The influence of petrogenetic processes on the composition of Ocean Island Basalts

Ocean Island Basalts (OIB) provide important information on the chemical and physical characteristics of their mantle sources. However, the geochemical composition of a generated magma is significantly affected by partial melting and/or subsequent fractional crystallization processes. In addition, the isotopic composition of an ascending magma may be modified during transport through the oceanic crust. The influence of these different processes on the chemical and isotopic composition of OIB from two different localities, Hawaii and Tubuai in the Pacific Ocean, are investigated here. In a first chapter, the Os-isotope variations in suites of lavas from Kohala Volcano, Hawaii, are examined to constrain the role of melt/crust interactions on the evolution of these lavas. As 187Os/188Os sensitivity to any radiogenic contaminant strongly depend on the Os content in the melt, Os and other PGE variations are investigated first. This study reveals that Os and other PGE behavior change during the Hawaiian magma differentiation. While PGE concentrations are relatively constant in lavas with relatively primitive compositions, all PGE contents strongly decrease in the melt as it evolved through ~ 8% MgO. This likely reflects the sulfur saturation of the Hawaiian magma and the onset of sulfide fractionation at around 8% MgO. Kohala tholeiites with more than 8% MgO and rich in Os have homogeneous 187Os/188Os values likely to represent the mantle signature of Kohala lavas. However, Os isotopic ratios become more radiogenic with decreasing MgO and Os contents in the lavas, which reflects assimilation of local crust material during fractional crystallization processes. Less than 8% upper oceanic crust assimilation could have produced the most radiogenic Os-isotope ratios recorded in the shield lavas. However, these small amounts of upper crust assimilation have only negligible effects on Sr and Nd isotopic ratios and therefore, are not responsible for the Sr and Nd isotopic heterogeneities observed in Kohala lavas. In a second chapter, fractional crystallization and partial melting processes are constrained using major and trace element variations in the same suites of lavas from Kohala Volcano, Hawaii. This inverse modeling approach allows the estimation of most of the trace element composition of the Hawaiian mantle source. The calculated initial trace element pattern shows slight depletion of the concentrations from LREE to the most incompatible elements, which indicates that the incompatible element enrichments described by the Hawaiian melt patterns are entirely produced by partial melting processes. The “Kea trend” signature of lavas from Kohala Volcano is also confirmed, with Kohala lavas having lower Sr/Nd and La/Th ratios than lavas from Mauna Loa Volcano. Finally, the magmatic evolution of Tubuai Island is investigated in a last chapter using the trace element and Sr, Nd, Hf isotopic variations in mafic lava suites. The Sr, Nd and Hf isotopic data are homogeneous and typical for the HIMU-type OIB and confirms the cogenetic nature of the different mafic lavas from Tubuai Island. The trace element patterns show progressive enrichment of incompatible trace elements with increasing alkali content in the lavas, which reflect progressive decrease in the degree of partial melting towards the later volcanic events. In addition, this enrichment of incompatible trace elements is associated with relative depletion of Rb, Ba, K, Nb, Ta and Ti in the lavas, which require the presence of small amount of residual phlogopite and of a Ti-bearing phase (ilmenite or rutile) during formation of the younger analcitic and nephelinitic magmas.

A moment symbolic representation of Lévy processes with applications

By using a symbolic method, known in the literature as the classical umbral calculus, a symbolic representation of Lévy processes is given and a new family of time-space harmonic polynomials with respect to such processes, which includes and generalizes the exponential complete Bell polynomials, is introduced. The usefulness of time-space harmonic polynomials with respect to Lévy processes is that it is a martingale the stochastic process obtained by replacing the indeterminate x of the polynomials with a Lévy process, whereas the Lévy process does not necessarily have this property. Therefore to find such polynomials could be particularly meaningful for applications. This new family includes Hermite polynomials, time-space harmonic with respect to Brownian motion, Poisson-Charlier polynomials with respect to Poisson processes, Laguerre and actuarial polynomials with respect to Gamma processes , Meixner polynomials of the first kind with respect to Pascal processes, Euler, Bernoulli, Krawtchuk, and pseudo-Narumi polynomials with respect to suitable random walks. The role played by cumulants is stressed and brought to the light, either in the symbolic representation of Lévy processes and their infinite divisibility property, either in the generalization, via umbral Kailath-Segall formula, of the well-known formulae giving elementary symmetric polynomials in terms of power sum symmetric polynomials. The expression of the family of time-space harmonic polynomials here introduced has some connections with the so-called moment representation of various families of multivariate polynomials. Such moment representation has been studied here for the first time in connection with the time-space harmonic property with respect to suitable symbolic multivariate Lévy processes. In particular, multivariate Hermite polynomials and their properties have been studied in connection with a symbolic version of the multivariate Brownian motion, while multivariate Bernoulli and Euler polynomials are represented as powers of multivariate polynomials which are time-space harmonic with respect to suitable multivariate Lévy processes.

Numerical simulations of microphysical processes in pyro-convective clouds

Hochreichende Konvektion über Waldbränden ist eine der intensivsten Formen von atmosphärischer Konvektion. Die extreme Wolkendynamik mit hohen vertikalen Windgeschwindigkeiten (bis 20 m/s) bereits an der Wolkenbasis, hohen Wasserdampfübersättigungen (bis 1%) und die durch das Feuer hohen Anzahlkonzentration von Aerosolpartikeln (bis 100000 cm^-3) bilden einen besonderen Rahmen für Aerosol-Wolken Wechselwirkungen.Ein entscheidender Schritt in der mikrophysikalischen Entwicklung einer konvektiven Wolke ist die Aktivierung von Aerosolpartikeln zu Wolkentropfen. Dieser Aktivierungsprozess bestimmt die anfängliche Anzahl und Größe der Wolkentropfen und kann daher die Entwicklung einer konvektiven Wolke und deren Niederschlagsbildung beeinflussen. Die wichtigsten Faktoren, welche die anfängliche Anzahl und Größe der Wolkentropfen bestimmen, sind die Größe und Hygroskopizität der an der Wolkenbasis verfügbaren Aerosolpartikel sowie die vertikale Windgeschwindigkeit. Um den Einfluss dieser Faktoren unter pyro-konvektiven Bedingungen zu untersuchen, wurden numerische Simulationen mit Hilfe eines Wolkenpaketmodells mit detaillierter spektraler Beschreibung der Wolkenmikrophysik durchgeführt. Diese Ergebnisse können in drei unterschiedliche Bereiche abhängig vom Verhältnis zwischen vertikaler Windgeschwindigkeit und Aerosolanzahlkonzentration (w/NCN) eingeteilt werden: (1) ein durch die Aerosolkonzentration limitierter Bereich (hohes w/NCN), (2) ein durch die vertikale Windgeschwindigkeit limitierter Bereich (niedriges w/NCN) und (3) ein Übergangsbereich (mittleres w/NCN). Die Ergebnisse zeigen, dass die Variabilität der anfänglichen Anzahlkonzentration der Wolkentropfen in (pyro-) konvektiven Wolken hauptsächlich durch die Variabilität der vertikalen Windgeschwindigkeit und der Aerosolkonzentration bestimmt wird. rnUm die mikrophysikalischen Prozesse innerhalb der rauchigen Aufwindregion einer pyrokonvektiven Wolke mit einer detaillierten spektralen Mikrophysik zu untersuchen, wurde das Paketmodel entlang einer Trajektorie innerhalb der Aufwindregion initialisiert. Diese Trajektore wurde durch dreidimensionale Simulationen eines pyro-konvektiven Ereignisses durch das Model ATHAM berechnet. Es zeigt sich, dass die Anzahlkonzentration der Wolkentropfen mit steigender Aerosolkonzentration ansteigt. Auf der anderen Seite verringert sich die Größe der Wolkentropfen mit steigender Aerosolkonzentration. Die Reduzierung der Verbreiterung des Tropfenspektrums stimmt mit den Ergebnissen aus Messungen überein und unterstützt das Konzept der Unterdrückung von Niederschlag in stark verschmutzen Wolken.Mit Hilfe des Models ATHAM wurden die dynamischen und mikrophysikalischen Prozesse von pyro-konvektiven Wolken, aufbauend auf einer realistischen Parametrisierung der Aktivierung von Aerosolpartikeln durch die Ergebnisse der Aktivierungsstudie, mit zwei- und dreidimensionalen Simulationen untersucht. Ein modernes zweimomenten mikrophysikalisches Schema wurde in ATHAM implementiert, um den Einfluss der Anzahlkonzentration von Aerosolpartikeln auf die Entwicklung von idealisierten pyro-konvektiven Wolken in US Standardamtosphären für die mittleren Breiten und den Tropen zu untersuchen. Die Ergebnisse zeigen, dass die Anzahlkonzentration der Aerosolpartikel die Bildung von Regen beeinflusst. Für geringe Aerosolkonzentrationen findet die rasche Regenbildung hauptsächlich durch warme mikrophysikalische Prozesse statt. Für höhere Aerosolkonzentrationen ist die Eisphase wichtiger für die Bildung von Regen. Dies führt zu einem verspäteten Einsetzen von Niederschlag für verunreinigtere Atmosphären. Außerdem wird gezeigt, dass die Zusammensetzung der Eisnukleationspartikel (IN) einen starken Einfluss auf die dynamische und mikrophysikalische Struktur solcher Wolken hat. Bei sehr effizienten IN bildet sich Regen früher. Die Untersuchung zum Einfluss des atmosphärischen Hintergrundprofils zeigt eine geringe Auswirkung der Meteorologie auf die Sensitivität der pyro-konvektiven Wolken auf diernAerosolkonzentration. Zum Abschluss wird gezeigt, dass die durch das Feuer emittierte Hitze einen deutlichen Einfluss auf die Entwicklung und die Wolkenobergrenze von pyro-konvektive Wolken hat. Zusammenfassend kann gesagt werden, dass in dieser Dissertation die Mikrophysik von pyrokonvektiven Wolken mit Hilfe von idealisierten Simulation eines Wolkenpaketmodell mit detaillierte spektraler Mikrophysik und eines 3D Modells mit einem zweimomenten Schema im Detail untersucht wurde. Es wird gezeigt, dass die extremen Bedingungen im Bezug auf die vertikale Windgeschwindigkeiten und Aerosolkonzentrationen einen deutlichen Einfluss auf die Entwicklung von pyro-konvektiven Wolken haben.

A chemical-loop approach for the generation of hydrogen by means of ethanol reforming

The work investigates the feasibility of a new process aimed at the production of hydrogen with inherent separation of carbon oxides. The process consists in a cycle in which, in the first step, a mixed metal oxide is reduced by ethanol (obtained from biomasses). The reduced metal is then contacted with steam in order to split the water and sequestrating the oxygen into the looping material’s structure. The oxides used to run this thermochemical cycle, also called “steam-iron process” are mixed ferrites in the spinel structure MeFe2O4 (Me = Fe, Co, Ni or Cu). To understand the reactions involved in the anaerobic reforming of ethanol, diffuse reflectance spectroscopy (DRIFTS) was used, coupled with the mass analysis of the effluent, to study the surface composition of the ferrites during the adsorption of ethanol and its transformations during the temperature program. This study was paired with the tests on a laboratory scale plant and the characterization through various techniques such as XRD, Mössbauer spectroscopy, elemental analysis... on the materials as synthesized and at different reduction degrees In the first step it was found that besides the generation of the expected CO, CO2 and H2O, the products of ethanol anaerobic oxidation, also a large amount of H2 and coke were produced. The latter is highly undesired, since it affects the second step, during which water is fed over the pre-reduced spinel at high temperature. The behavior of the different spinels was affected by the nature of the divalent metal cation; magnetite was the oxide showing the slower rate of reduction by ethanol, but on the other hand it was that one which could perform the entire cycle of the process more efficiently. Still the problem of coke formation remains the greater challenge to solve.

Microbial ecology of biotechnological processes

The investigation of phylogenetic diversity and functionality of complex microbial communities in relation to changes in the environmental conditions represents a major challenge of microbial ecology research. Nowadays, particular attention is paid to microbial communities occurring at environmental sites contaminated by recalcitrant and toxic organic compounds. Extended research has evidenced that such communities evolve some metabolic abilities leading to the partial degradation or complete mineralization of the contaminants. Determination of such biodegradation potential can be the starting point for the development of cost effective biotechnological processes for the bioremediation of contaminated matrices. This work showed how metagenomics-based microbial ecology investigations supported the choice or the development of three different bioremediation strategies. First, PCR-DGGE and PCR-cloning approaches served the molecular characterization of microbial communities enriched through sequential development stages of an aerobic cometabolic process for the treatment of groundwater contaminated by chlorinated aliphatic hydrocarbons inside an immobilized-biomass packed bed bioreactor (PBR). In this case the analyses revealed homogeneous growth and structure of immobilized communities throughout the PBR and the occurrence of dominant microbial phylotypes of the genera Rhodococcus, Comamonas and Acidovorax, which probably drive the biodegradation process. The same molecular approaches were employed to characterize sludge microbial communities selected and enriched during the treatment of municipal wastewater coupled with the production of polyhydroxyalkanoates (PHA). Known PHA-accumulating microorganisms identified were affiliated with the genera Zooglea, Acidovorax and Hydrogenophaga. Finally, the molecular investigation concerned communities of polycyclic aromatic hydrocarbon (PAH) contaminated soil subjected to rhizoremediation with willow roots or fertilization-based treatments. The metabolic ability to biodegrade naphthalene, as a representative model for PAH, was assessed by means of stable isotope probing in combination with high-throughput sequencing analysis. The phylogenetic diversity of microbial populations able to derive carbon from naphthalene was evaluated as a function of the type of treatment.

Generation of FLT3-ITD-reactive T-cell populations from different sources

Approximately 25% of acute myeloid leukemias (AMLs) carry internal tandem duplications (ITD) of various lengths within the gene encoding the FMS-like tyrosine kinase receptor 3 (FLT3). Although varying duplication sites exist, most of these length mutations affect the protein´s juxtamembrane domain. FLT3-ITDs support leukemic transformation by constitutive phosphorylation resulting in uncontrolled activation, and their presence is associated with worse prognosis. As known form previous work, they represent leukemia- and patient-specific neoantigens that can be recognized by autologous AML-reactive CD8+ T cells (Graf et al., 2007; Graf et al., unpublished). Herein, in patient FL, diagnosed with FLT3-ITD+ AML and in first complete remission after induction chemotherapy, T cells against her leukemia´s individual FLT3-ITD were detected at a frequency up to 1.7x10-3 among peripheral blood CD8+ T lymphocytes. This rather high frequency suggested, that FLT3-ITD-reactive T cells had been expanded in vivo due to the induction of an anti-leukemia response.rnrnCell material from AML patients is limited, and the patients´ anti-leukemia T-cell repertoire might be skewed, e.g. due to complex previous leukemia-host interactions and chemotherapy. Therefore, allogeneic sources, i.e. buffy coats (BCs) from health donors and umbilical cord blood (UCB) donations, were exploited for the presence and the expansion of FLT3-ITD-reactive T-cell populations. BC- and UCB-derived CD8+ T cells, were distributed at 105 cells per well on microtiter plates and, were stimulated with antigen-presenting cells (APCs) transfected with in vitro-transcribed mRNA (IVT-mRNA) encoding selected FTL3-ITDs. APCs were autologous CD8- blood mononuclear cells, monocytes or FastDCs.rnrnBuffy coat lymphocytes from 19 healthy individuals were analyzed for CD8+ T-cell reactivity against three immunogenic FLT3-ITDs previously identified in patients VE, IN and QQ and designated as VE_, IN_ and QQ_FLT3-ITD, respectively. These healthy donors carried at least one of the HLA I alleles known to present an ITD-derived peptide from one of these FLT3-ITDs. Reactivities against single ITDs were observed in 8/19 donors. In 4 donors the frequencies of ITD-reactive T cells were determined and were estimated to be in the range of 1.25x10-6 to 2.83x10-7 CD8+ T cells. These frequencies were 1,000- to 10,000-fold lower than the frequency of autologous FLT3-ITD-reactive T cells observed in patient FL. Restricting HLA I molecules were identified in two donors. In one of them, the recognition of VE_FLT3-ITD was found to be restricted by HLA-C*07:02, which is different from the HLA allele restricting the anti-ITD T cells of patient VE. In another donor, the recognition of IN_FLT3-ITD was restricted by HLA-B*35:01, which also had been observed in patient IN (Graf et al., unpublished). By gradual 3´-fragmentation of the IN_FLT3-ITD cDNA, the 10-mer peptide CPSDNEYFYV was identified as the target of allogeneic T cells against IN_FLT3-ITD. rnLymphocytes in umbilical cord blood predominantly exhibit a naïve phenotype. Seven UCB donations were analyzed for T-cell responses against the FLT3-ITDs of patients VE, IN, QQ, JC and FL irrespective of their HLA phenotype. ITD-reactive responses against all stimulatory FLT3-ITDs were observed in 5/7 UCB donations. The frequencies of T cells against single FLT3-ITDs in CD8+ lymphocytes were estimated to be in the range of 1.8x10-5 to 3.6x10-6, which is nearly 15-fold higher than the frequencies observed in BCs. Restricting HLA I molecules were identified in 4 of these 5 positive UCB donations. They were mostly different from those observed in the respective patients. But in one UCB donation T cells against the JC_FLT3-ITD had exactly the same peptide specificity and HLA restriction as seen before in patient JC (Graf et al., 2007). Analyses of UCB responder lymphocytes led to the identification of the 10-mer peptide YESDNEYFYV, encoded by FL_FLT3-ITD, that was recognized in association with the frequent allele HLA-A*02:01. This peptide was able to stimulate and enrich ITD-reactive T cells from UCB lymphocytes in vitro. Peptide responders not only recognized the peptide, but also COS-7 cells co-transfected with FL_FLT3-ITD and HLA-A*02:01.rnrnIn conclusion, T cells against AML- and individual-specific FLT3-ITDs were successfully generated not only from patient-derived blood, but also from allogeneic sources. Thereby, ITD-reactive T cells were detected more readily and at higher frequencies in umbilical cord blood than in buffy coat lymphocytes. It occurred that peptide specificity and HLA restriction of allogeneic, ITD-reactive T cells were identical to autologous patient-derived T cells. As shown herein, allogeneic, FLT3-ITD-reactive T cells can be used for the identification of FLT3-ITD-encoded peptides, e.g. for future therapeutic vaccination studies. In addition, these T cells or their receptors can be applied to adoptive transfer.

High-energy view of radio galaxies: prospects for the new generation of Cherenkov telescopes

I Nuclei Galattici Attivi (AGN) sono sorgenti luminose e compatte alimentate dall'accrescimento di materia sul buco nero supermassiccio al centro di una galassia. Una frazione di AGN, detta "radio-loud", emette fortemente nel radio grazie a getti relativistici accelerati dal buco nero. I Misaligned AGN (MAGN) sono sorgenti radio-loud il cui getto non è allineato con la nostra linea di vista (radiogalassie e SSRQ). La grande maggioranza delle sorgenti extragalattiche osservate in banda gamma sono blazar, mentre, in particolare in banda TeV, abbiamo solo 4 MAGN osservati. Lo scopo di questa tesi è valutare l'impatto del Cherenkov Telescope Array (CTA), il nuovo strumento TeV, sugli studi di MAGN. Dopo aver studiato le proprietà dei 4 MAGN TeV usando dati MeV-GeV dal telescopio Fermi e dati TeV dalla letteratura, abbiamo assunto come candidati TeV i MAGN osservati da Fermi. Abbiamo quindi simulato 50 ore di osservazioni CTA per ogni sorgente e calcolato la loro significatività. Assumendo una estrapolazione diretta dello spettro Fermi, prevediamo la scoperta di 9 nuovi MAGN TeV con il CTA, tutte sorgenti locali di tipo FR I. Applicando un cutoff esponenziale a 100 GeV, come forma spettrale più realistica secondo i dati osservativi, prevediamo la scoperta di 2-3 nuovi MAGN TeV. Per quanto riguarda l'analisi spettrale con il CTA, secondo i nostri studi sarà possibile ottenere uno spettro per 5 nuove sorgenti con tempi osservativi dell'ordine di 250 ore. In entrambi i casi, i candidati migliori risultano essere sempre sorgenti locali (z<0.1) e con spettro Fermi piatto (Gamma<2.2). La migliore strategia osservativa per ottenere questi risultati non corrisponde con i piani attuali per il CTA che prevedono una survey non puntata, in quanto queste sorgenti sono deboli, e necessitano di lunghe osservazioni puntate per essere rilevate (almeno 50 ore per studi di flusso integrato e 250 per studi spettrali).

A method for automated generation of radiotherapy treatment plans for lung cancer

La radioterapia è una tecnica molto impiegata per la cura del cancro. Attualmente la somministrazione avviene principalmente attraverso la intensity modulated radiotherapy (IMRT, sovrapposizione di campi ad intensità modulata), un cui sviluppo recente è la volumetric modulated arc therapy (VMAT, irradiazione continua lungo un arco ininterrotto). La generazione di piani richiede esperienza ed abilità: un dosimetrista seleziona cost functions ed obiettivi ed un TPS ottimizza la disposizione dei segmenti ad intensità modulata. Se il medico giudica il risultato non soddisfacente, il processo riparte da capo (trial-and-error). Una alternativa è la generazione automatica di piani. Erasmus-iCycle, software prodotto presso ErasmusMC (Rotterdam, The Netherlands), è un algoritmo di ottimizzazione multicriteriale di piani radioterapici per ottimizzazione di intensità basato su una wish list. L'output consiste di piani Pareto-ottimali ad intensità modulata. La generazione automatica garantisce maggiore coerenza e qualità più elevata con tempi di lavoro ridotti. Nello studio, una procedura di generazione automatica di piani con modalità VMAT è stata sviluppata e valutata per carcinoma polmonare. Una wish list è stata generata attraverso una procedura iterativa su un gruppo ristretto di pazienti con la collaborazione di fisici medici ed oncologi e poi validata su un gruppo più ampio di pazienti. Nella grande maggioranza dei casi, i piani automatici sono stati giudicati dagli oncologi migliori rispetto ai rispettivi piani IMRT clinici generati manualmente. Solo in pochi casi una rapida calibrazione manuale specifica per il paziente si è resa necessaria per soddisfare tutti i requisiti clinici. Per un sottogruppo di pazienti si è mostrato che la qualità dei piani VMAT automatici era equivalente o superiore rispetto ai piani VMAT generati manualmente da un dosimetrista esperto. Complessivamente, si è dimostrata la possibilità di generare piani radioterapici VMAT ad alta qualità automaticamente, con interazione umana minima. L'introduzione clinica della procedura automatica presso ErasmusMC è iniziata (ottobre 2015).

A comparative assessment by optical coherence tomography of the performance of the first and second generation of the everolimus-eluting bioresorbable vascular scaffolds

The first generation of the everolimus-eluting bioresorbable vascular scaffold (BVS 1.0) showed an angiographic late loss higher than the metallic everolimus-eluting stent Xience V due to scaffold shrinkage. The new generation (BVS 1.1) presents a different design and manufacturing process than the BVS 1.0. This study sought to evaluate the differences in late shrinkage, neointimal response, and bioresorption process between these two scaffold generations using optical coherence tomography (OCT).

Evaluation of the second generation of a bioresorbable everolimus drug-eluting vascular scaffold for treatment of de novo coronary artery stenosis: six-month clinical and imaging outcomes

The first generation of the bioresorbable everolimus drug-eluting vascular scaffold showed signs of shrinkage at 6 months, which largely contributed to late luminal loss. Nevertheless, late luminal loss was less than that observed with bare metal stents. To maintain the mechanical integrity of the device up to 6 months, the scaffold design and manufacturing process of its polymer were modified.

Absence of prosthesis-patient mismatch with the new generation of Edwards stented aortic bioprosthesis

Prosthesis-patient mismatch (PPM) remains a controversial issue with the most recent stented biological valves. We analyzed the incidence of PPM after implantation of the Carpentier-Edwards Perimount Magna Ease aortic valve (PMEAV) bioprosthesis and assessed the early clinical outcome. Two hundred and seventy consecutive patients who received a PMEAV bioprosthesis between January 2007 and July 2008 were analyzed. Pre-, peri- and postoperative data were assessed and echocardiographic as well as clinical follow-up was performed. Mean age was 72+/-9 years, 168 (62.2%) were males. Fifty-seven patients (21.1%) were below 65 years of age. Absence of PPM, corresponding to an indexed effective orifice area >0.85 cm(2)/m(2), was 99.5%. Observed in-hospital mortality was 2.2% (six patients), with a predicted mortality according to the additive EuroSCORE of 7.6+/-3.1%. At echocardiographic assessment after a mean follow-up period of 150+/-91 days, mean transvalvular gradient was 11.8+/-4.8 mmHg (all valve sizes). No paravalvular leakage was seen. Nine patients died during follow-up. The Carpentier-Edwards PMEAV bioprosthesis shows excellent hemodynamic performance. This valve can be implanted in all sizes with an incidence of severe PPM below 0.5%.

Generation of an osteogenic graft from human placenta and placenta-derived mesenchymal stem cells

The objective of the study was to determine the feasibility of generating a biodegradable, stem cell-loaded osteogenic composite graft from human placenta. Initially, a scaffold from human chorion membrane was produced. Human placenta mesenchymal stem cells (MSCs) derived from either first-trimester chorionic villi or term chorion membrane were differentiated osteogenically on this scaffold. Outgrowth, adherence, and osteogenic differentiation of cells were assessed by immunohistochemistry (IHC), scanning electron microscopy, protein expression, and real-time polymerase chain reaction (RT-PCR). Our results showed that a cell-free extracellular matrix scaffold can be generated from human chorion. Seeded MSCs densely adhered to that scaffold and were osteogenically differentiated. Calcium and alkaline phosphatase were detected in the cell-scaffold constructs as a proof of mineralization and findings were confirmed by IHC and RT-PCR results. This study shows for the first time that generation of an osteogenic composite graft using placental tissue is feasible. It might allow therapeutic application of autologous or allogeneic grafts in congenital skeletal defects by means of a composite graft.

Risk of target lesion failure in relationship to vessel angiographic geometry and stent conformability using the second generation of drug-eluting stents

Vessel angulation and large changes in vessel geometry after stent implantation have been associated with an increased risk of target lesion failure (TLF) using bare-metal stents. Second-generation drug-eluting stents (DES)offer superior conformability and inhibition of neointima. The aim of the study is to investigate the relationship between pre and post-implant vessel geometry and the occurrence of TLF at 1 year after treatment with second-generation DES; and to compare the conformability of Resolute and Xience stents.