738 research outputs found

    Letalität auf der Warteliste und Transplantation bei Leberallokation nach MELD Score in Deutschland - erste prospektive Ergebnisse bei 100 Patienten

    Get PDF
    Einleitung: Am 16.12.06 wurde im Eurotransplant-Gebiet der MELD-Score (MELD) als Allokationsbasis zur Lebertransplantation (OLT) eingeführt. Ziel ist eine Reduktion der Sterblichkeit auf der Warteliste. Material und Methoden: 100 Patienten wurden in die prospektive Analyse der MELD-Allokation vom 16.12.06 bis 15.09.07 einbezogen. Ergebnisse: Aktuell warten 68 Pat., 28 Pat. wurden transplantiert, 4 Pat. sind auf der Warteliste (WL) verstorben (4%). Der mittlere MELD auf der WL beträgt 17,2 +/- 5,2 (7-28). Bei 12 Pat. liegt eine Standard-exception (SE) (n=10 HCC, n=2 metabolische Erkrankung) mit einem Match-MELD von 25,6 +/-2,06 vor (24-28). Die Todesursachen der vier auf der WL verstorbenen Pat. waren eine akute Varizenblutung (MELD 9), zwei kardiale Versagen (MELD 13, 18) und eine MRSA-Sepsis (MELD 29, NT-Status). Die 28 transplantierten Pat. hatte zum Zeitpunkt der Transplantation einen mittleren MELD von 27,66 +/- 5,1 Punkten (21 bis 40). 20 Pat. wurden aufgrund des Labor-MELD (28,4 +/- 5,3, 24-40) transplantiert, wobei 7 Pat. einen MELD über 30 aufwiesen. Die Wartezeit lag bei 11,55 +/- 5,3 Tagen. 8 Pat. erhielten bei SE bei HCC (MELD 24 +/- 0, 24) ein Organ nach einer Wartezeit von 320 +/- 9,7 Tagen. Aktuell leben 23 der 28 transplantierten Pat. Bei zwei verstorbenen Pat. war die Todesursache ein kardiales Versagen, bei zwei Patienten eine primäre Non-Funktion sowie ein septisches Multiorganversagen. Schlussfolgerung: Während der ersten Monate der MELD Allokation lag die Letalität auf der WL in unserem Zentrum bei 4%. Patienten mit einem mittleren MELD über 27 erhielten Organangebote und konnten nach kurzer Wartezeit transplantiert werden

    Variation of the layer thickness to study the electrical property of PECVD Al2O3 / c-Si interface

    Get PDF
    AbstractThis paper focusses in particular on the influence of the layer thickness on the passivation quality, the charge density and the interface defects of PECVD Al2O3 passivation layers on c-Si surfaces. The surface recombination velocity and the interface defect density are observed to increase by decreasing the layer thickness. However, the density of negative charges remains almost constant with values around 3 1012cm-2. An optimal passivation quality is obtained for thicknesses of 15nm and higher. A linear relation between surface recombination velocity and Dit was established, allowing the estimation of the electron capture cross section (σn ∼ 10-13cm-2).Additionally, we measured the capture cross section of holes and electrons using DLTS measurement. The results are found to be very similar to reported values for silicon dioxide. This supports the idea that the chemical passivation of crystalline silicon by Al2O3 is performed by the interstitial SiO2 layer

    Competition of fusion and quasi-fission in the reactions leading to production of the superheavy elements

    Full text link
    The mechanism of fusion hindrance, an effect observed in the reactions of cold, warm and hot fusion leading to production of the superheavy elements, is investigated. A systematics of transfermium production cross sections is used to determine fusion probabilities. Mechanism of fusion hindrance is described as a competition of fusion and quasi-fission. Available evaporation residue cross sections in the superheavy region are reproduced satisfactorily. Analysis of the measured capture cross sections is performed and a sudden disappearance of the capture cross sections is observed at low fusion probabilities. A dependence of the fusion hindrance on the asymmetry of the projectile-target system is investigated using the available data. The most promising pathways for further experiments are suggested.Comment: 8 pages, 7 figures, talk presented at 7th International School-Seminar on Heavy-Ion Physics, May 27 - June 1, 2002, Dubna, Russi

    Defining the Schistosoma haematobium kinome enables the prediction of essential kinases as anti-schistosome drug targets

    Get PDF
    The blood fluke Schistosoma haematobium causes urogenital schistosomiasis, a neglected tropical disease (NTD) that affects more than 110 million people. Treating this disease by targeted or mass administration with a single chemical, praziquantel, carries the risk that drug resistance will develop in this pathogen. Therefore, there is an imperative to search for new drug targets in S. haematobium and other schistosomes. In this regard, protein kinases have potential, given their essential roles in biological processes and as targets for drugs already approved by the US Food and Drug Administration (FDA) for use in humans. In this context, we defined here the kinome of S. haematobium using a refined bioinformatic pipeline. We classified, curated and annotated predicted kinases, and assessed the developmental transcription profiles of kinase genes. Then, we prioritised a panel of kinases as potential drug targets and inferred chemicals that bind to them using an integrated bioinformatic pipeline. Most kinases of S. haematobium are very similar to those of its congener, S. mansoni, offering the prospect of designing chemicals that kill both species. Overall, this study provides a global insight into the kinome of S. haematobium and should assist the repurposing or discovery of drugs against schistosomiasis

    Low-temperature mechanical dissipation of thermally evaporated indium film for use in interferometric gravitational wave detectors

    Get PDF
    Indium bonding is under consideration for use in the construction of cryogenic mirror suspensions in future gravitational wave detectors. This paper presents measurements of the mechanical loss of a thermally evaporated indium film over a broad range of frequencies and temperatures. It provides an estimate of the resulting thermal noise at 20 K for a typical test mass geometry for a cryogenic interferometric gravitational wave detector from an indium layer between suspension elements

    Os isotopic composition and Os and Re distribution in the active mound of the TAG hydrothermal system, Mid-Atlantic Ridge

    Get PDF
    Drilling during ODP Leg 158 took place on the active mound of the TAG hydrothermal field on the Mid-Atlantic Ridge. The dominant mineral precipitating from the hydrothermal fluid is pyrite. Its Re and Os concentration and the Os isotopic composition provide constraints on the nature of the hydrothermal fluid circulating in the TAG mound. The 187Os/186Os ratios of massive pyrite samples vary from 4.9 to 8.9. The highest ratios have been observed in the upper part of the sulfide mountain (<20 mbsf) and the lowest in the stockwork zone at ~80 mbsf. This range of Os isotopic compositions is likely the result of mixing of seawater with hydrothermal fluid. The Os concentrations are very low, ranging from 0.04 to 4.2 ppt, and the massive pyrite zone at the top of the mound is enriched in Os relative to the interior of the hydrothermal system. A hyperbolic relationship between Os isotopic composition and Os concentration reflects the systematic addition of seawater-derived Os to the hydrothermal Os component at stratigraphically shallower levels. From this relationship it is estimated that pyrite precipitating from the hydrothermal fluid contains 0.02 to 0.04 ppt Os provided the 187Os/186Os value of the fluid ranges from about 1.3 to 4.7. Because of the great mobility of Os in the high-temperature hydrothermal system, it is assumed that its partition coefficient between pyrite and hydrothermal fluid is <1. This implies that the hydrothermal fluid contains more than 0.02 ppt Os. The occurrence of anhydrite-rich lithologies at ~30–40 mbsf corroborates that seawater is penetrating the hydrothermal system and contaminating the hydrothermal fluid circulating in the upper part of the mound. This partly explains why the Os of sulfides that precipitated above this level has a strong seawater-like isotopic signature. In addition, the massive pyrite zone of the upper part of the TAG mound formed by accumulation of sulfides derived from chimneys and the fall-out material of the hydrothermal plume above the TAG field. Both sulfide components formed during mixing of seawater and hydrothermal fluid and their Os should also have a distinct seawater component. These processes, especially the entrainment of seawater, appear to control the distribution of Os and Re within the hydrothermal system. The Os enrichment in the upper part of the mound can be explained if the element is co-precipitated with sulfides or adsorbed on mineral surface during the accumulation of sulfides on the TAG mound. As a significant amount of Os can be dissolved in the hydrothermal fluid, remobilization of Os within the hydrothermal system could lead to further Os enrichment at the top of the mound but to very low Os concentrations in the stockwork zone. The Re concentrations indicate a distribution opposite to that of Os: the highest concentrations of about 60 ppb have been observed more than 15 mbsf, but the concentrations decrease from 50 to 2 ppb in samples from the top of the sulfide mound (<15 mbsf). The behavior of Re appears to be controlled by the redox conditions in the TAG hydrothermal system, which, in turn, could be determined by the relative proportions of oxidized seawater and reduced hydrothermal fluid. Deep within the mound, where the hydrothermal fluid component dominates, Re is rather immobile and becomes concentrated. In the upper part of the sulfide mound where larger quantities of seawater mix with the fluid, however, the redox potential should be more oxidizing, and Re would be more soluble and released to the ocean

    Determination of the mixing ratio of a flowing gas mixture with self-actuated microcantilevers

    Get PDF
    Microcantilevers offer a wide range of applications in sensor and measurement technology. In this work cantilever sensors are used as flow sensors. Most conventional flow sensors are often only calibrated for one type of gas and allow an analysis of gas mixtures only with increased effort. The sensor used here is a cantilever positioned vertically in the flow channel. It is possible to operate the sensor in dynamic and static mode. In the dynamic mode the cantilever is oscillating. Resonance frequency, resonance amplitude and phase are measured. In static mode, the bending of the cantilever is registered. The combination of the modes enables the different measured variables to be determined simultaneously. A flow influences the movement behaviour of the sensor, which allows the flow velocity to be deduced. In addition to determining the flow velocity, it is also possible to detect different types of gas. Each medium has certain properties (density and viscosity) which have different effects on the bending of the sensor. As a result, it is possible to measure the mixing ratio of a known binary gas mixture and their flow velocity simultaneously with a single sensor. In this paper this is investigated using the example of the air–carbon-dioxide mixture
    corecore