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Global maps of soil temperature. GLOBAL CHANGE BIOLOGY 2022; 28:3110-3144. [PMID: 34967074 PMCID: PMC9303923 DOI: 10.1111/gcb.16060] [Citation(s) in RCA: 48] [Impact Index Per Article: 24.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/25/2021] [Accepted: 10/27/2021] [Indexed: 05/05/2023]
Abstract
Research in global change ecology relies heavily on global climatic grids derived from estimates of air temperature in open areas at around 2 m above the ground. These climatic grids do not reflect conditions below vegetation canopies and near the ground surface, where critical ecosystem functions occur and most terrestrial species reside. Here, we provide global maps of soil temperature and bioclimatic variables at a 1-km2 resolution for 0-5 and 5-15 cm soil depth. These maps were created by calculating the difference (i.e. offset) between in situ soil temperature measurements, based on time series from over 1200 1-km2 pixels (summarized from 8519 unique temperature sensors) across all the world's major terrestrial biomes, and coarse-grained air temperature estimates from ERA5-Land (an atmospheric reanalysis by the European Centre for Medium-Range Weather Forecasts). We show that mean annual soil temperature differs markedly from the corresponding gridded air temperature, by up to 10°C (mean = 3.0 ± 2.1°C), with substantial variation across biomes and seasons. Over the year, soils in cold and/or dry biomes are substantially warmer (+3.6 ± 2.3°C) than gridded air temperature, whereas soils in warm and humid environments are on average slightly cooler (-0.7 ± 2.3°C). The observed substantial and biome-specific offsets emphasize that the projected impacts of climate and climate change on near-surface biodiversity and ecosystem functioning are inaccurately assessed when air rather than soil temperature is used, especially in cold environments. The global soil-related bioclimatic variables provided here are an important step forward for any application in ecology and related disciplines. Nevertheless, we highlight the need to fill remaining geographic gaps by collecting more in situ measurements of microclimate conditions to further enhance the spatiotemporal resolution of global soil temperature products for ecological applications.
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The effect of tin prefiltration on extremity cone-beam CT imaging with a twin robotic X-ray system. Radiography (Lond) 2021; 28:433-439. [PMID: 34716089 DOI: 10.1016/j.radi.2021.10.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2021] [Revised: 08/13/2021] [Accepted: 10/09/2021] [Indexed: 10/20/2022]
Abstract
INTRODUCTION While tin prefiltration is established in various CT applications, its value in extremity cone-beam CT relative to optimized spectra has not been thoroughly assessed thus far. This study aims to investigate the effect of tin filters in extremity cone-beam CT with a twin-robotic X-ray system. METHODS Wrist, elbow and ankle joints of two cadaveric specimens were examined in a laboratory setup with different combinations of prefiltration (copper, tin), tube voltage and current-time product. Image quality was assessed subjectively by five radiologists with Fleiss' kappa being computed to measure interrater agreement. To provide a semiquantitative criterion for image quality, contrast-to-noise ratios (CNR) were compared for standardized regions of interest. Volume CT dose indices were calculated for a 16 cm polymethylmethacrylate phantom. RESULTS Radiation dose ranged from 17.4 mGy in the clinical standard protocol without tin filter to as low as 0.7 mGy with tin prefiltration. Image quality ratings and CNR for tin-filtered scans with 100 kV were lower than for 80 kV studies with copper prefiltration despite higher dose (11.2 and 5.6 vs. 4.5 mGy; p < 0.001). No difference was ascertained between 100 kV scans with tin filtration and 60 kV copper-filtered scans with 75% dose reduction (subjective: p = 0.101; CNR: p = 0.706). Fleiss' kappa of 0.597 (95% confidence interval 0.567-0.626; p < 0.001) indicated moderate interrater agreement. CONCLUSION Considerable dose reduction is feasible with tin prefiltration, however, the twin-robotic X-ray system's low-dose potential for extremity 3D imaging is maximized with a dedicated low-kilovolt scan protocol in situations without extensive beam-hardening artifacts. IMPLICATIONS FOR PRACTICE Low-kilovolt imaging with copper prefiltration provides a superior trade-off between dose reduction and image quality compared to tin-filtered cone-beam CT scan protocols with higher tube voltage.
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Future climate change will accelerate maize phenological development and increase yield in the Nemoral climate. THE SCIENCE OF THE TOTAL ENVIRONMENT 2021; 784:147175. [PMID: 33895511 DOI: 10.1016/j.scitotenv.2021.147175] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/01/2020] [Revised: 03/31/2021] [Accepted: 04/12/2021] [Indexed: 06/12/2023]
Abstract
Climate change will bring warmer and wetter conditions and more frequent extreme events in the Nemoral climate zone. These changes are expected to affect maize growth and yields. In this study, we applied the AgroC model to assess climate change impact on changes in growing environmental conditions, growing season length, yield and potential yield losses due to multiple abiotic stresses. The model was calibrated and validated using data from dedicated field experiments conducted in Lithuania during four meteorologically contrasting years (2015, 2016, 2017 and 2019). We simulated the climate impacts on rainfed maize for long-term future climate conditions from 2020 to 2100 under the RCP2.6 (low), RCP4.5 (medium) and RCP8.5 (high) emission scenarios. As a result, we found that air temperature, sum of growing degree days and amount of precipitation during the growing season of maize will increase, especially under medium and higher emission scenarios (RCP4.5 and RCP8.5), with significantly positive effect on yields. The simulation results showed that average maize grain yield will increase under RCP2.6 by 69 kg ha-1 per decade, under RCP4.5 by 197 kg ha-1 per decade and under RCP8.5 by 304 kg ha-1 per decade. The future potential maize yield reveals a progressive increase with a surplus of +10.2% under RCP4.5 and +14.4% under RCP8.5, while under RCP2.6 the increase of potential yield during the same period will be statistically not significant. The yield gap under RCP2.6 and RCP4.5 will fluctuate within a rather narrow range and under RCP8.5, it will decrease.
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Polyethylenglycol – Freund oder Feind? AKTUELLE DERMATOLOGIE 2021. [DOI: 10.1055/a-1352-6241] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
ZusammenfassungAnaphylaktische Reaktionen nach Impfungen sind selten. Zwei Fälle von Reaktionen nach der Pfizer-BioNTech-Covid-19-Vakzine, BNT162b2, wurden aus dem UK berichtet, weitere 19 aus den USA. Als möglicher Auslöser wurde Polyethylenglycol (PEG) angeschuldigt. Pegylierung ist ein üblicher Vorgang in der Impfstoffherstellung, um die Substanzen vor schnellem immunologischem Abbau zu schützen. PEG ist ein Polyether (Synonyme z. B. Laureth-9, Polidocanol, Thesit, Macrogol) und findet sich in Kosmetika, Körperpflegeprodukten, Nahrungsmitteln, Liposomen und Nanopartikeln als Drug-Delivery-Systeme für Medikamente und als osmotisches Laxans vor Gastro-/Koloskopien. IgM-Antikörper auf PEG werden bei 70 % der Bevölkerung nachgewiesen. Bei 2 Fällen von Soforttyp-Reaktionen auf PEG fanden sich IgE-Antiköper, bei anderen Medikamentengaben mit PEG geht man von pseudoallergischen Reaktionen über die Komplement-Aktivierungs-related Pseudoallergie (CARPA) aus. In Relation zum weit verbreiteten Einsatz von PEG sind die Impfreaktionen sehr selten und aktuell kein Grund, Allergiker oder Menschen mit Anaphylaxien bei entsprechenden Vorsichtsmaßnahmen auf bekannte Auslöser auszuschließen. Aufgrund der Meldepflicht (Gesundheitsamt und Arzneimittelkommission der deutschen Ärzteschaft) ist bald mit weiteren Erkenntnissen zu rechnen.
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Impfung. AKTUELLE DERMATOLOGIE 2020. [DOI: 10.1055/a-1154-2597] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Immunmodulatoren (Biologicals) in der Therapie von Patienten mit chronischen Dermatosen in der dermatologischen Praxis. AKTUELLE DERMATOLOGIE 2020. [DOI: 10.1055/a-1209-0885] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
ZusammenfassungWir fassen Erfahrungen zusammen, die in unserer dermatologischen Praxis in den letzten Jahren, besonders seit der Einrichtung einer Spezialsprechstunde Immundermatologie, mit dem Einsatz von Biologicals gemacht wurden. Dazu charakterisieren wir mittels retrospektiver Auswertung die behandelten Patienten mit Psoriasis (mit und ohne Psoriasis-Arthritis), Neurodermitis, Urtikaria und Akne inversa. Es werden klinische Aspekte der Immunmodulation mittels der Blockade von Zytokinen (TNFα, IL-17, IL-23), deren Rezeptoren (IL-4/13R, IL-17R) bzw. IgE analysiert. Wir zeigen, dass der konsequente Einsatz von Biologicals eine klare organisatorische Entscheidung mit mannigfaltigen Konsequenzen für die gesamte Praxis und das Team darstellt.
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Impfen bei dermatologischen Patienten vor und unter immunmodulierenden Therapien – Erfahrungen aus einer ambulanten Spezialsprechstunde. AKTUELLE DERMATOLOGIE 2020. [DOI: 10.1055/a-1131-1873] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
ZusammenfassungImpfen heißt, durch Auslösen einer aktiven Immunität den entsprechenden (Infektions-)Krankheiten vorzubeugen. Dem kommt durch die immer zahlreicher verfügbaren immunmodulierenden Therapien für dermato-onkologische, Autoimmun- und allergische Erkrankungen eine zunehmende Bedeutung zu. Wir möchten darstellen, vor welche Herausforderungen wir uns beim Aufbau eines Impfmanagements für die derzeit über 80 Patientinnen und Patienten unserer Spezialsprechstunde „Immundermatologie“ gestellt sehen.
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It is not just a 'trade-off': indications for sink- and source-limitation to vegetative and regenerative growth in an old-growth beech forest. THE NEW PHYTOLOGIST 2020; 226:111-125. [PMID: 31901219 DOI: 10.1111/nph.16408] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/22/2018] [Accepted: 11/10/2019] [Indexed: 06/10/2023]
Abstract
Controls on tree growth are key issues in plant physiology. The hypothesis of our study was that the interannual variability of wood and fruit production are primarily controlled directly by weather conditions (sink limitation), while carbon assimilation (source limitation) plays a secondary role. We analyzed the interannual variability of weather conditions, gross primary productivity (GPP) and net primary productivity (NPP) of wood and fruits of an old-growth, unmanaged Fagus sylvatica forest over 14 yr, including six mast years. In a multiple linear regression model, c. 71% of the annual variation in wood-NPP could be explained by mean air temperature in May, precipitation from April to May (positive influence) and fruit-NPP (negative influence). GPP of June to July solely explained c. 42% of the variation in wood-NPP. Fruit-NPP was positively related to summer precipitation 2 yr before (R2 = 0.85), and negatively to precipitation in May (R2 = 0.83) in the fruit years. GPP had no influence on fruit-NPP. Our results suggest a complex system of sink and source limitations to tree growth driven by weather conditions and going beyond a simple carbon-mediated 'trade-off' between regenerative and vegetative growth.
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Estimating Dose Rates from Activated Groundwater at Accelerator Sites. NUCL TECHNOL 2017. [DOI: 10.13182/nt09-a9328] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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Motion correction for diffusion weighted SMS imaging. Magn Reson Imaging 2016; 38:33-38. [PMID: 27988191 DOI: 10.1016/j.mri.2016.12.013] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2016] [Revised: 12/13/2016] [Accepted: 12/13/2016] [Indexed: 10/20/2022]
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An empirical study of the wound effect on sap flux density measured with thermal dissipation probes. TREE PHYSIOLOGY 2016; 36:1471-1484. [PMID: 27587487 DOI: 10.1093/treephys/tpw071] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/04/2016] [Revised: 06/22/2016] [Accepted: 07/02/2016] [Indexed: 06/06/2023]
Abstract
The insertion of thermal dissipation (TD) sensors on tree stems for sap flux density (SFD) measurements can lead to SFD underestimations due to a wound formation close to the drill hole. However, the wound effect has not been assessed experimentally for this method yet. Here, we propose an empirical approach to investigate the effect of the wound healing on measured sap flux with TD probes. The approach was performed for both, diffuse-porous (Fagus sylvatica (Linnaeus)) and ring-porous (Quercus petraea (Lieblein)) species. Thermal dissipation probes were installed on different dates along the growing season to document the effects of the dynamic wound formation. The trees were cut in autumn and additional sensors were installed in the cut stems, therefore, without potential effects of wound development. A range of water pressures was applied to the stem segments and SFDs were simultaneously measured by TD sensors as well as gravimetrically in the laboratory. The formation of wounds around sensors installed in living tree stems led to underestimation of SFD by 21.4 ± 3 and 47.5 ± 3.8% in beech and oak, respectively. The differences between SFD underestimations of diffuse-porous beech and ring-porous oak were, however, not statistically significant. Sensors with 5-, 11- and 22-week-old wounds also showed no significant differences, which implies that the influence of wound formation on SFD estimates was completed within the first few weeks after perforation. These results were confirmed by time courses of SFD measurements in the field. Field SFD values decreased immediately after sensor installation and reached stable values after ~2 weeks with similar underestimations to the ones observed in the laboratory. We therefore propose a feasible approach to correct directly field observations of SFD for potential underestimations due to the wound effect.
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The effect of the arthroscopic augmentation of the subscapularis tendon on shoulder instability and range of motion: A biomechanical study. Clin Biomech (Bristol, Avon) 2016; 38:75-83. [PMID: 27585264 DOI: 10.1016/j.clinbiomech.2016.08.012] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/07/2016] [Revised: 07/03/2016] [Accepted: 08/21/2016] [Indexed: 02/07/2023]
Abstract
BACKGROUND Anterior shoulder dislocation is common. The treatment of recurrence with glenoid bone defect is still considered controversial. A new arthroscopic subscapularis augmentation has recently been described that functions to decrease the anterior translation of the humeral head. The purpose of the presented study was to examine the biomechanical effect on glenohumeral joint motion and stability. METHODS Eight fresh frozen cadaver shoulders were studied by use of a force guided industrial robot fitted with a six-component force-moment sensor to which the humerus was attached. The testing protocol includes measurement of glenohumeral translation in the anterior, anterior-inferior and inferior directions at 0°, 30° and 60° of glenohumeral abduction, respectively, with a passive humerus load of 30N in the testing direction. The maximum possible external rotation was measured at each abduction angle applying a moment of 1Nm. Each specimen was measured in a physiologic state, as well as after Bankart lesion with an anterior bone defect of 15-20% of the glenoid, after arthroscopic subscapularis augmentation and after Bankart repair. FINDINGS The arthroscopic subscapularis augmentation decreased the anterior and anterior-inferior translation. The Bankart repair did not restore the mechanical stability compared to the physiologic shoulder group. External rotation was decreased after arthroscopic subscapularis augmentation compared to the physiologic state, however, the limitation of external rotation was decreased at 60° abduction. INTERPRETATION The arthroscopic subscapularis augmentation investigated herein was observed to restore shoulder stability in an experimental model.
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Potential and limitations of inferring ecosystem photosynthetic capacity from leaf functional traits. Ecol Evol 2016; 6:7352-7366. [PMID: 28725403 PMCID: PMC5513259 DOI: 10.1002/ece3.2479] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2016] [Revised: 08/13/2016] [Accepted: 08/24/2016] [Indexed: 01/22/2023] Open
Abstract
The aim of this study was to systematically analyze the potential and limitations of using plant functional trait observations from global databases versus in situ data to improve our understanding of vegetation impacts on ecosystem functional properties (EFPs). Using ecosystem photosynthetic capacity as an example, we first provide an objective approach to derive robust EFP estimates from gross primary productivity (GPP) obtained from eddy covariance flux measurements. Second, we investigate the impact of synchronizing EFPs and plant functional traits in time and space to evaluate their relationships, and the extent to which we can benefit from global plant trait databases to explain the variability of ecosystem photosynthetic capacity. Finally, we identify a set of plant functional traits controlling ecosystem photosynthetic capacity at selected sites. Suitable estimates of the ecosystem photosynthetic capacity can be derived from light response curve of GPP responding to radiation (photosynthetically active radiation or absorbed photosynthetically active radiation). Although the effect of climate is minimized in these calculations, the estimates indicate substantial interannual variation of the photosynthetic capacity, even after removing site-years with confounding factors like disturbance such as fire events. The relationships between foliar nitrogen concentration and ecosystem photosynthetic capacity are tighter when both of the measurements are synchronized in space and time. When using multiple plant traits simultaneously as predictors for ecosystem photosynthetic capacity variation, the combination of leaf carbon to nitrogen ratio with leaf phosphorus content explains the variance of ecosystem photosynthetic capacity best (adjusted R2 = 0.55). Overall, this study provides an objective approach to identify links between leaf level traits and canopy level processes and highlights the relevance of the dynamic nature of ecosystems. Synchronizing measurements of eddy covariance fluxes and plant traits in time and space is shown to be highly relevant to better understand the importance of intra- and interspecific trait variation on ecosystem functioning.
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Lactation is associated with altered metabolomic signatures in women with gestational diabetes. DIABETOL STOFFWECHS 2016. [DOI: 10.1055/s-0036-1580927] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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EP-1419: Proton irradiation in childhood and adolescence at RINECKER Proton Therapy Center (RPTC). Radiother Oncol 2016. [DOI: 10.1016/s0167-8140(16)32669-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Environmental Indication: A Field Test of an Ecosystem Approach to Quantify Biological Self-Organization. Ecosystems 2014. [DOI: 10.1007/s100210000059] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Prospective slice-by-slice motion correction reduces false positive activations in fMRI with task-correlated motion. Neuroimage 2013; 84:124-32. [PMID: 23954484 DOI: 10.1016/j.neuroimage.2013.08.006] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2013] [Revised: 07/16/2013] [Accepted: 08/06/2013] [Indexed: 12/01/2022] Open
Abstract
OBJECTIVE We aimed to test the hypothesis that slice-by-slice prospective motion correction at 7T using an optical tracking system reduces the rate of false positive activations in an fMRI group study with a paradigm that involves task-correlated motion. MATERIALS AND METHODS Brain activation during right leg movement was measured using a block design on 15 volunteers, with and without prospective motion correction. Clearly erroneous activations were compared between both cases, at the individual level. Additionally, conventional group analysis was performed. RESULTS The number of falsely activated voxels with T-values higher than 5 was reduced by 48% using prospective motion correction alone, without additional retrospective realignment. In the group analysis, the statistical power was increased - the peak T-value was 26% greater, and the number of voxels in the cluster representing the right leg was increased by a factor of 9.3. CONCLUSION Slice-by-slice prospective motion correction in fMRI studies with task-correlated motion can substantially reduce false positive activations and increase statistical power.
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AN EMPIRICAL STUDY OF WOUND RESPONSE DYNAMICS ON SAP FLOW MEASURED WITH THERMAL DISSIPATION PROBES. ACTA ACUST UNITED AC 2013. [DOI: 10.17660/actahortic.2013.991.13] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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[Patient-controlled analgesia with subcutaneous opoids for out-patients with severe tumour pain.]. Schmerz 2012; 7:31-9. [PMID: 18415417 DOI: 10.1007/bf02527636] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
PCAO (patient-controlled analgesia in outpatients) is a new treatment concept designed to overcome chronic or acute pain of cancer patients. From 1989 to 1992, a total of with tumour pain 204 patients were treated in the pain clinics of Fürth in cooperation with the Department of Radiation at the University Hospital in Regensburg. In 90 of these patients adequate oral medication was impossible because of problems in swallowing or blockage of the gastrointestinal tract, and subcutaneous opioid infusion over 24 h was therefore instituted. The evaluation refers to 2311 days of treatment. While in 1989/90 only 35% (34/97) received subcutaneous opioid infusion, the proportion had already risen to 64% (54/84) by 1991/92. The proportion of patients who has to be treated as in-patients also fell: 26% in 1989/90, as against 10% in 1991/92. The subcutaneous infusion was well tolerated and accepted by the patients. In only 0.6% of cases was discontinuation necessitated by technical problems. Continuous subcutaneous applications of opioids is a highly effective therapeutic method with low risk and few side-effects. With the Perfusor M, the nurses and the patients can be trained to use the equipment. The patients can then administer boli themlselves when their pain is inadequately controlled. PCAO for treatment of cancer patients at home yields freedom from of pain around the clock, independence, and quality of life with active personal involvement. The most important thing is that the patient can sleep during the night, as can the doctor, the nurse and relatives, as they do not need to give injections during the night. This new method of treating the pain of cancer patients at home in advanced disease is also well accepted by social security authorities, as it reduces the costs dramatically.
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[Patient-controlled analgesia in outpatients with severe cancer pain.]. Schmerz 2012; 9:89-92. [PMID: 18415539 DOI: 10.1007/bf02528540] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/1994] [Accepted: 11/24/1994] [Indexed: 10/23/2022]
Abstract
In this case report, we describe continuous subcutaneous infusion of opiates as PCAO (patient controlled analgesia in outpatients) in one patient with metastatic carcinoma of the rectum (liver and bone metastases, partial bowel obstruction) with severe cancer pain and vomiting in the terminal phase. The parenteral administration of opioids extended over 58 days. The infusion was powered by an external portable clockwork-driven syringe pump (Perfusor M, Braun Medical/Germany). The open-accessible pump has a syringe volume of 10 ml, and its maximal infusion time is 24 h. The 27-G infusion needle (Sub-Q-Set, Baxter/USA) was inserted in the side of the abdomen and was left in the same position for 10 to 20 days. It took the patient and his family only 1.5 h to familiarize themselves with the use of the pump. They were trained in its use in our outpatient pain department. For pain control both the variable continuous infusion and the extra injection doses could be administered by the way of the syringe driver. The patient was given a stock of 120 ampoules of morphine for further treatment at home. For optimal pain control he decided to raise the daily dose of opioid infusion from the initial 60 mg to 240 mg morphine within 48 h. In this way, PCAO-besides rapid titration of the opioid dose to achieve analgesia-allows the use of opioids controlled by the patient himself. In the present case this procedure was also important when an outpatient radiation therapy became urgently necessary to prevent a fracture of the spine because of metastasis. The pain control by the patient himself was the main factor to get free of pain during the transport to the hospital. Even positioning for radiation was possible without pain. When he received outpatient radiation therapy the patient needed extra injection doses of up to 360 mg morphine a day. The PCAO procedure by continuous subcutaneous infusion with opiates is a safe and efficient method of pain management for outpatient patients suffering from severe cancer pain and intractable nausea in the terminal phase. Its validity has also been proven especially for radiation treatment of bone metastases.
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EP-1059 HYPOFACTIONATED PROTONTHERAPY FOR INOPERABLE PANCREATIC CANCER – FIRST EXPERIENCE RINECKER PROTON THERAPY CENTER. Radiother Oncol 2012. [DOI: 10.1016/s0167-8140(12)71392-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Effect of inhaled dust mite allergen on regional particle deposition and mucociliary clearance in allergic asthmatics. Clin Exp Allergy 2011; 41:1719-28. [PMID: 21729182 DOI: 10.1111/j.1365-2222.2011.03814.x] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
BACKGROUND Acute exacerbations in allergic asthmatics may lead to impaired ability to clear mucus from the airways, a key factor in asthma morbidity. OBJECTIVE The purpose of this study was to determine the effect of inhaled house dust mite challenge on the regional deposition of inhaled particles and mucociliary clearance (MCC) in allergic asthmatics. METHODS We used gamma scintigraphy (inhalation of (99m) Tc -sulphur colloid particles) to measure the regional particle deposition and MCC in allergic asthmatics (n=12) 4 h following an inhaled dust mite allergen challenge (Dermatophagoides farinae extract; PD(max) =fall in forced expiratory volume in 1 s of 10%) for comparison with baseline non-challenge measures. RESULTS In responders (n=9 PD(max) dose), lung function returned to pre-challenge values by 3 h but was significantly decreased at 6 and 24 h in three of the responders (i.e. late-phase response) and induced sputum eosinophils were increased at 24 h post-challenge (P<0.05). Responders showed enhanced bronchial airway deposition of inhaled particles (P<0.05) and slowed clearance from the central lung zone (P<0.01) at 4 h post-challenge compared with the baseline (no allergen challenge) that was predicted by the PD(max) allergen concentration (r=-0.70, P<0.05). The decline in lung function at 24 h post-challenge correlated with reduced MCC from the central lung zone (r=-0.78, P<0.02) and PD(max) . Non-responders (n=3) showed no change in lung function, regional deposition or MCC post-challenge vs. baseline. CONCLUSIONS AND CLINICAL RELEVANCE These data suggest that regional deposition and clearance of inhaled particles may be sensitive for detecting mild airway obstruction associated with early- and late-phase allergen-induced effects on mucus secretions. The study was listed on clinicaltrials.gov (NCT00448851).
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Vom kritischen Umgang mit Codes und Medizin. AKTUELLE DERMATOLOGIE 2011. [DOI: 10.1055/s-0030-1256577] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Estimating daytime ecosystem respiration from eddy-flux data. Biosystems 2011; 103:309-13. [DOI: 10.1016/j.biosystems.2010.10.007] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2010] [Revised: 10/08/2010] [Accepted: 10/11/2010] [Indexed: 11/26/2022]
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28
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Seasonality of Hydrological and Biogeochemical Fluxes. FOREST HYDROLOGY AND BIOGEOCHEMISTRY 2011. [DOI: 10.1007/978-94-007-1363-5_26] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Die Posteriore Kortikale Atrophie: Eine häufig verkannte Demenzerkrankung. Klin Monbl Augenheilkd 2010. [DOI: 10.1055/s-0030-1270009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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The feeding habits of the Southern African wildcat, a facultative trophic specialist, in the southern Kalahari (Kgalagadi Transfrontier Park, South Africa/Botswana). J Zool (1987) 2010. [DOI: 10.1111/j.1469-7998.2009.00679.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Zukunftsvisionen für die Gesundheitspolitik aus dermatologischer Sicht! AKTUELLE DERMATOLOGIE 2009. [DOI: 10.1055/s-0029-1215288] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Das arteriovenöse Aneurysma der Lunge und die Darstellung seiner Kreislaufdynamik durch kinematographische Pneumangiographie. ROFO-FORTSCHR RONTG 2009. [DOI: 10.1055/s-0029-1232250] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Angiokardiographische Befunde zum Bernheim-Syndrom. ROFO-FORTSCHR RONTG 2009. [DOI: 10.1055/s-0029-1213107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Klinische und angiokardiographische Bestätigung des Bernheim-Syndroms. ROFO-FORTSCHR RONTG 2009. [DOI: 10.1055/s-0029-1226455] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Über die Ektasie und das Aneurysma der Arteria pulmonalis. ROFO-FORTSCHR RONTG 2009. [DOI: 10.1055/s-0029-1227351] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Final analysis of a multicenter, randomized phase II trial comparing three different chemoradiotherapy regimens in the treatment of patients with locally advanced, nonmetastatic pancreatic cancer. J Clin Oncol 2009. [DOI: 10.1200/jco.2009.27.15_suppl.4610] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
4610 Background: To date, no standard treatment approach for patients (pts) with non-resectable, locally advanced pancreatic cancer (PC) is defined. Methods: Within a prospective phase II trial treatment-naive pts with locally advanced PC and adequate organ function were randomly assigned to three different CRT regimens; all pts received a conventionally fractionated radiotherapy of 50 Gy (with a daily dose of 2.0 Gy) and were randomized to either concurrent 5-FU as a 24h-infusion (350 mg/m2/d on each day of radiotherapy, RT-5FU arm), concurrent low-dose gemcitabine 300 mg/m2 and cisplatin 30 mg/m2 on days 1, 8, 22, and 29 (RT-GC arm), or the same concurrent treatment followed by a sequential chemotherapy with full- dose gemcitabine (1000 mg/m2) and cisplatin (50 mg/m2) every two weeks (RT-GC+GC arm). Treatment duration in the RT- GC+GC arm was upon disease progression or unacceptable toxicity. The primary study endpoint was the overall survival (OS) rate after 9 months (mo); secondary endpoints included response rate (WHO criteria), progression-free survival (PFS), resectability and toxicity. Results: Ninety-five patients (median age 64 years, 54% male, 50% KPS 90–100%) were recruited from 12 German centers. Seventy patients were evaluable for objective response: the intent-to-treat response rate (CR+PR) was 19% in the RT-5FU arm, 22% in the RT-GC arm and 13% in the RT-GC+GC arm, respectively. Overall, 18 pts (19%) underwent surgical resection after initial CRT (R0 in 8 pts). After a median follow-up of 8.6 mo, median PFS was estimated with 4 mo (RT-5FU), 5.6 mo (RT-GC) and 6 mo (RT- GC+GC), respectively (p=0.21). The corresponding median OS times were 9.6 mo, 9.3 mo and 7.3 mo (p=0.61). Hematological grade 3/4 toxicities were higher in the two gemcitabine/cisplatin-containing arms, but no grade 3/4 febrile neutopenia was observed. Regarding non-hematological toxicity, nausea/vomiting were more frequently in the RT-GC and RT-GC+GC arm, whereas diarrhea was more frequent in the RT-5FU arm. Conclusions: Based on these data, gemcitabine/cisplatin-based CRT does not achieve a higher clinical efficacy compared to RT-5FU, and is associated with increased hematological toxicity. [Table: see text]
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Die instrumentelle Commissurotomie der Mitralis. Thorac Cardiovasc Surg 2008. [DOI: 10.1055/s-0028-1102585] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Dermatologie ganz vorne. AKTUELLE DERMATOLOGIE 2008. [DOI: 10.1055/s-2008-1077427] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Multiyear heterotrophic soil respiration: Evaluation of a coupled CO2 transport and carbon turnover model. Ecol Modell 2008. [DOI: 10.1016/j.ecolmodel.2008.02.007] [Citation(s) in RCA: 48] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Comparative measurements of transpiration and canopy conductance in two mixed deciduous woodlands differing in structure and species composition. TREE PHYSIOLOGY 2008; 28:959-970. [PMID: 18381276 DOI: 10.1093/treephys/28.6.959] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
Transpiration of two heterogeneous broad-leaved woodlands in southern England was monitored by the sap flux technique throughout the 2006 growing season. Grimsbury Wood, which had a leaf area index (LAI) of 3.9, was dominated by oak (Quercus robur L.) and birch (Betula pubescens L.) and had a continuous hazel (Corylus avellana L.) understory. Wytham Woods, which had an LAI of 3.6, was dominated by ash (Fraxinus excelsior L.) and sycamore (Acer pseudoplatanus L.) and had only a sparse understory. Annual canopy transpiration was 367 mm for Grimsbury Wood and 397 mm for Wytham Woods. These values were similar to those for beech (Fagus sylvatica L.) plantations in the same region, and differ from one another by less than the typical margin of uncertainty of the sap flux technique. Canopy conductance (g(c)), calculated for both woodlands by inverting the Penman-Monteith equation, was related to incoming solar radiation (R(G)) and the vapor pressure deficit (D). The response of g(c) to R(G) was similar for both forests. Both reference conductance (g(cref)), defined as g(c) at D=1 kPa, and stomatal sensitivity (-m), defined as the slope of the logarithmic response curve of g(c) to D, increased during the growing season at Wytham Woods but not at Grimsbury Wood. The -m/g(cref) ratio was significantly lower at Wytham Woods than at Grimsbury Wood and was insufficient to keep the difference between leaf and soil water potentials constant, according to a simple hydraulic model. This meant that annual water consumption of the two woodlands was similar despite different regulatory mechanisms and associated short-term variations in canopy transpiration. The -m/g(cref) ratio depended on the range of D under which the measurements were made. This was shown to be particularly important for studies conducted under low and narrow ranges of D.
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Seasonal and interannual variability of canopy transpiration of a hedgerow in southern England. TREE PHYSIOLOGY 2007; 27:321-33. [PMID: 17241974 DOI: 10.1093/treephys/27.3.321] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/13/2023]
Abstract
Transpiration from a hawthorn (Crataegus monogyna L.) dominated hedgerow in southern England was measured continuously over two growing seasons by the sap flow technique. Accompanying measurements of structural parameters, microclimate and leaf stomatal and boundary layer conductances were used to establish the driving factors of hedgerow transpiration. Observed transpiration rates, reaching peak values of around 8 mm day(-1) and a seasonal mean of about 3.5 mm day(-1), were higher than those reported for most other temperate deciduous woodlands, except short-rotation coppice and wet woodlands. The high rates were caused by the structural and physiological characteristics of hawthorn leaves, which exhibited much higher stomatal and boundary-layer conductances than those of the second-most abundant woody species in the hedgerow, field maple (Acer campestre L.). Only in the hot summer of 2003 did stomatal conductance, and thus transpiration, decrease substantially. The hedgerow canopy was always closely coupled to the atmosphere. Hedgerow transpiration equaled potential evaporation (calculated by the Priestley-Taylor formula) in 2003 and exceeded it in 2004, which meant that a substantial fraction of the energy (21% in 2003 and more than 37% in 2004) came from advection. Hedgerow canopy conductance (g(c)), as inferred from the sap flow data by inverting the Penman-Monteith equation, responded to solar radiation (R(G)) and vapor pressure deficit (D). Although the response to R(G) showed no systematic temporal variation, the response to D, described as g(c)(D) = g(cref) - mln(D), changed seasonally. The reference g(c) depended on leaf area index and the ratio of -m/g(cref) on long-term mean daytime D. A model is proposed based on these observations that predicts canopy conductance for the hawthorn hedge from standard weather data.
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Induction of fibril-like beta-amyloid aggregates by a natural substance decreases soluble oligomers and protects from neurotoxicity. AKTUELLE NEUROLOGIE 2007. [DOI: 10.1055/s-2007-987948] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Bells palsy: treatment with famciclovir and prednisone compared with prednisone alone: a randomized, controlled trial. AKTUELLE NEUROLOGIE 2007. [DOI: 10.1055/s-2007-987564] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Burrow architecture and burrowing dynamics of the endangered Namaqua dune mole rat (Bathyergus janetta) (Rodentia: Bathyergidae). J Zool (1987) 2006. [DOI: 10.1111/j.1469-7998.2006.00151.x] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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48
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Dermatoeconomics from the Point of View of a Dermatologist in Private Office. AKTUELLE DERMATOLOGIE 2005. [DOI: 10.1055/s-2005-861317] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Health Economy. AKTUELLE DERMATOLOGIE 2005. [DOI: 10.1055/s-2005-861297] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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