Das Reizdarmsyndrom (RDS) ist eine funktionale Darmerkrankung mit einer Prävalenz von 10.000 – 20.000/100.000 in verschiedenen Kulturen. Keine einzelne physiologische oder psychologische Ursache konnte bisher isoliert werden. Ein sensitiver und spezifischer Maker sind herabgesetzte rektale Schmerzschwellen. Veränderungen der cerebralen viszerosensorischen und nozizeptiven Repräsentation sind mit Neuroimaging-Studien untersucht worden. Die Verarbeitung von Reizen unterhalb der Wahrnehmungsschwelle scheint sich von der Verarbeitung bewusster Reize zu unterscheiden. Wir untersuchten daher sub- und supraliminale rektale Wahrnehmung von 8 RDS-Patienten und 8 parallelisierten gesunden Kontrollprobanden. Die Reizschwelle wurde mit Hilfe eines Tracking-Paradigmas bestimmt. In einer funktionellen Magnetresonanztomographie (fMRT)-Studie wurden Reize unter, über und in der Nähe der Wahrnehmungsschwelle in einem pseudorandomisierten Blockdesign präsentiert. Bei supraliminaler Stimulation gesunder Probanden konnten der bekannte spinothalamische und vagale Pfad repliziert werden. Bei subliminaler Stimulation zeigte sich in einer Einzelauswertung eine ähnliche Verarbeitung, damit konnten die Vorergebnisse hier ebenfalls repliziert werden. In der Gruppenauswertung fand sich Aktivierung nur in Arealen, die bei supraliminaler Stimulation nicht aktiv waren. RDS-Patienten zeigten weniger Aktivität bei subliminaler und mehr bei liminaler Stimulation. Bei supraliminaler Stimulation zeigten sich unterschiedliche aktivierte Areale. Insbesondere war der Amygdala-Hippocampus-Komplex bei Patienten stärker aktiviert. Die Ergebnisse bei supraliminaler und liminaler Stimulation können als verstärkte Aufmerksamkeit auf eben wahrnehmbare Darmreize und als verstärkte emotionale Verarbeitung interpretiert werden. Bei der subliminalen Stimulation kann man schwächere Aktivität schmerzunterdrückender Netze annehmen oder von einem methodischen Artefakt ausgehen. / Irritable bowel syndrome (IBS) is a functional bowel disease with a prevalence of 10.000 - 20.000/100.000 across cultures. So far, no single physiological or psychological reason has been identified. Nevertheless, reduced rectal pain thresholds represent a sensitive and specific marker. Alterations in cerebral viscerosensory and nociceptive representation have been addressed using neuroimaging studies. Processing of stimuli below conscious perception level seems to differ from consciously perceived stimuli. Thus, we examined sub- and supraliminal rectal perception in 8 patients with IBS and 8 healthy matched control subjects. Perception thresholds were assessed by a tracking paradigm. In an functional magnetic resonance imaging (fMRI) study using a block design, stimuli below, above, or around the subjective perception threshold were presented in pseudo-randomized order. At supraliminal stimulation in healthy controls, results of previous studies were replicated and confirmed a spinothalamic and a vagal pathway of visceral sensory perception and suggested processing in amygdala and hippocampus. At subliminal stimulation in healthy controls, previous results were also replicated showing similar processing in single subject analysis. Results of a group analysis yielded only activity in areas not activated at supraliminal stimulation. IBS patients showed less pronounced activity during subliminal stimulation and much more pronounced activity at liminal stimulation. At supraliminal stimulation, different areas showed active in both groups. In particular, the amygdala-hippocampus complex was more active in patients. Results at liminal and supraliminal stimulation can be interpreted as enhanced attention to around-threshold rectal stimuli and more pronounced emotional processing of conciously perceived stimuli. Results at subliminal stimulation can be understood as weaker activity of perception-suppressing pathways or as methodological artifact.

The occupational exposures of sewage workers are complex and variable, and include a great variety of biological and chemical agents. Previous research has focused mostly on infections and various symptoms among sewage workers, e.g. abdominal and respiratory symptoms. At several sewage plants in Sweden, concern arose about occupational cancer, specifically cancer of the stomach, the kidney, and the lung. The aim of this study was to study the cancer incidence among municipal sewage workers, some exposures that might be connected with cancer risk, and self reported abdominal and respiratory symptoms. In a cohort of municipal sewage workers there was no increase in the overall incidence of cancer when compared with the general population. However, there was a slight increase in the incidence of prostate cancer, but not in the sites of original concern among the workers. Infection by the gastric carcinogen Helicobacter pylori (determined from the presence of IgG antibodies in serum against H pylori) was no more prevalent in sewage workers than in comparable referents. Neither were sewage workers more exposed to genotoxic agents than comparable referents, as measured by the alkaline single cell gel electrophoresis (SCG) assay performed on peripheral lymphocytes. There was no increase in the three-month prevalence of abdominal symptoms when compared with other municipal workers. Specifically, there was no difference in prevalence of the common disorders dyspepsia and irritable bowel syndrome. Sewage workers reported adult bronchial asthma significantly more than the referents.

Understanding of chronic sequelae development after infection with foodborne pathogens is limited and an increased understanding could assist with the development of more accurate burden of disease estimates. The purpose of this thesis was to determine via systematic review and meta-analysis of the published international literature, the proportion of cases of Salmonella, Campylobacter and E. coli O157 that will develop the chronic sequelae of reactive arthritis, haemolytic uraemic syndrome, irritable bowel syndrome, inflammatory bowel disease or Guillain Barré syndrome. This information can be used to increase our understanding of the relationship between infection and the development of long term health complications while providing a key piece of information for the development of accurate burden of disease estimates. / Canadian Institutes of Health Research Institute of Population and Public Health/Public Health Agency of Canada, Applied Public Health Research Chair (awarded to Jan M. Sargeant)

Self-organization of regular surface pattern under ion beam erosion was described in detail by Navez in 1962. Several years later in 1986 Bradley and Harper (BH) published the first self-consistent theory on this phenomenon based on the competition of surface roughening described by Sigmund's sputter theory and surface smoothing by Mullins-Herring diffusion. Many papers that followed BH theory introduced other processes responsible for the surface patterning e.g. viscous flow, redeposition, phase separation, preferential sputtering, etc. The present understanding is still not sufficient to specify the dominant driving forces responsible for self-organization. 3D atomistic simulations can improve the understanding by reproducing the pattern formation with the detailed microscopic description of the driving forces. 2D simulations published so far can contribute to this understanding only partially. A novel program package for 3D atomistic simulations called TRIDER (TRansport of Ions in matter with DEfect Relaxation), which unifies full collision cascade simulation with atomistic relaxation processes, has been developed. The collision cascades are provided by simulations based on the Binary Collision Approximation, and the relaxation processes are simulated with the 3D lattice kinetic Monte-Carlo method. This allows, without any phenomenological model, a full 3D atomistic description on experimental spatiotemporal scales. Recently discussed new mechanisms of surface patterning like ballistic mass drift or the dependence of the local morphology on sputtering yield are inherently included in our atomistic approach. The atomistic 3D simulations do not depend so much on experimental assumptions like reported 2D simulations or continuum theories. The 3D computer experiments can even be considered as 'cleanest' possible experiments for checking continuum theories. This work aims mainly at the methodology of a novel atomistic approach, showing that: (i) In general, sputtering is not the dominant driving force responsible for the ripple formation. Processes like bulk and surface defect kinetics dominate the surface morphology evolution. Only at grazing incidence the sputtering has been found to be a direct cause of the ripple formation. Bradley and Harper theory fails in explaining the ripple dynamics because it is based on the second-order-effect 'sputtering'. However, taking into account the new mechanisms, a 'Bradley-Harper equation' with redefined parameters can be derived, which describes pattern formation satisfactorily. (ii) Kinetics of (bulk) defects has been revealed as the dominating driving force of pattern formation. Constantly created defects within the collision cascade, are responsible for local surface topography fluctuation and cause surface mass currents. The mass currents smooth the surface at normal and close to normal ion incidence angles, while ripples appear first at incidence angles larger than 40°. The evolution of bimetallic interfaces under ion irradiation is another application of TRIDER described in this thesis. The collisional mixing is in competition with diffusion and phase separation. The irradiation with He ions is studied for two extreme cases of bimetals: (i) Irradiation of interfaces formed by immiscible elements, here Al and Pb. Ballistic interface mixing is accompanied by phase separation. Al and Pb nanoclusters show a self-ordering (banding) parallel to the interface. (ii) Irradiation of interfaces by intermetallics forming species, here Pt and Co. Well-ordered layers of phases of intermetallics appear in the sequence Pt/Pt3Co/PtCo/PtCo3/Co. The TRIDER program package has been proven to be an appropriate technique providing a complete picture of mixing mechanisms.

Self-organization of regular surface pattern under ion beam erosion was described in detail by Navez in 1962. Several years later in 1986 Bradley and Harper (BH) published the first self-consistent theory on this phenomenon based on the competition of surface roughening described by Sigmund's sputter theory and surface smoothing by Mullins-Herring diffusion. Many papers that followed BH theory introduced other processes responsible for the surface patterning e.g. viscous flow, redeposition, phase separation, preferential sputtering, etc. The present understanding is still not sufficient to specify the dominant driving forces responsible for self-organization. 3D atomistic simulations can improve the understanding by reproducing the pattern formation with the detailed microscopic description of the driving forces. 2D simulations published so far can contribute to this understanding only partially. A novel program package for 3D atomistic simulations called TRIDER (TRansport of Ions in matter with DEfect Relaxation), which unifies full collision cascade simulation with atomistic relaxation processes, has been developed. The collision cascades are provided by simulations based on the Binary Collision Approximation, and the relaxation processes are simulated with the 3D lattice kinetic Monte-Carlo method. This allows, without any phenomenological model, a full 3D atomistic description on experimental spatiotemporal scales. Recently discussed new mechanisms of surface patterning like ballistic mass drift or the dependence of the local morphology on sputtering yield are inherently included in our atomistic approach. The atomistic 3D simulations do not depend so much on experimental assumptions like reported 2D simulations or continuum theories. The 3D computer experiments can even be considered as 'cleanest' possible experiments for checking continuum theories. This work aims mainly at the methodology of a novel atomistic approach, showing that: (i) In general, sputtering is not the dominant driving force responsible for the ripple formation. Processes like bulk and surface defect kinetics dominate the surface morphology evolution. Only at grazing incidence the sputtering has been found to be a direct cause of the ripple formation. Bradley and Harper theory fails in explaining the ripple dynamics because it is based on the second-order-effect 'sputtering'. However, taking into account the new mechanisms, a 'Bradley-Harper equation' with redefined parameters can be derived, which describes pattern formation satisfactorily. (ii) Kinetics of (bulk) defects has been revealed as the dominating driving force of pattern formation. Constantly created defects within the collision cascade, are responsible for local surface topography fluctuation and cause surface mass currents. The mass currents smooth the surface at normal and close to normal ion incidence angles, while ripples appear first at incidence angles larger than 40°. The evolution of bimetallic interfaces under ion irradiation is another application of TRIDER described in this thesis. The collisional mixing is in competition with diffusion and phase separation. The irradiation with He ions is studied for two extreme cases of bimetals: (i) Irradiation of interfaces formed by immiscible elements, here Al and Pb. Ballistic interface mixing is accompanied by phase separation. Al and Pb nanoclusters show a self-ordering (banding) parallel to the interface. (ii) Irradiation of interfaces by intermetallics forming species, here Pt and Co. Well-ordered layers of phases of intermetallics appear in the sequence Pt/Pt3Co/PtCo/PtCo3/Co. The TRIDER program package has been proven to be an appropriate technique providing a complete picture of mixing mechanisms.