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  • 1
    In: The Lancet, Elsevier BV, Vol. 402, No. 10414 ( 2023-11), p. 1753-1763
    Type of Medium: Online Resource
    ISSN: 0140-6736
    RVK:
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2023
    detail.hit.zdb_id: 2067452-1
    detail.hit.zdb_id: 3306-6
    detail.hit.zdb_id: 1476593-7
    SSG: 5,21
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  • 2
    In: BMC Surgery, Springer Science and Business Media LLC, Vol. 21, No. 1 ( 2021-12)
    Abstract: Free flap surgery is an essential procedure in soft tissue reconstruction. Complications due to vascular compromise often require revision surgery or flap removal. We present hyperspectral imaging (HSI) as a new tool in flap monitoring to improve sensitivity compared to established monitoring tools. Methods We performed a prospective observational cohort study including 22 patients. Flap perfusion was assessed by standard clinical parameters, Doppler ultrasound, and HSI on t0 (0 h), t1 (16–28 h postoperatively), and t2 (39–77 h postoperatively). HSI records light spectra from 500 to 1000 nm and provides information on tissue morphology, composition, and physiology. These parameters contain tissue oxygenation (StO2), near-infrared perfusion- (NIR PI), tissue hemoglobin- (THI), and tissue water index (TWI). Results Total flap loss was seen in n = 4 and partial loss in n = 2 cases. Every patient with StO2 or NIR PI below 40 at t1 had to be revised. No single patient with StO2 or NIR PI above 40 at t1 had to be revised. Significant differences between feasable (StO2 = 49; NIR PI = 45; THI = 16; TWI = 56) and flaps with revision surgery [StO2 = 28 (p  〈  0.001); NIR PI = 26 (p = 0.002); THI = 56 (p = 0.002); TWI = 47 (p = 0.045)] were present in all HSI parameters at t1 and even more significant at t2 (p  〈  0.0001). Conclusion HSI provides valuable data in free flap monitoring. The technique seems to be superior to the gold standard of flap monitoring. StO2 and NIR PI deliver the most valuable data and 40 could be used as a future threshold in surgical decision making. Clinical Trial Register This study is registered at the German Clinical Trials Register (DRKS) under the registration number DRKS00020926.
    Type of Medium: Online Resource
    ISSN: 1471-2482
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2021
    detail.hit.zdb_id: 2050442-1
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  • 3
    In: Frontiers in Microbiology, Frontiers Media SA, Vol. 11 ( 2020-11-19)
    Abstract: Glacier-fed streams (GFSs) exhibit near-freezing temperatures, variable flows, and often high turbidities. Currently, the rapid shrinkage of mountain glaciers is altering the delivery of meltwater, solutes, and particulate matter to GFSs, with unknown consequences for their ecology. Benthic biofilms dominate microbial life in GFSs, and play a major role in their biogeochemical cycling. Mineralization is likely an important process for microbes to meet elemental budgets in these systems due to commonly oligotrophic conditions, and extracellular enzymes retained within the biofilm enable the degradation of organic matter and acquisition of carbon (C), nitrogen (N), and phosphorus (P). The measurement and comparison of these extracellular enzyme activities (EEA) can in turn provide insight into microbial elemental acquisition effort relative to environmental availability. To better understand how benthic biofilm communities meet resource demands, and how this might shift as glaciers vanish under climate change, we investigated biofilm EEA in 20 GFSs varying in glacier influence from New Zealand’s Southern Alps. Using turbidity and distance to the glacier snout normalized for glacier size as proxies for glacier influence, we found that bacterial abundance (BA), chlorophyll a (Chl a ), extracellular polymeric substances (EPS), and total EEA per gram of sediment increased with decreasing glacier influence. Yet, when normalized by BA, EPS decreased with decreasing glacier influence, Chl a still increased, and there was no relationship with total EEA. Based on EEA ratios, we found that the majority of GFS microbial communities were N-limited, with a few streams of different underlying bedrock geology exhibiting P-limitation. Cell-specific C-acquiring EEA was positively related to the ratio of Chl a to BA, presumably reflecting the utilization of algal exudates. Meanwhile, cell-specific N-acquiring EEA were positively correlated with the concentration of dissolved inorganic nitrogen (DIN), and both N- and P-acquiring EEA increased with greater cell-specific EPS. Overall, our results reveal greater glacier influence to be negatively related to GFS biofilm biomass parameters, and generally associated with greater microbial N demand. These results help to illuminate the ecology of GFS biofilms, along with their biogeochemical response to a shifting habitat template with ongoing climate change.
    Type of Medium: Online Resource
    ISSN: 1664-302X
    Language: Unknown
    Publisher: Frontiers Media SA
    Publication Date: 2020
    detail.hit.zdb_id: 2587354-4
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  • 4
    In: Microbiology Spectrum, American Society for Microbiology, Vol. 11, No. 1 ( 2023-02-14)
    Abstract: Antimicrobial resistance (AMR) is a universal phenomenon the origins of which lay in natural ecological interactions such as competition within niches, within and between micro- to higher-order organisms. To study these phenomena, it is crucial to examine the origins of AMR in pristine environments, i.e., limited anthropogenic influences. In this context, epilithic biofilms residing in glacier-fed streams (GFSs) are an excellent model system to study diverse, intra- and inter-domain, ecological crosstalk. We assessed the resistomes of epilithic biofilms from GFSs across the Southern Alps (New Zealand) and the Caucasus (Russia) and observed that both bacteria and eukaryotes encoded twenty-nine distinct AMR categories. Of these, beta-lactam, aminoglycoside, and multidrug resistance were both abundant and taxonomically distributed in most of the bacterial and eukaryotic phyla. AMR-encoding phyla included Bacteroidota and Proteobacteria among the bacteria, alongside Ochrophyta (algae) among the eukaryotes. Additionally, biosynthetic gene clusters (BGCs) involved in the production of antibacterial compounds were identified across all phyla in the epilithic biofilms. Furthermore, we found that several bacterial genera ( Flavobacterium , Polaromonas, Superphylum Patescibacteria) encode both atimicrobial resistance genes (ARGs) and BGCs within close proximity of each other, demonstrating their capacity to simultaneously influence and compete within the microbial community. Our findings help unravel how naturally occurring BGCs and AMR contribute to the epilithic biofilms mode of life in GFSs. Additionally, we report that eukaryotes may serve as AMR reservoirs owing to their potential for encoding ARGs. Importantly, these observations may be generalizable and potentially extended to other environments that may be more or less impacted by human activity. IMPORTANCE Antimicrobial resistance is an omnipresent phenomenon in the anthropogenically influenced ecosystems. However, its role in shaping microbial community dynamics in pristine environments is relatively unknown. Using metagenomics, we report the presence of antimicrobial resistance genes and their associated pathways in epilithic biofilms within glacier-fed streams. Importantly, we observe biosynthetic gene clusters associated with antimicrobial resistance in both pro- and eukaryotes in these biofilms. Understanding the role of resistance in the context of this pristine environment and complex biodiversity may shed light on previously uncharacterized mechanisms of cross-domain interactions.
    Type of Medium: Online Resource
    ISSN: 2165-0497
    Language: English
    Publisher: American Society for Microbiology
    Publication Date: 2023
    detail.hit.zdb_id: 2807133-5
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  • 5
    In: Journal for ImmunoTherapy of Cancer, BMJ, Vol. 9, No. Suppl 2 ( 2021-11), p. A212-A212
    Abstract: Neoantigens are tumor-specific antigens that are important in the anti-tumor immune response. These antigens are not subject to central immune tolerance and are therefore potentially more immunogenic than tumor-associated antigens. Here, we present the results of a proof-of-concept, pre-clinical study with multiple successful patient material runs generating a neoantigen-specific T-cell product (BNT221/NEO-PTC-01) using leukaphereses from patients with ovarian cancer. These products contain specific T-cell responses targeting multiple neoantigens from each individual patient‘s tumor. Methods Leukapheresis and tumor biopsy samples were obtained from multiple patients with ovarian cancer and metastatic melanoma cancer under IRB approval using the N16NEON protocol at the Netherlands Cancer Institute subsidized by BioNTech US. Patient-specific neoantigens from the patient‘s biopsy were predicted using our RECON® bioinformatics platform and the best scoring neoantigens were encoded into synthetic peptides or mRNA molecules and were utilized in our ex vivo stimulation protocol, NEO-STIM®, which is used to prime, activate, and expand memory and de novo T-cell responses from both the CD4+ and the CD8+ compartment. High-throughput flow cytometric analysis was performed to characterize the specificity and functionality (cytokine production and cytolytic capacity) of the induced T-cell responses. Results NEO-STIM generates T-cell products specific to neoantigens from the peripheral blood of patients. Data will be presented showing the successful induction of 2–10 CD8+ and 4–13 CD4+ T-cell responses per patient, generated using peripheral blood mononuclear cells from patients with ovarian cancer using our NEO-STIM platform. We extensively characterized these T-cell responses and demonstrate that these responses are polyfunctional, specific and have the capacity to degranulate. T cells in the induced product are of effector memory and central memory phenotypes. Conclusions NEO-STIM is a novel platform that generates ex vivo T-cell responses to high-quality neoantigen targets. Efforts are ongoing to upscale the manufacturing process and move this into a phase I study. BNT221, the neoantigen-specific T cell product generated from this process, is a potent adoptive cell therapy targeting multiple immunogenic neoantigens in patients with metastatic ovarian cancer. Ethics Approval Leukapheresis and tumor biopsy samples were obtained from multiple patients with ovarian cancer and metastatic melanoma cancer under IRB approval using the N16NEON protocol at the Netherlands Cancer Institute subsidized by BioNTech US.
    Type of Medium: Online Resource
    ISSN: 2051-1426
    Language: English
    Publisher: BMJ
    Publication Date: 2021
    detail.hit.zdb_id: 2719863-7
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  • 6
    In: Innovative Surgical Sciences, Walter de Gruyter GmbH, Vol. 7, No. 2 ( 2022-10-18), p. 59-63
    Abstract: Hand-sewn and stapled intestinal anastomoses are both daily performed routine procedures by surgeons. Yet, differences in micro perfusion of these two surgical techniques and their impact on surgical outcomes are still insufficiently understood. Only recently, hyperspectral imaging (HSI) has been established as a non-invasive, contact-free, real-time assessment tool for tissue oxygenation and micro-perfusion. Hence, objective of this study was HSI assessment of different intestinal anastomotic techniques and analysis of patients’ clinical outcome. Methods Forty-six consecutive patients with an ileal–ileal anastomoses were included in our study; 21 side-to-side stapled and 25 end-to-end hand-sewn. Based on adsorption and reflectance of the analyzed tissue, chemical color imaging indicates oxygen saturation (StO 2 ), tissue perfusion (near-infrared perfusion index [NIR]), organ hemoglobin index (OHI), and tissue water index (TWI). Results StO 2 as well as NIR of the region of interest (ROI) was significantly higher in stapled anastomoses as compared to hand-sewn ileal–ileal anastomoses (StO 2 0.79 (0.74–0.81) vs. 0.66 (0.62–0.70); p 〈 0.001 NIR 0.83 (0.70–0.86) vs. 0.70 (0.63–0.76); p=0.01). In both groups, neither anastomotic leakage nor abdominal septic complications nor patient death did occur. Conclusions Intraoperative HSI assessment is able to detect significant differences in tissue oxygenation and NIR of hand-sewn and stapled intestinal anastomoses. Long-term clinical consequences resulting from the reduced tissue oxygenation and tissue perfusion in hand-sewn anastomoses need to be evaluated in larger clinical trials, as patients may benefit from further refined surgical techniques.
    Type of Medium: Online Resource
    ISSN: 2364-7485
    Language: English
    Publisher: Walter de Gruyter GmbH
    Publication Date: 2022
    detail.hit.zdb_id: 2876075-X
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  • 7
    In: Limnology and Oceanography, Wiley, Vol. 68, No. 9 ( 2023-09), p. 2183-2194
    Abstract: High‐mountain streams are particularly vulnerable to climate change because they intimately interface with the cryosphere. As glaciers shrink and snowpack diminishes, proglacial streams will eventually shift from being glacier‐fed to streams fed by groundwater, snowmelt and precipitation. This shift will affect both the flow regime and physico‐chemical characteristics of streams, possibly also the structure and function of their benthic microbiome. Here, we applied genome‐resolved metagenomics to benthic biofilms from glacier‐fed streams and their groundwater‐fed tributaries within three proglacial floodplains in the Swiss Alps. Despite the close spatial proximity between both stream types, their microbiome structure differed consistently for both prokaryotes and eukaryotes. The glacier‐fed stream microbiome was taxonomically and functionally less diverse than its groundwater‐fed counterpart, and had smaller genomes, but with conservation of the central metabolic functions primarily related to nitrogen and sulfur cycling. Consequently, much higher functional variability was associated with the microbiome of tributary streams, mainly due to abundant genes involved in the transport and degradation of organic matter. Our findings suggest that glacier shrinkage will cause shifts in the functioning of benthic microbiomes of proglacial floodplains with yet unknown consequences for downstream biogeochemistry.
    Type of Medium: Online Resource
    ISSN: 0024-3590 , 1939-5590
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2023
    detail.hit.zdb_id: 2033191-5
    detail.hit.zdb_id: 412737-7
    SSG: 12
    SSG: 14
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  • 8
    Online Resource
    Online Resource
    Springer Science and Business Media LLC ; 2022
    In:  Architecture, Structures and Construction Vol. 2, No. 4 ( 2022-12), p. 649-660
    In: Architecture, Structures and Construction, Springer Science and Business Media LLC, Vol. 2, No. 4 ( 2022-12), p. 649-660
    Abstract: This paper illustrates the pedagogical approach to teaching computational design and digital fabrication in the Master of Advanced Studies in Architecture and Digital Fabrication. It demonstrates how the introduction of computational design and digital fabrication methods foster a holistic approach to integrate novel material and constructive systems into the design process. Such an integration allows the students to combine digital fabrication techniques with sustainable material processes, taking into account the questions of reversibility, recycling and reuse, and thus designing for a more sustainable construction. In the presented paper, the structure and the curriculum of the MAS programme is introduced and the pedagogical approach of the Integrated Design and Robotic Fabrication Project is demonstrated through four case studies, highlighting their respective teaching strategies in combination with the learning experiences of the students.
    Type of Medium: Online Resource
    ISSN: 2730-9886 , 2730-9894
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2022
    detail.hit.zdb_id: 3049478-3
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  • 9
    In: Nature Communications, Springer Science and Business Media LLC, Vol. 13, No. 1 ( 2022-04-20)
    Abstract: In glacier-fed streams, ecological windows of opportunity allow complex microbial biofilms to develop and transiently form the basis of the food web, thereby controlling key ecosystem processes. Using metagenome-assembled genomes, we unravel strategies that allow biofilms to seize this opportunity in an ecosystem otherwise characterized by harsh environmental conditions. We observe a diverse microbiome spanning the entire tree of life including a rich virome. Various co-existing energy acquisition pathways point to diverse niches and the exploitation of available resources, likely fostering the establishment of complex biofilms during windows of opportunity. The wide occurrence of rhodopsins, besides chlorophyll, highlights the role of solar energy capture in these biofilms while internal carbon and nutrient cycling between photoautotrophs and heterotrophs may help overcome constraints imposed by oligotrophy in these habitats. Mechanisms potentially protecting bacteria against low temperatures and high UV-radiation are also revealed and the selective pressure of this environment is further highlighted by a phylogenomic analysis differentiating important components of the glacier-fed stream microbiome from other ecosystems. Our findings reveal key genomic underpinnings of adaptive traits contributing to the success of complex biofilms to exploit environmental opportunities in glacier-fed streams, which are now rapidly changing owing to global warming.
    Type of Medium: Online Resource
    ISSN: 2041-1723
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2022
    detail.hit.zdb_id: 2553671-0
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  • 10
    Online Resource
    Online Resource
    Wiley ; 2017
    In:  Architectural Design Vol. 87, No. 4 ( 2017-07), p. 110-119
    In: Architectural Design, Wiley, Vol. 87, No. 4 ( 2017-07), p. 110-119
    Abstract: Digital fabrication to date has typically been blind to context. But this need not be the case – as demonstrated by the experiments of Gramazio Kohler Research , based at ETH Zurich. They have developed systems that employ robotic arms and flying machines with feedback control to adapt the fabrication process as it progresses. From the ballistic projection of clay in a cutting‐edge version of adobe, to the interlacing of string to form suspended structures in space, Fabio Gramazio, Matthias Kohler and Hannes Mayer outline some of their inventions here.
    Type of Medium: Online Resource
    ISSN: 0003-8504 , 1554-2769
    URL: Issue
    RVK:
    Language: English
    Publisher: Wiley
    Publication Date: 2017
    detail.hit.zdb_id: 2190469-8
    detail.hit.zdb_id: 161750-3
    SSG: 9,10
    SSG: 6,23
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