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Jia Rong TL, Basker G, Yong Hoe C, Hein T, Poon LMM, Yeow Tee G. Impact of the COVID-19 pandemic on hematopoietic stem cell transplant programmes in Singapore. Blood Cell Ther 2023; 6:139-144. [PMID: 38149024 PMCID: PMC10749730 DOI: 10.31547/bct-2023-019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/07/2023] [Accepted: 08/29/2023] [Indexed: 12/28/2023]
Abstract
Background Hematopoietic stem cell transplantation (HSCT) has been performed in Singapore since 1985. Currently, more than 100 transplants are performed annually across the public and private sectors. In 2020, the COVID-19 pandemic resulted in unprecedented disruptions to global healthcare systems, and Singapore was no exception. In particular, the field of HSCT faced additional, unique challenges aside from those borne by the healthcare system at large, and appropriate measures were necessary to ensure that HSCT remained available to patients who needed it. Methods The expert opinions of six hematologists from various institutions across Singapore were gathered through individual interviews and summarized. This was supplemented by a literature review on bone marrow donation and HSCT in Singapore. Main Findings and Conclusion In Singapore, the COVID-19 pandemic has had significant implications for HSCT, ranging from the implementation of additional infection control measures in hospitals to an accelerated rise in haploidentical transplants. Further research is required to better understand and quantify these impacts, improve existing processes, and investigate the effects of COVID-19 and its treatment modalities on patients with HSCT.
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Affiliation(s)
- Timothy Lam Jia Rong
- Asian Medical Student Association Singapore SGMarrow Research Committee, Singapore
- Yong Loo Lin School of Medicine, National University of Singapore, Singapore
| | - Gayathri Basker
- Asian Medical Student Association Singapore SGMarrow Research Committee, Singapore
- Yong Loo Lin School of Medicine, National University of Singapore, Singapore
| | - Chan Yong Hoe
- Asian Medical Student Association Singapore SGMarrow Research Committee, Singapore
- Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore
| | - Than Hein
- Department of Haematology, Singapore General Hospital, Singapore
| | - Li Mei Michelle Poon
- Department of Haematology-Oncology, National University Hospital Singapore, Singapore
| | - Goh Yeow Tee
- Department of Haematology, Singapore General Hospital, Singapore
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2
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Şener ÖÇ, Hein T, Albrecht JD, Melchers S, Utikal J, Nicolay J. Preclinical investigation of combined NFkB inhibition and ECP in cutaneous T-cell lymphoma. Eur J Cancer 2022. [DOI: 10.1016/s0959-8049(22)00608-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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3
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Valiente N, Jirsa F, Hein T, Wanek W, Prommer J, Bonin P, Gómez-Alday JJ. The role of coupled DNRA-Anammox during nitrate removal in a highly saline lake. Sci Total Environ 2022; 806:150726. [PMID: 34606874 DOI: 10.1016/j.scitotenv.2021.150726] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/15/2021] [Revised: 09/16/2021] [Accepted: 09/28/2021] [Indexed: 06/13/2023]
Abstract
Nitrate (NO3-) removal from aquatic ecosystems involves several microbially mediated processes, including denitrification, dissimilatory nitrate reduction to ammonium (DNRA), and anaerobic ammonium oxidation (anammox), controlled by slight changes in environmental gradients. In addition, some of these processes (i.e. denitrification) may involve the production of undesirable compounds such as nitrous oxide (N2O), an important greenhouse gas. Saline lakes are prone to the accumulation of anthropogenic contaminants, making them highly vulnerable environments to NO3- pollution. The aim of this paper was to investigate the effect of light and oxygen on the different NO3- removal pathways under highly saline conditions. For this purpose, mesocosm experiments were performed using lacustrine, undisturbed, organic-rich sediments from the Pétrola Lake (Spain), a highly saline waterbody subject to anthropogenic NO3- pollution. The revised 15N-isotope pairing technique (15N-IPT) was used to determine NO3- sink processes. Our results demonstrate for the first time the coexistence of denitrification, DNRA, and anammox processes in a highly saline lake, and how their contribution was determined by environmental conditions (oxygen and light). DNRA, and especially denitrification to N2O, were the dominant nitrogen (N) removal pathways when oxygen and/or light were present (up to 82%). In contrast, anoxia and darkness promoted NO3- reduction by DNRA (52%), combined with N loss by anammox (28%). Our results highlight the role of coupled DNRA-anammox, which has not yet been investigated in lacustrine sediments. We conclude that anoxia and darkness favored DNRA and anammox processes over denitrification and therefore to restrict N2O emissions to the atmosphere.
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Affiliation(s)
- N Valiente
- Centre for Biogeochemistry in the Anthropocene, Department of Biosciences, Section for Aquatic Biology and Toxicology, University of Oslo, PO Box 1066, Blindern, 0316, Oslo, Norway; Biotechnology and Natural Resources Section, Institute for Regional Development (IDR), University of Castilla-La Mancha (UCLM), Campus Universitario s/n, 02071 Albacete, Spain.
| | - F Jirsa
- Institute of Inorganic Chemistry, Faculty of Chemistry, University of Vienna, Waehringer Strasse 42, 1090 Vienna, Austria; Department of Zoology, University of Johannesburg, PO Box 524, Auckland Park, 2006 Johannesburg, South Africa
| | - T Hein
- Institute of Hydrobiology and Aquatic Ecosystem Management, Department of Water, Atmosphere and Environment, University of Natural Resources and Life Sciences, Gregor-Mendel-Str. 33, 1180 Vienna, Austria; WasserCluster Lunz - Inter-university Center for Aquatic Ecosystem Research, Lunz am See, Dr. Carl Kupelwieser Prom. 5, 3293 Lunz/See, Austria
| | - W Wanek
- Division of Terrestrial Ecosystem Research, Centre of Microbiology and Environmental Systems Science, University of Vienna, Djerassiplatz 1, 1030 Vienna, Austria
| | - J Prommer
- Division of Terrestrial Ecosystem Research, Centre of Microbiology and Environmental Systems Science, University of Vienna, Djerassiplatz 1, 1030 Vienna, Austria
| | - P Bonin
- Aix-Marseille Université, CNRS, Université de Toulon, IRD, MIO UMR 110, 13288 Marseille, France
| | - J J Gómez-Alday
- Biotechnology and Natural Resources Section, Institute for Regional Development (IDR), University of Castilla-La Mancha (UCLM), Campus Universitario s/n, 02071 Albacete, Spain
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Cheng Kiat Ng L, Shwei Wen Tham C, Wei Inng Lim F, Chen Y, Yeu Ong S, Nagarajan C, Lee JJ, Tee Goh Y, Linn YC, Shan Lee Y, Diong Phipps C, Kim Siang Quek J, Hein T, Cheng Hwang JC, Grigoropoulos N, Khee Hwang WY, Yew Leng Ho A. HEMATOPOIETIC STEM CELL TRANSPLANT IN AGGRESSIVE T AND NK/T CELL LYMPHOMA - ROLE OF UPFRONT AUTOLOGOUS TRANSPLANT IN NODAL PERIPHERAL T-CELL LYMPHOMA. Blood Cell Ther 2021; 4:92-100. [PMID: 36714065 PMCID: PMC9847283 DOI: 10.31547/bct-2021-007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/08/2021] [Accepted: 08/07/2021] [Indexed: 02/01/2023]
Abstract
Aggressive T and NK/T-cell lymphoma are known to have a high risk of relapse and poor long-term prognosis. Hematopoietic stem cell transplantation has been performed as part of consolidation or salvage treatment. We retrospectively studied the outcomes of autologous (A) and allogeneic (allo) hematopoietic stem cell transplantation (SCT) in aggressive T and NK/T-cell lymphoma at our center between 2010 to 2020. Patients with nodal peripheral T-cell lymphoma (PTCL) that were younger than 65 years old who did not receive upfront autologous SCT (ASCT) at first complete remission were selected from our registry data for further comparison. Thirty-six patients underwent ASCT, and 16 patients underwent alloSCT. In the ASCT cohort, 18 patients with nodal PTCL who underwent upfront ASCT at first complete remission (upfront ASCT) were compared with 15 patients with nodal PTCL who were in first complete remission after single-line induction but did not receive ASCT. The two-year progression-free survival (PFS) and overall survival (OS) rates for the ASCT cohort were 58% and 73%, respectively. The two-year PFS and OS for the alloSCT cohort were 47% (P=0.35, P=0.02, respectively). Twenty-four patients who received SCT at first remission (21 ASCT and three alloSCT) had a two-year PFS and OS of 75% and 89%, respectively. In comparison, 28 patients who received SCT at relapse/refractory (15 ASCT and 13 alloSCT) had a two-year PFS and OS of 40% and 50%, respectively (P=0.047, P=0.024, respectively). Patients in complete remission prior to transplantation (n=42) had a two-year PFS and OS of 59% and 73%, respectively. In contrast, patients in partial remission prior to transplantation (n=10) had a two-year PFS and OS of 40% and 48%, respectively (p>0.05). Non-relapse mortality occurred in 6% and 43% of ASCT and AlloSCT, respectively. Multivariate analysis revealed that EBV-positivity at diagnosis indicated poorer PFS. EBV-positivity at diagnosis and more than two prior lines of treatment at transplant were associated with poorer OS. For nodal PTCL, the two-year PFS and OS were 79% and 100% for the upfront ASCT cohort and 78% and 92% for the non-upfront ASCT cohort, respectively (p>0.05). Hematopoietic SCT is a feasible treatment option for aggressive T and NK/T-cell lymphoma. Patients who underwent SCT at first remission had better survival rates than those who underwent SCT at relapse/refractory. Nevertheless, due to the limited sample size of the current study, the role of upfront ASCT in patients with nodal PTCL who achieved first complete remission remains unclear.
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Affiliation(s)
| | | | | | - Yunxin Chen
- Department of Haematology, Singapore General Hospital, Singapore
| | - Shin Yeu Ong
- Department of Haematology, Singapore General Hospital, Singapore
| | | | - Jing Jing Lee
- Department of Haematology, Singapore General Hospital, Singapore
| | - Yeow Tee Goh
- Department of Haematology, Singapore General Hospital, Singapore
| | - Yeh Ching Linn
- Department of Haematology, Singapore General Hospital, Singapore
| | - Yuh Shan Lee
- Department of Haematology, Singapore General Hospital, Singapore,Parkway Cancer Centre, Singapore
| | - Colin Diong Phipps
- Department of Haematology, Singapore General Hospital, Singapore,Parkway Cancer Centre, Singapore
| | | | - Than Hein
- Department of Haematology, Singapore General Hospital, Singapore
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5
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Zhang H, Wilmot B, Bottomly D, Dao KHT, Stevens E, Eide CA, Khanna V, Rofelty A, Savage S, Reister Schultz A, Long N, White L, Carlos A, Henson R, Lin C, Searles R, Collins RH, DeAngelo DJ, Deininger MW, Dunn T, Hein T, Luskin MR, Medeiros BC, Oh ST, Pollyea DA, Steensma DP, Stone RM, Druker BJ, McWeeney SK, Maxson JE, Gotlib JR, Tyner JW. Genomic landscape of neutrophilic leukemias of ambiguous diagnosis. Blood 2019; 134:867-879. [PMID: 31366621 PMCID: PMC6742922 DOI: 10.1182/blood.2019000611] [Citation(s) in RCA: 51] [Impact Index Per Article: 10.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2019] [Accepted: 06/27/2019] [Indexed: 12/12/2022] Open
Abstract
Chronic neutrophilic leukemia (CNL), atypical chronic myeloid leukemia (aCML), and myelodysplastic/myeloproliferative neoplasms, unclassifiable (MDS/MPN-U) are a group of rare and heterogeneous myeloid disorders. There is strong morphologic resemblance among these distinct diagnostic entities as well as a lack of specific molecular markers and limited understanding of disease pathogenesis, which has made diagnosis challenging in certain cases. The treatment has remained empirical, resulting in dismal outcomes. We, therefore, performed whole-exome and RNA sequencing of these rare hematologic malignancies and present the most complete survey of the genomic landscape of these diseases to date. We observed a diversity of combinatorial mutational patterns that generally do not cluster within any one diagnosis. Gene expression analysis reveals enrichment, but not cosegregation, of clinical and genetic disease features with transcriptional clusters. In conclusion, these groups of diseases represent a continuum of related diseases rather than discrete diagnostic entities.
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Affiliation(s)
- Haijiao Zhang
- Department of Cell, Developmental and Cancer Biology
- Division of Hematology and Medical Oncology, and
| | - Beth Wilmot
- Division of Bioinformatics and Computational Biology, Department of Medical Informatics and Clinical Epidemiology, Knight Cancer Institute, Oregon Health & Science University, Portland, OR
| | - Daniel Bottomly
- Division of Bioinformatics and Computational Biology, Department of Medical Informatics and Clinical Epidemiology, Knight Cancer Institute, Oregon Health & Science University, Portland, OR
| | | | - Emily Stevens
- Fred Hutchinson Cancer Research Institute, Washington University School of Medicine, Seattle, WA
| | - Christopher A Eide
- Division of Hematology and Medical Oncology, and
- Howard Hughes Medical Institute, Chevy Chase, MD
| | - Vishesh Khanna
- Division of Hematology and Medical Oncology, and
- Howard Hughes Medical Institute, Chevy Chase, MD
| | - Angela Rofelty
- Department of Cell, Developmental and Cancer Biology
- Division of Hematology and Medical Oncology, and
| | - Samantha Savage
- Department of Cell, Developmental and Cancer Biology
- Division of Hematology and Medical Oncology, and
| | - Anna Reister Schultz
- Department of Cell, Developmental and Cancer Biology
- Division of Hematology and Medical Oncology, and
| | - Nicola Long
- Department of Cell, Developmental and Cancer Biology
- Division of Hematology and Medical Oncology, and
| | - Libbey White
- Division of Bioinformatics and Computational Biology, Department of Medical Informatics and Clinical Epidemiology, Knight Cancer Institute, Oregon Health & Science University, Portland, OR
| | - Amy Carlos
- Integrated Genomics Laboratories, Oregon Health & Science University, Portland, OR
| | - Rachel Henson
- Integrated Genomics Laboratories, Oregon Health & Science University, Portland, OR
| | - Chenwei Lin
- Integrated Genomics Laboratories, Oregon Health & Science University, Portland, OR
| | - Robert Searles
- Integrated Genomics Laboratories, Oregon Health & Science University, Portland, OR
| | - Robert H Collins
- Hematology/Oncology, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX
| | - Daniel J DeAngelo
- Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA
| | | | - Tamara Dunn
- Stanford Cancer Institute, Stanford University School of Medicine, Stanford, CA
| | - Than Hein
- Huntsman Cancer Institute, University of Utah, Salt Lake City, UT
| | - Marlise R Luskin
- Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA
| | - Bruno C Medeiros
- Stanford Cancer Institute, Stanford University School of Medicine, Stanford, CA
| | - Stephen T Oh
- Hematology Division, Department of Medicine, Washington University School of Medicine, Washington University in St. Louis, St. Louis, MO; and
| | - Daniel A Pollyea
- Division of Hematology, Oncology, and Bone Marrow Transplantation, University of Colorado School of Medicine, Aurora, CO
| | - David P Steensma
- Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA
| | - Richard M Stone
- Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA
| | - Brian J Druker
- Division of Hematology and Medical Oncology, and
- Howard Hughes Medical Institute, Chevy Chase, MD
| | - Shannon K McWeeney
- Division of Bioinformatics and Computational Biology, Department of Medical Informatics and Clinical Epidemiology, Knight Cancer Institute, Oregon Health & Science University, Portland, OR
| | | | - Jason R Gotlib
- Stanford Cancer Institute, Stanford University School of Medicine, Stanford, CA
| | - Jeffrey W Tyner
- Department of Cell, Developmental and Cancer Biology
- Division of Hematology and Medical Oncology, and
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6
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Lago M, Boteler B, Rouillard J, Abhold K, Jähnig SC, Iglesias-Campos A, Delacámara G, Piet GJ, Hein T, Nogueira AJA, Lillebø AI, Strosser P, Robinson LA, De Wever A, O'Higgins T, Schlüter M, Török L, Reichert P, van Ham C, Villa F, McDonald H. Introducing the H2020 AQUACROSS project: Knowledge, Assessment, and Management for AQUAtic Biodiversity and Ecosystem Services aCROSS EU policies. Sci Total Environ 2019; 652:320-329. [PMID: 30366333 DOI: 10.1016/j.scitotenv.2018.10.076] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/31/2018] [Revised: 10/05/2018] [Accepted: 10/06/2018] [Indexed: 06/08/2023]
Abstract
The AQUACROSS project was an unprecedented effort to unify policy concepts, knowledge, and management of freshwater, coastal, and marine ecosystems to support the cost-effective achievement of the targets set by the EU Biodiversity Strategy to 2020. AQUACROSS aimed to support EU efforts to enhance the resilience and stop the loss of biodiversity of aquatic ecosystems as well as to ensure the ongoing and future provision of aquatic ecosystem services. The project focused on advancing the knowledge base and application of Ecosystem-Based Management. Through elaboration of eight diverse case studies in freshwater and marine and estuarine aquatic ecosystem across Europe covering a range of environmental management problems including, eutrophication, sustainable fisheries as well as invasive alien species AQUACROSS demonstrated the application of a common framework to establish cost-effective measures and integrated Ecosystem-Based Management practices. AQUACROSS analysed the EU policy framework (i.e. goals, concepts, time frames) for aquatic ecosystems and built on knowledge stemming from different sources (i.e. WISE, BISE, Member State reporting within different policy processes, modelling) to develop innovative management tools, concepts, and business models (i.e. indicators, maps, ecosystem assessments, participatory approaches, mechanisms for promoting the delivery of ecosystem services) for aquatic ecosystems at various scales of space and time and relevant to different ecosystem types.
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Affiliation(s)
- M Lago
- Ecologic Institute, Berlin, Germany.
| | | | | | - K Abhold
- Ecologic Institute, Berlin, Germany
| | - S C Jähnig
- Leibniz Institute of Freshwater Ecology and Inland Fisheries, Berlin, Germany
| | | | | | - G J Piet
- Wageningen Marine Research, the Netherlands
| | - T Hein
- University of Natural Resources & Life Sciences, Vienna, Austria; WasserCluster Lunz, Austria
| | - A J A Nogueira
- Department of Biology, University of Aveiro, Portugal; Centre for Environmental and Marine Studies (CESAM), University of Aveiro, Portugal
| | - A I Lillebø
- Department of Biology, University of Aveiro, Portugal; Centre for Environmental and Marine Studies (CESAM), University of Aveiro, Portugal
| | - P Strosser
- ACTeon - Innovation, Policy, Environment, Colmar, France
| | | | - A De Wever
- Royal Belgian Institute of Natural Sciences, Brussels, Belgium
| | - T O'Higgins
- University College Cork, National University of Ireland, Ireland
| | - M Schlüter
- Stockholm Resilience Centre, Stockholm University, Sweden
| | - L Török
- Danube Delta National Institute for Research & Development, Romania
| | - P Reichert
- Swiss Federal Institute of Aquatic Science and Technology (eawag), Switzerland
| | - C van Ham
- International Union for Conservation of Nature (IUCN), Brussels, Belgium
| | - F Villa
- BC3 Basque Centre for Climate Change, Bilbao, Spain
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7
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Calapez AR, Serra SRQ, Santos JM, Branco P, Ferreira T, Hein T, Brito AG, Feio MJ. The effect of hypoxia and flow decrease in macroinvertebrate functional responses: A trait-based approach to multiple-stressors in mesocosms. Sci Total Environ 2018; 637-638:647-656. [PMID: 29758421 DOI: 10.1016/j.scitotenv.2018.05.071] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/21/2018] [Revised: 05/04/2018] [Accepted: 05/05/2018] [Indexed: 06/08/2023]
Abstract
River ecosystems are most often subject to multiple co-occurring anthropogenic stressors. Mediterranean streams are particularly affected by water scarcity and organic loads that commonly lead to a simultaneous reduction in flow and increasing depletion of dissolved oxygen. In the present study, the single and combined effects of water scarcity (flow velocity reduction) and dissolved oxygen depletion were used to evaluate alterations of drifting macroinvertebrates on a channel mesocosm system, by employing a multiple trait-based approach. Our main findings confirmed that the impact of the two combined stressors can be implicated in alterations of ecosystem functions as result of the changes in proportions of biological traits. Overall, our results showed that, individually, flow velocity reduction and a severe oxygen depletion promoted a shift in community traits. In more detail, biological traits describing the dispersal of organisms and their respiration showed the strongest responses. The respiration mode responded to low flow with drift increase of gill breathers and decrease of individuals with tegument, whereas dispersal was clearly affected by the combination of stressors. Resistance through eggs was higher with the single effect of flow reduction, while swimmers´ relative abundance increased in individuals that drift after exposure to the combination of stressors. Thus, while flow reduction alone is expected to specifically filter out the gill breathers and the egg producers, the combination of stressors will impact more drastically organism's dispersal and swimmers. Such changes in biological traits can result in variations in ecosystem functioning through, for example, local changes in biomass, secondary production, stream metabolism as well as resulting in biodiversity losses or alterations of its distribution patterns.
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Affiliation(s)
- A R Calapez
- LEAF - Linking Landscape, Environment, Agriculture and Food, School of Agriculture, University of Lisbon, Lisbon, Portugal; MARE - Marine and Environmental Sciences Centre, Faculty of Sciences and Technology, Department of Life Sciences, University of Coimbra, Coimbra, Portugal.
| | - S R Q Serra
- MARE - Marine and Environmental Sciences Centre, Faculty of Sciences and Technology, Department of Life Sciences, University of Coimbra, Coimbra, Portugal
| | - J M Santos
- CEF - Forest Research Centre, School of Agriculture, University of Lisbon, Lisbon, Portugal
| | - P Branco
- CEF - Forest Research Centre, School of Agriculture, University of Lisbon, Lisbon, Portugal; CERIS - Civil Engineering for Research and Innovation for Sustainability, Instituto Superior Técnico, University of Lisbon, Lisbon, Portugal
| | - T Ferreira
- CEF - Forest Research Centre, School of Agriculture, University of Lisbon, Lisbon, Portugal
| | - T Hein
- Institute of Hydrobiology and Aquatic Ecosystem Management, Department of Water, Atmosphere and Environment, University of Natural Resources and Life Sciences, Vienna, Austria
| | - A G Brito
- LEAF - Linking Landscape, Environment, Agriculture and Food, School of Agriculture, University of Lisbon, Lisbon, Portugal
| | - M J Feio
- MARE - Marine and Environmental Sciences Centre, Faculty of Sciences and Technology, Department of Life Sciences, University of Coimbra, Coimbra, Portugal
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Lundby C, Montero D, Gehrig S, Andersson Hall U, Kaiser P, Boushel R, Meinild Lundby AK, Kirk N, Valdivieso P, Flück M, Secher NH, Edin F, Hein T, Madsen K. Physiological, biochemical, anthropometric, and biomechanical influences on exercise economy in humans. Scand J Med Sci Sports 2017; 27:1627-1637. [DOI: 10.1111/sms.12849] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/26/2017] [Indexed: 01/27/2023]
Affiliation(s)
- C. Lundby
- Department of Food & Nutrition & Sport Science; Gothenburg University; Gothenburg Sweden
- Zürich Center for Integrative Human Physiology (ZIHP); University of Zürich; Zürich Switzerland
| | - D. Montero
- Zürich Center for Integrative Human Physiology (ZIHP); University of Zürich; Zürich Switzerland
| | - S. Gehrig
- Zürich Center for Integrative Human Physiology (ZIHP); University of Zürich; Zürich Switzerland
| | - U. Andersson Hall
- Department of Food & Nutrition & Sport Science; Gothenburg University; Gothenburg Sweden
| | - P. Kaiser
- Zürich Center for Integrative Human Physiology (ZIHP); University of Zürich; Zürich Switzerland
| | - R. Boushel
- School of Kinesiology; University of British Columbia; Vancouver Canada
| | - A.-K. Meinild Lundby
- Zürich Center for Integrative Human Physiology (ZIHP); University of Zürich; Zürich Switzerland
| | - N. Kirk
- Zürich Center for Integrative Human Physiology (ZIHP); University of Zürich; Zürich Switzerland
| | | | - M. Flück
- Universitätsklinik Balgrist; Zürich Switzerland
| | - N. H. Secher
- Department of Anesthesia; The Copenhagen Muscle Research Center; Rigshospitalet; University of Copenhagen; Copenhagen Denmark
| | - F. Edin
- Department of Food & Nutrition & Sport Science; Gothenburg University; Gothenburg Sweden
| | - T. Hein
- Department of Food & Nutrition & Sport Science; Gothenburg University; Gothenburg Sweden
| | - K. Madsen
- Department of Food & Nutrition & Sport Science; Gothenburg University; Gothenburg Sweden
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9
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Syha R, Grau S, Nieß AM, Hein T, Werner MK, Ketelsen D, Schick F, Best R. Computer-based quantification of the Achilles tendon thickness in sequential B-mode ultrasound images: a study of feasibility and reliability. Arch Orthop Trauma Surg 2014; 134:1443-9. [PMID: 25052771 DOI: 10.1007/s00402-014-2043-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/31/2014] [Indexed: 10/25/2022]
Abstract
INTRODUCTION Assessment of the Achilles tendon thickness (ATT) using B-mode ultrasound is a common technique for clinical evaluation of chronic mid-part tendinosis. Currently used image-based assessment is limited by relatively high inter- and intra-observer variability. In this study, it was tested whether a new sequence-based automated assessment of ATT provides more reliable and reproducible results than the standard image-based procedure. MATERIALS AND METHODS A total of 118 non-operated tendons of 59 healthy subjects (44, range 28-50 years) were analysed using an automated image based as well as a newly developed automated sequence-based method. Correlation and agreement of both methods were evaluated. The root mean square deviation (RMSD) and a Bland-Altman analysis were performed to highlight observer (n = 18 tendons) as well as reader (n = 40 tendons) dependent variabilities of both methods. RESULTS A strong correlation was found between image and sequence-based ATT assessment (p = 0.92). The Bland-Altman analysis showed a good agreement between both methods (mean difference 0.0018, 95 % CI: -0.046; 0.05). In repetitive examinations, sequence-based analysis showed a significant reduction concerning reader- and observer-dependent variability compared to image-based assessment. The RMSD for repetitive sequence-based measurements was approximately 0.3 mm (compared to 0.6 mm for image-based measurement), respectively. CONCLUSIONS The study shows sequence-based automated assessment of ATT being clearly superior to the standard image-based procedure. The new method provides a clear reduction of reader as well as observer-dependent variability. Due to the decreased scattering of measurement data sequence-based measurement seems especially valuable for quantification of small tendon thickness changes such as exercise-induced hypertrophy.
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Affiliation(s)
- R Syha
- Section on Experimental Radiology, Eberhard-Karls-University, Tubingen, Germany
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10
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Hein T, Janssen P, Wagner-Fritz U, Haupt G, Grau S. Prospective analysis of intrinsic and extrinsic risk factors on the development of Achilles tendon pain in runners. Scand J Med Sci Sports 2013. [DOI: 10.1111/sms.12137] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- T. Hein
- Medical Clinic, Department of Sports Medicine; University of Tuebingen; Tuebingen Germany
- Department of Food and Nutrition, and Sport Science; University of Gothenburg; Gothenburg Sweden
| | - P. Janssen
- Medical Clinic, Department of Sports Medicine; University of Tuebingen; Tuebingen Germany
| | - U. Wagner-Fritz
- Medical Clinic, Department of Sports Medicine; University of Tuebingen; Tuebingen Germany
| | - G. Haupt
- Medical Clinic, Department of Sports Medicine; University of Tuebingen; Tuebingen Germany
| | - S. Grau
- Medical Clinic, Department of Sports Medicine; University of Tuebingen; Tuebingen Germany
- Department of Food and Nutrition, and Sport Science; University of Gothenburg; Gothenburg Sweden
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Lamy S, Wilmart JF, Hein T, Scheiden R, Capesius C. [Prostate cancer in Luxembourg from 1982 to 2006. Incidence and mortality. Survival of a hospital cohort]. Bull Soc Sci Med Grand Duche Luxemb 2013:6-19. [PMID: 23808106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
Prostate cancer incidence has tripled in Luxembourg as in many other western countries. From 1982 to 2006, new cases increased from 80 to 309 per year, while the incidence (world stand.pop.) rose from 29.5 to 85 per 100 000 men. Since 1991 prostate cancer is the most frequent male cancer in Luxembourg, exceeding colo-rectal, lung and stomach cancer. Prostate cancer deaths have diminished from 64 in 1982 to 45 in 2006. This represents less than 10% of male cancer related deaths; it represents the third most frequent cancer death, behind lung and colo-rectal cancers. Annual mortality rate has decreased from 29 to 10 per 100 000 men during the same period, this difference between incidence and mortality is explained on the one hand by the widespread use of PSA since the 1990's and on the other hand by a better local control as well as a multidisciplinary approach of advanced disease. The increase of the incidence is particularly important in the 60 to 70 age group, while for men older than 70, the peak incidence was reached in 2002. A lowering of the age at diagnosis is confirmed by the 5-year age group analysis. The hospital cohort consists of 628 patients from the urological department of the Centre Hospitalier de Luxembourg diagnosed with prostate cancer between 1st January 1982 and 31st December 2006; follow-up ended 31st December 2011. During this period, age at diagnosis decreased from 71.5 to 68.9 years whereas the proportion of localized clinical stages increased from 44 to 70%. Median PSA dropped from 14.5 to 9 ng/ml. Furthermore the analysis of cancer specific mortality confirms the negative effects of an advanced clinical stage (10-year survival: 90% for localized disease, 60% for advanced disease) or a high PSA level at diagnosis (10-year survival: 97% if PSA < 4 ng/nl, 94% if 4 < PSA < 10, and 72% if PSA > 10 ng/ml), as well as a poor differentiation (60% 10-year survival compared to 90% for differentiated tumors). Kaplan-Meier curves show that long term surveillance is necessary as even tumors with a good initial prognosis may relapse after 10-12 years.
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Affiliation(s)
- S Lamy
- Service d'Urologie, Centre Hospitalier de Luxembourg
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Lair GJ, Zehetner F, Fiebig M, Gerzabek MH, van Gestel CAM, Hein T, Hohensinner S, Hsu P, Jones KC, Jordan G, Koelmans AA, Poot A, Slijkerman DME, Totsche KU, Bondar-Kunze E, Barth JAC. How do long-term development and periodical changes of river-floodplain systems affect the fate of contaminants? Results from European rivers. Environ Pollut 2009; 157:3336-3346. [PMID: 19604610 DOI: 10.1016/j.envpol.2009.06.004] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/24/2009] [Revised: 05/29/2009] [Accepted: 06/03/2009] [Indexed: 05/28/2023]
Abstract
In many densely populated areas, riverine floodplains have been strongly impacted and degraded by river channelization and flood protection dikes. Floodplains act as buffers for flood water and as filters for nutrients and pollutants carried with river water and sediment from upstream source areas. Based on results of the EU-funded "AquaTerra" project (2004-2009), we analyze changes in the dynamics of European river-floodplain systems over different temporal scales and assess their effects on contaminant behaviour and ecosystem functioning. We find that human-induced changes in the hydrologic regime of rivers have direct and severe consequences on nutrient cycling and contaminant retention in adjacent floodplains. We point out the complex interactions of contaminants with nutrient availability and other physico-chemical characteristics (pH, organic matter) in determining ecotoxicity and habitat quality, and draw conclusions for improved floodplain management.
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Affiliation(s)
- G J Lair
- Institute of Soil Research, University of Natural Resources and Applied Life Sciences, Peter-Jordan-Str 82, A-1190 Vienna, Austria.
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Hein T, Heiler G, Pennetzdorfer D, Riedler P, Schagerl M, Schiemer F. The Danube restoration project: functional aspects and planktonic productivity in the floodplain system. ACTA ACUST UNITED AC 2001. [DOI: 10.1002/(sici)1099-1646(199901/06)15:1/3<259::aid-rrr539>3.0.co;2-e] [Citation(s) in RCA: 35] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
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Abstract
For determining the prevalence of multiple sclerosis (MS) in Germany, the outcomes of several epidemiological studies are available. If these rates are transferred to Germany as a whole, figures result of 67,000 to 138,000 MS patients in all. The differing prevalence rates may be caused by various problems in finding patients, the epidemiological area, and different population structures. To avoid these difficulties, a new approach for calculating the number of patients with diagnosed MS was chosen based on representative samples taken from the groups of physicians involved in MS treatment. The disadvantage of this approach is that it does not allow any questioning of the diagnosis. Projecting the results in this way and their subsequent compilation--taking "double treatments" into consideration--showed a total of 122,000 patients with diagnosed multiple sclerosis in Germany. This figure corresponds to a prevalence rate of 149.1 per 100,000 inhabitants and is within the range found by Poser et al. [19]: 127 per 100,000 excluding the diagnostic category "possible multiple sclerosis" and 170 per 100,000 including it.
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Affiliation(s)
- T Hein
- Schering Deutschland GmbH, Berlin.
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Lamy S, Hein T, Wilmart JF, Capesius C, Scheiden R, Gilson G, Humbel RL. [Prostatic cancer in the Grand Duchy of Luxembourg. Role of PSA]. Bull Soc Sci Med Grand Duche Luxemb 1998; 135:11-23. [PMID: 9868829] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/09/2023]
Abstract
We reviewed the trends in prostate cancer incidence and mortality in Luxembourg between 1983 and 1995 to discuss the importance of total and free PSA in early detection. The study was performed on all the new cases recorded by the National Cancer Registry (Registre Morphologique des Tumeurs). Total and free PSA were measured with the automated Immulite System (DPC, Los Angeles) using a chemoluminescent immunometric assay. The performance of free-to-total serum PSA was analysed by a hospital based study of 113 patients (55 PC, 58 BPH). The age standardized incidence rate increased from 29.3/100,000 in 1983 to 71.5/100,000 in 1995. Mortality rates only changed slightly. The widespread use of PSA testing from 1988 on is probably the main cause of this incidental increase; however no major changes in the age-specific-incidence have been found suggesting the absence of a systematic screening policy by the PSA. The superiority of free-to-total serum PSA ratio in discriminating between cancer and benign condition was confirmed. Early health-conscious man over 50 should be proposed prostate cancer screening by digital rectal examination and PSA. However a systematic screening policy cannot been recommended since a benefit in survival after early treatment has not yet been proven.
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Damoun M, Hein T, Lamy S. [Renal adenocarcinoma and radical nephrectomy]. Acta Urol Belg 1995; 63:21-4. [PMID: 7725989] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
74 cases of radical nephrectomy for adenocarcinoma are reported. The authors review the clinical aspects and the accuracy of imaging and insist on fortuitous detection of early stages by ultrasound. Survival is studied with regard to tumor stage, transfusion and cell type.
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Affiliation(s)
- M Damoun
- Service d'Urologie, Centre Hospitalier, Luxembourg
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Tham KC, Kok CL, Hein T. Acute appendicitis presenting as melaena. Med J Malaysia 1992; 47:154. [PMID: 1494337] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
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Hein T, Przewoźny T, Schieder O. Culture and selection of somatic hybrids using an auxotrophic cell line. Theor Appl Genet 1983; 64:119-122. [PMID: 24264870 DOI: 10.1007/bf00272718] [Citation(s) in RCA: 31] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/28/1982] [Indexed: 06/02/2023]
Abstract
Protoplast fusions between Nicotiana tabacum and N. paniculata and between N. tabacum and N. sylvestris were obtained by polyethylene glycol and Ca(NO3)2 treatment. The protoplasts of one parent originated from cell suspensions, while the protoplasts of the other originated from leaf mesophyll. The heterokaryons were detectable by their intermediate phenotype, namely the green chloroplasts from mesophyll and the dense cytoplasm from suspension cells. They were isolated with micropipettes immediately after fusion using a micromanipulator and were transferred into a protoplast suspension of an auxotrophic cell line serving as a nursery. This mutant is not able to utilize nitrate and had to be supplemented with amino acids. The somatic hybrids were selected by a stepwise reduction of the supplements, which caused the death of the mutant cell colonies, while the autotrophic somatic hybrids continued to grow. The hybrid character of the selected colonies was confirmed by isoenzyme investigations.
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Affiliation(s)
- T Hein
- Max-Planck-Institut für Züchtungsforschung, Erwin-Baur-Institut, Köln, Federal Republic of Germany
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