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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.
Die Zielsetzung dieser Studie war die Evaluierung von publizierten Pedotransferfunktionen (PTF) zur Abschätzung der Trockenrohdichte (TRD) anhand von Ergebnissen der bundesweiten Bodenzustandserhebung im Wald (BZE II). Verschiedene Funktionstypen wurden mit publizierten Parameterwerten am BZE II-Datensatz geprüft. Viele Funktionen zeigten bei einer unkalibrierten Anwendung einen deutlichen Bias (ME) und einen großen Fehler der prognostizierten Werte im Vergleich zu den Messwerten (RMSE). Dem gegenüber erweisen sich die Funktionen von Alexander (1980), Manrique & Jones (1991) und Tamminen & Starr (1994) über alle Bodentiefen als sehr robust. Die Modellgüte der getesteten Funktionen ließ sich durch eine Neukalibrierung am BZE II-Datensatz z. T. wesentlich verbessern, allerdings zeigten viele Funktionen gerade im Bereich hoher TRD systematische Fehler. Die höchste Modellgüte wurde durch ein einfaches gemischtes additives Modell erreicht, das die organische Substanz, die Tiefenstufe, den Skelettgehalt und die Substratgruppe der BZE II als Eingangsdaten berücksichtigt.
Primate multisensory object perception involves distributed brain regions. To investigate the network character of these regions of the human brain, we applied data-driven group spatial independent component analysis (ICA) to a functional magnetic resonance imaging (fMRI) data set acquired during a passive audio-visual (AV) experiment with common object stimuli. We labeled three group-level independent component (IC) maps as auditory (A), visual (V), and AV, based on their spatial layouts and activation time courses. The overlap between these IC maps served as definition of a distributed network of multisensory candidate regions including superior temporal, ventral occipito-temporal, posterior parietal and prefrontal regions. During an independent second fMRI experiment, we explicitly tested their involvement in AV integration. Activations in nine out of these twelve regions met the max-criterion (A < AV > V) for multisensory integration. Comparison of this approach with a general linear model-based region-of-interest definition revealed its complementary value for multisensory neuroimaging. In conclusion, we estimated functional networks of uni- and multisensory functional connectivity from one dataset and validated their functional roles in an independent dataset. These findings demonstrate the particular value of ICA for multisensory neuroimaging research and using independent datasets to test hypotheses generated from a data-driven analysis.
In Niedersachsen sind etwa 50 % der forstlichen Standorte in einem Maßstab 1 : 25 000 nach einem relativ komplexen Verfahren kartiert. Jede kartierte Einheit besteht aus Stufen für den Geländewasserhaushalt (WHZ; 43 Stufen), die Nährstoffversorgung (NZ; 16 Stufen) und die Substratund Lagerungsverhältnisse (SLZ; 105 Stufen). Das Ziel der Arbeit war es, WHZ und NZ Stufen der Niedersächsischen forstlichen Standortskartierung für nicht kartierte Gebiete vorherzusagen. Anhand von stratifizierten Zufallsstichproben der WHZ und NZ Stufen aus der Kartierung wurden zwei RandomForest-Modelle kalibriert. Das Modell klassifizierte etwa 77 % der Teststichprobe für die WHZ richtig. Die F1-Werte der einzelnen Stufen reichten dabei von 50–95 %. Falsche Vorhersagen mehrten sich bei Übergängen benachbarter WHZ (z. B. Übergang von Tälern zu Hängen) und bei WHZ mit ähnlichen Geländeeigenschaften, aber Abstufungen in der Wasserversorgung. Einige Modellfehler hängen aber offenbar auch von Unschärfen innerhalb der zugrundeliegenden Kartierung ab. Zusätzlich sagt das Modell im Vergleich zur Feldkartierung viel kleinräumigere Muster vorher, die zwar vom zugrundeliegenden Gelände her nachvollziehbar erscheinen, aber in dieser Genauigkeit nicht im Feld kartiert werden. Etwa 66 % des Testdatensatzes für die NZ wurden richtig klassifiziert. Falsche Vorhersagen traten hier vor allem in direkt benachbarten Stufen der Nährstoffversorgung auf. Unsicherheiten deuten zum einen auf weniger gut geeignete Kovariablen hin, sind möglicherweise aber auch durch zeitliche Änderungen der Bodeneigenschaften selbst sowie durch Ungenauigkeiten in der Kartierung zu erwarten, die wenige Regeln für die Vergabe der Nährstoffzahl vorgibt. Insgesamt beurteilen wir die Modelle als gut geeignet, um sie landesweit anzuwenden. Allerdings ist zu erwarten, dass eine lokale Kalibrierung der Modelle für einzelne Wuchsgebiete die Modellgüte deutlich erhöht. Gleiches kann eine Zusammenfassung ähnlicher Stufen zu waldbaulich relevanten Obergruppen leisten.
Die steigende Nachfrage nach großmaßstäblichen Standorts-und Bodeninformationen im Bereich der forstlichen Planungs- und Entscheidungsunterstützung umfasst auch die Grundwasserflurabstände. Diese gehen entweder direkt in statistische und prozessorientierte Modelle ein oder sind eine wichtige Grundlage für die digitale Standortsprognose. In dieser Untersuchung wurde für das niedersächsische Tiefland ein Disaggregierungsansatz entwickelt, mit dem der mittlere Grundwassertiefstand (MNGW) der flächendeckenden BÜK50 von Niedersachsen (1 : 50000) in die Grundwasserflurabstandseinstufung der Standortskartierung (1 : 25000) übersetzt werden kann, die nicht flächendeckend vorliegt. Die Ergebnisse zeigen, dass durch die Disaggregierung eine Verbesserung der Ableitung von Grundwasserinformation für Waldstandorte aus der BÜK50 erreicht werden kann. Die Genauigkeit (AC) erhöhte sich von 0,64 auf 0,69 und der Kappa-Koeffizient von 0,34 auf 0,48. Trotzdem ist die Übereinstimmung zwischen modellierten und kartierten Einstufungen mit einem Kappa-Koeffizienten von 0,48 des Validierungsdatensatzes nur als „moderat“ zu bezeichnen.
Transjugular intrahepatic portosystemic shunt (TIPS) is the most effective measure to treat complications of portal hypertension. However, liver function may deteriorate after TIPS. Predictors of liver function and outcome after TIPS are therefore important for management of TIPS patients. The study aimed to evaluate the impact of liver volume on transplant-free survival (TFS) after TIPS, as well as the evolution of liver volume and its relationship with liver function after TIPS. A retrospective analysis of all consecutive patients who underwent TIPS in a tertiary care university liver center between 2012 and 2017 (n = 216) was performed; n = 72 patients with complete prior and follow-up (FU) computed tomography (CT) imaging studies were included in the study. Volumetry of the liver was performed by a semi-automatic 9-lobe image segmentation algorithm at baseline and FU (FU 1: 90–180 d; FU 2: 180–365 d; FU 3: 365–545 d; FU 4: 545–730 d; FU 5: >730 d). Output variables were total liver volume (TLV, cm3), left liver volume (LLV, cm3), right liver volume (RLV, cm3) and TLV/body weight ratio. CT derived liver volumes were correlated with liver function tests, portosystemic pressure gradient (PPG) measurements and survival. To assess predictors of liver volume change over time we fitted linear mixed models. Kaplan–Meier analysis was performed and validated by matched pair analysis followed by Cox regression to determine independent prognostic factors for survival. The median TLV at baseline was 1507.5 cm3 (773.7–3686.0 cm3). Livers with higher baseline liver volumes and larger TLV/weight ratios retained their volume after an initial loss while smaller livers continuously lost volume after TIPS. At the first follow-up period (90–180 d post-TIPS) lower liver volumes and TLV/weight ratios were associated with higher bilirubin levels. Within the final multivariable model containing time (days since TIPS), baseline INR and baseline TLV, the average loss of liver volume was 0.74 mL per day after TIPS. Twelve-month overall transplant-free survival was 89% and median overall TFS was 33 months. The median TFS for a baseline TLV/body weight ratio > 20 was significantly higher compared with ≤20 (40.0 vs. 27.0 months, p = 0.010) while there were no differences regarding the indication for TIPS or etiology of liver disease in the matched pair analysis. Lower TLV/weight ratios before TIPS were associated with shorter TFS and should therefore be critically considered when selecting patients for TIPS. In addition, this study provides first evidence of an effect of TIPS on subsequent liver volume change and associated liver function.
Background: An essential step in any medical research project after identifying the research question is to determine if there are sufficient patients available for a study and where to find them. Pursuing digital feasibility queries on available patient data registries has proven to be an excellent way of reusing existing real-world data sources. To support multicentric research, these feasibility queries should be designed and implemented to run across multiple sites and securely access local data. Working across hospitals usually involves working with different data formats and vocabularies. Recently, the Fast Healthcare Interoperability Resources (FHIR) standard was developed by Health Level Seven to address this concern and describe patient data in a standardized format. The Medical Informatics Initiative in Germany has committed to this standard and created data integration centers, which convert existing data into the FHIR format at each hospital. This partially solves the interoperability problem; however, a distributed feasibility query platform for the FHIR standard is still missing.
Objective: This study described the design and implementation of the components involved in creating a cross-hospital feasibility query platform for researchers based on FHIR resources. This effort was part of a large COVID-19 data exchange platform and was designed to be scalable for a broad range of patient data.
Methods: We analyzed and designed the abstract components necessary for a distributed feasibility query. This included a user interface for creating the query, backend with an ontology and terminology service, middleware for query distribution, and FHIR feasibility query execution service.
Results: We implemented the components described in the Methods section. The resulting solution was distributed to 33 German university hospitals. The functionality of the comprehensive network infrastructure was demonstrated using a test data set based on the German Corona Consensus Data Set. A performance test using specifically created synthetic data revealed the applicability of our solution to data sets containing millions of FHIR resources. The solution can be easily deployed across hospitals and supports feasibility queries, combining multiple inclusion and exclusion criteria using standard Health Level Seven query languages such as Clinical Quality Language and FHIR Search. Developing a platform based on multiple microservices allowed us to create an extendable platform and support multiple Health Level Seven query languages and middleware components to allow integration with future directions of the Medical Informatics Initiative.
Conclusions: We designed and implemented a feasibility platform for distributed feasibility queries, which works directly on FHIR-formatted data and distributed it across 33 university hospitals in Germany. We showed that developing a feasibility platform directly on the FHIR standard is feasible.
We present a study of the influence of disorder on the Mott metal-insulator transition for the organic charge-transfer salt κ -(BEDT-TTF) 2 Cu[N(CN) 2 ]Cl. To this end, disorder was introduced into the system in a controlled way by exposing the single crystals to X-ray irradiation. The crystals were then fine-tuned across the Mott transition by the application of continuously controllable He-gas pressure at low temperatures. Measurements of the thermal expansion and resistance show that the first-order character of the Mott transition prevails for low irradiation doses achieved by irradiation times up to 100 h. For these crystals with a moderate degree of disorder, we find a first-order transition line which ends in a second-order critical endpoint, akin to the pristine crystals. Compared to the latter, however, we observe a significant reduction of both, the critical pressure pc and the critical temperature Tc . This result is consistent with the theoretically-predicted formation of a soft Coulomb gap in the presence of strong correlations and small disorder. Furthermore, we demonstrate, similar to the observation for the pristine sample, that the Mott transition after 50 h of irradiation is accompanied by sizable lattice effects, the critical behavior of which can be well described by mean-field theory. Our results demonstrate that the character of the Mott transition remains essentially unchanged at a low disorder level. However, after an irradiation time of 150 h, no clear signatures of a discontinuous metal-insulator transition could be revealed anymore. These results suggest that, above a certain disorder level, the metal-insulator transition becomes a smeared first-order transition with some residual hysteresis.
Introduction: Acute stroke care delivered by interdisciplinary teams is time-sensitive. Simulation-based team training is a promising tool to improve team performance in medical operations. It has the potential to improve process times, team communication, patient safety, and staff satisfaction. We aim to assess whether a multi-level approach consisting of a stringent workflow revision based on peer-to-peer review and 2–3 one-day in situ simulation trainings can improve acute stroke care processing times in high volume neurocenters within a 6 months period.
Methods and Analysis: The trial is being carried out in a pre-test-post-test design at 7 tertiary care university hospital neurocenters in Germany. The intervention is directed at the interdisciplinary multiprofessional stroke teams. Before and after the intervention, process times of all direct-to-center stroke patients receiving IV thrombolysis (IVT) and/or endovascular therapy (EVT) will be recorded. The primary outcome measure will be the “door-to-needle” time of all consecutive stroke patients directly admitted to the neurocenters who receive IVT. Secondary outcome measures will be intervention-related process times of the fraction of patients undergoing EVT and effects on team communication, perceived patient safety, and staff satisfaction via a staff questionnaire.
Interventions: We are applying a multi-level intervention in cooperation with three “STREAM multipliers” from each center. First step is a central meeting of the multipliers at the sponsor's institution with the purposes of algorithm review in a peer-to-peer process that is recorded in a protocol and an introduction to the principles of simulation training and debriefing as well as crew resource management and team communication. Thereafter, the multipliers cooperate with the stroke team trainers from the sponsor's institution to plan and execute 2–3 one-day simulation courses in situ in the emergency department and CT room of the trial centers whereupon they receive teaching materials to perpetuate the trainings.
Clinical Trial Registration: STREAM is a registered trial at https://clinicaltrials.gov/ct2/show/NCT03228251.
The timing of feedback to early visual cortex in the perception of long-range apparent motion
(2008)
When 2 visual stimuli are presented one after another in different locations, they are often perceived as one, but moving object. Feedback from area human motion complex hMT/V5+ to V1 has been hypothesized to play an important role in this illusory perception of motion. We measured event-related responses to illusory motion stimuli of varying apparent motion (AM) content and retinal location using Electroencephalography. Detectable cortical stimulus processing started around 60-ms poststimulus in area V1. This component was insensitive to AM content and sequential stimulus presentation. Sensitivity to AM content was observed starting around 90 ms post the second stimulus of a sequence and most likely originated in area hMT/V5+. This AM sensitive response was insensitive to retinal stimulus position. The stimulus sequence related response started to be sensitive to retinal stimulus position at a longer latency of 110 ms. We interpret our findings as evidence for feedback from area hMT/V5+ or a related motion processing area to early visual cortices (V1, V2, V3).