TY  - THES
A1  - Werner, Monika
T1  - Molekulare Charakterisierung der Reaktion von Lycopersicon esculentum auf den phanerogamen Parasiten Cuscuta reflexa
T1  - Molecular characerisation of the tomato reaction against the phanerogamic parasite Cuscuta reflexa
N2  - In der inkompatiblen Interaktion von Lycopersicon esculentum und Cuscuta reflexa wird die Ausbildung von Haustorien, spezieller Organe, die der Nahrungsaufnahme durch den Parasiten dienen,bereits in einem sehr frühen Stadium der Infektion gehemmt. Um einen Einblick in die Regulationsmechanismen der Tomatenreaktion zu gewinnen, wurde eine Subtraktive Hybridisierung durchgeführt und es konnten 20 Gene identifiziert werden, deren Transkripte nach Cuscuta-Befall im Wirtsgewebe akkumulieren. Entsprechend ihrer möglichen Proteinfunktion lassen sich die mRNAs verschiedenen Bereichen der Tomatenreaktion im Infektionsprozess zuordnen: (a) Abwehr-assoziierte Proteine, (b) Signaltransduktionsassoziierte Proteine, (c) Zellstreckungsassoziierte Proteine und (d) Proteine mit bislang vollständig unbekannter Funktion. Einige der identifizierten mRNAs wurden durch Northern Analysen näher charakterisiert. Da eine der mRNAs eine mögliche Xyloglucanendotransglycosylase (XET) kodiert, wurde die XET-Aktivität im Tomatengewebe nach Infektion bestimmt. Außerdem wurde der Einfluß des Phytohormons Auxin auf die Akkumulation der Xyloglucanendotransglycosylase LeEXT1 sowie des Aquaporins LeAqp2 untersucht. Trotz auxinregulierter Transkription nach Cuscuta-Befall zeigte die auxininsensitive Tomatenmutante diageotropica im Vergleich zum Wildtyp keine veränderte Kompatibilität.
N2  - The resistant host tomato prevents the development of haustoria, specialised parasitic organs for the uptake of water and assimilates, at early stages of infection with the phanerogamic parasite Cuscuta reflexa. In order to elucidate molecular mechanisms involved in tomato response to the attack by Cuscuta reflexa a suppressive subtractive hybridisation technique was used thereby identifying genes expressed following parasitic attachment. The twenty cDNA clones obtained represent mRNAs which possibly encode proteins of several functions during the infection process: (a) defence-related proteins, (b) proteins involved in signal transduction, (c) cell expansion-associated proteins, and (d) proteins with so far unknown function. Of these clones initially identified to have elevated transcript levels within 12 hours after onset of infection, several were further characterised by Northern analysis. One of the genes identified encode a putative xyloglucan endotransglycosylase (XET). The XET activity in tomato tissue was estimated following parasitic onset. After auxin treatment, both the xyloglucan endotransglycosylase LeEXT1 and the aquaporin LeAqp2 mRNA showed elevated transcript levels in cortical cells of tomato stems suggesting a potential in auxin-mediated cell expansion which occurred after parasitic attack. Analysis of the auxin insensitive tomato mutant diageotropica indicated no changes in the degree of compatibility in comparison to the wildtyp.
KW  - Tomate
KW  - Cuscuta reflexa
KW  - Wirt
KW  - Parasit
KW  - Genexpression
KW  - Indonylessigsäure <3->
KW  - Molekularbiologie
KW  - Inkompatible Parasit-Wirt-Interaktion
KW  - Lycopersicon esculentum
KW  - Cuscuta reflexa
KW  - Subtraktive Hybridisierung
KW  - Auxin
KW  - Incompatible parasite-host interaction
KW  - Lycopersicon esculentum
KW  - Cuscuta reflexa
KW  - Subtractive hybridisation
KW  - auxin
Y1  - 2000
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-2462
ER  - 
TY  - JOUR
A1  - Werner, Anne
A1  - Popp, Maria
A1  - Fichtner, Falk
A1  - Holzmann-Littig, Christopher
A1  - Kranke, Peter
A1  - Steckelberg, Anke
A1  - Lühnen, Julia
A1  - Redlich, Lisa Marie
A1  - Dickel, Steffen
A1  - Grimm, Clemens
A1  - Moerer, Onnen
A1  - Nothacker, Monika
A1  - Seeber, Christian
T1  - COVID-19 intensive care — Evaluation of public information sources and current standards of care in German intensive care units: a cross sectional online survey on intensive care staff in Germany
JF  - Healthcare
N2  - Backround: In February 2021, the first formal evidence and consensus-based (S3) guidelines for the inpatient treatment of patients with COVID-19 were published in Germany and have been updated twice during 2021. The aim of the present study is to re-evaluate the dissemination pathways and strategies for ICU staff (first evaluation in December 2020 when previous versions of consensus-based guidelines (S2k) were published) and question selected aspects of guideline adherence of standard care for patients with COVID-19 in the ICU. Methods: We conducted an anonymous online survey among German intensive care staff from 11 October 2021 to 11 November 2021. We distributed the survey via e-mail in intensive care facilities and requested redirection to additional intensive care staff (snowball sampling). Results: There was a difference between the professional groups in the number, selection and qualitative assessment of information sources about COVID-19. Standard operating procedures were most frequently used by all occupational groups and received a high quality rating. Physicians preferred sources for active information search (e.g., medical journals), while nurses predominantly used passive consumable sources (e.g., every-day media). Despite differences in usage behaviour, the sources were rated similarly in terms of the quality of the information on COVID-19. The trusted organizations have not changed over time. The use of guidelines was frequently stated and highly recommended. The majority of the participants reported guideline-compliant treatment. Nevertheless, there were certain variations in the use of medication as well as the criteria chosen for discontinuing non-invasive ventilation (NIV) compared to guideline recommendations. Conclusions: An adequate external source of information for nursing staff is lacking, the usual sources of physicians are only appropriate for the minority of nursing staff. The self-reported use of guidelines is high.
KW  - COVID-19
KW  - implementation
KW  - guideline usage
KW  - guideline adherence
KW  - intensive care
KW  - Germany
KW  - ICU staff
Y1  - 2022
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-281865
SN  - 2227-9032
VL  - 10
IS  - 7
ER  - 
TY  - JOUR
A1  - Schoffer, Olaf
A1  - Schülein, Stefanie
A1  - Arand, Gerlinde
A1  - Arnholdt, Hans
A1  - Baaske, Dieter
A1  - Bargou, Ralf C.
A1  - Becker, Nikolaus
A1  - Beckmann, Matthias W.
A1  - Bodack, Yves
A1  - Böhme, Beatrix
A1  - Bozkurt, Tayfun
A1  - Breitsprecher, Regine
A1  - Buchali, Andre
A1  - Burger, Elke
A1  - Burger, Ulrike
A1  - Dommisch, Klaus
A1  - Elsner, Gudrun
A1  - Fernschild, Karin
A1  - Flintzer, Ulrike
A1  - Funke, Uwe
A1  - Gerken, Michael
A1  - Göbel, Hubert
A1  - Grobe, Norbert
A1  - Gumpp, Vera
A1  - Heinzerling, Lucie
A1  - Kempfer, Lana Raffaela
A1  - Kiani, Alexander
A1  - Klinkhammer-Schalke, Monika
A1  - Klöcking, Sabine
A1  - Kreibich, Ute
A1  - Knabner, Katrin
A1  - Kuhn, Peter
A1  - Lutze, Stine
A1  - Mäder, Uwe
A1  - Maisel, Tanja
A1  - Maschke, Jan
A1  - Middeke, Martin
A1  - Neubauer, Andreas
A1  - Niedostatek, Antje
A1  - Opazo-Saez, Anabelle
A1  - Peters, Christoph
A1  - Schell, Beatrice
A1  - Schenkirsch, Gerhard
A1  - Schmalenberg, Harald
A1  - Schmidt, Peter
A1  - Schneider, Constanze
A1  - Schubotz, Birgit
A1  - Seide, Anika
A1  - Strecker, Paul
A1  - Taubenheim, Sabine
A1  - Wackes, Matthias
A1  - Weiß, Steffen
A1  - Welke, Claudia
A1  - Werner, Carmen
A1  - Wittekind, Christian
A1  - Wulff, Jörg
A1  - Zettl, Heike
A1  - Klug, Stefanie J.
T1  - Tumour stage distribution and survival of malignant melanoma in Germany 2002-2011
JF  - BMC Cancer
N2  - Background

Over the past two decades, there has been a rising trend in malignant melanoma incidence worldwide. In 2008, Germany introduced a nationwide skin cancer screening program starting at age 35. The aims of this study were to analyse the distribution of malignant melanoma tumour stages over time, as well as demographic and regional differences in stage distribution and survival of melanoma patients.

Methods

Pooled data from 61 895 malignant melanoma patients diagnosed between 2002 and 2011 and documented in 28 German population-based and hospital-based clinical cancer registries were analysed using descriptive methods, joinpoint regression, logistic regression and relative survival.

Results

The number of annually documented cases increased by 53.2% between 2002 (N = 4 779) and 2011 (N = 7 320). There was a statistically significant continuous positive trend in the proportion of stage UICC I cases diagnosed between 2002 and 2011, compared to a negative trend for stage UICC II. No trends were found for stages UICC III and IV respectively. Age (OR 0.97, 95% CI 0.97–0.97), sex (OR 1.18, 95% CI 1.11–1.25), date of diagnosis (OR 1.05, 95% CI 1.04–1.06), ‘diagnosis during screening’ (OR 3.24, 95% CI 2.50–4.19) and place of residence (OR 1.23, 95% CI 1.16–1.30) had a statistically significant influence on the tumour stage at diagnosis. The overall 5-year relative survival for invasive cases was 83.4% (95% CI 82.8–83.9%).

Conclusions

No distinct changes in the distribution of malignant melanoma tumour stages among those aged 35 and older were seen that could be directly attributed to the introduction of skin cancer screening in 2008.
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KW  - Malignant melanoma
KW  - TNM staging
KW  - Survival analysis
KW  - Skin cancer screening
KW  - Stage distribution
Y1  - 2016
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-164544
VL  - 16
IS  - 936
ER  -