Long-term outcome after intrauterine laser treatment for twin–twin transfusion syndrome

Twin–twin transfusion syndrome (TTTS) is a severe complication occurring in about 10% of monochorionic twin pregnancies. The chronic unbalanced transfusion of blood across placental vascular communications from the donor to the recipient twin may lead to impairment of various organ systems in the affected twins. In Hamburg, Germany, since 1995 patients with TTTS were treated with fetoscopic laser coagulation as the first causal therapeutic strategy. All survivors after laser surgery were followed up in the University Children's Hospital in Bonn, Germany. In this article, we summarize long-term follow-up studies from our German study population and compare our results with data from the literature. Copyright © 2011 John Wiley & Sons, Ltd.     

Patterns of organic osmolytes in two marine bivalves, Macoma balthica, and Mytilus spp., along their European distribution

Patterns of nine intracellular free amino acids (FAA), which are utilized as organic osmolytes for salinity-induced cell volume regulation in marine osmoconformers, were compared in five Macoma balthica populations and seven Mytilus spp. populations along their European distribution. Three types of FAA patterns were classified within both taxa: a northern Baltic type, a southern Baltic type and an Atlantic/Mediterranean type which mainly differ regarding the share of alanine and taurine. Differences are discussed in relation to habitat salinity and population genetics. Along a salinity gradient, the total size of the intracellular FAA pool did not differ between sympatric M. balthica and Mytilus spp., and was significantly correlated with habitat osmolality in a range from 70 to 600 mmol kg⁻¹ H₂O (oligohaline to mesohaline) in both bivalves. In M. balthica, this correlation was mainly based on significant correlations of alanine (15–100 mmol kg⁻¹ DW), glycine (30–100 mmol kg⁻¹ DW) and taurine (0–70 mmol kg⁻¹ DW) with habitat osmolality. In Mytilus spp., only glycine (25–100 mmol kg⁻¹ DW) and taurine (4–180 mmol kg⁻¹ DW) were significantly correlated with habitat osmolality. The concentration of alanine was three times lower in Mytilus spp. than in M. balthica and did not correlate with habitat osmolality. Within a habitat osmolality range from 600 to 1,100 mmol kg⁻¹ H₂O (mesohaline to marine) the concentration of FAA remained constant in both taxa. It is suggested that under marine conditions additional organic osmolytes must become more important for cell volume regulation in Macoma and Mytilus.     

Long-term reactions of plants and macroinvertebrates to extreme floods in floodplain grasslands

Extreme summertime flood events are expected to become more frequent in European rivers due to climate change. In temperate areas, where winter floods are common, extreme floods occurring in summer, a period of high physiological activity, may seriously impact floodplain ecosystems. Here we report on the effects of the 2002 extreme summer flood on flora and fauna of the riverine grasslands of the Middle Elbe (Germany), comparing pre- and post-flooding data collected by identical methods. Plants, mollusks, and carabid beetles differed considerably in their response in terms of abundance and diversity. Plants and mollusks, displaying morphological and behavioral adaptations to flooding, showed higher survival rates than the carabid beetles, the adaptation strategies of which were mainly linked to life history. Our results illustrate the complexity of responses of floodplain organisms to extreme flood events. They demonstrate that the efficiency of resistance and resilience strategies is widely dependent on the mode of adaptation.     

Are you an ambitious cyclist? Results of the cyclist profile questionnaire in Germany

Abstract

Objective: A number of studies have already grouped cyclists according to different aspects of their mobility behavior. This could be used e.g., to improve the bicycle infrastructure planning, to detect critical spots and, to reduce obstacles for cycling. This wide, preexisting, range of cyclist typologies usually concentrates on one or two influence factors and differs, content-wise, in both factors used, as well as, methodically. Based on existing cyclist typologies we extracted all possible influence factors to integrate them in one single questionnaire. The objective of this study, using an empirical, based approach, is to compare this typology of cyclists with existing ones, integrating all known influence factors of recent studies.

Methods: To address these issues, we conducted a Germany-wide online survey on cycling behavior, covering all relevant aspects we derived from both literature and especially, former cyclist typology studies including: social factors; the impact of environmental, individual; and route factors; as well as motives. The main goal was to identify distinct types of cyclists, and describe them as detailed as possible. The heterogeneous sample included a total of 10,294 responses.

Results: Using factor and cluster analyses, a multidimensional typology with four groups of cyclists was derived which were interpreted as: ambitious, functional, pragmatic, and passionate cyclists. In addition, socio-economic factors, cyclist’s motivation, and crash history were analyzed.

Conclusion: The results produced by grouping different characteristics of cyclists can lead to policy recommendations or communal bicycle traffic planning. Policy planners can estimate reactions of the different types on interventions and adjust their decisions which can serve to support already passionate cyclists or, encourage normally under-represented infrequent cyclists to cycle more. The extent of perceived safety plays here an important role in the classification, e.g., the handling of high-risk areas for crashes.