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This thesis focuses on disease activity in clinically isolated syndrome (CIS) and newly diagnosed relapsing remitting multiple sclerosis (RRMS). The papers are based on data from 41 patients in a prospective longitudinal cohort study. All patients were untreated at baseline. Age- and sex-matched healthy controls (n=22) for blood and cerebrospinal fluid (CSF) samples were recruited from blood donors. Paper I evaluated the prognostic value of baseline levels of CXCL1, CXCL8, CXCL10, CXCL13, CCL22, neurofilament light chain (NFL), neurofilament heavy chain, glial fibrillary acidic protein, chitinase-3-like-1 (CHI3L1), matrix metalloproteinase-9 (MMP-9) and osteopontin in CSF in relation to dise...
Multiple sclerosis (MS) is characterized by a dysregulated immune system leading to chronic inflammation in the central nervous system. Despite increasing number of treatments, many patients continue to deteriorate. A better understanding of the underlying disease mechanisms involved in driving disease is a pre-requisite for finding new biomarkers and new treatment targets. The improvement of MS during pregnancy, comparable to the beneficial effects of the most effective treatment, suggests that the transient and physiological immune tolerance established during pregnancy could serve as a model for successful immune regulation. Most likely the immune-endocrine alterations that take place dur...
Magnetic Resonance Imaging (MRI) has a high soft-tissue contrast with a high sensitivity for detecting pathological changes in the brain. Conventional MRI is a time-consuming method with multiple scans that relies on the visual assessment of the neuroradiologist. Synthetic MRI uses one scan to produce conventional images, but also quantitative maps based on relaxometry, that can be used to quantitatively analyse tissue properties and pathological changes. The studies presented here apply the use of synthetic MRI of the brain in different clinical settings. In the first study, synthetic MR images were compared to conventional MR images in 22 patients. The contrast, the contrast-to-noise ratio...
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A dark family drama from award-winning American playwright and screenwriter Mary Laws. Every family has a dark underbelly, especially the perfect ones. On a regular Sunday morning, Walt sits in his sunny suburban kitchen while wife Barb makes him breakfast. Over a plate of blueberry toast a dispute escalates, and it's not long before the mundane descends into madness. Award-winning US playwright, Mary Laws, exposes the darker side of happily ever after, in this this cutting, absurdly funny, twisted tragedy.
Boo, Bo and Pickle have all made plans tonight. But someone has to stay home and look after Princess. People are waiting, start times are looming. No one's budging and petty bickering soon spirals into a ludicrous battle of wills and, possibly, the end of the world. Renowned Japanese writer, performer and Artistic Director of the Tokyo Metropolitan Theatre Hideki Noda paints a portrait of a disconnected family on a self-destructive course in this satirical comedy about consumerism and technology in a 'selfie' society. With music and soundscape influenced by traditional Japanese Noh and Kabuki performed live by legendary Japanese Kabuki musician Denzaemon Tanaka XIII. English translation adapted by Will Sharpe.
Climate change negotiations have failed the world. Despite more than thirty years of high-level, global talks on climate change, we are still seeing carbon emissions rise dramatically. This edited volume, comprising leading and emerging scholars and climate activists from around the world, takes a critical look at what has gone wrong and what is to be done to create more decisive action. Composed of twenty-eight essays—a combination of new and republished texts—the anthology is organised around seven main themes: paradigms; what counts?; extraction; dispatches from a climate change frontline country; governance; finance; and action(s). Through this multifaceted approach, the contributors ask pressing questions about how we conceptualise and respond to the climate crisis, providing both ‘big picture’ perspectives and more focussed case studies. This unique and extensive collection will be of great value to environmental and social scientists alike, as well as to the general reader interested in understanding current views on the climate crisis.
Dieser Band beschäftigt sich mit der Frage, wie in Städten Handlungskapazitäten für nachhaltige Transformationen wie den Klimaschutz aufgebaut werden können. Ausgehend von einer Governanceanalyse der InnovationCity Ruhr - Modellstadt Bottrop wird gezeigt, dass über öffentlich-private Kooperationen auch strukturschwache Städte eine ambitionierte klimafreundliche Stadtentwicklung durchführen können. Die Arbeit leistet damit einen Beitrag zur geographischen und governancebezogenen Transformationsforschung und ist ebenfalls für andere Kommunen mit Zielen in den Bereichen Nachhaltigkeit und Klimaschutz relevant.
An international journal of plant taxonomy.
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