Gestationsketose mit Hyperlipidämie bei einer Alpakastute

Gegenstand und Ziel: Beschrieben werden die klinische Symptomatik, die diagnostische Vorgehensweise und die Therapie bei einer Alpakastute mit hochgradiger Gestationsketose. Material und Methoden: Eine 3-jährige Alpakastute, die sich im 11. Trächtigkeitsmonat befand, wurde wegen einer seit 2 Wochen bestehenden Inappetenz und apathischen Verhaltens in die Klinik eingeliefert. Sie wurde klinisch und labordiagnostisch untersucht und die dabei festgestellte Stoffwechselstörung behandelt. Ergebnisse: Als einzige klinische Symptome zeigte das Tier apathisches Verhalten, Inappetenz sowie Abmagerung. Der hohe Ketonkörpergehalt des Harns sowie das milchig getrübte Serum bei starker Hyperglykämie (27,5 mmol/l), hohen β-Hydroxybutyrat- (13 mmol/l) und NEFA-Werten (4,9 mmol/l) in Verbindung mit erhöhten Leberenzymaktivitäten, metabolischer Azidose (BE: –6,8 mmol/l) und Hypokaliämie (2,3 mmol/l) sprachen für das Vorliegen einer hochgradigen Gestationsketose. Die Infusionstherapie mit Glukose- und Aminosäurelösung sowie Injektionen von Heparin und einem Antibiotikum führten innerhalb von 3 Tagen zu einer deutlichen Verbesserung des Allgemeinbefindens und der Blutwerte. Einen Tag später brachte die Stute ein vitales Fohlen zur Welt. Nach der Entlassung aus der Klinik berichtete der Besitzer, dass das Tier weiterhin ein ungestörtes Allgemeinbefinden zeigte und nach dem Trockenstellen an Körpergewicht zugenommen hatte. Schlussfolgerung und klinische Relevanz: Bei hochtragenden Neuweltkameliden muss – ähnlich wie bei Schafen und Ponys – mit einer Gestationsketose und Hyperlipidämie gerechnet werden. Aufgrund der unspezifischen klinischen Symptomatik, wie Apathie und Inappetenz, sollte in Verdachtsfällen immer eine labordiagnostische Abklärung anhand der Untersuchung von Blut- und Urinproben erfolgen, um die Diagnose rechtzeitig absichern zu können. Therapeutisch ist vor allem eine Infusionstherapie mit Glukoseund Aminosäurelösungen von entscheidender Bedeutung.

An approach to treating a patient with a HeartMate II™ left ventricularassist device in a multiplace hyperbaric chamber: a case report

INTRODUCTION

Left-ventricular assist devices (LVAD) are becoming a common therapy for end-stage heart failure. These devicesare not tested for pressurization in a hyperbaricchamber by the manufacturer. In this article, we present an approach to modify the power supply in order to safely treat a patient with an LVAD.

MATERIALS AND METHODS

Our patient had a HeartMateII™ LVAD and presented for hyperbaric oxygen treatments for severe radiation cystitis. In order to modify this patient's equipment to be compliant with NFPA6 safety standards we made several modifications. In brief, this included eliminating the usage of lithium-ion batteries, modifying the cord to be compatible with Fink chamber outlets, and enclosing the power module in a nitrogen purge. We then used a mock circulatory system to test our modifications and make sure the LVAD continued to have appropriate flow rates. We then conducted training for staff and developed a disaster plan should the LVAD fail at any point.

RESULTS

Once we felt comfortable with the modifications and had a plan developed should any problems arise, we then proceeded to treat our patient in the hyperbaric chamber. He successfully underwent 44 hyperbaric treatments for radiation cystitis without complications.

CONCLUSION

This case is the second reported patient in the literature with an LVAD that was successfully treated in a multiplace hyperbaric chamber. As LVADs become increasingly popular to manage heart failure, more patients with these devices will present for hyperbaric treatments. With a few modifications, an LVAD patient can be safely and successfully treated in a hyperbaric chamber.

Advanced Multiwavelength Detection in Analytical Ultracentrifugation

This work highlights significant advancements in detector hardware and software for multiwavelength analytical ultracentrifugation (MWL-AUC) experiments, demonstrating improvement in both the spectral performance and UV capabilities of the instrument. The hardware is an extension of the Open AUC MWL detector developed in academia and first introduced in 2006 by Bhattacharya et al. Additional modifications as well as new analytical methods available for MWL data have since been reported. The present work describes new and continuing improvements to the MWL detector, including mirror source and imaging optics, UV sensitive acquisition modes and revised data acquisition software. The marked improvement of experimental data promises to provide access to increasingly complex systems, especially semiconductor nanoparticles, synthetic polymers, biopolymers, and other chromophores absorbing in the UV. Details of the detection system and components are examined to reveal the influences on data quality and to guide further developments. The benchmark comparisons of data quality across platforms will also serve as a reference guide for evaluation of forthcoming commercial absorbance optics.

Brownian dynamics simulations of analytical ultracentrifugation experiments exhibiting hydrodynamic and thermodynamic non-ideality

Hydrodynamic and thermodynamic non-ideality are important phenomena when studying concentrated and interacting systems in analytical ultracentrifugation (AUC). Here we present an extended Brownian Dynamics (BD) based algorithm which incorporates hydrodynamic and thermodynamic non-ideality. It can serve as an independent and versatile approach for the theoretical description of interparticulate interactions in AUC, as it allows tracking the trajectory of individual particles. Concentration dependencies of the sedimentation and diffusion coefficient have been implemented and validated for the extended BD model. For monodisperse systems, it is shown that profiles obtained by BD are in excellent agreement with well-established Lamm equation solvers. Moreover, important limits and restrictions of current Lamm equation based analysis methods are discussed. In particular, BD allows modeling and evaluation of AUC data of non-ideal polydisperse systems. This is relevant as most nanoparticulate systems are polydisperse in size. Here, a simulation for a polydisperse system including concentration effects is presented for the first time.

Determination of the length and diameter of nanorods by a combination of analytical ultracentrifugation and scanning mobility particle sizer

A combination of orthogonal measurement techniques is utilized in this study to predict the average lengths and diameters of colloidal nanorods. Sedimentation coefficient distributions and electrical mobility distributions obtained from analytical ultracentrifugation and a scanning mobility particle sizer, respectively, are used for the hydrodynamic correlation. The method is validated theoretically and application to Au and ZnO nanorod samples is shown. The results demonstrate that the combination of both measurement techniques is an excellent method for the two-dimensional characterization of nanorods.

Continuous synthesis of CuInS2 quantum dots

The impact of reactor type on synthesis parameters and disperse properties.

Simultaneous Identification of Spectral Properties and Sizes of Multiple Particles in Solution with Subnanometer Resolution

We report an unsurpassed solution characterization technique based on analytical ultracentrifugation, which demonstrates exceptional potential for resolving particle sizes in solution with sub-nm resolution. We achieve this improvement in resolution by simultaneously measuring UV/Vis spectra while hydrodynamically separating individual components in the mixture. By equipping an analytical ultracentrifuge with a novel multi-wavelength detector, we are adding a new spectral discovery dimension to traditional hydrodynamic characterization, and amplify the information obtained by orders of magnitude. We demonstrate the power of this technique by characterizing unpurified CdTe nanoparticle samples, avoiding tedious and often impossible purification and fractionation of nanoparticles into apparently monodisperse fractions. With this approach, we have for the first time identified the pure spectral properties and band-gap positions of discrete species present in the CdTe mixture.

Using carbon nanodots as inexpensive and environmentally friendly sensitizers in mesoscopic solar cells

We discuss the use of carbon nanodots (CNDs) as sensitizers in mesoscopic solar cells. The CNDs are synthesized using a one-step, bottom-up microwave approach with citric acid, urea, and formic acid as precursors in aqueous media. Their light-harvesting capabilities can be tuned by adjusting the synthetic parameters. Comprehensive spectroscopic and theoretical studies allow us to rationalize the nature of their absorption features. Promising power conversion efficiencies (η) of 0.24% can be achieved from these cheap and eco-friendly sensitizers by optimizing the solar-cell assembly process. Interestingly, we found that extending the light absorption towards longer wavelengths does not necessarily improve the performance of the solar cells, since the longer-wavelength absorption features hardly contribute to the cells' photo-action spectra, so that the overall power conversion efficiency is actually worse. The origin of the lower performance is corroborated in transient absorption spectroscopy and photovoltage decay measurements. Our work points, on one hand, to the limits of as-synthesized CNDs as photosensitizers and, on the other hand, to possible improvements.

Dynamic range multiwavelength particle characterization using analytical ultracentrifugation

We demonstrate how a sophisticated data analysis methodology enables us to perform multiwavelength evaluations of dynamic rotor speed gradient experiments obtained by analytical ultracentrifugation equipped with a multiwavelength detector. Our data evaluation tool HDR-MULTIFIT allows for the accurate analysis of sedimentation coefficient distributions which can be converted to particle size distributions. By means of multiwavelength evaluation, species dependent extinction spectra can be determined even for complex mixtures. Moreover, optical and hydrodynamic properties can be correlated for spherical particles of known optical properties applying multiwavelength evaluation and Mie's theory leading to a significant increase in the dynamic range of the experiment. We provide the theoretical background about the operation principle of our methodology and compare the performance of the multiwavelength analysis to the conventional single wavelength analysis as it is applied in turbidity analysis. We validate our technique using NIST traceable reference particles and show that our technique is universally applicable to materials of known and unknown optical properties, thus clearly extending the possibilities of particle analysis.

Effects of extreme weather events and legume presence on mycorrhization of Plantago lanceolata and Holcus lanatus in the field

Little is known about direct and indirect effects of extreme weather events on arbuscular mycorrhizal fungi (AMF) under field conditions. In a field experiment, we investigated the response of mycorrhization to drought and heavy rain in grassland communities. We quantified AMF biomass in soil, mycorrhization of roots of the grass Holcus lanatus and the forb Plantago lanceolata, as well as plant performance. Plants were grown in four-species communities with or without a legume. We hypothesised that drought increases and heavy rain decreases mycorrhization, and that higher mycorrhization will be linked to improved stress resistance and higher biomass production. Soil AMF biomass increased under both weather extremes. Heavy rain generally benefitted plants and increased arbuscules in P. lanceolata. Drought neither reduced plant performance nor root mycorrhization. Arbuscules increased in H. lanatus several weeks after drought, and in P. lanceolata several weeks after heavy rain spells. These long-lasting effects of weather events on mycorrhization highlight the indirect influence of climate on AMF via their host plant. Legume presence increased plant community biomass, but had only minor effects on mycorrhization. Arbuscule colonisation was negatively correlated with senescence during the dry summer. Mycorrhization and biomass production in P. lanceolata were positively related. However, increased mycorrhization was related to less biomass in the grass. AMF mycelium in soil might generally increase under extreme events, root colonisation, however, is host species specific. This might amplify community shifts in grassland under climate change by further increasing stress resistance of species that already benefit from changed precipitation.

Compliance with hand hygiene: reference data from the national hand hygiene campaign in Germany

Hand hygiene is a key measure to prevent healthcare-associated infection. To promote hand hygiene nationally the German campaign 'Aktion Saubere Hände' was launched in January 2008, based on the World Health Organization's 'Clean Care is Safer Care' initiative. We report the first results from a full year of data collection on hand hygiene compliance recorded with the help of a renewed observation tool. Data were based on submissions from 109 participating hospitals collected from 576 wards between January 1st and December 31st, 2014. The overall median compliance was 73%, ranging from 55% (10th percentile) to 89% (90th percentile). The results demonstrated only small differences between adult and non-adult intensive care units (ICUs) with neonatal ICUs and paediatric non-ICUs maintaining higher compliance than adult care units. Performance among nurses was better than physicians, and overall rates of hand hygiene performance were significantly higher after patient contact than before.

CFTR is a tumor suppressor gene in murine and human intestinal cancer

CFTR, the cystic fibrosis (CF) gene, encodes for the CFTR protein that plays an essential role in anion regulation and tissue homeostasis of various epithelia. In the gastrointestinal (GI) tract CFTR promotes chloride and bicarbonate secretion, playing an essential role in ion and acid-base homeostasis. Cftr has been identified as a candidate driver gene for colorectal cancer (CRC) in several Sleeping Beauty DNA transposon-based forward genetic screens in mice. Further, recent epidemiological and clinical studies indicate that CF patients are at high risk for developing tumors in the colon. To investigate the effects of CFTR dysregulation on GI cancer, we generated Apc(Min) mice that carried an intestinal-specific knockout of Cftr. Our results indicate that Cftr is a tumor suppressor gene in the intestinal tract as Cftr mutant mice developed significantly more tumors in the colon and the entire small intestine. In Apc(+/+) mice aged to ~1 year, Cftr deficiency alone caused the development of intestinal tumors in >60% of mice. Colon organoid formation was significantly increased in organoids created from Cftr mutant mice compared with wild-type controls, suggesting a potential role of Cftr in regulating the intestinal stem cell compartment. Microarray data from the Cftr-deficient colon and the small intestine identified dysregulated genes that belong to groups of immune response, ion channel, intestinal stem cell and other growth signaling regulators. These associated clusters of genes were confirmed by pathway analysis using Ingenuity Pathway Analysis and gene set enrichment analysis (GSEA). We also conducted RNA Seq analysis of tumors from Apc(+/+) Cftr knockout mice and identified sets of genes dysregulated in tumors including altered Wnt β-catenin target genes. Finally we analyzed expression of CFTR in early stage human CRC patients stratified by risk of recurrence and found that loss of expression of CFTR was significantly associated with poor disease-free survival.

In Situ Study on the Evolution of Multimodal Particle Size Distributions of ZnO Quantum Dots: Some General Rules for the Occurrence of Multimodalities

Properties of small semiconductor nanoparticles (NPs) are strongly governed by their size. Precise characterization is a key requirement for tailored dispersities and thus for high-quality devices. Results of a careful analysis of particle size distributions (PSDs) of ZnO are presented combining advantages of UV/vis absorption spectroscopy, analytical ultracentrifugation, and small-angle X-ray scattering (SAXS). Our study reveals that careful cross-validation of these different methods is mandatory to end up with reliable resolution. PSDs of ZnO NPs are multimodal on a size range of 2-8 nm, a finding that is not yet sufficiently addressed. In the second part of our work the evolution of PSDs was studied using in situ SAXS. General principles for the appearance of multimodalities covering a temperature range between 15 and 45 °C were found which are solely determined by the aging state indicated by the size of the medium-sized fraction. Whenever this fraction exceeds a critical diameter, a new multimodality is identified, independent of the particular time-temperature combination. A fraction of larger particles aggregates first before a fraction of smaller particles is detected. Fixed multimodalities have not yet been addressed adequately and could only be evidenced due to careful size analysis.