15.Radiation survival and colony size of human epidermal keratinocytes in the presence of keratinocyte growth factor (rhKGF)

The capacity of recombinant human keratinocyte growth factor (rhKGF) to ameliorate the radiation response of mouse oral mucosa and other epithelial tissues was recently reported. However, the exact mechanisms of action of KGF remain unclear. The aim of the present study was to investigate the effect of rhKGF on survival and colony size of normal human epidermal keratinocytes in vitro. Primary human neonatal keratinocytes (HEKn) were irradiated with doses of 0 Gy and 2 Gy (200 kV X-rays) and incubated in the presence or absence of 100ng/ml rhKGF. Plating efficiency (PE) and surviving fraction (SF2) were determined in a clonogenic assay. In cell cultures without rhKGF the mean PE was 4.6%. Irradiation with 2 Gy resulted in a SF2 of 51%. In cell cultures with rhKGF, the mean PE was identical (4.6%). After irradiation with 2 Gy, a similar SF2 of 54% was observed, indicating that KGF did not change the survival characteristics of HEKn keratinocytes. Individual colony size, however, in all cultures incubated with rhKGF was significantly increased compared to incubation without rhKGF. The number of extremely large colonies (□2 mm) was clearly higher (p=0.0000) with rhKGF-containing culture medium. In conclusion, rhKGF does not affect keratinocyte survival after irradiation, but stimulates proliferation of surviving cells

High-sensitivity cardiac troponin T and copeptin assays to improve diagnostic accuracy of exercise stress test in patients with suspected coronary artery disease

Background: The average diagnostic sensitivity of exercise stress tests (ESTs) is lower than that of other non-invasive cardiac stress tests. The aim of the study was to examine whether high-sensitivity cardiac troponin T (hs-cTnT) or copeptin concentrations rise in response to inducible myocardial ischaemia and may improve the diagnostic accuracy of ESTs. Methods and results: An EST was performed stepwise on a bicycle ergometer by 383 consecutive patients with suspected or progression of coronary artery disease (CAD). In addition venous blood samples for measurement of hs-cTnT and copeptin were collected prior to EST, at peak exercise, and 4 h after EST. Coronary angiography was assessed for all patients. Patients with significant CAD (n=224) were more likely to be male and older compared to patients with non-significant CAD (n=169). Positive EST was documented in 125 (55.8%) patients with significant CAD and in 69 (43.4%) patients with non-significant CAD. Copeptin and hs-cTnT concentrations at baseline were higher in patients with significant CAD (copeptin: 10.8 pmol/l (interquartile range (IQR) 8.1–15.6) vs 9.4 pmol/l (IQR 7.1–13.9); p=0.04; hs-cTnT: 3.0 ng/l (IQR <3.0–5.4) vs <3.0 ng/l (IQR <3.0); p=0.006). Hs-cTnT improved sensitivity (61.6% vs 55.8%), specificity (67.7% vs 56.6%) and the positive predictive value (PPV) (72.3% vs 64.4%) and negative (55.2% vs 47.6%) predictive value (NPV) of EST. Copeptin could not improve sensitivity (55.4% vs 55.8%) and reduced specificity, PPV and NPV. Conclusions: The measurement of hs-cTnT during EST improves sensitivity, specificity, and positive and negative predictive values. In contrast, measurement of copeptin does not improve diagnostic sensitivity and reduces specificity

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Paleotethys was a highly mobile oceanic realm pinching into the supercontinent Pangea between Gondwana and Eurasia in the late Paleozoic/early Mesozoic. Published Paleotethyan reconstructions reveal that the time of Paleotethys closure and the position of its suture are highly debated. We present new magmatic and detrital zircon ages, separated from pre-Alpine basement and Permian to Triassic cover rocks exposed in the External Hellenides of Crete. These age data reveal Variscan and Cimmerian docking of microplates along the southern margin of Laurasia and help to constrain the time of Paleotethys closure.46% of detrital zircons from quartzite in the Variscan basement, are Pennsylvanian with concordant ages at 321. ±. 2. Ma, 310. ±. 3. Ma, and 300. ±. 3. Ma. The basement is unconformably overlain by arc-related volcanics of the Tyros Unit, magmatic zircons of which yielded a concordant U-Pb zircon age at 285. ±. 2. Ma. Thus, the metasediments of the basement, interpreted as former trench sediments, were deposited, metamorphosed and exhumed in latest Carboniferous to early Permian times (302-283. Ma). Magmatic activity during this late Variscan phase is also indicated by igneous boulders within Olenekian (meta)conglomerates of the Tyros Unit, which yielded concordant U-Pb zircon ages at 291. ±. 2 and 310. ±. 2. Ma. The late Variscan orogenic phase is attributed to the collision of the Gondwana-derived southern Minoan terrane (SMT) with Laurasia subsequent to northward subduction of Paleotethys lithosphere and Viséan collision of the northern Minoan terrane (NMT).Magmatic activity ceased during the late Permian, but revived in the Lower Triassic as is indicated by felsic volcanics (249. ±. 2. Ma, concordant U-Pb zircon) and by detrital zircons (242. ±. 3, 240. ±. 5. Ma, 237. ±. 3. Ma concordant U-Pb zircon) of the Tyros Unit. At the same time the Variscan chain was exhumed and removed as is shown by the detritus in the Lower to Middle Triassic Tyros sediments, which includes high-grade metamorphic rocks and detrital zircons with U-Pb ages ranging from 280 to 335. Ma.A significant change in the detrital components occurred in the Ladinian when the Variscan basement with its Permo-Triassic cover was thrust on top of clastic sediments, today represented by the Phyllite-Quartzite Unit s.str. The Phyllite-Quartzite Unit s.str. shows Cadomian and older - but no Variscan - detritus because of its position along the northern margin of the Cimmerian ribbon continent. Thus, in the eastern Mediterranean, Paleotethys was closed during the Ladinian and the related suture in the External Hellenides is situated between the Variscan basement (active margin in the north) and the Phyllite-Quartzite Unit s.str (passive margin in the south). Carnian crustal extension led to subsidence of the Variscan/Cimmerian chain, most parts of which merged below sea level. This is the reason why 90% of the detritus of the Carnian Tyros Beds are not related to the Variscan, but to the Cadomian and Grenvillian basement of the E-Gondwana derived Cimmerian ribbon continent

Monitoring of tritium purity during long-term circulation in the KATRIN test experiment LOOPINO using laser Raman spectroscopy

The gas circulation loop LOOPINO has been set up and commissioned at Tritium Laboratory Karlsruhe (TLK) to perform Raman measurements of circulating tritium mixtures under conditions similar to the inner loop system of the neutrino-mass experiment KATRIN, which is currently under construction. A custom-made interface is used to connect the tritium containing measurement cell, located inside a glove box, with the Raman setup standing on the outside. A tritium sample (purity > 95%, 20 kPa total pressure) was circulated in LOOPINO for more than three weeks with a total throughput of 770 g of tritium. Compositional changes in the sample and the formation of tritiated and deuterated methanes CT_(4-n)X_n (X=H,D; n=0,1) were observed. Both effects are caused by hydrogen isotope exchange reactions and gas-wall interactions, due to tritium {\beta} decay. A precision of 0.1% was achieved for the monitoring of the T_2 Q_1-branch, which fulfills the requirements for the KATRIN experiment and demonstrates the feasibility of high-precision Raman measurements with tritium inside a glove box

Optical properties of (AlxGa1-x)(0.52)In0.48P at the crossover from a direct-gap to an indirect-gap semiconductor

The optical properties and the dynamics of excitons and the electron-hole plasma have been studied in disordered (AlxGa1−x)0.52In0.48P near to the direct-to-indirect band gap crossover. In particular we have investigated three epitaxial layers grown by solid-source molecular beam epitaxy with varying Al content x. Two of them have compositions in the immediate vicinity of the crossover point, the other is assigned to the indirect-gap regime. Both direct and indirect recombination processes contribute to the photon emission from the material. Since the relative importance of the different recombination processes depends strongly on temperature, excitation intensity, and excitation pulse duration, the processes can be identified by changing these parameters. As a result, we can determine the relative alignment of the conduction band minima and the distribution of the electrons among them. At high excitation levels the two crossover samples show stimulated emission at a photon energy of ∼2.29 eV, i.e., in the green spectral range. Using the variable stripe length method, we find an optical gain of up to ∼600 cm−1 at excitation levels of ∼350 kW/cm2.Stimulated emission involves direct recombination. This conclusion is reached from the experiments and from line-shape modeling, including a self-consistent treatment of populations and renormalization of the conduction band minima

Interface driven magnetoelectric effects in granular CrO2

Antiferromagnetic and magnetoelectric Cr2O3-surfaces strongly affect the electronic properties in half metallic CrO2. We show the presence of a Cr2O3 surface layer on CrO3 grains by high-resolution transmission electron microscopy. The effect of these surface layers is demonstrated by measurements of the temperature variation of the magnetoelectric susceptibility. A major observation is a sign change at about 100 K followed by a monotonic rise as a function of temperature. These electric field induced moments in CrO3 are correlated with the magnetoelectric susceptibility of pure Cr2O3. This study indicates that it is important to take into account the magnetoelectric character of thin surface layers of Cr2O3 in granular CrO2 for better understanding the transport mechanism in this system. The observation of a finite magnetoelectric susceptibility near room temperature may find utility in device applications.Comment: Figure 1 with strongly reduced resolutio

Automatic focus algorithms for TDI X-Ray image reconstruction

In food industry, most products are checked by X-rays for contaminations. These X-ray machines continuously scan the product passing through. To minimize the required X-ray power, a Time, Delay and Integration (TDI) CCD-sensor is used to capture the image. While the product moves across the sensor area, the X-ray angle changes during the pass. As a countermeasure, adjusting the sensor shift speed on a single focal plane of the product can be selected. However, the changing angle result in a blurred image in dependance to the thickness of the product. This so-called ''laminographic effect'' can be compensated individually for one plane by inverse filtering. As the plane of contamination is unknown, the blurred image will be inversely filtered for different planes, but only one of these images shows the correctly focussed object. If the correct image can be found, the plane containing the contamination is identified. In this contribution we demonstrate how the correctly focussed images can be found by analyzing the images of all planes. Different characteristics for correctly and incorrectly focussed planes like sharpness, number of objects and edges are investigated by using image processing algorithms

Pylorus Resection Does Not Reduce Delayed Gastric Emptying After Partial Pancreatoduodenectomy A Blinded Randomized Controlled Trial (PROPP Study, DRKS00004191)

Objectives: The aim of this study was to investigate the effect of pylorus resection on postoperative delayed gastric emptying (DGE) after partial pancreatoduodenectomy (PD). Background: PD is the standard treatment for tumors of the pancreatic head. Preservation of the pylorus has been widely accepted as standard procedure. DGE is a common complication causing impaired oral intake, prolonged hospital stay, and postponed further treatment. Recently, pylorus resection has been shown to reduce DGE. Methods:Patients undergoing PD for any indication at the University of Heidelberg were randomized to either PD with pylorus preservation (PP) or PD with pylorus resection and complete stomach preservation (PR). The primary endpoint was DGE within 30 days according to the International Study Group of Pancreatic Surgery definition. Results: Ninety-five patients were randomized to PP and 93 patients to PR. There were no baseline imbalances between the groups. Overall, 53 of 188 patients (28.2%) developed a DGE (grade: A 15.5%;B 8.8%;C 3.3%). In the PP group 24 of 95 patients (25.3%) and in the PR group 29 of 93 patients (31.2%) developed DGE (odds ratio 1.534, 95% confidence interval 0.788 to 2.987;P = 0.208). Higher BMI, indigestion, and intraabdominal major complications were significant risk factors for DGE. Conclusions: In this randomized controlled trial, pylorus resection during PD did not reduce the incidence or severity of DGE. The development of DGE seems to be multifactorial rather than attributable to pyloric dysfunction alone. Pylorus preservation should therefore remain the standard of care in PD.Trial Registration:German Clinical Trials Register DRKS0000419

Impact of preoperative patient education on the prevention of postoperative complications after major visceral surgery: the cluster randomized controlled PEDUCAT trial

Background: The prevention of postoperative complications is of prime importance after complex elective abdominal operations. Preoperative patient education may prevent postoperative complications and improve patients’ wellbeing, but evidence for its efficacy is poor. The aims of the PEDUCAT trial were (a) to assess the impact of preoperative patient education on postoperative complications and patient-reported outcomes in patients scheduled for elective complex visceral surgery and (b) to evaluate the feasibility of cluster randomization in this setting. Methods: Adult patients (age ≥ 18 years) scheduled for elective major visceral surgery were randomly assigned in clusters to attend a preoperative education seminar or to the control group receiving the department’s standard care. Outcome measures were the postoperative complications pneumonia, deep vein thrombosis (DVT), pulmonary embolism, burst abdomen, and in-hospital fall, together with patient-reported outcomes (postoperative pain, anxiety and depression, patient satisfaction, quality of life), length of hospital stay (LOS), and postoperative mortality within 30 days after the index operation. Statistical analysis was primarily by intention to treat. Results: In total 244 patients (60 clusters) were finally included (intervention group 138 patients; control group 106 patients). Allocation of hospital wards instead of individual patients facilitated study conduct and reduced confusion about group assignment. In the intervention and control groups respectively, pneumonia occurred in 7.4% versus 8.3% (p = 0.807), pulmonary embolism in 1.6% versus 1.0% (p = 0.707), burst abdomen in 4.2% versus 1.0% (p = 0.165), and in-hospital falls in 0.0% versus 4.2% of patients (p = 0.024). DVT did not occur in any of the patients. Mortality rates (1.4% versus 1.9%, p = 0.790) and LOS (14.2 (+/− 12.0) days versus 16.1 (+/− 15.0) days, p = 0.285) were also similar in the intervention and control groups. Conclusions: Cluster randomization was feasible in the setting of preoperative patient education and reduced the risk of contamination effects. The results of this trial indicate good postoperative outcomes in patients undergoing major visceral surgery without superiority of preoperative patient education compared to standard patient care at a high-volume center. However, preoperative patient education is a helpful instrument not only for teaching patients but also for training the nursing staff. Trial registration: German Clinical Trials Registry, DRKS00004226 . Registered on 23 October 2012. Registered 8 days after the first enrollment