16 research outputs found
Migration als politisches, ökonomisches und kulturelles PhÀnomen am Beispiel ausgewÀhlter pazifischer Inselstaaten
Wanderungsbewegungen von Menschen gibt es schon seit Anbeginn der Zeit, es stellt somit kein neues, unbekanntes PhĂ€nomen dar. Jedoch sind die GrĂŒnde und Ursachen fĂŒr Migration in Folge politischer Entscheidungen, ökonomischer Entwicklungen und sozialer VerĂ€nderungen einem permanenten Wandel unterworfen. Um dieses komplexe Thema eingehender betrachten zu können, wird in dieser Diplomarbeit der Schwerpunkt auf Migration im SĂŒdpazifik gelegt. Da die pazifischen Inselstaaten durch ihre Vielfalt sehr anschaulich die unterschiedlichen Aspekte von Migration zeigen. Dabei wird der Frage nachgegangen unter welchen Bedingungen Migration im SĂŒdpazifik stattfindet, welche konkrete Auslöser und GrĂŒnde es fĂŒr eine solche gibt und welche Konsequenzen sie nach sich zieht. Analyseeinheiten stellen dabei einerseits die beispielhaft ausgewĂ€hlten HerkunftslĂ€nder Fiji, Samoa und Tonga und andererseits die ZiellĂ€nder Australien und Neuseeland dar. Als theoretischen Zugang dienen ForschungsansĂ€tze der Politikwissenschaft, der Ăkonomie, der Soziologie und der Ethnologie sowie die klassischen und neueren Migrationstheorien. Ziel ist es, die verschiedenen VorgĂ€nge dieses komplexen Themenbereichs verstĂ€ndlicher zu machen, Perspektiven der Migrationsprozesse und wie mit deren Auswirkungen politisch umgegangen wird, aufzuzeigen
ÂĄĂnicamente lo que podemos hacer es organizarnos!
Diese Arbeit beschĂ€ftigt sich mit der Frage nach der Bedeutung von Autonomie und âComunalidadâ im Kontext von MICHIZĂ, einer Kleinbauern- und bĂ€uerinnenorganisation in Oaxaca, Mexiko, die biologischen und fairen Kaffee produziert. Zu diesem Zweck wurden die ökonomischen, politischen und sozialen Strategien, die MICHIZĂ verfolgt, untersucht. WĂ€hrend eines sechsmonatigen Feldforschungsaufenthalts wurden teilnehmende Beobachtungen und qualitative Interviews mit Mitgliedern und VorstĂ€nden von MICHIZĂ durchgefĂŒhrt. In der Arbeit wurden die interne Organisation der Genossenschaft MICHIZĂ und das VerhĂ€ltnis zu unterschiedlichen staatlichen Institutionen und Akteuren des Bio- und Fairtrade-Sektors analysiert. AuĂerdem wurden die (Ăber-)Lebensstrategien indigener Kleinbauern und âbĂ€uerinnen in der nördlichen Sierra von Oaxaca untersucht.This research deals with the question of the importance of autonomy and âComunalidadâ in the context of MICHIZĂ, a peasant organization of organic and fair-trade coffee farmers in Oaxaca, Mexico. For that purpose, the economic, political and social strategies that pursues MICHIZĂ in this environment were studied. During six months of fieldwork, participant observation and qualitative interviews with MICHIZĂ members and directors were conducted. In this thesis the internal organization of the cooperative MICHIZĂ and the relationship with various governmental institutions and actors of the organic and fair trade sector were analyzed. In addition, the livelihood strategies of indigenous farmers in the northern Sierra of Oaxaca were studied
Effectiveness and safety of opicapone in Parkinsonâs disease patients with motor fluctuations: the OPTIPARK open-label study
Background The efficacy and safety of opicapone, a once-daily catechol-O-methyltransferase inhibitor, have been established in two large randomized, placebo-controlled, multinational pivotal trials. Still, clinical evidence from routine practice is needed to complement the data from the pivotal trials. Methods OPTIPARK (NCT02847442) was a prospective, open-label, single-arm trial conducted in Germany and the UK under clinical practice conditions. Patients with Parkinsonâs disease and motor fluctuations were treated with opicapone 50âmg for 3 (Germany) or 6 (UK) months in addition to their current levodopa and other antiparkinsonian treatments. The primary endpoint was the Clinicianâs Global Impression of Change (CGI-C) after 3âmonths. Secondary assessments included Patient Global Impressions of Change (PGI-C), the Unified Parkinsonâs Disease Rating Scale (UPDRS), Parkinsonâs Disease Questionnaire (PDQ-8), and the Non-Motor Symptoms Scale (NMSS). Safety assessments included evaluation of treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs). Results Of the 506 patients enrolled, 495 (97.8%) took at least one dose of opicapone. Of these, 393 (79.4%) patients completed 3âmonths of treatment. Overall, 71.3 and 76.9% of patients experienced any improvement on CGI-C and PGI-C after 3âmonths, respectively (full analysis set). At 6âmonths, for UK subgroup only (nâ=â95), 85.3% of patients were judged by investigators as improved since commencing treatment. UPDRS scores at 3âmonths showed statistically significant improvements in activities of daily living during OFF (meanâ±âSD change from baseline: ââ3.0â±â4.6, pâ<â0.0001) and motor scores during ON (ââ4.6â±â8.1, pâ<â0.0001). The meanâ±âSD improvements of ââ3.4â±â12.8 points for PDQ-8 and -6.8â±â19.7 points for NMSS were statistically significant versus baseline (both pâ<â0.0001). Most of TEAEs (94.8% of events) were of mild or moderate intensity. TEAEs considered to be at least possibly related to opicapone were reported for 45.1% of patients, with dyskinesia (11.5%) and dry mouth (6.5%) being the most frequently reported. Serious TEAEs considered at least possibly related to opicapone were reported for 1.4% of patients. Conclusions Opicapone 50âmg was effective and generally well-tolerated in PD patients with motor fluctuations treated in clinical practice. Trial registration Registered in July 2016 at clinicaltrials.gov (NCT02847442)
Anti-enterovirus activity and structure-activity relationship of a series of 2,6-dihalophenyl-substituted 1H,3H-thiazolo[3,4-a]benzimidazoles
Despite the fact that enteroviruses are implicated in a variety of human diseases, there is no approved therapy for the treatment of enteroviral infections. Here, a series of 2,6-dihalophenyl-substituted 1H,3H-thiazolo[3,4-a]benzimidazoles with anti-enterovirus activity is reported. The compounds elicit potent activity against coxsackievirus A9, echovirus 9 and 11 and all six strains of coxsackievirus B. A structure-activity relationship analysis revealed that the presence of substituents at position 6 of the tricyclic system positively influences the antiviral activity, whereas substitutions at position 7 are less favorable. In particular a 6-trifluoromethyl substitution leads to a substantial improvement of the antiviral activity as compared to the unsubstituted structure. Furthermore, an additional introduction of a 2-Cl, 6-F substitution on the phenyl at C-1 results in a further increase of the antiviral activity. Hence, 1-(2-chloro-6-fluorophenyl)-6-trifluoromethyl-1H,3H-thiazolo[3,4-a]benzimidazole results in a dose-dependent inhibition of viral replication with a 50% effective concentration (EC50) of 0.41 microg/ml without any detectable cytotoxicity at the highest concentration (100 microg/ml) tested.status: publishe
Factors influencing agreement of breast cancer luminal molecular subtype by Ki67 labeling index between core needle biopsy and surgical resection specimens
Reliable determination of Ki67 labeling index (Ki67-LI) on core needle biopsy (CNB) is essential for determining breast cancer molecular subtype for therapy planning. However, studies on agreement between molecular subtype and Ki67-LI between CNB and surgical resection (SR) specimens are conflicting. The present study analyzed the influence of clinicopathological and sampling-associated factors on agreement. Molecular subtype was determined visually by Ki67-LI in 484 pairs of CNB and SR specimens of invasive estrogen receptor (ER)âpositive, human epidermal growth factor (HER2)ânegative breast cancer. Luminal B disease was defined by Ki67-LI >â20% in SR. Correlation of molecular subtype agreement with age, menopausal status, CNB method, Breast Imaging Reporting and Data System imaging category, time between biopsies, type of surgery, and pathological tumor parameters was analyzed. Recurrence-free survival (RFS) and overall survival (OS) were analyzed using the KaplanâMeier method. CNB had a sensitivity of 77.95% and a specificity of 80.97% for identifying luminal B tumors in CNB, compared with the final molecular subtype determination after surgery. The correlation of Ki67-LI between CNB and SR was moderate (ROC-AUC 0.8333). Specificity and sensitivity for CNB to correctly define molecular subtype of tumors according to SR were significantly associated with tumor grade, immunohistochemical progesterone receptor (PR) and p53 expression (pâ<â0.05). Agreement of molecular subtype did not significantly impact RFS and OS (pâ=â0.22 for both). The identified factors likely mirror intratumoral heterogeneity that might compromise obtaining a representative CNB. Our results challenge the robustness of a single CNB-driven measurement of Ki67-LI to identify luminal B breast cancer of low (G1) or intermediate (G2) grade
Comparison of nine different commercially available molecular assays for detection of SARS-CoV-2 RNA
To face the COVID-19 pandemic, the need for fast and reliable diagnostic assays for the detection of SARS-CoV-2 is immense. We describe our laboratory experiences evaluating nine commercially available real-time RT-PCR assays. We found that assays differed considerably in performance and validation before routine use is mandatory