Theory and practice of trauma-focused mentalization-based treatment: Is trauma treatment possible in a group setting?

Currently, there are no official treatment guidelines for complex posttraumatic stress disorder (cPTSD). The cPTSD differs from PTSD in the symptoms, duration or frequency of trauma exposure and in a high comorbidity with borderline personality disorder (BPD). Thus, there is a need for the development of new treatment methods targeted for this patient population. This article presents a new trauma-focused mentalization-based treatment using a group treatment approach that was developed for patients with cPTSD. In addition to the theoretical background and the conceptual framework of trauma in mentalization-based treatment, the treatment procedure is described in detail and illustrated based on a case example

Complications of Carotid Angioplasty and Stenting

The authors report the complications that occurred in their experience with performing recanalization procedures in the internal carotid artery and present their treatment strategies. The complications can be classified into those that were periprocedural and those that were postprocedural. The former include complications related to the vascular-approach access site of and those associated with the dilation and stenting procedure. Other complications observed included embolic events, dissection, vascular spasm, bradycardia, inappropriate dilation, occlusion of the external carotid artery, and rare, unusual complications such as the occurrence of iatrogenic cavernous carotid fistula. Postprocedure complications occurred in the hours and days following the procedure in the form of embolic and occlusive events, and hypotension and bradycardia were seen as late complications in the months following the procedure. The authors discuss how such complications occur and provide suggestions on how to avoid them. The role of stent placement and the potential use of protective devices are explored. Overall, adequate use of currently available systems allows for safe application of endovascular treatment techniques that avoid altogether or treat these potential complications. A reduced incidence of complications related to the initial individual learning curve may be obtained with preclinical training, in which use of invitro models should be considered. Surgical standby no longer seems required; however, early posttreatment surveillance in intensive care unit is mandatory to avoid the remaining primary complications

Growth of Single Unit-Cell Superconducting La2−x_{2-x}Srx_xCuO4_{4} Films

We have developed an approach to grow high quality ultrathin films of La$_{2-x}$Sr$_x$CuO$_{4}$ with molecular beam epitaxy, by adding a homoepitaxial buffer layer in order to minimize the degradation of the film structure at the interface. The advantage of this method is to enable a further reduction of the minimal thickness of a superconducting La$_{1.9}$Sr$_{0.1}$CuO$_{4}$ film. The main result of our work is that a single unit cell (only two copper oxide planes) grown on a SrLaAlO$_4$ substrate exhibits a superconducting transition at 12.5 K (zero resistance) and an in-plane magnetic penetration depth $\lambda_{ab}(0)$ = 535 nm.Comment: to be published in "Solid State Electonics" special issue, conference proceedings of the 9th Workshop on Oxide Electronics, St-Pete Beach, FL, 20-23 november 2002 : 12 pages 4 figures in preprint versio

White matter lesions in watershed territories studied with MRI and parenchymography: a comparative study

Brain aging affects an increasing segment of the population and the role of chronic cerebrovascular disease is considered to be one of the main parameters involved. For this purpose we compared retrospectively MRI data with digitized subtraction angiography (DSA) data in a group of 50 patients focusing onto the watershed area of the carotid artery vascular territories. In order to evaluate the presence of white matter lesions (WML) in the hemispheric watershed areas, coronal fluid-attenuated inversion-recovery or axial T2 weighted MRI images of patients with symptomatic cerebrovascular insufficiency areas were compared with the capillary phase of DSA studies in anterior-posterior projection. Presence of cerebrovascular occlusive disease was evaluated on DSA using North American symptomatic carotid endarterectomy trial criteria and including evaluation of collateral vascular supply. Pathological MRI findings in the region of the watershed territories correlated overall in 66% of cases with a defect or delayed filling on DSA. In the case of asymmetrical MRI findings, there was a pathological finding of the capillary phase in the watershed area in 92% of DSA studies. Hypoperfusion in the capillary phase of the watershed area as seen on DSA correlated with the stenosis degree of the concerned carotid artery. Our findings suggest that asymmetrical findings of WML in the watershed areas as seen on MRI are caused by hemodynamic effect and a differentiation between small vessel disease and a consequence of distant stenosis may be possible under such condition

Radiation dose in vertebroplasty

We wished to measure the absorbed radiation dose during fluoroscopically controlled vertebroplasty and to assess the possibility of deterministic radiation effects to the operator. The dose was measured in 11consecutive procedures using thermoluminescent ring dosimeters on the hand of the operator and electronic dosimeters inside and outside of the operator's lead apron. We found doses of 0.022-3.256mGy outside and 0.01-0.47mGy inside the lead apron. Doses on the hand were higher, 0.5-8.5mGy. This preliminary study indicates greater exposure to the operator's hands than expected from traditional apron measurement

WIRA-C: a compact 142-GHz-radiometer for continuous middle-atmospheric wind measurements

Ground-based microwave wind radiometry provides a method to measure horizontal wind speeds at altitudes between 35 and 75&thinsp;km as has been shown by various previous studies. No other method is capable of continuously delivering wind measurements in this altitude region. As opposed to lidar systems, microwave radiometers operate autonomously and independent of daylight and clouds.In this paper, we present the WIRA-C (Wind Radiometer for Campaigns) instrument that observes the 142.17504&thinsp;GHz rotational transition line of ozone with a high spectral resolution using a low noise single side band heterodyne receiver. Because the emitting molecules are drifting with the wind, the line is Doppler shifted. Together with the pressure broadening effect, this allows the retrieval of altitude resolved wind profiles.The novel WIRA-C instrument represents the newest development in microwave wind radiometry and implements many improvements over its predecessor, the WIRA instrument. The main improvements include the compact structure, lower noise and an advanced retrieval setup. This paper describes the instrument and the data processing with a focus on the retrieval that takes into account a three-dimensional atmosphere and has never been used in ground-based radiometry before. The retrieval yields profiles of horizontal wind speeds with a 12&thinsp;h time resolution and a vertical resolution of 10&thinsp;km for zonal and 10 to 15&thinsp;km for meridional wind speeds. We give an error estimate that accounts for the thermal noise on the measured spectra and additionally estimate systematic errors using Monte Carlo methods.WIRA-C has been continuously measuring horizontal wind speeds for 1 year at the Maïdo observatory on Réunion (21.4°&thinsp;S, 55.9°&thinsp;E). We present the time series of this campaign and compare our measurements to model data from the European Centre for Medium-range Weather Forecasts (ECMWF) and coincident measurements of the co-located Rayleigh–Mie Doppler wind lidar. We find a good agreement between our measurements and the ECMWF operational analysis for the time series, where many features are present in both datasets. The wind profiles of the coincident WIRA-C and lidar observations are consistent and agree within their respective uncertainties for the lidar measurements with long integration times.</p

ADC mapping of the aging frontal lobes in mild cognitive impairment

Normal aging, leukoaraiosis (LA) and vascular disease particularly involve the human frontal lobes. We decided to investigate a population of elderly patients referred for neuroimaging because of progressive minor cognitive deficits but no dementia. They underwent conventional Magnetic resonance imaging (MRI) using axial T1 and T2-weighted imaging as well as coronal FLAIR sequences in addition to the axial diffusion-weighted MRI. MRI allowed us to differentiate patients with leukoaraïosis (LA+) from those without it (LA-) and mapping of the apparent diffusion coefficient (ADC) to investigate local tissular water motion.We observed an increase in the ADC in all investigated patients with increasing age (r=0.326, p=0.002). This increase was observed in both patients groups (LA+ and LA-) . In addition, the LA+ group had significant higher ADC values than the LA- group after controlling for age (p<0.0001

Effect of aging on elastin functionality in human cerebral arteries

Aging affects elastin, a key component of the arterial wall integrity and functionality. Elastin degradation in cerebral vessels is associated with cerebrovascular disease. The goal of this study is to assess the biomechanical properties of human cerebral arteries, their composition, and their geometry, with particular focus on the functional alteration of elastin attributable to aging

Comparison of co-located independent ground-based middle atmospheric wind and temperature measurements with numerical weather prediction models

High-resolution, ground-based and independent observations including co-located windradiometer, lidar stations, and infrasound instruments are used to evaluate the accuracy of general circulationmodels and data-constrained assimilation systems in the middle atmosphere at northern hemispheremidlatitudes. Systematic comparisons between observations, the European Centre for Medium-Range WeatherForecasts (ECMWF) operational analyses including the recent Integrated Forecast System cycles 38r1 and 38r2,the NASA’s Modern-Era Retrospective Analysis for Research and Applications (MERRA) reanalyses, and thefree-running climate Max Planck Institute–Earth System Model–Low Resolution (MPI-ESM-LR) are carried out inboth temporal and spectral dom ains. We find that ECMWF and MERRA are broadly consistent with lidar and windradiometer measurements up to ~40 km. For both temperature and horizontal wind components, deviationsincrease with altitude as the assimilated observations become sparser. Between 40 and 60 km altitude, thestandard deviation of the mean difference exceeds 5 K for the temperature and 20 m/s for the zonal wind. Thelargest deviations are observed in winter when the variability from large-scale planetary waves dominates.Between lidar data and MPI-ESM-LR, there is an overall agreement in spectral amplitude down to 15–20 days. Atshorter time scales, the variability is lacking in the model by ~10 dB. Infrasound observations indicate a generalgood agreement with ECWMF wind and temperature products. As such, this study demonstrates the potentialof the infrastructure of the Atmospheric Dynamics Research Infrastructure in Europe project that integratesvarious measurements and provides a quantitative understanding of stratosphere-troposphere dynamicalcoupling for numerical weather prediction applications

The first knock-in rat model for glutaric aciduria type I allows further insights into pathophysiology in brain and periphery.

Glutaric aciduria type I (GA-I, OMIM # 231670) is an inborn error of metabolism caused by a deficiency of glutaryl-CoA dehydrogenase (GCDH). Patients develop acute encephalopathic crises (AEC) with striatal injury most often triggered by catabolic stress. The pathophysiology of GA-I, particularly in brain, is still not fully understood. We generated the first knock-in rat model for GA-I by introduction of the mutation p.R411W, the rat sequence homologue of the most common Caucasian mutation p.R402W, into the Gcdh gene of Sprague Dawley rats by CRISPR/CAS9 technology. Homozygous Gcdhki/ki rats revealed a high excretor phenotype, but did not present any signs of AEC under normal diet (ND). Exposure to a high lysine diet (HLD, 4.7%) after weaning resulted in clinical and biochemical signs of AEC. A significant increase of plasmatic ammonium concentrations was found in Gcdhki/ki rats under HLD, accompanied by a decrease of urea concentrations and a concomitant increase of arginine excretion. This might indicate an inhibition of the urea cycle. Gcdhki/ki rats exposed to HLD showed highly diminished food intake resulting in severely decreased weight gain and moderate reduction of body mass index (BMI). This constellation suggests a loss of appetite. Under HLD, pipecolic acid increased significantly in cerebral and extra-cerebral liquids and tissues of Gcdhki/ki rats, but not in WT rats. It seems that Gcdhki/ki rats under HLD activate the pipecolate pathway for lysine degradation. Gcdhki/ki rat brains revealed depletion of free carnitine, microglial activation, astroglyosis, astrocytic death by apoptosis, increased vacuole numbers, impaired OXPHOS activities and neuronal damage. Under HLD, Gcdhki/ki rats showed imbalance of intra-and extracellular creatine concentrations and indirect signs of an intracerebral ammonium accumulation. We successfully created the first rat model for GA-I. Characterization of this Gcdhki/ki strain confirmed that it is a suitable model not only for the study of pathophysiological processes, but also for the development of new ther-apeutic interventions. We further brought up interesting new insights into the pathophysiology of GA-I in brain and periphery