Estudo da lesão de isquemia e reperfusão hepática com e sem obstrução da via biliar e a modulação pela N-acetilcisteína e pelo precondicionamento isquêmico em ratos

O objetivo foi estudar os efeitos do precondicionamento isquêmico e da N-acetilcisteína no clampeamento da tríade portal comparado com o clampeamento vascular excluindo a via biliar. Foram utilizados oitenta ratos EPM-1 Wistar distribuídos aleatoriamente em 2 grupos de 40 animais. Estes se distinguiram pela inclusão (CVB=1) ou não (SVB=2) do ducto biliar no clampeamento e foram redistribuídos em subgrupos de 10. IR1: 20 minutos após a celiotomia, o pedículo contendo os elementos vasculares e o ducto biliar para os lobos mediano e lateral esquerdo do fígado foi clampeado por 40 minutos, seguido de 30 minutos de reperfusão; PCI1: 10 minutos de isquemia e 10 minutos de reperfusão. Após o PCI, seguiu-se o mesmo procedimento usado para IR1; NAC1: (150mg.Kg-1 ), administrada 15 minutos antes do período isquêmico e 5 minutos antes da reperfusão; S1: dissecção e clampeamento exclusivo do ducto biliar durante o período de isquemia. Nos subgrupos IR2, PCI2 e NAC2, o clampeamento excluiu a via biliar; S2: dissecção e observação por 90min. Foram colhidas amostras de sangue para a dosagem dos níveis enzimáticos e fragmento do fígado isquêmico para coloração HE. Na análise estatística dos resultados foram utilizados testes não paramétricos e o nível de rejeição da hipótese de nulidade foi fixado em 5%. A lesão de IR hepática foi menos grave nos animais do grupo de clampeamento seletivo incluindo o ducto biliar, com AST (766 vs 1380) e ALT (840 vs 1576); PCI protegeu o fígado da IR nos animais com clampeamento seletivo da tríade portal com relação à AST (421 vs 1131) e ALT (315 vs 1085). Na avaliação morfológica, o PCI inibiu a ocorrência de esteatose microvesicular e núcleos picnóticos (0% de lesão moderada ou intensa) e a NAC protegeu parcialmente 17% e 50% de lesão moderada ou intensa para CVB e SVB, respectivamente. O clampeamento seletivo da tríade portal resulta em lesão de IR do fígado menos grave, quando comparado à exclusão do ducto biliar. O PCI protege o fígado da lesão de IR. A NAC mostra um efeito de proteção parcial, reduzindo as alterações parenquimatosas, mas não os níveis de aminotransferases.

Analisi e valutazione delle performance acustiche degli aeromobili nella fase di atterraggio

Nella tesi si analizzano le principali fonti del rumore aeronautico, lo stato dell'arte dal punto di vista normativo, tecnologico e procedurale. Si analizza lo stato dell'arte anche riguardo alla classificazione degli aeromobili, proponendo un nuovo indice prestazionale in alternativa a quello indicato dalla metodologia di certificazione (AC36-ICAO) Allo scopo di diminuire l'impatto acustico degli aeromobili in fase di atterraggio, si analizzano col programma INM i benefici di procedure CDA a 3° rispetto alle procedure tradizionali e, di seguito di procedure CDA ad angoli maggiori in termini di riduzione di lunghezza e di area delle isofoniche SEL85, SEL80 e SEL75.

Design and Performance Evaluation of Network-on-Chip Communication Protocols and Architectures

The scale down of transistor technology allows microelectronics manufacturers such as Intel and IBM to build always more sophisticated systems on a single microchip. The classical interconnection solutions based on shared buses or direct connections between the modules of the chip are becoming obsolete as they struggle to sustain the increasing tight bandwidth and latency constraints that these systems demand. The most promising solution for the future chip interconnects are the Networks on Chip (NoC). NoCs are network composed by routers and channels used to inter- connect the different components installed on the single microchip. Examples of advanced processors based on NoC interconnects are the IBM Cell processor, composed by eight CPUs that is installed on the Sony Playstation III and the Intel Teraflops pro ject composed by 80 independent (simple) microprocessors. On chip integration is becoming popular not only in the Chip Multi Processor (CMP) research area but also in the wider and more heterogeneous world of Systems on Chip (SoC). SoC comprehend all the electronic devices that surround us such as cell-phones, smart-phones, house embedded systems, automotive systems, set-top boxes etc... SoC manufacturers such as ST Microelectronics , Samsung, Philips and also Universities such as Bologna University, M.I.T., Berkeley and more are all proposing proprietary frameworks based on NoC interconnects. These frameworks help engineers in the switch of design methodology and speed up the development of new NoC-based systems on chip. In this Thesis we propose an introduction of CMP and SoC interconnection networks. Then focusing on SoC systems we propose: • a detailed analysis based on simulation of the Spidergon NoC, a ST Microelectronics solution for SoC interconnects. The Spidergon NoC differs from many classical solutions inherited from the parallel computing world. Here we propose a detailed analysis of this NoC topology and routing algorithms. Furthermore we propose aEqualized a new routing algorithm designed to optimize the use of the resources of the network while also increasing its performance; • a methodology flow based on modified publicly available tools that combined can be used to design, model and analyze any kind of System on Chip; • a detailed analysis of a ST Microelectronics-proprietary transport-level protocol that the author of this Thesis helped developing; • a simulation-based comprehensive comparison of different network interface designs proposed by the author and the researchers at AST lab, in order to integrate shared-memory and message-passing based components on a single System on Chip; • a powerful and flexible solution to address the time closure exception issue in the design of synchronous Networks on Chip. Our solution is based on relay stations repeaters and allows to reduce the power and area demands of NoC interconnects while also reducing its buffer needs; • a solution to simplify the design of the NoC by also increasing their performance and reducing their power and area consumption. We propose to replace complex and slow virtual channel-based routers with multiple and flexible small Multi Plane ones. This solution allows us to reduce the area and power dissipation of any NoC while also increasing its performance especially when the resources are reduced. This Thesis has been written in collaboration with the Advanced System Technology laboratory in Grenoble France, and the Computer Science Department at Columbia University in the city of New York.

Factors predicting mortality after tips for refractory ascites: a single center experience

Introduction: Transjugular intrahepatic porto-systemic shunt (TIPS) is an accepted indication for treating refractory ascites. Different models have been proposed for the prediction of survival after TIPS; aim of present study was to evaluate the factors associated with mortality after TIPS for refractory ascites. Methods: Seventy-three consecutive patients undergoing a TIPS for refractory ascites in our centre between 2003 and 2008, were prospectively recorded in a database ad were the subject of the study. Mean follow-up was 17±2 months. Forty patients were awaiting liver transplantation (LT) and 12 (16.4%) underwent LT during follow-up. Results: Mean MELD at the moment of TIPS was 15.7±5.3. Overall mortality was 23.3% (n=17) with a mean survival after TIPS of 17±14 months. MELD score (B=0.161, p=0.042), AST (B= 0.020, p=0.090) and pre-TIPS HVPG (B=0.016, p=0.093) were independent predictors of overall mortality. On multivariate analysis MELD (B=0.419, p=0.018) and pre-TIPS HVPG (B=0.223, p=0.060) independently predicted 1 year survival. Patients were stratified into categories of death risk, using ROC curves for the variables MELD and HVPG. Patients with MELD<10 had a low probability of death after TIPS (n=6, 16% mortality); patients with HVPG <16 mmHg (n=6) had no mortality. Maximum risk of death was found in patients with MELD score 19 (n=16, 31% mortality) and in those with HVPG 25 mmHg (n=27, 26% mortality). Conclusions: TIPS increases overall survival in patients with refractory ascites. Liver function (assessed by MELD), necroinflammation (AST) and portal hypertension (HVPG) are independent predictors of survival; patients with MELD>19 and HVPG>25 mmHg are at highest risk of death after TIPS

Evolutionary tendencies in African Marantaceae

Die Marantaceae (550 Arten) sind eine weltweit verbreitete Familie von Stauden und Lianen aus dem Unterwuchs tropischer Tieflandregenwälder. Der morphologisch-ökologische Vergleich des basal abzweigenden Sarcophrynium-Astes mit dem in abgeleiteter Position stehenden Marantochloa-Ast, soll beispielhaft evolutionäre Muster in der Familie beleuchten. So wird in der Doktorarbeit zum ersten Mal ein Überblick über die Blütenbiologie und Phylogenie von rund 30 der 40 afrikanischen Marantaceae Arten präsentiert. Die Analysen basieren auf Daten von drei mehrmonatigen Feldaufenthalten in Gabun jeweils zwischen September und Januar. Vier Blütentypen werden beschrieben, die jeweils mit einer spezifischen Bestäubergilde verbunden sind (kleine, mittlere, große Bienen bzw. Vögel). Bestäubungsexperimente belegen, dass 18 Arten selbstkompatibel, aber nur zwei Arten autogam sind, also keine Bestäubungsvermittler benötigen. Der Fruchtansatz ist generell gering (10 -30 %). Die komplexe Synorganisation der Blüte ermöglicht in den Marantaceae einen explosiven Bestäubungsmechanismus. Um dessen ökologische Funktionalität zu verstehen, werden die Blüten von 66 Arten, alle wichtigen Äste der Marantaceae abdeckend, unter einem morphologisch-funktionalen Gesichtspunkt untersucht. Es gibt große Übereinstimmungen zwischen allen untersuchten Arten im Zusammenspiel (Synorganisation) der wichtigsten Bauelemente (Griffel, Kapuzenblatt, Schwielenblatt), die eine präzise Pollenübertragung ermöglichen. Basierend auf Daten von nrDNA (ITS, 5S) und cpDNA (trnL-F) wird für ein nahezu komplettes Artenspektrum die Phylogenie der zwei afrikanischen Äste erstellt. Hierauf werden morphologische und ökologische Merkmale sowie geographischer Verbreitungsmuster nach dem Parsimonieprinzip rekonstruiert, um so deren evolutionäre Bedeutung für die Marantaceae abschätzen zu können. Die Ergebnisse weisen auf die Beteiligung einer Vielzahl verschiedener Artbildungsfaktoren hin.

Dynamik orographischer Bannerwolken

Der Begriff "Bannerwolke" bezeichnet ein eindrucksvolles Phänomen aus dem Bereich der Gebirgsmeteorologie. Bannerwolken können gelegentlich im Hochgebirge im Bereich steiler Bergspitzen oder langgezogener Bergrücken, wie z.B. dem Matterhorn in den Schweizer Alpen oder dem Zugspitzgrat in den Bayrischen Alpen beobachtet werden. Der Begriff bezeichnet eine Banner- oder Fahnen-ähnliche Wolkenstruktur, welche an der windabgewandten Seite des Berges befestigt zu sein scheint, während die windzugewandte Seite vollkommen wolkenfrei ist. Bannerwolken fanden bislang, trotz ihres relativ häufigen Auftretens in der wissenschaftlichen Literatur kaum Beachtung. Entsprechend wenig ist über ihren Entstehungsmechanismus und insbesondere die relative Bedeutung dynamischer gegenüber thermodynamischer Prozesse bekannt. In der wissenschaftlichen Literatur wurden bislang 3 unterschiedliche Mechanismen postuliert, um die Entstehung von Bannerwolken zu erklären. Demnach entstehen Bannerwolken durch (a) den Bernoulli-Effekt, insbesondere durch die lokale adiabatische Kühlung hervorgerufen durch eine Druckabnahme entlang quasi-horizontal verlaufender, auf der windzugewandten Seite startender Trajektorien, (b) durch isobare Mischung bodennaher kälterer Luft mit wärmerer Luft aus höheren Schichten, oder (c) durch erzwungene Hebung im aufsteigenden Ast eines Leerotors. Ziel dieser Arbeit ist es, ein besseres physikalisches Verständnis für das Phänomen der Bannerwolke zu entwickeln. Das Hauptaugenmerk liegt auf dem dominierenden Entstehungsmechanismus, der relativen Bedeutung dynamischer und thermodynamischer Prozesse, sowie der Frage nach geeigneten meteorologischen Bedingungen. Zu diesem Zweck wurde ein neues Grobstruktursimulations (LES)-Modell entwickelt, welches geeignet ist turbulente, feuchte Strömungen in komplexem Terrain zu untersuchen. Das Modell baut auf einem bereits existierenden mesoskaligen (RANS) Modell auf. Im Rahmen dieser Arbeit wurde das neue Modell ausführlich gegen numerische Referenzlösungen und Windkanal-Daten verglichen. Die wesentlichen Ergebnisse werden diskutiert, um die Anwendbarkeit des Modells auf die vorliegende wissenschaftliche Fragestellung zu überprüfen und zu verdeutlichen. Die Strömung über eine idealisierte pyramidenförmige Bergspitze wurde für Froude-Zahlen Fr >> 1 sowohl auf Labor- als auch atmosphärischer Skala mit und ohne Berücksichtigung der Feuchtephysik untersucht. Die Simulationen zeigen, dass Bannerwolken ein primär dynamisches Phänomen darstellen. Sie entstehen im Lee steiler Bergspitzen durch dynamisch erzwungene Hebung. Die Simulationen bestätigen somit die Leerotor-Theorie. Aufgrund des stark asymmetrischen, Hindernis-induzierten Strömungsfeldes können Bannerwolken sogar im Falle horizontal homogener Anfangsbedingungen hinsichtlich Feuchte und Temperatur entstehen. Dies führte zu der neuen Erkenntnis, dass zusätzliche leeseitige Feuchtequellen, unterschiedliche Luftmassen in Luv und Lee, oder Strahlungseffekte keine notwendige Voraussetzung für die Entstehung einer Bannerwolke darstellen. Die Wahrscheinlichkeit der Bannerwolkenbildung steigt mit zunehmender Höhe und Steilheit des pyramidenförmigen Hindernisses und ist in erster Näherung unabhängig von dessen Orientierung zur Anströmung. Simulationen mit und ohne Berücksichtigung der Feuchtephysik machen deutlich, dass thermodynamische Prozesse (insbes. die Umsetzung latenter Wärme) für die Dynamik prototypischer (nicht-konvektiver) Bannerwolken zweitrangig ist. Die Verstärkung des aufsteigenden Astes im Lee und die resultierende Wolkenbildung, hervorgerufen durch die Freisetzung latenter Wärme, sind nahezu vernachlässigbar. Die Feuchtephysik induziert jedoch eine Dipol-ähnliche Struktur im Vertikalprofil der Brunt-Väisälä Frequenz, was zu einem moderaten Anstieg der leeseitigen Turbulenz führt. Es wird gezeigt, dass Gebirgswellen kein entscheidendes Ingredienz darstellen, um die Dynamik von Bannerwolken zu verstehen. Durch eine Verstärkung der Absinkbewegung im Lee, haben Gebirgswellen lediglich die Tendenz die horizontale Ausdehnung von Bannerwolken zu reduzieren. Bezüglich geeigneter meteorologischer Bedingungen zeigen die Simulationen, dass unter horizontal homogenen Anfangsbedingungen die äquivalentpotentielle Temperatur in der Anströmung mit der Höhe abnehmen muss. Es werden 3 notwendige und hinreichende Kriterien, basierend auf dynamischen und thermodynamischen Variablen vorgestellt, welche einen weiteren Einblick in geeignete meteorologische Bedingungen geben.

Total OH reactivity measurements at the biosphere-atmosphere interface

The biosphere emits copiously volatile organic compounds (VOCs) into the atmosphere, which are removed again depending on the oxidative capacity of the atmosphere and physical processes such as mixing, transport and deposition. Biogenic VOCs react with the primary oxidant of the atmosphere, the hydroxyl radical (OH), and potentially lead to the formation tropospheric ozone and aerosol, which impact regional climate and air quality. The rate of OH decay in the atmosphere, the total OH reactivity is a function of the atmospheric, reactive compound's concentration and reaction velocity with OH. One way to measure the total OH reactivity, the total OH sink, is with the Comparative Reactivity Method - CRM. Basically, the reaction of OH with a reagent (here pyrrole) in clean air and in the presence of atmospheric, reactive molecules is compared. This thesis presents measurements of the total OH reactivity at the biosphere-atmosphere interface to analyze various influences and driving forces. For measurements in natural environment the instrument was automated and a direct, undisturbed sampling method developed. Additionally, an alternative detection system was tested and compared to the originally used detector (Proton Transfer Reaction-Mass Spectrometer, PTR-MS). The GC-PID (Gas Chromatographic Photo-Ionization Detector) was found as a smaller, less expensive, and robust alternative for total OH reactivity measurements. The HUMPPA-COPEC 2010 measurement campaign in the Finish forest was impacted by normal boreal forest emissions as well as prolonged heat and biomass burning emissions. The measurement of total OH reactivity was compared with a comprehensive set of monitored individual species ambient concentration levels. A significant discrepancy between those individually measured OH sinks and the total OH reactivity was observed, which was characterized in detail by the comparison of within and above the forest canopy detected OH reactivity. Direct impact of biogenic emissions on total OH reactivity was examined on Kleiner Feldberg, Germany, 2011. Trans-seasonal measurements of an enclosed Norway spruce branch were conducted via PTR-MS, for individual compound's emission rates, and CRM, for total OH reactivity emission fluxes. Especially during summertime, the individually monitored OH sink terms could not account for the measured total OH reactivity. A controlled oxidation experiment in a low NOx environment was conducted in the EUPHORE reaction chamber (CHEERS, Spain 2011). The concentration levels of the reactant isoprene and its major products were monitored and compared to total OH reactivity measurements as well as to the results of two models. The individually measured compounds could account for the total OH reactivity during this experiment as well as the traditional model-degradation scheme for isoprene (MCM 3.2). Due to previous observations of high OH levels in the isoprene-rich environment of the tropics, a novel isoprene mechanism was recently suggested. In this mechanism (MIME v4) additional OH is generated during isoprene oxidation, which could not be verified in the conditions of the CHEERS experiment.

Single meson production in proton diffraction at 190 GeV/c at COMPASS

The quark model successfully describes all ground state bary-ons as members of $SU(N)$ flavour multiplets. For excited baryon states the situation is totally different. There are much less states found in the experiment than predicted in most theoretical calculations. This fact has been known for a long time as the 'missing resonance problem'. In addition, many states found in experiments are only poorly measured up to now. Therefore, further experimental efforts are needed to clarify the situation.rnrnAt mbox{COMPASS}, reactions of a $190uskgigaeVperclight$ hadron beam impinging on a liquid hydrogen target are investigated.rnThe hadron beam contains different species of particles ($pi$, $K$, $p$). To distinguish these particles, two Cherenkov detectors are used. In this thesis, a new method for the identification of particles from the detector information is developed. This method is based on statistical approaches and allows a better kaon identification efficiency with a similar purity compared to the method, which was used before.rnrnThe reaction $pprightarrow ppX$ with $X=(pi^0,~eta,~omega,~phi)$ is used to study different production mechanisms. A previous analysis of $omega$ and $phi$ mesons is extended to pseudoscalar mesons. As the resonance contributions in $peta$ are smaller than in $ppi^0$ a different behaviour of these two final states is expected as a function of kinematic variables. The investigation of these differences allows to study different production mechanisms and to estimate the size of the resonant contribution in the different channels.rnrnIn addition, the channel $pprightarrow ppX$ allows to study baryon resonances in the $pX$ system.rnIn the mbox{COMPASS} energy regime, the reaction is dominated by Pomeron exchange. As a Pomeron carries vacuum quantum numbers, no isospin is transferred between the target proton and the beam proton. Therefore, the $pX$ final state has isospin $textstylefrac{1}{2}$ and all baryon resonances in this channel are $N^ast$ baryons. This offers the opportunity to do spectroscopy without taking $Delta$ resonances into account. rnrnTo disentangle the contributions of different resonances a partial wave analysis (PWA) is used. Different resonances have different spin and parity $J^parity$, which results in different angular distributions of the decay particles. These angular distributions can be calculated from models and then be fitted to the data. From the fit the contributions of the single resonances as well as resonance parameters -- namely the mass and the width -- can be extracted. In this thesis, two different approaches for a partial wave analysis of the reaction $pprightarrow pppi^0$ are developed and tested.

Strumenti e framework per lo sviluppo di linguaggi di programmazione e linguaggi domain-specific in java

La tesi ha lo scopo di indagare le tecnologie disponibili per la realizzazione di linguaggi di programmazione e linguaggi domain specific in ambiente Java. In particolare, vengono proposti e analizzati tre strumenti presenti sul mercato: JavaCC, ANTLR e Xtext. Al termine dell’elaborato, il lettore dovrebbe avere un’idea generale dei principali meccanismi e sistemi utilizzati (come lexer, parser, AST, parse trees, etc.), oltre che del funzionamento dei tre tools presentati. Inoltre, si vogliono individuare vantaggi e svantaggi di ciascuno strumento attraverso un’analisi delle funzionalità offerte, così da fornire un giudizio critico per la scelta e la valutazione dei sistemi da utilizzare.

Esecuzione immediata di frammenti di codice sorgente C# tramite l’utilizzo della .NET Compiler Platform

.NET Compiler Platform è un compilatore per i linguaggi C# e Visual Basic realizzato da Microsoft. L’innovazione apportata da tale strumento è l’introduzione di API che permettono di accedere al compilatore; in particolare, è possibile accedere alle strutture dati utilizzate al suo interno, quali simboli o AST, e controllare e/o modificare il processo di compilazione. Una parte di questo progetto, chiamato anche progetto Roslyn, è focalizzata sull’introduzione dello scripting per il linguaggio C#. In questa trattazione si è interessati a sperimentare le possibilità offerte da tale strumento nel campo dell’esecuzione dinamica di frammenti di codice. Gli obiettivi imposti si collocano nell’ambito della re-ingegnerizzazione e dello sviluppo di software. Tali obiettivi sono la re-implementazione dei filtri di selezione contenuti nel framework Phoenix, utilizzando le API di Roslyn per migliorarne le prestazioni, e la progettazione di un componente che realizzi una console per lo scripting C# dotata della possibilità di riferire dinamicamente librerie. Le API di compilazione si rivelano essere non propriamente adatte all’esecuzione immediata di frammenti di codice, nonostante ciò, è possibile, appoggiandosi alla reflection, utilizzarle per giungere a questo risultato. Lo scripting, invece, si rivela uno strumento dalle grandi potenzialità nel suddetto ambito.

Hypoxia aggravates non-alcoholic steatohepatitis in mice lacking hepatocellular PTEN

The metabolic disorders that predispose patients to NASH (non-alcoholic steatohepatitis) include insulin resistance and obesity. Repeated hypoxic events, such as occur in obstructive sleep apnoea syndrome, have been designated as a risk factor in the progression of liver disease in such patients, but the mechanism is unclear, in particular the role of hypoxia. Therefore we studied the influence of hypoxia on the development and progression of steatohepatitis in an experimental mouse model. Mice with a hepatocellular-specific deficiency in the Pten (phosphatase and tensin homologue deleted on chromosome 10) gene, a tumour suppressor, were exposed to a 10% O2 (hypoxic) or 21% O2 (control) atmosphere for 7 days. Haematocrit, AST (aspartate aminotransferase), glucose, triacylglycerols (triglycerides) and insulin tolerance were measured in blood. Histological lesions were quantified. Expression of genes involved in lipogenesis and mitochondrial beta-oxidation, as well as FOXO1 (forkhead box O1), hepcidin and CYP2E1 (cytochrome P450 2E1), were analysed by quantitative PCR. In the animals exposed to hypoxia, the haematocrit increased (60+/-3% compared with 50+/-2% in controls; P<0.01) and the ratio of liver weight/body weight increased (5.4+/-0.2% compared with 4.7+/-0.3% in the controls; P<0.01). Furthermore, in animals exposed to hypoxia, steatosis was more pronounced (P<0.01), and the NAS [NAFLD (non-alcoholic fatty liver disease) activity score] (8.3+/-2.4 compared with 2.3+/-10.7 in controls; P<0.01), serum AST, triacylglycerols and glucose were higher. Insulin sensitivity decreased in mice exposed to hypoxia relative to controls. The expression of the lipogenic genes SREBP-1c (sterol-regulatory-element-binding protein-1c), PPAR-gamma (peroxisome-proliferator-activated receptor-gamma), ACC1 (acetyl-CoA carboxylase 1) and ACC2 (acetyl-CoA carboxylase 2) increased significantly in mice exposed to hypoxia, whereas mitochondria beta-oxidation genes [PPAR-alpha (peroxisome-proliferator-activated receptor-alpha) and CPT-1 (carnitine palmitoyltransferase-1)] decreased significantly. In conclusion, the findings of the present study demonstrate that hypoxia alone aggravates and accelerates the progression of NASH by up-regulating the expression of lipogenic genes, by down-regulating genes involved in lipid metabolism and by decreasing insulin sensitivity.

The effect of arts speech therapy on cerebral oxygenation and low frequency hemodynamic oscillations measured using functional near-infrared spectroscopy

Introduction: As a previous study revealed, arts speech therapy (AST) affects cardiorespiratory interaction [1]. The aim of the present study was to investigate whether AST also has effects on brain oxygenation and hemodynamics measured non-invasively using near-infrared spectroscopy (NIRS). Material and methods: NIRS measurements were performed on 17 subjects (8 men and 9 women, mean age: 35.6 ± 12.7 y) during AST. Each measurement lasted 35 min, comprising 8 min pre-baseline, 10 min recitation and 20 min post-baseline. For each subject, measurements were performed for three different AST recitation tasks (recitation of alliterative, hexameter and prose verse). Relative concentration changes of oxyhemoglobin (Δ[O2Hb]) and deoxyhemoglobin (Δ[HHb]) as well as the tissue oxygenation index (TOI) were measured using a Hamamatsu NIRO300 NIRS device and a sensor placed on the subjects forehead. Movement artifacts were removed using a novel method [2]. Statistical analysis (Wilcoxon test) was applied to the data to investigate (i) if the recitation causes changes in the median values and/or in the Mayer wave power spectral density (MW-PSD, range: 0.07–0.13 Hz) of Δ[O2Hb], Δ[HHb] or TOI, and (ii) if these changes vary between the 3 recitation forms. Results: For all three recitation styles a significant (p < 0.05) decrease in Δ[O2Hb] and TOI was found, indicating a decrease in blood flow. These decreases did not vary significantly between the three styles. MW-PSD increased significantly for Δ[O2Hb] when reciting the hexameter and prose verse, and for Δ[HHb] and TOI when reciting alliterations and hexameter, representing an increase in Mayer waves. The MW-PSD increase for Δ[O2Hb] was significantly larger for the hexameter verse compared to alliterative and prose verse Conclusion: The study showed that AST affects brain hemodynamics (oxygenation, blood flow and Mayer waves). Recitation caused a significant decrease in cerebral blood flow for all recitation styles as well as an increase in Mayer waves, particularly for the hexameter, which may indicate a sympathetic activation. References 1. D. Cysarz, D. von Bonin, H. Lackner, P. Heusser, M. Moser, H. Bettermann. Am J Physiol Heart Circ Physiol, 287 (2) (2004), pp. H579–H587 2. F. Scholkmann, S. Spichtig, T. Muehlemann, M. Wolf. Physiol Meas, 31 (5) (2010), pp. 649–662

A Bootstrap Test for the Probability of Ruin in the Compound Poisson Risk Process

In this article we propose a bootstrap test for the probability of ruin in the compound Poisson risk process. We adopt the P-value approach, which leads to a more complete assessment of the underlying risk than the probability of ruin alone. We provide second-order accurate P-values for this testing problem and consider both parametric and nonparametric estimators of the individual claim amount distribution. Simulation studies show that the suggested bootstrap P-values are very accurate and outperform their analogues based on the asymptotic normal approximation.

Genetic variation in the PNPLA3 gene is associated with alcoholic liver injury in caucasians

A recent genome-wide study revealed an association between variation in the PNPLA3 gene and liver fat content. In addition, the PNPLA3 single-nucleotide polymorphism rs738409 (M148I) was reported to be associated with advanced alcoholic liver disease in alcohol-dependent individuals of Mestizo descent. We therefore evaluated the impact of rs738409 on the manifestation of alcoholic liver disease in two independent German cohorts. Genotype and allele frequencies of rs738409 (M148I) were determined in 1,043 alcoholic patients with or without alcoholic liver injury and in 376 at-risk drinkers from a population-based cohort. Relative to alcoholic patients without liver damage (n = 439), rs738409 genotype GG was strongly overrepresented in patients with alcoholic liver cirrhosis (n = 210; OR 2.79; P(genotype) = 1.2 × 10(-5) ; P(allelic) = 1.6 × 10(-6) ) and in alcoholic patients without cirrhosis but with elevated alanine aminotransferase levels (n = 219; OR 2.33; P(genotype) = 0.0085; P(allelic) = 0.0042). The latter, biochemically defined association was confirmed in an independent population-based cohort of at-risk drinkers with a median alcohol intake of 300 g/week (OR 4.75; P(genotype) = 0.040; P(allelic) = 0.022), and for aspartate aminotransferase (AST) levels. Frequencies of allele PNPLA3 rs738409(G) in individuals with steatosis and normal alanine aminotransferase (ALT) and AST levels were lower than in alcoholics without steatosis and normal ALT/AST (P(combined) = 0.03). The population attributable risk of cirrhosis in alcoholic carriers of allele PNPLA3 rs738409(G) was estimated at 26.6%. CONCLUSION: Genotype PNPLA3 rs738409(GG) is associated with alcoholic liver cirrhosis and elevated aminotransferase levels in alcoholic Caucasians.