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Background: Intraductal papillary mucinous neoplasms (IPMNs) display diverse macroscopic, histological, and immunohistochemical characteristics with typical morphological appearance in magnetic resonance imaging. Depending on those, IPMNs may show progression into invasive carcinomas with variable frequency. Overall, IPMN-associated invasive carcinomas are found in about 30% of all IPMNs, revealing phenotpyes comparable with conventional ductal adenocarcinomas or mucinous (colloid) carcinomas of the pancreas. In Sendai-negative side-branch IPMNs, however, the annual risk of the development of invasive cancer is 2%; thus, risk stratification with regard to imaging and preoperative biomarkers and cytology is mandatory. Methods and Results: The present study addresses the radiological and interventional preoperative measures including histological features to determine the risk of malignancy and the prognosis of IPMNs. Conclusion: While preoperative imaging largely relies on the detection of macroscopic features of IPMNs, which are associated with a divergent risk of malignant behavior, in resected specimens the determination of the grade of dysplasia and the detection of an invasive component are the most important features to estimate the prognosis of IPMNs.
We presented the prevalence of MIH in Dubai/UAE for the first time, which represents a developed Middle Eastern city and compared it to results obtained from Greifswald/Germany, which represents a developed European city. The results have shown that the prevalence of MIH in Dubai/UAE is higher than Greifswald/Germany. However, in comparison to the literature, the prevalence of MIH in Dubai is lower than other Middle Eastern cities. Furthermore, we have shown that there is a higher caries level associated with MIH in Dubai. This is also true in Greifswald, Germany and other international studies. In addition, we have reported the prevalence of caries and fluorosis in Dubai and compared them to Greifswald and the previous studies in Dubai. Nevertheless, caries values presented in this study and previous studies indicate that strong attention is required from health authority to this topic. This research provides a strong and comparable source of information on the prevalence of MIH in Dubai for other studies, since it followed strictly all methodological and clinical standards suggested for the assessment and diagnosis of MIH, which are the EAPD criteria. The findings presented in this study require particular attention from the local health authorities and general practitioners for such developmental defect to facilitate early and adequate diagnosis and treatment. This could be achieved by implementing continuing education courses on MIH detection, diagnosis, and treatment for general practitioners. Furthermore, this study has the potential to trigger new studies that would help in understanding the MIH etiology.
The current work is focused on the study of two surface modification plasma processes, (i) the active screen plasma nitriding (ASPN) and nitrocarburizing (ASPNC) for the hardening of ferrous surfaces and (ii) the microwave plasma assisted chemical vapor deposition (MW-PACVD) for the synthesis of single crystal and doped diamond. Conventional and active screen plasma nitriding processes have been investigated in a cylindrical, industrial scale ASPN reactor with a volume of about 1 m3, using low-pressure pulsed dc H2-N2 plasmas with admixtures of CH4 or CO2. The experiments were carried out (i) with the plasma at an internal model probe, (ii) with the plasma at the active screen (floated model probe) and (iii) with the plasma at the active screen and an additional plasma at the biased model probe. For deeper insights in ASPN and ASPNC processes, a laboratory scale plasma nitriding monitoring reactor, PLANIMOR, has been constructed. The main feature of this reactor is the linear configuration of the electrode setup combined with a tubular glass vessel, overcoming the experimental disadvantages of cylindrical laboratory scale ASPN reactors. With the help of infrared laser absorption spectroscopy (IRLAS) the rotational temperature of the stable molecules in the gas phase and the concentrations of the precursor, CH4, and the reaction products (NH3, HCN, C2H2, C2H4, CO, CH3) could be determined in both reactors, depending on the plasma power, the gas mixture, the plasma at the model probe and the admixture of CH4. Furthermore, the admixture of CO2 as the carbon containing precursor has been studied in the ASPN reactor leading to an additional reaction product H2O. The concentration of the molecular species has been found being in a range of 1012 to 1016 molecules cm-3. Also optical emission spectroscopy (OES) has been applied during the studies for analyzing the emission of the plasmas in the nitriding and nitrocarburizing processes. A similar behavior of the plasma chemistry in PLANIMOR comparing to that in the ASPN reactor has been found. Beside the plasma chemical investigations, both reactors have been used for the treatment of C15 steel samples. These samples have been analyzed with the help of GDOES resulting in the elements profile of the treated surfaces. It has been found that samples treated in PLANIMOR reach comparable nitriding results as samples treated in the ASPN reactor. Another focus of interest during the investigations about plasma nitrocarburizing has been the application of a carbon containing screen electrode as carbon source. For this purpose the carbon containing precursor and the steel screen have been substituted by a meshed carbon electrode, acting as the active screen. This change of the setup leads to a decrease of the NH3 production by a factor of 2.5 and an increase of the concentrations of HCN by a factor of 30 and of C2H2 by a factor of 70. The investigations of MW-PACVD processes used for diamond layer deposition have been carried out in a jacketed stainless steel reactor (JR), dedicated to the deposition of single crystalline diamond under high pressure and plasma power conditions. Using H2-plasmas with admixtures of CH4 and B2H6, the experiments were carried out in order to analyze the dependence of the plasma chemistry on several parameters, such as plasma power, pressure and gas mixture, in a wide pressure (p = 25…270 mbar) and power range (P = 0.6…4 kW). Using IRLAS the concentrations of six molecular species (B2H6, CH4, C2H2, C2H4, C2H6, CH3) have been monitored. With the help of OES the concentration of atomic boron could be determined. The concentrations of the detected molecular and atomic species were found to be in a range of 1010 to 1017 cm-3. With the help of the line-ratio-method the rotational temperature of the stable molecules has been determined. The temperature increased with pressure and power from 340 to 425 K. Using the Doppler broadening of the absorption line of CH3 at ν = 612,413 cm-1, the gas temperature has found to be Tg = (2000 ± 200) K under lower pressure and power conditions. For the H2-CH4 gas mixture, the experimental obtained molecular densities have been compared to those of a 1D-radial thermochemical model. The calculated radial densities have been integrated axially. For the same range the chemical processes in JR have been compared with those in a bell-jar (BJ) reactor. The hydrocarbon chemistry in JR has found to be similar to that in a BJ reactor.
Certain pathogenic bacteria adopt an intracellular lifestyle and proliferate in eukaryotic host cells. The intracellular niche protects the bacteria from cellular and humoral components of the mammalian immune system, and at the same time, allows the bacteria to gain access to otherwise restricted nutrient sources. Yet, intracellular protection and access to nutrients comes with a price, i.e., the bacteria need to overcome cell-autonomous defense mechanisms, such as the bactericidal endocytic pathway. While a few bacteria rupture the early phagosome and escape into the host cytoplasm, most intracellular pathogens form a distinct, degradation-resistant and replication-permissive membranous compartment. Intracellular bacteria that form unique pathogen vacuoles include Legionella, Mycobacterium, Chlamydia, Simkania, and Salmonella species. In order to understand the formation of these pathogen niches on a global scale and in a comprehensive and quantitative manner, an inventory of compartment-associated host factors is required. To this end, the intact pathogen compartments need to be isolated, purified and biochemically characterized. Here, we review recent progress on the isolation and purification of pathogen-modified vacuoles and membranes, as well as their proteomic characterization by mass spectrometry and different validation approaches. These studies provide the basis for further investigations on the specific mechanisms of pathogen-driven compartment formation.
The current cross-national study investigates the potential buffering role of socio-motivational relationships for the association of achievement drive (AD) and test anxiety (TX) in secondary school students from Canada and Germany. One thousand and eighty-eight students (54% girls, Mage = 13.71, SD = 0.53, age span 12–15 years) from the state of Brandenburg and 389 students from Quebéc (55.9% girls, Mage = 13.43, SD = 0.82, age span 12–16 years) were asked about their socio-motivational relationships with their teachers and peers, their drive for achievement, and TX. Multigroup latent moderated structural equations were conducted to test for the moderator role of socio-motivational relationships that would buffer feelings of TX related to the drive for achievement. The analyses revealed the two-sided role socio-motivational relationships can have for students with different levels of AD; intensifying or mitigating feelings of TX. Thereby, the results of this study extend the buffering hypothesis by Cohen and Wills (1985). Cross-national differences between Canada and Germany were found concerning the studied moderators on the association of AD and TX: While for German students teacher–student relationships acted as moderator, for Canadian students student–student relationships and teachers acting as positive motivators displayed a moderator role.
Using geopolymers can reduce significant amounts of CO2-emissions during the production compared to Portland cement. Although illite/smectite clays are very abundant on earths crust and rich in SiO2 and Al2O3, studies of their geopolymerization potential are rare. Thus, the illite/smectite clay of Friedland (NE Germany) was calcined (850 °C) and ground to form a reactive metaclay and then mixed with synthetic gibbsite (to test the effect of Al-concentration) and 6 molar NaOH or KOH, in order to study their geopolymerization at 25, 50 and 75 °C within 28 days. The raw clay, the precursors, and the geopolymers were characterized by XRF, XRD, SEM-EDX, Flame-AAS, nitrogen adsorption and compressive strength test. 25 °C was too low to initiate the geopolymerization of illite/smectite. Increasing the curing temperature increased the reactivity of meta-illite/smecite. Si and Al dissolution was confined to the first 24 h, followed by the hardening of the geopolymers within 28 days. At 50°C, KOH-activation formed amorphous and mesoporous aluminosilicates, which significantly cemented the particles and agglomerates of the metaclay. Consequently, geopolymers with high compression strength (~38 N/mm2) were formed. Adding 10 wt% Gibbsite (precursor Si/Al = 2.1) to the metaclay strengthened the formation of amorphous aluminosilicates and increased the compression strength of the geopolymer by 20 % from 38 - 45 N/mm2. At 75 °C, the reactivity of the metaclay in NaOH was higher than in KOH. NaOHactivation at that temperature formed geopolymers with high compression strength (~30 N/mm2) due to the cementation by microporous phillipsite (K-, Na-zeolite) crystals. Thus, alkali-activation of the calcined and ground meta-illite/smectite from Friedland form high strength geopolymers under hydrothermal conditions.
The immune system of all vertebrates primarily is responsible to maintain the organisms homeostasis by either eliminating neoplastic or altered body cells and to protect against foreign invaders (viruses, bacteria, fungi, parasites) (Murphy 2012). It is a highly regulated network of innate and adaptive mechanisms between humoral factors and leukocytes. The successful elimination or protection is crucially based on differentiation of self from non-self. Pathogens and altered body cells are recognized by different receptor complexes on immune cells. Expressed pathogen- or danger-associated molecular patterns (PAMPs or DAMPs, respectively) are bound by pattern recognition receptors (PRR) (Takeuchi and Akira 2010). Missing major histocompatibility (MHC) class I molecules or non-self (e.g. allogeneic or xenogeneic cells) MHC are recognized by natural killer cell receptors (Fischer, Koppang and Nakanishi 2013, Raulet 2006). Foreign non-self peptides are presented through MHC class I (intracellular) or through MHC class II (extracellular) to B- cell or T cell receptor complexes. This initial activation is regulated by humoral factors or cellular interactions (receptor-ligand interactions) resulting in the activation, proliferation and effector function within an immune response. Some of the cellular receptors are permanently expressed on all leukocytes on a high level (MHC class I), whereas others only are expressed during certain developmental or activation stages or on certain leukocyte populations (monocytes, granulocytes, NK cells, lymphocytes) (Murphy 2012, Biosciences 2010). For different mammals (man, mouse, rat, but also swine, cattle, dog), a system of characterized leukocyte surface molecules primarily based on the recognition of these molecules by specific monoclonal antibodies (mabs) was summarized at international workshops as clusters of differentiation (CD) (Cobbold and Metcalfe 1994, Hopkins, Ross and Dutia 1993, Haverson et al. 2001, Mason et al. 2001). Using these mabs, it is not only possible to characterize the developmental and functional stage of different leukocyte subpopulations but also to define the interactions between these populations. For bony fish, such a system does not exist. Only a limited number of mabs against leukocyte surface molecules is available and most of them are strongly specific for species (Köllner et al. 2004, Köllner et al. 2001, Zhang et al. 2010, Ramirez-Gomez et al. 2012, Wen et al. 2011, DeLuca, Wilson and Warr 1983, Toda et al. 2011, Toda et al. 2009, Takizawa et al. 2011a, Hetland et al. 2010, Araki et al. 2008). The goal of this PhD work, therefore, was to develop monoclonal antibodies against surface markers of rainbow trout (Oncorhynchus mykiss) T cell population (chapter 2). The lymphocytes are characterized by the expression of a T cell receptor complex composed of TCR chains (α and β) and CD3 chains (α, β, γ, δ, ε and ζ). Cytotoxic T lymphocytes (CTLs) binds to MHC class I bound peptide on the infected host cell using their T cell receptor (TCR) and its co-receptor CD8 resulting in specific killing. Th cells recognize peptides through their T cell receptor (TCR) and their co-receptor CD4 after extracellular antigens uptake, processing and presentation via MHC class II by professional antigen presenting cells (macrophages, dendritic cells and B cells). During recent years, genes encoding MHC class I and II, TCR and their co-receptors CD8 and CD4 have been cloned in several fish species and antibodies have been developed to study protein expression in morphological and functional contexts. However, mabs specific for TCR or CD3 have not been established yet. Therefore, using pan-T cell marker specific mabs, the activation and kinetics of T cell subpopulation should be investigated (chapter 2). Moreover, a flow cytometry method was established using different lineage marker specific mabs to measure different leukocyte populations and their involvement in immune mechanisms of trout using a single tube assay (chapter 3). The first line of defense against altered body cells or pathogens is provided by evolutionarily ancient macrophages and natural killer (NK) cells. These innate mechanisms are well developed in bony fish. Two types of NK cell homologues have been described in fish: non-specific cytotoxic cells and NK-like cells (Shen et al. 2002, Shen et al. 2003, Shen et al. 2004, Fischer et al. 2013). Functional assays for innate and adaptive lymphocyte responses have been developed in only a few fish species. However, there are no tools available until now in trout to follow these cells directly in the immune response. The molecular characteristics and the expression on leukocyte subpopulations of CD56 were therefore analyzed. Furthermore, a mab that is specific for a molecule expressed only in NK cells but with uncommon expression kinetics was established (chapter 4). Overall, the established tools and methods allow a more detailed characterization of cellular immune mechanisms against intracellular pathogens in rainbow trout.
This thesis investigated dielectric barrier discharges (DBDs) in N2-O2 gas mixtures at atmospheric pressure, with a focus on the gas discharge physics. The main goal was to evaluate whether possible control mechanisms exist that can manipulate the breakdown and the development of DBDs, especially for pulsed operation. To examine the pre-breakdown phase, the actual breakdown and the main DBD development, DBDs in a double-sided, single filament arrangement with a 1 mm discharge gap were investigated by means of electrical and optical diagnostics with high resolutions. Spectrally- and temporally-resolved iCCD pictures (2D in space), spectrally- and spatio-temporally-resolved streak camera and CCS images (1D in space) were simultaneously recorded accompanied by a full electrical characterisation with fast voltage and current probes. Sinusoidal- and pulsed-driven DBDs were found to have a qualitatively similar spatio-temporal development, i.e. a cathode-directed ionisation front (v ~ 10^6 m/s, positive streamer mechanism), followed by a transient glow-like phase in the gap. For sinusoidal operation, the slope of the applied voltage is flat (dU/dt ~ 1 V/ns) compared to pulsed operation (dU/dt ~ 100 V/ns). Thus, during the longer pre-phase of the sine-driven DBD, many more charge carriers were generated, in contrast to the pulsed-driven DBDs, where the pre-phase is limited by the short voltage rise time. Consequently, just before the breakdown occurs, the charge carrier density is higher for sine-driven DBDs, i.e. the positive streamer starts in a highly pre-ionised environment, which leads to a lower propagation velocity. In addition to limiting the pre-phase (lower pre-ionisation), the steep voltage slope of the pulsed DBD amplifies the streamer breakdown because the applied voltage rises significantly during its propagation. Therefore, the transferred electrical charge and the electrical power of a single DBD can be controlled by the applied voltage amplitude, but only in pulsed operation. In addition to the effects of different voltage slope steepness, the pulse width is an excellent parameter in the pulsed operation to set the pre-ionisation, by shifting the DBDs into the after-glow of the previous discharge using asymmetrical HV pulse waveforms. The subsequent DBDs ignite in different pre-ionised conditions, defined by the residual charge carrier densities in the gap that originated from the previous DBD. The breakdown characteristics of these DBDs could be controlled down to the fundamental level. This thesis has described for the first time four different breakdown regimes in single filament DBDs for 0.1 vol% N2 in O2 and connected them to the processes during their pre-phases. The “classic” DBD development (a cathode-directed streamer followed by a transient glow discharge) could be controlled in a certain range, followed by a transition first to a breakdown regime featuring a simultaneous propagation of a cathode- and an anode-directed streamer, and finally to a reignition of the previous DBDs without any propagation, just by reducing the pulse width (time between two subsequent DBDs), i.e. increasing the pre-ionisation level. All differences between the DBDs at rising and falling slopes could be explained by the different pre-conditions in the gap. The O2 concentration in the N2-O2 gas mixtures offers another way of controlling the pre-ionisation. Due to the electron attachment as a consequence of the electronegativity of oxygen, the electron density decreases for higher O2 admixtures. Furthermore, the differences in the first Townsend ionisation coefficient and in the photo-ionisation between N2 and O2 influence the DBD behaviour as well. To some extent, some of the reported effects achieved by varying the pulse width at a fixed O2/N2 ratio were also observed for a fixed pulse width and changing O2 concentration. Hence, the response of the DBD properties to changing pre-ionisation levels seems to be a general principle of DBD control. Additional effects of the O2/N2 ratio, such as an increasing DBD inception jitter or higher streamer velocities, were also reported. Finally, a reverse of the effects induced by the O2 admixture such as DBD emission duration or DBD inception delay, was observed for O2 concentrations below 0.01 vol%, and were especially pronounced at a pressure of 0.5 bar. For 0.1 vol% O2 in N2, a minimal electron recombination rate was found, which can be explained by the different decay and recombination rates of positive nitrogen and oxygen ions. These different rates effect the charge carrier dynamics and consequently, the pre-ionisation in the gap. In conclusion, this investigation has highlighted the importance of volume memory processes on the breakdown and development of single filament DBDs at elevated pressures.
This thesis delves into some very important scientific challenges for the stellarator concept as a whole and W7-X in particular, namely, how one effectively interfaces the hot plasma with the material walls of the experiment, in special how the plasma heat and particle fluxes are controlled. The fundamental concept that will be used in W7-X for particle and heat exhaust is the island divertor. A number of theoretical and numerical studies have been performed to guide the design of the divertor components. The actual divertor components are in series production at this time, and are largely compatible with the expected heat loads. However, with the sophisticated codes now available, it has become clear that there are some, otherwise very attractive, operational scenarios that could lead to overloading of the W7-X divertors. At least one mitigation strategy was proposed but was until now not analyzed in sufficient detail. In this thesis, state-of-the-art codes are used to analyze this previously proposed mitigation strategy; they are also used to develop several alternative mitigation schemes, which may in the end be advantageous. The work performed here shows not only that it is conceivable to solve this already identified problem in new and arguably better ways but also that the W7-X coil set has enough degrees of freedom that many important long-pulse plasma effects can be effectively mimicked in short-pulse operation. This opens up a rich research program in the early phases of operation and may therefore lead to a significant acceleration of the scientific program to control and optimize the divertor operation in W7-X. The main scientific challenge for the island divertor operation in W7-X is that, since the divertor geometry is now fixed, the magnetic field structure must be adjusted to the divertor geometry, or additional plasma-facing components must be manufactured and installed. Well before this thesis work was done, such additional plasma-facing components were proposed. These are called scraper elements (SEs). As a part of this work, computer simu- lations were performed in order to obtain a better knowledge base regarding the SEs. To analyze the effect of the SE, edge plasma physics simulation code EMC3-Eirene, was used, in combination with state-of-the-art magneto hydrodynamic (MHD) equilibrium codes. This combination was computationally non-trivial and new, and it has led to important insights. One main result of this study is that the SEs significantly reduce the particle exhaust capabilities in steady state operation; this is a concern for W7-X. To test and further quantify this deleterious effect, physics experiments with a prototype SE should be performed as soon as possible, ideally in the first operation campaigns before the approximately two-year break needed to complete W7-X for steady-state operation. In 3 this first operation phase, however, the necessary combination of plasma parameters, heating power, and achievable pulse length is not accessible. This means, on the one hand, that the problem described will not be present in the first operation phase; on the other hand, the physics implications of installing an SE would appear not to be experimentally testable in that phase. One major finding of this thesis is that the coil system of W7-X is flexible enough to allow such an early experimental test. Different stages of high performance long-pulse discharge can be effectively mimicked in the experiment by a targeted use of the available coil sets. Thus, even in the early phases of the W7-X program one can assess both the protection capabilities of the SEs and their effects on particle exhaust and plasma performance in general. These mimic scenarios also have the potential to test other possibilities for divertor pro- tection besides the SE. Such strategies are addressed in this thesis. The two most promising strategies identified here can be classified as plasma shift and iota control. Both adjust the edge magnetic field to better fit the divertor geometry. This is done slowly but dynamically — i.e. during a long plasma discharge.
Background: Robotic-assisted laparoscopy (RAL) is being widely accepted in the field of urology as a replacement for conventional laparoscopy (CL). Nevertheless, the process of its integration in clinical routines has been rather spontaneous. Objective: To determine the prevalence of robotic systems (RS) in urological clinics in Germany, Austria and Switzerland, the acceptance of RAL among urologists as a replacement for CL and its current use for 25 different urological indications. Materials and Methods: To elucidate the practice patterns of RAL, a survey at hospitals in Germany, Austria and Switzerland was conducted. All surgically active urology departments in Germany (303), Austria (37) and Switzerland (84) received a questionnaire with questions related to the one-year period prior to the survey. Results: The response rate was 63%. Among the participants, 43% were universities, 45% were tertiary care centres, and 8% were secondary care hospitals. A total of 60 RS (Germany 35, Austria 8, Switzerland 17) were available, and the majority (68%) were operated under public ownership. The perception of RAL and the anticipated superiority of RAL significantly differed between robotic and non-robotic surgeons. For only two urologic indications were more than 50% of the procedures performed using RAL: pyeloplasty (58%) and transperitoneal radical prostatectomy (75%). On average, 35% of robotic surgeons and only 14% of non-robotic surgeons anticipated RAL superiority in some of the 25 indications. Conclusions: This survey provides a detailed insight into RAL implementation in Germany, Austria and Switzerland. RAL is currently limited to a few urological indications with a small number of high-volume robotic centres. These results might suggest that a saturation of clinics using RS has been achieved but that the existing robotic capacities are being utilized ineffectively. The possible reasons for this finding are discussed, and certain strategies to solve these problems are offered.
In the last decade a new domain has developed in plasma physics: plasma medicine. Despite the successes that have already been achieved in this exciting new field, the interaction of plasmas with “biological materials” is not yet fully understood. Further investigations in particular with respect to the properties of the applied plasmas sources are therefore essential in order to decode this complex interaction process. Currently, a great variety of different discharge types are used in plasma medical investigation which are generally are operated in noble gases like helium and argon or with dry air. In the present work, the main focuses is on the diagnostics of reactive oxygen and nitrogen species (RONS) resulting from the plasma chemistry of an argon radio-frequency (RF) atmospheric pressure plasma jet (APPJ) and its interaction with the ambient atmosphere. To conduct this study, a commercially available plasma device, so-called kinpen is used due to its technical development maturity and its accessibility on the market. As a method of choice, diagnostic techniques are based on optical spectroscopy known to be a reliable tool to investigate plasmas. Consequently, three complementary optical laser diagnostics, namely quantum cascade laser absorption spectroscopy (QCLAS), laser induced fluorescence (LIF) and planar single shot LIF (PLIF), have been successfully applied to the plasma jet itself or its effluent. All of these diagnostics offer a high species selectivity and an excellent spatial and temporal resolution. They are used in this work for i) the characterization of the plasma chemical dynamics with respect to the generation of biological active RONS – in particular for the case of N2 and O2 admixtures. ii) the measurement of the NO density profile in the plasma effluent iii) the investigation of the flow characteristics of the neutral gas component (laminar vs. turbulent) and its influence on the plasma chemistry. Numerical analysis have been carried out in collaboration with PLASMANT (University of Antwerp) via kinetic simulations of the entire plasma chemistry. Expectingly, atomic oxygen (O) and nitric oxide (NO) turn out to be precursors of ozone (O3) and nitric dioxide (NO2). However, it was intriguing to unveil that atomic oxygen and nitrogen metastable (N2(A)) play together a key part --as intermediate species-- in the generation of more stable RONS, e.g. NO. The absolute density of NO space resolved was measured by LIF and absolutely calibrated molecular beam mass spectrometer. LIF was used to determine relative density of OH radical in the plasma plume. 2D-LIF was used to investigate the gas flow pattern with OH as a flow tracer. The results are discussed in details and show different operating mode of the jet, e.g. laminar or turbulent and that the plasma influences these regimes. The first detection and relative measurement by LIF of nitrogen metastable (N2(A)) produced by an argon APPJ is also shortly reported in this work. The outcome of this thesis will bring new insights in the field of argon APPJs chemistry and its interaction with the ambient atmosphere which can be valuable to support plasma modelling and to consider for the applications in plasma medicine.
Background: There is only limited data on the potential association between thyroid dysfunction and peripheral arterial disease (PAD). Objective: The aim of our study was to investigate the potential association of thyroid function, as defined by serum concentrations of the clinically used primary thyroid function marker thyrotropin [i.e. thyroid-stimulating hormone (TSH)] and 3,5-diiodothyronine (3,5-T<sub>2</sub>), with the ankle-brachial index (ABI) as a marker of PAD. Methods: We used data from 5,818 individuals from three cross-sectional population-based studies conducted in Northeast (SHIP-2 and SHIP-TREND) and Central Germany (CARLA). Measurement of serum TSH concentrations was conducted in one central laboratory for all three studies. In a randomly selected subpopulation of 750 individuals of SHIP-TREND, serum 3,5-T<sub>2</sub> concentrations were measured with a recently developed immunoassay. ABI was measured either by a hand-held Doppler ultrasound using the Huntleigh Dopplex D900 or palpatorily by the OMRON HEM-705CP device. Results: Serum TSH concentrations were not significantly associated with ABI values in any of the three studies. Likewise, groups of individuals with a TSH <0.3 mIU/l or with a TSH ≥3.0 mIU/l had no significantly different ABI values in comparison with individuals with a TSH in the reference range. Analyses regarding TSH within the reference range or serum 3,5-T<sub>2</sub> concentrations did not reveal consistent significant associations with the ABI. No sex-specific associations were detected. Conclusions: The results of our study do not substantiate evidence for an association between thyroid function and PAD, but further studies are needed to investigate the associations of overt forms of thyroid dysfunction with PAD.
HPMC (Hydroxypropylmethylcellulose) based hydrophilic gel matrix tablets are one of the most commonly used monolithic extended release dosage forms used in the pharmaceutical industry. Drug release from the hydrated HPMC matrix is generally controlled by either diffusion or erosion, or a combination of both. Several studies have shown that for HPMC-based matrices with a high amount of poorly water-soluble additives, erosion is the predominant release mechanism. Erosion rates of these formulations vary significantly with changes in the matrix composition. Depending on the erosion rate, the drug delivery might occur over a shorter or longer time span and thus to different sites of action that are proximal or distal gastrointestinal tract (GIT). Erosion rates of HPMC-based matrices can be modulated by changing the amount and molecular weight of the HPMC. In the present study, four different HPMC-based hydrophilic matrix formulations developed by AstraZeneca R&D, Sweden, were investigated for in vitro as well as in vivo erosion behavior. Formulations F1, F2, and F3 consist of 40% HPMC, which is a mixture of two different HPMC viscosity grades (Methocel K100LV and Methocel K4M). Formulations F1, F2, and F3 contained 23%, 10%, and 0% of Methocel K4M, respectively, while formulation F4 was composed of 20% Methocel K100LV. Calcium hydrogen phosphate dihydrate (a poorly water-soluble compound) was used as the filling excipient. The in vitro HPMC release from the matrices was investigated using a USP dissolution apparatus II equipped with a stationary basket in a phosphate buffer (PB) pH 6.8 and simulated gastric fluid without pepsin (SGFsp) pH 1.2 at various rotation speeds. The HPMC concentration in the dissolution samples were analyzed using size exclusion chromatography coupled with multiangle light scattering and refractive index detectors (SEC-MALS/RI). In order to establish a correlation function between the magnetic moment and HPMC release, the formulations were tested in a magnetic moment dissolution tester (MMDT), a modified in vitro dissolution apparatus equipped with a magnetometer. The in vivo gastrointestinal imaging and erosion behavior of the tablets were investigated by magnetic marker monitoring (MMM) using a superconducting quantum interference devices (SQUIDs) sensor system in five healthy male volunteers at Physikalisch-Technische Bundesanstalt (PTB), Berlin. All formulations were administered after an overnight fast of at least 10 hours. However, formulations 3 and 4 were also administered 30 minutes after a standard FDA breakfast. The in vivo HPMC release was calculated using the correlation function from the recorded in vivo magnetic moment data. A linear correlation function was not observed, since the decrease of the magnetic signal was driven by both erosion and diffusion. The in vitro and in vivo erosion-time profiles show that erosion was strongly dependent on the composition of the formulation. The formulations containing a larger proportion of high molecular weight HPMC, or a higher content of HPMC, exhibited relatively slower erosion rates and vice versa. However, unlike in vitro erosion rates, the in vivo erosion rates for different formulations did not always significantly differ from each other. In vivo erosion rates of the investigated formulations were significantly higher under postprandial administration than under fasted state administration. No rapid disintegration of any of the formulations (that is, formulation failure that can potentially cause dose dumping) was observed. A good linear (point-to-point) correlation between the in vitro HPMC release at 50 rpm in PB pH 6.8 and the in vivo HPMC release was observed for all formulations in the individual volunteers for both administration conditions. The predictability of the in vivo HPMC release for all formulations in fasting as well as postprandial administrations was better with phosphate buffer pH 6.8 at 50 rpm in comparison to SGFsp pH 1.2 or higher stirring rate in phosphate buffer pH 6.8. In postprandial administrations, the gastric emptying time was significantly delayed compared to fasting administrations. For postprandial administrations, the localized erosion rate in the distal stomach was significantly higher than in the proximal stomach. The in vivo HPMC release of the investigated formulations under both intake conditions was not dependent on the motility of the tablet in the gastrointestinal tract. The in vivo HPMC release for all the investigated formulations when administered under fasting conditions was underestimated, while under postprandial conditions, the HPMC release was overestimated by the in vitro dissolution method in PB pH 6.8 at 50 rpm.
Modulation of emotional episodic memory in humans. Evidence from event-related potential studies.
(2015)
In the dissertation, own research on the modulation of emotional episodic long-term memory, especially on recognition memory performance and encoding- and retrieval-related event-related potentials (ERPs), is presented. Three ERP studies were conducted. The first study investigated spontaneous remembering of emotional events. In the second experiment, a crossover design for memory recognition studies was tested. The third study explored the noradrenergic influences on emotional memory. Next to discussing the results in the light existing findings and concepts (natural selective attention by Bradley & Lang and neuromodulation hypothesis by McGaugh), the obtained results are put in a broader context of emotional episodic long-term memory and the possible implications for clinical research are indicated.
Next Generation Sequencing (NGS)-technologies developed very fast in recent years and is used widely in current research areas. The aim of this study was to use NGS (i) for the identification of pathogens in outbreaks and (ii) for the identification of virulence-relevant sequencepolymorphisms when comparing whole genome sequences. Therefore, a previous developed workflow was used to identify a new virus of the family Bornaviridae. The generation of whole genome sequences elucidated the molecular epidemiological connection of infection of variegated squirrels (Sciurus variegatoides) and three human cases of fatal encephalitis. By generating the whole genome sequence of a Porcine Epidemic Diarrhea Virus (PEDV) in Germany it was possible to find difference compared to circulating high virulent strains in the USA. This led to potential virulence marker to distinguish strain in the USA and Germany. Connections between sequence variation and virulence were further investigated for the bovine viral diarrhea virus 2c (BVDV-2c), cowpox viruses (CPXV) and classical swine fever virus (CSFV). Here, for a highly virulent BVDV-2c strain a mixture of different genome structure variants could be found. The majority of these genomes harbors a duplication within the p7/NS2 coding region and might cause a high virulence. For CPXV virus isolated of different hosts were analyzed and a correlation between genome sequence and the A-type inclusion body phenotype could be found. Furthermore, several deletion/insertion events were detected which might influence the virulence of these strains. Finally, the virus population of CSFV strains in pigs was characterized. However, the population of the inoculum as well as of acute-lethal and chronically infected animals gave no indication that the virus itself causes the different types of disease outcome. In conclusion, this thesis shows the great potential of NGS for virus identification and characterization. Furthermore, it makes the identification of potential virulence marker possible which subsequently can be analyzed by reverse genetics.
Invasion of the bacterial pathogen Listeria monocytogenes into human host cells requires specialized surface molecules for attachment and induction of phagocytosis. However, efficient invasion is also dependent on factors with house-keeping functions, such as SecA2-dependent secretion of autolysins for post-divisional segregation of daughter cells. Mutations in this pathway prevent degradation of peptidoglycan cross-walls, so that long cell chains are formed that cannot be phagocytosed. The extreme chaining of such mutants manifests as rough colony phenotype. One rough clone was isolated from a transposon library with a transposon insertion in the uncharacterized lmo0720 gene (lftS) together with a spontaneous point mutation in the secA2 gene. We separated both mutations and demonstrated that this point mutation in the intramolecular regulator 2 domain of SecA2 was sufficient to inactivate the protein. In contrast, lftS deletion did not cause a ΔsecA2-like phenotype. lftS is located in an operon with lftR (lmo0719), encoding a PadR-like transcriptional regulator, and lftR deletion affected growth, invasion and day-light dependent coordination of swarming. Inactivation of lftS partially suppressed these phenotypes, suggesting a functional relationship between LftR and LftS. However, the invasion defect of the ΔlftR mutant was only marginally suppressed by lftS removal. LftR regulates expression of the lmo0979–0980 (lieAB) operon, encoding a putative multidrug resistance transporter and lieAB transcription was strongly upregulated in the absence of LftR. Deletion of lieAB in the ΔlftR background restores wild type-like invasion levels. Hence, we conclude that tight transcriptional repression of the lieAB operon is essential for efficient listerial host cell invasion.
In holometabolic insects, senescence starts at sexual maturation and condition diminishes with age. Young virgin males should gain the highest mating success. Although sperm quality and quantity typically decreases with age, older males have been shown to have a higher mating success in a variety of insect taxa. Life-history theory predicts an increased aggressive and persistent courtship behaviour, due to a decrease of the residual reproductive value and thus, the opportunity for future reproduction. In the butterfly Bicyclus anynana, older males gain up to a 4x higher mating success despite a poorer condition, compared to younger males. As older males were found to court more often and for longer time bouts,suggesting a higher intrinsic motivation, there is evidence for the residual reproductive value hypothesis. On the other hand, an age-specific variation of male sex pheromones may provide females with information, being helpful to chose specific males. The latter could be males which have proven a high fitness in terms of survival, thus essentially reflecting a “good genes" hypothesis. This doctoral thesis investigated the reasons underlying old male mating advantage in B. anynana. The first study tested whether old male mating advantage prevails, even if females were unable to distinguish between older and younger males. The results were backed up by examining female rejection rates, male courtship frequency, courtship duration, time to copulation and mating duration. Older males had a significantly higher mating success compared to younger ones regardless of differences in pheromone blends or the females ability to smell. Older males courted more often and longer. The results support the residual reproductive value hypothesis. Study 2 investigated post-copulatory sexual selection in B. anynana. Females were double-mated, allowing for sperm competition and cryptic mate choice. Older males had a higher paternity success than younger ones, when the former were the last mating partner. The paternity success was balanced across age classes when older males were the first mating partner. Older males transferred larger spermatophores with higher numbers of eupyrene sperm than younger males. B. anynana does not exhibit cryptic mate choice and last-male precedence is the most probable fertilization pattern. The higher proportion of offspring sired by older males is due to significantly increased numbers of fertile sperm compared to younger males. The latter are clearly disadvantaged, as the higher sperm numbers provided by older males counteract the benefits of last-male precedence. Study 3 explored determinants of mating success in B. anynana. Successful males had longer wings, a heavier thorax, a lighter abdomen, a higher fat content, and higher phenoloxidase expression levels. Mating success seemed to be directly linked to proxies of flight performance. Successful males showed a better flight performance, in turn increasing mating success. As energy reserves are of crucial importance for flight manoeuvres, they may play a significant role in male mating success. Study 4 tested the effects of male age and mating number on spermatophore mass, sperm number, male oxidative status, and reproductive success by manipulating age and mating frequency in male B. anynana. Spermatophore mass and sperm numbers increased significantly with age, while antioxidant defences and oxidative damage declined. Female fecundity and egg-hatching success was highest when being mated with young virgin males. Antioxidant defences decreased with age, being a possible reason for the negatively affected reproductive success in females. Ejaculate quality diminished with age and mating number, despite larger spermatophores and higher sperm numbers being found in older males. Therefore, spermatophore size and sperm numbers can not be considered as reliable proxies of male condition. The final study proofed whether male sex pheromone comprise honest signals and which traits might be associated with increased pheromone titres. Pheromone titres were analysed among successful and unsuccessful males when being mated with either a control or a scent-blocked female. Both groups did not differ in pheromone levels. Successful males had significantly higher numbers of eupyrene sperm. No correlation between male pheromones and any investigated trait was found, suggesting that pheromone titres do not provide reliable information on male quality. Nothing indicates that male sex pheromones in B. anynana play a decisive role in female mate choice. Successful males generally have a better body condition, resulting in a more vigorous courtship behaviour and higher sperm numbers. Hence, variation in body condition rather than pheromone titres is more likely to determine male mating success. Mating decisions are primarily driven by male behaviour. The results suggest that old male mating advantage arises from sexual conflict.
The present work examines the decision-making process of clinicians and managers in terms of pricing. This dissertation attempts to make often unconscious processes in both the clinical and economic areas more transparent. Due to this increase in transparency and an illustration of the overall decision-making process, a prioritization of the decision-drivers is enabled. Similarily, overall decision-making on stakeholder level is improved. The findings of this work are based on a dual sample: The paper primarily combines qualitative expert discussions in the clinical field with a quantitative manager survey. Therefore, the advancement of knowledge is specifically furthered in terms of pricing decision-making, as well as specific economic and thematic aspects. These form the basis for clinical/managerial decision-making. Since such specific understanding enables better acting and reacting during the negotiation processs, clients of medical device companies (eg clinics) could additionally benefit from improved understanding. Although the focus of this work rests on the clinical area, this paper also examines how companies of the medical technology industry could offer more economic medical products by means of using the instrument of pricing. Based on an interdisciplinary approach and a collection of primary data, this work also discusses a solution approach for corporate/entrepreneurial inefficiencies discovered in this paper. A final conceptual model illustrates different value allocations from both stakeholder groups (clinicians vs. managers). With regard to the research focus, the conceptual model is understood as a holistic solution for recognizing and correcting business gaps in the areas of knowledge transfer, innovation, knowledge of markets and standardization of processes.
This thesis investigates the biocatalytic synthesis of amines and amino alcohols. The applicability and economic feasibility of biocatalysis for chiral amine synthesis is reviewed and the findings were compared to established chemical processes using relevant process parameters (TON, TOF and STY). This review clearly showcases the potential of biocatalysis for the synthesis of chiral amines and provides a valuable guide for synthetic chemists who want to benefit from these new opportunities. Next, biocatalysis is applied for the synthesis of an amino alcohol with two stereocentres: A novel route for the synthesis of all four stereoisomers of 4-amino-1-phenylpentane-2-ol is presented. Enzymes were applied to install both stereocentres successively, which allowed the selective synthesis with high yields and optical purities. A small scale preparative asymmetric transamination yielded one amino alcohol stereoisomer selectively. The approach presented in this thesis provides a valuable option for the synthesis of this compound class as it is highly selective, step efficient and circumvents the need for protecting groups as well as transition-metal catalysis. The substrate scope of an (S)-selective amine transaminase (ATA) was altered in order to expand the applicability for amino alcohol synthesis. Protein engineering was conducted to enlarge the small binding pocket. Small scale preparative synthesis of the 1,2-amino alcohol (R)-phenylglycinol exemplifies the applicability of the evolved variants for the asymmetric synthesis of this compound. The designed variants expand the collection of ATAs that are suitable for the synthesis of amino alcohols with bulkier substituents. To deepen the understanding of ATAs further, a class III TA family wide analysis (which includes (S)-selective ATAs) is presented. After comparing the active site architectures and performing literature research amino acids were identified that correlate with the reaction- and substrate specificity of the enzymes within this family. This information is compiled in a sequence-function matrix, which allows the prediction of the main activity of biochemically uncharacterised enzymes from their sequence. These insights provide a better understanding of the activity determining residues in (S)-ATAs and class III TAs in general.