TY - JOUR A1 - Widder, A. A1 - Backhaus, J. A1 - Wierlemann, A. A1 - Hering, I. A1 - Flemming, S. A1 - Hankir, M. A1 - Germer, C.-T. A1 - Wiegering, A. A1 - Lock, J. F. A1 - König, S. A1 - Seyfried, F. T1 - Optimizing laparoscopic training efficacy by ’deconstruction into key steps’: a randomized controlled trial with novice medical students JF - Surgical Endoscopy N2 - Background Simulator training is an effective way of acquiring laparoscopic skills but there remains a need to optimize teaching methods to accelerate learning. We evaluated the effect of the mental exercise ‘deconstruction into key steps’ (DIKS) on the time required to acquire laparoscopic skills. Methods A randomized controlled trial with undergraduate medical students was implemented into a structured curricular laparoscopic training course. The intervention group (IG) was trained using the DIKS approach, while the control group (CG) underwent the standard course. Laparoscopic performance of all participants was video-recorded at baseline (t0), after the first session (t1) and after the second session (t2) nine days later. Two double-blinded raters assessed the videos. The Impact of potential covariates on performance (gender, age, prior laparoscopic experience, self-assessed motivation and self-assessed dexterity) was evaluated with a self-report questionnaire. Results Both the IG (n = 58) and the CG (n = 68) improved their performance after each training session (p < 0.001) but with notable differences between sessions. Whereas the CG significantly improved their performance from t0 –t1 (p < 0.05), DIKS shortened practical exercise time by 58% so that the IG outperformed the CG from t1 -t2, (p < 0.05). High self-assessed motivation and dexterity associated with significantly better performance (p < 0.05). Male participants demonstrated significantly higher overall performance (p < 0.05). Conclusion Mental exercises like DIKS can improve laparoscopic performance and shorten practice times. Given the limited exposure of surgical residents to simulator training, implementation of mental exercises like DIKS is highly recommended. Gender, self-assessed dexterity, and motivation all appreciably influence performance in laparoscopic training. KW - laparoscopic skills KW - teaching methods KW - deconstruction into key steps KW - laparoscopic course Y1 - 2022 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-323969 VL - 36 IS - 12 ER - TY - JOUR A1 - Wagner, N. A1 - Crippa, L. A1 - Amaricci, A. A1 - Hansmann, P. A1 - Klett, M. A1 - König, E. J. A1 - Schäfer, T. A1 - Di Sante, D. A1 - Cano, J. A1 - Millis, A. J. A1 - Georges, A. A1 - Sangiovanni, G. T1 - Mott insulators with boundary zeros JF - Nature Communications N2 - The topological classification of electronic band structures is based on symmetry properties of Bloch eigenstates of single-particle Hamiltonians. In parallel, topological field theory has opened the doors to the formulation and characterization of non-trivial phases of matter driven by strong electron-electron interaction. Even though important examples of topological Mott insulators have been constructed, the relevance of the underlying non-interacting band topology to the physics of the Mott phase has remained unexplored. Here, we show that the momentum structure of the Green’s function zeros defining the “Luttinger surface" provides a topological characterization of the Mott phase related, in the simplest description, to the one of the single-particle electronic dispersion. Considerations on the zeros lead to the prediction of new phenomena: a topological Mott insulator with an inverted gap for the bulk zeros must possess gapless zeros at the boundary, which behave as a form of “topological antimatter” annihilating conventional edge states. Placing band and Mott topological insulators in contact produces distinctive observable signatures at the interface, revealing the otherwise spectroscopically elusive Green’s function zeros. KW - electronic properties and materials KW - topological insulators Y1 - 2023 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-358150 VL - 14 ER - TY - JOUR A1 - Gessler, Manfred A1 - König, A. A1 - Bruns, G. A. P. T1 - The genomic organization and expression of the WT1 gene N2 - The Wilms tumor gene WTl, a proposed tumor suppressor gene, has been identifled based on its location within a homozygous deletion found in tumor tissue. The gene encodes a putative transcription factor containing a Cys/His zinc finger domain. The critical homozygous deletions, however, are rarely seen, suggesting that in many cases the gene may be inactivated by more subtle alterations. To facilitate the seareh for smaller deletions and point mutations we have established the genomic organization of the WTl gene and have determined the sequence of all 10 exons and flanking intron DNA. The pattern of alternative splicing in two regions has been characterized in detail. These results will form the basis for future studies of mutant alleles at this locus. KW - Biochemie Y1 - 1992 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-59195 ER - TY - JOUR A1 - Gessler, Manfred A1 - König, A. A1 - Arden, K. A1 - Grundy, P. A1 - Orkin, S. H. A1 - Sallan, S. A1 - Peters, C. A1 - Ruyle, S. A1 - Mandell, J. A1 - Li, F. A1 - Cavenee, W. A1 - Bruns, G. A. T1 - Infrequent mutation of the WT1 gene in 77 Wilms' Tumors N2 - Homozygous deletions in Wilms' tumor DNA have been a key step in the identification and isolation of the WTI gene. Several additional loci are also postulated to contribute to Wilms' tumor formation. To assess the frequency of WTI alterations we have analyzed the WTI locus in a panel of 77 Wilms' tumors. Eight tumors showed evidence for large deletions of several hundred or thousand kilobasepairs of DNA, some of which were also cytogenetically detected. Additional intragenic mutations were detected using more sensitive SSCP analyses to scan all 10 WTI exons. Most of these result in premature stop codons or missense mutations that inactivate the remaining WTI allele. The overall frequency of WTI alterations detected with these methods is less than 15%. While some mutations may not be detectable with the methods employed, our results suggest that direct alterations of the WTI gene are present in only a small fraction of Wilms' tumors. Thus, mutations at other Wilms' tumor loci or disturbance of interactions between these genes likely play an important role in Wilms' tumor development. KW - Wilms' tumor KW - WTI KW - Zinc finger gene KW - Tumor suppressor gene KW - Nephroblastoma KW - Deletion analysis KW - SSCP analysis KW - Mutation screening Y1 - 1994 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-34308 ER - TY - JOUR A1 - Poulat, F. A1 - Morin, D. A1 - Konig, A. A1 - Brun, P. A1 - Giltay, J. A1 - Sultan, C. A1 - Dumas, R. A1 - Gessler, Manfred A1 - Berta, P. T1 - Distinct molecular origins for Denys-Drash and Frasier syndromes N2 - The direct involvment of the Wilm's tumor suppressor gene (WTl) in Denys-Drash syndrome through mutations within exons 8 or 9 has recently been established. The absence of such alterations in three patients with Frasier syndrome provides a molecular basis for distinguishing these two syndromes that are associated with streak gonads, pseudohermaphroditism and renal failure. KW - Biochemie Y1 - 1993 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-59172 ER - TY - JOUR A1 - Ma, Eric Yue A1 - Calvo, M. Reyes A1 - Wang, Jing A1 - Lian, Biao A1 - Mühlbauer, Mathias A1 - Brüne, Christoph A1 - Cui, Yong-Tao A1 - Lai, Keji A1 - Kundhikanjana, Worasom A1 - Yang, Yongliang A1 - Baenninger, Matthias A1 - König, Markus A1 - Ames, Christopher A1 - Buhmann, Hartmut A1 - Leubner, Philipp A1 - Molenkamp, Laurens W. A1 - Zhang, Shou-Cheng A1 - Goldhaber-Gordon, David A1 - Kelly, Michael A. A1 - Shen, Zhi-Xun T1 - Unexpected edge conduction in mercury telluride quantum wells under broken time-reversal symmetry JF - Nature Communications N2 - The realization of quantum spin Hall effect in HgTe quantum wells is considered a milestone in the discovery of topological insulators. Quantum spin Hall states are predicted to allow current flow at the edges of an insulating bulk, as demonstrated in various experiments. A key prediction yet to be experimentally verified is the breakdown of the edge conduction under broken time-reversal symmetry. Here we first establish a systematic framework for the magnetic field dependence of electrostatically gated quantum spin Hall devices. We then study edge conduction of an inverted quantum well device under broken time-reversal symmetry using microwave impedance microscopy, and compare our findings to a noninverted device. At zero magnetic field, only the inverted device shows clear edge conduction in its local conductivity profile, consistent with theory. Surprisingly, the edge conduction persists up to 9 T with little change. This indicates physics beyond simple quantum spin Hall model, including material-specific properties and possibly many-body effects. KW - topological insulators KW - surface states KW - HgTe KW - Hg1-xCdxTe KW - vacancies Y1 - 2015 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-143185 VL - 6 IS - 7252 ER -