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With focus on renewable energy from agriculture governments can either support the growing production of energy crops or it can invest in technology or measures to reduce the energy consumption. But what is more efficient with regard to the use of the limited resource arable land: to insulate a building with fibre material grown on arable land to reduce the heating demand or to use such land for growing energy plants for the sustainable energy supply of a building? To answer this question, a long term balance calculation under consideration of numerous framework parameters is necessary. Based on traditional fibre plants like hemp, flax, and woody fibre crops (e.g. poplar), these agricultural plants and their processing to insulation material were examined. Based on available data for the typical building structure of detached and semi-detached houses in Germany, models of buildings were developed and the accessible potentials for heating energy savings by using suitable insulation measures with natural fibre materials were determined. As a comparable system for the supply of renewable energy, bio-methane from silage maize was chosen, since it can be used efficiently in conventional gas boilers for heat generation. The different levels of consideration allow the following interpretations of results: in a balance calculation period of 30 years, the required acreage for heating supply with methane can be reduced by approx. 20%, when at the beginning of the use period fibre plants for the insulation of the houses are grown on the arable acreage. Contrariwise, to compensate only the existing loss in heating energy due to inadequate insulation of older detached and semi-detached houses (build prior to 1979) an annual acreage of approx. 3 million ha silage maize for bio-methane would be required in Germany. Therefore, from the land use perspective the production of biogas plants in agriculture for heating should be accompanied by the production of fibre plants for a reasonable improvement of the heat insulation of houses. [ABSTRACT FROM AUTHOR]

Objectives: The objective of this study was to systematically review quantitative and qualitative studies on the public's knowledge and beliefs about antibiotic resistance.Methods: We searched four databases to July 2014, with no language or study design restrictions. Two reviewers independently extracted data. We calculated the median (IQR) of the proportion of participants who agreed with each statement and synthesized qualitative data by identifying emergent themes.Results: Of 3537 articles screened, 54 studies (41 quantitative, 3 mixed methods and 10 qualitative) were included (55 225 participants). Most studied adults (50; 93% studies) and were conducted in Europe (23; 43%), Asia (14; 26%) or North America (12; 22%). Some participants [median 70% (IQR 50%-84%); n = 8 studies] had heard of antibiotic resistance, but most [median 88% (IQR 86%-89%); n = 2 studies] believed it referred to changes in the human body. Many believed excessive antibiotic use [median 70% (IQR 59%-77%); n = 11 studies] and not completing antibiotic courses [median 62% (IQR 47%-77%); n = 8 studies] caused resistance. Most participants nominated reducing antibiotic use [median 74% (IQR 72%-85%); n = 4 studies] and discussing antibiotic resistance with their clinician (84%, n = 1 study) as strategies to reduce resistance. Qualitative data supported these findings and additionally identified that: participants believed they were at low risk from antibiotic resistance participants; largely attributed its development to the actions of others; and strategies to minimize resistance should be primarily aimed at clinicians.Conclusions: The public have an incomplete understanding of antibiotic resistance and misperceptions about it and its causes and do not believe they contribute to its development. These data can be used to inform interventions to change the public's beliefs about how they can contribute to tackling this global issue. [ABSTRACT FROM AUTHOR]

Advanced systemic mastocytosis (SM) is a life-threatening neoplasm characterized by uncontrolled growth and accumulation of neoplastic mast cells (MCs) in various organs and a poor survival. So far, no curative treatment concept has been developed for these patients. We identified the epigenetic reader bromodomain-containing protein-4 (BRD4) as novel drug target in aggressive SM (ASM) and MC leukemia (MCL). As assessed by immunohistochemistry and PCR, neoplastic MCs expressed substantial amounts of BRD4 in ASM and MCL. The human MCL lines HMC-1 and ROSA also expressed BRD4, and their proliferation was blocked by a BRD4-specific short hairpin RNA. Correspondingly, the BRD4-targeting drug JQ1 induced dose-dependent growth inhibition and apoptosis in HMC-1 and ROSA cells, regardless of the presence or absence of KIT D816V. In addition, JQ1 suppressed the proliferation of primary neoplastic MCs obtained from patients with ASM or MCL (IC50: 100-500 nm). In drug combination experiments, midostaurin (PKC412) and all-trans retinoic acid were found to cooperate with JQ1 in producing synergistic effects on survival in HMC-1 and ROSA cells. Taken together, we have identified BRD4 as a promising drug target in advanced SM. Whether JQ1 or other BET-bromodomain inhibitors are effective in vivo in patients with advanced SM remains to be elucidated. [ABSTRACT FROM AUTHOR]

During the last years, two new cardiovascular drug classes, namely inhibitors of DPP IV or neprilysin, have been developed. In both cases, there is clinical evidence for their potential to induce angioedema as known already from blockers of the renin-angiotensin-aldosterone system ( RAAS). The majority of angioedema induced by DPP IV inhibitors occurs during concomitant treatment with ACEi and is therefore likely mediated by overactivation of bradykinin type 2 receptors (B2). In striking contrast, the molecular pathways causing angioedema induced by neprilysin inhibitors, that is, sacubitril, are unclear, although a contribution of bradykinin appears likely. Nevertheless, there is no clinical evidence suggesting that inhibition of B2 might relieve the symptoms and/or prevent invasive treatment including coniotomy or tracheotomy in angioedema caused by these drugs. Therefore, the risk of angioedema should always be considered, especially in ambulatory care situations where patients have no rapid access to intensive care. [ABSTRACT FROM AUTHOR]

Objectives: To systematically review clinicians' knowledge and beliefs about the importance and causes of antibiotic resistance, and strategies to reduce resistance. Methods: Four databases were searched (until July 2014), without restrictions on language, setting or study design. Fixed responses (from surveys) were grouped into categories. The proportion of participants who agreed with each category was expressed as median, percentage and IQR. Qualitative data were coded into emergent themes. Quantitative categories and qualitative themes were grouped into four overarching categories that emerged from the data. Results: There were 57 included studies (38 quantitative, 14 qualitative, 5 mixed methods) of 11593 clinicians. Most clinicians (69%, IQR 63%-72%, n = 5 studies) had heard of antibiotic resistance and 98% (IQR 93%-99%, n = 5 stud-ies) believed it was serious. The proportion who believed it was a problem for their practice (67%, IQR 65%-74%, n = 13 studies) was smaller than the proportion who believed it was a problem globally (89%, IQR 85%-97%, n = 5 studies) or nationally (92%, IQR 88%-95%, n = 21 studies). Most believed excessive antibiotic use (97%, IQR 91%-98%, n = 12 studies) and patient non-adherence (90%, IQR 82%-92%, n = 7 studies) caused resistance. Most knew of strategies to reduce resistance (e.g. clinician education, 90%, IQR 85%-96%, n = 7 studies). Qualitative findings support these data: they attributed responsibility for antibiotic resistance to patients, other countries and healthcare settings; resistance was considered a low priority and a distant consequence of antibiotic prescribing. Conclusions: Clinicians believe antibiotic resistance is a serious problem, but think it is caused by others. This needs to be accommodated in interventions to reduce antibiotic resistance. [ABSTRACT FROM AUTHOR]

The terpenoid composition of fossil resin from the Cape York Peninsula, Australia has been analysed by pyrolysis-gas chromatography-mass spectrometry (Py-GC-MS) to determine its origin. The pyrolysis products were dominated by cadalene-based C15bicyclic sesquiterpenoids including some C30–C31bicadinanes and bicadinenes typical of Class II resin derived from angiosperm plants of Dipterocarpaceae. This observation contrasts with the Araucariaceae (Agathissp.) source previously suggested for the resin based on Fourier transform infrared (FTIR) analyses. Dipterocarpaceae are not known in Australian vegetation but grow abundantly in Southeast Asia including New Guinea, indicating that the geological origin of the amber is not the Australian mainland but could be traced to Southeast Asia. [ABSTRACT FROM PUBLISHER]

Accurate surveillance of the COVID-19 pandemic can be weakened by under-reporting of cases, particularly due to asymptomatic or pre-symptomatic infections, resulting in bias. Quantification of SARS-CoV-2 RNA in wastewater (WW) can be used to infer infection prevalence, but uncertainty in sensitivity and considerable variability has meant that accurate measurement remains elusive. Data from 44 sewage sites in England, covering 31% of the population, are used in this analysis where samples are available from July 2020 to present day. Samples include the raw SARS-CoV-2 gene copy number and associated meta-data. To establish the sensitivity and specificity of the WW data, we compare to population representative prevalence surveys available across England (the ONS Covid Infection Survey - CIS). The WW data were mapped to sub-regional data of the CIS and fitted using mathematical modelling. First, a phenomenological model was developed to model how infected individuals shed SARS-CoV-2 into WW and how the markers may degrade in time and compare this to the data. Second, we develop a model to estimate SARS-CoV-2 prevalence directly from WW data which is trained on the CIS data. Data from 44 sewage sites in England, shows that SARS-CoV-2 prevalence is estimated to within 1.1% of estimates from representative prevalence surveys (with 95% confidence). Using machine learning and phenomenological models, differences between sampled sites, particularly the WW flow rate, influence prevalence estimation and require careful interpretation. SARS-CoV-2 signals in WW appear 4-5 days earlier in comparison to clinical testing data but are coincident with prevalence surveys suggesting that WW surveillance can be a leading indicator for asymptomatic viral infections. Wastewater-based epidemiology complements and strengthens traditional surveillance, with significant implications for public health. Using WW to quantify infection prevalence requires knowledge of additional meta-data and outbreak detection needs to account for unexplained aberrations in WW data to improve reliability [ABSTRACT FROM AUTHOR]

In recent years low molecular weight alkylamines have been recognized to play an important role in particle formation and growth in the lower atmosphere. However, major uncertainties are associated with their atmospheric processes, sources and sinks, mostly due to the lack of ambient measurements and the difficulties in accurate quantification of alkylamines at trace level. In this study, we present the evaluation and optimization of two analytical approaches, i.e., gas chromatography-mass spectrometry (GC-MS) and ion chromatography (IC), for the determination of alkylamines in aerosol particles. Alkylamines were converted to carbamates through derivatization with isobutyl chloroformate for GCMS determination. A set of parameters affecting the analytical performances of the GC-MS approach, including reagent amount, reaction time and pH value, was evaluated and optimized. The accuracy is 84.3-99.1 %, and the limits of detection obtained are 1.8-3.9 pg (or 0.02-0.04 ngm-3). For the IC approach, a solid-phase extraction (SPE) column was used to separate alkylamines from interfering cations before IC analysis. 1-2% (v/v) of acetone (or 2-4% (v/v) of acetonitrile) was added to the eluent to improve the separation of alkylamines on the IC column. The limits of detection obtained are 2.1-15.9 ng (or 0.9-6.4 ngm-3), and the accuracy is 55.1-103.4 %. The lower accuracy can be attributed to evaporation losses of amines during the sample concentration procedure. Measurements of ambient aerosol particle samples collected in Hong Kong show that the GC-MS approach is superior to the IC approach for the quantification of primary and secondary alkylamines due to its lower detection limits and higher accuracy. [ABSTRACT FROM AUTHOR]

Background: The Coxsackie- and Adenovirus Receptor (CAR) has been assigned two crucial attributes in carcinomas: (a) involvement in the regulation of growth and dissemination and (b) binding for potentially therapeutic adenoviruses. However, data on CAR expression in cancer types are conflicting and several entities have not been analysed to date.Methods: The expression of CAR was assessed by immunohistochemical staining of tissue microarrays (TMA) containing 3714 specimens derived from 100 malignancies and from 273 normal control tissues.Results: The expression of CAR was detected in all normal organs, except in the brain. Expression levels, however, displayed a broad range from being barely detectable (for example, in the thymus) to high abundance expression (for example, in the liver and gastric mucosa). In malignancies, a high degree of variability was notable also, ranging from significantly elevated CAR expression (for example, in early stages of malignant transformation and several tumours of the female reproductive system) to decreased CAR expression (for example, in colon and prostate cancer types).Conclusion: Our results provide a comprehensive insight into CAR expression in neoplasms and indicate that CAR may offer a valuable target for adenovirus-based therapy in a subset of carcinomas. Furthermore, these data suggest that CAR may contribute to carcinogenesis in an entity-dependent manner. [ABSTRACT FROM AUTHOR]

Background:The Coxsackie- and Adenovirus Receptor (CAR) has been assigned two crucial attributes in carcinomas: (a) involvement in the regulation of growth and dissemination and (b) binding for potentially therapeutic adenoviruses. However, data on CAR expression in cancer types are conflicting and several entities have not been analysed to date.Methods:The expression of CAR was assessed by immunohistochemical staining of tissue microarrays (TMA) containing 3714 specimens derived from 100 malignancies and from 273 normal control tissues.Results:The expression of CAR was detected in all normal organs, except in the brain. Expression levels, however, displayed a broad range from being barely detectable (for example, in the thymus) to high abundance expression (for example, in the liver and gastric mucosa). In malignancies, a high degree of variability was notable also, ranging from significantly elevated CAR expression (for example, in early stages of malignant transformation and several tumours of the female reproductive system) to decreased CAR expression (for example, in colon and prostate cancer types).Conclusion:Our results provide a comprehensive insight into CAR expression in neoplasms and indicate that CAR may offer a valuable target for adenovirus-based therapy in a subset of carcinomas. Furthermore, these data suggest that CAR may contribute to carcinogenesis in an entity-dependent manner. [ABSTRACT FROM AUTHOR]

The field application of an aerosol concentrator in conjunction with an atmospheric pressure chemical ionization ion trap mass spectrometer (APCI-IT-MS) at the boreal forest station SMEAR II at Hyytiälä, Finland, is demonstrated in this study. APCI is a soft-ionization technique allowing online measurements of organic acids in the gas and particle phase. The detection limit for the acid species in the particle phase was improved by a factor of 7.5 to 11 (e.g. ~ 40 ngm3 for pinonic acid) by using the miniature versatile aerosol concentration enrichment system (mVACES) upstream of the mass spectrometer. The APCI-IT-MS was calibrated in the negative ion mode with two biogenic organic acid standards - pinic acid and pinonic acid. Pinic acid was used as a surrogate for the quantification of the total amount of organic acids in the ambient aerosol based on the total signal intensities in the negative ion mode. The results were compared with the total organic signal of a CToF- AMS during the HUMPPA-COPEC 2010 field campaign. The campaign average contribution of organic acids measured by APCI-IT-MS to the total submicron organic aerosol mass was estimated to be about 60 %, based on the response of pinic acid. Very good correlation between APCIIT- MS and C-ToF-AMS (Pearson's R = 0.94) demonstrates soft-ionization mass spectrometry as a complimentary technique to AMS with electron impact ionization. MS2 studies of specific m/z ratios recorded during the HUMPPA-COPEC 2010 field campaign were compared to MS2 studies of selected monoterpene oxidation products formed in simulation chamber experiments. The comparison of the resulting fragments shows that oxidation products of the main VOCs emitted at Hyytiälä (α-pinene and Δ3-carene) cannot account for all of the measured fragments. Possible explanations for those unaccounted fragments are the presence of unidentified or underestimated biogenic SOA precursors, or that different products are formed by a different oxidant mixture of the ambient air compared to the chamber ozonolysis. [ABSTRACT FROM AUTHOR]

The article presents a study which explored the use of an online atmospheric pressure chemical ionization ion trap mass spectrometer (APCI-IT-MS) in measuring concentrated bulk aerosol's organic acids. Calibration of APCI-IT-MS in the negative ion mode was done with pinonic and pinic acids. Results suggested the ability of APCI-IT-MS to carry out MS2 spectra.

Abstract: This work presents a process to fabricate Bulk FinFETs with advancements in critical fabrication steps such as the shallow trench oxide recess and the adjustment of the fin height. These steps are accomplished with the adoption of Siconi™ Selective Material Removal (SMR™) in the fabrication flow. FinFETs obtained with this new integration scheme were tested in a co-fabrication process flow proposed to integrate planar CMOS and Bulk FinFETs on the same wafer. Morphological and electrical results indicate perfectly filled trenches, a better fin height control and a Bulk FinFET static performance similar to planar CMOS. The 20nm wide fins are fabricated using 193nm illumination lithography followed by a series of trimming steps during the trench etching, the filling and a fin re-oxidation during the steam densification of the trench filling oxide. Trench depth is 300nm and the electrically active fin height is 40nm. [Copyright &y& Elsevier]

Low-frequency noise in strained Ge epitaxial layers, which are grown on a reverse-graded relaxed SiGe buffer layer, has been evaluated for different front-end processing conditions. It has been shown that the \1/f noise in strong inversion is governed by trapping in the gate oxide (number fluctuations) and not affected by the presence of compressive strain in the channel. However, some impact has been found from the type of halo implantation used, whereby the lowest noise spectral density and the highest hole mobility are obtained by replacing the standard As halo by P implantation. At the same time, omitting the junction anneal results in poor device characteristics, which can be understood by considering the presence of a high density of nonannealed implantation damage in the channel and the gate stack near the source and the drain. [ABSTRACT FROM PUBLISHER]

Abstract: Ultrathin EOT-values are achieved by using optimized processing conditions and interface layer scavenging in metal-gated (TiN and TaN) based planar and bulk-FinFET devices. EOT values down to 4.5Å in the planar devices and in bulk-FinFETs are demonstrated. Improved EOT-leakage current scaling is observed with the use of chemical oxides as compared to thermally grown as interface layer for the . In contrast, the mobility is found independent of the compared interface layers, processing conditions and metal electrodes and follows one trend-line with EOT. The FinFET devices show decreased -values and improved mobility for more narrow fin widths. [Copyright &y& Elsevier]

Abstract: A new carbon-based thermal stability improvement technique is proposed for nickel silicide. Carbon implantation is well known to improve the thermal stability of Ni-based silicides, but its process window is small. An experiment has been performed to identify and introduce new process steps which improve the thermal stability and which can be integrated into a CMOS technology platform without a significant cost increase. No yield issues have been observed up to 700°C 30min post-silicidation thermal budget even for the narrowest silicided silicon lines. NiPtSi encroachment, which is one of the main yield killers for Sub-65nm technologies, has not been seen. The device scalability is not affected and a similar performance has been achieved with an additional post-silicidation thermal budget. Through in-depth understanding of this approach, new integration schemes like for instance a gate-last process flow can be envisioned. [Copyright &y& Elsevier]

Background and Purpose: Clinical results of osanetant and talnetant (selective-NK₃ antagonists) indicate that blocking the NK₃ receptor could be beneficial for the treatment of schizophrenia. The objective of this study was to characterize the in vitro and in vivo properties of a novel dual NK₁/NK₃ antagonist, RO4583298 (2-phenyl-N-(pyridin-3-yl)-N-methylisobutyramide derivative).Experimental Approach: RO4583298 in vitro pharmacology was investigated using radioligand binding ([³H]-SP, [³H]-osanetant, [³H]-senktide), [³H]-inositol-phosphate accumulation Schild analysis (SP- or [MePhe⁷]-NKB-induced) and electrophysiological studies in guinea-pig substantia nigra pars compacta (SNpc). The in vivo activity of RO4583298 was assessed using reversal of GR73632-induced foot tapping in gerbils (GFT; NK₁) and senktide-induced tail whips in mice (MTW; NK₃).Key Results: RO4583298 has a high-affinity for NK₁ (human and gerbil) and NK₃ (human, cynomolgus monkey, gerbil and guinea-pig) receptors and behaves as a pseudo-irreversible antagonist. Unusually it binds with high-affinity to mouse and rat NK₃, yet with a partial non-competitive mode of antagonism. In guinea-pig SNpc, RO4583298 inhibited the senktide-induced potentiation of spontaneous activity of dopaminergic neurones with an apparent non-competitive mechanism of action. RO4583298 (p.o.) robustly blocked the GFT response, and inhibited the MTW.Conclusions and Implications: RO4583298 is a high-affinity, non-competitive, long-acting in vivo NK₁/NK₃ antagonist; hence providing a useful in vitro and in vivo pharmacological tool to investigate the roles of NK₁ and NK₃ receptors in psychiatric disorders. [ABSTRACT FROM AUTHOR]

Abstract: The multi-gate architecture is considered as a key enabler for further CMOS scaling thanks to its improved electrostatics and short-channel effect control. FinFETs represent one of the architectures of interest within that family together with Ω-gates, Π-gates, gate-all-around… They can readily be manufactured starting from SOI or bulk substrates even though more efforts have been dedicated to the SOI option so far. We report in this work an extensive benchmark of their critical electrical figures of merit (FOM) and their limitations. Both alternatives show better scalability (threshold voltage –V t vs. L) than PLANAR CMOS and exhibit similar intrinsic device performance (I off vs. I on). Introducing SOI substrates and low doped fins results in lower junction capacitance, higher mobility and voltage gain with reduced threshold voltage mismatch. Using an optimized integration to minimize parasitic capacitances and resistances we demonstrate high-performing FinFET ring-oscillators with delays down to 10ps/stage for both SOI and bulk FinFETs. SRAM cells are also reported to work, scaling similarly with the supply voltage (VDD) for the two FinFET integration schemes. [Copyright &y& Elsevier]

Abstract: In this paper we report on electrical demonstration of thermally stable Ni silicides. It has been shown that when a sacrificial Si1− x C x epilayer is grown in the source-drain areas of NMOS transistors prior to silicidation, Ni silicides can withstand a 30min anneal at 750°C and demonstrate excellent electrical performance. We have observed carbon segregation at the NiSiC/Si1− x C x interface which can explain the increased NiSiC thermal stability. We have experimentally demonstrated feasibility of CMOS device implementation of thermally stable Ni silicides. [Copyright &y& Elsevier]

The competent immune system controls disease effectively due to induction, function, and regulation of effector lymphocytes. Immunosurveillance is exerted mostly by cytotoxic T-lymphocytes (CTLs) while specific immune suppression is associated with tumor malignancy and progression. In squamous cell carcinoma of the head and neck, the presence, activity, but also suppression of tumor-specific CTL have been demonstrated. Functional CTL may exert a selection pressure on the tumor cells that consecutively escape by a combination of molecular and cellular evasion mechanisms. Certain of these mechanisms target antitumor effector cells directly or indirectly by affecting cells that regulate CTL function. This results in the dysfunction or apoptosis of lymphocytes and dysregulated lymphocyte homeostasis. Another important tumor-escape mechanism is to avoid recognition by dysregulation of antigen processing and presentation. Thus, both induction of functional CTL and susceptibility of the tumor and its microenvironment to become T cell targets should be considered in CTL-based immunotherapy. [ABSTRACT FROM AUTHOR]

The purpose of this 4-day plaque regrowth study was to assess the effect of N-chlorotaurine (NCT) mouth rinses on plaque inhibition and plaque vitality. Eighty volunteers participated in this investigator-blind, randomized, clinical controlled study in parallel groups. No oral hygiene was permitted except rinsing with a 2% or 3% NCT mouth rinse, a positive or a negative control. Primary parameters were the plaque index (Silness and Löe, Acta Odontol Scand, 22:121–135, ) and plaque vitality (Netuschil et al., J Clin Periodontol, 16:484–488, ) after the final rinse. In addition, another plaque index (Turesky et al., J Periodontol, 41:41–43, ), plaque area, and bleeding on probing were recorded. All parameters were taken at baseline and day 5. U test was applied on a 5% error level. No differences in plaque inhibition were found between the two NCT formulations and the negative control. However, a statistically significant reduction of plaque vitality compared to the negative and positive control was observed. Discoloration of the tongue and unpleasant taste were recorded in participants in the NCT groups. NCT mouth rinses did not inhibit plaque regrowth, but they did reduce the vitality of plaque bacteria. Methods of prolonging the substantivity of the NCT mouth rinses should be investigated to enhance the antibacterial properties of these formulations. [ABSTRACT FROM AUTHOR]

This article focuses on a new search of evidence for occupational therapy. It is not surprising that surveys show that a major difficulty facing occupational therapists implementing evidence-based practice is the limited time they have to locate relevant research. Commonly, therapists feel there is not enough evidence available. While this may be true to some extent, it may also reflect the difficulty locating relevant research given limited time and lack of awareness of where to search for evidence.

Aim: We aimed to assess the association of different genotypes with increased aggressive periodontitis susceptibility by studying functional relevant variants in the pathogen-recognition receptor Toll-like receptor 4 (TLR4) and variants in the promoter region of the pro-inflammatory cytokine interleukin-18 (IL-18). Material and Methods: One hundred and eleven patients with aggressive periodontitis and 80 periodontally healthy controls were genotyped for four functional variants in the TLR4 gene (c.896A>G and c.1196C>T) and in the IL-18 promoter (c.-368G>C and c.-838C>A). The genotype and allele frequencies, as well as the frequency of combined genotypes were compared between study groups. Results: There were no statistical differences in genotype and allele frequencies within the four variants between the groups. All study subjects were further classified into carriers and non-carriers of at least one variant of both genes. The logistic regression analysis adjusted for gender and smoking showed no association between carrier status of at least one variant of both genes and periodontal status (OR=1.41, 95% CI: 0.43-4.70). Conclusions: Our results reject the hypothesis that functionally relevant IL-18 and TLR4 gene mutations have a major effect on aggressive periodontitis susceptibility alone or in combination. [ABSTRACT FROM AUTHOR]

OBJECTIVES: Comparison of the outcomes of a combination of an enamel matrix derivative and a synthetic bone graft (EMD/SBC) with EMD alone in wide intra-bony defects. MATERIAL AND METHODS: Seventy-three patients with chronic periodontitis were recruited in five centres in Germany. All patients had one wide intra-bony defect of >/=4 mm. Surgical procedures involved microsurgical technique and the modified papilla preservation flap. After debridement, defects were randomly assigned to EMD/SBC (test) or EMD (control). Assessments at baseline and after 6 months included bone sounding, attachment levels, probing pocket depths, bleeding on probing and recessions. Early wound-healing, adverse effects and patients' perceptions were also recorded. RESULTS: Both treatment modalities led to significant clinical improvements. Change in bone fill 6 months after surgery was 2.0 mm (+/- 2.1) in the test group and 2.1 mm (+/- 1.2) in the control group. A gain in clinical attachment of 1.3 mm (+/- 1.8) in the test group and 1.8 mm (+/- 1.6) in the control group was observed. One week after surgery, primary closure was maintained in 95% of the test sites and 100% of the control sites. No differences in patients' perceptions were found. CONCLUSION: The results of the present study showed similar clinical outcomes following both treatment modalities. [ABSTRACT FROM AUTHOR]

Objectives: Comparison of the outcomes of a combination of an enamel matrix derivative and a synthetic bone graft (EMD/SBC) with EMD alone in wide intra-bony defects. Material and Methods: Seventy-three patients with chronic periodontitis were recruited in five centres in Germany. All patients had one wide intra-bony defect of ⩾4 mm. Surgical procedures involved microsurgical technique and the modified papilla preservation flap. After debridement, defects were randomly assigned to EMD/SBC (test) or EMD (control). Assessments at baseline and after 6 months included bone sounding, attachment levels, probing pocket depths, bleeding on probing and recessions. Early wound-healing, adverse effects and patients' perceptions were also recorded. Results: Both treatment modalities led to significant clinical improvements. Change in bone fill 6 months after surgery was 2.0 mm (± 2.1) in the test group and 2.1 mm (± 1.2) in the control group. A gain in clinical attachment of 1.3 mm (± 1.8) in the test group and 1.8 mm (± 1.6) in the control group was observed. One week after surgery, primary closure was maintained in 95% of the test sites and 100% of the control sites. No differences in patients' perceptions were found. Conclusion: The results of the present study showed similar clinical outcomes following both treatment modalities. [ABSTRACT FROM AUTHOR]

The precursors [Fe(III)(N − R − L)Cl] (N − R − LH2= N, N′-bis(2′-hydroxy- 5′-methyl-benzyliden)-1,7-diamino-4-R-4-azaheptane, R = H, methyl(Me)) are high-spin (S = 5/2) complexes. The Lewis-acidic precursors are combined with Lewis- Base-bridging-units [M(CN) x ] y − (M = Fe(II), Ru(II), Co(III)) to form heptanuclear star-shaped [M{CN-Fe(III)(N − R − L)} x ]Cl y molecular switches. The star-shaped compounds are high-spin systems at room temperature. On cooling to 20 K some of the compounds exhibit multistability, i.e. several iron(III) centers within a molecule switch to the low-spin state as shown by Mössbauer spectroscopy. [ABSTRACT FROM AUTHOR]

AIM: The autosomal-recessive Papillon-Lefèvre syndrome (PLS) is characterized by severe aggressive periodontitis, combined with palmoplantar hyperkeratosis, and is caused by mutations in the Cathepsin C (CTSC) gene. This study aimed to identify CTSC mutations in different PLS phenotypes, including atypical forms and isolated pre-pubertal aggressive periodontitis (PAP). MATERIAL AND METHODS: Thirteen families with different phenotypes were analysed by direct sequencing of the entire coding region and the regulatory regions of CTSC. The function of novel mutations was tested with enzyme activity measurements. RESULTS: In 11 of 13 families, 12 different pathogenic CTSC mutations were found in 10 typical PLS patients, three atypical cases and one PAP patient. Out of four novel mutations, three result in protein truncation and are thus considered to be pathogenic. The homozygous c.854C>T nucleotide exchange (p.P285L) was associated with an almost complete loss of enzyme activity. The observed phenotypic heterogeneity could not be associated with specific genotypes. CONCLUSIONS: The phenotypic variability of the PLS associated with an identical genetic background may reflect the influence of additional genetic or environmental factors on disease characteristics. CTSC mutation analyses should be considered for differential diagnosis in all children suffering from severe aggressive periodontitis. [ABSTRACT FROM AUTHOR]

The relationship between expression of the inhibitor of apoptosis protein survivin and the presence of high-risk human papillomavirus (HPV) in oropharyngeal squamous cell carcinoma (OSCC) remains unclear. This also accounts for its role as a predictor of survival. Therefore, we conducted a multicentre retrospective study on 106 consecutive oropharyngeal cancer patients. Human papillomavirus sequences were detected by nested PCR protocols. Survivin and p16 expression as a surrogate marker for HPV status were analysed by immunohistochemistry. Sequences of high-risk HPV were detected in 29% of cases. Prominent cytoplasmatic expression of survivin was found in 58% of cases and nuclear expression of survivin was found in 19% of the survivin-positive tumours. Nuclear expression of survivin was significantly correlated with HPV-negative tumours (P=0.023) and with a poor disease-free survival rate with an estimated 3-year disease-free survival probability of 35% for tumours with nuclear expression of survivin vs 78% for tumours with non-nuclear expression of survivin (hazard ratio=8.264; 95% confidence interval (95% CI)=2.510-27.210; P<0.001). In multivariate analysis, p16 expression status as well as nuclear expression of survivin were strong independent and opposing prognostic indicators of disease-free survival (hazard ratio=0.068; 95% CI=0.005-0.892; P=0.041 and hazard ratio=15.975; 95% CI=2.377-107.360; P=0.004, respectively). Our data show that nuclear accumulation of survivin correlates with HPV-independent carcinogenesis and is an independent predictor of poor survival in patients with OSCC. [ABSTRACT FROM AUTHOR]

Abstract: We report the simultaneous improvement of both on- and off-properties for n- and p-channel MOSFETs by means of carbon co-implantation at extension level, using conventional spike annealing. For the first time, spike-annealed NFETs with phosphorus-implanted source/drain extensions (SDE) are shown to outperform conventional As-implanted devices in the deca-nanometric range. Parameters such as on-current, drain-induced barrier lowering (DIBL), external resistance (R EXT) vs. effective channel length (L eff) trade-off are examined. To obtain the full benefit of carbon co-implantation, we recommend adjusting pocket, highly doped drain (HDD) and spacer parameters. [Copyright &y& Elsevier]

Abstract: A systematic analysis of the different methods of work function (WF) tuning for gate stacks using fully silicided (FUSI) gate electrodes is presented. We show that FUSI gates have the potential to meet the WF requirements for future nodes, including high performance applications, achieving band edge WF, with total WF range of up to ∼900 meV. The introduction of dopants (such as Sb, As, P, B) by ion implantation is shown to be effective to tune the WF of NiSi or Ni3Si2 on SiO2 or SiON by ∼550 meV, but is ineffective on HfSiON or for Ni-richer silicides. Different silicide phases can be used for Ni FUSI gates on HfSiON dielectrics, taking advantage of the higher WF of metal-rich silicides, achieving a WF range of ∼400 meV. This method is not effective, however, on SiON dielectrics. The introduction of Lanthanides by several techniques (such as dielectric cap deposition, ion implantation into poly-Si, or at metal deposition) that result in the modification of the dielectric, is found, for Ni FUSI gates, to achieve low WF (∼4.0 eV) suitable for NMOS. Similarly, incorporation of Al can be used to achieve PMOS type WF, as well as the use of metal-rich Ni and/or Pt based FUSI gates (with WF as high as 5.0 eV). [Copyright &y& Elsevier]

Angioedema is an underestimated clinical problem. Many cases are nonallergic reactions, e.g. bradykinin-induced angioedema caused by genetic defects and angiotensin-converting enzyme (ACE) inhibitors. This difference is crucial for successful therapy, in particular when complete emergency care is not available. Five important forms of nonallergic angioedema can be distinguished: hereditary (HAE), acquired (AAE), renin-angiotensin-aldosterone system (RAAS)-blocker-induced (RAE), pseudoallergic angioedema (PAE) and idiopathic angioedema (IAE). Some angioedema are present in the larynx and may cause death. A vast majority of nonallergic angioedema are RAE, particularly those caused by ACE inhibitors. It appears important to emphasize that in patients with complete intolerance to RAAS-blockers, cessation of RAAS-blockers is likely to be associated with increased cardiovascular risk. Currently, there is no published algorithm for diagnosis and treatment. Angioedema is usually treated by a conservative clinical approach using artificial ventilation, glucocorticoids and antihistamines. Today, a plasma pool C1-esterase inhibitor (C1-INH) concentrate is the therapy of choice in HAE. The current pharmacotherapy of nonallergic angioedema is not satisfactory, thus requiring the identification of effective agents in clinical trials. Recently, several new drugs were developed: a recombinant C1-INH, a kallikrein inhibitor (ecallantide) and a specific bradykinin-B2-receptor antagonist (icatibant). According to currently available reports, these drugs may improve the treatment of kinin-induced angioedema. [ABSTRACT FROM AUTHOR]

Abstract: A novel phosphorus-modified polysulfone (P-PSu) was employed as a combined toughness modifier and a source of flame retardancy for a DGEBA/DDS thermosetting system. In comparison to the results of a commercially available polysulfone (PSu), commonly used as a toughness modifier, the chemorheological changes during curing measured by means of temperature-modulated DSC revealed an earlier occurrence of mobility restrictions in the P-PSu-modified epoxy. A higher viscosity and secondary epoxy-modifier reactions induced a sooner vitrification of the reacting mixture; effects that effectively prevented any phase separation and morphology development in the resulting material during cure. Thus, only about a 20% increase in fracture toughness was observed in the epoxy modified with 20wt.% of P-PSu, cured under standard conditions at 180°C for 2h. Blends of the phosphorus-modified and the standard polysulfone (PSu) were also prepared in various mixing ratios and were used to modify the same thermosetting system. Again, no evidence for phase separation of the P-PSu was found in the epoxy modified with the P-PSu/PSu blends cured under the selected experimental conditions. The particular microstructures formed upon curing these novel materials are attributed to a separation of PSu from a miscible P-PSu–epoxy mixture. Nevertheless, the blends of P-PSu/PSu were found to be effective toughness/flame retardancy enhancers owing to the simultaneous microstructure development and polymer interpenetration. [Copyright &y& Elsevier]

A letter to the editor about flame retardancy using an oligomric organophosphorus compound is presented.

Abstract: A study of the implementation of Ni fully silicided (FUSI) gates to scaled devices is presented, addressing the issue of phase control at short gate lengths. A linewidth effect for Ni FUSI gates is found for non-optimized processes targeting NiSi, with formation of NiSi at long gate lengths and Ni-rich silicides at short gate lengths. This is attributed to Ni diffusion from areas surrounding the gates, resulting in a larger reacted Ni–Si ratio at short gate lengths. The linewidth dependence of the Ni FUSI phase results in an undesirable kink in the V t roll-off characteristics, due to the difference in effective work function between the Ni silicide phases, which is particularly large for HfSiON dielectrics. An optimized 2-step RTP silicidation process is shown to eliminate this problem allowing the formation of NiSi gates uniformly at all gate lengths. The application and scalability of Ni-rich silicides to PMOS devices is also demonstrated, as well as a scheme for CMOS integration of dual WF phase controlled FUSI (NiSi for NMOS and Ni-rich silicides for PMOS), using an etch back step to reduce the poly-Si height on PMOS electrodes before full silicidation. [Copyright &y& Elsevier]

The article discusses the result of the study which evaluates the viability of an ultrashallow junction technologies which include co-implantation of diffusion-retarding species with rapid thermal annealing in meeting requirements for the source/drain extensions (SDEs) of future devices. It reveals that Carbon co-implant improves the junction depth, profile abruptness, and concentration of the diffusion shoulder for both positive and negative channel metal oxide semiconductor transistors.

The article outlines an investigation on two promising non-reactive 9,10-dihydro-9-oxa-10-phosphaphenanthrene-10-oxide (DOPO)-based flame retardants selected to modify an epoxy matrix for a woven carbon fiber-reinforced composite for high-performance applications. The effectiveness of either DOP-Ethyl or DOP-Cyanur compounds at phosphorus contents of 2 wt% is reported.

Objectives: The aim of this experimental gingivitis study was to assess the efficacy and safety of two new chlorhexidine (CHX) mouthrinses. Materials and Methods: Ninety volunteers participated in this investigator-blind, randomized, clinical-controlled trial in parallel groups. During the treatment period, no oral hygiene measures except rinsing with non-alcoholic 0.2% CHX or 0.2% CHX/0.055% sodium fluoride mouthrinses, a positive control, or a negative control were permitted. The primary parameter was the gingival index; the secondary parameters were plaque index, discolouration index, and bleeding on probing. Clinical examinations were conducted 14 days before the start of the study, at baseline, and after 7, 14, and 21 days. The two sample t-test,anova, andancova were used for the statistical analysis. Results: No difference in efficacy was found between the two new CHX formulations and the positive control. On day 21, statistically significantly less gingival inflammation and plaque accumulation compared with placebo were observed. Besides discolouration and taste irritations, no adverse events were recorded. Conclusion: The two new CHX mouthrinses were able to inhibit plaque re-growth and gingivitis. Neither the omission of alcohol nor the supplementation with sodium fluoride had weakened the clinical efficacy of CHX with respect to the analysed clinical parameters. [ABSTRACT FROM AUTHOR]

The structure-property-relationships, thermal stability and flame retardancy of a DGEBA-DDS system containing various organo-phosphorus compounds as flame retardants is investigated. Three non-reactive (DOP-ethyl, DOP-ethylhexyl and DOP-cyanur) and one reactive (DOP-glycidyl) phosphorous compounds are added separately to the epoxy resin and the mixtures are cured with 4,4′-DDS in a substoichiometric ratio. The addition of such DOPO-compounds leads to improved flame retardancy at low phosphorus contents of about 2 wt.% (about 20 wt.% of additive) without significantly affecting other important properties such as fracture toughness ( K lc) and glass transition temperature ( T g) of the matrix. Neither the type nor the amount of additive affects the fracture toughness of cured epoxies up to additive concentrations of between 18 and 24 wt.%. Furthermore, the loss in glass transition temperature of the cured resin can be correlated with the amount and chemical reactivity of the organo-phosphorus additive. The reactive DOP-glycidyl and the non-reactive DOP-cyanur additive are observed to maintain the highest glass transition temperature of the epoxy system mainly due to a higher extent of the cross-linking reaction. The results presented in this study highlight the potential of optimising the flame retardancy and the resulting physical and mechanical properties of epoxy systems for liquid composite moulding applications by varying the chemical structure of the organo-phosphorus compounds. [ABSTRACT FROM AUTHOR]

In a well-established murine abortion model, stress is thought to trigger fetal rejection by inducing a proinflammatory immune response via substance P (SP), being tumour necrosis factor (TNF)-α-producing CD8+ T cells involved. Interestingly, the SP metabolite SP5-11 also binds to SP receptors and mediates SP-like effects on immune cells at sites of inflammation. No data were available regarding the effects of SP5-11 on pregnancy outcome in the CBA/J × DBA/2J abortion-prone combination. We investigated the influence of SP5-11 in contrast to stress or SP on the abortion rate and the cytokine production by lymphocytes as well as on the levels of CD8+ T cells. Stress and SP boosted the abortion rate and increased the percentage of type 1 [TNF-α, interferon-γ, interleukin (IL)-12] and type 2 (IL-4 and IL-10) cytokine-producing lymphocytes in blood and decidua, predominantly CD8+ T cells. Interestingly, SP5-11 did not significantly affect the abortion rate or cytokine production in the decidua, while increasing the Th1 and Th2 cytokine production systemically. Our data suggest that stress and SP induce abortion by augmenting the local levels of TNF-α, which seems therefore to be a potent trigger of miscarriage. On the contrary, the SP metabolite SP5-11 only affects the systemic cytokine production without boosting the abortion rate in this experimental model. [ABSTRACT FROM AUTHOR]

INTRODUCTION: Online databases can support the implementation of evidence-based practice by providing easy access to research. OTseeker (http://www.otseeker.com), an electronic evidence database, was introduced in 2003 to assist occupational therapists to locate and interpret research. OBJECTIVES: This study explored Australian occupational therapists' use and perceptions of OTseeker and its impact on their knowledge and practice. METHODS: A postal survey questionnaire was distributed to two samples: (i) a proportionate random sample of 400 occupational therapists from all states and territories of Australia, and (ii) a random sample of occupational therapists working in 95 facilities in two Australian states (Queensland and New South Wales). RESULTS: The questionnaire was completed by 213 participants. While most participants (85.9%) had heard of OTseeker, only 103 (56.6%) had accessed it, with lack of time being the main reason for non-use. Of the 103 participants who had accessed OTseeker, 68.9% had done so infrequently, 63.1% agreed that it had increased their knowledge and 13.6% had changed their practice after accessing information on OTseeker. CONCLUSION: Despite OTseeker being developed to provide occupational therapists with easy access to research, lack of time was the main reason why over half of the participants in this study had not accessed it. This exploratory research suggests, however, that there is potential for the database to influence occupational therapists' knowledge and practice about treatment efficacy through access to the research literature. [ABSTRACT FROM AUTHOR]

The aim of this study was to investigate the effect of long-term treatment with the dipeptidyl peptidase inhibitor P32/98 and its combination with rosiglitazone on blood glucose control and islet of Langerhans histology in male Zucker diabetic fatty (ZDF) rats, when treatment begins before or after the development of overt diabetes.ZDF rats were treated with P32/98 from the age of 9, 12 or 15 weeks. Rosiglitazone maleate was given to a separate group from the age of 13 weeks. P32/98 was given to all of these rosiglitazone-treated rats from 16 weeks of age. Rosiglitazone maleate was also given from 16 weeks of age to half the rats that were given P32/98 from 9 weeks of age. The compounds were given by oral gavage until the rats were 14 weeks old and then in the diet. The experiment was terminated at the age of 20–21 weeks. Blood glucose, plasma insulin and oral glucose tolerance were measured at intervals; islet histology was assessed terminally.P32/98 improved glucose tolerance after both single and multiple doses when treatment started at 9 weeks of age, also after the third week of treatment when treatment began at 12 or 15 weeks of age. P32/98 reduced daytime blood glucose when treatment began at 12 weeks. Treatment with rosiglitazone increased food intake and body weight, and after 2 weeks, reduced daytime blood glucose, water intake and the area under the glucose tolerance curve. A single dose of P32/98 markedly improved glucose tolerance in rosiglitazone-treated rats. When treatment had begun at 9 weeks of age, P32/98 stimulated insulin secretion in some glucose tolerance tests. Neither P32/98 nor rosiglitazone affected pancreatic insulin content, nor did they have clear effects on islet histology.P32/98 elicited a sustained improvement in glucose tolerance in both prediabetic and diabetic ZDF rats. The effects of P32/98 on glucose and insulin were similar to those of rosiglitazone, and in contrast to rosiglitazone, P32/98 did not increase food intake or body weight. However, neither compound was especially effective at improving diabetes in ZDF rats when treatment began at 9, 12 or 15 (P32/98) or 13 (rosiglitazone) weeks of age. [ABSTRACT FROM AUTHOR]