A forensic case of hydranencephaly in a preterm neonate fully documented by postmortem imaging techniques.

The authors present a medico-legal autopsy case of hydranencephaly in a male preterm newborn, fully documented by postmortem unenhanced and enhanced imaging techniques (postmortem computed tomography and postmortem magnetic resonance imaging). Hydranencephaly is a congenital anomaly of the central nervous system, consisting in almost complete absence of the cerebral hemispheres and replacement of the cerebral parenchyma by cerebrospinal fluid, rarely encountered in forensic medical practice. A premature baby was born during the supposed 22nd and 24th week of pregnancy in the context of a denial of pregnancy without any follow-up. The newborn died a few hours after birth and medico-legal investigations were requested to determine the cause of death and exclude the intervention of a third person in the lethal process. The external examination revealed neither traumatic nor malformative lesions. Postmortem imaging investigations were typical of hydranencephaly, and conventional medico-legal autopsy, neuropathological examination, and histological examination confirmed a massive necrotic-haemorrhagic hydranencephaly. This case represents in itself an association of out-of-the-ordinary elements making it worthy of interest. Postmortem unenhanced and enhanced imaging techniques (computed tomography and magnetic resonance imaging) were performed as complementary examination to conventional medico-legal investigations.Postmortem angiography of a preterm newborn is possible with catheterization of the umbilical blood vessels.Hydranencephaly is a congenital anomaly of the central nervous system, consisting in almost complete absence of the cerebral hemispheres and replacement of the brain by cerebrospinal fluid, for which several aetiologies have been postulated

Uncovering the Neoproterozoic Carbon Cycle

Interpretations of major climatic and biological events in Earth history are, in large part, derived from the stable carbon isotope records of carbonate rocks and sedimentary organic matter1,2. Neoproterozoic carbonate records contain unusualand large negative isotopic anomalies within long periods (10–100 million years) characterized by d13C in carbonate (d13Ccarb) enriched to more than +5 per mil. Classically, d13Ccarb is interpreted as a metric of the relative fraction of carbon buried as organic matter in marine sediments2–4, which can be linked to oxygen accumulation through the stoichiometry of primary production3,5. If a change in the isotopic composition of marine dissolved inorganic carbon is responsible for these excursions, it is expected that records of d13Ccarb and d13C in organic carbon (d13Corg) will covary, offset by the fractionation imparted by primary production5. The documentation of several Neoproterozoic d13Ccarb excursions that are decoupled from d13Corg, however, indicates that other mechanisms6–8 may account for these excursions. Here we present d13C data from Mongolia, northwest Canada and Namibia that capture multiple large-amplitude (over 10 per mil) negative carbon isotope anomalies, and use these data in a new quantitative mixing model to examine the behaviour of the Neoproterozoic carbon cycle. We find that carbonate and organic carbon isotope data from Mongolia and Canada are tightly coupled through multiple d13Ccarb excursions, quantitatively ruling out previously suggested alternative explanations, such as diagenesis7,8 or the presence and terminal oxidation of a large marine dissolved organic carbon reservoir6. Our data from Namibia, which do not record isotopic covariance, can be explained by simple mixing with a detrital flux of organic matter. We thus interpret d13Ccarb anomalies as recording a primary perturbation to the surface carbon cycle. This interpretation requires the revisiting of models linking drastic isotope excursions to deep ocean oxygenation and the opening of environments capable of supporting animals9–11.Earth and Planetary Science

Überinfusion von Verbrennungsopfern: häufig und schädlich

Zusammenfassung: Hintergrund: Schwerbrandverletzte (mehr als 20% verbrannter Körperoberfläche bei Erwachsenen) weisen in der ersten Phase (8-48h) einen durch das massive Kapillarleck bedingten Verbrennungsschock auf, der einer Infusionstherapie bedarf, um die Hämodynamik wieder herzustellen. Bis in die 80erJahre stellte eine unzureichende Flüssigkeitstherapie (Unterinfusion) die Haupttodesursache von Verbrennungspatienten dar. Seither ist die übermäßige Flüssigkeitstherapie (Überinfusion) zu einer beachtenswerten Quelle von Komplikationen geworden: abdominales Kompartmentsyndrom, Entlastungsschnitte (Escharotomie), Verschlechterung des Gasaustauschs, Verlängerung der künstlichen Beatmung und des Spitalaufenthalts. Die Überinfusion hat Ende der 90erJahre begonnen, wo innerhalb der ersten 24h Flüssigkeitsmengen zugeführt wurden, die weit über den 4ml/kg/%BSA ("burn surface area") der Parkland-Formel lagen. Ziel: Dieser Beitrag analysiert die Faktoren, welche zu einer Überinfusion führen können und zeigt Möglichkeiten, dem durch eine strikte Kontrolle der präklinischen Infusionstherapie sowie durch eine permissive Hypovolämie vorzubeuge

Insights into interfacial activation from an open structure of Candida rugosa lipase.

The structure of the Candida rugosa lipase determined at 2.06-A resolution reveals a conformation with a solvent-accessible active site. Comparison with the crystal structure of the homologous lipase from Geotrichum candidum, in which the active site is covered by surface loops and is inaccessible from the solvent, shows that the largest structural differences occur in the vicinity of the active site. Three loops in this region differ significantly in conformation, and the interfacial activation of these lipases is likely to be associated with conformational rearrangements of these loops. The "open" structure provides a new image of the substrate binding region and active site access, which is different from that inferred from the structure of the "closed" form of the G. candidum lipase

Low Energy Office: Design and Evaluation

The new government building with ca. 14.000 m2 gross floor area in Innsbruck/Tirol was designed as a low energy office building. As little technical installations as possible and as much room comfort as achievable: These were the two goals, set by the builder and user. An interdisciplinary team of architects, HVAC-planners and energy designers had already developed an integrated concept for the architectural competition. This was altered and adapted during the realization phase of the building. Detailed building simulations were used to determine the interactions of building, climate and users. The integration of three glass atria into the concept, unheated and naturally ventilated, was one of the main challenges in this planning process. These atria serve as thermal buffers and use the passive gains of solar energy. Only the internal areas are ventilated mechanically. The facades were optimized to combine daylighting and protection against high solar irradiation. Reduction of the cooling load, night ventilation of the atria and groundwater cooling in the offices secure moderate temperatures without any mechanical cooling. Despite a dense utilization the building offers attractive workplaces with a comfortable room climate. The energy consumption for heating in the first fully measured year was 35 kWh/m2, which is very close to the prediction. The consumption of primary energy is low also. The measured atria air temperatures comply in general with the simulated ones. A direct comparison of simulation and measurement is planned for the future

Repositioning the Catalytic Triad Aspartic Acid of Haloalkane Dehalogenase: Effects on Stability, Kinetics, and Structure

Haloalkane dehalogenase (DhlA) catalyzes the hydrolysis of haloalkanes via an alkyl-enzyme intermediate. The covalent intermediate, which is formed by nucleophilic substitution with Asp124, is hydrolyzed by a water molecule that is activated by His289. The role of Asp260, which is the third member of the catalytic triad, was studied by site-directed mutagenesis. Mutation of Asp260 to asparagine resulted in a catalytically inactive D260N mutant, which demonstrates that the triad acid Asp260 is essential for dehalogenase activity. Furthermore, Asp260 has an important structural role, since the D260N enzyme accumulated mainly in inclusion bodies during expression, and neither substrate nor product could bind in the active-site cavity. Activity for brominated substrates was restored to D260N by replacing Asn148 with an aspartic or glutamic acid. Both double mutants D260N+N148D and D260N+N148E had a 10-fold reduced kcat and 40-fold higher Km values for 1,2-dibromoethane compared to the wild-type enzyme. Pre-steady-state kinetic analysis of the D260N+N148E double mutant showed that the decrease in kcat was mainly caused by a 220-fold reduction of the rate of carbon-bromine bond cleavage and a 10-fold decrease in the rate of hydrolysis of the alkyl-enzyme intermediate. On the other hand, bromide was released 12-fold faster and via a different pathway than in the wild-type enzyme. Molecular modeling of the mutant showed that Glu148 indeed could take over the interaction with His289 and that there was a change in charge distribution in the tunnel region that connects the active site with the solvent. On the basis of primary structure similarity between DhlA and other α/β-hydrolase fold dehalogenases, we propose that a conserved acidic residue at the equivalent position of Asn148 in DhlA is the third catalytic triad residue in the latter enzymes.

Cortical thickness, surface area and volume measures in Parkinson's disease, multiple system atrophy and progressive supranuclear palsy

OBJECTIVE Parkinson's disease (PD), Multiple System Atrophy (MSA) and Progressive Supranuclear Palsy (PSP) are neurodegenerative diseases that can be difficult to distinguish clinically. The objective of the current study was to use surface-based analysis techniques to assess cortical thickness, surface area and grey matter volume to identify unique morphological patterns of cortical atrophy in PD, MSA and PSP and to relate these patterns of change to disease duration and clinical features. METHODS High resolution 3D T1-weighted MRI volumes were acquired from 14 PD patients, 18 MSA, 14 PSP and 19 healthy control participants. Cortical thickness, surface area and volume analyses were carried out using the automated surface-based analysis package FreeSurfer (version 5.1.0). Measures of disease severity and duration were assessed for correlation with cortical morphometric changes in each clinical group. RESULTS Results show that in PSP, widespread cortical thinning and volume loss occurs within the frontal lobe, particularly the superior frontal gyrus. In addition, PSP patients also displayed increased surface area in the pericalcarine. In comparison, PD and MSA did not display significant changes in cortical morphology. CONCLUSION These results demonstrate that patients with clinically established PSP exhibit distinct patterns of cortical atrophy, particularly affecting the frontal lobe. These results could be used in the future to develop a useful clinical application of MRI to distinguish PSP patients from PD and MSA patients

Boron diffusion in magnetic tunnel junctions with MgO (001) barriers and CoFeB electrodes

We map the magnetic field sensitivity and low-frequency 1 / f voltage noise of high magnetoresistance MgO-based magnetic tunnel junctions in an orthogonal magnetic field arrangement. Large sensitivity values of over 1%/Oe are obtained only when a sufficiently large hard-axis bias field is applied. The low-frequency voltage noise is observed to scale with the field sensitivity. The magnetic field noise map reveals that the signal-to-noise ratios of these devices get gradually better at higher hard-axis bias fields