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Purpose: To evaluate the effect of reduced z-axis scan coverage on diagnostic performance and radiation dose of neck CT in patients with suspected cervical abscess.
Methods: Fifty-one patients with suspected cervical abscess were included and underwent contrast-enhanced neck CT on a 2nd or 3rd generation dual-source CT system. Image acquisition ranged from the aortic arch to the upper roof of the frontal sinuses (CTstd). Subsequently, series with reduced z-axis coverage (CTred) were reconstructed starting at the aortic arch up to the orbital floor. CTstd and CTred were independently assessed by two radiologists for the presence/absence of cervical abscesses and for incidental and alternative findings. In addition, diagnostic accuracy for the depiction of the cervical abscesses was calculated for both readers. Furthermore, DLP (dose-length-product), effective dose (ED) and organ doses were calculated and compared for CTred and CTstd, using a commercially available dose management platform.
Results: A total of 41 abscesses and 3 incidental/alternative findings were identified in CTstd. All abscesses and incidental/alternative findings could also be detected on CTred resulting in a sensitivity and specificity of 1.0 for both readers. DLP, ED and organ doses of the brain, the eye lenses, the red bone marrow and the salivary glands of CTred were significantly lower than for CTstd (p<0.001).
Conclusions: Reducing z-axis coverage of neck CT allows for a significant reduction of effective dose and organ doses at similar diagnostic performance as compared to CTstd.
The paper present the results of a new field collection of myxomycetes (plasmodial slime moulds) on dead wood, dead bark and litter substrate in southeast New South Wales centred on Canberra (lat. 35° S, long. 149° E). The sample consists of 96 species from 493 collections. This survey is compared with four other surveys for similar substrates and similar temperate climate: southwest Western Australia, southeast Australia, New Zealand and Patagonia. The assemblages are similar in species composition and abundance, when allowance is made for the large random effect in the sampling. These five southern hemisphere assemblages have been combined into a composite assemblage. This composite assemblage is similar to those of the Iberian Peninsula (Spain and Portugal) and Britain, when allowance is made for the varying sampling of litter. This similarity may represent a single species assemblage occurring in both the Southern and Northern Hemispheres in areas of similar temperate climate.
Ongoing liver inflammation in patients with chronic hepatitis C and sustained virological response
(2017)
Background: Novel direct-acting antiviral DAA combination therapies tremendously improved sustained virologic response (SVR) rates in patients with chronic HCV infection. SVR is typically accompanied by normalization of liver enzymes, however, hepatic inflammation, i.e. persistently elevated aminotransferase levels may persist despite HCV eradication. Aim: To investigate prevalence and risk factors for ongoing hepatic inflammation after SVR in two large patient cohorts.
Methods: This post-hoc analysis was based on prospectively collected demographic and clinical data from 834 patients with SVR after HCV treatment with either PegIFN- or DAA-based treatment regimens from the PRAMA trial (n = 341) or patients treated at our outpatient clinic (n = 493).
Results: We observed an unexpected high prevalence of post-SVR inflammation, including patients who received novel IFN-free DAA-based therapies. Up to 10% of patients had ongoing elevation of aminotransferase levels and another 25% showed aminotransferase activity above the so-called healthy range. Several baseline factors were independently associated with post-SVR aminotransferase elevation. Among those, particularly male gender, advanced liver disease and markers for liver steatosis were strongly predictive for persistent ALT elevation. The use of IFN-based antiviral treatment was independently correlated with post-SVR inflammation, further supporting the overall benefit of IFN-free combination regimens.
Conclusion: This is the first comprehensive study on a large patient cohort investigating the prevalence and risk factors for ongoing liver inflammation after eradication of HCV. Our data show a high proportion of patients with ongoing hepatic inflammation despite HCV eradication with potential implications for the management of approximately one third of all patients upon SVR.
"Ihr sollt euch nicht zu den Götzen wenden, und gegossene Götter sollt ihr euch nicht machen [...](Lev 19,4) [...] sollen wir nicht meinen, daß das Göttliche dem Gold und Silber oder Stein, einem Gebilde der Kunst und der Erfindung des Menschen gleich sei. (Acta 17,29) Pfui über euch und über das, was ihr an Gottes Statt verehrt! [...] (Q 21,67)"
Diese drei Sätze stammen nacheinander aus der hebräischen Bibel, dem Neuen Testament und dem Koran. Man kann sie beinahe wie einen Text lesen, an dem sich die These des Ägyptologen Jan Assmann belegen ließe, dass mit der Herausbildung monotheistischer Religionen wie Judentum, Christentum und Islam im Allgemeinen und dem Bilderverbot im Besonderen die Unterscheidung zwischen wahr und falsch in die Götterwelt gekommen sei (Assmann 1998, S. 17). ...
Durch die stille Luft glitt eine Taube herab und schwebte zärtlich Aretulla dort, wo sie saß, geradewegs auf den Schoß. Ein Spiel des Zufalls konnte das nicht sein, doch sie blieb, ohne daß man sie bewachte, und weigerte sich wegzufliegen, obwohl ihr die Flucht erlaubt war. Wenn es der liebenden Schwester vergönnt ist, auf eine Besserung der Lage zu hoffen, und wenn Bitten den Herrn der Welt zu rühren vermögen, dann ist dieser Vogel vielleicht von den sardischen Küsten des Verbannten zu dir als ein Bote gekommen, und dein Bruder wird alsbald zurückkehren. ...
For a chaotic system pairs of initially close-by trajectories become eventually fully uncorrelated on the attracting set. This process of decorrelation can split into an initial exponential decrease and a subsequent diffusive process on the chaotic attractor causing the final loss of predictability. Both processes can be either of the same or of very different time scales. In the latter case the two trajectories linger within a finite but small distance (with respect to the overall extent of the attractor) for exceedingly long times and remain partially predictable. Standard tests for chaos widely use inter-orbital correlations as an indicator. However, testing partially predictable chaos yields mostly ambiguous results, as this type of chaos is characterized by attractors of fractally broadened braids. For a resolution we introduce a novel 0-1 indicator for chaos based on the cross-distance scaling of pairs of initially close trajectories. This test robustly discriminates chaos, including partially predictable chaos, from laminar flow. Additionally using the finite time cross-correlation of pairs of initially close trajectories, we are able to identify laminar flow as well as strong and partially predictable chaos in a 0-1 manner solely from the properties of pairs of trajectories.
The article delineates the development of nominal synthetic compounding in the history of German. In particular, it is attested an enhancement of the morphological structure which correlates with a morphological intersection of determinative compounding happening from Early New High German onwards.
Objetivo: sistematizar as potencialidades e desafios da Teoria do Reconhecimento, de Axel Honneth, e refletir sobre eles como subsídio às pesquisas em saúde.
Método: trata-se de artigo de reflexão que toma o potencial da incorporação da categoria reconhecimento na propositura honnethiana para pesquisa, compreensão, exercício e gestão do cuidado em saúde.
Resultados: o processo de reconhecimento favorece a exploração e a compreensão das relações de poder e respeito, sobretudo em termos do conflito a elas circunscrito. Dessa forma, indica subsídios para diagnósticos e núcleos estruturantes para a superação de práticas opressivas e desiguais, com desdobramentos para lidar com situações de insegurança, fragilidades na autoestima e vulnerabilidades nas interações entre os sujeitos, que configuram desafios contemporâneos.
Conclusão: na exploração científica do cuidado, gestão e políticas públicas em saúde, este referencial teórico pode auxiliar na visibilidade do contexto e seus nós críticos, para favorecer a autonomia e a dignidade humana, relevantes para as relações interpessoais nos processos de cuidado, com contribuições profícuas à qualificação da atenção à saúde.
Objective: to systematize the strengths and challenges of Axel Honneth’s Theory of Recognition, and to reflect on these as support for research in health care. Method: this is a reflection article which considers the potential of incorporating the category of recognition in the Honnethian proposition for research, understanding, exercising of practice and management of health care. Results: the process of recognition promotes the exploration and understanding of relations of power and respect, above all in terms of conflict which are ascribed to these. As a result, it indicates support for diagnoses and structuring nuclei for overcoming oppressive and unequal practices, with consequences for dealing with situations of insecurity, weaknesses in self-esteem and vulnerabilities in the interactions between the subjects, which are configured as contemporary challenges. Conclusion: in the scientific exploration of care, management and public policies in health, this theoretical framework can assist in the visibility of the context and in its critical knots, in order to promote autonomy and human dignity, which are relevant for the interpersonal relations in the processes of care, with fruitful contributions to the qualification of the health care.
In search for new natural products, which may lead to the development of new drugs for all kind of applications, novel methods are needed. Here we describe the identification of electrophilic natural products in crude extracts via their reactivity against azide as a nucleophile followed by their subsequent enrichment using a cleavable azide-reactive resin (CARR). Using this approach, natural products carrying epoxides and α,β-unsaturated enones as well as several unknown compounds were identified in crude extracts from entomopathogenic Photorhabdus bacteria.
The transcriptional regulator far upstream binding protein 1 (FUBP1) is essential for fetal and adult hematopoietic stem cell (HSC) self-renewal, and the constitutive absence of FUBP1 activity during early development leads to embryonic lethality in homozygous mutant mice. To investigate the role of FUBP1 in murine embryonic stem cells (ESCs) and in particular during differentiation into hematopoietic lineages, we generated Fubp1 knockout (KO) ESC clones using CRISPR/Cas9 technology. Although FUBP1 is expressed in undifferentiated ESCs and during spontaneous differentiation following aggregation into embryoid bodies (EBs), absence of FUBP1 did not affect ESC maintenance. Interestingly, we observed a delayed differentiation of FUBP1-deficient ESCs into the mesoderm germ layer, as indicated by impaired expression of several mesoderm markers including Brachyury at an early time point of ESC differentiation upon aggregation to EBs. Coculture experiments with OP9 cells in the presence of erythropoietin revealed a diminished differentiation capacity of Fubp1 KO ESCs into the erythroid lineage. Our data showed that FUBP1 is important for the onset of mesoderm differentiation and maturation of hematopoietic progenitor cells into the erythroid lineage, a finding that is supported by the phenotype of FUBP1-deficient mice.
Body image dissatisfaction is a serious, global problem that negatively affects life satisfaction. Several claims have been made about the possible psychological benefits of naturist activities, but very little empirical research has investigated these benefits or any plausible explanations for them. In three studies—one large-scale, cross-sectional study (n = 849), and 2 prospective studies (n = 24, n = 100) this research developed and applied knowledge about the possible benefits of naturist activities. It was found that more participation in naturist activities predicted greater life satisfaction—a relationship that was mediated by more positive body image, and higher self-esteem (Study 1). Applying these findings, it was found that participation in actual naturist activities led to an increase in life satisfaction, an effect that was also mediated by improvements in body image and self-esteem (Studies 2 and 3). The potential benefits of naturism are discussed, as well as possible future research, and implications for the use of naturist activities.
Information processing performed by any system can be conceptually decomposed into the transfer, storage and modification of information—an idea dating all the way back to the work of Alan Turing. However, formal information theoretic definitions until very recently were only available for information transfer and storage, not for modification. This has changed with the extension of Shannon information theory via the decomposition of the mutual information between inputs to and the output of a process into unique, shared and synergistic contributions from the inputs, called a partial information decomposition (PID). The synergistic contribution in particular has been identified as the basis for a definition of information modification. We here review the requirements for a functional definition of information modification in neuroscience, and apply a recently proposed measure of information modification to investigate the developmental trajectory of information modification in a culture of neurons vitro, using partial information decomposition. We found that modification rose with maturation, but ultimately collapsed when redundant information among neurons took over. This indicates that this particular developing neural system initially developed intricate processing capabilities, but ultimately displayed information processing that was highly similar across neurons, possibly due to a lack of external inputs. We close by pointing out the enormous promise PID and the analysis of information modification hold for the understanding of neural systems
Die Besitznahme der Oberrheinlande durch Rom – Aspekte einer Bevölkerungs- und Militärgeschichte
(2017)
Römer, Kelten und Germanen haben ihren festen Platz in der historischen Erinnerung. Dies betrifft nicht nur epochale Vorgänge und Ereignisse von weitreichender, gleichsam weltgeschichtlicher Bedeutung, sondern auch solche von begrenzter zeitlicher wie räumlicher Relevanz. Letzteres gilt auch für das Gebiet von Hoch- und Oberrhein mit einer eigenen Geschichte, die selbstverständlich ihrerseits zugleich in übergreifende historische Prozesse eingebettet ist. Im Folgenden wollen wir uns eingehender nur mit der frühen Phase der Begegnung zwischen Römern und jenen Völkerschaften befassen, die gemeinhin den Kelten bzw. den Germanen zugeordnet werden, und einige wichtige Aspekte der Bevölkerungsgeschichte der Oberrheinlande am Übergang von der Latènezeit zur römischen Epoche thematisieren. Mit dieser eng verbunden ist die römische Heeresgeschichte, der wir für die Zeit von Caesars Feldzug in Gallien bis zum Ende der iulisch-claudischen Dynastie wenigstens in einigen Grundzügen nachgehen wollen. Die unter ganz anderen historischen Bedingungen erfolgten Angriffe mit der folgenden Landnahme der Alamannen und Franken ab dem 3. Jahrhundert n. Chr. blenden wir aus; dies wäre Gegenstand einer eigenen Analyse. Trotz bemerkenswerter Fortschritte der jüngeren Vergangenheit ist allerdings nicht zu übersehen, dass nach wie vor eines der Hauptprobleme der modernen Forschung zur frühen Geschichte des hier im Zentrum des Interesses stehenden Raumes im sachgerechten Verständnis des Übergangs von der protohistorischen zur römischen Epoche besteht. Jedoch scheint zumindest darin weitgehend Konsens zu bestehen, dass – wie Lars Blöck in seiner jüngst publizierten, detailreichen Dissertation zur Besiedlung des südlichen Oberrheingebietes vermerkt. – "der Übergang von der Spätlatène- zur römischen Zeit innerhalb der Besiedlungsgeschichte [---] einen tiefgreifenden Einschnitt darstellt." ...
Im Forschungsvorhaben MGA werden anhand der numismatischen Zeugnisse, vor allem der Fundmünzen, die gesellschaftlichen, wirtschaftlichen, politischen und kulturellen Entwicklungen sowie die interregionalen Beziehungen eines vielgestaltigen natur- wie auch kulturgeographischen Raums, der sich von Britannien im Nordwesten Europas bis an die untere Donau in Südosteuropa erstreckt, von der späten Eisenzeit bis in das Frühmittelalter untersucht. ...
Für Spezialisten historischer Epochen, aus denen kaum schriftliche Zeugnisse vorliegen, spielten Bilder schon immer eine zentrale Rolle. Doch wie steht es um ihre Bedeutung in der Geschichtswissenschaft allgemein? Welche Relevanz hatte bzw. hat für sie der "iconic turn"? Darüber sprach der Philosoph und Publizist Rolf Wiggershaus mit Historikern der Goethe-Universität.
Lässt sich eine dominierende Zeitvorstellung für unsere Epoche ausmachen? Ist die moderne Unruhe eine neue Unruhe? Solche Fragen gehören zu den zentralen Themen von Christoph Cornelißen, Professor für Neueste Geschichte an der Goethe-Universität, dessen Forschungsschwerpunkte Historiografie-Geschichte und die Geschichte der Erinnerungskulturen einschließen.
Alien plants were first recorded in 1937 in the 2 million ha Kruger National Park (KNP, a savanna protected area in South Africa), and attempts to control them began in the mid-1950s. The invasive alien plant control program expanded substantially in the late 1990s, but its overall efficacy has not been determined. We present an assessment of invasive alien plant control operations over several decades in KNP. We based our assessment on available information from a range of control programs funded from various sources, including national public works programs, KNP operational funds, and foreign donor funds. Over ZAR 350 million (~ US$ 27 million) has been spent on control interventions between 1997 and 2016. We found evidence of good progress with the control of several species, notably Opuntia stricta, Sesbania punicea, Lantana camara and several aquatic weeds, often because of effective biological control. On the other hand, we found that over one third (40%) of the funding was spent on species that have subsequently been recognised as being of lower priority, most of which were alien annual weeds. The allocation of funds to non-priority species was sometimes driven by the need to meet additional objectives (such as employment creation), or by perceptions about relative impact in the absence of documented evidence. We also found that management goals were limited to inputs (funds disbursed, employment created, and area treated) rather than to ecological outcomes, and progress was consequently not adequately monitored. At a species level, four out of 36 species were considered to be under complete control, and a further five were under substantial control. Attempts to control five annual species were all considered to be ineffective. On the basis of our findings, we recommend that more studies be done to determine impacts associated with individual invasive alien species; that the criteria used to prioritise invasive alien species be documented based on such assessments, so that management can justify a focus on priority species; and that funding be re-directed to those species that clearly pose greater threats, and for which other solutions (such as biological control) are not an option.
The lumbodorsal fascia (LF) has been proposed to represent a possible source of idiopathic low back pain. In fact, histological studies have demonstrated the presence of nociceptive free nerve endings within the LF, which, furthermore, appear to exhibit morphological changes in patients with chronic low back pain. However, it is unclear how these characteristics relate to the aetiology of the pain. In vivo elicitation of back pain via experimental stimulation of the LF suggests that dorsal horn neurons react by increasing their excitability. Such sensitization of fascia-related dorsal horn neurons, in turn, could be related to microinjuries and/or inflammation in the LF. Despite available data point towards a significant role of the LF in low back pain, further studies are needed to better understand the involved neurophysiological dynamics.