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Poor sleep quality or sleep deprivation may be related to decreased bone mineral density. We aimed to assess whether associations of sleep characteristics and bone turnover or strength are present in adults from the general population and whether these are independent of common risk factors such as sex, age, and obesity. A total of 1037 participants from the Study of Health in Pomerania-TREND underwent laboratory-based polysomnography and quantitative ultrasound measurements at the heel. Of these participants, 804 completed standardised questionnaires to assess daytime sleepiness, insomnia, and sleep quality. Serum concentrations of two bone turnover markers, intact amino-terminal propeptide of type 1 procollagen (P1NP) and carboxy-terminal telopeptide of type 1 collagen (CTX) were measured. Cross-sectional associations of polysomnography variables (total sleep time, sleep efficiency, time spent wake after sleep onset, oxygen desaturation index, apnea–hypopnea index, and obstructive sleep apnea [OSA]), as well as sleep questionnaire scores with the bone turnover markers and the ultrasound-based stiffness index were assessed in linear regression models. In adjusted models, higher insomnia scores and lower sleep quality scores were related to a higher bone turnover in women but not in men. However, associations between polysomnography variables or questionnaire scores and the stiffness index were absent. Our study provides limited evidence for relationships between sleep characteristics and bone turnover and strength independent of common risk factors for OSA and osteoporosis. Nevertheless, women reporting poor sleep or insomnia in combination with risk factors for osteoporosis might benefit from an evaluation of bone health.
Wound healing disorders frequently occur due to biofilm formation on wound surfaces requiring conscientious wound hygiene. Often, the application of conventional liquid antiseptics is not sufficient and sustainable as (1) the borders and the surrounding of chronic wounds frequently consist of sclerotic skin, impeding an effectual penetration of these products, and (2) the hair follicles representing the reservoir for bacterial recolonization of skin surfaces are not affected. Recently, it has been reported that tissue-tolerable plasma (TTP), which is used at a temperature range between 35 and 45°C, likewise has disinfecting properties. In the present study, the effectivity of TTP and a standard liquid antiseptic was compared in vitro on porcine skin. The results revealed that TTP was able to reduce the bacterial load by 94%, although the application of the liquid antiseptic remained superior as it reduced the bacteria by almost 99%. For in vivo application, however, TTP offers several advantages. On the one hand, TTP enables the treatment of sclerotic skin as well, and on the other hand, a sustainable disinfection can be realized as, obviously, also the follicular reservoir is affected by TTP.
In this thesis, size-sensitive phenomena of three-dimensional dust crystals emerged in a low temperature plasma are presented. Depending on the number of particles in the system phase transitions, collective vortex motions and large-scaled expansions can be observed. To investigate these fascinating effects an advanced experimental setup as well as new evaluation methods have been developed. This thesis will present these new techniques and the gained insights.
The controlled formation and adjustment of size and density of magnetic skyrmions in Ta/CoFeB/MgO trilayers with low Dzyaloshinskii–Moriya interaction is demonstrated. Close to the out-of-plane to in-plane magnetic spin reorientation transition, we find that small energy contributions enable skyrmion formation in a narrow window of 20 pm in CoFeB thickness. Zero-field stable skyrmions are established with proper magnetic field initialization within a 10 pm CoFeB thickness range. Using magneto-optical imaging with quantitative image processing, variations in skyrmion distribution and diameter are analyzed quantitatively, the latter for sizes well below the optical resolution limit. We demonstrate the controlled merging of individual skyrmions. The overall demonstrated degree of comprehension of skyrmion control aids to the development of envisioned skyrmion based magnetic memory devices.
The term diabetes mellitus comprises a group of metabolic diseases all distinguished by their main characteristic hyperglycaemia. With a steadily increasing prevalence diabetes displays an enormous burden for patients and health systems and is therefore of special interest for research. The development of the two main types of diabetes, type 1 and type 2, is closely linked to the formation of reactive species, especially hydrogen peroxide, inside different compartments of pancreatic beta cells. However, these cells are especially vulnerable towards oxidative stress mediated by hydrogen peroxide due to a low expression of antioxidative enzymes.
The main aims of the present thesis were to analyse the intracellular generation and to enable the site-specific detection of hydrogen peroxide to evaluate its role in the delicate equilibrium between redox signalling and oxidative stress under certain pathophysiological conditions, and moreover to monitor its movement through compartments and subcellular membranes of insulin-producing cells. Additionally, a new methodology for an artificial site-specific generation of hydrogen peroxide inside living cells was developed.
Small animal models are frequently used to improve our understanding of the molecular and biological signaling pathways underlying the beneficial effects of physical activity and exercise. Unfortunately, when running wheels are employed, mice and rats are often kept single-housed to determine the individual running distance of each animal. However, social isolation can be stressful for rodents, and may alter an individual’s propensity for or response to exercise. For example, increased stress from single housing may significantly affect the results when investigating systemic metabolic responses to exercise. We have combined two already available and well-established systems, a radiotelemetry system and a running wheel, to determine spontaneous cage activity (SCA) as well as voluntary exercise (VE) levels of the individual animal in group-housed rodents. Further, we developed a simple software tool which allows monitoring and analyzing the data. Specifically, the radiotelemetry-system utilizes radio-frequency identification via a small, implanted chip to determine the location of each animal. Since, in addition to the animals’ position, also the location of the running wheel in the cage is known, the conclusion of which animal is exercising can be drawn. The developed software enables a fast and reliable assignment of the VE data to the individual animal and a simple analysis of the data collected. Hence, our combined method may be used to investigate the beneficial effects of physical activity, as well as the impact of therapeutic interventions on animal behavior in group-housed rodents.
The aim of this work is to further analyze the nature of the TiO2 passivation layer regarding structure, hydrophilicity and adsorption behavior, starting with the question how far metal and oxide properties are affected by the contact, regarding structural relaxation, atomic charges and work function. This determines how far the influence of metal has to be considered in simulations of TiO2 passivation layers. Mimicking the initial phases of implant contact with the biological environment, the adsorption of the inorganic ions on titanium oxides is to be investigated next, especially the influence of Ca2+ and HnPO4n-3 on the surface properties. Finally, biomolecule adsorption on TiO2 surfaces is investigated for understanding and improving their bioactivity.
Titanium and Titanium Dioxide
The properties of sharp interfaces formed between metallic titanium and a titanium dioxide layer with rutile or anatase structure and four different surface terminations were investigated. In all cases the work of separation is higher than the sum of surface energies, indicating the formation of an energetically very favorable interface region that glues the two phases together. The interface energy is negative, which means that for Ti and TiO2 bulk phases, mixing is energetically favorable.
The influence of the metal on the atomic and electronic structure of the oxide is limited to a few atomic layers. Depending on its modification, a passivation layer may give rise to up- (rutile) or downshift (anatase) of the work function of the underlying titanium metal.
Calcium and Phosphate
First principles molecular dynamics simulations in vacuum revealed stable bonds between Ca2+ and HnPO4n-3 ions and the investigated TiO2 surfaces. Ca2+ ions bind to 2–4 surface oxygen atoms, preferring peripheral positions as found on both rutile surfaces where adsorption energies reach 9 eV per ion. In solution the hydration energy drastically reduces these values.
Phosphate adsorbs to the TiO2 surface, but the adsorption energy is much lower than that of Ca2+ ions. The approach of phosphate is highly orientation dependent and hampered by the terminal oxygen atoms.
Both ab initio and force field simulations indicate enrichment of Ca2+ ions close to the surface, most of them directly bound to it, which results in a net positive charge. As the adsorption of phosphate takes longer and is strongly reinforced by adsorbed Ca2+ ions, it has become obvious that Ca2+ ions initiate the adsorption of calcium phosphate clusters to titania surfaces. However, the TiO2 surface does not necessarily act as a nucleation site for calcium phosphate crystallization, as adsorbed Ca2+ ions show reduced affinity towards phosphate compared to free ions in solution.
Collagen and Mechanical Stress
Coinciding force distance relations have been obtained for a variety of restraint force constants, expansion rates and environments. The resulting Young’s moduli are in the range of experimental values both at low and high strain ranges. For low strains the calculated Young’s modulus of about 2 GPa is comparable to experimental values between 3 and 5 GPa. For high strains it reaches 10 GPa. The Young’s moduli can be assigned to three different mechanisms of stretching, affecting the macroscopic linearity, the torsional angles and the bond lengths.
Chondroitin Sulfate (CS) and Hyaluronic Acid (HA)
A force field model for CS and HA could be established that reproduced experimental torsion angles and showed the same free energy surface (FES) as an ab initio model. Hydration affects the overall FES, but does not alter the position of the energetic minima. Stabilization of the conformation via bridging water molecules as suggested by other works is not necessary.
Both glycosaminoglycans adsorb to a hydroxylated rutile (100) surfaces despite the negative net charge both on surface and adsorbate. The presence of Na + ions is enough to compensate for the negative surface charge and to allow for adsorption. Ca2+ ions form additional bridges between negative groups on the surface and in the adsorbate.
Simulations of Short Model Peptides and Practically Relevant Modeled Titanium Implant Surfaces
(2014)
One of the aims of this work was to generate a non restrained force field model including carbon contamination to make the adsorption simulations more realistic and comparable with experimental data. Another purpose was to find out how the special recognition of small linker proteins on titanium dioxide is working. During this work a fixed and a non restrained rutile (100) model was used and critical properties were observed which are not only related to the surface. The rigid water layers on top of the oxide are very important for the protein and peptide adsorption. Therefore the first discussing object were the properties of the water layers and how they can be influenced. The charge distribution on the surface was found to have a big effect on them. Depending on the charges of the surface atoms or the functional groups, resulting out of the hydroxylation equilibrium, precisely the first water layer gets more rigid or smother. This has a big effect on biomolecule adsorption. The peptides need to penetrate these water layers to generate direct interaction points. The correct description of the surface in molecular dynamic simulations therefore has a high influence on the results. The better the model is the better the findings are comparable with experimental ones. Additionally carbon contamination was mimicked by using a monolayer of pentanol molecules. This fits very good with experimental data (e.g. contact angle) and make the oxide model more hydrophobic. Interaction of proteins and peptides in experiments or in medical use are often observed under normal air conditions, which means that the scaffold is i) hydroxylated by water and ii) carbon contaminated in a short period of time. Therefore investigations were done to find out how the contamination influences the adsorption of a formally know good or bad binding peptide (TiOBP1; TiOBP2). It was found that the TiOBP1 is able to bind the different surface modifications very well which coincides with observations made in experiments. The way of adsorption (direct or indirect) depends on the water layers properties. The first layer on high charged surface models is that rigid, that the peptide is not able to adsorb in a direct way. On the carbon contaminated oxide model the adsorption is possible by reducing the flexibility of the secondary structure motive. In the case of TiOBP2 adsorption on the clean surface model results in only weak binding or even in no interaction. Whereas on the carbon contaminated dioxide the once know bad binder is able to interact with the Pentanol monolayer. No direct adsorption is observed but the hydrophobic side chains have the possibility to orient themselves according to the hydrophobic layer without changing significantly in the secondary structure motive. An additional test peptide (minTBP) adsorbs without being affected by the contamination. This raises the question if the distribution of hydrophobic to hydrophilic amino acids has influence on the adsorption ability according to clean and contaminated surface. For experimental application it could be of interest to generated peptides (GEPI´s) which bind both surface types without changing the secondary structure motives then as we know functionality is based on these structures. In the case of the PHMB polymer adsorption was observed depending on the hydroxylation ratio and therefore on the charge density of the rutile (100) surface. After analysis of the simulations takeaways from experiments could be substantiated. The PHMB interacts with the negative charged surface via the first water layer as a film. So the new force field model describing the rutile (100) titanium dioxide surface with additional carbon contamination model of one monolayer pentanol fits the experimental data very well. The adsorption studied on this surfaces indicates that the contamination as expected makes the surface more hydrophobic and influences the adsorption behavior of the tested peptides especially the secondary structure of TiOBP1. This indeed enhances experimental investigations. Peptides which e.g. link organic and inorganic parts should be good adsorbing on clean and contaminated surfaces by keeping their functionality. Furthermore experimental data can be substantiated by using atomistic simulations like in the case of PHMB adsorption.
Ion trajectories have been simulated for an assembly of a linear quadrupole ion-filter and a linear Paul trap with additional pin electrodes for MS SPIDOC, a project in preparation for the study of biomolecules by single-particle imaging with X-ray pulses. The ion-optical components are based on digital RF guiding and trapping fields. In order to carefully handle biomolecules over a wide mass-over-charge range, the module presented consists of separate components for filtering and accumulation/trapping in order to select the ions of interest and to convert the beam from a continuous ion source to ion bunches, respectively, as required for the experiments downstream. The present analysis focuses on the transmission efficiency and mass resolving power of the filter, as well as the buffer-gas-pressure-dependent ion capture and thermalization in the trap for the example of a mass-to-charge ratio equivalent to hemoglobin 15+ ions. The resulting optimized ion bunch delivered by the assembly is characterized.
There is a wide variety of Alfvén waves in tokamak and stellarator plasmas. While most of them are damped, some of the global eigenmodes can be driven unstable when they interact with energetic particles. By coupling the MHD code CKA with the gyrokinetic code EUTERPE, a hybrid kinetic-MHD model is created to describe this wave–particle interaction in stellarator geometry. In this thesis, the CKA-EUTERPE code package is presented. This numerical tool can be used for linear perturbative stability analysis of Alfvén waves in the presence of energetic particles. The equations for the hybrid model are based on the gyrokinetic equations. The fast particles are described with linearized gyrokinetic equations. The reduced MHD equations are derived by taking velocity moments of the gyrokinetic equations. An equation for describing the Alfvén waves is derived by combining the reduced MHD equations. The Alfvén wave equation can retain kinetic corrections. Considering the energy transfer between the particles and the waves, the stability of the waves can be calculated. Numerically, the Alfvén waves are calculated using the CKA code. The equations are solved as an eigenvalue problem to determine the frequency spectrum and the mode structure of the waves. The results of the MHD model are in good agreement with other sophisticated MHD codes. CKA results are shown for a JET and a W7-AS example. The linear version of the EUTERPE code is used to study the motion of energetic particles in the wavefield with fixed spatial structure, and harmonic oscillations in time. In EUTERPE, the gyrokinetic equations are discretized with a PIC scheme using the delta-f method, and both full orbit width and finite Larmor radius effects are included. The code is modified to be able to use the wavefield calculated externally by CKA. Different slowing-down distribution functions are also implemented. The work done by the electric field on the particles is measured to calculate the energy transfer between the particles and the wave and from that the growth rate is determined. The advantage of this approach is that the full magnetic geometry is retained without any limiting assumptions on guiding center orbits. Extensive benchmarks have been performed to test the new CKA-EUTERPE code. Three tokamak benchmarks are presented, where the stability of TAE modes are studied as a function of fast particle energy, or in one case as a function of the fast particle charge. The benchmarks show good agreement with other codes. Stellarator calculations were performed for Wendelstein 7-AS and the results demonstrate that the finite orbit width effects tend to be strongly stabilizing.
To suit a wide variety of space mission profiles, different designs of ion thrusters were developed, such as the High‐Efficiency‐Multistage‐Plasma thrusters (HEMP‐T). In the past, the optimization of ion thrusters was a difficult and time‐consuming process and evolved experimentally. Because the construction of new designs is expensive, cheaper methods for optimization were sought‐after. Computer‐based simulations are a cheap and useful method towards predictive modelling. The physics in HEMP‐T requires a kinetic model. The Particle‐in‐Cell (PIC) method delivers self‐consistent solutions for the plasmas of ion thrusters, but it is limited by the high amount of computing time required to study a specific system. Therefore, it is not suited to explore a wide operational and design space. An approach to decrease computing time is self‐similarity scaling schemes, which can be derived from the kinetic equations. One specific self‐similarity scheme is investigated quantitatively in this work for selected HEMP‐Ts, using PIC simulations. The possible application of the scaling is explained and the limits of this approach are derived.
In Germany, large, population-based cohort studies have been implemented in order to identify risk and protective factors for maintaining health across the life span. The purpose of this systematic review is to analyse findings from three large ongoing cohorts and to identify sex-specific prevalence rates, risk and protective factors for mental health. Published studies from the Cooperative Health Research in the Region Augsburg (KORA), the Study of Health in Pomerania (SHIP) and the Gutenberg Health Study (GHS)), representing the southern, north-eastern and middle parts of Germany, were identified through searches of the databases PubMed and Web of Science. A total of 52 articles was identified from the start of each cohort until June 2019. Articles reporting prevalence rates of mental health [N = 22], explanatory factors for mental health [N = 25], or both [N = 5] were identified. Consistent across cohorts, higher prevalence rates of internalizing disorders were found for women and more externalizing disorders for men. Risk and protective factors for mental health included social factors, lifestyle, physical health, body mass index (BMI), diabetes, genetic and biological factors. In all areas, differences and similarities were found between women and men. The most evident were the sex-specific risk profiles for depression with mostly external risk factors for men and internal risk factors for women. Gender was not assessed directly, therefore we examined whether socioeconomic and family-related factors reflecting gender roles or institutionalized gender could be used as a proxy for gender. Overall, this systematic review shows differences and similarities in prevalence rates and determinants of mental health indicators between women and men. They underline the importance of focussing on sex specific approaches in mental health research and in the development of prevention measures. Current research on mental health still lacks focus on gender aspects. Therefore, an increased focus on sex and gender in mental health research is of great importance.
The aim of this follow-up study was, to compare the effects of mechanical periodontal therapy with or without adjunctive amoxicillin and metronidazole on the subgingival microbiome of smokers with periodontitis using 16S rDNA amplicon next generation sequencing. Fifty-four periodontitis patients that smoke received either non-surgical periodontal therapy with adjunctive amoxicillin and metronidazole (n = 27) or with placebos (n = 27). Subgingival plaque samples were taken before and two months after therapy. Bacterial genomic DNA was isolated and the V4 hypervariable region of the bacterial 16S rRNA genes was amplified. Up to 96 libraries were normalized and pooled for Illumina MiSeq paired-end sequencing with almost fully overlapping 250 base pairs reads. Exact ribosomal sequence variants (RSVs) were inferred with DADA2. Microbial diversity and changes on the genus and RSV level were analyzed with non-parametric tests and a negative binomial regression model, respectively. Before therapy, the demographic, clinical, and microbial parameters were not significantly different between the placebo and antibiotic groups. Two months after the therapy, clinical parameters improved and there was a significantly increased dissimilarity of microbiomes between the two groups. In the antibiotic group, there was a significant reduction of genera classified as Porphyromonas, Tannerella, and Treponema, and 22 other genera also decreased significantly, while Selenomonas, Capnocytophaga, Actinomycetes, and five other genera significantly increased. In the placebo group, however, there was not a significant decrease in periodontal pathogens after therapy and only five other genera decreased, while Veillonella and nine other genera increased. We conclude that in periodontitis patients who smoke, microbial shifts occurred two months after periodontal therapy with either antibiotics or placebo, but genera including periodontal pathogens decreased significantly only with adjunctive antibiotics.
Significance of Hyperbaric Oxygenation in the Treatment of Fournier’s Gangrene: A Comparative Study
(2018)
Introduction: Hyperbaric oxygenation (HBO), in addition to anti-infective and surgical therapy, seems to be a key treatment point for Fournier’s gangrene. The aim of this study was to investigate the influence of HBO therapy on the outcome and prognosis of Fournier’s gangrene. Patients and Methods: In the present multicenter, retrospective observational study, we evaluated the data of approximately 62 patients diagnosed with Fournier’s gangrene between 2007 and 2017. For comparison, 2 groups were distinguished: patients without HBO therapy (group A, n = 45) and patients with HBO therapy (group B, n = 17). The analysis included sex, age, comorbidities, clinical symptoms, laboratory and microbiological data, debridement frequency, wound dressing, antibiotic use, outcome and prognosis. The statistical analysis was performed with GraphPad Prism 7® (GraphPad Software, Inc., La Jolla, USA). Results: Demographic data showed no significant differences. The laboratory parameters C-reactive protein and urea were significantly higher in group B (group B: 301.7 vs. 140.6 mg/dL; group A: 124.8 vs. 54.7 mg/dL). Sepsis criteria were fulfilled in 77.8 and 100% of the patients in groups A and B respectively. Treatment in the intensive care unit (ICU) was therefore indicated in 69% of the patients in group A and 100% of the patients in group B. The mean ICU stay was 9 and 32 days for patients in groups A and B respectively. The wound debridement frequency and hospitalization stay were significantly greater in group B (13 vs. 5 debridement and 40 vs. 22 days). Initial antibiosis was test validated in 80% of the patients in group A and 76.5% of the patients in group B. Mortality was 0% in group B and 4.4% in the group A. Conclusion: The positive influence of HBO on the treatment of Fournier’s gangrene can be estimated only from the available data. Despite poorer baseline findings with comparable risk factors, mortality was 0% in the HBO group. The analysis of a larger patient cohort is desirable to increase the significance of the results.
Significance of Hyperbaric Oxygenation in the Treatment of Fournier’s Gangrene: A Comparative Study
(2018)
Introduction: Hyperbaric oxygenation (HBO), in addition to anti-infective and surgical therapy, seems to be a key treatment point for Fournier’s gangrene. The aim of this study was to investigate the influence of HBO therapy on the outcome and prognosis of Fournier’s gangrene. Patients and Methods: In the present multicenter, retrospective observational study, we evaluated the data of approximately 62 patients diagnosed with Fournier’s gangrene between 2007 and 2017. For comparison, 2 groups were distinguished: patients without HBO therapy (group A, n = 45) and patients with HBO therapy (group B, n = 17). The analysis included sex, age, comorbidities, clinical symptoms, laboratory and microbiological data, debridement frequency, wound dressing, antibiotic use, outcome and prognosis. The statistical analysis was performed with GraphPad Prism 7® (GraphPad Software, Inc., La Jolla, USA). Results: Demographic data showed no significant differences. The laboratory parameters C-reactive protein and urea were significantly higher in group B (group B: 301.7 vs. 140.6 mg/dL; group A: 124.8 vs. 54.7 mg/dL). Sepsis criteria were fulfilled in 77.8 and 100% of the patients in groups A and B respectively. Treatment in the intensive care unit (ICU) was therefore indicated in 69% of the patients in group A and 100% of the patients in group B. The mean ICU stay was 9 and 32 days for patients in groups A and B respectively. The wound debridement frequency and hospitalization stay were significantly greater in group B (13 vs. 5 debridement and 40 vs. 22 days). Initial antibiosis was test validated in 80% of the patients in group A and 76.5% of the patients in group B. Mortality was 0% in group B and 4.4% in the group A. Conclusion: The positive influence of HBO on the treatment of Fournier’s gangrene can be estimated only from the available data. Despite poorer baseline findings with comparable risk factors, mortality was 0% in the HBO group. The analysis of a larger patient cohort is desirable to increase the significance of the results.
The influence of the Madden–Julian oscillation (MJO) on the middle atmosphere (MA) and particularly on MA temperature is of interest for both the understanding of MJO-induced teleconnections and research on the variability of the MA. We analyze statistically the connection of the MJO and the MA zonal mean temperature based on observations by the Microwave Limb Sounder (MLS) satellite instrument. We consider all eight MJO phases, different seasons and the state of the quasi-biennial oscillation (QBO). We show that MA temperature anomalies are significantly related to the MJO and its temporal development. The MJO signal in the zonal mean MA temperature is characterized by a particular spatial pattern in the MA, which we link to the interhemispheric coupling (IHC) mechanism, as a major outcome of this study. The signal with the largest magnitude is found in the polar MA during boreal winter with temperature deviations on the order of ±10 K when the QBO at 50 hPa is in its easterly phase. Other atmospheric conditions and locations also exhibit temperature signals, which are, however, weaker or noisier. We also analyze the change in the temperature signal while the MJO progresses from one phase to the next. We find a gradual altitude shift in parts of the IHC pattern, which can be seen more or less clearly depending on the atmospheric conditions.
The statistical link between the MJO and the MA temperature highlights illustratively the far-reaching connections across different atmospheric layers and geographical regions in the atmosphere. Additionally, it highlights close linkages of known dynamical features of the atmosphere, particularly the MJO, the IHC, the QBO and sudden stratospheric warmings (SSWs). Because of the wide coverage of atmospheric regions and included dynamical features, the results might help to further constrain the underlying dynamical mechanisms and could be used as a benchmark for the representation of atmospheric couplings on the intraseasonal timescale in atmospheric models.