22 research outputs found

    A Forum for Lively Exchange and Constructive Discussions

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    Introduction to the Special Issue on GI-Days 2007 by the Guest Editor

    Competition of Plants and Microorganisms for Added Nitrogen in Different Fertilizer Forms in a Semi-Arid Climate

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    In nitrogen (N) -limited agricultural systems, a high microbial immobilization of applied fertilizer-N can limit its availability to plants. However, there is scarce information on the effect of the form of fertilizer used on the plant–microorganism competition in clay-rich soils under a severe semi-arid climate. In a field study, we investigated the wheat–microorganism competition after the direct application of NH415NO3 closely to seeds in arable fields in North Kazakhstan, documenting the effect of the use of liquid versus granular fertilizer and mini-tillage versus no-tillage. Our results barely showed any fertilizer-N translocation in the soil. Plants outcompete microorganisms for fertilizer-N during the vegetation period. Microbial-to-plant 15N ratios revealed a predominant fertilizer-15N uptake by plants. The strong competition for N was mainly related to the placement of the fertilizer close to the seeds. Moreover, the long time interval between fertilization and sampling enhanced the competition for N, meaning that previously microbially immobilized N became available to plants through the death of microorganisms and their subsequent mineralization. The fertilizer distribution between microorganisms and plants did depend on the form of fertilizer used, owing to the good solubility of granular fertilizer. The smaller fertilizer-N uptake under the no-tilling condition was probably due to the more intense soil compaction, which caused a reduction in plant growth. The application of fertilizer close to the seeds and the small fertilizer translocation during the vegetation period ultimately resulted in a high level of plant N being derived from the fertilizer

    Substrate-free miniaturized thin-film filters for single-element coarse wavelength division multiplexing fibers

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    We have created high-precision, miniaturized, substrate-free filters, based on ion beam sputtering on a sacrificial substrate. The sacrificial layer is cost efficient and environmentally friendly and can be dissolved using only water. We demonstrate an improved performance compared to filters on thin polymer layers from the same coating run. With these filters, a single-element coarse wavelength division multiplexing transmitting device for telecommunication applications can be realized by inserting the filter between fiber ends

    Risk factors in critical illness myopathy during the early course of critical illness: a prospective observational study

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    INTRODUCTION: Non-excitable muscle membrane indicates critical illness myopathy (CIM) during early critical illness. We investigated predisposing risk factors for non-excitable muscle membrane at onset of critical illness. METHODS: We performed sequential measurements of muscle membrane excitability after direct muscle stimulation (dmCMAP) in 40 intensive care unit (ICU) patients selected upon a simplified acute physiology (SAPS-II) score >OR= 20 on 3 successive days within 1 week after ICU admission. We then investigated predisposing risk factors, including the insulin-like growth factor (IGF)-system, inflammatory, metabolic and hemodynamic parameters, as well as suspected medical treatment prior to first occurrence of abnormal dmCMAP. Nonparametric analysis of two-factorial longitudinal data and multivariate analysis were used for statistical analysis. RESULTS: 22 patients showed abnormal muscle membrane excitability during direct muscle stimulation within 7 (5 to 9.25) days after ICU admission. Significant risk factors for the development of impaired muscle membrane excitability in univariate analysis included inflammation, disease severity, catecholamine and sedation requirements, as well as IGF binding protein-1 (IGFBP-I), but did not include either adjunctive hydrocortisone treatment in septic shock, nor administration of neuromuscular blocking agents or aminoglycosides. In multivariate Cox regression analysis, interleukin-6 remained the significant risk factor for the development of impaired muscle membrane excitability (HR 1.006, 95%-CI (1.002 to 1.011), P = 0.002). CONCLUSIONS: Systemic inflammation during early critical illness was found to be the main risk factor for development of CIM during early critical illness. Inflammation-induced impairment of growth-factor mediated insulin sensitivity may be involved in the development of CIM

    A time-resolved proteomic and prognostic map of COVID-19

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    COVID-19 is highly variable in its clinical presentation, ranging from asymptomatic infection to severe organ damage and death. We characterized the time-dependent progression of the disease in 139 COVID-19 inpatients by measuring 86 accredited diagnostic parameters, such as blood cell counts and enzyme activities, as well as untargeted plasma proteomes at 687 sampling points. We report an initial spike in a systemic inflammatory response, which is gradually alleviated and followed by a protein signature indicative of tissue repair, metabolic reconstitution, and immunomodulation. We identify prognostic marker signatures for devising risk-adapted treatment strategies and use machine learning to classify therapeutic needs. We show that the machine learning models based on the proteome are transferable to an independent cohort. Our study presents a map linking routinely used clinical diagnostic parameters to plasma proteomes and their dynamics in an infectious disease

    Clinical and virological characteristics of hospitalised COVID-19 patients in a German tertiary care centre during the first wave of the SARS-CoV-2 pandemic: a prospective observational study

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    Purpose: Adequate patient allocation is pivotal for optimal resource management in strained healthcare systems, and requires detailed knowledge of clinical and virological disease trajectories. The purpose of this work was to identify risk factors associated with need for invasive mechanical ventilation (IMV), to analyse viral kinetics in patients with and without IMV and to provide a comprehensive description of clinical course. Methods: A cohort of 168 hospitalised adult COVID-19 patients enrolled in a prospective observational study at a large European tertiary care centre was analysed. Results: Forty-four per cent (71/161) of patients required invasive mechanical ventilation (IMV). Shorter duration of symptoms before admission (aOR 1.22 per day less, 95% CI 1.10-1.37, p < 0.01) and history of hypertension (aOR 5.55, 95% CI 2.00-16.82, p < 0.01) were associated with need for IMV. Patients on IMV had higher maximal concentrations, slower decline rates, and longer shedding of SARS-CoV-2 than non-IMV patients (33 days, IQR 26-46.75, vs 18 days, IQR 16-46.75, respectively, p < 0.01). Median duration of hospitalisation was 9 days (IQR 6-15.5) for non-IMV and 49.5 days (IQR 36.8-82.5) for IMV patients. Conclusions: Our results indicate a short duration of symptoms before admission as a risk factor for severe disease that merits further investigation and different viral load kinetics in severely affected patients. Median duration of hospitalisation of IMV patients was longer than described for acute respiratory distress syndrome unrelated to COVID-19

    Key characteristics impacting survival of COVID-19 extracorporeal membrane oxygenation

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    Background Severe COVID-19 induced acute respiratory distress syndrome (ARDS) often requires extracorporeal membrane oxygenation (ECMO). Recent German health insurance data revealed low ICU survival rates. Patient characteristics and experience of the ECMO center may determine intensive care unit (ICU) survival. The current study aimed to identify factors affecting ICU survival of COVID-19 ECMO patients. Methods 673 COVID-19 ARDS ECMO patients treated in 26 centers between January 1st 2020 and March 22nd 2021 were included. Data on clinical characteristics, adjunct therapies, complications, and outcome were documented. Block wise logistic regression analysis was applied to identify variables associated with ICU-survival. Results Most patients were between 50 and 70 years of age. PaO2/FiO2 ratio prior to ECMO was 72 mmHg (IQR: 58–99). ICU survival was 31.4%. Survival was significantly lower during the 2nd wave of the COVID-19 pandemic. A subgroup of 284 (42%) patients fulfilling modified EOLIA criteria had a higher survival (38%) (p = 0.0014, OR 0.64 (CI 0.41–0.99)). Survival differed between low, intermediate, and high-volume centers with 20%, 30%, and 38%, respectively (p = 0.0024). Treatment in high volume centers resulted in an odds ratio of 0.55 (CI 0.28–1.02) compared to low volume centers. Additional factors associated with survival were younger age, shorter time between intubation and ECMO initiation, BMI > 35 (compared to < 25), absence of renal replacement therapy or major bleeding/thromboembolic events. Conclusions Structural and patient-related factors, including age, comorbidities and ECMO case volume, determined the survival of COVID-19 ECMO. These factors combined with a more liberal ECMO indication during the 2nd wave may explain the reasonably overall low survival rate. Careful selection of patients and treatment in high volume ECMO centers was associated with higher odds of ICU survival

    Competition of Plants and Microorganisms for Added Nitrogen in Different Fertilizer Forms in a Semi-Arid Climate

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    In nitrogen (N) -limited agricultural systems, a high microbial immobilization of applied fertilizer-N can limit its availability to plants. However, there is scarce information on the effect of the form of fertilizer used on the plant&ndash;microorganism competition in clay-rich soils under a severe semi-arid climate. In a field study, we investigated the wheat&ndash;microorganism competition after the direct application of NH415NO3 closely to seeds in arable fields in North Kazakhstan, documenting the effect of the use of liquid versus granular fertilizer and mini-tillage versus no-tillage. Our results barely showed any fertilizer-N translocation in the soil. Plants outcompete microorganisms for fertilizer-N during the vegetation period. Microbial-to-plant 15N ratios revealed a predominant fertilizer-15N uptake by plants. The strong competition for N was mainly related to the placement of the fertilizer close to the seeds. Moreover, the long time interval between fertilization and sampling enhanced the competition for N, meaning that previously microbially immobilized N became available to plants through the death of microorganisms and their subsequent mineralization. The fertilizer distribution between microorganisms and plants did depend on the form of fertilizer used, owing to the good solubility of granular fertilizer. The smaller fertilizer-N uptake under the no-tilling condition was probably due to the more intense soil compaction, which caused a reduction in plant growth. The application of fertilizer close to the seeds and the small fertilizer translocation during the vegetation period ultimately resulted in a high level of plant N being derived from the fertilizer

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    Risk factors in critical illness myopathy during the early course of critical illness: a prospective observational stud
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