Dargebotsnachweise für Grundwasserentnahmen

Die mit dem Sommer 2018 einsetzende Grundwasserdürre in Sachsen führte zum Trockenfallen von Brunnen und Quellen, aber gleichzeitig auch zu einer steigenden Nachfrage an der Nutzung der Grundwasserressource. Weiterhin projizieren Klima- und Wasserhaushaltsmodelle für Sachsen regional-spezifische Rückgänge der mittleren Grundwasserneubildung. Um die langfristigen Planungen der Wasserversorgung sowie die nachhaltige Bewirtschaftung des Grundwassers zu qualifizieren, wurden Anforderungen und methodische Grundlagen zur Erstellung von Dargebotsnachweisen für Grundwasserentnahmen aktualisiert. Leitfadenbestandteile zur Auswertung und Darstellung beobachteter und modellierter Wasserhaushaltsdaten sollen Antragstellern von Grundwasserentnahmen und wasserrechtlichen Vollzugsbehörden bei der Abschätzung prognostischer Grundwasserdargebote unterstützen. Redaktionsschluss: 18.08.202

Peak Troponin I Levels Are Associated with Functional Outcome in Intracerebral Hemorrhage

Background: Troponin I is a widely used and reliable marker of myocardial damage and its levels are routinely measured in acute stroke care. So far, the influence of troponin I elevations during hospital stay on functional outcome in patients with atraumatic intracerebral hemorrhage (ICH) is unknown. Methods: Observational single-center study including conservatively treated ICH patients over a 9-year period. Patients were categorized according to peak troponin I level during hospital stay (≤0.040, 0.041–0.500, > 0.500 ng/mL) and compared regarding baseline and hematoma characteristics. Multivariable analyses were performed to investigate independent associations of troponin levels during hospital stay with functional outcome – assessed using the modified Rankin Scale (mRS; favorable 0–3/unfavorable 4–6) – and mortality after 3 and 12 months. To account for possible confounding propensity score (PS)-matching (1: 1; caliper 0.1) was performed accounting for imbalances in baseline characteristics to investigate the impact of troponin I values on outcome. Results: Troponin elevations (> 0.040 ng/mL) during hospital stay were observed in 308 out of 745 (41.3%) patients and associated with poorer status on admission (Glasgow Coma Scale/National Institute of Health Stroke Scale). Multivariable analysis revealed troponin I levels during hospital stay to be independently associated with unfavorable outcome after 12 months (risk ratio [95% CI]: 1.030 [1.009–1.051] per increment of 1.0 ng/mL; p = 0.005), but not with mortality. After PS-matching, patients with troponin I elevation (≥0.040 ng/mL) versus those without had a significant higher rate of ­unfavorable outcome after 3 and 12 months (mRS 4–6 at 3 months: < 0.04 ng/mL: 159/265 [60.0%] versus ≥0.04 ng/mL: 199/266 [74.8%]; p < 0.001; at 12 months: < 0.04 ng/mL: 141/248 [56.9%] versus ≥0.04 ng/mL: 179/251 [71.3%]; p = 0.001). Conclusions: Troponin I elevations during hospital stay occur frequently in ICH patients and are independently associated with functional outcome after 3 and 12 months but not with mortality

A Specific Reduction in A beta(1-42) vs. a Universal Loss of A beta Peptides in CSF Differentiates Alzheimer's Disease From Meningitis and Multiple Sclerosis

A reduced concentration of A beta(1-42) in CSF is one of the established biomarkers of Alzheimer's disease Reduced CSF concentrations of A beta(1-42) have also been shown in multiple sclerosis, viral encephalitis and bacterial meningitis As neuroinflammation is one of the neuropathological hallmarks of Alzheimer's disease, an infectious origin of the disease has been proposed According to this hypothesis, amyloid pathology is a consequence of a microbial infection and the resulting immune defense Accordingly, changes in CSF levels of amyloid-beta peptides should be similar in AD and inflammatory brain diseases A beta(1-42) and A beta(1-40) levels were measured in cerebrospinal fluid by ELISA and Western blotting in 34 patients with bacterial meningitis (n = 9), multiple sclerosis (n = 5) or Alzheimer's disease (n = 9) and in suitable controls (n = 11) Reduced concentrations of A beta(1-42) were detected in patients with bacterial meningitis, multiple sclerosis and Alzheimer's disease However, due to a concurrent reduction in A beta(1-40) in multiple sclerosis and meningitis patients, the ratio of A beta(1-42)/A beta(1-40) was reduced only in the CSF of Alzheimer's disease patients Urea-SDS-PAGE followed by Western blotting revealed that all A beta peptide variants are reduced in bacterial meningitis, whereas in Alzheimer's disease, only A beta(1-42) is reduced These results have two implications First, they confirm the discriminatory diagnostic power of the A beta(1-42)/A beta(1-40) ratio Second, the differential pattern of A beta peptide reductions suggests that the amyloid pathology in meningitis and multiple sclerosis differs from that in AD and does not support the notion of AD as an infection-triggered immunopathology

Longer metaphase and fewer chromosome segregation errors in modern human than Neanderthal brain development

Since the ancestors of modern humans separated from those of Neanderthals, around 100 amino acid substitutions spread to essentially all modern humans. The biological significance of these changes is largely unknown. Here, we examine all six such amino acid substitutions in three proteins known to have key roles in kinetochore function and chromosome segregation and to be highly expressed in the stem cells of the developing neocortex. When we introduce these modern human-specific substitutions in mice, three substitutions in two of these proteins, KIF18a and KNL1, cause metaphase prolongation and fewer chromosome segregation errors in apical progenitors of the developing neocortex. Conversely, the ancestral substitutions cause shorter metaphase length and more chromosome segregation errors in human brain organoids, similar to what we find in chimpanzee organoids. These results imply that the fidelity of chromosome segregation during neocortex development improved in modern humans after their divergence from Neanderthals

Seronegative myasthenic crisis: a multicenter analysis

Myasthenic crisis (MC) is a life-threatening condition for patients with myasthenia gravis (MG). Seronegative patients represent around 10–15% of MG, but data on outcome of seronegative MCs are lacking. We performed a subgroup analysis of patients who presented with MC with either acetylcholine-receptor-antibody-positive MG (AChR-MG) or seronegative MG between 2006 and 2015 in a retrospective German multicenter study. We identified 15 seronegative MG patients with 17 MCs and 142 AChR-MG with 159 MCs. Seronegative MCs were younger (54.3 ± 14.5 vs 66.5 ± 16.3 years; p = 0.0037), had a higher rate of thymus hyperplasia (29.4% vs 3.1%; p = 0.0009), and were more likely to be female (58.8% vs 37.7%; p = 0.12) compared to AChR-MCs. Time between diagnosis of MG and MC was significantly longer in seronegative patients (8.2 ± 7.6 vs 3.1 ± 4.4 years; p < 0.0001). We found no differences in duration of mechanical ventilation (16.2 ± 15.8 vs 16.5 ± 15.9 days; p = 0.94) and length of stay at intensive care unit (17.6 ± 15.2 vs 17.8 ± 15.4 days; p = 0.96), or in-hospital mortality (11.8% vs. 10.1%; p = 0.69). We conclude that MC in seronegative MG affects younger patients after a longer period of disease, but that crisis treatment efficacy and outcome do not differ compared to AChR-MCs

Dargebotsnachweise für Grundwasserentnahmen

Die mit dem Sommer 2018 einsetzende Grundwasserdürre in Sachsen führte zum Trockenfallen von Brunnen und Quellen, aber gleichzeitig auch zu einer steigenden Nachfrage an der Nutzung der Grundwasserressource. Weiterhin projizieren Klima- und Wasserhaushaltsmodelle für Sachsen regional-spezifische Rückgänge der mittleren Grundwasserneubildung. Um die langfristigen Planungen der Wasserversorgung sowie die nachhaltige Bewirtschaftung des Grundwassers zu qualifizieren, wurden Anforderungen und methodische Grundlagen zur Erstellung von Dargebotsnachweisen für Grundwasserentnahmen aktualisiert. Leitfadenbestandteile zur Auswertung und Darstellung beobachteter und modellierter Wasserhaushaltsdaten sollen Antragstellern von Grundwasserentnahmen und wasserrechtlichen Vollzugsbehörden bei der Abschätzung prognostischer Grundwasserdargebote unterstützen. Redaktionsschluss: 18.08.202

Large-Scale Hydrological Modeling and Decision-Making for Agricultural Water Consumption and Allocation in the Main Stem Tarim River, China

A large-scale hydrological model (MIKE HYDRO) was established for the purpose of sustainable agricultural water management in the main stem Tarim River, located in northwest China. In this arid region, agricultural water consumption and allocation management are crucial to address the conflicts among irrigation water users from upstream to downstream. The results of model calibration indicated a close correlation between simulated and observed values. Scenarios with the change on irrigation strategies and land use distributions were investigated. Irrigation scenarios revealed that the available irrigation water has significant and varying effects on the yields of different crops. Irrigation water saving could reach up to 40% in the water-saving irrigation scenario. Land use scenarios illustrated that an increase of farmland area in the lower reach gravely aggravated the water deficit, while a decrease of farmland in the upper reaches resulted in considerable benefits for all sub-catchments. A substitution of crops was also investigated, which demonstrated the potential for saving considerable amounts of irrigation water in upper and middle reaches. Overall, the results of this study provide a scientific basis for decision-making on agricultural water consumption and allocation in the study area