Effectiveness of inpatient versus outpatient complex treatment programs in depressive disorders: a quasi-experimental study under naturalistic conditions.

Driessen M, Schulz P, Jander S, et al. Effectiveness of inpatient versus outpatient complex treatment programs in depressive disorders: a quasi-experimental study under naturalistic conditions. BMC psychiatry. 2019;19(1): 380.BACKGROUND: Due to long waiting periods for outpatient psychotherapy and the high resource requirements of inpatient treatment, there is a need for alternative treatment programs for patients with depressive disorders. Thus, we investigated the effectiveness of the "Bielefeld Outpatient Intensive Treatment Program of Depression" (BID) in comparison with a typical inpatient treatment program by using a prospective quasi-experimental observational study. We assumed (i) that both complex programs are effective in pre-post analyses after 6 weeks and (ii) that inpatient treatment is more effective compared with the outpatient program.; METHODS: Four hundred patients with depressive psychopathology - a majority with depressive episodes (ICD-10 F3X) - took part in the BID and 193 in the inpatient program. Different self- (i.e., BDI) and expert measures (i.e., MADRS) of psychopathology at baseline (t1) and 6 weeks later (t2) were applied to examine treatment effects.; RESULTS: Treatment effects were high in separate analyses of both groups with Cohen's d ranging from 1.10 to 1.76., while ANOVA comparative analyses did not reveal any significant differences between both treatment settings nor did a set of independent covariates analyzed here. Response rates of BDI (p=.002) and MADRS (p=.001) were higher in the outpatient group. Results indicate BID not to be inferior compared to an inpatient program, although diverging pathways to treatment, higher rates of clinical recurrent depressive disorders and severe episodes as well as lower rates of employment and partnership in the inpatient treatment group have to be considered.; CONCLUSION: Outpatient intensive treatment programs may represent a solution for patients needing more than a treatment session once per week but less than a complex inpatient or day clinic program

Structural Characterization and Lifetimes of Triple‐Stranded Helical Coinage Metal Complexes: Synthesis, Spectroscopy and Quantum Chemical Calculations

This work reports on a series of polynuclear complexes containing a trinuclear Cu, Ag, or Au core in combination with the fac-isomer of the metalloligand [Ru(pypzH)$_{3}$](PF$_{6}$)$_{2}$ (pypzH=3-(pyridin-2-yl)pyrazole). These (in case of the Ag and Au containing species) newly synthesized compounds of the general formula [{Ru(pypz)$_{3}$}$_{2}$M$_{3}$](PF$_{6}$) (2: M=Cu; 3: M=Ag; 4: M=Au) contain triple-stranded helical structures in which two ruthenium moieties are connected by three N-M-N (M=Cu, Ag, Au) bridges. In order to obtain a detailed description of the structure both in the electronic ground and excited states, extensive spectroscopic and quantum chemical calculations are applied. The equilateral coinage metal core triangle in the electronic ground state of 2–4 is distorted in the triplet state. Furthermore, the analyses offer a detailed description of electronic excitations. By using time-resolved IR spectroscopy from the microsecond down to the nanosecond regime, both the vibrational spectra and the lifetime of the lowest lying electronically excited triplet state can be determined. The lifetimes of these almost only non-radiative triplet states of 2–4 show an unusual effect in a way that the Au-containing complex 4 has a lifetime which is by more than a factor of five longer than in case of the Cu complex 2. Thus, the coinage metals have a significant effect on the electronically excited state, which is localized on a pypz ligand coordinated to the Ru atom indicating an unusual cooperative effect between two moieties of the complex

The Alvarez and Lohmann refractive lenses revisited

15 pages, 10 figures.-- OCIS codes: 080.1510, 080.2740, 330.4460.Alvarez and Lohmann lenses are variable focus optical devices based on lateral shifts of two lenses with cubic-type surfaces. I analyzed the optical performance of these types of lenses computing the first order optical properties (applying wavefront refraction and propagation) without the restriction of the thin lens approximation, and the spot diagram using a ray tracing algorithm. I proposed an analytic and numerical method to select the most optimum coefficients and the specific configuration of these lenses. The results show that Lohmann composite lens is slightly superior to Alvarez one because the overall thickness and optical aberrations are smaller.I benefit from a Spanish Ministry of Science-UPM "Ramón y Cajal" contract.Peer reviewe

Precise dipole moments and quadrupole coupling constants of the cis and trans conformers of 3-aminophenol: Determination of the absolute conformation

The rotational constants and the nitrogen nuclear quadrupole coupling constants of cis-3-aminophenol and trans-3-aminophenol are determined using Fourier-transform microwave spectroscopy. We examine several $J=2\leftarrow{}1$ and $1\leftarrow{}0$ hyperfine-resolved rotational transitions for both conformers. The transitions are fit to a rigid rotor Hamiltonian including nuclear quadrupole coupling to account for the nitrogen nucleus. For cis-3-aminophenol we obtain rotational constants of A=3734.930 MHz, B=1823.2095 MHz, and C=1226.493 MHz, for trans-3-aminophenol of A=3730.1676 MHz, B=1828.25774 MHz, and C=1228.1948 MHz. The dipole moments are precisely determined using Stark effect measurements for several hyperfine transitions to $\mu_a=1.7735$ D, $\mu_b=1.5195$ D for cis-3-aminophenol and $\mu_a=0.5563$ D, $\mu_b=0.5376$ D for trans-3-aminophenol. Whereas the rotational constants and quadrupole coupling constants do not allow to determinate the absolute configuration of the two conformers, this assignment is straight-forward based on the dipole moments. High-level \emph{ab initio} calculations (B3LYP/6-31G^* to MP2/aug-cc-pVTZ) are performed providing error estimates of rotational constants and dipole moments obtained for large molecules by these theoretical methods.Comment: 9 pages, 4 tables, 3 figures (RevTeX

Evaluation von Schedulingproblemen für die Projektplanung von Großprojekten am Beispiel des kerntechnischen Rückbaus

Die Größenordnungen des flächendeckenden kerntechnischen Rückbaus sind, bezüglich der Kosten und der Projektlaufzeiten, selbst mit den prominentesten Beispielen von Großprojekten kaum zu vergleichen. Die Rückbaukosten eines Reaktors werden auf mehrere hundert Millionen Euro geschätzt und die Fertigstellungsdauer auf mehr als ein Jahrzehnt veranschlagt. Die in der Hochzeit der Nuklearenergie der 1970er Jahre erbauten Kernkraftwerke veralten zunehmend. Der hierdurch in zunehmendem Umfang notwendig werdende Rückbau von Kernkraftwerken stellt vielerlei Herausforderungen an dessen Planung und Durchführung. Diese Studie beschäftigt sich mit der Planung dieser Großprojekte. Das Ziel dieser Arbeit ist es, ein Planungsproblem zu formulieren, das die Herausforderungen des kerntechnischen Rückbaus adäquat bewältigt. Hierfür werden zunächst die Anforderungen eines kerntechnischen Rückbauprojekts an ein Planungsproblem erarbeitet. Anschließend werden mögliche Schedulingprobleme eingeführt und anhand ihres Verhaltens und ihrer Eigenschaften vergleichend erläutert. Einzelne Schedulingprobleme sowie mögliche Erweiterungen beziehungsweise Verallgemeinerungen werden detailliert betrachtet. Aus den vorgestellten Problemen und Erweiterungen wird, auf Basis der spezifischen Anforderungen des kerntechnischen Rückbaus, ein Multi-mode Resource Investment Problem with Tardiness Penalty ausgewählt. Entsprechend der Rückbauanforderungen werden außerdem individuelle Anpassungen der Problemformulierung durchgeführt, sodass ein Schedulingproblem entwickelt wurde, das als „Multi-mode Resource Investment Problem unter Betrachtung von allgemeinen Vorgangsbeziehungen und Restbetriebskosten“ bezeichnet werden kann

Observing the Unobservable: Migrant Selectivity and Agentic Individuality Among Higher Education Students in China and Europe

The research in migrant selectivity largely overlooks the broader institutional processes that shape the extent to which migrants from different backgrounds are indeed positively selected. This is particularly true in the case of highly skilled migrants, whose selection may not be conditioned by migration but by education. This paper deals with this limitation by studying individual characteristics, which are often treated as unobserved selectivity, among a specific flow of educational migrants in Europe, namely, Chinese higher education students. To do so, we use a unique representative multi-country dataset of about 8,000 Chinese international students and their native-born counterparts in China, the UK, and Germany. Our evidence rules out positive selection of migrants on individuality traits such as ambition, creativity, or being a risk-taker or independently minded. This supports our argument that the prevalence of agentic models of individuality is embedded in tertiary education on a global level

Gender specific quality of life in patients with oral squamous cell carcinomas

<p>Abstract</p> <p>Background</p> <p>The goal of this study was to evaluate the somatic and psychological effects by means of QUALITY OF LIFE (QOL) of surgical treatment of patients with oral squamous cell carcinoma. The factors gender, age, nicotine consumption, and tumour stage were taken into consideration.</p> <p>Methods</p> <p>54 patients after surgical resection of oral squamous cell carcinomas (OSCC) were analysed from 01.09.2005 to 31.05.2008. Inclusion criteria for the study were: age at least 18 years, no indication or treatment of synchronous and metachronous tumours.</p> <p>German translations of the EORTC H&N-35 and EORTC QLQ-C-30 questionnaires, as well as a general socioeconomic patient history were used as measuring instruments. The questionnaires were completed independently by the patients. The answers were translated into scale values for statistical evaluation using appropriate algorithms.</p> <p>Results</p> <p>Analysis of the EORTC-QLQ-C-30 questionnaires demonstrated a tendency of more negative assessment of emotional function among the female participants, and a more negative evaluation of social function among the male participants. Greater tumour sizes showed significantly lower bodily function (p = 0.018). While a smaller tumour size was significantly associated with lower cognitive functioning (p = 0.031). Other cofactors such as age, nicotine consumption, and tumour stage only showed a tendency to influence the quality of sleep and daily life.</p> <p>Conclusions</p> <p>The data obtained within this investigation demonstrated that gender had the most significant power on the subjectively perceived postoperative quality of life. This factor is important e.g. in preoperative decision making regarding immediate microvascular reconstruction after e.g. mandibular resection and therefore QOL assessment should become integral component of the care of patients with OSCC.</p

Immune Responses and Pathogenesis following Experimental SARS-CoV-2 Infection in Domestic Cats

Several reports demonstrated the susceptibility of domestic cats to SARS-CoV-2 infection. Here, we describe a thorough investigation of the immune responses in cats after experimental SARS-CoV-2 inoculation, along with the characterization of infection kinetics and pathological lesions. Specific pathogen-free domestic cats ( n = 12) were intranasally inoculated with SARS-CoV-2 and subsequently sacrificed on DPI (days post-inoculation) 2, 4, 7 and 14. None of the infected cats developed clinical signs. Only mild histopathologic lung changes associated with virus antigen expression were observed mainly on DPI 4 and 7. Viral RNA was present until DPI 7, predominantly in nasal and throat swabs. The infectious virus could be isolated from the nose, trachea and lungs until DPI 7. In the swab samples, no biologically relevant SARS-CoV-2 mutations were observed over time. From DPI 7 onwards, all cats developed a humoral immune response. The cellular immune responses were limited to DPI 7. Cats showed an increase in CD8+ cells, and the subsequent RNA sequence analysis of CD4+ and CD8+ subsets revealed a prominent upregulation of antiviral and inflammatory genes on DPI 2. In conclusion, infected domestic cats developed a strong antiviral response and cleared the virus within the first week after infection without overt clinical signs and relevant virus mutations