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To examine the impact of determinants of incident dementia in three different old age groups (75–79, 80–84, 85+years) in Germany.
Design:
Multicenter prospective AgeCoDe/AgeQualiDe cohort study with baseline and nine follow-up assessments at 1.5-year intervals.
Setting:
Primary care medical record registry sample.
Participants:
General practitioners’ (GPs) patients aged 75+years at baseline.
Measurements:
Conduction of standardized interviews including neuropsychological assessment and collection of GP information at each assessment wave. We used age-stratified competing risk regression models (accounting for the competing event of mortality) to assess determinants of incident dementia and age-stratified ordinary least square regressions to quantify the impact of identified determinants on the age at dementia onset.
Results:
Among 3027 dementia-free GP patients, n = 704 (23.3%) developed dementia during the 13-year study period. Worse cognitive performance and subjective memory decline with related worries at baseline, and the APOE ε4 allele were associated independently with increased dementia risk in all three old age groups. Worse cognitive performance at baseline was also associated with younger age at dementia onset in all three age groups. Other well-known determinants were associated with dementia risk and age at dementia onset only in some or in none of the three old age groups.
Conclusions:
This study provides further evidence for the age-specific importance of determinants of incident dementia in old age. Such specifics have to be considered more strongly particularly with regard to potential approaches of early detection and prevention of dementia.
Subjective cognitive decline (SCD), the potentially earliest notable manifestation of preclinical Alzheimer's disease and other dementias, was consistently associated with lower quality of life in cross-sectional studies. The aim of this study was to investigate whether such an association persists longitudinally – particularly with health-related quality of life (HRQoL) in older individuals without cognitive impairment.
Methods:
Data were derived from follow-up 2–6 of the prospective Germany Study on Ageing, Cognition and Dementia in Primary Care (AgeCoDe) covering a total six-year observation period. We used linear mixed effects models to estimate the effect of SCD on HRQoL measured by the EQ-5D visual analogue scale (EQ VAS).
Results:
Of 1,387 cognitively unimpaired individuals aged 82.2 years (SD = 3.2) on average, 702 (50.6%) reported SCD and 230 (16.6%) with SCD-related concerns. Effect estimates of the linear mixed effects models revealed lower HRQoL in individuals with SCD (unadjusted: –3.7 points on the EQ VAS, 95%CI = –5.3 to –2.1; SE = 0.8; p < 0.001; adjusted: –2.9 points, 95%CI = –3.9 to –1.9; SE = 0.5; p < 0.001) than in individuals without SCD. The effect was most pronounced in SCD with related concerns (unadjusted: –5.4, 95%CI = –7.6 to –3.2; SE = 1.1; p < 0.001; adjusted: –4.3, 95%CI = –5.8 to –2.9, SE = 0.7; p < 0.001).
Conclusion:
SCD constitutes a serious issue to older cognitively unimpaired individuals that is depicted in persisting lower levels of HRQoL beyond depressive symptoms and functional impairment. Therefore, SCD should be taken seriously in clinical practice.
Our objective is to map dynamic provinces and investigate dynamic changes in Jakobshavn Isbræ, Greenland. We use an approach that combines structural glaciology and remote-sensing data analysis, facilitated by mathematical characterization of generalized spatial surface roughness that provides parameters related to ice dynamics, deformation and interaction of the ice with bed topography. The approach is applied to derive time series of elevation and roughness changes and to attribute changes during rapid retreat. Different dynamic types of fast- and slow-moving ice can be mapped from ICESat Geoscience Laser Altimeter System data (2003–09) and Airborne Topographic Mapper data, using spatial roughness characterization, validated with ASTER and bed-topographic data. Results of comparative analysis of elevation changes and roughness changes of Jakobshavn south ice stream indicate (1) surface lowering of 10–15 m a-1 between 2004 and 2009 and (2) no change in surface roughness and dynamic types. These findings are consistent with a front retreat as part of a fjord-glacier cycle or following warming of fjord water and with climatic warming, but not with an internal dynamic acceleration as a cause of the observed changes during rapid retreat. Relationships to changes in basal water pressure are discussed. All glaciodynamic changes appear to have initiated near the front and propagated up-glacier.
Light-weight alloys based on intermetallic titanium aluminides (TiAl) are structural materials considered for high-temperature applications, e.g. in aero engines or automotive engines. TiAl alloys of engineering interest consist of two phases, the γ-TiAl and the α2-Ti3Al-phase. Recent developments have led to the so-called TNM alloys (T = TiAl; N = Nb; M = Mo) with an Al-content of 43.5 at.%. These alloys also possess the disordered body centered cubic β-Ti(Al)-phase at elevated temperatures, which ensures a better hot-workability compared to conventional two-phase alloys. However, the relatively low Al content (< 45 at.%) limits the high-temperature capability due to reduced oxidation resistance. This impedes their application in a temperature range above 800°C. The present work shows how the fluorine effect counteracts this disadvantage due to the formation of a protective alumina layer. The performance of the TNM alloy with the nominal composition of Ti-43.5Al-4Nb-1Mo-0.1B (at.%) is compared with another TNM alloy variant containing additional elements, such as Si and C, and the so-called GE alloy (Ti-48Al-2Cr-2Nb; at.%), which is already in use for turbine blades. The results of isothermal and thermocyclic high-temperature exposure tests of untreated and fluorine treated specimens will be compared. The effect of composition and microstructure of the alloys on the oxidation behavior with and without fluorine treatment are discussed.
An overview about the German cluster project Cool Silicon aiming at increasing the energy efficiency for semiconductors, communications, sensors and software is presented. Examples for achievements are: 1000 times reduced gate leakage in transistors using high-fc (HKMG) materials compared to conventional poly-gate (SiON) devices at the same technology node; 700 V transistors integrated in standard 0.35 μm CMOS; solar cell efficiencies above 19% at < 200 W/m2 irradiation; 0.99 power factor, 87% efficiency and 0.088 distortion factor for dc supplies; 1 ns synchronization resolution via Ethernet; database accelerators allowing 85% energy savings for servers; adaptive software yielding energy reduction of 73% for e-Commerce applications; processors and corresponding data links with 40% and 70% energy savings, respectively, by adaption of clock frequency and supply voltage in less than 20 ns; clock generator chip with tunable frequency from 83-666 MHz and 0.62-1.6 mW dc power; 90 Gb/s on-chip link over 6 mm and efficiency of 174 fJ/mm; dynamic biasing system doubling efficiency in power amplifiers; 60 GHz BiCMOS frontends with dc power to bandwidth ratio of 0.17 mW/MHz; driver assistance systems reducing energy consumption by 10% in cars
Intermetallic titanium aluminides are potential materials for application in high temperature components. In particular, alloys solidifying via the β-phase are of great interest because they possess a significant volume fraction of the disordered body-centered cubic β-phase at elevated temperatures ensuring good processing characteristics during hot-working. Nevertheless, their practical use at temperatures as high as 800°C requires improvements of the oxidation resistance. This paper reports on the fluorine effect on a multi-phase TiAl-alloy in the cast and hot-isostatically pressed condition at 800°C in air. The behavior of the so-called TNM material (Ti-43.5Al-4Nb-1Mo-0.1B, in at %) was compared with that of two other TiAl-alloys which are Nb-free and contain different amounts of Mo (3 and 7 at%, respectively). The oxidation resistance of the fluorine treated samples was significantly improved compared to the untreated samples. After fluorine treatment all alloys exhibit slow alumina kinetics indicating a positive fluorine effect. Results of isothermal and thermocyclic oxidation tests at 800°C in air are presented and discussed in the view of composition and microstructure of the TiAl-alloys investigated, along with the impact of the fluorine effect on the oxidation resistance of these materials.
First principles density functional calculations and inelastic neutron scattering measurements have been used to study the variations of the phonon density of states of PbTiO3 and SrTiO3 as a function of temperature. The phonon spectra of the quantum paraelectric SrTiO3 is found to be fundamentally distinct from those of ferroelectric PbTiO3 and BaTiO3. SrTiO3 has a large 70-90 meV phonon band-gap in both the low temperature antiferrodistortive tetragonal phase and in the high temperature cubic phase.
Key bonding changes in these perovskites lead to spectacular differences in their observed phonon density of states.
The critical factor that limits the efficiencies of organic electronic devices is the low charge carrier mobility which is attributed to disorder in organic films. In this work we study the effects of active film morphology on the charge transport in Organic Field Effect Transistors (OFETs). We fabricated the OFETs using different substrate temperature to grow different morphologies of C60 films by Hot Wall Epitaxy. Atomic Force Microscopy images and XRD results showed increasing grain size with increasing substrate temperature. An increase in field effect mobility was observed for different OFETs with increasing grain size in C60 films. The temperature dependence of charge carrier mobility in these devices followed the empirical relation named as Meyer-Neldel Rule and showed different activation energies for films with different degree of disorder. A shift in characteristic Meyer-Neldel energy was observed with changing C60 morphology which can be considered as an energetic disorder parameter.
Results of the last observations of solar sporadic radio emission at the UTR-2 radio telescope (Kharkov, Ukraine) at the frequencies 10 - 30 MHz are presented. The use of new backend facilities, the DSP and 60-channel spectrometer, allows us to obtain data with time resolution up to 2 ms and frequency resolution of 12 kHz in the continuous frequency band 12 MHz. Usual Type III bursts, Type IIIb bursts, U- and J-bursts in the decameter range are discussed. Special attention is paid to detection and analysis of Type II bursts and their properties, newly discovered fine time structures of Type III bursts, Type III-like bursts, s-bursts, new observational features of drift pair bursts, and ‘absorption’ bursts.
It is argued that standard impulse response analysis based on vector autoregressive models has a number ofshortcomings. Although the impulse responses are estimatedquantities, measures for sampling variability such asconfidence intervals sometimes are not provided. Ifconfidence intervals are given, they often are based onbootstrap methods with dubious theoretical properties. Theseproblems are illustrated using two German monetary systems. Proposals are made for improving current practice. Specialemphasis is placed on systems with cointegratedvariables.