@article{SherifInceManiucetal.2015, author = {Sherif, Mohammad A. and Ince, H{\"u}seyin and Maniuc, Octavian and Reiter, Therese and Voelker, Wolfram and Ertl, Georg and {\"O}ner, Alper}, title = {Two-dimensional transesophageal echocardiography for aortic annular sizing in patients undergoing transcatheter aortic valve implantation}, series = {BMC Cardiovascular Disorders}, volume = {15}, journal = {BMC Cardiovascular Disorders}, number = {181}, doi = {10.1186/s12872-015-0181-3}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-136002}, year = {2015}, abstract = {Background: Accurate preoperative assessment of the aortic annulus dimension is crucial for successful transcatheter aortic valve implantation (TAVI). In this study we examined the accuracy of a novel method using two-dimensional transesophageal echocardiography (2D-TEE) for measurement of the aortic annulus. Methods: We evaluated the theoretical impact of the measurement of the annulus diameter and area using the circumcircle of a triangle method on the decision to perform the procedure and choice of the prosthesis size. Results: Sixty-three consecutive patients were scheduled for TAVI. Mean age was 82 +/- 4 years, and 25 patients (55.6 \%) were female. Mean aortic annulus diameter was 20.3 +/- 2.2 mm assessed by TEE on the mid-esophageal long-axis view and 23.9 +/- 2.3 mm using CT (p < 0.001). There was a tendency for the TEE derived areas using the new method to be higher (p < 0.001). The TEE measurements were on average 42.33 mm(2) higher than the CT measurements without an evidence of a systematic over-or under-sizing (p = 1.00). Agreement between TEE and CT chosen valve sizes was good overall (kappa = 0.67 and weighted kappa = 0.71). For patients who turned out to have no AR, the two methods agreed in 84.6 \% of patients. Conclusions: CT remanis the gold standard in sizing of the aortic valve annulus. Nevertheless, sizing of the aortic valve annulus using TEE derived area may be helpful. The impact of integration of this method in the algorithm of aortic annulus sizing on the outcome of patients undergoing TAVI should be examined in future studies.}, language = {en} } @article{RostasBlassmann2009, author = {Rost{\´a}s, Michael and Blassmann, Katrin}, title = {Insects had it first: surfactants as a defence against predators}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-35031}, year = {2009}, abstract = {Insects have evolved an astonishing array of defences to ward off enemies. Well-known and widespread is the regurgitation of oral secretions (OS), fluids that repel attacking predators. In herbivores, the effectiveness of OS has been ascribed so far to the presence of deterrent secondary metabolites sequestered from the host plant. This notion implies, however, that generalists experience less protection on plants with low amounts of secondary metabolites or with compounds ineffective against potential enemies. Resolving the dilemma, we describe a novel defence mechanism that is independent of deterrents as it relies on the OS' intrinsic detergent properties. The OS of Spodoptera exigua (and other species) was found to be highly amphiphilic and well capable of wetting the hydrophobic cuticle of predatory ants. As a result, affected ants stopped attacking and engaged in extensive cleansing. The presence of surfactants was sufficient to explain the defensive character of herbivore OS. We hypothesize that detergency is a common but unrecognised mode of defence which provides a base level of protection that may or may not be further enhanced by plant-derived deterrents. Our study also proves that insects 'invented' the use of defensive surfactants long before modern agriculture had started applying them as insecticides.}, subject = {Pflanzenfressende Insekten}, language = {en} }