Futility: ein Begriff im chirurgischen Alltag?

Zusammenfassung: Ethisch anspruchsvolle Indikationsstellungen bei Patienten, die ihren Willen nicht selbst äußern können, wie beispielsweise schwer demenzkranke Patienten, konfrontieren uns häufig. Es stellt sich hierbei die Frage, ob wir mit operativen Eingriffen eine Übertherapie vollziehen. Der Begriff "futility" der Medizinethik beschreibt Übertherapie, ist allerdings für eine konkrete Anwendung problematisch, da eine exakte Definition fehlt. In der klinischen Situation von schwer demenzkranken, hochbetagten Patienten muss in chirurgischen Abteilungen eine Aufarbeitung von medizinischem Hintergrund, Lebensumständen des Patienten und belegtem oder mutmaßlichem Patientenwillen erfolgen mit dem Ziel, Indikationen individualisiert zu stellen. Nur so können diese Patienten optimal versorgt werden, eine klare Kommunikation über Behandlungsziele mit Angehörigen stattfinden sowie eine Vermeidung eines "burn out" bei den Behandelnden erreicht werden. Von großem Nutzen ist hierbei eine enge Zusammenarbeit mit Medizinethiker

Dewetting of thin films on heterogeneous substrates: Pinning vs. coarsening

We study a model for a thin liquid film dewetting from a periodic heterogeneous substrate (template). The amplitude and periodicity of a striped template heterogeneity necessary to obtain a stable periodic stripe pattern, i.e. pinning, are computed. This requires a stabilization of the longitudinal and transversal modes driving the typical coarsening dynamics during dewetting of a thin film on a homogeneous substrate. If the heterogeneity has a larger spatial period than the critical dewetting mode, weak heterogeneities are sufficient for pinning. A large region of coexistence between coarsening dynamics and pinning is found.Comment: 4 pages, 4 figure

Engineering Privacy in Public: Confounding Face Recognition

The objective of DARPA’s Human ID at a Distance (HID) program is to develop automated biometric identification technologies to detect, recognize and identify humans at great distances. While nominally intended for security applications, if deployed widely, such technologies could become an enormous privacy threat, making practical the automatic surveillance of individuals on a grand scale. Face recognition, as the HID technology most rapidly approaching maturity, deserves immediate research attention in order to understand its strengths and limitations, with an objective of reliably foiling it when it is used inappropriately. This paper is a status report for a research program designed to achieve this objective within a larger goal of similarly defeating all HID technologies

Exploring the stability of super heavy elements: First measurement of the fission barrier of 254No

The gamma-ray multiplicity and total energy emitted by the heavy nucleus 254No have been measured at 2 different beam energies. From these measurements, the initial distributions of spin I and excitation energy E * of 254No were constructed. The distributions display a saturation in excitation energy, which allows a direct determination of the fission barrier. 254No is the heaviest shell-stabilized nucleus with a measured fission barrier. © Owned by the authors, published by EDP Sciences, 2014

A global experience-sampling method study of well-being during times of crisis : The CoCo project

We present a global experience-sampling method (ESM) study aimed at describing, predicting, and understanding individual differences in well-being during times of crisis such as the COVID-19 pandemic. This international ESM study is a collaborative effort of over 60 interdisciplinary researchers from around the world in the “Coping with Corona” (CoCo) project. The study comprises trait-, state-, and daily-level data of 7490 participants from over 20 countries (total ESM measurements = 207,263; total daily measurements = 73,295) collected between October 2021 and August 2022. We provide a brief overview of the theoretical background and aims of the study, present the applied methods (including a description of the study design, data collection procedures, data cleaning, and final sample), and discuss exemplary research questions to which these data can be applied. We end by inviting collaborations on the CoCo dataset

Direct decay from the superdeformed band to the yrast line in 66152Dy86

A number of single step linking transitions were observed in 152Dy. The first superdeformed (SD) band was linked to the normal yrats states and its spin, parity and excitation energy was established. An angular distribution analysis of the 4011 keV transition was performed to determine the spin of the 11893 keV SD level. The excitation energy of the lowest SD band member was 10644 keV and its spin and parity was determined to be 24+

Fission barrier of superheavy nuclei and persistence of shell effects at high spin: Cases of No 254 and Th 220

We report on the first measurement of the fission barrier height in a heavy shell-stabilized nucleus. The fission barrier height of No254 is measured to be Bf=6.0±0.5 MeV at spin 15 and, by extrapolation, Bf=6.6±0.9 MeV at spin 0. This information is deduced from the measured distribution of entry points in the excitation energy versus spin plane. The same measurement is performed for Th220 and only a lower limit of the fission barrier height can be determined: Bf(I)>8 MeV. Comparisons with theoretical fission barriers test theories that predict properties of superheavy elements

Exploring the stability of super heavy elements: First measurement of the fission barrier of 254No

The gamma-ray multiplicity and total energy emitted by the heavy nucleus 254No have been measured at 2 different beam energies. From these measurements, the initial distributions of spin I and excitation energy E * of 254No were constructed. The distributions display a saturation in excitation energy, which allows a direct determination of the fission barrier. 254No is the heaviest shell-stabilized nucleus with a measured fission barrier

Cardiovascular development: towards biomedical applicability: Regulation of cardiomyocyte differentiation of embryonic stem cells by extracellular signalling

Investigating the signalling pathways that regulate heart development is essential if stem cells are to become an effective source of cardiomyocytes that can be used for studying cardiac physiology and pharmacology and eventually developing cell-based therapies for heart repair. Here, we briefly describe current understanding of heart development in vertebrates and review the signalling pathways thought to be involved in cardiomyogenesis in multiple species. We discuss how this might be applied to stem cells currently thought to have cardiomyogenic potential by considering the factors relevant for each differentiation step from the undifferentiated cell to nascent mesoderm, cardiac progenitors and finally a fully determined cardiomyocyte. We focus particularly on how this is being applied to human embryonic stem cells and provide recent examples from both our own work and that of others

Energetic particle influence on the Earth's atmosphere

This manuscript gives an up-to-date and comprehensive overview of the effects of energetic particle precipitation (EPP) onto the whole atmosphere, from the lower thermosphere/mesosphere through the stratosphere and troposphere, to the surface. The paper summarizes the different sources and energies of particles, principally galactic cosmic rays (GCRs), solar energetic particles (SEPs) and energetic electron precipitation (EEP). All the proposed mechanisms by which EPP can affect the atmosphere are discussed, including chemical changes in the upper atmosphere and lower thermosphere, chemistry-dynamics feedbacks, the global electric circuit and cloud formation. The role of energetic particles in Earth’s atmosphere is a multi-disciplinary problem that requires expertise from a range of scientific backgrounds. To assist with this synergy, summary tables are provided, which are intended to evaluate the level of current knowledge of the effects of energetic particles on processes in the entire atmosphere