[Current state of the Health Advisory Council of Munich: A Survey].

Background: After over 27 years of existence, the executive board of the Health Advisory Council of the state capital Munich (HAC) decided to conduct an inventory.

Purpose Of The Study: The objective was to gather data on the perceptions of HAC participants regarding the structure of committees, issues addressed, their processing as well as the results of the projects, in addition to events organized, public relations activities and target achievement. The survey should be the basis for decisions regarding future directions or further developments of the HAC.

Brain tumor classification on intraoperative contrast-enhanced ultrasound.

Purpose: Contrast-enhanced ultrasound (CEUS) imaging of tissue perfusion is based on microbubble echo detection. CEUS can visualize tumors based on local perfusion variations. The acquired video data are qualitatively interpreted by subjective visualization in clinical practice.

Small-scale spatial variability in phylogenetic community structure during early plant succession depends on soil properties.

During early plant succession, the phylogenetic structure of a community changes in response to important environmental filters and emerging species interactions. We traced the development of temperate-zone plant communities during the first 7 years of primary succession on catchment soils to explore patterns of initial species assembly. We found pronounced small-scale differences in the phylogenetic composition of neighbouring plant assemblages and a large-scale trend towards phylogenetic evenness.

Species-driven phases and increasing structure in early-successional plant communities.

Successional phases describe changes in ecological communities that proceed in steps rather than continuously. Despite their importance for the understanding of ecosystem development, there still exists no reliable definition of phases and no quantitative measure of phase transitions. In order to obtain these data, we investigated primary succession in an artificial catchment (6 ha) in eastern Germany over a period of 6 years.

Monitoring the formation of structures and patterns during initial development of an artificial catchment.

The objective of this paper is to present observations, results from monitoring measurements, and preliminary conclusions about the development of patterns and structures during the first 5 years of development of an artificial catchment starting from point zero. We discuss the high relevance of initial system traits and external events for the system development and draw conclusions for further research. These investigations as part of a Collaborative Research Center, aim to disentangle and understand the feedback mechanisms and interrelationships of processes and their co-development with spatial and temporal structures and patterns by studying an initial, probably less complex ecosystem.

System architecture for intraoperative ultrasound registration in image-based medical navigation.

Medical navigation systems for orthopedic surgery are becoming more and more important with the increasing proportion of older people in the population, and hence the increasing incidence of diseases of the musculoskeletal system. The central problem for such systems is the exact transformation of the preoperatively acquired datasets to the coordinate system of the patient's body, which is crucial for the accuracy of navigation. Our approach, based on the use of intraoperative ultrasound for image registration, is capable of robustly registering bone structures for different applications, e.

Toward registration of 3D ultrasound and CT images of the spine in clinical praxis: design and evaluation of a data acquisition protocol.

Recent work has demonstrated the accuracy and operational viability of an algorithm proposed by the authors that successfully registers 3-D ultrasound data with CT or MRI data. The successful application of this method to intraoperative navigation, however, depends critically on the quality of the acquired ultrasound data. This gives rise to two questions concerning the usability of the algorithm in clinical praxis.

[Pre- and intraoperative ultrasound imaging in neurosurgery].

Advanced applications of ultrasound in neurosurgery have been evaluated in two projects of the Ruhr Center of Excellence for Medical Engineering (KMR), Bochum, Germany. Engineers, neurologists, and neurosurgeons are cooperating within an interdisciplinary project structure, in order to practically approach neurosurgical problems by elaborating novel ultrasound-based technologies. On one hand, procedures have been implemented for an ultrasound-based registration of bone structures, applicable, amongst others, to the high-accuracy navigation of pedicle screws.

Severity of depressive symptoms and quality of life in patients with amyotrophic lateral sclerosis.

Objectives: The authors aimed at investigating the occurrence of depression and the level of quality of life in patients with amyotrophic lateral sclerosis (ALS), an incurable neurodegenerative disease leading to progressive motor paralysis. They further wished to elucidate correlates of depression and quality of life, such as physical impairment, time since diagnosis, age, sex, and education. Additionally, the authors attempted to confirm previous studies that had shown quality of life to be underestimated by partners or caregivers.

Longitudinal effects of noninvasive positive-pressure ventilation in patients with amyotrophic lateral sclerosis.

Objective: To evaluate the duration of benefit on symptoms, quality of life, and survival derived from the use of noninvasive positive-pressure ventilation by patients with amyotrophic lateral sclerosis.

Design: In this prospective, cohort study, 30 of 36 consecutively referred symptomatic patients tolerated nightly noninvasive positive-pressure ventilation and undertook pulmonary function testing and 12 symptom and quality-of-life instruments concerning sleep quality, daytime sleepiness, physical fatigue, mental fatigue, and depression that were administered during a 10-mo period.

Results: With treatment, there was a significant improvement in the majority of patients in sleep quality, daytime sleepiness, physical fatigue, and depression; however, significant improvements lasted for up to 10 mo only in sleep quality.

Ectomycorrhizas and cadmium toxicity in Norway spruce seedlings.

We studied the effects of ectomycorrhizal colonization by Laccaria bicolor (Maire) Orton S238 and Paxillus involutus (Batsch) Fr. 533 on cadmium (Cd) toxicity in Norway spruce seedlings (Picea abies (L.) Karst.

Modulation of slow cortical potentials by transcranial magnetic stimulation in humans.

We studied the effects of transcranial magnetic stimulation (TMS) on slow cortical potentials (SCPs) of the brain elicited during performance of a feedback and reward task. Ten healthy participants were trained to self-regulate their SCP amplitude using visual feedback and reward for increased or decreased amplitudes. Subjects participated in 27 runs (each comprising 70 trials) under three different conditions: single-pulse TMS delivered with the coil centered over Cz (vertex), over a lateral scalp position (LSP), which increased task difficulty, and in the absence of stimulation.