Adhäsive Kapsulitis der Schulter

Erworben im Rahmen der Schweizer Nationallizenzen (http://www.nationallizenzen.ch)Hintergrund: Patienten mit adhäsiver Kapsulitis der Schulter („frozen shoulder“) leiden unter eingeschränkter Beweglichkeit, Schmerzen und Alltagsbehinderungen. Der spontane Krankheitsverlauf beträgt durchschnittlich 2 Jahre. Für Kliniker stellt sich oft die Frage, ob sie ein konservatives oder operatives Vorgehen empfehlen können. Ziel: Ziel dieses Literaturreviews war es, die Wirksamkeit von operativen Interventionen mittels Narkosemobilisation oder Kapselrelease mit konservativen Maßnahmen, insbesondere manueller Therapie, bei Patienten mit „frozen shoulder“ für klinisch relevante Outcomes wie Schmerzen, Beweglichkeit und Alltagsbehinderung direkt miteinander zu vergleichen. Methode: Eine Literaturrecherche wurde in relevanten medizinischen Datenbanken durchgeführt. Die methodologische Qualität geeigneter Studien wurde durch 2 Autoren unabhängig voneinander bewertet. Der Evidenzgrad der Studien wurde bestimmt. Ergebnisse: Die Suche ergab 230 Studien. Nach Titel- und Abstract-Screening verblieben 11 Studien, 6 Studien eigneten sich zum Einschluss. Die methodologische Qualität der Studien sowie der Evidenzgrad variierten stark. Mit einer Ausnahme gab es keine statistisch signifikanten Unterschiede weder kurz-, mittel- noch langfristig zwischen operativem und konservativem Vorgehen für die genannten Outcomes. Beim kurzfristigen (3 Wochen) Outcome zeigte eine Studie einen größeren Effekt für das Outcome Alltagsbehinderung zugunsten der Narkosemobilisation, der zu späteren Messzeitpunkten nicht mehr feststellbar war. Schlussfolgerung: Ein operatives Vorgehen mit Narkosemobilisation bei der „frozen shoulder“ erscheint aufgrund aktueller Evidenz nicht gerechtfertigt. Ein konservatives Vorgehen nach bestehenden Richtlinien wird empfohlen

On the Conundrum of the Heat Capacityof Metallic Nanoclasters

The heat capacity of nanoclusters was investigated using thermodynamics of surfaces, taking into account the surface enthalpy introduced by E. Guggenhein. It is shown that the cluster heat capacity Cp should be greater than the heat capacity C(b)p of the corresponding bulk phase. However, the (Cp - C(b)p)/ C(b)p  ratio should not exceed 50% up to very small clusters containing 100 atoms. Theoretical estimations agree with molecular dynamics results. So, experimental data on metallic nanoclusters and nanostructures demonstrating that Cp exceeds C(b)p in 2-5 times should be incorrect

An effector-reduced anti-β-amyloid (Aβ) antibody with unique aβ binding properties promotes neuroprotection and glial engulfment of Aβ.

Passive immunization against β-amyloid (Aβ) has become an increasingly desirable strategy as a therapeutic treatment for Alzheimer's disease (AD). However, traditional passive immunization approaches carry the risk of Fcγ receptor-mediated overactivation of microglial cells, which may contribute to an inappropriate proinflammatory response leading to vasogenic edema and cerebral microhemorrhage. Here, we describe the generation of a humanized anti-Aβ monoclonal antibody of an IgG4 isotype, known as MABT5102A (MABT). An IgG4 subclass was selected to reduce the risk of Fcγ receptor-mediated overactivation of microglia. MABT bound with high affinity to multiple forms of Aβ, protected against Aβ1-42 oligomer-induced cytotoxicity, and increased uptake of neurotoxic Aβ oligomers by microglia. Furthermore, MABT-mediated amyloid plaque removal was demonstrated using in vivo live imaging in hAPP((V717I))/PS1 transgenic mice. When compared with a human IgG1 wild-type subclass, containing the same antigen-binding variable domains and with equal binding to Aβ, MABT showed reduced activation of stress-activated p38MAPK (p38 mitogen-activated protein kinase) in microglia and induced less release of the proinflammatory cytokine TNFα. We propose that a humanized IgG4 anti-Aβ antibody that takes advantage of a unique Aβ binding profile, while also possessing reduced effector function, may provide a safer therapeutic alternative for passive immunotherapy for AD. Data from a phase I clinical trial testing MABT is consistent with this hypothesis, showing no signs of vasogenic edema, even in ApoE4 carriers

Effect of microstructural evolution on magnetic properties of Ni thin films

Copyright © Indian Academy of Sciences.The magnetic properties of Ni thin films, in the range 20–500 nm, at the crystalline-nanocrystalline interface are reported. The effect of thickness, substrate and substrate temperature has been studied. For the films deposited at ambient temperatures on borosilicate glass substrates, the crystallite size, coercive field and magnetization energy density first increase and achieve a maximum at a critical value of thickness and decrease thereafter. At a thickness of 50 nm, the films deposited at ambient temperature onto borosilicate glass, MgO and silicon do not exhibit long-range order but are magnetic as is evident from the non-zero coercive field and magnetization energy. Phase contrast microscopy revealed that the grain sizes increase from a value of 30–50 nm at ambient temperature to 120–150 nm at 503 K and remain approximately constant in this range up to 593 K. The existence of grain boundary walls of width 30–50 nm is demonstrated using phase contrast images. The grain boundary area also stagnates at higher substrate temperature. There is pronounced shape anisotropy as evidenced by the increased aspect ratio of the grains as a function of substrate temperature. Nickel thin films of 50 nm show the absence of long-range crystalline order at ambient temperature growth conditions and a preferred [111] orientation at higher substrate temperatures. Thin films are found to be thermally relaxed at elevated deposition temperature and having large compressive strain at ambient temperature. This transition from nanocrystalline to crystalline order causes a peak in the coercive field in the region of transition as a function of thickness and substrate temperature. The saturation magnetization on the other hand increases with increase in substrate temperature.University Grants Commission for Centre of Advanced Studies in Physic

A chemically modified antibody mediates complete eradication of tumours by selective disruption of tumour blood vessels

These results reinforce the concept that vascular shutdown can induce a curative avalanche of tumour cell death. Immuno-photodynamic therapy may be particularly indicated for squamous cell carcinoma of the skin, which we show to be strongly positive for markers of angiogenesis

Relationships among nutrient enrichment, detritus quality and quantity, and large-bodied shredding insect community structure

This is a post-peer-review, pre-copyedit version of an article published in Hydrobiologia. The final authenticated version is available online at: https://doi.org/10.1007/s10750-015-2208-2Anthropogenic nutrient enrichment of forested headwater streams can enhance detrital quality, decrease standing stocks, and alter the community structure of detrivorous insects, reducing nutrient retention and decreasing ecosystem functioning. Our objective was to determine if stoichiometric principles could be used to predict genus-specific shifts in shredding insect abundance and biomass across a dissolved nutrient and detritus food quality/quantity gradient. Detritus, insect, and water samples were collected from 12 Ozark Highland headwater streams. Significant correlations were found between stream nutrients and detrital quality but not quantity. Abundance and biomass responses of four out of five tested genera were accurately predicted by consumerresource stoichiometric theory. Low carbon:phosphorus (C:P) shredders responded positively to increased total phosphorus and/or food quality, and high C:P shredders exhibited neutral or negative responses to these variables. Genus-specific declines were correlated with decreased overall biomass in shredder assemblages, potentially causing disruptions in nutrient flows to higher level consumers with nutrient enrichment. This work provides further evidence that elevated nutrients may negatively impact shredding insect communities by altering the stoichiometry of detritus–detritivore interactions. A better understanding of stoichiometric mechanisms altering macroinvertebrate populations is needed to help inform water quality criteria for the management of headwater streams

The population biology and evolutionary significance of Ty elements in Saccharomyces cerevisiae

The basic structure and properties of Ty elements are considered with special reference to their role as agents of evolutionary change. Ty elements may generate genetic variation for fitness by their action as mutagens, as well as by providing regions of portable homology for recombination. The mutational spectra generated by Ty 1 transposition events may, due to their target specificity and gene regulatory capabilities, possess a higher frequency of adaptively favorable mutations than spectra resulting from other types of mutational processes. Laboratory strains contain between 25–35 elements, and in both these and industrial strains the insertions appear quite stable. In contrast, a wide variation in Ty number is seen in wild isolates, with a lower average number/genome. Factors which may determine Ty copy number in populations include transposition rates (dependent on Ty copy number and mating type), and stabilization of Ty elements in the genome as well as selection for and against Ty insertions in the genome. Although the average effect of Ty transpositions are deleterious, populations initiated with a single clone containing a single Ty element steadily accumulated Ty elements over 1,000 generations. Direct evidence that Ty transposition events can be selectively favored is provided by experiments in which populations containing large amounts of variability for Ty1 copy number were maintained for ∼100 generations in a homogeneous environment. At their termination, the frequency of clones containing 0 Ty elements had decreased to ∼0.0, and the populations had became dominated by a small number of clones containing >0 Ty elements. No such reduction in variability was observed in populations maintained in a structured environment, though changes in Ty number were observed. The implications of genetic (mating type and ploidy) changes and environmental fluctuations for the long-term persistence of Ty elements within the S. cerevisiae species group are discussed.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/42799/1/10709_2004_Article_BF00133718.pd