Orale Mukositis bei Patienten unter Tumortherapie

Zusammenfassung: Zu den unerwünschten Nebenwirkungen bestimmter Chemo- und Radiotherapien gehört die orale Mukositis, eine Entzündung der Mundschleimhaut. Da sie die Lebensqualität der Patienten in hohem Maße beeinträchtigen kann, sollten Pflegende der Mundhygiene einen besonders hohen Stellenwert beimessen. In der täglichen Praxis wird die orale Mukositis oft kontrovers diskutiert. In diesem Artikel werden aktuelle theoriebasierte und erfahrungsbasierte Grundlagen und Anleitungen für die Pflege und Behandlung vorgestell

A 700-year paleoecological record of boreal ecosystem responses to climatic variation from Alaska

Copyright by the Ecological Society of America © 2008. Willy Tinner, Christian Bigler, Sharon Gedye, Irene Gregory-Eaves, Richard T. Jones, Petra Kaltenrieder, Urs Krähenbühl, and Feng Sheng Hu 2008. A 700-YEAR PALEOECOLOGICAL RECORD OF BOREAL ECOSYSTEM RESPONSES TO CLIMATIC VARIATION FROM ALASKA. Ecology 89:729–743. http://dx.doi.org/10.1890/06-1420.1Recent observations and model simulations have highlighted the sensitivity of the forest–tundra ecotone to climatic forcing. In contrast, paleoecological studies have not provided evidence of tree-line fluctuations in response to Holocene climatic changes in Alaska, suggesting that the forest–tundra boundary in certain areas may be relatively stable at multicentennial to millennial time scales. We conducted a multiproxy study of sediment cores from an Alaskan lake near the altitudinal limits of key boreal-forest species. Paleoecological data were compared with independent climatic reconstructions to assess ecosystem responses of the forest–tundra boundary to Little Ice Age (LIA) climatic fluctuations. Pollen, diatom, charcoal, macrofossil, and magnetic analyses provide the first continuous record of vegetation–fire–climate interactions at decadal to centennial time scales during the past 700 years from southern Alaska. Boreal-forest diebacks characterized by declines of Picea mariana, P. glauca, and tree Betula occurred during the LIA (AD 1500–1800), whereas shrubs (Alnus viridis, Betula glandulosa/nana) and herbaceous taxa (Epilobium, Aconitum) expanded. Marked increases in charcoal abundance and changes in magnetic properties suggest increases in fire importance and soil erosion during the same period. In addition, the conspicuous reduction or disappearance of certain aquatic (e.g., Isoetes, Nuphar, Pediastrum) and wetland (Sphagnum) plants and major shifts in diatom assemblages suggest pronounced lake-level fluctuations and rapid ecosystem reorganization in response to LIA climatic deterioration. Our results imply that temperature shifts of 1–2°C, when accompanied by major changes in moisture balance, can greatly alter high-altitudinal terrestrial, wetland, and aquatic ecosystems, including conversion between boreal-forest tree line and tundra. The climatic and ecosystem variations in our study area appear to be coherent with changes in solar irradiance, suggesting that changes in solar activity contributed to the environmental instability of the past 700 years

Direct interaction between a human digestive protease and the mucoadhesive poly(acrylic acid)

Carboxypeptidase A1 has been the subject of extensive research in the last 30 y and is one of the most widely studied zinc metalloenzymes. However, the three-dimensional structure of the human form of the enzyme is not yet available. This report describes the three-dimensional structure of human carboxypeptidase A1 (hCPA1) derived from crystals that belong to the tetragonal space group P43212 and diffract to 1.6 Å resolution. A description of the ternary complex hCPA1-Zn2+-poly(acrylic acid) is included as a model of the interaction of mucoadhesive polymers with proteases in the gastrointestinal tract. The direct mode of interaction between poly(acrylic acid) and the active site of the target protease was confirmed by in vitro inhibition assays. The structure was further analyzed in silico through the optimal docking-area method. The characterization of binding sites on the surface of hCPA1 and a comparison with other available carboxypeptidase structures provided further insights into the formation of multiprotein complexes and the activation mechanisms of carboxypeptidase zymogens. The high-resolution structure of hCPA1 provides an excellent template for the modelling of physiologically relevant carboxypeptidases and could also contribute to the design of specific agents for biomedical purposes

Legacies of past forest management determine current responses to severe drought events of conifer species in the Romanian Carpathians

Worldwide increases in droughts- and heat-waves-associated tree mortality events are destabilizing the future of many forests and the ecosystem services they provide. Along with climate, understanding the impact of the legacies of past forest management is key to better explain current responses of different tree species to climate change. We studied tree mortality events that peaked in 2012 affecting one native (silver fir; growing within its natural distribution range) and two introduced (black pine and Scots; growing outside their natural distribution range) conifer species from the Romanian Carpathians. The three conifers were compared in terms of mortality events, growth trends, growth resilience to severe drought events, climate-growth relationships, and regeneration patterns. The mortality rates of the three species were found to be associated with severe drought events. Nevertheless, the native silver fir seems to undergo a self-thinning process, while the future of the remaining living black pine and Scots pine trees is uncertain as they register significant negative growth trends. Overall, the native silver fir showed a higher resilience to severe drought events than the two introduced pine species. Furthermore, and unlike the native silver fir, black pine and Scots pine species do not successfully regenerate. A high diversity of native broadleaf species sprouts and develops instead under them suggesting that we might be witnessing a process of ecological succession, with broadleaves recovering their habitats. As native species seem to perform better in terms of resilience and regeneration than introduced species, the overall effect of the black pine and Scots pine mortality might be compensated. Legacies of past forest management should be taken into account in order to better understand current responses of different tree species to ongoing climate change. © 2020 Elsevier B.V.We thank the Forest District staff of Sacele, Kronstadt, Rasnov, Teliu, Codlea, and Intorsura Buzaului for all their support and for giving us access to the Forest Management Plans. This work was financed by the NATIvE ( PN-III-P1-1.1-PD-2016-0583 ) and TreeMoris ( PN-II-RU-TE-2014-4-0791 ) projects through UEFISCDI (link; Romanian Ministry of Education and Research ) and supported by the BERC 2018-2021 ( Basque Government ), and BC3 María de Maeztu Excellence Accreditation 2018-2022, Ref. MDM-2017-0714 ( Spanish Ministry of Science, Innovation and Universities ). We also thank Antonio Gazol for interesting discussions on the study and Ionela-Mirela Medrea, Andrei Apafaian, Maria Băluţ, and Florin Dinulică for assistance during field and laboratory campaigns. Silver fir, black pine, and Scots pine figures included in the graphical abstract are reproduced with the authorization of the designer Luiza Anamaria Pop (©2020) who drew the three conifer species and processed the drawings in Adobe Illustrator® CS5 (v. 15.0.0)

Effects of growth rate, size, and light availability on tree survival across life stages: a demographic analysis accounting for missing values and small sample sizes.

The data set supporting the results of this article is available in the Dryad repository, http://dx.doi.org/10.5061/dryad.6f4qs. Moustakas, A. and Evans, M. R. (2015) Effects of growth rate, size, and light availability on tree survival across life stages: a demographic analysis accounting for missing values.Plant survival is a key factor in forest dynamics and survival probabilities often vary across life stages. Studies specifically aimed at assessing tree survival are unusual and so data initially designed for other purposes often need to be used; such data are more likely to contain errors than data collected for this specific purpose

Intraregional variability in chironomid-inferred temperature estimates and the influence of river inundations on lacustrine chironomid assemblages.

Floodplain lakes are rarely analysed for fossil chironomids and usually not incorporated in modern chironomid-climate calibration datasets because of the potential complex hydrological processes that could result from flooding of the lakes. In order to investigate this potential influence of river inundations on fossil chironomid assemblages, 13 regularly inundated lakes and 20 lakes isolated from riverine influence were sampled and their surface sediments analysed for subfossil chironomid assemblages. The physical and chemical settings of all lakes were similar, although the variation in the environmental variables was higher in the lakes isolated from riverine influence. Chironomid concentration and taxon richness show significant differences between the two classes of lakes, and the variation in these variables is best explained by loss-on-ignition of the sediments (LOI). Relative chironomid abundances show some differences between the two groups of lakes, with several chironomid taxa occurring preferentially in one of the two lake-types. The variability in chironomid assemblages is also best explained by LOI. Application of a chironomid-temperature inference model shows that both types of lakes reconstruct July air temperatures that are equal to, or slightly underestimating, the measured temperature of the region. We conclude that, although there are some differences between the chironomid assemblages of floodplain lakes and of isolated lakes, these differences do not have a major effect on chironomid-based temperature reconstruction. © 2007 Springer Science+Business Media B.V

A fixel-based analysis of micro- and macro-structural changes to white matter following adult traumatic brain injury

First published: 30 January 2020Diffusion tensor imaging is often used to assess white matter (WM) changes following traumatic brain injury (TBI), but is limited in voxels that contain multiple fibre tracts. Fixel-based analysis (FBA) addresses this limitation by using a novel method of analysing high angular resolution diffusion-weighted imaging (HARDI) data. FBA examines three aspects of each fibre tract within a voxel: tissue micro-structure (fibre density [FD]), tissue macro-structure (fibre-bundle cross section [FC]) and a combined measure of both (FD and fibre-bundle cross section [FDC]). This study used FBA to identify the location and extent of micro- and macro-structural changes in WM following TBI. A large TBI sample (Nmild = 133, Nmoderate-severe = 29) and control group (healthy and orthopaedic; N = 107) underwent magnetic resonance imaging with HARDI and completed reaction time tasks approximately 7 months after their injury (range: 98-338 days). The TBI group showed micro-structural differences (lower FD) in the corpus callosum and forceps minor, compared to controls. Subgroup analyses revealed that the mild TBI group did not differ from controls on any fixel metric, but the moderate to severe TBI group had significantly lower FD, FC and FDC in multiple WM tracts, including the corpus callosum, cerebral peduncle, internal and external capsule. The moderate to severe TBI group also had significantly slower reaction times than controls, but the mild TBI group did not. Reaction time was not related to fixel findings. Thus, the WM damage caused by moderate to severe TBI manifested as fewer axons and a reduction in the cross-sectional area of key WM tracts.Erica J. Wallace, Jane L. Mathias, Lynn Ward, Jurgen Fripp, Stephen Rose, Kerstin Panne

Potential reservoir and associated factors for West Nile virus in three distinct climatological zones

West Nile virus (WNV) is a zoonotic single-strand RNA arbovirus (family Flaviviridae: Flavivirus), transmitted among avian hosts in enzootic cycles by a mosquito vector. The virus has a significant disease effect on humans and equines when it bridges into a cycle with various sequelae with epidemic potential. This study was carried out to identify the potential spectrum of WNV hosts in three geographic areas with climatologically distinct features: Malaysia, Qatar, and the United States of America (U.S.). Serum samples were collected from avian and mammal species suspected to be reservoirs for the virus at these areas in a cross-sectional epidemiologic study. The samples were tested for the presence of antibodies against the virus using an enzyme-linked immunosorbent assay. Data on putative risk factors were also collected and analyzed for significance of association with seropositivity using the logistic regression analysis. Among the tested avian and mammalian species, raccoons had the highest seroconversion rate (54%) followed by crows (30%), horses (27%), camels (10%), other avian species (7%), and canine species (3%). It was almost twice as likely to detect seroconversion among these mammalian and avian species in the fall in comparison to other seasons of the year. Only mammalian and avian species and seasons of the year were significantly associated with the likelihood of seroconversion to WNV when we controlled for other factors in the multivariate analysis. Our data from the U.S. showed that raccoons and camels are susceptible to infection by the virus and may play a role in the perpetuation of endemic foci for the disease

IL-17-high asthma with features of a psoriasis immunophenotype

BACKGROUND: The role of IL-17 immunity is well established in patients with inflammatory diseases, such as psoriasis and inflammatory bowel disease, but not in asthmatic patients, in whom further study is required. OBJECTIVE: We sought to undertake a deep phenotyping study of asthmatic patients with upregulated IL-17 immunity. METHODS: Whole-genome transcriptomic analysis was performed by using epithelial brushings, bronchial biopsy specimens (91 asthmatic patients and 46 healthy control subjects), and whole blood samples (n = 498) from the Unbiased Biomarkers for the Prediction of Respiratory Disease Outcomes (U-BIOPRED) cohort. Gene signatures induced in vitro by IL-17 and IL-13 in bronchial epithelial cells were used to identify patients with IL-17-high and IL-13-high asthma phenotypes. RESULTS: Twenty-two of 91 patients were identified with IL-17, and 9 patients were identified with IL-13 gene signatures. The patients with IL-17-high asthma were characterized by risk of frequent exacerbations, airway (sputum and mucosal) neutrophilia, decreased lung microbiota diversity, and urinary biomarker evidence of activation of the thromboxane B2 pathway. In pathway analysis the differentially expressed genes in patients with IL-17-high asthma were shared with those reported as altered in psoriasis lesions and included genes regulating epithelial barrier function and defense mechanisms, such as IL1B, IL6, IL8, and β-defensin. CONCLUSION: The IL-17-high asthma phenotype, characterized by bronchial epithelial dysfunction and upregulated antimicrobial and inflammatory response, resembles the immunophenotype of psoriasis, including activation of the thromboxane B2 pathway, which should be considered a biomarker for this phenotype in further studies, including clinical trials targeting IL-1