This dissertation consists of three essays, of which, two involve assessing the value of tree cover in urban communities and the other evaluates cooperative management of an invasive species by urban communities. The first chapter summarizes the three topics and briefly describes the motivation, methods applied and main conclusions in each study. Chapter 2 presents a meta-analysis of hedonic property value studies on the value of tree cover. A meta-regression was performed using implicit value estimates for tree cover at property-level from various locations in the U.S. along with auxiliary data of county-level tree cover to investigate the relationship between tree cover and implicit-price estimates for residential properties. The study found that on average 35 percent and 40 percent tree cover respectively at property-level and county-level optimize the benefits to the property owners in urban areas. These results provide insights to forward-looking communities to adapt their tree planting and protection efforts to lessen climate-induced impacts. Chapter 3 applies a first-stage Hedonic property price model to estimate preference for tree cover in urban communities using single-family house sales data from multiple property markets across the U.S. The study analyses how home owners' preference for tree cover vary across the landscape and across cities. Further, it identifies what factors affect these variations via the general inferences obtained from an internal meta-analysis. The study confirms the heterogeneity of preferences as affected by the differences in the abundance of tree cover in study locations, regional differences and household characteristics. These findings add to the hedonic literature and provide useful information for future urban planning. Chapter 4 focuses on cooperative management of invasive species in landscapes with mixed land ownerships. This study analyzes the effect of the land ownership on the management efforts between an infested municipality and an uninfested municipality when a transferable payment scheme is involved in the cooperative agreement. A dynamic optimization problem was set up to evaluate the case of Emerald ash borer (EAB) control in multiple jurisdictions in the Twin Cities, Minnesota. The results suggest that when the infested municipality has more public lands and when the transfer payments are efficiently used to implement greater control, the municipalities are more likely to commit to bargaining, and smaller transfer payments paid over a longer span of time are sufficient for optimal control of the spread of invasive species across the municipalities. The last chapter concludes the three studies and discusses the insights for future research. / Ph. D. / Mountain pine beetles (Dendroctonus ponderosae) are a native insect that has decimated millions of hectares of mature pine forests in western North America. The purpose of this study was to investigate, using GIS-derived variables, biophysical and climatic factors that have influenced past mountain pine beetle insect outbreaks, as evident by beetle-induced tree mortality in the Crown of the Continent Ecosystem (CCE) from 1962 to 2014. Specific objectives of this study were to determine how selected biophysical variables (slope, aspect, elevation, and latitude), regional climate variables (temperature, precipitation, and drought) and global climate oscillations (ENSO, PDO, NAO, AO, and PNA) relate to bark beetle infestations in the Crown of the Continent Ecosystem from 1962 through 2014, as measured by aerial surveyrecorded tree mortality. We sought to contextualize the results of the statistical models with historical data to further understand the relationship between increases and decreases of tree mortality by comparing these trends to geopotential height and sea-surface temperatures that may influence CCE climate. Our work revealed first, that while the aerial survey data has important limitations, overall it is a useful dataset for analyzing historical spatio-temporal patterns of insect infestations. Second, there appears to be a link between local biophysical factors, such as latitude, elevation, and winter precipitation (as opposed to global climate factors) and tree mortality within the CCE. Local climate analysis revealed the importance of winter precipitation to be the biggest influence of MPB decrease or increase along with lower geopotential heights during a decline in MPB spread over the CCE. Finally, a combination of a negative PDO and El Niño was important in forecasting a decline in MPB spread, as shown by damage, during a given year. This is the first study to use aerial survey data in a geospatial analysis incorporating biophysical variables for the US portion of the Crown of the Continent Ecosystem. Additionally, this study is unique to explore the potential relationship between global teleconnections and regional climate in the CCE area, and the spatio-temporal extent of mountain pine beetle infestations.Urban trees have become a key resource in building sustainable communities. Knowledge of preferences for trees, costs and benefits of trees, and how trees are managed by private and public landowners, is indispensable in making targeted planning that would fulfill the economic, social and environmental objectives of the urban communities This dissertation explores on these topics in three papers. Chapter 1 summarizes the three topics and briefly describes the motivation, methods applied and main conclusions in each study. Chapter 2 presents a meta-analysis that combines the non-market value estimates for tree cover from previous hedonic studies from various locations in the U.S. along with auxiliary data to investigate the relationship between the level of tree cover and value estimates. The study found that on average 35% and 40% tree cover respectively at property-level and county-level optimize the benefits to the property owners. Chapter 3 analyses how home owners’ preferences for trees vary across the landscape in multiple cities in the U.S., and the results are systematically summarized via an internal-meta analysis. The study confirms the preference heterogeneity across the landscape and found that the relative abundance of tree cover in study locations, regional differences and household characteristics affect the preferences. Chapter 4 develops a dynamic optimization model to study how private and public land ownership in local municipalities affects the cooperative management of urban trees to control the Emerald ash borer (EAB) infestation in Twin Cities, Minnesota. The results suggest that when an infested municipality has more public lands and when the transfer payments are efficiently used to implement greater control, the municipalities are more likely to commit to bargaining agreements that last for longer period of time. Results from the three studies provide insights to forward-looking communities to adapt their tree planting and protection efforts to lessen climate-induced impacts. The last chapter concludes the three studies and discusses the insights for future research.

The world's islands are of singular importance from a conservation perspective because they hold a disproportionate share of global biodiversity. However, island ecosystems are fragile, and the introduction of invasive species poses an especially grave threat to their species. My research took place on the island of Guam, which has been particularly hard hit by invasive species in recent history. The introduction of the invasive Brown Treesnake (BTS; Boiga irregularis) to Guam in the mid-20th century caused the extinction of the vast majority of its avifauna. Of the remaining bird species, the native Såli (Aplonis opaca) is a forest starling now limited to breeding and roosting in certain urbanized areas on the island. Previous research has shown that although Såli adults appear to have high survival, their fledglings are highly vulnerable to predators. My research focused on refining our understanding of how BTS are impacting Såli ecology and survival, and how BTS management can benefit Såli conservation. In my first chapter, I conducted the first field study to investigate the influence of both prey and predator sizes on the frequency of ingestion success by snakes. I found that nearly half of ingestion attempts by BTS on fledgling Såli were unsuccessful, and that BTS routinely pushed the upper limits of their capacity to swallow prey. These results suggest that relatively small BTS pose a greater predation risk to birds than previously recognized, and broaden the size range of BTS that should be targeted in management efforts for avian conservation. In my second chapter, I investigated a potential life-history trade-off for Såli between the proximity of nest sites to foraging areas and the risk of fledgling predation by BTS. I found that Såli nesting closer to the forest make more yearly nesting attempts, but that fledgling survival was higher the farther their nest site was from the forest. Såli therefore balance potential fecundity with predation risk to fledglings in their selection of nest sites. In my third chapter, I examined the survival response of fledgling Såli to the suppression of BTS. I found that snake control did not lead to a change in fledgling survival from the pre-treatment baseline or in comparison to areas where snakes were not controlled, and that there was no shift from snake predation to other causes of mortality. Changes to the strategies or tools employed will therefore be required in order for future BTS control efforts within similar habitats to effectively improve avian survival. This body of work demonstrates that BTS are affecting Såli in unexpected ways, and offers new guidance on how to manage damaging invasive species for native species conservation. / Doctor of Philosophy / Islands are of high value important for conservation because they hold a more than their share of the world's animal and plant species. However, island ecosystems are fragile, and the introduction of damaging exotic species is especially threatening to species that live there. My research took place on the island of Guam, which has been particularly hard hit by damaging non-native species in recent history. The introduction of the Brown Treesnake (BTS; Boiga irregularis) to Guam in the mid-20th century caused the extinction of the vast majority of its bird species. Of the remaining bird species, the native Såli (Aplonis opaca) is now limited to breeding and roosting in certain developed areas on the island. Previous research has shown that although Såli adults appear to have high survival, their fledglings (young birds that recently left the nest) are highly vulnerable to predators. My research focused on refining our understanding of how BTS are impacting Såli life cycles, and how BTS management can benefit Såli conservation. In my first chapter, I conducted the first field study to investigate the influence of both prey and predator sizes on the capacity for snakes to swallow their prey. I found that nearly half of attempts by BTS to swallow fledgling Såli were unsuccessful, and that BTS routinely pushed the upper limits of their capacity to swallow prey. These results suggest that relatively small BTS pose a greater predation risk to birds than previously recognized, and broaden the size range of BTS that should be targeted in management efforts for avian conservation. In my second chapter, I investigated a potential life-history trade-off for Såli between how close their nest sites are to foraging areas and the risk of fledglings being killed by BTS. I found that Såli nesting closer to the forest make more nesting attempts per year, but that fledgling survival was higher the farther their nest site was from the forest. Såli therefore balance the potential number of young they can raise with the predation risk to those same young in their choice of nest sites. In my third chapter, I examined whether the suppression of BTS led to a change in the survival of fledgling Såli. I found that snake control did not lead to a change in fledgling survival from the period before the treatment or in comparison to areas where snakes were not controlled, and that there was no shift from snake predation to other causes of death. Changes to the strategies or tools employed will therefore be required in order for future BTS control efforts within similar habitats to effectively improve avian survival. This body of work demonstrates that BTS are affecting Såli in unexpected ways, and offers new guidance on how to manage damaging invasive species for native species conservation.

No / Proteomic analysis of breast cancer tissue has proven difficult due to its inherent histological complexity. This pilot study presents preliminary evidence for the ability to differentiate adenoma and invasive carcinoma by measuring changes in proteomic profile of matched normal and disease tissues. A dual lysis buffer method was used to maximize protein extraction from each biopsy, proteins digested with trypsin, and the resulting peptides iTRAQ labeled. After combining, the peptide mixtures they were separated using preparative IEF followed by RP nanoHPLC. Following MALDI MS/MS and database searching, identified proteins were combined into a nonredundant list of 481 proteins with associated normal/tumor iTRAQ ratios for each patient. Proteins were categorized by location as blood, extracellular, and cellular, and the iTRAQ ratios were normalized to enable comparison between patients. Of those proteins significantly changed (upper or lower quartile) between matched normal and disease tissues, those from two invasive carcinoma patients had >50% in common with each other but <22% in common with an adenoma patient. In invasive carcinoma patients, several cellular and extracellular proteins that were significantly increased (Periostin, Small breast epithelial mucin) or decreased (Kinectin) have previously been associated with breast cancer, thereby supporting this approach for a larger disease-stage characterization effort.

<p dir="ltr">Small populations often fail to thrive, as the low levels of variation that are frequently present in small populations hinder the ability to acclimate and adapt to future environmental challenges. Despite this well-known phenomenon, many small populations persist but the factors that mediate the success of these populations are often poorly understood. In this dissertation, I conduct three studies that vary in scope and scale to better contextualize the ecological and evolutionary contexts that may lead to small population persistence. The first chapter synthesizes the theoretical and empirical evidence that allelic dominance can exert a strong influence on genetic diversity after a sharp population reduction. My findings demonstrate that dominance of one allele over another can increase additive genetic variation after a population reduction. However, maintaining the maximum amount of additive variation possible with allelic dominance may require more individuals than if two alleles have only additive effects. The second chapter focuses on elucidating the patterns of establishment and spread of three invasive anuran species that underwent sharp population declines upon their introduction to novel environments. The results from my study highlight different introduction and establishment histories that have all led to the success of each invasive species. The third and final chapter evaluates the maintenance of genomic variation in a small population with strong sexual selection, a process expected to erode variation. I tested the fit of empirical genomic and phenotypic variability data to theoretical models and found little support for the hypothesis of genic capture to maintain genetic variation. I thus discuss alternative mechanisms that may be responsible for maintaining diversity in this system. The maintenance of variation in small populations involves a complex interplay of ecological, environmental, and evolutionary forces but understanding how variation is sustained in small and imperiled populations is crucial for addressing challenges in conservation biology and the management of invasive species.</p>

Master of Science / Department of Agronomy / Walter H. Fick / Rough-leaved dogwood (Cornus Drummondii Meyer) is one of the most invasive woody plants in rangeland of Kansas. Reduced prescribed burning due to drought and urban encroachment probably has contributed to its spread. Herbicides are commonly recommended for control of rough-leaved dogwood, but minimal data exists for recommendation development. Ten herbicide treatments were applied in June during late flowering at two locations in northeast Kansas in 2005 and 2006. Each treatment was replicated three times in a randomized complete block design with individual plot sizes of 3 x 3 m. Herbicides were applied with hand sprayers in 1017 L/ha solution. Visual evaluations of defoliation were made about 1 and 12 months after treatment (MAT) and mortality was estimated about 1 year after treatment (YAT). Defoliation 1 MAT varied among herbicides with significant location by year and herbicide by year interactions. Treatments providing greater than 70% defoliation 12 MAT both years were triclopyr + 2,4-D (1.12 + 1.06 kg ae/ha), triclopyr + fluroxypyr (1.83 + 0.61 kg ae/ha), picloram + fluroxypyr (0.41 + 0.41 and 0.82 + 0.82 kg ae/ha), and picloram + 2,4-D + triclopyr (0.66 + 2.44 + 2.44 kg ae/ha). Rough-leaved dogwood is difficult to control with a single herbicide application, but treatments exist that will substantially reduce stands. Tebuthiuron pellets (Spike 20P) are another control measure recommended for rough-leaved dogwood. Treatments of 4.4 kg ai/ha (3/4 oz per 100 square feet) tebuthiuron pellets were applied in December 2004. A visual estimate of control indicated tebuthiuron reduced dogwood cover by 65% compared to a 3% decrease on untreated plots. Dogwood density was reduced by 2.2 stems/m2 (P<0.08). Total woody plant cover increased on untreated plots by 6.2 percentage units, but was decreased by 20.9 percentage units on tebuthiuron treated plots. Other woody plants decreased in both treated and untreated plots. Shading by a large elm tree likely caused variation between replications including increases in cover and density of rough-leaved dogwood on treated plots. Tebuthiuron is a photosynthetic inhibitor that often is not effective on shaded plants. Tebuthiuron pellets applied at 4.4 kg ai/ha was an effective control option for unshaded rough-leaved dogwood.

This dissertation examines nursery/garden centre compliance with Invasive Alien Plant (IAPs) legislation in eThekwini and uMsunduzi, South Africa. Despite South African governmental programmes, an apparent lack of public awareness regarding IAPs persists. The cost to clear IAPs in South Africa is estimated to be 12 billion Rand over 20 years. Nurseries/garden centres should be able to increase customer awareness of IAPs. However, Government regulation/instruction of nurseries/garden centres seems inadequate. A mixed methods approach involving quantitative and qualitative analyses of questionnaires, observations and interviews was used in this study. There was little evidence that nurseries/garden centres stocked/sold CARA plants. However, they were stocking/selling NEMBA plants in spite of knowing CARA, NEMBA and indigenous alternatives. There is little interaction with relevant government/industry programmes. It is recommended that the Department of Environmental Affairs institute a IAPs Advisory Committee to see to the dissemination and provision of relevant information and training concerning IAPs to the industry.

Our aim was to determine the characteristics, treatments and outcomes of patients with primary spinal glioblastomas (GB) or gliosarcomas (GS) reported in literature until March 2015. PubMed and Web of Science were searched for peer-reviewed articles pertaining to cases of glioblastomas / gliosarcomas with primary spinal origin, using predefined search terms. Furthermore we performed hand searches tracking the references from the selected papers. Eighty-two articles published between 1938 and March 2015 were eligible. They reported on 157 patients. Median age at diagnosis was 22 years. The proportion of patients who received adjuvant chemo- or radiotherapy clearly increased from the time before 1980 until present. Median overall survival from diagnosis was 8.0 ± 0.9 months. On univariate analysis age influenced overall survival, whereas tumor location, gender and the extent of initial resection did not. Outcomes did not differ between children (< 18 years) and adults. However, the patients who were treated after 1980 achieved longer survival times than the patients treated before. On multivariable analysis only age (< 60 years) and the time period of treatment (>1980) were confirmed as positive independent prognostic factors. In conclusion, primary spinal GB / GS mainly affect younger patients and are associated with a dismal prognosis. However, most likely due to the increasing use of adjuvant treatment, modest therapeutic progress has been achieved over recent decades. The characteristics and treatments of primary spinal glioblastomas should be entered into a central registry in order to gain more information about the ideal treatment approach in the future.

Thesis (PhD (Conservation Ecology and Entomology))--University of Stellenbosch, 2009. / ENGLISH ABSTRACT: Natural and semi-natural ecosystems and human communities worldwide are under siege from a growing number of destructive invasive alien species. Alien species are those whose presence in an area is due to intentional or accidental introduction as a result of human activities. Some alien species become invasive, and some cause tremendous destruction to the ecosystem and their stability, but we do not yet understand fully the many factors that determine the levels of invasiveness in alien species. However, management of alien plants requires a detailed understanding of the factors that make them invasive in their new habitat. The aim of this study was to explore in detail the processes and potential for invasion of Schinus molle (Peruvian pepper tree) into semiarid savanna in South Africa and to examine the potential for this species to invade further in these ecosystems, and in other South African biomes. In this thesis I explored the patterns and processes of invasion of S. molle in semiarid savanna using small-scale experiments to investigate physical and ecological barriers to invasion that prevent or accelerate the invasion of this species. I examined factors such as pollination; seed production; seed dispersal; seed predation and viability, all known to contribute to invasiveness. I highlighted the critical role of microsite conditions (temperature, humidity, water availability) in facilitating S. molle seedling establishment in semi-arid savanna and demonstrated that microsite type characteristics need to be considered for management and monitoring of the species in South Africa. I demonstrated the ability of S. molle to out-compete indigenous woody plants for light and other resources and also showed that disturbance of natural ecosystems was not a prerequisite for invasion, although human activities such as tree planting have played a major role in disseminating this species in South Africa. Predicting the future distribution of invasive species is very important for the management and conservation of natural ecosystems, and for the development of policy. For this reason, I also assessed the present and potential future spatial distribution of S. molle in South Africa by using bioclimatic models and a simulation-based spread model. I produced accurate profiles of environmental conditions (both biophysical and those related to human activities) that characterize the planted and naturalized ranges of this species in South Africa, by linking species determinants, potential habitat suitability and likely spread dynamics under different scenarios of management and climate change. All those components provided insights on the dynamics of invasions by fleshy-fruited woody alien plants in general, and on S. molle invasions in South Africa in particular. I developed a conceptual model that described S. molle population dynamics leading to an understanding of the processes leading to the invasive spread of this species in South Africa. This work also emphasized the need for policy review concerning the invasive status of S. molle in South Africa, and recommendations are made for future research. / AFRIKAANSE OPSOMMING: Die natuurlike and half-natuurlike ekosisteme sowel as menslike gemeenskappe wereldwyd word bedreig deur ‘n groeiende hoeveelheid indringerplantspesies. Indringerplantspesies (daardie spesies wie se teenwoordigheid toegeskryf kan word aan opsetlike of toevallige inbringing deur menslike toedoen) is ‘n bedreiging nie net vanweë die massiewe verwoesting van die ekosisteme en ekosisteemstabilitiet nie, maar ook omdat ons nog nie ten volle verstaan hoe hulle van skaars in hul natuurlike omgewing tot dominant in hul nuwe habitat gaan nie. Bestuur van indringer plante vereis ’n begrip van biologise en ekologiese faktore wat lei tot hulle indringing in die nuwe habitat. Die primêre doel van hierdie studie was om in detail uit te vind wat die prosessesse en potensiaal is vir die indringing van S. molle (die Peruviaanse peper boom) in droë savanna en om indringingspatrone in droë savanna met huidige en potensieële toekomstige patrone in ander Suid-Afrikaanse biome te vergelyk. In hierdie tesis ondersoek ek die patrone en prosesse wat verband hou met die indringing van S. molle in droë savanna deur gebruik te maak van kleinskaalse eksperimente om fisiese en ekologise hindenisse te ondersoek wat indringing van S. molle in Suid-Afrika voorkom of versnel. Dit sluit faktore in wat bekend is om by te dra tot indringing van plant spesies, soos bestuiwing, saadproduksie, saadpredasie en kiemkragtigheid. Ek het die kritieke rol beklemtoon van mikroomgewingskondisies (temperatuur, humiditeit, waterbeskikbaarheid) in die fasilitering van S. molle saailingvestiging in droë savanna en het gedemonstreer dat die tipe mikroomgewingskarakteristieke in ag geneem moet word by betuur en monitering van die verspreiding van S. molle in Suid-Afrika. Ek het die vermoë van S. molle om inheemse plante te uitkompeteer gedemonstreer, en het gewys dat versteuring van natuurlike ekosisteme nie ’n voorvereiste vir S. molle indringing was nie, hoewel menslike aktiwiteite soos boomaanplantings ’n groot rol speel deur by te dra tot indringing van hierdie spesie in Suid-Afrika. Voorspelling van toekomstige verspreiding van indringerspesies is baie belangrik vir die bestuur en bewaring van natuurlike ekosisteme, sowel as vir ontwikkeling van wetgewing. Daarom is die huidige en potensiele toekomstige ruimtelike verspreiding van S. molle in Suid-Afrika bereken deur inkorporering van bioklimaatsmodelle en simulering gebasseer op ’n verspreidingsmodel. Ek het derhalwe akkurate profiele van omgewingstoestande (beide fisiese en daardie wat verband hou met menslike aktiwiteite) wat die aangeplante en natuurlike omvang van die spesie in Suid-Afrika kenmerk geproduseer deur spesiedeterminante, potensieële geskiktheid van habitatte en moontlike verspeidingsdinamika onder verskillende bestuursscenarios en kimaatsverandering te koppel. Al hierdie komponente verskaf insig in die dinamika van die indringing van houtagtige plante met vlesige vrugte oor die algemeen en S. molle in besonder in Suid- Afrika. Hierdie werk beklemtoon ook die behoefte vir hersiening van beleidsrigtings wat betrekking het op die indringerstatus van S. molle in Suid-Afrika en maak aanbevelings vir toekomstige navorsing.

Die pyogene Spondylodiszitis als bakterielle Osteomyelitis der Wirbelsäule ist eine seltene Entität der bakteriell-entzündlichen Pathologien des Stütz- und Bewegungsapparates. Trotz adäquater Behandlungsstrategien, wird auch heute noch eine Mortalitätsrate von 5% bis 20% beschrieben. Vor allem die in dem vorwiegend älteren Patientenkollektiv deutlich erhöhte Prävalenz an metabolischen oder kardiopulmonalen Komorbiditäten fordert moderne Therapiekonzepte, die eine risikoarme, jedoch effektive Eradifizierung des bakteriell-entzündlichen Fokus mit schneller Wiederherstellung der prämorbiden Mobilität ermöglichen. Ausgehend von zwei grundlagenwissenschaftlichen Studien, wurden in der vorliegenden Habilitationsschrift zunächst die komplexen Zusammenhänge von lokaler Gewebsveränderungen und systemischer Entzündung erörtert. Hierbei zeigten die Analysen humaner degenerativer und traumatischer Bandscheibenzellen, dass die Apoptose, insbesondere die Herabregulation anti-apoptotischer Schlüsselkomponenten wie das Bcl-2, als mögliche Schnittstelle im katabolen Stoffwechsel der extrazellulären Bandscheibenmatrix diskutiert werden kann. In der generalisierten bakteriellen Entzündung (Sepsis), ließ sich durch die gentherapeutisch gewebsständige Überexpression von antiapoptotischen und antiinflammatorischen Interleukin-10 (IL-10), auch im IL-10-defzienten Organismus, eine deutliche Reduktion der systemischen proinflammatorischen Immunantwort mit verbesserter Überlebensrate septischer Tiere erzielen. Jedoch birgt der substantielle Gewebeschaden bei pyogener Spondylodiszitis nicht selten die Gefahr der konsekutiven Instabilität mit neurologischen Komplikationen und stellt damit eine besondere chirurgische Herausforderung dar. Daher wurden in drei weiteren klinischen Studien unsere, in den letzten 10 Jahren etablierten, lösungsorientierten Strategien erläutert. Zur Überbrückung größerer knöcherner Defekte gelang mit der Implantation expandierbarer Titancages eine sichere knöcherne Durchbauung mit vollständiger Ausheilung des Infektes. Im Beobachtungszeitraum von mehr als 3 Jahren war bei keinem der Patienten ein Infektrezidiv zu verzeichnen. In komplexen Fällen von monosegmentaler Spondylodiszitis der LWS mit multisegmentaler epiduraler Abszedierung, führte die epidurale Katheterspülung über den dorsalen Zugang für die Spondylodese zu einer folgenlosen Ausheilung. Damit konnte ein zusätzliches, iatrogenes Trauma mit multisegmentalen Lamintomien über die Distanz des epiduralen Abszesses vermieden werden. In einer weiteren Studie mit einem Beobachtungszeitraum von bis zu 5 Jahren, erzielte die Implantation von Poly-Ether-Ether-Keton (PEEK) Cages zur dorsalen intersomatischen Fusion bei pyogener Spondylodiszitis eine sehr gute, stabile knöcherne Durchbauung des infizierten Segmentes, ebenfalls ohne Infektrezidiv. Diese Abweichung vom herkömmlichen Standard mit Titanimplantaten erwies sich somit als sichere Alternative mit den für PEEK charakteristischen, verbesserten Eigenschaften. Im Vergleich zu herkömmlichen Operationsverfahren, verspricht die Integration dieser Ergebnisse in die Weiterentwicklung minimal-invasiver Techniken, insbesondere im multimorbiden Patientenklientel, mindestens gleichwertig gute Ergebnisse bei deutlich reduziertem Operationstrauma.

Invasive Pilzinfektionen stellen ein großes Problem bei Transplantatempfängern dar. Candida und Aspergillus spp. sind die häufigsten pathogenen Pilze bei Patienten nach KMT und Organtransplantationen. Diese Infektionen sind durch eine hohe Morbidität und Mortalität gekennzeichnet, insbesondere bei Patienten mit persistierender Granulozytopenie und damit jene nach allogener KMT. Die Mortalitätsrate kann durch eine Frühdiagnostik und durch Gabe einer geeigneten Therapie wesentlich reduziert werden. Die Symptome und Zeichen einer systemischen Pilzinfektion sind bei Transplantatempfängern untypisch. Die serologische Diagnostik von invasiven Candidosen oder Aspergillosen stellt eine zusätzliche Möglichkeit zur klinischen Untersuchung und anderen diagnostischen Maßnahmen dar. Diese Untersuchung umfasste 252 Patienten (17 Patienten nach KMT) und 235 Patienten von Intensivtherapiestationen (z. B. nach Organtransplantationen) in den Jahren 1991-1994 von der Humboldt-Universität zu Berlin (Charite). Die Patientenseren wurden routinemäßig auf das Vorkommen einer Candida- und Aspergillus Antigenämie geprüft. Zum Nachweis von zirkulierendem Galactomannan wurde ein Latex Agglutinationstest- Pastorex Candida und Aspergillus, Sanofi Diagnostics Pasteur, genutzt. Invasive Aspergillus-Pilzinfektionen wurden bei acht von 235 Patienten unter Intensivtherapie gefunden. Alle acht Patienten mit invasiver Aspergillose hatten einen positiven Aspergillus-Antigen-Test. Der direkte Nachweis von Antigenbestandteilen von Candida oder Aspergillus spp. erwies sich als vielversprechender frühdiagnostischer Test bei kritisch kranken und immunsupprimierten Patienten. / Invasive fungal infections are a major problem in transplant recipients. Candida and Aspergillus spp. are the most common fungal pathogens causing infection in patients undergoing BMT or solid organ transplantation. These infections are characterised by high morbidity and mortality, especially in patients with persistent granulocytopenia and in these receiving allogeneic bone marrow transplant. The mortality rate can be substantially reduced if an early diagnosis is made and the proper therapy given. The symptoms and signs of deep fungal infection in the transplant recipients are unreliable and often absent regardless of the type of organism or the site of infection. Laboratory tests are essential to establish the diagnosis of invasive fungal infection. The serological diagnosis of invasive candidosis or aspergillosis is at best an adjunct to clinical evaluation and other diagnostic procedures. The study comprises 252 patients undergoing allogeneic bone marrow transplantation (17 patients) and 235 patients from intensive care units (for instance after solid organ transplantation) in the years 1991-1994 at the Humboldt-University of Berlin (Charité). The serum of the patients were routinely screened for the occurrence of Candida and Aspergillus antigenemia (circulating galactomannan was detected using a latex agglutination test-Pastorex Candida and Aspergillus, Sanofi Diagnostics Pasteur). Invasive Aspergillus fungal infection was found in eight of the 235 intensive care patients. All these eight patients with invasive aspergillosis had an positive Aspergillus antigen test. The direct detection of antigenic components of Aspergillus and Candida spp. in serum appears promising as an early diagnostic test in critical ill and immunocompromised patients.