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It is hypothesized that the ability to discriminate between threat and safety is impaired in individuals with high dispositional negativity, resulting in maladaptive behavior. A large body of research investigated differential learning during fear conditioning and extinction protocols depending on individual differences in intolerance of uncertainty (IU) and trait anxiety (TA), two closely-related dimensions of dispositional negativity, with heterogenous results. These might be due to varying degrees of induced threat/safety uncertainty. Here, we compared two groups with high vs. low IU/TA during periods of low (instructed fear acquisition) and high levels of uncertainty (delayed non-instructed extinction training and reinstatement). Dependent variables comprised subjective (US expectancy, valence, arousal), psychophysiological (skin conductance response, SCR, and startle blink), and neural (fMRI BOLD) measures of threat responding. During fear acquisition, we found strong threat/safety discrimination for both groups. During early extinction (high uncertainty), the low IU/TA group showed an increased physiological response to the safety signal, resulting in a lack of CS discrimination. In contrast, the high IU/TA group showed strong initial threat/safety discrimination in physiology, lacking discriminative learning on startle, and reduced neural activation in regions linked to threat/safety processing throughout extinction training indicating sustained but non-adaptive and rigid responding. Similar neural patterns were found after the reinstatement test. Taken together, we provide evidence that high dispositional negativity, as indicated here by IU and TA, is associated with greater responding to threat cues during the beginning of delayed extinction, and, thus, demonstrates altered learning patterns under changing environments.

Functional Near Infrared Spectroscopy (fNIRS) may be a suitable, simple, and cost-effective brain imaging technique for detecting divergent neuronal patterns at an early stage of neurodegeneration. In course of Mild Cognitive Impairment (MCI) or Alzheimer's disease (AD), a deficit in visual-spatial processing, located in the parietal cortex, is a reliable risk factor. Earlier, we established the application of the clock-hand-angle-discrimination task (ADT) during fNIRS to identify neuronal correlates of the visual-spatial processing in a healthy elderly sample. In this analysis, we aimed to measure and find out differences in the hemodynamic response in MCI participants compared to matched healthy controls. As expected, MCI participants showed more errors over all conditions of pointer length and a higher reaction time in the long and middle pointer length condition. Moreover, results revealed a significant reduction of cortical activation in MCI patients. There was a generally increased activity in both the right as compared to the left hemisphere and the superior parietal brain region as compared to the inferior parietal brain region in both groups. In summary, fNIRS can be implemented in the measurement of visual-spatial processing in MCI patients and healthy elderly based on ADT. MCI participants had difficulties to cope with the ADT. Since neuronal hypoactivity occurs with concomitant behavioral deficits, an additional analysis was performed on a subgroup of MCI patients who performed as well as the control group in behavior. This subgroup analysis also showed a hypoactivation of the parietal cortex, without evidence of a compensatory activation. Therefore, we assume that MCI patients are characterized by a deficit in the parietal cortex. Overall, these findings confirm our hypothesis that hemodynamic deficits in visual-spatial processing, localized in the parietal cortex, are reliable and early diagnostic markers for cognitive decline in risk groups for the development of AD.

Recent studies indicate differential involvement of the centromedial amygdala (CM) and the bed nucleus of the stria terminalis (BNST) during processing (anticipation and confrontation) of threat stimuli. Here, temporal predictability was shown to be a relevant factor. In this study, we want to investigate the relevance of these effects, which were found in healthy subjects, for anxiety disorders. Therefore, we investigated the differential involvement of CM and BNST in the anticipation and confrontation of phobic stimuli under variation of temporal predictability in spider phobia. 21 patients with spider phobia and 21 healthy controls underwent a temporally predictable/unpredictable phobic and neutral anticipation and confrontation paradigm using functional magnetic resonance imaging (fMRI) and ROI analyses. During the anticipation phase, healthy controls showed higher CM and BNST activity during the predictable compared with the unpredictable condition compared with the anxiety patients. During a confrontation phase that followed the anticipation phase, CM was more activated than BNST during the phobic compared with the neutral confrontation. While this effect was independent of threat predictability in patients, healthy controls showed higher activation in the CM compared with the BNST only during the predictable spider confrontation compared with the predictable bird confrontation. The results contribute to a better understanding of the separate roles of the CM and BNST during phobic processes. The CM was found to be more relevant to phobic confrontation in patients with spider phobia compared with the BNST.

Fear conditioning and generalization are well-known mechanisms in the pathogenesis of anxiety disorders. Extinction of conditioned fear responses is crucial for the psychotherapeutic treatment of these diseases. Anxious depression as a subtype of major depression shares characteristics with anxiety disorders. We therefore aimed to compare fear learning mechanisms in patients with anxious versus non-anxious depression. Fear learning mechanisms in patients with major depression (n = 79; for subgroup analyses n = 41 patients with anxious depression and n = 38 patients with non-anxious depression) were compared to 48 healthy participants. We used a well-established differential fear conditioning paradigm investigating acquisition, generalization, and extinction. Ratings of valence, arousal and probability of expected threat were assessed as well as skin conductance response as an objective psychophysiological measure. Patients with major depression showed impaired acquisition of conditioned fear. In addition, depressed patients showed impaired extinction of conditioned fear responses after successful fear conditioning. Generalization was not affected. However, there was no difference between patients with anxious and non-anxious depression. Results differed between objective and subjective measures. Our findings show altered fear acquisition and extinction in major depression as compared to healthy controls, but they do not favor differential fear learning and extinction mechanisms in the pathogenesis of anxious versus non-anxious depression. The results of impaired extinction warrant future studies addressing extinction learning elements in the treatment of depression.

Background After myocardial infarction, guidelines recommend pharmaceutical treatment with a combination of five different types of drugs for prevention in patients. However, studies from different countries have shown that this goal is not achieved in many patients. The aim of this study was to assess both healthcare and prescribed pharmaceutical treatment in the fourth quarter after index myocardial infarction. Methods We conducted a claims data analysis with the data of patients who had had a myocardial infarction in the years 2013 or 2014, using information from the largest German health insurance fund (‘AOK’). We analysed contact with physicians, hospital care and actual prescriptions for medication recommended in international guidelines, referring to beta-blockers, ACE inhibitors or angiotensin II receptor blockers, P2Y12-antiplatelet agents, acetylsalicylic acid and statins, one year after myocardial infarction. Analysis was stratified by age and sex, compared between patient groups and over time. Results We identified 2352 patients who had survived myocardial infarction. Some 96.9% of these participants had at least one contact with their general practitioner (GP) one year after myocardial infarction, 22.8% contacted a cardiologist and 19.7% were hospitalised. Prescription rates range from 37.8% for acetylsalicylic acid to 70.4% for ACE inhibitors. However, only 24.1% received statins, beta-blockers, ACE inhibitors and an antiplatelet drug simultaneously. Prescription of recommended drugs after myocardial infarction decreased steadily over time. Discussion Long-term medical prevention after myocardial infarction is improvable. GPs should take care of the pharmaceutical prevention after myocardial infarction as they are the physicians seen most intensively in this period.

The hypothalamus is the main integrator of peripheral and central signals in the control of energy homeostasis. Its functional relevance for the effectivity of bariatric surgery is not entirely elucidated. Studying the effects of bariatric surgery in patients with hypothalamic damage might provide insight.Prospective study to analyze the effects of bariatric surgery in patients with hypothalamic obesity (HO) vs. matched patients with common obesity (CO) with and without bariatric surgery.65 participants were included (HO-surgery: n = 8, HO-control: n = 10, CO-surgery: n = 12, CO-control: n = 12, Lean-control: n = 23). Body weight, levels of anorexic hormones, gut microbiota, as well as subjective well-being/health status, eating behavior, and brain activity (via functional MRI) were evaluated.Patients with HO lost significantly less weight after bariatric surgery than CO-participants (total body weight loss %: 5.5 % vs. 26.2 %, p = 0.0004). After a mixed meal, satiety and abdominal fullness tended to be lowest in HO-surgery and did not correlate with levels of GLP-1 or PYY. Levels of PYY (11,151 ± 1667 pmol/l/h vs. 8099 ± 1235 pmol/l/h, p = 0.028) and GLP-1 (20,975 ± 2893 pmol/l/h vs. 13,060 ± 2357 pmol/l/h, p = 0.009) were significantly higher in the HO-surgery vs. CO-surgery group. Abundance of Enterobacteriaceae and Streptococcus was increased in feces of HO and CO after bariatric surgery. Comparing HO patients with lean-controls revealed an increased activation in insula and cerebellum to viewing high-caloric foods in left insula and cerebellum in fMRI.Hypothalamic integrity is necessary for the effectiveness of bariatric surgery in humans. Peripheral changes after bariatric surgery are not sufficient to induce satiety and long-term weight loss in patients with hypothalamic damage.

Previous work by the same authors showed that favoring openness, trust and cohesion within homogeneous communities strengthens their resilience. Here, we extend the social networks model developed there, and study the resilience of a society composed of two communities with different properties. We find that societies with more disparate communities are less resilient, while encouraging communication between communities strongly improves the resilience of the whole. National Research Foundation (NRF) Published version This work is an outcome of the Future Resilient Systems project at the Singapore-ETH Centre (SEC) supported by the National Research Foundation, Prime Minister’s Office, Singapore under its Campus for Research Excellence and Technological Enterprise (CREATE) programme. Hans J. Herrmann thanks FUNCAP for financial support.

We present a novel method for fluid structure interaction (FSI) simulations where an original 2nd-order curved space lattice Boltzmann fluid solver (LBM) is coupled to a finite element method (FEM) for thin shells. The LBM can work independently on a standard lattice in curved coordinates without the need for interpolation, re-meshing or an immersed boundary. The LBM distribution functions are transformed dynamically under coordinate change. In addition, force and momentum can be calculated on the nodes exactly in any geometry. Furthermore, the FEM shell is a complete numerical tool with implementations such as growth, self-contact and strong external forces. We show resolution convergent error for standard tests under metric deformation. Mass and volume conservation, momentum transfer, boundary-slip and pressure maintenance are verified through specific examples. Additionally, a brief deformation stability analysis is carried out. Next, we study the interaction of a square fluid flow channel to a deformable shell. Finally, we simulate a flag at moderate Reynolds number, air flow channel. The scheme is limited to small deformations of O(10%) relative to domain size, by improving its stability the method can be naturally extended to multiple applications without further implementations., Comment: 18 pages, 19 figures

While being highly effective on average, exposure-based treatments are not equally effective in all patients. The a priori identification of patients with a poor prognosis may enable the application of more personalized psychotherapeutic interventions. We aimed at identifying sociodemographic and clinical pre-treatment predictors for treatment response in spider phobia (SP). N = 174 patients with SP underwent a highly standardized virtual reality exposure therapy (VRET) at two independent sites. Analyses on group-level were used to test the efficacy. We applied a state-of-the-art machine learning protocol (Random Forests) to evaluate the predictive utility of clinical and sociodemographic predictors for a priori identification of individual treatment response assessed directly after treatment and at 6-month follow-up. The reliability and generalizability of predictive models was tested via external cross-validation. Our study shows that one session of VRET is highly effective on a group-level and is among the first to reveal long-term stability of this treatment effect. Individual short-term symptom reductions could be predicted above chance, but accuracies dropped to non-significance in our between-site prediction and for predictions of long-term outcomes. With performance metrics hardly exceeding chance level and the lack of generalizability in the employed between-site replication approach, our study suggests limited clinical utility of clinical and sociodemographic predictors. Predictive models including multimodal predictors may be more promising.

1AbstractThe handling of oxygen sensitive samples and growth of obligate anaerobic organisms requires the stringent exclusion of oxygen, which is omnipresent in our normal atmospheric environment. Anaerobic workstations (aka. Glove boxes) enable the handling of oxygen sensitive samples during complex procedures, or the long-term incubation of anaerobic organisms. Depending on the application requirements, commercial workstations can cost up to 60.000 €. Here we present the complete build instructions for a highly adaptive, Arduino based, anaerobic workstation for microbial cultivation and sample handling, with features normally found only in high cost commercial solutions. This build can automatically regulate humidity, H2 levels (as oxygen reductant), log the environmental data and purge the airlock. It is built as compact as possible to allow it to fit into regular growth chambers for full environmental control. In our experiments, oxygen levels during the continuous growth of oxygen producing cyanobacteria, stayed under 0.03 % for 21 days without needing user intervention. The modular Arduino controller allows for the easy incorporation of additional regulation parameters, such as CO2 concentration or air pressure. This paper provides researchers with a low cost, entry level workstation for anaerobic sample handling with the flexibility to match their specific experimental needs.Specifications table[please fill in right-hand column of the table below]

Adapting threat-related memories towards changing environments is a fundamental ability of organisms. One central process of fear reduction is suggested to be extinction learning, experimentally modeled by extinction training that is repeated exposure to a previously conditioned stimulus (CS) without providing the expected negative consequence (unconditioned stimulus, US). Although extinction training is well investigated, evidence regarding process-related changes in neural activation over time is still missing. Using optimized delayed extinction training in a multicentric trial we tested whether: 1) extinction training elicited decreasing CS-specific neural activation and subjective ratings, 2) extinguished conditioned fear would return after presentation of the US (reinstatement), and 3) results are comparable across different assessment sites and repeated measures. We included 100 healthy subjects (measured twice, 13-week-interval) from six sites. 24h after fear acquisition training, extinction training, including a reinstatement test, was applied during fMRI. Alongside, participants had to rate subjective US-expectancy, arousal and valence. In the course of the extinction training, we found decreasing neural activation in the insula and cingulate cortex as well as decreasing US-expectancy, arousal and negative valence towards CS+. Re-exposure to the US after extinction training was associated with a temporary increase in neural activation in the anterior cingulate cortex (exploratory analysis) and changes in US-expectancy and arousal ratings. While ICCs-values were low, findings from small groups suggest highly consistent effects across time-points and sites. Therefore, this delayed extinction fMRI-paradigm provides a solid basis for the investigation of differences in neural fear-related mechanisms as a function of anxiety-pathology and exposure-based treatment.Clinical Trials RegistrationRegistry names: Deutsches Register Klinischer Studien (DRKS) – German Clinical Trails RegisterClinicalTrials.govRegistration ID-numbers: DRKS00008743DRKS00009687ClinicalTrials.gov Identifier: NCT02605668URLs: https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00008743https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00009687https://clinicaltrials.gov/ct2/show/NCT02605668

Non-invasive brain stimulation is widely used to investigate and manipulate specific brain functions to broaden knowledge about healthy people, and also to provide for a potential treatment option for people with various psychopathological disorders that do not adequately benefit from traditional treatments. Nevertheless, the underlying mechanisms have not been fully investigated yet. The aim of the present study was to investigate whether we could alter the brain activity during a test for executive functioning. Therefore, we measured the activity in the prefrontal cortex (PFC) using near-infrared spectroscopy (NIRS) while applying bilateral anodal and cathodal transcranial direct current stimulation (tDCS, 1 mA) to the left and right dorsolateral PFC (dlPFC) during the phonemic part of the verbal fluency test (VFT). A total of 61 young and healthy participants were divided into three groups: left anodal/right cathodal, left cathodal/right anodal stimulation or sham. All participants performed the letter-cued part of the VFT and a control task. Brain activation was simultaneously measured using NIRS. We found only the frontotemporal cortex (FTC) but not the dorsolateral prefrontal cortex (DLPFC) to be activated. Furthermore, stimulating the DLPFC bilaterally by tDCS showed no significant differences between the three different groups when performing the VFT, neither in performance nor in cortical activation. Instead, we found a significant increase in deoxygenated hemoglobin [HHb] while performing the control task in the left anodal/right cathodal stimulation group compared to sham. Interestingly, also an influence on the mood of our participants was observed. These results are of importance especially regarding a better understanding of the influence of the dlPFC on the VFT.

Blood-injection-injury (BII) phobia differs from other subtypes of specific phobia in that it is associated with elevated disgust-sensitivity as well as specific autonomic and brain responses during processing of phobia-relevant stimuli. To what extent these features play a role already during threat anticipation is unclear. In the current fMRI experiment, 16 female BII phobics and 16 female healthy controls anticipated the presentation of phobia-specific and neutral pictures. On the behavioral level, anxiety dominated the anticipatory period in BII phobics relative to controls, while both anxiety and disgust were elevated during picture presentation. By applying two different models for the analysis of brain responses to anticipation of phobia-specific versus neutral stimuli, we found initial and sustained increases of activation in anterior cingulate cortex (ACC), insula, lateral and medial prefrontal cortex (PFC), thalamus and visual areas, as well as initial activation in the amygdala for BII phobics as compared to healthy controls. These results suggest that BII phobia is characterized by activation of a typical neural defense network during threat anticipation, with anxiety as the predominant emotion., Highlights • Anxiety, but not disgust, during threat anticipation in blood-injection-injury phobics. • Distinct temporal characteristics of brain regions involved in threat anticipation. • Initial and sustained activation in subregions of a neural defense network.

The early strength evolution of self-consolidating concrete (SCC) is studied by a set of non-standard mechanical tests for compressive, tensile, shear and bending failure. The results are applicable in an industrial environment for process control, e.g. of slip casting with adaptive molds in robotic fabrication. A procedure for collapsing data to a master evolution curve is presented that allows to distinguish two regimes in the evolution. In the first, the material is capable of undergoing large localized plastic deformation, as expected from thixotropic yield stress fluids. This is followed by a transition to cohesive frictional material behavior dominated by crack growth. The typical differences in tensile and compressive strength of hardened concrete are observed to originate at the transition. Finally, the evolution of a limit surface in principal stress space is constructed and discussed.

In this study, new data are presented for the iodine isotopes (127I, 129I and their isotopic ratios) and Cesium (137Cs) in water samples of the North Sea and the Baltic Sea in 2005 and 2009. This study supplements and extends the study of Michel et al. (2012). Iodine isotopes were separated from their matrix by using an anion exchange method and were determined by applying ICP-MS and AMS. 137Cs in seawater was determined after cesium ion exchange procedure enrichment by gamma-spectrometry. The concentrations of 127I in seawater of the North and Baltic Sea are fairly constant in each Sea with averages of (44 ± 2) and (21 ± 1) ng g−1, respectively, depending on the salinity. However, large variations of 129I concentrations in these areas were detected, which decreased along the French, Belgian, Dutch, German, and Danish shores. 129I/127I isotope ratios in the Baltic Sea are about 10 times lower than in the North Sea in 2009. The highest isotopic ratios (2.7 × 10−6) was detected in the English Channel east of the nuclear reprocessing plant at Cap de la Hague. The results confirm the result of our early study that the sources of 129I in the North Sea are primarily the nuclear reprocessing facilities at Sellafield (UK) and La Hague (F), and that in the Baltic Sea the inflow of water from North Sea through the Danish Straits dominates the occurrence of 129I. In 2009, the activity concentration of 137Cs was at least 6 times higher in the Baltic Sea (37 Bq m−3) than in the North Sea (5.9 Bq m−3), due to release of 137Cs from sediments in the Baltic Sea, which were contaminated by the Chernobyl accident and – to a minor degree – the atmospheric explosions of atomic bombs. The results are discussed by comparing the results of our previous work and the current study demonstrating the continuing disequilibrium of 129I/127I atomic ratio in the environmental compartments.

Sand fences are often erected to reduce wind speed, prevent aeolian soil focus our investigation on the behaviour of the near-surface wind shear velocity, which is defined here using a simple model based on wind speed values at height 20 % of the fence height. Our simulations reveal novel insights about the three-dimensional structure of the turbulent wind flow between fences that are important for developing a theoretical description of this flow. We find that the area of soil associated with values of near-surface wind shear velocity that are below the minimal threshold for sand transport has two regimes, depending on the spacing L x between the fences. When L x is smaller than a critical value L xc , the wake zones associated with each fence are inter-connected (regime A), while these wake zones appear separated from each other (regime B) when L x exceeds this critical value of spacing. The system undergoes a second order phase transition at L x = L xc , with the cross-wind width of the protected zone scaling with 1 - L x / L xc β in regime A, with β ≈ 0.32 . Moreover, we also perform a comparative investigation of arrays of constant and multiple fence heights on the basis of the two-dimensional shear velocity field obtained from our simulations. Our findings have implication for a better understanding of aeolian transport in the presence of sand fences, as well as to develop optimization strategies for measures to protect soils from wind erosion.

Compact, low energy accelerator mass spectrometry (AMS) has evolved over the past years as one of the most sensitive, selective, and robust techniques for the analysis of heavy and long lived radionuclides. In this study, we will first focus on the analytical capabilities of the compact AMS system TANDY, mainly for 236U analyses, and then present a new dual tracer approach, that combines 129I and 236U. The measured 129I/236U ratios of samples collected in the North Sea in 2009 are in reasonable agreement with the expectations from documented or estimated releases from the two major nuclear reprocessing plants located at Sellafield (GB) and La Hague (F), suggesting that the 129I/236U ratio can be used as a water mass tag in the North Atlantic region. However, our results indicate that, in contrast to 129I, additional contributions of bomb produced 236U cannot be neglected in the North Sea region. This complicates the simple and straight forward use of the 129I/236U ratio as a quantitative tool for the calculation of transport times of North Sea water in the Arctic Ocean.

Patients suffering from bipolar disorder often report negative thoughts and a bias towards negative environmental stimuli. Previous studies show that this mood-congruent attentional bias could mediated by dysfunctions in anterior limbic regions. The Error-Related Negativity (ERN), which originates in the anterior cingulate cortex (ACC), has been used to research this negativity bias in depressed patients, and could also help to better understand the underlying mechanisms causing the negativity bias in bipolar patients. In this study we investigated error processing in patients with bipolar disorder. Acute depressive bipolar patients (n = 20) and age-matched healthy controls (n = 20) underwent a modified Eriksen Flanker Task to assess test performance and two error-related event-related potentials (ERPs), i.e., the ERN and Error Positivity (Pe) were measured by EEG. Half of the patients were measured again in a euthymic state. We found similar ERN amplitudes in bipolar patients as compared to healthy controls, but significantly reduced Pe amplitudes. Moreover, acutely depressed bipolar patients displayed an ERN and Pe even if they responded accurately or too slow, which indicates that correct responses are processed in a way similar to wrong responses. This can be interpreted as a psychophysiological correlate of typical cognitive distortions in depression, i.e., an erroneous perception of personal failures. This biased error perception partially remained when patients were in a euthymic state. Together, our data indicate that aberrant error processing of bipolar patients may be regarded a trait marker possibly reflecting a risk factor for depressive relapses in bipolar disorder.

A functional polymorphism (5-HTTLPR) within the serotonin transporter gene (SERT) has been associated with personality dimensions such as neuroticism, with emotional reactivity to negative events, and with an increased risk of affective disorders. More specifically, the short (S) allele of 5-HTTLPR has been linked to increased amygdala activity and has been identified as a risk allele for depressive disorders. Recently, Homberg and Lesch (2011) urged for a conceptual change in the current deficit-oriented connotation of the 5-HTTLPR S-allele and argued that the S-allele could be considered adaptive in certain contexts. They postulated that S-allele carriers show hypervigilant behavior in social situations and should thus show increased social conformity. Therefore, we tested whether 5-HTTLPR modulates the neural correlates of real-life social joint action through functional near-infrared spectroscopy (fNIRS). Thirty participants, homozygote for 5-HTTLPR, were measured and analyzed while they were involved in a previously published joint-action paradigm, which reliably leads to an activation of the left parietal cortex. We found that homozygote S-allele carriers showed increased inferior parietal lobe activation, compared to the LL-allele carriers for the contrast "joint action greater solo action". Therefore, our results provide evidence for beneficial effects of the S-allele on the neural correlates of social interactions.

Lower mean hemoglobin (HGB) levels are associated with unfavorable outcome after spontaneous subarachnoid hemorrhage (SAH). Currently, there is no cutoff level for mean HGB levels associated with unfavorable outcome. This study was conducted to evaluate a threshold for mean HGB concentrations after SAH, and to observe the relation to outcome. The medical records of 702 patients with spontaneous SAH were reviewed. Predictors of outcome were proved by univariate analysis. Predictors with p

Zusammenfassung Einleitung Die Zahl der Arzt-Patienten-Kontakte ist in Deutschland im internationalen Vergleich hoch. Klassische Modelle der Inanspruchnahme konnen dies nicht hinreichend erklaren. Ziel dieser Studie war es daher, relevante Faktoren fur die hohe Inanspruchnahme zu explorieren. In diesem Artikel konzentrieren wir uns dabei auf den Faktor Arbeitsunfahigkeitsregelungen. Methode Die Studie hatte ein exploratives qualitatives Studiendesign. Wir fuhrten episodische Interviews mit je 20 Patienten in Deutschland und Norwegen. In je vier Hausarztpraxen fuhrten wir teilnehmende Beobachtungen durch. Zusatzlich untersuchten wir in einer Kontextanalyse relevante Faktoren auf Systemebene. Die Auswertung erfolgte orientiert an der Grounded Theory mittels thematischen Kodierens. Ergebnis Arbeitsunfahigkeitsbescheinigungen sind in Deutschland ein haufiger Beratungsanlass insbesondere bei kleineren Erkrankungen. Dabei ist Arbeitsunfahigkeit ein gesellschaftliches Thema und bedeutet fur die Arzte eine Doppelrolle zwischen Anwalt des Patienten und Sozialgutachter. Erweiterte Eigenmeldungsregelungen und ein breiteres Repertoire an Krankschreibungsmoglichkeiten wurden in Norwegen erfolgreich eingefuhrt. Schlussfolgerungen Die Ergebnisse der Studie deuten auf Arbeitsunfahigkeitsregelungen als relevanten Faktor fur nicht-notwendige Inanspruchnahme hin. In Pilotprojekten sollten erweiterte Eigenmeldungsregelungen und die Moglichkeit zur Teilkrankschreibung erprobt und evaluiert werden.

A multi-scale scheme for the invasion percolation of rock fracture networks with heterogeneous fracture aperture fields is proposed. Inside fractures, fluid transport is calculated on the finest scale and found to be localized in channels as a consequence of the aperture field. The channel network is characterized and reduced to a vectorized artificial channel network (ACN). Different realizations of ACNs are used to systematically calculate efficient apertures for fluid transport inside differently sized fractures as well as fracture intersection and entry properties. Typical situations in fracture networks are parameterized by fracture inclination, flow path length along the fracture and intersection lengths in the entrance and outlet zones of fractures. Using these scaling relations obtained from the finer scales, we simulate the invasion process of immiscible fluids into saturated discrete fracture networks, which were studied in previous works., Comment: 21 pages

Efficient emotion regulation is essential for social interaction and functioning in human society and often happens without direct intention and conscious awareness. Cognitive labeling of stimuli based on certain characteristics has been assumed to represent an effective strategy of implicit emotional regulation whereas processing based on simple perceptual characteristics (e.g., matching) has not. Evidence exists that the ventrolateral prefrontal cortex (VLPFC) might be of functional relevance during labeling by down-regulating limbic activity in the presence of threatening stimuli. However, it remained unclear whether this VLPFC activation was particularly specific to threat because previous studies focused exclusively on threatening stimuli. In the current study, 35 healthy participants labeled or matched both threatening and neutral pictures while undergoing 52-channel functional near-infrared spectroscopy. Results showed increased VLPFC activation during labeling of threatening but not neutral pictures. No increase in prefrontal activation was detected during matching. Moreover, skin conductance increased equally for both valence conditions during initial phases of labeling whereas during matching stronger increases were found for threatening stimuli. Although a general inverse relationship between VLPFC function and skin conductance was not confirmed, both were negatively correlated during matching of threatening pictures in subjects with high state anxiety. It was concluded that the VLPFC plays an essential role during implicit emotion regulation. Further, even simple perceptual processing seems to engage regulatory top-down activation in anxious individuals.

Cognitive decline is very common in age and particularly in subjects with neurodegenerative conditions. Besides memory and language, executive functions are very often affected in elderly and patients with Alzheimer's disease or Parkinson's disease. However, the neural alterations associated with these executive deficits are still not fully understood. Therefore, we measured cortical activation using functional near-infrared spectroscopy (fNIRS) in 16 healthy elderly subjects (50-75 years) performing the Trail Making Test (TMT), a widely used neuropsychological instrument measuring executive function. In line with previous studies focusing on younger subjects, the results showed frontal activation during the TMT A and the TMT B in the dorsolateral prefrontal cortex, the frontopolar area and also Broca's area. Furthermore, significant activation in the left motor, somatosensory cortices and somatosensory association cortices was demonstrated. Additionally, after a median split the differences between younger (58 years) and older (58 years) subjects were analyzed with the older subjects showing a less focused prefrontal activation. Altogether, fNIRS was found to be suitable to detect cortical activation in elderly subjects during performance of the TMT as well as aging-related differences in prefrontal activation topography. These neural correlates of executive functions should be further investigated as a potential prodromal neural marker of executive deficits and neurodegenerative processes.

The recent upraise of interest in the dynamics of the brain resting activity opens a number of new and different questions. A fundamental one is related to the character of correlations of healthy large scale brain activity. These studies focus on the linear correlation of the spontaneous activity between brain sites. Here we present a different approach, instead to estimate the average linear correlation of activity between pairs of brain sites, we ask: what are average sequels in space and time of a big event (i.e., a thunder). By strobing these events we find that on average the activity variations with opposite sign are correlated in time, over a temporal scale of few seconds, exposing a critical balance between excitation and depression opposing forces. Fil: Lombardi, F.. ETH Zurich; Suiza Fil: Chialvo, Dante Renato. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina Fil: Herrmann, H. J.. ETH Zurich; Suiza. Universidade Federal do Ceará; Brasil Fil: de Arcangelis, L.. Seconda Universita Degli Studi Di Napoli; Italia

In this paper we present the first 236 U-measurements from North Sea water samples. The measurements are performed within an ongoing project that intends to map the distribution of 236 U in the Atlantic Ocean and thus to explore the potential of 236 U as a new oceanic tracer. We describe the latest modifications of the low energy ETH AMS system TANDY that allow determining the concentrations of both 238 U and 236 U and the 236 U/ 238 U ratio during only one AMS measurement. Further, we present our chemical preparation procedure and, finally, the first 236 U data from the North Sea is discussed in detail. A simple conceptual model is used to simulate the temporal evolution of the 236 U-concentration in the North Sea. The simulated water mass residence time is in good agreement with independent oceanographic data. Based on these initial results we conclude that anthropogenic 236 U has a large potential as a new transient and extremely conservative tracer in Oceanography.

Aeolian transport in coastal areas can be significantly affected by the presence of an exposed water table. In some dune fields, such as in Len\c{c}\'ois Maranhenses, northeastern Brazil, the water table oscillates in response to seasonal changes of rainfall and rates of evapotranspiration, rising above the ground during the wet season and sinking below in the dry period. A quantitative understanding of dune mobility in an environment with varying groundwater level is essential for coastal management as well as for the study of long-term evolution of many dune fields. Here we apply a model for aeolian dunes to study the genesis of coastal dune fields in presence of an oscillating water table. We find that the morphology of the field depends on the time cycle, $T_{\mathrm{w}}$, of the water table and the maximum height, $H_{\mathrm{w}}$, of its oscillation. Our calculations show that long chains of barchanoids alternating with interdune ponds such as found at Len\c{c}\'ois Maranhenses arise when $T_{\mathrm{w}}$ is of the order of the dune turnover time, whereas $H_{\mathrm{w}}$ dictates the growth rate of dune height with distance downwind. We reproduce quantitatively the morphology and size of dunes at Len\c{c}\'ois Maranhenses, as well as the total relative area between dunes., Comment: 12 pages, 12 figures

Movement artifacts are still considered a problematic issue for imaging research on overt language production. This motion-sensitivity can be overcome by functional near-infrared spectroscopy (fNIRS). In the present study, 50 healthy subjects performed a combined phonemic and semantic overt verbal fluency task while frontal and temporal cortex oxygenation was recorded using multi-channel fNIRS. Results showed a partial dissociation for phonemic and semantic word generation with equally increased oxygenation in frontotemporal cortices for both types of tasks whereas anterior and superior prefrontal areas were exclusively activated during phonemic fluency. Also, a general left-lateralization was found being more pronounced during semantic processing. These findings line up with earlier imaging and lesion studies emphasizing a crucial role of the temporal lobe for semantic word production, whereas phonemic processing seems to depend on intact frontal lobe function.

In order to obtain a comprehensive survey on the consequences of the marine 129 I discharges from the European reprocessing plants La Hague and Sellafield, the distribution of 129 I and 127 I in surface waters of the North Sea, the English Channel, the Irish Sea, and the Northeast Atlantic was studied using accelerator mass spectrometry for 129 I and ICP-MS for 127 I. Samples of seawater were taken in the German Bight in May, September, and November 2005 and in the entire North Sea and the English Channel in August 2005. Further samples were obtained from the Irish Sea in June and August 2006 and from Arctic waters between Spitsbergen and Southern Norway in September 2005. 129 I is a conservative tracer in seawater. The concentrations of 127 I are relatively constant with exceptions of coastal areas with high biological activity and of areas influenced by influx from rivers and the Baltic Sea. The variability of the 129 I/ 127 I isotopic ratios is exclusively determined by admixture of 129 I released from the reprocessing facilities Sellafield and La Hague to the seawater. The 129 I/ 127 I ratios were between 4 × 10 − 9 and 3 × 10 − 6 : at least 3 orders of magnitude higher than the natural equilibrium isotopic ratio 1.5 × 10 − 12 . 129 I/ 127 I ratios of a few times 10 − 10 were only found in seawater from the Indian Ocean and from the Pacific at Hawaii. Comparison of the results obtained for seawater with those of a measurement of airborne iodine species and with iodine isotopes in precipitation in Northern Germany demonstrates the transfer of 129 I and 127 I from the sea into the atmosphere and the dominating role of the marine discharges for the atmospheric fallout of 129 I in Western Europe. The results are discussed with the goal to estimate the relevance of the marine discharges for the contamination of the continental areas.

Here we study how a traffic jam spreads on complex networks when driven by an increasing flux between certain initial and final points. For that purpose, we developed two new traffic models based on vehicular traffic and applied them on the Apollonian network and the Swiss road network. The first model is an electrical analog, using ohmic and non-ohmic resistors which is a classical approach in Physics while the second one which we call the herding model, is based on human driving behavior. For both models, we study the sequence of clogged roads up to the traffic gridlock and display the fragilities of the network. In the electrical model, by increasing the external potential, resistors burn out, as the voltage drop between the ends increases above a certain threshold. Analyzing both models, we observed some power-law functions that occur only near a traffic gridlock as well as the dependence on topological features of the network and influence on flux and the robustness in Apollonian networks of different generations.

The main purpose of this work is to simulate two-phase flow in the form of immiscible displacement through anisotropic, three-dimensional (3D) discrete fracture networks (DFN). The considered DFNs are artificially generated, based on a general distribution function or are conditioned on measured data from deep geological investigations. We introduce several modifications to the invasion percolation (MIP) to incorporate fracture inclinations, intersection lines, as well as the hydraulic path length inside the fractures. Additionally a trapping algorithm is implemented that forbids any advance of the invading fluid into a region, where the defending fluid is completely encircled by the invader and has no escape route. We study invasion, saturation, and flow through artificial fracture networks, with varying anisotropy and size and finally compare our findings to well studied, conditioned fracture networks., 18 pages, 10 figures

Background Conventional vagus nerve stimulation (cVNS) is approved to treat major depression. Within this context, auricular VNS (aVNS) is of increasing interest due to its non-invasiveness. Still, the question of optimum stimulation parameters has to be solved. Method 50 subjects with major depressive disorder were stimulated over 20 min. in the area of the auricular branch of the vagus nerve. Control stimulation (CS) was done at the ear lobe. Before and after each stimulation the participants were asked to rate their actual affective state. 30 participants were stimulated continuously, while in 20 subjects, stimulation was interrupted every 5 min. for 30 s. (pulsatile stimulation). Results Only using pulsatile stimulation, participants significantly more often rated to feel better ( F 1 , 18 = 12.35 ; p = 0.002) and to be more optimistic ( F 1 , 18 = 12.24 ; p = 0.003) after aVNS than after CS. Using pulsatile as well as using continuous stimulation, subjects indicated to be more happy ( F 1 , 18 = 24.61 ; p F 1 , 28 = 8.03 ; p = 0.008, resp.). Rating of pictures of the Internatonal Affective Picture System (IAPS) showed no statistical significant difference between the stimulation methods. Conclusion Stimulating in a pulsatile way showed more difference between aVNS and CS than stimulating in a continuous way. Self rating of the emotional state by means of a visual analogue scale seems to be a reliable tool for the examination of non-invasive stimulation techniques.

The white-rot fungus, Physisporinus vitreus, degrades the membranes of bordered pits in tracheids and consequently increases the permeability of wood, which is a process that can be used by the wood industry to improve the uptake of wood preservatives and environmentally benign wood modification substances to enhance the use and sustainability of native conifer wood species. To understand and apply this process requires an understanding of how a complex system (fungus-wood) interacts under defined conditions. We present a three-dimensional fungal growth model (FGM) of the hyphal growth of P. vitreus in the heartwood of Norway spruce. The model considers hyphae and nutrients as discrete structures and links the microscopic interactions between fungus and wood (e.g. degradation rate and degree of opening of pits) with macroscopic system properties, such penetration depth of the fungus, biomass, and distribution of destroyed pits in early- and latewood. Simulations were compared with experimental data. The growth of P. vitreus is characterized by a stepwise capture of the substrate and the effect of this on wood according to different model parameters is discussed.

The agency facet of extraversion has been hypothesized to be based on individual differences in dopamine activity. Recent work suggests that resting posterior minus frontal electroencephalographic (EEG) slow oscillations (delta, theta) is both consistently associated with extraversion and sensitive to dopamine D2 receptor antagonist-induced changes in dopaminergic activity. Here we examine for the first time the interrelations between polymorphisms of the dopamine D2 receptor (DRD2) gene (rs1800497 [previously termed TAQ1A], rs1076560, rs1799732 [−141C Ins/Del]), extraversion and resting posterior minus frontal (Pz–Fz) slow oscillations. As predicted, we found an association between DRD2 and resting Pz–Fz slow oscillations in a sample of 141 individuals participating in an eyes-closed resting EEG session. Moreover, we replicated the association between extraversion and Pz–Fz slow oscillations. Our findings strongly suggest that the posterior–frontal distribution of slow oscillations constitutes a useful brain-based intermediate phenotype for investigating the dopaminergic basis of extraversion.

Suppression of incoherent noise, which is present in the seismic signal and may often lead to ambiguous interpretation, is a key step in processing associated with crustal reflection data. In this paper, we make use of the parsimonious representation of seismic data in the curvelet domain to perform the noise attenuation while preserving the coherent energy and its amplitude information. Curvelets are a recently developed mathematical transform that has as one of its properties minimal overlap between seismic signal and noise in the transform domain, thereby facilitating signal-noise separation. The problem is cast as an inverse problem and the results are obtained by updating the solution at each iteration. We demonstrate the effectiveness of this procedure at removing noise on both synthetic shot gathers and a synthetic stacked seismic section. We then apply curvelet denoising to deep crustal seismic reflection data where the signal-to-noise ratio is low. The reflection data were recorded along Lithoprobe's SNORCLE Line 1 across Paleoproterozoic-Archean domains in Canada's Northwest Territories. After initial processing, we apply the iterative curvelet denoising to both pre-stack shot gathers and post-stack data. Ground roll, random noise and much of the anomalous vertical energy is removed from the pre-stack shot gathers, to the extent that crustal reflections, including those from the Moho, are clearly seen on individual gathers. Denoised stacked data show a series of dipping reflections in the lower crust that extend into the Moho. The Moho itself is relatively flat and characterized by a sharp, narrow band of reflections. Comparing the results for the stacked data with those from F-X deconvolution, curvelet denoising outperforms the latter by attenuating incoherent noise with minimal harm to the signal. Because curvelet denoising retains amplitude information, it provides opportunities for further studies of seismic sections through attribute analyses. Curvelet denoising provides an important new tool in the processing toolbox for crustal seismic reflection data.

Vegetation greatly affects the formation and dynamics of dune fields in coastal areas. In the present work, we use dune modeling in order to investigate the genesis and early development stages of coastal dune fields in the presence of vegetation. The model, which consists of a set of coupled equations for the turbulent wind field over the landscape, the saltation flux and the growth of vegetation cover on the surface, is applied to calculate the evolution of a sand patch placed upwind of a vegetated terrain and submitted to unidirectional wind and constant sand influx. Different dune morphologies are obtained, depending on the characteristic rate of vegetation growth relative to wind strength: barchans, transverse dunes with trailing ridges, parabolic dunes and vegetated, alongshore sand barriers or foredunes. The existence of a vegetation-free backshore is found to be important for the nucleation timescale of coastal dune generations. The role of the sand influx and of the maximum vegetation cover density for the dune shape is also discussed.

Neuroimaging studies on attention-deficit/hyperactivity disorder (ADHD) suggest dysfunctional reward processing, with hypo-responsiveness during reward anticipation in the reward system including the nucleus accumbens (NAcc). In this study, we investigated the association between ADHD related behaviors and the reward system using functional magnetic resonance imaging in a non-clinical sample. Participants were 31 healthy, female undergraduate students with varying levels of self-reported ADHD related behaviors measured by the adult ADHD self-report scale. The anticipation of different types of reward was investigated: monetary reward, punishment avoidance, and verbal feedback. All three reward anticipation conditions were found to be associated with increased brain activation in the reward system, with the highest activation in the monetary reward anticipation condition, followed by the punishment avoidance anticipation condition, and the lowest activation in the verbal feedback anticipation condition. Most interestingly, in all three conditions, NAcc activation was negatively correlated with ADHD related behaviors. In conclusion, our results from a non-clinical sample are in accordance with reported deficits in the reward system in ADHD patients: the higher the number and severity of ADHD related behaviors, the lower the neural responses in the dopaminergic driven reward anticipation task. Thus, our data support current aetiological models of ADHD which assume that deficits in the reward system might be responsible for many of the ADHD related behaviors.

Anticipation of potentially threatening social situations is a key process in social anxiety disorder (SAD). In other anxiety disorders, recent research of neural correlates of anticipation of temporally unpredictable threat suggests a temporally dissociable involvement of amygdala and bed nucleus of the stria terminalis (BNST) with phasic amygdala responses and sustained BNST activation. However, the temporal profile of amygdala and BNST responses during temporal unpredictability of threat has not been investigated in patients suffering from SAD. We used functional magnetic resonance imaging (fMRI) to investigate neural activation in the central nucleus of the amygdala (CeA) and the BNST during anticipation of temporally unpredictable aversive (video camera observation) relative to neutral (no camera observation) events in SAD patients compared to healthy controls (HC). For the analysis of fMRI data, we applied two regressors (phasic/sustained) within the same model to detect temporally dissociable brain responses. The aversive condition induced increased anxiety in patients compared to HC. SAD patients compared to HC showed increased phasic activation in the CeA and the BNST for anticipation of aversive relative to neutral events. SAD patients as well as HC showed sustained activity alterations in the BNST for aversive relative to neutral anticipation. No differential activity during sustained threat anticipation in SAD patients compared to HC was found. Taken together, our study reveals both CeA and BNST involvement during threat anticipation in SAD patients. The present results point towards potentially SAD-specific threat processing marked by elevated phasic but not sustained CeA and BNST responses when compared to HC., Highlights • fMRI in SAD during anticipation of temporally unpredictable aversive events. • Anticipation of social observation induces increased anxiety in SAD patients. • SAD patients show elevated phasic activity in fundamental anxiety network regions. • Evidence of SAD-specific threat processing.