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Im Rahmen dieser Arbeit wurden Transporteigenschaften von Nanostrukturen basierend auf modulationsdotierten GaAs/AlGaAs Heteroübergängen untersucht. Derartige Heterostrukturen zeichnen sich durch ein hochbewegliches zweidimensionales Elektronengas (2DEG) aus, das sich wenige 10 nm unterhalb der Probenoberfläche ausbildet. Mittels Elektronenstrahl-Lithographie und nasschemischer Ätztechnik wurde dieses Ausgangsmaterial strukturiert. Eindimensionale Leiter mit Kanalweiten von wenigen 10 nm wurden auf diese Weise hergestellt. Die Vorzüge derartiger Strukturen zeigen sich im ballistischen Elektronentransport über mehrere 10 µm und einer hohen Elektronenbeweglichkeit im Bereich von 10^6cm^2/Vs. Als nanoelektronische Basiselemente wurden eingehend eindimensionale Quantendrähte sowie y-förmig verzweigte Strukturen untersucht, deren Kanalleitwert über seitliche Gates kontrolliert werden kann. Dabei wurden die Transportmessungen überwiegend im stark nichtlinearen Transportregime bei Temperaturen zwischen 4,2 K und Raumtemperatur durchgeführt. Der Fokus dieser Arbeit lag insbesondere in der Untersuchung von Verstärkungseigenschaften und kapazitiven Kopplungen zwischen Nanodrähten, der Realisierung von komplexen Logikfunktionen wie Zähler- und Volladdiererstrukturen, dem Einsatz von Quantengates sowie der Analyse von rauschaktiviertem Schalten, stochastischen Resonanzphänomenen und Magnetfeldasymmetrien des nichtlinearen mesoskopischen Leitwertes.
Background
Chronic kidney disease (CKD) is a common comorbid condition in coronary heart disease (CHD). CKD predisposes the patient to acute kidney injury (AKI) during hospitalization. Data on awareness of kidney dysfunction among CHD patients and their treating physicians are lacking. In the current cross-sectional analysis of the German EUROASPIRE IV sample we aimed to investigate the physician’s awareness of kidney disease of patients hospitalized for CHD and also the patient’s awareness of CKD in a study visit following hospital discharge.
Methods
All serum creatinine (SCr) values measured during the hospital stay were used to describe impaired kidney function (eGFR\(_{CKD-EPI}\) < 60 ml/min/1.73m2) at admission, discharge and episodes of AKI (KDIGO definition). Information extracted from hospital discharge letters and correct ICD coding for kidney disease was studied as a surrogate of physician’s awareness of kidney disease. All patients were interrogated 0.5 to 3 years after hospital discharge, whether they had ever been told about kidney disease by a physician.
Results
Of the 536 patients, 32% had evidence for acute or chronic kidney disease during the index hospital stay. Either condition was mentioned in the discharge letter in 22%, and 72% were correctly coded according to ICD-10. At the study visit in the outpatient setting 35% had impaired kidney function. Of 158 patients with kidney disease, 54 (34%) were aware of CKD. Determinants of patient’s awareness were severity of CKD (OR\(_{eGFR}\) 0.94; 95%CI 0.92–0.96), obesity (OR 1.97; 1.07–3.64), history of heart failure (OR 1.99; 1.00–3.97), and mentioning of kidney disease in the index event’s hospital discharge letter (OR 5.51; 2.35–12.9).
Conclusions
Although CKD is frequent in CHD, only one third of patients is aware of this condition. Patient’s awareness was associated with kidney disease being mentioned in the hospital discharge letter. Future studies should examine how raising physician’s awareness for kidney dysfunction may improve patient’s awareness of CKD.
Mast cell differentiation and proliferation depends on IL-3. IL-3 induces the activation of MAP-kinases and STATs and consequently induces proliferation and survival. Dysregulation of IL-3 signaling pathways also contribute to inflammation and tumorigenesis. We show here that IL-3 induces a SFK- and Ca2\(^{+}\)-dependent activation of the inhibitor of κB kinases 2 (IKK2) which results in mast cell proliferation and survival but does not induce IκBα-degradation and NFκB activation. Therefore we propose the term "subthreshold IKK activation". This subthreshold IKK activation also primes mast cells for enhanced responsiveness to IL-33R signaling. Consequently, co-stimulation with IL-3 and IL-33 increases IKK activation and massively enhances cytokine production induced by IL-33. We further reveal that in neoplastic mast cells expressing constitutively active Ras, subthreshold IKK activation is associated with uncontrolled proliferation. Consequently, pharmacological IKK inhibition reduces tumor growth selectively by inducing apoptosis in vivo. Together, subthreshold IKK activation is crucial to mediate the full IL-33-induced effector functions in primary mast cells and to mediate uncontrolled proliferation of neoplastic mast cells. Thus, IKK2 is a new molecularly defined target structure.
Resonant tunneling diode photodetectors appear to be promising architectures with a simple design for mid-infrared sensing operations at room temperature. We fabricated resonant tunneling devices with GaInAsSb absorbers that allow operation in the 2–4 μm range with significant electrical responsivity of 0.97 A/W at 2004 nm to optical readout. This paper characterizes the photosensor response contrasting different operational regimes and offering a comprehensive theoretical analysis of the main physical ingredients that rule the sensor functionalities and affect its performance. We demonstrate how the drift, accumulation, and escape efficiencies of photogenerated carriers influence the electrostatic modulation of the sensor's electrical response and how they allow controlling the device's sensing abilities.