Galanthamin als AChE-Inhibitor : Beiträge zum rationalen Wirkstoffdesign

von Christian PilgerPaderborn, Univ.-GH, Diss., 200

Assessing full thickness oral mucosal grafting: complications and postoperative outcomes in a broad collective of patients

Background: Conjunctival defects can be repaired with several mucosal tissues. The simplicity of harvesting oral mucosa and its wide availability makes it the preferred graft tissue for all indications requiring mucosal grafting. Through analysing the postsurgical outcomes and rate of revisions, this study explores the suitability of oral mucosa grafts, depending on the initial diagnosis. Methods: We reviewed all the files of patients with a history of oral mucosal graft surgery, performed at our clinic between 2012 and 2018, focusing on complications and revision rates. Results: In total, we analysed 173 oral mucosa grafts in 131 patients. The most common initial diagnosis was tumour resection, followed by surgical complications, postenucleation socket syndrome, trauma and ocular surface disorders. Complication and revision rates depended highly on the initial diagnosis. Revision rates were highest if the initial diagnosis included ocular surface disorders or chemical trauma. Conclusions: Oral mucosa grafting (OMG) is the most effective treatment for a wide range of ocular conditions involving conjunctival defects. Conjunctival defects that result from trauma or cicatricial surface diseases seem less suitable for OMG and may benefit from alternative graft tissue or treatment options

Consecutive wildfires affect stream biota in cold- and warmwater dryland river networks

Citation: Whitney, J. E., Gido, K. B., Pilger, T. J., Propst, D. L., & Turner, T. F. (2015). Consecutive wildfires affect stream biota in cold- and warmwater dryland river networks. Freshwater Science, 34(4), 1510-1526. doi:10.1086/683391Climate change and fire suppression have altered fire regimes globally, leading to larger, more frequent, and more severe wildfires. Responses of coldwater stream biota to single wildfires are well studied, but measured responses to consecutive wildfires in warmwater systems that often include mixed assemblages of native and nonnative taxa are lacking. We quantified changes in physical habitat, resource availability, and biomass of cold- and warmwater oligochaetes, insects, crayfish, fishes, and tadpoles following consecutive megafires (covering >100 km(2)) in the upper Gila River, New Mexico, USA. We were particularly interested in comparing responses of native and nonnative fishes that might have evolved under different disturbance regimes. Changes in habitat and resource availability were related to cumulative fire effects, fire size, and postfire precipitation. The 2nd of 2 consecutive wildfires in the basin was larger and, coupled with moderate postfire discharge, resulted in increased siltation and decreased algal biomass. Several insect taxa responded to these fires with reduced biomass, whereas oligochaete biomass was unaffected. Biomass of 6 of 7 native fish species decreased after the fires, and decreases were associated with site proximity to fire. Nonnative fish decreases after fire were most pronounced for coldwater salmonids, and warmwater nonnative fishes exhibited limited responses. All crayfish and tadpoles collected were nonnative and were unresponsive to fire disturbance. More pronounced responses of native insects and fishes to fires indicate that increasing fire size and frequency threatens the persistence of native fauna and suggests that management activities promoting ecosystem resilience might help ameliorate wildfire effects

Exploring the precision of femtosecond laser-assisted descemetorhexis in Descemet membrane endothelial keratoplasty

Objective Descemet membrane endothelial keratoplasty (DMEK) remains a challenging technique. We compare the precision of femtosecond laser-assisted DMEK to manual DMEK. Methods and Analysis A manual descemetorhexis (DR) of 8 mm diameter was compared with a femtosecond laser-assisted DR of the same diameter (femto-DR) in 22 pseudophakic patients requiring DMEK. We used OCT images with a centred xy-diagram to measure the postoperative precision of the DR and the amount of endothelial denuded area. Endothelial cell loss (ECL) and best corrected visual acuity were measured 3 months after surgery. Results In the manual group, the median error of the DR was 7% (range 3%-16%) in the x-diameter and 8% (range 2%-17%) in the y-diameter. In the femto group, the median error in the respective x and y-diameters was 1% (range 0.4%-3%) and 1% (range 0.006%-2.5%), smaller than in the manual group (p=0.001). Endothelial denuded areas were larger in the manual group (11.6 mm(2), range 7.6-18 mm(2)) than in the femto group (2.5 mm(2), range 1.25.9 mm(2)) (p<0.001). The ECL was 21% (range 5%-78%) in the manual DR and 17% (range 6%-38%) in the femto-DR group (p=0.351). The median visual acuity increased from 0.4 logMAR (range 0.6-0.4 logMAR) in both groups to 0.1 logMAR (range 0.4-0 logMAR) in the manual group and to 0.1 logMAR (range 0.3-0 logMAR) in the femto group (p=0.461). Three rebubblings were required in the manual group, whereas the femto group required only one. Conclusion The higher precision of the femto-DR bears the potential to improve DMEK surgery

Sex determination in Bonellia viridis (Echiura : Bonelliidae) : population dynamics and evolution

In the echiuran worm Bonellia viridis Rolando, the vast majority of sexually undifferentiated larvae metamorphose into dwarf males that live inside the female when exposed to females, but differentiate into females when developing in the absence of females. By means of a spatially explicit, individual-based model the authors examine how this specific form of environmental sex determination (ESD) affects dynamics of Bonellia populations and investigate the selective advantage of ESD over the more widespread genotypic sex determination (GSD). Population dynamics of Bonellia appear rather simple and not too sensitive to parameter changes around their measured values, or to changes in distribution and sizes of inhabitable patches. Starting even from low sizes, populations soon attain equilibrium densities. Explored aspects of population dynamics indicate an advantage of ESD over GSD. Moreover, simulated invasibility experiments show that while the maternal inheritance scenario allows for fixation of GSD under some limited conditions, both the classical and proportional inheritance scenarios always lead to fixation of ESD in the population. This article also shows that only the ability of ESD larvae to adapt their ultimate sex both in competition for empty burrows and for mating within females gives them a competitive edge over nonadaptive response to feminising and/or masculinising signals and generally leads to fixation of ESD by small step evolution. The original hypothesis of Charnov and Bull thus needs to be refined in the sense that along with females forming an unpredictable resource for males, empty burrows are an unpredictable resource for femalespeer-reviewe

Retrospective, controlled observational case study of patients with central retinal vein occlusion and initially low visual acuity treated with an intravitreal dexamethasone implant

Background Patients with initially low visual acuity were excluded from the therapy approval studies for retinal vein occlusion. But up to 28 % of patients presenting with central retinal vein occlusion have a baseline BCVA of less than 34 ETDRS letters (0.1). The purpose of our study was to assess visual acuity and central retinal thickness in patients suffering from central retinal vein occlusion and low visual acuity (<0.1) in comparison to patients with visual acuity (≥0.1) treated with Dexamethasone implant 0.7 mg for macular edema. Methods Retrospective, controlled observational case study of 30 eyes with macular edema secondary to central retinal vein occlusion, which were treated with a dexamethasone implantation. Visual acuity, central retinal thickness and intraocular pressure were measured monthly. Analyses were performed separately for eyes with visual acuity <0.1 and ≥0.1. Results Two months post intervention, visual acuity improved only marginally from 0.05 to 0.07 (1 month; p = 0,065) and to 0.08 (2 months; p = 0,2) in patients with low visual acuity as compared to patients with visual acuity ≥0.1 with an improvement from 0.33 to 0.47 (1 month; p = 0,005) and to 0.49 (2 months; p = 0,003). The central retinal thickness, however, was reduced in both groups, falling from 694 to 344 μm (1 month; p = 0.003,) to 361 μm (2 months; p = 0,002) and to 415 μm (3 months; p = 0,004) in the low visual acuity group and from 634 to 315 μm (1 month; p < 0,001) and to 343 μm (2 months; p = 0,001) in the visual acuity group ≥0.1. Absence of visual acuity improvement was related to macular ischemia. Conclusions In patients with central retinal vein occlusion and initially low visual acuity, a dexamethasone implantation can lead to an important reduction of central retinal thickness but may be of limited use to increase visual acuity

The New Rulers of The World

John Pilger is one of the world\u27s most renowned investigative journalists and documentary film-makers. In this fully updated collection, he reveals the secrets and illusions of modern imperialism. Beginning with Indonesia, he shows how General Suharto\u27s bloody seizure of power in the 1960s was part of a western design to impose a \u27global economy\u27 on Asia. A million Indonesians died as the price for being the World Bank\u27s \u27model pupil\u27. Ina shocking chapter on Iraq, he allows us to understand the true nature of the West\u27s war against the people of that country. And he dissects, piece by piece, the propaganda of the \u27war on terror\u27 to expose its Orwellian truth. Finally, he looks behind the picture postcard of his homeland, Australia, to illuminate an enduring legacy of imperialism, the subjugation on the First Australians

The 'liberation' truth is unmentionable in America

Commentary:&nbsp;In Baghdad, the rise and folly of rapacious imperial power is commemorated in a forgotten cemetery called the North Gate. Dogs are its visitors; the rusted gates are padlocked, and skeins of traffic fumes hang over its parade of crumbling headstones and unchanging historical truth. Lieutenant-General Sir Stanley Maude is buried here, in a mausoleum befitting his station, if not the cholera to which he succumbed. In 1917, he declared: ‘Our armies do not come...as conquerors or enemies, but as liberators.’ Within three years, 10,000 had died in an uprising against the British, who gassed and bombed those they called ‘miscreants’. It was an adventure from which British imperialism in the Middle East never recovered