Publications by authors named "Koehler T"

Background: Dark-field radiography has been proven to be a promising tool for the assessment of various lung diseases.

Purpose: To evaluate the potential of dose reduction in dark-field chest radiography for the detection of the Coronavirus SARS-CoV-2 (COVID-19) pneumonia.

Materials And Methods: Patients aged at least 18 years with a medically indicated chest computed tomography scan (CT scan) were screened for participation in a prospective study between October 2018 and December 2020.

View Article and Find Full Text PDF

The widespread use of synthetic dyes has led to the release of substantial amounts of dye-contaminated wastewater, posing significant environmental and health concerns. This study focuses on the use of anodic and electrochemically activated persulfate oxidation for the degradation of organic contaminants. Specifically, the structural variations of nine dyes in the indigoid and azo families, and their impact on the efficiency of electrochemical oxidation were analysed.

View Article and Find Full Text PDF

Background: Penile skin zipper entrapment is an emergent medical condition in which the penile skin, scrotal skin, or foreskin gets caught within the teeth of a zipper or the slider itself. This can lead to complications such as urethral involvement, skin loss, or tissue necrosis. We propose a novel technique to aid in the release of entrapped skin utilizing wire cutters directed at the inferior portion of the zipper pull.

View Article and Find Full Text PDF

Although several porous carbon/graphene nanoribbons (GNRs) have been prepared, a direct comparison of the electronic properties between a nonporous GNR and its periodically perforated counterpart is still missing. Here, we report the synthesis of porous 12-atom-wide armchair-edged GNRs from a bromoarene precursor on a Au(111) surface via hierarchical Ullmann and dehydrogenative coupling. The selective formation of porous 12-GNRs was achieved through thermodynamic and kinetic reaction control combined with tailored precursor design.

View Article and Find Full Text PDF

The close interconnection of plants with rhizosphere- and root-associated microorganisms is well recognized, and high expectations are raised for considering their symbioses in the breeding of future crop varieties. However, it is unclear how consistently plant-mediated selection, a potential target in crop breeding, influences microbiome members compared to selection imposed by the agricultural environment. Landraces may have traits shaping their microbiome, which were lost during the breeding of modern varieties, but knowledge about this is scarce.

View Article and Find Full Text PDF

Background: Computed tomography (CT) relies on the attenuation of x-rays, and is, hence, of limited use for weakly attenuating organs of the body, such as the lung. X-ray dark-field (DF) imaging is a recently developed technology that utilizes x-ray optical gratings to enable small-angle scattering as an alternative contrast mechanism. The DF signal provides structural information about the micromorphology of an object, complementary to the conventional attenuation signal.

View Article and Find Full Text PDF

Spectral computed tomography (CT) is a powerful diagnostic tool offering quantitative material decomposition results that enhance clinical imaging by providing physiologic and functional insights. Iodine, a widely used contrast agent, improves visualization in various clinical contexts. However, accurately detecting low-concentration iodine presents challenges in spectral CT systems, particularly crucial for conditions like pancreatic cancer assessment.

View Article and Find Full Text PDF

X-ray computed tomography (CT) is a crucial tool for non-invasive medical diagnosis that uses differences in materials' attenuation coefficients to generate contrast and provide 3D information. Grating-based dark-field-contrast X-ray imaging is an innovative technique that utilizes small-angle scattering to generate additional co-registered images with additional microstructural information. While it is already possible to perform human chest dark-field radiography, it is assumed that its diagnostic value increases when performed in a tomographic setup.

View Article and Find Full Text PDF

Mutations in the human gene cause the neurodevelopmental PURA syndrome. In contrast to several other monogenetic disorders, almost all reported mutations in this nucleic acid-binding protein result in the full disease penetrance. In this study, we observed that patient mutations across PURA impair its previously reported co-localization with processing bodies.

View Article and Find Full Text PDF

A holistic understanding of plant strategies to acquire soil resources is pivotal in achieving sustainable food security. However, we lack knowledge about variety-specific root and rhizosphere traits for resource acquisition, their plasticity and adaptation to drought. We conducted a greenhouse experiment to phenotype root and rhizosphere traits (mean root diameter [Root D], specific root length [SRL], root tissue density, root nitrogen content, specific rhizosheath mass [SRM], arbuscular mycorrhizal fungi [AMF] colonization) of 16 landraces and 22 modern cultivars of temperate maize (Zea mays L.

View Article and Find Full Text PDF

Dark-field radiography, a new X-ray imaging method, has recently been applied to human chest imaging for the first time. It employs conventional X-ray devices in combination with a Talbot-Lau interferometer with a large field of view, providing both attenuation and dark-field radiographs. It is well known that sample scatter creates artifacts in both modalities.

View Article and Find Full Text PDF
Article Synopsis
  • Biophysicochemical properties of rhizosheath are crucial for how plants adapt to drought, but our understanding of their mechanisms and how they interact with soil during drought is lacking.
  • A study involving 38 varieties of Zea mays showed that drought conditions negatively impacted soil structure and affected the movement of plant carbon within the soil.
  • The responses of different plant varieties to drought varied, influencing how they maintained soil structure and interacted with microbes, suggesting that these changes at the root-soil interface are key for ecosystem resilience in a changing climate.
View Article and Find Full Text PDF

Calcium blooming causes stenosis overestimation on coronary CTA. The purpose of this article was to evaluate the impact of virtual monoenergetic imaging (VMI) reconstruction level on coronary artery stenosis quantification using photon-counting detector (PCD) CT. A phantom containing two custom-made vessels (representing 25% and 50% stenosis) underwent PCD CT acquisitions without and with simulated cardiac motion.

View Article and Find Full Text PDF

Introduction: Asymptomatic bacteriuria (ASB) is the presence of bacteria in the urine without attributable signs or symptoms of a urinary tract infection (UTI). This condition is often inappropriately treated per the 2019 Infectious Disease Society of America guidelines. This quality improvement project aimed to reduce improper treatment of ASB via a three-phase spaced repetition approach over a 12-month 2021-2022 period within a Michigan emergency department (ED), targeting 43 ED clinicians.

View Article and Find Full Text PDF

X-ray dark-field imaging enables a spatially-resolved visualization of ultra-small-angle X-ray scattering. Using phantom measurements, we demonstrate that a material's effective dark-field signal may be reduced by modification of the visibility spectrum by other dark-field-active objects in the beam. This is the dark-field equivalent of conventional beam-hardening, and is distinct from related, known effects, where the dark-field signal is modified by attenuation or phase shifts.

View Article and Find Full Text PDF
Article Synopsis
  • A real-time monitoring apparatus using UV-visible spectrophotometry was employed to optimize the process of electrochemically-activated persulfate for decolorizing Acid Orange 7.
  • The study examined factors like electrode composition, current density, persulfate loading, and stirring speed, and compared the effectiveness of this method with anodic oxidation across nine different dyes.
  • It was found that dye structure and functional groups greatly influenced decolorization rates, with azo and xanthene dyes decolorizing faster than triarylmethane dyes, and that electrochemically-activated persulfate generally outperformed anodic oxidation, especially for electron-deficient substrates.
View Article and Find Full Text PDF
Article Synopsis
  • Recent ESC/ERS guidelines have updated the definition of pulmonary hypertension (PH), lowering the mean pulmonary artery pressure (mPAP) cut-off to >20 mmHg, assessed via right heart catheterization.
  • The criteria for precapillary PH now require a pulmonary vascular resistance (PVR) >2 Wood units and a pulmonary arterial wedge pressure (PAWP) ≤15 mmHg.
  • The classification of PH is divided into five distinct groups based on causes, with a new focus on exercise pulmonary hypertension (EPH), identified by a specific mPAP/cardiac output slope during exercise testing.
View Article and Find Full Text PDF

Background: The burden of documentation in the electronic medical record has been cited as a major factor in provider burnout. The aim of this study was to evaluate the association between ambient voice technology, coupled with natural language processing and artificial intelligence (DAX™), on primary care provider documentation burden and burnout.

Methods: An observational study of 110 primary care providers within a community teaching health system.

View Article and Find Full Text PDF

The water deficit experienced by crops is a function of atmospheric water demand (vapor pressure deficit) and soil water supply over the whole crop cycle. We summarize typical transpiration response patterns to soil and atmospheric drying and the sensitivity to plant hydraulic traits. We explain the transpiration response patterns using a soil-plant hydraulic framework.

View Article and Find Full Text PDF

Grating-based X-ray phase-contrast and in particular dark-field radiography are promising new imaging modalities for medical applications. Currently, the potential advantage of dark-field imaging in early-stage diagnosis of pulmonary diseases in humans is being investigated. These studies make use of a comparatively large scanning interferometer at short acquisition times, which comes at the expense of a significantly reduced mechanical stability as compared to tabletop laboratory setups.

View Article and Find Full Text PDF

Objectives: Dark-field chest radiography (dfCXR) has recently reached clinical trials. Here we compare dfCXR to conventional radiography for the detection and staging of pulmonary emphysema.

Materials And Methods: Subjects were included after a medically indicated computed tomography (CT) scan, showing either no lung impairments or different stages of emphysema.

View Article and Find Full Text PDF

Objective: In fetuses with suspicion of congenital heart disease (CHD), assessment by segmental fetal echocardiography is of great importance. This study sought to examine the concordance of expert fetal echocardiography and postnatal MRI of the heart at a high-volume paediatric heart centre.

Methods: The data of two hundred forty-two fetuses have been gathered under the condition of full pre- and postnatal and the presence of a pre- and postnatal diagnosis of CHD.

View Article and Find Full Text PDF

Introduction: Little is known regarding circumstances surrounding advanced care planning (ACP) for patients with amyotrophic lateral sclerosis (ALS). We aim to describe preferences, and perspectives surrounding ACP in patients with ALS.

Methods: We conducted a survey of patients with ALS.

View Article and Find Full Text PDF

Grating-based phase- and dark-field-contrast X-ray imaging is a novel technology that aims to extend conventional attenuation-based X-ray imaging by unlocking two additional contrast modalities. The so called phase-contrast and dark-field channels provide enhanced soft tissue contrast and additional microstructural information. Accessing this additional information comes at the expense of a more intricate measurement setup and necessitates sophisticated data processing.

View Article and Find Full Text PDF

Objectives: To compare the visibility of anatomical structures and overall quality of the attenuation images obtained with a dark-field X-ray radiography prototype with those from a commercial radiography system.

Methods: Each of the 65 patients recruited for this study obtained a thorax radiograph at the prototype and a reference radiograph at the commercial system. Five radiologists independently assessed the visibility of anatomical structures, the level of motion artifacts, and the overall image quality of all attenuation images on a five-point scale, with 5 points being the highest rating.

View Article and Find Full Text PDF