Water Economics and Policy

Economics plays a double role in the field of water management, firstly as a powerful analytical tool supporting water allocation and policy decisions, and secondly in the form of policy instruments (water pricing, markets, etc.). This Special Issue presents a platform for sharing results connecting excellent interdisciplinary research applied to different regional and sectoral problems around the world. The 22 peer-reviewed papers collected in this Special Issue have been grouped into five broad categories: Water valuation and accounting; Economic instruments; Cost effectiveness and cost-benefit analysis; and Water productivity and Governance. They are briefly presented

Neonatal Procalcitonin Intervention Study (NeoPInS): Effect of Procalcitonin-guided decision making on Duration of antibiotic Therapy in suspected neonatal early-onset Sepsis: A multi-centre randomized superiority and non-inferiority Intervention Study

Background: Early diagnosis and treatment of the newborn infant with suspected sepsis are essential to prevent severe and life threatening complications. Diagnosis of neonatal sepsis is difficult because of the variable and nonspecific clinical presentation. Therefore, many newborns with nonspecific symptoms are started on antibiotic treatment before the presence of sepsis has been proven. With our recently published single-centre intervention study we were able to show that Procalcitonin determinations allowed to shorten the duration of antibiotic therapy in newborns with suspected early-onset sepsis.Methods/Design: The study is designed as randomized controlled international multicenter intervention trial on the efficacy and safety of Procalcitonin guided treatment. Term and near-term infants (gestational age ≥ 34 0/7 weeks) with suspected sepsis in the first 3 days of life requiring empiric antibiotic therapy will be included. The duration of antibiotic therapy in the standard group is based on the attending phy

Randomized controlled trial of S-1 maintenance therapy in metastatic esophagogastric cancer – the multinational MATEO study

Background: The optimal duration of firstline chemotherapy in metastatic esophagogastric cancer is unknown. In most clinical trials therapy was given until tumour progression or limiting toxicity. Maintenance concepts aiming to prolong the duration of response and maintain quality of life have been established in other tumour types but not in esophagogastric cancer. S-1 is an oral fluoropyrimidine with proven efficacy in metastatic esophagogastric cancer. Methods: The Maintenance Teysuno® (S-1) in esophagogastric cancer (MATEO) trial is a multinational, randomized phase II study that explores the role of S-1 maintenance therapy in Her-2 negative, advanced esophagogastric adenocarcinoma. After a 12-week firstline platinum-fluoropyrimidine-based chemotherapy patients without tumour progression are randomized in a 2:1 allocation to receive S-1 alone or continue with the same regimen as during the primary period. The primary endpoint is overall survival. Secondary endpoints include safety and toxicity, progression-free survival and quality of life. Correlative biomarker analyses focus on the identification of a subgroup of patients with a prolonged benefit from S-1 based maintenance therapy. Discussion: MATEO will be the first trial to define the role of a S-1 based maintenance therapy in patients having received a platinum-based firstline chemotherapy. Trial registration: NCT02128243 (date of registration: 29–04-2014)

Photodynamic therapy of prostate cancer by means of 5-aminolevulinic acid-induced protoporphyrin IX - In vivo experiments on the dunning rat tumor model

Objective: In order to expand the use of photodynamic therapy (PDT) in the treatment of prostate carcinoma (PCA), the aim of this study was to evaluate PDT by means of 5-aminolevulinic acid (5-ALA)-induced protoporphyrin IX ( PPIX) in an in vivo tumor model. Methods: The model used was the Dunning R3327 tumor. First of all, the pharmacokinetics and the localization of PPIX were obtained using fluorescence measurement techniques. Thereafter, PDT using 150 mg 5-ALA/kg b.w.i.v. was performed by homogenous irradiation of the photosensitized tumor (diode laser lambda = 633 nm). The tumors necrosis was determined histopathologically. Results: The kinetics of PPIX fluorescence revealed a maximum intensity in the tumor tissue within 3 and 4.5 h post-application of 5-ALA. At this time, specific PPIX fluorescence could be localized selectively in the tumor cells. The PDT-induced necrosis (n = 18) was determined to be 94 B 12% (range 60-100%), while the necrosis of the controls ( n = 12) differs significantly (p < 0.01), being less than 10%. Conclusion: These first in vivo results demonstrate the effective potential of 5-ALA-mediated PDT on PCA in an animal model. Copyright (C) 2004 S. Karger AG, Basel

Occurrence of different Cacopsylla species in apple orchards in South Tyrol (Italy) and detection of apple proliferation phytoplasma in Cacopsylla melanoneura and Cacopsylla picta: (Hemiptera: Psylloidea)

Preventing the diffusion of phytoplasma associated diseases until now is based mainly on indirect control measurements against the transmitting insect vectors. Apple proliferation, one of the economically most important pests in European apple cultivation is caused by the apple proliferation (AP) phytoplasma (‘Candidatus Phytoplasma mali’), which is spread by the psyllids Cacopsylla (C.) picta (Foerster, 1848) and C. melanoneura (Foerster, 1848). Current control measures primarily comprise treatments against these AP phytoplasma transmitting vectors. The surveillance of C. picta and C. melanoneura population dynamics, as well as the determination of their infection rate in the field are crucial prerequisites to develop suitable and appropriate strategies to limit further spread of AP phytoplasma. Furthermore, the analysis of the species composition of the genus Cacopsylla present in apple orchards provides important information about the presence of other insect vectors potentially involved in spreading AP or other diseases. During an intensive monitoring program realized in the valleys of Val Venosta and Burggraviato (South Tyrol, Italy), the hotspots of apple proliferation epidemics, over 13,000 Cacopsylla individuals were captured and the occurrence of 16 species of the genus Cacopsylla was confirmed. The presence of C.&nbsp;picta was recorded in more than 50% of the investigated apple orchards and the natural infection rate of this vector was about 21% in a three-year average. Conversely, C. melanoneura was confirmed in more than 90% of the investigated sites but its low infection rate of about 1 % further supports that it plays a rather secondary role in spreading AP phytoplasma in South Tyrol

The Role of Dopamine in Drosophila Larval Classical Olfactory Conditioning

Learning and memory is not an attribute of higher animals. Even Drosophila larvae are able to form and recall an association of a given odor with an aversive or appetitive gustatory reinforcer. As the Drosophila larva has turned into a particularly simple model for studying odor processing, a detailed neuronal and functional map of the olfactory pathway is available up to the third order neurons in the mushroom bodies. At this point, a convergence of olfactory processing and gustatory reinforcement is suggested to underlie associative memory formation. The dopaminergic system was shown to be involved in mammalian and insect olfactory conditioning. To analyze the anatomy and function of the larval dopaminergic system, we first characterize dopaminergic neurons immunohistochemically up to the single cell level and subsequent test for the effects of distortions in the dopamine system upon aversive (odor-salt) as well as appetitive (odor-sugar) associative learning. Single cell analysis suggests that dopaminergic neurons do not directly connect gustatory input in the larval suboesophageal ganglion to olfactory information in the mushroom bodies. However, a number of dopaminergic neurons innervate different regions of the brain, including protocerebra, mushroom bodies and suboesophageal ganglion. We found that dopamine receptors are highly enriched in the mushroom bodies and that aversive and appetitive olfactory learning is strongly impaired in dopamine receptor mutants. Genetically interfering with dopaminergic signaling supports this finding, although our data do not exclude on naïve odor and sugar preferences of the larvae. Our data suggest that dopaminergic neurons provide input to different brain regions including protocerebra, suboesophageal ganglion and mushroom bodies by more than one route. We therefore propose that different types of dopaminergic neurons might be involved in different types of signaling necessary for aversive and appetitive olfactory memory formation respectively, or for the retrieval of these memory traces. Future studies of the dopaminergic system need to take into account such cellular dissociations in function in order to be meaningful

High-Resolution Optical Coherence Tomography in Healthy Individuals Provides Resolution at the Cellular and Subcellular Levels.

PURPOSE To assess the clinical resolution capacities of a novel high-resolution optical coherence tomography (High-Res OCT). METHODS Eight healthy volunteers were included in this observational study. Using the SPECTRALIS High-Res OCT device (Heidelberg Engineering, Heidelberg) macular b-scans were taken and compared with b-scans acquired with a SPECTRALIS HRA+OCT device (Heidelberg Engineering, Heidelberg). High-Res OCT scans were also compared with hematoxylin and eosin-stained sections from a human donor retina. RESULTS High-Res OCT allowed identification of several retinal structures at the cellular and subcellular levels, namely, cell nuclei of ganglion cells, displaced amacrine cells, cone photoreceptors and retinal pigment epithelial cells compared with the commercial device. Rod photoreceptor nuclei were partially detectable. Localization of cell type-specific nuclei were confirmed by histological sections of human donor retina. Additionally, all three plexus of the retinal vasculature could be visualized. CONCLUSIONS SPECTRALIS High-Res OCT device provides improved resolution compared with the conventional SPECTRALIS HRA+OCT device and allows to identify structures at the cellular level, similar to histological sections. TRANSLATIONAL RELEVANCE High-Res OCT shows improved visualization of retinal structures in healthy individuals and can be used to assess individual cells within the retina

Numerical treatment of the vectorial equations of solar oscillations

Driven by the challenging task of finding robust discretization methods for Galbrun&#39;s equation, we investigate conditions for stability and different aspects of robustness for different finite element schemes on a simplified version of the equations. The considered PDE is a second order indefinite vector-PDE which remains if only the highest order terms of Galbrun&#39;s equation are taken into account. A key property for stability is a Helmholtz-type decomposition which results in a strong connection between stable discretizations for Galbrun&#39;s equation and Stokes and nearly incompressible linear elasticity problems