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In patients with glioblastoma, antiangiogenic therapy with bevacizumab (BEV) has been shown to improve progression-free survival (PFS), but not overall survival (OS). Especially in patients with an unusual infiltrative phenotype as seen in multifocal glioblastoma, the use of BEV therapy is still more controversial. Therefore, we prepared a retrospective case series with 16 patients suffering from a multifocal glioblastoma treated with BEV. We compared these patients to a matched control cohort of 16 patients suffering from glioblastoma with a single lesion treated with BEV. The objective of this study was to evaluate whether the course of disease differs in glioblastoma patients with a multifocal disease pattern compared to those with a single lesion only. Patients were treated with BEV monotherapy or BEV in combination with irinotecan or lomustine (CCNU). Response rates and PFS were similar in both groups. There was a trend for an unfavorable OS in the patient group with multifocal glioblastoma, which was expected due to the generally worse prognosis of multifocal glioblastoma. We investigated whether BEV therapy affects the invasive growth pattern as measured by the appearance of new lesions on magnetic resonance imaging (MRI). Under BEV therapy, there was a trend for a lower frequency of new lesions both in multifocal and solitary glioblastoma. Based on these results, BEV therapy at relapse appears to be justified to no lesser extent in multifocal glioblastoma than in solitary glioblastoma.
This article describes the motion database for a large sample (n = 2400) of 7-m penalty throws in team handball that includes 1600 disguised throws. Throws were performed by both novice (n = 5) and expert (n = 5) penalty takers. The article reports the methods and materials used to capture the motion data. The database itself is accessible for download via JLU Web Server and provides all raw files in a three-dimensional motion data format (.c3d). Additional information is given on the marker placement of the penalty taker, goalkeeper, and ball together with details on the skill level and/or playing history of the expert group. The database was first used by Helm et al. (2017) to investigate the kinematic patterns of disguised movements. Results of this analysis are reported and discussed in their article "Kinematic patterns underlying disguised movements: Spatial and temporal dissimilarity compared to genuine movement patterns" (doi:10.1016/j.humov.2017.05.010).
Cognitive flexibility, the ability to flexibly switch between tasks, is a core dimension of executive functions (EFs) allowing to control actions and to adapt flexibly to changing environments. It supports the management of multiple tasks, the development of novel, adaptive behavior and is associated with various life outcomes. Cognitive flexibility develops rapidly in preschool and continuously increases well into adolescence, mirroring the growth of neural networks involving the prefrontal cortex. Over the past decade, there has been increasing interest in interventions designed to improve cognitive flexibility in children in order to support the many developmental outcomes associated with cognitive flexibility. This article provides a brief review of the development and plasticity of cognitive flexibility across early and middle childhood (i.e., from preschool to elementary school age). Focusing on interventions designed to improve cognitive flexibility in typically developing children, we report evidence for significant training and transfer effects while acknowledging that current findings on transfer are heterogeneous. Finally, we introduce metacognitive training as a promising new approach to promote cognitive flexibility and to support transfer of training.
Whiteout: animal traces in Werner Herzog’s Grizzly man and encounters at the end of the world
(2017)
Literary animal studies are confronted with a systematic question: How can writing, as a human-made sign system, represent the nonhuman animal as an autonomous agent without falling back into the pitfalls of anthropomorphism? Against the backdrop of this problem, this paper asks how the medium of film allows for a different representation of the animal and analyzes two of Werner Herzog’s later documentary films. Although the depiction of animals and landscapes has always played a significant part in Herzog’s films, critical assessments of his work—including those of Herzog himself—tended to view the role of nature imagery as purely allegorical: it expresses the inner nature, the inner landscapes of the film’s human protagonists. This paper tries to open up a different view. It argues that both Grizzly Man and Encounters at the End of the World develop an aesthetic that depicts nonhuman nature as an autonomous and lively presence. In the close proximity amongst camera, human, and nonhuman agents, a clear distinction between nature and culture is increasingly blurred.
Relativistic jets from active galactic nuclei (AGN) often display a non-uniform structure and are, under certain conditions, susceptible to a number of instabilities. An interesting example is the development of non-axisymmetric, Rayleigh-Taylor type instabilities in the case of differentially rotating two-component jets, with the toroidal component of the magnetic field playing a key role in the development or suppression of these instabilities. We have shown that higher magnetization leads to stability against these non-axisymmetric instabilities. Using ray-casting on data from relativistic MHD simulations of two-component jets, we now investigate the effect of these instabilities on the synchrotron emission pattern from the jets. We recover many well known trends from actual observations, e.g., regarding the polarization fraction and the distribution of the position angle of the electric field, in addition to a different emitting region, depending on the stability of the jet.
CGC aktuell 02/2017
(2017)
Der römische Kaiser Claudius, dritter Prinzeps nach Augustus, regierte von 41 – 54 n. Chr. und wurde vermutlich von Agrippina, seiner letzten Ehefrau, mit einem Pilzgericht vergiftet. Obwohl er wegen seiner angeborenen Körperbehinderung als dynastischer Nachfolger nicht vorgesehen war, folgte er C. Caligula unmittelbar nach dessen Ermordung auf den Kaiserthron.
Die dem Amt inhärenten strukturellen Schwierigkeiten wurden verstärkt durch seine imbecillitas, die nicht nur Seneca, seinen Zeitgenossen, sondern auch Tacitus, Sueton und Cassius Dio, die ihn nachfolgend zum Sujet ihrer Werke machen, erheblich verunsicherte.
Besonders die Vertreter der antiken Historiographie und Biographie stehen vor der Herausforderung, glaubhaft erklären zu müssen, warum ein imbecillus, der Gegenentwurf zu Augustus, an die Macht gelangen und sie 13 Jahre behalten konnte, ohne unterschiedlich motivierten Anschlägen zum Opfer zu fallen. Aus dieser Diskrepanz entstehen – abhängig von der persönlichen Vorstellung des jeweiligen Autors und den gesellschaftlich bedingten Vorurteilen über Behinderung – unterschiedliche Bilder, die nicht nur das Dilemma des behinderten Kaisers, sondern auch das seiner Interpreten illustrieren: Claudius tritt, je nach Situation und Interaktionspartnern, als willenlos Re-agierender oder als taktisch Agierender auf: Als Regierenden hingegen zeigen ihn die Berichte gar nicht oder selten. Unberechenbarkeit, Übertreibung und Wiederholung werden für die antiken Schriftsteller zum Herrschafts- und Persönlichkeitsmerkmal des Prinzeps, die Antithese zum Narrativ.
Das essentielle Kommunikationsproblem des behinderten Claudius scheint, folgt man den Berichten, aus einem bewussten oder charakterbedingten Verzicht auf die patria potestas zu resultieren, mit katastrophalen Auswirkungen auf sein Ansehen als Prinzeps. Die von allen Autoren kritisierte Abhängigkeit von den Mitgliedern seines Hofes, zu deren prominentesten Opfern die junge und unerfahrene Messalina und letztlich Claudius selbst zählen, erregt Spott und Unmut der Plebs und verunsichert die Aristokratie durch eine als willkürlich empfundene Rechtsprechung.
Andererseits verweisen die Darstellungen seiner erstaunlichen Amtserhebung, des siegreichen Britannienfeldzugs, des abrupten Sturzes Messalinas, aber auch Agrippinas plötzlicher Angst, die sie zum Gattenmord veranlasst, auf einen Kaiser, der bei Bedarf offenbar recht gezielt das Klischee des imbecillus als Mittel des Machterhalts zu bedienen vermag.
So entsteht aus Claudius, abhängig vom gesellschaftlichen Status Behinderter, in den antiken und modernen Schriften, die sich mit ihm und seiner Amtsführung befassen, die paradoxe Figur eines schuldigen Opfers bzw. unschuldigen Täters: Sowohl Opfer- als auch Täterrolle sind a priori durch die Behinderung gerechtfertigt und relativiert.
General intelligence is a psychological construct that captures in a single metric the overall level of behavioural and cognitive performance in an individual. While previous research has attempted to localise intelligence in circumscribed brain regions, more recent work focuses on functional interactions between regions. However, even though brain networks are characterised by substantial modularity, it is unclear whether and how the brain’s modular organisation is associated with general intelligence. Modelling subject-specific brain network graphs from functional MRI resting-state data (N = 309), we found that intelligence was not associated with global modularity features (e.g., number or size of modules) or the whole-brain proportions of different node types (e.g., connector hubs or provincial hubs). In contrast, we observed characteristic associations between intelligence and node-specific measures of within- and between-module connectivity, particularly in frontal and parietal brain regions that have previously been linked to intelligence. We propose that the connectivity profile of these regions may shape intelligence-relevant aspects of information processing. Our data demonstrate that not only region-specific differences in brain structure and function, but also the network-topological embedding of fronto-parietal as well as other cortical and subcortical brain regions is related to individual differences in higher cognitive abilities, i.e., intelligence.
In der vorliegenden Arbeit wurde die Dynamik zweier grundlegend verschiedener, deaktivierender Mechanismen von Retinalproteinen untersucht. In einem dritten Projekt wurde die Photodynamik einer Dreifachmutante von visuellem Rhodopsin erforscht, von der eine Mutation zu kongenitaler (angeborener) Nachtblindheit führt und zwei andere Mutationen das Protein über eine Disulfidbrücke stabilisieren. Die Ergebnisse dieser drei Projekte sind im Folgenden zusammengefasst.
Die Aktivität des mikrobiellen Proteorhodopsins als lichtgetriebene Protonenpumpe kann photoinduziert unterbunden werden. Dies erfolgt durch die Absorption von blauem Licht durch das Retinal bei deprotonierter Schiff‘schen Base. Vor dieser Arbeit war allerdings nur wenig über den Mechanismus und die Kinetik dieses Effekts bekannt. Das einzige Retinalprotein, an dem diese Deaktivierungsdynamik auf molekularer Ebene zeitaufgelöst untersucht wurde, ist Bakteriorhodopsin. Doch auch an diesem System wurde die ultraschnelle Primärreaktion in der photoinduzierten Deaktivierungsdynamik - die Photoisomerisierung des 13-cis-Retinals - bisher nicht zeitaufgelöst gemessen.
In dieser Arbeit wurde ein Weg gefunden, diesen Prozess auf einer Sub-Pikosekundenzeitskala zu detektieren. Dazu wurde eine Proteorhodopsinmutante genutzt, in der der primäre Protonendonor E108 durch Glutamin ersetzt ist. Diese Mutante weist eine signifikante Erhöhung der Lebensdauer des M-Intermediats auf. Im photostationären Gleichgewicht führt diese veränderte Kinetik zu einer erheblich erhöhten Akkumulation des Proteins im M-Zustand, die ausreicht, um photoinduzierte Absorptionsänderungen der Deaktivierungsdynamik sowohl im sichtbaren als auch im mittleren Infrarotbereich auf ultrakurzer Zeitskala zu detektieren. Dieses Projekt erfolgte in Kooperation mit dem Arbeitskreis Glaubitz (Goethe-Universität Frankfurt am Main).
Es zeigte sich, dass die Anregung des Retinals von Proteorhodopsin im M-Zustand zur Isomerisierung von 13-cis zu all-trans führt, die nach wenigen Pikosekunden abgeschlossen ist. Der zweite und abschließende Schritt ist die Reprotonierung der Schiff'schen Base. Es stellte sich heraus, dass dieser Prozess auf einer Nanosekundenzeitskala abläuft und über einen Protonentransfer vom primären Protonenakzeptor D97 zur Schiff'schen Base ermöglicht ist.
Die in dieser Arbeit vorgestellte Methodik zur Untersuchung der deaktivierenden Photodynamik von Proteorhodopsin auf ultraschneller Zeitskala, könnte in Zukunft auf weitere mikrobielle Rhodopsine angewandt werden. So ist die Studie der Deaktivierungsdynamik von Channelrhodopsinen von großem Interesse für optogenetische Anwendungen. Eine lichtgesteuerte Kontrolle der Ionenkanalöffnung und -schließung sollte die Präzision in der Regulierung ionischer Permeation erheblich verbessern.
Die Proteorhodopsinmutante E108Q wurde außerdem in ihrer primären Photodynamik sowohl bei grünem als auch blauem Anregungslicht untersucht. Es zeigte sich in beiden Fällen eine Dynamik, die der des Wildtyps sehr ähnlich ist. Eine Beobachtung unterscheidet sich jedoch wesentlich vom Wildtyp. Das K-Intermediat der E108Q-Mutante scheint nach einigen hundert Pikosekunden zumindest partiell zu zerfallen, woraufhin sich eine Signatur im blauen Spektralbereich bildet. Blitzlichtphotolysemessungen lassen vermuten, dass diese blau absorbierende Species im zwei- bis dreistelligen Nanosekundenbereich wieder zerfallen sein muss.
Der zweite Teil dieser Arbeit beschäftigt sich mit dem Photozerfall von visuellem Rhodopsin. Es ist bekannt, dass die Signaltransduktion durch Wechselwirkung zwischen aktiviertem Rhodopsin und Arrestin unterbunden wird. Im ersten Abschnitt wurde der Einfluss der Arrestin-1-Variante p44 auf die Photodynamik visuellen, bovinen Rhodopsins untersucht. In einer Kooperation mit dem Arbeitskreis Schwalbe (Goethe-Universität Frankfurt am Main) konnte gezeigt werden, dass Arrestin erheblichen Einfluss auf die Zerfallsdynamik von Meta II und Meta III hat. Es wurde festgestellt, dass die Wechselwirkung von p44 mit photoaktiviertem Rhodopsin eine erhöhte Population des Intermediats Meta III bewirkt, mit der Folge einer zweifach langsameren Freisetzungskinetik des all-trans-Retinals. Diese Beobachtung weist auf eine physiologische Rolle des Zustands Meta III in der Retinalhomöostase hin.
Gegenstand einer zweiten Studie mit dem Arbeitskreis Schwalbe ist zum einen die Rhodopsinmutation G90D, die mit kongenitaler (angeborener) stationärer Nachtblindheit zusammenhängt, und zum anderen die Doppelmutation N2C und D282C, die zur Ausbildung einer stabilisierenden Disulfidbrücke zwischen den im extrazellulären Bereich eingeführten Cysteinen führt. Im Rahmen dieser Arbeit wurde die Photodynamik des Wildtyps, der Doppelmutante und der stabilisierten G90D-Mutante (Mutationen G90D, N2C und D282C) sowohl auf einer ultrakurzen Zeitskala als auch auf einer Minutenskala untersucht.
Die vorliegende Arbeit untersucht die Möglichkeiten Sozialer Arbeit in segregierten städtischen Gebieten unter den Bedingungen der Festivalisierung von Stadtentwicklungspolitik. Der Hamburger Stadtteil Wilhelmsburg, bisher vorrangig als „benachteiligtes“ oder „gefährliches“ Gebiet charakterisiert, stand bis zum Jahr 2013 im Mittelpunkt des Rahmenprogramms Sprung über die Elbe, dessen zentrale Maßnahmen eine „Internationale Bauausstellung 2013 (IBA)“ und eine „internationale gartenschau 2013 (igs)“ waren. Wenn ein solches Gebiet mit dem Repertoire der unternehmerischen Stadtpolitik entwickelt wird, verändert sich das Verhältnis von Sozialer Arbeit und Stadtentwicklungspolitik.
Eine zentrale Fragestellung der Arbeit beschäftigt sich mit der Veränderung der institutionellen Landschaft in Stadtentwicklungsprozessen: Welche Ausgangslage findet Soziale Arbeit in segregierten Gebieten unter den Bedingungen einer neoliberalisierten Stadtpolitik vor? Ein weiterer Schwerpunkt liegt auf der Untersuchung der Zugänglichkeit von Ressourcen, die die Bewohner_innen des Gebiets für ihre räumliche Reproduktion einsetzen können.
Auffällig am Vorgehen der Hamburger Stadtentwicklungspolitik im Sprung über die Elbe ist, dass sie sich zunächst durch eine veränderte Diskursstrategie definiert, die die Entwick-lungspotentiale des Gebiets hervorhebt. Zentrales Ziel ist die Veränderung der Bevölke-rungszusammensetzung, die mit einer Mischung aus Anreizpolitik für die gewünschten Be-völkerungsgruppen und der Ausrichtung anderer kommunaler Handlungsfelder wie der Kul-turförderung und der Bildungspolitik auf dieses stadtentwicklungspolitische Ziel erreicht wer-den soll. Die dabei transportierte Vorstellung von „Aufwertung“ und der Herstellung einer veränderten Sozialen Mischung geht implizit auf nachfrageorientierte Gentrifizierungstheorien zurück. Institutionen der Sozialen Arbeit sind an diesem Vorgehen nicht beteiligt. Zudem wird deutlich, dass auch die Wissenschaft Sozialer Arbeit dort eine Leerstelle aufweist, wo sie mit der Gentrifizierung städtischer Gebieten konfrontiert ist.
Die Analyse von Interviews mit Bewohner_innen des Untersuchungsgebiets ermöglichte Einblicke in die grundlegender Veränderungen, denen Mietverhältnissen als eine zentrale Form räumlicher Reproduktion unterworfen sind. Dabei ließen sich parallele Entwicklungen zu den Auswirkungen nachweisen, die ein Wandel von Produktionsweisen in Bezug auf Ar-beitsverhältnisse hat.
Die Arbeit beruht auf einem induktiven Vorgehen und besteht aus mehreren empirischen Untersuchungen, die sich auf Teilfragestellungen beziehen. Die Analyse des programmati-schen Vorgehens bedient sich einer diskursanalytischen Dokumentenanalyse und der Aus-wertung von Experteninterviews. Für Veränderungen, die auf die Ressourcenzugänge von Bewohner_innen von segregierten städtischen Gebieten abzielen, kamen leitfadengestützte narrative Interviews zum Einsatz, deren Auswertung sich an dem Dokumentierenden Inter-pretieren orientierte. Die vorliegende Fallanalyse steht in einer Tradition der Untersuchung gesellschaftlicher Veränderungen aus der Perspektive „from below“. Das konkrete und situ-ierte Beforschen eines Stadtentwicklungsprozesses, der zu einem nicht unbeträchtlichen Anteil auf der diskursiven Ebene ausgetragen wird, wird als „Eingreifende Sozialforschung“ entwickelt.
The present PhD thesis comprises structural geology, petrographic and geochronological investiga-tions on crystalline rocks of the Uppermost Unit in the southern Aegean realm. Studies were carried out in three areas: (1) on the island of Anafi, (2) in the area west of Melambes in central Crete and (3) between the villages of Pefkos, Kalami and Sykologos in the municipality of Viannos in eastern Crete.
The Uppermost Unit forms together with the underlying, non-metamorphic Pindos Unit the upper nappe system of the Cretan nappe pile that, unlike the units of the lower nappe system, was not affected by Late Oligocene to Early Miocene subduction-related metamorphism. The upper nappe system must therefore have been at upper levels of the lithosphere in the Late Oligocene. This is of particular im-portance when reconstructing the tectonometamorphic evolution of the Uppermost Unit. The Upper-most Unit is very heterogeneous in composition and is subdivided into several subunits, which differ mainly in their lithological composition and the degree of metamorphic overprint. Usually, it is subdi-vided into several low-grade metamorphic subunits and one high-grade metamorphic subunit. Within the scope of this PhD thesis, three of these subunits were examined; (1) the anchimetamorphic Arvi Unit, (2) the newly described Greenschist Unit and (3) the Asterousia Crystalline Complex (ACC).
The analyses conducted during this PhD thesis include: (1) structural geology investigations in the field, (2) microstructural and petrographic analyses on thin sections, (3) radiometric dating of zircons using isotope dilution thermal ionisation mass spectrometry (ID-TIMS) and laser ablation inductively coupled plasma mass spectrometry (LA-ICP-MS), (4) electron microprobe (EMP) analysis, (5) quartz texture analysis using electron-backscattered diffraction (EBSD), (6) semiquantitative analysis of min-eral phases using X-ray powder diffraction (XRD), (7) analysis of the modal composition of intrusive rocks applying point counting on thin sections and (8) X-ray microtomography (micro-CT) on chias-tolite hornfels.
...
Freundschaft und Liebe haben eines gemeinsam: die innige und wechselseitige Zuneigung zweier Personen zueinander. Das Mittelalter kennt die diskursive Trennung von Freundschaft und Liebe als Codes der Intimität nicht. Mit dem Terminus "minne" wird in der mittelalterlichen Literatur sowohl die Freundschaft zweier Männer als auch die Liebe zwischen Ritter und Dame beschrieben. Die Gesellschaft des Mittelalters um 1200 ist eine patriarchal organisierte und damit männlich homosozial geprägte Kriegergesellschaft. Vor diesem Hintergrund wird die These formuliert, dass Freundschaft im Mittelalter eher nicht der unwahrscheinliche Code der Intimität ist, sondern die Liebe. Mit dieser These wird die moderne Perspektive auf personale Zweierbeziehungen umgekehrt, die intuitiv die heterosoziale Beziehung und damit Liebe als Code der Intimität präferiert.
Im Zentrum des Interesses stehen männlich homosoziale Freundschaften und heterosoziale Liebesbeziehungen. Diese werden auf Basis linearer und triangulärer Figurenkonstellationen und unter Rückgriff auf Niklas Luhmanns Thesen, die er in „Liebe als Passion“ (1982) entwickelt, untersucht. Luhmann unterscheidet drei historische Stufen des Liebesdiskurses und ordnet diese Epochen zu: die höfische Liebe des Mittelalters, die passionierte Liebe der frühen Neuzeit und die romantische Liebe des 19. Jahrhunderts, die bis heute den Liebesdiskurs prägt. Die strikte Epocheneinteilung, die Luhmann vornimmt, wird für die Analyse der mittelhochdeutschen Texte aufgebrochen um zu zeigen, dass in der Literatur des Mittelalters Beispiele für alle drei Formen der Liebe zu finden sind. Die höfische Epik präsentiert Freundschaft und Liebe als Codes der Intimität, die sich einerseits wechselseitig bedingen, andererseits miteinander konkurrieren. Zwar stehen in den untersuchten Texten die heterosozialen Beziehungen im Fokus, doch mündet die Dominanz der Liebe als Code der Intimität nicht in der Verdrängung der Freundschaft. Im Gegenteil: Freundschaft dient der Liebe als Modell.
Biological ageing is a degenerative and irreversible process, ultimately leading to death of the organism. The process is complex and under the control of genetic, environmental and stochastic traits. Although many theories have been established during the last decades, none of these are able to fully describe the complex mechanisms, which lead to ageing. Generally, biological processes and environmental factors lead to molecular damage and an accumulation of impaired cellular components. In contrast, counteracting surveillance systems are effective, including repair, remodelling and degradation of damaged or impaired components, respectively. Nevertheless, at some point these systems are no longer effective, either because the increasing amount of molecular damages can not longer be removed efficiently or because the repairing and removing mechanisms themselves become affected by impairing effects. The organism finally declines and dies. To investigate and to understand these counteracting mechanisms and the complex interplay of decline and maintenance, holistic and systems biological investigations are required. Hence, the processes which lead to ageing in the fungal model organism Podospora anserina, had been analysed using different advanced bioinformatics methods. In contrast to many other ageing models, P. anserina exhibits a short lifespan, a less biochemical complexity and it provides a good accessibility for genetic manipulations.
To achieve a general overview on the different biochemical processes, which are affected during ageing in P. anserina, an initial comprehensive investigation was applied, which aimed to reveal genes significantly regulated and expressed in an age-dependent manner. This investigation was based on an age-dependent transcriptome analysis. Sophisticated and comprehensive analyses revealed different age-related pathways and indicated that especially autophagy may play a crucial role during ageing. For example, it was found that the expression of autophagy-associated genes increases in the course of ageing.
Subsequently, to investigate and to characterise the autophagy pathway, its associated single components and their interactions, Path2PPI, a new bioinformatics approach, was developed. Path2PPI enables the prediction of protein-protein interaction networks of particular pathways by means of a homology comparison approach and was applied to construct the protein-protein interaction network of autophagy in P. anserina.
The predicted network was extended by experimental data, comprising the transcriptome data as well as newly generated protein-protein interaction data achieved from a yeast two-hybrid analysis. Using different mathematical and statistical methods the topological properties of the constructed network had been compared with those of randomly generated networks to approve its biological significance. In addition, based on this topological and functional analysis, the most important proteins were determined and functional modules were identified, which correspond to the different sub-pathways of autophagy. Due to the integrated transcriptome data the autophagy network could be linked to the ageing process. For example, different proteins had been identified, which genes are continuously up- or down-regulated during ageing and it was shown for the first time that autophagy-associated genes are significantly often co-expressed during ageing.
The presented biological network provides a systems biological view on autophagy and enables further studies, which aim to analyse the relationship of autophagy and ageing. Furthermore, it allows the investigation of potential methods for intervention into the ageing process and to extend the healthy lifespan of P. anserina as well as of other eukaryotic organisms, in particular humans.
A large reef manta ray (Manta alfredi) aggregation has been observed off the north Sudanese Red Sea coast since the 1950s. Sightings have been predominantly within the boundaries of a marine protected area (MPA), which was designated a UNESCO World Heritage Site in July 2016. Contrasting economic development trajectories have been proposed for the area (small-scale ecotourism and large-scale island development). To examine space-use, Wildlife Computers® SPOT 5 tags were secured to three manta rays. A two-state switching Bayesian state space model (BSSM), that allowed movement parameters to switch between resident and travelling, was fit to the recorded locations, and 50% and 95% kernel utilization distributions (KUD) home ranges calculated. A total of 682 BSSM locations were recorded between 30 October 2012 and 6 November 2013. Of these, 98.5% fell within the MPA boundaries; 99.5% for manta 1, 91.5% for manta 2, and 100% for manta 3. The BSSM identified that all three mantas were resident during 99% of transmissions, with 50% and 95% KUD home ranges falling mainly within the MPA boundaries. For all three mantas combined (88.4%), and all individuals (manta 1–92.4%, manta 2–64.9%, manta 3–91.9%), the majority of locations occurred within 15 km of the proposed large-scale island development. Results indicated that the MPA boundaries are spatially appropriate for manta rays in the region, however, a close association to the proposed large-scale development highlights the potential threat of disruption. Conversely, the focused nature of spatial use highlights the potential for reliable ecotourism opportunities.
Background: Identification of families at risk for ovarian cancer offers the opportunity to consider prophylactic surgery thus reducing ovarian cancer mortality. So far, identification of potentially affected families in Germany was solely performed via family history and numbers of affected family members with breast or ovarian cancer. However, neither the prevalence of deleterious variants in BRCA1/2 in ovarian cancer in Germany nor the reliability of family history as trigger for genetic counselling has ever been evaluated.
Methods: Prospective counseling and germline testing of consecutive patients with primary diagnosis or with platinum-sensitive relapse of an invasive epithelial ovarian cancer. Testing included 25 candidate and established risk genes. Among these 25 genes, 16 genes (ATM, BRCA1, BRCA2, CDH1, CHEK2, MLH1, MSH2, MSH6, NBN, PMS2, PTEN, PALB2, RAD51C, RAD51D, STK11, TP53) were defined as established cancer risk genes. A positive family history was defined as at least one relative with breast cancer or ovarian cancer or breast cancer in personal history.
Results: In total, we analyzed 523 patients: 281 patients with primary diagnosis of ovarian cancer and 242 patients with relapsed disease. Median age at primary diagnosis was 58 years (range 16–93) and 406 patients (77.6%) had a high-grade serous ovarian cancer. In total, 27.9% of the patients showed at least one deleterious variant in all 25 investigated genes and 26.4% in the defined 16 risk genes. Deleterious variants were most prevalent in the BRCA1 (15.5%), BRCA2 (5.5%), RAD51C (2.5%) and PALB2 (1.1%) genes. The prevalence of deleterious variants did not differ significantly between patients at primary diagnosis and relapse. The prevalence of deleterious variants in BRCA1/2 (and in all 16 risk genes) in patients <60 years was 30.2% (33.2%) versus 10.6% (18.9%) in patients ≥60 years. Family history was positive in 43% of all patients. Patients with a positive family history had a prevalence of deleterious variants of 31.6% (36.0%) versus 11.4% (17.6%) and histologic subtype of high grade serous ovarian cancer versus other showed a prevalence of deleterious variants of 23.2% (29.1%) and 10.2% (14.8%), respectively. Testing only for BRCA1/2 would miss in our series more than 5% of the patients with a deleterious variant in established risk genes.
Conclusions: 26.4% of all patients harbor at least one deleterious variant in established risk genes. The threshold of 10% mutation rate which is accepted for reimbursement by health care providers in Germany was observed in all subgroups analyzed and neither age at primary diagnosis nor histo-type or family history sufficiently enough could identify a subgroup not eligible for genetic counselling and testing. Genetic testing should therefore be offered to every patient with invasive epithelial ovarian cancer and limiting testing to BRCA1/2 seems to be not sufficient.
Chronic hepatitis C virus (HCV) infection is a leading cause for orthotopic liver transplantation (OLT) in the U.S. We investigated characteristics of HCV-infected patients registered for OLT, and explored factors associated with mortality. Data were obtained from the United Network for Organ Sharing and Organ Procurement and Transplantation network (UNOS/OPTN) registry. Analyses included 41,157 HCV-mono-infected patients ≥18 years of age listed for cadaveric OLT between February 2002 and June 2014. Characteristics associated with pre- and post-transplant survival and time trends over the study period were determined by logistic and Cox proportional hazard regression analyses and Poisson regressions. Most patients were white (69.1%) and male (70.8%). At waitlist registration, mean age was 54.6 years and mean MELD was 16. HCC was recorded in 26.9% of the records. A total of 51.2% of the patients received an OLT, 21.0% died or were too sick; 15.6% were delisted and 10.4% were still waiting. Factors associated with increased waitlist mortality were older age, female gender, blood type 0, diabetes, no HCC and transplant region (p<0.001). OLT recipient characteristics associated with increased risk for post OLT mortality were female gender, age, diabetes, race (p<0,0001), and allocation MELD (p = 0.005). Donor characteristics associated with waitlist mortality included age, ethnicity (p<0.0001) and diabetes (p<0.03). Waitlist registrations and OLTs for HCC significantly increased from 14.4% to 37.3% and 27.8% to 38.5%, respectively (p<0.0001). Pre- and post-transplant survival depended on a variety of patient-, donor-, and allocation- characteristics of which most remain relevant in the DAA-era. Still, intensified HCV screening strategies and timely and effective treatment of HCV are highly relevant to reduce the burden of HCV-related OLTs in the U.S.
The concept of sound iconicity implies that phonemes are intrinsically associated with non-acoustic phenomena, such as emotional expression, object size or shape, or other perceptual features. In this respect, sound iconicity is related to other forms of cross-modal associations in which stimuli from different sensory modalities are associated with each other due to the implicitly perceived correspondence of their primal features. One prominent example is the association between vowels, categorized according to their place of articulation, and size, with back vowels being associated with bigness and front vowels with smallness. However, to date the relative influence of perceptual and conceptual cognitive processing on this association is not clear. To bridge this gap, three experiments were conducted in which associations between nonsense words and pictures of animals or emotional body postures were tested. In these experiments participants had to infer the relation between visual stimuli and the notion of size from the content of the pictures, while directly perceivable features did not support–or even contradicted–the predicted association. Results show that implicit associations between articulatory-acoustic characteristics of phonemes and pictures are mainly influenced by semantic features, i.e., the content of a picture, whereas the influence of perceivable features, i.e., size or shape, is overridden. This suggests that abstract semantic concepts can function as an interface between different sensory modalities, facilitating cross-modal associations.
Natural sounds convey perceptually relevant information over multiple timescales, and the necessary extraction of multi-timescale information requires the auditory system to work over distinct ranges. The simplest hypothesis suggests that temporal modulations are encoded in an equivalent manner within a reasonable intermediate range. We show that the human auditory system selectively and preferentially tracks acoustic dynamics concurrently at 2 timescales corresponding to the neurophysiological theta band (4–7 Hz) and gamma band ranges (31–45 Hz) but, contrary to expectation, not at the timescale corresponding to alpha (8–12 Hz), which has also been found to be related to auditory perception. Listeners heard synthetic acoustic stimuli with temporally modulated structures at 3 timescales (approximately 190-, approximately 100-, and approximately 30-ms modulation periods) and identified the stimuli while undergoing magnetoencephalography recording. There was strong intertrial phase coherence in the theta band for stimuli of all modulation rates and in the gamma band for stimuli with corresponding modulation rates. The alpha band did not respond in a similar manner. Classification analyses also revealed that oscillatory phase reliably tracked temporal dynamics but not equivalently across rates. Finally, mutual information analyses quantifying the relation between phase and cochlear-scaled correlations also showed preferential processing in 2 distinct regimes, with the alpha range again yielding different patterns. The results support the hypothesis that the human auditory system employs (at least) a 2-timescale processing mode, in which lower and higher perceptual sampling scales are segregated by an intermediate temporal regime in the alpha band that likely reflects different underlying computations.
Background: Invasive off- or on-pump cardiac surgery (elective and emergency procedures, excluding transplants are routinely performed to treat complications of ischaemic heart disease. Randomised controlled trials (RCT) evaluate the effectiveness of treatments in the setting of cardiac surgery. However, the impact of RCTs is weakened by heterogeneity in outcome measuring and reporting, which hinders comparison across trials. Core outcome sets (COS, a set of outcomes that should be measured and reported, as a minimum, in clinical trials for a specific clinical field) help reduce this problem. In light of the above, we developed a COS for cardiac surgery effectiveness trials.
Methods: Potential core outcomes were identified a priori by analysing data on 371 RCTs of 58,253 patients. We reached consensus on core outcomes in an international three-round eDelphi exercise. Outcomes for which at least 60% of the participants chose the response option "no" and less than 20% chose the response option "yes" were excluded.
Results: Eighty-six participants from 23 different countries involving adult cardiac patients, cardiac surgeons, anaesthesiologists, nursing staff and researchers contributed to this eDelphi. The panel reached consensus on four core outcomes: 1) Measure of mortality, 2) Measure of quality of life, 3) Measure of hospitalisation and 4) Measure of cerebrovascular complication to be included in adult cardiac surgery trials.
Conclusion: This study used robust research methodology to develop a minimum core outcome set for clinical trials evaluating the effectiveness of treatments in the setting of cardiac surgery. As a next step, appropriate outcome measurement instruments have to be selected.