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Cellular cytotoxicity is the hallmark of NK cells mediating both elimination of virus-infected or malignant cells, and modulation of immune responses. NK cytotoxicity is triggered upon ligation of various activating NK cell receptors. Among these is the C-type lectin-like receptor NKp80 which is encoded in the human Natural Killer Gene Complex (NKC) adjacent to its ligand, activation-induced C-type lectin (AICL). NKp80-AICL interaction promotes cytolysis of malignant myeloid cells, but also stimulates the mutual crosstalk between NK cells and monocytes.
While many activating NK cell receptors pair with ITAM-bearing adaptors, we recently reported that NKp80 signals via a hemITAM-like sequence in its cytoplasmic domain. Here we molecularly dissect the NKp80 hemITAM and demonstrate that two non-consensus amino acids, in particular arginine 6, critically impair both hemITAM phosphorylation and Syk recruitment. Impaired Syk recruitment results in a substantial attenuation of cytotoxic responses upon NKp80 ligation. Reconstituting the hemITAM consensus or Syk overexpression resulted in robust NKp80-mediated responsiveness. Collectively, our data provide a molecular rationale for the restrained activation potential of NKp80 and illustrate how subtle alterations in signaling motifs determine subsequent cellular responses. They also suggest that non-consensus alterations in the NKp80 hemITAM, as commonly present among mammalian NKp80 sequences, may have evolved to dampen NKp80-mediated cytotoxic responses toward AICL-expressing cells.
Background: The activating NK receptor NKp80 triggers cytotoxicity by human NK cells via a cytoplasmic hemITAM sequence.
Results: A non-consensus hemITAM residue impairs the capacity of NKp80 to recruit Syk kinase and to trigger cytotoxicity.
Conclusion: Unlike typical hemITAM receptors, NKp80 does not efficiently recruit Syk kinase resulting in attenuated effector responses.
Significance: An attenuated cytotoxic responsiveness critically impacts on the immunomodulatory function of NKp80.
In the stomach, neoplastic lesions often arise in the setting of precursor conditions such as gastritis, intestinal metaplasia, or adenomatous lesions. Biopsies may, therefore, underestimate disease severity or even miss the diagnosis (sampling error). Endomicroscopy is able to visualize typical features of such pathologies. It enables in vivo microscopy of gastritis with definition of enhanced vascularity and vascular leakage, but the typical cobblestone appearance of the gastric mucosa is preserved. The presence of intestinal metaplasia is confirmed by columnar absorptive cells with brush border and goblet cells within villiform foveolar epithelium. Gastric neoplasia is characterized by crowded glands with intraluminal folding and glandular budding and branching accompanied by increased density of dilated and distorted capillaries. Finally, in gastric cancer, gland and overall mucosal architecture is progressively lost. These features are shown side by side with white-light endoscopic findings. Endomicroscopy is used in such a setting to rapidly screen larger areas (optical biopsies) and subsequently target tissue sampling to areas with highly suspicious microscopic patterns. In experienced hands, it therefore constitutes an important part especially in the presence of neoplastic lesions within noncircumscript gastric premalignant conditions. This article is part of an expert video encyclopedia.
Dieulafoy's lesion (DL) is a rare source of gastrointestinal tract bleeding that may occur at any site in the gastrointestinal tract and may be difficult to detect by endoscopy. DL is characterized by a large, tortuous arteriole in the submucosa. This is a case of duodenal DL that is detected and treated by endoscopy. This article is part of an expert video encyclopedia.
Peutz–Jeghers syndrome (PJS) is a rare autosomal-dominant inherited disorder characterized by gastrointestinal hamartomas, mucocutaneous pigmentation, and an elevated cancer risk. Moreover, intussusception risk may be as high as 50% at the age of 20 years and is caused by large polyps. There is some evidence that endoscopic surveillance of PJS patients with removal of small intestinal polyps with a diameter of more than 15 mm efficiently prevents intussusceptions. In recent years, capsule endoscopy (CE) has largely replaced small-bowel radiography techniques to screen for small-bowel polyps. Magnetic resonance imaging may be equally efficient as CE for screening of large polyps. Balloon enteroscopy may be used for endoscopic snare resection of polyps. This article is part of an expert video encyclopedia.
The author presents the case of a patient with severe bleeding from a duodenal ulcer that could not be controlled by endoscopic application of metal clips and injection of fibrin glue. Angiographic embolization with placement of coils into the feeding vessel stopped the bleeding. However, 3 days later, a fistula emerged from coil material penetrating into the dorsal duodenum and a peritoneal leakage developed. The fistula was completely closed by placing an over-the-scope clip on the enteral opening of the fistula. This article is part of an expert video encyclopedia.
Small-bowel tumors are rare and account for approximately 5% of all gastrointestinal tumors. Approximately 65% of small-bowel tumors are malignant, and approximately 40% of these tumors are adenocarcinomas. Similar to colorectal adenocarcinoma, premalignant adenomas of the small bowel may progress to carcinoma. This occurs both sporadically and in the context of hereditary tumor syndromes such as familial adenomatous polyposis or hereditary nonpolyposis colorectal cancer (Lynch syndrome). Herein cases with small-bowel adenocarcinomas visualized with both capsule endoscopy and double-balloon enteroscopy are presented. This article is part of an expert video encyclopedia.
A rare cause of recurrent melena was identified by capsule endoscopy: arteriovenous malformation
(2013)
Small bowel endoscopy is indicated for patients with an unidentified bleeding site in esophagogastroduodenoscopy and ileocolonoscopy and symptoms of intestinal blood loss or unexplained anemia. In approximately two-thirds of these cases, capsule endoscopy (CE) detects a lesion within the small bowel that explains the patient's symptoms.
The case of an 80-year-old female patient with recurrent melena and anemia is presented here by the authors. Endoscopy of the upper gastrointestinal tract as well as ileocolonoscopy did not show any pathological findings. CE revealed an area with abnormal mucosa in the middle third of the small bowel, which was strongly suspected of having malignant origin. Surgical exploration led to resection of a small jejunal segment with a palpable mass and increased blood flow. Surprisingly, the final diagnosis determined by the pathologist was arteriovenous malformation (AVM). This article is part of an expert video encyclopedia.
Characteristically, most solid tumors exhibit an increased tumor interstitial fluid pressure (TIFP) that directly contributes to the lowered uptake of macromolecular therapeutics into the tumor interstitium. Abnormalities in the tumor-associated lymph vessels are a central brick in the development and prolonged sustaining of an increased TIFP. In the current study, vascular endothelial growth factor C (VEGF-C) was used to enhance tumor-associated lymphangiogenesis as a new mechanism to actively reduce the TIFP by increased lymphatic drainage of the tumor tissue. Human A431 epidermoid vulva carcinoma cells were inoculated in NMRI nu/nu mice to generate a xenograft mouse model. Seven days after tumor cell injection, VEGF-C was peritumorally injected to induce lymphangiogenesis. Tumor growth and TIFP was lowered significantly over time in VEGF-C-treated tumors in comparison to control or VEGF-A-treated animals. These data demonstrate for the first time that actively induced lymphangiogenesis can lower the TIFP in a xenograft tumor model and apparently reduce tumor growth. This model represents a novel approach to modulate biomechanical properties of the tumor interstitium enabling a lowering of TIFP in vivo.
Hepatology highlights
(2013)
The ALICE detector is ideally suited to study the production of anti- and hyper-matter due to its excellent particle identification capabilities. The measurement of the He¯4-nucleus in Pb–Pb collisons at sNN=2.76TeV is presented. We further show the performance for the reconstruction of the (anti-)hypertriton in the decay to He3+π− (He¯3+π+). In addition to this, two searches have been performed, one for the H-Dibaryon →Λpπ− and one for the Λn bound state (Λn¯→d¯π+). No signals are observed for these exotic states and upper limits have been determined.
The width of the ω meson in cold nuclear matter is computed in a hadronic many-body approach, focusing on a detailed treatment of the medium modifications of intermediate πρ states. The π and ρ propagators are dressed by their self-energies in nuclear matter taken from previously constrained many-body calculations. The pion self-energy includes Nh and Δh excitations with short-range correlations, while the ρ self-energy incorporates the same dressing of its 2π cloud with a full 3-momentum dependence and vertex corrections, as well as direct resonance-hole excitations; both contributions were quantitatively fit to total photo-absorption spectra and πN→ρN scattering. Our calculations account for in-medium decays of type ωN→πN(⁎),ππN(Δ), and 2-body absorptions ωNN→NN(⁎),πNN. This causes deviations of the in-medium ω width from a linear behavior in density, with important contributions from spacelike ρ propagators. The ω width from the ρπ cloud may reach up to 200 MeV at normal nuclear matter density, with a moderate 3-momentum dependence. This largely resolves the discrepancy of linear T–ϱ approximations with the values deduced from nuclear photoproduction measurements.
We investigate the modification of the pion self-energy at finite temperature due to its interaction with a low-density, isospin-symmetric nuclear medium embedded in a constant magnetic background. To one loop, for fixed temperature and density, we find that the pion effective mass increases with the magnetic field. For the π−, interestingly, this happens solely due to the trivial Landau quantization shift ∼|eB|, since the real part of the self-energy is negative in this case. In a scenario in which other charged particle species are present and undergo an analogous trivial shift, the relevant behavior of the effective mass might be determined essentially by the real part of the self-energy. In this case, we find that the pion mass decreases by ∼10% for a magnetic field |eB|∼mπ2, which favors pion condensation at high density and low temperatures.
We investigate the phase structure of strongly interacting matter at non-vanishing isospin before the onset of pion condensation in the framework of the unquenched Polyakov–Quark-Meson model with 2+1 quark flavors. We show results for the order parameters and all relevant thermodynamic quantities. In particular, we obtain a moderate change of the pressure with isospin at vanishing baryon chemical potential, whereas the chiral condensate decreases more appreciably. We compare the effective model to recent lattice data for the decrease of the pseudo-critical temperature with the isospin chemical potential. We also demonstrate the major role played by the value of the pion mass in the curvature of the transition line, and the need for lattice results with a physical pion mass. Limitations of the model at nonzero chemical potential are also discussed.
For the pathologist, the diagnosis of drug induced liver injury (DILI) is challenging, because histopathological features mimic all primary hepatic and biliary diseases, lacking changes that are specific for DILI. Therefore, in any patient of suspected DILI who underwent liver biopsy, the pathologist will assure the clinician that the observed hepatic changes are compatible with DILI, but this information is less helpful due to lack of specificity. Rather, the pathologist should assess liver biopsies blindly, without knowledge of prior treatment by drugs. This will result in a detailed description of the histological findings, associated with suggestions for potential causes of these hepatic changes. Then, it is up to the physician to reassess carefully the differential diagnoses, if not done before. At present, liver histology is of little impact establishing the diagnosis of DILI with the required degree of certainty, and this shortcoming also applies to herb induced liver injury (HILI). To reach at the correct diagnoses of DILI and HILI, clinical and structured causality assessments are therefore better approaches than liver histology results obtained through liver biopsy, an invasive procedure with a low complication rate.
The small intestine is a part of the gastrointestinal tract in which digestion and absorption of nutrients takes place. The small bowel follows the stomach and is followed by the large intestine, reaching from the pylorus to the valve of Bauhin and is separated into the duodenum, the jejunum, and the ileum.
Capsule endoscopy (CE) has the potential to offer a perfect overview of the small-bowel mucosa and complete visualization of the entire small bowel is achieved in most cases. In this video, there is an overview offered on normal findings in small-bowel CE and typical anatomical landmarks are indicated. This article is part of an expert video encyclopedia.
The TolC-like protein HgdD of the filamentous, heterocyst-forming cyanobacterium Anabaena sp. PCC 7120 is part of multiple three-component "AB-D" systems spanning the inner and outer membranes and is involved in secretion of various compounds, including lipids, metabolites, antibiotics, and proteins. Several components of HgdD-dependent tripartite transport systems have been identified, but the diversity of inner membrane energizing systems is still unknown. Here we identified six putative resistance-nodulation-cell division (RND) type factors. Four of them are expressed during late exponential and stationary growth phase under normal growth conditions, whereas the other two are induced upon incubation with erythromycin or ethidium bromide. The constitutively expressed RND component Alr4267 has an atypical predicted topology, and a mutant strain (I-alr4267) shows a reduction in the content of monogalactosyldiacylglycerol as well as an altered filament shape. An insertion mutant of the ethidium bromide-induced all7631 did not show any significant phenotypic alteration under the conditions tested. Mutants of the constitutively expressed all3143 and alr1656 exhibited a Fox(-) phenotype. The phenotype of the insertion mutant I-all3143 parallels that of the I-hgdD mutant with respect to antibiotic sensitivity, lipid profile, and ethidium efflux. In addition, expression of the RND genes all3143 and all3144 partially complements the capability of Escherichia coli ΔacrAB to transport ethidium. We postulate that the RND transporter All3143 and the predicted membrane fusion protein All3144, as homologs of E. coli AcrB and AcrA, respectively, are major players for antibiotic resistance in Anabaena sp. PCC 7120.
There is ample epidemiologic evidence for an association of chronic hepatitis C virus (HCV) infection with B-cell non-Hodgkin lymphoma (B-NHL). B-NHL subtypes most frequently associated with HCV are marginal zone lymphoma and diffuse large B-cell lymphoma. The most convincing evidence for a causal relationship between HCV infection and lymphoma development is the observation of B-NHL regression after HCV eradication by antiviral therapy (AVT). In fact, for indolent HCV-associated B-NHL, first-line AVT instead of standard immune-chemotherapy might be considered. Molecular mechanisms of HCV-NHL development are still poorly understood. Three general theories have emerged to understand the HCV-induced lymphomagenesis: (1) continuous external stimulation of lymphocyte receptors by viral antigens and consecutive proliferation; (2) HCV replication in B cells with oncogenic effect mediated by intracellular viral proteins; (3) permanent B-cell damage, e.g., mutation of tumor suppressor genes, caused by a transiently intracellular virus (“hit and run” theory). This review systematically summarizes the data on epidemiology, interventional studies, and molecular mechanisms of HCV-associated B-NHL.
A low potential electron carrier ferredoxin (E0′ ≈ −500 mV) is used to fuel the only bioenergetic coupling site, a sodium-motive ferredoxin:NAD+ oxidoreductase (Rnf) in the acetogenic bacterium Acetobacterium woodii. Because ferredoxin reduction with physiological electron donors is highly endergonic, it must be coupled to an exergonic reaction. One candidate is NADH-dependent caffeyl-CoA reduction. We have purified a complex from A. woodii that contains a caffeyl-CoA reductase and an electron transfer flavoprotein. The enzyme contains three subunits encoded by the carCDE genes and is predicted to have, in addition to FAD, two [4Fe-4S] clusters as cofactor, which is consistent with the experimental determination of 4 mol of FAD, 9 mol of iron, and 9 mol of acid-labile sulfur. The enzyme complex catalyzed caffeyl-CoA-dependent oxidation of reduced methyl viologen. With NADH as donor, it catalyzed caffeyl-CoA reduction, but this reaction was highly stimulated by the addition of ferredoxin. Spectroscopic analyses revealed that ferredoxin and caffeyl-CoA were reduced simultaneously, and a stoichiometry of 1.3:1 was determined. Apparently, the caffeyl-CoA reductase-Etf complex of A. woodii uses the novel mechanism of flavin-dependent electron bifurcation to drive the endergonic ferredoxin reduction with NADH as reductant by coupling it to the exergonic NADH-dependent reduction of caffeyl-CoA.
This is the case report of a 58-year-old male patient who presented with recurring abdominal pain of 4 months duration. He had undergone multiple investigations including upper and lower gastrointestinal tract endoscopies and diagnostic laparoscopy, but there were no significant findings detected.
Capsule endoscopy revealed a submucosal small bowel tumor that was suspected to originate from the distal third of the small bowel. Surgery was indicated and a highly differentiated neuroendocrine tumor was found at laparotomy at the distal ileum. An ileocecal resection was performed confirming a neuroendocrine tumor of the small bowel (G2T2N1M1). This article is part of an expert video encyclopedia.
Previous experimental measurements from nuclear collisions have indicated modifications of jets by interaction with the medium created in the collision. Observables from particle correlations in the ALICE detector continue to provide access to key properties of the hot deconfined nuclear matter. New results from two- and three-particle number and transverse momentum correlations are discussed. Specifically, correlation function properties are characterized as a function of transverse momentum and centrality and for different charge combinations. Fourier decompositions are performed, identified particle ratios are studied in the jet-like peak and in the bulk, and the away-side shape is looked at in three-particle correlations.
The proportion of elderly women in the population is rising, and in tandem, the incidence of breast cancer rises with age. Because of health and tolerability concerns, as well as life expectancy, physicians may be reluctant to advise a standard treatment regimen for elderly patients with metastatic breast cancer. To elucidate this issue, we performed a literature review of clinical studies that included women with metastatic breast cancer who were over the age of 65. Our results show that although little clinical evidence exists, what is available suggests that standard treatment is tolerated and beneficial for patients meeting certain criteria. A geriatric assessment may identify specific patient groups (independent, dependent, or frail) and thereby guide treatment. Treatment recommendations for elderly patients with metastatic breast cancer are sparse, although first-line endocrine treatment, usually aromatase inhibitors or tamoxifen, is recommended for hormone-sensitive disease. In general, the evidence from clinical studies suggests that aromatase inhibitors are more effective than either tamoxifen or megestrol acetate as first- or second-line treatment in postmenopausal women with metastatic breast cancer. Ultimately, quality of life, treatment effects, and comorbidities are important aspects in this population and may guide treatment choice. To provide evidence-based treatment guidance, future clinical trials should include more patients over the age of 65 years.
The antineoplastic alkaloid ellipticine is a prodrug, the pharmacological efficiency of which is dependent on its cytochrome P450 (CYP)- and/or peroxidase-mediated activation to species forming DNA adducts in target tissues. Here, we found that this compound is cytotoxic to human BHT-101, B-CPAP and 8505-C thyroid cancer cells and blocks one or more phases of cell cycle in these cancer cells. Ellipticine toxicity to the thyroid cancer cells corresponded to levels of DNA adducts generated by the CYP- and/or peroxidase-mediated ellipticine metabolites, 12-hydroxy- and 13-hydroxyellipticine, in these cells. Cultivation of all tested cells under hypoxic conditions (1 % oxygen) led to a decrease in ellipticine toxicity. Such a lower sensitivity of cells to ellipticine correlates with a decrease in the formation of ellipticine-derived DNA adducts in these cells. Using Western blotting, the expression of CYP1A1, 1B1, 3A4, thyroid peroxidase (TPO), cyclooxygenase-1 (COX-1) and cytochrome b5, the enzymes that catalyze, and/or influence ellipticine metabolism, was investigated in the cancer cells. Furthermore, the effects of ellipticine treatment on the expression levels of these proteins in thyroid cancer cells were also examined. The results indicate that the highest expression levels of cytochrome b5 together with CYP1A1 and 3A4 determine the highest DNA adduct formation and cytotoxicity of ellipticine in B-CPAP cells. They also demonstrate that formation of covalent DNA adducts by ellipticine is the predominant mechanism responsible for its cytotoxicity in studied cells.
Herbal hepatotoxicity is a rare but highly disputed disease because numerous confounding variables may complicate accurate causality assessment. Case evaluation is even more difficult when the WHO global introspection method (WHO method) is applied as diagnostic algorithm. This method lacks liver specificity, hepatotoxicity validation, and quantitative items, basic qualifications required for a sound evaluation of hepatotoxicity cases. Consequently, there are no data available for reliability, sensitivity, specificity, positive and negative predictive value. Its scope is also limited by the fact that it cannot discriminate between a positive and a negative causality attribution, thereby stimulating case overdiagnosing and overreporting. The WHO method ignores uncertainties regarding daily dose, temporal association, start, duration, and end of herbal use, time to onset of the adverse reaction, and course of liver values after herb discontinuation. Insufficiently considered or ignored are comedications, preexisting liver diseases, alternative explanations upon clinical assessment, and exclusion of infections by hepatitis A-C, cytomegalovirus (CMV), Epstein-Barr virus (EBV), herpes simplex virus (HSV), and varicella zoster virus (VZV). We clearly prefer as alternative the scale of CIOMS (Council for International Organizations of Medical Sciences) which is structured, quantitative, liver specific, and validated for hepatotoxicity. In conclusion, causality of herbal hepatotoxicity is best assessed by the liver specific CIOMS scale validated for hepatotoxicity rather than the obsolete WHO method that is liver unspecific and not validated for hepatotoxicity. CIOMS based assessments will ensure the correct diagnosis and exclude alternative diagnosis that may require other specific therapies.
The relationship between achievement of a pathologic complete response (pCR) and favorable long-term outcome varies among breast cancer subtypes. We aimed to highlight which neoadjuvant treatment strategy could be most successful in each breast cancer subtype. A recent FDA meta-analysis on randomized neoadjuvant breast cancer trials suggests that the survival differences of patients with or without a pCR were less pronounced in luminal A-like tumors, despite the overall favorable prognosis of these patients. Moreover, even though the strong prognostic effect of pCR in HER2 positive and TNBC, the NOAH study was the only trial which showed a trend in surrogacy of pCR for long-term outcome in HER2-positive subtype. Results from GeparTrio study suggest that patients with hormone-positive tumors might need a response-guided approach, with either an intensification of treatment in case of an early response or a change to other chemotherapy in case of no early response. Furthermore, data from German neoadjuvant trials confirm that an increasing number of chemotherapy cycles is associated with a higher pCR rate, especially in patients with HER2-positive/hormone-positive tumors. In line with these suggestions, Tryphaena study showed a pCR rate that exceeding the 60% threshold, the highest pCR results presented in a large multicenter study. In TNBC, the highest pCR rate in the German neoadjuvant studies was obtained with the simultaneous application of docetaxel, doxorubicin and cyclophosphamide for 6 cycles. However, as shown in GaparQuinto and NSABP 40 trials, treatment effect in TNBC might be further maximized by adding bevacizumab, and two randomized neoadjuvant trials are expected this year to report data on the efficacy of carboplatin.
Identification of the intermediates and determination of their structures in the reduction of dioxygen to water by cytochrome c oxidase (CcO) are particularly important to understanding both O2 activation and proton pumping by the enzyme. In this work, we report the products of the rapid reaction of O2 with the mixed valence form (CuA(2+), heme a(3+), heme a3(2+)-CuB(1+)) of the enzyme. The resonance Raman results show the formation of two ferryl-oxo species with characteristic Fe(IV)=O stretching modes at 790 and 804 cm(-1) at the peroxy oxidation level (PM). Density functional theory calculations show that the protein environment of the proximal H-bonded His-411 determines the strength of the distal Fe(IV)=O bond. In contrast to previous proposals, the PM intermediate is also formed in the reaction of Y167F with O2. These results suggest that in the fully reduced enzyme, the proton pumping ν(Fe(IV)=O) = 804 cm(-1) to ν(Fe(IV)=O) = 790 cm(-1) transition (P→F, where P is peroxy and F is ferryl) is triggered not only by electron transfer from heme a to heme a3 but also by the formation of the H-bonded form of the His-411-Fe(IV)=O conformer in the proximal site of heme a3. The implications of these results with respect to the role of an O=Fe(IV)-His-411-H-bonded form to the ring A propionate of heme a3-Asp-399-H2O site and, thus, to the exit/output proton channel (H2O) pool during the proton pumping P→F transition are discussed. We propose that the environment proximal to the heme a3 controls the spectroscopic properties of the ferryl intermediates in cytochrome oxidases.
Background: Understanding the coupling of O2 reduction to proton pumping by CcO requires detection of reaction intermediates.
Results: We have detected two oxoferryl intermediates at the PM oxidation state.
Conclusion: The H-bonding properties of the proximal heme a3 His ligand control the strength of the oxoferryl species.
Significance: The role of His-411, Thr-389, Gly-386, and Asp-399 residues in the proton pumping P→F transition is outlined.
In high-energy nuclear collisions, heavy quark potential at finite temperature controls the quarkonium suppression. Including the relaxation of the medium induced by the relative velocity between quarkonia and the deconfined expanding matter, the Debye screening is reduced and the quarkonium dissociation takes place at a higher temperature. As a consequence of the velocity-dependent dissociation temperature, the quarkonium suppression at high transverse momentum is significantly weakened in high-energy nuclear collisions at RHIC and LHC.
In this article, the video demonstrated is an example of a 76-year-old male patient who presented with recurrent intestinal bleeding of unknown origin at the university hospital. Previously performed upper and lower gastrointestinal tract endoscopy did not reveal a bleeding lesion. Capsule endoscopy revealed small-bowel angiectasia that were treated by argon plasma coagulation at subsequent balloon enteroscopy. This article is part of an expert video encyclopedia.
Small bowel varices may be found in less than 5% of patients with suspected small bowel bleeding. These varices are associated with portal hypertension or thrombosis of mesenteric venous vessels and with altered abdominal vascular anatomy with or without prior small bowel surgery. In bleeding small bowel varices, therapeutic options include endoscopic injection of tissue adhesives, endovascular approaches such as balloon-occluded retrograde transvenous or percutaneous obliteration and transjugular intrahepatic portosystemic shunt, and surgical resection. This is a case report of a 53-year-old patient with ethylic liver cirrhosis who presented with severe, life-threatening hematochezia due to small bowel varices. This article is part of an expert video encyclopedia.
This is an example of capsule endoscopy (CE) revealing terminal ileitis in an young male patient with recurrent abdominal pain who had previously been investigated with colonoscopy and esophagogastroduodenoscopy without any significant findings. CE revealed severe inflammation of the terminal ileum. This article is part of an expert video encyclopedia.
Operatively altered anatomy such as Billroth II gastroenterostomy represents a challenge in endoscopic retrograde cholangiopancreatography and might require dedicated instruments. In this article, the authors demonstrate the technique of endoscopic retrograde cholangiography and sphincterotomy in a patient with Billroth's operation-II. Sphincterotomy is performed with a specially designed Billroth papillotome to enable papillotomy in the direction of the papillary roof. This article is part of an expert video encyclopedia.
Here the authors report the case of an elderly woman who had upper abdominal pain, upper gastrointestinal hemorrhage, and jaundice (a symptomatic triad termed the ‘Quincke’ triad) a few days after endoscopic sphincterotomy. Abdominal ultrasonography demonstrated an echo-rich filling of the choledochus consistent with hemobilia. Endoscopic retrograde cholangiography was immediately performed and blood clots were removed from the common bile duct. A nasobiliary catheter was placed to irrigate the bile duct for prevention of recurring obstruction of the bile ducts from blood clots. Further follow-up of the patient was uneventful. This article is part of an expert video encyclopedia.
Small bowel endoscopy is indicated for patients with an unidentified bleeding site in esophagogastroduodenoscopy and ileocolonoscopy and symptoms of intestinal blood loss or unexplained anemia. In approximately two-thirds of these cases, capsule endoscopy (CE) detects a lesion within the small bowel that explains the patient's symptoms. In few cases, though, lesions outside of the small bowel might be revealed by CE. Therefore, attention to all intestines that are visualized by CE might be necessary not to overlook bleeding sites that had not been discovered by prior flexible endoscopy.
Here the case of a 71-year-old male patient with unexplained anemia is presented by the authors. Small-bowel CE revealed minor bleeding from a neoplastic mass in the cecum. The final diagnosis of an adenocarcinoma of the ascending colon was established after the patient underwent a right hemicolectomy. This article is part of an expert video encyclopedia.
Small bowel endoscopy is indicated for patients with an unidentified bleeding site in esophago-gastro-duodenoscopy and ileo-colonoscopy and symptoms of intestinal blood loss or unexplained anemia. In approximately two-thirds of these cases, capsule endoscopy (CE) detects a lesion within the small bowel that explains the patient's symptoms. In few cases, though, lesions outside of the small bowel might be revealed by CE. Therefore, attention to all intestines that are visualized by CE might be necessary not to overlook bleeding sites that had not been discovered by prior flexible endoscopy.
The authors present the case of a 71-year-old male patient who presented to their outpatient clinic for unexplained anemia. Small bowel CE revealed minor bleeding from an adenocarcinoma in the cecum. This article is part of an expert video encyclopedia.
Stent insertion is an established technique of endoscopic retrograde cholangiopancreatography (ERCP) to treat symptomatic malignant or benign biliary strictures, and stent placement is accomplished by using the over-the-wire (OTW) method. In some cases, however, it might be challenging and sometimes time consuming to pass a complex biliary stricture with the guidewire. Stent-exchange technique with a guidewire left in place during stent removal might therefore be helpful to guarantee successful and time-sparing interventions.
A simple method is presented to remove the stent with the guidewire left in place, using the OTW stent-exchange method in ERCP. This technique simplifies stent OTW exchange by using a simple endoscopy snare. This article is part of an expert video encyclopedia.
Operatively altered anatomy might provide a challenge for endoscopic retrograde cholangiopancreatography. However, with the support of the balloon-assisted enteroscopy technique the access route to the biliary system even in long-limb Roux-Y anastomosis is feasible in most cases.
In this video case report, an 81-year-old woman was symptomatic for stone obstruction of the common bile duct (CBD). Complete gastrectomy had been performed in this patient for stomach cancer many years earlier. Balloon-assisted enteroscopy was used for retrograde access of the duodenum via a Roux-Y anastomosis. There was major difficulty in intubating the CBD via the native papilla in this case because access was prevented by the tangential approach of the enteroscope. After performing an incomplete papillectomy, the insertion of a guidewire into the CBD was feasible and the bile duct stone was removed. This article is part of an expert video encyclopedia.
Purpose: Metabolic changes upon antiangiogenic therapy of recurrent glioblastomas (rGBMs) may provide new biomarkers for treatment efficacy. Since in vitro models showed that phospholipid membrane metabolism provides specific information on tumor growth we employed in-vivo MR-spectroscopic imaging (MRSI) of human rGBMs before and under bevacizumab (BVZ) to measure concentrations of phosphocholine (PCho), phosphoethanolamine (PEth), glycerophosphocholine (GPC), and glyceroethanolamine (GPE).
Methods: 1H and 31P MRSI was prospectively performed in 32 patients with rGBMs before and under BVZ therapy at 8 weeks intervals until tumor progression. Patients were dichotomized into subjects with long overall survival (OS) (>median OS) and short OS (<median OS) survival time from BVZ-onset. Metabolite concentrations from tumor tissue and their ratios were compared to contralateral normal-appearing tissue (control).
Results: Before BVZ, 1H-detectable choline signals (total GPC and PCho) in rGBMs were elevated but significance failed after dichotomizing. For metabolite ratios obtained by 31P MRSI, the short-OS group showed higher PCho/GPC (p = 0.004) in rGBMs compared to control tissue before BVZ while PEth/GPE was elevated in rGBMs of both groups (long-OS p = 0.04; short-OS p = 0.003). Under BVZ, PCho/GPC and PEth/GPE in the tumor initially decreased (p = 0.04) but only PCho/GPC re-increased upon tumor progression (p = 0.02). Intriguingly, in normal-appearing tissue an initial PEth/GPE decrease (p = 0.047) was followed by an increase at the time of tumor progression (p = 0.031).
Conclusion: An elevated PCho/GPC ratio in the short-OS group suggests that it is a negative predictive marker for BVZ efficacy. These gliomas may represent a malignant phenotype even growing under anti-VEGF treatment. Elevated PEth/GPE may represent an in-vivo biomarker more sensitive to GBM infiltration than MRI.
Friedrich Flick zählt zweifellos zu den umstrittensten Protagonisten der deutschen Wirtschafts- und Unternehmensgeschichte des 20. Jahrhunderts – und mittlerweile auch zu den am besten erforschten. Zwischen 2004 und 2008 erschienen gleich vier teilweise recht umfangreiche Arbeiten zur Konzern- und zur Familiengeschichte. Was macht diesen Mann für Geschichtswissenschaft und politisch interessierte Öffentlichkeit so interessant? Ein kühner Unternehmensgründer vom Schlage eines Thyssen oder Siemens – das machen die vier Autoren gleich in der Einleitung deutlich – war er jedenfalls nicht, auch kein genialer Erfinder oder sozialpolitischer Pionier. Sein Name sei vielmehr zum "Synonym für politischen Opportunismus und den skrupellosen Einsatz wirtschaftlicher Macht geworden" (S. 8). Einen gewissermaßen widerwilligen Respekt nötigt allenfalls seine Fähigkeit ab, unter vier verschiedenen politischen Systemen wirtschaftlich erfolgreich zu sein. Schon aus diesem Grund erscheint es den Autoren angezeigt, Flick "als Unternehmer ernst zu nehmen" (S. 9). ...
Gene therapy on the move
(2013)
The first gene therapy clinical trials were initiated more than two decades ago. In the early days, gene therapy shared the fate of many experimental medicine approaches and was impeded by the occurrence of severe side effects in a few treated patients. The understanding of the molecular and cellular mechanisms leading to treatment- and/or vector-associated setbacks has resulted in the development of highly sophisticated gene transfer tools with improved safety and therapeutic efficacy. Employing these advanced tools, a series of Phase I/II trials were started in the past few years with excellent clinical results and no side effects reported so far. Moreover, highly efficient gene targeting strategies and site-directed gene editing technologies have been developed and applied clinically. With more than 1900 clinical trials to date, gene therapy has moved from a vision to clinical reality. This review focuses on the application of gene therapy for the correction of inherited diseases, the limitations and drawbacks encountered in some of the early clinical trials and the revival of gene therapy as a powerful treatment option for the correction of monogenic disorders.
Chronic granulomatous disease (CGD) is a primary immunodeficiency characterized by impaired antimicrobial activity in phagocytic cells. As a monogenic disease affecting the hematopoietic system, CGD is amenable to gene therapy. Indeed in a phase I/II clinical trial, we demonstrated a transient resolution of bacterial and fungal infections. However, the therapeutic benefit was compromised by the occurrence of clonal dominance and malignant transformation demanding alternative vectors with equal efficacy but safety-improved features. In this work we have developed and tested a self-inactivating (SIN) gammaretroviral vector (SINfes.gp91s) containing a codon-optimized transgene (gp91(phox)) under the transcriptional control of a myeloid promoter for the gene therapy of the X-linked form of CGD (X-CGD). Gene-corrected cells protected X-CGD mice from Aspergillus fumigatus challenge at low vector copy numbers. Moreover, the SINfes.gp91s vector generates substantial amounts of superoxide in human cells transplanted into immunodeficient mice. In vitro genotoxicity assays and longitudinal high-throughput integration site analysis in transplanted mice comprising primary and secondary animals for 11 months revealed a safe integration site profile with no signs of clonal dominance.
The project focuses on the efficiency of combined technologies to reduce the release of micropollutants and bacteria into surface waters via sewage treatment plants of different size and via stormwater overflow basins of different types. As a model river in a highly populated catchment area, the river Schussen and, as a control, the river Argen, two tributaries of Lake Constance, Southern Germany, are under investigation in this project. The efficiency of the different cleaning technologies is monitored by a wide range of exposure and effect analyses including chemical and microbiological techniques as well as effect studies ranging from molecules to communities.
Angiogenesis, the formation of new blood vessels from existing ones, is a fundamental biological process required for embryonic development; it also plays an important role during postnatal organ development and various physiological and pathological remodeling processes in the adult organism. Vascular endothelial growth factor (VEGF) and its main receptor, VEGF receptor-2 (VEGFR-2), play a central role in angiogenesis. VEGFR-2 expression is strongly upregulated in angiogenic vessels, but the mechanisms regulating VEGFR-2 expression are not well understood. We found in this study that the G-protein α subunit Gα13 plays an important role in the regulation of VEGFR-2 expression. In vitro, we found that knockdown of Gα13 reduced VEGFR-2 expression in human umbilical vein endothelial cells and impaired responsiveness to VEGF-A. This phenotype was rescued by adenoviral normalization of VEGFR-2 expression. Gα13-dependent VEGFR-2 expression involved activation of the small GTPase RhoA and transcription factor NF-κB; it was abrogated by deletion of the NF-κB binding site at position -84 of the VEGFR-2 promoter. In vivo, endothelial cell-specific loss of Gα13 resulted in reduced VEGFR-2 expression, impaired responsiveness towards VEGF-A in Matrigel assays, and reduced retinal angiogenesis. Importantly, also tumor vascularization was diminished in the absence of endothelial Gα13, resulting in reduced tumor growth. Taken together, we identified Gα13-dependent NF-κB activation as a new pathway underlying the transcriptional regulation of VEGFR-2 during retinal and tumor angiogenesis.
Data are presented for 29 chrysomelid species (Coleoptera: Chrysomelidae) occurring in the Cayman Islands, West Indies, 26 of these not having been reported from these islands previously. Altica occidentalis Suffrian is removed from the genus Lysathia Bechyné and reinstated in Altica Geoffroy. Chaetocnema perplexa Blake is synonymized with Chaetocnema confinis Crotch, new synonymy. Omophoita cyanipennis octomaculata (Crotch) is synonymized with Omophoita cyanipennis (Fabricius), new synonymy. The following nine species are named and described: Apraea luciae, Apraea priscilae, Cryptocephalus catharinae, Cryptocephalus kirki, Cryptocephalus paulotigrinus, Longitarsus alisonae, Megistops adiae, Nyctiplanctus bifasciatus, Syphrea thurstonae, all are new species. Taxonomic notes and a key to species, as well as information on plant associations and extralimital distribution, are also provided.
The prize-collecting vehicle routing problem with single and multiple depots and non-linear cost
(2013)
In this paper, we propose a new routing problem to model a highly relevant planning task in small package shipping. We consider the Prize-Collecting Vehicle Routing Problem with Non-Linear cost in its single and multi-depot version, which integrates the option of outsourcing customers to subcontractors instead of serving them with the private fleet. Thereby, a lower bound on the total customer demand to be served by the private fleet guarantees a high utilization of the fleet capacity. To represent the practical situation, where a discount is given by a subcontractor if larger amounts of packages are outsourced, subcontracting costs follow a non-linear function. The considered problem is NP-hard and we propose an Adaptive Variable Neighborhood Search algorithm to solve instances of realistic size. We propose new benchmark sets for the single and the multi-depot problem, which are adapted from test instances of the capacitated VRP and the closely related Multi-Depot VRP with Private fleet and Common carrier. In numerical studies, we investigate the performance of our algorithm on the newly generated test instances and on standard benchmark problems of related problems. Moreover, we study the effect of different cost functions and different values of the minimal demand to be served by the private fleet on the routing solutions obtained.
Bei der Ionenstrahltherapie bestimmt die Energie der Ionen die Eindringtiefe in das Gewebe und damit die Lage des Braggpeaks, in dem der größte Teil der Ionisationsenergie deponiert wird.
Um die gewünschte Dosis möglichst genau im Tumor zu lokalisieren, müssen in den aufeinanderfolgenden Extraktionen die gewünschten unterschiedlichen Energien möglichst genau sein.
In der Beschleunigungsphase werden die Magnetfelder der Magnete im Synchrotron bis zum vorgegebenen Exktraktionswert hochgefahren. Dieser bestimmt zusammen mit der Synchrotronfrequenz die Strahlenergie. Während und insbesondere am Ende dieser Phase, Rampe genannt, sollte das Magnetfeld daher sehr genau dem berechneten Sollwert folgen, um Strahlverluste zu minimieren und die geforderte Strahlqualität zu erreichen.
In der zeitlichen Steuerung der Magnetströme müssen magnetische Effekte, die hauptsächlich im Eisen der Magnete auftreten, wie Wirbelströme und die Hysterese berücksichtigt werden, da sie das Feld verfälschen und damit den Strahl in unerwünschter Weise beeinflussen. Die während der Rampe entstehenden Wirbelströme stören das Magnetfeld, so dass bisher vor der Extraktion des Strahls eine Wartezeit eingeführt wurde, bis die Wirbelströme abgeklungen waren.
Bei beliebig wählbaren Abfolgen der vordefinierten Zyklen kommt es durch die Hysterese des Eisens zu unterschiedlichen Remanenzfeldern, die das Magnetfeld verändern. Um dem vorzubeugen, durchliefen die Magnete eine vordefinierte Hystereseschleife. Ist die geforderte Energie des Strahls erreicht, wird das Magnetfeld konstant gehalten und die Teilchen aus dem Synchrotron extrahiert. Der Rest der Hystereseschleife wurde am Ende des Zyklus durchlaufen.
Die im Rahmen dieser Dissertation entwickelte dynamische Magnetfeldregelung misst das integrale Magnetfeld sehr genau und korrigiert die Feldfehler. Das integrale Magnetfeld folgt damit jederzeit seiner Vorgabe, unabhängig von den dynamischen Störeffekten. Die Wirbelströme und die Hysterese sind zwar immer noch vorhanden, die dadurch verursachten Feldfehler können aber durch eine Rückkopplung auf den Strom des Magneten korrigiert werden.
Es werden verschiedene Verfahren zur Messung der Magnetfelder untersucht. Am besten eignet sich für die dynamische Magnetfeldregelung die Kombination aus einer Hallsonden- und einer Induktionsspulenmessung. Die Messung muss das integrale Magnetfeld des Magneten BL, also das gesamte Feld entlang des Strahlwegs, bestimmen. Die Induktionsspule, oder Pickupspule, liegt deshalb entlang des Strahlrohrs im Magneten und liefert eine Spannung in Abhängigkeit von der Änderung des magnetischen Flusses. Durch die Integration dieser Spannung erhält man das integrale Feld des Magneten. Die Messung wird mit einer Hallsondenmessung zu Beginn des Beschleunigerzyklus auf einen absoluten Messwert geeicht.
Der Hauptteil dieser Arbeit beschäftigt sich mit der Entwicklung des sogenannten HIT Integrators, der die Integration der Pickupspulenspannung übernimmt. Bisher verfügbare Integratoren konnten die notwendigen Anforderungen an Genauigkeit, Echtzeitfähigkeit, automatische Kalibrierung, ständige Messbereitschaft, Temperaturunabhängigkeit und hohe Verfügbarkeit nicht erfüllen. Der neu entwickelte HIT Integrator wurde diesen Anforderungen entsprechend entwickelt. Der Integrator mit dem neuartigen Konzept der gleichzeitigen Messung und Kalibrierung in Echtzeit ist als Patent angemeldet worden. Neben der Entwicklung und Verwirklichung des Gesamtkonzepts war die numerische Integration des stark verrauschten Pickupspulensignals und die sofortige Umsetzung des integralen Werts in ein Steuersignal für die Dipolmagnetstromgeräte eine besondere technische Herausforderung.
Die elektronischen Schaltungen für die dynamische Magnetfeldregelung sind in der Baugruppe des HIT Integrators zusammengefasst. Die Ansteuerung der Hallsonde mit einer temperaturkompensierten Stromquelle, der Signalaufbereitung und Analog-Digital-Wandlung, sowie der Integrator und der Regler bilden eine technische Einheit.
Der HIT Integrator ist speziell für den Einsatz im bestehenden Beschleunigerkontrollsystem und den Magnetnetzgeräten entwickelt worden.
Die Regler der Magnetnetzgeräte wurden so verändert, dass sie einen Zusatzsollwert verarbeiten können, der auf den berechneten Sollwert der Datenversorgung addiert wird.
Die Magnetfeldregelung wurde in den Therapiebeschleuniger integriert, dazu wurde die Datenversorgung und das Kontrollsystem angepasst. Die Magnetfeldregelung stellt ein neues Gerät im Beschleuniger dar, das in die Netzgeräte der Synchrotronmagnete eingebaut worden ist. Die Datenversorgung dieser Geräte beinhaltet u.a. eine neue Methode der Kalibrierung.
Es konnte durch Messungen gezeigt werden, dass die Magnetfeldregelung mit hoher Genauigkeit funktioniert. Es wird eine Genauigkeit von besser als 10^{-4} des maximalen Feldes von 1.5 T erreicht, also weniger als 150uT, der dreifachen Stärke des Erdmagnetfelds. Vor allem die Bestrahlungszeit mit Protonen und die Bestrahlung bei niedrigen Energien profitiert von der Magnetfeldregelung, da hier das Extraktionsniveau der Magnete relativ gering ist und das Durchlaufen der vordefinierten Hystereseschleife prozentual mehr Zeit im Zyklus in Anspruch nimmt. Durch den Wegfall dieser Phase wird daher pro Zyklus mehr Zeit eingespart. Die Messungen zeigen, dass im Beschleunigerzyklus trotz der fehlenden Wartezeiten, die bis zu 24% betragen, eine gleichbleibend gute Strahlqualität erreicht wird. Dies wurde mit Vergleichsmessungen gezeigt, bei denen der Strahl mit und ohne Feldregelung vermessen wurde. Untersucht wurde eine große Stichprobenmenge aus dem Parameterraum, gegeben durch zwei Ionensorten mit jeweils 255 Strahlenergien, 10 verschiedenen Teilchenraten und 4 Strahlbreiten. Außerdem wurde die Energie des Strahls nachgemessen.
Für die Einführung in den Therapiebetrieb musste eine Impactanalyse gemacht werden, die mögliche Auswirkungen des neuen Verfahrens behandelt. Das Risiko für Patienten, Mitarbeiter und Dritte darf durch die Magnetfeldregelung nicht erhöht werden. Daraus entstand auch die Forderung nach einem redundanten System, das Fehler erkennt und die Bestrahlung abbricht.
Die mittlere Leistungsaufnahme des Beschleunigers des Heidelberger Ionenstrahltherapiezentrums liegt bei etwa 1 MW, bei einem Jahresenergieverbrauch von 8 GWh mit Kosten von etwa 1 Million Euro. Dies entspricht einer deutschen Kleinstadt mit 10000 Einwohnern. Die Verkürzung der Zykluszeiten wirkt sich direkt auf die Bestrahlungszeit und auf die Energiekosten aus. Würde man die Anlage durch die Zeiteinsparungen kürzer betreiben, würde man etwa 2 GWh pro Jahr sparen, was die Stromkosten um etwa 250000 Euro reduziert.
Zusätzlich zu den eingesparten Kosten wird auch die Bestrahlungszeit kürzer und damit auch die Zeit, die der Patient bei der Behandlung fixiert wird. Die Behandlung für die Patienten wird angenehmer. Man kann aber auch durch die eingesparte Bestrahlungszeit pro Patient entsprechend mehr Patienten behandeln. Das heißt man kann an Stelle von 700 Patienten im Jahr 910 Patienten mit einem Tumor behandeln. Dieser für die Patienten willkommene Effekt bedeutet auf der anderen Seite für HIT aber auch Mehreinnahmen von 4.2 Millionen Euro im Jahr.
Das Konzept der Magnetfeldregelung kann auch an anderen Beschleunigeranlagen zum Einsatz kommen. Dazu müssen die Magnete mit den Sonden bestückt werden und die Magnetnetzgeräte einen Eingang für einen Zusatzsollwert bekommen. Das Beschleunigerkontrollsystem kann erweitert werden, damit es einen Sollwert mit allen notwendigen Kalibrierungen berechnen kann. Der HIT Integrator wird dann als eigenständiges Gerät in das Kontrollsystem eingebunden.
Das Heidelberger Ionenstrahl Therapiezentrum (HIT) ist die erste klinische Anlage in Europa, an der die Strahlentherapie zur Tumorbekämpfung mit schwereren Ionen als Protonen möglich ist. Seit November 2009 wurden mehr als 1500 Patienten bei HIT behandelt.
Dabei kommt das beim GSI Helmholtzzentrum für Schwerionenforschung GmbH in Darmstadt entwickelte Rasterscan-Verfahren zum Einsatz. In der Bestrahlungsplanung wird der Tumor in Schichten gleicher Ionen-Energie und jede Schicht in einzelne Rasterpunkte eingeteilt. Für jeden Rasterpunkt wird eine individuelle Teilchenzahl appliziert, die am Ende zu der gewünschten Dosisverteilung führt. Dabei kann sich die benötigte Teilchenbelegung der einzelnen Rasterpunkte auch innerhalb einer Schicht um mehr als zwei Größenordnungen unterscheiden.
Ein auf wenige Millimeter Durchmesser fokussierter Teilchenstrahl kann in allen Raumrichtungen variiert werden, so dass selbst für unregelmäßig geformte Tumoren eine hochgenaue Dosiskonformität erreicht wird. Messkammern, die in der Ionen-Flugbahn kurz vor dem Patienten installiert sind, überwachen kontinuierlich Position, Form und Intensität des Strahls und ermöglichen so die Rasterpunkt-abhängige Dosisabgabe.
Zur Bereitstellung des Teilchenstrahls ist eine komplexe Beschleunigeranlage nötig, die eine große Bibliothek an möglichen Strahlparametern erzeugen kann. Das Herzstück der Anlage ist ein Synchrotron, in dem die Ionen auf die gewünschte Energie beschleunigt und anschließend über mehrere Sekunden extrahiert werden. Diese langsame Extraktion ist nötig, um dem Bestrahlungssystem genug Zeit für die korrekte, punktgenaue Dosisabgabe zu geben. Die zeitliche Struktur der beim Patienten ankommenden Strahlintensität wird Spill genannt.
Der verwendete Extraktionsmechanismus ist die transversale RF-Knockout Extraktion, die auf dem Prinzip der langsamen Resonanzextraktion beruht. Die im Synchrotron umlaufenden Teilchen werden dabei transversal angeregt, bis nach und nach ihre Schwingungsamplitude so groß ist, dass sie in den Extraktionskanal gelangen. Das für diese Anregung verantwortliche Gerät ist der RF-KO-Exciter. Er ist so eingestellt, dass ein möglichst konstanter Teilchenstrom das Synchrotron verlässt.
Bereits beim Befüllen des Synchrotrons variiert jedoch die injizierte Teilchenzahl und deren Verteilung im Phasenraum, so dass die voreingestellte Amplitudenfunktion des RF-KO-Exciters keinen idealen Spill liefern kann. Es kommt unweigerlich zu Schwankungen der Intensität am Strahlziel. Die erreichbare Leistungsfähigkeit der Therapieanlage hängt jedoch in hohem Maße von der Spillqualität ab. Je besser diese ist, umso schneller kann die individuelle Bestrahlung erfolgen und um so mehr Patienten können in gleicher Zeit behandelt werden.
Die vorliegende Arbeit beschäftigt sich mit der Verbesserung der Spillqualität am Bestrahlungsplatz. Dazu wird ein Regelkreis zwischen den Strahl-detektierenden Messkammern und dem die Extraktion steuernden RF-KO-Exciter geschlossen. Ionisationskammern, die auch zur Dosisbestimmung verwendet werden, messen die aktuelle Intensität. Das Therapiekontrollsystem, das den gesamten Bestrahlungsprozess steuert, gibt den Sollwert vor und leitet alle Informationen zur Reglereinrichtung. Dort wird in Abhängigkeit der Abweichung aus gewünschter und tatsächlich vorhandener Intensität sowie dem Regelalgorithmus ein Korrektursignal errechnet und dem RF-KO-Exciter zugeführt. Eine der Herausforderungen bestand dabei im Auffinden der geeigneten Regelparameter, die entsprechend der Strahlparameter Energie und Intensität gewählt werden müssen.
In einem ersten Schritt kann so der extrahierte Teilchenstrahl auf dem jeweils geforderten, konstanten Niveau gehalten werden. Diese Stufe wird seit April 2013 vollständig im Routinebetrieb der Therapieanlage verwendet. Der zweite Schritt besteht in der Anpassung der Extraktionsrate an den individuellen Bestrahlungsplan. So können die Rasterpunkte, die eine hohe Dosis benötigen, mit einer höheren Intensität bestrahlt werden, was die Bestrahlungszeit deutlich reduziert. Die Vollendung dieser Stufe ist bis Ende 2013 vorgesehen.
Im Rahmen dieser Arbeit wurden zwei Testsysteme sowie die Implementierung in den Routinebetrieb des Therapiebeschleunigers einer solchen Intensitäts- oder Spillregelung realisiert. Dies beinhaltet den Aufbau der Systeme, die Bereitstellung von Soll- und Istwert sowie die Auslegung und Einstellung des Regelkreises. Der erste Testaufbau für ein Strahlziel des Beschleunigers diente generellen Studien zur Machbarkeit einer solchen Regelung. Die dabei gesammelten Erfahrungen über nötige Erweiterungen führten zur zweiten Generation einer Testumgebung auf Basis eines Echtzeit-Ethernet-Systems. Dieses ermöglichte bereits die Regelung an allen Strahlzielen der HIT-Anlage sowie die Verwendung von unterschiedlichen Regelalgorithmen.
Mit den Systemen wurden Messungen zur Charakterisierung der Spillregelung im Parameterraum des Beschleunigers durchgeführt, um so ihre Möglichkeiten und Grenzen zu untersuchen. Erkenntnisse aus dieser Testphase flossen direkt in die Implementierung des für den Patientenbetrieb eingesetzten Systems ein, für das ein hohes Maß an Betriebs-Stabilität erforderlich ist. Es wurde in das Beschleuniger-Kontrollsystem unter Berücksichtigung des Sicherheitskonzeptes der Anlage integriert.
Die reine Bestrahlungszeit wird durch die Realisierung der ersten Stufe um bis zu 25% reduziert, nach Vollendung der zweiten Stufe wird sie um weitere bis zu 50% verringert. Strahlzeiten für Nachjustierungen der Spillqualität werden ebenfalls zum Teil eingespart. Insgesamt konnte durch die Spillregelung die Effizienz der Anlage deutlich gesteigert werden.
We show that the optimal consumption of an individual over the life cycle can have the hump shape (inverted U-shape) observed empirically if the preferences of the individual exhibit internal habit formation. In the absence of habit formation, an impatient individual would prefer a decreasing consumption path over life. However, because of habit formation, a high initial consumption would lead to high required consumption in the future. To cover the future required consumption, wealth is set aside, but the necessary amount decreases with age which allows consumption to increase in the early part of life. At some age, the impatience outweighs the habit concerns so that consumption starts to decrease. We derive the optimal consumption strategy in closed form, deduce sufficient conditions for the presence of a consumption hump, and characterize the age at which the hump occurs. Numerical examples illustrate our findings. We show that our model calibrates well to U.S. consumption data from the Consumer Expenditure Survey.
Der Eintritt des Lesers in die Welt der "Wächter"-Romane Sergej Lukianenkos mutet geradezu konventionell an. Der Ich-Erzähler und Protagonist Anton Gorodezki, lichter "Anderer", Nachtwache Moskau, durchstreift die nächtlichen Straßen in wichtiger Mission: er folgt dem Ruf eines dunklen "Anderen", eines Vampirs, um das damit angelockte menschliche Opfer zu retten. Nach und nach entfaltet sich die Welt der Wächter. In der uns bekannten Welt leben neben den normalen Menschen die magiebegabten "Anderen", Vampire und Werwölfe, Hexen und Zauberer etc. Von den Menschen, zumindest den Menschen der Moderne, weitgehend unbemerkt leben sie unter uns und bestimmen wesentlich die Ereignisse der Weltgeschichte.
Gemeinsam ist allen "Anderen" die Fähigkeit, in die magische Parallelwelt des Zwielichts eintauchen zu können. Getrennt sind sie durch ihre Zugehörigkeit zu den Lichten beziehungsweise zu den Dunklen, die sich in einem immerwährenden Kampf gegeneinander und um die Seelen der Menschen befinden. Zu Nutz und Frommen der Menschen kämpft das Gute gegen das Böse, Magie ist auch im Spiel – ein bekanntes Muster der Fantasy.
In literaturwissenschaftlichen Analysen des Genres spielt "Gut gegen Böse" dennoch ein weitgehendes Schattendasein. Definitionsversuche der Fantasy etwa von Pesch und Weinreich nennen das Begriffspaar nicht, eben sowenig das Phantastikhandbuch unter dem Lemma "Fantasy", allerdings als Grundmotiv der Apokalypse. Abraham führt es nicht als Teil seiner Definition, aber immerhin als einen Unterpunkt von "Dichotomien abendländischer Fantastik". Wiewohl Abraham insbesondere für neuere Werke und Adaptionen ausführt, dass nicht "ein einfacher Schwarz-Weiß-Kontrast [...], sondern tatsächlich eine Dichotomie" zwischen Gut und Böse vorliege und einzelnen Figuren psychologische Tiefe in diesem Bereich verliehen werde, so mag das relative Desinteresse an diesem Bereich auch daran liegen, dass ein oft recht holzschnittartig gearbeiteter Gegensatz ein wenig ergiebiges Arbeitsfeld oder Definitionskriterium darstellt. Auffällig ist, dass Abrahams vergleichsweise ausführliches Eingehen auf das Thema in einer "Einführung für Schule und Hochschule", unter einer spezifisch "medien- und rezeptionsorientierten Perspektive" stattfindet.
Background: After induction of DNA double strand breaks (DSBs), the DNA damage response (DDR) is activated. One of the earliest events in DDR is the phosphorylation of serine 139 on the histone variant H2AX (gH2AX) catalyzed by phosphatidylinositol 3-kinases-related kinases. Despite being extensively studied, H2AX distribution[1] across the genome and gH2AX spreading around DSBs sites[2] in the context of different chromatin compaction states or transcription are yet to be fully elucidated.
Materials and methods: gH2AX was induced in human hepatocellular carcinoma cells (HepG2) by exposure to 10 Gy X-rays (250 kV, 16 mA). Samples were incubated 0.5, 3 or 24 hours post irradiation to investigate early, intermediate and late stages of DDR, respectively. Chromatin immunoprecipitation was performed to select H2AX, H3 and gH2AX-enriched chromatin fractions. Chromatin-associated DNA was then sequenced by Illumina ChIP-Seq platform. HepG2 gene expression and histone modification (H3K36me3, H3K9me3) ChIP-Seq profiles were retrieved from Gene Expression Omnibus (accession numbers GSE30240 and GSE26386, respectively).
Results: First, we combined G/C usage, gene content, gene expression or histone modification profiles (H3K36me3, H3K9me3) to define genomic compartments characterized by different chromatin compaction states or transcriptional activity. Next, we investigated H3, H2AX and gH2AX distributions in such defined compartments before and after exposure to ionizing radiation (IR) to study DNA repair kinetics during DDR. Our sequencing results indicate that H2AX distribution followed H3 occupancy and, thus, the nucleosome pattern. The highest H2AX and H3 enrichment was observed in transcriptionally active compartments (euchromatin) while the lowest was found in low G/C and gene-poor compartments (heterochromatin). Under physiological conditions, the body of highly and moderately transcribed genes was devoid of gH2AX, despite presenting high H2AX levels. gH2AX accumulation was observed in 5’ or 3’ flanking regions, instead. The same genes showed a prompt gH2AX accumulation during the early stage of DDR which then decreased over time as DDR proceeded.
Finally, during the late stage of DDR the residual gH2AX signal was entirely retained in heterochromatic compartments. At this stage, euchromatic compartments were completely devoid of gH2AX despite presenting high levels of non-phosphorylated H2AX.
Conclusions: We show that gH2AX distribution ultimately depends on H2AX occupancy, the latter following H3 occupancy and, thus, nucleosome pattern. Both H2AX and H3 levels were higher in actively transcribed compartments. However, gH2AX levels were remarkably low over the body of actively transcribed genes suggesting that transcription levels antagonize gH2AX spreading. Moreover, repair processes did not take place uniformly across the genome; rather, DNA repair was affected by genomic location and transcriptional activity. We propose that higher H2AX density in euchromaticcompartments results in high relative gH2AXconcentration soon after the activation of DDR, thus favoring the recruitment of the DNA repair machinery to those compartments. When the damage is repaired and gH2AX is removed, its residual fraction is retained in the heterochromatic compartments which are then targeted and repaired at later times.
Ziel dieser Arbeit war, die Reaktion von biologischen Gewebeproben auf dünn- und dicht-ionisierende Strahlung zu evaluieren. Dafür wurden die Gewebeproben konventioneller Röntgenstrahlung sowie einem ausgedehnten 12C-Ionen Bragg-Peak ausgesetzt. Zur Bestrahlung der biologischen Proben mit 12C wurde mit dem GSI-eigenen Simulationsprogramm TRiP98 ein Tiefendosisprofil eines ausgedehnten Bragg-peaks erstellt. Ein weiteres Ziel dieser Arbeit war, dieses Tiefendosisprofil mit drei anderen Simulationsprogrammen (ATIMA, MCHIT, TRIM) zu reproduzieren und zu vergleichen.
ATIMA und TRIM sind allgemeine Programme für den Energieverlust von Ionen in Materie. Sie können das von TRiP98 berechnetet Tiefendosisprofil nur ungenügend reproduzieren, da sie aufgrund fehlender Fragmentierung ein linear ansteigendes Tiefendosisprofil berechnen. Das Monte Carlo-Programm MCHIT, welches speziell für die Wechselwirkung von Ionen mit Materie in medizinischer Anwendung entwickelt wurde, zeigt die beste Übereinstimmung mit der TRiP98-Referenzkurve. Bis auf eine leicht höhere Durchschnittsdosis um 0.1 Gy konnte das Tiefendosisprofil nahezu exakt reproduziert werden.
Die biologischen Proben bestanden aus Schnittkulturen gesunder Maus-Lebern und Explantatkulturen gesunder Maus-Pankreata, um Nebenwirkungen ionisierender Strahlen abzuschätzen. Zusätzlich wurde die Reaktion auf 12C-Bestrahlung in neoplastischem Lebergewebe transgener c-myc/TGF-α Mäuse mit induzierbarem Lebertumor bestimmt. Um eine mögliche Tageszeitabhängigkeit der Gewebereaktion auf die Bestrahlung zu untersuchen, wurden die Schnitt- und Explantatkulturen zu zwei unterschiedlichen Tageszeiten präpariert: zur Mitte des subjektiven Tages und zur Mitte der subjektiven Nacht.
Die Präparate wurden für mehrere Tage auf einer Membran an einer Grenzschicht von Flüssigkeit und Luft kultiviert. Leber- und Pankreaskulturen gesunder C3H wildtyp Mäuse wurden mit einer Dosis von 2 Gy, 5 Gy oder 10 Gy Röntgenstrahlen bestrahlt. Leber- und Pankreaskulturen transgener Mäuse wurden mit ausgedehnten C-Ionen Bragg Peaks gleicher Dosen bestrahlt. Als Kontrolle dienten unbestrahlte Proben. Alle Proben wurden 1 h bzw. 24 h nach der Bestrahlung fixiert und immunhistochemisch auf Marker für Proliferation (Ki67), Apoptose (Caspase3) und DNA- Doppelstrangbrüche (γH2AX) untersucht.
Während die Pankreas-Präparate im Hinblick auf die untersuchten Parameter leider keine auswertbaren Ergebnisse ergaben, zeigten die untersuchten Parameter im gesunden Lebergewebe deutliche Tag-Nacht Unterschiede: die Proliferationsrate war zur Mitte des subjektiven Tages signifikant höher als zur Mitte der subjektiven Nacht. Umgekehrt waren die Raten für DNA-Doppelstrangbrüche zur Mitte der subjektiven Nacht signifikant erhöht. Diese Tag-Nacht Unterschiede ließen sich in neoplastischem Lebergewebe nicht nachweisen. Unabhängig von der Art und Dosis, hatte die Bestrahlung im gesunden Lebergewebe keinen Einfluss auf die untersuchten Parameter. In neoplastischem Lebergewebe hingegen wird die Rate an DNA-Doppelstrangbrüchen durch eine Bestrahlung dosisabhängig erhöht.
Die Auswirkungen ionisierender Strahlen auf das circadiane Uhrwerk wurden in Gewebeproben transgener Per2luc-Mäuse überprüft. Per2luc-Mäuse exprimieren das Enzym Luziferase unter der Kontrolle des Promoters von Per2, einem wichtigen Bestandteil des circadianen Uhrwerks. Daher erlaubt die Analyse dieser Tiere, den circadianen Rhythmus des molekularen Uhrwerks in Leber und anderen Geweben durch Messung der Luziferase-Aktivität in Echtzeit aufzuzeichnen. Wie in Leber- und Nebennierenkulturen dieser Tiere gezeigt werden konnte, führten ioniserende Strahlen dosisabhängig zu einem Phasenvorsprung des circadianen Uhrwerks.
Die Ergebnisse erlauben die Schlussfolgerung, dass ionisierende Strahlen das circadiane Uhrwerk verstellen, Proliferation und Apoptose in gesundem Lebergewebe jedoch kaum beeinflussen.
The six species of Siricidae (Hymenoptera: Symphyta) occurring in Florida and one species of regulatory concern introduced to North America are reviewed. Included are diagnoses of Eriotremex formosanus (Matsumura), Sirex areolatus (Cresson), Sirex nigricornis Fabricius, Tremex columba (Linnaeus), Urocerus cressoni Norton, Urocerus taxodii (Ashmead) and Sirex noctilio (Fabricius). A key to species, photographs of morphological features, biological notes and distribution data are provided. For the species T. columba, S. nigricornis, U. taxodii, and U. cressoni, a total of eight new state records are presented.
We present new southeastern United States distributional records for Stictoleptura canadensis (Olivier, 1795), Leptura subhamata Randall, 1838 (Coleoptera: Cerambycidae: Lepturinae), and Heterosternuta cocheconis (Fall, 1917) (Coleoptera: Dytiscidae: Hydroporinae) which extend the southernmost limits of the known distributions for these species. We present new state records for these species.
Quand un professeur atteint l’âge de la retraite, il est de coutume de lui offrir un volume en son honneur. Le cas le plus fréquent est un volume d’hommages, de ses collègues et anciens étudiants. Plus rarement, c’est un recueil des articles rédigés par luimême qui est proposé. On peut débattre de la meilleure solution, mais la seconde a l’avantage d’offrir au souscripteur ou à l’acheteur un ensemble d’études publiées dans des revues ou des actes de colloque divers, et c’est celle qui a été choisie par les étudiants de Heribert Müller, à l’occasion de ses soixantecinq ans, le 16 mars 2011. ...
Le livre, issu d’un colloque tenu en 2010 dans l’enceinte de l’Historisches Kolleg, relève de la gageure. Il entend déporter l’accent de la première décennie du concile de Bâle, celle de son apogée, vers la seconde, quand l’assemblée perd peu à peu le soutien des princes et voit fondre ses rangs jusqu’à son autodissolution finale. La difficulté ne tient pas seulement au peu d’intérêt qu’inspire de prime abord cet échec annoncé. Elle réside aussi dans les lacunes de la documentation: passé 1443, s’interrompent à la fois les protocoles du concile et la chronique de Jean de Ségovie, qui fournissaient jusquelà un indispensable fil conducteur. Il vaut pourtant la peine d’étudier »Bâle après Bâle« autrement que sous les couleurs fanées d’un lent et irrésistible déclin. Même affaibli, le concile a continué à peser sur le jeu politique et sur les débats du temps, ce qui a contraint la papauté de Nicolas V à des accommodements. Aussi bien sa dispersion en 1449 ne sonnetelle pas le glas du conciliarisme, puisque celuici demeura vivace jusqu’à Vatican I. On ne peut que féliciter Heribert Müller d’avoir voulu ainsi, comme il s’en explique dans l’introduction, prendre toute la mesure d’un concile unique dans l’histoire par sa durée. ...
Le dernier livre du professeur Heribert Müller s’inscrit dans l’ample projet encyclopédique que le spécialiste de Bismarck Lothar Gall mène depuis 1988 et dont les 100 volumes retracent l’histoire de l’espace politique allemand, du Moyen Âge au XXe siècle. La crise ecclésiastique de la fin du Moyen Âge est étudiée dans une perspective à la fois synthétique et scientifique. Dans l’"Enzyklopädie deutscher Geschichte" (EDG), fidèle à la collection "Oldenbourg Grundriss der Geschichte", l’analyse se déploie en trois temps. À la synthèse chronologique de faits historiques (p. 1–58), succède le commentaire historiographique des principaux travaux de recherche (p. 59–123); enfin, la bibliographie thématique rassemble les sources éditées et les principaux ouvrages cités (p. 125–152). Le cheminement du lecteur dans l’ouvrage est facilité par des rubriques marginales et un triple index (p. 153–163). Que chacune des trois parties suive, à quelques nuances près, le même plan permet de faire une lecture transversale du livre. L’auteur paraît y inciter, qui émaille la synthèse historique de quelques remarques historiographiques. Dans le paysage éditorial français, la collection "Nouvelle Clio", publiée aux Presses universitaires de France depuis 1966, suit la même orientation synthétique et scientifique, qui s’avère précieuse pour les étudiants comme pour les spécialistes. Mais à la différence des manuels français, les volumes de l’"EDG" forment, grâce au travail d’édition et au soin apporté à la mise en page, de véritables essais
Selbst Spezialisten der Geschichte des Basler Konzils (1431–1449) und des Herzogtums Burgund im 15. Jahrhundert dürfte Nicolas Jacquier, ein Mönch aus dem Predigerkonvent zu Dijon, allenfalls dem Namen nach bekannt sein. Kaum mehr weiß man über ihn, als dass er sich für seine Person Anfang 1433 in die Synode inkorporierte, um dort fortan – recht erstaunlich für einen Burgunder, aber auch für einen Dominikaner – radikal antirömische Positionen zu beziehen, was – nicht minder erstaunlich – den papstverbundenen Philipp den Guten keineswegs daran hinderte, ihn fast zur selben Zeit, 1435, in eine Gesandtschaft zum englischen König zu berufen, wie er auch später noch mehrfach herzogliche Missionen übernahm, so 1451 zum römisch-deutschen König, 1455 nach Ungarn und schließlich 1467 in das zur Krone Böhmen gehörende Schlesien. Gegen die Hussiten hatte der Herzog selber bereits in den zwanziger Jahren das Kreuz nehmen wollen, und vier Jahrzehnte später erschien die häretische Gefahr angesichts eines "Ketzerkönigs" Georg von Podiebrad wiederum virulent, zumal sich der Böhme mit Philipps ärgstem Gegner, Ludwig XI. von Frankreich, zu verbünden trachtete (vgl. S. 20f.). Überdies mahnten, wie ebenfalls schon in den Zwanzigern, erneut häretische Umtriebe im Süden der burgundischen Niederlande (la »vauderie« d’Arras) zu erhöhter Wachsamkeit. ...
Wenn eine ungedruckte Habilitationsschrift fast vier Jahrzehnte nach ihrer Abfassung publiziert wird, muss sie eigentlich von zwar erst spät entdecktem, doch außerordentlichem Interesse für die Fachwelt sein. Und mehr noch, hier bringt deren Herausgeber gleich eine höhere Macht ins Spiel, wenn er meint, der Zeitpunkt der Drucklegung genau 20 Jahre nach dem frühen Tod des Verfassers (1992) könne »durchaus auch als kleines Indiz für die Fügung des einzigen Herrn der Geschichte« angesehen werden (S. V). Da sei doch an die gelassen-relativierende rheinische Lebensweisheit erinnert: »Dat kann mer so, aber auch so sehen.« Für meinen Teil neigte ich schon Ende der 1970er Jahre zum zweiten »so«, als Leinweber mir freundlicherweise Auszüge seiner Arbeit in Kopie zukommen ließ, die ursprünglich in geradezu utopischem Ausgriff »Die Synoden in Italien, Deutschland und Frankreich von 1215 bis zum Tridentinum« erfassen sollte und unter solchem Titel wiederholt, auch von ihm selbst, angekündigt wurde; s. etwa Annuarium Historiae Conciliorum 4 (1972), S. 5 (dies zum Tadel des Herausgebers wegen entsprechender Zitierung u. a. durch mich, welche die tatsächliche Unkenntnis des Manuskripts offenbare; S. XVIII, Anm. 47). Damals mit einer Studie »Die Franzosen, Frankreich und das Basler Konzil (1431–1449)« (erschienen 1990), also einer Nachbarthematik, befasst, hielt ich nach Lektüre jener Auszüge eine vertiefende, insbesondere den Stand der französischen Forschung angemessen rezipierende Überarbeitung für unabdingbar, doch das Werk liegt nunmehr unverändert und damit in einer Form vor, die zudem aus dem Abstand mehrerer Dezennien recht befremdlich wirkt. ...
Oral presentation: 23rd World Congress of the World Society of Cardio-Thoracic Surgeons. Split, Croatia. 12-15 September 2013.
Background: Partial upper sternotomy (PUS) is established less invasive approach for single and double valve surgery. Reports of aortic surgery performed through PUS are rare.
Methods: The records of 52 patients undergoing primary elective surgery on the proximal aorta through PUS between 2005 and 2011 were reviewed. Patients mean age was 57 years, 35% were in NYHA Class III or IV, 59% had recent cardiac decompensation, and 17% had pulmonary hypertension. The PUS was taken down to the 4th left intercostal space in 44 patients (85%).
Results: No conversion to full sternotomy was necessary. The aortic cross-clamp, cardiopulmonary bypass and operative times averaged 136 ± 20 min., 186 ± 36 min. and 327 ± 83 min., respectively. In eight patients, the right axillary artery was cannulated for establishing cardiopulmonary bypass; the others were cannulated centrally. All patients except one received a procedure on the ascending aorta, either replacement in 30 (58%) or reduction aortoplasty in 21 (40%). Aortic root replacement was additionally performed in 31 patients (60%), including David in 20 (38%) and Ross procedure in 6 (11.5%). The aortic arch was replaced either partially in 5 (10%) or totally in 3 (6%) patients, in moderate hypothermia employing antegrade cerebral perfusion. Additional procedures, included mitral valve repair in 15 (29%) patients and coronary grafting. Ventilation time, intensive care unit and hospital stay averaged 17 ± 12 hours, 2 ± 1, and 11 ± 9 days. Chest drainage was 470 ± 380 ml/24 hours. Permanent neurologic deficit did not occur. Wound dehiscence was observed in a single patient (2%). Thirty-day and hospital mortality were not observed.
Conclusions: Less invasive surgery on the aortic root, ascending aorta and aortic arch can be performed safely and reproducibly. Potential benefits include a minimized risk of wound dehiscence and reduced postoperative bleeding. The PUS does not compromise the quality of the operation.
Background. Incomplete revascularization negatively affects survival after coronary artery bypass surgery (CABG). Since gender and classification technique might impact outcome and reporting, we investigated their effect on revascularization patterns and mortality. Methods. A cohort of bypass patients (N = 1545, 23% women) was enrolled prospectively. The degree of revascularization was determined as mathematical difference between affected vessels upon diagnosis and number of grafts or the surgeon’s rating on the case file. Results. Although men displayed more triple-vessel disease, they obtained complete revascularization more frequently than women (85% versus 77%, P < 0.001). The two calculation methods identified analogous percentages of incompletely revascularized patients, yet there was only a 50% overlap between the two groups. Mathematically, more women, older patients, and patients with NYHA class III/IV appeared incompletely revascularized, while the surgeons identified more patients undergoing technically challenging procedures. Regardless of the definition, incompleteness was a significant risk factor for mortality in both genders (mathematical calculation: HR 2.62, 95% CI 1.76–3.89, P < 0.001; surgeon: HR 2.04, 95% CI 1.35–3.89, P = 0.001). Conclusions. Given the differences in identification patterns, we advise that the mathematical calculation be performed after-procedure in all patients regardless of the surgeons’ rating to uncover additional subjects at increased risk.
Background and Aims: In patients with advanced liver cirrhosis due to chronic hepatitis C virus (HCV) infection antiviral therapy with peginterferon and ribavirin is feasible in selected cases only due to potentially life-threatening side effects. However, predictive factors associated with hepatic decompensation during antiviral therapy are poorly defined.
Methods: In a retrospective cohort study, 68 patients with HCV-associated liver cirrhosis (mean MELD score 9.18±2.72) were treated with peginterferon and ribavirin. Clinical events indicating hepatic decompensation (onset of ascites, hepatic encephalopathy, upper gastrointestinal bleeding, hospitalization) as well as laboratory data were recorded at baseline and during a follow up period of 72 weeks after initiation of antiviral therapy. To monitor long term sequelae of end stage liver disease an extended follow up for HCC development, transplantation and death was applied (240weeks, ±SD 136weeks).
Results: Eighteen patients (26.5%) achieved a sustained virologic response. During the observational period a hepatic decompensation was observed in 36.8%. Patients with hepatic decompensation had higher MELD scores (10.84 vs. 8.23, p<0.001) and higher mean bilirubin levels (26.74 vs. 14.63 µmol/l, p<0.001), as well as lower serum albumin levels (38.2 vs. 41.1 g/l, p = 0.015), mean platelets (102.64 vs. 138.95/nl, p = 0.014) and mean leukocytes (4.02 vs. 5.68/nl, p = 0.002) at baseline as compared to those without decompensation. In the multivariate analysis the MELD score remained independently associated with hepatic decompensation (OR 1.56, 1.18–2.07; p = 0.002). When the patients were grouped according to their baseline MELD scores, hepatic decompensation occurred in 22%, 59%, and 83% of patients with MELD scores of 6–9, 10–13, and >14, respectively. Baseline MELD score was significantly associated with the risk for transplantation/death (p<0.001).
Conclusions: Our data suggest that the baseline MELD score predicts the risk of hepatic decompensation during antiviral therapy and thus contributes to decision making when antiviral therapy is discussed in HCV patients with advanced liver cirrhosis.
Within the scope of the Wildlife Conservation Programme of the Botanical Society for the Nature Conservation in Hesse, a comprehensive survey was carried out of a comparatively common species, the Common Pasque Flower (Pulsatilla vulgaris). It still occurs in large populations on the nutrient poor chalk meadows of the Vorderhoen and Kuppenhoen. Other populations are known from the Wetterau and the Schluechterner Becken. A few other populations are known, but they only have a few individuals. Altogether 64 populations were recorded, five with more than 1,000 plants. The largest population, with over 50,000 individuals, is in the Weinberg nature reserve, Molzbach (near Huenfeld).
Tissue plasminogen activator (tPA) is the only FDA-approved treatment for reperfusing ischemic strokes. But widespread use of tPA is still limited by fears of inadvertently administering tPA in patients with intracerebral hemorrhage (ICH). Surprisingly, however, the assumption that tPA will worsen ICH has never been biologically tested. Here, we assessed the effects of tPA in two models of ICH. In a mouse model of collagenase-induced ICH, hemorrhage volumes and neurological deficits after 24 hrs were similar in saline controls and tPA-treated mice, whereas heparin-treated mice had 3-fold larger hematomas. In a model of laser-induced vessel rupture, tPA also did not worsen hemorrhage volumes, while heparin did. tPA is known to worsen neurovascular injury by amplifying matrix metalloproteinases during cerebral ischemia. In contrast, tPA did not upregulate matrix metalloproteinases in our mouse ICH models. In summary, our experimental data do not support the assumption that intravenous tPA has a deleterious effect in acute ICH. However, due to potential species differences and the inability of models to fully capture the dynamics of human ICH, caution is warranted when considering the implications of these findings for human therapy.
In dieser Arbeit untersuchen wir, welche nicht-satzwertigen Einheiten 2- bis 3-jährige Kinder ins Nachfeld stellen und aus welchen Gründen sie dies tun. Kindliche Äußerungen können ab der Phase der 'item'-basierten Konstruktionen, in der sie die Satzklammer erwerben, mit dem topologischen Feldermodell analysiert werden. Wir argumentieren dafür, dass Kinder zunächst ein vorläufiges Nachfeld entwickeln, welches sich hinter infiniten Verben oder Verbpartikeln befindet. Am häufigsten finden sich Adverb-, Präpositional- und Nominalphrasen im Nachfeld. Adverbien zeigen Verfestigungstendenzen, sodass wir diese als Konstruktionen beschreiben mit der Funktion, die Äußerung im Kontext zu verorten und/oder dieser Nachdruck zu verleihen. Präpositional- und Nominalphrasen werden aus Gründen der Zeitlichkeit bzw. nicht ausreichender Planung ins Nachfeld gestellt. Die Häufigkeit der Nominalphrasen im Nachfeld nimmt mit zunehmendem Alter ab.
Seed dispersal is hard to measure, and there is still a lack of knowledge about dispersal-related traits of plant species. Therefore, we developed D3, the Dispersal and Diaspore Database (available at
www.seed-dispersal.info), which aims at simplifying ecological and evolutionary analyses by providing and integrating various items related to seed dispersal: empirical studies, functional traits, image analyses and ranking indices (quantifying the adaptation to dispersal modes).
Currently, the database includes data for more than 5000 taxa and 33 items as well as digital images of diaspores (i.e. the dispersal units), seeds, fruits and infructescences. The included items cover common traits like diaspore mass, size, shape, terminal velocity and seed number per diaspore. Furthermore, we present newly or further developed items like ecomorphological categorizations of the diaspore and fruit as well as information from literature on prevailing dispersal modes. Finally, we introduce several items which are not covered in other databases yet: surface structure and form of the diaspore, the exposure of the diaspores in the infructescence and dispersal rankings. Dispersal rankings allow estimations of how well certain species are adapted to a specific dispersal mode in comparison to a larger species set. They are calculated as the percentile rank of an indicator of species’ dispersal potential in relation to a larger species set.
Especially for the new and further developed items we outline the basic concepts in detail, describe the measurement and categorization methods and show how to interpret and integrate these data for single species as well as for larger species sets. Thereby, we calculate baseline statistics of seed dispersal of the Central European flora. We found that diaspores of 72% of the taxa show specializations related to long-distance dispersal, i.e. most often elongated appendages or nutrient-rich tissues. Diaspore masses, sizes and terminal velocities vary over several orders of magnitude and can be approximated by lognormal distributions.
Background: Vitamin D insufficiency has been associated with the occurrence of various types of cancer, but causal relationships remain elusive. We therefore aimed to determine the relationship between genetic determinants of vitamin D serum levels and the risk of developing hepatitis C virus (HCV)-related hepatocellular carcinoma (HCC).
Methodology/Principal Findings: Associations between CYP2R1, GC, and DHCR7 genotypes that are determinants of reduced 25-hydroxyvitamin D (25[OH]D3) serum levels and the risk of HCV-related HCC development were investigated for 1279 chronic hepatitis C patients with HCC and 4325 without HCC, respectively. The well-known associations between CYP2R1 (rs1993116, rs10741657), GC (rs2282679), and DHCR7 (rs7944926, rs12785878) genotypes and 25(OH)D3 serum levels were also apparent in patients with chronic hepatitis C. The same genotypes of these single nucleotide polymorphisms (SNPs) that are associated with reduced 25(OH)D3 serum levels were found to be associated with HCV-related HCC (P = 0.07 [OR = 1.13, 95% CI = 0.99–1.28] for CYP2R1, P = 0.007 [OR = 1.56, 95% CI = 1.12–2.15] for GC, P = 0.003 [OR = 1.42, 95% CI = 1.13–1.78] for DHCR7; ORs for risk genotypes). In contrast, no association between these genetic variations and liver fibrosis progression rate (P>0.2 for each SNP) or outcome of standard therapy with pegylated interferon-α and ribavirin (P>0.2 for each SNP) was observed, suggesting a specific influence of the genetic determinants of 25(OH)D3 serum levels on hepatocarcinogenesis.
Conclusions/Significance: Our data suggest a relatively weak but functionally relevant role for vitamin D in the prevention of HCV-related hepatocarcinogenesis.
Are books different? : Die Auswirkungen des Falls der Buchpreisbindung in Großbritannien 1995 - 2006
(2013)
Sicherlich gibt es im Buchhandel wie in jeder anderen Branche Zeiten der Krise und des Umsatzrückgangs, aber grundsätzlich legen die Zahlen nicht nah, dass das Ende bevorsteht. Es stellt sich also die Frage, ob zutrifft, was Richter Buckley in seinem zum geflügelten Wort gewordenen Urteil feststellte: Sind Bücher wirklich anders, oder anders gefragt, braucht der Buchhandel den Schutz des Staates, um seine Funktion erfüllen zu können?
Um eine Antwort auf diese Fragen zu finden, soll in dieser Arbeit das Hauptaugenmerk auf die Entwicklung des britischen Buchhandels im Zeitraum von 1995 (dem Jahr der faktischen Abschaffung des Net Book Agreement bis 2006 gelegt werden. Nach dem beinahe hundertjährigen Bestehen der Buchpreisbindung waren diese Jahre richtungweisend für die Neuorientierung des britischen Buchhandels auf die Bedingungen eines freien Marktes, und es soll untersucht werden, welche Umwälzungen sich daraus für die Branche ergeben haben.
Men and women differ substantially regarding height, weight, and body fat. Interestingly, previous work detecting genetic effects for waist-to-hip ratio, to assess body fat distribution, has found that many of these showed sex-differences. However, systematic searches for sex-differences in genetic effects have not yet been conducted. Therefore, we undertook a genome-wide search for sexually dimorphic genetic effects for anthropometric traits including 133,723 individuals in a large meta-analysis and followed promising variants in further 137,052 individuals, including a total of 94 studies. We identified seven loci with significant sex-difference including four previously established (near GRB14/COBLL1, LYPLAL1/SLC30A10, VEGFA, ADAMTS9) and three novel anthropometric trait loci (near MAP3K1, HSD17B4, PPARG), all of which were significant in women, but not in men. Of interest is that sex-difference was only observed for waist phenotypes, but not for height or body-mass-index. We found no evidence for sex-differences with opposite effect direction for men and women. The PPARG locus is of specific interest due to its link to diabetes genetics and therapy. Our findings demonstrate the importance of investigating sex differences, which may lead to a better understanding of disease mechanisms with a potential relevance to treatment options.
Background: Group-based social skills training (SST) has repeatedly been recommended as treatment of choice in high-functioning autism spectrum disorder (HFASD). To date, no sufficiently powered randomised controlled trial has been performed to establish efficacy and safety of SST in children and adolescents with HFASD. In this randomised, multi-centre, controlled trial with 220 children and adolescents with HFASD it is hypothesized, that add-on group-based SST using the 12 weeks manualised SOSTA–FRA program will result in improved social responsiveness (measured by the parent rated social responsiveness scale, SRS) compared to treatment as usual (TAU). It is further expected, that parent and self reported anxiety and depressive symptoms will decline and pro-social behaviour will increase in the treatment group. A neurophysiological study in the Frankfurt HFASD subgroup will be performed pre- and post treatment to assess changes in neural function induced by SST versus TAU.
Methods/design: The SOSTA – net trial is designed as a prospective, randomised, multi-centre, controlled trial with two parallel groups. The primary outcome is change in SRS score directly after the intervention and at 3 months follow-up. Several secondary outcome measures are also obtained. The target sample consists of 220 individuals with ASD, included at the six study centres.
Discussion: This study is currently one of the largest trials on SST in children and adolescents with HFASD worldwide. Compared to recent randomised controlled studies, our study shows several advantages with regard to in- and exclusion criteria, study methods, and the therapeutic approach chosen, which can be easily implemented in non-university-based clinical settings.
Trial registration: ISRCTN94863788 – SOSTA – net: Group-based social skills training in children and adolescents with high functioning autism spectrum disorder.
Many contemporary African writers remain trapped in the quest for a worldview, philosophy, supposing a single 'African' demesne to explain the entire continent, referring to a mythical past. Paulin Hountondji shows how these strange conceptual constructions have played a positive role in the resistance led by intellectuals of colonial rule: they responded to the negation of the oppression that it comprised of, but it was an ambiguous answer, especially because it was built on the principles derived from the works of European ethnologists, particularly the Père Tempels. Independence opened a new historical period; these philosophical elaborations changed direction: once an expression of anti-colonial resistance, they are nowadays an ideology that justifies and reinforces the dominance of the contemporary state; the intellectuals who create them are today only the 'griots' of the regimes in place. Analysing without complacency the work of Nkrumah, of the Cameroonian Towa, and of the Rwandan Kagamé, amongst others, Hountondji exposes and denounces this antagonism. To him, the critical project proposed in this book seems a necessary step on the way to 'the liberation of theoretical creativity,' the peoples of Africa and their full participation in the universal intellectual debate!
Seventy-nine Cerambycidae and two Vesperidae species not previously recorded from Bolivia are listed along with the department where they were collected, and are thus added to the known fauna. An additional 22 species from existing publications, but whose Bolivian distribution is not recorded in the 2013 version of Bezark and Monné (2013), are listed separately to assist inclusion in this important reference. These records, along with the 60 new species described (through February, 2013) since Wappes et al. (2011), brings the total number of Cerambycidae and, closely related families Disteniidae, Oxypeltidae and Vesperidae, to 1,717 species known from Bolivia. New departmental records for another 254 species are listed. Color illustrations for 80 of the 81 species newly recorded from Bolivia are provided. Among the new records for Bolivia is Lathroeus oreoderoides Thomson, 1864 previously known only from South America without exact locality, hence this is its first recorded distribution. A male of Myzomorphus Dejean, 1835 collected at the same time and locality as a female Myzomorphus amabilis (Tippmann, 1960) is likely the previously unknown male of the species. Both sexes are illustrated.
A two week trip to Costa Rica was conducted between 26 May and 8 June 2013, sampling odonates in several provinces along the center to the pacific southern portionof the country. A total of 86 species in 34 genera were found, including 16 species of the genus Argia. Lists of all species by locality, photographs of live specimens, and illustrations and notes of described species of Argiaare presented to facilitate identification to other collectors.
poster presentation at the 31st International Symposium on Lattice Field Theory LATTICE 2013:
We explore and compare three mixed action setups with Wilson twisted mass sea quarks and different valence quark actions: (1) Wilson twisted mass, (2) Wilson twisted mass + clover and (3) Wilson + clover. Our main goal is to reduce lattice discretization errors in mesonic spectral quantities, in particular to reduce twisted mass parity and isospin breaking.
The economic success of the World Wide Web makes it a highly competitive environment for web businesses. For this reason, it is crucial for web business owners to learn what their customers want. This thesis provides a conceptual framework and an implementation of a system that helps to better understand the behavior and potential interests of web site visitors by accounting for both explicit and implicit feedback. This thesis is divided into two parts.
The first part is rooted in computer science and information systems and uses graph theory and an extended click-stream analysis to define a framework and a system tool that is useful for analyzing web user behavior by calculating the interests of the users.
The second part is rooted in behavioral economics, mathematics, and psychology and is investigating influencing factors on different types of web user choices. In detail, a model for the cognitive process of rating products on the Web is defined and an importance hierarchy of the influencing factors is discovered.
Both parts make use of techniques from a variety of research fields and, therefore, contribute to the area of Web Science.
Background & Aims: Genetic variations near the interferon lambda 3 gene (IFNL3, IL28B) are the most powerful predictors for sustained virologic response (SVR) in patients with chronic hepatitis C virus (HCV) infection, compared to other biochemical or histological baseline parameters. We evaluated whether the interplay of both IFNL3 polymorphisms rs12979860 and rs8099917 together with non-genetic clinical factors contributes to the predictive role of these genetic variants.
Methods: The cohort comprised 1,402 patients of European descent with chronic HCV type 1 infection. 1,298 patients received interferon-based antiviral therapy, and 719 (55%) achieved SVR. The IFNL3 polymorphisms were genotyped by polymerase chain reaction and melting curve analysis.
Results: A significant correlation was found between the IFNL3 polymorphisms and biochemical as well as virologic predictors of treatment outcome such as ALT, GGT, cholesterol, and HCV RNA levels. In multivariate regression analysis, IFLN3 SNPs, HCV RNA levels, and the GGT/ALT ratio were independent predictors of SVR. Dependent on the GGT/ALT ratio and on the HCV RNA concentration, significant variations in the likelihood for achieving SVR were observed in both, carriers of the responder as well as non-responder alleles.
Conclusions: Our data support a clear association between IFNL3 genotypes and baseline parameters known to impact interferon responsiveness. Improved treatment outcome prediction was achieved when these predictors were considered in combination with the IFNL3 genotype.
Radiographic and safety details of vertebral body stenting : results from a multicenter chart review
(2013)
Background: Up to one third of BKP treated cases shows no appreciable height restoration due to loss of both restored height and kyphotic realignment after balloon deflation. This shortcoming has called for an improved method that maintains the height and realignment reached by the fully inflated balloon until stabilization of the vertebral body by PMMA-based cementation. Restoration of the physiological vertebral body height for pain relief and for preventing further fractures of adjacent and distant vertebral bodies must be the main aim for such a method. A new vertebral body stenting system (VBS) stabilizes the vertebral body after balloon deflation until cementation. The radiographic and safety results of the first 100 cases where VBS was applied are presented.
Methods: During the planning phase of an ongoing international multicenter RCT, radiographic, procedural and followup details were retrospectively transcribed from charts and xrays for developing and testing the case report forms. Radiographs were centrally assessed at the institution of the first/senior author.
Results: 100 patients (62 with osteoporosis) with a total of 103 fractured vertebral bodies were treated with the VBS system. 49 were females with a mean age of 73.2 years; males were 66.7 years old. The mean preoperative anterior-middle-posterior heights were 20.3-17.6-28.0 mm, respectively. The mean local kyphotic angle was 13.1°. The mean preoperative Beck Index (anterior edge height/posterior edge height) was 0.73, the mean alternative Beck Index (middle height/posterior edge height) was 0.63. The mean postoperative heights were restored to 24.5-24.6-30.4 mm, respectively. The mean local kyphotic angle was reduced to 8.9°. The mean postoperative Beck Index was 0.81, the mean alternative one was 0.82. The overall extrusion rate was 29.1%, the symptomatic one was 1%. In the osteoporosis subgroup there were 23.8% extrusions. Within the three months followup interval there were 9% of adjacent and 4% of remote new fractures, all in the osteoporotic group.
Conclusions: VBS showed its strengths especially in realignment of crush and biconcave fractures. Given that fracture mobility is present, the realignment potential is sound and increases with the severity of preoperative vertebral body deformation.
Dieser Aufsatz führt in Grundbegriffe der deutschen Intonation ein und diskutiert ihre Relevanz für den Unterricht des Deutschen als Fremdsprache, vor allem in Brasilien. Für Muttersprachler des Portugiesischen, die Deutsch lernen, ist die Intonation wahrscheinlich eine größere Herausforderung als die Phonetik der Einzellaute. Das System der Töne, Tonbewegungen und Äußerungsakzente sowie ihre Beiträge zur Äußerungsbedeutung werden am Beispiel von Aussage- und Fragesätzen dargestellt. Den Abschluss bilden konkrete Übungsvorschläge zur Intonation im DaF-Unterricht.
Der Aufsatz gibt einen Überblick über die Arten von Nebensätzen im Deutschen. Er beschreibt ihre syntaktischen Funktionen und Strukturen anhand des Felderschemas. Auf drei Gesichtspunkte wird detaillierter eingegangen: nebensatzspezifische Funktionen von (i) Pronomina und (ii) Vergleichspartikeln sowie (iii) die Rolle von Nebensätzen bei der Satzspaltung. Der Aufsatz kann im Universitätsunterricht und als Grundlage für Untersuchungen in vergleichender Syntax genutzt werden.
We report a high precision measurement of the transverse single spin asymmetry AN at the center of mass energy √s=200 GeV in elastic proton–proton scattering by the STAR experiment at RHIC. The AN was measured in the four-momentum transfer squared t range 0.003⩽|t|⩽0.035 (GeV/c)2, the region of a significant interference between the electromagnetic and hadronic scattering amplitudes. The measured values of AN and its t-dependence are consistent with a vanishing hadronic spin-flip amplitude, thus providing strong constraints on the ratio of the single spin-flip to the non-flip amplitudes. Since the hadronic amplitude is dominated by the Pomeron amplitude at this √s, we conclude that this measurement addresses the question about the presence of a hadronic spin flip due to the Pomeron exchange in polarized proton–proton elastic scattering.
Before turning to the essay on the experiment from 1793, which is unavoidable when discussing series, but does not exhaust the varied functions of seriality in Goethe’s morphology, a few words about the purpose of reconstructing Goethe’s practice of seriality are necessary. I want to argue that Goethe’s morphology is the site of a massive transformation of the notion of form, the scope and implications of which resurface after long latency at the beginning of the 20th century, for example, with Georg Simmel’s sociological notion of form-processes and the related idea of "reciprocity" ('Wechselwirkung') (cf. 265). My interest lies in interpreting what looks like a theory of organisms and nature as a more general theory of formation and transformation.
The present study investigates the hemispheric contributions of neuronal reorganization following early single-sided hearing (unilateral deafness). The experiments were performed on ten cats from our colony of deaf white cats. Two were identified in early hearing screening as unilaterally congenitally deaf. The remaining eight were bilaterally congenitally deaf, unilaterally implanted at different ages with a cochlear implant. Implanted animals were chronically stimulated using a single-channel portable signal processor for two to five months. Microelectrode recordings were performed at the primary auditory cortex under stimulation at the hearing and deaf ear with bilateral cochlear implants. Local field potentials (LFPs) were compared at the cortex ipsilateral and contralateral to the hearing ear. The focus of the study was on the morphology and the onset latency of the LFPs. With respect to morphology of LFPs, pronounced hemisphere-specific effects were observed. Morphology of amplitude-normalized LFPs for stimulation of the deaf and the hearing ear was similar for responses recorded at the same hemisphere. However, when comparisons were performed between the hemispheres, the morphology was more dissimilar even though the same ear was stimulated. This demonstrates hemispheric specificity of some cortical adaptations irrespective of the ear stimulated. The results suggest a specific adaptation process at the hemisphere ipsilateral to the hearing ear, involving specific (down-regulated inhibitory) mechanisms not found in the contralateral hemisphere. Finally, onset latencies revealed that the sensitive period for the cortex ipsilateral to the hearing ear is shorter than that for the contralateral cortex. Unilateral hearing experience leads to a functionally-asymmetric brain with different neuronal reorganizations and different sensitive periods involved.
Pseudomorphose
(2013)
Der Sprachgebrauch verleitet dazu, Pseudomorphosen als bloß täuschenden Anschein jenes Gestaltwandels zu verstehen, der sich in (echten) Metamorphosen vollzieht. Dort tut sich tatsächlich etwas, aber die Pseudomorphose tut nur so, als ob. Allerdings zeigt schon die echte Metamorphose, der das Christentum nach Blumenberg den Garaus macht, auch beim alten Heiden Goethe noch oder schon pseudomorphotische Züge. Wenn alles Blatt ist, darf man legitimerweise fragen, ob da überhaupt etwas metamorphorisiert. Als Metapher geht die Pseudomorphose auf Oswald Spengler zurück, der sie der für historische Sedimentierungs- und Verwerfungsprozesse seit dem 19. Jahrhundert so ertragreichen Mineralogie entlehnt hat.
Long-distance seed dispersal is a crucial process allowing the dispersal of fleshy-fruited tree species among forest fragments. In particular, large frugivorous bird species have a high potential to provide inter-patch and long-distance seed transport, both important for maintaining fundamental genetic and demographic processes of plant populations in isolated forest fragments. In the face of increasing worldwide forest fragmentation, the investigation of long-distance seed dispersal and the factors influencing seed dispersal processes has recently become a central issue in ecology. In my thesis, I studied the movement behaviour and the seed dispersal patterns of the trumpeter hornbill (Bycanistes bucinator), a large obligate frugivorous bird, in KwaZulu-Natal, South Africa. I investigated (i) the potential of trumpeter hornbills to provide long-distance seed dispersal within different landscape structures, (ii) seasonal variations in ranging behaviour of this species, and (iii) the potential of this species to enhance the functional connectivity of a fragmented landscape. I used highresolution GPS-data loggers to record temporally and spatially fine-scaled movement data of trumpeter hornbills within both continuous forests and fragmented agricultural landscapes during the breeding- and the non-breeding season. First, combining these data with data on seed-retention times, I calculated seed dispersal kernels, able to distinguish between seed dispersal kernels from the continuous forests and those from the fragmented agricultural landscapes. The seed dispersal distributions showed a generally high ability of trumpeter hornbills to generate seed transport over a distance of more than 100 m and for potential dispersal distances of up to 14.5 km. Seed dispersal distributions were considerably different between the two landscape types, with a bimodal distribution showing larger dispersal distances for fragmented agricultural landscapes and a unimodal one for continuous forests. My results showed that the landscape structure strongly influenced the movement behaviour of trumpeter hornbills, and this variation in behaviour is likely reflected in the shape of the seed dispersal distributions. Second, for each individual bird I calculated daily ranges and investigated differences in daily ranging behaviour and in the process of range expansion comparatively between the breeding- and the non-breeding season. I considered differences in habitat use and possible consequences resulting for seed dispersal function during different seasons. I found that within the breeding season multi-day ranges were built from strongly overlapping and nearly stationary daily ranges which were almost completely restricted to continuous forest. In the non-breeding season, however, birds assembled multi-day ranges by shifting their range site to a generally different area, frequently utilizing the fragmented agricultural landscape. Thereby, several small daily ranges and few large daily ranges composed larger multi-day ranges within the non-breeding season. Seasonal differences in ranging behaviour and range assembly processes resulted in important consequences for seed dispersal function, with short distances and less spatial variation during the breeding season and more inter-patch dispersal across the fragmented landscape during the non-breeding season. Last, I used a projection of simulated seed dispersal events on a high-resolution habitat map to assess the extent to which trumpeter hornbills potentially facilitate functional connectivity between plant populations of isolated forest fragments. About 7% of dispersal events resulted in potential between-patch dispersal and trumpeter hornbills connected a network of about 100 forest patches with an overall extent of about 50 km. Trumpeter hornbills increased the potential of functional connectivity of the landscape more than twofold and seed dispersal pathways revealed certain forest patches as important stepping-stones for seed dispersal among forest fragments. Overall, my study highlights the overriding role that large frugivorous bird species, like trumpeter hornbills, play in seed dispersal in fragmented landscapes. In addition, it shows the importance of fine-scaled movement data combined with high-resolution habitat data and consideration of different landscape structures and seasonality for a comprehensive understanding of seed dispersal function.
Ambrosia artemisiifolia L., native to North America, is a problematic invasive species, because of its highly allergenic pollen. The species is expected to expand its range due to climate change. By means of ecological niche modelling (ENM), we predict habitat suitability for A. artemisiifolia in Europe under current and future climatic conditions. Overall, we compared the performance and results of 16 algorithms commonly applied in ENM. As occurrence records of invasive species may be dominated by sampling bias, we also used data from the native range. To assess the quality of the modelling approaches we assembled a new map of current occurrences of A. artemisiifolia in Europe. Our results show that ENM yields a good estimation of the potential range of A. artemisiifolia in Europe only when using the North American data. A strong sampling bias in the European Global Biodiversity Information Facility (GBIF) data for A. artemisiifolia causes unrealistic results. Using the North American data reflects the realized European distribution very well. All models predict an enlargement and a northwards shift of potential range in Central and Northern Europe during the next decades. Climate warming will lead to an increase and northwards shift of A. artemisiifolia in Europe.
This thesis aims to analyse in a first step the physical and chemical properties of soil profiles along pedomorphological transects in different land used conditions (protected, partly protected as well as cultivated and pastured areas) in North West Benin and in South East Burkina Faso. The information about soils, which are carried out in consideration of the pedogenesis processes like weathering types, saprolitisation, formation of laterite crusts and denudation within the planation surfaces are therefore correlated in a second step with the structure and dynamic of woody plant around individual soil profiles. The relationship soil properties and woody plant is investigated in order to assess the reciprocal influence between the diversity of woody plants and soil characteristics within a small scale study and under different land use conditions.
A common vertical and lateral differentiation of physical and chemical properties regardless of the partly protected, protected and cultivated status of the sites can be noticed. Thus, in the cultivated site of Kikideni and in the partly protected zone of Natiabouani (South East Burkina Faso) sandy loam and sandy clay loam soil surfaces are widespread because of the occurrence of similar erosion processes like sheet wash, rill and gully erosion while in the central part of the Pendjari National Park loamy soil textures are prevailing. In fact, the steepness of the relief and the length of the slopes in the Pendjari Park seem to limit the development of some erosion forms as gully. Furthermore, the classification of soils reflects the variation of pedological processes along the transects and thus the occurrence of different soil types. The status of the sites may play an insignificant role in the differentiation of soil properties within the scale of small pedomorphological transects. A direct comparison of the vegetation type in the land use respectively partly protected and in the total protected sites (National Park of Pendjari) reveals a transition from the shrub savanna to the tree savanna. In conclusion it is important to insist on the fact that the variations of soil parameters within small slopes and the different sites are more conditioned by varying erosion processes and drainage conditions than the status protected or land use sites while the composition and diversity of plants is influenced by the status of the sites, the prevailing management tools, the pedogenetic conditions as well as the presence of wild animals like elephants. The ordination diagram shows that the organic matter is better correlated to the subgroup representing principally the sites of the hunting zone of the Pendjari Park and might be an explaining factor to the distribution of these sample sites groups. CEC ratios in the partly protected site of Natiabouani represent the highest measured in all sites. Nevertheless, statistical analysis of the CCA (canonical correspondence analysis) indicates generally a low correlation. This tendency is consolidated by the Monte Carlo test (p=0.14) which is a good indicator of species and environmental conditions. The detailed analysis of soil properties and the vegetation dynamic as well as their relationship within small pedomorphological transects represent an important pedological and botanical data collection involving different compartments. This thesis contributes to the better understanding of the savanna landscapes of West Africa and may provide essential scientific background for each development project directed towards interdisciplinary and integrative researches.
Germination characteristics and frost tolerance of seedlings are crucial parameters for establishment and invasion success of plants. The characterization of differences between populations in native and invasive ranges may improve our understanding of range expansion and adaptation. Here, we investigated germination characteristics of Ambrosia artemisiifolia L., a successful invader in Europe, under a temperature gradient between 5 and 25 °C. Besides rate and speed of germination we determined optimal, minimal and maximal temperature for germination of ten North American and 17 European populations that were sampled along major latitudinal and longitudinal gradients. We furthermore investigated the frost tolerance of seedlings. Germination rate was highest at 15 °C and germination speed was highest at 25 °C. Germination rate, germination speed, frost tolerance of seedlings, and the temperature niche width for germination were significantly higher and broader, respectively, for European populations. This was partly due to a higher seed mass of these populations. Germination traits lacked evidence for adaptation to climatic variables at the point of origin for both provenances. Instead, in the native range, seedling frost tolerance was positively correlated with the risk of frosts which supports the assumption of local adaptation. The increased frost tolerance of European populations may allow germination earlier in the year which may subsequently lead to higher biomass allocation—due to a longer growing period—and result in higher pollen and seed production. The increase in germination rates, germination speed and seedling frost tolerance might result in a higher fitness of the European populations which may facilitate further successful invasion and enhance the existing public health problems associated with this species.
The membrane bound NADPH oxidase involved in the synthesis of reactive oxygen species (ROS) is a multi-protein enzyme encoded by CYBA, CYBB, NCF1, NCF2 and NCF4 genes. Growing evidence suggests a role of ROS in the modulation of signaling pathways of non-phagocytic cells, including differentiation and proliferation of B-cell progenitors. Transcriptional downregulation of the CYBB gene has been previously reported in cell lines of the B-cell derived classical Hodgkin lymphoma (cHL). Thus, we explored functional consequences of CYBB downregulation on the NADPH complex. Using flow cytometry to detect and quantify superoxide anion synthesis in cHL cell lines we identified recurrent loss of superoxide anion production in all stimulated cHL cell lines in contrast to stimulated non-Hodgkin lymphoma cell lines. As CYBB loss proved to exert a deleterious effect on the NADPH oxidase complex in cHL cell lines, we analyzed the CYBB locus in Hodgkin and Reed-Sternberg (HRS) cells of primary cHL biopsies by in situ hybridisation and identified recurrent deletions of the gene in 8/18 cases. Immunohistochemical analysis to 14 of these cases revealed a complete lack of detectable CYBB protein expression in all HRS cells in all cases studied. Moreover, by microarray profiling of cHL cell lines we identified additional alterations of NADPH oxidase genes including CYBA copy number loss in 3/7 cell lines and a significant downregulation of the NCF1 transcription (p=0.006) compared to normal B-cell subsets. Besides, NCF1 protein was significantly downregulated (p<0.005) in cHL compared to other lymphoma cell lines. Together this findings show recurrent alterations of the NADPH oxidase encoding genes that result in functional inactivation of the enzyme and reduced production of superoxide anion in cHL.
Only a small proportion of introduced plant species become invasive and may eventually create ecological or economic problems. In many species it is still not clear which traits cause biological inva-sions. As a case study we focussed on the fast-spreading Epilobium brachycarpum in Central Europe to investigate the potential of this species to become a transformer or agricultural weed. We (1) documented the spread of the species in Central Europe, (2) modelled its range and (3) seed dispersal, (4) described its phytosociological alignment, (5) analysed the traits of invaded vegetation types, (6) described seed production, population densities and life cycle, (7) did competition and germination tests, and (8) drafted a risk assessment. Relevant traits and characteristics of E. brachycarpum are (i) formation of dense stands under ruderal conditions, (ii) high seed production, (iii) effective seed dispersal, (iv) high competitiveness on bare soils against other ruderal plants, and (v) ecological niche shift com-pared to its native range. We expect E. brachycarpum to settle in the Mediterranean, sub-Mediterranean and many parts of temperate Europe within the next decades in habitats strongly altered by human activities, especially open stands of the alliance Sisymbrion. We predict that E. brachycarpum will become a noxious weed in vineyards, and that it will also colonise vegetation of the alliances Bidention and Carici-Epilobion.
The antibacterial properties of nanosilver have led to a versatile application spectrum including medical purposes and personal care products. However, the increasing use of nanosilver has raised concerns about its environmental impacts. Long-term exposure studies with aquatic invertebrates are essential to assess possible adverse effects on aquatic ecosystems. In the present study, acute (48 h), chronic (21 d) and long-term effects of nanosilver (primary size 15 nm) on five successive generations of three Daphnia species (D. magna, D. pulex, and D. galeata) were investigated. Acute EC50 values of nanosilver were 121 µg Ag L−1 for D. magna being the least sensitive species and 8.95 and 13.9 µg Ag L−1 for D. pulex and D. galeata, respectively. Chronic exposure provided EC10 values of 0.92 µg Ag L−1 for D. magna showing the most sensitive chronic reaction and 2.25 and 3.45 µg Ag L−1 for D. pulex and D. galeata, respectively. Comparative exposure to AgNO3 revealed a generally higher toxicity of the soluble form of silver. The multi-generation experiments resulted in effects on the population level for all tested species. Exposure of D. magna indicated an increased toxicity of nanosilver in the fifth generation of animals exposed to 10 µg Ag L−1. Neonates from pre-exposed parental daphnids did not completely recover when transferred into clean water. Exposure of D. pulex and D. galeata revealed not only increasing toxicity in some generations, but also greater tolerance to nanosilver. This study contributes to the assessment of the risk potential of nanosilver on aquatic ecosystems. It shows that effects of nanosilver vary within one genus and change with exposure duration. Therefore, long-term studies considering different aquatic species are needed to better understand the possible effects of nanosilver on aquatic ecosystems.
Future climate change is predicted to advance faster than the postglacial warming. Migration may therefore become a key driver for future development of biodiversity and ecosystem functioning. For 140 European plant species we computed past range shifts since the last glacial maximum and future range shifts for a variety of Intergovernmental Panel on Climate Change (IPCC) scenarios and global circulation models (GCMs). Range shift rates were estimated by means of species distribution modelling (SDM). With process-based seed dispersal models we estimated species-specific migration rates for 27 dispersal modes addressing dispersal by wind (anemochory) for different wind conditions, as well as dispersal by mammals (dispersal on animal's coat – epizoochory and dispersal by animals after feeding and digestion – endozoochory) considering different animal species. Our process-based modelled migration rates generally exceeded the postglacial range shift rates indicating that the process-based models we used are capable of predicting migration rates that are in accordance with realized past migration. For most of the considered species, the modelled migration rates were considerably lower than the expected future climate change induced range shift rates. This implies that most plant species will not entirely be able to follow future climate-change-induced range shifts due to dispersal limitation. Animals with large day- and home-ranges are highly important for achieving high migration rates for many plant species, whereas anemochory is relevant for only few species.
In contrast to the commonly indolent clinical behavior of nodular lymphocyte predominant Hodgkin lymphoma (NLPHL), T cell/histiocyte rich large B cell lymphoma (THRLBCL) is frequently diagnosed in advanced clinical stages and has a poor prognosis. Besides the different clinical presentations of these lymphoma entities, there are variants of NLPHL with considerable histopathologic overlap compared to THRLBCL. Especially THRLBCL-like NLPHL, a diffuse form of NLPHL, often presents a histopathologic pattern similar to THRLBCL, suggesting a close relationship between both lymphoma entities. To corroborate this hypothesis, we performed gene expression profiling of microdissected tumor cells of NLPHL, THRLBCL-like NLPHL and THRLBCL. In unsupervised analyses, the lymphomas did not cluster according to their entity. Moreover, even in supervised analyses, very few consistently differentially expressed transcripts were found, and for these genes the extent of differential expression was only moderate. Hence, there are no clear and consistent differences in the gene expression of the tumor cells of NLPHL, THRLBCL-like NLPHL and THRLBCL. Based on the gene expression studies, we identified BAT3/BAG6, HIGD1A, and FAT10/UBD as immunohistochemical markers expressed in the tumor cells of all three lymphomas. Characterization of the tumor microenvironment for infiltrating T cells and histiocytes revealed significant differences in the cellular composition between typical NLPHL and THRLBCL cases. However, THRLBCL-like NLPHL presented a histopathologic pattern more related to THRLBCL than NLPHL. In conclusion, NLPHL and THRLBCL may represent a spectrum of the same disease. The different clinical behavior of these lymphomas may be strongly influenced by differences in the lymphoma microenvironment, possibly related to the immune status of the patient at the timepoint of diagnosis.
Environmental change impacts on the C- and N-cycle of European forests: a model comparison study
(2013)
Forests are important components of the greenhouse gas balance of Europe. There is considerable uncertainty about how predicted changes to climate and nitrogen deposition will perturb the carbon and nitrogen cycles of European forests and thereby alter forest growth, carbon sequestration and N2O emission. The present study aimed to quantify the carbon and nitrogen balance, including the exchange of greenhouse gases, of European forests over the period 2010–2030, with a particular emphasis on the spatial variability of change. The analysis was carried out for two tree species: European beech and Scots pine. For this purpose, four different dynamic models were used: BASFOR, DailyDayCent, INTEGRATOR and Landscape-DNDC. These models span a range from semi-empirical to complex mechanistic. Comparison of these models allowed assessment of the extent to which model predictions depended on differences in model inputs and structure. We found a European average carbon sink of 0.160 ± 0.020 kgC m−2 yr−1 (pine) and 0.138 ± 0.062 kgC m−2 yr−1 (beech) and N2O source of 0.285 ± 0.125 kgN ha−1 yr−1 (pine) and 0.575 ± 0.105 kgN ha−1 yr−1 (beech). The European average greenhouse gas potential of the carbon sink was 18 (pine) and 8 (beech) times that of the N2O source. Carbon sequestration was larger in the trees than in the soil. Carbon sequestration and forest growth were largest in central Europe and lowest in northern Sweden and Finland, N. Poland and S. Spain. No single driver was found to dominate change across Europe. Forests were found to be most sensitive to change in environmental drivers where the drivers were limiting growth, where changes were particularly large or where changes acted in concert. The models disagreed as to which environmental changes were most significant for the geographical variation in forest growth and as to which tree species showed the largest rate of carbon sequestration. Pine and beech forests were found to have differing sensitivities to environmental change, in particular the response to changes in nitrogen and precipitation, with beech forest more vulnerable to drought. There was considerable uncertainty about the geographical location of N2O emissions. Two of the models BASFOR and LandscapeDNDC had largest emissions in central Europe where nitrogen deposition and soil nitrogen were largest, whereas the two other models identified different regions with large N2O emission. N2O emissions were found to be larger from beech than pine forests and were found to be particularly sensitive to forest growth.
Tropical forest soils are a significant source for the greenhouse gas N2O as well as for NO, a precursor of tropospheric ozone. However, current estimates are uncertain due to the limited number of field measurements. Furthermore, there is considerable spatial and temporal variability of N2O and NO emissions due to the variation of environmental conditions such as soil properties, vegetation characteristics and meteorology. In this study we used a process-based model (ForestDNDC-tropica) to estimate N2O and NO emissions from tropical highland forest (Nyungwe) soils in southwestern Rwanda. To extend the model inputs to regional scale, ForestDNDC-tropica was linked to an exceptionally large legacy soil dataset. There was agreement between N2O and NO measurements and the model predictions though the ForestDNDC-tropica resulted in considerable lower emissions for few sites. Low similarity was specifically found for acidic soil with high clay content and reduced metals, indicating that chemo-denitrification processes on acidic soils might be under-represented in the current ForestDNDC-tropica model. The results showed that soil bulk density and pH are the most influential factors driving spatial variations in soil N2O and NO emissions for tropical forest soils. The area investigated (1113 km2) was estimated to emit ca. 439 ± 50 t N2O-N yr−1 (2.8–5.5 kg N2O-N ha−1 yr−1) and 244 ± 16 t NO-N yr−1 (0.8–5.1 kg N ha−1 yr−1). Consistent with less detailed studies, we confirm that tropical highland rainforest soils are a major source of atmospheric N2O and NO.
In ihrem Beitrag geht Karin Harrasser unter dem Titel "Treue zum Problem" der Frage nach, ob und wie sich das Konzept des situierten Wissens von Donna Haraway mit dem Konzept der Kosmopolitik von Isabelle Stengers verbinden lasse. Treue zum Problem wird dabei zum Begriff für eine Erkenntnishaltung, in der theoretische und wissenschaftliche Problemstellungen aus konkreten Anlässen und Situationen generiert werden. Wie man sich das konkret vorzustellen hat, führt Harrasser am Beispiel des Films von Werner Herzog vor: "Wo die grünen Ameisen träumen".
The spider collection (Arachnida: Araneae) from Albania and Kosovo in the Senckenberg Research Institute, Frankfurt am Main is reviewed. A total of 122 adult specimens were found belonging to 73 species. Records of 48 species for Albania and 28 species for Kosovo, 20 of them new to Kosovo, are presented. Furthermore there are seven new country records for Albania: Platnickina nigropunctata, Erigone remota, Tenuiphantes tenebricola, Pardosa agrestis, Callobius claustrarius and Zelotes femellus. Additionally, Pardosa cavannae is the first record for the Balkan Peninsula. So far 381 species are known for Albania. A total of 106 species is known from Kosovo now; a list of the 86 spider species formerly known to Kosovo is included.