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COVID-19
(2022)
Eine COVID-19-Erkrankung kann zu schweren Krankheitsverläufen mit multiplen Organbeteiligungen und respiratorischen und neurologischen Funktionseinschränkungen führen. Schluckstörungen (Dysphagien) können in dieser Patientengruppe durch primäre Schädigungen des zentralen und peripheren neuronalen Netzwerkes der Schluckfunktion entstehen, aber auch bedingt durch die häufig längere intensivmedizinische Behandlung und Beatmung. Erste klinische Befunde zeigen persistierende Dysphagien im Rahmen des Post-COVID-Syndroms („Long-COVID“), sodass die Patienten auch längerfristige Maßnahmen zur Rehabilitation einer sicheren und suffizienten oralen Nahrungsaufnahme benötigen. Daher sollte in die Behandlung von COVID-19-Patienten ein strukturiertes erkrankungsspezifisches Monitoring in Bezug auf Dysphagiesymptome integriert werden, und atemtherapeutische Maßnahmen zur Regulation von Husteneffektivität und Atem-Schluck-Koordination sollten auch bei diesen Patienten essenzieller Bestandteil des Dysphagiemanagements sein. Herausforderungen ergeben sich dabei einerseits durch die erforderlichen Anpassungen etablierter Behandlungsstandards an den Infektionsschutz. Zudem müssen Auswahl und Durchführungsintensität therapeutischer Maßnahmen an die Kapazitäten und die spezifische Pathophysiologie der COVID-19- und Long-COVID-Patienten angepasst werden, um weitere funktionelle Verschlechterungen zu vermindern.
Objective: Tracheotomized patients often suffer from impairments in mucociliary clearance and limited capacities for active expectoration of secretions. We investigated the effects of a specific respiratory intervention method (bagging) for tracheotomized patients on respiratory parameters (pO(2), pCO(2), SpO(2), respiratory rates), swallowing frequency, vigilance and secretion viscosity. Methods: The bagging method supports enforced mobilization and expectoration of secretions by application of a series of manual hyperinflations with a resuscitation bag during active inspiration and manual cough support on the chest. 30 tracheotomized neurological patients participated in a multiple-baseline study including a three-weeks intervention period and a follow-up measurement three weeks after termination of the treatment. Results: Most outcome parameters improved significantly during the intervention period: pO(2) (p<.01), SpO(2) (p<.01), respiratory rates (p<.01), swallowing rates (p<.01), and vigilance scores (p<.01). The quality of bronchial secretions improved in all participants. All effects were sustained up to the follow-up measurements. Conclusion: This preliminary data indicates positive effects for a respiratory intervention method (bagging) on respiratory function and additional respiration-related functions in tracheotomized neurological patients. This easy-to-learn and inexpensive method might expand the range of treatment options for tracheotomized and non-responsive patients.
The functionality of organic semiconductor devices crucially depends on molecular energies, namely the ionisation energy and the electron affinity. Ionisation energy and electron affinity values of thin films are, however, sensitive to film morphology and composition, making their prediction challenging. In a combined experimental and simulation study on zinc-phthalocyanine and its fluorinated derivatives, we show that changes in ionisation energy as a function of molecular orientation in neat films or mixing ratio in blends are proportional to the molecular quadrupole component along the p-p-stacking direction. We apply these findings to organic solar cells and demonstrate how the electrostatic interactions can be tuned to optimise the energy of the charge-transfer state at the donor-acceptor interface and the dissociation barrier for free charge carrier generation. The confirmation of the correlation between interfacial energies and quadrupole moments for other materials indicates its relevance for small molecules and polymers.
Question: How can we disentangle facilitation and seed dispersal from environmental heterogeneity as mechanisms causing spatial associations of plant species?
Location: Semi-arid savanna in the Kimberley Thorn Bushveld, South Africa.
Methods: We developed a two-step protocol for the statistical differentiation of association-promoting mechanisms in plants based on the Acacia erioloba-Grewia flava association. Individuals of the savanna shrub G. flava and the tree A. erioloba were mapped on four study plots. Disentangling the mechanism causing the association of G. flava and A. erioloba involved tests of three spatial and one non-spatial null model. The spatial null models include homogeneous and heterogeneous Poisson processes for spatial randomness based on the bivariate spatial point patterns of the four plots. With the non-spatial analysis, we determined the relationship between the canopy diameter of A. erioloba trees and presence or absence of G. flava shrubs in the tree understorey to find whether shrub presence requires a minimum tree canopy diameter.
Results: We first showed a significant positive spatial association of the two species. Thereafter, the non-spatial analysis supported an exclusion of environmental heterogeneity as the sole cause of this positive association. We found a minimum tree size under which no G. flava shrubs occurred.
Conclusions: Our two-step analysis showed that it is unlikely that heterogeneous environmental conditions caused the spatial association of A. erioloba and G. flava. Instead, this association may have been caused by seed dispersal and/or facilitation (e.g. caused by hydraulic lift and/or nitrogen fixation by the host tree).
Epigenetic modulations are a hypothesized link between environmental factors and the development of psychiatric disorders. Research has suggested that patients with depression or bipolar disorder exhibit higher methylation levels in the glucocorticoid receptor gene NR3C1. We aimed to investigate whether NR3C1 methylation changes are similarly associated with externalizing disorders such as aggressive behavior and conduct disorder. NR3C1 exon 1F methylation was analyzed in young adults with a lifetime diagnosis of an externalizing disorder (N = 68) or a depressive disorder (N = 27) and healthy controls (N = 124) from the Mannheim Study of Children at Risk. The externalizing disorders group had significantly lower NR3C1 methylation levels than the lifetime depressive disorder group (p = 0.009) and healthy controls (p = 0.001) This report of lower methylation levels in NR3C1 in externalizing disorders may indicate a mechanism through which the differential development of externalizing disorders as opposed to depressive disorders might occur.
In this receiver function study, we investigate the structure of the crust beneath six seismic broadband stations close to the Sunda Arc formed by subduction of the Indo-Australian under the Sunda plate. We apply three different methods to analyse receiver functions at single stations. A recently developed algorithm determines absolute shear-wave velocities from observed frequency-dependent apparent incidence angles of P waves. Using waveform inversion of receiver functions and a modified Zhu and Kanamori algorithm, properties of discontinuities such as depth, velocity contrast, and sharpness are determined. The combination of the methods leads to robust results. The approach is validated by synthetic tests. Stations located on Malaysia show high-shear-wave velocities (V (S)) near the surface in the range of 3.4-3.6 km s (-aEuro parts per thousand 1) attributed to crystalline rocks and 3.6-4.0 km s (-aEuro parts per thousand 1) in the lower crust. Upper and lower crust are clearly separated, the Moho is found at normal depths of 30-34 km where it forms a sharp discontinuity at station KUM or a gradient at stations IPM and KOM. For stations close to the subduction zone (BSI, GSI and PSI) complexity within the crust is high. Near the surface low V (S) of 2.6-2.9 km s (-aEuro parts per thousand 1) indicate sediment layers. High V (S) of 4.2 km s (-aEuro parts per thousand 1) are found at depth greater than 6 and 2 km at BSI and PSI, respectively. There, the Moho is located at 37 and 40 km depth. At station GSI, situated closest to the trench, the subducting slab is imaged as a north-east dipping structure separated from the sediment layer by a 10 km wide gradient in V (S) between 10 and 20 km depth. Within the subducting slab V (S) a parts per thousand aEuro parts per thousand 4.7 km s (-aEuro parts per thousand 1). At station BSI, the subducting slab is found at depth between 90 and 110 km dipping 20A degrees +/- 8A degrees in approximately N 60A degrees E. A velocity increase in similar depth is indicated at station PSI, however no evidence for a dipping layer is found.
Polychlorinated biphenyls (PCBs) can cause endocrine disruption, cancer, immunosuppression, or reproductive failure in animals. We used an individual-based model to explore whether and how PCB-associated reproductive failure could affect the dynamics of a hypothetical polar bear (Ursus maritimus) population exposed to PCBs to the same degree as the East Greenland subpopulation. Dose-response data from experimental studies on a surrogate species, the mink (Mustela vision), were used in the absence of similar data for polar bears. Two alternative types of reproductive failure in relation to maternal sum-PCB concentrations were considered: increased abortion rate and increased cub mortality. We found that the quantitative impact of PCB-induced reproductive failure on population growth rate depended largely on the actual type of reproductive failure involved. Critical potencies of the dose-response relationship for decreasing the population growth rate were established for both modeled types of reproductive failure. Comparing the model predictions of the age-dependent trend of sum-PCBs concentrations in females with actual field measurements from East Greenland indicated that it was unlikely that PCB exposure caused a high incidence of abortions in the subpopulation. However, on the basis of this analysis, it could not be excluded that PCB exposure contributes to higher cub mortality. Our results highlight the necessity for further research on the possible influence of PCBs on polar bear reproduction regarding their physiological pathway. This includes determining the exact cause of reproductive failure, i.e., in utero exposure versus lactational exposure of offspring; the timing of offspring death; and establishing the most relevant reference metrics for the dose-response relationship.
A mid-aperture broad-band test array (OBS array DOCTAR) was deployed from June 2011 to April 2012 about 100 km north of the Gloria fault in the Eastern North Atlantic in about 5000 m water depth. In addition arrays were installed on Madeira Island and in western Portugal mainland. For the first time in the Eastern North Atlantic, we recorded a large number of high frequency Po and So waves from local and regional small and moderate earthquakes (M-L < 4). An incoherent beamforming method was adapted to scan continuous data for such Po and So arrivals applying a sliding window waveform migration and frequency-wavenumber technique. We identify about 320 Po and 1550 So arrivals and compare the phase onsets with the ISC catalogue (ISC 2015) for the same time span. Up to a distance of 6 degrees to the DOCTAR stations all events listed in the ISC catalogue could be associated to Po and So phases. Arrivals from events in more than 10 degrees distance could be identified only in some cases. Only few Po and/or So arrivals were detected for earthquakes from the European and African continental area, the continental shelf regions and for earthquakes within or northwest of the Azores plateau. Unexpectedly, earthquake clusters are detected within the oceanic plates north and south of the Gloria fault and far from plate boundaries, indicating active intraplate structures. We also observe and locate numerous small magnitude earthquakes on the segment of the Gloria fault directly south of DOCTAR, which likely coincides with the rupture of the 25 November 1941 event. Local small magnitude earthquakes located beneath DOCTAR show hypocentres up to 30 km depth and strike-slip focal mechanisms. A comparison with detections at temporary mid-aperture arrays on Madeira and in western Portugal shows that the deep ocean array performs much better than the island and the continental array regarding the detection threshold for events in the oceanic plates.
We conclude that sparsely distributed mid-aperture seismic arrays in the deep ocean could decrease the detection and location threshold for seismicity with M-L < 4 in the oceanic plate and might constitute a valuable tool to monitor oceanic plate seismicity.
Marine seismology usually relies on temporary deployments of stand alone seismic ocean bottom stations (OBS), which are initialized and synchronized on ship before deployment and re-synchronized and stopped on ship after recovery several months later. In between, the recorder clocks may drift and float at unknown rates. If the clock drifts are large or not linear and cannot be corrected for, seismological applications will be limited to methods not requiring precise common timing. Therefore, for example, array seismological methods, which need very accurate timing between individual stations, would not be applicable for such deployments.
We use an OBS test-array of 12 stations and 75 km aperture, deployed for 10 months in the deep sea (4.5-5.5 km) of the mid-eastern Atlantic. The experiment was designed to analyse the potential of broad-band array seismology at the seafloor. After recovery, we identified some stations which either show unusual large clock drifts and/or static time offsets by having a large difference between the internal clock and the GPS-signal (skew).
We test the approach of ambient noise cross-correlation to synchronize clocks of a deep water OBS array with km-scale interstation distances. We show that small drift rates and static time offsets can be resolved on vertical components with a standard technique. Larger clock drifts (several seconds per day) can only be accurately recovered if time windows of one input trace are shifted according to the expected drift between a station pair before the cross-correlation. We validate that the drifts extracted from the seismometer data are linear to first order. The same is valid for most of the hydrophones. Moreover, we were able to determine the clock drift at a station where no skew could be measured. Furthermore, we find that instable apparent drift rates at some hydrophones, which are uncorrelated to the seismometer drift recorded at the same digitizer, indicate a malfunction of the hydrophone.