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Marcel Vetter1 12 2, Timo Rath1 12 2, Jürgen Siebler1 12 2, Maximilian Waldner1 12 2, Markus F Neurath1 12 2, Lukas Pfeifer3 3 1Department of Medicine 1, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany; 2Deutsches Zentrum Immuntherapie, DZI, Erlangen, Germany; 3Department of Gastroenterology and Interventional Endoscopy, Krankenhaus Barmherzige Brüder, Regensburg, GermanyCorrespondence: Lukas PfeiferDepartment of Gastroenterology and Interventional Endoscopy, Krankenhaus Barmherzige Brüder, Prüfeninger Straße 86, Regensburg, Bavaria, 93049, GermanyTel +49 941 369 2051Fax +49 941 369 2055Email Lukas.Pfeifer@barmherzige-regensburg.deBackground: Ingestion of alkaline fluids is a common problem, which can lead to perforations, strictures and malignancy. We present a rare case series of several patients who accidentally ingested the same alkaline substance in different doses.Methods: We investigated four patients with accidental ingestion of dishwashing liquid. All patients underwent gastroscopy within 24h after inpatient admission. Gastroesophageal lesions were classified according to the Zargar classification for corrosive ingestions.Results: Esophagogastric lesions were predominantly found at the distal esophagus and the small curvature of the stomach. The severity of these lesions ranged from mild erosions (Zargar 2A) to marked necrosis (Zargar 3A). Our data suggest that the degree of these lesions correlated with the amount of ingested toxin and duration of the inpatient stay. However, a low symptom severity or inconspicuous otolaryngologic examination did not exclude severe gastroesophageal lesions.Conclusion: Our data suggest that the severity of gastroesophageal lesions correlates with the amount of ingested alkaline substance. Symptom burden and an otolaryngologic examination are not sufficiently predictive for the severity of gastroesophageal lesions. The composition and quantity of the swallowed liquid should be determined.Keywords: alkali ingestion, gastroscopy, toxin dose, case series

Marion L Vetter1,2,3, Alisha Wade1, Leslie G Womble3, Cornelia Dalton-Bakes1, Thomas A Wadden3, Nayyar Iqbal1,21Division of Endocrinology, Diabetes, and Metabolism, Department of Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, USA; 2Division of Endocrinology, Department of Medicine, Philadelphia Veterans Affairs Medical Center, Philadelphia, PA, USA; 3Department of Psychiatry, Center for Weight and Eating Disorders, University of Pennsylvania School of Medicine, Philadelphia, PA, USAAbstract: The effect of dietary macronutrient composition on adipokine concentrations remains unclear. Greater reductions in leptin have been reported in participants who followed low-carbohydrate versus low-fat diets, although these studies did not adjust for the important effects of weight loss on adipokines. We investigated the effect of macronutrient composition on adipokine levels in 144 obese, diabetic participants who were randomly assigned to a low-carbohydrate ( 0.05 for all variables). However, significant changes in leptin and adiponectin occurred over time (P < 0.001 and P < 0.012, respectively). Modest weight loss, rather than macronutrient composition, likely accounted for the favorable changes observed in leptin and adiponectin over time.Keywords: diet, adipokine, obesity, diabetes, carbohydrate, hormone

The Rutherford scattering experiment plays a central role in working out atomic models in physics and chemistry. Nevertheless, the experiment is rarely performed at school or in introductory physics courses at university. Therefore, we realized this experiment as a remotely controlled laboratory (RCL), i.e. the experiment is set up in reality and can be operated by a computer via the Internet. We present results of measurements and supplementary didactical material. In addition, we make suggestions on how to use the RCL in class and we describe the added value of performing this experiment as an RCL. (Contains 5 footnotes and 4 figures.)

The speed of light is an essential topic in the teaching of physics at school and at university, either with respect to the type of experiment or of course with respect to its genuine inherent importance. In reality, the various available experiments are hardly ever performed in class for many reasons. Therefore, we offer this experiment as a remotely controlled laboratory (RCL). An RCL is a real experiment setup at location A which can be controlled via the Internet by a user at a distant location B. It allows several actions like in the hands-on experiment and delivers convincing results. Finally, we present experiences of the use of the RCL, describe the added value of this experiment as an RCL and give hints for implementing the RCL in teaching. (Contains 1 table, 7 figures and 2 footnotes.)

We suggest that different string pendulums are positioned at different locations on Earth and measure at each place the gravitational acceleration (accuracy [delta]g is approximately equal to 0.01 m s[superscript -2]). Each pendulum can be remotely controlled via the internet by a computer located somewhere on Earth. The theoretical part describes the physical origin of this phenomenon g([psi]), that the Earth's effective gravitational acceleration g depends on the angle of latitude [psi]. Then, we present all necessary formula to deduce g([psi]) from oscillations of a string pendulum. The technical part explains tips and tricks to realize such an apparatus to measure all necessary values with sufficient accuracy. In addition, we justify the precise dimensions of a physical pendulum such that the formula for a mathematical pendulum is applicable to determine g([psi]) without introducing errors. To conclude, we describe the internet version--the string pendulum as a remotely controlled laboratory. The teaching relevance and educational value will be discussed in detail at the end of this paper including global experimenting, using the internet and communication techniques in teaching and new ways of teaching and learning methods. (Contains 2 footnotes, 2 tables, and 6 figures.)