Kongenitale Nävi im Kindesalter

Zusammenfassung: Nävi stellen kongenitale hamartomatöse Fehlbildungen unterschiedlicher Bestandteile der Haut dar. Am häufigsten treten kongenitale melanozytäre Nävi (CMN) auf, gefolgt von Nävi epithelialen Ursprungs (epidermale und organoide Nävi). Insbesondere große CMN können zu schwerwiegenden Komplikationen führen, und das Management der Betroffenen stellt ab Geburt eine Herausforderung dar. Entgegen früheren Annahmen ist das Risiko einer malignen Entartung von CMN insgesamt als eher gering anzusehen, steigt jedoch in speziellen Situationen relevant an. Nicht zu vernachlässigen sind mögliche extrakutane Symptome im Falle einer ZNS-Beteiligung, und frühe bildgebende Untersuchungen gehören heute zur Routinediagnostik. Chirurgische Maßnahmen haben noch immer einen hohen Stellenwert in der Behandlung von CMN, die Indikation dazu ist jedoch von Fall zu Fall individuell abzuwägen. Nicht zuletzt leiden die Patienten häufig stark an der ästhetischen Beeinträchtigung durch ihr Muttermal, sodass in der Behandlung auch diesem Punkt Rechnung getragen werden muss. Der Naevus sebaceus ist der häufigste Vertreter der epithelialen Nävi. In 2-13% treten darin Zusatztumoren auf, und eine frühe chirurgische Exzision ist in den meisten Fällen nicht zuletzt auch aus ästhetischen Überlegungen sinnvoll. Epidermale Nävi erfordern bei generalisierter Ausdehnung Zusatzuntersuchungen zum Ausschluss von assoziierten ophthalmologischen, kardialen oder neurologischen Fehlbildunge

Classical and Quantum Annealing in the Median of Three Satisfiability

We determine the classical and quantum complexities of a specific ensemble of three-satisfiability problems with a unique satisfying assignment for up to N=100 and N=80 variables, respectively. In the classical limit we employ generalized ensemble techniques and measure the time that a Markovian Monte Carlo process spends in searching classical ground states. In the quantum limit we determine the maximum finite correlation length along a quantum adiabatic trajectory determined by the linear sweep of the adiabatic control parameter in the Hamiltonian composed of the problem Hamiltonian and the constant transverse field Hamiltonian. In the median of our ensemble both complexities diverge exponentially with the number of variables. Hence, standard, conventional adiabatic quantum computation fails to reduce the computational complexity to polynomial. Moreover, the growth-rate constant in the quantum limit is 3.8 times as large as the one in the classical limit, making classical fluctuations more beneficial than quantum fluctuations in ground-state searches

Automatic human action recognition in videos by graph embedding

The problem of human action recognition has received increasing attention in recent years for its importance in many applications. Yet, the main limitation of current approaches is that they do not capture well the spatial relationships in the subject performing the action. This paper presents an initial study which uses graphs to represent the actor's shape and graph embedding to then convert the graph into a suitable feature vector. In this way, we can benefit from the wide range of statistical classifiers while retaining the strong representational power of graphs. The paper shows that, although the proposed method does not yet achieve accuracy comparable to that of the best existing approaches, the embedded graphs are capable of describing the deformable human shape and its evolution along the time. This confirms the interesting rationale of the approach and its potential for future performance. © 2011 Springer-Verlag

Properties of Interfaces in the two and three dimensional Ising Model

To investigate order-order interfaces, we perform multimagnetical Monte Carlo simulations of the $2D$ and $3D$ Ising model. Following Binder we extract the interfacial free energy from the infinite volume limit of the magnetic probability density. Stringent tests of the numerical methods are performed by reproducing with high precision exact $2D$ results. In the physically more interesting $3D$ case we estimate the amplitude $F^s_0$ of the critical interfacial tension $F^s = F^s_0 t^\mu$ to be $F^s_0 = 1.52 \pm 0.05$. This result is in good agreement with a previous MC calculation by Mon, as well as with experimental results for related amplitude ratios. In addition, we study in some details the shape of the magnetic probability density for temperatures below the Curie point.Comment: 25 pages; sorry no figures include

Oculomotor function in frontotemporal lobar degeneration, related disorders and Alzheimer's disease

Frontotemporal lobar degeneration (FTLD) often overlaps clinically with corticobasal syndrome (CBS) and progressive supranuclear palsy (PSP), both of which have prominent eye movement abnormalities. To investigate the ability of oculomotor performance to differentiate between FTLD, Alzheimer's disease, CBS and PSP, saccades and smooth pursuit were measured in three FTLD subtypes, including 24 individuals with frontotemporal dementia (FTD), 19 with semantic dementia (SD) and six with progressive non-fluent aphasia (PA), as compared to 28 individuals with Alzheimer's disease, 15 with CBS, 10 with PSP and 27 control subjects. Different combinations of oculomotor abnormalities were identified in all clinical syndromes except for SD, which had oculomotor performance that was indistinguishable from age-matched controls. Only PSP patients displayed abnormalities in saccade velocity, whereas abnormalities in saccade gain were observed in PSP > CBS > Alzheimer's disease subjects. All patient groups except those with SD were impaired on the anti-saccade task, however only the FTLD subjects and not Alzheimer's disease, CBS or PSP groups, were able to spontaneously self-correct anti-saccade errors as well as controls. Receiver operating characteristic statistics demonstrated that oculomotor findings were superior to neuropsychological tests in differentiating PSP from other disorders, and comparable to neuropsychological tests in differentiating the other patient groups. These data suggest that oculomotor assessment may aid in the diagnosis of FTLD and related disorders

Anti-Saccade Performance Predicts Executive Function and Brain Structure in Normal Elders

Objective—To assess the neuropsychological and anatomical correlates of anti-saccade (AS) task performance in normal elders. Background—The AS task correlates with neuropsychological measures of executive function and frontal lobe volume in neurological diseases, but has not been studied in a well-characterized normal elderly population. Because executive dysfunction can indicate an increased risk for cognitive decline in cognitively normal elders, we hypothesized that AS performance might be a sensitive test of age-related processes that impair cognition. Method—The percentage of correct AS responses was evaluated in forty-eight normal elderly subjects and compared with neuropsychological test performance using linear regression analysis and gray matter volume measured on MRI scans using voxel-based morphometry. Results—The percentage of correct AS responses was associated with measures of executive function, including modified trails, design fluency, Stroop inhibition, abstraction, and backward digit span, and correlated with gray matter volume in two brain regions involved in inhibitory control: the left inferior frontal junction and the right supplementary eye field. The association of AS correct responses with neuropsychological measures of executive function was strongest in individuals with fewer years of education. Conclusions—The AS task is sensitive to executive dysfunction and frontal lobe structural alterations in normal elders

An In Vitro Barrier Model of the Human Submandibular Salivary Gland Epithelium Based on a Single Cell Clone of Cell Line HTB-41: Establishment and Application for Biomarker Transport Studies

The blood–saliva barrier (BSB) consists of the sum of the epithelial cell layers of the oral mucosa and salivary glands. In vitro models of the BSB are inevitable to investigate and understand the transport of salivary biomarkers from blood to saliva. Up to now, standardized, cell line-based models of the epithelium of the submandibular salivary gland are still missing for this purpose. Therefore, we established epithelial barrier models of the submandibular gland derived from human cell line HTB-41 (A-253). Single clone isolation resulted in five different clones (B2, B4, B9, D3, and F11). Clones were compared to the parental cell line HTB-41 using measurements of the transepithelial electrical resistance (TEER), paracellular marker permeability assays and analysis of marker expression for acinar, ductal, and myoepithelial cells. Two clones (B9, D3) were characterized to be of acinar origin, one clone (F11) to be of myoepithelial origin and one isolation (B4) derived from two cells, to be presumably a mixture of acinar and ductal origin. Clone B2, presumably of ductal origin, showed a significantly higher paracellular barrier compared to other clones and parental HTB-41. The distinct molecular identity of clone B2 was confirmed by immunofluorescent staining, qPCR, and flow cytometry. Experiments with ferritin, a biomarker for iron storage, demonstrated the applicability of the selected model based on clone B2 for transport studies. In conclusion, five different clones originating from the submandibular gland cell line HTB-41 were successfully characterized and established as epithelial barrier models. Studies with the model based on the tightest clone B2 confirmed its suitability for transport studies in biomarker research

Statistical Derivation of Basic Equations of Diffusional Kinetics in Alloys with Application to the Description of Diffusion of Carbon in Austenite

Basic equations of diffusional kinetics in alloys are statistically derived using the master equation approach. To describe diffusional transformations in substitution alloys, we derive the "quasi-equilibrium" kinetic equation which generalizes its earlier versions by taking into account possible "interaction renormalization" effects. For the interstitial alloys Me-X, we derive the explicit expression for the diffusivity D of an interstitial atom X which notably differs from those used in previous phenomenological treatments. This microscopic expression for D is applied to describe the diffusion of carbon in austenite basing on some simple models of carbon-carbon interaction. The results obtained enable us to make certain conclusions about the real form of these interactions, and about the scale of the "transition state entropy" for diffusion of carbon in austenite.Comment: 26 pages, 5 postscript figures, LaTe