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Purpose Vascular risk factors and ocular perfusion are heatedly discussed in the pathogenesis of glaucoma. The retinal vessel analyzer (RVA, IMEDOS Systems, Germany) allows noninvasive measurement of retinal vessel regulation. Significant differences especially in the veins between healthy subjects and patients suffering from glaucoma were previously reported. In this pilot-study we investigated if localized vascular regulation is altered in glaucoma patients with altitudinal visual field defect asymmetry. Methods 15 eyes of 12 glaucoma patients with advanced altitudinal visual field defect asymmetry were included. The mean defect was calculated for each hemisphere separately (-20.99 ± 10.49 pro- found hemispheric visual field defect vs -7.36 ± 3.97 dB less profound hemisphere). After pupil dilation, RVA measurements of retinal arteries and veins were conducted using the standard protocol. The superior and inferior retinal vessel reactivity were measured consecutively in each eye. Results Significant differences were recorded in venous vessel constriction after flicker light stimulation and overall amplitude of the reaction (p \ 0.04 and p \ 0.02 respectively) in-between the hemispheres spheres. Vessel reaction was higher in the hemisphere corresponding to the more advanced visual field defect. Arterial diameters reacted similarly, failing to reach statistical significance. Conclusion Localized retinal vessel regulation is significantly altered in glaucoma patients with asymmetri altitudinal visual field defects. Veins supplying the hemisphere concordant to a less profound visual field defect show diminished diameter changes. Vascular dysregulation might be particularly important in early glaucoma stages prior to a significant visual field defect.
Delayed cerebral ischemia (DCI) is a common complication after aneurysmal subarachnoid hemorrhage (aSAH) and can lead to infarction and poor clinical outcome. The underlying mechanisms are still incompletely understood, but animal models indicate that vasoactive metabolites and inflammatory cytokines produced within the subarachnoid space may progressively impair and partially invert neurovascular coupling (NVC) in the brain. Because cerebral and retinal microvasculature are governed by comparable regulatory mechanisms and may be connected by perivascular pathways, retinal vascular changes are increasingly recognized as a potential surrogate for altered NVC in the brain. Here, we used non-invasive retinal vessel analysis (RVA) to assess microvascular function in aSAH patients at different times after the ictus.
The term ocular rigidity is widely used in clinical ophthalmology. Generally it is assumed as a resistance of the whole eyeball to mechanical deformation and relates to biomechanical properties of the eye and its tissues. Basic principles and formulas for clinical tonometry, tonography and pulsatile ocular blood flow measurements are based on the concept of ocular rigidity. There is evidence for altered ocular rigidity in aging, in several eye diseases and after eye surgery. Unfortunately, there is no consensual view on ocular rigidity: it used to make a quite different sense for different people but still the same name. Foremost there is no clear consent between biomechanical engineers and ophthalmologists on the concept. Moreover ocular rigidity is occasionally characterized using various parameters with their different physical dimensions. In contrast to engineering approach, clinical approach to ocular rigidity claims to characterize the total mechanical response of the eyeball to its deformation without any detailed considerations on eye morphology or material properties of its tissues. Further to the previous chapter this section aims to describe clinical approach to ocular rigidity from the perspective of an engineer in an attempt to straighten out this concept, to show its advantages, disadvantages and various applications.
The aim of the current study was to investigate the performance of integrated RF
transmit arrays with high channel count consisting of meander microstrip antennas
for body imaging at 7 T and to optimize the position and number of transmit ele-
ments. RF simulations using multiring antenna arrays placed behind the bore liner
were performed for realistic exposure conditions for body imaging. Simulations were
performed for arrays with as few as eight elements and for arrays with high channel
counts of up to 48 elements. The B1+ field was evaluated regarding the degrees of
freedom for RF shimming in the abdomen. Worst-case specific absorption rate
(SARwc ), SAR overestimation in the matrix compression, the number of virtual obser-
vation points (VOPs) and SAR efficiency were evaluated. Constrained RF shimming
was performed in differently oriented regions of interest in the body, and the devia-
tion from a target B1+ field was evaluated. Results show that integrated multiring
arrays are able to generate homogeneous B1+ field distributions for large FOVs, espe-
cially for coronal/sagittal slices, and thus enable body imaging at 7 T with a clinical
workflow; however, a low duty cycle or a high SAR is required to achieve homoge-
neous B1+ distributions and to exploit the full potential. In conclusion, integrated
arrays allow for high element counts that have high degrees of freedom for the pulse
optimization but also produce high SARwc , which reduces the SAR accuracy in the
VOP compression for low-SAR protocols, leading to a potential reduction in array
performance. Smaller SAR overestimations can increase SAR accuracy, but lead to a
high number of VOPs, which increases the computational cost for VOP evaluation
and makes online SAR monitoring or pulse optimization challenging. Arrays with
interleaved rings showed the best results in the study.
In this paper, we present the structure, the simulation the operation of a multi-stage, hybrid solar desalination system (MSDH), powered by thermal and photovoltaic (PV) (MSDH) energy. The MSDH system consists of a lower basin, eight horizontal stages, a field of four flat thermal collectors with a total area of 8.4 m2, 3 Kw PV panels and solar batteries. During the day the system is heated by thermal energy, and at night by heating resistors, powered by solar batteries. These batteries are charged by the photovoltaic panels during the day. More specifically, during the day and at night, we analyse the temperature of the stages and the production of distilled water according to the solar irradiation intensity and the electric heating power, supplied by the solar batteries. The simulations were carried out in the meteorological conditions of the winter month (February 2020), presenting intensities of irradiance and ambient temperature reaching 824 W/m2 and 23 °C respectively. The results obtained show that during the day the system is heated by the thermal collectors, the temperature of the stages and the quantity of water produced reach 80 °C and 30 Kg respectively. At night, from 6p.m. the system is heated by the electric energy stored in the batteries, the temperature of the stages and the quantity of water produced reach respectively 90 °C and 104 Kg for an electric heating power of 2 Kw. Moreover, when the electric power varies from 1 Kw to 3 Kw the quantity of water produced varies from 92 Kg to 134 Kg. The analysis of these results and their comparison with conventional solar thermal desalination systems shows a clear improvement both in the heating of the stages, by 10%, and in the quantity of water produced by a factor of 3.
Inhaltsverzeichnis
1. Die ordentliche Kündigung chronisch Kranker im Anwendungsbereich des
KSchG
– Nora Trümpener 3-56
2. Die Legitimationswirkung der Gesellschafterliste -
Erfolg trotz Grenzen?
– Jan Peters 57-112
3. Marktmanipulation – Arten, Abgrenzung und gesetzliche Handhabe
– Manuel Herzel 113-170
4. Die Zulässigkeit der Verdachtskündigung im Arbeitsverhältnis
– Alina Vollmann 171-248
5. Praxisorientierter Arbeitgeberleitfaden zur rechtssicheren Einführung von
Homeoffice im Arbeitsverhältnis
– Gina Breuer 249-304
Der vorliegende Beitrag stellt den seismischen Nachweis von Mauerwerksbauten in Deutschland auf Grundlage der DIN EN 1998‐1/NA vor, wobei auch die wesentlichen Änderungen zu der Norm DIN 4149 vergleichend erläutert werden. Vorgestellt werden die Definition der Erdbebeneinwirkung, das seismische Verhalten von Mauerwerksbauten und die Erläuterung der Rechenverfahren. Darauf aufbauend wird die Anwendung an drei Praxisbeispielen demonstriert.