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In this paper, we present an experimental and theoretical study of excitation processes for the heaviest stable helium-like ion, that is, He-like uranium occurring in relativistic collisions with hydrogen and argon targets. In particular, we concentrate on angular distributions of the characteristic Kα radiation following the K → L excitation of He-like uranium. We pay special attention to the magnetic sub-level population of the excited 1s2lj states, which is directly related to the angular distribution of the characteristic Kα radiation. We show that the experimental data can be well described by calculations taking into account the excitation by the target nucleus as well as by the target electrons. Moreover, we demonstrate for the first time an important influence of the electron-impact excitation process on the angular distributions of the Kα radiation produced by excitation of He-like uranium in collisions with different targets.
Background. Tracheal intubation still represents the "gold standard" in securing the airway of unconscious patients in the prehospital setting. Especially in cases of restricted access to the patient, video laryngoscopy became more and more relevant.
Objectives. The aim of the study was to evaluate the performance and intubation success of four different video laryngoscopes, one optical laryngoscope, and a Macintosh blade while intubating from two different positions in a mannequin trial with difficult access to the patient.
Methods. A mannequin with a cervical collar was placed on the driver’s seat. Intubation was performed with six different laryngoscopes either through the driver’s window or from the backseat. Success, C/L score, time to best view (TTBV), time to intubation (TTI), and number of attempts were measured. All participants were asked to rate their favored device.
Results. Forty-two physicians participated. 100% of all intubations performed from the backseat were successful. Intubation success through the driver’s window was less successful. Only with the Airtraq® optical laryngoscope, 100% success was achieved. Best visualization (window C/L 2a; backseat C/L 2a) and shortest TTBV (window 4.7 s; backseat 4.1 s) were obtained when using the D-Blade video laryngoscope, but this was not associated with a higher success through the driver’s window. Fastest TTI was achieved through the window (14.2 s) when using the C-MAC video laryngoscope and from the backseat (7.3 s) when using a Macintosh blade.
Conclusions. Video laryngoscopy revealed better results in visualization but was not associated with a higher success. Success depended on the approach and familiarity with the device. We believe that video laryngoscopy is suitable for securing airways in trapped accident victims. The decision for an optimal device is complicated and should be based upon experience and regular training with the device.
Wastewater-based epidemiology (WBE) has demonstrated its importance to support SARS-CoV-2 epidemiology complementing individual testing strategies. Due to their immune-evasive potential and the resulting significance for public health, close monitoring of SARS-CoV-2 variants of concern (VoC) is required to evaluate the regulation of early local countermeasures. In this study, we demonstrate a rapid workflow for wastewater-based early detection and monitoring of the newly emerging SARS-CoV-2 VoCs Omicron in the end of 2021 at the municipal wastewater treatment plant (WWTP) Emschermuendung (KLEM) in the Federal State of North-Rhine-Westphalia (NRW, Germany).
Initially, available primers detecting Omicron-related mutations were rapidly validated in a central laboratory. Subsequently, RT-qPCR analysis of purified SARS-CoV-2 RNA was performed in a decentral PCR laboratory in close proximity to KLEM. This decentralized approach enabled the early detection of K417N present in Omicron in samples collected on 8th December 2021 and the detection of further mutations (N501Y, Δ69/70) in subsequent biweekly sampling campaigns. The presence of Omicron in wastewater was confirmed by next generation sequencing (NGS) in a central laboratory with samples obtained on 14th December 2021. Moreover, the relative increase of the mutant fraction of Omicron was quantitatively monitored over time by dPCR in a central PCR laboratory starting on 12th December 2021 confirming Omicron as the dominant variant by the end of 2021.
In conclusions, WBE plays a crucial role in surveillance of SARS-CoV-2 variants and is suitable as an early warning system to identify variant emergence. In particular, the successive workflow using RT-qPCR, RT-dPCR and NGS demonstrates the strength of WBE as a versatile tool to monitor variant spreading.
Recently significant advances have been made in the collection, detection, and characterization of ice nucleating particles (INP). Ice nuclei are particles that facilitate the heterogeneous formation of ice within the atmospheric aerosol by lowering the free energy barrier to spontaneous nucleation and growth of ice from atmospheric water and/or vapor. The Frankfurt isostatic diiffusion chamber (FRIDGE) is an INP collection and offline detection system that has become widely deployed and shows additional potential for ambient measurements. Since its initial development FRIDGE has gone through several iterations and improvements. Here we describe improvements that have been made in the collection and analysis techniques. We detail the uncertainties inherent in the measurement method, and suggest a systematic method of error analysis for FRIDGE measurements. Thus what is presented herein should serve as a foundation for the dissemination of all current and future measurements using FRIDGE instrumentation.
Ice nucleating particles over the eastern mediterranean measured by unmanned aircraft systems
(2017)
During an intensive field campaign on aerosol, clouds, and ice nucleation in the Eastern Mediterranean in April 2016, we measured the abundance of ice nucleating particles (INPs) in the lower troposphere from unmanned aircraft systems (UASs). Aerosol samples were collected by miniaturized electrostatic precipitators onboard the UASs at altitudes up to 2.5 km. The number of INPs in these samples, which are active in the deposition and condensation modes at temperatures from −20 to −30 °C, were analyzed immediately after collection on site using the ice nucleus counter FRIDGE (FRankfurt Ice nucleation Deposition freezinG Experiment). During the 1-month campaign, we encountered a series of Saharan dust plumes that traveled at several kilometers' altitude. Here we present INP data from 42 individual flights, together with aerosol number concentrations, observations of lidar backscattering, dust concentrations derived by the dust transport model DREAM (Dust Regional Atmospheric Model), and results from scanning electron microscopy. The effect of the dust plumes is reflected by the coincidence of INPs with the particulate matter (PM), the lidar signal, and the predicted dust mass of the model. This suggests that mineral dust or a constituent related to dust was a major contributor to the ice nucleating properties of the aerosol. Peak concentrations of above 100 INPs std L−1 were measured at −30 °C. The INP concentration in elevated plumes was on average a factor of 10 higher than at ground level. Since desert dust is transported for long distances over wide areas of the globe predominantly at several kilometers' altitude, we conclude that INP measurements at ground level may be of limited significance for the situation at the level of cloud formation.
Ice nucleating particles over the Eastern Mediterranean measured by unmanned aircraft systems
(2016)
During an intensive field campaign on aerosol, clouds and ice nucleation in the Eastern Mediterranean in April 2016, we have measured the abundance of ice nucleating particles (INP) in the lower troposphere from unmanned aircraft systems (UAS). Aerosol samples were collected by miniaturized electrostatic precipitators onboard the UAS at altitudes up to 2.5 km. The number of INP in these samples, which are active in the deposition and condensation modes at temperatures from −20 to −30 ◦C, were analyzed immediately after collection on site using the ice nucleus counter FRIDGE. During the one month campaign we encountered a series of Saharan dust plumes that traveled at several kilometers altitude. Here we present INP data from 42 individual flights, together with aerosol number concentrations, observations of lidar backscattering, dust concentrations derived by the dust transport model DREAM (Dust Regional Atmospheric Model), and results from scanning electron microscopy. The effect of the dust plumes is reflected by the coincidence of INP with the particulate mass (PM), the lidar signal and with the predicted dust mass of the model. This suggests that mineral dust or a constituent related to dust was a major contributor to the ice nucleating properties of the aerosol. Peak concentrations of above 100 INP std.l -1 were measured at −30 ◦C. The INP concentration in elevated plumes was on average a factor of 10 higher than at ground level. Since desert dust is transported for long distances over wide areas of the globe predominantly at several km altitude we conclude that INP measurements at ground level may be of limited significance for the situation at the level of cloud formation.
Das Wissen über die Wolkenmikrophysik und die Wechselwirkung zwischen Niederschlag und Aerosol ist ein wichtiger Baustein zur Optimierung von Klima- und Wettermodellen. Ein Großteil des Niederschlags in den mittleren Breiten fällt aus Mischphasenwolken, die aus unterkühlten Tröpfchen und Eispartikeln bestehen. Die Eispartikel bilden sich an speziellen Aerosolpartikeln, die als Eiskeime (INP) wirken können. Die Wahrscheinlichkeit eines Aerosols als Eiskeim zu wirken, nimmt mit abnehmender Temperatur und steigender Wassersättigung zu. Mineralstaubpartikel sind die häufigsten Eiskeime, die ab Temperaturen ≤−15°C aktiv sind, biologische Partikel wirken schon bei wärmeren Bedingungen. Große Wissenslücken bestehen noch bei der globalen Konzentration von Eiskeimen, inklusive deren geographischer und jahreszeitlicher Variabilität.
Im Zentrum der Experimente, die für diese Arbeit durchgeführt wurden, steht der Eiskeimzähler FRIDGE (Frankfurt Ice Deposition Freezing Experiment). Je nach Aufbau und Anwendung des Instruments werden zwei verschiedene Ansätze zur Aktivierung von Eiskeimen verfolgt. Die ursprüngliche und namensgebende Methode in Form einer Vakuum-Diffusionskammer wurde zur Untersuchung von Eisnukleation via Depositionsgefrieren (an INP_D) entwickelt (Klein et al., 2010). Danielczok (2015) nutzte einige Bestandteile des Analysegeräts, um auch Immersionsgefrieren (an INP_I) in Form von Tröpfchengefrieren à la Vali (1971) zu studieren. In der vorliegenden Arbeit wurde diese Anwendungsmöglichkeit von FRIDGE weiterentwickelt. Ein zentraler Schritt war dabei die präzise Charakterisierung des Gefrierverhaltens von Tröpfchen aus Reinstwasser ohne zusätzliches Aerosol. Die Einbeziehung dieses sogenannten Hintergrundgefrierens, das für jedes Instrument und Messverfahren spezifisch ist, ermöglichte es, die Minimaltemperatur, für die zuverlässige Ergebnisse produziert werden können, von −22°C auf −29°C herabzusetzen. Der dadurch hinzugewonnene Temperaturbereich ist für Eisnukleation in Mischphasenwolken äußerst relevant.
Beide Anwendungsmethoden wurden im Rahmen des Fifth International Workshop on Ice Nucleation – Phase 2 (FIN-02) sowie bei einer weiteren Kampagne zur Messung von Eisnukleation an Cellulosepartikeln mit über zwanzig anderen Eiskeimzählern verglichen. Mit FRIDGE als Diffusionskammer wurde für die Mehrheit der untersuchten Aerosoltypen eine zufriedenstellende Übereinstimmung mit den anderen Instrumenten beobachtet. Die Experimente mit gefrierenden Tröpfchen in FRIDGE erzielten ausnahmslos Ergebnisse, die inmitten der Werte der anderen Instrumente lagen. Die erfolgreiche Validierung – besonders der neuen Anwendungsmethode – war das erste Ziel dieser Arbeit und die notwendige Voraussetzung für die anschließenden Feldmessungen.
Atmosphärische Eiskeimkonzentrationen wurden in mehrwöchigen Feldmesskampagnen an drei sehr unterschiedlichen Orten und atmosphärischen Bedingungen untersucht: an der Hochalpinen Forschungsstation Jungfraujoch (JFJ), am Storm Peak Laboratory (SPL) in den Rocky Mountains und am Cyprus Atmospheric Observatory (CAO) in Zypern. Am JFJ wurde eine INP-Konzentration beobachtet, die um den Faktor 20 niedriger als an den anderen beiden Stationen war. Der Grund dafür war, dass sich das Jungfraujoch die meiste Zeit der Messungen in der freien Troposphäre befand. Dementsprechend waren die Bedingungen an der Station von aerosolpartikelarmer Luft mit wenigen Eiskeimen geprägt. An zwei Standorten wurde Mineralstaub als ein Parameter, der die lokale INP-Konzentration positiv beeinflusst, identifiziert. Sowohl am JFJ als auch am CAO erhöhte ferntransportierter Saharastaub die INP-Konzentration.
Die Kombination der zwei Analysemethoden, die Aerosolproben aus derselben Luft entweder in trockenem Ausgangszustand oder in Tröpfchen suspendiert untersuchen, offenbarte eine interessante Eigenschaft der INP. Es herrschte eine offensichtliche Parallelität von INP_D- und INP_I- Konzentrationen. Bei fast allen Messungen waren INP_I etwa 10-mal häufiger als INP_D. Die Aussage trifft gleichermaßen auf sehr niedrige Konzentrationen am JFJ wie auch auf hohe Konzentrationen am SPL und CAO zu. Die einzige Ausnahme bilden Cellulosepartikel. Daraus lässt sich schließen, dass INP_D und INP_I dieselben Partikel sind, die je nach Aktivierungskonditionen Eisnukleation unterschiedlich effektiv hervorrufen.
Recently significant advances have been made in the collection, detection and characterization of ice nucleating particles (INPs). Ice nuclei are particles that facilitate the heterogeneous formation of ice within the atmospheric aerosol by lowering the free energy barrier to spontaneous nucleation and growth of ice from atmospheric water and/or vapor. The Frankfurt isostatic diffusion chamber (FRankfurt Ice nucleation Deposition freezinG Experiment: FRIDGE) is an INP collection and offline detection system that has become widely deployed and shows additional potential for ambient measurements. Since its initial development FRIDGE has gone through several iterations and improvements. Here we describe improvements that have been made in the collection and analysis techniques. We detail the uncertainties inherent in the measurement method and suggest a systematic method of error analysis for FRIDGE measurements. Thus what is presented herein should serve as a foundation for the dissemination of all current and future measurements using FRIDGE instrumentation.
Wastewater-based SARS-CoV-2 epidemiology (WBE) has been established as an important tool to support individual testing strategies. Omicron sub-variants BA.4/5 have spread globally displacing the predeceasing variants. Due to the severe transmissibility and immune escape potential of BA.4/5, early monitoring was required to asses and implement countermeasures in time.
In this study, we monitored the prevalence of SARS-CoV-2 BA.4/5 at six municipal wastewater treatment plants (WWTPs) in the Federal State of North-Rhine-Westphalia (NRW, Germany) in May and June 2022. Initially, L452R-specific primers/probes originally designed for SARS-CoV-2 Delta detection were validated using inactivated authentic viruses and evaluated for their suitability to detect BA.4/5. Subsequently, the assay was used for RT-qPCR analysis of RNA purified from wastewater obtained twice a week at six WWTPs. The occurrence of L452R carrying RNA was detected in early May 2022 and the presence of BA.4/5 was confirmed by variant-specific single nucleotide polymorphism PCR (SNP-PCR) targeting E484A/F486V. Finally, the mutant fractions were quantitatively monitored by digital PCR confirming BA.4/5 as the majority variant by 5th June 2022.
In conclusions, the successive workflow using RT-qPCR, variant-specific SNP-PCR, and RT-dPCR demonstrates the strength of WBE as a versatile tool to rapidly monitor variant spreading independent of individual test capacities.
Background: Microdeletions are known to confer risk to epilepsy, particularly at genomic rearrangement ‘hotspot’ loci. However, microdeletion burden not overlapping these regions or within different epilepsy subtypes has not been ascertained.
Objective: To decipher the role of microdeletions outside hotspots loci and risk assessment by epilepsy subtype.
Methods: We assessed the burden, frequency and genomic content of rare, large microdeletions found in a previously published cohort of 1366 patients with genetic generalised epilepsy (GGE) in addition to two sets of additional unpublished genome-wide microdeletions found in 281 patients with rolandic epilepsy (RE) and 807 patients with adult focal epilepsy (AFE), totalling 2454 cases. Microdeletions were assessed in a combined and subtype-specific approaches against 6746 controls.
Results: When hotspots are considered, we detected an enrichment of microdeletions in the combined epilepsy analysis (adjusted p=1.06×10−6,OR 1.89, 95% CI 1.51 to 2.35). Epilepsy subtype-specific analyses showed that hotspot microdeletions in the GGE subgroup contribute most of the overall signal (adjusted p=9.79×10−12, OR 7.45, 95% CI 4.20–13.5). Outside hotspots , microdeletions were enriched in the GGE cohort for neurodevelopmental genes (adjusted p=9.13×10−3,OR 2.85, 95% CI 1.62–4.94). No additional signal was observed for RE and AFE. Still, gene-content analysis identified known (NRXN1, RBFOX1 and PCDH7) and novel (LOC102723362) candidate genes across epilepsy subtypes that were not deleted in controls.
Conclusions: Our results show a heterogeneous effect of recurrent and non-recurrent microdeletions as part of the genetic architecture of GGE and a minor contribution in the aetiology of RE and AFE.