Pregnant Women after Physical and Sexual Abuse in Germany

Background/Aims: The aim of our study was to evaluate the prevalence of abuse among pregnant women in Germany attending our antenatal outpatient clinic and to observe whether a history of abuse had consequences for women's feelings about their pregnancy. Methods: 455 women between the 35th and 42nd weeks of gestational age were included and were asked to fill out an anonymous questionnaire concerning their pregnancy, their actual psychological state, and their history of physical/sexual abuse. 600 questionnaires were distributed (return rate 75.8%), 70 women (10.4%) were excluded because of male companionship to ensure their safety in case that they were currently in an abusive relationship with the attending man. Results: 88 women (19.3%) reported a history of sexual and/or physical abuse. Pregnant women after physical and/or sexual abuse significantly more frequently associate negative feelings with their pregnancy than nonabused women. The Hospital Anxiety Depression Scale (HADS) and the SCL-K-9 demonstrated significantly more negative feelings of depression and anxiety, strain, loneliness and less expectation of happiness for their future in abused women. Conclusion: Physical and sexual abuse are relevant problems among women in obstetric care that may complicate their pregnancies and make them feel more depressive. Copyright (C) 2009 S. Karger AG, Base

Integration studies of a positive neutral beam injector system into the design of a volumetric neutron source

A feasibility study regarding a volumetric neutron source (VNS) is presently conducted in the EUROfusion Consortium. The VNS uses Positive Neutral Beam Injection (P-NBI) for plasma heating, current drive and particularly to drive beam-target fusion, aiming for a high neutron production ( 0.5 MW/m2 neutron wall load in the equatorial plane). P-NBI is a reliable auxiliary heating system, widely employed in plasma devices such as ASDEX Upgrade (AUG), W7-X and JT60-SA. The paper describes the integration of the P-NBI system into the design of the VNS. This includes the neutral beam (NB) duct from the torus vacuum vessel to the NBI box with the gate valves, the space requirements of the NB injectors in the building as well as the connections for cooling water, cryo-supplies, electrical high voltage and radio frequency (RF) cable connections. Since the VNS is a nuclear machine with lifetime doses significantly exceeding those of ITER, the requirements for remote maintenance (RM) are very different from any existing NBI design. The RM concept and the RM sequences will be discussed. Neutronics studies for the NB duct were performed and design iterations undertaken to assure that neutron heating and lifetime fluences remain below limits at the superconducting toroidal and poloidal field coils adjacent to the NB duct. The work considers the return of experience from AUG, ITER and some other fusion experimental machines in operation, under construction or in conceptual design such as DEMO

Exploring the interrelationship between the skin microbiome and skin volatiles: A pilot study

Unravelling the interplay between a human’s microbiome and physiology is a relevant task for understanding the principles underlying human health and disease. With regard to human chemical communication, it is of interest to elucidate the role of the microbiome in shaping or generating volatiles emitted from the human body. In this study, we characterized the microbiome and volatile organic compounds (VOCs) sampled from the neck and axilla of ten participants (five male, five female) on two sampling days, by applying different methodological approaches. Volatiles emitted from the respective skin site were collected for 20 min using textile sampling material and analyzed on two analytical columns with varying polarity of the stationary phase. Microbiome samples were analyzed by a culture approach coupled with MALDI-TOF-MS analysis and a 16S ribosomal RNA gene (16S RNA) sequencing approach. Statistical and advanced data analysis methods revealed that classification of body sites was possible by using VOC and microbiome data sets. Higher classification accuracy was achieved by combination of both data pools. Cutibacterium, Staphylococcus, Micrococcus, Streptococcus, Lawsonella, Anaerococcus, and Corynebacterium species were found to contribute to classification of the body sites by the microbiome. Alkanes, esters, ethers, ketones, aldehydes and cyclic structures were used by the classifier when VOC data were considered. The interdisciplinary methodological platform developed here will enable further investigations of skin microbiome and skin VOCs alterations in physiological and pathological conditions

On RR couplings on D-branes at order O(α′2)O(\alpha'^2)

Recently, it has been found that there are couplings of the RR field strength $F^{(p)}$ and the B-field strength $H$ on the world volume of D$_p$-branes at order ${\cal O}(\alpha'^2)$. These couplings which have both world-volume and transverse indices, are invariant under the linear T-duality transformations. Consistency with the nonlinear T-duality indicates that the RR field strength $F^{(p)}$ in these couplings should be replaced by ${\cal F}^{(p)}=d{\cal C}^{(p-1)}$ where ${\cal C}=e^{B}C$. This replacement, however, reproduces some non-gauge invariant terms. On the other hand, the nonlinear terms are invariant under the linear T-duality transformations at the level of two B-fields. This allows one to remove some of the nonlinear terms in ${\cal F}^{(p)}$. We fix this by comparing the nonlinear couplings with the S-matrix element of one RR and two NSNS vertex operators. Our results indicate that in the expansion of ${\cal F}^{(p)}$ one should keep only the B-field gauge invariant terms, e.g. $B\wedge dC^{(p-3)}$ where both indices of B-field lie along the brane. Moreover, in this case one should replace $B$ with $B+2\pi\alpha'f$ to have the $B$-field gauge invariance.Comment: 23 pages, Latex file, 1 figure; v2:typos corrected, to appear in JHE

Two-loop scattering amplitudes from ambitwistor strings: from genus two to the nodal Riemann sphere

We derive from ambitwistor strings new formulae for two-loop scattering amplitudes in supergravity and super-Yang-Mills theory, with any number of particles. We start by constructing a formula for the type II ambitwistor string amplitudes on a genus-two Riemann surface, and then study the localisation of the moduli space integration on a degenerate limit, where the genus-two surface turns into a Riemann sphere with two nodes. This leads to scattering amplitudes in supergravity, expressed in the formalism of the two-loop scattering equations. For super-Yang-Mills theory, we import `half' of the supergravity result, and determine the colour dependence by considering a current algebra on the nodal Riemann sphere, thereby completely specifying the two-loop analogue of the Parke-Taylor factor, including non-planar contributions. We also present in appendices explicit expressions for the Szego kernels and the partition functions for even spin structures, up to the relevant orders in the degeneration parameters, which may be useful for related investigations in conventional superstring theory.Comment: 66 pages plus appendices, 14 figures. v2: small changes, published version. v3: typos fixed in appendix

Frameless fractionated stereotactic radiation therapy of intracranial lesions: impact of cone beam CT based setup correction on dose distribution

Background The purpose of this study was to evaluate the impact of Cone Beam CT (CBCT) based setup correction on total dose distributions in fractionated frameless stereotactic radiation therapy of intracranial lesions. Methods Ten patients with intracranial lesions treated with 30 Gy in 6 fractions were included in this study. Treatment planning was performed with Oncentra® for a SynergyS® (Elekta Ltd, Crawley, UK) linear accelerator with XVI® Cone Beam CT, and HexaPOD™ couch top. Patients were immobilized by thermoplastic masks (BrainLab, Reuther). After initial patient setup with respect to lasers, a CBCT study was acquired and registered to the planning CT (PL-CT) study. Patient positioning was corrected according to the correction values (translational, rotational) calculated by the XVI® system. Afterwards a second CBCT study was acquired and registered to the PL-CT to confirm the accuracy of the corrections. An in-house developed software was used for rigid transformation of the PL-CT to the CBCT geometry, and dose calculations for each fraction were performed on the transformed CT. The total dose distribution was achieved by back-transformation and summation of the dose distributions of each fraction. Dose distributions based on PL-CT, CBCT (laser set-up), and final CBCT were compared to assess the influence of setup inaccuracies. Results The mean displacement vector, calculated over all treatments, was reduced from (4.3 ± 1.3) mm for laser based setup to (0.5 ± 0.2) mm if CBCT corrections were applied. The mean rotational errors around the medial-lateral, superior-inferior, anterior-posterior axis were reduced from (−0.1 ± 1.4)°, (0.1 ± 1.2)° and (−0.2 ± 1.0)°, to (0.04 ± 0.4)°, (0.01 ± 0.4)° and (0.02 ± 0.3)°. As a consequence the mean deviation between planned and delivered dose in the planning target volume (PTV) could be reduced from 12.3% to 0.4% for D95 and from 5.9% to 0.1% for Dav. Maximum deviation was reduced from 31.8% to 0.8% for D95, and from 20.4% to 0.1% for Dav. Conclusion Real dose distributions differ substantially from planned dose distributions, if setup is performed according to lasers only. Thermoplasic masks combined with a daily CBCT enabled a sufficient accuracy in dose distribution