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Inhaltsverzeichnis
1. Whistleblowing – Chancen & Risiken von Hinweisgebersystemen aus Arbeitnehmer- und Arbeitgebersicht
– Michelle Abraham 3-70
2. Die Bedeutung und rechtliche Bewertung von Vesting-Klauseln bei der Venture-Capital Finanzierung einer Start-Up GmbH
– Natalia Ahmadian 71-137
3. Bewertung der Möglichkeit zur Einführung von Tarifverträgen im deutschen Berufsfußball
– Thomas Büttgenbach 138-190
4. Pflichten und Haftungsrisiken des GmbH-Geschäftsführers bei Compliance-Verstößen
– Naja Keller 191-234
5. Aktienrückkäufe auf dem deutschen Markt nach der Finanzkrise 2008/2009
– Marc Paumer 235-287
6. Will Germany reach its 2030 climate goals in the transportation sector? – An investigation focusing on the new German Emission Trading System
– Axel Plum 288-369
With the prevalence of glucosamine- and chondroitin-containing dietary supplements for people with osteoarthritis in the marketplace, it is important to have an accurate and reproducible analytical method for the quantitation of these compounds in finished products. NMR spectroscopic method based both on low- (80 MHz) and high- (500–600 MHz) field NMR instrumentation was established, compared and validated for the determination of chondroitin sulfate and glucosamine in dietary supplements. The proposed method was applied for analysis of 20 different dietary supplements. In the majority of cases, quantification results obtained on the low-field NMR spectrometer are similar to those obtained with high-field 500–600 MHz NMR devices. Validation results in terms of accuracy, precision, reproducibility, limit of detection and recovery demonstrated that the developed method is fit for purpose for the marketed products. The NMR method was extended to the analysis of methylsulfonylmethane, adulterant maltodextrin, acetate and inorganic ions. Low-field NMR can be a quicker and cheaper alternative to more expensive high-field NMR measurements for quality control of the investigated dietary supplements. High-field NMR instrumentation can be more favorable for samples with complex composition due to better resolution, simultaneously giving the possibility of analysis of inorganic species such as potassium and chloride.
The carbonized rice husk (CRH) was evaluated for its wound healing activity in rats using excision models. In this study, the influences of CRH on wound healing in rat skin in vivo and cellular behavior of human dermal fibroblasts in vitro were investigated. The obtained results showed that the CRH treatment promoted wound epithelization in rats and exhibited moderate inhibition of cell proliferation in vitro. CRH with lanolin oil treated wounds were found to epithelize faster as compared to controls.
Kinder sind bei der Suche nach Antworten auf ihre Fragen in unserer medialen Gesellschaft stark mit dem digitalen Raum konfrontiert. Diese Medien können bei einer nicht kindergerechten Benutzung wichtige Entwicklungsprozesse hindern. Im Gegensatz dazu geben diese aber auch die Möglichkeit, Kindern wichtige Denkgewohnheiten beizubringen und sie besser auf die Zukunft vorzubereiten. Ziel der Arbeit ist es, eine Verbindung zwischen der analogen und digitalen Welt herzustellen und ein vielfältiges Lernen zu ermöglichen. Die App „miela“ schafft eine neue Ebene der Wissensvermittlung durch die Kombination von digitaler und analoger Welt. Das Userinterface ist altersentsprechend gestaltet und bietet unterschiedliche Themenfelder an, wobei die Wissensvermittlung und die Kreativität im Fokus stehen. Eine Zusammenarbeit mit der Toniebox als digitale Erweiterung kann weitere Themenfelder anbieten.
Microbial diversity studies regarding the aquatic communities that experienced or are experiencing environmental problems are essential for the comprehension of the remediation dynamics. In this pilot study, we present data on the phylogenetic and ecological structure of microorganisms from epipelagic water samples collected in the Small Aral Sea (SAS). The raw data were generated by massive parallel sequencing using the shotgun approach. As expected, most of the identified DNA sequences belonged to Terrabacteria and Actinobacteria (40% and 37% of the total reads, respectively). The occurrence of Deinococcus-Thermus, Armatimonadetes, Chloroflexi in the epipelagic SAS waters was less anticipated. Surprising was also the detection of sequences, which are characteristic for strict anaerobes—Ignavibacteria, hydrogen-oxidizing bacteria, and archaeal methanogenic species. We suppose that the observed very broad range of phylogenetic and ecological features displayed by the SAS reads demonstrates a more intensive mixing of water masses originating from diverse ecological niches of the Aral-Syr Darya River basin than presumed before.
Background
Hip fractures are a common and costly health problem, resulting in significant morbidity and mortality, as well as high costs for healthcare systems, especially for the elderly. Implementing surgical preventive strategies has the potential to improve the quality of life and reduce the burden on healthcare resources, particularly in the long term. However, there are currently limited guidelines for standardizing hip fracture prophylaxis practices.
Methods
This study used a cost-effectiveness analysis with a finite-state Markov model and cohort simulation to evaluate the primary and secondary surgical prevention of hip fractures in the elderly. Patients aged 60 to 90 years were simulated in two different models (A and B) to assess prevention at different levels. Model A assumed prophylaxis was performed during the fracture operation on the contralateral side, while Model B included individuals with high fracture risk factors. Costs were obtained from the Centers for Medicare & Medicaid Services, and transition probabilities and health state utilities were derived from available literature. The baseline assumption was a 10% reduction in fracture risk after prophylaxis. A sensitivity analysis was also conducted to assess the reliability and variability of the results.
Results
With a 10% fracture risk reduction, model A costs between $8,850 and $46,940 per quality-adjusted life-year ($/QALY). Additionally, it proved most cost-effective in the age range between 61 and 81 years. The sensitivity analysis established that a reduction of ≥ 2.8% is needed for prophylaxis to be definitely cost-effective. The cost-effectiveness at the secondary prevention level was most sensitive to the cost of the contralateral side’s prophylaxis, the patient’s age, and fracture treatment cost. For high-risk patients with no fracture history, the cost-effectiveness of a preventive strategy depends on their risk profile. In the baseline analysis, the incremental cost-effectiveness ratio at the primary prevention level varied between $11,000/QALY and $74,000/QALY, which is below the defined willingness to pay threshold.
Conclusion
Due to the high cost of hip fracture treatment and its increased morbidity, surgical prophylaxis strategies have demonstrated that they can significantly relieve the healthcare system. Various key assumptions facilitated the modeling, allowing for adequate room for uncertainty. Further research is needed to evaluate health-state-associated risks.