224 research outputs found

    Begleitung schwer kranker und sterbender Kinder: Empfehlungen fĂŒr die Praxis

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    Zusammenfassung: Der Tod eines Kindes ist bei uns ein seltenes, aber umso erschĂŒtternderes Ereignis. Die Begleitung sterbender Kinder ist nur mit Einbezug ihres sozialen Umfeldes möglich und erfordert entwicklungspsychologische Kenntnisse. Der Text fasst Aspekte der Entstehung des kindlichen Todeskonzeptes zusammen und beschreibt die psychischen Reaktionen schwer kranker Kinder und Jugendlicher. Abschließend geben die Autoren, ausgehend von ihren praktischen Erfahrungen, Empfehlungen und Orientierungshilfen fĂŒr die Sterbebegleitun

    Perception of pain as a result of orthodontic treatment with fixed appliances

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    The aims of this study were to investigate the intensity, location and duration of patients' discomfort following insertion of orthodontic appliances, and to examine for interactions between patient age, gender, appliance type and the perception of pain. After insertion of orthodontic appliances, 170 patients received eight questionnaires, one they completed and returned after 4 h, then one daily for 7 days. The respondents' ages ranged from 8-53 years (median age 13 years 7 months); 45 per cent were male and 55 per cent female. Of the patients, 65 per cent reported pain after 4 h and 95 per cent after 24 h. After 7 days, 25 per cent of the patients still reported discomfort. Patients' pain intensity scores were significantly higher for the anterior than for the posterior teeth. On day 1, 16 per cent took analgesics and 18 per cent reported being awakened the first night. Comparing a 2 × 4 appliance, a full appliance in one arch and in both arches, no statistical differences were found for reported pain frequency, general intensity of pain, pain at the teeth, discomfort when biting and chewing and analgesic consumption. The perception of general pain intensity, analgesic consumption, pain when eating and the influence of discomfort on daily life were all significantly greater in girls than in boys. Patients younger than 13 years reported pain significantly less frequently than the older patients. The highest frequency of pain was found in the group of 13-16 year olds. The pain intensity did not differ among the age group

    Improved acoustics for semi-enclosed spaces in the proximity of residential buildings

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    Continuous urban densification exacerbates acoustic challenges for residents of housing complexes. They are confronted with higher noise immission from railway, road traffic, construction, as well as louder neighborhood acoustic environments. Thereby, not only noise immission indoors is associated with stress, annoyance, and sleep disturbance, but also the immediate outdoor living environment (e.g., courtyards, private gardens and playgrounds, etc.) can be acoustically unpleasant and annoying. This non-exhaustive narrative review paper elaborates on the role of a number of design parameters on improving the quality of the outdoor soundscape of housing complexes: architectural and morphological design, facade material characteristics, balconies, greenery, ground, background sounds, and several factors concerning quality of sounds (e.g., multisensory perception, holistic design, the relevance of space, context, social factors, co-creation, etc.). It mainly covers literature including both acoustical (e.g., sound pressure level and room acoustical parameters) and human/perceptual (e.g., comfort and annoyance) factors. A series of recommendations are presented here as to how the semi-enclosed outdoor spaces in the proximity of residential complexes can be acoustically improved

    Polarizations and Nullcone of Representations of Reductive Groups

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    The paper starts with the following simple observation. Let V be a representation of a reductive group G, and let f_1,f_2,...,f_n be homogeneous invariant functions. Then the polarizations of f_1,f_2,...,f_n define the nullcone of k 0} h(t) x = 0 for all x in L. This is then applied to many examples. A surprising result is about the group SL(2,C) where almost all representations V have the property that all linear subspaces of the nullcone are annihilated. Again, this has interesting applications to the invariants on several copies. Another result concerns the n-qubits which appear in quantum computing. This is the representation of a product of n copies of SL2SL_2 on the n-fold tensor product C^2 otimes C^2 otimes ... otimes C^2. Here we show just the opposite, namely that the polarizations never define the nullcone of several copies if n <= 3. (An earlier version of this paper, distributed in 2002, was split into two parts; the first part with the title ``On the nullcone of representations of reductive groups'' is published in Pacific J. Math. {bf 224} (2006), 119--140.

    Producing viruses in orbit: Current developments for orbital shaken viral vaccine manufacturing

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    Preculture of suspension cells is successfully performed in shake flasks. Especially newly developed designer cells are passaged up to 100 times in shake flaks at high shaking frequency and are then perfectly adapted to growth in a CO2 incubator with pH control and maximum oxygen supply (typically above 80% pO2). When they are subsequently transferred to stirred tank bioreactors for scaling up, specific cell growth rates are often lower and cells become sensitive to pH control via acid/base addition and shear stress due to submers gassing (bubbles). This was also seen for avian AGE1.CR.pIX and human HEK 293 cells. To avoid these problems, scale up in shaken mode was evaluated. Here we present the latest developments of the SB10-X OSB bioreactor with regard to bag design and improvement of the control unit. A new control strategy was introduced leading to a faster and more precise pH and DO control. Furthermore, the perfusion bag was optimized, so that on TFF or two ATF systems can be easily connected. Both developments have led to a more robust SB10-X system that allows to easily perform batch, fed batch or perfusion runs. Please click Download on the upper right corner to see the full abstract

    Technology-based Product-services for Supporting Frugal Innovation

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    In recent years, European manufacturing companies are gradually applying innovative PSS (Product Service Systems), as strategic opportunity for differentiating from competitors, offering an integrated bundle of products and services, targeted on specific needs of different customers. At the same time, frugal innovation has also surged as a new business concept based upon an intelligent use of resources to fulfill region-dependent customers' needs. Both approaches bring forth rethinking of established business models, which in turn asks for an in-depth analysis of the implications on the company organization and infrastructure, at supply chain and plant levels, urging towards manufacturing networks and reconfigurable assembly lines. This paper presents a formalized framework to support product-service design and the related business model characterization, in the context of frugal innovation. The methodology is applied to three real industrial scenarios respectively in the aeronautics, the domestic appliances and the machinery industry, which are analyzed within the framework of the H2020 European funded project 'ProRegio'

    The United States, PMSCs and the state monopoly on violence: Leading the way towards norm change

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    This is the author's accepted manuscript. The final published article is available from the link below. Copyright @ 2013 Sage.The proliferation of private military and security companies (PMSCs) in Iraq and Afghanistan has raised many questions regarding the use of armed force by private contractors. This article addresses the question of whether the increased acceptance of PMSCs indicates a transformation of the international norm regarding the state monopoly on the legitimate use of armed force. Drawing on theoretical approaches to the analysis of norm change, the article employs four measures to investigate possible changes in the strength and meaning of this norm: modifications in state behaviour, state responses to norm violation, the promulgation of varying interpretations of the norm in national and international laws and regulations, and changes in norm discourse. Based on an analysis of empirical evidence from the United States of America and its allies, the article concludes that these measures suggest that the USA is leading the way towards a transformation of the international norm of the state monopoly on violence, involving a revised meaning. Although this understanding has not yet been formally implemented in international law, it has allowed a growing number of countries to tolerate, accept or legalize the use of armed force by PMSCs in the international arena.The Alexander von Humboldt Foundation and the Peace Research Institute Frankfurt

    Bose-Einstein Correlations of Three Charged Pions in Hadronic Z^0 Decays

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    Bose-Einstein Correlations (BEC) of three identical charged pions were studied in 4 x 10^6 hadronic Z^0 decays recorded with the OPAL detector at LEP. The genuine three-pion correlations, corrected for the Coulomb effect, were separated from the known two-pion correlations by a new subtraction procedure. A significant genuine three-pion BEC enhancement near threshold was observed having an emitter source radius of r_3 = 0.580 +/- 0.004 (stat.) +/- 0.029 (syst.) fm and a strength of \lambda_3 = 0.504 +/- 0.010 (stat.) +/- 0.041 (syst.). The Coulomb correction was found to increase the \lambda_3 value by \~9% and to reduce r_3 by ~6%. The measured \lambda_3 corresponds to a value of 0.707 +/- 0.014 (stat.) +/- 0.078 (syst.) when one takes into account the three-pion sample purity. A relation between the two-pion and the three-pion source parameters is discussed.Comment: 19 pages, LaTeX, 5 eps figures included, accepted by Eur. Phys. J.

    First Measurement of Z/gamma* Production in Compton Scattering of Quasi-real Photons

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    We report the first observation of Z/gamma* production in Compton scattering of quasi-real photons. This is a subprocess of the reaction e+e- to e+e-Z/gamma*, where one of the final state electrons is undetected. Approximately 55 pb-1 of data collected in the year 1997 at an e+e- centre-of-mass energy of 183 GeV with the OPAL detector at LEP have been analysed. The Z/gamma* from Compton scattering has been detected in the hadronic decay channel. Within well defined kinematic bounds, we measure the product of cross-section and Z/gamma* branching ratio to hadrons to be (0.9+-0.3+-0.1) pb for events with a hadronic mass larger than 60 GeV, dominated by (e)eZ production. In the hadronic mass region between 5 GeV and 60 GeV, dominated by (e)egamma* production, this product is found to be (4.1+-1.6+-0.6) pb. Our results agree with the predictions of two Monte Carlo event generators, grc4f and PYTHIA.Comment: 18 pages, LaTeX, 5 eps figures included, submitted to Physics Letters
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