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    Nonlocality is transitive

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    We show a transitivity property of nonlocal correlations: There exist tripartite nonsignaling correlations of which the bipartite marginals between A and B as well as B and C are nonlocal and any tripartite nonsignaling system between A, B, and C consistent with them must be such that the bipartite marginal between A and C is also nonlocal. This property represents a step towards ruling out certain alternative models for the explanation of quantum correlations such as hidden communication at finite speed. Whereas it is not possible to rule out this model experimentally, it is the goal of our approach to demonstrate this explanation to be logically inconsistent: either the communication cannot remain hidden, or its speed has to be infinite. The existence of a three-party system that is pairwise nonlocal is of independent interest in the light of the monogamy property of nonlocality.Comment: 4 pages, 2 figures, v2: published versio

    Evaluierung der hygienischen Wasserqualität unter besonderer Berücksichtigung von Bakteriophagen am Beispiel eines Tagebausees

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    Objective: National and supranational directives (EU-bathing water directiv, WHO directives) exist to examine the bathing-water quality with concern to public health criteria. E.coli, Intestinal enterococci and Enteroviruses serve as indicators for the contamination of a water with pathogenic bacteria and viruses. As an valuable indicators for the viral contamination bacteriophages are discussed. The aim of this work is the evaluation of somatic and F+ RNA coliphages as indicators of a contamination with enteric viruses considering a lignite mining lake as example. Approach: In weekly intervals, the concentration of bacterial and viral indicators, as well as the presence or absence of enteric viruses in the mining lake "Werbeliner See" (central German lignite mining area), in the flooding water and in the sewage plant Leipzig-Rosental, which significantly influences the flooding water, was examined. The paramters E.coli, Intestinal enterococci and spores of Clostridium perfringens serve as indicators for the hygienic state. As possible indicators of a viral contamination, somatic and F+ RNA coliphages were examined. Several hygienic relevant enteric viruses (Entero-, Noro-, Astro-, Adeno-, Rota- and Hepatitis A-viruses) were detected by means of adequate molecular biological methods and enumerated. Results: 1. The sewage plant Leipzig-Rosental eliminated fecal bacteria and bacteriophages very efficiently (about two logs), however the reduction of E.coli and enterococci was significant higher then the reduction of Cl.perfringens-spores and bacteriophages. The purification capacity benefits from the application of chemical precipitants (Fe (III) cloride / sulfate). 2. The reduction of genomes of Noro-, Astro- and Enteroviruses by the sewage plant was in the range of one to two logs. 3. All examined viruses could be detected in the inflow and the outflow of the sewage plant during the time of examination. 4. The concentration of fecal bacteria in the lake Werbeliner See was very low. The requirements by the EU-bathing water directive (76/160/EWG) with 2000 . (100 ml)-1 (E.coli, imperial value) and 100 . (100 ml)-1 (enterococci, guide value), respectively, were under-run clearly, also concerning the individual sampling days. 81 % and 92 % of the samples of the lake Werbeliner See (except the inflow site) were below the detection limit of 0,1 PFU . ml-1 for somatic and F+ RNA coliphages, respectively. 5. In contrast, DNA and RNA of all examined virus could be found in the lake. Quantitative PCR reveald a virus load between 0 und 105 Gen.equiv. . l-1 for Entero-, Noro- and Astroviruses. 6. The detection of infectious Enteroviruses on BGM cell lines yielded one positve sample (=1,2%). Since the concentration of Enterovirus genomes in the quantitative PCR was three to four log-steps lower then this of the Noro- and Astroviruses, one could specualte, that the concentration of infectious Noro- and Astroviruses in the lake was quite high. 7. The low rate of positive infectious Enteroviruses in the lake reflects the low concentration of bacteriophages. But the direct comparison of the concentration of bacteriophages with the concentration of infectious Enteroviruses in the flooding water casts doubt on the indicatior value of bacteriophages regarding Enteroviruses. In conclusion, this finding suggests that an exclusive indication of bacteriophages concerning a contamination with Enteroviruses is not possible. 8. The use of bacteriophages as indicators of a wider range of enteric viruses could attenuate this discrepancy by the epidemiological more frequent appearance of enteric viruses as a sum. 9. In this context bacteriophages could, due to their comparatively high resistence, have a key function in the assesment of the hygienic quality of a water sample.Problemstellung: Um die hygienische Qualität von Badegewässern zu beurteilen existieren nationale und übernationale Richtlinien (EU-Badegewässerrichtlinie, WHO-Richtlinien). E.coli, Intestinale Enterokokken und Enteroviren dienen dabei als Indikatoren für die Belastung des Gewässers mit humanpathogenen Keimen bzw. Viren. Als Indikatoren für die virale Belastung sind in diesem Zusammenhang unter anderem Bakteriophagen im Gespräch. Gegenstand dieser Arbeit sind die Evaluierung von Somatischen und F+ RNA Coliphagen als Indikatoren für die Kontamination mit enteralen Viren am Beispiel eines Tagebausee sowie die Dokumentation der hygienischen Wasserqualität des Tagebausees unter Berücksichtigung des Flutungswassers. Vorgehensweise: In wöchentlichen Routineuntersuchungen wurden die Konzentrationen bakterieller und viraler Indikatoren, sowie die An- oder Abwesenheit enteraler Viren im Tagebausee "Werbeliner See" untersucht. Verschiedene, hygienische relevante enterale Viren (Entero-, Noro-, Astro-, Adeno-, Rotaviren, sowie Hepatitis A-Viren) wurden mittels geeigneter molekularbiologischer und zellkultureller Methoden detektiert und quantifiziert. Ergebnisse: 1. Die Kläranlage Leipzig-Rosental eliminierte sehr effizient (ca. zwei Größenordnungen) fäkale Bakterien und Bakteriophagen, wobei die Reduktion von E.coli und Enterokokken signifikant höher war als die von Cl.perfringens-Sporen und Bakteriophagen. Die Reinigungsleistung wird durch den Einsatz von chemischen Fällmitteln (Eisen-(III)-Chlorid / -Sulfat-Salze) begünstigt. 2. Noro-, Astro- und Enteroviren, für die quantitative Untersuchungen durchgeführt worden, konnten durch die Kläranlage um ein bis zwei Größenordnungen reduziert werden. 3. Alle untersuchten Viren konnten in Zu- und Ablauf der Kläranlage molekularbiologisch nachgewiesen werden. 4. Die Konzentration fäkaler Bakterien im Werbeliner See war sehr gering. Die Vorgaben der EU-Badegewässerrichtlinie (76/160/EWG) von 2000 . (100 ml)-1 (E.coli, Grenzwert) bzw. 100 . (100 ml)-1 (Enterokokken, Leitwert) wurden dabei, auch bezogen auf die einzelnen Probenahmetage, deutlich unterschritten. 81 % bzw. 92 % der Seeproben (außer Einleitungsstelle) lagen unterhalb der Nachweisgrenze von 0,1 PFU . ml-1 für Somatische- bzw. F+ RNA Coliphagen. 5. Im Kontrast dazu konnte DNA bzw. RNA aller untersuchten Viren im See gefunden werden. Die genomische Viruslast der mittels real-time-PCR detektierten Entero-, Noro- und Astroviren lag zwischen 0 und 105 Gen.äquiv. . l-1. 6. Der Nachweis infektiöser Enteroviren auf BGM-Zellen im Werbeliner See ergab ein einzelnes positives Ergebnis im Untersuchungszeitraum (= 1,2 %). Allerdings lag die Konzentration detektierter Enteroviren-Genome im Mittel drei bis vier Größenordnungen unter der Konzentration von Noro- und Astroviren. Es kann deshalb spekuliert werden, dass für diese Viren ebenfalls ein hoher Anteil infektiöser Proben zu erwarten gewesen wäre. 7. Die niedrige Nachweisrate infektiöser Enteroviren im Werbeliner See spiegelte sich in der sehr niedrigen Konzentration an Bakteriophagen wider. Allerdings lässt der direkte Vergleich der Bakteriophagenkonzentration mit dem Nachweis infektiöser Enteroviren im Flutungswasser Zweifel am Indikatorwert von Bakteriophagen für eine Kontamination mit Enteroviren aufkommen. Eine exklusive Indikation von Bakteriophagen bezüglich einer Kontamination mit Enteroviren scheint anhand dieser Befunde nicht möglich. 8. E.coli und Enterokokken wurden in Laborversuchen unter verschiedenen Versuchsbedingungen signifikant schneller inaktiviert als Somatische Coliphagen und Noroviren. Gleiches galt im Vergleich zu Cl. perfringens-Sporen, Astroviren und F+ RNA Coliphagen. 9. Bakteriophagen könnten deshalb auf Grund ihrer vergleichsweise hohen Resistenz eine wichtige Schlüsselfunktion für die Beurteilung der hygienischen Qualität einer Wasserprobe spielen

    Vital Pulp Therapy of Permanent Teeth with Reversible or Irreversible Pulpitis: An Overview of the Literature.

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    Vital pulp therapy (VPT) has been recently proposed as an alternative approach even in symptomatic mature permanent teeth with deep caries' lesions, aiming to maintain the pulp vitality over time and/or to avoid non-surgical root canal therapy (NSRCT). However, to date, the diagnosis of reversible or irreversible pulpitis is only based on clinical pain quantity and quality, without precisely reflecting the pulp inflammation status. Therefore, the aim of the present study was to provide an overview based on the current scientific literature to demonstrate the clinical effectiveness of VPT on mature permanent teeth, validating the use of hydraulic calcium silicate-based cements and their role in pain management. VPT may be successfully applied not only in mature permanent teeth diagnosed with reversible pulpitis, but also in permanent dental elements with signs and symptoms of irreversible pulpitis. Hydraulic cements showed favorable outcomes in terms of decrease of pro-inflammatory mediators and of post-operative pain. Pain plays a central role in the chance to perform VPT in mature permanent teeth, since it may be considered as a pre-operative diagnostic criterion as well as a treatment success parameter. In addition, proper assessment of pulp inflammation and choice of appropriate materials are key factors in enhancing VPT success

    Evaluation of an Artificial Intelligence-based Detector of Sub- and Intra-Retinal Fluid on a large set of OCT volumes in AMD and DME

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    Introduction: In this retrospective cohort study, we wanted to evaluate the performance and analyze the insights of an artificial intelligence (AI) algorithm in detecting retinal fluid in spectral-domain OCT volume scans from a large cohort of patients with neovascular age-related macular degeneration (AMD) and diabetic macular edema (DME). Methods: A total of 3’981 OCT volumes from 374 patients with AMD and 11’501 OCT volumes from 811 patients with DME, acquired with Heidelberg Spectralis OCT device (Heidelberg Engineering Inc., Heidelberg, Germany) between 2013 and 2021. Each OCT volume was annotated for the presence or absence of intraretinal fluid (IRF) and subretinal fluid (SRF) by masked reading center graders (ground truth). The performance of an already published AI-algorithm to detect IRF, SRF separately and a combined fluid detector (IRF and/or SRF) of the same OCT volumes was evaluated. An analysis of the sources of disagreement between annotation and prediction and their relationship to central retinal thickness was performed. We computed the mean areas under the curves (AUC) and under the precision-recall curves (AP), accuracy, sensitivity, specificity and precision. Results: The AUC for IRF was 0.92 and 0.98, for SRF 0.98 and 0.99, in the AMD and DME cohort, respectively. The AP for IRF was 0.89 and 1.00, for SRF 0.97 and 0.93, in the AMD and DME cohort, respectively. The accuracy, specificity and sensitivity for IRF was 0.87, 0.88, 0.84, and 0.93, 0.95, 0.93, and for SRF 0.93, 0.93, 0.93, and 0.95, 0.95, 0.95 in the AMD and DME cohort respectively. For detecting any fluid, the AUC was 0.95 and 0.98, the accuracy, specificity and sensitivity was 0.89, 0.93, 0.90 and 0.95, 0.88 and 0.93, in the AMD and DME cohort, respectively. False positives were present when retinal shadow artifacts and strong retinal deformation were present. False negatives were due to small hyporeflective areas in combination with poor image quality. The combined detector correctly predicted more OCT volumes than the single detectors for IRF and SRF, 89.0% versus 81.6% in the AMD and 93.1% versus 88.6% in the DME cohort. Discussion/Conclusion: The AI-based fluid detector achieves high performance for retinal fluid detection in a very large dataset dedicated to AMD and DME. Combining single detectors provides better fluid detection accuracy than considering the single detectors separately. The observed independence of the single detectors ensures that the detectors learned features particular to IRF and SRF

    Evaluation of Active Shoulder Exoskeleton Support to Deduce Application-Oriented Optimization Potentials for Overhead Work

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    Repetitive overhead work with a heavy load increases the risk for work-related shoulder disorders. Occupational exoskeletons supporting arm elevation are potential solutions to reduce that risk by lowering the physical strains on the shoulder. Many studies have reported a reduction in shoulder stress in various overhead tasks by using such exoskeletons. However, the support demand can vary in each phase of motion as well as in each individual task. This paper presents a laboratory study with five participants to evaluate the influence of the support level of an active shoulder exoskeleton in different motion phases (e.g., arm lifting, screw-in, and arm lowering of two overhead tasks) to identify the potential optimization of support at each phase. Results show that the support level of the exoskeleton should be adapted to the motion phase of the two chosen tasks. A higher support force is desired for the screw phase compared to the arm lifting and lowering phases, and the support level needs to be reduced immediately for arm lowering after the screw phase. The time for switching the support levels can be recognized by the electric current of the screwdriver

    Characterization of Blf4, an Archaeal Lytic Virus Targeting a Member of the Methanomicrobiales

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    Today, the number of known viruses infecting methanogenic archaea is limited. Here, we report on a novel lytic virus, designated Blf4, and its host strain Methanoculleus bourgensis E02.3, a methanogenic archaeon belonging to the Methanomicrobiales, both isolated from a commercial biogas plant in Germany. The virus consists of an icosahedral head 60 nm in diameter and a long non-contractile tail of 125 nm in length, which is consistent with the new isolate belonging to the Siphoviridae family. Electron microscopy revealed that Blf4 attaches to the vegetative cells of M. bourgensis E02.3 as well as to cellular appendages. Apart from M. bourgensis E02.3, none of the tested Methanoculleus strains were lysed by Blf4, indicating a narrow host range. The complete 37 kb dsDNA genome of Blf4 contains 63 open reading frames (ORFs), all organized in the same transcriptional direction. For most of the ORFs, potential functions were predicted. In addition, the genome of the host M. bourgensis E02.3 was sequenced and assembled, resulting in a 2.6 Mbp draft genome consisting of nine contigs. All genes required for a hydrogenotrophic lifestyle were predicted. A CRISPR/Cas system (type I-U) was identified with six spacers directed against Blf4, indicating that this defense system might not be very efficient in fending off invading Blf4 virus

    The EICAT+ framework enables classification of positive impacts of alien taxa on native biodiversity

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    Species introduced through human-related activities beyond their native range, termed alien species, have various impacts worldwide. The IUCN Environmental Impact Classification for Alien Taxa (EICAT) is a global standard to assess negative impacts of alien species on native biodiversity. Alien species can also positively affect biodiversity (for instance, through food and habitat provisioning or dispersal facilitation) but there is currently no standardized and evidence-based system to classify positive impacts. We fill this gap by proposing EICAT+, which uses 5 semiquantitative scenarios to categorize the magnitude of positive impacts, and describes underlying mechanisms. EICAT+ can be applied to all alien taxa at different spatial and organizational scales. The application of EICAT+ expands our understanding of the consequences of biological invasions and can inform conservation decisions

    Real-time geospatial surveillance of localized emotional stress responses to COVID-19: A proof of concept analysis.

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    The COVID-19 pandemic has highlighted the need for improved disease surveillance efforts to guide local responses. These surveillance efforts stand to contribute to the detection and mitigation of viral spread, but also for the detection, and mitigation of the chronic health conditions that are also increasing in parallel with the spread of the virus
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