Eine C1-stetige Rekonstruktion der Randgeometrie für die Kontaktbehandlung mit der Finite Elemente Methode

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Phase I study of plitidepsin in combination with bortezomib and dexamethasone in patients with relapsed/refractory multiple myeloma

Previous studies showed antitumor activity for plitidepsin plus dexamethasone (DXM) in relapsed/refractory multiple myeloma (r/r MM), and in vitro synergism with bortezomib (BTZ) or DXM against MM cells. This phase I trial evaluated plitidepsin (3-h intravenous infusion Day 1 and 15), BTZ (subcutaneous bolus Day 1, 4, 8, and 11), and DXM (orally Day 1, 8, 15, and 22), every 4 weeks in 36 r/r MM patients. Twenty-two patients were treated using a standard dose escalation design (10 at the recommended dose [RD] cohort), and 14 additional patients were treated to expand the RD cohort. No dose-limiting toxicities (DLTs) occurred during dose escalation. The highest dose level evaluated (plitidepsin 5.0 mg/m2 , BTZ 1.3 mg/m2 , DXM 40.0 mg) was the RD for phase II studies. Results shown herein are focused on this RD. Two patients had DLTs (grade 3 diarrhea, and grade 3 nausea/vomiting refractory to antiemetic therapy). Grade ? 3 hematological toxicity (thrombocytopenia 46%, anemia 33%, and neutropenia 17%) was manageable and did not result in treatment discontinuation. Transient and manageable grade 3 ALT increase (26%) was the most common biochemical abnormality. At the RD cohort, overall response rate was 22.2% (95%CI, 6.4%-47.6%), including one stringent complete response, one very good partial response, and two partial responses in r/r patients to BTZ and/or lenalidomide. The clinical benefit rate was 77.8% (95%CI, 52.4-93.6%). No major pharmacokinetic drug-drug interaction was found. In conclusion, the triple combination of plitidepsin, BTZ, and DXM showed an acceptable safety profile and had moderate activity in adult patients with r/r MM.FUNDING: The study was funded by Pharma Mar, S.A. ACKNOWLEDGMENTS: The authors thank the patients, their families, and investigators teams for their participation in this phase I clinical trial

Nursing care for patient with Crohn's disease in the surgical department

U radu se prikazuje vanjskotrgovinska razmjena Republike Hrvatske od 2012. do 2016. godine. Glavne komponente vanjskotrgovinske razmjene su, izvoz i uvoz, a njihov odnos iskazuje se na vanjskotrgovinskoj bilanci, u pozitivnom iznosu kao suficit, u negativnom kao deficit. Rad prikazuje kretanje izvoza i uvoza u apsolutnim iznosima i strukturu vanjskotrgovinske bilance te daje pregled vanjskotrgovinske razmjene s najvažnijim zemljama partnerima Republike Hrvatske. Činjenica je da sve zemlje teže ostvarivanju suficita, stoga se u radu naglašava važnost i mogućnosti stimuliranja izvoza u Republici Hrvatskoj. Metodom intervjua, na primjeru iz prakse jednog izvoznika, prikazani su problemi s kojima se susreće u poslovanju.This thesis discusses foreign trade in the Republic of Croatia since 2012 until 2016. Relations in the foreign trade are determined by Croatia's foreign trade policy. Key foreign trade components have been defined, as well as import and export. Their relations are shown in the foreign trade balance, in the positive amount as surplus and in the negative as deficit. This thesis shows the movement of exports and imports in absolute terms and structure of foreign trade balance and it gives an overview of foreign trade with the most important Croatia's partner countries. It is a fact that all countries seek to achieve a surplus, therefore, the importance and the possibility of export stimulation has been emphasized. This paper shows, in an interview, all the problems that a Croatian exporter has had during his business experience

Alectinib versus crizotinib in untreated ALK-positive non–small-cell lung cancer

Alectinib, a highly selective inhibitor of anaplastic lymphoma kinase (ALK), has shown systemic and central nervous system (CNS) efficacy in the treatment of ALK-positive non-small-cell lung cancer (NSCLC). We investigated alectinib as compared with crizotinib in patients with previously untreated, advanced ALK-positive NSCLC, including those with asymptomatic CNS disease. In a randomized, open-label, phase 3 trial, we randomly assigned 303 patients with previously untreated, advanced ALK-positive NSCLC to receive either alectinib (600 mg twice daily) or crizotinib (250 mg twice daily). The primary end point was investigator-assessed progression-free survival. Secondary end points were independent review committee-assessed progression-free survival, time to CNS progression, objective response rate, and overall survival. During a median follow-up of 17.6 months (crizotinib) and 18.6 months (alectinib), an event of disease progression or death occurred in 62 of 152 patients (41%) in the alectinib group and 102 of 151 patients (68%) in the crizotinib group. The rate of investigator-assessed progression-free survival was significantly higher with alectinib than with crizotinib (12-month event-free survival rate, 68.4% [95% confidence interval (CI), 61.0 to 75.9] with alectinib vs. 48.7% [95% CI, 40.4 to 56.9] with crizotinib; hazard ratio for disease progression or death, 0.47 [95% CI, 0.34 to 0.65]; P<0.001); the median progression-free survival with alectinib was not reached. The results for independent review committee-assessed progression-free survival were consistent with those for the primary end point. A total of 18 patients (12%) in the alectinib group had an event of CNS progression, as compared with 68 patients (45%) in the crizotinib group (cause-specific hazard ratio, 0.16; 95% CI, 0.10 to 0.28; P<0.001). A response occurred in 126 patients in the alectinib group (response rate, 82.9%; 95% CI, 76.0 to 88.5) and in 114 patients in the crizotinib group (response rate, 75.5%; 95% CI, 67.8 to 82.1) (P=0.09). Grade 3 to 5 adverse events were less frequent with alectinib (41% vs. 50% with crizotinib). As compared with crizotinib, alectinib showed superior efficacy and lower toxicity in primary treatment of ALK-positive NSCLC. (Funded by F. Hoffmann-La Roche; ALEX ClinicalTrials.gov number, NCT02075840 .)

Characterization and modeling of the behavior of TiFe alloys dedicated to hydrogen solid storage : Application to improving the performance of a metal hydride tank

Les problèmes environnementaux et économiques, engendrés par l’usage des produits pétroliers, et la pénurie de ces énergies fossiles ont conduit à rechercher d’autres sources d’énergies, renouvelables et respectueuses de l’environnement. Nombre de ces sources sont intermittentes et nécessitent de prévoir des solutions de stockage. Le gaz de dihydrogène apparait comme un bon candidat pour remplir cette fonction. L’élément hydrogène, abondant dans la nature, présente sous sa forme gazeuse un pouvoir calorifique de 140 MJ/kg, soit 2,5 fois celui de l’essence. La filière ’hydrogène’ s’appuie sur 3 piliers : la production, le stockage-la distribution et l’utilisation. Le stockage d’hydrogène est traditionnellement réalisé par compression, sous des pressions allant de quelques bars à plusieurs centaines, et par liquéfaction à 20 K. La faible densité volumique de ces deux types de stockage (42 et 70 kgH2/m3) associée à de sérieux problèmes de sécurité et de conception mécanique, rend le stockage solide dans les alliages métalliques particulièrement pertinent pour certaines applications. Cette solution favorise le développement de réservoirs de conception sûre, compacts et ayant une grande densité volumique de 120 kgH2/m3 pour les alliages TiFe par exemple. Ce type d’hydrure a été retenu dans le cadre de ce travail parce qu’il présente des températures et pressions d’utilisation relativement proches des conditions ambiantes, mais aussi parce qu’il ne contient pas de terre rare d’utilisation relativement proches des conditions ambiantes, mais aussi parce qu’il ne contient pas de terre rare. La présente étude vise à caractériser et modéliser le comportement d’hydruration/déshydruration de l’alliage TiFe0.9Mn0.1, en vue d’améliorer ses performances lorsqu’il est intégré à un système de stockage. Dans un premier temps, nous nous sommes attachés à caractériser expérimentalement l’alliage TiFe0.9Mn0.1 sous forme de poudre en le décrivant sur les plans morphologique, chimique et thermodynamique. Ensuite, deux stratégies d’amélioration ont été testées, la première repose sur un traitement mécanique par broyage planétaire à billes, la deuxième considère un traitement thermochimique à température et durée de maintien données. Ces deux stratégies ont permis d’accélérer le processus d’activation de la poudre, mais le broyage planétaire à billes a détérioré de façon notable la cinétique apparente de désorption. Le traitement thermochimique n’a quant à lui pas dégradé les domaines d’équilibre et n’a donc pas eu d’effet néfaste sur les cinétiques de réaction. Les deux paramètres les plus importants de ce traitement, température et temps de maintien, ont été optimisés. D’autres paramètres restent à affiner.[...]La conception d’un système de stockage solide d’hydrogène exige la bonne compréhension des aspects macroscopiques, mais aussi microscopiques, de la réaction d’hydruration, et requiert donc des recherches complémentaires pour trouver de nouveaux axes d’amélioration de ses performances.He environmental and economic problems caused by the use of petroleum products and the scarcity of these fossil fuels have led to the search for alternative sources of energy, which are renewable and respectful of the environment. Many of these sources are intermittent and require storage solutions. Hydrogen gas appears as a good candidate for this function. The hydrogen element, abundant in nature, has in its gaseous form a calorific value of 140 MJ / kg, i.e. 2.5 times that of gasoline. The 'hydrogen' sector is based on 3 pillars: production, storage, distribution and use. The storage of hydrogen is traditionally carried out by compression, under pressures ranging from a few bars to several hundreds, and by liquefaction at 20 K. The low density of these two types of storage (42 and 70 kgH2 / m3) associated with serious problems of safety and mechanical design, make solid storage in metal alloys particularly relevant for some applications. This solution favors the development of safe, compact design tanks with a high density of 120 kgH2/m3for TiFe alloys, for example. This type of hydride has been retained in this work because it has operating conditions of temperatures and pressures that are relatively close to ambient conditions, and also because it does not contain rare earth elements. The aim of this study is to characterize and model the hydriding/dehydriding behavior of the TiFe0.9Mn0.1 alloy, in order to improve its performance when it is integrated into a storage system. We first tried to characterize the alloy TiFe0.9Mn0.1 in powder form by describing it morphologically, chemically and thermodynamically. Then, two strategies of improvement were tested, the first one based on a mechanical treatment by planetary ball milling, the second considers a thermochemical treatment at given temperature and duration. Both strategies accelerated the process of powder activation, but the planetary ball milling significantly impaired the apparent desorption kinetics. The thermo-chemical treatment did not degrade the equilibrium domains and thus did not have an adverse effect on the reaction kinetics. The two most important parameters of this treatment, temperature and holding time, have been optimized. Other parameters remain to be refined.In addition to this experimental characterization, we have undertaken to describe the hydriding / dehydriding reaction macroscopically. The model allows to account for the thermodynamic response of the hydride within a reservoir. This work presents the results obtained on a tank containing 4 kg of TiFe0.9Mn0.1 powder when different hydrogen loading / unloading scenarios are considered: (i) loading / unloading under constant pressure, (ii) loading / unloading under an initial dose ( Method of Sievert), iii) loading / unloading under inlet or outlet flux of hydrogen. For each scenario, the effect of the coupling with a heat exchange system on the filling / emptying times is analyzed and optimal operating conditions are proposed. Finally, a sensitivity study using the Morris method is presented, and the most influential parameters of the model on the reaction rates are identified. The design of a solid hydrogen storage system requires a good understanding of the macroscopic as well as the microscopic aspects of the hydriding reaction and therefore requires further research to find new directions for improving its performance

Caractérisation et modélisation du comportement des alliages TiFe dédiés au stockage solide d'hydrogène. : Application à l'amélioration des performances d'un réservoir à hydrures métalliques

He environmental and economic problems caused by the use of petroleum products and the scarcity of these fossil fuels have led to the search for alternative sources of energy, which are renewable and respectful of the environment. Many of these sources are intermittent and require storage solutions. Hydrogen gas appears as a good candidate for this function. The hydrogen element, abundant in nature, has in its gaseous form a calorific value of 140 MJ / kg, i.e. 2.5 times that of gasoline. The 'hydrogen' sector is based on 3 pillars: production, storage, distribution and use. The storage of hydrogen is traditionally carried out by compression, under pressures ranging from a few bars to several hundreds, and by liquefaction at 20 K. The low density of these two types of storage (42 and 70 kgH2 / m3) associated with serious problems of safety and mechanical design, make solid storage in metal alloys particularly relevant for some applications. This solution favors the development of safe, compact design tanks with a high density of 120 kgH2/m3for TiFe alloys, for example. This type of hydride has been retained in this work because it has operating conditions of temperatures and pressures that are relatively close to ambient conditions, and also because it does not contain rare earth elements. The aim of this study is to characterize and model the hydriding/dehydriding behavior of the TiFe0.9Mn0.1 alloy, in order to improve its performance when it is integrated into a storage system. We first tried to characterize the alloy TiFe0.9Mn0.1 in powder form by describing it morphologically, chemically and thermodynamically. Then, two strategies of improvement were tested, the first one based on a mechanical treatment by planetary ball milling, the second considers a thermochemical treatment at given temperature and duration. Both strategies accelerated the process of powder activation, but the planetary ball milling significantly impaired the apparent desorption kinetics. The thermo-chemical treatment did not degrade the equilibrium domains and thus did not have an adverse effect on the reaction kinetics. The two most important parameters of this treatment, temperature and holding time, have been optimized. Other parameters remain to be refined.In addition to this experimental characterization, we have undertaken to describe the hydriding / dehydriding reaction macroscopically. The model allows to account for the thermodynamic response of the hydride within a reservoir. This work presents the results obtained on a tank containing 4 kg of TiFe0.9Mn0.1 powder when different hydrogen loading / unloading scenarios are considered: (i) loading / unloading under constant pressure, (ii) loading / unloading under an initial dose ( Method of Sievert), iii) loading / unloading under inlet or outlet flux of hydrogen. For each scenario, the effect of the coupling with a heat exchange system on the filling / emptying times is analyzed and optimal operating conditions are proposed. Finally, a sensitivity study using the Morris method is presented, and the most influential parameters of the model on the reaction rates are identified. The design of a solid hydrogen storage system requires a good understanding of the macroscopic as well as the microscopic aspects of the hydriding reaction and therefore requires further research to find new directions for improving its performance.Les problèmes environnementaux et économiques, engendrés par l’usage des produits pétroliers, et la pénurie de ces énergies fossiles ont conduit à rechercher d’autres sources d’énergies, renouvelables et respectueuses de l’environnement. Nombre de ces sources sont intermittentes et nécessitent de prévoir des solutions de stockage. Le gaz de dihydrogène apparait comme un bon candidat pour remplir cette fonction. L’élément hydrogène, abondant dans la nature, présente sous sa forme gazeuse un pouvoir calorifique de 140 MJ/kg, soit 2,5 fois celui de l’essence. La filière ’hydrogène’ s’appuie sur 3 piliers : la production, le stockage-la distribution et l’utilisation. Le stockage d’hydrogène est traditionnellement réalisé par compression, sous des pressions allant de quelques bars à plusieurs centaines, et par liquéfaction à 20 K. La faible densité volumique de ces deux types de stockage (42 et 70 kgH2/m3) associée à de sérieux problèmes de sécurité et de conception mécanique, rend le stockage solide dans les alliages métalliques particulièrement pertinent pour certaines applications. Cette solution favorise le développement de réservoirs de conception sûre, compacts et ayant une grande densité volumique de 120 kgH2/m3 pour les alliages TiFe par exemple. Ce type d’hydrure a été retenu dans le cadre de ce travail parce qu’il présente des températures et pressions d’utilisation relativement proches des conditions ambiantes, mais aussi parce qu’il ne contient pas de terre rare d’utilisation relativement proches des conditions ambiantes, mais aussi parce qu’il ne contient pas de terre rare. La présente étude vise à caractériser et modéliser le comportement d’hydruration/déshydruration de l’alliage TiFe0.9Mn0.1, en vue d’améliorer ses performances lorsqu’il est intégré à un système de stockage. Dans un premier temps, nous nous sommes attachés à caractériser expérimentalement l’alliage TiFe0.9Mn0.1 sous forme de poudre en le décrivant sur les plans morphologique, chimique et thermodynamique. Ensuite, deux stratégies d’amélioration ont été testées, la première repose sur un traitement mécanique par broyage planétaire à billes, la deuxième considère un traitement thermochimique à température et durée de maintien données. Ces deux stratégies ont permis d’accélérer le processus d’activation de la poudre, mais le broyage planétaire à billes a détérioré de façon notable la cinétique apparente de désorption. Le traitement thermochimique n’a quant à lui pas dégradé les domaines d’équilibre et n’a donc pas eu d’effet néfaste sur les cinétiques de réaction. Les deux paramètres les plus importants de ce traitement, température et temps de maintien, ont été optimisés. D’autres paramètres restent à affiner.[...]La conception d’un système de stockage solide d’hydrogène exige la bonne compréhension des aspects macroscopiques, mais aussi microscopiques, de la réaction d’hydruration, et requiert donc des recherches complémentaires pour trouver de nouveaux axes d’amélioration de ses performances

Estudios de estados vibro-rotacionales del metileno 1B1 preparado por excitación bifotónica secuencial con láseres

El trabajo que se presenta se centra en la realización de medidas cinéticas de desactivación de niveles rotacionales del ch2 1b1 (o,v2,o) seleccionados según su momento angular rotacional y su tipo de perturbación intramolecular, por gases nobles y cetena. A partir de estas medidas se puede aportar información sobre la posible relación entre la cinética y los distintos tipos de perturbaciones presentes en los diferentes estados rovibronicos de la molécula renner-teller, spin-orbita, vibración-rotación, etc... A los datos experimentales se aplican modelos teóricos que permiten interpretarlos y proporcionar un conocimiento básico de los procesos involucrados en las interacciones que dan lugar a la desactivación de la molécula. La aplicación de estos modelos facilita el conocimiento de las fuerzas que gobiernan las interacciones entre los componentes del par de colisión y el efecto que tienen los distintos acoplamientos y perturbaciones en la cinética

FE based method for simulation of rock-loading on a truck

Volvos trucks are used to carry boulders of varying sizes from different mining sites or construction sites. These boulders are loaded onto the dumper of the truck by a wheel-loader which drops the boulders from various heights causing an impulse like force which distributes throughout the frame and to the rest of the truck. Depending on the size and what height the boulders are being dropped from, the distributed forces can cause damage to important parts of the truck. An experiment done by Volvo has shown that a two-ton weight dropped from 3.5 meters caused some truck components to crack, such as flywheel housing. Since this is alerting and it is costly to do the experiment on all trucks that Volvo manufactures it is our objective to come up with a method based on Finite Element which would evaluate the rock loading case. By using ANSA as the pre-processor which helps set up the model before running a simulation, and Nastran and LS-DYNA as the FEM solvers, a result was obtained that is somewhat comparable with the measurements. In the Nastran model, no non-linearities such as contact were considered, while in LS-DYNA nonlinear contact between the weight and the dumper body was defined, which improved the results considerably. The key conclusion from the two results was that the contact definition used in LS-DYNA is necessary if accurate results are important. Since LS-DYNA uses an explicit numerical method the model can be made more complicated by including more nonlinearities in the model and it would not affect the computation to much or at all. Hence the method would be future proof

Ledarskap och Motivation : Transaktionell och Transformativ ledarskap inom högskola och vård.

Medarbetarnas motivation är avgörande för att uppnå organisationens mål. Syftet med studien var att undersöka vilka av de två ledarskapsstilarna (transformativa och transnationella) som har mest påverkan på medarbetarnas motivation.  Undersökningsgruppen bestod av 40 personer. Resultaten visade att både transformativa och transaktionella ledarskapsstilarna är nödvändiga på medarbetarnas motivation. Det specifika resultatet visade att den transformativa ledarskapsstilen hade en högre effekt på medarbetarnas motivation. Resultatet av studien kommer att vara till nytta för att bättre förstå hur medarbetarna motiveras