Publications by authors named "Lukas Graf"

Background: The "floating mass transducer" (FMT) of the Vibrant Soundbridge was initially attached to the long process of the incus (LP). In patients missing an incus, coupling to the stapes head using the Vibroplasty CliP-coupler is used. Its main limitation is the height, leading to potential contact with the tympanic membrane.

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The middle ear transforms sound from low-impedance external air to high-impedance cochlear fluid. However, the human stapes - the input to the cochlea - has been reported to have minimal or no motion above ~ 4 kHz. For decades, this lack of observed high-frequency stapes motion has been puzzling, as it is inconsistent with our ability to hear up to 20 kHz.

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We present a mechanism for producing a cosmologically significant relic density of one or more sterile neutrinos. This scheme invokes two steps: First, a population of "heavy" sterile neutrinos is created by scattering-induced decoherence of active neutrinos. Second, this population is transferred, via sterile neutrino self-interaction-mediated scatterings and decays, to one or more lighter mass (∼10  keV to ∼1  GeV) sterile neutrinos that are far more weakly (or not at all) mixed with active species and could constitute dark matter.

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  • The study evaluates the diagnostic significance of two immunoassay tests for heparin-induced thrombocytopenia (HIT) using data from 1393 patients, aiming to clarify the reliability of test results across their ranges.
  • Findings reveal that while both assays correlate results to HIT diagnoses, the strength of this correlation differs, with the CLIA method showing a more pronounced increase in likelihood ratios compared to the ELISA method.
  • A web-based calculator is provided to help clinicians estimate the probability of HIT based on individual test results, enhancing decision-making in patient care.
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Objective: We present the "UmboMic," a prototype piezoelectric cantilever microphone designed for future use with totally-implantable cochlear implants.

Methods: The UmboMic sensor is made from polyvinylidene difluoride (PVDF) because of its low Young's modulus and biocompatibility. The sensor is designed to fit in the middle ear and measure the motion of the underside of the eardrum at the umbo.

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Site-specific crop management in heterogeneous fields has emerged as a promising avenue towards increasing agricultural productivity whilst safeguarding the environment. However, successful implementation is hampered by insufficient availability of accurate spatial information on crop growth, vigor, and health status at large scales. Challenges persist particularly in interpreting remote sensing signals within commercial crop production due to the variability in canopy appearance resulting from diverse factors.

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  • The study investigates how losing offspring to hunters affects the behavior of moose, particularly in terms of habitat selection and movement patterns.
  • It combines movement data from 51 adult female moose with information about their offspring survival to analyze changes in behavior after calf harvest.
  • Results indicate that female moose adjust their habitat choices and movement distances following the loss of a calf, displaying more caution in their proximity to roads and human settlements.
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  • New analytical techniques allow for the simultaneous assessment of hundreds of proteins, helping to understand their roles in diseases like heparin-induced thrombocytopenia (HIT).
  • Researchers used four panels of the Olink proximity extension assay on patients suspected of HIT to identify potential new biomarkers related to thrombus formation, inflammation, and the immune response.
  • The study indicated that soluble P-selectin could serve as a significant marker for HIT, with future research planned to evaluate its diagnostic and prognostic value in patient care.
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Importance: Heparin-induced thrombocytopenia (HIT) is a life-threatening condition that requires urgent diagnostic clarification. However, knowledge of the diagnostic utility of the recommended diagnostic tests is limited in clinical practice.

Objective: To evaluate the current diagnostic practice for managing the suspicion of HIT.

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Purpose: One of the major reasons that totally implantable cochlear microphones are not readily available is the lack of good implantable microphones. An implantable microphone has the potential to provide a range of benefits over external microphones for cochlear implant users including the filtering ability of the outer ear, cosmetics, and usability in all situations. This paper presents results from experiments in human cadaveric ears of a piezofilm microphone concept under development as a possible component of a future implantable microphone system for use with cochlear implants.

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Objective: We present the "UmboMic," a prototype piezoelectric cantilever microphone designed for future use with totally-implantable cochlear implants.

Methods: The UmboMic sensor is made from polyvinylidene difluoride (PVDF) because of its low Young's modulus and biocompatibility. The sensor is designed to fit in the middle ear and measure the motion of the underside of the eardrum at the umbo.

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Background: Reliable species identification of cultured isolates is essential in clinical bacteriology. We established a new study algorithm named NOVA - Novel Organism Verification and Analysis to systematically analyze bacterial isolates that cannot be characterized by conventional identification procedures MALDI-TOF MS and partial 16 S rRNA gene sequencing using Whole Genome Sequencing (WGS).

Results: We identified a total of 35 bacterial strains that represent potentially novel species.

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In myelofibrosis, comorbidities (CMs) add prognostic information independently from the Dynamic International Prognostic Scoring System (DIPSS). The Myelodysplastic Syndrome-Specific Comorbidity Index (MDS-CI) offers a simple tool for CM assessment as it is calculable after having performed a careful history and physical examination, a small routine chemistry panel (including creatinine and liver enzymes) and a limited set of functional diagnostics. To assess the prognostic impact of the MDS-CI in addition to the DIPSS and the Mutation-Enhanced International Prognostic Scoring System (MIPSS)-70, we performed a retrospective chart review of 70 MF patients who had not received allogeneic stem cell transplantation (primary MF, n = 51; secondary MF, n = 19; median follow-up, 40 months) diagnosed at our institution between 2000 and 2020.

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Crop phenology data offer crucial information for crop yield estimation, agricultural management, and assessment of agroecosystems. Such information becomes more important in the context of increasing year-to-year climatic variability. The dataset provides in-situ crop phenology data (first leaves emergence and harvest date) of major European crops (wheat, corn, sunflower, rapeseed) from seventeen field study sites in Bulgaria and two in France.

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Hearing loss is one of the leading causes of disability worldwide, usually as a result of hair cell damage in the inner ear due to aging, acoustic trauma, or exposure to antibiotics or chemotherapy. No drug therapies can protect or restore hearing and current and animal models used in drug discovery have a very low success rate, mostly due to major differences in anatomy and accessibility of the inner ear environment between species. The blood-labyrinth barrier (BLB) in the stria vascularis is a highly specialized capillary network that controls exchanges between the blood and interstitial space in the cochlea.

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  • A universal calibrator for anti-Xa inhibitors was tested to improve laboratory accuracy for drugs like rivaroxaban, edoxaban, and apixaban.
  • A study involved 553 patients across nine centers, using the Technochrom anti-Xa assay with the Technoview edoxaban calibrator and liquid chromatography to measure drug concentrations.
  • Results showed high sensitivity (over 92%) and strong correlation (0.95) in detecting relevant drug levels, indicating effective performance of the universal assay.
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  • The study investigates the correlation between three different tests for diagnosing heparin-induced thrombocytopenia (HIT) in a cohort of 1393 patients, revealing weak correlations among the tests used.
  • Only 8.5% (119 patients) were classified as HIT-positive, with notable differences in 4Ts scoring between HIT-positive and HIT-negative patients.
  • The inconsistent results suggested a need for standardizing these antibody assays to improve their accuracy and comparability in clinical practice.
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In myelofibrosis, the C-reactive protein (CRP)/albumin ratio (CAR) and the Glasgow Prognostic Score (GPS) add prognostic information independently of the Dynamic International Prognostic Scoring System (DIPSS). Their prognostic impact, if molecular aberrations are considered, is currently unknown. We performed a retrospective chart review of 108 MF patients (prefibrotic MF n = 30; primary MF n = 56; secondary MF n = 22; median follow-up 42 months).

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Background And Aims: Conserved specimens do not decay and therefore permit long-term experiments thereby overcoming limited access to fresh (frozen) temporal bones for studies on middle ear mechanics. We used a Thiel conservation method which is mainly based on a watery solution of salts. In contrast to pure Formalin, Thiel conservation aims to preserve the mechanical proprieties of human tissue.

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Importance: Elderly patients, especially men, are at risk of increased morbidity from coronavirus disease 2019 (COVID-19). Long-term data on troponin I levels in longitudinal observational studies of outpatients with mild to moderate COVID-19 are scarce.

Objective: This controlled cohort study aimed to evaluate the course of troponin I concentrations over a long period in convalescent COVID-19 outpatients with mild to moderate symptoms.

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Article Synopsis
  • Diagnosing heparin-induced thrombocytopenia (HIT) is difficult at the bedside, leading to potential delays in diagnosis or overtreatment, and researchers aimed to improve this using machine-learning algorithms.
  • A study with 1393 patients from multiple centers found high accuracy in diagnosing HIT using a machine-learning tool that considered various clinical and lab factors, outperforming the current methods.
  • The machine-learning models significantly reduced false-negative and false-positive rates compared to the existing diagnostic algorithm, demonstrating their potential for better clinical outcomes in HIT diagnosis.
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Prothrombinase-induced clotting time (PiCT) is proposed as a rapid and inexpensive laboratory test to measure direct oral anticoagulant (DOAC) drug levels. In a prospective, multicenter cross-sectional study, including 851 patients, we aimed to study the accuracy of PiCT in determining rivaroxaban, apixaban, and edoxaban drug concentrations and assessed whether clinically relevant drug levels could be predicted correctly. Citrated plasma samples were collected, and the Pefakit PiCT was utilized.

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  • High-quality single crystals of the organic semiconductor dibenzopentacene were grown using physical vapor transport, allowing researchers to determine its crystal structure for the first time through X-ray diffraction.
  • Polarization-dependent optical absorption measurements showed significant anisotropy in the crystal plane, with Davydov splitting measured at approximately 110 meV, slightly less than the 120 meV observed in pentacene.
  • Further analysis using electron energy-loss spectroscopy revealed exciton dispersion and showed that dibenzopentacene has smaller electron- and hole-transfer integrals compared to pentacene, indicating complex interactions involving Frenkel and charge-transfer excitons.
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