastic material, the behaviour of a crack is clearly described by the stress intensity factors. These can be calculated for a known stress distribution in the uncracked structure by the method of the weight function. The corresponding weight functions for surface cracks parallel to the boundary surface were determined with the aid of suitable reference load cases. The effect of the position of the crack in the compound and the elastic constants of the compound are discussed. For examples, the stress intensity factors for cracks in a thermally stressed material compound were determined by the ...
Lung cancer staging according to the TNM system is based on morphological assessment of the primary cancer, lymph nodes and metastases. All aspects of this important oncological classification are measurable with MRI. Pulmonary nodules can be detected at the clinically relevant size of 4-5 mm in diameter. The extent of mediastinal, hilar and supraclavicular lymph node affection can be assessed at the same time. The predominant metastatic spread to the adrenal glands and spine can be detected in coronal orientation during dedicated MRI of the lungs. Search focused whole body MRI completes the staging. Various additional MR imaging techniques provide further functional and clinically relevant information during a single examination. In the oncological context the most important techniques are imaging of perfusion and tumor motion. Functional MRI of the lungs complements the pure staging and improves surgical approaches and radiotherapy planning. (orig.) [German] Das Staging des ...
Faserbewehrter Beton wird heute zunehmend auch bei Tunnelbauwerken (Tunnelinnenschalen, Tubbinge) eingesetzt. Wesentliche Vorteile sind das hohe Tragvermogen, das daraus entstehende Einsparungspotential an herkommlicher stabformiger Bewehrung (Biegebewehrung, Bugelbewehrung in der Randzone), die Aufnahme von Spaltzugbeanspruchungen durch die Fasern, Rissbreitenbegrenzung, erhohte Dauerhaftigkeit, verbesserter Brandwiderstand (insbesondere bei Verwendung von Kunststofffasern), Optimierung der Arbeitsablaufe etc. Neue Entwicklungen in der Betontechnologie haben in den letzten Jahrzehnten den faserbewehrten ultrahochfesten Beton (engl. UHPFRC - Ultra High Performance Fibre Reinforced Concrete) hervorgebracht. Im Rahmen dieser Arbeit wird der Einsatz des ultrahochfesten, stahlfaserbewehrten Be...
Coordination chemistry on transition metal chalcogenides offer better conditions for multielectron charge transfer processes on solid/electrolyte interfaces. In this contribution, materials whose band energies are derived from d-states of the transition metal will be shown. Problems related to the reactivity, stability and photoactivity toward the generation and conversion of fuels will also be discussed. (orig.) [Deutsch] Die an halbleitenden Uebergangsmetall-Elektroden beobachtete Koordinationschemie bietet guenstige Voraussetzungen fuer den Mehrelektronen-Transfer an der Festkoerper/Elektrolyt Grenzflaeche. Beispielhaft werden in diesem Beitrag Elektrodenmaterialien vorgestellt, deren Energiebaender sich von d-Zustaenden der Uebergangsmetalle herleiten. Diskutiert werden Probleme der Reaktivitaet, der Stabilitaet und der Photoaktivitaet im Hinblick auf die Erzeugung und Umsetzung ...
Zusammenfassung Das Konzept der ?quivalenten Spannung (Vergleichsspannung) wird seit langem angewendet und hat sich bew?hrt. Ein wesentlicher Grund daf?r liegt darin, dass es u.?a. bei der Formulierung ph?nomenologischer Werkstoffmodelle weiterhilft. Von Nachteil ist, dass es weder mit physikalischen Prinzipien in Verbindung steht, noch Informationen ?ber die Mikrostruktur des Werkstoffs enth?lt. Trotzdem wurden zahlreiche Hypothesen zur Formulierung von ?quivalenten Spannungen in der Vergangenheit aufgestellt und in der Praxis mit unterschiedlichem Erfolg angewendet. Als Basis f?r die Systematisierung der zahlreichen Modelle hat Yu die Unified Strength Theory (UST) vorgeschlagen. Diese eignet sich, u.?a. inkompressibles inelastisches Materialverhalten sowie kompressible Werkstoffe mit unt...
The early diagnosis of such disorders is of major importance because, in most cases, severe consequences can only be averted by early treatment. The value of magnetic resonance imaging (MRI) in many orthopaedic and traumatological conditions is generally accepted. The value of MRI in this particular field is illustrated by typical case reports on common clinical problems [Deutsch] Der Fruehdiagnose von Erkrankungen des Kindes- und Jugendalters kommt grosse Bedeutung zu, da oftmals nur durch eine daraus resultierende Fruehbehandlung schwerwiegende Folgen vermieden werden koennen. Die Kernspintomographie (Magnetresonanztomographie=MRT) ist in zahlreichen orthopaedischen-traumatologischen Fragestellungen bereits etabliert. An ausgewaehlten Fallbeispielen haeufiger klinischer Problemstellungen soll in der vorliegenden Arbeit der Stellenwert der MRT dargestellt werden. (orig.)
The ARE progress report discusses the following issues: Economic development and its effects on power supply; Deregulation of the electricity and gas market; Competition between regional utilities; Energy policy of the new German government; European regulations; Legislation on energy supply; Energy supply and cartel law; Regional supply in the East German states. [German] Der Taetigkeitsbericht der ARE befasst sich mit folgenden Themen: Gesamtwirtschaftliche Entwicklung und ihre Auswirkung auf die Energiewirtschaft, Oeffnung des Monopoles fuer Strom und Gas, Wettbewerb der regionalen Energieversorger, Energiepolitik der neuen Bundesregierung, Europaeische Richtlininen, energiewirtschaftsrecht, Versorgungswirtschaft und Kartellrecht und der Regionalversorgung in den neuen Bundeslaendern.
Early in 1988 RWE decided to overhaul the power station at Goldenberg. This was necessary due to the age of the plant, the obligation to supply heat and process steam and recent amendments of environmental legislation. After analysing demands and needs one developed a plant concept with a 290 t/h and a 400 t/h steam generator. Due to lack of space the decision was made in favour of a circulating atmospheric fluidised bed combustion instead of steam generators with pulverised lignite combustion as these steam generators take up much more space due to the legally required desulphurisation plants for gaseous emissions. Apart from generating steam RWE wishes to gain experience with this combustion technology and test it for suitability and use in large-scale plant. (orig./KO) [Deutsch] Aufgrund des fortgeschrittenen Alters, der aktuellen Umweltschutzgesetzgebung sowie bestehender Versorgungsverpflichtungen fuer Waerme und Prozessdampf wurde Anfang 1988 von ...
The evaluation of possible manufacture-based defects in turbine shafts and housings for component serviceability relevance is of particular interest not only in post-manufacturing NDT but also in evaluation of NDT results obtained by in-service inspections of components with long service lives. The results discussed in the paper are summarized as follows: Most of the examined natural defects in the forgings and castings behave like cracks under the simulated operating conditions and hence may well be evaluated by fracture mechanical methods for their serviceability relevance determined by crack propagation under fatigue, creep and creep-fatigue stress. The empirical correlation of true defect size and US testing results (echo signal, echodynamics, attenuation) permits improved determination of true defect sizes in the turbine components. Care has to be taken to select the proper testing and evaluation methods in compliance with defect types. (orig./MM) [Deutsch] Die ...
We reported three cases of acute intracranial tuberculosis including miliary tuberculosis, basal meningitis, tuberculomas and neuritis of cranial nerves. All patients had native and contrast enhanced CT and MRI scans. MRI revealed more granulomas and a better imaging contrast in the detection of basal meningitis. Neuritis was diagnosed only with the MRI. MRI scans should be prefered as the imaging procedure in clinically presumed intracranial tuberculosis. (orig.) [Deutsch] Die Befunde von drei Patienten mit intrakranieller Tuberkulose (intrakranielle Miliartuberkulose, Meningitis tuberculosa, Neuritis und Tuberkulome) in der Magnetresonanztomographie (MRT) wurden mit der Computertomographie (CT) verglichen. Sowohl die MRT als auch die CT wurden nativ und nach Kontrastmittelgabe durchgefuehrt. Die MRT zeigte sich im Nachweis von Granulomen insbesondere im Bereich des Hirnstamms ueberlegen. Ebenso wurde ein hoeherer Bildkontrast bei ...
The failure rate of dashpots has been determined on the basis of the results of annually recurring function tests on hydraulic dashpots, in order to determine the effects of longer test cycles on the safety of systems GKN I and GKN II. The use of a calculation method made it possible to establish the number of defective dashpots in the system as a whole. A subsequent investigation illustrated the way in which this figure changes when the test interval is increased from four to ten years, and the effects of this on system safety. (orig.) [Deutsch] Zur Ermittlung der Auswirkungen verlaengerter Pruefzyklen auf die Sicherheit der Anlagen GKN I und GKN II wurde, basierend auf Ergebnisse der jaehrlichen Funktionspruefung an hydraulischen Stossbremsen, die Fehlerrate der Stossbremsen bestimmt. Mit Hilfe eines Berechnungsverfahrens konnte die Anzahl maengelbehafteter Stossbremsen in der ...
The pilot project of the conversion of the green forage drying plant Lengenfeld to biomass firing could not be realized without problems. But the experience until now shows that it is in principle possible. The farmers involved are devoted to the project. For them the cultivation of biomass is an alternative to the abandonment of fields. The present low oil price sets limits to the positive income effect. The aim is an increase of the biomass share in heating energy supply to about 80%. (orig.) [Deutsch] Die Umstellung der Gruenfuttertrocknung Lengenfeld auf Biomassefeuerung ist als Pilotprojekt nicht ohne Probleme moeglich gewesen. Die bisherigen Erfahrungen zeigen jedoch die grundsaetzliche Praktikabilitaet. Die beteiligten Landwirte sind engagiert bei der Sache und schaetzen die Produktionsmoeglichkeit als Alternative zur Flaechenstillegung. Der derzeit niedrige Oelpreis setzt der positiven ...
The side effects of cancer therapy on normal tissues limit the success of therapy. Generation of reactive oxygen species (ROS) has been implicated for numerous chemotherapeutic agents including doxorubicin...Full Text Available
BackgroundIt remains unclear if certain antiretroviral medications, particularly abacavir, compromise response to hepatitis C virus (HCV) therapy. Such data can inform...Full Text Available
BackgroundAdolescents have been identified as a high-risk group for poor adherence to and defaulting from combination antiretroviral therapy (cART) care. However, data on outcomes...Full Text Available
A simple device is described which is used to determine treatment distance and beam direction in electron therapy employing one collimation. A technique for the production of irregular field templates and localization films is given.
ObjectivesTo investigate the effect of group cognitive behavioural therapy (CBT) for fatigue self-management, compared with groups receiving fatigue information alone, on fatigue...Full Text Available
BackgroundTo assess the relationship between improved regional and global myocardial function in patients with ischemic cardiomyopathy in response to β-blocker therapy or...Full Text Available
Current adherence assessments typically detect missed doses long after they occur. Real-time, wireless monitoring strategies for antiretroviral therapy may provide novel opportunities to proactively...Full Text Available
Epidermal growth factor receptor (EGFR) related therapies – mainly tyrosine kinase inhibitors (TKIs) such as erlotinib and gefitinib, but also monoclonal antibodies targeting EGFR, for example,...Full Text Available
BackgroundThe aim of this study was to compare and to validate different dose calculation algorithms for the use in radiation therapy of small lung lesions and to optimize the treatment...Full Text Available
BackgroundThe lack of adequate randomized clinical trials (RCT) has hindered identification of new therapies that are safe and effective for patients with primary focal segmental...Full Text Available
Adaptive radiation therapy (ART) is the incorporation of daily images in the radiotherapy treatment process so that the treatment plan can be evaluated and modified to maximize the amount of radiation...Full Text Available
Photodynamic therapy (PDT) is an established endoscopic technique for ablating Barrett’s esophagus with high-grade dysplasia or early-stage intraepithelial neoplasia. The most common clinically...Full Text Available
BackgroundArtemisinin-based combination therapy, currently considered the therapy of choice for uncomplicated Plasmodium falciparum malaria in endemic countries,...Full Text Available
Several compact proton accelerator systems for use in proton therapy have recently been proposed. Of paramount importance to the development of such an accelerator system is the maximum kinetic energy...Full Text Available
The effect of Photofrin-based photodynamic therapy (PDT) and adjuvant treatment with serum vitamin D3-binding protein-derived macrophage-activating factor (DBPMAF) was examined using a mouse SCCVII...Full Text Available
BackgroundHerpes simplex virus (HSV) suppressive therapy reduces genital and plasma HIV-1 RNA over periods up to three months but the longer-term effect is unknown.Full Text Available
Somatic cell nuclear transfer or therapeutic cloning has provided great hope for stem cell-based therapies. However therapeutic cloning has been experiencing both ethical and technical difficulties....Full Text Available
ObjectiveTo evaluate the effect of different concomitant disease modifying antirheumatic drugs (DMARDs) on the persistence with antitumour necrosis factor (anti-TNF) therapies in...Full Text Available
Suppressed IL-12 production and maladaptive immune activation, both of which are ameliorated by successful highly active antiretroviral therapy (HAART), are thought to play important roles in the immunopathogenesis...Full Text Available
Purpose: Understanding the kinetics of tumor growth∕shrinkage represents a critical step in quantitative assessment of therapeutics and realization of adaptive radiation therapy....Full Text Available
Purpose:The risks and benefits of continuing bisphosphonate therapy beyond 5 years in patients with primary osteoporosis have not been well established.Methods:We...Full Text Available
The heterogeneity of metastatic breast cancer mandates the need to select therapies taking into account tumor and patient characteristics. Chemotherapy is indicated in the palliative setting especially...Full Text Available
Some studies suggest that giving radiation therapy after surgery for hilar cholangiocarcinoma improves the survival rate; however, many of these studies did not specify numbers of subjects or provide an impartial analysis. Thus, we evaluated the effectiveness of radiation therapy as adjuvant treatment after surgery and attempted to establish appropriate adaptation standards. We reviewed the records of 69 patients who underwent surgery for hilar cholangiocarcinoma between June 1980 and April 1998. Thirty-nine patients were treated with surgery followed by radiation therapy and 30 were treated with surgery alone. The clinicopathologic features that might have influenced prognosis were similar in the patients who received radiation therapy and those who did not. Radiation as adjuvant therapy did not have a beneficial effect on overall survival (P=0.554, log-rank test); however, it ...
Multiple disease-specific systematic reviews on the effectiveness of physical therapy intervention for shoulder dysfunction have been inconclusive. To date, there have been two systematic reviews that...Full Text Available
IntroductionThe optimal dialysis dose for the treatment of acute kidney injury (AKI) is controversial. We sought to evaluate the relationship between renal replacement therapy (RRT)...Full Text Available
... and at that point she had already failed physical therapy, which someone else had prescribed, and so ... MRI, we may try a brief course of physical therapy to see if they feel better, but ...
PurposeA dosimetric comparison between multiple static-field intensity-modulated radiation therapy (IMRT), multi-arc intensity-modulated arc therapy (IMAT) and single-arc...Full Text Available
ObjectiveTo report the efficacy and safety of combined photodynamic therapy (PDT) and intravitreal bevacizumab (IVB) injection in the treatment of idiopathic polypoidal choroidal...Full Text Available
Premature circuit clotting is a major problem in daily practice of continuous renal replacement therapy (CRRT), increasing blood loss, workload, and costs. Early clotting is related to bioincompatibility,...Full Text Available
This study was an evaluation of the performance of self-applied, blue light, light-emitting diode therapy in the treatment of mild-to-moderate inflammatory acne on the face, concerning: 1) time to improvement...Full Text Available
This joint statement was developed by the CMA and the Canadian Pharmaceutical Association, a national association of pharmacists, and includes the goal of drug therapy, strategies for collaboration...Full Text Available
BackgroundPostnatal glucocorticoid therapy in premature infants diminishes chronic lung disease, but it also increases the risk of hypertension in adulthood. Since glucocorticoid...Full Text Available
Adjuvant therapy aims to prevent outgrowth of residual disease but can induce serious side effects. Weighing conflicting treatment effects and communicating this information with patients is not elementary....Full Text Available
In many radiotherapy clinics, geometric uncertainties in the delivery of 3D conformal radiation therapy and intensity modulated radiation therapy of the prostate are reduced by aligning the...Full Text Available
The proton therapy gives an irradiation adapted to the shape and the depth of tumors ( eyes, head and neck) with a millimetric, even sub millimetric precision for the ophthalmological tumors. It is equally an excellent tool for the pediatrics tumors. For numerous treatments in France the proton therapy is associated to the photons treatments (x radiation). however, others physical treatments could modulate the medical offer, such thermal therapy or treatments by ultrasonic waves. (N.C.)
An electron accelerator unit is described for electron beam therapy, comprising: a source of an electron beam; means for finally directing at least a portion of the beam to a therapy site, the directing means being mechanically independent of, and electrically isolated from, the source, and having a target area; and means for aligning the source with the directing means, the aligning means comprising means for projecting at least one beam of light from the source toward the target area.
An electron accelerator unit is described for electron beam therapy, comprising: a source of an electron beam; means for finally directing at least a portion of the beam to a therapy site, the directing means being mechanically independent of, and electrically isolated from, the source, and having a target area; and means for aligning the source with the directing means, the aligning means comprising means for projecting at least one beam of light from the source toward the target area.
The Monte Carlo transport codes LAHET and MCNP were used to calculate energy fluence spectra at three neutron therapy facilities. The results compare very favourably with measured data. Kerma spectra and the ratio of ICRU muscle tissue kerma to A-150 kerma, along the carbon to oxygen kerma ratio, were determined. Absorbed dose rate calculations are in reasonable agreement with measured values. Use of these codes to study modifications to existing therapy beams is briefly discussed. (author).
The anesthetic agents methohexital (Brevital), Innovar, and ketamine (Ketaject) were examined for their effect on seizure duration following electroconvulsive stimulation in a rat model of electroconvulsive therapy (ECT). Compared to unanesthetized control animals, methohexital anesthesia shortened seizure duration by 42%, ketamine anesthesia tended to increase seizure duration, and Innovar anesthesia had no effect on duration of seizures. PMID:7349626
Differentiating a benign from a malignant lesion by information such as density data, or signal intensities or echo gradients, is not possible with CT, nor MRI, nor ultrasonography. Only some lesions show characteristic signs. Inflammations cannot be difscriminated from malignant tumors. CTs of small tumors in particular are so poor in contrast that it is much more difficult to detect tumors or discriminate them from other lesions, as compared to MR images or ultrasonographs. CT does not detect surface tumors, but is more sensitive than MRI or US in detecting discrete cortical bone lesions. The same applies to small calcified tumors. MRI however is most sensitive in detecting tumor volumes in the yellow marrow, and is the best modality for evaluation of extraossal extension of tumors. CT yields better results than MRI if applied for simultaneous screening of lymph node metastases in the lower neck. MRI frequently is spoilt by movement artefacts. High-resolution, contrast enhanced CT ...
Functional imaging of the pharynx used to be the domain of cineradiography, CT and ultrafast CT. The development of modern MRI techniques led to new access to functional disorders of the pharynx. The aim of this study was to implement a new MRI technique to examine oropharyngeal obstructive mechanisms in patients with obstructive sleep apnea (OSA). Sixteen patients suffering from OSA and 6 healthy volunteers were examined on a 1.5 T whole-body imager (`Vision`, Siemens, Erlangen Medical Engineering, Germany) using a circular polarized head coil. Imaging was performed with 2D flash sequences in midsagittal and axial planes. Patients and volunteers were asked to breathe normally through the nose and to simulate snoring and the Mueller maneuver during magnetic resonance imaging (MRI). Prior to MRI, all patients underwent an ear, nose and throat (ENT) examination, functional fiberoptic nasopharyngoscopy and polysomnography. A temporal resolution of 6 images/s and an in-plane resolution of ...
Osteonecrosis (ON) of the hip joint remains an unsolved therapeutical problem. Diagnosis of ON of the hip has been improved by the technical progress of imaging modalities and better understanding pathomorphology. Over a long period only plain radiographs have been available. Scintigraphy and computed tomography contributed to differential diagnosis and early detection of bone necrosis. Diagnosis in an early reversible stage is of importance. Understanding of pathophysiology, early diagnosis and therapeutical approach has been significantly improved by MR imaging. Using the ARCO system all imaging modalities and their diagnostic viability are described in the five ARCO stages. At the end a diagnostic algorithm will be proposed. (orig.) [German] Die Osteonekrose des Hueftgelenks (ON) stellt noch immer ein nicht geloestes therapeutisches Problem dar. Die diagnostischen Moeglichkeiten bei der ON wurden in den letzten Jahren durch technische Fortschritte bei den ...
The position paper will provide the basis for further strategies on offshore wind power development in consideration of ecological and conservation aspects. [German] Das Positionspapier des Bundesministeriums fuer Umwelt, Naturschutz und Reaktorsicherheit (BMU) einschliesslich des Umweltbundesamtes (UBA) und des Bundesamtes fuer Naturschutz (BfN) ist Ergebnis der Arbeiten der BMU-Projektgruppe 'Windenergienutzung im Offshore-Bereich im Hinblick auf die BMU-Anliegen'. Es beschreibt den derzeitigen Stand einer Strategie zur umwelt- und naturvertraeglichen Erschliessung der Windenergienutzung auf See (Offshore). Es bildet die Grundlage fuer die Weiterentwicklung dieser Strategie und dabei insbesondere zur Abstimmung mit den Anliegen anderer Bundesressorts und den Kuestenlaendern, sowie zur intensiveren Einbeziehung beteiligter Verbaende und Fachkreise. Vor dem Hintergrund der zur ...
The spent fuel management concept of direct ultimate disposal is compatible in its fundamental features with the law of the European Community. This applies to a national law prohibiting spent fuel reprocessing and the handling of plutonium in Germany, imposing restrictions on exporting spent fuel assemblies and importing plutonium and reprocessing remnants, and on power plant operators to employ reprocessing services abroad. Also, a nuclear power phase-out decided by the German government would in principle not mean a breach of the EURATOM treaty. (orig./HP) [Deutsch] Als Alternative zur geltenden Rechtslage werden im Deutschen Rundestag Aenderungen vorgeschlagen, die das Entsorgungskonzept der direkten Endlagerung - d.h. ein Verbot der Wiederaufarbeitung von Brennelementen aus deutschen Kernkraftwerken auch im europaeischen Ausland - vorschreiben und einen ``Ausstieg`` aus der Kernenergienutzung anordnen. Vor dem ...
The ash of biomass fuels was analysed in order to identify its inorganic chemical characteristics. The experiments were carried out using different methods of extraction. The accuracy of the measurements was verified by comparative analyses using certified samples. The composition was shown to vary with the fuel type and ash fraction. In the case of arsenic and the toxic heavy metals cadmium, mercury and lead, accumulation factors of 1.4 to 43 were measured in the tissue filter ash. [German] Fuer die Bestimmung der stofflichen Eigenschaften von Biobrennstoffaschen werden neben der fuer die Ermittlung von Stoffbilanzen notwendigen Analyse der Gesamtgehalte, in Abhaengigkeit von der Zielsetzung und den gesetzlichen Vorgaben, unterschiedliche Extraktionsverfahren eingesetzt. Fuer die Gesamtgehaltsbestimmung wurden aus laborinternen Wiederholungsuntersuchungen sowie einem laborexternen Analysenvergleich ...
CNG vehicles suffer from an uncontrolled temperature rise of the gas inside the tank during the filling process and heat exchange with the environment leads to variable filling levels. A partly filled tank reduces the range of CNG vehicles and works as a impediment to the spreading of environmentaly more friendly CNG vehicles. The increase of the pressure inside the tank combined with a prolongation of the filling time beyond three minutes can reduce the deficit of the filling process. For economic reasons the time required for refuelling should be as short as possible without the need to operate the filling station with a critical pressure. To meet this target the current technique requires further improvement. (orig.) [Deutsch] Die betriebliche Praxis bei Tankvorgaengen von Erdgasfahrzeugen zeigt, dass waehrend des Tankvorganges die Temperatur des getankten Erdgases im Fahrzeugtank ansteigt. Waehrend und nach Beendigung des Tankvorganges findet ein Temperaturausgleich mit ...
For purposes of assessing the dumpability of wastes, Article 1 - Ordinance on the Environmentally Responsible Landfilling of Household Wastes (AbfAblV) - of the Ordinance on the Environmentally Responsible Landfilling of Household Wastes and Biological Waste Treatment Plants defines classificaton criteria for biologically and mechanically treated wastes destined for landfilling. The practical experiences that have been gathered with these classification criteria and values were evaluated in a questionnaire-based survey. This was done in particular for the purpose of verifying and validating proposals on the methodology of respiration and fermentation tests. A general finding has been that the application and implementation of the regulations of the AbfAblV is fraught with difficulties. This is evident for one thing in the frequency of analyses and for another in the difficulty of complying with the limit values of the classification criteria. The authors are in support of demands that ...
The patient positioning and repositioning control in radiation therapy all along the treatment can be conducted using a variety of X-ray sources and imaging detector devices. The development of image guided radiation therapy techniques leads to more frequent use of this imaging control. In this article we summarize the current methods for measuring the dose delivered by X-ray imaging devices used in radiation therapy, as well as basic proposals to take account of these imaging doses for prescribing, recording and reporting radiation therapy treatment. (authors)
AbstractBackground: So far, infliximab (IFX) therapy for the treatment of Crohn's disease (CD) has generally been guided by clinical symptoms. Data on treatment response as ascertained by endoscopy in IFX therapy are scarce. The aims of this study were to measure the endoscopic response rate during IFX induction and maintenance therapy in luminal CD, and also evaluate the role of endoscopy in monitoring IFX therapy. Methods: Data obtained from 71 patients with active luminal CD and treated with IFX were analyzed retrospectively. The endoscopy findings were scored according to mucosal activity as: 0 (remission), 1-2 (mild), 3-4 (moderate), and 5-6 (severe). A positive endoscopic response was determined by a decrease in score of at least two points and mucosal healing was assigned a score of...
Economic and safe operation of nuclear power plants requires reliable steam turbines with high efficiencies. The progress in flow mechanics achieved over the past few years has allowed the use of powerful methods of flow calculation in developments of new blading with greatly enhanced efficiencies. Thanks to the latest manufacturing techniques, the newly developed blading systems can be produced at low cost. Next to progress in flow mechanics, also the broadbased use of advanced finite-element calculations resulted in a more thorough grasp of the many problems associated with structural mechanics assessment of steam turbine components. The theoretical methods have been supplemented by comprehensive efforts in fracture mechanics and experimental materials studies, thus helping to create a reliable knowledge base which will help to avoid the dreaded stress corrosion cracking phenomenon, in components of steam turbines. The measures introduced to improve operational reliability already in ...
Purpose: A retrospective analysis was undertaken to determine the indications for, the efficacy of, and the long-term complications of two courses of total skin electron beam therapy for mycosis fungoides. Methods and Materials: A retrospective analysis of 15 patients with the pathologic diagnosis of mycosis fungoides treated in the Department of Radiation Oncology at Stanford University Medical Center between 1968 and 1990 was performed. All patients received two courses of high-dose electron beam therapy to the skin. The mean dose for the total skin treatment for the first course was 32.6 Gy and 23.4 Gy for the second course of treatment. Results: Following the first course of total skin electron beam therapy, 11 of 15 had a complete response, with a mean duration of 11.6 months. All patients received adjuvant therapies between the first and second courses of high-dose total skin electron beam ...
Little clinical evidence has been provided to show the minimization of radiation resistance of tumors using high linear energy transfer radiation. We therefore investigated the radiobiological and molecular pathological aspects of carbon beam therapy. A total of 27 patients with squamous cell carcinoma (SCC) of the cervix were treated using a carbon beam and 50 control patients with SCC of the cervix using a photon beam. The expression of Ki-67, p53, and p27 proteins before radiotherapy and 5 and 15 days after therapy initiation were investigated using immunohistochemistry. Similar changes were observed in Ki-67 labeling index (LI) and p53 LI during carbon and photon beam therapies. However, for carbon beam therapy, the mean p27 LI significantly decreased from 25.2% before treatment to 18.6% on the 5th day after treatment initiation, followed by a significant increase to 36.1% on the 15th day. In ...
Radiation therapy has had a significant and an expanded role in the management of cancer of the pancreas during the last decade. In particular, for locally advanced disease, radiation therapy has improved the median survival of patients to 1 year. Intraoperative electron beam therapy has been applied to unresectable and resectable pancreatic cancer in an attempt to enhance local control of disease and to improve patient survival. This paper presents a survey of the role of radiation therapy in treatment of cancer of the pancreas, provides information on the radiobiological aspects of this treatment modality and details the physical and dosimetric characteristics of intraoperative radiation therapy with electrons. Presented are the design specifics of an applicator system, central axis beam data, applicator parameters, dose distribution data, shielding, treatment planning and means ...
Radiation therapy has had a significant and an expanded role in the management of cancer of the pancreas during the last decade. In particular, for locally advanced disease, radiation therapy has improved the median survival of patients to 1 year. Intraoperative electron beam therapy has been applied to unresectable and resectable pancreatic cancer in an attempt to enhance local control of disease and to improve patient survival. This paper presents a survey of the role of radiation therapy in treatment of cancer of the pancreas, provides information on the radiobiological aspects of this treatment modality and details the physical and dosimetric characteristics of intraoperative radiation therapy with electrons. Presented are the design specifics of an applicator system, central axis beam data, applicator parameters, dose distribution data, shielding, treatment planning and means ...
Modern oscillation- and analysis systems are often mentioned in the context of oscillation diagnosis which implies that this is a method of establishing the causes of the mechanical changes that cause the unwanted oscillation. Experience shows, however, that oscillation monitoring instruments can merely indicate oscillation symptoms at an early point in time. These findings must be interpreted in a machine-specific way and seen in the context of previous developments in order to establish the mechanical root cause of the matter. A 1000 MVA-generator shows that conventional oscillation measuring systems may also serve for diagnostic purposes within certain limits.(orig.) [German] Im Zusammenhang mit modernen Schwingungsmess- und Analysensystemen wird haeufig der Begriff der Schwingungsdiagnose verwandt und inpliziert, damit auch die Ursache von mechanischen Veraenderungen finden zu koennen, welche das beanstandete Schwingungsverhalten ...
Rehabilitation of the abandoned uranium mining areas in Saxonia and Thuringia is a task posing also legal problems. The radiation protection laws of the former GDR continued to be effective to a great extent and proved to be a legal basis not ``perfect`` in formal terms, but suitably efficient in practice to tackle the manifold problems encountered in the land reclamation and waste disposal work. Originally intended to serve as a legal interim regime awaiting amendment at a later date, the body of laws available for the task proved to be a sufficient basis. (orig./HP) [Deutsch] Das fortgeltende Strahlenschutzrecht der frueheren DDR hat sich zwar nicht als formal `perfektes`, in der Sache aber strahlenschutzgerechtes und praktikables Instrument zur Loesung der anstehenden Sanierungsaufgaben erwiesen. Bei seiner Beurteilung darf nicht ausser Acht gelassen werden, dass die Ueberleitung dieses Rechts seinerzeit aus ...
Zusammenfassung Im Jahre 1910 f?hrte der schwedische Internist Hans-Christian Jacobaeus den ersten laparoskopischen Eingriff am Menschen in Stockholm durch. Grundlage seiner Pioniertat waren die tierexperimentellen Studien von Georg Kelling (1866?1945) aus Dresden, der im Jahre 1901 die erste Laparoskopie mittels eines Nitze-Zystoskops am Hund durchf?hrte. Jacobaeus ver?ffentlichte 1910 in der M?nchener Medizinischen Wochenschrift seine Erfahrungen mit den ersten 17 Laparoskopien unter dem Titel: ??ber die M?glichkeit die Zystoskopie bei Untersuchungen ser?ser H?hlen anzuwenden?. Hierbei nutzte er die neue Technik insbesondere zu diagnostischen Zwecken bei unklaren abdominellen Beschwerden und Funktionsst?rungen. Er war auch der Erste, der explizit auf die Gefahr der Darmverletzung bei Er?...
Chapter 1 reviews the current and projected air pollution abatement measures of the Federal Government. Chapter 2 describes the development, status, and projected measures in industrial plant safety. Chapter 3 lists the points of emphasis of noise abatement; it presents the legal fundamentals and the resulting measures of the Federal Government. Each chapters starts by summarizing the present situation and then gives an outlook on tasks to cope with in the future. (orig.). [Deutsch] Kapitel 1 befasst sich mit dem Bereich der Luftreinhaltung und beschreibt die Massnahmen der Bundesregierung, die sie im Rahmen ihrer Umweltvorsorgepolitik bisher getroffen hat und fuer die Zukunft noch geplant sind. Kapitel 2 beschreibt die Entwicklung, den derzeitigen Stand und die kuenftigen Massnahmen im Bereich der Sicherheit industrieller Anlagen. Kapitel 3 nennt die Schwerpunkte der Laermbekaempfung und stellt die ...
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.)
Since June 1990, the IMA ``CO2 Reduction`` has been working on a German air pollution abatement programme. Four reports were submitted in this period. The contribution presents the fourth of these reports. The measures taken, their state of implementation and the expected effects in 2000 and 2005 are presented in table form. (orig.) [Deutsch] Seit Juni 1990 befasst sich die Interministerielle Arbeitsgruppe ``CO2-Reduktion`` (IMA ``CO2-Reduktion``) mit dem deutschen Klimavorsorgeprogramm und hat seither vier Berichte vorgelegt. Im Folgenden werden neben der Ausgangslage und den Grundlagen fuer den 4.Bericht der IMA ``CO2-Reduktion`` die wesentlichen Inhalte des 4.IMA-Berichts dargelegt. In Tabellenform werden die einzelnen Massnahmen, ihre Art, der Umsetzungsstand sowie der erwartete Effekt in 2000 bzw. 2005 dargestellt.
The author investigates the effects of 529 mergers in the European and North American power industries between 1990 and 2002. The focus is on the effects on the capital market and the changes in the utilities' performance in successive years. It is assumed that as a rule mergers resulted in a lower value of the companies concerned. On the other hand, the target businesses appear to have obtained added value in the same period. Apart from the fight for market power, the author identifies especially financial synergies as an important motive. (orig.)
Minimally invasive thermotherapies for focal tissue destruction on the basis of laser-, microwave-, focused ultrasound-, or cryogeninduced changes of tissue temperature represent an alternative to surgical tissue ablation, particularly in the treatment of tumors. The thermotherapy modalities listed necessitate indirect guidance and monitoring, since they often do not lend themselves to immediate visual control. In the brain, in head and neck tumors, in the liver, and in the prostate, MRI reliably and accurately delineates both the positions of interstitial thermotherapy applicators and - in contrast-enhanced, T1-weighted images - the perfusion defects in tissue necrosis induced by thermotherapy. The transfer of results of in-vitro and in-vivo model studies to assess interstitial temperature and lesion development during thermotherapy to the actual treatment of patients, however, is still in an initial phase. Further development of both rapid MRI sequences and MRI scanners suited for ...
In technical combustors, flow and combustion processes inside the combustion chamber determine the design and also the safety of the plant. A modelling technique was developed at TU Dresden which comprises both numerical simulations and experimental data and thus achieves a high degree of transparency in its visualisation of the processes inside the combustion chambers under investigation. With the experience gained, numerical models of commercial simulation software (FLUENT, CFX) can be validated by measured values, and potential applications of the programs can be investigated. The first stage of experimental modelling consisted in isothermal (cold) modelling in consideration of flow-relevant similarity characteristics. In the reactive, non-isothermal models, the fuel/air ratio and temperature conditions inside the original combustion chamber were modelled as well. In order to obtain detailed data on the combustion conditions at the burner, measurements were made on a separate ...
Vol. 4 comprises 23 papers on the following subjects: General aspects (effects in the human/environment systeme); Trends in space HVAC engineering; Heating systems engineering; Air quality and thermal comfort. [German] Der Tagungsband 4 enthaelt 23 Aufsaetze. Sie sind in die folgenden vier Themen-Bloecke aufgeteilt: Allgemeines (Wirkungen in der wahrgenommenen Wirkungssystem: Mensch-Umwelt); Entwicklungen in der Raumlufttechnik; Heizungstechnik; Luftqualitaet und Behaglichkeit. (AKF)
The isothermal flow field for the axial cyclone has been experimentally determined. The velocity fields are used for determination particle paths (particle removal and suspended state), and inter alia of heat and mass transfer processes in the axial cyclone combustion chamber. The results are extremely significant as input value approximations for mathematical modelling, since experimentally obtained results are indispensable for complex flows and geometries. (orig.) [Deutsch] Es ist fuer den Axialzyklon experimentell das isotherme Stroemungsfeld ermittelt. Die Geschwindigkeitsfelder dienen zur Ermittlung der Partikelbahnen (Partikelabscheidung, Schwebebedingung), der Waerme- und Stoffuebertragungsprozesse u.a. in der Axialzyklonbrennkammer. Die Ergebnisse sind als Startwertnaeherung bei einer mathematischen Modellierung sehr wichtig, da bei komplexen Stroemungen und Geometrien versuchstechnische Ergebnisse unumgaenglich ...
The situation of natural gas in the Federal Republic of Germany is described, with particular emphasis on the advantages and consequences of natural gas supply. The brochure discusses the role of natural gas on the energy market, the reliability of natural gas supply, the environmental impacts, the energy-saving effect of natural gas, natural gas prices, the competitive strength of the German gas industry, and the long-term reliability of natural gas supply. (orig.) [German] Die Situation des Erdgases in der Bundesrepublik Deutschland wird beschrieben, wobei die wichtigsten Vorteile und Auswirkungen der Erdgasversorgung besonders hervorgehoben werden. Es geht um die Stellung des Erdgases im Energiemarkt, die Sicherheit der Energieversorgung, Umweltschutz, Energieeinsparung durch Erdgaseinsatz, Erdgaspreise, Leistungsfaehigkeit der deutschen Gaswirtschaft und um die langfristig gesicherte ...
The contribution attempts a definition of the concepts of ``technical facilities`` and ``facility management``. [Deutsch] Um mit der Ueberschrift zu beginnen: Was ist Gebaeudetechnik? Die Antwort ist nicht ganz einfach. An der TU Berlin gibt es einen Ingenieur-Studiengang mit dieser Bezeichnung. Es hat etwas mit dem Gebaeude, aber nicht viel mit Architektur zu tun, wie manchmal faelschlich angenommen wird. Um solche Missverstaendnisse gar nicht erst aufkommen zu lassen, hat sich die Gruppe des Vereins Deutscher Ingenieure, die sich mit der Gebaeudetechnik beschaeftigt, als `VDI-Gesellschaft Technische Gebaeudeausruestung` bezeichnet. (orig.)
So far, publications in turbomachinery engineering have tended to neglect the description of control systems and strategies which could be converted into practical guidelines for turbine operation. The contribution describes the power station turbine as a basis for modelling the control stage. The solutions will serve as a basis for further type-specific investigations of the problem. [German] Eine vornehmlich regelungstechnisch ausgerichtete Beschreibung des thermodynamisch-mechanischen Wirkungsgeschehens im Bereich der Regelstufe von Dampfturbinen sowie deren Umsetzung in schluessige, betriebsrelevante Aussagen fehlen bislang in der Turbomaschinenliteratur. Im Beitrag werden am Beispiel der Kraftwerksturbine die Grundlagen fuer eine modelltechnische Nachbildung der Regelstufe entwickelt. Die Loesungen dienen als Ausgangsbasis fuer weitere typenspezifische Bearbeitungen dieses Problems. (orig.)
The laser grooved buried grid (LGBG) cell was developed at the University of New South Wales, Australia. The enormous advantage of the Saturn technology is the simple formation of a selective emitter via two step diffusion, which is optimised on the surface for the charge carrier generation and under the metal grid for contact formation. The reflection losses due to shading are simultaneously minimised by the installation of the contacts at right angles in the wafer surface. Due to the increased infeed compensation, particularly the compensation covering the costs, the economic importance of the energy yield of a PV plant is growing. Ultimately, it is not just the installed output (KWp) that matters to the customer, but increasingly the specific yield (kWh/kWp). An increased energy yield with optimally matched components with the Saturn technology means high annual compensation, which in turn shortens the amortisation period. [Deutsch] Die LGBG-Zelle wurde an der ...
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 ...
Recurrent variceal bleeding due to liver cirrhosis led to treatment with a transjugular intrahepatic portosystemic shunt (TIPS) in a pregnant woman at 20 weeks` gestation. Fetal radiation exposure was estimated to be less than 10 mSv. The use of a graduated catheter allowed measurement of field size and reliable determination of the patient`s entrance dose. Radiation exposure of an approximated fetal dosage of 5.2 mSv did not justify abortion for medical reasons. Therefore, TIPS procedure is not generally contraindicated during pregnancy itself. TIPS placement may be a therapeutic option related to the severity of the underlying maternal disease, after radiation exposure of the fetus has been estimated. (orig.) [Deutsch] Bei rezidivierender Oesophagusvarizenblutung auf dem Boden einer Leberzirrhose wurde bei bestehender Schwangerschaft der 20. Woche ein transjugulaerer portosystemischer Stent-Shunt (TIPS) neu angelegt. Praeinterventionell wurde die zu erwartende ...
In an extended case report, we discuss four cases with masses in the lacrimal fossa representing the most important entities in this region (lymphoma, pleomorphadenoma, inflammatory pseudotumor, and malignant epithelial tumor). The different indications for CT and MRI are explained. For the differential diagnosis of lacrimal gland lesions, the following imaging parameters are important: The shape of the lacrimal gland, the inner structure, the degree of contrast enhancement, and the surrounding bony structures. In the evaluation of the expansion of lacrimal gland lesions, CT in thin slices with multiplanar reconstructions is equal to MRI. However, the contrast-enhancement of lacrimal glands is better evaluated with MRI than with CT. The bony structures are better visualized on CT than on MRI. (orig.) [Deutsch] In einem erweiterten Fallbericht wird ueber die vier grossen Entitaeten bei Traenendruesenraumforderungen berichtet (Lymphom, pleomorphes Adenom, entzuendlicher Pseudotumor und ...
Apart from condensing the off-air condensers have a number of additional functions, which have been added more or less incidentally as development progressed. Advanced development of certain types of turbine condensers justifies the hope that these additional functions can be improved as power plants become cheaper and simpler.(orig.) [German] Kondensatoren haben neben ihrer Hauptaufgabe, der Kondensation des Turbinenabdampfes eine Reihe zusaetzlicher Funktionen, die sich z.T. im Laufe der Entwicklung eher beilaeufig ergeben haben. Der hohe Entwicklungsstand bei bestimmten Bauarten von Turbinenkondensatoren laesst die Erwartung zu, dass im Zuge der Vereinfachung und Verbilligung von Kraftwerksanlagen 'Nebenfunktionen' verbessert werden koennen. (orig.)
Zusammenfassung Hintergrund Seit 2005 finden schriftliche Anfragen und Vor-Ort-Pr?fungen durch den Medizinischen Dienst der Krankenversicherungen (MDK) statt. Diese spiegeln in ihren Ver?nderungen sowohl die Erfahrung der Kassen mit dem G-DRG-System (G-DRG German Diagnosis Related Groups) als auch der zust?ndigen ?rztlichen Mitarbeiter und des Krankenhauscontrollings wider. Wir wollten aufarbeiten, welche Entwicklung die MDK-Pr?fungen seit 2005 genommen haben. Hierf?r wurden s?mtliche Pr?fberichte seit Einf?hrung der Pr?fungen ausgewertet. Ergebnisse W?hrend anfangs haupts?chlich Fragen zur Kodier- und Dokumentationsqualit?t erfolgten, werden jetzt ?berwiegend Fehlbelegungspr?fungen durchgef?hrt. Zwischenzeitlich wurden konsequent die unterschiedlichen Klinikbereiche gepr?ft. Die Anfragen ...
Only two types of 110-kV-cables: Namely XLPE-Cables and External-Gas-Pressure-Cables will be reinstalled in the Federal Republic of Germany. XLPE-Cables have been already developed for higher voltages. An idea how the external-gas-pressure-cable could be made fit for higher voltage levels will be given in this paper. (orig.) [Deutsch] In der Bundesrepublik Deutschland werden in der Zukunft nur noch zwei Kabeltypen der 110-kV-Ebene den Kabelmarkt beherrschen, naemlich: VPE-Kabel und Gasaussendruck-Kabel. Waehrend VPE-Kabel auch fuer hoehere Spannungsebenen bereits entwickelt worden sind, wird im folgenden vorgeschlagen, wie auch das Prinzip der Gasaussendruck-Kabel zu hoeheren Spannungen hin erweitert werden kann. (orig.)
The required introduction of on board diagnosis II in the USA from the 94 models onward has led vehicle manufacturers and system suppliers to develop corresponding diagnosis processes at the beginning of the 1990`s. These systems are now in mass production for TLEV and partly for LEV requirements. Based on experience from the wide use of these functions, new knowledge has been obtained, which must be taken into account in the development of future systems. The additionally more severe emission and diagnosis requirements make further minimisation of the overall tolerances on the one hand, and a revision of the existing diagnosis algorithms necessary. In parallel with this, the Law must create the necessary outline conditions, where the requirements for the vehicle manufacturer and system suppliers must also be met. The OBD II development must therefore certainly not be regarded as complete. [Deutsch] Die in den USA ab Modelljahr `94 geforderte Einfuehrung der On ...
Shortened excerpt from the head notes: The emission limits laid down in the TA Luft concretize the scope of the measures ordered by the law to provide for protection against harmful effects on the environment. Air pollution abatement measures imposed by the competent authority as post-licensing requirements based on the BImSchG (German Federal Emission Control Act) in general are in compliance with the principle of reasonableness considering the terms allowed by the TA Luft for backfitting measures. With this decision, the court qualified the emission limits defined in the TA Luft to be substantial and legally binding standards, to be applied by the competent authorities in licensing and post-licensing administrative procedures, also in order to fulfill the intended task of concretizing the less definite concepts of law laid down in the relevant legislation. (orig./CB) [Deutsch] Verkuerzte Zitierung aus den Leitsaetzen: Die in der TA Luft aufgestellten ...
Knowledge, assessment and understanding of phenomena caused by ageing, together with systematic utilization and extension of the technical life-time of components and systems, are of critical importance to the safety and economy of electricity generation in nuclear power stations. Economic use can be optimized by integrated ageing and life-time management; it can also be used to improve performance characteristics. (orig.) [Deutsch] Fuer die Sicherheit und Wirtschaftlichkeit der Stromerzeugung in Kernkraftwerken sind die Kenntnis, Bewertung und Beherrschung alterungsbedingter Phaenomene und systematische Ausnutzung bzw. Verlaengerung der technischen Lebensdauer der Komponenten und Systeme von zentraler Bedeutung. Durch ganzheitliches Alterungs- und Lebensdauermanagement, das auch auf die Verbesserung von Leistungsmerkmalen abzielt, kann der wirtschaftliche Nutzen optimiert werden. (orig.)
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) ...
From autumn this year, the FRJ-2 of the Research Center Juelich will be supplying molybdenum targets to the Institut National des Radioelements in Fleurus, Belgium - which deals in medical radio-isotopes worldwide - thus helping to meet the need for technetium-99, which is used in the medical profession for diagnostic purposes because of its favourable radiological characteristics. Technetium-99 is formed as a result of the radioactive decay of molybdenum-99. For many years now, molybdenum has been produced by the irradiation of uranium in research reactors, so that the initiation of molybdenum production in the FRJ-2 is not especially new. What is unusual, however, are the particular peripheral conditions which result from the combination of the irradiation requirements, a predetermined target design and the technical characteristics of the reactor and which necessitated special solutions. This applies especially to the handling of the targets after irradiation, which is much more ...
Atomization of liquid fuel in aircraft engines requires application of airblast atomizers, where the kerosene is supplied into the shear layer between two swirling airstreams. The transfer of this functional principle towards gaseous fuel, as illustrated in Fig. 1, yielded a strong influence of the swirl arrangement of the airflows on flame stability and homogeneity of the fuel/air-mixture. Compared to the co-swirl configuration the flow field of the counter-swirl arrangement exhibits a marked increase of the mass flow recirculated in the internal recirculation zone and a reduction of its length in axial direction. This is attributed to the faster decay of tangential velocity maxima in case of counter-rotating airflows. This generates a stronger positive axial pressure gradient dp/dx, thus enhancing the internal recirculation zone. Analysis of local turbulence quantities yields a restriction of turbulent exchange to smaller radial sections and lower maximum values in the jet dominated ...
Characterisation of the classification of brain tumours authorised by the WHO. Method of appraisal: This classification was revised and published in its second version. In the revision, some tumours were regrouped histogenetically and some tumour variants were added. Radiologically relevant changes of the classification include the differentiation of four new tumour entities that are easily distinguished by MR imaging. These four tumours belong to the group of childhood tumours or tumours occurring in early adulthood and are characterized by a good prognosis after extirpation. Results of appraisal: Central neurocytomas are small-cyst ventricular tumours associated with the foramen of Monroi and show moderate contrast enhancement. Infantile desmoplastic gangliogliomas/astrocytomas commonly consist of a solid tumour portion related to the leptomeninges with pronounced contrast enhancement and a typically very large cyst. Pleomorphic xanthostrocytomas are circumscribed cortical tumours ...
In the year 1996 the spheres of competence of several DLR-Institutes working in the areas of fluid dynamics, reaction kinetics, combustion, numerical methods and laser measuring techniques have been brought together while contributing to the internal DLR project 'combustion chamber modelling (BKM)', in order to proceed with the computational simulation of combustion processes in combustion chambers of gas turbines. The main issue was the development of a research code for numerical simulation of fluid flow in real combustion chambers. Here the development of computational models of physical and chemical processes was emphasized, among other processes the formation of soot was treated. Moreover, a worldwide outstanding database of measured data for the purpose of code validation has been created within the framework of the BKM project using the laboratory facilities of the DLR, which are in Germany unique for the experimental investigation of the various processes in ...
This contribution provides an overview and imparts basic knowledge on pertinent technical developments in magnetic resonance imaging (MRI) of the liver: 3D sequences, respiratory triggering, parallel imaging, and 3 Tesla (3T). 3D sequences can be used as T1-weighted (T1w) sequences for analyzing dynamics of contrast enhancement or as T2w sequences for MR cholangiography. Consistent improvements in respiratory triggering make it possible to obtain good image quality on T2w scans even in patients unable to hold their breath. Parallel imaging as a universal technique to accelerate image acquisition is particularly appropriate for MRI of the liver, and it has been shown that the reduced acquisition time is not achieved at the expense of image quality. Further progress in MRI of the liver can be expected with use of the 3T systems, but hitherto irrelevant problems must still be solved. Overall the innovations presented here, applied alone or in combination, facilitate rapid, robust, and ...
Purpose: To determine the value of MRI in the postoperativ evaluation of a singular ventricle compared to echocardiography and cardiac catheterization. Materials and methods: Thirty-one patients (range: 6 months to 30 years) with a functional single ventricle following palliative corrective operations. Five patients had a Blalock-Taussig-Shunt, 8 patients a Glenn-Anastomosis and 18 a cavopulmonary shunt (6 with classic Fontan-Circulation, 12 with modified cavopulmonary anastomosis). The results in terms of postoperative morphologic changes were compared to percutaneous echocardiography (31/31) and cardiac catheterization (6/31). Results: Echocardiography, which was performed on all patients, could not visualize the entire length of the tunnel, the Glenn-Anastomosis or the central pulmonary arteries in 70% of the patients due to an inadequate acoustic window. MRI was able to show the entire tunnel in 11/12 patients and the central pulmonary arteries in 30/31 patients. The exact anatomy ...
The brochure reports on the construction and method of operation of heat pumps: - Efficiency and temperature difference - output figure - circuit processes - saving of primary energy - monovalent and bivalent plants - absorber, earth collectors - heat recovery. (HW) [Deutsch] Die Broschuere berichtet ueber den Aufbau und die Wirkungsweise von Waermepumpen: - Wirkungsgrad und Temperaturdifferenz - Leistungszahl - Kreisprozesse - Einsparung von Primaerenergie - monovalente und bivalente Anlagen - Absorber, Erdkollektoren - Waermerueckgewinnung. (HW)
Many features from the background for an intensified application of fracture mechanics concepts in many industries world-wide. These include requirements for a permanent increase of the level of performance of technical components and structures by the introduction of new materials, joining technologies and design principles, the problem of ageing components and life extension, an increased emphasis on non-destructive in-service inspection combined with improved NDT techniques, and also a number of failure events caused by fatigue and fracture The aim of the present paper is to give a brief state-of-the-art review on how fracture mechanics is applied in different industrial branches today. This is based on standards and guidelines in the aerospace industry, in the nuclear and fossil power generation, in the chemical and petrochemical and the pipeline industry, in civil engineering, offshore technique and other fields. Based on the review an outlook is given on a future development that ...
The high-strength and ultra high-strength steels developed and produced by Thyssen Krupp Stahl make a major contribution to automotive lightweighting. Proven and newly-developed coatings are used to meet increasingly important corrosion protection requirements. Design for materials, optimized forming and joining processes and the use of modern simulation techniques help to exploit the potential of the new steels. Future development work will focus on reducing the density of steels without compromising their well-known advantages - in particular their strength. The use of high-strength and ultra high-strength steels in the automotive industry is on the increase. Steel will remain the material of choice for auto manufacture, above all due to its potential for cost-efficient lightweight construction and its full recyclability. (orig.) [German] Einen wesentlichen Beitrag zum Leichtbau im Automobil leisten die von Thyssen Krupp Stahl entwickelten und hergestellten hoeher- und hoechstfesten ...
The presented paper describes the formulation of the fractional mass balances which are used to calculate the concentration and size distribution of char in the balance cells of a circulating fluidized bed boiler. In case of using the shrinking core model additionally the distribution of conversion of the char particles is calculated. Basically two reaction models (a shrinking particle and a shrinking core model) are available to describe the combustion process. The model considers all essential physico/chemical phenomena (primary fragmentation, attrition, mass transfer to gas phase) which have to be taken into account for the description of the combustion process. The model is part of an overall simulation program for circulating fluidized bed boilers. This engineering simulator has been developed to return the main performance parameters of such systems like temperature along the furnace height, size distribution of balanced solid components, heat flows at the different heat ...
Experts tend to disagree about the economic effects of air pollution abatement measures. This book, which addresses also non-experts, explains the analytical background on the basis of available data. The authors conclude that there is a wide range of political options for achieving the goal of air pollution abatement. They differentiate between the various levels of discussion and show how misinterpretations of scientific results come about, thus making an important contribution to a discussion that is based on facts rather than emotions. [German] Die Einschaetzungen zur wirtschaftlichen Bewertung von Klimaschutzmassnahmen, insbesondere zur Steigerung der Energieeffizienz, sind sehr widerspruechlich. Dieses Buch erlaeutert anhand von Zahlenmaterial die analytischen Hintergruende und ist auch fuer Nicht-Oekonomen verstaendlich geschrieben. Die Autoren kommen zu dem Schluss, dass in vielen Bereichen rentable Energiesparpotentiale nicht erkannt und umgesetzt werden. ...
Between October 1990 and March 1991, 8 patients with cystic lesions in the region of the posterior bladder wall, the seminal vesicles and the prostate were examined by MRI. In all cases there was accurate characterisation of the lesion and of its anatomy. In 3 patients with abnormalities in the retrovesical space there was very good agreement with the operative findings. 4 patients were treated conservatively. In these patients there was good agreement with the findings on cystoscopy, CT and sonography. (orig.).
For over 50 years, electron beams have been an important modality for providing an accurate dose of radiation to superficial cancers and disease and for limiting the dose to underlying normal tissues and structures. This review looks at many of the important contributions of physics and dosimetry to the development and utilization of electron beam therapy, including electron treatment machines, dose specification and calibration, dose measurement, electron transport calculations, treatment and treatment-planning tools, and clinical utilization, including special procedures. Also, future changes in the practice of electron therapy resulting from challenges to its utilization and from potential future technology are discussed. (review)
Electron beam therapy has often been used for radiation therapy of carcinomas of the buccal mucosa, though side effects, including stomatitis and dermatitis, are known to exist. We experimented using the additional back scatter and transit with the phantom under a lead plate within the irradiation field, in order to better focus the dose on the target volume moreover, we fabricated a mouthpiece fitted with a lead plate shaped to the target volume, and with respect to the influence of the mouthpiece on stomatitis and dermatitis, obtained good clinical results. (author).
Electron beam therapy has often been used for radiation therapy of carcinomas of the buccal mucosa, though side effects, including stomatitis and dermatitis, are known to exist. We experimented using the additional back scatter and transit with the phantom under a lead plate within the irradiation field, in order to better focus the dose on the target volume moreover, we fabricated a mouthpiece fitted with a lead plate shaped to the target volume, and with respect to the influence of the mouthpiece on stomatitis and dermatitis, obtained good clinical results. (author).
Conformal radiation therapy represents a considerable and attractive challenge in oncology. Its aim is mainly to improve local control by increasing the dose with an acceptable rate of complications. This work overviews the world literature on this subject. The technical and theoretical requirements are highlighted. These requirements include a precise definition of the target volume by digital imaging (essentially CT scan), but also clear view of the target volume and the organs at risk, a specific collimation of the beam, 3-D dose calculations, optimization procedures, and a rigid immobilization of the patient with verification of his position. Moreover, the clinical applications of conformal radiation therapy are reviewed and discussed. (authors). 80 refs., 1 tab.
Prostate cancer can be successfully treated using dynamic adaptive external beam radiation techniques along with interstitial brachytherapy to deliver curative therapies with low urinary, rectal and erectile function morbidity. Through the use of sophisticated, state-of-the art radiographic imaging for staging and treatment planning, a precise, individual design for treatment is accomplished. Symptom management and patient education are of paramount importance and are integrated throughout the treatment process.
Purpose: The nint version of the licensing regulation for medical doctors (Approbation Regulation (AR)) sets a benchmark in terms of practical experience, interdigitation of preclinical and clinical studies, interdisciplinary approach, economic efficiency, independence of students, added new teaching and learning modalities, and ongoing evaluation of the progress of the medical students. It is the aim to implement these major points of the AR in a model course for diagnostic radiology and radiation protection within the scope of the Virtual University of Bavaria and test them in practice. Materials and Methods: In cooperation with residents and board certified radiologists, students developed the virtual course 'Web-Based Training (WBT) Radiology' in diagnostic radiology and radiation protection for students in the first clinical semester. A representative target group taken from the student body was asked about the options to get access to the World Wide Web ...
MRI provides a non-invasive diagnostic tool complementing echocardiography on one hand, and showing advantages over echocardiography, on the other hand, especially after corrective procedures. The multiple different MRI sequences need to be adapted to examinations of children and patients with congenital heart disease (CHD), and can be used to detect morphologic changes, blood-flow in the heart and thoracic vessels and diastolic or systolic function of myocardium. Several factors determine the success of the examination of a complex congenital heart disease or a postoperative situs. Pediatric radiologists and radiologists experienced in congenital heart diseases have to work in close cooperation. Echocardiography should be performed before MRI. The results of prior examinations and the clinical history of the patients, including possible palliative or reconstructive operations, must be available before MRI to guide the planning of the examination. With a systematic segmental approach ...
The further optimisation and improvement of the efficiency of internal combustion engines require the realisation of new technologies leading to a distinctively faster warm-up behaviour of the coolant and lubricants as well as of the engine components after a cold start. In order to achieve reduced fuel consumption and exhaust gas emissions with the help of heat management, the design criteria of innovative cooling systems need to be reflected and adapted to future requirements. The use of intelligent components within the cooling system, such as the 'Stand Alone Rotary Valve' as a thermostat's substitute or the use of coolant pumps with a rotary valve integrated into the pump's inlet chamber, offer new ways to realise in a decisively quicker and more flexible way the appropriate heating up and cooling down procedures at varying driving conditions. A description of both of the intelligent components for the cooling system is given in this paper. The ...
Purpose: The aim of this study was to evaluate the accuracy of MRI in the measurement of cartilage thickness of the ankle joint in comparison to pathologic and histologic specimens. Patients and methods: The ankle joints of four fresh cadaver feet were imaged on a 1.5 T MR-unit in the coronal plane. Standard T{sub 1}-weighted spin echo (SE) and a T{sub 1}-weighted 3D-GE (FLASH-3D) sequence with fat saturation were applied. Following MR imaging, the talus was explanted and cut parallel to the MR images for macroscopic evaluation and histologic specimens were prepared. MRI measurements of the cartilage thickness of the talus were carried out in two ways: Without and with consideration of a transition zone of intermediate signal intensity between hyperintense cartilage and hypointense cortical bone. The data were compared with the anatomic specimens as the gold standard expressing the difference as a percentage value. On histologic specimens thickness of deep calcified cartilage layer was ...
The author discusses the implementation in Germany of the EC Directive on Environmental Impact Statements in the light of the legal tradition and concepts of law in Germany, especially in the context of the nuclear licensing procedure. His analysis reveals some legal provisions and legal concepts in existing German law that will have to be ``sacrificed`` in order to do justice to the European Union, as in the formation of the body of EC law governing environmental issues, the Anglo-Saxon approach to regulatory law has been the prevailing line of orientation (the EU ecological audit being an example). On the whole, however, the implementation of the EU Directive will not lead to substantial changes beyond procedural modifications. (HP) [Deutsch] Der Autor diskutiert die Umsetzung der EG-Richtlinien in deutsche Rechtstraditionen und -vorstellungen, besonders beim atomrechtlichen Genehmigungsverfahren. Dabei seien Abstriche an deutsche ...
In this study, the bend properties of the single-crystalline molybdenum brazed by using Mo-40%Ru alloys containing boron of 1-6 mass%Ru alloy for the improvement of the joint strength was determined. (orig.) [Deutsch] Durchgefuehrt wurde die Herstellung von Verbindungen aus einkristallinem Molybdaen. Hierbei kamen Mo-40%Ru-Legierungen mit 1 bis 6 Gew.-% Bor als Lotmaterialien zum Einsatz. Festigkeit und Duktilitaet der Verbindungen wurden mittels 3-Punkt-Biegepruefung bei Raumtemperatur und unter fluessigem Stickstoff ermittelt. Die Bruchflaechen der Proben wurden mit Hilfe eines Rasterelektronenmikroskopes untersucht. Die Ergebnisse lassen sich wie folgt zusammenfassen: Der optimale Borgehalt bezueglich Festigkeit und Duktilitaet der geloeteten Verbindung liegt bei 2 Gew.-%. Die entsprechende Probe hat bei einem Biegewinkel von 100 bei Raumtemperatur nicht versagt. Auch unter fluessigem Stickstoff ...
The development of the space HVAC sector during the past 25 years is reviewed. It is shown how the importance of room climate has increased, as illustrated, e.g., by the concepts of 'thermal comfort', 'comfort', and 'sick building syndrome'. A sequel will be published in the next issue of KK. (orig.) [German] Der folgende Beitrag ist eine Bestandsaufnahme im Hinblick auf technologische Entwicklungen in der Klima- und Lueftungstechnik der letzten 25 Jahre, ein Zeitraum in dem sich einiges veraendert hat. Gleichzeitig wird deutlich, welcher Wandel sich bei der Bedeutung des Raumklimas in Gebaeuden vollzogen hat, indem beispielsweise Begriffe wie ''Behaglichkeit'', ''Komfort'' aber auch ''Sick Building Syndrom'' eine immer groessere Rolle ...
For the laying of natural gas transport pipelines severe soil protection guidelines are in force in Switzerland. These guidelines influence, above all, the course of the construction in a substantial way. The Federal Office of Energy promulgated these guidelines in May 1993. They have provisional character and shall be reviewed based on the experiences with the in 1994 executed pipeline constructions. The protection of the soil from mechanical-physical loads, specially from soil erosion and compaction, is also a part of the modification of the federal legislation concerning environmental protection which is being dealt with at present by the federal parliament. (orig.) [Deutsch] Fuer die Verlegung von Erdgas-Transportleitungen gelten in der Schweiz strenge Bodenschutzrichtlinien, die vor allem den Bauablauf nachhaltig beeinflussen. Die Richtlinien wurden im Mai 1993 durch das Bundesamt fuer Energiewirtschaft erlassen. Sie haben provisorischen Charkater und sollen ...
In the first part of the symposium, experts reviewed the state of the art of decentralized waste water treatment in Europe. In the second part, exemplary solutions in Poland and the Czech Republic were presented. The final part was dedicated to future concepts and strategies. [German] Im Herbst letzten Jahres hat die Kommunale Umwelt-AktioN U.A.N. in einer Abfolge von drei Abwasserfachsymposien Expertenrunden zum Austausch ueber den aktuellen Stand des Wissens zum Thema dezentrale Abwasserbehandlung veranstaltet. Mit dem Internationalen Symposium 'Konzepte zur Abwasserbehandlung im laendlichen Raum Europas' in Celle hat das Projekt der U.A.N. seinen Abschluss gefunden. Der Konzeption des Projektes entsprechend haben im 1. Teil des Symposiums Experten ueber den Stand der Entwicklung auf dem Sektor der dezentralen Abwasserbehandlung in Deutschland berichtet. Im 2. Teil unserer Fachtagung ...
The adaption of the Muster-VAwS (model ordinance on the handling of water endangering substances in plants and specialized facilities) in the ordinances of the different German states, means that the legislator has laid down concrete - technical and organizational - requirements concerning the handling of water-endangering substances for all plants. The present example of the systematic stocktaking of all environmentally relevant substances in the context of the operation of the pumped storage plants of Schluchseewerk AG, Freiburg, an the application of the model operating instructions for hydropower plants shall serve to illustrate two important aspects for the implementation of this extensive ordinance. (orig.) [Deutsch] Durch Umsetzung der Muster-VAwS (Muster-Verordnung ueber Anlagen zum Umgang mit wassergefaehrdenden Stoffen und Fachbetriebe) in entsprechende Laenderverordnungen wurden durch den Gesetzgeber konkrete Anforderungen, technisch und organisatorisch, ...
Burner nozzles were often redesigned in order to improve flow design and manufacturing quality. Maintenance intervals, however, are not satisfactory for the operators of such plants. There is no definitive answer as to whether upgraded design allows to lengthen these intervals or whether additional measures are required. Gas turbines may break down for a large number of reasons. This article shows that many of the causes of operational failure and damage are preventable. Damage management will be successful if manufacturers, operators and independent institutions work together.(orig.) [German] Es wurden in der Vergangenheit mehrfach Veraenderungen an den Brennerduesen vorgenommen. Dabei wurden Verbesserungen in der stroemungstechnischen Auslegung und der Fertigungsqualitaet erzielt. Die derzeit noch gueltigen Wartungsintervalle sind fuer den Betreiber unbefriedigend. Inwieweit diese Intervalle mit der ...
Wider coal lines and larger power plant units necessitate measures for increasing the capacity of the mills without driving up power consumption and installation costs. The result of this development is the modern ALSTOM bowl mill. This paper indicates the stages of development which were necessary for this and the experience which could be accumulated through these measures. The paper also describes in detail the areas of flow in the mills, of design of milling equipment, of mill power supply and of grading in this development. (orig.) [Deutsch] Breitere Kohlebaender und groessere Kraftwerkseinheiten zwingen zu Massnahmen, um die Leistung der Muehlen zu vergroessern, ohne jedoch den Kraftbedarf und die Installationskosten in die Hoehe zu treiben. Das Ergebnis dieser Entwicklung ist die moderne ALSTOM-Schuesselmuehle. Der Beitrag zeigt, welche Entwicklungsschritte hierzu erforderlich waren und welche Erfahrungen mit den Massnahmen gesammelt ...
Suppliers of systems and components for compressed air technique were shown at the Hanover Fair 94 in Hall 5. On about 6000 m{sup 2} floor area, they showed their product range, which covered the whole range of compressed air technique from compressors via equipment for providing and storing the compressed air to compressed air tools. (orig.) [Deutsch] Die Anbieter von Systemen und Komponenten fuer die Drucklufttechnik waren auf der Hannover-Messe `94 in der Halle 5 zu finden. Dort zeigten sie auf rund 6000 m{sup 2} ihre Produktpalette, die von Kompressoren ueber die Geraete zum Aufbereiten und Speichern der Druckluft bis zu Druckluftwerkzeugen reichte und den gesamten Bereich der Drucklufttechnik abdeckte. (orig.)
In the last few years the supercharging of Otto-cycle-engines has regained popularity, as demonstrated by a number of series-production engines. After listing the aims to be met by a modern supercharger the paper describes the technical status of mass-produced or close to production superchargers. This is followed by a comparative evaluation of the systems, enabling the reader to select possible solutions for a projected supercharger-engine-system by means of a comparison chart. The paper is concluded by a list of possible directions for further development and additional potential for twin-screw superchargers. (orig.) [German] In neuerer Zeit hat die Aufladung von Ottomotoren wieder ein verstaerktes Interesse gefunden, das sich auch in einer Anzahl serienmaessig gefertigter aufgeladener Motortypen wiederspiegelt. Der vorliegende Beitrag beschreibt, nach einer Darstellung der Anforderungen an ein modernes Aufladegeraet, den Stand ...
Developments in the past 10 -15 years in the fiels of `steel`, `boilers`, `steam turbines` and `environmental protection` show that the advanced coal dust furnace technology is another option of clean coal technology. The contribution discusses some of the current problems facing the main partners of the coal sector, e.g. coal producers, public utilities and suppliers of steel, boilers and turbines. (orig./GL) [Deutsch] Die Entwicklung der vergangenen 10-15 Jahre in den Bereichen `Stahl`, `Kessel`, `Dampfturbinen` und `umweltschutztechnische Anlagen` verdeutlicht, dass die fortgeschrittene Kohlestaubfeuerungstechnologie ebenfalls eine Option der `Clean Coal Technologies` ist. Im Rahmen dieses kurzen Aufsatzes wird nun versucht, einige zeitgemaesse Problemkreise der Hauptakteure des Strommarktes, wie z.B. des Kohlefoerderers, der Stromproduzenten und der Stahl-, Kessel- sowie ...
Zone modeling permits taking account of the effect of load-relieving air conduction systems in the planning of HVAC plants. Although this only supplies average values for the degree of load and height of the fresh air layer rather than a detailed description of concentration and temperature distributions in the room, it is quite sufficient for the planning of load-relieving air conduction systems. Moreover, the cost of zone modeling in the planning of HVAC plants remains within reasonable limits. Upscale planning, instruments can thus be reserved for more exacting problems. (orig.) [Deutsch] Zonenmodelle erlauben die Wirkung lastmindernder Luftfuehrungen bei der Planung von RLT-Anlagen zu beruecksichtigen. Sie liefern zwar nur Mittelwerte fuer den Belastungsgrad und die Hoehe der Zuluftschicht und keine detaillierte Konzentrations- und Temperaturverteilungen im Raum. Diese Werte reichen jedoch fuer die Planung lastmindernder ...
Pulmonary tumors in children are rare. Nevertheless, there are besides malign primary neoplasms and metastases also some benign tumors that the radiologist should know. The identification of some tumors is difficult, since some of them may mimic pulmonary inflammation. The first diagnostic tool is chest radiography. After that, a CT with contrastmedium should be performed, if possible a multislice-CT (MSCT). Identification of mediastinal structures is best with MRI. (orig.) [German] Tumoren der Lunge sind im Kindesalter selten. Trotzdem finden sich neben den malignen primaeren und sekundaeren Raumforderungen auch im Kindesalter immer wieder benigne Tumoren, die der Radiologe kennen sollte. Eine eindeutige Identifizierung kann schwierig sein, da z. B. entzuendliche Infiltrate vorgetaeuscht werden koennen. Die primaere Untersuchungsmethode ist das konventionelle Thoraxroentgen. Die weitere Diagnostik muss mit der ...
Report by a participant in the International Nuclear Law School. In 2001, this advanced training course was first offered by the OECD-NEA together with the University of Montpellier and other international partners. This effort is intended to provide an overview of nuclear law, a discipline normally playing a subordinate role in curricula. In this way, a contribution is to be made to the important preservation of the existing knowledge base and to increasing know-how in this field. In 2003, the International Nuclear Law School will be continued with a new curriculum addressed to all interested participants. (orig.) [German] Erfahrungsbericht eines Teilnehmers der Internationalen Schule fuer Nuklearrecht 2002 an der Universitaet Montpellier. Erstmals im Jahr 2001 wurde diese Fortbildungsveranstaltung von der Nuclear Energy Agency der Organisation for Economic Co-operation and Development (OECD-NEA) ...
Innovative therapy may appear to coincide with medical experimentation, raising ethical and legal issues, for instance on informed consent and institutional review. Medical treatments may be classified,...Full Text Available
Background and ObjectivePulsed dye laser (PDL) treatment of cutaneous vascular lesions is associated with variable and unpredictable efficacy. Thus, alternative treatment...Full Text Available
Objectives: Acupuncture has served as a major complementary and alternative therapy that supplements conventional medicine and is the subject of growing public interest. This study was conducted to estimate the usage rate of acupuncture as a supplemental treatment in acute ischaemic stroke patients and to identify factors associated with the choice to use this therapy. Methods: Using the registry of stroke patients admitted to an academic medical centre in Korea, the use of acupuncture therapy was recorded and analysed, along with the patients' socio-demographic characteristics, hospital access variables, risk factors for ischaemic stroke and clinical characteristics. The data were analysed using descriptive statistics, chi-square tests and multiple logistic regression analyses. Results: O...
Mycosis fungoides (MF) in deep-seated lymph nodes, spleen or liver appears to be associated with a lack of response of the disease to topical external therapy. Fourteen patients with mycosis fungoides...Full Text Available
Summary: The increasing emergence of antimicrobial-resistant organisms, especially methicillin-resistant Staphylococcus aureus (MRSA), has resulted in the increased...Full Text Available
Despite high local control rate in Ewing's sarcoma the exact indication of radiation therapy is still controversial as well as the choice of the target volume and the optimal dose of radiation. The importance of the quality of radiotherapy has been stressed in recently published data and has shown a significant impact on long term local control with adequate radiation therapy. The dramatic improvement of precision allowed by the conformal therapy and three dimensional dosimetry allow to expect a decrease of late effects expected for second malignancies. However, late sequelae and radio-induced osteosarcoma still remain the major side effects after radiotherapy. The authors discuss the results of the main trials on Ewing's sarcoma on the choice of dose and target volume. Surgery is still the preferred choice for small tumors if the foreseen outcome is identical. (authors). 28 refs.
Structured abstractObjectiveAlthough most reviews of Pseudomonas aeruginosa therapeutics focus on antibiotics currently in use or...Full Text Available
The success of monoclonal antibodies in clinical practice is dependent on good design. Finding a suitable target is the most important part as other properties of the antibody can be altered by genetic...Full Text Available
Penile rehabilitation therapy following radical prostatectomy is a much debated topic. Erectile dysfunction is still a significant contributor to postoperative morbidity following radical prostatectomy, despite meticulous nerve-sparing technique. Secondary smooth muscle changes in the penis have been identified as the underlying causes of penile atrophy, veno-occlusive dysfunction, and fibrosis. Initial observations that intracavernous injection therapies used on a regular basis postoperatively resulted in improvements in the return of spontaneous erectile function led to the development of penile rehabilitation protocols. Chronic dosing of PDE-V inhibitors is now commonly used by urologists after radical prostatectomy. Despite the current enthusiasm of penile rehabilitation therapy, current scientific evidence with clinical trials is still limited. PMID:19255627
PurposeTo identify the extent of persistence (period of time of continuous therapy with the drug prescribed) of glaucoma patients treated with prostaglandins (latanoprost, bimatoprost,...Full Text Available
BackgroundStump and phantom pains are debilitating sequelae of amputations that are often resistant to treatment. The efficacy of pharmacologic therapies, including...Full Text Available
Modern advances in the concept and the techniques of megavoltage radiation therapy have revolutionized the treatment of medulloblastoma. Five-year survivals of 50 to 70 percent are achieved by craniospinalaxis...Full Text Available
BackgroundLymphangioleiomyomatosis (LAM) is a rare lung disease characterised by progressive airflow obstruction. No effective medical treatment is available but therapy with sirolimus...Full Text Available
SYNOPSISPreterm infants are at risk for both iron deficiency and iron overload. The role of iron in multiple organ functions suggests that iron supplementation is essential for...Full Text Available
Hyperglycemia frequently occurs with acute medical illness, especially among patients with cardiovascular disease, and has been linked to increased morbidity and mortality in critically ill patients....Full Text Available
Invasive fungal infections can be devastating, particularly in immunocompromised patients, and difficult to treat with systemic drugs. Furthermore, systemic administration of those medications...Full Text Available
Development of Portable Normobaric Hypoxia and Pulsed Magnetic Field Firmware System for Enhancement of Radio- and Non-specific Resistance in Workers of Environmentally Hazardous Industries
An elderly man receiving chlorambucil for chronic lymphatic leukaemia developed focal fits. The onset and frequency were dose related. There was no evidence of metabolic disturbance or of meningeal...Full Text Available
The potential of radiolabelled phenylpiperazines as agents for the detection and therapy of tumours of neural crest origin was evaluated by in vitro pharmacological studies with human neuroblastoma...Full Text Available
The clinical results of electron beam therapy using intraoral cone in 8 cases of primary and recurrence carcinoma of tongue (T1 and smaller T2) were reported. The primary and recurrence cases were 5 and 3, respectively. In the 5 cases, a total dose of 10-30 Gy external radiation therapy were combined prior to electron beam therapy. The total dose of electron beam therapy varied from 40 to 60 Gy. In all cases, tumor showed good response and disappeared clinically. Radiation stomatitis, pain of the tongue with masticatory disturbance due to tenderness were complicated in all cases. These complications gradually disappeared 2 to 6 months after treatment. However, loss of body weight and bone exposure were not recognized in any case. Intraoral-cone electron beam therapy is thought to be available and has less complications comparing interstitial irradiation therapy ...
Purpose: The purpose of this study was to evaluate the efficacy and toxicity of replication-competent adenovirus-mediated double suicide gene therapy in an adjuvant setting with external beam radiation therapy (EBRT) in an experimental prostate cancer model in preparation for a Phase I clinical study in humans. Methods: For efficacy studies, i.m. DU145 and intraprostatic LNCaP C4-2 tumors were established in immune-deficient mice. Tumors were injected with the lytic, replication-competent Ad5-CD/TKrep adenovirus containing a cytosine deaminase (CD)/herpes simplex virus thymidine kinase (HSV-1 TK) fusion gene. Two days later, mice were administered 1 week of 5-fluorocytosine + ganciclovir (GCV) prodrug therapy and fractionated doses of EBRT (trimodal therapy). Tumor control rate of trimodal therapy was compared to that of EBRT alone. For toxicology studies, immune-competent male mice ...
BackgroundTo investigate the effects of intravenous lignocaine infusions (IV lignocaine) in fibromyalgia.MethodsProspective study...Full Text Available
SynopsisAttention-deficit / hyperactivity disorder (ADHD) is a valid and impairing psychological disorder that persists into adulthood in a majority of cases and is associated...Full Text Available
BackgroundAlthough advances in rehydration therapy have made cholera a treatable disease with low case-fatality in settings with appropriate medical care, cholera continues...Full Text Available
... mammography or on ultrasound but not found on physical examination, we consider them non-palpable or not ... lot of this. We send every patient for physical therapy, no matter what type of reconstruction we ...
Previous research with individuals undergoing surgery or diagnostic procedures provided a conceptual framework for analysis of radiation therapy, a common form of cancer treatment. The present...Full Text Available
Antimony toxicity occurs either due to occupational exposure or during therapy. Occupational exposure may cause respiratory irritation, pneumoconiosis, antimony spots on the skin and gastrointestinal...Full Text Available
Adaptive radiation therapy for liver cancer has the potential to reduce normal tissue complications and enable dose escalation, allowing the potential for tumor control in this challenging site....Full Text Available
BackgroundAdequate pain assessment is critical for evaluating the efficacy of analgesic treatment in clinical practice and during the development of new therapies. Yet the currently...Full Text Available
Normally, the alloy NiMo28 is used in the solution annealed and quenched condition in which it has a face centred cubic matrix structure. The matrix of the material is supersaturated with molybdenum and, at temperatures above 800 C, has a tendency to form intermetallic precipitates such as the Ni{sub 4}Mo-ordered phase leading to the embrittlement of the NiMo28-ordered phase leading to the embrittlement of the NiMo28 alloy during hot working. For this reason, the aim of these investigations was to optimise the alloy by reducing its tendency to embrittle. The TEM-analyses carried out served to investigate the precipitation of the material as a function of its iron content after ageing at 700 C. The change in hardness and in the lattice constants of the NiMo28-specimens with iron content were also determined. To improve the hot working properties of this material it is recommended that the iron content be kept to about 3.2 mass % in order to reduce the tendency of the alloy to ...
The issue of projecting policies ensuring appropriate energy supply in the future has become more important in Germany after conclusion of the agreement on a long-term nuclear power phase-out. A recent comparative analysis of a selection of scientific studies forecasting the implications of a nuclear power phase-out has shown that there is demand for more studies examining the issue in greater detail, and on the basis of an enlarged scope of research topics. Hence the present study, intended as a preliminary analysis, will investigate the potential, conditions of successful application, conceivable support schemes, and effects of those policy options that in any case, apart from the nuclear power phase-out scenario, are of essential importance in the context of building the proper conditions for sustainable development of Germany's energy sector. The options and strategies examined are: stepping up energy efficiency programmes and incentives, enhancing exploitation of the ...
Purpose: Small suspicious breast lesions that are only visible at MR imaging were preoperatively marked with a hook wire under MR-guidance to allow the removal of the lesion with tissue-sparing surgery. Method: In all patients the suspicious lesions were marked preoperatively under MR guidance with a hook wire using a commercially available stereotactic device. Interventions were performed with MR guidance on a 1.0 T and on a 1.5 T system. Results: In 19 patients 22 lesions were localized. One lesion was missed and removed in a second procedure. The mean duration for localization was 66{+-}20 min (range 38-119 min). In two patients two lesions were localized. The mean deviation of the wire tip to the lesion was 2,0{+-}2,6 mm. In this series, 6 of 22 lesions were malignant. The mean diameter of the lesion was 7.6{+-}2.6 mm (range 3-14 mm). Conclusion: Suspicious breast lesions detectable only in MR imaging can be accurately localized with a hook wire preoperatively under MR control to ...
Magnetic resonance imaging (MRI) of the lung is challenging because of substantial drawbacks. However, lung pathologies that are associated with increased attenuation values in CT enhance visualization in MRI: proton density is increased and tissue-air interfaces, resulting in susceptibility artifacts, are reduced in pneumonia, pneumonitis, edema, and carcinoma. On the other hand, many lung diseases result in shortness of breath, so that patients cannot hold their breath for long periods. Therefore, fast imaging techniques are required which should also allow for high spatial resolution so that small lesions can be detected. Calcifications and air pockets within lesions are not readily recognized with MRI. Thin section CT is standard for the diagnosis of pneumonia. With parallel imaging techniques, MRI examination of the lungs can be performed with short periods of breath holding, which allow for sub-centimeter resolution in the z-axis. Especially for follow-up examinations in ...
60 patients between 17 and 72 years of age were investigated. First, an enteroclysis was performed in typical manner. The applicated methylcellulosis was blended with positive oral MR contrast media (Magnevist oral, Schering). After enteroclysis, MRI of the abdomen was performed using T1- and T2-weighted breathhold sequences (Flash 2D pre- and postcontrast and TSE) in axial and coronal planes. The length of the affected bowel and the stenosis seen with enteroclysis correlated well with the visible thickening of the small bowel wall and the stenosis seen in MRI. Using MRI, additional findings could be obtained in 28 patients, such as fistulas, abscesses or a hydronephrosis, or a better assessment of the stenosis was possible with MRI, because of the avoidance of overshadowing of the affected bowel loop with MRI. A brilliant MR-tomographic imaging of the small bowel is possible under the condition, that the small bowel contrast is optimal. The main prerequisite is a large filling volume ...
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 ...
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 ...
A new generation of lead alloys for making lead batteries is being introduced in highly developed countries. A very important characteristic of these alloys is the presence of Ca, Al and Sn. Such alloys have the property of stabilizing the amount of gas emitted as a result of the decomposition of the electrolyte on the level of pure lead i.e. significantly smaller than lead alloys containing Se e.g. PbSb 1.7Se. Such alloys have not been produced in Poland so far. - In this paper we are presenting the method and equipment used to produce a pilot portion of PbSnCaAl alloy (mass approximately 80 Mg) on an industrial scale at HMN ''Szopienice'' S.A. lead refinery. We also present the results of the tests regarding the chemical homogeneity of the alloy produced, as well as its structural and casting properties. On the basis of the tests conducted it has been found that the method is industrially adequate and as such it has been introduced into the ...
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. ...
Within its competence for energy research, the Bundesministerium fuer Wirtschaft und Arbeit (BMWA) (Federal Ministry of Economics and Technology) sponsors investigations into the safety of nuclear power plants. The objective of these investigations is to provide fundamental knowledge, procedures and methods to contribute to realistic safety assessments of nuclear installations, to the further development of safety technology and to make use of the potential of innovative safety-related approaches. The Gesellschaft fuer Anlagen- und Reaktorsicherheit (GRS) mbH, by order to the BMWi, continuously issues information on the status of such investigations by publishing semi-annual and annual progress reports within the series of GRS-F-Fortschrittsberichte (GRS-F-Progress Reports). Each progress report represents a compilation of individual reports about the objectives, work performed, results achieved, next steps of the work etc. The individual reports are prepared in a standard form by the ...
Purpose: To determine the value of MRI in the preoperative evaluation of chronic paranasal sinusitis and to compare the results with CT and intraoperative findings. Method/Materials: 42 patients with clinical signs of chronic paranasal sinusitis underwent MRI after CT evaluation on one day, with subsequent functional endoscopic sinus surgery on the next day. Coronary CT was obtained with 5-mm slices and table-feed in the prone position, while MRI was performed in the supine position with coronary T{sub 2}-TSE+pd and coronary and transverse HASTE, each with 5-mm slice thickness. Aquisition time in MRI was less than 8 minutes. Two radiologists reviewed the CT and MRI scans for signs of sinusitis and detection of anatomical landmarks. The results were correlated with the intraoperative findings. Results: MRI offered no artifacts of dental work and showed more often high quality pictures than CT. CT and MRI demonstrated a good correlation in the detection of mucosal pathologies ...
This update of a system concept entitled ``Maritime hazard prevention and water protection`` makes full use of the technical room for maneuver while considering that reasonable financial and economic conditions must be provided. The update allows on to continue or start the exploitation of feasible technical, logistic and information-technology development potentials. The same applies to the national maritime traffic safety measures developed for the German waterways. Considering the maritime hazards that have been prevailing in the coastal areas of the German North Sea, the conducted damage risk investigations suggest that a large-scale, disastrous oil contamination of the mud flats ecosystem cannot be excluded or controlled definitely in spite of the numerous measures taken. (orig.) [Deutsch] Mit der vorgelegten Fortschreibung zum Systemkonzept ``Gefahrenabwehr und Gewaesserschutz im Seeverkehr`` werden die technisch realisierten Handlungsspielraeume unter ...
On the 28{sup th} of May in 1998, the regulation of the ''Application of roof bolt support in coal mines'' came into force. Afterwards, the new roof bolt permission guidelines have been worked out by the Landesoberbergamt (Inspectorate of mines) in co-operation with the Deutsche Montan Technologie GmbH, with the Deutsche Steinkohle AG and with bolt manufacturers. These guidelines have been put into force on the 31{sup st} of August in 2000. Topics of this paper are the new regulation and first experiences. (orig.) [German] Nach der Erarbeitung der ''Richtlinien ueber die Verwendung von Ankerausbau im Steinkohlenbergbau (Anker-Richtlinien)'' vom 28. Mai 1998 wurden unverzueglich auch die ''Richtlinien ueber die Genehmigung von Ankerausbau (Ankergenehmigungs-Richtlinien)'' in Angriff genommen. Diese Richtlinien, die das Landesoberbergamt ...
Emission inventories were estimated for the airborne emissions of: Arsenic, Beryllium, Cadmium, Chromium, Cobalt, Copper, Mercury, Manganese, Molybdenum, Nickel, Lead, Antimony, Selenium, Tellur, Thallium, Zinc, Platinum, Palladium, Rhodium, Tin. The inventories were made for the status of 1985 and 1990. A prognosis was given for 1995. The investigations were made for the whole area of the Federal Republic of Germany including the former German Democratic Republic. Working point was an overview about the plant-specific emissions for the various industrial branches and the production statistics. The results are given as total emissions from the existing plants and industrial branches. (orig.) [Deutsch] Es erfolgte eine Abschaetzung der luftseitigen Emissionen fuer die Elemente: Arsen, Beryllium, Cadmium, Chrom, Kobalt, Kupfer, Quecksilber, Mangan, Molybdaen, Nickel, Blei, Antimon, Selen, Tellur, Thallium, Zink, Platin, Palladium, Rhodium und Zink. Die Erhebungen ...
The Jansen pumped-storage plants owned by Bayernwerk Wasserkraft AG are located on the river Pfreimd in eastern Bavaria, Germany. The group comprises the three power plants at Reisach, Tanzmuehle and Trausnitz, as well as the Rabenleite upper reservoir and two weirs. After forty years of service, the power plant group has recently been rehabilitated. The rehabilitation and modernization scheme included, inter alia, replacing the surface sealing on the upstream side of the upper reservoir dam, installing a state-of-the-art leakage and stability monitoring system, and renewing the instrumentation and control equipment in the power plants and in the central control room. Finally, the paper describes the operating experience with the new I and C systems. (orig.) [German] Die Pumpspeicherkraftwerke Jansen der Bayernwerk Wasserkraft AG befinden sich an der Pfreimd in Ostbayern. Die Kraftwerksgruppe besteht aus den 3 Kraftwerken Reisach, Tanzmuehle ...
Already, MR Imaging is superior in diagnostic imaging of joints in many cases; however, there have been recent developments, which are the subjects of this paper. With gradient-echo sequences acquired in 3D technique, it is possible to produce high-resolution images of joints in acceptable scantime, because gradient-echo sequences are less time-consuming than convential SE sequences. With the acquisition of two echoes, phase difference between water and fat protons have to be considered. 3D Imaging is capable of displaying complex pathology in a superior way, which should be useful in preoperative planning. Tissue contrast is altered by fat saturation or magnetization transfer in order to achieve better conspicuity of lesions. Although diagnostic value of some of these options is not yet clear and further clinical studies are needed, they are a promising possibility for improving MR Imaging of the joints. (orig.) [Deutsch] In der Gelenkdiagnostik gibt es einige ...
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 ...
A numeric method for predicting mineral ash deposition in coal dust furnaces is presented which is based on a bidirectional working time coupling of thermodynamic calculation routines (ChemApp{sup TM}) with the commercial CFD code FLUENT{sup TM}. The deposition characteristics of particles and wall surfaces is assessed on the basis of evaluations of flow simulation parameters and results of thermodynamic calculations for the mineral matter contained in the fuel particles, taking into account the complete energy, momentum and mass exchange history of the ash and the mineral conversion. The models enables calculations of the gaseous release of mineral components (e.g. alkaline substances and chlorine) from ash during combustion and its distribution inside a combustion chamber. The method and model are validated using experimental data. (orig.) [German] In der vorliegenden Arbeit wird ein numerisches Verfahren beschrieben, mit dem die Ansatzbildung in ...
The purpose of the present study was to examine reactions between bromium atoms with {alpha}, {beta}-unsaturated carbonyls. Acrolein, methacrolein, and methyl vinyl zetone were chosen as representatives of this family. The latter two compounds, beside formaldehyde, belong to the main products of atmospheric oxidation of isoprene and have been detected in the troposphere at concentrations of up to almost 1 ppb. It is known that alkenes react with bromium via addition to form an instable adduct. This product can either decompose again into its educts or react with molecular oxygen. The aim of the study was to determine the velocities of the reactions between the three {alpha}, {beta}-unsaturated carbonyls and bromium and to clarify the involved reaction mechanisms by means of kinetic experiments and product analyses. (orig./SR) [Deutsch] In dieser Arbeit wurde die Reaktion von Bromatomen mit {alpha}, {beta}-ungesaettigten Carbonylen untersucht. Ausgewaehlt wurden Acrolein als einfachster ...
In view of current trends in motor car development, the author investigates the increasing conflict between higher comfort and lower fuel consumption. The conflict results mainly from insufficient cooling water heating with consumption-optimized engines. So far, it was never necessary to analyze heat flow after cold starting and heat-up of the powertrain, to develop strategies for heat storage and distribution, to remove heat sinks and to use components multifunctionally. The contribution shows that a general heat management strategy for the whole vehicle will result in high potential fuel savings and improved thermal comfort. Using the example of a latent heat store, heating strategies for the engine and transmission system on the one hand and the passenger compartment on the other hand are developed, and the advantages are presented in detail. [German] Abgeleitet aus den Trends in der Fahrzeugentwicklung wird auf den immer staerker werdenden Konflikt zwischen den ...
Long duration investigations on XLPE-insulated, medium-voltage cable have been intensively carried out by producers, institutes and users for decades. These tests have concentrated on cable ageing especially under the influence of water. About six years ago, a standard test procedure was developed based on comprehensive know-how. This test procedure is now included in DIN VDE 0276-620. In the following text, experience gained during testing and while performing tests in numerous laboratories is reported, and a summary of the test results is given. (orig.) [Deutsch] Langzeituntersuchungen an VPE-isolierten Mittelspannungskabeln, die sich mit der Alterung der Kabel, besonders unter dem Einfluss von Wasser beschaeftigen, wurden seit Jahrzehnten durch Hersteller, Institute und Anwender intensiv betrieben. Basierend auf diesem sehr umfangreichen Know-how wurde vor rd. sechs Jahren ein standardisiertes Pruefverfahren entwickelt, das heute Bestandteil ...
The fibre reinforcement of ceramic materials is used above all to improve the toughness and tolerance of damage, compared to unreinforced monolithic ceramics. This improvement is made possibly by the bridging effect of the cracks by the fibres in crack propagation in the matrix. In this work, the crack bridging effect of the fibres is included in a bridge stress equation, in which a clear relationship between bridge stress and crack opening is determined. The most important step for deriving the bridge stress law was determining the probability of failure of a fibre for a given axial stress curve. One relied on the micromechanical analysis of Hutchinson and Jensen here, by which the boundary conditions in multi-fibre materials can be included and realistic assumptions can be made for the load transfer mechanisms in the fibre/matrix boundary surface. (orig./MM) [Deutsch] Die Faserverstaerkung keramischer Werkstoffe dient vor allem zur Verbesserung der Zaehigkeit und ...
The article explains why electric and gas utilities in Germany should not forget the domestic customers when deciding their key account management strategies and marketing policy in the competitive electricity and natural gas markets. Competition in the German energy sector has just begun, and so far the industrial customers have been absorbing most of the utilities` attention. The authors show that this is a short-sighted management strategy and present a number of reasons speaking in favour of bulding up structures or preserving the loyalty of domestic cutomers, as this customer group will finally play an important role in the utilities` efforts to keep their competitive edge. (orig./CB) [Deutsch] Wenn heute unter Marketingaspekt ueber Kundenbindung im Energiemarkt gesprochen wird, dann wird haeufig zuerst oder sogar ausschliesslich ueber die umsatzstarken Geschaeftskunden nachgedacht. Der Wettbewerb, vor allem im Bereich der Grosskunden, ...
Isothermal reaction experiments were performed in the temperature range of 1000 - 1300 C in order to determine the chemical interactions between Zircaloy-4 fuel rod cladding and Inconel-718 spacer grids of Pressurized Water Reactors (PWR) under severe accident conditions. It was not possible to apply even higher temperatures since fast and complete liquefaction of the components occurred as a result of eutectic interactions during heatup. The liquid reaction products formed enhance and accelerate the degradation of the material couples and the fuel elements, respectively. Only small amounts of Inconel are necessary to liquefy large amounts of Zircaloy. Thin oxide layers on the Zircaloy surface delay the beginning of the chemical interactions with Inconel but cannot prevent them. In this work the reaction kinetics have been determined for the system: as-received and pre-oxidized Zircaloy-4/Inconel 718. The interactions can be described by parabolic rate laws; the Arrhenius equations for ...
The precipitation of heavy metals as hydroxides is the standard technique for the decontamination of waste water streams polluted by these elements. On the other side, progress in research has been made concerning the biosorption onto dead biomass and bioprecipitation supported by physiologically active bacteria. As the aim of this study, a flexible strategy has been envisaged cleaning a waste water with definite heavy metal load underlying the process mentioned above. Suitable bacteria were enriched and the process was tested in a technical plant. As result, a very high efficiency of heavy metal elimination has been found. The field of application covered by the acquired process is identical with the whole range of the waste water streams polluted by heavy metals. In addition, a second stage may be necessary if there are any further contaminants to be removed. (orig.) [Deutsch] Bei der Reinigung von schwermetallhaltigen Abwaessern ist der ...
BackgroundHamstring injuries are the most common injury in Australian Rules football. It was the aims to investigate whether a sports chiropractic manual therapy intervention protocol...Full Text Available
A previously healthy young man experienced several episodes of syncope while being treated with tenofovir, emtricitabine and nevirapine initiated during primary HIV-1 infection. Symptoms disappeared after discontinuation of antiretroviral therapy and we suggest that syncope may be a side effect to one of the three antiretroviral drugs that has not been described previously.
During the past 10 years, five infants with Kasabach-Merritt syndrome (K-M) receiving radiation therapy were reported. We investigated whether radiation therapy for K-M was useful and what the unfavorable factors of K-M were. During the past 10 years, we have treated five infants with K-M. The syndrome occurred at ages ranging from birth to 4 months. The incidence of female to male ratio was 3:2. Among 5 cases, the site of hemangioma was as follows; shoulder, anterior chest wall, lower abdominal wall, face and neck and inguinal site. All 5 cases received medication to control the coagulopathy including prednisone and blood transfusion at first. Because the platelet count and the bleeding tendency did not improve in any case, these cases received radiation therapy. Total dose ranged from 5 to 10 Gy and fraction-size ranged from 0.5 to 1.75 Gy. Irradiation session was 2 or 3 times per week. In 5 cases, 4 cases showed cure of ...
A tiered communications architecture for managing network traffic in a distributed system. Communication between client or control computers and a plurality of hardware devices is administered by agent and monitor devices whose activities are coordinated to reduce the number of open channels or sockets. The communications architecture also improves the transparency and scalability of the distributed system by reducing network mapping dependence. The architecture is desirably implemented in a proton beam therapy system to provide flexible security policies which improve patent safety and facilitate system maintenance and development.
OBJECTIVE: To present recent evidence on the use of ovarian hormone therapy (OHT) for osteoporosis and outline safe and effective regimens. OPTIONS: Estrogen alone, estrogen and progestins, progestins...Full Text Available
Recent literature indicates that torsion of the left ventricle (LV) is a promising predictor for response to cardiac resynchronisation therapy (CRT). Among patients with severe heart failure, 45 to 75% of patients show rigid body rotation, where the base and apex rotate in the same direction, instead of normal, opposite rotation. The occurrence of this phenomenon seems to be a good indicator for response to CRT. From this review, it can be concluded that LV torsion might be a welcome addition to current selection criteria.
In the 21st century, eighty years after William Baer presented his groundbreaking work treating bone and soft tissue infections with live maggots, thousands of therapists around the globe have rediscovered...Full Text Available
Purpose: To assess the relationship between large intracranial vessel occlusive vasculopathy (vasculopathy) and radiation therapy, and to clarify the clinical efficacy of magnetic resonance (MR) imaging in the diagnosis and screening of the vasculopathy. Methods and Materials: We retrospectively evaluated the medical records and serial MR images for 32 pediatric patients, in whom radiation therapy had been given to fields including the circle of Willis and major cerebral arteries. All children had periodically undergone follow-up neurologic assessment and MR imaging examinations at Kanagawa Children's Medical Center for more than one year after radiation therapy (range 1.3-14 years). Patients who had not remained free of tumor progression up to the time of final evaluation were excluded. Results: Vasculopathy developed in 6 of 32 patients 2-13 years after radiation therapy. Three of them presented with ...
Cell therapy is a promising novel option for treatment of cardiovascular disease. Because the role of bone marrow-derived circulating progenitor cells (BM-CPCs) after cell therapy is less clear, we...Full Text Available
Electron beam therapy applied to a lymph node metastasis from a squamous cell carcinoma was followed by the development of histologically and immunologically typical bullous pemphigoid, the lesions being initially strictly confined to the irradiation area. This observation suggests that the bullous pemphigoid antigen may be altered or unmasked by electron beam radiotherapy, leading subsequently to the production of autoantibodies. The disease in this case effectively responded to the administration of tetracycline and niacinamide, a therapeutic regimen described recently.
A case is presented in which the diagnosis of acute myelomonocytic leukemia was made 16 months after the start of irradation and chemotherapy for Ewing's sarcoma. The association of these two diseases is rare. The etiologic role of therapy in the development of leukemia is speculative in this case. However, there is need for surveillance for secondary neoplasms of all types so that the benefits of therapy may be properly weighed against the risks.
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 ...
A prospective study was performed on 50 patients suffering from osteochondritis dissecans of the knee and ankle to define criteria for stability and fixation of osteochondral lesions. Morphological parameters in MRI (size, fragmentation, cartilage, interface) and conventional radiology (separation, fragmentation) were registered and compared with arthroscopical staging. MRI staging based on different types of interfaces was demonstrated on T{sub 1}- and T{sub 2}-weighted images. MRI could correctly predict a Grade 1 lesion in 50%, a Grade 2 lesion in 90%, a Grade 3 lesion on 0%, and a Grade 4 lesion in 79%. Stable lesions were differentiated from unstable lesions in 90%. Radiographic findings corresponded with arthroscopic staging in only 56% of the cases because fibrotic connection may guarantee stability in case of bony separation. (orig./MG) [Deutsch] In einer prospektiven Studie an 50 Patienten mit einer Osteochondrosis dissecans (OD) des Knie- und Sprunggelenkes sollten ...
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 ...
The outcome was retrospectively examined and prognostic factors were discussed for arterial chemo-infusion therapy (ACT) through an implanted reservoir system and radiation therapy (RT) in patients with unresectable intrahepatic cholangiocarcinoma (CCC). ACT plus RT were conducted to 25 patients (mean age 61.7 y, M/F 12/13, stage III-IVB) during 10 years from 1996 to 2005 with various regimens of cisplatin (CDDP), 5- fluorouracil (FU), epirubicin (FARM), mitomycin C (MMC) plus 39-50 Gy of radiation in a fractionated manner partly involving internal RT (2 cases, 15 Gy) and RT for metastatic bone (1, 25 Gy). The survival rates at 1, 2 and 3 years after ACT+RT were respectively 52.5, 43.7 and 28.1%; total efficacy (PR) was 36% (9/25) at 6 months; and significantly good prognostic factors were found to be female and absence of metastasis remote and/or lymphatic around artery. Authors concluded that ACT+RT was a meaningful treatment for highly ...
Two cases of primary Ewing's sarcoma of the rib are reported, in which radiation therapy was quite effective. Case 1 was an 18-year-old female who had had an operation and radiation therapy for Ewing's sarcoma of the left 7th rib. She was referred to our hospital after a recurrent tumor was found. Radiation therapy (tumor dose 46.2 Gy) and chemotherapy were given. The tumor disappeared and there has been no relapse for 1 year and 3 months after the treatment. Case 2 was a 2-year-old-infant. Radiation therapy (tumor dose 74 Gy) was given for primary Ewing's sarcoma of the left 6th rib. The tumor became small and was successfully removed at operation. There has been no relapse or distant metastasis for 8 months following the operation. We emphasize the importance of multidisciplinary treatment in case 1 and the usefulness of preoperative radiotherapy in case 2. (author).
For the preparation of photonic probes for hadron physics the determination of energy and polarization of the photons is essential. In this dissertation in a first part a possibility of the determination of the degree of polarization by use of the asymmetry observables is presented. In a second part a possibility isd discussed to perform an energy and polarization tagging of nearly real photons in electron scattering under small Q{sup 2}. By this method it should be possible to tag billions of photons per second.
Zusammenfassung Hintergrund Endograftimplantationen im oder am Aortenbogen stellen besondere Herausforderungen an die Implantationstechnik und an die mechanischen Eigenschaften von Stentgrafts und ihren Einf?hrungssystemen, bedingt durch die Notwendigkeit, die Prothesen punktgenau abzusetzen und durch die mit der Biegung im Aortenbogen zunehmende Reibungswiderst?nde innerhalb der Einf?hrungssysteme. Die Endograftsysteme der 1. Generation (Talent?, Zenith TX 1?, TAG?) zeigten in dieser Lokalisation technisch bedingte Limitationen. Neue Prothesen Bei den seit 2004 und 2005 verf?gbaren neuen Stentgrafts (E-vita?, Zenith TX 2?, Valiant?, Relay?) sind diese Limitationen weitgehend ?berwunden. Durch technische Verbesserungen von Stentgrafts und Einf?hrungssystemen ist es nun m?glich, auch lange ...
Facility management has long been regarded as a cost reduction measure, but it is also a means of raising the financial worth of a building so that landlords can get higher rents or sell the building at a better price. [German] Lange Zeit wurde Facility Management als eine Massnahme zur Kostensenkung angesehen. Heutzutage zeigt sich immer mehr, dass das Facility Management sehr viel umfassender zu verstehen ist: Der Wert eines Gebaeudes bemisst sich nicht allein an einer niedrigen Kostenquote, sondern er soll umfassend Investoren wie Mietern den hoechst moeglichen Nutzen bringen. Nicht allein der kostenguenstige Betrieb ist entscheidend, sondern der Wert des Gebaeudes muss insgesamt gesteigert werden. (orig.)
In the first part of this contribution, the definition of reference values is given and the theoretical and practical problems in the application of this concept are discussed. In this connection, the present resources on instrumentation and the technical requirements for dose assessment are described. In the second part, some consequences are taken and proposals for further actions are made. (orig.) [German] Im ersten Teil des Aufsatzes werden Definitionen von Referenzwerten in der radiologischen Diagnostik untersucht und die theoretischen und praktischen Probleme der Umsetzung des gesamten Konzepts eroertert. In diesem Zusammenhang werden auch der gegenwaertige Geraetebestand und die technischen Voraussetzungen zur Dosisermittlung beschrieben. Im zweiten Teil werden daraus Schlussfolgerungen gezogen und Vorschlaege zum weiteren Vorgehen gemacht. (orig.)
In the first part of this contribution, the definition of reference values is given and the theoretical and practical problems in the application of this concept are discussed. In this connection, the present resources on instrumentation and the technical requirements for dose assessment are described. In the second part, some consequences are taken and proposals for further actions are made. (orig.) [German] Im ersten Teil des Aufsatzes werden die Definition von Referenzwerten in der radiologischen Diagnostik untersucht und die theoretischen und praktischen Probleme der Umsetzung des gesamten Konzepts eroertert. In diesem Zusammenhang werden auch der gegenwaertige Geraetebestand und die technischen Voraussetzungen zur Dosisermittlung beschrieben. Im zweiten Teil werden daraus Schlussfolgerungen gezogen und Vorschlaege zum weiteren Vorgehen gemacht. (orig.)
Poly-Lactic-Acid (PLA) was evaluated for coating of vascular endoprotheses in the treatment of experimental arterio-venous-fistulae (AVF). Bilateral carotid-external jugular AVF were created in 5 adult dogs. 7 PLA coated nitinol stents were placed via a transfemoral approach covering 5 AVF. The contralateral AVF remained untreated. Angiography was performed immediately after stent placement, at weeks 1 and 3 and at months 3, 6 and 9. All grafts were removed and underwent histologic examination. In 2 cases the occlusion of the AVF was successful, while misplacement occurred in 3 cases. Occlusion of the parent vessel was disclosed in 3 cases. Histologic examination revealed a mild inflammatory reaction with the presence of macrophages. There was no foreign-body reaction or fragmentation of the arterial vessel wall. PLA, which is a well-known biodegradable material, showed a good mid-term biocompatibility. Elastic mismatch of the non-elastic coating and the self-expandable nitinol stent ...
Better quality of thermal comfort as well as reduced heat energy demand and accordingly CO{sub 2} emission can be achieved by better heating and ventilation strategies in private buildings. The paper deals with a novel model-based measurement and automation system. It describes the implementation of better strategies under given technical circumstances. (orig.) [German] Durch Verbesserung der Heizungs- und Lueftungsstrategien im privaten Lebensbereich kann sowohl Heizenergie eingespart und damit die CO{sub 2}-Emission verringert, als auch die Raumbehaglichkeit verbessert werden. Der Beitrag behandelt ein modellgestuetztes Mess- und Automatisierungssystem, mit dem die Realisierung der verbesserten Strategien unter gegebenen technischen Randbedingungen praktisch erst moeglich wird. (orig.)
Elektrochemische Potentialmessungen (auch Potentialfeldmessungen) haben sich seit Jahren bewahrt, Bereiche mit aktiver chloridinduzierter Korrosion an tausalzexponierten Bauwerken, wie z. B. Bruckentafeln sowie Zwischendecks und Bodenplatten von Parkhausern und Tiefgaragen nachzuweisen. Bereits 1990 erschien die erste Fassung des Merkblatts B3 der DGZfP. Das DAfStb Heft 422 (1991) - Prufung von Beton Empfehlungen und Hinweise zu DIN 1048 - enthielt die Potentialfeldmessung bzw. das Merkblatt B3 im Anhang. In Deutschland liegen somit zwei Jahrzehnte Erfahrungen mit den entsprechenden Regelwerken und naturlich auch in der praktischen Anwendung vor. In der Praxis zeigte sich jedoch auch, dass die Anwendung verbessert werden muss. Die Potentialmessung wurde vielfach sogar falsch durchgefuhrt, ...
Utilisation of geothermal energy may soon become an important factor in power supply in Germany. The contribution discusses the utilisation of hydrothermal low-pressure systems, the geological boundary conditions, the technical design of the thermal water cycle, and the current status of the hot dry rock technology. [German] Die Nutzung der Energie ausd Erdwaerme kann in naher Zukunft eine wichtige Rolle in der Energieversorgung Deutschlands spielen. Der vorliegende Artikel gibt einen Ueberblick ueber die Nutzung hydrothermaler Niederdrucksysteme, die geologischen Rahmenbedingungen, den technischen Aufbau des Thermalwasserkreislaufes sowie zum aktuellen Stand des Hot Dry Rock Verfahrens.
More than 200 years after the birth of the steam engine, the first thermal engine ever invented, thermal engines such as steam turbines, gas turbines or internal combustion engines are still driving most generators for electric power generation, most machines, and most vehicles, and this will remain so until far into the next century. (orig.) [Deutsch] Mit Waermekraftmaschinen wie Dampfturbinen, Gasturinen und Verbrennungsmotoren werden auch heute - mehr als 200 Jahre nach der technischen Reife der Dampfmaschine (der ersten Waermekraftmaschine) - die meisten Generatoren zur Stromerzeugung, die meisten Arbeitsmaschinen und die meisten Fahrzeuge angetrieben. Und dabei wird es auch bis weit in das 21. Jahrhundert bleiben. (orig.)
Environmental compatibility is nowadays a very important part in the case of planing, construction, operation and maintainance of cable systems. A lot of laws and orders have to be observed. Some new aspects concerning the removal of oil filled cables and the consideration of electromagnetic fields even for cabels will be presented. (orig.) [Deutsch] Der Umweltschutz ist heute unverzichtbarer Bestandteil der Planung, Bau, Betrieb und Instandhaltung von Kabelanlagen. Zahlreiche Gesetze und Verordnungen sind hierbei zu beachten. Der Verfasser stellt einige Neuerungen im Zusammenhang mit dem Ausbau und Oelkabeln vor und erlaeutert die auch bei Kabeln zu beruecksichtigenden elektromagnetischen Felder. (orig.)
Purpose: With intracranial tumors a flat, contrast-enhancing, probably dural structure adjacent to the tumor can occasionally be observed on gadolinium-DTPA enhanced MR images. Therefore we have attempted to evaluate a tumor infiltration of this enthancement on MRI. Material and Methods: This study included 50 patients. 19 patients had a dural thickening at the tumor base (13 meningiomas and 6 metastases), while 31 patients did not (12 meningiomas and 19 metastases). Studies included plane T{sub 2}-weighted spin echo (SE) images as well as T{sub 1}-weighted axial, coronal, or sagittal plains with and without contrast agent. Histopathological examinations, were done on the tumor base adjacent to the dura mater. Results: 7 of 12 meningiomas showed a meningeal thickening on MRI with histopathologically proven tumor infiltration as did also 5 of 6 metastases. But 3 of 12 meningiomas and 15 of 19 metastases without dural thickening at the tumor base also showed tumor invasion into the dura ...
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 research project aimed at the selection or development of wear-reducing measures for submerged components of hydroelectric power plants. This comprised the optimisation of hydraulic profiles as well as materials testing for abrasion and cavitation. Another field of research was the development of appropriate application processes. (orig.) [German] Das Hauptziel des Forschungsvorhabens bestand in der Auswahl bzw. Entwicklung geeigneter Schutzmassnahmen zur Verschleissminderung an wasserberuehrten Komponenten von Wasserkraftanlagen. Diesem Ziel untergeordnet waren neben der Optimierung hydraulischer Profile auch Materialuntersuchungen hinsichtlich Verschleissbestaendigkeit gegenueber Abrasion und Kavitation. Ebenso war die Entwicklung geeigneter Applikationsprozesse ein wichtiger Bestandteil der Aufgabenstellung. (orig.)
The quantitative measurement of carbon concentration-distance curves serves as fundamental prerequisite for the evaluation of rim zone properties connected with decarburisation processes in material science. This was shown in part 1 of the present work with two samples from through-hardenable rolling bearing steel 100Cr6 (SAE 52100) austenitised in different oxidising atmospheres by position dependent determination of hardness, residual stresses, and X-ray line broadening ({l_brace}211{r_brace} {alpha}'-Fe diffraction line). In practice, it is important to predict carbon concentration-distance curves under prevailing heat treatment conditions or to conclude conversely from profile measurements. Based on a refined kinetics model of a diffusion-controlled process, part 2 therefore presents a simulation tool developed by means of the finite element method (FEM). Apart from the concentration dependence of the diffusion coefficient, it also considers the decarburisation induced ...
Trapezblechstege im Bruckenbau kommen trotz der groen Vorteile, die diese Bauweise bietet, in Deutschland bisher nur an einem Pilotprojekt zur Anwendung. Durch die charakteristischen Eigenschaften des Trapezbleches entstehen konstruktive und wirtschaftliche Vorteile gegenuber herkommlichen Bruckenbauweisen. Allerdings lassen die aktuell gultigen Regelwerke aufgrund fehlender Kenntnis zum Tragverhalten und mangelnder Erfahrung keine wirtschaftliche Ausbildung zu. Dies zeigt sich am Beispiel des Pilotprojekts. Die Ausbildung der Verbundfuge wurde hier nur sehr unbefriedigend gelost und verdeutlicht somit die Notwendigkeit einfacher und praktikabler Verbindungsmoglichkeiten. Am Institut fur Leichtbau Entwerfen und Konstruieren der Universitat Stuttgart wurde in Zusammenarbeit mit dem Institut...
In this work, a powerful analytical method, called He's parameter-expanding methods (HPEM) is used to obtain the exact solutions of non-linear modified Van der Pol's oscillator. The classical Van der Pol equation with delayed feedback and a modified equation where a delayed term provides the damping are considered. It is shown that one term in series expansions is sufficient to obtain a highly accurate solution, which is valid for the whole solution domain. Comparison of the obtained solution with those obtained using perturbation method shows that this method is effective and convenient to solve this problem. This method introduces a capable tool to solve this kind of non-linear problems.
The authors investigated the development of tribochemical reaction layers and surface-level structural changes in a fuel-lubricated roller bearing steel 100Cr6 in the limiting friction range, using two different variants of surface treatment and heat treatment. Tribological experiments were carried out in a laboratory test stand with reversing sliding wear under varying loads and with a varying number of friction cycles. [German] Ziel der vorliegenden Arbeit war es, die Entstehung von tribochemischen Reaktionsschichten und oberflaechennahen Gefuegeaenderungen am Waelzlagerstahl 100Cr6 bei Kraftstoffschmierung im Grenzreibungsbereich fuer je zwei Oberflaechenbearbeitungen und Waermebehandlungen zu untersuchen. Dazu wurden tribologische Kurzversuche in einem Laborpruefstand mit reversierender Gleitbeanspruchung unter Variation der Last und der Anzahl der Reibzyklen durchgefuehrt. (orig.)
The conference reviewed the state of the art of stationary fuel cell systems, concepts, and the next steps to be taken. Fuel cell systems of several hundred kW have been designed and constructed already. Systems for domestic power supply are in the range of several kW. [German] Die in den letzten zehn Jahren gewonnenen Erfahrungen mit den ersten Pilotanlagen sind eine wichtige und unentbehrliche Hilfe den Weg in den Markt fuer die Brennstoffzelle zu ebnen. Der vorliegende Tagungsband soll diese Erfahrungen fuer die stationaer eingesetzten Brennstoffzellen zusammenfassen und ein aktuelles Bild ueber die daraus gewonnenen Konzepte und Vorstellungen fuer die naechsten Schritte aufzeigen. Bei Energieversorgern sind hier Leistungsgroessen von bis zu mehreren 100 kW eingesetzt worden. Der Leistungsbereich, der fuer die Aufgaben der Hausenergieversorgung typisch ist, befindet sich demgegenueber im Bereich ...
Buizer, Arizona State University, USA; Gernot Klepper, Kiel Institute of World Economics, ...der Leeuw School for Human Evolution and Social Change, Arizona State University, USA
The article presents measures for the solution of construction-biological problems and for reducing the pollutant load of buildings. (HW) [Deutsch] Der Artikel berichtet ueber Massnahmen ueber Sanierung von baubiologischen Schwachstellen und Schadstoffbelastungen in Gebaeuden. (HW)
The article deals with the following topics: reliability calculation as a basis of a maintenance strategy leads to the knowledge which equipment seems to be critical in the context of a supply interruption; procedure of a risk management; information for a risk assessment: probability of an equipment malfunction, reliability calculation on the system level, failure cost, maintenance cost, further conditions. The article shows an example for a calculation. [German] Die Zuverlaessigkeitsberechnung als Grundlage einer Instandhaltungsstrategie fuehrt zu der Kenntnis, welche Betriebsmittel kritisch im Hinblick auf eine Versorgungsunterbrechung sind. Eine anschliessende Risikobetrachtung schliesst deshalb neben der Betrachtung der nichtgelieferten Energie auch die uebrigen Kosten einer Stoerung ein, die mit den finanziellen Aufwendungen fuer eine Instandhaltung zu vergleichen sind. Im Folgenden wird ein Vorschlag fuer eine ...
Proactive qualification is today an integral part of the development process for steam turbines used in steam and combined cycle power plants. By providing experimentally based `random` variables, such as the steam path efficiency and blading reliability, it makes a valuable contribution to the economic `random` variables of the power plant, e.g. the rate of return, as viewed by the customer. One of the areas in which proactive product and process qualification plays an important role is the development of LP steam paths. (orig.) [Deutsch] Die proaktive Qualifikation ist heute fester Bestandteil des Entwicklungsprozesses bei Dampfturbinen, die fuer den Einsatz in Dampf- und Kombikraftwerken bestimmt sind. Sie leistet mit Hilfe experimentell ermittelter `Zufalls`-Variablen, wie z.B. Wirkungsgrad der Fluten und Zuverlaessigkeit der Beschaufelungen, einen wertvollen Beitrag zu den fuer die Kunden wichtigen wirtschaftlichen `Zufalls`-Variablen des ...
The following subjects are dealt with: physics of indoor air flow, flow in individual rooms, exchange of air and pollution between individual building zones and with the outside world, thermal coupling with the building shell, thermal comfort and air quality, evaluation of the ventilation. figs., tabs., refs.
The authors introduce the above electric car. They deal particularly with the vehicle concept, the energy consumption and the emission balance. (orig.).
Optische Uhren nutzen die Anregung optischer Ubergange in neutralen Atomen oder Ionen. Deren Ubergangsfrequenz liegt bei etwa 1015 Hz, also funf Groenordnungen oberhalb der Gigahertz-Schwingungen heutiger Atomuhren. Das erlaubt eine bis zu tausendmal prazisere Zeitmessung. Fur die Genauigkeit ist es entscheidend, dass der Uhrenubergang eine schmale Linienbreite besitzt und seine Frequenz nicht verschoben wird. Dazu mussen die Atome oder Ionen moglichst ungestort und genau lokalisiert sein. Deshalb basiert ein Uhrentyp auf einem kalten Ion in einer Paul-Falle, ein anderer Uhrentyp arbeitet mit vielen kalten Neutralatomen in optischen Gittern. Der Metrologie sollen optische Uhren zunachst als sekundare Realisierung der Sekunde dienen. Derzeit ermoglichen sie bereits Frequenzmessungen mit 17 ...
Fuel cells can make an important contribution to ecologically acceptable energy supply. There are many pilot projects in the 1 W to 1 MW range. Especially the motor car industry is quite interested, and a breakthrough seems to be in sight. The second part of this series discusses the physical and chemical fundamentals of the fuel cell, the function of the electrolyte and catalyst, and the functional principle. (orig.) [German] Brennstoffzellen koennen bei der Riesenaufgabe, den weiter wachsenden Energiebedarf oekologisch vertraeglicher als bisher zu decken, einen wichtigen Beitrag leisten. Bis heute (2004) gibt es zahllose Pilotprojekte im Leistungsbereich 1 W bis ueber 1 MW, die die Alltagstauglichkeit der BZ beweisen. Verschiedenste Branchen - vor allem auch die Automobilindustrie - zeigen grosses Interesse fuer kommerzielle Anwendungen. Die Brennstoffzelle als effizienter Energiewandler, scheint vor dem Durchbruch zu stehen. ...
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 ...
The liberalisation of the energy markets requires completely new demands to the information processing procedure of energy supply enterprises. These requirements are to be understood as chances for strengthening of the terms of competition. In the following contribution to this subject the actual status of the concept as converted by the Electricity Supply Company of Halle (Saale) including their departments of district heating, gas and electricity supply will be presented. This concept are comprising all experiences as gathered so far as well as intended further actions to be executed. (orig.) [German] Die Liberalisierung der Energiemaerkte stellt fuer Versorgungsunternehmen voellig neue Anforderungen an die Informationsverarbeitung. Diese Anforderungen sind als Chancen zur Staerkung der Wettbewerbsfaehigkeit zu verstehen. Die Verfasser erlaeutern den aktuellen Stand des in der EVH GmbH Halle (Saale) im Querverbund ...
The authors shortly describe some basic aspects relating to probabilistic reliability calculation and to the derivation of component reliability data. (GL)
The austenitic nitrided Cr-Mn steels CrMnN 1812, CrMnNMo 1714 and CrNiTi 1810 has been investigated in chloride nitric acid at temperature 20-60 C. The Potentials of pitting nucleation and the time for pitting initiation has been determinate by the hronoamperometric method. It was established that alloying only with nitrogen is not sufficient procedure for obtaining of resistive to localised corrosion steel structure. Of importance for the resistance to localised corrosion of Cr-Mn steels is alloying with molybdenum. (orig.) [Deutsch] Die austenitischen stickstoffhaltigen Cr-Mn Staehle CrMnN 1812, CrMnNMo 1714 und der klassische CrNiTi 1810 wurden in chloridhaltigen Salpetersaeureloesungen im Temperaturbereich 20-60 C untersucht. Durch die hronoamperometrische Methode wurden die Potentiale der Lochfrassbildung und die Zeit zur Initiierung der Lochfrasskorrosion bestimmt. Man stellte fest, dass das Legieren ...
The new multi-purpose oxygen cupola furnace is a coke-fired shaft furnace that is operated on pure oxygen. The top gas is recirculated, and the fumes are drawn off at temperatures ranging from 800 to 1 000 C. The furnace offers the possibility of melting down contaminated and zinc-bearing scrap without the occurrence of any environment-polluting gas emissions. The absence of nitrogen ballast permits a high energy efficiency. (orig.) [Deutsch] Der neue Mehrzweck-Sauerstoff-Kupolofen ist ein koksbeheizter Schachtofen, der mit reinem Sauerstoff betrieben wird. Das Gichtgas wird im Kreislauf gefuehrt, und das Abgas wird aus einem Bereich mit Temperaturen von 800 bis 1 000 C abgefuehrt. Der Ofen bietet die Moeglichkeit, verunreinigte und zinkhaltige Schrotte einzuschmelzen, ohne dass umweltbelastende Gasemissionen auftreten. Der fehlende Stickstoffbalast bewirkt einen hohen energetischen Wirkungsgrad. ...
Under the new name of ``geothermal heat pump``, ground-source heat pumps are currently high in demand in Northern America. In sectors characterized by heating and cold air demand, their advantages can be exploited to the full. For Germany, the end-use-energy substitution potential of geothermal heat pumps has been estimated at 1310-1470 PJ annually. Whether this potential can actually be exploited depends essentially on the development of energy prices, but also on the resourcefulness of plant and heat pump manufacturers in upgrading and cheapening geothermal heat pumps. (orig./RHM) [Deutsch] Unter der neuen Bezeichnung `Geothermal Heat Pump` erlebt die erdgekoppelte Waermepumpe z.Zt. in Nordamerika einen Verbreitungsschub. In dem durch Heiz- und Kuehlbedarf charakterisierten Umfeld kann sie Ihre Vorteile voll nutzen. Fuer Deutschland kommt eine Schaetzung zu einem Potential der erdgekoppelten Waermepumpen zur Substition von Endenergie von ...
The results of these investigations can be summarised as follows: At simulated operating stress most naturally occuring faults in welded- and cast iron parts develop cracks and can be assessed for reliability under fatigue-,creep- and creep fatigue behaviour according to the laws of fracture mechanics. The empirically determined correlation between the real fault size and the ultrasonic inspection results (height of echo, echo dynamics, sound weakening) lead to better assessment of real fault extension in turbine components. It is very important to adapt the method of inspection and assessment to the type of possible fault.(orig.) [German] Die bei diesen Untersuchungen ermittelten Ergebnisse lassen sich wie folgt zusammenfassen: - Die Mehrzahl der untersuchten natuerlichen Fehlstellen in den Schmiede- und Gussstuecken verhalten sich unter den simulierten Betriebsbeanspruchungen rissartig und sind damit mittels den bruchmechanischen Gesetzen in ihrem ...
Since 50 years, the scientists in European Center for Nuclear Research in Geneva, are looking for the secrets of the nature. Their standard Model would explains a lot of things; but the single question "What is the mass?" still does not have an answer
The report provides and overview of calculation models for the simulation of airflows and deals comprehensively with field and multi-zone models as well as the coupling of individual zone and multi-zone models. Examples of calculations are given. figs., tabs., refs.
The German state of Sachsen is a synonym for brown coal production. The elections to the state parliament will decide the future of this echnology and of climate protection strategies like renewable energy sources. A renewables fraction of 82 percent of renewables-derived electric power may be possible by 2020. (orig.)
This richly illustrated toolbook and atlas contains information on all aspects of nmr diagnostic imaging of benign or malignant neoplasms of female and male mammary glands. It offers pinpointed guidance and insight for vocational training and continuing training of radiology assistants, students and medical radiologists. (orig./AJ) [German] Die MRT als hochaufloesendes und schaedigungsfreies Diagnostikum gewinnt gerade in der emotional stark besetzten Mammadiagnostik zunehmend an Bedeutung. Dennoch beherrschen nur wenige Zentren im deutschsprachigen Raum diese Technik, die - eine hohe Reproduzierbarkeit bei fehlender Belastung fuer die Patientin bietet, - invasive Karzinome bereits ab einer Groesse von 5 mm mit hoher Zuverlaessigkeit ausschliessen kann und - gerade bei widerspruechlichen Befunden zwischen klinischer Untersuchung, Roentgenmammographie und perkutaner Biopsie eine wesentliche Entscheidungshilfe bieten kann. Aus einem der ...
The 52 papers discuss the following subjects: 1. Preparation and structural development; 2. Structural constitution; 3. Structural formation and phase transition; 4. Structure and mechanical properties; 5. Structural formation of metallic and nonmetallic materials; 6. Quantitative metallography, and 7. Quality assurance.
A working group (SC 45B/WG B8) exists within the international electrochemical commission (IEC) which is working on the combination and revision of the IEC standards 61283, 61323, 61344, 61525 and 61526. All these standards concern direct reading, electronic, personal dose equivalent meters for the quantities H{sub p}(10) and H{sub p}(0,07); they are different with regard to the kind of radiation (photons, and/or beta rays and/or neutrons). The new standard with the number 61526 shall cover the following topics: 1. Combination of all the mentioned standards; 2. Maintenance of the essential requirements of the former standards; 3. Inclusion of the determination of the uncertainty of measurement for the measured dose equivalent value according to the ''Guide to the Expression of Uncertainty in Measurement''; 4. Consideration of all the relevant ISO-standards for reference radiation fields for photon, beta and neutron radiations; 5. Consideration of ...
The staging of patients with multiple myeloma demands sensitive imaging methods for the assessment of the skeletal system. MRI allows for direct visualization of the bone marrow which exhibits five different infiltration patterns in multiple myeloma: 1. normal appearance of the bone marrow, 2. focal involvement, 3. homogeneous diffuse infiltration, 4. combined diffuse and focal infiltration, 5. ''salt and pepper'' pattern with inhomogeneous bone marrow signals due to multiple fat islands. The combination of T1w-SE and STIR sequences is best suited for detecting all infiltration patterns and for the differential diagnoses e. g. hemangiomas. With parallel imaging in MRI, acquisition times can be markedly reduced and whole-body screening of the bone marrow can be achieved within 30 min. MRI is superior to radiography for the detection of focal as well as diffuse infiltration. Multidetector computed tomography and especially 16- and 64-detector row ...
CT and MRI of acquired abnormalities of the inner ear and cerebello-pontine angle present themselves with very typical findings. The imaging should be adapted to the pathology looked for and either CT or MRI should be used alone or in combination.CT, especially high resolution CT (HRCT), provides an excellent bone contrast, while MRI has a much superior soft tissue contrast. Acute inflammatory changes of the inner ear are solely depicted by contrast-enhanced MRI. HRCT excellently depicts osseous changes of the inner ear and cerebellopontine angle such as chronic ossifying labyrinthitis occurring after acute labyrinthitis, otosclerotic or traumatic changes. Tumorous changes not yielding to bony changes are best delineated by MRI. Posttraumatic hemorrhage and chronic fibrotic changes within the labyrinth are depicted by MRI, only. In conclusion HRCT and MRI are excellent methods to delineate acquired abnormalities of the inner ear and cerebello-pontine angle. HRCT best depicts osseous ...
Reviewing all hitherto known plans or drafts for a reform of the atomic energy law, one can expect that the current legal concept of affording protection of existing (legal) status of nuclear facilities will not essentially be watered down by future developments, unless an act is passed for a nuclear power phase-out. (orig.) [Deutsch] Die bislang bekannt gewordenen Reformbestrebungen legen die Vermutung nahe, dass der Bestandsschutz fuer atomrechtliche Anlagen, sofern nicht ein Kernenergie-Abwicklungsgesetz zum Tragen kommt, mit Abstrichen auch in Zukunft rechtlichen Bestand haben wird. (orig.)
This research project aimed to determine the factors for the transfer of the elements silver (Ag), cerium (Ce), cobalt (Co), chrome (Cr), gallium (Ga), lanthanum (La), molybdenum (Mo), niobium (Nb), radium (Ra), ruthenium (Ru), antimony (sb), thorium (Th), titanium (Ti) and uranium (U) from food into the mother's milk. This factors will be used as a basic to check and derive activity values for the contamination of food and for radiation protection at working places of suckling women. For this purpose 19 mothers collected samples daily (2-8 weeks), using the duplicate method, of all the food they consumed as well as of their milk. After microwave-assisted digestion the element contents were analysed by mass-spectroscopy with inductive coupled plasma (ICP-MS). The results of the mothers who participate for more than 5 weeks were used to make a time lapse between the intake and transfer of the elements in the mothers milk visible. (orig.) [German] Ziel dieses Forschungsvorhabens ...
The rate at which full-scale technology transfer takes place depends on the quality of the supply companies, i.e. training, organisational development and product infrastructure. These parameters are discussed for the example of a water mill, and a flow diagram is presented. [Deutsch] Wie rasch ein umfassender Transfer in Frage kommt, entscheidet sich mit der Qualitaet und dem Niveau der zuliefernden Betriebe. Hierbei sind Ausbildung, Organisationsentwicklung und Produktionsinfrastruktur besonders angesprochen. Fuer eine Wassermuehle werden diese Parameter konkret eroertert und an Durchlaufdiagrammen erlaeutert. (GL)
After 3 years of construction the trial run of the heating power station HKW 2 ended in November 1997 on time. No extraordinary damage occured during construction, assembly or commissioning. The plant has been operating according to schedule since November 1997. A brief inspection carried out in the summer of 1998 in order to assess warranty claims showed no damage to any part except one valve. Experience shows that all aforementioned activities were necessary. The paper reports about success and negative experience. Certification according to DIN EN ISO 9000ff., however, affords to guarantee of high-quality construction. Builders of such plants therefore need to set up their own quality assurance centre and ensure its technical competence. If necessary,additional experts should be called in.Quality assurance costs for HKW 2 came to about 0.5-0.6 percent of total costs. In view of the success and long life of this investment these expenses are more than justified. (orig.) [German] Nach ...
A part of the waste materials arising in iron and steel manufacture is utilised physically, either internally for the recovery of iron or externally for the production of cement and nonferrous metals. Most of these materials can be used without prior processing. Iron and steel-relevant waste materials which at present are still landfilled or disposed of as hazardous wastes are not immediately suitable for physical recycling as secondary raw material. These waste materials have to be processed without exception before they can be used again in the existing steel and iron manufacturing plants. The results of the authors` own studies have clearly shown that the cupola furnace is suited for the use of a wide variety of waste materials. [Deutsch] Ein Teil der bei der Eisen- und Stahlerzeugung anfallenden Abfallstoffe werden entweder intern zur Rueckgewinnung des Eisens oder extern in der Zement- bzw. Nichteisenmetallgewinnung ...
Parallel imaging and echo sharing techniques have markedly reduced the acquisition times for MRI of large volumes. Dynamic 2 and 3-dimensional data sets of the chest with high temporal resolution (up to 10 images/s with single slice and 2 volume/s) allow an analysis of respiratory motion of the lungs and tumors. Time-resolved 2D series in preselected planes can be used to observe respiratory motion during free breathing or after respiratory commands, e.g. to exclude chest wall invasion by a tumor or for diagnosing impairment of respiratory mechanics. Time-resolved 3D-series (4D-MRI) allow monitoring of the spatial displacement of the lungs and tumors as a whole volume. Present limitations such as an overestimation of tumor size and an underestimation of displacement due to a limited temporal resolution are expected to be overcome with further technical developments. However, 4D-MRI already appears to be the appropriate tool to select patients for motion-adapted radiotherapy. In ...
The main objective of nuclear liability law is the compensation of victims of a possible nuclear incident. However, an adequate nuclear liability law is just as important for nuclear industry, in particular the supply industry - including suppliers of know-how and consultants. Without such a law, the liability risk would be incalculable and industry would not be ready to supply to nuclear installations or nuclear activities. This applies especially to programmes which aim at improving nuclear safety in Eastern Europe. Key elements are the exclusive concentration of liability onto the operator of a nuclear installation (channelling of liability) and the channelling of lawsuits onto one single competent court in one single country. There are recent examples: The negotiations on the management of nuclear waste, including submarines, in Northern Russia and the negotiations within the framework of the East Asian project of the Korean Peninsula Energy Development Organization (KEDO), ...
A Paderborn group of builder-owners decided in favour of so-called concrete core activation or isothermal component tempering as an alternative to conventional air conditioning. Results are now available for the first year of operation. [German] Am eigenen Neubau hat eine Paderborner Bauherrengemeinschaft die sogenannte Betonkernaktivierung - oder wie es die Bauherren nennen, isotherme Baukoerpertemperierung - als Alternative zu einer konventionellen Klimaanlage installiert. Inzwischen liegen die Messergebnisse von der ueber einjaehrigen Betriebszeit vor. (orig.)
Surface structure analysis, i.e. metallographic analysis of component surfaces with the aid of replicas, is an established method of component monitoring and the only reliable non-destructive method for detecting and analyzing beginning creep damage in the form of creep pores. Creep pore development provides a basis for component condition analysis. It must be noted, however, that the modern martensitic 9-12 % Cr steels - like the established steels 10CrMo9-10 (P22) und X20CrMoV12-1 - have comparatively high creep fracture deformation rates in fatigue tests. This raises the question if these steels can be judged on the basis of data for established steels. The results so far suggest that even with low pore densities (single pores), a higher degree of damage and a shorter time until failure must be assumed. [German] Eine bewaehrte Methode der Bauteilueberwachung stellt die Oberflaechengefuegeuntersuchung, d. h. die metallografische Untersuchung ...
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 ...
Since mid-1995, Audi is the second European producer to offer a direct-injection diesel engine for passenger cars. The 2.0 l engine is installed in the middle-class sedan Rover 620 SDi. (orig.) [Deutsch] Als nach Audi zweiter europaeischer Hersteller bietet Rover seit Mitte dieses Jahres einen Pkw-Dieselmotor mit direkter Einspritzung an. Eingesetzt wird das Aggregat mit 2,0 l Hubraum in der Mittelklasselimousine Rover 620 SDi. (orig.)
In the well-known devices for increasing the decontamination factor in the treatment of radioactive waste water by evaporation, which consist of narrowing devices with evaporator sump and condenser, droplets of liquid and solid particles are carried over from the breeder space, which are radioactive and therefore make the decontamination factor worse. Better results are obtained if one places a fibre bed filter between the evaporator sump and the condenser, preferably in a horizontal connecting pipe between the evaporator sump and the condenser.
Vol. 4 of the DKV Conference Proceedings 2000 contains 19 papers on air quality, thermal comfort, space HVAC engineering and alternative cooling concepts. [German] Der Band 4 des DKV-Tagungsberichts 2000 enthaelt 19 Beitraege. Sie befassen sich mit speziellen Themen der Heiztechnik; Luftqualitaet und Behaglichkeit; Raumlufttechnik und Alternativen Kuehlkonzepten.
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. ...
There are many applications that necessitate reliable and permanent power supply, e.g. power stations, airports, computer centers or hospitals. The stationary battery systems must be monitored by efficient systems, e.g. Batlog. (orig.) [Deutsch] Viele Anwendungen verlangen eine permanent verfuegbare und zuverlaessige Stromversorgung. Kraftwerke, Flughaefen, Rechenzentren oder Krankenhaeuser muessen ihre Prozesse auch bei einem Netzausfall oder einer Versorgungsunterbrechung weiterbetreiben. Dies gelingt nur, wenn sich der entsprechende Energiespeicher in einsatzbereitem Zustand befindet. Die Ueberwachung der stationaeren Batterieanlagen erfordert leistungsfaehige Systeme wie Batlog. (orig.)
Purpose: The results of therapy in 288 men with pathologic Stage C prostate cancer who underwent radical retropubic prostatectomy (RRP) were analyzed to determine the effects of adjuvant therapy. Methods and Materials: Twenty-seven of the 288 patients received preoperative neoadjuvant hormonal therapy (leuprolide acetate). Postoperatively, 60 patients received adjuvant radiotherapy (RT) to the prostate bed. Follow-up ranged from 3 to 83 months (median = 32 months). Freedom from failure (FFF) was defined as maintaining a serum PSA level of #<=# 0.3 ng/ml. Results: The FFF was 61% at 3 years and 45% at 5 years for the entire group. The FFF following RRP plus RT was 75% at 3 years and 57% at 5 years as compared to 56% at 3 years and 40% at 5 years for RRP without RT (p = 0.049). The FFF following RRP plus neoadjuvant hormonal therapy was 58% at 3 years and 40% at 5 years as compared to 60% at 3 years ...
Retrospective analyses were performed to evaluate the therapeutic efficacy of intra-oral cone (IOC) radiation therapy for carcinoma of the oral tongue, especially about its faculty of local control and complications. Thirty-nine patients with squamous cell carcinoma of the oral tongue were treated with IOC radiation therapy alone or in combination with external irradiation. IOC radiation therapy was given not only for T1 and T2, but also for T3 tumors. Hypofractionation was used for IOC radiation therapy. The 2 year local control rates, including surgical salvage, for T1, T2, T3 and T4 were 100%, 73.3%, 40% and 0%, respectively. The 5 year actuarial survival rates for Stage I, II, III and IV were 100%, 65.3%, 35.4% and 0%, respectively. The incidences of radiation complications, i.e. soft tissue ulceration and osteoradionecrosis, were 42.9% and 2.9%, respectively. It is suggested that relatively high ...
The results of 144 previously untreated cases of primary Ewing's sarcoma of bone are reported with a minimum follow-up of 5 years. This series was treated between 1972 and 1982 at Istituto Ortopedico Rizzoli with a combined therapy. The local control of the disease consisted of amputation (ten cases), resection followed by radiation therapy (35-45 Gy) (48 cases) and radiation therapy alone (40-60 Gy) (86 cases). Adjuvant chemotherapy, rigorously standardized, was performed according two different protocols: the first (85 cases treated in the period 1972-1978) consisted of vincristine (VCR) Adriamycin (doxorubicin) (ADM), and cyclophosphamide (EDX); the second (59 cases treated in the period 1979-1982) of VCR, ADM, EDX and dactinomycin (DACT). At a follow-up of 5 to 16 years (median, 9), 59 patients (41%) are continuously disease-free (CDF), 81 (56%) developed metastatic disease and/or local recurrence, and four (3%) had a ...
Based on the first part of this report the molybdenum loadings of the red mud were varied and the activity of the catalytic additives was tested in a batch autoclave with TJP VR. The 30% Molybdenum loading (sample Nr. 6) was found to be optimum. Further testing with two vacuum residues (TJP VR and ARH VR) and sample Nr. 6, indicates the influences of the process parameters for hydrogen pressures of 9-15 MPa, temperatures of 440-475 C and residence times of 0-60 min. Obviously 440 C, 12 MPa and a residence time of 30 min are best conditions for hydrocracking of both vacuum residues with sample Nr. 6. (orig.) [Deutsch] Beruhend auf dem ersten Teil des Berichtes wird der Belegungsgrad der Rotmasse mit Molybdaen variiert und die resultierenden katalytischen Zusaetze werden in einem Autoklaven mit TJR VR getestet. Ein Belegungsgrad mit 30% Molybdaen (Probe 6) scheint optimal zu sein. Mit diesem Zusatz werden die Einfluesse der ...
Numerous task forces at universities, other research institutions and in industry have been concerned with the development of methods fit to replace animal experiments. A great many useful in-vitro test systems were developed. From 1986 to 1993 the ``In-vitro Systems`` newsletter was published with the support of the federal ministry of science and technology. Its purpose was to intensely promote the concept of in-vitro systems for the benefit of experimental animals among scientists, and to demonstrate to the public the limits of such endeavours. This brochure is a compilation of 141 contributions from all annual volumes, dealing inter alia with research projects for the development of pharmaceuticals, toxicology and quality control, ethic-philosophical considerations, meeting reports, and book reviews. Changes or revisions have not been made; so some of the contributions have been overtaken by more recent developments. (MG) [Deutsch] Viele Arbeitsgruppen an Universitaeten, anderen ...
A whole sequence of the parameters of the combined heat and power system (KWK) is described which enables a comparison between the electricity and heat demand of a consumer and the energy availability through a combined heat and power system. Proceeding from this, a thermodynamic model of a steam and gas process with combined heat and power is introduced which is based on an exergetic balancing of the subsystems of the process. In this way, the varying thermodynamic quality of the energy flows occuring in the process will be taken into consideration so that the results of the model correspond in any case with the second law of thermodynamics. (orig.) [Deutsch] Es wird ein vollstaendiger Satz von Kenngroessen der Kraft-Waerme-Kopplung (KWK) beschrieben, mit dessen Hilfe der Strom- und Waermebedarf eines Verbrauchers mit der Energiebereitstellung durch eine KWK-Anlage verglichen werden kann. Darauf aufbauend wird ein ...
A study tour in autumn 1999, which was undertaken following the award of the Helmuth Burkhardt prize of Wirtschaftsvereinigung Bergbau e.V. to the authors, comprised visits to potash, molybdenum, lead, zinc, copper ore and coal mines in the mid-west of the USA. The Black Mesa Mine and Kayenta Mine of Peabody Western Coal Company in the Navajo Reserve in the north of Arizona, the Trapper Mine Inc. near Craig and the Twentymile Coal Company near Steamboat Springs, Colorado are described in this report. In addition to a brief description of the geology the coal winning is considered in greater detail. The Twentymile Coal Company was asked to explain the reasons for the successful operation of the colliery, which produces more than 5 mill. t anthracite per year by long wall working. (orig.) [German] Eine Exkursion im Herbst 1999, die durch die Verleihung des Helmuth-Burkhard-Preises der Wirtschaftsvereinigung Bergbau e.V. an Bergassessor Andreas Tschauder zustande kam, ...
The VerTech Pit Method for wet oxidation of municipal sewage sludge offers an ecologically and economically advantageous alternative for dealing with sewage and special sludges. Europe`s first commercial plant has now been commissioned in Apeldoorn in the Netherlands following industrial-scale trials in the USA. Up to its present stage of operation the plant has achieved a high degree of reduction of solid residues and a favourable resource and environmental profile, thus impressively confirming earlier results. It is amply in keeping with the landfill criteria laid down in the Household Waste Technical Code. Furthermore, the potential sludge throughput has been found to exceed the projected value. [Deutsch] Mit dem VerTech-Tiefschachtverfahren zur Nassoxidation kommunaler Klaerschlaemme steht ein alternatives Verfahren zur Behandlung von Klaer- und Sonderschlaemmen zur Verfuegung, das oekologische und wirtschaftliche Vorteile aufweist. Nach grosstechnischer Erprobung in den USA wurde ...
The regenerator of Stirling cycle machines has an relatively unknown potential for thermal shorting, because the thermal flow path within the solid of a randomly stacked wire mesh, which is defined by its 'connectivity', is unknown. Earlier publications have shown two principles of experimental techniques to quantify connectivity. One quantifies connectivity as a function of axial pressure using the electric current analogy, the other measures connectivity via the temperature gradients along a regenerator and a series-connected reference body of known conductivity. Both papers offer preliminary results of reduced usefulness related to the testing method or setup. This contribution describes a new setup and its technique, which results from the practical knowledge and experience of the first two attempts, and aims for an improved determination of connectivity of the original representative Stirling regenerators with and without housing. Please contact the author for ...
Two of the working sessions of the meeting were devoted to aspects of international atomic energy law; the international character of the meeting was also reflected by the home countries of the members of the panel discussion concluding the working sessions. There was substantial reason to put emphasis on the international dimension of the topics discussed. In June 1994, the Nuclear Safety Convention had been signed in Vienna by diplomatic representatives of the signatory countries, and this Convention marks a signpost in the history of international atomic energy law. At the time the meeting was held, negotiations for improving the international nuclear lability law, which had been dragging on since 1989, had come to a stalemate. The meeting offered a suitable forum for taking a scientific approach to tackle the complex problems involved in reshaping the law on nuclear safety and nuclear liability. The third working session of the meeting has been discussing topics relating to the ...
A high-temperature flow reactor and different technical plants were tested within the framework of this research project. Anthropogenic N{sub 2}O emissions form during secondary flue gas or waste gas purification as secondary emissions during denitrification and pollution abatement measures. N{sub 2}O forms as an intermediate product as NO is reduced to N{sub 2}. Under certain operating conditions N{sub 2}O is not decomposed completely. Different secondary flue gas purification measures, i.e. selective noncatalytic reduction (SNCR), selective catalytic reduction (SCR), and nonselective catalytic reduction (NSCR) were investigated testing several technical plants and the high-temperature flow reactor. (orig./EF) [Deutsch] Das Forschungsprojekt ``Messung der N{sub 2}O-Emissionen von Verbrennungsanlagen und Untersuchung von Moeglichkeiten zur Emissionsminderung`` wurde an einem Hochtemperatur-Stroemungsreaktor und an verschiedenen technischen Anlagen durchgefuehrt. ...
A process model is presented and used for identifying options for controlling the cupola furnace process and for investigating natural gas substitutes. Fuel substitution will affect temperature curves (i.e. tapping temperatures and melting capacity), outlet temperatures and gas mass flow out of the preheating zone. The contribution presents several process variations to overcome these problems and compares them with the natural gas process. [German] Mit dem Prozessmodell werden zunaechst Moeglichkeiten der Steuerung von Abstichtemperatur und Schmelzleistung, insbesondere unter Beruecksichtigung der Schrottqualitaet (spezifische Oberflaeche a{sub G}), untersucht. Es wird gezeigt, dass das Prozessmodell die Ergebnisse aus der Praxis wiedergibt. Daran anschliessend wird mit dem Prozessmodell die Substitution von Erdgas durch minderwertige Gase untersucht (Brennstoffsubstitution, Ressourcenschonung). Durch die ...
In 1986, following comprehensive preliminary studies, a 17 MW battery energy storage plant was set up in the insular power supply system of Berlin (West) for the purpose of frequency and output control and provision of immediate reserve capacities. The present paper reports on the initial task, and the dimensioning and construction of this large-scale demonstration as well as the costs entailed in this. It also relates the experiences gained with the operation of the battery energy storage plant in its function as a fast-responding control unit and gives an account of its economic efficiency. Recent studies on the economic efficiency of the plant in conditions as they exist in the present interconnected power supply system are presented. Finally the author reports on the experiences gained with individual plant components, i.e., battery, battery periphery, and power converter and quantifies the cost of plant operation, maintenance, and servicing. (orig./HW) [Deutsch] Im Inselnetz von ...
The direct injection Diesel engine with its specific fuel consumption of about 200 g/kWh is one of the most efficient thermal engines. However in case of relatively low CH- und CO-emission the soot- and NO{sub x} concentration in the exhaust gas turns out to be a problem with respect to the legislation on emission limits. At the department of piston- and turbo-machines of the Trier University of Applied Sciences, a single-cylinder testing engine with two injection-systems (fuel and water) has been developed. This engine has been constructed to analyse the effect of stratified water-injection on the soot- and NO{sub x} emissions of exhaust gases of a Diesel engine. (orig.) [German] Der Dieselmotor mit Direkteinspritzung stellt mit spezifischen Kraftstoffverbraeuchen in der Groessenordnung von 200 g/kWh eine der wirtschaftlichsten thermischen Kraftmaschinen dar. Bei relativ niedrigen Kohlenwasserstoff- und ...
Following the conventional X-ray diagnosis of the skull and upper cervical spine, CT proved to be the primary diagnostic method after a skull and brain injury: For all 4 cases we succeeded in detecting the occipital condyle fracture and in determing its size and location by reconstructions (coronal, sagittal, 3-D). In the case of complex occompanying injuries like soft tissue hematomas (cerebral, in the spinal cord, and the soft tissue of the neck) or for the detection of brain stem contusion, MRT had significant advantages. MRT can offer a higher image quality in soft tissue, especially in the spinal cord and the brain. (orig.) [Deutsch] Im Anschluss an die konventionelle Roentgendiagnostik des Schaedels und der Halswirbelsaeule, erwies sich die Computertomographie als primaer einzusetzendes diagnostisches Verfahren, nach erlittenem Schaedel-Hirn-Trauma. In allen Faellen gelang der exakte Frakturnachweis an den Okzipitalkondylen, die ...
A model for combined mass and heat transfer during nonisothermal gas absorption in a two-phase gas- liquid bubbly medium with a high gas content and/or large times of gas-liquid contact is suggested. Diffusion and thermal interactions between bubbles is taken into account in the approximation of a cellular model of a bubbly medium whereby a bubbly medium is viewed as a periodic structure consisting of identical spherical cells with periodic boundary conditions at a cell boundary. Distribution of concentration of dissolved gas, temperature distribution in liquid and coefficients of mass and heat transfer during nonisothermal absorption of a soluble pure gas from a bubble by liquid are determined. In the limiting case of absorption without heat release the derived formulas recover the expressions for isothermal absorption. (orig.). With 1 fig., 1 tab. [Deutsch] Es wird ein Modell vorgestellt, das den kombinierten Waerme- und Stoffaustausch waehrend der ...
For millions of people general noise and especially traffic noise are the main sources of environmental pollution. The increasingly stricter noise pollution abatement limiting values laid down by the law call for motor vehicle noise pollution abatement measures. Within the framework of today`s cost- and performance-oriented automobile and engine development developing engineers are required to reduce noise levels. The present state of the art is described and future possibilities of combustion engine structure-borne noise calculation and optimization are discussed from the point of view of K + P Computerunterstuetzte Strukturanalysen GmbH. (orig.) [Deutsch] Laerm allgemein und dabei speziell wiederum der Verkehrslaerm steht fuer Millionen von Menschen an allererster Stelle der persoenlichen Belastung durch die Umwelt. Zur Minderung der Laermbelastung werden vom Gesetzgeber immer schaerfere Grenzwerte vorgeschrieben, die ...
Magnetic resonance imaging (MRI) as a diagnostic imaging tool relies on the generation of magnetic fields, whereas the computerized tomography (CT) uses X-radiation. The fundamental principle of MRI is the magnetic resonance of paramagnetic atomic nuclei. These nuclei, as e.g. protons (= hydrogen nuclei), are aligned in required orientation by application of a strong magnetic field. Upon simultaneous application of an electromagnetic high-frequency field perpendicular to the axis of the basic magnetic field, and in response to periodical changing of the electromagnetic field at a given frequency, the originally aligned paramagnetic nuclei are forced into a movement similar to that of a ``whipping top``. When the resonance frequency is shut off, the nuclei return to their former, aligned positions, inducing a weak signal in a coil. The series of signals generated by multiple repetition of this process of excitation of nuclei and their return to aligned rest is used as input to a ...
Purpose: To report the detection of con-compacted ventricular myocardium (NVCM) with MRI compared to echocardiography in 8 patients. Material and methods: Non-compaction of the ventricular myocardium is a congenital disorder characterized by an altered structure of the myocardial wall resulting from an intrauterine arrest in endomyocardial embryogenesis. The morphological findings consist of a prominent meshwork of multiple myocardial trabeculations and deep intertrabecular recesses, communicating with the left ventricular cavity. 8 consecutive patients (mean age 7.3 years) with clinical and echocardiographic signs of NCVM were examined by MRI (1.5 T, Vision, Siemens) in short axis and 2- and 4-chamber views, using T{sub 1}-weighted TSE and Cine-GRE in 6 patients and true FISP sequences in 2 patients. MRI and echocardiography were evaluated for visibility, signs of NCVM and involvement of myocardial wall segments. Thickness was measured for non-compacted and compacted myocardium and ...
Objective A number of effective treatments for bulimia nervosa have been developed, but they are infrequently used, in part due to problems with dissemination. The goal of this study was to examine the cost effectiveness of telemedicine delivery of cognitive behavioral therapy for bulimia nervosa. Method A randomized controlled trial of face-to-face versus telemedicine cognitive behavioral therapy for bulimia nervosa. One hundred twenty eight women with DSM-IV bulimia nervosa or eating disorder, not otherwise specified subsyndromal variants of bulimia nervosa were randomized to 20 sessions of treatment over 16 weeks. A cost effectiveness analysis from a societal perspective was conducted. Results The total cost per recovered (abstinent) subject was $9324.68 for face-to-face CBT, and $7300....
Two patients who developed large intracranial vessel occlusion after standard radiation therapy for brain tumor are described. This form of vascular occlusion is usually seen in patients who have previously been treated by radiotherapy for intracranial tumor who then develop a relatively acute change in neurologic status. Histology of the lesion mimics accelerated focal arteriosclerosis. The clinical and radiographic manifestations of one case were highly atypical. The vasculopathy became evident shortly after termination of radiation therapy for a fourth ventricular ependymoma, and the angiographic picture stimulated a diffuse arteritis. The second patient was more typical, with clinical symptoms developing 12 years after radiation therapy for an oligodendroglioma. Occlusion of a proximal vessel that had been included in the radiation port was demonstrated radiographically and confirmed by pathologic examination. The ...
Two patients who developed large intracranial vessel occlusion after standard radiation therapy for brain tumor are described. This form of vascular occlusion is usually seen in patients who have previously been treated by radiotherapy for intracranial tumor who then develop a relatively acute change in neurologic status. Histology of the lesion mimics accelerated focal arteriosclerosis. The clinical and radiographic manifestations of one case were highly atypical. The vasculopathy became evident shortly after termination of radiation therapy for a fourth ventricular ependymoma, and the angiographic picture stimulated a diffuse arteritis. The second patient was more typical, with clinical symptoms developing 12 years after radiation therapy for an oligodendroglioma. Occlusion of a proximal vessel that had been included in the radiation port was demonstrated radiographically and confirmed by pathologic examination. The ...
The invention refers a procedure of radiation dose control in irradiated tissues during electron-beam therapy. It aims at meeting the planned radiation dose for diseased tissues and taking care of the healthy ones. Therefore, the dose distribution required is determined before irradiation in consideration of such factors as energy-dependence of detector sensitivity, self-absorption within the tissue, and relative biological effectiveness. Furthermore, the expected intensity distribution of secondary quantum radiation excited in the irradiated tissue is calculated. A radiation detector for local resolution is used for registration. During irradiation the calculated intensity distribution is compared with the measured one. The invention is applicable in radiation therapy with monoenergetic electron beams.
Portal localization images for high-energy electron beam therapy are necessary to confirm the treatment field by comparing them with a simulation image obtained before treatment or portal verification images after treatment. In this study, portal localization images were acquired using the computed radiography (CR) system and bremsstrahlung X-rays generated in the electron beam irradiations. All images obtained with phantom and the irradiations of in the electron energy of 8, 10, 12 and 15 MeV were feasible for clinical use. The CR system used in this study included general diagnostic imaging cassette and storage phosphor plate, but none of other special devices. The system can usually supply portal localization images, which maintains the quality assurance of high-energy electron beam therapy. (author)
The aim of this review is to evaluate the role of inflammatory spine disease in patients with chronic back pain. The contribution of imaging modalities for the diagnostic evaluation of back pain is discussed. A systematic literature search based on the classification of seronegative spondyloarthropathies and rheumatoid arthritis was performed. The results of this search and the experiences in a large collective of rheumatological patients are analyzed. The prevalence of rheumatoid arthritis (1-2%) is comparable to that of spondyloarthropathies (1.9%). The etiology of these entities is not fully elucidated. Magnetic resonance imaging is increasingly used for early detection and surveillance of therapy with TNF-#alpha# antagonists. Bone marrow edema, which is only detectable with MRI, represents an early sign of inflammation. Therapy with TNF-#alpha# antagonists is based on clinical and laboratory criteria, and signs of inflammation in MRI. MRI ...
Therapeutic decisions are quite clear-cut for asymptomatic gallstone disease and acute cholecystitis. However, the appropriate therapeutic course for older patients with chronic cholecystitis may be less obvious. Watchful waiting may be reasonable for patients with mild and infrequent symptoms. For healthy patients, cholecystectomy is recommended if symptoms are becoming more frequent and severe. Laparoscopy may reduce the complication rate and be safely performed even in those with underlying medical illness. Oral dissolution therapy can be attempted for qualifying symptomatic patients who are at poor surgical risk or who refuse surgery. Shock wave lithotripsy and contact dissolution therapy show some promise but are currently experimental. PMID:8339941
A long-term follow-up of a patient with beta thalassaemia with intra- and extraspinal extramedullary haematopoietic tissue compressing the spinal cord is presented. Extramedullary haematopoietic nodules are a rare cause of spinal cord compression and should be included in the differential diagnosis, especially in patients from Mediterranean countries. Treatment with radiation therapy solely failed, giving rise to the need of surgical intervention. Surgical decompression of the spine and the removal of the culprit lesion compressing the spine were performed. Postinterventional radiation therapy was applied to the spine. A relapse had to be treated again by surgical means combined with postinterventional radiation therapy. A complete relief of the symptoms and control of the lesion could be obtained.
The philosophy pervading the treatment approach to Ewing's sarcoma was to have therapy encompass all foci of disease, including sites of occult or potential involvement in addition to obvious clinical manifestations. The experience with integrated methods of treatment in 66 consecutive patients at the National Cancer Institute is reviewed. A median survival of 18 months (44 percent 2 year survival rate) for patients with recognizable metastases on admission bears impressive witness to the value of adjuvant therapy in Ewing's sarcoma. Even more encouraging, an uncorrected 5 year survival rate of 53 percent (42 percent continuously free of disease) for patients given ''pyrophylactic'', adjuvant therapy indicates the potential for permanent control of disease in a significant fraction of cases with clinically localized primary tumors. (U.S.).
This study investigated dose to bone tissue in electron beam therapy. Measurements were made using films and thermoluminescent dosimeters in a polystyrene phantom containing bone inhomogeneity for 15-MeV, 12-MeV, and 9-MeV electron beams. An increase in dose of approximately 18%, 12%, and 11%, for the three electron energies respectively, relative to the dose in polystyrene, was found for bone material having an electron density (relative to water) of 1.73. Measurements were also made using films for 15- and 9-Mev electrons in a phantom with a mandibular bone and teeth. A dose enhancement in bone of approximately 10% and 7%, respectively, for the two energies was found in the phantom where the electron density of bone was about 1.60. These results suggest that injury to bone is possible in those clinical situations where high doses of electrons are used for therapy.
This study investigated dose to bone tissue in electron beam therapy. Measurements were made using films and thermoluminescent dosimeters in a polystyrene phantom containing bone inhomogeneity for 15-MeV, 12-MeV, and 9-MeV electron beams. An increase in dose of approximately 18%, 12%, and 11%, for the three electron energies respectively, relative to the dose in polystyrene, was found for bone material having an electron density (relative to water) of 1.73. Measurements were also made using films for 15- and 9-Mev electrons in a phantom with a mandibular bone and teeth. A dose enhancement in bone of approximately 10% and 7%, respectively, for the two energies was found in the phantom where the electron density of bone was about 1.60. These results suggest that injury to bone is possible in those clinical situations where high doses of electrons are used for therapy.
In everyday radiotherapy we must carry out the determination of absorbed dose measurement according to JARP's protocol. We explained an outline of JARP's 1974 and 1986 protocol in electron beam therapy, and mentioned it about the matter that should examined. To use it easily in clinic, a simplified procedure based on precisely to JARP's 1986 protocol is practical, the character of this procedure settles briefly the determination of mean incident energy of electron beams and get ready to table of ionization to absorbed dose conversion factor for various ionization chamber. Also, this procedure almost not influence on the accuracy of determination. We described systematically practical procedure for requisite absorbed dose calculation in a patient in electron beam therapy. (author).
Primary percutaneous coronary intervention (PPCI) is superior to thrombolysis (TL) as reperfusion therapy in ST-elevation myocardial infarction (STEMI). TL is a rapidly available, but semi-effective therapy (effective reperfusion in 50% of patients only), whereas PPCI is a potentially delayed, but highly effective therapy (effective reperfusion in >90%). Since TL loses its efficacy beyond 2?3?h after symptom onset, it is a significant reperfusion alternative to PPCI in early presenters only. The individual decision to treat an early presenter with PPCI or TL requires the evaluation of the time delay between potential start of TL or PPCI, the PCI-related delay (PRD). PRD is greatest, if TL is given in the prehospital setting. Until now, prehospital TL as the most rapidly available reperfusi...
In this study we investigated cultural, familial, and individual beliefs that influenced international students? perceptions of therapy and help-seeking behaviors. Included were changes in perception or behavior before and after the students came to the US, and factors that influenced help-seeking behaviors. Six international students from East Asian countries where English is a foreign language, including Taiwan, Mainland China, Japan, and South Korea, were interviewed. We used semi-structured interviews and participant observations for collecting data. The findings indicated changes after students came to the US. Further discussions focus on encouraging and discouraging factors relative to seeing therapists, and culturally sensitive interventions for family therapy clinicians.
Records of 154 patients with Ewing's sarcoma treated at the National Cancer Institute were reviewed to assess the incidence and risk of developing isolated central nervous system (CNS) Ewing's sarcoma. Sixty-two of the 154 patients had received CNS irradiation and intrathecal (i.t.) methotrexate as part of their initial therapy to prevent the occurrence of isolated CNS Ewing's sarcoma. The risk of developing isolate CNS Ewing's sarcoma was greatest within the first two years after diagnosis and was approximately 10%. The overall risk of CNS recurrence in the group of patients receiving DNS treatment was similar to the group receiving no therapy directed to the CNS. The occurrence of isolated CNS involvement was not prevented by the use of CNS irradiation and i.t. methotrexate. Because of a lack of efficacy to the CNS irradiation regimen, current treatment regimens do not include therapy directed to CNS.
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 ...
The amounts of lead and cadmium produced and processed in these days are considerable. As a result, our environment is increasingly polluted by heavy metals and industrial installations, motor vehicles or incinerating plants appear to be among the main culprits here. Air and water are the media permitting the entry of heavy metals into our natural environment where they accumulate in the soil and then gradually migrate into the plants. Their further transport in the food constitutes the third step in the environmental spread of heavy metals. The consumption of muscle and organ meats, of vegetables, fruits, canned food and drinking water is unavoidably associated with some ingestion of lead and cadmium. The degree to which they are taken up and stored in different tissues is determined by absorption properties and the nutritional state of the organism. Cadmium tends to accumulate in the kidneys, lead is mainly stored in the bones. A continuously increasing uptake finally results in ...
The first volume of the report covers the state of implementation of primary and secondary measures for SO{sub 2}- and NO{sub x} control applied in the most important industrial sectors in Germany. Integrated pollution abatement techniques, called primary measures in this report, such as process integrated measures and low emission processes, have gained increased importance in recent years. The end-of-pipe processes, described here as secondary measures, are generally highly effective. They represent mature technologies, which are capable of achieving significant reductions in SO{sub 2}- and NO{sub x} emissions, and which have been used in particular for retrofitting existing plants. At first, an overview is given regarding the development of SO{sub 2}- and NO{sub x} emissions in selected European countries during the last 20 years and in Europe. Current national and European emission limits and emission guidelines on SO{sub 2}- and NO{sub x} emissions from stationary sources are ...
A cooperative effort of the Center for Solar Energy and Hydrogen Research (ZSW) and Phototronics Solartechnik GmbH (PST) aimed at the transfer of highly efficient solar cells developed on a laboratory scale, to large-area thin-film solar modules suitable for production. This work was based on research and development at the Institute for Physical Electronics (IPE) of Stuttgart University and ZSW on one hand, and on the know-how of PST in regard to large-area module fabrication on the other hand. The various thin-film layers of the cells and modules comprize molybdenum as rear contact, copper-indium(gallium)-diselenide (CIGS) as absorber material, the combination of cadmium sulphide (CdS) and ZnO as window layer. To produce these layers on large areas (30x30 cm{sup 2}), equipment was constructed and procedures were developed. Monolithic series connection of cells, used in other thin-film technologies, was studied and optimized by suitable patterning procedures, such as laser-scribing, ...
Purpose: For planning the therapeutic strategies and estimating the prognosis in esophageal cancer, N-staging is very important. To date, MRI still is of minor importance as imaging modality of the mediastinum despite promising developments in the past, like ECG-gating or 'averaging' sequences, e.g. LOTA (Long-term averaging), which facilitate mediastinal and thoracic MR-imaging. In a prospective approach, the value of MRI based N-staging was examined with respect to LOTA-sequences. Material and Methods: Within from weeks prior to esophagectomy, standardized MRI of the esophagus was performed in 15 patients (10 squamous-cell-carcinomas and 5 adenocarcinomas) using a 1.5 T whole body scanner. Imaging quality was classified based on depiction of aortic wall or tracheal wall layers. Criteria for malignant infiltration were a diameter of more than 15 mm or a round appearance of a lymph node together with GD-DTPA enhancement. All data were blinded and separately read by ...
Atypical hemolytic uremic syndrome (aHUS) is a heterogeneous disease that is caused by defective complement regulation in over 50% of cases. Mutations have been identified in genes encoding both complement...Full Text Available
AbstractThe optimal definition of the size, shape and location of gross tumour volume is one of the most important steps in the planning of radiation therapy, and necessitates a proper...Full Text Available
PurposeWe conducted a comparative study of Clinical Target Volume (CTV) definition of pelvic lymph nodes by multiple GU radiation oncologists looking at the levels...Full Text Available
Albeit the considerable progress that has been made both in our understanding of the pathophysiology of acute renal failure (ARF) and in its treatment (continuous renal replacement therapies), the morbidity...Full Text Available
AbstractThere is an urgent need for innovative therapies against ovarian cancer, one of the leading causes of death from gynecological cancers in the United States. Immunotherapy employing...Full Text Available
Background: Patients with a typical depression are more likely to respond to monoamine oxidase inhibitors than to tricyclic antidepressants. They are frequently offered psychotherapy...Full Text Available
HIV-1 nonsubtype B variants account for the majority of HIV infections worldwide. Drug resistance in individuals who have never undergone antiretroviral therapy can lead to early failure and...Full Text Available
Most breast cancers are multicentric in origin. They drain into two primary lymphatic depots—the axilla and internal mammary chain of nodes. The incidence of metastasis to the internal mammary...Full Text Available
Recent reports confirm that, due to the presence of long-lived, latently infected cell populations, eradication of human immunodeficiency virus type 1 (HIV-1) from infected patients by using antiretroviral...Full Text Available
The difficulties created by the lack of generally accepted views on classification, diagnostic criteria and natural history of the cutaneous lymphomata are discussed. Only the lymphomata which remain...Full Text Available
PurposeTo date there remains no effective therapy for metastatic melanoma and at the molecular level disease progression remains poorly understood. Recent work by...Full Text Available
Chronic pain patients who show aberrant drug-related behavior often are discontinued from treatment when they are noncompliant with their use of opioids for pain. The purpose of this study was...Full Text Available
Microplanar beam radiation therapy has been proposed to treat brain tumors by using a series of rapid exposures to an array of parallel x-ray beams, each beam having uniform microscopic thickness and...Full Text Available
Oxidative stress contributes to the pathophysiology of exposure to heavy metals/metalloid. Beneficial renal effects of some medications, such as chelation therapy depend at least partially on the ability...Full Text Available
Patients with Alport syndrome progressively lose renal function as a result of defective type IV collagen in their glomerular basement membrane. In mice lacking the α3 chain of type IV collagen...Full Text Available
BackgroundDiscovery of biomarkers that are correlated with therapy response and thus with survival is an important goal of medical research on severe diseases, e.g. cancer. Frequently,...Full Text Available
Lower urinary tract symptoms (LUTS) associated with benign prostatic hyperplasia (BPH) are highly prevalent in older men. Medical therapy is the first-line treatment for LUTS associated with BPH. Mainstays...Full Text Available
Although major inroads into making antiretroviral therapy available in resource-poor countries have been made, there is an urgent need for an effective vaccine administered shortly after birth, which...Full Text Available
Recurrent or primary carcinoma of the breast en cuirasse, which may involve the skin of the entire thorax and abdomen, cannot be controlled by means of surgery or conventional local irradiation. The...Full Text Available
IntroductionIrradiation of normal, non-malignant bone during cancer therapy can lead to atrophy and increased risk of fracture at several skeletal sites, particularly...Full Text Available
The etiology of major depression remains unknown, but dysfunction of serotonergic signaling has long been implicated in the pathophysiology of this disorder. p11 is an S100 family member recently...Full Text Available
BackgroundIn β-thalassemia, profound anemia and severe hemosiderosis cause functional and physiological abnormalities in various organ systems. In recent years, there have...Full Text Available
SummaryRadiotherapy is used commonly in the treatment of gynecologic malignancies. Many patients experience emotional distress prior to the initiation of radiotherapy, during...Full Text Available
Incidence of esophageal cancer (EC) is rising more rapidly in the Western world than that of any other cancer. Despite advances in therapy, more than 50% of patients have incurable disease at the time...Full Text Available
BackgroundThis study aimed to assess whether endoscopic implantation of an injectable esophageal prosthesis, the Gatekeeper Reflux Repair System (GK), is a safe and effective therapy...Full Text Available
Erectile dysfunction following radical prostatectomy remains a frequent problem despite the development of nerve-sparing techniques. This erectile dysfunction is believed to be neurogenic, enhanced by hypoxia-induced structural changes which result in additional veno-occlusive dysfunction. Recently, daily use of intracavernous vasoactive substances and oral use of PDE5-inhibitors have been clinically studied for treatment of postprostatectomy erectile dysfunction. Since these studies showed benefits of "penile rehabilitation therapy," these effects have been studied in a preclinical setting. We reviewed experimental literature on erectile tissue preserving and neuroregenerative treatment strategies, and found that preservation of the erectile tissue by the use of intracavernous nitric oxide donors or vasoactive substances, oral PDE5-inhibitors, and hyperbaric oxygen therapy improved erectile function by antifibrotic effects and preservation of ...
1 Measuring total plasma levels of disopyramide (DP) and the main metabolite mono-N-dealkyldisopyramide (MND) in patients on maintenance therapy with DP has shown concentrations of MND comparable with...Full Text Available
Eight patients who had received megavoltage therapy for Cushings' disease 5-12 years previously have been reviewed. The long term response to this therapy was assessed with respect to efficacy of treatment in inducing continued remission and disturbance of hypothalamic-pituitary function. One patient showed clear evidence of relapse of Cushings' disease. One patient had unequivocal hypopituitarism. Basal levels of growth hormone (GH), TSH, LH, and FSH were not statistically different from controls, but provocative testing revealed significant abnormalities of response of cortisol/ACTH, GH, prolactin and LH. Six out of eight patients had absent diurnal cortisol variation and five patients had elevated serum prolactin levels. Thus, in this group of patients normal pituitary-adrenal function has not been satisfactorily restored. It is clear that significant disturbances of hypothalamic-pituitary function follow megavoltage ...
Eight patients who had received megavoltage therapy for Cushings' disease 5-12 years previously have been reviewed. The long term response to this therapy was assessed with respect to efficacy of treatment in inducing continued remission and disturbance of hypothalamic-pituitary function. One patient showed clear evidence of relapse of Cushings' disease. One patient had unequivocal hypopituitarism. Basal levels of growth hormone (GH), TSH, LH, and FSH were not statistically different from controls, but provocative testing revealed significant abnormalities of response of cortisol/ACTH, GH, prolactin and LH. Six out of eight patients had absent diurnal cortisol variation and five patients had elevated serum prolactin levels. Thus, in this group of patients normal pituitary-adrenal function has not been satisfactorily restored. It is clear that significant disturbances of hypothalamic-pituitary function follow megavoltage ...
The ability to achieve tumor selective expression of therapeutic genes is an area that needs improvement for cancer gene therapy to be successful. One approach to address this is through the...Full Text Available
BackgroundThe aim of the study was to compare the prevalence and types of HIV-related oral lesions between children and adult Tanzanian patients on HAART with those not on HAART...Full Text Available
BackgroundReplication capacity (RC) of specific HIV isolates is occasionally blamed for unexpected treatment responses. However, the role of viral RC in response to antiretroviral...Full Text Available
BackgroundStem cell characteristics are an important feature of human cancer cells and play a major role in the therapy resistance of tumours. Strategies to target cancer stem cells...Full Text Available
BackgroundRetinitis pigmentosa (RP) is characterized by progressive night blindness, visual field loss, altered vascular permeability and loss of central vision. Currently there...Full Text Available
The long-term goal of nuclear transfer or alternative reprogramming approaches is to create patient-specific donor cells for transplantation therapy, avoiding immunorejection, a major complication in...Full Text Available
Neurodegenerative and infectious disorders including Alzheimer’s and Parkinson’s diseases, amyotrophic lateral sclerosis, and stroke are rapidly increasing as population’s...Full Text Available
The 37/67-kd laminin receptor, LAMR, is a multifunctional protein that associates with the 40S ribosomal subunit and also localizes to the cell membrane to interact with the extracellular matrix. LAMR...Full Text Available
In 1871, the observation of yellowish nodules in the enlarged spleen of a cow was considered to be the first reported case of bovine leukemia. The etiological agent of this lymphoproliferative disease,...Full Text Available
Tea ranks second only to water as a major component of fluid intake worldwide and has been considered a health-promoting beverage since ancient times. For the past two decades, we and others...Full Text Available
Patients with haemarthros of the knee were examined by MRI and arthroscopy to identify the bleeding source and to determine surgical or conservative therapy. A prospective study was performed on 120 patients who underwent MRI and arthroscopy, point lesions and bleeding sources were documented separately on a standardised form. Arthroscopy demonstrated a ruptured anterior cruciate ligament in 86%, meniscal tears in 55%, disruption of collateral ligaments in 17%, osteochondral lesions in 5% and tears of capsule or plicae in 13%. Disruption of cruciate ligaments caused haemorrhage in all but three cases. In contrast, only meniscal tears located very adjacent to the meniscal basement had bled. Those types of osteochondral lesions caused haemorrhage characterised on MRI by destruction of the subchondral plate and overlying cartilage. Severe lesions of the knee were diagnosed by MRI in 71% to 100%, slight lesions in 13% to 40% of the cases. Single, combined and bland ...
In this paper we report a case with primarily unspecific arthralgia after surgical therapy of hallux valgus deformity and consecutive reflex sympathetic dystrophy in which MR led to the diagnosis of Lyme disease. (orig.)
Despite the demonstrated clinical efficacy of CD20 monoclonal antibody (mAb) for lymphoma therapy, the in vivo mechanisms of tumor depletion remain controversial and variable. To identify the molecular...Full Text Available
Sixty glaucomatous eyes of 60 patients treated with laser trabeculoplasty as primary therapy were reviewed retrospectively. There were 42 eyes with capsular glaucoma and 18 with simple glaucoma. The...Full Text Available
Penile rehabilitation has been an area of intense study and debate over the last decade. Interest in this topic was stimulated by the observation that erectile dysfunction remained a significant problem after radical prostatectomy despite meticulous nerve-sparing technique. Smooth muscle alterations and fibrotic changes in the penis were identified as the underlying causes of penile atrophy, veno-occlusive dysfunction, and Peyronie's-like changes that were observed after surgery. Initial observations that intracavernous injection therapies used on a regular basis postoperatively resulted in improvements in the return of spontaneous erectile function led to the development of penile rehabilitation protocols. Chronic dosing of oral type V phosphodiesterase inhibitors is now commonly used by urologists after radical prostatectomy despite a lack of convincing evidence from randomized, placebo-controlled clinical trials. Use of local therapies to ...
BackgroundHuman immunodeficiency virus type 1 (HIV-1) infection frequently causes neurologic disease, which is the result of viral replication and activation of macrophages and microglia...Full Text Available
Path analysis was used to determine the interrelationships between postpartum administration of gonadotrophin releasing hormone and cloprostenol and the occurrence of reproductive disease and reproductive...Full Text Available
Bolus infusion of insulin along with a meal is a standard procedure with continuous subcutaneous insulin infusion. Modern insulin pumps allow applying this bolus in four different ways: infusion of...Full Text Available
It is possible to slow down the progression of Alzheimer's disease with pharmacological treatment. When this treatment is given to people with types of dementia that affect the frontal and temporal lobes (Frontotemporal Dementia) the results are discouraging. It is observed that the patients show pronounced restlessness and mania. In this article we describe a nonpharmacological psychosocial approach, music therapy, and how it is possible to work with this method when constitutional, regulative, dialogical, and integrative aspects are included. The focus is on therapeutic singing where well-known songs are applied in order to build up structure and stability and/or as means of arousal regulation. Songs with personal meaning make it possible to acknowledge the person's emotions, breaking the social isolation, and meeting the music therapy participant's psychosocial needs. The clinical approach is an integration of a relational music ...
Immunotherapy has shown promise in a number of tumor types, but its exact role in sarcoma remains to be defined. Advanced bone and soft tissue sarcomas are challenging diseases to treat with an unmet...Full Text Available
Neuropilin-1 (NRP1) acts as a co-receptor for class 3 semaphorins and vascular endothelial growth factor and is an attractive angiogenesis target for cancer therapy. In addition to the transmembrane...Full Text Available
Human blinding disorders are often initiated by hereditary mutations that insult rod and/or cone photoreceptors and cause subsequent cellular death. Generally, the disease phenotype can be predicted...Full Text Available
BackgroundRecessive mutations in guanylate cyclase-1 (Gucy2d) are associated with severe, early onset Leber congenital amaurosis-1(LCA1). Gucy2d...Full Text Available
Background:Stem cells can differentiate into multiple cell types, and therefore can be used for cellular therapies, including tissue repair. However, the participation of stem cells...Full Text Available
BackgroundIn patients with Stage 5 Chronic Kidney Disease who require renal replacement therapy a major decision concerns modality choice. However, many patients defer the decision...Full Text Available
BackgroundHerbs and other dietary supplements are among the most commonly used complementary medical therapies. However, clinicians generally have limited knowledge, confidence and...Full Text Available
Patients experiencing several cancers can be a challenge, as optimal treatment options for the different cancers might interfere with each other. In this case report, we present a woman diagnosed with...Full Text Available
Inhaled corticosteroids (ICS) are often prescribed as first-line therapy for patients with asthma Despite their efficacy and improved safety profile compared with oral corticosteroids, the potential...Full Text Available
Colistin is increasingly used as last-line therapy against Gram-negative pathogens. The pharmacokinetic (PK)/pharmacodynamic (PD) index that best correlates with the efficacy of colistin remains undefined....Full Text Available
BackgroundAn artemisinin-based combination therapy, artesunate (AS) plus sulphadoxine-pyrimethamine (SP), was compared to SP monotherapy to provide evidence of further treatment...Full Text Available
Background:Continuous renal replacement therapy is used to manage fluid and solute imbalances in critically ill patients but may affect the clearance of concurrently administered...Full Text Available
Authors developed a C-arm type radiosurgery system of the linear accelerator suitable for stereotactic radiation therapy and a software for arranging 3-dimensional therapy in the system. In this system, the gantry far conical irradiation of 4 MV (0.6-3 Gy/min) and 6 MV (0.9-4.5 Gy/min) X ray or electron beam for the therapy was connected to a newly designed C-arm and was made capable of rotating around either of the axes crossing vertically. With this system, it became unnecessary to move the bed table of the patient for getting suitable distribution of radiation dose. The local accuracy which was measured by the CCD videocamera on the gantry, was within 0.5 mm from the radiation center. The system made it possible to shorten the irradiation time and to improve the local accuracy of irradiating site. The clinical trial was begun from June, 1996. (K.H.)
Recent preclinical and clinical data suggest that TP53 status and TP53 mutations may be important in determining tumour aggressiveness and therapy response. In this study we investigate the feasibility...Full Text Available
Lung cancer is the leading cause of cancer deaths worldwide. Standard chemotherapy has been shown to improve quality of life and has a modest influence on overall survival. This modest improvement in...Full Text Available
The results of clinical trials conducted in Europe and North America have been incorporated into treatment strategies for breast cancer in Japan. Despite the use of similar treatment regimens, why has...Full Text Available
BackgroundPolyethyleneimine (PEI), which can interact with negatively charged DNA through electrostatic interaction to form nanocomplexes, has been widely attempted to use as a gene...Full Text Available
Compact dielectric wall (DWA) accelerator technology is being developed at the Lawrence Livermore National Laboratory. The DWA accelerator uses fast switched high voltage transmission lines to generate pulsed electric fields on the inside of a high gradient insulating (HGI) acceleration tube. Its high electric field gradients are achieved by the use of alternating insulators and conductors and short pulse times. The DWA concept can be applied to accelerate charge particle beams with any charge to mass ratio and energy. Based on the DWA system, a novel compact proton therapy accelerator is being developed. This proton therapy system will produce individual pulses that can be varied in intensity, energy and spot width. The system will be capable of being sited in a conventional linac vault and provide intensity modulated rotational therapy. The status of the developmental new technologies that make the compact system possible ...
Objective: To further delineate the clinicopathological and radiological features of solid pseudopapillary tumor (SPT) of the pancreas and summarize the surgical therapy strategy for this tumor. Methods:...Full Text Available
Background & AimsData are conflicting on the benefit of selective serotonin reuptake inhibitors (SSRIs) for patients with irritable bowel syndrome (IBS);...Full Text Available
Carotid artery stenosis is a major risk factor for stroke, and treatments for this condition to decrease the risk of stroke include medical therapy, carotid endarterectomy (CEA), and, more recently,...Full Text Available
BackgroundInadequate platelet inhibition despite aspirin and clopidogrel therapy during and after a percutaneous coronary intervention is associated with an impaired clinical outcome....Full Text Available
Stem cell therapies for neurodegenerative disorders require accurate delivery of the transplanted cells to the sites of damage. Numerous studies have established that fluid injections to the hippocampus...Full Text Available
The diagnostic accuracy of computed tomography (CT) in several patterns of thoracic and abdominal fatty masses, has been examined. In selected cases our findings overlap the features of the recent literature. The possibility of surgical therapy in peculiar cases of adipose deposits, commonly esteemed benign, is considered.
Low bone mineral density (BMD) is prevalent in human immunodeficiency virus (HIV)–infected subjects. Initiation of antiretroviral therapy is associated with a 2%–6% decrease...Full Text Available
- flushing Chemotherapy - what to ask your doctor Dry Mouth Oral mucositis Peripherally inserted central catheter Radiation therapy - what to ask your doctor Safe drinking during...
Nitric oxide (NO)-based therapies effectively inhibit neointimal hyperplasia in animal models of arterial injury and bypass grafting, but are not available clinically. We created a simple, effective,...Full Text Available
Antiplatelet resistance has been proposed as a possible mechanism to explain recurrent cardiovascular events in patients who have coronary artery disease and who are undergoing dual antiplatelet therapy....Full Text Available
Background/AimTobacco use reduces the effect of non-surgical periodontal therapy. Host-modulation with low-dose doxycycline (LDD) might favour repair and promote...Full Text Available