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Die A4-Strategie versucht, eine Antwort auf die Frage zu geben, ob es in der modernen Medienlandschaft optimale und effiziente Kommunikationsstrategien gibt, deren Erfolg nicht von der Höhe des Budgets abhängig ist und die gleichzeitig eine hohe Kundenbindung bewirken und eine effiziente Auswahl der Kommunikationsinstrumente sichert. Dies ist gerade für KMUs von besonderer Bedeutung, die sich in einem komplexen und globalisierten Marktumfeld bewegen. Die Marketingkommunikation ist nicht nur ein unvermeidliches Werkzeug, um die Verkaufszahlen zu steigern. Sie bedarf heutzutage auch einer durchdachten Strategie. Denn es wird erst eine erfolgreiche Interaktion zwischen diesen Partnern (Unternehmen und Kunden) stattfinden, wenn sowohl ein optimaler Unternehmenswert als auch ein Kundenwert generiert wird. Die A4-Strategie hilft zugleich dabei, Antworten auf die für eine optimale Marketingkommunikation relevante Fragen zu finden: Wer kann einkaufen? Wer kauft tatsächlich ein? Was sind die relevanten Informationen über den, der tatsächlich einkauft? Anhand der Antworten auf diese Frage wird ermittelt, wo und wie die potentielle Kundschaft besser akquiriert und wo und wie die bestehende Kundschaft optimal betreut werden kann. Dieses Konzept bietet eine strukturierte Herangehensweise und Vorgehensweise, um eine Kommunikationsstrategie je nach Situation zu entwickeln. Sie ist somit keine fertige Lösung, sondern schafft sie Rahmen für ein methodisches Entscheidungsprozess. Sie hilft zudem situationsadäquat Entscheidungen zu treffen und Handlungen vorzunehmen, die diese Entscheidungen konsequent umzusetzen.
Background and rationale: Changing working conditions demand adaptation, resulting in higher stress levels in employees. In consequence, decreased productivity, increasing rates of sick leave, and cases of early retirement result in higher direct, indirect, and intangible costs. Aims of the Research Project: The aim of the study was to test the usefulness of a novel translational diagnostic tool, Neuropattern, for early detection, prevention, and personalized treatment of stress-related disorders. The trial was designed as a pilot study with a wait list control group. Materials and Methods: In this study, 70 employees of the Forestry Department Rhineland-Palatinate, Germany, were enrolled. Subjects were block-randomized according to the functional group of their career field, and either underwent Neuropattern diagnostics immediately, or after a waiting period of three months. After the diagnostic assessment, their physicians received the Neuropattern Medical Report, including the diagnostic results and treatment recommendations. Participants were informed by the Neuropattern Patient Report, and were eligible to an individualized Neuropattern Online Counseling account. Results: The application of Neuropattern diagnostics significantly improved mental health and health-related behavior, reduced perceived stress, emotional exhaustion, overcommitment and possibly, presenteeism. Additionally, Neuropattern sensitively detected functional changes in stress physiology at an early stage, thus allowing timely personalized interventions to prevent and treat stress pathology. Conclusion: The present study encouraged the application of Neuropattern diagnostics to early intervention in non-clinical populations. However, further research is required to determine the best operating conditions.
Early life adversity (ELA) is associated with a higher risk for diseases in adulthood. Changes in the immune system have been proposed to underlie this association. Although higher levels of inflammation and immunosenescence have been reported, data on cell-specific immune effects are largely absent. In addition, stress systems and health behaviors are altered in ELA, which may contribute to the generation of the "ELA immune phenotype". In this thesis, we have investigated the ELA immune phenotype on a cellular level and whether this is an indirect consequence of changes in behavior or stress reactivity. To address these questions the EpiPath cohort was established, consisting of 115 young adults with or without ELA. ELA participants had experienced separation from their parents in early childhood and were subsequently adopted, which is a standard model for ELA, whereas control participants grew up with their biological parents. At a first visit, blood samples were taken for analysis of epigenetic markers and immune parameters. A selection of the cohort underwent a standardized laboratory stress test (SLST). Endocrine, immune, and cardiovascular parameters were assessed at several time points before and after stress. At a second visit, participants underwent structural clinical interviews and filled out psychological questionnaires. We observed a higher number of activated T cells in ELA, measured by HLA-DR and CD25 expression. Neither cortisol levels nor health-risk behaviors explained the observed group differences. Besides a trend towards higher numbers of CCR4+CXCR3-CCR6+ CD4 T cells in ELA, relative numbers of immune cell subsets in circulation were similar between groups. No difference was observed in telomere length or in methylation levels of age-related CpGs in whole blood. However, we found a higher expression of senescence markers (CD57) on T cells in ELA. In addition, these cells had an increased cytolytic potential. A mediation analysis demonstrated that cytomegalovirus infection " an important driving force of immunosenescence " largely accounted for elevated CD57 expression. The psychological investigations revealed that after adoption, family conditions appeared to have been similar to the controls. However, PhD thesis MMC Elwenspoek 18 ELA participants scored higher on a depression index, chronic stress, and lower on self-esteem. Psychological, endocrine, and cardiovascular parameters significantly responded to the SLST, but were largely similar between the two groups. Only in a smaller subset of groups matched for gender, BMI, and age, the cortisol response seemed to be blunted in ELA participants. Although we found small differences in the methylation level of the GR promoter, GR sensitivity and mRNA expression levels GR as well as expression of the GR target genes FKBP5 and GILZ were similar between groups. Taken together, our data suggest an elevated state of immune activation in ELA, in which particularly T cells are affected. Furthermore, we found higher levels of T cells immunosenescence in ELA. Our data suggest that ELA may increase the risk of cytomegalovirus infection in early childhood, thereby mediating the effect of ELA on T cell specific immunosenescence. Importantly, we found no evidence of HPA dysregulation in participants exposed to ELA in the EpiPath cohort. Thus, the observed immune phenotype does not seem to be secondary to alterations in the stress system or health-risk behaviors, but rather a primary effect of early life programming on immune cells. Longitudinal studies will be necessary to further dissect cause from effect in the development of the ELA immune phenotype.
Die patienten-fokussierte Psychotherapieforschung hat das Ziel, den Erfolg von Psychotherapie durch die kontinuierliche Messung und Rückmeldung von Prozessvariablen zu verbessern. Es konnte bereits gezeigt werden, dass nicht nur Patienten-spezifische Charakterisitika, wie die Symptomreduktion, sondern auch dyadische Merkmale, wie die therapeutische Beziehung, indikativ sind. Ein vielversprechender neuer Ansatz bzgl. der Messung dyadischer Charakteristika ist nonverbale Synchronie, die definiert ist als Bewegungskoordination zwischen Interaktionspartnern. Nonverbale Synchronie kann inzwischen objektiv und automatisch in Therapievidoes gemessen werden, was die Methodik frei von Biases wie selektiver Wahrnehmung oder sozialer Erwünschtheit macht. Frühe Studien aus der Sozial- und Entwicklungspsychologie konnten Zusammenhänge mit sozialer Bindung und Sympathie finden. Erste Studien aus der Psychotherapieforschung weisen auf Zusammenhänge zwischen nonverbaler Synchronie und der Therapiebeziehung sowie dem Therapieerfolg hin und geben erste Hinweise darauf, dass nonverbale Synchronie eine zusätzliche Informationsquelle für dyadische Aspekte sein kann, mit der man zukünftig frühzeitig Therapieerfolge vorhersagen könnte. Die vorliegende Arbeit beinhaltet drei Studien zu nonverbaler Synchronie in der ambulanten Psychotherapie und Zusammenhängen mit therapeutischen Prozessen. In Studie 1 wurde nonverbale Synchronie in einer diagnose-heterogenen Stichprobe von N=143 Patienten zu Therapiebeginn gemessen. Mittels Mehrebenenanalysen konnte die Validität der Messmethodik bestätigt werden. Des weiteren wurden Zusammenhänge mit bestimmten Artes des Therapieerfolgs gefunden: Patienten, die unverändert die Therapie abbrachen zeigten das niedrigste Level an Synchronie, während Patienten, die unverändert die Therapie zu Ende führten das höchste Level hatte und Patienten mit einer reliablen Symptomreduktion ein mittleres Level an nonverbaler Synchrony aufwiesen (auch unter Kontrolle der Therapiebeziehung). In Studie 2 wurden nonverbale Synchronie und die Bewegungsmenge zu Therapiebeginn und zum Therapieende erfasst und in zwei Stichproben von Patienten mit Depression (N=68) und Patienten mit Angststörungen (N=25) verglichen. Mehrebenenanalysen zeigten weniger Bewegungsmenge und Synchronie bei Dyaden mit depressiven Patienten, wobei sich beide Gruppen zum Therapieende nicht mehr in der nonverbalen Synchronie unterschieden. In Studie 3 wurde nonverbale Synchronie in einer Stichprobe von N=111 Patienten mit Sozialer Phobie zu vier Zeitpunkten im Therapieverlauf gemessen (N=346 Videos). Mehrebenenanalysen zeigten einen kontinuierlich sinkenden Verlauf der Synchronie und einen Moderationseffekt auf den Zusammenhang zwischen frühen Verbesserungen und dem Therapieerfolg.
This thesis is focused on improving the knowledge on a group of threatened species, the European cave salamanders (genus Hydromantes). There are three main sections gathering studies dealing with different topics: Ecology (first part), Life traits (second part) and Monitoring methodologies (third part). First part starts with the study of the response of Hydromantes to the variation of climatic conditions, analysing 15 different localities throughout a full year (CHAPTER I; published in PEERJ in August 2015). After that, the focus moves on identify which is the operative temperature that these salamander experience, including how their body respond to variation of environmental temperature. This study was conducted using one of the most advanced tool, an infrared thermocamera, which gave the opportunity to perform detailed observation on salamanders body (CHAPTER II; published in JOURNAL OF THERMAL BIOLOGY in June 2016). In the next chapter we use the previous results to analyse the ecological niche of all eight Hydromantes species. The study mostly underlines the mismatch between macro- and microscale analysis of ecological niche, showing a weak conservatism of ecological niches within the evolution of species (CHAPTER III; unpublished manuscript). We then focus only on hybrids, which occur within the natural distribution of mainland species. Here, we analyse if the ecological niche of hybrids shows divergences from those of parental species, thus evaluating the power of hybrids adaptation (CHAPTER IV; unpublished manuscript). Considering that hybrids may represent a potential threat for parental species (in terms of genetic erosion and competition), we produced the first ecological study on an allochthonous mixed population of Hydromantes, analysing population structure, ecological requirements and diet. The interest on this particular population mostly comes by the fact that its members are coming from all three mainland Hydromantes species, and thus it may represent a potential source of new hybrids (CHAPTER V; accepted in AMPHIBIA-REPTILIA in October 2017). The focus than moves on how bioclimatic parameters affect species within their distributional range. Using as model species the microendemic H. flavus, we analyse the relationship between environmental suitability and local abundance of the species, also focusing on all intermediate dynamics which provide useful information on spatial variation of individual fitness (CHAPTER VI; submitted to SCIENTIFIC REPORTS in November 2017). The first part ends with an analysis of the interaction between Hydromantes and Batracobdella algira leeches, the only known ectoparasite for European cave salamanders. Considering that the effect of leeches on their hosts is potentially detrimental, we investigated if these ectoparasites may represent a further threat for Hydromantes (CHAPTER VII; submitted to INTERNATIONAL JOURNAL FOR PARASITOLOGY: PARASITES AND WILDLIFE in November 2017). The second part is related to the reproduction of Hydromantes. In the first study we perform analyses on the breeding behaviour of several females belonging to a single population, identifying differences and similarities occurring in cohorting females (CHAPTER VIII; published in NORTH-WESTERN JOURNAL OF ZOOLOGY in December 2015). In the second study we gather information from all Hydromantes species, analysing size and development of breeding females, and identifying a relationship between breeding time and climatic conditions (CHAPTER IX; submitted to SALAMANDRA in June 2017). In the last part of this thesis, we analyse two potential methods for monitoring Hydromantes populations. In the first study we evaluate the efficiency of the marking method involving Alpha tags (CHAPTER X; published in SALAMANDRA in October 2017). In the second study we focus on evaluating N-mixtures models as a methodology for estimating abundance in wild populations (CHAPTER XI; submitted to BIODIVERSITY & CONSERVATION in October 2017).
Quadratische Optimierungsprobleme (QP) haben ein breites Anwendungsgebiet, wie beispielsweise kombinatorische Probleme einschließlich des maximalen Cliquenroblems. Motzkin und Straus [25] zeigten die Äquivalenz zwischen dem maximalen Cliquenproblem und dem standard quadratischen Problem. Auch mathematische Statistik ist ein weiteres Anwendungsgebiet von (QP), sowie eine Vielzahl von ökonomischen Modellen basieren auf (QP), z.B. das quadratische Rucksackproblem. In [5] Bomze et al. haben das standard quadratische Optimierungsproblem (StQP) in ein Copositive-Problem umformuliert. Im Folgenden wurden Algorithmen zur Lösung dieses copositiviten Problems von Bomze und de Klerk in [6] und Dür und Bundfuss in [9] entwickelt. Während die Implementierung dieser Algorithmen einige vielversprechende numerische Ergebnisse hervorbrachten, konnten die Autoren nur die copositive Neuformulierung des (StQP)s lösen. In [11] präsentierte Burer eine vollständig positive Umformulierung für allgemeine (QP)s, sogar mit binären Nebenbedingungen. Leider konnte er keine Methode zur Lösung für ein solches vollständig positives Problem präsentieren, noch wurde eine copositive Formulierung vorgeschlagen, auf die man die oben erwähnten Algorithmen modifizieren und anwenden könnte, um diese zu lösen. Diese Arbeit wird einen neuen endlichen Algorithmus zur Lösung eines standard quadratischen Optimierungsproblems aufstellen. Desweiteren werden in dieser Thesis copositve Darstellungen für ungleichungsbeschränkte sowie gleichungsbeschränkte quadratische Optimierungsprobleme vorgestellt. Für den ersten Ansatz wurde eine vollständig positive Umformulierung des (QP) entwickelt. Die copositive Umformulierung konnte durch Betrachtung des dualen Problems des vollständig positiven Problems erhalten werden. Ein direkterer Ansatz wurde gemacht, indem das Lagrange-Duale eines äquivalenten quadratischen Optimierungsproblems betrachtet wurde, das durch eine semidefinite quadratische Nebenbedingung beschränkt wurde. In diesem Zusammenhang werden Bedingungen für starke Dualität vorgeschlagen.
There are large health, societal, and economic costs associated with attrition from psychological services. The recently emerged, innovative statistical tool of complex network analysis was used in the present proof-of-concept study to improve the prediction of attrition. Fifty-eight patients undergoing psychological treatment for mood or anxiety disorders were assessed using Ecological Momentary Assessments four times a day for two weeks before treatment (3,248 measurements). Multilevel vector autoregressive models were employed to compute dynamic symptom networks. Intake variables and network parameters (centrality measures) were used as predictors for dropout using machine-learning algorithms. Networks for patients differed significantly between completers and dropouts. Among intake variables, initial impairment and sex predicted dropout explaining 6% of the variance. The network analysis identified four additional predictors: Expected force of being excited, outstrength of experiencing social support, betweenness of feeling nervous, and instrength of being active. The final model with the two intake and four network variables explained 32% of variance in dropout and identified 47 out of 58 patients correctly. The findings indicate that patients" dynamic network structures may improve the prediction of dropout. When implemented in routine care, such prediction models could identify patients at risk for attrition and inform personalized treatment recommendations.
Production of biomass feedstock for methanation in Europe has focused on silages of maize and cereals. As ecological awareness has increased in the last several years, more attention is being focused on perennial energy crops (PECs). Studies of specific PECs have shown that their cultivation may enhance agrobiodiversity and increase soil organic carbon stocks while simultaneously providing valuable feedstock for methanation. This study was designed to compare soil quality indicators under annual energy crops (AECs), PECs and permanent grassland (PGL) on the landscape level in south-western Germany. At a total 25 study sites, covering a wide range of parent materials, the cropping systems were found adjacent to each other. Stands were commercially managed, and PECs included different species such as the Cup Plant, Tall Wheatgrass, Giant Knotweed, Miscanthus, Virginia Mallow and Reed Canary Grass. Soil sampling was carried out for the upper 20 cm of soil. Several soil quality indicators, including soil organic carbon (Corg), soil microbial biomass (Cmic), and aggregate stability, showed that PECs were intermediate between AEC and PGL systems. At landscape level, mean Corg content for (on average) 6.1-year-old stands of PEC was 22.37 (±7.53) g kg1, compared to 19.23 (±8.08) and 32.08 (±10.11) for AEC and PGL. Cmic contents were higher in PECs (356 ± 241 lgCg1) compared to AECs (291 ± 145) but significantly lower than under PGL (753 ± 417). The aggregate stability increased by almost 65% in PECs compared to AEC but was still 57% lower than in PGL. Indicator differences among cropping systems were more pronounced when inherent differences in the parent material were accounted for in the comparisons. Overall, these results suggest that the cultivation of PECs has positive effects on soil quality indicators. Thus, PECs may offer potential to make the production of biomass feedstock more sustainable.
The availability of data on the feeding habits of species of conservation value may be of great importance to develop analyses for both scientific and management purposes. Stomach flushing is a harmless technique that allowed us to collect extensive data on the feeding habits of six Hydromantes species. Here, we present two datasets originating from a three-year study performed in multiple seasons (spring and autumn) on 19 different populations of cave salamanders. The first dataset contains data of the stomach content of 1,250 salamanders, where 6,010 items were recognized; the second one reports the size of the intact prey items found in the stomachs. These datasets integrate considerably data already available on the diet of the European plethodontid salamanders, being also of potential use for large scale meta-analyses on amphibian diet.
Leeches can parasitize many vertebrate taxa. In amphibians, leech parasitism often has potential detrimental effects including population decline. Most of studies on the host-parasite interactions involving leeches and amphibians focus on freshwater environments, while they are very scarce for terrestrial amphibians. In this work, we studied the relationship between the leech Batracobdella algira and the European terrestrial salamanders of the genus Hydromantes, identifying environmental features related to the presence of the leeches and their possible effects on the hosts. We performed observation throughout Sardinia (Italy), covering the distribution area of all Hydromantes species endemic to this island. From September 2015 to May 2017, we conducted >150 surveys in 26 underground environments, collecting data on 2629 salamanders and 131 leeches. Water hardness was the only environmental feature correlated with the presence of B. algira, linking this leech to active karstic systems. Leeches were more frequently parasitizing salamanders with large body size. Body Condition Index was not significantly different between parasitized and non-parasitized salamanders. Our study shows the importance of abiotic environmental features for host-parasite interactions, and poses new questions on complex interspecific interactions between this ectoparasite and amphibians.