Rotation und Vibration in Beispielen zur Methode der direkten Bewegungsteilung

  &nbsp

Diabetes is associated with increased burden of gastrointestinal symptoms in adults with cystic fibrosis

Background Individuals with diabetes mellitus (DM) are known to frequently experience gastrointestinal (GI) symptoms. In contrast, the impact of cystic fibrosis-related diabetes (CFRD) on accentuating GI symptoms in people with cystic fibrosis (pwCF) is unknown. We sought to examine this. Methods Abdominal symptoms were measured using the validated CF-specific GI symptom questionnaire - CFAbd-Score© - as part of a multicentre cohort study in pancreatic insufficient adults with CF, not on cystic fibrosis transmembrane conductance regulator (CFTR) modulators. The CFAbd-Score total score (0–100pts), its 5 domains, alongside nine specific GI symptoms associated with DM, were compared between the CFRD and non-CFRD groups. Results 27 (31%) and 61 (69%) participants with CF were recruited in the CFRD and non-CFRD groups respectively. Total CFAbd-Score and the two domains: gastroesophageal reflux disease and disorders of appetite were significantly higher in the CFRD group compared to the non-CFRD group (p<0.05), with the mean total CFAbd-Score being 25.4 ± 2.5 and 18.4 ± 1.5 in the CFRD and non-CFRD groups respectively. Among the nine GI symptoms commonly reported as elevated in DM, bloating and nausea were significantly more common in individuals with CFRD compared to those without (p<0.05). Conclusions Individuals with CFRD overall, have a higher GI symptom burden, according to CFAbd-Scores. Specifically, they experience significantly more bloating and nausea. Close monitoring and further research is needed to better understand and manage GI symptoms in this group

Elexacaftor-Tezacaftor-Ivacaftor Treatment Reduces Abdominal Symptoms in Cystic Fibrosis-Early results Obtained With the CF-Specific CFAbd-Score

Background: The novel and highly effective CFTR modulator combination of elexacaftor-tezacaftor-ivacaftor (ETI) has been shown to improve lung function and body weight in people with Cystic Fibrosis (pwCF) carrying a F508del mutation. However, the impact of these modulators on gastrointestinal (GI) symptoms is relatively unknown. Therefore, the CFAbd-Score was developed and validated following FDA recommendations for development of a PROM including focus groups, multidisciplinary CF specialists, people with CF and their families. The aim of this study was to assess effects of ETI on GI symptoms using the CFAbd-Score. Methods: Gastrointestinal symptoms were prospectively assessed in pwCF using the CFAbd-Score before and up to 26 weeks during therapy. The CFAbd-Score was also administered to a healthy control (HC) group. The one-sided questionnaire includes 28 items grouped in five domains. Data analysis included calculation of scores with a weighting tool, developed according to FDA recommendations. Results: A total of 107 pwCF attended in four CF centres in Germany and four centres in the UK completed the CFAbd-Score on at least two occasions. Results were compared to those obtained from the questionnaire of 45 HCs. Despite differences in demographics, age and proportion of pancreatic insufficiency between German and UK patients, analyses based on linear mixed-effects models at week 24 of ETI therapy revealed that estimated marginal means (EMMs) of total CFAbd-Scores significantly reduced (mean ± SE: 14.9 ± 1.2→10.6 ± 1.4; p < 0.01). Also EMMs of all five domains significantly declined (“pain” 16.3 ± 1.6→10.2 ± 2.3, “GERD” 15.8 ± 1.8→8.2 ± 1.9, “disorders of bowel movement” 20.9 ± 1.5→16.0 ± 1.7, “disorders of appetite” 7.9 ± 1.1→2.6 ± 1.1 and “quality of life impairment” 10.1 ± 1.92→3.9 ± 1.9). However, during 24 weeks, CF participants’ symptoms mostly still did not reach the reference levels of HCs. Discussion: Using the CFAbd-Score, the first PROM specifically developed for assessment of CF-related abdominal symptoms, we demonstrate comprehensive improvements in GI symptoms after initiation of the highly effective modulator therapy ETI

Hybrid method for selection of the optimal process of leachate treatment in waste treatment and valorization plants or landfills

“The final publication is available at Springer via http://dx.doi.org/10.1007/s10098-014-0834-4”Leachate from waste landfill or treatment plants is a very complex and highly contaminated liquid effluent. In its composition, it is found dissolved organic matter, inorganic salts, heavy metals, and other xenobiotic organic compounds, so it can be toxic, carcinogenic, and capable of inducing a potential risk to biota and humans. European law does not allow such leachate to leave the premises without being depolluted. There are many procedures that enable debugging, always combining different techniques. Choosing the best method to use in each case is a complex decision, as it depends on many tangible and intangible factors that must be weighed to achieve a balance between technical, cost, and environmental sustainability. It is presenting a hybrid method for choosing the optimal combination of techniques to apply in each case, by combining a multicriteria hierarchical analysis based on expert data obtained by the Delphi method with an analysis by the method of VIKOR to reach a consensus solution.Martín Utrillas, MG.; Reyes Medina, M.; Curiel Esparza, J.; Cantó Perelló, J. (2015). Hybrid method for selection of the optimal process of leachate treatment in waste treatment and valorization plants or landfills. Clean Technologies and Environmental Policy. 17(4):873-885. doi:10.1007/s10098-014-0834-4S873885174Abbas AA, Guo J, Ping LZ, Ya PY, Al-Rekabi WS (2009) Review on landfill leachate treatments. AJAS 6(4):672–684Abood AR, Bao J, Abudi Z, Zheng D, Gao C (2013) Pretreatment of nonbiodegradable landfill leachate by air stripping coupled with agitation as ammonia stripping and coagulation–flocculation processes. Clean Technol Environ Policy 15(6):1069–1076Ahn WY, Kang MS, Yim SK, Choi KH (2002) Advanced landfill leachate treatment using an integrated membrane process. Desalination 149(1–3):109–114Al-Subhi Al-Harbi KM (2001) Application of the AHP in project management. Int J Proj Manag 19:19–27Bernasconi M, Choirat C, Seri R (2014) Empirical properties of group preference aggregation methods employed in AHP: theory and evidence. Eur J Oper Res 232(3):584–592Boopathy R, Karthikeyan S, Mandal AB, Sekaran G (2013) Characterization and recovery of sodium chloride from salt-laden solid waste generated from leather industry. Clean Technol Environ Policy 15(1):117–124Brechet T, Tulkens H (2009) Beyond BAT: selecting optimal combinations of available techniques, with an example from the limestone industry. J Environ Manag 90:1790–1801Canto-Perello J, Curiel-Esparza J, Calvo V (2013) Criticality and threat analysis on utility tunnels for planning security policies of utilities in urban underground space. Expert Syst Appl 40(11):4707–4714Chen Y, Liu C, Nie J, Wu S, Wang D (2014) Removal of COD and decolorizing from landfill leachate by Fenton’s reagent advanced oxidation. Clean Technol Environ Policy 16(1):189–193Chiochetta CG, Goetten LC, Almeida SM, Quaranta G, Cotelle S, Radetski CM (2014) Leachates from solid wastes: chemical and eco(geno)toxicological differences between leachates obtained from fresh and stabilized industrial organic sludge. Environ Sci Pollut R 21:1090–1098Chiumenti A, da Borso F, Chiumenti R, Teri F, Segantin P (2013) Treatment of digestate from a co-digestion biogas plant by means of vacuum evaporation: tests for process optimization and environmental sustainability. Waste Manag 33(6):1339–1344Council Directive 1999/31/EC (1999) April 26th 1999, on the landfill of waste. European Union Council, Official Journal L 182, 16/07/1999 P. 0001–0019Curiel-Esparza J, Canto-Perello J (2012) Understanding the major drivers for implementation of municipal sustainable policies in underground space. Int J Sust Dev World 19(6):506–514Curiel-Esparza J, Canto-Perello J (2013) Selecting utilities placement techniques in urban underground engineering. Arch Civ Mech Eng 13(2):276–285Curiel-Esparza J, Canto-Perello J, Calvo MA (2004) Establishing sustainable strategies in urban underground engineering. Sci Eng Ethics 10(3):523–530Dong Y, Zhang G, Hong WC, Xu Y (2010) Consensus models for AHP group decision making under row geometric mean prioritization method. Decis Support Syst 49:281–289Duckstein L, Opricovic S (1980) Multiobjective Optimization in River Basin Development. Water Resour Res 16(1):14–20Ersahin ME, Ozgun H, van Lier JB (2013) Effect of support material properties on dynamic membrane filtration performance. Separ Sci Technol 48(15):2263–2269Gracht HA (2012) Consensus measurement in Delphi studies, review and implications for future quality assurance. Forecast Soc Chang 79(8):1525–1536Grisey E, Laffray X, Contoz O, Cavalli E, Mudry J, Aleya L (2012) The bioaccumulation performance of reeds and cattails in a constructed treatment wetland for removal of heavy metals in landfill leachate treatment (Etueffont, France). Water Air Soil Pollut 223:1723–1741Guoliang Z, Lei Q, Qin M, Zheng F, Dexin W (2013) Aerobic SMBR/reverse osmosis system enhanced by Fenton oxidation for advanced treatment of old municipal landfill leachate. Bioresour Technol 142:261–268Gupta SK, Singh G (2007) Assessment of the Efficiency and Economic Viability of Various Methods of Treatment of Sanitary Landfill Leachate. Environ Monit Assess 135:107–117Heyer KU, Stegmann R (2005) Landfill systems, sanitary landfilling of solid wastes, and long-term problems with leachate. In: Jördening HJ, Winter J (eds) Environmental Biotechnology. Wiley-VCH, Weinheim, p 375Hsu CC, Sandord BA (2007) The Delphi technique: making sense of consensus. PARE 12(10):1–7Kjeldsen P, Barlaz MA, Rooker AP, Baun A, Ledin A, Christensen TH (2002) Present and long-term composition of MSW landfill leachate: a review. Crit Rev Environ Sci Technol 32(4):297–336Lee WS (2013) Merger and acquisition evaluation and decision making model. Serv Ind J 33(15–16):1473–1494Lee GKL, Chan EHW (2008) The analytic hierarchy process (AHP) approach for assessment of urban renewal proposals. Soc Indic Res 89(1):155–168Li G, Wang W, Du Q (2010) Applicability of nanofiltration for the advanced treatment of landfill leachate. J Appl Polym Sci 116(4):2343–2347Mela K, Tiainen T, Heinisuo M (2012) Comparative study of multiple criteria decision making methods for building design. Adv Eng Inform 26:716–726Ozdemir MS, Saaty TL (2006) The unknown in decision making, what to do about it. Eur J Oper Res 174(1):349–359Renou S, Givaudan JG, Poulain S, Dirassouyan F, Moulin P (2008) Landfill leachate treatment: review and opportunity. J Hazard Mater 150(3):468–493Ritzkowski M, Stegmann R (2012) Landfill aeration worldwide: concepts, indications and findings. Waste Manag 32(7):1411–1419Romero C, Ramos P, Costa C, Marquez MC (2013) Raw and digested municipal waste compost leachate as potential fertilizer: comparison with a commercial fertilizer. J Clean Prod 59:73–78Roubelat F (2011) The Delphi method as a ritual: inquiring the Delphi Oracle. Forecast Soc Chang 78(9):1491–1499Saaty TL (1980) The analytic hierarchy process. Mc Graw-Hill, New YorkSaaty TL (2001) Decision making with dependence and feedback: the analytic network process, 2nd edn. RWS Publications, PittsburghSaaty TL (2008) Decision making with the analytic hierarchy process. Int J Serv Sci 1(1):83–98Saaty TL (2012) Decision making for leaders. The analytic hierarchy process for decisions in a complex world, 3rd edn. RWS Publications, PittsburghSan Cristobal J (2012) Contractor selection using multicriteria decision-making methods. J Constr Eng M 138(6):751–758Sayadi MK, Heydari M, Shahanaghi K (2009) Extension of VIKOR method for decision making problem with interval numbers. Appl Math Model 33:2257–2262Statnikova RB, Bordetskya A, Statnikov A (2005) Multi-criteria analysis of real-life engineering optimization problems: statement and solution. Nonlinear Anal 63:685–696Syamsuddin J (2010) The use of AHP in security policy decision making: an open office calc application. JSW 5(10):1162–1169Thapa RB, Murayama Y (2010) Drivers of urban growth in the Kathmandu valley, Nepal: examining the efficacy of the analytic hierarchy process. App Geogr 30(1):70–83van Praagh M, Heerenklage J, Smidt E, Modin H, Stegmann R, Persson KM (2009) Potential emissions from two mechanically–biologically pretreated (MBT) wastes. Waste Manag 29(2):859–868Vedaraman N, Shamshath BS, Srinivasan SV (2013) Response surface methodology for decolourisation of leather dye using ozonation in a packed bed reactor. Clean Technol Environ Policy 15(4):607–616Wang Q, Matsufuji Y, Dong L, Huang Q, Hirano F, Tanaka A (2006) Research on leachate recirculation from different types of landfills. Waste Manag 26:815–824Xing W, Lu W, Zhao Y (2013) Environmental impact assessment of leachate recirculation in landfill of municipal solid waste by comparing with evaporation and discharge (EASEWASTE). Waste Manag 33(2):382–389Yang W, Zhang KN, Chen YG, Zhou XZ, Jin FX (2013) Prediction on contaminant migration in aquifer of fractured granite substrata of landfill. J Cent South Univ 20(11):3193–3201Zavadskas EK, Turskis Z, Tamosaitiene J (2011) Selection of construction enterprises management strategy based on SWOT and multi-criteria analysis. ACME 11(4):1063–108

Reservoir Design under Random Sediment Yield

From the Proceedings of the 1976 Meetings of the Arizona Section - American Water Resources Assn. and the Hydrology Section - Arizona Academy of Science - April 29-May 1, 1976, Tucson, ArizonaThis article is part of the Hydrology and Water Resources in Arizona and the Southwest collections. Digital access to this material is made possible by the Arizona-Nevada Academy of Science and the University of Arizona Libraries. For more information about items in this collection, contact [email protected]

Neuroprotective Potential of Laurus nobilis Antioxidant Polyphenol-Enriched Leaf Extracts

Oxidative stress has been proposed to be an important factor in the pathogenesis of Alzheimer's disease (AD), playing a central role in amyloid β-protein (Aβ) generation and neuronal apoptosis. Oxidative damage directly correlates with the presence of Aβ deposits. Aβ and oxidative stress jointly induce neuronal death, Aβ deposits, gliosis, and memory impairment in AD. In order to counteract AD neurodegeneration, the inhibition of the vicious cycle of Aβ generation and oxidation is an attractive therapeutic strategy, and antiamyloidogenic and antioxidant herbal drugs could represent an alternative and valid approach. In this context, an alcoholic extract from Laurus nobilis leaves (LnM) and seven fractions obtained therefrom were of interest. All extracts prepared through extractive and chromatographic techniques were phytochemically studied by chromatographic techniques including gas chromatography-mass spectrometry (GC-MS) and liquid chromatography-tandem mass spectrometry (LC-MSn). The potential antioxidant efficacy of the obtained fractions was screened by DPPH• and ABTS •+ assays, as well as specific assay media characterized from the presence of highly reactive ROS and RNS species (ROO•, OH•, O2•-, and NO). In order to evaluate the preparation of safe and nontoxic extracts, MTT, SRB, and LDH assays toward SH-5YSY and SK-N-BE(2)-C human neuronal cell lines, as well as on C6 mouse glial cell line, were performed. The apoptosis-inducing properties by spectroscopic evaluation of the extracts' ability to activate caspase-3 and by a DNA fragmentation assay were also investigated. Data thus obtained allowed us to state the absence of toxic effects induced by phenolic-rich fractions (LnM, LnM-1, LnM-1a, LnM-1b, and LnM-2c), which at the same time exerted significant cytoprotective and antioxidant responses in hydrogen peroxide and Aβ(25-35)-fragment-oxidized cell systems. The potential antiamyloidogenic efficacy of Laurus nobilis leaf polar extracts in the Aβ(25-35) fragment oxidized cell systems was further analyzed by Congo red staining. © 2014 American Chemical Society