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BackgroundAbdominal aortic aneurysm (AAA) development is driven by inflammation, in particular myeloid cells, which represent attractive biomarker candidates. Yet to date, the maximum aortic diameter is the only clinically applied predictor of AAA progression and indicator for surgical repair. We postulated that aortic inflammation is reflected in a systemic change of monocyte populations, which we investigated regarding marker potential in AAA diagnosis and prognosis.MethodsWe conducted a single-center retrospective cohort study in a diagnostic setting, measuring monocyte subsets by flow cytometry in peripheral blood samples of 47 AAA patients under surveillance, matched with 25 healthy controls and 25 patients with peripheral artery disease (PAD). In a prognostic setting, we acquired longitudinal data of 60 AAA patients including aneurysm growth assessment by computed tomography at 6-month intervals.ResultsBlood levels of total monocytes, CD16+ monocytes and particularly intermediate monocytes were significantly increased in AAA patients versus healthy individuals and were also elevated compared to PAD patients. The combination of intermediate monocyte and D-dimer blood levels outperformed the individual diagnostic marker values. Additionally, the elevated concentrations of total monocytes, intermediate monocytes, and monocyte-platelet aggregates (MPA) were suited to predict rapid AAA progression over short-term periods of six months. Of note, MPA were identified as independent predictor of AAA disease progression in multivariable analysis.ConclusionCirculating monocyte subsets are elevated in AAA patients and support diagnosis and prediction of aneurysm progression. Monocyte subsets and D-dimer reflect different hallmarks (inflammation and hemostasis) of AAA pathology and when combined, may serve as improved biomarker.

Hospital-acquired infections occur through microbial contamination of the surgical wound and can lead to severe complications. A significant transmission path is the aerogenic transmission, where pathogens stick to floating particles like skin scales or to air moisture. A novel porous airflow ring which is placed around the surgical field aims to overcome this by applying sterile air directly at the operation wound. The ring is provided with an air tight coating at the outer side and allows for fixation on the skin by an adhesive coating at the lower side. To evaluate its performance the airflow ring was placed in an atmosphere with nebulized suspension of Staphylococcus arlettae of a concentration of 5.0 x 10^5 CFU/ml resp. 5.0 x 10^6 CFU/ml within a box. The formation of bacterial colonies (CFU) on contact plates placed within the airflow ring was subsequently determined by visual counting after incubating at 37 °C for one day. CFU counts of the ventilated and the unventilated situation were compared. With the smaller inoculum, the introduction of bacteria into the inner site of the ring was completely prevented, whereas the contact plate of the unventilated ring resulted in 77 to 427 colonies in different trials. With the higher inoculum, the bacteria ingress was very strongly reduced by 99.7% respectively 99.9%. In conclusion the airflow ring shows a strong shielding effect for germs adhered to fog-sized water droplets. To clearly demonstrate the effect, the number of bacteria was greatly increased compared to reality in this setup. It was shown that it can withstand even conditions significantly worse than those encountered in an operating theatre. In order to demonstrate the effect in vivo, clinical trials have to be conducted to confirm the laboratory results.

Abstract Brown bears hibernate throughout half of the year as a survival strategy to reduce energy consumption during prolonged periods with scarcity of food and water. Thyroid hormones are the major endocrine regulators of basal metabolic rate in humans. Therefore, we aimed to determine regulations in serum thyroid hormone levels in hibernation compared to the active state to investigate if these are involved in the adaptions for hibernation. We used electrochemiluminescence immunoassay to quantify total triiodothyronine (T3) and thyroxine (T4) levels in hibernation and active state in paired serum samples from six subadult Scandinavian brown bears. Additionally, we determined regulations in the liver mRNA levels of three major thyroid hormone-binding proteins; thyroxine-binding globulin (TBG), transthyretin (TTR), and albumin, by analysis of previously published grizzly bear RNA sequencing data. We found that bears were hypothyroid when hibernating with T4 levels reduced to less than 44% (P = 0.008) and T3 levels reduced to less than 36% (P = 0.016) of those measured in the active state. In hibernation, mRNA levels of TBG and albumin increased to 449% (P = 0.031) and 121% (P = 0.031), respectively, of those measured in the active state. TTR mRNA levels did not change. Hibernating bears are hypothyroid and share physiologic features with hypothyroid humans, including decreased basal metabolic rate, bradycardia, hypothermia, and fatigue. We speculate that decreased thyroid hormone signaling is a key mediator of hibernation physiology in bears. Our findings shed light on the translational potential of bear hibernation physiology to humans for whom a similar hypometabolic state could be of interest in specific conditions.

A field area coverage-planning algorithm has been developed for the optimization and simulation of capacitated field operations such as the organic fertilizer application process. The proposed model provides an optimal coverage plan, which includes the optimal sequence of the visited tracks with a designated application rate. The objective of this paper is to present a novel approach for route planning involving two simultaneous optimization criteria, non-working distance minimization and the optimization of application rates, for the capacitated field operations such as organic fertilizer application to improve the overall operational efficiency. The study and the developed algorithm have shown that it is possible to generate the optimized coverage plan based on the required defined capacity of the distributer. In this case, the capacity of the distributer is not considered a limiting factor for the farmers. To validate this new method, a shallow injection application process was considered, and the results of applying the optimization algorithm were compared with the conventional methods. The results show that the proposed method increase operational efficiency by 19.7%. Furthermore, the applicability of the proposed model in robotic application were demonstrated by way of two defined scenarios.

Background: Abdominal aortic aneurysm (AAA) development is driven by inflammation, in particular myeloid cells, which represent attractive biomarker candidates. Yet to date, the maximum aortic diameter is the only clinically applied predictor of AAA progression and indicator for surgical repair. We postulated that aortic inflammation is reflected in a systemic change of monocyte populations, which we investigated regarding marker potential in AAA diagnosis and prognosis. Methods: We conducted a single-center retrospective cohort study in a diagnostic setting, measuring monocyte subsets by flow cytometry in peripheral blood samples of 47 AAA patients under surveillance, matched with 25 healthy controls and 25 patients with peripheral artery disease (PAD). In a prognostic setting, we acquired longitudinal data of 60 AAA patients including aneurysm growth assessment by computed tomography at 6-month intervals. Results: Blood levels of total monocytes, CD16+ monocytes and particularly intermediate monocytes were significantly increased in AAA patients versus healthy individuals and were also elevated compared to PAD patients. The combination of intermediate monocyte and D-dimer blood levels outperformed the individual diagnostic marker values. Additionally, the elevated concentrations of total monocytes, intermediate monocytes, and monocyte-platelet aggregates (MPA) were suited to predict rapid AAA progression over short-term periods of six months. Of note, MPA were identified as independent predictor of AAA disease progression in multivariable analysis. Conclusion: Circulating monocyte subsets are elevated in AAA patients and support diagnosis and prediction of aneurysm progression. Monocyte subsets and D-dimer reflect different hallmarks (inflammation and hemostasis) of AAA pathology and when combined, may serve as improved biomarker. [ABSTRACT FROM AUTHOR]

An investigation of microplastic (MP) occurrence in a municipal wastewater treatment plant (WWTP) effluent with tertiary treatment was carried out. Representative sample volumes of 1 m3 were taken by applying a fractionated filtration method (500, 100, and 50 µm mesh sizes). The detection of MP mass fractions by thermal extraction desorption–gas chromatography/mass spectrometry (TED-GC/MS) was achieved without the previously required additional sample pretreatment for the first time. Different types of quantification methods for the evaluation of TED-GC/MS data were tested, and their accuracy and feasibility have been proven for real samples. Polyethylene, polystyrene, and polypropylene were identified in effluent samples. The polymer mass content varied significantly between 5 and 50 mg m−3. A correlation between the MP load and the quantity of suspended matter in the WWTP effluents, particle size distribution, particle type, and operation day (i.e., weekday, season, and capacity) was not found. It can be concluded that a meaningful assessment of WWTPs requires a comprehensive sampling campaign with varying operation conditions.

The interaction of microcroplastics (MP) with dissolved organic matter, especially humic substances, is of great importance in understanding the behavior of microplastics in aquatic ecosystems. Surface modification by humic substances plays an essential role in transport and interaction of MP with abiotic and biotic components. Previous studies on the interaction between MP and humic substances were largely based on a model compound, humic acid (Sigma‐Aldrich). In our work, we therefore investigated the interaction of natural organic matter (NOM) sampled from a German surface water with low‐density polyethylene particles (LDPE). High‐pressure size exclusion chromatography (HPSEC) and UV/vis absorption and fluorescence spectroscopy were used to characterize the incubation solutions after modifications due to the presence of LDPE, and Raman spectroscopy was used to characterize the incubated microplastics. While the studies of the solutions generally showed only very small effects, Raman spectroscopic studies allowed clear evidence of the binding of humic fractions to MP. The comparison of the incubation of NOM and a lignite fulvic acid which also was tested further showed that specific signatures of the humic substances used could be detected by Raman spectroscopy. This provides an elegant opportunity to conduct broader studies on this issue in the future. [ABSTRACT FROM AUTHOR]

Abstract Background The product of the concentrations of urinary tissue inhibitor of metalloproteinases-2 and insulin-like growth factor binding protein-7 (urinary [TIMP-2] × [IGFBP-7]) has been suggested as biomarker for early detection of acute kidney injury (AKI) in various clinical settings. However, the performance of urinary [TIMP-2] × [IGFBP-7] to predict AKI has never been assessed in patients undergoing orthotopic liver transplantation (OLT). Thus, the aim of this study was to assess the early predictive value of urinary [TIMP-2] × [IGFBP-7] for the development of AKI after OLT. Methods In this observational study, urinary [TIMP-2] × [IGFBP-7] was measured in samples from adult OLT patients. AKI was diagnosed and classified according to KDIGO criteria. Areas under the receiver operating curves (AUC) were calculated to assess predictive values of urinary [TIMP-2] × [IGFBP-7] for the development of AKI. Results Forty patients (mean age 55 ± 8 years) were included. Twenty-eight patients (70%) developed AKI stage 1, 2, or 3 within 48 h after OLT. Urinary [TIMP-2] × [IGFBP-7] was not predictive for AKI at the end of OLT (AUC: 0.54, CI [0.32–0.75], P = 0.72), at day 1 (AUC: 0.60, CI [0.41–0.79], P = 0.31), or day 2 after OLT (AUC: 0.63, CI [0.46–0.8], P = 0.18). Conclusion Based on our results, routine clinical use of urinary [TIMP-2] × [IGFBP-7] cannot be recommended for risk assessment of AKI in patients undergoing OLT.