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Ende des Jahres 1104 verließ Heinrich V. im Vorfeld eines Sachsenzuges das Hoflager seines Vaters, dem langjährigen Herrscher Kaiser Heinrich IV., und verband sich mit der antikaiserlichen Opposition im Reich. Nach mehreren Konfrontationen zwischen Vater und Sohn dankte Heinrich IV. schließlich 1106 als Herrscher ab.
Die zeitgenössischen Quellen schildern dieses Ereignis als einen Verrat Heinrichs V. an seinem Vater und bedienen sich dabei unterschiedlicher Motive.
Von den Quellen, die die Ereignisse schildern, werden in dieser Arbeit die Kapitel 9 und 10 des Vita Heinrici IV. imperatoris genannten Werkes eines Anonymous, das nach dem Tode des Kaisers entstand, die Briefe 37 und 39 Heinrichs IV. und die auf Ekkehard aufbauende Anonyme Kaiserchronik betrachtet.
Hierbei wird die Darstellung des Anonymous in dem Vita Heinrici IV. imperatoris genannten Werk mit den Briefen 37 und 39 sowie der Anonymen Kaiserchronik konfrontiert und anhand von Forschungsliteratur hinterfragt. Die dabei zu beantwortetenden Fragen lauten: Hat Heinrich V. seinen Vater tatsächlich verraten oder folgte er einem gemeinsamen Plan? Falls dies der Fall war: Zu welchem Zeitpunkt ist der Plan, der offensichtlich nicht aufgegangen ist, gescheitert? Betreffend der Darstellung des Anonymous soll folgende Frage verfolgt werden: Lässt die Darstellung des Anonymous in dem Vita Heinrici IV. imperatoris genannten Werk Heinrich IV. als Persönlichkeit erkennen?
Die chronologische Betrachtung der einzelnen Schritte von dem Fortgang Heinrichs V. vom Hoflager seines Vaters bis hin zur Abdankung Heinrichs IV. werden in zusammenfassender Betrachtung erkennen lassen, dass der angebliche Verrat Heinrichs V. an seinem Vater keine eindeutige Sache ist, wie es die zeitgenössischen Quellen und die auf ihr basierende neuzeitliche Literatur darzustellen versuchen.
Background: Since sorafenib has shown activity in different tumour types and gemcitabine regimens improved the outcome for biliary tract cancer (BTC) patients, we evaluated first-line gemcitabine plus sorafenib in a double-blind phase II study.
Patients and methods: 102 unresectable or metastatic BTC patients with histologically proven adenocarcinoma of gallbladder or intrahepatic bile ducts, Eastern Cooperative Oncology Group (ECOG) 0–2 were randomised to gemcitabine (1000 mg/m2 once weekly, first 7-weeks + 1-week rest followed by once 3-weeks + 1-week rest) plus sorafenib (400 mg twice daily) or placebo. Treatment continued until progression or unacceptable toxicity. Tumour samples were prospectively stained for sorafenib targets and potential biomarkers. Serum samples (first two cycles) were measured for vascular endothelial growth factors (VEGFs), vascular endothelial growth factor receptor 2 (VEGFR-2) and stromal cell-derived factor 1 (SDF1)α by enzyme-linked immunosorbent assay (ELISA).
Results: Gemcitabine plus sorafenib was generally well tolerated. Four and three patients achieved partial responses in the sorafenib and placebo groups, respectively. There was no difference in the primary end-point, median progression-free survival (PFS) for gemcitabine plus sorafenib versus gemcitabine plus placebo (3.0 versus 4.9 months, P = 0.859), and no difference for median overall survival (OS) (8.4 versus 11.2 months, P = 0.775). Patients with liver metastasis after resection of primary BTC survived longer with sorafenib (P = 0.019) compared to placebo. Patients who developed hand-foot syndrome (HFS) showed longer PFS and OS than patients without HFS. Two sorafenib targets, VEGFR-2 and c-kit, were not expressed in BTC samples. VEGFR-3 and Hif1α were associated with lymph node metastases and T stage. Absence of PDGFRβ expression correlated with longer PFS.
Conclusion: The addition of sorafenib to gemcitabine did not demonstrate improved efficacy in advanced BTC patients. Biomarker subgroup analysis suggested that some patients might benefit from combined treatment.
Heinrich Kalteisen
(2014)
Conventional radar-based image reconstruction techniques fail when they are applied to heterogeneous breast tissue, since the underlying in-breast relative permittivity is unknown or assumed to be constant. This results in a systematic error during the process of image formation. A recent trend in microwave biomedical imaging is to extract the relative permittivity from the object under test to improve the image reconstruction quality and thereby to enhance the diagnostic assessment. In this paper, we present a novel radar-based methodology for microwave breast cancer detection in heterogeneous breast tissue integrating a 3D map of relative permittivity as a priori information. This leads to a novel image reconstruction formulation where the delay-and-sum focusing takes place in time rather than range domain. Results are shown for a heterogeneous dense (class-4) and a scattered fibroglandular (class-2) numerical breast phantom using Bristol's 31-element array configuration.
Objective: To examine risk of malignancy and death in patients with kidney transplant who receive the immunosuppressive drug sirolimus.
Design: Systematic review and meta-analysis of individual patient data.
Data sources: Medline, Embase, and the Cochrane Central Register of Controlled Trials from inception to March 2013.
Eligibility: Randomized controlled trials comparing immunosuppressive regimens with and without sirolimus in recipients of kidney or combined pancreatic and renal transplant for which the author was willing to provide individual patient level data. Two reviewers independently screened titles/abstracts and full text reports of potentially eligible trials to identify studies for inclusion. All eligible trials reported data on malignancy or survival.
Results: The search yielded 2365 unique citations. Patient level data were available from 5876 patients from 21 randomized trials. Sirolimus was associated with a 40% reduction in the risk of malignancy (adjusted hazard ratio 0.60, 95% confidence interval 0.39 to 0.93) and a 56% reduction in the risk of non-melanoma skin cancer (0.44, 0.30 to 0.63) compared with controls. The most pronounced effect was seen in patients who converted to sirolimus from an established immunosuppressive regimen, resulting in a reduction in risk of malignancy (0.34, 0.28 to 0.41), non-melanoma skin cancer (0.32, 0.24 to 0.42), and other cancers (0.52, 0.38 to 0.69). Sirolimus was associated with an increased risk of death (1.43, 1.21 to 1.71) compared with controls.
Conclusions: Sirolimus was associated with a reduction in the risk of malignancy and non-melanoma skin cancer in transplant recipients. The benefit was most pronounced in patients who converted from an established immunosuppressive regimen to sirolimus. Given the risk of mortality, however, the use of this drug does not seem warranted for most patients with kidney transplant. Further research is needed to determine if different populations, such as those at high risk of cancer, might benefit from sirolimus.
Background: Alzheimer's disease is a common debilitating dementia with known heritability, for which 20 late onset susceptibility loci have been identified, but more remain to be discovered. This study sought to identify new susceptibility genes, using an alternative gene-wide analytical approach which tests for patterns of association within genes, in the powerful genome-wide association dataset of the International Genomics of Alzheimer's Project Consortium, comprising over 7 m genotypes from 25,580 Alzheimer's cases and 48,466 controls.
Principal findings: In addition to earlier reported genes, we detected genome-wide significant loci on chromosomes 8 (TP53INP1, p = 1.4×10−6) and 14 (IGHV1-67 p = 7.9×10−8) which indexed novel susceptibility loci.
Significance: The additional genes identified in this study, have an array of functions previously implicated in Alzheimer's disease, including aspects of energy metabolism, protein degradation and the immune system and add further weight to these pathways as potential therapeutic targets in Alzheimer's disease.
Many studies about endocrine pollution in the aquatic environment reveal changes in the reproduction system of biota. We analysed endocrine activities in two rivers in Southern Germany using three approaches: (1) chemical analyses, (2) in vitro bioassays, and (3) in vivo investigations in fish and snails. Chemical analyses were based on gas chromatography coupled with mass spectrometry. For in vitro analyses of endocrine potentials in water, sediment, and waste water samples, we used the E-screen assay (human breast cancer cells MCF-7) and reporter gene assays (human cell line HeLa-9903 and MDA-kb2). In addition, we performed reproduction tests with the freshwater mudsnail Potamopyrgus antipodarum to analyse water and sediment samples. We exposed juvenile brown trout (Salmo trutta f. fario) to water downstream of a wastewater outfall (Schussen River) or to water from a reference site (Argen River) to investigate the vitellogenin production. Furthermore, two feral fish species, chub (Leuciscus cephalus) and spirlin (Alburnoides bipunctatus), were caught in both rivers to determine their gonadal maturity and the gonadosomatic index. Chemical analyses provided only little information about endocrine active substances, whereas the in vitro assays revealed endocrine potentials in most of the samples. In addition to endocrine potentials, we also observed toxic potentials (E-screen/reproduction test) in waste water samples, which could interfere with and camouflage endocrine effects. The results of our in vivo tests were mostly in line with the results of the in vitro assays and revealed a consistent reproduction-disrupting (reproduction tests) and an occasional endocrine action (vitellogenin levels) in both investigated rivers, with more pronounced effects for the Schussen river (e.g. a lower gonadosomatic index). We were able to show that biological in vitro assays for endocrine potentials in natural stream water reasonably reflect reproduction and endocrine disruption observed in snails and field-exposed fish, respectively.
We examined substrate-induced conformational changes in MjNhaP1, an archaeal electroneutral Na+/H+-antiporter resembling the human antiporter NHE1, by electron crystallography of 2D crystals in a range of physiological pH and Na+ conditions. In the absence of sodium, changes in pH had no major effect. By contrast, changes in Na+ concentration caused a marked conformational change that was largely pH-independent. Crystallographically determined, apparent dissociation constants indicated ∼10-fold stronger Na+ binding at pH 8 than at pH 4, consistent with substrate competition for a common ion-binding site. Projection difference maps indicated helix movements by about 2 Å in the 6-helix bundle region of MjNhaP1 that is thought to contain the ion translocation site. We propose that these movements convert the antiporter from the proton-bound, outward-open state to the Na+-bound, inward-open state. Oscillation between the two states would result in rapid Na+/H+ antiport.
Sparse sensor networks for Lamb wave-based structural health monitoring (SHM) can detect defects in plate-like structures. However, the limited number of sensor positions provides little information to characterize the unknown scatterer. This can be achieved by full wavefield analysis e.g. using Laser Doppler vibrometry measurements.
This paper proposes deconvolution processing that enhances the acoustic wavefield interpretation by increasing the temporal resolution of the underlying ultrasound signals. Applying this preprocessor to the whole wavefield allows improved non-destructive assessment of the defect. This approach is verified experimentally through a case study on an isotropic aluminum plate with four cracks.
The compulsive habit of cars
(2014)
The car dependence of people living in contemporary cities is a major concern for policy makers, who often find it difficult to persuade people into more sustainable transport modes. By contrast, recent insights from neuroscience have shown that a broad spectrum of behaviors can become habitual and, thus, resistant to change. Here, we outline the potential of collaboration between neuroscience and human geography aiming at a better understanding of habits that determine everyday commuting routines.
Background: Influenza vaccination of healthcare workers (HCWs) is recommended to prevent the transmission of influenza to vulnerable patients. Nevertheless, vaccination coverage rates of HCWs in European countries have been low.
Aim: To investigate the relative and combined strength of sociocognitive variables, from past research, theory and a qualitative study, in explaining the motivation of HCWs to receive the influenza vaccine.
Methods: An anonymous, online questionnaire was distributed among HCWs in hospital settings in Belgium, Germany and the Netherlands between February and April 2013.
Findings: Attitude and past vaccination uptake explained a considerable amount of variance in the intention of HCWs to receive the influenza vaccine. Moreover, low perceived social norms, omission bias, low moral norms, being older, having no patient contact, and being Belgian or Dutch (compared with German) increased the probability of having no intention to receive the influenza vaccine compared with being undecided about vaccination. High intention to receive the influenza vaccine was shown to be more likely than being undecided about vaccination when HCWs had high perceived susceptibility of contracting influenza, low naturalistic views, and lower motivation to receive the vaccine solely for self-protection.
Conclusion: Country-specific interventions and a focus on different sociocognitive variables depending on the intention/lack of intention of HCWs to receive the influenza vaccine may be beneficial to promote vaccination uptake.
Fibrous tissue growth and loss of residual hearing after cochlear implantation can be reduced by application of the glucocorticoid dexamethasone-21-phosphate-disodium-salt (DEX). To date, sustained delivery of this agent to the cochlea using a number of pharmaceutical technologies has not been entirely successful. In this study we examine a novel way of continuous local drug application into the inner ear using a refillable hydrogel functionalized silicone reservoir. A PEG-based hydrogel made of reactive NCO-sP(EO-stat-PO) prepolymers was evaluated as a drug conveying and delivery system in vitro and in vivo. Encapsulating the free form hydrogel into a silicone tube with a small opening for the drug diffusion resulted in delayed drug release but unaffected diffusion of DEX through the gel compared to the free form hydrogel. Additionally, controlled DEX release over several weeks could be demonstrated using the hydrogel filled reservoir. Using a guinea-pig cochlear trauma model the reservoir delivery of DEX significantly protected residual hearing and reduced fibrosis. As well as being used as a device in its own right or in combination with cochlear implants, the hydrogel-filled reservoir represents a new drug delivery system that feasibly could be replenished with therapeutic agents to provide sustained treatment of the inner ear.
Background: IL28B gene polymorphism is the best baseline predictor of response to interferon alfa-based antiviral therapies in chronic hepatitis C. Recently, a new IFN-L4 polymorphism was identified as first potential functional variant for induction of IL28B expression. Individualization of interferon alfa-based therapies based on a combination of IL28B/IFN-L4 polymorphisms may help to optimize virologic outcome and economic resources.
Methods: Optimization of treatment outcome prediction was assessed by combination of different IL28B and IFN-L4 polymorphisms in patients with chronic HCV genotype 1 (n = 385), 2/3 (n = 267), and 4 (n = 220) infection treated with pegylated interferon alfa (PEG-IFN) and ribavirin with (n = 79) or without telaprevir. Healthy people from Germany (n = 283) and Egypt (n = 96) served as controls.
Results: Frequencies of beneficial IL28B rs12979860 C/C genotypes were lower in HCV genotype 1/4 infected patients in comparison to controls (20–35% vs. 46–47%) this was also true for ss469415590 TT/TT (20–35% vs. 45–47%). Single interferon-lambda SNPs (rs12979860, rs8099917, ss469415590) correlated with sustained virologic response (SVR) in genotype 1, 3, and 4 infected patients while no association was observed for genotype 2. Interestingly, in genotype 3 infected patients, best SVR prediction was based on IFN-L4 genotype. Prediction of SVR with high accuracy (71–96%) was possible in genotype 1, 2, 3 and 4 infected patients who received PEG-IFN/ribavirin combination therapy by selection of beneficial IL28B rs12979860 C/C and/or ss469415590 TT/TT genotypes (p<0.001). For triple therapy with first generation protease inhibitors (PIs) (boceprevir, telaprevir) prediction of high SVR (90%) rates was based on the presence of at least one beneficial genotype of the 3 IFN-lambda SNPs.
Conclusion: IFN-L4 seems to be the best single predictor of SVR in genotype 3 infected patients. For optimized prediction of SVR by treatment with dual combination or first generation PI triple therapies, grouping of interferon-lambda haplotypes may be helpful with positive predictive values of 71–96%.
Objective: To investigate the impact of HPV status in patients with locally advanced head and neck squamous cell carcinoma (HNSCC), who received surgery and cisplatin-based postoperative radiochemotherapy.
Materials and methods: For 221 patients with locally advanced squamous cell carcinoma of the hypopharynx, oropharynx or oral cavity treated at the 8 partner sites of the German Cancer Consortium, the impact of HPV DNA, p16 overexpression and p53 expression on outcome were retrospectively analysed. The primary endpoint was loco-regional tumour control; secondary endpoints were distant metastases and overall survival.
Results: In the total patient population, univariate analyses revealed a significant impact of HPV16 DNA positivity, p16 overexpression, p53 positivity and tumour site on loco-regional tumour control. Multivariate analysis stratified for tumour site showed that positive HPV 16 DNA status correlated with loco-regional tumour control in patients with oropharyngeal carcinoma (p = 0.02) but not in the oral cavity carcinoma group. Multivariate evaluation of the secondary endpoints in the total population revealed a significant association of HPV16 DNA positivity with overall survival (p < 0.01) but not with distant metastases.
Conclusions: HPV16 DNA status appears to be a strong prognosticator of loco-regional tumour control after postoperative cisplatin-based radiochemotherapy of locally advanced oropharyngeal carcinoma and is now being explored in a prospective validation trial.
A recent investigation was conducted to assess the threat of insect venom hypersensitivity to deployed U.S. service members operating in the region. In parallel with this study, a checklist of medically important Hymenoptera was assembled from limited fi eld collections as well as a comprehensive review of the literature and information provided by electronic databases. We compiled names of 14 families comprising 396 species of Hymenoptera capable of stinging humans. This is the first such checklist for Afghanistan, and should aid future taxonomic work and provide reference information for public health-related entomology in this region.
In this special issue of Matrix Biology centered on proteoglycan biology we have assembled a blend of articles focused on the state-of-the-art of proteoglycanology. The field has greatly expanded in the past three decades and now encompasses all the areas of biology. This special issue is divided into five chapters describing hyaluronan metabolism, biosynthetic and catabolic pathways of proteoglycans and their roles in inflammation, cancer, repair and development. We hope that the new original work and the reviews from recognized leaders will stimulate investigations in this exciting and fertile field of research.
Gibt Geld Geltung?
(2014)
Mit Luhmanns autopoietischem Begriff des Geldes, Hörischs Thesen zum Literatur-Geld als Transsubstantiationsmedium und Baeckers Verweis auf den potenziell umstürzlerischen "Unruhefaktor" des Geldes in einer pauperisierten Bevölkerung zeigt Hans-Joachim Hahn das Ausmaß der teils aus nackter Not gebotenen quasi-religiösen Fetischisierung des Geldes im fortgeschrittenen Vormärz auf. In einem Großteil der herangezogenen Schriften von Friedrich Engels über Georg Büchner, Annette von Droste-Hülshoff, Moses Hess und weiteren werden dem Geld in je verschiedenen Konstellationen unmoralische Eigenschaften und die Verursachung allgemeinen Sittenverfalls zugeschrieben. Insbesondere bei Droste und Hess figuriere Geld als "satanischer Mammon", während Marx und Büchner zwischen dem Tauschwertcharakter des Geldes und seiner Spekulationsfunktion zu unterscheiden wüssten. Nicht nur die unablässige Zirkulation, sondern vor allem auch der Mangel an Geld könne zum "Unruhefaktor" werden - sofern nicht, wie in einem anonym erschienenen Artikel vorgeschlagen, durch Hebung des allgemeinen Bildungsniveaus oder eine politisch zu erkämpfende Distributionsgerechtigkeit Abhilfe geschaffen werde.
Background: Different parameters have been determined for prediction of treatment outcome in hepatitis c virus genotype 1 infected patients undergoing pegylated interferon, ribavirin combination therapy. Results on the importance of vitamin D levels are conflicting. In the present study, a comprehensive analysis of vitamin D levels before and during therapy together with single nucleotide polymorphisms involved in vitamin D metabolism in the context of other known treatment predictors has been performed.
Methods: In a well characterized prospective cohort of 398 genotype 1 infected patients treated with pegylated interferon-α and ribavirin for 24–72 weeks (INDIV-2 study) 25-OH-vitamin D levels and different single nucleotide polymorphisms were analyzed together with known biochemical parameters for a correlation with virologic treatment outcome.
Results: Fluctuations of more than 5 (10) ng/ml in 25-OH-vitamin D-levels have been observed in 66 (39) % of patients during the course of antiviral therapy and neither pretreatment nor under treatment 25-OH-vitamin D-levels were associated with treatment outcome. The DHCR7-TT-polymorphism within the 7-dehydrocholesterol-reductase showed a significant association (P = 0.031) to sustained viral response in univariate analysis. Among numerous further parameters analyzed we found that age (OR = 1.028, CI = 1.002–1.056, P = 0.035), cholesterol (OR = 0.983, CI = 0.975–0.991, P<0.001), ferritin (OR = 1.002, CI = 1.000–1.004, P = 0.033), gGT (OR = 1.467, CI = 1.073–2.006, P = 0.016) and IL28B-genotype (OR = 2.442, CI = 1.271–4.695, P = 0.007) constituted the strongest predictors of treatment response.
Conclusions: While 25-OH-vitamin D-levels levels show considerable variations during the long-lasting course of antiviral therapy they do not show any significant association to treatment outcome in genotype 1 infected patients.
Evidence based clinical guidelines are implemented to treat patients efficiently that include efficacy, tolerability but also health economic considerations. This is of particular relevance to the new direct acting antiviral agents that have revolutionized treatment of chronic hepatitis C. For hepatitis C genotypes 2/3 interferon free treatment is already available with sofosbuvir plus ribavirin. However, treatment with sofosbuvir-based regimens is 10–20 times more expensive compared to pegylated interferon alfa and ribavirin (PegIFN/RBV). It has to be discussed if PegIFN/RBV is still an option for easy to treat patients. We assessed the treatment of patients with chronic hepatitis C genotypes 2/3 with PegIFN/RBV in a real world setting according to the latest German guidelines. Overall, 1006 patients were recruited into a prospective patient registry with 959 having started treatment. The intention-to-treat analysis showed poor SVR (GT2 61%, GT3 47%) while patients with adherence had excellent SVR in the per protocol analysis (GT2 96%, GT3 90%). According to guidelines, 283 patients were candidates for shorter treatment duration, namely a treatment of 16 weeks (baseline HCV-RNA <800.000 IU/mL, no cirrhosis and RVR). However, 65% of these easy to treat patients have been treated longer than recommended that resulted in higher costs but not higher SVR rates. In conclusion, treatment with PegIFN/RBV in a real world setting can be highly effective yet similar effective than PegIFN± sofosbuvir/RBV in well-selected naïve G2/3 patients. Full adherence to guidelines could be further improved, because it would be important in the new era with DAA, especially to safe resources.
Vorhofflimmern ist die am weitesten verbreitete Herzrhythmusstörung. Die bisherige antiarrhythmische Therapie ist durch erhebliche kardiale und extrakardiale Nebenwirkungen nur wenig zufriedenstellend. Die Erforschung neuer antiarrhythmischer Substanzen ist aufgrund begrenzt zur Verfügung stehenden menschlichen Probematerials erschwert. Vorhofgewebe wird z.B. bei Herzoperationen gewonnen und kann dann für Forschungszwecke eingesetzt werden. Die Herzzellen sind allerdings sehr empfindlich, weswegen sie meist bereits nach einigen Stunden nicht mehr für weitere Untersuchungen zu gebrauchen sind. Man ist daher auf das Tiermodell angewiesen. Da das Schweineherz dem des Menschen sehr ähnlich ist, stellt es hier ein ideales Testsystem für neue Antiarrhythmika dar. In neuesten Studien wurde in Schweineherzen der IK,PO als ein vielversprechenden Angriffspunkt vorhofselektiver Antiarrhythmika beschrieben. Die diesem Strom zugrundeliegenden Kanaleinheiten sind jedoch zum jetzigen Zeitpunkt nicht genau erforscht.
Ziel der Arbeit war, ein stabiles Modell der Zellkultur mit atrialen Kardiomyozyten zu etablieren. An den kultivierten Herzzellen sollten elektrophysiologische aber auch molekular- und proteinbiologische Methoden angewandt werden. Das Modell sollte mit Zellen aus Schweineherzen erprobt werden und dazu dienen Untersuchungen an Zellen aus einer Gewebepräparation über mehrere Tage durchzuführen. Darüber hinaus sollte die Zellkultur dazu dienen einen Gen-„Knockdown“ anwenden zu können. Der IK,PO und dem diesem Strom möglicherweise zugrundeliegenden Kanaluntereinheiten Kv1.5, Kv4.3, KChIP2 und TASK-1 sollten hierbei charakterisiert werden.
Atriumzellen aus Schweineherzen wurden isoliert und direkt nach Zellisolation sowie unter dem Einfluss der Zellkultur nach bis zu 48 Stunden untersucht. Es kamen die Patch-Clamp-Technik, Real-time-PCR- und Western-Blot-Analysen zum Einsatz. Die Wirkung verschiedener Substanzen auf den IK,PO wurde getestet. Das Kv1.5-Protein wurde dargestellt und mRNA-Analysen für Kv1.5, Kv4.3, KChIP2 und TASK-1 durchgeführt.
Ein Teil der Zellen wurde mit einer gegen Kv1.5 gerichteten siRNA behandelt und anschließend mRNA-Analysen durchgeführt sowie der IK,PO–Strom gemessen.
Die atrialen Kardiomyozyten des Schweines in Kultur zeigten bis zu 48 Stunden vitale Eigenschaften und zeigten sich für die Patch-Clamp-Technik, Real-time-PCR und Western-Blot-Analysen als geeignet. Im Vergleich zu den frisch präparierten Zellen war eine signifikante Zunahme der Stromdichte für den IK,PO zu messen. Die Kinetik des IK,PO-Stroms sowie das Verhalten gegenüber den Substanzen AV0118, Heteropodatoxin und PAP-1 blieben im Vergleich zu den frisch präparierten Zellen unverändert. In Western-Blot-Analysen war im Vergleich zu frisch isolierten Zellen eine Zunahme des Kv1.5-Proteins zu sehen. Die mRNA-Expression des Kv1.5 war dagegen auf ca. ein Sechstel verringert. Eine Abnahme der mRNA-Expression auf ein Zehntel konnte für die Kanaleinheit KChIP2 gesehen werden. Kv4.3 wurde hingegen bis fast auf ein Zweieinhalbfaches vermehrt exprimiert, während die RNA-Expression für TASK-1 konstant blieb. Ein „Knockdown“ des Kv1.5 mit siRNA zeigte eine weitere Reduktion der Kv1.5 mRNA ohne eine messbare zusätzliche Veränderung des IK,PO.
Die Arbeit hat gezeigt, dass primäre Kulturen atrialer Kardiomyozyten des Schweines für elektrophysiologische sowie molekularbiologische Versuche geeignet sind. Der im Interesse stehende Strom IK,PO hat sich unter Kulturbedingungen zwar vergrößert, jedoch blieben Kinetik und vor allem die Eigenschaft auf verschiedene Substanzen zu reagieren unverändert. Es ist somit möglich neue Substanzen in der Entwicklung von Antiarrhythmika an kultivierten Herzzellen zu testen und somit die Anzahl der für die Experimente benötigten Tiere zu verringern. Die Ergebnisse deuten darauf hin, dass neben dem Kv1.5 die Kanaleinheiten der Kv4.3 und KChIP2 wesentlich zum IK,PO betragen. Die vorliegenden Ergebnisse deuten darauf, dass Kv1.5 den Grundstrom des IK,PO bildet und Kv4.3 vornehmlich den Spitzenstrom des IK,PO ausmacht. Kv1.5 wird dabei vermutlich wesentlich durch KChIP2 gehemmt. KChIP2 spielt eine nachweisliche Rolle in der Pathogenese von Herzrhythmusstörungen und zeigt im Vergleich zu Kv1.5 und Kv4.3 eine höhere Gewebespezifität. KChIP2-Blocker könnten in der Entwicklung vorhofselektiver Antiarrhythmika vielversprechende Ergebnisse liefern.
Strong seasonal variability of hygric and thermal soil conditions are a defining environmental feature in northern Australia. However, how such changes affect the soil–atmosphere exchange of nitrous oxide (N2O), nitric oxide (NO) and dinitrogen (N2) is still not well explored. By incubating intact soil cores from four sites (three savanna, one pasture) under controlled soil temperatures (ST) and soil moisture (SM) we investigated the release of the trace gas fluxes of N2O, NO and carbon dioxide (CO2). Furthermore, the release of N2 due to denitrification was measured using the helium gas flow soil core technique. Under dry pre-incubation conditions NO and N2O emissions were very low (<7.0 ± 5.0 μg NO-N m−2 h−1; <0.0 ± 1.4 μg N2O-N m−2 h−1) or in the case of N2O, even a net soil uptake was observed. Substantial NO (max: 306.5 μg N m−2 h−1) and relatively small N2O pulse emissions (max: 5.8 ± 5.0 μg N m−2 h−1) were recorded following soil wetting, but these pulses were short lived, lasting only up to 3 days. The total atmospheric loss of nitrogen was generally dominated by N2 emissions (82.4–99.3% of total N lost), although NO emissions contributed almost 43.2% to the total atmospheric nitrogen loss at 50% SM and 30 °C ST incubation settings (the contribution of N2 at these soil conditions was only 53.2%). N2O emissions were systematically higher for 3 of 12 sample locations, which indicates substantial spatial variability at site level, but on average soils acted as weak N2O sources or even sinks. By using a conservative upscale approach we estimate total annual emissions from savanna soils to average 0.12 kg N ha−1 yr−1 (N2O), 0.68 kg N ha−1 yr−1 (NO) and 6.65 kg N ha−1 yr−1 (N2). The analysis of long-term SM and ST records makes it clear that extreme soil saturation that can lead to high N2O and N2 emissions only occurs a few days per year and thus has little impact on the annual total. The potential contribution of nitrogen released due to pulse events compared to the total annual emissions was found to be of importance for NO emissions (contribution to total: 5–22%), but not for N2O emissions. Our results indicate that the total gaseous release of nitrogen from these soils is low and clearly dominated by loss in the form of inert nitrogen. Effects of seasonally varying soil temperature and moisture were detected, but were found to be low due to the small amounts of available nitrogen in the soils (total nitrogen <0.1%).
Strong seasonal variability of hygric and thermal soil conditions are a defining environmental feature in Northern Australia. However, how such changes affect the soil–atmosphere exchange of nitrous oxide (N2O), nitric oxide (NO) and dinitrogen (N2) is still 5 not well explored. By incubating intact soil cores from four sites (3 savanna, 1 pasture) under controlled soil temperatures (ST) and soil moisture (SM) we investigated the release of the trace gas fluxes of N2O, NO and carbon dioxide (CO2). Furthermore, the release of N2 due to denitrification was measured using the helium gas flow soil core technique. Under dry pre-incubation conditions NO and N2O emission were very low (< 7.0± 5.0 μgNO-Nm−2 h−1; < 0.0± 1.4 μgN2O-Nm−2 h−1) or in case of N2O, even a net soil uptake was observed. Substantial NO (max: 306.5 μgNm−2 h−1) and relatively small N2O pulse emissions (max: 5.8±5.0 μgNm−2 h−1) were recorded following soil wetting, but these pulses were short-lived, lasting only up to 3 days. The total atmospheric loss of nitrogen was dominated by N2 emissions (82.4–99.3% of total N lost), although NO emissions contributed almost 43.2% at 50% SM and 30 °C ST. N2O emissions were systematically higher for 3 of 12 sample locations, which indicates substantial spatial variability at site level, but on average soils acted as weak N2O sources or even sinks. Emissions were controlled by SM and ST for N2O and CO2, ST and pH for NO, and SM and pH for N2.
Telecommunications companies traditionally offer several tariffs from which their customers can choose the tariff that best suits their preferences. Yet, customers sometimes make choices that are not optimal for them because they do not minimize their bill for a certain usage amount. We show in this paper that companies should be very concerned about choices in which customers pick tariffs that are too small for them because they lead to a significant increase in customers churn. In contrast, this is not the case if customers choose tariffs that are too big for them. The reason is that in particular flat-rates provide customers with the additional benefit that they guarantee a constant bill amount that consumption can be enjoyed more freely because all costs are already accounted for.
In Deutschland erkranken pro Jahr ~1800 Kinder neu an Krebs, wobei Leukämien mit 33,8 % die häufigste diagnostizierte Krebsform darstellen. Besonders Leukämien mit dem Phänotyp einer akuten lymphatischen Leukämie (ALL) sind mit der Erkrankung im Kindesalter assoziiert. Die häufigsten genetischen Ursachen kindlicher ALLs sind ein hyperdiploider Karyotyp oder chromosomale Translokationen. Unter Säuglingen im Alter von nur wenigen Monaten mit einer ALL treten hier oft reziproke chromosomale Translokationen mit Beteiligung des MLL-Gens auf. Die t(4;11)-assoziierte Leukämie, mit dem AF4-Gen als Translokationspartner, stellt den häufigsten Krankheits-Phänotyp dieser Patientengruppe dar. Die Erkrankung zeichnet sich durch eine stark erhöhte Leukozytenzahl im peripheren Blut bei Diagnose aus. Aufgrund immunphänotyperischer und morphologischer Analysen werden die Leukozyten und auch die Erkrankung durch einen pro B-Zell Phänotyp charakterisiert. Ein weiteres klinisches Merkmal ist das schnell auftretende Rezidiv, welches schlecht auf eine folgende Therapie anspricht und zu sehr geringen Überlebensraten führt, wodurch die t(4;11)-assoziierte Leukämie als Hochrisiko-Leukämie klassifiziert wird. Als genetische Grundlage des Mechanismus der t(4;11)-Leukämogenese wird die Expression der resultierenden Fusionsproteine MLL•AF4 und AF4•MLL angenommen. Durch die Expression beider Fusionsproteine wird die Funktion des Wildtyp MLL-Proteins gehemmt, welches als epigenetischer Regulator für die Hämatopoese und die Ausbildung des Körperbauplans während der Embryogenese essenziell ist. Weiterhin wird auch die Funktion des Wildtyp AF4-Proteins gehemmt, welches einen bedeutenden Bestandteil der zellulären Transkriptionsinitiations- und Elongationsmaschinerie darstellt. Außerdem beeinflussen beide Fusionsproteine zelluläre Mechanismen wie die Proliferation, das Überleben und die Differenzierung, weshalb die Erforschung des Pathomechanismus der Fusionsproteine essenziell für die Rekapitulation und damit für die Therapie und Heilung der Erkrankung ist.
Aktuell rekapitulieren Studien der beiden Fusionsproteine die humane Erkrankung jedoch nur unzureichend. Das MLL•AF4-Protein zeigte bisher eine Blockierung der Apoptose nach unterschiedlichsten Induktionen in zellbasierten Systemen. Allerdings konnte dem Fusionsprotein kein onkogenes Potenzial in vitro nachgewiesen werden und auch in vivo führte die Expression von MLL•AF4 zur Bildung von hauptsächlich myeloischen Neoplasien nach langen Latenzzeiten. Die Expression des reziproken AF4•MLL-Proteins führte in zellbasierten Systemen zu einem verstärkten Metabolismus durch die Steigerung der zellulären Transkription und beeinflusste so die Proliferation. Parallel trat eine hohe Apoptoserate auf, sodass die Proliferation nahezu unverändert schien. Da in vitro jedoch die Kontaktinhibition und Wachstumstransformation von Zellen gezeigt werden konnte und im Mausmodell der humane Phänotyp einer pro B-ALL ausgelöst wurde, scheint das AF4•MLL-Protein das treibende Onkogen der t(4;11)-assoziierten Leukämie zu sein. Allerdings wird die Erkrankung auch in diesem Modell erst nach einer langen Latenzzeit beobachtet und auch die zellulären Mechanismen, in welchen das onkogene Potenzial des reziproken Fusionsproteins entscheidend ist, bleiben weiter zu untersuchen. Deshalb sollten im Rahmen dieser Arbeit hauptsächlich die Auswirkungen der Expression des onkogenen AF4•MLL-Proteins unter verschiedenen Aspekten untersucht, und kooperierende Ereignisse analysiert werden.
Grundlegend sollte die Auswirkung des reziproken Fusionsproteins in humanen Zellen studiert, und auch Effekte des MLL•AF4-Proteins mit früheren Studien verglichen werden, um zellbiologisch relevante Mechanismen aufzudecken. Weiterhin sollte der Einfluss möglicher sekundärer Mutationen und die Wirkung von Koffein als Stimulans untersucht werden, um mögliche Ursachen der langen Latenzzeiten in t(4;11)-assoziierten Mausmodellen zu identifizieren. Da jedoch etwa 20 % aller t(4;11)-Patienten kein AF4•MLL-Protein bilden und als Reziprok oft der solitäre MLL C-Terminus exprimiert wird, sollte zudem der Effekt des MLL•C-Proteins im Mausmodell studiert werden. Insgesamt konnten alle erhobenen Daten mit Resultaten früherer Studien kombiniert werden, wodurch ein spezifisches Modell der t(4;11)-assoziierten Leukämogenese entstand. Das Modell diskutiert die onkogene Funktion des AF4•MLL-Proteins besonders während der hämatopoetischen Differenzierung. Durch die Ergebnisse dieser Arbeit zum klonogenen Wachstum der humanen Zellen nach Expression von AF4•MLL und der Ergebnisse im MLL•C-Mausmodell konnte ein Einfluss des Reziproks auf die Differenzierung von Leukozyten gezeigt werden.
Weiterhin konnte nach AF4•MLL-Expression in humanen Zellen die Steigerung des Metabolismus aber auch die einhergehende vermehrte Apoptose bestätigt werden, welche die lange Latenzzeit im AF4•MLL-Mausmodell begründen könnte. Durch Kooperation mit dem MLL•AF4-Protein, welches anti-apoptotische Effekte zeigt, könnte es jedoch zum frühen Ausbruch der Erkrankung im Säuglingsalter kommen. Allerdings konnte in dieser Arbeit auch eine Steigerung der Proliferation von MLL•AF4-exprimierenden Zellen beobachtet werden, wenn anti-apoptotische Mechanismen des Fusionsproteins inaktiv sind, welche aus der Aktivierung des RAS/RAF/MEK/ERK-Signalwegs resultiert. Werden neben der Translokation zusätzliche RAS-Mutationen aquiriert, die bei 26 % der Kinder mit einer t(4;11)-Leukämie auftreten, wird der Signalweg und somit die Proliferation der leukämischen Blasten zusätzlich stabilisiert. Dadurch kommt es zu höheren Leukozytenzahlen und einem noch früheren Ausbruch der Erkrankung. Weiterhin deckte die Analyse von sekundären Mutationen auch die Beteiligung des FLT3-Signalwegs an der Therapieresistenz durch Quieszenz auf. Ein besonderer Einfluss von Koffein als Stimulans in t(4;11)-Zellen konnte hingegen ausgeschlossen werden. So wurde der Pathomechanismus der t(4;11)-assoziierten Leukämie in dieser Arbeit weiterführend aufgeklärt, wodurch Strategien zur Therapie und Heilung der Erkrankung in Zukunft intensiviert werden können.
We report on a polarization measurement of inclusive J/ψ mesons in the di-electron decay channel at mid-rapidity at 2 < pT < 6 GeV/c in p + p collisions at √s = 200 GeV. Data were taken with the STAR detector at RHIC. The J/ψ polarization measurement should help to distinguish between different models of the J/ψ production mechanism since they predict different pT dependences of the J/ψ polarization. In this analysis, J/ψ polarization is studied in the helicity frame. The polarization parameter λθ measured at RHIC becomes smaller towards high pT , indicating more longitudinal J/ψ polarization as pT increases. The result is compared with predictions of presently available models.
Aim: The cytokine receptor tumor necrosis factor receptor superfamily member 9 (TNFRSF9) is mainly considered to be a co-stimulatory activation marker in hematopoietic cells. Several preclinical models have shown a dramatic beneficial effect of treatment approaches targeting TNFRSF9 with agonistic antibodies. However, preliminary clinical phase I/II studies were stopped after the occurrence of several severe deleterious side effects. In a previous study, it was demonstrated that TNFRSF9 was strongly expressed by reactive astrocytes in primary central nervous system (CNS) tumors, but was largely absent from tumor or inflammatory cells. The aim of the present study was to address the cellular source of TNFRSF9 expression in the setting of human melanoma brain metastasis, a highly immunogenic tumor with a prominent tropism to the CNS.
Methods: Melanoma brain metastasis was analyzed in a cohort of 78 patients by immunohistochemistry for TNFRSF9 and its expression was correlated with clinicopathological parameters including sex, age, survival, tumor size, number of tumor spots, and BRAF V600E expression status.
Results: Tumor necrosis factor receptor superfamily member 9 was frequently expressed independently on both melanoma and endothelial cells. In addition, TNFRSF9 was also present on smooth muscle cells of larger vessels and on a subset of lymphomonocytic tumor infiltrates. No association between TNFRSF9 expression and patient survival or other clinicopathological parameters was seen. Of note, several cases showed a gradual increase in TNFRSF9 expression on tumor cells with increasing distance from blood vessels, an observation that might be linked to hypoxia-driven TNFRSF9 expression in tumor cells.
Conclusion: The findings indicate that the cellular source of TNFRSF9 in melanoma brain metastasis largely exceeds the lymphomonocytic pool, and therefore further careful (re-) assessment of potential TNFRSF9 functions in cell types other than hematopoietic cells is needed. Furthermore, the hypothesis of hypoxia-driven TNFRSF9 expression in brain metastasis melanoma cells requires further functional testing.
Background: Oral anticoagulation (OAC) with coumarins and new anticoagulants are highly effective in preventing thromboembolic complications. However, some studies indicate that over- and under-treatment with anticoagulants are fairly common. The aim of this paper is to assess the appropriateness of treatment in patients with a long-term indication for OAC, and to describe the corresponding characteristics of such patients on the basis of screening results from the cluster randomized PICANT trial.
Methods: Randomly selected family practices in the federal state of Hesse, Germany, were visited by study team members. Eligible patients were screened using an anonymous patient list that was generated by the general practitioners? software according to predefined instructions. A documentation sheet was filled in for all screened patients. Eligible patients were classified into 3 categories (1: patients with a long-term indication for OAC and taking anticoagulants, 2: patients with a long-term indication for OAC but not taking anticoagulants, 3: patients without a long-term indication for OAC but taking an anticoagulant on a permanent basis). IBM SPSS Statistics 20 was used for descriptive statistical analysis.
Results: We screened 2,036 randomly selected, potentially eligible patients from 52 family practices. 275 patients could not be assigned to one of the 3 categories and were therefore not considered for analysis. The final study sample comprised 1,761 screened patients, 1,641 of whom belonged to category 1, 78 to category 2, and 42 to category 3. INR values were available for 1,504 patients of whom 1,013 presented INR values within their therapeutic ranges. The majority of screened patients had very good compliance, as assessed by the general practitioner. New antithrombotic drugs were prescribed in 6.1% of cases.
Conclusions: The screening results showed that a high proportion of patients were receiving appropriate anticoagulation therapy. The numbers of patients with a long-term indication for OAC therapy that were not receiving oral anticoagulants, and without a long-term indication that were receiving OAC, were considerably lower than expected. Most patients take coumarins, and the quality of OAC control is reasonably high.
This work deals with the determination of the scale parameter ΛM̄S̄ from lattice QCD and perturbation theory results of the static quark-antiquark potential for nf = 2. The investigation is done in momentum space. Lattice methods as well as perturbation theory calculations are introduced. Another part of this work concerns the calculation of the quark-antiquark potential from gauge link configurations for nf = 2 + 1 + 1.
Der Aufsatz untersucht das syntaktische Verhalten nicht-satzförmiger Adverbialia im Deutschen und im brasilianischen Portugiesisch in vergleichender Perspektive. Behandelt werden Adverbialia aus sechs Klassen, deren semantische Funktionen von der Sachverhaltsbeschreibung bis zur Beschreibung von Handlungsabsichten des Sprechers reichen. Insgesamt zeigen sich große Ähnlichkeiten zwischen den Vergleichssprachen. Im Deutschen scheint eine etwas stärkere Tendenz zu bestehen, Adverbialia syntaktisch zu integrieren, während es im Portugiesischen mehr Möglichkeiten gibt, sie desintegriert zu verwenden.
Dendritic cells (DCs) are the cutting edge in innate and adaptive immunity. The major functions of these antigen-presenting cells are the capture, endosomal processing and presentation of antigens, providing them an exclusive ability to provoke adaptive immune responses and to induce and control tolerance. Immature DCs capture and process antigens, migrate towards secondary lymphoid organs where they present antigens to naive T cells in a well-synchronized sequence of procedures referred to as maturation. Indeed, recent research indicated that sphingolipids are modulators of essential steps in DC homeostasis. It has been recognized that sphingolipids not only modulate the development of DC subtypes from precursor cells but also influence functional activities of DCs such as antigen capture, and cytokine profiling. Thus, it is not astonishing that sphingolipids and sphingolipid metabolism play a substantial role in inflammatory diseases that are modulated by DCs. Here we highlight the function of sphingosine 1-phosphate (S1P) on DC homeostasis and the role of S1P and S1P metabolism in inflammatory diseases.
Parasitoid wasps new to Britain (Hymenoptera: Platygastridae,
Eurytomidae, Braconidae & Bethylidae)
(2014)
One genus and five species are recorded as new to Britain: Fidiobia, Fidiobia hispanica, Macroteleia bicolora (Platygastridae); Sycophila binotata (Eurytomidae); Schizoprymnus collaris (Braconidae); and Laelius pedatus (Bethylidae). Keys to British Macroteleia and Laelius are provided.
Provisional synonymy is proposed between Macroteleia minor and M. brevigaster, and synonymy is proposed between Laelius femoralis, L. microneurus and L. nigricrus. The possible mode of introduction of Sycophila binotata is discussed. A lectotype is designated for Schizoprymnus collaris.
Thought to be monotypic for decades, the only species in the goosefish genus Lophiomus Gill, Lm. setigerus (Vahl), shows a wide range of morphological variation and is distributed widely in the Indo-West Pacific (IWP). In this study, datasets for two mitochondrial and two nuclear genes sequences obtained from samples of Lophiomus collected in different localities across the IWP were constructed and analyzed to explore the phylogeny and species diversity within the genus. Our integrated approach with multiline evidence unveiled an unanticipated richness of at least six delimited species of Lophiomus. Herein, based on materials already available from museums and new specimens obtained primarily through the Tropical Deep-Sea Benthos program surveying IWP benthic fauna, we formally describe three new species: Lm. immaculioralis sp. nov., Lm. nigriventris sp. nov., and Lm. carusoi sp. nov. Also, we resurrect Lm. laticeps stat. rev. from synonyms of Lm. setigerus. These species can be diagnosed by genetics, body coloration, patterns on the floor of the mouth, peritoneum pigmentation, morphometric measurements, and meristic counts of cranial spines, dorsal-fin spines, and pectoral-fin and pelvic-fin rays from each other and from Lm. setigerus. The species Lm. setigerus, as well as the genus Lophiomus, are re-described accordingly based on the new results. Amended identification keys to the four extant lophiid genera and to species of Lophiomus are also provided.
Correlative microscopy incorporates the specificity of fluorescent protein labeling into high-resolution electron micrographs. Several approaches exist for correlative microscopy, most of which have used the green fluorescent protein (GFP) as the label for light microscopy. Here we use chemical tagging and synthetic fluorophores instead, in order to achieve protein-specific labeling, and to perform multicolor imaging. We show that synthetic fluorophores preserve their post-embedding fluorescence in the presence of uranyl acetate. Post-embedding fluorescence is of such quality that the specimen can be prepared with identical protocols for scanning electron microscopy (SEM) and transmission electron microscopy (TEM); this is particularly valuable when singular or otherwise difficult samples are examined. We show that synthetic fluorophores give bright, well-resolved signals in super-resolution light microscopy, enabling us to superimpose light microscopic images with a precision of up to 25 nm in the x-y plane on electron micrographs. To exemplify the preservation quality of our new method we visualize the molecular arrangement of cadherins in adherens junctions of mouse epithelial cells.
Abseits : Nachwort
(2014)
In der Einleitung wurde bereits dargelegt, dass und warum es nicht einfach ist, philosophischer und anderer Kehrseiten so habhaft zu werden, dass sie Kehrseiten bleiben. Wendet man sich einer Kehrseite zu, erscheint das vormals Abgekehrte zugewandt. Aus der verdeckten Kehrseite ist eine Ansichtsseite geworden, die ihrerseits eine neue, abgewandte Kehrseite haben wird und haben muss. Was Luhmanns Systemtheorie 'Zwei-Seiten-Form' nennt, bei der sich jede Unterscheidung aus einer markierten Innen- und einer nicht markierten Außenseite zusammensetzt, wird für den, der sich für Kehrseiten interessiert, schnell zum Dilemma
Blastic plasmacytoid dendritic cell neoplasm (BPDCN) is a rare haematopoietic malignancy characterized by dismal prognosis and overall poor therapeutic response. Since the biology of BPDCN is barely understood, our study aims to shed light on the genetic make-up of these highly malignant tumors. Using targeted high-coverage massive parallel sequencing, we investigated 50 common cancer genes in 33 BPDCN samples. We detected point mutations in NRAS (27.3% of cases), ATM (21.2%), MET, KRAS, IDH2, KIT (9.1% each), APC and RB1 (6.1% each), as well as in VHL, BRAF, MLH1, TP53 and RET (3% each). Moreover, NRAS, KRAS and ATM mutations were found to be mutually exclusive and we observed recurrent mutations in NRAS, IDH2, APC and ATM. CDKN2A deletions were detected in 27.3% of the cases followed by deletions of RB1 (9.1%), PTEN and TP53 (3% each). The mutual exclusive distribution of some mutations may point to different subgroups of BPDCN whose biological significance remains to be explored.
Ein milder Winter hat dazu geführt, dass recht früh Blütezeit und Pollenflug eingesetzt haben. Auch einige heimische Insekten haben sich stärker vermehrt. Doch wie sieht es aus mit neuen „Plagegeistern“ wie exotischen Stechmücken oder eingewanderten Pflanzen wie der Beifußambrosie? Welche Gefahren lauern, was kann man gegen ein weiteres Vordringen invasiver Arten tun? Die Experten vom LOEWE Biodiversität und Klima Forschungszentrum BiK-F, Prof. Sven Klimpel und Dr. Oliver Tackenberg, geben Auskunft.
The knowledge of phenotypic variation in the European range of the highly allergenic Ambrosia artemisiifolia L. (common ragweed) is not entirely complete, even though it is an invasive species of utmost concern. We hypothesized the prevalence of phenotypic differentiations between common ragweed populations in the introduced range, and we assumed that those differentiations were related to environmental conditions at the points of origin. Using a common garden experiment, we investigated biomass allocation, growth rates, and flowering phenology of 38 European common ragweed populations originating from a major geographical gradient. We observed considerable phenotypic variation in growth parameters and flowering phenology, e.g. mean aboveground biomass varied from 23.3 to 47.3 g between the populations. We were able to relate most measured traits with environmental parameters prevailing at the points of origin. For example, early growth of ruderal populations was highly correlated with temperature and precipitation at the point of origin. Late growth and flowering phenology were highly correlated with latitude, i.e. individuals from northern populations grew smaller and flowered and dispersed their pollen and seeds up to 5 weeks earlier than individuals from southern populations. We also found a longitudinal gradient in flowering phenology which has not yet been described. The existence of such a high variability in the introduced range may facilitate further range expansion. We suggest that the correlation with environmental variables rests upon genetic variation possibly due to adaptations to the respective environment. To clarify if such adaptation results from multiple events of introduction or as evolutionary response after introduction, genetic investigations are needed.
The Sahel has been the focus of scientific interest in environmental-human dynamics and interactions. The objective of the present study is to contribute to the recent debate on the re-greening of Sahel. The paper examines the dynamics of barren land in the Sahel of Burkina Faso through analysis of remotely-sensed and rainfall data from 1975–2011. Discussions with farmers and land management staff have helped to understand the anthropogenic efforts toward soil restoration to enable the subsistence farming agriculture. Results showed that area of barren land has been fluctuating during the study period with approximately 10-year cyclicity. Similarly, rainfall, both at national and local levels has followed the same trends. The trends of the area of barren land and rainfall variability suggest that when rainfall increases, the area of barren land decreases and barren land increases when rainfall decreases. This implies that rainfall is one of the main factors driving the change in area of barren land. In addition, humans have contributed positively and negatively to the change by restoring barren lands for agriculture using locally known techniques and by accelerating land degradation through intensive and inappropriate land use practices.
Speolepta leptogaster (Winnertz, 1863) is frequently occurring in European subterranean environments. As for most cave animals, studies addressing non-anatomical aspects are sparse. Here we present the first molecular study on S. leptogaster. We investigated the demographic structure (i.e. COI locus) of 69 specimens from 36 underground populations in Hesse (Central German Uplands) to get first insights into the species’ dispersal ability.
In total, 14 haplotypes were revealed. Haplotype diversity was relatively high, whereas nucleotide diversity was low. Furthermore, a significant but low pattern of isolation-by-distance and (a) past population expansion event(s) were detected.
Our genetic results suggest a (good) active dispersal ability for Speolepta leptogaster. The occurrence of several surface records of adult specimens corroborates this hypothesis. We discuss the developmental stages of S. leptogaster in the context of the ecological classification system and regard the species as a eutroglophile. Evidence has been found to distinguish two larval types. A reconstructed life-cycle of the species is provided.
In der Diskussion zwischen verschiedenen Spielarten der Diskursanalyse und den Gouvernementalitätsstudien haben Vertreter beider Seiten das Dispositiv als vermittelnden Begriff vorgeschlagen. In diesem Zusammenhang wird die Frage »Was ist ein Dispositiv?« neu gestellt. Durch eine Relektüre von Foucaults Texten wird ein Debattenbeitrag zum Dispositivkonzept entworfen, welcher der Verwässerung einerseits und andererseits einer methodischen Schließung durch Operationalisierung des Dispositivkonzepts entgehen soll. Als Destillat dieser Rekonstruktion werden sechs Kernelemente für eine dispositivanalytische Forschungsperspektive vorgeschlagen. Der anschließende Teil bringt Foucaults Analysen mit Bruno Latours Akteur-Netzwerk-Theorie (ANT) ins Gespräch, um potentielle Leerstellen in der Dispositivanalyse zu schließen. Diese betreffen vor allem die Bereiche »Natur«, »Technik« und »Medien«. Neben Latours Akteur-Netzwerk-Theorie wird im letzten Teil Karen Barads Agentieller Realismus für die Dispositivanalyse produktiv gemacht und in das Konzept eingearbeitet.
This study included 30 patients with diagnosed rheumatoid arthritis (RA) and 30 test subjects without RA (control group). The objective of the study was to examine both groups for the presence of temporomandibular disorders (TMD) and morphological changes of the temporomandibular joint (TMJ). All individuals were examined using a systematic detailed clinical TMD examination as well as magnetic resonance imaging (MRI). The clinical TMD examination yielded significant differences between the RA patients and the control group concerning crepitus of the TMJ, and palpation tenderness of the masticatory muscles as well as the unassisted mandibular opening. The evaluation of the MRI images for the RA group showed significantly more frequent deformations of the condyle, osteophyte formations and erosions in the condylar compacta, and degenerative changes in the spongiosa. Increased intra-articular accumulation of synovial liquid and signs of inflammatory changes of the spongiosa were only found in the RA group. Statistical analysis showed a significant correlation between crepitus and specific osteoarthrotic changes (MRI), respectively, and between crepitus and a complete anterior disk displacement without reduction (MRI). The duration of the RA disease correlated neither with the anamnestic and clinical dysfunction index by Helkimo nor with RA-specific MRI findings.
Die vorliegende Arbeit widmet sich der Frage, welches Glück im Film zur Darstellung kommt. Denn Glück ist kontingent – so, wie wir es erleben, kann es, muss es aber nicht sein. Gegenstand ist nicht ein potentielles Glückserleben der Zuschauer_innen im Zuge der Rezeption eines Filmes, sondern der Wissenskomplex zu Glück, den Filme aktivieren und prägen.
Wenn gilt, dass Glück nicht nur ein legitimer Anspruch des Individuums ist, sondern auch ein in den Massenmedien erzeugtes Konstrukt, dann ist genau dieses Wissen zu Glücksvorstellungen, das nicht zuletzt durch Filme und das, was sie über das Glück erzählen, Verbreitung findet, zu untersuchen. Zu fragen ist demgemäß, welche Vorstellungen von Glück gezeigt, infrage gestellt, abgelehnt, perpetuiert oder sanktioniert werden. In der Analyse wird so ein Glückskonzept fassbar, das mehr offenlegt als nur das Gefühl des Glücklichseins.
Die fünf hier ausgewählten Spielfilme – DIE FETTEN JAHRE SIND VORBEI, SILBERHOCHZEIT, KEINOHRHASEN, KIRSCHBLÜTEN – HANAMI, VINCENT WILL MEER – werden einer qualitativen Analyse unterzogen, sodass sich ihre jeweiligen Glückskonzepte als belastbare Ergebnisse abstrahieren lassen. Ziel ist eine exemplarische Sammlung populärer Glückskonzepte, die in ihren Ausprägungen als für unsere heutige Gesellschaft charakteristisch gelten können.
Die vorliegende Arbeit verfolgt in der Analyse zwei Perspektiven: Erstens zeigt sie, welches Glück in den untersuchten Filmen zur Darstellung kommt, und zweitens skizziert sie, dass das Wissen zu Glück, das in den Filmen vorausgesetzt, vermittelt und herausgefordert wird, in Zusammenhang mit hegemonialen Diskursen der westlichen Moderne steht.
In dieser Arbeit setze ich mich mit den Themen Existenz, Tod und Absurdität in Thomas Bernhards Romanen 'Frost' und 'Verstörung' auseinander. Da beide Texte viele inhaltliche und formale Ähnlichkeiten aufweisen, bieten sie sich als Gegenstand für eine einzelne Analyse an. 'Frost' wurde 1963 veröffentlicht, 'Verstörung' 1967. Es sind die ersten umfangreichen Prosawerke Bernhards. Zuvor erschienen hauptsächlich Gedichte und kürzere Prosatexte. Thomas Bernhard lässt sich literarhistorisch als kanonisierter1 Autor der Moderne charakterisieren.
U redu riječi prijedlozi imaju relativno stalno mjesto po kojemu su i nazvani – predlažu se ispred riječi na koju se odnose. U gramatikama se još spominje i postpozicija, kad prijedlozi dolaze iza riječi na koju se odnose (svemu unatoč...). U ovom radu prijedlozi se ne promatraju na morfološkoj razini, dakle na razini jedne riječi, nego se promatraju kao funkcionalna skupina koja uključuje i višerječne prijedložne izraze. Analizom su obuhvaćene i sveze riječi, odnosno koligacije temeljene na gramatičkoj uvjetovanosti sastavnica, a koje tvore jednu značenjsku cjelinu. Ta dva metodološka pomaka u percepciji prijedloga i u percepciji riječi pokazuju da se prijedlog može naći i u drugim pozicijama te se u radu analizira gdje se sve u rečenici mogu naći prijedlozi.
Lichens are present in most land ecosystems, frequently occupying habitats where few other organisms are able to survive. Their contribution to the ecosystems in terms of biomass and ground cover increases with latitude and altitude, being, together with bryophytes, the most conspicuous component of alpine and polar landscapes. Whereas some polar lichens have reduced distributions and are restricted to high latitudes, most of them have very wide distributional ranges, which oven extend over several climatic regions. Many of them are common to Polar Regions of both hemispheres, a distributional pattern that has been denominated as bipolar, antitropical or amphitropical. Bipolar distributions are not exclusive to lichens, but common to many groups of organisms. The bipolar element in lichens is exceptional as it includes a large number of species, while in most other land organisms it includes genera or families but very seldom species.
In this dissertation I use the bipolar lichen Cetraria aculeata to give a first insight into the phylogeography of this biogeographic element in lichens. I discuss how and when the disjunct distribution of C. aculeata came to be, and try to partial out the roles that historical and ecological processes played in shaping its distribution.
Sampling was designed to cover a wide geographic extension. The main e"ort was made to collect in boreal, temperate and tropical mountain ranges in North and South America, as well to include Mediterranean populations in which specimens with deviant morphologies are observed.
I found that Cetraria aculeata forms a genetically congruent taxon. Although whether it should include C. muricata remains unsolved, I excluded all specimens identified as the latter from our analyses. Thee populations of both algal and fungal symbionts have a strong geographic structure. The study of the lichen fungus suggested that the species originated in the Eurasian continent and later expanded to acquire its current distribution during the Pleistocene. The results showed that all American populations originated from an ancestral population, more similar to the extant Arctic populations than to the Mediterranean ones.
The comparison between the structure of fungal and algal populations showed a high degree of coherence between them. However, the similarity in photobiont use between Arctic and Antarctic populations suggests that photobiont use responds not only to a history of codispersal in vegetative propagula, but it is also a result of a selective process related to climate. Since this climatic pattern of similarity is also found in the community of Alphaproteobacteria associated with C. aculeata, we concluded that lichens might be able to accommodate or to respond to different environmental conditions by selectively associating with different symbiotic partners.
Lastly, we found the Mediterranean populations of C. aculeata to be genetically differentiated in algal and fungal symbionts from the rest of the populations. While we found no grounds to believe that the overgrown morphs encountered in the region are due to the association with different algal lineages, I believe that a switch in photobiont use might be responsible for the pattern of genetic isolation encountered. Furthermore, I suggest that the Mediterranean and bipolar C. aculeata could be two different species, since both are ecologically, genetically and at least in part morphologically divergent.
Background: In primary care, patients with multiple chronic conditions are the rule rather than the exception. The Chronic Care Model (CCM) is an evidence-based framework for improving chronic illness care, but little is known about the extent to which it has been implemented in routine primary care. The aim of this study was to describe how multimorbid older patients assess the routine chronic care they receive in primary care practices in Germany, and to explore the extent to which factors at both the practice and patient level determine their views.
Methods: This cross-sectional study used baseline data from an observational cohort study involving 158 general practitioners (GP) and 3189 multimorbid patients. Standardized questionnaires were employed to collect data, and the Patient Assessment of Chronic Illness Care (PACIC) questionnaire used to assess the quality of care received. Multilevel hierarchical modeling was used to identify any existing association between the dependent variable, PACIC, and independent variables at the patient level (socio-economic factors, weighted count of chronic conditions, instrumental activities of daily living, health-related quality of life, graded chronic pain, no. of contacts with GP, existence of a disease management program (DMP) disease, self-efficacy, and social support) and the practice level (age and sex of GP, years in current practice, size and type of practice).
Results: The overall mean PACIC score was 2.4 (SD 0.8), with the mean subscale scores ranging from 2.0 (SD 1.0, subscale goal setting/tailoring) to 3.5 (SD 0.7, delivery system design). At the patient level, higher PACIC scores were associated with a DMP disease, more frequent GP contacts, higher social support, and higher autonomy of past occupation. At the practice level, solo practices were associated with higher PACIC values than other types of practice.
Conclusions: This study shows that from the perspective of multimorbid patients receiving care in German primary care practices, the implementation of structured care and counseling could be improved, particularly by helping patients set specific goals, coordinating care, and arranging follow-up contacts. Studies evaluating chronic care should take into consideration that a patient’s assessment is associated not only with practice-level factors, but also with individual, patient-level factors.
Background: It is not well established how psychosocial factors like social support and depression affect health-related quality of life in multimorbid and elderly patients. We investigated whether depressive mood mediates the influence of social support on health-related quality of life.
Methods: Cross-sectional data of 3,189 multimorbid patients from the baseline assessment of the German MultiCare cohort study were used. Mediation was tested using the approach described by Baron and Kenny based on multiple linear regression, and controlling for socioeconomic variables and burden of multimorbidity.
Results: Mediation analyses confirmed that depressive mood mediates the influence of social support on health-related quality of life (Sobel's p < 0.001). Multiple linear regression showed that the influence of depressive mood (beta = -0.341, p < 0.01) on health-related quality of life is greater than the influence of multimorbidity (beta = -0.234, p < 0.01).
Conclusion: Social support influences health-related quality of life, but this association is strongly mediated by depressive mood. Depression should be taken into consideration in research on multimorbidity, and clinicians should be aware of its importance when caring for multimorbid patients.
Serial quantification of BCR–ABL1 mRNA is an important therapeutic indicator in chronic myeloid leukaemia, but there is a substantial variation in results reported by different laboratories. To improve comparability, an internationally accepted plasmid certified reference material (CRM) was developed according to ISO Guide 34:2009. Fragments of BCR–ABL1 (e14a2 mRNA fusion), BCR and GUSB transcripts were amplified and cloned into pUC18 to yield plasmid pIRMM0099. Six different linearised plasmid solutions were produced with the following copy number concentrations, assigned by digital PCR, and expanded uncertainties: 1.08±0.13 × 106, 1.08±0.11 × 105, 1.03±0.10 × 104, 1.02±0.09 × 103, 1.04±0.10 × 102 and 10.0±1.5 copies/μl. The certification of the material for the number of specific DNA fragments per plasmid, copy number concentration of the plasmid solutions and the assessment of inter-unit heterogeneity and stability were performed according to ISO Guide 35:2006. Two suitability studies performed by 63 BCR–ABL1 testing laboratories demonstrated that this set of 6 plasmid CRMs can help to standardise a number of measured transcripts of e14a2 BCR–ABL1 and three control genes (ABL1, BCR and GUSB). The set of six plasmid CRMs is distributed worldwide by the Institute for Reference Materials and Measurements (Belgium) and its authorised distributors (https://ec.europa.eu/jrc/en/reference-materials/catalogue/; CRM code ERM-AD623a-f).
Obesity and associated lifestyle in a large sample of multi-morbid German primary care attendees
(2014)
Background: Obesity and the accompanying increased morbidity and mortality risk is highly prevalent among older adults. As obese elderly might benefit from intentional weight reduction, it is necessary to determine associated and potentially modifiable factors on senior obesity. This cross-sectional study focuses on multi-morbid patients which make up the majority in primary care. It reports on the prevalence of senior obesity and its associations with lifestyle behaviors.
Methods: A total of 3,189 non-demented, multi-morbid participants aged 65–85 years were recruited in primary care within the German MultiCare-study. Physical activity, smoking, alcohol consumption and quantity and quality of nutritional intake were classified as relevant lifestyle factors. Body Mass Index (BMI, general obesity) and waist circumference (WC, abdominal obesity) were used as outcome measures and regression analyses were conducted.
Results: About one third of all patients were classified as obese according to BMI. The prevalence of abdominal obesity was 73.5%. Adjusted for socio-demographic variables and objective and subjective disease burden, participants with low physical activity had a 1.6 kg/m2 higher BMI as well as a higher WC (4.9 cm, p<0.001). Current smoking and high alcohol consumption were associated with a lower BMI and WC. In multivariate logistic regression, using elevated WC and BMI as categorical outcomes, the same pattern in lifestyle factors was observed. Only for WC, not current but former smoking was associated with a higher probability for elevated WC. Dietary intake in quantity and quality was not associated with BMI or WC in either model.
Conclusions: Further research is needed to clarify if the huge prevalence discrepancy between BMI and WC also reflects a difference in obesity-related morbidity and mortality. Yet, age-specific thresholds for the BMI are needed likewise. Encouraging and promoting physical activity in older adults might a starting point for weight reduction efforts.
Background: Multimorbidity is a common phenomenon in primary care. Until now, no clinical guidelines for multimorbidity exist. For the development of these guidelines, it is necessary to know whether or not patients are aware of their diseases and to what extent they agree with their doctor. The objectives of this paper are to analyze the agreement of self-reported and general practitioner-reported chronic conditions among multimorbid patients in primary care, and to discover which patient characteristics are associated with positive agreement.
Methods: The MultiCare Cohort Study is a multicenter, prospective, observational cohort study of 3,189 multimorbid patients, ages 65 to 85. Data was collected in personal interviews with patients and GPs. The prevalence proportions for 32 diagnosis groups, kappa coefficients and proportions of specific agreement were calculated in order to examine the agreement of patient self-reported and general practitioner-reported chronic conditions. Logistic regression models were calculated to analyze which patient characteristics can be associated with positive agreement.
Results: We identified four chronic conditions with good agreement (e.g. diabetes mellitus κ = 0.80;PA = 0,87), seven with moderate agreement (e.g. cerebral ischemia/chronic stroke κ = 0.55;PA = 0.60), seventeen with fair agreement (e.g. cardiac insufficiency κ = 0.24;PA = 0.36) and four with poor agreement (e.g. gynecological problems κ = 0.05;PA = 0.10).Factors associated with positive agreement concerning different chronic diseases were sex, age, education, income, disease count, depression, EQ VAS score and nursing care dependency. For example: Women had higher odds ratios for positive agreement with their GP regarding osteoporosis (OR = 7.16). The odds ratios for positive agreement increase with increasing multimorbidity in almost all of the observed chronic conditions (OR = 1.22-2.41).
Conclusions: For multimorbidity research, the knowledge of diseases with high disagreement levels between the patients' perceived illnesses and their physicians' reports is important. The analysis shows that different patient characteristics have an impact on the agreement. Findings from this study should be included in the development of clinical guidelines for multimorbidity aiming to optimize health care. Further research is needed to identify more reasons for disagreement and their consequences in health care.
Background: With increasing life expectancy the number of people affected by multimorbidity rises. Knowledge of factors associated with health-related quality of life in multimorbid people is scarce. We aimed to identify the factors that are associated with self-rated health (SRH) in aged multimorbid primary care patients.
Methods: Cross-sectional study with 3,189 multimorbid primary care patients aged from 65 to 85 years recruited in 158 general practices in 8 study centers in Germany. Information about morbidity, risk factors, resources, functional status and socio-economic data were collected in face-to-face interviews. Factors associated with SRH were identified by multivariable regression analyses.
Results: Depression, somatization, pain, limitations of instrumental activities (iADL), age, distress and Body Mass Index (BMI) were inversely related with SRH. Higher levels of physical activity, income and self-efficacy expectation had a positive association with SRH. The only chronic diseases remaining in the final model were Parkinson's disease and neuropathies. The final model accounted for 35% variance of SRH. Separate analyses for men and women detected some similarities; however, gender specific variation existed for several factors.
Conclusion: In multimorbid patients symptoms and consequences of diseases such as pain and activity limitations, as well as depression, seem to be far stronger associated with SRH than the diseases themselves. High income and self-efficacy expectation are independently associated with better SRH and high BMI and age with low SRH.
Objective: The objective of this study was to describe and analyze the effects of depression on health care utilization and costs in a sample of multimorbid elderly patients.
Method: This cross-sectional analysis used data of a prospective cohort study, consisting of 1,050 randomly selected multimorbid primary care patients aged 65 to 85 years. Depression was defined as a score of six points or more on the Geriatric Depression Scale (GDS-15). Subjects passed a geriatric assessment, including a questionnaire for health care utilization. The impact of depression on health care costs was analyzed using multiple linear regression models. A societal perspective was adopted.
Results: Prevalence of depression was 10.7%. Mean total costs per six-month period were €8,144 (95% CI: €6,199-€10,090) in patients with depression as compared to €3,137 (95% CI: €2,735-€3,538; p<0.001) in patients without depression. The positive association between depression and total costs persisted after controlling for socio-economic variables, functional status and level of multimorbidity. In particular, multiple regression analyses showed a significant positive association between depression and pharmaceutical costs.
Conclusion: Among multimorbid elderly patients, depression was associated with significantly higher health care utilization and costs. The effect of depression on costs was even greater than reported by previous studies conducted in less morbid patients.
Myelodysplastic syndromes (MDSs) represent clonal disorders mainly of the elderly that are characterized by ineffective hematopoiesis and an increased risk of transformation into acute myeloid leukemia. The pathogenesis of MDS is thought to evolve from accumulation and selection of specific genetic or epigenetic events. Emerging evidence indicates that MDS is not solely a hematopoietic disease but rather affects the entire bone marrow microenvironment, including bone metabolism. Many of these cells, in particular mesenchymal stem and progenitor cells (MSPCs) and osteoblasts, express a number of adhesion molecules and secreted factors that regulate blood regeneration throughout life by contributing to hematopoietic stem and progenitor cell (HSPC) maintenance, self-renewal and differentiation. Several endocrine factors, such as erythropoietin, parathyroid hormone and estrogens, as well as deranged iron metabolism modulate these processes. Thus, interactions between MSPC and HSPC contribute to the pathogenesis of MDS and associated pathologies. A detailed understanding of these mechanisms may help to define novel targets for diagnosis and possibly therapy. In this review, we will discuss the scientific rationale of "osteohematology" as an emerging research field in MDS and outline clinical implications.
Als Glück bringendes Mitbringsel erfreut sich der Glücksklee (Oxalis deppei = O. tetraphylla) vor allem zum Jahreswechsel großer Beliebtheit. Neben weiteren, dem (Aber-)Glauben nach Glück bringenden Symbolen wie Schornsteinfeger, Schwein, Hufeisen und Fliegenpilz sind viergeteilte Kleeblätter ein häufiges Motiv auf Silvesterartikeln. Botanisch gehört er allerdings nicht zur Gattung "Klee" (Trifolium, Fabaceae, Schmetterlingsblütler), sondern zur Gattung Sauerklee (Oxalis, Oxalidaceae, Sauerkleegewächse), die in Nordrhein-Westfalen mit dem einheimischen Wald-Sauerklee (Oxalis acetosella), sowie mit dem neophytischen Aufrechten Sauerklee (Oxalis stricta) und der möglicherweise archaeophytischen Artengruppe Gehörnter Sauerklee (Oxalis corniculata agg.) vertreten ist. Im vorliegenden Beitrag werden Verbreitung, Morphologie und Verwendung des Glücksklees besprochen.