Response of carbon fluxes to the 2003 heat wave and drought in three mature forests in Switzerland

The effects of the heat and drought of the summer 2003 on carbon (C) fluxes (soil CO2 efflux, dissolved organic carbon in soil, C from litterfall and C sequestration in tree) were investigated in three mature forests in Switzerland between 2001 and 2005. Measurements of the soil matric potential (Ψ) indicated a gradient in drought intensity at the three sites (Vordemwald, Schänis, Beatenberg) with average Ψ during the summer 2003 of −75, −41 and −5kPa, respectively. In Vordemwald where the drought was the most severe, the hourly soil CO2 efflux declined by about 30% when Ψ<−90kPa. Estimated annual soil CO2 efflux in 2003 was about 10% smaller than effluxes in wetter years (2001, 2002 and 2004) but the differences were not significant. In Schänis and Beatenberg, no suppression of hourly soil CO2 efflux was observed during the summer 2003. The annual efflux in 2003 at both sites was 10-15% larger than the effluxes in the other years but the differences were not significant. DOC concentrations increased during the first rewetting events after the drought in Vordemwald and in Schänis. This was mainly due to a concentration effect due to the low soil water content. Because precipitation was lower in 2003, annual DOC fluxes substantially decreased at the three sites. Carbon sequestration in tree stems in Vordemwald declined by 32% in 2003 compared to the mean 2002-2005. In Beatenberg and Schänis, tree growth responded little to the extreme summer 2003. Litterfall at the three sites showed no marked reaction to the summer 2003. Estimate of annual net ecosystem production (NEP) suggested that the stands in Vordemwald and in Schänis remained a C sink between 2002 and 2005 but that the extreme summer 2003 caused a decrease in NEP. In Beatenberg, the impact on the NEP seemed to be limited in 2003. The annual NEP in 2003 decreased with increasing drought intensity over the three site

The Significance of Vascular Alterations in Acute and Chronic Rejection for Vascularized Composite Allotransplantation.

Vascularized composite allotransplantation (VCA) has emerged as a useful reconstructive option for patients suffering from major tissue defects and functional deficits. While the technical feasibility has been optimized and more than 130 VCAs have been performed during the last two decades, hurdles such as acute and chronic allograft rejection, graft deterioration, and eventual functional impairment need to be addressed. Recently, chronic graft rejection and progressive failure have been linked to vascular alterations observed in the allografts. Graft vasculopathy (GV) may play a pivotal role in long-term graft deterioration. The understanding of the underlying pathophysiological processes and their initial triggers is of utmost importance in the prevention, attenuation, and therapy of GV. While there are reports on the etiology and development of GV in solid organ transplantation, there are limited data with respect to chronic rejection and GV in the realm of VCA. Nevertheless, recent reports from long-term VCA recipients suggest that GV could truly jeopardize allografts in the follow-up evaluation. Chronic rejection and GV include different entities and might have different pathways in distinct organs. Herein, we reviewed the current literature on vascular changes during both acute and chronic allograft rejection, with a focus on their clinical and translational significance for VCA

Abdominal, perineal, and genital soft tissue reconstruction with pedicled anterolateral thigh perforator flaps

Background Pedicled perforator flaps have become a contemporary alternative to muscle flaps for soft tissue reconstruction as they have reduced donor site morbidity, avoid the need for microsurgical transfer, and are versatile and reliable. The anterolateral thigh (ALT) flap was first introduced as a free flap and has since gained popularity as a pedicled flap. Here we review our experience using pedicled ALT flaps for regional soft tissue reconstruction. Methods We retrospectively reviewed all patients who underwent loco-regional soft tissue reconstruction using pedicled ALT flaps between March 2014 and October 2018, with the goal of identifying potential applications of pedicled ALT flaps. The following aspects of each case were reviewed: patient demographics, defect location and size, comorbidities such as previous radiotherapy, flap details, clinical follow-up, and postoperative complications. Results Our analysis demonstrates the versatility of pedicled ALT flaps in a variety of indications to successfully cover large abdominal, perineal, and genital soft tissue defects. Depending on the patient’s needs to achieve more bulk or stability in the reconstruction, the ALT flap was individually tailored with underlying muscle or fascia. The average follow-up was 7 months (range: 3–13 months). Conclusions Pedicled ALT flaps are a valuable reconstructive option for soft tissue defects located within the pedicle’s range, from the lower abdomen to the perianal region. These flaps are usually raised from a non-irradiated donor site and are sufficient for covering extensive soft tissue defects. Three-dimensional reconstruction of the defect using pedicled ALT flaps allows for anatomical function and minor donor sites

Does exceeding the critical loads for nitrogen alter nitrate leaching, the nutrient status of trees and their crown condition at Swiss Long-term Forest Ecosystem Research (LWF) sites?

Nitrogen (N) deposition exceeds the critical loads for this element in most parts of Switzerland apart from the Alps. At 17 sites (8 broadleaved stands, 8 coniferous stands, and 1 mixed stand) of the Swiss Long-term Forest Ecosystem Research network, we are investigating whether N deposition is associated with the N status of the forest ecosystems. N deposition, assessed from throughfall measurements, was related to the following indicators: (1) nitrate leaching below the rooting zone (measured on a subset of 9 sites); (2) the N nutrition of the forest stand based on foliar analyses (16 sites); and (3) crown defoliation, a non specific indicator of tree vitality (all 17 sites). Nitrate leaching ranging from about 2 to 16kgNha−1a−1 was observed at sites subjected to moderate to high total N deposition (>10kgha−1a−1). The C/N ratio of the soil organic layer, or, when it was not present, of the upper 5cm of the mineral soil, together with the pool of organic carbon in the soil, played a critical role, as previous studies have also found. In addition, the humus type may need to be considered as well. For instance, little nitrate leaching (30kgha−1a−1) but characterized by a C/N ratio of 24, large organic C stocks, and a moder humus type. Foliar N concentrations correlated with N deposition in both broadleaved and coniferous stands. In half of the coniferous stands, foliar N concentrations were in the deficiency range. Crown defoliation tended to be negatively correlated with N concentrations in the needles. In the majority of the broadleaved stands, foliar N concentrations were in the optimum nutritional range or, on one beech plot with high total N deposition (>25kgha−1a−1), above the optimum values. There was no correlation between the crown defoliation of broadleaved trees and foliar concentration

Predictors for limb amputation and reconstructive management in electrical injuries

BACKGROUND Electrical injuries follow a specific pathophysiology and may progressively damage both skin and deeper tissues, frequently ending in amputations. Type and timing of soft tissue reconstruction after electrical burns is crucial for proper outcome. The aim of this study was to assess surgical management and outcome of patients with electrical injuries treated at the Zurich Burn Center over the last 15 years, with emphasis on risk factors for amputation and reconstructive strategy. METHODS Patient charts were reviewed retrospectively to identify cases admitted at the Zurich Burns Center (2005-2019). Patient characteristics and surgical management, with a special focus on amputations, reconstruction and outcome were analyzed and risk factors for amputation were assessed. RESULTS Eighty-nine patients were identified and a total of 522 operations were performed. Escharotomy and fasciotomies were performed in 40.5% and 24.7% of cases, respectively, mainly at admission. The total amputation rate was 13.5% (23 amputations, 12 patients). Development of compartment syndrome, rhabdomyolysis, high myoglobin and CK blood levels, kidney failure, sepsis and respiratory complications during the course were related to higher risk of amputation (p < 0.001). Sixty-six flap-based reconstructions were performed (25% cases): 49 loco-regional flaps, 3 distant pedicled flaps, 14 free flaps. Two flaps were lost (flap failure rate 14%). Both flap losses occurred in cases of early reconstruction (within 5-21 days). CONCLUSIONS Electrical injuries are still cause of elevated morbidity and mortality, with high amputation rate. Predictors for amputation can support physicians in the surgical care and decision-making. Reconstruction remains challenging in this type of injury: the surgical management with early decompression, serial necrectomies and delayed early reconstruction remains the procedure of choice at our unit

Relating remotely sensed forest damage data to wind data: storms Lothar (1999) and Vivian (1990) in Switzerland

This study compares the surface wind speed and forest damage data of two exceptionally severe winter storms, Vivian 1990 and Lothar 1999. The study area comprises the region that suffered damage in Switzerland. The wind speed data were derived from simulations of MeteoSwiss (Federal Office of Meteorology and Climatology), measurements during the storm periods and expert analyses of the data. The remotely sensed forest damage data were provided by the Federal Office for the Environment and the forest cover data by Swiss Federal Statistical Office. We compared data on the peak gust and maximum average wind speed, with data on the spatially related forest area and forest damage area, and found some clear differences in the correlations between the different wind data and forest damage. Our results point generally to the damage-causing role of near-surface gusts at maximum wind speeds during the storm. These tended to be spatially distributed on a fine scale. In only a few cases were the results statistically significant. However, these results could probably be improved with better wind data. For example, gust measurements spatially closer to forests or simulations of gusts at maximum wind speed could be produced with a spatially higher resolutio

NMR evaluation of total statin content and HMG-CoA reductase inhibition in red yeast rice (Monascus spp.) food supplements

Background Red yeast rice (i.e., rice fermented with Monascus spp.), as a food supplement, is claimed to be blood cholesterol-lowering. The red yeast rice constituent monacolin K, also known as lovastatin, is an inhibitor of the hydroxymethylglutaryl-CoA (HMG-CoA) reductase. This article aims to develop a sensitive nuclear magnetic resonance (NMR) method to determine the total statin content of red yeast rice products. Methods The total statin content was determined by a 400 MHz 1H NMR spectroscopic method, based on the integration of the multiplet at δ 5.37-5.32 ppm of a hydrogen at the hexahydronaphthalene moiety in comparison to an external calibration with lovastatin. The activity of HMG-CoA reductase was measured by a commercial spectrophotometric assay kit. Results The NMR detection limit for total statins was 6 mg/L (equivalent to 0.3 mg/capsule, if two capsules are dissolved in 50 mL ethanol). The relative standard deviations were consistently lower than 11%. The total statin concentrations of five red yeast rice supplements were between 1.5 and 25.2 mg per specified daily dose. A dose-dependent inhibition of the HMG-CoA reductase enzyme activity by the red yeast rice products was demonstrated. Conclusion A simple and direct NMR assay was developed to determine the total statin content in red yeast rice. The assay can be applied for the determination of statin content for the regulatory control of red yeast rice products

Impact of traffic on \u3b415N, \u3b413C and \u3b418O of needles and annual tree rings of Norway spruce (Picea abiesL.)

Increase of nitrogen depositions, as oxidized (NOx) and reduced (NHx) compounds, has important implications on ecosystem nitrogen cycle. NOx comes predominantly from fossil fuel combustion in car engines and industrial processes, while agricultural activities (cattle farming, fertilizations) are the main sources for NHx emissions. Such fertilisations could stimulate growth and, therefore, productivity of forests, especially in temperate forests, where nitrogen is a limiting factor. On the other hand an excess of nitrogen can lead to an acidification of the soil and have a negative impact on the microbial fauna and structure of plants. NOx and NHx depositions can be separated with the help of stable isotopes with different 15 N-values reported for NOx originating from combustion sources. Consequently it was observed that the nitrogen isotopic composition of the vegetation reflects the isotopic signature of nitrogen sources. Our preliminary results on needles of Norway spruce trees exposed to NOx emissions along a transect perpendicular to a highway close to Faido and Brittnau show a clear isotopic enrichment in 15 N in trees growing closer to traffic pollution, indicating an uptake of atmospheric nitrogen by stomatal pathway. Carbon and oxygen isotopic composition measured in tree rings reveals the physiological response in plants. Trees more exposed to air pollution from traffic show an increase in \u3b413 C and \u3b418 O in tree rings, since mid sixties next to Erstfeld. This could mean a higher photosynthetic activity, enhanced by NOx traffic emissions, under low or not changed stomatal conductance. Our results confirm that stable isotopes of carbon, oxygen and nitrogen measured in needles and tree rings represent an important tool to monitor the impact of NOx load on tree physiology

Outcome of Facial Burn Injuries Treated by a Nanofibrous Temporary Epidermal Layer

Background: The face is commonly affected in thermal injuries, with a demand for proper recognition and the correct choice of treatment to guarantee optimal aesthetic and functional outcomes. It is highly vascularized and often heals conservatively, highlighting the particular relevance of conservative treatment modalities, many of which require daily re-applications or dressing changes, which can be painful and tedious for both the patient and the healthcare providers. Motivated by encouraging results of a novel temporary nanofibrous epidermal layer, we herein present a case series of this technology in a case series of patients suffering from facial burns and treated in our Burn Center. Patients and Methods: Patients with superficial partial-thickness facial burns and mixed pattern burns, which were treated with SpinCare™, an electrospun nanofibrous temporary epidermal layer, between 2019 and 2021, at our institution were analyzed retrospectively. The Manchester scar scale (MSS) and numeric rating scale (NRS) were used for scar, pain, and outcome evaluation at different time points by five independent board-certified plastic surgeons with profound experience in burn surgery. Results: Ten patients (m = 9; f = 1) were treated and evaluated retrospectively. The mean age was 38.8 ± years (SD ± 17.85). The mean healing time was 6.4 days (SD ± 1.56). The mean follow-up was 16.4 months (SD ± 11.33). The mean MSS score was 5.06 (SD ± 1.31), and the mean NRS Score for pain was significantly reduced from initially 7 to 0.875 upon application (mean (pre-application) 7 ± 0.7 and (application) 0.875 ± 1.26; p ≤ 0.0001). Patients reported a NRS score of 10 in terms of functional and cosmetic outcomes at their final follow-up appointment. No adverse effects were observed. Conclusions: The application of a nanofibrous temporary epidermal layer such as SpinCare™ represents a relatively easy-to-use, well-tolerated, and effective alternative for the treatment of partial-thickness facial burns

Characteristics and Immunomodulating Functions of Adipose-Derived and Bone Marrow-Derived Mesenchymal Stem Cells Across Defined Human Leukocyte Antigen Barriers

BackgroundVascularized composite allotransplantation opens new possibilities in reconstructive transplantation such as hand or face transplants. Lifelong immunosuppression and its side-effects are the main drawbacks of this procedure. Mesenchymal stem cells (MSCs) have clinically useful immunomodulatory effects and may be able to reduce the burden of chronic immunosuppression. Herein, we assess and compare characteristics and immunomodulatory capacities of bone marrow- and adipose tissue-derived MSCs isolated from the same human individual across defined human leukocyte antigen (HLA) barriers.Materials and methodsSamples of omental (o.) adipose tissue, subcutaneous (s.c.) adipose tissue, and bone marrow aspirate from 10 human organ donors were retrieved and MSCs isolated. Cells were characterized by flow cytometry and differentiated in three lineages: adipogenic, osteogenic, and chondrogenic. In mixed lymphocyte reactions, the ability of adipose-derived mesenchymal stem cells (ASCs) and bone marrow-derived mesenchymal stem cells (BMSCs) to suppress the immune response was assessed and compared within individual donors. HLA mismatched or mitogen stimulations were analyzed in co-culture with different MSC concentrations. Supernatants were analyzed for cytokine contents.ResultsAll cell types, s.c.ASC, o.ASC, and BMSC demonstrated individual differentiation potential and cell surface markers. Immunomodulating effects were dependent on dose and cell passage. Proliferation of responder cells was most effectively suppressed by s.c.ASCs and combination with BMSC resulted in highly efficient immunomodulation. Immunomodulation was not cell contact-dependent and cells demonstrated a specific cytokine secretion.ConclusionWhen human ASCs and BMSCs are isolated from the same individual, both show effective immunomodulation across defined HLA barriers in vitro. We demonstrate a synergistic effect when cells from the same biologic system were combined. This cell contact-independent function underlines the potential of clinical systemic application of MSCs