Perioperative infection prophylaxis and risk factor impact in colon surgery

Background: A prospective observational study was undertaken in 2,481 patients undergoing elective colon resection in 114 German centers to identify optimal drug and dosing modalities and risk factors for postoperative infection. Methods: Patients were pair matched using six risk factors and divided into 672 pairs (ceftriaxone vs, other cephalosporins, group A) and 400 pairs (ceftriaxone vs. penicillins, group B). End points were local and systemic postoperative infection and cost effectiveness. Results: Local infection rates were 6.0 versus 6.5% (group A) and 4.0 versus 10.5% (group B); systemic infection rates in groups A and B were 4.9 versus 6.3% and 3.3 versus 10.5%, respectively. Ceftriaxone was more effective than penicillins overall (6.8 vs. 17.8%, p < 0.001). Length of postoperative hospital stay was 16.2 versus 16.9 days (group A) and 15.8 versus 17.6 days (group B). Of the six risk factors, age and concomitant disease were significant for systemic infection, and blood loss, rectum resection and immunosuppressive therapy were significant for local infection. Penicillin was a risk factor compared to ceftriaxone (p < 0.0001). Ceftriaxone saved Q160.7 versus other cephalosporins and O416.2 versus penicillins. Conclusion: Clinical and microbiological efficacy are responsible for the cost effectiveness of ceftriaxone for perioperative prophylaxis in colorectal surgery. Copyright (C) 2000 S. Karger AG, Basel

Extensive study of nuclear uncertainties and their impact on the r-process nucleosynthesis in neutron star mergers

Theoretically predicted yields of elements created by the rapid neutron capture (r-) process carry potentially large uncertainties associated with incomplete knowledge of nuclear properties as well as approximative hydrodynamical modelling of the matter ejection processes. We present an in-depth study of the nuclear uncertainties by systematically varying theoretical nuclear input models that describe the experimentally unknown neutron-rich nuclei. This includes two frameworks for calculating the radiative neutron capture rates and six, four and four models for the nuclear masses, $\beta$-decay rates and fission properties, respectively. Our r-process nuclear network calculations are based on detailed hydrodynamical simulations of dynamically ejected material from NS-NS or NS-BH binary mergers plus the secular ejecta from BH-torus systems. The impact of nuclear uncertainties on the r-process abundance distribution and early radioactive heating rate is found to be modest (within a factor $\sim 20$ for individual $A>90$ nuclei and a factor 2 for the heating rate), however the impact on the late-time heating rate is more significant and depends strongly on the contribution from fission. We witness significantly larger sensitivity to the nuclear physics input if only a single trajectory is used compared to considering ensembles of $\sim$200-300 trajectories, and the quantitative effects of the nuclear uncertainties strongly depend on the adopted conditions for the individual trajectory. We use the predicted Th/U ratio to estimate the cosmochronometric age of six metal-poor stars to set a lower limit of the age of the Galaxy and find the impact of the nuclear uncertainties to be up to 2 Gyr.Comment: 26 pages, 22 figures, submitted to MNRA

Long-term potentiation in neurogliaform interneurons modulates excitation-inhibition balance in the temporoammonic pathway

Apical dendrites of pyramidal neurons integrate information from higher-order cortex and thalamus, and gate signalling and plasticity at proximal synapses. In the hippocampus, neurogliaform cells and other interneurons located within stratum lacunosum-moleculare mediate powerful inhibition of CA1 pyramidal neuron distal dendrites. Is the recruitment of such inhibition itself subject to use-dependent plasticity, and if so, what induction rules apply? Here we show that interneurons in mouse stratum lacunosum-moleculare exhibit Hebbian NMDA receptor-dependent long-term potentiation (LTP). Such plasticity can be induced by selective optogenetic stimulation of afferents in the temporoammonic pathway from the entorhinal cortex, but not by equivalent stimulation of afferents from the thalamic nucleus reuniens. We further show that theta-burst patterns of afferent firing induces LTP in neurogliaform interneurons identified using neuron-derived neurotrophic factor (Ndnf)-Cre mice. Theta-burst activity of entorhinal cortex afferents led to an increase in disynaptic feed-forward inhibition, but not monosynaptic excitation, of CA1 pyramidal neurons. Activity-dependent synaptic plasticity in stratum lacunosum-moleculare interneurons thus alters the excitation-inhibition balance at entorhinal cortex inputs to the apical dendrites of pyramidal neurons, implying a dynamic role for these interneurons in gating CA1 dendritic computations. Abstract figure legend Hebbian LTP of excitatory transmission onto interneurons located within hippocampal stratum lacunosum moleculare (SLM) can be induced by electrical stimulation protocols involving pairing of pre-and post-synaptic activity. Using Ndnf-Cre mice, we show that hippocampal neurogliaform (NGF) cells express this form of LTP. These cells receive glutamatergic afferents from both the nucleus reuniens of the thalamus and the entorhinal cortex (EC), but selective optogenetic activation of either set of fibers reveals LTP at EC inputs only. Using an optogenetic theta-burst stimulation (OptoTBS) protocol to stimulate EC fibers in a physiologically relevant way, we show that NGF interneuron LTP translates to an increase in disynaptic inhibition onto CA1 pyramidal cell distal dendrites. Monosynaptic EC-CA1 pyramidal cell inputs do not undergo equivalent potentiation, leading to a net decrease in the excitation/inhibition (E/I) ratio of this pathway

Generalising unit-refutation completeness and SLUR via nested input resolution

We introduce two hierarchies of clause-sets, SLUR_k and UC_k, based on the classes SLUR (Single Lookahead Unit Refutation), introduced in 1995, and UC (Unit refutation Complete), introduced in 1994. The class SLUR, introduced in [Annexstein et al, 1995], is the class of clause-sets for which unit-clause-propagation (denoted by r_1) detects unsatisfiability, or where otherwise iterative assignment, avoiding obviously false assignments by look-ahead, always yields a satisfying assignment. It is natural to consider how to form a hierarchy based on SLUR. Such investigations were started in [Cepek et al, 2012] and [Balyo et al, 2012]. We present what we consider the "limit hierarchy" SLUR_k, based on generalising r_1 by r_k, that is, using generalised unit-clause-propagation introduced in [Kullmann, 1999, 2004]. The class UC, studied in [Del Val, 1994], is the class of Unit refutation Complete clause-sets, that is, those clause-sets for which unsatisfiability is decidable by r_1 under any falsifying assignment. For unsatisfiable clause-sets F, the minimum k such that r_k determines unsatisfiability of F is exactly the "hardness" of F, as introduced in [Ku 99, 04]. For satisfiable F we use now an extension mentioned in [Ansotegui et al, 2008]: The hardness is the minimum k such that after application of any falsifying partial assignments, r_k determines unsatisfiability. The class UC_k is given by the clause-sets which have hardness <= k. We observe that UC_1 is exactly UC. UC_k has a proof-theoretic character, due to the relations between hardness and tree-resolution, while SLUR_k has an algorithmic character. The correspondence between r_k and k-times nested input resolution (or tree resolution using clause-space k+1) means that r_k has a dual nature: both algorithmic and proof theoretic. This corresponds to a basic result of this paper, namely SLUR_k = UC_k.Comment: 41 pages; second version improved formulations and added examples, and more details regarding future directions, third version further examples, improved and extended explanations, and more on SLUR, fourth version various additional remarks and editorial improvements, fifth version more explanations and references, typos corrected, improved wordin

Sustainability of sanitation in rural Bangladesh

This is a report on a study of 53 Bangladesh unions declared “100% sanitized” more than 4.5 years earlier under the auspices of a broad-based national sanitation campaign. Union Chairmen received awards if their populations achieved the goal. Findings were generally positive, with 89.5% of surveyed households using some type of improved latrine (shared or not). A dramatic change in social norms was found. Two-thirds of union chairmen were still working on sanitation. Other achievements were the emergence of private sector latrine parts producers and an increase in latrine pit cleaning services. A significant problem was the unclean condition of 56% of improved household latrines. Other challenges are discussed. Recommendations include: Establish quality standards for latrine parts manufacture; Monitor sanitation coverage in all unions in the future; Offer low-interest loans to poor households for latrine purchases; and Keep local government involved and responsible for continuing rural sanitation improvements

On SAT representations of XOR constraints

We study the representation of systems S of linear equations over the two-element field (aka xor- or parity-constraints) via conjunctive normal forms F (boolean clause-sets). First we consider the problem of finding an "arc-consistent" representation ("AC"), meaning that unit-clause propagation will fix all forced assignments for all possible instantiations of the xor-variables. Our main negative result is that there is no polysize AC-representation in general. On the positive side we show that finding such an AC-representation is fixed-parameter tractable (fpt) in the number of equations. Then we turn to a stronger criterion of representation, namely propagation completeness ("PC") --- while AC only covers the variables of S, now all the variables in F (the variables in S plus auxiliary variables) are considered for PC. We show that the standard translation actually yields a PC representation for one equation, but fails so for two equations (in fact arbitrarily badly). We show that with a more intelligent translation we can also easily compute a translation to PC for two equations. We conjecture that computing a representation in PC is fpt in the number of equations.Comment: 39 pages; 2nd v. improved handling of acyclic systems, free-standing proof of the transformation from AC-representations to monotone circuits, improved wording and literature review; 3rd v. updated literature, strengthened treatment of monotonisation, improved discussions; 4th v. update of literature, discussions and formulations, more details and examples; conference v. to appear LATA 201

NMDAR-Mediated Calcium Transients Elicited by Glutamate Co-Release at Developing Inhibitory Synapses

Before hearing onset, the topographic organization of the inhibitory sound localization pathway from the medial nucleus of the trapezoid body (MNTB) to the lateral superior olive (LSO) is refined by means of synaptic silencing and strengthening. During this refinement period MNTB-LSO synapses not only release GABA and glycine but also release glutamate. This co-released glutamate can elicit postsynaptic currents that are predominantly mediated by NMDA receptors (NMDARs). To gain a better understanding of how glutamate contributes to synaptic signaling at developing MNTB-LSO inhibitory synapses, we investigated to what degree and under what conditions NMDARs contribute to postsynaptic calcium responses. Our results demonstrate that MNTB-LSO synapses can elicit compartmentalized calcium responses along aspiny LSO dendrites. These responses are significantly attenuated by the NMDAR antagonist APV. APV, however, had no effect on somatically recorded electrical postsynaptic responses, indicating little, if any, contribution of NMDARs to spike generation. NMDAR-mediated calcium responses were decreased when increasing extracellular magnesium concentrations to physiological levels indicating that MNTB-LSO synapses activate magnesium sensitive NMDAR on immature LSO dendrites. In Fura-2 AM loaded neurons, blocking GABAA and glycine receptors increased NMDAR contribution to somatic calcium responses suggesting that GABA and glycine, perhaps by shunting backpropagating action potentials, decrease the level of NMDAR activation under strong stimulus conditions

Traveling Wave Magnetic Particle Imaging for determining the iron-distribution in rock: Traveling Wave Magnetic Particle Imaging for determining the iron-distribution in rock

Determining the composition of solid materials is of high interest in areas such as material research or quality assurance. There are several modalities at disposal with which various parameters of the material can be observed, but of those only magnetic resonance imaging (MRI) or computer tomography (CT) offer anon-destructive determination of material distribution in 3D. A novel non-destructive imaging method is Magnetic Particle Imaging (MPI), which uses dynamic magnetic fields for a direct determination of the distribution of magnetic materials in 3D. With this approach, it is possible to determine and differentiate magnetic and non-magnetic behaviour. In this paper, the first proof-of-principle measurements of magnetic properties in solid environments are presented using a home-built traveling wave magnetic particle imaging scanner