Comparative proteome analysis of lung tissue from patients with idiopathic pulmonary fibrosis (IPF), non-specific interstitial pneumonia (NSIP) and organ donors

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Dynamische Fähigkeiten und Unternehmenserfolg: Untersuchung des Mediationseffekts der Unternehmensinnovativität

Veränderung ist eine Konstante im heutigen unternehmerischen Wettbewerb - sei es eine Veränderung der Kundenbedürfnisse, eine Veränderung im Sinne des technologischen Fortschritts oder eine Veränderung des Wettbewerberumfelds. Dadurch werden Unternehmen kontinuierlich vor die Herausforderung gestellt, ihre unternehmerische Wertschöpfung regelmässig an die jeweilige Veränderung anzupassen. Nur wenn diese Anpassung gelingt, können Unternehmen einen nachhaltigen Unternehmenserfolg erzielen. Für die Anpassung der unternehmerischen Wertschöpfung ist ein abgestimmtes Set an Fähigkeiten erforderlich. So müssen Unternehmen zunächst in der Lage sein, Veränderung in den verschiedenen Dimensionen – Kunden, Technologie, Wettbewerber – zu erkennen. Anschliessend müssen Unternehmen aus der erkannten Veränderung angemessene Handlungskonzepte ableiten können, anhand derer die unternehmerische Wertschöpfung angepasst werden kann. Schliesslich müssen Unternehmen über Fähigkeiten verfügen, die Handlungskonzepte realisieren zu können. Diese drei Arten von Fähigkeiten bilden das Grundgerüst des Konzepts dynamischer Fähigkeiten („Dynamic Capabilities“) nach David J. Teece. Mit dem Konzept der Rekonfiguration unternehmerischer Wertschöpfung anhand dynamischer Fähigkeiten hat Teece eine Möglichkeit geschaffen, nachhaltigen Unternehmenserfolg in veränderlichen Märkten zu erklären. Durch das Konzept wird allerdings noch nicht die Frage beantwortet, wie sich die Rekonfiguration konkret manifestiert und zum Unternehmenserfolg beiträgt. In der vorliegenden Untersuchung wird eine Antwort auf diese Frage entwickelt. Es wird die These aufgestellt und überprüft, nach der die dynamischen Fähigkeiten positiv auf die Unternehmensinnovativität wirken. Als Resultat der verbesserten Unternehmensinnovativität sollten Unternehmen dann einen nachhaltigen Erfolg erzielen können. Dazu werden im ersten Teil der Untersuchung (Kapitel 1-4) die Forschungsfragen aus der Literatur abgeleitet, und es werden die zu überprüfenden Hypothesen entwickelt. Im zweiten Teil (Kapitel 5-9) werden zunächst die Ergebnisse einer qualitativen Vorstudie vorgestellt. Danach folgen die Erläuterungen der Operationalisierungen sowie der Untersuchungsmethodik. Im Anschluss werden die Ergebnisse der quantitativen Untersuchung präsentiert und erläutert. Abschliessend werden die Ergebnisse kritisch diskutiert und Schlussfolgerungen für die Forschung sowie die unternehmerische Praxis abgeleitet

Towards functionalization of graphene: in situ study of the nucleation of copper-phtalocyanine on graphene

Molecular films present an elegant way for the uniform functionalization or doping of graphene. Here, we present an in situ study on the initial growth of copper phthalocyanine (CuPc) on epitaxial graphene on Ir(111). We followed the growth up to a closed monolayer with low energy electron microscopy and selected area electron diffraction (μLEED). The molecules coexist on graphene in a disordered phase without long-range order and an ordered crystalline phase. The local topography of the graphene substrate plays an important role in the nucleation process of the crystalline phase. Graphene flakes on Ir(111) feature regions that are under more tensile stress than others. We observe that the CuPc molecules form ordered domains initially on those graphene regions that are closest to the fully relaxed lattice. We attribute this effect to a stronger influence of the underlying Ir(111) substrate for molecules adsorbed on those relaxed regions

Controlling the growth of multiple ordered heteromolecular phases by utilizing intermolecular repulsion

Metal/organic interfaces and their structural, electronic, spintronic and thermodynamic properties have been investigated intensively, aiming to improve and develop future electronic devices. In this context, heteromolecular phases add new design opportunities simply by combining different molecules. However, controlling the desired phases in such complex systems is a challenging task. Here, we report an effective way of steering the growth of a bimolecular system composed of adsorbate species with opposite intermolecular interactions—repulsive and attractive, respectively. The repulsive species forms a two-dimensional lattice gas, the density of which controls which crystalline phases are stable. Critical gas phase densities determine the constant-area phase diagram that describes our experimental observations, including eutectic regions with three coexisting phases. We anticipate the general validity of this type of phase diagram for binary systems containing two-dimensional gas phases, and also show that the density of the gas phase allows engineering of the interface structure

Protocol for a prospective cohort study: Prevention of Transmissions by Effective Colonisation Tracking in Neonates (PROTECT-Neo)

Introduction Transmissions of opportunistic bacterial pathogens between neonates increase the risk of infections with negative repercussions, including higher mortality, morbidity and permanent disabilities. The probability of transmissions between patients is contingent on a set of intrinsic (patient-related) and extrinsic (ward-related) risk factors that are not clearly quantified. It is the dual objective of the Prevention of Transmissions by Effective Colonisation Tracking-Neo study to determine the density of transmission events in a level III neonatal intensive care unit (NICU) and to identify risk factors that may be causally associated with transmission events.Methods and analysis A full cohort of patients treated in a 17-bed level III NICU will be prospectively followed and transmission events between two or more patients will be documented. A transmission event occurs when isogenic isolates from two different patients can be identified. Isolates will be obtained by routine weekly screening. Isogenicity will be determined by whole-genome sequencing. During the study, relevant intrinsic and extrinsic risk factors will be recorded. Specimen and data will be collected for 1 year. We postulate that transmission density increases during episodes when demand for intensive care cannot be met by existing staff, and that threshold dynamics have a bearing on cohorting and hand hygiene performance. Poisson logistic regression, proportional hazard and multilevel competing risk models will be used to estimate the effect of explanatory variables.Ethics and dissemination This study has been approved by the local ethics committee (study ID 287/18). The results will be published in peer-reviewed medical journals, communicated to participants, the general public and all relevant stakeholders.Trial registration number The German Clinical Trials Registry (DRKS00017733); Pre-results

Intensive virtual reality-based training for upper limb motor function in chronic stroke: a feasibility study using a single case experimental design and fMRI

Purpose: To evaluate feasibility and neurophysiological changes after virtual reality (VR)-based training of upper limb (UL) movements. Method: Single-case A-B-A-design with two male stroke patients (P1:67 y and 50 y, 3.5 and 3 y after onset) with UL motor impairments, 45-min therapy sessions 5×/week over 4 weeks. Patients facing screen, used bimanual data gloves to control virtual arms. Three applications trained bimanual reaching, grasping, hand opening. Assessments during 2-week baseline, weekly during intervention, at 3-month follow-up (FU): Goal Attainment Scale (GAS), Chedoke Arm and Hand Activity Inventory (CAHAI), Chedoke-McMaster Stroke Assessment (CMSA), Extended Barthel Index (EBI), Motor Activity Log (MAL). Functional magnetic resonance imaging scans (FMRI) before, immediately after treatment and at FU. Results: P1 executed 5478 grasps (paretic arm). Improvements in CAHAI (+4) were maintained at FU. GAS changed to +1 post-test and +2 at FU. P2 executed 9835 grasps (paretic arm). CAHAI improvements (+13) were maintained at FU. GAS scores changed to -1 post-test and +1 at FU. MAL scores changed from 3.7 at pre-test to 5.5 post-test and 3.3 at FU. Conclusion: The VR-based intervention was feasible, safe, and intense. Adjustable application settings maintained training challenge and patient motivation. ADL-relevant UL functional improvements persisted at FU and were related to changed cortical activation patterns. Implications for Rehabilitation YouGrabber trains uni- and bimanual upper motor function. Its application is feasible, safe, and intense. The control of the virtual arms can be done in three main ways: (a) normal (b) virtual mirror therapy, or (c) virtual following. The mirroring feature provides an illusion of affected limb movements during the period when the affected upper limb (UL) is resting. The YouGrabber training led to ADL-relevant UL functional improvements that were still assessable 12 weeks after intervention finalization and were related to changed cortical activation patterns

Assessing direct and indirect effects of pediatric influenza vaccination in Germany by individual-based simulations

Children have a high burden of influenza and play a central role in spreading influenza. Routinely vaccinating children against influenza may, thus, not only reduce their disease burden, but also that of the general population, including the elderly who frequently suffer severe complications. Using the published individual-based tool 4Flu, we simulated how pediatric vaccination would change infection incidence in Germany. Transmission of four influenza strains was simulated in 100,000 individuals with German demography and contact structure. After initialization with the recorded trivalent influenza vaccination coverage for 20 years (1997–2016), all vaccinations were switched to quadrivalent influenza vaccine (QIV). Scenarios where vaccination coverage of children (0.5-17-year-old) was increased from the current value (4.3%) to a maximum of 10-60% were compared to baseline with unchanged coverage, averaging results of 1,000 pairs of simulations over a 20-year evaluation period (2017–2036). Pediatric vaccination coverage of 10-60% annually prevented 218–1,732 (6.3–50.5%) infections in children, 204–1,961 (2.9–28.2%) in young adults and 95–868 (3.1–28.9%) in the elderly in a population of 100,000 inhabitants; overall, 34.1% of infections in the total population (3.7 million infections per year in Germany) can be prevented if 60% of all children are vaccinated annually. 4.4–4.6 vaccinations were needed to prevent one infection among children; 1.7–1.8 were needed to prevent one in the population. Enhanced pediatric vaccination prevents many infections in children and even more in young adults and the elderly