Abdominaler Schmerz

Zusammenfassung: Abdominalschmerzen können Ausdruck einer Vielzahl intra- und extraabdomineller Erkrankungen sein. Angesichts dieses breiten ätiologischen Spektrums gilt es, im Initialstadium der Diagnostik zielgerichtet vorzugehen, um ohne Zeitverzug die Ursache und damit letzlich die Dringlichkeit weitergehender Maßnahmen zu bestimmen. Ziel dieser Evaluation ist eine initiale risikostratifizierte Triagierung des Patienten. Im Gegensatz zu somatischen Ursachen abdominalen Schmerzes ist eine derartige kausale Therapie bei funktionellen Erkrankungen des Gastrointestinaltraktes zum gegenwärtigen Zeitpunkt nur sehr begrenzt möglich, sodass hierbei der Fokus auf eine bedarfs- und symptomadaptierte Behandlung gelegt werden sol

Interpretation of the ion mass spectra in the mass range 25-35 obtained in the inner coma of Halley's comet by the HIS-sensor of the Giotto IMS Experiment

The IMS-HIS double-focussing mass spectrometer that flew on the Giotto spacecraft covered the mass per charge range from 12 to 56 (AMU/e). By comparing flight data, calibration data, and results of model calculations of the ion population in the inner coma, the absolute mass scale is established, and ions in the mass range 25 to 35 are identified. Ions resulting from protonation of molecules with high proton affinity are relatively abundant, enabling us to estimate relative source strengths for H2CO, CH3OH, HCN, and H2S, providing for the first time a positive in situ measurement of methanol. Also, upper limits for NO and some hydrocarbons are derived

Host-specific symbiotic requirement of BdeAB, a RegR-controlled RND-type efflux system in Bradyrhizobium japonicum

Multidrug efflux systems not only cause resistance against antibiotics and toxic compounds but also mediate successful host colonization by certain plant-associated bacteria. The genome of the nitrogen-fixing soybean symbiont Bradyrhizobium japonicum encodes 24 members of the family of resistance/nodulation/cell division (RND) multidrug efflux systems, of which BdeAB is genetically controlled by the RegSR two-component regulatory system. Phylogenetic analysis of the membrane components of these 24 RND-type transporters revealed that BdeB is more closely related to functionally characterized orthologs in other bacteria, including those associated with plants, than to any of the other 23 paralogs in B. japonicum. A mutant with a deletion of the bdeAB genes was more susceptible to inhibition by the aminoglycosides kanamycin and gentamicin than the wild type, and had a strongly decreased symbiotic nitrogen-fixation activity on soybean, but not on the alternative host plants mungbean and cowpea, and only very marginally on siratro. The host-specific role of a multidrug efflux pump is a novel feature in the rhizobia-legume symbioses. Consistent with the RegSR dependency of bdeAB, a B. japonicum regR mutant was found to have a greater sensitivity against the two tested antibiotics and a symbiotic defect that is most pronounced for soybea

Calibration of parent and fragment ion detection rates in Rosettas ROSINA/DFMS mass spectrometer

The Double Focusing Mass Spectrometer DFMS embarked on the European Space Agency’s Rosetta mission as part of the ROSINA instrument suite. It boasts a high mass resolution and a high sensitivity, which have guaranteed spectacular discoveries during Rosetta’s rendez-vous with comet 67P/Churyumov-Gerasimenko. This paper describes the DFMS data calibration procedure for determining the parent and fragment ion count rates in the neutral mode, which serve as the basis for retrieving the neutral gas densities. A new approach to computing secondary electron yields is presented. Attention is given to an analysis of the mass peak shapes, which change with magnet temperature. Discrete counting statistical effects also affect the peak shape at low counts. If not accounted for, changes of mass peak shape can induce errors of up to 20% on the determination of the ion fluxes. An assessment of the different sources of uncertainty on the obtained count rates and ratios of count rates is presented

Organics in comet 67P – a first comparative analysis of mass spectra from ROSINA–DFMS, COSAC and Ptolemy

The ESA Rosetta spacecraft followed comet 67P at a close distance for more than 2 yr. In addition, it deployed the lander Philae on to the surface of the comet. The (surface) composition of the comet is of great interest to understand the origin and evolution of comets. By combining measurements made on the comet itself and in the coma, we probe the nature of this surface material and compare it to remote sensing observations. We compare data from the double focusing mass spectrometer (DFMS) of the ROSINA experiment on ESA's Rosetta mission and previously published data from the two mass spectrometers COSAC (COmetary Sampling And Composition) and Ptolemy on the lander. The mass spectra of all three instruments show very similar patterns of mainly CHO-bearing molecules that sublimate at temperatures of 275 K. The DFMS data also show a great variety of CH-, CHN-, CHS-, CHO2- and CHNO-bearing saturated and unsaturated species. Methyl isocyanate, propanal and glycol aldehyde suggested by the earlier analysis of the measured COSAC spectrum could not be confirmed. The presence of polyoxymethylene in the Ptolemy spectrum was found to be unlikely. However, the signature of the aromatic compound toluene was identified in DFMS and Ptolemy data. Comparison with remote sensing instruments confirms the complex nature of the organics on the surface of 67P, which is much more diverse than anticipated

Catalyzing Innovation: Governance Enablers of Nature-Based Solutions

There is growing recognition that using the properties of nature through nature-based solutions (NBS) can help to provide viable and cost-effective solutions to a wide range of societal challenges, including disaster risk reduction (DRR). However, NBS realization depends critically on the governance framework that enables the NBS policy process. Drawing from three case studies in Nocera Inferiore (Italy), Munich (Germany), and Wolong (China), we identify key governance enablers—the contextual preconditions, policy processes, and institutions—that proved essential for NBS initiation, planning, design, and implementation. In the three cases, interviews confirm the success of the NBS measures and their benefits in terms not only of DRR but of multiple ecological and social–economic co-benefits. Results highlight critical governance enablers of NBS, including: polycentric governance (novel arrangements in the public administration that involved multiple institutional scales and/or sectors); co-design (innovative stakeholder participatory processes that influenced the final NBS); pro-NBS interest and coalition groups (organized pressure groups that advocated for an NBS); and financial incentives (financing community-based implementation and monitoring of NBS). Findings show that the transition to NBS can contribute to multiple global agendas, including DRR, climate change adaptation, and sustainable development

The 16OH/18OH and OD/OH isotope ratios in comet C/2002 T7 (LINEAR)

The 16OH/18OH and OD/OH isotope ratios are measured in the Oort-Cloud comet C/2002 T7 (LINEAR) through ground-based observations of the OH ultraviolet bands at 3063 A (0,0) and 3121 A (1,1) secured with the Very Large Telescope (VLT) feeding the Ultraviolet-Visual Echelle Spectrograph (UVES). From the 16OH/18OH ratio, we find 16O/18O = 425 +/- 55, equal within the uncertainties to the terrestrial value and to the ratio measured in other comets, although marginally smaller. We also estimate OD/OH from which we derive D/H = 2.5 +/- 0.7 10-4 in water. This value is compatible with the water D/H ratios evaluated in other comets and marginally higher than the terrestrial value.Comment: Accepted for publication in A&A Letter

Influence of spacecraft outgassing on the exploration of tenuous atmospheres with in situ mass spectrometry

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/94765/1/jgra20796.pd

The <i>Castalia</i> mission to Main Belt Comet 133P/Elst-Pizarro

We describe Castalia, a proposed mission to rendezvous with a Main Belt Comet (MBC), 133P/Elst-Pizarro. MBCs are a recently discovered population of apparently icy bodies within the main asteroid belt between Mars and Jupiter, which may represent the remnants of the population which supplied the early Earth with water. Castalia will perform the first exploration of this population by characterising 133P in detail, solving the puzzle of the MBC’s activity, and making the first in situ measurements of water in the asteroid belt. In many ways a successor to ESA’s highly successful Rosetta mission, Castalia will allow direct comparison between very different classes of comet, including measuring critical isotope ratios, plasma and dust properties. It will also feature the first radar system to visit a minor body, mapping the ice in the interior. Castalia was proposed, in slightly different versions, to the ESA M4 and M5 calls within the Cosmic Vision programme. We describe the science motivation for the mission, the measurements required to achieve the scientific goals, and the proposed instrument payload and spacecraft to achieve these