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Das Ziel dieser randomisierten, klinischen 12-Monatsstudie war die Untersuchung der Performance des Universaladhäsivs iBond® Universal an Restaurationen von nicht-kariöse Zahnhalsläsionen (NCCL) sowohl klinisch mittels FDI Kriterien als auch mittels Analyse des Zahn-Komposit-Verbundversagens mittels optischer Kohärenztomografie (OCT). An 50 Patienten wurden je drei bzw. vier NCCLs mit dem Universaladhäsiv iBond Universal (iBU, Kulzer) in den Konditionierungsmodi self-etch (iBU-SE, n = 50), selective-enamel-etch (iBU-SEE, n = 29) und etch-and-rinse (iBU-ER, n = 50) und mittels des Komposit Venus® Diamond Flow restauriert. Als Referenzadhäsiv (Kontrollgruppe) diente das Etch-and-rinse-Adhäsiv OptiBond™ FL (OFL, Kerr, n = 50). Die quantitative Bewertung der interfazialen Spaltformation an Schmelz und Dentin/Zement mittels OCT begann bereits initial (direkt nach Füllungslegung), nach 14 Tagen, nach sechs und zwölf Monaten, während die klinische Bewertung mittels FDI-Kriterien erst nach 14 Tagen begann und dann parallel zur tomografischen Untersuchung erfolgte. Es wurden die kumulativen Fehlerraten (für Randverfärbung, Randadaptation, Frakturen/Retention) berechnet und Kaplan-Meier-Kurven erstellt sowie die gemittelten adhäsiven Defekte pro Gruppe statistisch ausgewertet. Nach zwölf Monaten waren die kumulativen Fehlerraten mit iBU in allen Applikationsmodi signifikant (iBU-SE, iBU-SEE, Fehlerraten je 0,0%) bzw. nicht signifikant (iBU-ER, Fehlerrate 2,1%) geringer als mit OFL. Es ergaben sich für die Randadaptation und Randverfärbung keine signifikanten Gruppenunterschiede, lediglich bei der Gruppe OFL wurden tendentiell beim Kriterium Randadaptation mehr Restaurationen mit Score 2 bewertet als in der Gruppe iBU-SE. Die interfazialen Spalte nahmen innerhalb von 12 Monaten in allen Gruppen signifikant zu. Am Schmelz wurden für iBU-SE von initial bis zwölf Monate signifikant mehr adhäsive Defekte als in der Gruppe OFL und von t1 bis t3 signifikant mehr im Vergleich zu iBU-ER sowie ab t2 bis t3 mehr gegenüber iBU-SEE festgestellt. Am Dentin/Zement wurden mit iBU in allen Modi signifikant weniger adhäsive Defekte als mit OFL sowie ab t2 bis t3 weniger im Modus SE gegenüber ER festgestellt. Das mit dem Referenzadhäsiv OFL im Vergleich zu iBU signifikant häufigere Verbundversagen an der Dentin/Zement-Komposit-Interface (OCT) korrespondiert mit dem nach 12 Monaten signifikant erhöhten Auftreten von Füllungsverlusten in dieser Gruppe. Mit OCT waren die Gruppenunterschiede bereits initial (iBU-SEE, Dentin) bzw. nach 14 Tagen (alle Modi, Dentin und Dentin/Zement) statistisch verifizierbar. Die klinische Bewertung der Restauration lässt diese Aussage erst nach 12 Monaten für die Gruppen iBU-SE und iBU-ER (Trend) zu. Das gesteigerte Verbundversagen an der Dentin-Komposit- bzw. Dentin/Zement-Komposit-Interface in der Gruppe iBU-ER im Vergleich zur Gruppe iBU-SE hat sich hingegen klinisch nach 12 Monaten noch nicht durch eine geringere Retentionsrate in Gruppe iBU-ER manifestiert. Anhand der geringeren Streuung der Messwerte lässt sich vermuten, dass das Universaladhäsiv iBond Universal insbesondere im Modus SEE gegenüber OFL weniger techniksensitiv ist. Die optische Kohärenztomographie ermöglicht das Monitoring von Restaurationen, insbesondere die Progression des interfazialen Zahn-Komposit-Verbundversagens. Die Bewertung des Zahn-Komposit-Verbundversagens könnte geeignet sein, um die klinische Bewährung eines Adhäsivs frühzeitig zu beurteilen.:1. Einführung in die Thematik 1.1 Adhäsivsysteme 1.2 Methoden zur Bewertung des adhäsiven Verbundes in vivo 1.3 Optische Kohärenztomografie 2. Zielsetzungen und Hypothesen 3. Publikationsmanuskript 4. Zusammenfassung 5. Literaturverzeichnis 6. Darstellung des eigenen Beitrags 7. Selbstständigkeitserklärung 8. Wissenschaftliche Veröffentlichung 9. Lebenslauf 34 10. Danksagung 35

京都大学 / 新制・課程博士 / 博士(人間健康科学) / 甲第23828号 / 人健博第99号 / 新制||人健||7(附属図書館) / 京都大学大学院医学研究科人間健康科学系専攻 / (主査)教授 椎名 毅, 教授 杉本 直三, 教授 辻川 明孝 / 学位規則第4条第1項該当 / Doctor of Human Health Sciences / Kyoto University / DFAM

This thesis intends to familiarize the reader with the concepts of photon statistics and correlations in quantum optics. Developing light sources that emit quantum states is central for the realization of quantum technologies. One important step in characterizing these sources is the measurement of field fluctuations and correlations, by coincidence measurements. The expectation value of a coincidence measurement, a simultaneous measurement of two intensities (or, more general, four fields), is represented by the fourth-order correlation function. The value of the correlation function, at zero delay between the detection of two photons, reveals important properties of the state to which they belonged, for example the fluctuations of the photon number. Since predictability is important for many applications, light sources emitting single photons are also characterized by the indistinguishability of consecutively emitted photons, or of two photons from separate emitters. In paper I we investigate blinking behaviour in quantum emitters, and its effect on the interference pattern and photon statistics with photons from two separate emitters. Blinking refers to an emitters transition into a non-emitting state, and subsequent transition back to an emitting state. We show that blinking can not be treated as linear loss, when measuring the fourth-order correlation function for two emitters in a Hong-Ou-Mandel setup. In general, a measurement of the fourth-order correlation function is robust to loss, which makes it a very practical tool. However, the relation between recorded coincidence counts and the correlation function is only direct in the limit of zero detection efficiency, and depends on the detection system. In paper II, we show that by adding a variable attenuation in the beam path, we can trace back to the ''true'' value of the correlation function at zero quantum efficiency. This method improves accuracy in correlation measurements by decreasing a systematic error at the expense of an increased statistical error, which is easier to handle, extending the use of coincidence methods to classical and non-classical multi-photon states. / <p>QC 20180517</p>

Studies have found that people with aphasia demonstrate reduced nonverbal and verbal short-term memory (STM) and working memory (WM) and discourse measures related to topic maintenance such as global and local coherence. Research also suggests that STM capacity and WM abilities may influence discourse measures such as global and local coherence in people with aphasia and acquired brain injuries (ABI). The purpose of this study was to determine how differences in the domain (nonverbal or verbal) or linguistic level (phonological or semantic) of information held and manipulated in STM may influence global and local coherence in people with mild-moderate fluent aphasia. A forward Corsi block and subtests from the Temple University Assessment of Language and Verbal Short-term Memory in Aphasia (TALSA) were used to assess nonverbal, phonological, and semantic WM. 13 participants with mild-moderate fluent aphasia and 4 neurotypical adults completed the forward Corsi block and phonological and semantic WM subtests from the TALSA. These included various probe spans and pointing tasks (rhyming and synonymy triplets subtests), which required the participant to maintain a number of words and make different semantic and phonological decisions about these words (e.g. making judgements related to the rhyme (phonological) or the categorization (semantic) of the words). Pointing tasks (rhyming and synonymy triplets) involved participants pointing to words on a screen that shared a similar phonological (rhyme of the words) or semantic (meaning of the word) relationship in a high and low WM condition. All participants with aphasia and neurotypical adults completed 10 discourse samples from the Nicholas and Brookshire narratives. Global and local coherence were assessed by rating each C-unit from participants’ discourse samples on a 1-5-point global and local coherence rating scale. This study determined if there was a relationship between the nonverbal, phonological, and semantic WM tasks and global and local coherence in the people with mild-moderate fluent aphasia. This study found that only the synonymy triplets change score (difference between the low WM condition and the high WM conditions), a semantic WM task, from the TALSA demonstrated a trend towards significance with local coherence in the participants with aphasia group. Additionally, a similar relationship was found when the same correlations were run on a group that combined the neurotypical adults and participants with aphasia group. Similarly, this study found that only the synonymy triplets change score had a significant correlation with local coherence in the combined group. None of the other WM tasks were significantly correlated with global and local coherence. Based on these results, this study provides some evidence that the integrity of the cognitive resources used for the maintenance and manipulation of semantic information held in verbal STM may be important for maintaining the topic or semantic coherence between adjacent utterances (measured by local coherence) in participants with mild-moderate fluent aphasia and neurotypical adults. More research is needed to determine if this relationship exists in other populations with aphasia and in an independent sample of neurotypical adults. / Communication Sciences

The heart, as a vital organ, must pump continuously to deliver oxygenated blood to the tissues of the body. The physical stress of pumping is supported by the extracellular matrix (ECM), a dynamic protein scaffold inside and around the heart. While a regulated ECM is required to maintain heart function, aberrant or excessive ECM remodelling, called fibrosis, is associated with disease states and is a hallmark of cardiovascular disease. One major trigger of cardiovascular disease is obesity, and fibrotic remodelling is known to occur in this context. In order to study the impact of increased body size on heart function and the molecular and biophysical characteristics of the ECM, a larval overgrowth model for obesity in the genetic model Drosophila melanogaster has been developed and characterised. This model produces giant larvae twice as heavy as their wildtype counterparts, and allows a unique opportunity to study changes in the cardiac ECM in a simple genetic model. Results demonstrate a remarkable ability of the ECM to accommodate this increase in size. The muscles of the heart are particularly robust, and there are no obvious observable defects to the matrix. Preliminary results suggest Collagen fibres are thicker and more disperse. When observing heart functionality, the cross-sectional area of the heart lumen is increased significantly in giant larvae, both at diastole and systole. However, giant larvae display defects in contraction of the heart tube, characterised by an inability to contract fully at systole. This results in a less than proportional increase in stroke volume, and an increase in heart rate. Heart function of giant larvae is clearly affected by the increase in body size. To quantify the impact to the biophysical structure of the ECM, an atomic force microscopy protocol is being developed. / Thesis / Master of Science (MSc) / A known side effect of cardiovascular disease is fibrosis of the heart, a form of pathological extracellular matrix (ECM) remodelling. Fibrosis causes the stiffening of heart muscle, leading to impaired cardiac function. One of the main risk factors for the development of cardiovascular disease is obesity, and fibrosis is known to occur in this context. I have characterised changes in the morphology and physiology of the heart in a Drosophila model for obesity. The resulting cardiac hypertrophy reveals significant plasticity in the heart ECM, while heart contraction and output is compromised.

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