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The photoproduction of η ′ -mesons off different nuclei has been measured with the CBELSA/TAPS detector system for incident photon energies between 1500–2200 MeV. The transparency ratio has been deduced and compared to theoretical calculations describing the propagation of η ′ -mesons in nuclei. The comparison indicates a width of the η ′ -meson of the order of Γ = 15 – 25 MeV at ρ = ρ 0 for an average momentum p η ′ = 1050 MeV / c , at which the η ′ -meson is produced in the nuclear rest frame. The inelastic η ′ N cross section is estimated to be 3–10 mb. Parameterizing the photoproduction cross section of η ′ -mesons by σ ( A ) = σ 0 A α , a value of α = 0.84 ± 0.03 has been deduced.

Diode laser bars with optimized epitaxial designs, long resonators and passivated facets deliver joule-class millisecond pulses (kilowatts of peak power) with the properties needed by advanced high-energy-class solid-state laser systems, at brightness over 3 MW/(cm2sr).

Growth hormone stimulates collagen type I synthesis. Collagen type I is a common matrix compound in a large number of connective tissues. The aim of our study was to prove whether a stimulation of collagen type I synthesis might be accompanied by a deposition of collagen type I in the skin (cutis). Twenty growth hormone-deficient hypopituitary patients were included in a randomised, double-blind, placebo controlled, prospective, twelve-month study (eighteen patients assessable at the end of the study). The patients were treated with recombinant human growth hormone 0.25 U/kg/week subdivided in daily subcutaneous injections beginning with half the dosage during the first four weeks. During the first six months half of the patients were treated with placebo. PICP, the indicator of collagen type I synthesis, was increased after six months of therapy when compared to placebo. Skin thickness measured by ultrasound at the forearm and mechanically at the dorsum of the hand with strong compression of the skin both increased significantly following growth hormone substitution. Our data indicate that the stimulation of collagen type I synthesis by growth hormone substitution is followed by a deposition of collagen type I in the skin.

A kinetic study of cumene isopropylation has been carried out using the acidic ionic liquid 1-ethyl-3-methylimidazolium chloride ([EMIM]Cl)/AlCl3 (molar ratio 1:2) as the catalyst phase in a semi-batch liquid–liquid biphasic reaction system. Kinetic models representing the alkylation reaction network have been established based on reaction temperature and propylene partial pressure variations. By comparing the results of the kinetic models with the measured concentrations in the liquid organic phase, the importance of the different product solubilities in the acidic ionic liquid became evident. Correction of the product concentrations in the organic phase based on a COSMO-RS calculation of the relative product solubilities in the acidic ionic liquid [EMIM][Al2Cl7] gave a remarkably good prediction of the reaction kinetics by the kinetic model. These findings demonstrate the suitability of COSMO-RS to predict the relative solubilities of different aromatic compounds in highly reactive catalytic systems.

Recently, major advances have been accomplished in the diagnosis of active tuberculosis. A comprehensive diagnostic approach for a patient with possible tuberculosis includes a detailed medical history and clinical examination as well as the results of radiological, microbiological, immunological, molecular-biological and histological methods. In concert, these results enable the clinician to rapidly develop a decision with a high probability for the diagnosis or exclusion of active tuberculosis. Therapeutic intervention can thus be made early, even though corrections in these decisions need to be considered depending on the results of Mycobacterium tuberculosis culture and sensitivity testing.

Decays of baryon resonances in the second and the third resonance region into N pi(0)pi(0) are studied by photoproduction of two neutral pions off protons. Partial decay widths of N* and Delta* resonances decaying into Delta(1232)pi, N(pi pi)(S), N(1440)P-11 pi, and N(1520)D-13 pi are determined in a partial wave analysis of this data and of data from other reactions. Several partial decay widths were not known before. Interesting decay patterns are observed which are not even qualitatively reproduced by quark model calculations. In the second resonance region, decays into Delta(1232)pi dominate clearly. The N(pi pi)(S)-wave provides a significant contribution to the cross section, especially in the third resonance region. The P-13(1720) properties found here are at clear variance to PDG values. (c) 2007 Elsevier B.V. All rights reserved.

Nowadays, contrast enhanced ultrasound (CEUS) is an imaging technique equivalent to multidetector computed tomography (MDCT) and magnetic resonance imaging (MRI) for the detection and characterization of focal liver lesions. These methods have comparable sensitivity and specificity in differentiating a liver lesion as "benign" or "malignant". For benign lesions, CEUS is the recommended method of the choice. In unclear cases, or if CEUS is not available, MRI or CT are the methods of the second choice. If a benign tumor remains unclear, then a needle biopsy is recommended. In the case of a malignant tumor, it is necessary to use a second imaging technique besides CEUS. In addition to the detection and characterization of a liver tumor, CT and MRI provide information on the extrahepatic spread of a tumor, particularly into the lung or retroperitoneum. The rapid development of surgical and interventional approaches requires accurate information on the character and number of malignant liver lesions. Therefore, the combined use of CEUS and MDCT or MRI currently represents the most modern and optimal standard of imaging. The standardization of CT and MRI protocols has increased the general diagnostic level of these images. Adequate training and a certificate for the use of CEUS is recommended in order to maintain the high diagnostic level of this method (EFSUMB guide lines). An optimal interdisciplinary imaging strategy for focal liver lesions minimises unnecessary invasive or potentially harmful imaging and reduces health costs.

The first evaluation of pelvic extended lymph node dissection (pLND) in oligometastatic prostate cancer (PCa) detected by (68)Ga-PSMA PET/CT.Retrospective analysis of 35 PCa patients underwent (68)Ga-PSMA PET/CT affected by biochemical recurrence (BCR) after curative treatment (n = 23) or before primary therapy of high-risk PCa (n = 12). We performed pLND associated with pathologic imaging in 17 men with nodal oligometastatic PCa.Indicative lesions for PCa in PET/CT were detected in 91.4% (32 of 35) of patients. Nodal, bone, visceral (pulmonary), and within the prostate suspected disease were detected in 72% (23 of 32), 16% (5 of 32), 6% (2 of 32), and 47% (15 of 32) of patients, respectively. Median serum PSA in patients with pathological radiotracer uptake in recurrent and high-risk PCa patients was 2.9 ng/ml (range 0.18-30) and 19.5 ng/ml (range 6-90), respectively. The median number of removed lymph nodes with pLND in recurrent and high-risk PCa was 10 (range 4-17) and 12 (range 8-29) per patient and the median number of positive lymph nodes was 1 (range 1-2) and 3 (2-3) per patient, respectively. In total, two false positive and one false-negative lymph node were found. Diagnostic accuracies per nodal lesion in total of 213 removed nodes: sensitivity, 94%; specificity, 99%; positive predictive value (PPV), 89%, and negative predictive value (NPV), 99.5%. After pLND, 53% (9 of 17) of patients received androgen deprivation therapy and/or radiation therapy and hormonal therapy, while 47% (8 of 17) of patients remained free of any post-surgery therapy. Follow-up PSA remained less than 0.2 ng/ml in 82% (14 of 17) of patients. After pLND, immediate BCR (PSA never measured less than 0.2 ng/ml) in 18% (3 of 17) of patients was recorded.This represents the first study of pLND in the setting of nodal oligometastatic PCa detected by (68)Ga-PSMA PET/CT. The use of (68)Ga-PSMA PET/CT could be to improve the accuracy for the detection of nodal micrometastases. These promising findings need validation in larger studies.

Aim To assess intervendor agreement of cardiovascular magnetic resonance feature tracking (CMR-FT) and to study the impact of repeated measures on reproducibility. Materials and methods Ten healthy volunteers underwent cine imaging in short-axis orientation at rest and with dobutamine stimulation (10 and 20 μg/kg/min). All images were analysed three times using two types of software (TomTec, Unterschleissheim, Germany and Circle, cvi42, Calgary, Canada) to assess global left ventricular circumferential (Ecc) and radial (Err) strains and torsion. Differences in intra- and interobserver variability within and between software types were assessed based on single and averaged measurements (two and three repetitions with subsequent averaging of results, respectively) as determined by Bland–Altman analysis, intraclass correlation coefficients (ICC), and coefficient of variation (CoV). Results Myocardial strains and torsion significantly increased on dobutamine stimulation with both types of software (p, Highlights • This is the first comparison of two types of CMR-FT software resulting in clinically valuable inter-vendor agreement data. • Assessment of myocardial strain and torsion is feasible with both types of software at rest and with dobutamine stimulation. • For both vendors, Ecc qualifies as the most robust parameter with the lowest variability.

A new generation of diode-pumped high-energy-class solid-state laser facilities is in development that generate multijoule pulse energies at around 10 Hz. Currently deployed quasi-continuous-wave (QCW) diode lasers deliver average inpulse pump powers of around 300 W per bar. Increased power-per-bar helps to reduce the system size, complexity and cost per Joule and the increased pump brilliance also enables more efficient operation of the solid state laser itself. It has been shown in recent studies, that optimized QCW diode laser bars centered at 940…980 nm can operate with an average in-pulse power of > 1000 W per bar, triple that of commercial sources. When operated at pulsed condition of 1 ms, 10 Hz, this corresponds to > 1 J/bar. We review here the status of these high-energy-class pump sources, showing how the highest powers are enabled by using long resonators (4…6 mm) for improved cooling and robustly passivated output facets for high reliability. Results are presented for prototype passively-cooled single bar assemblies and monolithic stacked QCW arrays. We confirm that 1 J/bar is sustained for fast-axis collimated stacks with a bar pitch of 1.7 mm, with narrow lateral far field angle (< 12° with 95% power) and spectral width (< 12 nm with 95% power). Such stacks are anticipated to enable Joule/bar pump densities to be used near-term in commercial high power diode laser systems. Finally, we briefly summarize the latest status of research into bars with higher efficiencies, including studies into operation at sub-zero temperatures (-70°C), which also enables higher powers and narrower far field and spectra.

Background Intra-myocardial transplantation of bone marrow derived cells is currently under clinical evaluation as a therapy for heart failure. A major limitation of all clinical studies for myocardial restoration through cell transfer is the inability to track the fate of the transplanted cells. We present a clinically applicable technique using advanced ultra high-field 7-Tesla (7T) magnetic resonance imaging (MRI) of nanoparticle-labeled transplanted human EPCs in porcine ischemic hearts. Methods CD133 positive cells were isolated from bone marrow by magnetic bead selection. Positive cells (5 - 8 x 10 (6) cells) were transplanted into porcine ischemic myocardium (n = 8). Control animals (n = 3) received a medium injection. MRI on a 7T scanner was performed to demonstrate the distribution of the EPCs. Results CD133+ cells were identified on gradient echo images (T(1)-weighted) within the myocardium 4 weeks after transplantation. Conclusions Magnetically labeled EPCs transplanted for therapeutic neovascularization or reduction of infarct size in myocardial ischemia can be visualized by MRI at high-field strengths.

Acute renal failure is a known complication during hemolytic crisis in paroxysmal nocturnal hemoglobinuria (PNH). However, chronic renal failure is rare despite the well-known spectacular hemosiderosis of the kidneys due to chronic hemolysis. Here, we report about a 74-year-old man with PNH who developed acute on chronic renal failure after an episode of intercurrent urinary tract infection and subsequent hemolytic crisis. Mild chronic hemolysis, well-documented over the past decade, had long been considered the cause of a constantly declining glomerular filtration rate. Accordingly, magnetic resonance imaging during admission demonstrated marked siderosis of both kidneys, supporting the hypothesis that chronic renal failure (CRF) was likewise related to PNH. However, a renal biopsy revealed acute tubular necrosis and distinct renal siderosis, as expected. Additionally, tubulointerstitial injury and global glomerular sclerosis, best classified as arterionephrosclerosis, were present. In retrospect, these findings were explained by a 15-year history of hypertension and a 4-year medication with cyclosporine. Careful diagnostic workup including a renal biopsy is mandatory, given a misleadingly suggestive correlation between chronic hemolysis and CRF. Chronic renal failure in PNH is a diagnosis of exclusion, even if radiologic evidence of heavy siderosis draws off the physician's attention.

Automated cell counters are widely used in modern clinical laboratories to provide reliable, fast, and cost-effective complete blood counts (CBCs), white blood cell differentials, and reticulocyte measurements. In addition, some advanced instruments provide novel parameters, such as the hemoglobin content of reticulocytes or the percentage of hypochromic cells, and are capable of analysis of a variety of body fluids. Bayer recently introduced the ADVIA 2120 system as an automation-ready cell counter for mid- to high-volume testing in the clinical laboratory. This instrument, which builds on the established technology of the ADVIA 120 system, operates with a cyanide-free method for hemoglobin measurement, has a new user interface, and can routinely analyze biological fluid samples in addition to blood. We used 749 samples from 6 worldwide trial sites to evaluate the clinical performance of this new device. Accuracy of the ADVIA 2120 system versus its predecessor model, the ADVIA 120 system, was excellent for all CBC and white cell differential parameters and reticulocyte counts (all correlation coefficients except for basophils >0.9). Correlation of the white cell differential with the standard manual method and within-run precision of the ADVIA 2120 system also was very good. Use of the novel cyanide-free method for hemoglobin measurement had no clinically significant impact on hemoglobin results, even in patients with hemoglobinopathies. We concluded that the ADVIA 2120 system has clinically equivalent performance to the ADVIA 120 system.

Background: Fever of unknown origin (FUO) is a diagnostic challenge. Rheumatologists are often in charge of patients with FUO because the vasculitides, especially, are potential and common causes of FUO. Objective: To evaluate the value of a standardised investigation to identify the cause of FUO. Methods: A standardised work-up programme for patients with FUO was started at the beginning of September 1999. The rate of identified causes of FUO was compared between all patients with FUO admitted to a tertiary care centre of rheumatology between January 1996 and August 1999 (control group) and September 1999 and January 2003 (work-up group). In January 2002 magnetic resonance imaging (MRI) was added to the investigation. Results: 67 patients with FUO were identified—32 before and 35 after institution of the work-up programme. Before implementation 25% of all patients with FUO remained undiagnosed, after implementation 37%. After institution of the investigation the percentage of patients with vasculitides increased significantly from 6% (n = 2) to 26% (n = 9, p = 0.047, Fisher's exact test). This increase could be attributed to the addition of MRI in 2002. When all patients with FUO before 2002 (n = 55) and thereafter (n = 12) were compared the prevalence of systemic vasculitis increased from 11% (n = 6) to 42% (n = 5, p = 0.021). Conclusion: Implementation of a standardised work-up programme for FUO did not improve the overall rate of diagnosis. Addition of MRI significantly increased the diagnosis of systemic vasculitis as the underlying cause of FUO. MRI should be included in the investigation of patients with FUO when vasculitis is suspected.

The Large Synoptic Survey Telescope project was an early adopter of SysML and Model Based Systems Engineering practices. The LSST project began using MBSE for requirements engineering beginning in 2006 shortly after the initial release of the first SysML standard. Out of this early work the LSST’s MBSE effort has grown to include system requirements, operational use cases, physical system definition, interfaces, and system states along with behavior sequences and activities. In this paper we describe our approach and methodology for cross-linking these system elements over the three classical systems engineering domains – requirement, functional and physical - into the LSST System Architecture model. We also show how this model is used as the central element to the overall project systems engineering effort. More recently we have begun to use the cross-linked modeled system architecture to develop and plan the system verification and test process. In presenting this work we also describe “lessons learned” from several missteps the project has had with MBSE. Lastly, we conclude by summarizing the overall status of the LSST’s System Architecture model and our plans for the future as the LSST heads toward construction.

The Large Synoptic Survey Telescope (LSST) has recently completed its Final Design Review and the Project is preparing for a 2014 construction authorization. The telescope system design supports the LSST mission to conduct a wide, fast, deep survey via a 3-mirror wide field of view optical design, a 3.2-Gpixel camera, and an automated data processing system. The observatory will be constructed in Chile on the summit of Cerro Pachon. This paper summarizes the status of the Telescope and Site group. This group is tasked with design, analysis, and construction of the summit and base facilities and infrastructure necessary to control the survey, capture the light, and calibrate the data. Several early procurements of major telescope subsystems have been completed and awarded to vendors, including the mirror systems, telescope mount assembly, hexapod and rotator systems, and the summit facility. These early contracts provide for the final design of interfaces based upon vendor specific approaches and will enable swift transition into construction. The status of these subsystems and future LSST plans during construction are presented.

The main indications for cardiac magnetic resonance imaging (MRI) in the evaluation of valvular heart disease are pathologies of the aortic and pulmonary valve. For mitral and tricuspid valve pathologies MRI is not the first line modality as these are usually well visualized by echocardiography. The advantages of MRI in valvular heart disease are a high reliability in the evaluation of ventricular volumes and function as well as the assessment of the perivalvular arterial or atrial structures. This reliability and the limitless access to any imaging plane partially compensates for the lower temporal and spatial resolution in comparison to echocardiography. In patients with congenital heart disease, cardiac MRI is established as a valuable diagnostic tool in daily clinical management, especially for the evaluation of pulmonary valve defects. Nevertheless, echocardiography remains the first-line diagnostic imaging tool for the foreseeable future.

In photoproduction experiments, a large number of final states yielding various resonance contributions are accessible. To extract resonance parameters via partial-wave analysis not only the measurement of differential cross-sections is necessary, but also the determination of polarization observables. At the electron accelerator ELSA (Bonn) the coherent bremsstrahlung method was used to generate a linearly polarized photon beam. Using the CBELSA/TAPS detector setup, the beam asymmetry Σ in the reaction γp → pπ 0 η was determined as a function of various masses and angles for photon energies between 970MeV and 1650MeV.

Background The antipsoriatic drugs cyclosporin A (CyA) and etretinate have been found to influence proinflammatory eosinophilic leukocytes and pruritus. Aim We compared the number of blood eosinophils, concentration of serum eosinophil cationic protein (ECP), and pruritus in patients with psoriasis treated with either CyA or etretinate. Study design Patients with psoriasis vulgaris were randomly assigned to treatment for 10 weeks with either CyA ( n =21) or etretinate ( n =10). The psoriasis area-and-severity index (PASI-score) and pruritus (according to a 0–3 scale) served as clinical parameters, the blood esosinophil counts (Coulter Counter) and the serum ECP (RIA, Pharmacia) as laboratory parameters. Results After CyA treatment the PASI-score amounted to 24±4%, after etretinate to 56±6% of the initial values (mean±SEM). One week after CyA treatment, esosinophils dropped from 190±21 to 137±16/ μ l ( P =0.038, Wilcoxon test), after 10 weeks to 127±18/ μ l ( P =0.006). By contrast, under etretinate blood eosinophil counts only changed marginally. Before treatment, ECP concentrations of 15.71±1.30 (CyA) and 15.3±5.53 μ g/l (etretinate) were measured (normal range 3–16 μ g/l), ECP remained constant under both CyA and etretinate or tended to increase after 10 weeks; about 50% of the patients exhibited elevated ECP concentrations. Pruritus diminished more with CyA than etretinate therapy. PASI-scores and pruritus were directly proportional. Outcome We conclude that treatment of psoriasis with CyA leads to a rapid drop of blood eosinophils and that the activation state of eosinophils does not decrease after antipsoriatic treatment. Pruritus in psoriasis is coupled to disease severity. The underlying antipsoriatic mechanisms of CyA may be linked to lowering the number of blood eosinophils.

This paper focuses on conceptual aspects of the access to multi-mission remote sensing data by online catalogue and information systems. The system ISIS of the German Remote Sensing Data Centre is described as an example of a user interface to earth observation data. ISIS has been designed to support international scientific research as well as operational applications by offering online access to the database via public networks. It provides catalogue retrieval, visualisation and transfer of image data, and is integrated in international activities dedicated to catalogue and archive interoperability. Finally, an outlook is given on international projects dealing with access to remote sensing data in distributed archives.

Zur Konstruktion des Mainz-Pouch-I werden zwischen 24 und 36 cm des terminalen Ileums sowie ca. 12 cm Colon ascendens inkl. der Ileozökalklappe verwendet. Hierdurch entfällt ein Teil der Resorptionsfläche für Vitamine, Gallensäuren und Spurenlemente. Bei 137 Patienten mit einem Mainz-Pouch-I erfolgte die Bestimmung der Gallensäuren, der fett- und wasserlöslichen Vitamine (A, D, E, K, B1, B2, B6, B12), der Folsäure, des Ammoniaks und des Base excess, der Spurenelemente (Zink, Kupfer, Eisen), des Ferritins sowie eines Differentialblutbildes. Das Vitamin B12 und die Folsäure wurde zusätzlich intrakorpuskulär bestimmt. Kinder und Erwachsene wurden unterschieden und die Patienten in 3 Gruppen eingeteilt (0

Sowohl die abdominal-als auch die transplantationschirurgisch relevanten Aspekte des Suizidversuchs werden anhand der eigenen Patienten retrospektiv uber einen Zeitraum von 22 Jahren analysiert und dargestellt. Die Untersuchung der Methoden der Suizidversuche von 24 Patienten zeigte ein deutliches Uberwiegen der sog. harten (70%) gegenuber den weichen (30%) Methoden. Bei abdominalen Verletzungen aufgrund eines Suizidversuchs ist die Indikation zur Laparotomie in der Regel bei Stich- und Schusverletzungen mit meist guter Prognose nach der chirurgischen Behandlung gegeben. Bei Intoxikationen, insbesondere Laugenveratzungen, wird die Operationsindikation abhangig vom endoskopischen Befund und der Klinik des Patienten gestellt. Die deutlich erhohte Suizidgefahrdung bei Patienten mit terminaler Niereninsuffizienz kann durch eine Nierentransplantation signifikant gesenkt werden. Aufgrund verbesserter Immunsuppression und damit verbesserter Transplantatfunktion nimmt die Suizidgefahrdung nach Transplantation ab. In der Folge einer Paracetamolingestion in suizidaler Absicht ist nur in seltenen Fallen bei akutem Leberversagen eine Lebertransplantation indiziert, wobei in diesem Fall die auxiliare Lebertransplantation als Differentialeingriff zu erwagen ist.

Ziele: The challenge facing cancer chemotherapy is the low selectivity to tumor cells versus normal cells. ADEPT (antibody-directed enzyme-prodrug therapy), in which a tumor specific antibody is used to carry a drug-activating enzyme to the tumor tissue, offers an attractive possibility to overcome this problem. Subsequent enzyme-mediated activation of nontoxic prodrugs to toxic drugs only within the tumor increases the specificity of treatment and decreases the drug toxicity in healthy tissues. Methode: The EGFR-targeting antibody Cetuximab was labeled with a near-infrared (NIR) fluorophore (Cetux-Alexa) and binding and internalization of the conjugate to mammary carcinoma cell lines with distinct EGFR expression patterns was analyzed in vitro. Distribution and binding-kinetics of Cetux-Alexa in nude mice bearing orthotopic mammary carcinomas were studied by NIR fluorescence imaging. Localization of the fluorescent probe within the tumor was analyzed ex vivo in tumor sections. To study the feasibility of Cetuximab for ADEPT, the antibody was conjugated with a drug activating enzyme, Galactosidase (Cetux-Gal). Ergebnis: Cetux-Alexa binds to EGFR-expressing cells in vitro and is localized to the cell membrane. In vivo, Cetux-Alexa targets EGFR-expressing tumors, resulting in a high tumor to background contrast. No unspecific accumulation of the fluorescence conjugate could be observed. Localization of Cetux-Alexa within the tumor was confirmed in tumor sections. Cetux-Gal was found to bind to EGFR-expressing cells in vitro specifically, proving a Galactosidase activity according to the distinct EGFR expression pattern. Subsequent addition of the prodrug showed toxicity proportional to the EGFR expression. Schlussfolgerung: A novel ADEPT treatment, in which tumor-bearing mice will be treated with Cetux-Gal in combination with a highly potent prodrug, was designed. In future experiments, the efficacy of the therapy will be assessed by monitoring tumor reduction with CT and SPECT using Tc-99 m labelled Cetuximab. Korrespondierender Autor: Kruwel T Universitatsmedizin Gottingen, Institut fur Diagnostische und Interventionelle Radiologie, Robert-Koch-Str. 40, 37075 Gottingen E-Mail: thomas.kruewel@med.uni-goettingen.de

The Discovery Channel Telescope is a 4.3m astronomical research telescope in northern Arizona constructed through a partnership between Discovery Communications and Lowell Observatory. The control software for the telescope and observatory systems consists of stand-alone, state-based components that respond to triggers (external signals or internal data changes). Component applications execute on Windows, real-time, and FPGA targets. The team has developed a template for a system component, the implementation of which has yielded large gains in productivity, robustness, and maintainability. These benefits follow from the dependence of the template on common, well-tested code, allowing a developer to focus on application-specific particulars unencumbered by details of infrastructure elements such as communication, and from the separation of concerns the architecture provides, ensuring that modifications are straightforward, separable, and consequently relatively safe. We describe a repeatable design process for developing a state machine design, and show how this translates directly into a concrete implementation utilizing several design patterns, illustrating this with examples from components of the functioning active optics system. We also present a refined top-level state machine design and rules for highly independent component interactions within and between hierarchies that we propose offer a general solution for large component-based control systems.

Lowell Observatory's Discovery Channel Telescope is a 4.3m telescope designed for optical and near infrared astronomical observation. At first light, the telescope will have a cube capable of carrying five instruments and the wave front sensing and guider system at the f/6.1 RC focus. The corrected RC focus field of view is 30’ in diameter. Nasmyth and prime focus can be instrumented subsequently. Early commissioning work with the installed primary mirror and its support system started out using one of the wave front sensing probes mounted at prime focus, and has continued at RC with the recent installation of the secondary mirror. We will report on the on-sky pointing and tracking performance of the telescope, initial assessment of the functionality of the active optics support system, and tests of the early image quality of the telescope and optics. We will also describe the suite of first light instruments, and early science operations.

Cardiac magnetic resonance imaging (MRI) and computed tomography (CT) have been developed rapidly in the last decade. Technical improvements and broad availability of modern CT and MRI scanners have led to an increasing and regular use of both diagnostic methods in clinical routine. Therefore, this German consensus document has been developed in collaboration by the German Cardiac Society, German Radiology Society, and the German Society for Pediatric Cardiology. It is not oriented on modalities and methods, but rather on disease entities. This consensus document deals with coronary artery disease, cardiomyopathies, arrhythmias, valvular diseases, pericardial diseases and structural changes, as well as with congenital heart defects. For different clinical scenarios both imaging modalities CT and MRI are compared and evaluated in the specific context.