Sensor for Rapid In-Field Classification of Cannabis Samples Based on Near-Infrared Spectroscopy.

A rugged handheld sensor for rapid in-field classification of cannabis samples based on their THC content using ultra-compact near-infrared spectrometer technology is presented. The device is designed for use by the Austrian authorities to discriminate between legal and illegal cannabis samples directly at the place of intervention. Hence, the sensor allows direct measurement through commonly encountered transparent plastic packaging made from polypropylene or polyethylene without any sample preparation.

Real-Time Monitoring of a Sol-Gel Reaction for Polysilane Production Using Inline NIR Spectroscopy.

The sol-gel process is an effective method for the preparation of homogeneous structured nanomaterials whose physico-chemical properties strongly depend on the experimental conditions applied. The control of a three-component reaction with silanes showing multiple reaction sites revealed the need for an analytical tool that allows a rapid response to ongoing transformations in the reaction mixture. Herein, we describe the implementation of near-infrared (NIR) spectroscopy based on compact, mechanically robust, and cost-efficient micro-optomechanical system technology in the sol-gel process of three silanes with a total of nine reaction sites.

Sensitivity-Enhanced Fourier Transform Mid-Infrared Spectroscopy Using a Supercontinuum Laser Source.

Fourier transform infrared (FT-IR) spectrometers have been the dominant technology in the field of mid-infrared (mid-IR) spectroscopy for decades. Supercontinuum laser sources operating in the mid-IR spectral region now offer the potential to enrich the field of FT-IR spectroscopy due to their distinctive properties, such as high-brightness, broadband spectral coverage and enhanced stability. In our contribution, we introduce this advanced light source as a replacement for conventional thermal emitters.

Diffraction limited mid-infrared reflectance microspectroscopy with a supercontinuum laser.

Chemical mapping was demonstrated with a mid-infrared (MIR) microspectroscopy setup based on a supercontinuum source (SC) emitting in the spectral range from 1.55 to 4.5 µm and a MEMS-based Fabry-Pérot filter spectrometer.

Mid-Infrared Standoff Spectroscopy Using a Supercontinuum Laser with Compact Fabry-Pérot Filter Spectrometers.

Mid-infrared (MIR) supercontinuum (SC) lasers are an attractive new option in the field of IR spectroscopy, especially for standoff detection. Supercontinuum radiation unites high brightness, high spatial coherence, and broadband spectral coverage, thereby surpassing thermal IR sources and challenging quantum cascade lasers. The employed SC source operates in the spectral region of 1.

Treatment of severe Candida infections in high-risk patients in Germany: consensus formed by a panel of interdisciplinary investigators.

Now that modern medicine can provide increasing chances of cure to patients with formerly incurable disorders, therapy-related complications play the key role in outcome. Thus, among opportunistic infections, severe candidiasis remains a challenge. A multidisciplinary panel of 20 investigators was formed to find a consensus on antifungal strategies for various underlying conditions in neutropenic and non-neutropenic patients.

Nonsurgical treatment of a severe tracheal rupture after endotracheal intubation.

We report the case of an 82-yr-old woman with a large complete longitudinal tracheal rupture, following endotracheal intubation. The patient was treated nonoperatively with excellent outcome. The diagnostic and therapeutic course as well as other therapeutic options are discussed.

[Effect of kinetic therapy on the treatment outcome in patients with post-traumatic lung failure].

Intermittent prone positioning (PP) is a promising therapy of patients with severe respiratory failure. Evaluations of patient outcomes can not, to dare, be found in the literature. This study was conducted to investigate the effects of intermittent PP on patients with posttraumatic respiratory failure (PaO2/FiO2 < 280 mmHg) in comparison with conventional therapy in suspine position.

[Effect of kinetic therapy on the course of treatment of patients with post-traumatic lung failure].

This study was conducted to investigate the effects of intermittent prone positioning of patients with post-traumatic respiratory failure (paO2/FiO2 < 280 mm Hg) in comparison with conventional therapy in a supine position. Although the severity of injury of the prone-positioned patients was much higher (ISS 35.8 vs 24.

[Value of high dosage fluconazole in therapy of candida infections in intensive care medicine].

The administration of fluconazole in the ICU setting in dosages of > or = 800 mg/day or > or = 10 mg/kg/day has been reported in about 400 patients with candidiasis of different localisation including candidemia, with a rapidly increasing incidence of serious candidal infections. In Germany, fluconazole is approved for therapy of life-threatening infections caused by Candida spp. and Cryptococcus neoformans in a dosage of up to 800 mg/day.

High-dose therapy with fluconazole > or = 800 mg day-1.

Fluconazole dosages greater than 800 mg day-1 have been reported in about 900 patients treated for candidemia, oropharyngeal candidiasis and cryptococcal meningitis in HIV-infected patients, and for initial therapy of endemic mycoses. In patients with life-threatening infections caused by Candida spp., Cryptococcus neoformans and Coccidioides immitis, results of a limited number of dose-finding trials with non-neutropenic and HIV-infected patients show dose-dependent responses.

Deterioration of respiratory function after intra-hospital transport of critically ill surgical patients.

Objective: To evaluate the impact of intra-hospital transport of artificially ventilated patients on respiratory function, and to define predictors that may allow estimation of the risk of post-transport pulmonary deterioration.

Design: Prospective observation study.

Setting: Surgical ICU, University Hospital.

[The role of an abdominal injury in follow-up of polytrauma patients].

Patients with multiple injuries were studied retrospectively (n = 483, ISS = 28 pts) and prospectively (n = 133, ISS = 42 pts) to determine the significance of concomitant intraabdominal lesions in the management and outcome of these subjects. In the retrospective part of the investigation 134 patients with intra-abdominal trauma presented with significantly more severe injuries (ISS = 38) as compared to 349 subjects with bland abdomen (ISS = 25). This resulted in a significantly different mortality rate (27 vs 11%).

Increased serum concentrations of procollagen type III peptide in severely injured patients: an indicator of fibrosing activity?

Objectives: To determine the serum concentrations of procollagen type III peptide in severely injured patients with different outcomes and to evaluate the relationship between serum procollagen type III peptide concentrations, sources of increased posttraumatic fibrotic activity (wounds, lung, liver, kidney), and decreased elimination of procollagen type III peptide (liver).

Design: Prospective study.

Setting: Surgical ICU, university hospital.

Inflammatory mediators, infection, sepsis, and multiple organ failure after severe trauma.

The relation of (multiple) organ failure (OF) to the release of inflammatory mediators and the incidence of infection and sepsis was studied prospectively in 100 patients with multiple trauma (injury severity score = 37). Sixteen patients died of OF, 47 patients survived OF, and 37 patients had no OF. Fifteen (24%) of the patients with OF showed no signs of infection.

[Biochemical factors as objective parameters for assessing the prognosis in polytrauma].

One hundred patients with multiple injuries (mean ISS 37 patients) were prospectively evaluated over a period of 14 days following trauma. Significant differences in the blood levels of PMN elastase, cathepsin B, lactate, neopterin, C-reactive protein (CRP) and antithrombin III (ATIII) were found in non-survivors and in survivors with and without organ failure. On admission, a prediction of organ failure was possible with an accuracy of 63% to 69% (PMN elastase, cathepsin B, ATIII).

[Is there a favorable time for the management of femoral shaft fractures in polytrauma?].

Despite the wide-spread opinion, that early stabilisation of femur fractures in multiply injured patients is of advantage, there are no publications that unambiguously prove this statement. In contrast, primary fracture stabilisation of the femur with concomitant thoracic trauma seems to increase the rate of complications. The biochemical data of the prospective study presented here suggest, that operative stabilisation of femoral fractures imposes an additional trauma on the already compromised organism.

Prognostic value of serum phospholipase A in the multitraumatized patient.

Phospholipase A serum activity was prospectively studied in 39 patients with multiple trauma. There was no correlation of phospholipase A activity with type or severity of injury. With increasing phospholipase A levels, a rise in mortality was found.

Pathobiochemistry of sepsis: role of proteinases, proteinase inhibitors and oxidizing agents.

Degradation of structural elements and excessive consumption of humoral factors, especially of plasma proteinase inhibitors, by proteolysis and/or oxidation is a major cause of multiple organ failure in sepsis or septic shock. Such pathobiochemical reactions seem to be induced primarily by extracellularly liberated lysosomal proteins from PMN granulocytes (e.g.