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Tyrosine kinase inhibitors represent today's treatment of choice in chronic myeloid leukemia (CML). Allogeneic hematopoietic stem cell transplantation (HSCT) is regarded as salvage therapy. This prospective randomized CML-study IIIA recruited 669 patients with newly diagnosed CML between July 1997 and January 2004 from 143 centers. Of these, 427 patients were considered eligible for HSCT and were randomized by availability of a matched family donor between primary HSCT (group A; N=166 patients) and best available drug treatment (group B; N=261). Primary end point was long-term survival. Survival probabilities were not different between groups A and B (10-year survival: 0.76 (95% confidence interval (CI): 0.69–0.82) vs 0.69 (95% CI: 0.61–0.76)), but influenced by disease and transplant risk. Patients with a low transplant risk showed superior survival compared with patients with high- (P<0.001) and non-high-risk disease (P=0.047) in group B; after entering blast crisis, survival was not different with or without HSCT. Significantly more patients in group A were in molecular remission (56% vs 39%; P = 0.005) and free of drug treatment (56% vs 6%; P<0.001). Differences in symptoms and Karnofsky score were not significant. In the era of tyrosine kinase inhibitors, HSCT remains a valid option when both disease and transplant risk are considered.
Tyrosine kinase inhibitors represent today's treatment of choice in chronic myeloid leukemia (CML). Allogeneic hematopoietic stem cell transplantation (HSCT) is regarded as salvage therapy. This prospective randomized CML-study IIIA recruited 669 patients with newly diagnosed CML between July 1997 and January 2004 from 143 centers. Of these, 427 patients were considered eligible for HSCT and were randomized by availability of a matched family donor between primary HSCT (group A; N = 166 patients) and best available drug treatment (group B; N = 261). Primary end point was long-term survival. Survival probabilities were not different between groups A and B (10-year survival: 0.76 (95% confidence interval (CI): 0.69-0.82) vs 0.69 (95% CI: 0.61-0.76)), but influenced by disease and transplant risk. Patients with a low transplant risk showed superior survival compared with patients with high( P < 0.001) and non-high-risk disease (P = 0.047) in group B; after entering blast crisis, survival was not different with or without HSCT. Significantly more patients in group A were in molecular remission (56% vs 39%; P = 0.005) and free of drug treatment (56% vs 6%; P < 0.001). Differences in symptoms and Karnofsky score were not significant. In the era of tyrosine kinase inhibitors, HSCT remains a valid option when both disease and transplant risk are considered.
Respiratory viruses are a cause of upper respiratory tract infections (URTI), but can be associated with severe lower respiratory tract infections (LRTI) in immunocompromised patients. The objective of this study was to investigate the genetic variability of influenza virus, parainfluenza virus and respiratory syncytial virus (RSV) and the duration of viral shedding in hematological patients. Nasopharyngeal swabs from hematological patients were screened for influenza, parainfluenza and RSV on admission as well as on development of respiratory symptoms. Consecutive swabs were collected until viral clearance. Out of 672 tested patients, a total of 111 patients (17%) were infected with one of the investigated viral agents: 40 with influenza, 13 with parainfluenza and 64 with RSV; six patients had influenza/RSV or parainfluenza/RSV co-infections. The majority of infected patients (n = 75/111) underwent stem cell transplantation (42 autologous, 48 allogeneic, 15 autologous and allogeneic). LRTI was observed in 48 patients, of whom 15 patients developed severe LRTI, and 13 patients with respiratory tract infection died. Phylogenetic analysis revealed a variety of influenza A(H1N1)pdm09, A(H3N2), influenza B, parainfluenza 3 and RSV A, B viruses. RSV A was detected in 54 patients, RSV B in ten patients. The newly emerging RSV A genotype ON1 predominated in the study cohort and was found in 48 (75%) of 64 RSV-infected patients. Furthermore, two distinct clusters were detected for RSV A genotype ON1, identical RSV G gene sequences in these patients are consistent with nosocomial transmission. Long-term viral shedding for more than 30 days was significantly associated with prior allogeneic transplantation (p = 0.01) and was most pronounced in patients with RSV infection (n = 16) with a median duration of viral shedding for 80 days (range 35–334 days). Long-term shedding of respiratory viruses might be a catalyzer of nosocomial transmission and must be considered for efficient infection control in immunocompromised patients.
Active galactic nuclei (AGNs) are among the brightest sources in our universe. These galaxies are considered active because their central region is brighter than the luminosities of all stars in a galxies can provide. In their center is a supermassive black hole (SMBH) surrounded by an accretion disk and further out a dusty torus. AGN can be found with emission over the whole electromagnetic spectrum, starting at radio frequencies over optical and X-ray emission up to the $\gamma$-rays. Not all of these sources are detected in each frequency regime. In this work mainly blazars are examined at low radio frequencies. Blazars are a subclass of radio-loud AGN. These radio-loud sources usually exhibit highly collimated jets perpendicular to the accretion disk. For blazars these jets are pointed in the direction of the observer and their emission is highly variable. \\
AGN are classified in different subclasses based on their morphology. These different subclasses are combined in the AGN unification model, which explains the different morphologies by having sources only varying in their luminosities and their angle to the line of sight to the observer. Blazars are these targets, where the jet is pointing towards the observer, while the AGN observed edge on are called radio galaxies. This means that blazars should be the counterparts to radio galaxies seen from a different angle. Testing this is one of the goals in this work. \\
After the discovery of AGN in the 1940s these objects have been studied at all wavelengths. With the development of interferometry with radio telescopes the angular resolution for radio observations could be improved. In the last 20 years many AGN are regularly monitored. One of these monitoring programs is the MOJAVE program, monitoring 274 AGNs with using the Very Long Baseline Interferometry (VLBI) technique. The monitoring provides information on the evolution and structure of AGN and their jets. However, the mechanisms of the jet formation and their collimation are not fully understood. Due to relativistic effects it is difficult to obtain intrinsic instead of apparent parameters of these jets. One approach to get closer to the intrinsic jet power is by observing the regions, in which the jets end and interact with the intergalactic medium. Observations at lower radio frequencies are more sensitive for extended diffuse emission. \\
Since December 2012 a new radio telescope for low frequencies is observing. It is a telescope with stations consisting of dipole antennas. The major part of the array located in the Netherlands (38 stations) with 12 additional international stations in Germany, France, Sweden, Poland and the United Kingdom. This instrument is called the Low Frequency Array (LOFAR). LOFAR offers the possibility to observe at frequencies between 30--250 MHz in combination with angular resolution (below 1 arcsec for the full array), which was not available with previous telescopes. \\
In this work results of blazar studies with LOFAR observations are presented. To take advantage of a large database with multi-wavelength observations and kinematic studies the MOJAVE 1.5 Jy flux limited sample was chosen. Based on the preliminary results of the LOFAR Multifrequency Snapshot Sky Survey (MSSS) the flux densities and spectral indices of blazars of the MOJAVE sample are examined. 125 counterparts of MOJAVE blazars were found in the MSSS catalog. Since the MSSS observations only contain the stations in the Netherlands and observes in snapshots, the angular resolution and the sensitivity is limited. The first MSSS catalog was produced with an angular resolution of $\sim$120 arcsec and a sensitivity of $\sim$50--100 mJy. Another advantage of the MOJAVE sample is the monitoring of these sources with the Owens Valley Radio Observatory (OVRO) at 15 GHz to produce radio lightcurves. With these observations it is possible to get quasi-simultaneous flux densities at 15 GHz for the corresponding MSSS observations. By having quasi-simultaneous observations the variability of the blazars affects the flux densities less than with the use of archival data. The spectral indices obtained by the combination of MSSS and OVRO flux densities can be used to estimate the contribution of the diffuse extended emission for these AGNs. \\
Comparing the MSSS catalog with the OVRO data points, the flux densities have a tendency to be higher at low frequencies. This is expected due to the higher contribution of extended emission. The broadband spectral index distribution shows a peak at $\sim-0.2$. While some sources seem to have steeper spectral indices meaning that extended emission contributes a large fraction of the total flux density, more than the half of the sample shows flat spectral indices. The flat spectral indices show that the total flux densities of these sources are dominated by their relativistic beamed emission regions, which is the same for the observations at GHz frequencies. \\
To obtain more detailed images of these sources the MSSS measurement sets including sources of the sample were reprocessed to improve the angular resolution to $\sim$30 arcsec. The higher angular resolution reveals extended diffuse emission of several blazars. Since the reimaging results were not fully calibrated only the morphology at this resolution could be examined. However, with the short snapshot observations the images obtained with this strategy are affected from artifacts. The reimaging could be successfully performed for 93 sources in one frequency band. For 45 of these sources all availabe frequency bands could be reprocessed and used to created averaged images. These images are presented in this work. As a results of the reimaging process a pilot sample was defined to observe targets with diffuse extended emission using the whole LOFAR array including the international stations. \\
The second part of this work presents the results of a pilot sample consisting of four blazars observed with the LOFAR international array. Since the calibration of this kind of LOFAR observation is still in development, the main focus was the description of the used calibration strategy. The calibration strategies still has some limitation but resulted in images with angular resolutions of less than 1 arcsec. The morphology of all four blazars show features confirming the expectations of their counterpart radio galaxies. With the flux densities of the extended emission found in these brightness distributions the extended radio luminosities are calculated. Comparing these to the radio galaxy classifications also confirm the expectations from the unification model. \\
By extending the sample of observed blazars with LOFAR international in future the calibration strategy can be used to create similar high resolution images. A larger sample can be used to test the unification model with statistical significant results. \\
Despite substantial advances in the imaging techniques and pathophysiological understanding over the last decades, identification of the underlying causes of left ventricular hypertrophy by means of echocardiographic examination remains a challenge in current clinical practice. The longitudinal strain bull’s eye plot derived from 2D speckle tracking imaging offers an intuitive visual overview of the global and regional left ventricular myocardial function in a single diagram. The bull’s eye mapping is clinically feasible and the plot patterns could provide clues to the etiology of cardiomyopathies. The present review summarizes the longitudinal strain, bull’s eye plot features in patients with various cardiomyopathies and concentric left ventricular hypertrophy and the bull’s eye plot features might serve as one of the cardiac workup steps on evaluating patients with left ventricular hypertrophy.
Classical novae are thermonuclear explosions occurring on the surface of white dwarfs.
When co-existing in a binary system with a main sequence or more evolved star, mass
accretion from the companion star to the white dwarf can take place if the companion
overflows its Roche lobe. The envelope of hydrogen-rich matter which builds on
top of the white dwarf eventually ignites under degenerate conditions, leading to
a thermonuclear runaway and an explosion in the order of 1046 erg, while leaving
the white dwarf intact. Spectral analyses from the debris indicate an abundance of
isotopes that are tracers of nuclear burning via the hot CNO cycle, which in turn
reveal some sort of mixing between the envelope and the white dwarf underneath.
The exact mechanism is still a matter of debate.
The convection and deflagration in novae develop in the low Mach number regime.
We used the Seven League Hydro code (SLH ), which employs numerical schemes
designed to correctly simulate low Mach number flows, to perform two and three-
dimensional simulations of classical novae. Based on a spherically-symmetric model
created with aid of a stellar evolution code, we developed our own nova model and
tested it on a variety of numerical grids and boundary conditions for validation. We
focused on the evolution of temperature, density and nuclear energy generation rate at
the layers between white dwarf and envelope, where most of the energy is generated,
to understand the structure of the transition region, and its effect on the nuclear
burning. We analyzed the resulting dredge-up efficiency stemming from the convective
motions in the envelope. Our models yield similar results to the literature, but seem
to depend very strongly on the numerical resolution. We followed the evolution of
the nuclear species involved in the CNO cycle and concluded that the thermonuclear
reactions primarily taking place are those of the cold and not the hot CNO cycle.
The reason behind this could be that under the conditions generally assumed for
multi-dimensional simulations, the envelope is in fact not degenerate. We performed
initial tests for 3D simulations and realized that alternative boundary conditions are
needed.
Background
Aggression, hyperactivity, impulsivity, helplessness and anhedonia are all signs of depressive-like disorders in humans and are often reported to be present in animal models of depression induced by stress or by inflammatory challenges. However, chronic mild stress (CMS) and clinically silent inflammation, during the recovery period after an infection, for example, are often coincident, but comparison of the behavioural and molecular changes that underpin CMS vs a mild inflammatory challenge and impact of the combined challenge is largely unexplored. Here, we examined whether stress-induced behavioural and molecular responses are analogous to lipopolysaccharide (LPS)-induced behavioural and molecular effects and whether their combination is adaptive or maladaptive.
Methods
Changes in measures of hedonic sensitivity, helplessness, aggression, impulsivity and CNS and systemic cytokine and 5-HT-system-related gene expression were investigated in C57BL/6J male mice exposed to chronic stress alone, low-dose LPS alone or a combination of LPS and stress.
Results
When combined with a low dose of LPS, chronic stress resulted in an enhanced depressive-like phenotype but significantly reduced manifestations of aggression and hyperactivity. At the molecular level, LPS was a strong inducer of TNFα, IL-1β and region-specific 5-HT2A mRNA expression in the brain. There was also increased serum corticosterone as well as increased TNFα expression in the liver. Stress did not induce comparable levels of cytokine expression to an LPS challenge, but the combination of stress with LPS reduced the stress-induced changes in 5-HT genes and the LPS-induced elevated IL-1β levels.
Conclusions
It is evident that when administered independently, both stress and LPS challenges induced distinct molecular and behavioural changes. However, at a time when LPS alone does not induce any overt behavioural changes per se, the combination with stress exacerbates depressive and inhibits aggressive behaviours.
Diese Arbeit widmet sich detaillierten stratigraphischen und paläopedologischen Studien an Löss-Paläoboden Sequenzen (LPS) im kontinentalen Nordosten Österreichs, im Lee der Böhmischen Masse relativ zur Westwindzone. Neben methodischen Erkenntnissen ergeben sich allgemeine Schlussfolgerungen über die Klima- und Landschaftsentwicklung während der letzten Million Jahre.
Die untersuchten Aufschlüsse liegen in der Region um Krems (Krems-Schießstätte, Paudorf, Stiefern) und in Stillfried. Einige sind weithin bekannt als ehemalige Typuslokalitäten der Quartärstratigraphie, aber nach fundamentalen Revisionen in den 1970er Jahren schwand das Interesse an diesen merklich. Die LPS befinden sich in Hanglage, so sind polygenetische Einheiten und Erosionslücken üblich. Als Archive einer komplexen geomorphologischen Entwicklung sind sie nicht geeignet für die Anwendung üblicher paläoklimatischer Proxies.
Um die Entstehung der untersuchten LPS zu verstehen, wurde ein multimethodischer Ansatz entwickelt, der detaillierte Untersuchungen von der Landschafts- bis auf die Mikroebene umfasst. Innovativ ist die Verwendung quantitativer Farbmessungen in hoher Auflösung zum Zwecke einer standardisierten Klassifikation von Profileinheiten. Detaillierte mikromorphologische Untersuchungen sind Basis für die Rekonstruktion des Wechselspiels aus äolischer Sedimentation, Pedogenese und Hangprozessen.
Die Korrelation der LPS basiert auf mehreren geochronologischen Ankerpunkten und ist zugleich Hinweis auf tiefgreifende morphologische Veränderungen in der Region Krems während des Pleistozäns. Im chronologischen Rahmen ergeben sich unter Anwendung des Konzepts der klimaphytomorphen Böden qualitative paläoklimatische Schlussfolgerungen:
Kräftig verwitterte Bodenhorizonte sind polygenetisch und nicht das Resultat feuchterer Klimabedingungen während dezidierter Entwicklungsphasen. Die Kontinentalität des Untersuchungsgebiets blieb währenden der letzten Million Jahre weitgehend bestehen, teils mit erhöhtem mediterranem Einfluss. Eine Dominanz atlantischer Feuchte beschränkt(e) sich auf die Regionen westlich der Böhmischen Masse. Die Paläoklimate des Untersuchungs-gebiets waren eher vergleichbar mit jenen des Pannonischen Beckens, obgleich die untersuchten Sequenzen keinen Hinweis auf den dort vermuteten Gradienten zunehmender Aridität zeigen. Interessant sind ferner zahlreiche gebleichte Horizonte innerhalb der Lösssedimente, die als Reste von Tundragleyen interpretiert werden. Diese sind im Löss des Pannonischen Becken nicht nachweisbar. Hieraus wird ein mitteleuropäischer Charakter kaltzeitlichen Klimas innerhalb des untersuchten Zeitrahmens gefolgert.
The aim of this review is to use the multimedia aspects
of a purely digital online publication to explain and
illustrate the highly capable technique of m-sequences in
multifocal ophthalmic electrophysiology. M-sequences
have been successfully applied in clinical routines during
the past 20 years. However, the underlying mathematical
rationale is often daunting. These mathematical
properties of m-sequences allow one not only to
separate the responses from different fields but also to
analyze adaptational effects and impacts of former
events. By explaining the history, the formation, and the
different aspects of application, a better comprehension
of the technique is intended. With this review we aim to
clarify the opportunities of m-sequences in order to
motivate scientists to use m-sequences in their future
research.
The novel Madame Chrysanthème (1887) and the essays collected in Japoneries d’automne (1889) written by French travel author Pierre Loti offer a paradoxical view of Japan during the Meiji period. In both travel writings, the author is torn between aesthetic japonism – which spread all over Europe at the end of the 19th century – and exotic expectations, i.e. the picturesque fascination of the Other. The latter, however, remains unsatisfied throughout his stay. In both writings, Pierre Loti provides an insight into Japan that entirely reflects the spirit of his time. Thereby, he contributes to an image of Japan, which will long remain vivid in the Occident. Contemporaries perceive Loti’s representation of Japan as a realistic testimony, tinged with both sensory impressions and his highly ambiguous feelings towards the distant country, which in the end remained incomprehensible to him.