Observation of Magnon Polarization

We measure the mode-resolved direction of the precessional motion of the magnetic order, i.e., magnon polarization, via the chiral term of inelastic polarized neutron scattering spectra. The magnon polarization is a unique and unambiguous signature of magnets and is important in spintronics, affecting thermodynamic properties such as the magnitude and sign of the spin Seebeck effect. However, it has never been directly measured in any material until this work. The observation of both signs of magnon polarization in Y_{3}Fe_{5}O_{12} also gives direct proof of its ferrimagnetic nature. The experiments agree very well with atomistic simulations of the scattering cross section.

Direct evidence for charge stripes in a layered cobalt oxide

Recent experiments indicate that static stripe-like charge order is generic to the hole-doped copper oxide superconductors and competes with superconductivity. Here we show that a similar type of charge order is present in La_5/3Sr_1/3CoO₄, an insulating analogue of the copper oxide superconductors containing cobalt in place of copper. The stripe phase we have detected is accompanied by short-range, quasi-one-dimensional, antiferromagnetic order, and provides a natural explanation for the distinctive hourglass shape of the magnetic spectrum previously observed in neutron-scattering measurements of La_2−xSr_xCoO₄ and many hole-doped copper oxide superconductors. The results establish a solid empirical basis for theories of the hourglass spectrum built on short-range, quasi-static, stripe correlations.

The nature of the magnetic ground state giving rise to the hourglass-shaped magnetic spectrum common among high-Tc superconductors is a matter of debate. Here, Babkevich et al. detect the presence of stripe charge order accompanied by quasi-one-dimensional antiferromagnetic order in La_5/3Sr_1/3CoO₄, providing a natural explanation for this characteristic spectrum.

Finite-element-modeling of egg white as a substitute for tissue coagulation during bipolar radiofrequency-induced thermofusion

Radiofrequency-induced thermofusion is a frequently used electrosurgical procedure for the sealing of blood vessels. A disadvantage of vessel sealing instruments is that the generated thermal energy spreads to the surrounding tissue and may irreversibly damage it. This is particularly problematic when operating close to sensitive structures such as nerves. Given their advantages, there is nonetheless a lot of interest in using bipolar vessel sealing for surgical procedures. To select instruments that may be safely used in such cases, it is important to reliably quantify the thermal spread to the surrounding tissue. Mathematical models can help to evaluate the transient behavior, that is the evolution of the thermal spread over time, more precisely. A finite element model allows for a detailed analysis of inhomogeneities in the spatial temperature distribution. As a first step towards a finite model of the bipolar vessel sealing process, a model of the coagulation of chicken egg white is presented here. Egg white has thermal and electrical properties that are very similar to tissue, making it suitable as a substitute for the analysis of the coagulation process. It has the additional advantage, that the spatial and temporal evolution of the thermal spread can be visually gauged. The presented model describes the experimentally observed spatial temperature distribution, the shape of the coagulated egg white, and the formation of hotspots. Furthermore, it is shown that the model can correctly predict the shape of the coagulated egg white in further experiments.

A mathematical model of bipolar radiofrequency-induced thermofusion

Bipolar radiofrequency-induced thermofusion has become a widely accepted method successfully used in open and particularly in minimally-invasive surgery for the sealing of blood vessels and tissue of up to several millimeters diameter. Despite its wide-spread application, the thermofusion process itself is not well understood on a quantitative and dynamic level, and manufacturers largely rely on trial-and-error methods to improve existing instruments. To predict the effect of alternative generator control strategies and to allow for a more systematic approach to improve thermofusion instruments, a mathematical model of the thermofusion process is developed. The system equations describe the spatial and temporal evolution of the tissue temperature due to Joule heating and heat transfer, and the loss of tissue water due to vaporization. The resulting effects on the tissue properties, most importantly the electrical resistivity, heat capacity and thermal conductivity, are considered as well. Experimental results indicate that the extent of the lateral thermal damage is directly affected by Joule heating of the lateral tissue. The experimental findings are supported by simulation results using the proposed mathematical model of thermofusion.

Fractional excitations in the square lattice quantum antiferromagnet

Quantum magnets have occupied the fertile ground between many-body theory and low-temperature experiments on real materials since the early days of quantum mechanics. However, our understanding of even deceptively simple systems of interacting spins-1/2 is far from complete. The quantum square-lattice Heisenberg antiferromagnet (QSLHAF), for example, exhibits a striking anomaly of hitherto unknown origin in its magnetic excitation spectrum. This quantum effect manifests itself for excitations propagating with the specific wave vector (π, 0). We use polarized neutron spectroscopy to fully characterize the magnetic fluctuations in the metal-organic compound CFTD, a known realization of the QSLHAF model. Our experiments reveal an isotropic excitation continuum at the anomaly, which we analyse theoretically using Gutzwiller-projected trial wavefunctions. The excitation continuum is accounted for by the existence of spatially-extended pairs of fractional S=1/2 quasiparticles, 2D analogues of 1D spinons. Away from the anomalous wave vector, these fractional excitations are bound and form conventional magnons. Our results establish the existence of fractional quasiparticles in the high-energy spectrum of a quasi-two-dimensional antiferromagnet, even in the absence of frustration.

Suppression of thermal conductivity by rattling modes in thermoelectric sodium cobaltate

The need for both high electrical conductivity and low thermal conductivity creates a design conflict for thermoelectric systems, leading to the consideration of materials with complicated crystal structures. Rattling of ions in cages results in low thermal conductivity, but understanding the mechanism through studies of the phonon dispersion using momentum-resolved spectroscopy is made difficult by the complexity of the unit cells. We have performed inelastic X-ray and neutron scattering experiments that are in remarkable agreement with our first-principles density-functional calculations of the phonon dispersion for thermoelectric Na(0.8)CoO2, which has a large-period superstructure. We have directly observed an Einstein-like rattling mode at low energy, involving large anharmonic displacements of the sodium ions inside multi-vacancy clusters. These rattling modes suppress the thermal conductivity by a factor of six compared with vacancy-free NaCoO2. Our results will guide the design of the next generation of materials for applications in solid-state refrigerators and power recovery.

Growth of highly oriented deuterium crystals in silicon nanochannels

The structure of solid deuterium confined in 9 nm wide tubular silicon nanochannels has been studied by means of elastic neutron scattering techniques. As a result we report the formation of fcc D(2) as the stable solid phase in confinement in contrast to the hcp bulk structure. Further, a preferred alignment of D(2) nanocrystals with respect to the surrounding crystalline silicon matrix is discussed in terms of heteroepitaxial growth of solid D(2) on crystalline pore walls.

The magnon dynamics and spin exchange parameters of FePS3

The spin waves in a powdered sample of a quasi-two-dimensional antiferromagnet, FePS(3), have been measured using neutron inelastic scattering. The data could be modelled and the exchange interactions determined using a two-dimensional Heisenberg Hamiltonian with single ion anisotropy. A suitable fit to the data could only be achieved by including magnetic interactions up to the third nearest neighbour, which is consistent with the findings for other members of the MPS(3) family (M=transition metal). The best fit parameters at 6 K were J(1) = 1.49 meV, J(2) = 0.04 meV, J(3) =- 0.6 meV, with an anisotropy of Δ = 3.7 meV. Measurements as a function of temperature give a coarse measure of the behaviour of the anisotropy and the nature of the phase transition.

Evidence of a bond-nematic phase in LiCuVO4

Polarized and unpolarized neutron scattering experiments on the frustrated ferromagnetic spin-1/2 chain LiCuVO4 show that the phase transition at H(Q) of 8 T is driven by quadrupolar fluctuations and that dipolar correlations are short range with moments parallel to the applied magnetic field in the high-field phase. Heat-capacity measurements evidence a phase transition into this high-field phase, with an anomaly clearly different from that at low magnetic fields. Our experimental data are consistent with a picture where the ground state above H(Q) has a next-nearest neighbor bond-nematic order along the chains with a fluidlike coherence between weakly coupled chains.

Parity-broken chiral spin dynamics in Ba₃NbFe₃Si₂O₁₄

The spin-wave excitations emerging from the chiral helically modulated 120° magnetic order in a langasite Ba₃NbFe₃Si₂O₁₄ enantiopure crystal were investigated by unpolarized and polarized inelastic neutron scattering. A dynamical fingerprint of the chiral ground state is obtained, singularized by (i) spectral weight asymmetries answerable to the structural chirality and (ii) a full chirality of the spin correlations observed over the whole energy spectrum. The intrinsic chiral nature of the spin waves' elementary excitations is shown in the absence of macroscopic time-reversal symmetry breaking.

Two-spinon and four-spinon continuum in a frustrated ferromagnetic spin-1/2 chain

Inelastic neutron scattering measurements show the existence of a strong two-spinon continuum in the frustrated ferromagnetic spin-1/2 chain compound LiCuVO4. The dynamic magnetic susceptibility is well described by a mean-field model of two coupled interpenetrating antiferromagnetic Heisenberg chains. The extracted values of the exchange integrals are in good agreement with the static magnetic susceptibility data and an earlier spin-wave description of the bound state near the lower boundary of the two-spinon continuum. In addition, there is clear evidence for a four-spinon continuum at high energies.

Possible anisotropic s--f hybridization in a cubic heavy-fermion compound: CeIn1Sn2

Polarized neutron scattering measurements on a single crystal of composition CeIn1Sn2 show a broad, single-ion, spectral response centered on a characteristic energy of approximately 9+/-1 meV at the zone boundary point (0 0 1.5). The zone center spectral response is closely similar in form but has a slightly reduced amplitude, smaller by some 20%. Constant-omega scans show that these intensity modulations, of amplitude approximately 10%, resembling intersite antiferromagnetic correlations, are superimposed on a mean variation that follows the Ce3+, 4f;{1}, single-ion form factor, and are tentatively attributed to q-dependent hybridization of the localized 4f state with the conduction electrons.

Magnetic fluctuations at a field-induced quantum phase transition

We report an inelastic neutron-scattering study at the field-induced magnetic quantum phase transition of CeCu5.8Au0.2. The data can be described better by the spin-density-wave scenario than by a local quantum critical point, while the latter scenario was shown to be applicable to the zero-field concentration-tuned quantum phase transition in CeCu6-xAux for x=0.1. This constitutes direct microscopic evidence for a difference in the quantum fluctuation spectra at a magnetic quantum critical point driven by different tuning parameters.

Quantum dynamics and entanglement of spins on a square lattice

Bulk magnetism in solids is fundamentally quantum mechanical in nature. Yet in many situations, including our everyday encounters with magnetic materials, quantum effects are masked, and it often suffices to think of magnetism in terms of the interaction between classical dipole moments. Whereas this intuition generally holds for ferromagnets, even as the size of the magnetic moment is reduced to that of a single electron spin (the quantum limit), it breaks down spectacularly for antiferromagnets, particularly in low dimensions. Considerable theoretical and experimental progress has been made in understanding quantum effects in one-dimensional quantum antiferromagnets, but a complete experimental description of even simple two-dimensional antiferromagnets is lacking. Here we describe a comprehensive set of neutron scattering measurements that reveal a non-spin-wave continuum and strong quantum effects, suggesting entanglement of spins at short distances in the simplest of all two-dimensional quantum antiferromagnets, the square lattice Heisenberg system.

Nature of the magnetic order in the charge-ordered cuprate La1.48Nd0.4Sr0.12CuO4

Using polarized neutron scattering we establish that the magnetic order in La(1.48)Nd(0.4)Sr(0.12)CuO(4) is either (i) one dimensionally modulated and collinear, consistent with the stripe model or (ii) two dimensionally modulated with a novel noncollinear structure. The measurements rule out a number of alternative models characterized by 2D electronic order or 1D helical spin order. The low-energy spin excitations are found to be primarily transversely polarized relative to the stripe ordered state, consistent with conventional spin waves.

Magnetic-field-induced spin excitations and renormalized spin gap of the underdoped La1.895Sr0.105CuO4 superconductor

High-resolution neutron inelastic scattering experiments in applied magnetic fields have been performed on La1.895Sr0.105CuO4 (LSCO). In zero field, the temperature dependence of the low-energy peak intensity at the incommensurate momentum transfer QIC=(0.5,0.5+/-delta,0),(0.5+/-delta,0.5,0) exhibits an anomaly at the superconducting Tc which broadens and shifts to lower temperature upon the application of a magnetic field along the c axis. A field-induced enhancement of the spectral weight is observed, but only at finite energy transfers and in an intermediate temperature range. These observations establish the opening of a strongly downward renormalized spin gap in the underdoped regime of LSCO. This behavior contrasts with the observed doping dependence of most electronic energy features.

Selective fluid cushion in the submucosal layer by water jet: advantage for endoscopic mucosal resection

BACKGROUND/AIM

Numerous new techniques have recently been reported and described for the endoscopic mucosal resection of large superficial lesions of the gastrointestinal tract. We present here for the first time the application of a water jet dissector for mucosa elevation.

MATERIALS AND METHODS

In an ex vivo study, the effectiveness of a water jet dissector (Helix Hydro-Jet) placed directly on the stomach walls of 8 pigs was examined to create a mucosal elevation. After having determined optimal pressures, angle of application, and application times, 13 submucosal fluid cushions were produced in different areas of the stomach walls of 8 pigs in vivo, and the sizes of the resulting submucosal cushions were measured.

RESULTS

Using pressures between 30 and 70 bar, it was routinely possible to create submucosal fluid cushions in the stomach wall ex vivo as well as in vivo. Histological examination showed a selective edema in the submucosa without damage to the deeper mucosal layers of the gastric wall.

CONCLUSIONS

The capacity of a targeted high-pressure water jet to penetrate the mucosa and selectively create a fluid cushion in the submucosa facilitates endoscopic resection of the mucosa. This new method could contribute to ameliorate the endoscopic treatment of mucosal tumors which previously could not be resected endoscopically due to their size, extent, or location.

Intense cholesterol lowering therapy with a HMG-CoA reductase inhibitor does not improve nitric oxide dependent endothelial function in type-2-diabetes--a multicenter, randomised, double-blind, three-arm placebo-controlled clinical trial

Disturbances in nitric oxide (NO) metabolism resulting in endothelial dysfunction play a central role in the pathogenesis of atherosclerosis in hypercholesterolemia and in individuals with type 2 diabetes. It is unclear whether lipid lowering therapy with HMG-CoA-reductase inhibitors might improve endothelial function in subjects with type 2 diabetes as it is demonstrated in non-diabetic subjects with hypercholesterolemia. We examined the influence of 0.2 mg and 0.8 mg cerivastatin on endothelial function in a multicenter, randomised, double-blind, and three-arm placebo-controlled clinical trial. Endothelial function was assessed by nitric oxide-dependent flow mediated vasodilatation (FMD) of the brachial artery. A total of 103 patients with type 2 diabetes were enrolled in the study. Bayer Company undertook a voluntary action to withdraw cerivastatin from market, therefore the study was terminated earlier. At this point 77 patients were randomised, of which 58 completed the study (mean age 60 +/- 8 years, HbA1c 7.4 +/- 0.9 %). At baseline mean FMD was disturbed in all three therapy arms (5.18 +/- 2.31 % in the placebo group, 3.88 +/- 1.68 in the 0.2-mg cerivastation group, and 4.86 +/- 2.25 in the 0.8-mg cerivastatin group). Despite a significant reduction in cholesterol and LDL-cholesterol-levels after 12 weeks of treatment (decrease in LDL-cholesterol - 26.8 +/- 13.9 % in the 0.2-mg group and - 40.3 +/- 16.0 % in the 0.8-mg group, p = 0.0001, ANCOVA) there was no difference in flow mediated vasodilatation (p = 0.52 and p = 0.56 vs. placebo, respectively, ANCOVA). HbA1c, CRP, and HDL-cholesterol did not change during the study. Furthermore no difference in safety profile between cerivastatin and placebo was found. Despite a significant improvement in lipid profile under statin therapy, no improvement of endothelial dysfunction in terms of nitric oxide bioavailability could be detected.

Reduction of postchallenge hyperglycaemia prevents acute endothelial dysfunction in subjects with impaired glucose tolerance

OBJECTIVES

To investigate whether selective reduction of postchallenge hyperglycaemia influences acute endothelial dysfunction, a very early manifestation of vascular disease, in patients with impaired glucose tolerance.

METHODS

In a randomized, double-blind, placebo-controlled, cross-over study the acute effect of 200-mg acarbose was investigated in 28 subjects with diagnosed impaired glucose tolerance. Flow-mediated dilation (FMD) of the brachial artery was determined as a measure of endothelial function before and 2 and 3 h after ingestion of 100-g saccharose. Asymmetrical dimethylarginine (ADMA) was measured by high-performance liquid chromatography.

RESULTS

A negative correlation was observed between the changes of glucose and FMD (r = 0.416, P = 0.0018) 2 h after ingestion of saccharose. At 3 h, neither blood glucose nor FMD were different from baseline. Changes of both blood glucose (P = 0.0007) and FMD (P = 0.046) were significantly lower after administration of acarbose. Subgroup analysis revealed that the effect of acarbose was restricted to those subjects with an increase of blood glucose above the median increase of glycaemia. No changes of plasma ADMA were observed.

CONCLUSIONS

Our data clearly demonstrate that the postchallenge alteration of vascular function in patients with impaired glucose tolerance is caused by the acute elevation of glycaemia but not mediated by ADMA.

Spin correlations in the paramagnetic phase and ring exchange in La2CuO4

Spin correlations in the paramagnetic phase of La(2)CuO(4) have been studied using polarized neutron scattering, with two important results. First, the temperature dependence of the characteristic energy scale of the fluctuations and the amplitude of the neutron structure factor are shown to be in quantitative agreement with the predictions of the quantum nonlinear sigma model. Second, a comparison of a high-temperature series expansion of the equal-time spin correlations with the diffuse neutron intensity provides definitive experimental evidence for ring exchange.

Magnetic ordering and spin waves in Na0.82CoO2

NaxCoO2, the parent compound of the recently synthesized superconductor Na(x)CoO(2):yH(2)O, exhibits bulk antiferromagnetic order below approximately 20 K for 0.75</=x</=0.9. We have performed neutron scattering experiments in which we observed Bragg reflections corresponding to A-type antiferromagnetic order in a Na0.82CoO2 single crystal and characterized the corresponding spin-wave dispersions. The spin waves exhibit a strongly energy-dependent linewidth. The in-plane and out-of-plane exchange constants resulting from a fit to a nearest-neighbor Heisenberg model are similar in magnitude, which is unexpected in view of the layered crystal structure of NaxCoO2. Possible implications of these observations are discussed.

Spin correlations among the charge carriers in an ordered stripe phase

We have observed a diffuse component to the low-energy magnetic excitation spectrum of stripe-ordered La(5/3)Sr(1/3)NiO4 probed by neutron inelastic scattering. The diffuse scattering forms a square pattern with sides parallel and perpendicular to the stripe directions. The signal is dispersive, with a maximum energy of approximately 10 meV. Probed at 2 meV, the scattering decreases in strength with increasing temperature, and is barely visible at 100 K. We argue that the signal originates from dynamic, quasi-one-dimensional, antiferromagnetic correlations among the stripe electrons.

Inversion and suppression of an oxygen bulk phase transition in confined geometry

By means of susceptibility experiments on oxygen confined to the pores of a Gelsil substrate we investigated the bulk gamma- beta transition. At low fillings, the transformation is completely suppressed. At higher but still incomplete filling we observe a partial transformation from gamma to beta on cooling and a subsequent inverted transition on heating, i.e. the transformation of gamma-phase material into the beta-phase upon heating. At 100% filling this inversion disappears. We discuss our results on the basis of geometric considerations.

[Measurement of flow mediated vasodilation (FMD) using kalman-filtering]

Brachial artery flow-mediated vasodilation is increasingly used as a measure of endothelial function. High resolution ultrasound provides a noninvasive method to observe this flow-mediated vasodilation by monitoring the diameter of the artery over time. In the past, the diameter had to be measured in tedious postprocessing routines, usually by the examiner himself. We present a system, which is able to process ultrasound rf-data in realtime. On that system, we implemented a kalman filter, which makes the tracking of both vessel walls possible. The diameter can be calculated accurately, taking into account process noise as well as measurement noise.

Critical behavior of the frustrated antiferromagnetic six-state clock model on a triangular lattice

We study the antiferromagnetic six-state clock model with nearest neighbor interactions on a triangular lattice with extensive Monte Carlo simulations. We find clear indications of two phase transitions at two different temperatures: Below T(I) a chirality order sets in and by a thorough finite-size-scaling analysis of the specific heat and the chirality correlation length we show that this transition is in the Ising universality class (with a nonvanishing chirality order parameter below T(I)). At T(KT) (<T(I)) the spin-spin correlation length as well as the spin susceptibility diverges according to a Kosterlitz-Thouless (KT) form and spin correlations decay algebraically below T(KT). We compare our results to recent x-ray diffraction experiments on the orientational ordering of CF3Br monolayers physisorbed on graphite. We argue that the six-state clock model describes the universal feature of the phase transition in the experimental system and that the orientational ordering belongs to the KT universality class.

Excitations of the field-induced quantum soliton lattice in CuGeO(3)

The incommensurate magnetic soliton lattice in the high-field phase of a spin-Peierls system results from quantum fluctuations. We have used neutron scattering techniques to study CuGeO(3), allowing us to obtain the first complete characterization of the excitations of the soliton lattice. Three distinct excitation branches are observed, all of which are gapped. The two highest energy modes have minimum gaps at the commensurate wave vector and correspond to the creation or annihilation of soliton pairs. The third mode is incommensurate and is discussed in relation to theoretical predictions.

[Influence of experience on intra- and interindividual variability in assessing peripheral endothelial dysfunction with high resolution ultrasound]

The non-invasive evaluation of endothelial dysfunction with high-resolution ultrasound has become a widely accepted tool in determination of high-risk subjects for early atherosclerosis. Furthermore it is often used as intermediate outcome in intervention studies.

AIM

We examined the influence of examiner experience on intra- and inter-individual variability in the measurement of flow-associated vasodilation (FAD) independent of automated analysis systems.

METHOD

FAD was measured on two occasions in 7 and 8 subjects respectively (mean age 32 +/- 3 years) by two investigators after different prior training procedures with a 13 MHz linear transducer (LA14A, ESAOTE Biomedica).

RESULTS

The intra-individual variability expressed as median absolute difference in the measurements of FAD was 1.1 % (range from 0.03 % to 3.2 %) for examiner one with an experience of more than 50 FAD measurements through former studies and 2.9 % (range from 1.6 % to 9.2 %) for examiner two with only 10 training examinations under supervision. By a further training period of two months, with an increase of examinations of additional 20 measurements by both examiners, the intra-observer variability could be dropped to 0.9 % (range from 0.03 % to 1.3 %) for examiner two (p = 0.0025) with no significant change for examiner one (median 0.6 % with a range from 0.14 % to 3.7 %). As expected, the inter-individual variability was not influenced by this further training (median 1.0 % with a range of 0.5 % to 3.6 % versus a median of 1.6 % with a range from 0.15 % to 7.5 %).

CONCLUSION

30 training measurements of FAD under supervision should be regarded as minimum requirement for valid determination of endothelial function. The reachable result for the intra-observer variability is thereby within the range of computed analysis systems.

Multiparticle states in the S = 1 chain system CsNiCl3

A continuum of magnetic states has been observed by neutron scattering from the spin-1 chain compound CsNiCl3 in its disordered gapped one-dimensional phase. Results using both triple-axis and time-of-flight spectrometers show that around the antiferromagnetic point Qc = pi, the continuum lies higher in energy than the Haldane gapped excitations. At 6 K the integrated intensity of the continuum is about 12(2)% of the total spectral weight. This result is considerably larger than the 1%-3% weight predicted by the nonlinear sigma model for the three-particle continuum.

Neutron scattering study of the field-induced soliton lattice in CuGeO3

CuGeO3 undergoes a transition from a spin-Peierls phase to an incommensurate phase at a critical field of H(c) approximately 12.5 T. In the high-field phase a lattice of solitons forms, with both structural and magnetic components, and these have been studied using neutron scattering techniques. Our results provide direct evidence for a long-ranged magnetic soliton structure which has both staggered and uniform magnetizations with amplitudes that are broadly in accord with theoretical estimates. The magnetic soliton width gamma(m) and the field dependence of the incommensurability deltak(SP) are found to agree well with theoretical predictions.

[The wound care center in surgery: an interdisciplinary concept for diagnostic and treatment of chronic wounds]

In Germany there is no standardized wound care for patients with chronic wounds in specialized centers. We have established a wound care unit for the past 6 years. The principal concept of therapy was characterized by standardized local surgery, moist wound dressings and concomitant treatment of the underlying disease. We performed local therapy, coordinated the interdisciplinary treatment and developed a new wound documentation system for quality control. We established a close network, integrating general practitioners and home care organizations to realize a mainly outpatient treatment supported by short hospital therapy. Exclusive outpatient treatment was performed in 42% of all patients. According to our prospective data, we achieved an improvement in wound care: 69% of the wounds resistant to therapy for a mean of 30 months healed within 12 months after therapy according to our protocol. Our data strongly supported the importance of local surgery: neither wound depth nor wound infection had any influence on the healing rate, presumably due to radical excisional debridement of necrotic tissue. The presented data justify on medical and economic grounds the establishment of such wound care centers in Germany.

Detection of the apolipoprotein B-100 arg(3500) > gl mutation in familial defective apoB-100 by temperature-gradient gel electrophoresis

Familial defective apolipoprotein B-100 (FDB) is caused by a point mutation in exon 26 of the apolipoprotein B gene leading to a decreased binding to the LDL-receptor. Patients with FDB have hypercholesterolemia and atherosclerotic disease. Since other mutations of apoB-100 could also cause binding abnormalities we established a temperature-gradient gel electrophoresis (TGGE) method and started to screen hypercholesterolemic patients for the presence of point mutations in this region. 4 of 43 patients were positive according to TGGE and subsequent sequencing showed the familiar guanine to adenine transition in codon 3500 in all cases.