First ex vivo cultivation of human Demodex mites and evaluation of different drugs on mite proliferation.

BACKGROUND: Demodex spp. mites are the most complex resident of the human skin microbiome. Although they are considered commensals, they can be pathophysiologically relevant in inflammatory skin diseases like rosacea. Until now, there is no culture system available for these mites except for using live vertebrate hosts. OBJECTIVES: Our aim was to establish an ex vivo culture of human Demodex mites and to characterize the sebogenesis-dependent mite density. METHODS: Demodex mites were cultivated in pilosebaceous units of human skin explants, called human organotypic skin explant culture (hOSEC). Furthermore, different sebogenesis-modifying additives were evaluated. Mites and mite survival were evaluated using light and fluorescence microscopy. RESULTS: After 90 days of incubation, living Demodex mites - including eggs, larvae and nymphs - were detected in the dissected skin samples. Incubation for 30 days with anabolic steroids (testosterone and trenbolone) as well as retinol and retinoic acid (isotretinoin) yielded a reduced mite density. CONCLUSIONS: With this technique, mites can be cultivated ex vivo for the first time, thereby establishing new ways to investigate Demodex spp. The sebostatic effect of isotretinoin might explain the mechanism of action in the off-label treatment of rosacea. We anticipate our findings to be the basis of an accelerated research on our most complex commensal, its life, biology and physiology.

[Topical therapy for atopic eczema]. / Externe Therapie des atopischen Ekzems.

Atopic eczema is a chronic recurrent inflammatory skin disease characterized by intensive pruritus and a high burden of disease. Based on a genetically determined skin barrier dysfunction, xerosis cutis and a tendency towards microbial skin infections are the leading clinical features. Mild and moderate disease manifestations are common, and usually treated with topical agents only. Treatment concepts are usually based on a combination of (i) topical basic therapy consisting of skin cleansing and barrier stabilizing emollients and (ii) topical anti-inflammatory therapy of visible skin lesions with topical corticosteroids and topical calcineurin inhibitors. Proactive therapy of the commonly affected and usually relapsing areas of skin is an important therapeutic option for long-term maintenance treatment of moderate to severe disease. Patients should be actively involved in planning of treatment, which should be adapted to individual patient factors such as age, involved body areas, type of skin lesions, as well as seasonal and climatic factors. New promising treatment options including topical phosphodiesterase inhibitors and topical Janus kinase inhibitors are currently being evaluated in clinical trials and may become a future treatment option for atopic eczema. This review article summarizes the current topical treatment options and new perspectives in the topical therapy of atopic eczema.

The inter-individual variability outperforms the intra-individual variability of differentially expressed proteins prior and post irradiation in lymphoblastoid cell lines.

CONTEXT: Radio-sensitivity in normal tissue is characterized by heterogeneity throughout the population and the absence of pre-diagnostic biomarkers. OBJECTIVE: We conducted a proteomic approach to search for radiation characteristic protein regulation. MATERIALS AND METHODS: Cell lines were 10 Gy irradiated and analysed by 2D-DIGE after 24 h. RESULTS were analysed intra- and inter-individually. The principal component analysis and hierarchical clustering was applied to all datasets. RESULTS: Differences in intra-individual spot abundance prior and post irradiation exactly show the separation of sample classes in two groups: sham-irradiated and irradiated. The inter-individual datasets clustered according to the cell line. The intra-individual differences on protein level after gamma-irradiation are very low, compared with the inter-individual differences among cell lines derived from the same tissue. CONCLUSION: The application of 2-D DIGE may offer a realistic chance for a better molecular characterization of radio-sensitivity and for the discovery of candidate biomarkers.

Control of atomic ionization by two-color few-cycle pulses.

We have studied the ionization of Rydberg atoms by few-cycle radio-frequency pulses and used two-color fields to control the ionization dynamics. We show that the number of times that electrons are emitted during a pulse can be limited and that the duration of the electron emission can be shortened. These results, once they are transposed to the optical domain, may inspire new strategies for the production of single attosecond pulses.

Morphology and innervation pattern of the feline urogenital junction.

The feline urogenital junction is situated between the extratesticular rete and the spacious initial segments of the efferent ductules. The rete epithelium is cuboidal to low columnar. The rete cells forming the junction rest on a wavy basal lamina, display deep mutual invaginations, possess central nuclei with several infoldings and form a distinct border with the columnar epithelial cells of the initial segments of the ductuli efferentes. The epithelium of the initial segments is composed of ciliated cells and non-ciliated principal cells. The latter are the dominating type and characterized by an apical brush-border and a supranuclear endocytotic apparatus. The stroma of the extratesticular rete contains an abundance of collagen whereas contractile cells are here generally absent. In contrast, the initial segments of the efferent ductules are surrounded by elastic fibres and a layer of contractile cells. All nerves for the feline urogenital junction come from the nervus spermaticus superior. In the epididymal head, small nerve bundles deviate into the septa between the ductules. Single fibres establish a dense network within the muscular coat of the ductuli. At the transition to the extratesticular rete, this network ends abruptly. Nerve fibres in the confines of the rete are associated with blood vessels or proceed to the testicular interior, but establish no relationships with the rete epithelium or the myofibroblasts of the mediastinum. The nervous network in the walls of the efferent ductules and their initial segments is not only composed of sympathetic but also parasympathetic, non-myelinated fibres. Particularly noteworthy is the abundance of calcitonin gene-related peptide (CGRP)- and substance P (SP)-containing axons around the initial segments. Both neuroproteins are consistent markers for sensory neurones. Taken together, it can be assumed that the entry of seminal fluid and spermatozoa into the efferent ductules is controlled by a regulatory nervous chain provided with afferent and efferent components.

Carrier phase dependence in the ionization of Rydberg atoms by short radio-frequency pulses: a model system for high order harmonic generation.

We report time-resolved electron emission in experiments on ionization of rubidium Rydberg atoms (n=90) by few-cycle radio-frequency (RF) (1-10 MHz) pulses. The electron emission occurs in multiple bursts and strongly depends on the carrier-envelope phase as well as the duration and amplitude of the RF pulses. Remarkably, ionization is observed during a series of cycles with the same amplitude. Even at the low RF frequencies, ionization is not completed in a single cycle. Remixing of the states at the zero crossing of the field is believed to play an essential role. Similarities with the ionization process leading to high order harmonic generation are discussed.

Asymmetry in the strong-field ionization of Rydberg atoms by few-cycle pulses.

We present measurements of the electron ejection direction in the ionization of high (n=90) Rydberg states of rubidium subjected to few-cycle radio-frequency (RF) pulses. For weak pulses we find a strong asymmetry for even (cosine) pulses and no asymmetry for odd (sine) pulses. This asymmetry disappears for pulses longer than four RF cycles. For strong pulses, very large asymmetry is found for both sine and cosine pulses that persists up to eight RF cycles and is attributed to initial state depletion effects within a cycle.

Rydberg state ionization by half-cycle-pulse excitation: strong kicks create slow electrons.

The asymptotic velocity distribution of electrons ionized in half-cycle-pulse excitation of high Rydberg states (n=34), placed in a static electric field, is studied using electron velocity-map imaging. At weak half-cycle pulse strengths, the electrons escape over the saddle point in the potential. For strong half-cycle pulses, the electrons are emitted in the direction of the field kick. The much slower and less intense half cycle of opposite polarity, which necessarily follows the main half-cycle pulse, strongly affects the momentum distribution and reduces the excess energy of the electrons significantly.

The nerve distribution in the testis of the cat.

The autonomous innervation of the feline testis was investigated by immunohistochemistry and a modified acetylcholinesterase technique. The nerves reach the testis mainly by two routes: (1) with testicular artery and pampiniform plexus to the cranial extremity (funicular contribution), (2) from the epididymal tail to the caudal extremity (caudal contribution). Within the tunica albuginea the funicular contribution supplies the cranial two thirds, whereas the caudal third of the tunica receives its nerves via the ligamentous connection between testis and epididymal tail. The nerve bundles accompanying the testicular artery give branches to the arterial wall and the pampiniform plexus. When reaching the cranial testicular pole the bundles separate; the majority of them pass into the centrally located mediastinum testis, another large portion enters the tunica albuginea, particularly on its epididymal side. The septula testis are innervated from both sides, that is from the mediastinum and from the tunica albuginea. In the cat, contrary to other mammals, all septula are innervated. Furthermore, nerve fibers occur regularly within the testicular lobules. Generally, the testicular nerves of the cat are unmyelinated and mainly vascular nerves, but fibers are also found within the connective tissue compartments of the testis. The vast majority of all autonomous testicular nerves are postjunctional sympathetic fibers. Terminal ramifications of cholinergic fibers are exclusively observed in the wall of medium-sized arterioles within mediastinum, septula and lobuli testis. Neuropeptide Y is the most frequent peptidergic transmitter in feline testicular vascular plexuses. The amount of calcitonin gene-related peptide-positive fibers is also remarkably high in the testis, but prefers a location within the stroma of the tunica albuginea, mediastinum and septula. In the cat, Leydig cells occur not only in intertubular locations, but also as intratunical and mediastinal Leydig cells. In all three localizations solitary nerve fibers are observed between Leydig cell groups. These fibers are generally dopamin-beta-hydroxylase- and tyrosine hydroxylase-positive, some contain calcitonin gene-related peptide and, very few, substance P.

Atomic spectral detection of tunable extreme ultraviolet pulses.

A novel method of detecting the spectral width and wavelength of extreme ultraviolet (XUV) pulses with a minimum number of experimental tools is demonstrated. The method relies on the photoionization probability of an atom as a function of the electric field. A tunable laser source in the XUV is used that is based on higher-harmonic generation of the frequency-doubled output of a 50-fs Ti:sapphire laser. The bandwidth and the wavelength of the seventh harmonic (~57nm) are detected with Ne, and the resolving power is lambda/Dlambda=10(5).

Terahertz pulse propagation in the near field and the far field.

We present a detailed investigation of the propagation properties of beams of ultrashort terahertz (THz) pulses emitted from large-aperture (LA) antennas. The large area of the emitter is demonstrated to have substantial influence on the temporal pulse profile in both the near field and the far field. We perform a numerical analysis based on scalar and vectorial broadband diffraction theory and are able to distinguish between near-field and far-field contributions to the total THz signal. We find that the THz beam from a LA antenna propagates like a Gaussian beam and that the temporal profile of the THz pulse, measured in the near field, contains information about the temporal and spatial field distribution on the emitter surface, which is intrinsically connected to the carrier dynamics of the antenna substrate. As a result of pulse reshaping, focusing of the THz beam leads to a reduced relative pulse momentum, with implications in THz field-ionization experiments.

[Social rehabilitation in day care facilities for psychiatrically ill and handicapped patients--results of a concomitant study of a model program by the Rhine-Land District Group]. / Soziale Rehabilitation in Tagesstätten für psychisch kranke und behinderte Menschen--Ergebnisse der Begleitforschung zu einem Modellprogramm des Landschaftsverbands Rheinland.

Within the extension of new services for mentally ill and disabled peoples outside of inpatient settings, the Landschaftsverband Rheinland (LVR) decided in 1990 to finance day care facilities especially for those patients who could previously not be integrated in the existing community psychiatry service structure due to the severity of their illness or handicap. A cost reducing effect in the clinical and residential service area was also intended. The first ten of these facilities were included in a 2-year research project. This report includes findings in various sectors: characteristics of the user group, functions and focal points of care, association with other community psychiatry services, cost effectiveness, and user opinions. Most visitors experienced a stabilisation of their personal situation and improvement of their quality of life. The average length of hospital stays was reduced from 102 to 25 days per year. The hopes accompanied with the programme were only partially fulfilled; possible consequences are discussed.

[Late results in surgical treatment of periodontal diseases]. / Spätergebnisse der operativen Behandlung der Parodontopathien

The authors re-examined 102 patients who had undergone periodontal surgical intervention 1--15 years ago. In 50% the results were good, in 25% they were mediocre, and in 25% they were poor. The results from gingivectomies were better than those from flap operations. The operation results were better in younger patients. The proportion of lost teeth was 14%. Oral hygiene was unsatisfactory in 65,7% of the cases. The relatively unfavourable results may be explained by the tardiness of intervention and the neglect of oral hygienic measures.