Discovery of the VHE gamma-ray source HESS J1641-463

A new TeV source, HESS J1641-463, has been serendipitously discovered in the Galactic plane by the High Energy Stereoscopic System (H.E.S.S.) at a significance level of 8.6 standard deviations. The observations of HESS J1641-463 were performed between 2004 and 2011 and the source has a moderate flux level of 1.7% of the Crab Nebula flux at E > 1 TeV. HESS J1641-463 has a rather hard photon index of 1.99 +- 0.13_stat +- 0.20_sys. HESS J1641-463 is positionally coincident with the radio supernova remnant SNR G338.5+0.1, but no clear X-ray counterpart has been found in archival Chandra observations of the region. Different possible VHE production scenarios will be discussed in this contribution.Comment: 5 pages, 5 figures, 2012 Fermi Symposium proceedings - eConf C12102

Groundwater fauna in an urban area: natural or affected?

In Germany, 70 % of the drinking water demand is met by groundwater, for which the quality is the product of multiple physical–chemical and biological processes. As healthy groundwater ecosystems help to provide clean drinking water, it is necessary to assess their ecological conditions. This is particularly true for densely populated urban areas, where faunistic groundwater investigations are still scarce. The aim of this study is, therefore, to provide a first assessment of the groundwater fauna in an urban area. Thus, we examine the ecological status of an anthropogenically influenced aquifer by analysing fauna in 39 groundwater monitoring wells in the city of Karlsruhe (Germany). For classification, we apply the groundwater ecosystem status index (GESI), in which a threshold of more than 70 % of crustaceans and less than 20 % of oligochaetes serves as an indication for very good and good ecological conditions. Our study reveals that only 35 % of the wells in the residential, commercial and industrial areas and 50 % of wells in the forested area fulfil these criteria. However, the study did not find clear spatial patterns with respect to land use and other anthropogenic impacts, in particular with respect to groundwater temperature. Nevertheless, there are noticeable differences in the spatial distribution of species in combination with abiotic groundwater characteristics in groundwater of the different areas of the city, which indicate that a more comprehensive assessment is required to evaluate the groundwater ecological status in more detail. In particular, more indicators, such as groundwater temperature, indicator species, delineation of site-specific characteristics and natural reference conditions should be considered

Mammographic and sonographic spectrum of non-puerperal mastitis

The goal of this study was to explore possible specific mammographic and sonographic features in women with non-puerperal mastitis (NPM), in order to make an accurate diagnosis and prevent unnecessary surgical procedures. From a group of 93 patients with NPM diagnosed between 1987 and 1992, the mammograms of 41, the sonograms and cytology of 47, and the histology of seven patients were retrospectively reviewed. Follow-up was performed on those without histology. In 20 of the 47 patients the inflammation was located subareolarly. In 50% of those with non-subareolar lesions, mammography showed a circumscribed lesion. Sonographically, all patients had an identifiable lesion either well or poorly defined. The majority of the lesions were cystic, but in 23 of 47 cases solid components were seen. Signs of infection in cystic lesions were observed in 25 of 47 cases. Posterior shadowing was not observed. During the follow-up period no breast malignancy was found. It is concluded that NPM has no specific mammographic or sonographic sign. Diagnosis should be made with additional diagnostic assessment, such as FNAB, which was diagnostic in all cases

Renal impairment after liver transplantation - a pilot trial of calcineurin inhibitor-free vs. calcineurin inhibitor sparing immunosuppression in patients with mildly impaired renal function after liver transplantation

<p>Abstract</p> <p>Objectives</p> <p>Chronic kidney disease is frequent in patients after orthotopic liver transplantation (OLT) and has impact on survival. Patients receiving calcineurin inhibitors (CNI) are at increased risk to develop impaired renal function. Early CNI reduction and concomitant use of mycophenolat mofetil (MMF) has been shown to improve renal function.</p> <p>Methods</p> <p>The aim of this trial was to compare dose-reduced CNI/MMF versus CNI-free MMF/prednisone-based treatment in stable patients after OLT with respect to glomerular filtration rate (GFR). 21 patients [GFR 44.9 ± 9.9 mL/min/1.73 m²measured by 99m-Tc-DTPA-clearance, serum creatinine (SCr) 1.5 ± 0.42 mg/dL] were randomized either to exchange CNI for 10 mg prednisone (group 1; n = 8) or to receive CNI at 25% of the initial dose (group 2; n = 13) each in combination with 1000 mg MMF b.i.d.</p> <p>Results</p> <p>At month 12 mean SCr (-0.3 ± 0.4 mg/dL, p = 0.031) and GFR improved (8.6 ± 13.1 mL/min/1.73 m², p = 0.015) in group 2 but remained unchanged in group 1. Main side effects were gastroinstestinal symptoms (14.3%) and infections (4.8%). Two biopsy proven, steroid-responsive rejections occurred. In group 1 mean diastolic blood pressure (BP) increased by 11 ± 22 mmHg (p = 0.03).</p> <p>Conclusions</p> <p>Reduced dose CNI in combination with MMF but not CNI-free-immunosuppression leads to improvement of GFR in patients with moderately elevated SCr levels after OLT. Addition of steroids resulted in increased diastolic blood pressure presumably counterbalancing the benefits of CNI withdrawal on renal function.</p