In vivo and ex vivo measurements: noninvasive assessment of alcoholic fatty liver using 1H-MR spectroscopy

PURPOSEWe aimed to evaluate the ability of 1H-magnetic resonance spectroscopy (1H-MRS) to detect and quantify hepatic fat content in vivo and ex vivo in an experimental rat model of alcoholic fatty liver using histopathology, biochemistry, and laboratory analyses as reference.METHODSAlcoholic fatty liver was induced within 48 hours in 20 Lewis rats; 10 rats served as control. Intrahepatic fat content determined by 1H-MRS was expressed as the percent ratio of the lipid and water peaks and was correlated with intrahepatic fat content determined histologically and biochemically. Liver enzymes were measured in serum.RESULTSFatty liver could be detected in vivo as well as ex vivo using 1H-MRS, in all 20 animals. Histologic analysis showed a fatty liver in 16 of 20 animals. Histology and 1H-MRS results were highly correlated (in vivo, r=0.93, P = 0.0005; ex vivo, r=0.92, P = 0.0006). Also a strong correlation was noted between in vivo 1H-MRS measurements and the fat content determined biochemically (r=0.96, P = 0.0003). Ex vivo results showed a similarly strong correlation between 1H-MRS and biochemistry (r=0.89, P = 0.0011).CONCLUSION1H-MRS can be carried out in ex vivo models, as well as in vivo, to detect and quantify intrahepatic fat content in the acute fatty liver

eHealth Literacy in German Skin Cancer Patients

The global incidence of skin cancer has steadily increased in recent years, and malignant melanoma still has one of the fastest-growing incidence rates among all malignant tumors in the western world. Thus, newly diagnosed patients have an increased need for health information concerning their disease. Using a standardized questionnaire, our study aims to investigate our patients’ primary sources of health-related information as well as their self-proclaimed eHealth literacy. We received 714 questionnaires. Regardless of age, the primary source of information was the treating dermato-oncologist, followed by the treating general practitioner and the Internet. However, with increasing age, the usage of the Internet decreased. Hence, younger participants were better equipped to find health-related information while using the Internet. Additionally, comprehending health-related information and gaining medical knowledge was significantly increased in better-educated participants. Overall, our study shows that with increased use of eHealth services, accessing web-based information increased, correlating with a better eHealth literacy of our patients. eHealth technologies are increasingly becoming more prevalent as a primary source of information in our modern health care system. Thus, it is crucial to educate cancer patients in eHealth literacy to make autonomous, informed decisions and gain more confidence in dealing with their disease

Three LIF-dependent signatures and gene clusters with atypical expression profiles, identified by transcriptome studies in mouse ES cells and early derivatives

<p>Abstract</p> <p>Background</p> <p>Mouse embryonic stem (ES) cells remain pluripotent <it>in vitro </it>when grown in the presence of the cytokine Leukaemia Inhibitory Factor (LIF). Identification of LIF targets and of genes regulating the transition between pluripotent and early differentiated cells is a critical step for understanding the control of ES cell pluripotency.</p> <p>Results</p> <p>By gene profiling studies carried out with mRNAs from ES cells and their early derivatives treated or not with LIF, we have identified i) LIF-dependent genes, highly expressed in pluripotent cells, whose expression level decreases sharply upon LIF withdrawal [<it>Pluri </it>genes], ii) LIF induced genes [<it>Lifind </it>genes] whose expression is differentially regulated depending upon cell context and iii) genes specific to the reversible or irreversible committed states. In addition, by hierarchical gene clustering, we have identified, among eight independent gene clusters, two atypical groups of genes, whose expression level was highly modulated in committed cells only. Computer based analyses led to the characterization of different sub-types of <it>Pluri </it>and <it>Lifind </it>genes, and revealed their differential modulation by <it>Oct4 </it>or <it>Nanog </it>master genes. Individual knock down of a selection of <it>Pluri </it>and <it>Lifind </it>genes leads to weak changes in the expression of early differentiation markers, in cell growth conditions in which these master genes are still expressed.</p> <p>Conclusion</p> <p>We have identified different sets of LIF-regulated genes depending upon the cell state (reversible or irreversible commitment), which allowed us to present a novel global view of LIF responses. We are also reporting on the identification of genes whose expression is strictly regulated during the commitment step. Furthermore, our studies identify sub-networks of genes with a restricted expression in pluripotent ES cells, whose down regulation occurs while the master knot (composed of OCT4, SOX2 and NANOG) is still expressed and which might be down-regulated together for driving cells towards differentiation.</p

Intercomparison of low- and high-resolution infrared spectrometers for ground-based solar remote sensing measurements of total column concentrations of CO2, CH4, and CO

The Total Carbon Column Observing Network (TCCON) is the baseline ground-based network of instruments that record solar absorption spectra from which accurate and precise column-averaged dry-air mole fractions of CO$_{2}$ (XCO$_{2}$), CH$_{4}$ (XCH$_{4}$), CO (XCO), and other gases are retrieved. The TCCON data have been widely used for carbon cycle science and validation of satellites measuring greenhouse gas concentrations globally. The number of stations in the network (currently about 25) is limited and has a very uneven geographical coverage: the stations in the Northern Hemisphere are distributed mostly in North America, Europe, and Japan, and only 20 % of the stations are located in the Southern Hemisphere, leaving gaps in the global coverage. A denser distribution of ground-based solar absorption measurements is needed to improve the representativeness of the measurement data for various atmospheric conditions (humid, dry, polluted, presence of aerosol), various surface conditions such as high albedo (>0.4) and very low albedo, and a larger latitudinal distribution. More stations in the Southern Hemisphere are also needed, but a further expansion of the network is limited by its costs and logistical requirements. For this reason, several groups are investigating supplemental portable low-cost instruments. The European Space Agency (ESA) funded campaign Fiducial Reference Measurements for Ground-Based Infrared Greenhouse Gas Observations (FRM4GHG) at the Sodankylä TCCON site in northern Finland aims to characterise the assessment of several low-cost portable instruments for precise solar absorption measurements of XCO$_{2}$, XCH$_{4}$, and XCO. The test instruments under investigation are three Fourier transform spectrometers (FTSs): a Bruker EM27/SUN, a Bruker IRcube, and a Bruker Vertex70, as well as a laser heterodyne spectroradiometer (LHR) developed by the UK Rutherford Appleton Laboratory. All four remote sensing instruments performed measurements simultaneously next to the reference TCCON instrument, a Bruker IFS 125HR, for a full year in 2017. The TCCON FTS was operated in its normal high-resolution mode (TCCON data set) and in a special low-resolution mode (HR125LR data set), similar to the portable spectrometers. The remote sensing measurements are complemented by regular AirCore launches performed from the same site. They provide in situ vertical profiles of the target gas concentrations as auxiliary reference data for the column retrievals, which are traceable to the WMO SI standards. The reference measurements performed with the Bruker IFS 125HR were found to be affected by non-linearity of the indium gallium arsenide (InGaAs) detector. Therefore, a non-linearity correction of the 125HR data was performed for the whole campaign period and compared with the test instruments and AirCore. The non-linearity-corrected data (TCCONmod data set) show a better match with the test instruments and AirCore data compared to the non-corrected reference data. The time series, the bias relative to the reference instrument and its scatter, and the seasonal and the day-to-day variations of the target gases are shown and discussed. The comparisons with the HR125LR data set gave a useful analysis of the resolution-dependent effects on the target gas retrieval. The solar zenith angle dependence of the retrievals is shown and discussed. The intercomparison results show that the LHR data have a large scatter and biases with a strong diurnal variation relative to the TCCON and other FTS instruments. The LHR is a new instrument under development, and these biases are currently being investigated and addressed. The campaign helped to characterise and identify instrumental biases and possibly retrieval biases, which are currently under investigation. Further improvements of the instrument are ongoing. The EM27/SUN, the IRcube, the modified Vertex70, and the HR125LR provided stable and precise measurements of the target gases during the campaign with quantified small biases. The bias dependence on the humidity along the measurement line of sight has been investigated and no dependence was found. These three portable low-resolution FTS instruments are suitable to be used for campaign deployment or long-term measurements from any site and offer the ability to complement the TCCON and expand the global coverage of ground-based reference measurements of the target gases

Intercomparison of low- and high-resolution infrared spectrometers for ground-based solar remote sensing measurements of total column concentrations of CO2, CH4, and CO

The Total Carbon Column Observing Network (TCCON) is the baseline ground-based network of instruments that record solar absorption spectra from which accurate and precise column-averaged dry-air mole fractions of CO$_{2}$ (XCO$_{2}$), CH$_{4}$ (XCH$_{4}$), CO (XCO), and other gases are retrieved. The TCCON data have been widely used for carbon cycle science and validation of satellites measuring greenhouse gas concentrations globally. The number of stations in the network (currently about 25) is limited and has a very uneven geographical coverage: the stations in the Northern Hemisphere are distributed mostly in North America, Europe, and Japan, and only 20 % of the stations are located in the Southern Hemisphere, leaving gaps in the global coverage. A denser distribution of ground-based solar absorption measurements is needed to improve the representativeness of the measurement data for various atmospheric conditions (humid, dry, polluted, presence of aerosol), various surface conditions such as high albedo (>0.4) and very low albedo, and a larger latitudinal distribution. More stations in the Southern Hemisphere are also needed, but a further expansion of the network is limited by its costs and logistical requirements. For this reason, several groups are investigating supplemental portable low-cost instruments. The European Space Agency (ESA) funded campaign Fiducial Reference Measurements for Ground-Based Infrared Greenhouse Gas Observations (FRM4GHG) at the Sodankylä TCCON site in northern Finland aims to characterise the assessment of several low-cost portable instruments for precise solar absorption measurements of XCO$_{2}$, XCH$_{4}$, and XCO. The test instruments under investigation are three Fourier transform spectrometers (FTSs): a Bruker EM27/SUN, a Bruker IRcube, and a Bruker Vertex70, as well as a laser heterodyne spectroradiometer (LHR) developed by the UK Rutherford Appleton Laboratory. All four remote sensing instruments performed measurements simultaneously next to the reference TCCON instrument, a Bruker IFS 125HR, for a full year in 2017. The TCCON FTS was operated in its normal high-resolution mode (TCCON data set) and in a special low-resolution mode (HR125LR data set), similar to the portable spectrometers. The remote sensing measurements are complemented by regular AirCore launches performed from the same site. They provide in situ vertical profiles of the target gas concentrations as auxiliary reference data for the column retrievals, which are traceable to the WMO SI standards. The reference measurements performed with the Bruker IFS 125HR were found to be affected by non-linearity of the indium gallium arsenide (InGaAs) detector. Therefore, a non-linearity correction of the 125HR data was performed for the whole campaign period and compared with the test instruments and AirCore. The non-linearity-corrected data (TCCONmod data set) show a better match with the test instruments and AirCore data compared to the non-corrected reference data. The time series, the bias relative to the reference instrument and its scatter, and the seasonal and the day-to-day variations of the target gases are shown and discussed. The comparisons with the HR125LR data set gave a useful analysis of the resolution-dependent effects on the target gas retrieval. The solar zenith angle dependence of the retrievals is shown and discussed. The intercomparison results show that the LHR data have a large scatter and biases with a strong diurnal variation relative to the TCCON and other FTS instruments. The LHR is a new instrument under development, and these biases are currently being investigated and addressed. The campaign helped to characterise and identify instrumental biases and possibly retrieval biases, which are currently under investigation. Further improvements of the instrument are ongoing. The EM27/SUN, the IRcube, the modified Vertex70, and the HR125LR provided stable and precise measurements of the target gases during the campaign with quantified small biases. The bias dependence on the humidity along the measurement line of sight has been investigated and no dependence was found. These three portable low-resolution FTS instruments are suitable to be used for campaign deployment or long-term measurements from any site and offer the ability to complement the TCCON and expand the global coverage of ground-based reference measurements of the target gases

Pickup ions at Dione and Enceladus: Cassini Plasma Spectrometer simulations

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/95406/1/jgra16800.pd

Fulminant Staphylococcus lugdunensis septicaemia following a pelvic varicella-zoster virus infection in an immune-deficient patient: a case report

<p>Abstract</p> <p>Introduction</p> <p>The deadly threat of systemic infections with coagulase negative <it>Staphylococcus lugdunensis </it>despite an appropriate antibiotic therapy has only recently been recognized. The predominant infectious focus observed so far is left-sided native heart valve endocarditis, but bone and soft tissue infections, septicaemia and vascular catheter-related bloodstream infections have also been reported. We present a patient with a fatal <it>Staphylococcus lugdunensis </it>septicaemia following zoster bacterial superinfection of the pelvic region.</p> <p>Case presentation</p> <p>A 71-year old male diagnosed with IgG kappa plasmocytoma presented with a conspicuous weight loss, a hypercalcaemic crisis and acute renal failure. After initiation of haemodialysis treatment his condition improved rapidly. However, he developed a varicella-zoster virus infection of the twelfth thoracic dermatome requiring intravenous acyclovir treatment. Four days later the patient presented with a fulminant septicaemia. Despite an early intravenous antibiotic therapy with ciprofloxacin, piperacillin/combactam and vancomycin the patient died within 48 hours, shortly before the infective isolate was identified as <it>Staphylococcus lugdunensis </it>by polymerase chain reaction.</p> <p>Conclusion</p> <p>Despite <it>S. lugdunensis </it>belonging to the family of coagulase-negative staphylococci with an usually low virulence, infections with <it>S. lugdunensis </it>may be associated with an aggressive course and high mortality. This is the first report on a <it>Staphylococcus lugdunensis </it>septicaemia following a zoster bacterial superinfection of the pelvic region.</p

Combinations of newly confirmed Glioma-Associated loci link regions on chromosomes 1 and 9 to increased disease risk

<p>Abstract</p> <p>Background</p> <p>Glioblastoma multiforme (GBM) tends to occur between the ages of 45 and 70. This relatively early onset and its poor prognosis make the impact of GBM on public health far greater than would be suggested by its relatively low frequency. Tissue and blood samples have now been collected for a number of populations, and predisposing alleles have been sought by several different genome-wide association (GWA) studies. The Cancer Genome Atlas (TCGA) at NIH has also collected a considerable amount of data. Because of the low concordance between the results obtained using different populations, only 14 predisposing single nucleotide polymorphism (SNP) candidates in five genomic regions have been replicated in two or more studies. The purpose of this paper is to present an improved approach to biomarker identification.</p> <p>Methods</p> <p>Association analysis was performed with control of population stratifications using the EIGENSTRAT package, under the null hypothesis of "no association between GBM and control SNP genotypes," based on an additive inheritance model. Genes that are strongly correlated with identified SNPs were determined by linkage disequilibrium (LD) or expression quantitative trait locus (eQTL) analysis. A new approach that combines meta-analysis and pathway enrichment analysis identified additional genes.</p> <p>Results</p> <p>(i) A meta-analysis of SNP data from TCGA and the Adult Glioma Study identifies 12 predisposing SNP candidates, seven of which are reported for the first time. These SNPs fall in five genomic regions (5p15.33, 9p21.3, 1p21.2, 3q26.2 and 7p15.3), three of which have not been previously reported. (ii) 25 genes are strongly correlated with these 12 SNPs, eight of which are known to be cancer-associated. (iii) The relative risk for GBM is highest for risk allele combinations on chromosomes 1 and 9. (iv) A combined meta-analysis/pathway analysis identified an additional four genes. All of these have been identified as cancer-related, but have not been previously associated with glioma. (v) Some SNPs that do not occur reproducibly across populations are in reproducible (invariant) pathways, suggesting that they affect the same biological process, and that population discordance can be partially resolved by evaluating processes rather than genes.</p> <p>Conclusion</p> <p>We have uncovered 29 glioma-associated gene candidates; 12 of them known to be cancer related (<it>p </it>= 1. 4 × 10^-6), providing additional statistical support for the relevance of the new candidates. This additional information on risk loci is potentially important for identifying Caucasian individuals at risk for glioma, and for assessing relative risk.</p

Accuracy of cardiovascular magnetic resonance in myocarditis: comparison of MR and histological findings in an animal model

Background: Because Endomyocardial Biopsy has low sensitivity of about 20%, it can be performed near to myocardium that presented as Late Gadolinium Enhancement (LGE) in cardiovascular magnetic resonance (CMR). However the important issue of comparing topography of CMR and histological findings has not yet been investigated. Thus the current study was performed using an animal model of myocarditis. Results: In 10 male Lewis rats Experimental Autoimmune myocarditis was induced, 10 rats served as control. On day 21 animals were examined by CMR to compare topographic distribution of LGE to histological inflammation. Sensitivity, specificity, positive and negative predictive values for LGE in diagnosing myocarditis were determined for each segment of myocardium. Latter diagnostic values varied widely depending on topographic distribution of LGE and inflammation as well as on the used CMR sequence. Sensitivity of LGE was up to 76% (left lateral myocardium) and positive predictive values were up to 85% (left lateral myocardium), whereas sensitivity and positive predictive value dropped to 0 - 33% (left inferior myocardium). Conclusions: Topographic distribution of LGE and histological inflammation seem to influence sensitivity, specifity, positive and negative predictive values. Nevertheless, positive predictive value for LGE of up to 85% indicates that Endomyocardial Biopsy should be performed "MR-guided". LGE seems to have greater sensitivity than Endomyocardial Biopsy for the diagnosis of myocarditis

Evaluating arbitrary strain configurations and doping in graphene with Raman spectroscopy

Raman spectroscopy is a powerful tool for characterizing the local properties of graphene. Here, we introduce a method for evaluating unknown strain configurations and simultaneous doping. It relies on separating the effects of hydrostatic strain (peak shift) and shear strain (peak splitting) on the Raman spectrum of graphene. The peak shifts from hydrostatic strain and doping are separated with a correlation analysis of the 2D and G frequencies. This enables us to obtain the local hydrostatic strain, shear strain and doping without any assumption on the strain configuration prior to the analysis. We demonstrate our approach for two model cases: Graphene under uniaxial stress on a PMMA substrate and graphene suspended on nanostructures that induce an unknown strain configuration. We measured $\omega_\mathrm{2D}/\omega_\mathrm{G} = 2.21 \pm 0.05$ for pure hydrostatic strain. Raman scattering with circular corotating polarization is ideal for analyzing strain and doping, especially for weak strain when the peak splitting by shear strain cannot be resolved