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Potential triggering factors of acute liver failure as a first manifestation of autoimmune hepatitis-a single center experience of 52 adult patients

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World Journal of Gastroenterology 2018年第13期24卷 1410-1418页

作者： matthias buechter Paul Manka Falko Markus Heinemann Monika Lindemann Hideo Andreas Baba Martin Schlattjan Ali Canbay Guido Gerken Alisan Kahraman Department of Gastroenterology and Hepatology University Clinic of Essen Division of Transplantation Immunology and Mucosal Biology King’s CollegeLondon Institute of Transfusion Medicine University Clinic of Essen Institute of Pathology University Clinic of Essen Department of Gastroenterology Hepatology and Infectious Diseases Otto-von-Guericke University

AIM To investigate potential triggering factors leading to acute liver failure(ALF) as the initial presentation of autoimmune hepatitis(AIH).METHODS A total of 565 patients treated at our Department between 2005 and 2017 for histologically-proven AIH were retrospectively analyzed. However, 52 patients(9.2%) fulfilled the criteria for ALF defined by the "American Association for the Study of the Liver(AASLD)". According to this definition, patients with "acute-on-chronic" or "acute-on-cirrhosis" liver failure were excluded. Following parameters with focus on potential triggering factors were evaluated: Patients' demographics, causation of liver failure, laboratory data(liver enzymes, MELD-score, autoimmune markers, virus serology), liver histology, immunosuppressive regime, and finally, outcome of our *** The majority of patients with ALF were female(84.6%) and mean age was 43.6 ± 14.9 years. Interestingly, none of the patients with ALF was positive for antiliver kidney microsomal antibody(LKM). We could identify potential triggering factors in 26/52(50.0%) of previously healthy patients presenting ALF as their first manifestation of AIH. These were drug-induced ALF(57.7%), virus-induced ALF(30.8%), and preceding surgery in general anesthesia(11.5%), respectively. Unfortunately, 6 out of 52 patients(11.5%) did not survive ALF and 3 patients(5.7%) underwent liver transplantation(LT). Comparing data of survivors and patients with non-recovery following treatment, MELDscore(P < 0.001), age(P < 0.05), creatinine(P < 0.01), and finally, ALT-values(P < 0.05) reached statistical significance. CONCLUSION Drugs, viral infections, and previous surgery may trigger ALF as the initial presentation of AIH. Advanced age and high MELD-score were associated with lethal outcome.

关键词： Acute liver failure Autoimmune hepatitis Drug-induced liver injury Triggering factors MELD-score

Small extrachromosomal circular DNA in amyotrophic lateral sclerosis matter

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Neural Regeneration Research 2025年第5期20卷 1411-1413页

作者： Marcos J.Arauzo-Bravo Daniela Gerovska matthias Schwab Alexandra Kretz Computational Biology and Systems Biomedicine Biodonostia Health Research InstituteSan SebastianSpain Basque Foundation for Science IKERBASQUEBilbaoSpainMax Planck Institute for Molecular BiomedicineComputational Biology and Bioinformatics GroupMünsterNorth Rhine-WestphaliaGermany Department of Cell Biology and Histology Faculty of Medicine and NursingUniversity of Basque Country(UPV/EHU)LeioaSpain Department of Neurology Jena University HospitalJenaThuringiaGermany

Comprehensive studies identify motor neuron spectrum disorders including amyotrophic lateral sclerosis(ALS)as globally rising fatal disorders with the highest prevalence in aging populations,influenced by ethnicity and ancestry(GBD 2016 Motor Neuron Disease Colla borators,2018).While~10% of diagnoses involve a family history(fALS),most cases are considered sporadic(sALS).However,population-based studies suggest that even cases without a common index mutation impart heritability(Ryan et al.,2019),indicating a crucial role of rare and as yet unknown genetic denominators.

关键词： amyotrophic sclerosis

Search for 2D Ferromagnets:Molecular Beam Epitaxy is a Critical Tool

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Chinese Physics Letters 2020年第8期37卷 1-2页

作者： matthias Batzill Affiliations Department of Physics University of South FloridaTampaFL 33620USA

Van der Waals materials with ferromagnetic properties have attracted recent interest because of their promise to enable combination of materials with atomically sharp interfaces,facilitating spin transport and spin in... 详细信息

关键词： Epitaxy enable Tool

The Role of Host-derived Dentinal Matrix Metalloproteinases in Reducing Dentin Bonding of Resin Adhesives

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International Journal of Oral Science 2009年第4期1卷 163-176页

作者： matthias Kern Department of Prosthodontics Propaedeutics and Dental Materials Christians-Albrechts UniversityKiel Germany

Dentin matrix metalloproteinases （MMPs） are a family of host-derived proteolytic enzymes trapped within mineralized dentin matrix, which have the ability to hydrolyze the organic matrix of demineralized dentin. After bonding with resins to dentin there are usually some exposed collagen fibrils at the bottom of the hybrid layer owing to imperfect resin impregnation of the demineralized dentin matrix. Exposed collagen fibrils might be affected by MMPs inducing hydrolytic degradation, which might result in reduced bond strength.Most MMPs are synthesized and released from odontoblasts in the form of proenzymes, requiring activation to degrade extracellular matrix components. Unfortunately, they can be activated by modem self-etch and etch-and-rinse adhe- sives. The aim of this review is to summarize the current knowledge of the role of dentinal host-derived MMPs in dentin matrix degradation. We also discuss various available MMP inhibitors, especially chlorhexidine, and suggest that they could provide a potential pathway for inhibiting collagen degradation in bonding interfaces thereby increasing dentin bonding durability.

关键词： bonding matrix metalloproteinases(MMPs) MMP inhibitors chlorhexidine

The Glacial(MIS 3-2)Outlet Glacier of the Marsyandi Nadi-icestream-network with its Ngadi Khola Tributary Glacier(Manaslu-and Lamjung Himalaya):The Reconstructed Lowering of the Marsyandi Nadi Ice Stream Tongue down in to the Southern Himalaya Foreland

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Journal of Mountain Science 2014年第1期11卷 236-287页

作者： matthias KUHLE Department of Geography and High Mountain Geomorphology University of Gottingen

For the reconstruction of past climate variations,investigations on the history of glaciers are *** the Himalaya,investigations like these have a rather short tradition in comparison with other mountains on *** the same time,this area on the southern margin of Tibet is of special interest because of the question as to the monsoon-influence that is connected with the ***,the climate of High Asia is of global *** for the further and regionally intensifying answer to this question,a glacial glacier reconstruction is submitted from the CentralHimalaya,more exactly from the *** on down-valley from the glacial-historical investigations of 1977 in the upper Marsyandi Khola(Nadi) and the partly already published results of field campaigns in the middle Marsyandi Khola and the Damodar- and Manaslu Himal in the years 1995,2000,2004 and 2007,new geomorphological and geological field- and laboratory data are introduced here from the Ngadi(Nadi) Khola and the lower Marsyandi Nadi from the inflow of the Ngadi(Nadi) Khola down to the southern mountain *** has existed a connected ice-stream-network drained down to the south by a 2,100-2,200 m thick and 120 km long Marsyandi Nadi main valley *** a height of the valley bottom of c.1,000 m *** Ngadi Khola glacier joined the still c.1,300 m thick Marsyandi parent glacier from the Himalchuli-massif(Nadi(Ngadi) Chuli) – the south spur of the Manaslu *** here the united glacier tongue flowed down about a further 44 km to the south up to c.400 m a.s.l.(27°57'38 "N/84°24'56" E) into the Himalaya fore-chains and thus reached one of or the lowest past ice margin position of the *** glacial(LGP(Last glacial period),LGM(Last glacial maximum) Würm,Stage 0,MIS 3-2) climatic snowline(ELA = equilibrium line altitude) has run at 3,900 to 4,000 m *** thus c.1,500 altitude meters below the current ELA(Stage XII) at 5,400-5,500 m *** r

关键词： Ice Age Glaciation Himalaya Manaslu Ngadi Khola Icestream network Last Glacial period

A Certifiable Framework for Health Monitoring and Management

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Transactions of Nanjing University of Aeronautics and Astronautics 2017年第3期34卷 229-246页

作者： matthias Buderath Airbus Defence and Space Willy-Messerschmitt-Strasse

The scope of this paper is to provide an E2 Eperspective of health monitoring and management(HMM)and structural health mornitoring(SHM)as an integrated system element of an integrated system health monitoring and management(ISHM)*** paper will address two main topics:(1)The importance of a diagnostics and prognostic requirements specification to develop an innovative health monitoring and management system;(2)The certification of a health monitoring and management system aiming at a maintenance credit as an integral part of the maintenance *** development of a maintenance program which is based on combinations of different types of strategies(preventive,condition-based maintenance(CBM)and corrective maintenance…)for different subsystems or components and structures of complex systems like an aircraft to achieve the most optimized solution in terms of availability,cost and safety/certification is a real *** maintenance strategy must satisfy the technical-risk and cost feasibility of the maintenance program.

关键词： maintenance certification aircraft innovative diagnostics specification satisfy aiming prognostic challenge

High-order discontinuous Galerkin method for applications to multicomponent and chemically reacting flows

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Acta Mechanica Sinica 2017年第3期33卷 486-499页

作者： Yu Lv matthias Ihme Department of Mechanical Engineering Stanford University

This article focuses on the development of a discontinuous Galerkin (DG) method for simulations of multicomponent and chemically reacting flows. Compared to aerodynamic flow applications, in which DG methods have been successfully employed, DG simulations of chemically reacting flows introduce challenges that arise from flow unsteadiness, combustion, heat release, compressibility effects, shocks, and variations in thermodynamic properties. To address these challenges, algorithms are developed, including an entropy-bounded DG method, an entropy-residual shock indicator, and a new formulation of artificial viscosity. The performance and capabilities of the resulting DG method are demonstrated in several relevant applications, including shock/bubble interaction, turbulent combustion, and detonation. It is concluded that the developed DG method shows promising performance in application to multicomponent reacting flows. The paper concludes with a discussion of further research needs to enable the application of DG methods to more complex reacting flows.

关键词： Discontinuous Galerkin method High-order schemes Reacting flows Multicomponent flows

Quantifying the effect of persistent dryer climates on forest productivity and implications for forest planning:a case study in northern Germany

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Forest Ecosystems 2018年第4期5卷 451-471页

作者： matthias Albert Ralf-Volker Nagel Johannes Sutmoller matthias Schmidt Department of Forest Growth Northwest German Forest Research Institute GottingenGermany Department of Environmental Control Northwest German Forest Research InstituteGottingenGermany.

Background: Forest management decisions are based on expectations of future developments. For sound decisions it is essential to accurately predict the expected values in future developments and to account for their inherent uncertainty,for example the impact of climate change on forests. Changing climatic conditions affect forest productivity and alter the risk profile of forests and forest enterprises. Intensifying drought stress is seen as one major risk factor threatening forest management in the north German lowlands. Drought stress reduces tree growth and vitality and might even trigger mortality. But so far, it is not possible to quantify effects of a persistent dryer climate on forest productivity at a level suitable for forest ***: We apply a well-established single-tree forest growth simulator to quantify the effect of persistent dryer climates on future forest productivity. We analyse the growth of Scots pine(Pinus sylvestris L.), European beech(Fagus sylvatico L.) and oak(Quercus robur L. and Quercus petraea(Matt.) Liebl.) in two forest regions in the north German lowlands for a time interval of 60 years until 2070. The growth response under three different climate projections is compared to a baseline ***: The results show clear differences in volume increment to persistent dryer climates between tree species. The findings exhibit regional differences and temporal trends. While mean annual increment at biological rotation age of Scots pine and oak predominantly benefits from the projected climate conditions until 2070, beech might suffer losses of up to 3 m^3·ha^(-1)yr^(-1) depending on climate scenario and region. However, in the projection period2051 to 2070 the uncertainty ranges comprise positive as well as negative climatic effects for all ***: The projected changes in forest growth serve as quantitative contributions to provide decision support in the evaluation of, for example, species future site suita

关键词： Climate change Forest growth Forest productivity Persistent dryer climate simulation study Uncertainty

Absorbing Boundary Conditions for Hyperbolic Systems

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Numerical Mathematics(Theory,Methods and Applications) 2010年第3期3卷 295-337页

作者： matthias Ehrhardt Lehrstuhl für Angewandte Mathematik und Numerische Analysis Fachbereich C Mathematik und NaturwissenschaftenBergische Universitt WuppertalGaufβstrasse 2042119 WuppertalGermany

This paper deals with absorbing boundary conditions for hyperbolic systems in one and two space *** prove the strict well-posedness of the resulting initial boundary value problem in *** we establish the GKS-stability of the corresponding Lax-Wendroff-type finite difference ***,we have to extend the classical proofs,since the(discretized) absorbing boundary conditions do not fit the standard form of boundary conditions for hyperbolic systems.

关键词： Absorbing boundary conditions hyperbolic system Engquist and Majda approach,strict well-posedness GKS-stability.