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Institute
- Theodor-Boveri-Institut für Biowissenschaften (83)
- Universität Würzburg (49)
- Medizinische Klinik und Poliklinik I (40)
- Physikalisches Institut (40)
- Graduate School of Life Sciences (39)
- Klinik und Poliklinik für Psychiatrie, Psychosomatik und Psychotherapie (30)
- Institut für Pharmazie und Lebensmittelchemie (29)
- Institut für deutsche Philologie (25)
- Neurologische Klinik und Poliklinik (25)
- Medizinische Klinik und Poliklinik II (22)
Schriftenreihe
Sonstige beteiligte Institutionen
Gegenstand der Untersuchung ist die Patientenkorrespondenz von Samuel Hahnemann mit seiner Patientin Friederike Lutze in der Zeit von 1831 bis 1833. Anhand von Briefen und Tagesberichten werden die Symptome der Patientin, die nach gegenwärtigem Ermessen hauptsächlich psychischer Natur waren, dargelegt und analysiert. Hierbei wird versucht, die zugehörigen Medizinkonzepte und zeitgenössischen Wissensbestände herauszufiltern. Der Zeitraum der Korrespondenz stellt eine Umbruchphase in der Deutung von Gemütssymptomen dar, so dass sowohl humoralpathologische Vorstellungen, wie auch die "Vapeurs" und Nervenleiden als Konzept aufzufinden sind. Selbst die noch in den Kinderschuhen befindliche Psychologie wird von der Patientin aufgegriffen und im Rahmen des Arzt-Patientenverhältnisses thematisiert. Abgeschlossen wird die Arbeit von der Edition aller verfügbaren Krankenberichte und Briefe der Korrespondenz.
Zusammenfassung In der vorliegenden retrospektiven Studie wurde untersucht, ob die präoperativ festgelegten Verlagerungsmaße mittels 3D-Rekonstruktionen aus DVT-Daten ermittelbar sind. Anschließend wurde anhand eines Patientenkollektivs die Umsetzung der Verlagerungsmaße evaluiert. Zur Auswertung wurden standardisierte Modelle und DVT-Scans von 35 Patienten herangezogen. Die Modelle sowie die DVT-Daten wurden im Zeitraum von November 2007 bis September 2009 erstellt. Alle Patienten wurden in der Klinik und Poliklinik für Mund-, Kiefer- und Plastische Gesichtschirurgie der Universität Würzburg aufgrund einer Dysgnathie behandelt. Für die Auswahl der Patienten spielte weder das Alter, das Geschlecht noch der Schweregrad der Dysgnathie eine Rolle. Die Auswertung erfolgte postoperativ durch zwei unabhängige Prüfer, wobei die Patienten zufällig verteilt wurden. Bevor die Umsetzung der Verlagerungsmaße evaluiert wurde, sind die Methodik und die Genauigkeit der Messungen überprüft worden. Die Vermessung der Modelle wurde manuell durchgeführt. Die Analyse der DVT-Daten erfolgte mit einer 3D-Software. Die Ergebnisse der Methodik sind statistisch deskriptiv ausgewertet und interpretiert worden. Für die Evaluation wurde eine kumulative Verteilung erstellt und bewertet. In dieser Studie konnte gezeigt werden, dass man anhand von prä- und postoperativ erstellten DVT-Daten die bei der präoperativen Modell-OP festgelegten Verlagerungsmaße mit den postoperativ erzeugten 3D-Rekonstruktionen vergleichend messen kann. Allerdings ist bei Diskrepanzen der Werte von weniger als 0,97mm von Messungenauigkeiten auszugehen. Desweiteren kann anhand dieser Nachuntersuchung festgehalten werden, dass die Ergebnisse bei 7 der 9 Parameter in 77%-95% der Fälle keine Diskrepanzen aufweisen, die über dem klinisch geforderten Maß liegen. Die einzigen Parameter, die aufgrund der Datenlage eine andere Interpretation nach sich ziehen, sind die Angaben, die hinsichtlich der sagittalen Verlagerung im Unterkiefer gemacht werden. Hierbei kommt es in etwa 40% der Fälle zu Differenzen zwischen den prä- und postoperativen Verlagerungsmaßen, die deutlich größer als 2mm sind. Dabei kann in ca. 60% der Fälle eine zu kleine und in ca. 40% eine zu große Verlagerung festgestellt werden. Eine Aussage über die Feststellung hinaus, dass diese Differenzen bestehen, ist mittels dieser Studie nicht zulässig. Dies liegt zum einen an dem kleinen Patientenkollektiv, das zusätzlich in sich inhomogen war und bei dem unterschiedliche Operationsverfahren zum Einsatz kamen. Die Gründe für diese Unterschiede bzw. deren klinische Relevanz sollte das Ziel einer künftigen Arbeit sein. Allerdings kann durch diese Arbeit gezeigt werden, dass die digitale Volumentomographie dazu verwendet werden kann, bei Dysgnathiepatienten das Operationsziel zu überprüfen und bei Komplikationen zu eruieren, ob der Fehler auf die skelettale Verlagerung zurückzuführen ist oder ob eine andere Ursache ausgemacht werden muss.
Die vorliegende Arbeit beschäftigte sich mit der Entwicklung und Synthese von Inhibitoren der Deoxyhypusin-Hydroxylase (DOHH), die einen wichtigen Schritt in der Aktivierung des eukaryotischen Translationsinitiations-Faktors-5A (eIF-5A) katalysiert. Die Hemmung dieses Metalloenzyms durch kleine Moleküle, die mit dem katalytischen Eisenatom im aktiven Zentrum der DOHH einen Chelatkomplex bilden, hat einen antiproliferativen Effekt auf parasitäre Erreger, wie Plasmodien, Trypanosomen und Leishmanien zur Folge. Ausgehend von den antiplasmodial wirksamen Eisenkomplexbildnern und Pyridon-Derivaten Ciclopirox und Mimosin wurden besser wirksame 2,6-Diaryl-4-oxopiperidincarbonsäuremono- und -diester-Derivate abgeleitet, deren 4-Piperidon-Grundgerüst als Leitstruktur für die Entwicklung von antiplasmodialen und antitrypanosomalen Wirkstoffen fungierte. Entsprechend dieser Leitstrukturen gelang im Zuge dieser Arbeit durch verschiedene Modifikationen der Doppel-Mannich-Reaktion die Erstellung einer weitreichenden Bibliothek 52 strukturell diverser 4-Hydroxytetrahydropyridin-3,5-dicarbonsäurediester 1 – 6, darunter auch erstmals Derivate mit t-Butyl-esterfunktionen und 4-Hydroxytetrahydropyridin-3-carbonsäuremonoester 7 – 8. Dabei konnten vor allem Derivate mit der gewünschten nitroaromatischen Substitution in den Positionen 2 und 6 synthetisiert werden. Darüber hinaus wurden vielfältige Strukturabwandlungen dieser Substanzen in Form von verschiedenen 4-Piperidonderivaten ohne Esterfunktionen, deren Oximen sowie von 4-Hydroxychinoloncarbonsäureestern syn-thetisiert. Die hergestellten Derivate wurden In-vitro-Testungen an Plasmodium falciparum, Trypanosoma brucei brucei und Leishmania major unterzogen. Zusätzlich wurde die Zytotoxizität an der Makrophagen-Zelllinie J774.1 ermittelt.
Background: The role of serotonin (5-hydroxytrptamine, 5-HT) in the modulation of pain has been widely studied. Previous work led to the hypothesis that 5-hydroxyindolacetic acid (5-HIAA), a main metabolite of serotonin, might by itself influence pain thresholds. Results: In the present study, we investigated the role of 5-HIAA in inflammatory pain induced by intraplantar injection of complete Freund’s adjuvant (CFA) into the hind paw of mice. Wild-type mice were compared to mice deficient of the 5-HT transporter (5-HTT-/- mice) using behavioral tests for hyperalgesia and high-performance liquid chromatography (HPLC) to determine tissue levels of 5-HIAA. Wild-type mice reproducibly developed thermal hyperalgesia and paw edema for 5 days after CFA injection. 5-HTT-/- mice treated with CFA had reduced thermal hyperalgesia on day 1 after CFA injection and normal responses to heat hereafter. The 5-HIAA levels in spinal cord and sciatic nerve as measured with HPLC were lower in 5-HTT-/- mice than in wild-type mice after CFA injection. Pretreatment of wild-type mice with intraperitoneal injection of para-chlorophenylalanine (p-CPA), a serotonin synthesis inhibitor, resulted in depletion of the 5-HIAA content in spinal cord and sciatic nerve and decrease in thermal hyperalgesia in CFA injected mice. The application of exogenous 5-HIAA resulted in potentiation of thermal hyperalgesia induced by CFA in 5-HTT-/- mice and in wild-type mice pretreated with p- CPA, but not in wild-type mice without p-CPA pretreatment. Further, methysergide, a broad-spectrum serotonin receptor antagonist, had no effect on 5-HIAA-induced potentiation of thermal hyperalgesia in CFA-treated wildtype mice. Conclusion: Taken together, the present results suggest that 5-HIAA plays an important role in modulating peripheral thermal hyperalgesia in CFA induced inflammation, probably via a non-serotonin receptor mechanism.
A Candidate Approach Implicates the Secreted Salmonella Effector Protein SpvB in P-Body Disassembly
(2011)
P-bodies are dynamic aggregates of RNA and proteins involved in several post-transcriptional regulation processes. Pbodies have been shown to play important roles in regulating viral infection, whereas their interplay with bacterial pathogens, specifically intracellular bacteria that extensively manipulate host cell pathways, remains unknown. Here, we report that Salmonella infection induces P-body disassembly in a cell type-specific manner, and independently of previously characterized pathways such as inhibition of host cell RNA synthesis or microRNA-mediated gene silencing. We show that the Salmonella-induced P-body disassembly depends on the activation of the SPI-2 encoded type 3 secretion system, and that the secreted effector protein SpvB plays a major role in this process. P-body disruption is also induced by the related pathogen, Shigella flexneri, arguing that this might be a new mechanism by which intracellular bacterial pathogens subvert host cell function.
How do physico-chemical stimulus features, perception, and physiology relate? Given the multi-layered and parallel architecture of brains, the question specifically is where physiological activity patterns correspond to stimulus features and/or perception. Perceived distances between six odour pairs are defined behaviourally from four independent odour recognition tasks. We find that, in register with the physico-chemical distances of these odours, perceived distances for 3octanol and n-amylacetate are consistently smallest in all four tasks, while the other five odour pairs are about equally distinct. Optical imaging in the antennal lobe, using a calcium sensor transgenically expressed in only first-order sensory or only second-order olfactory projection neurons, reveals that 3-octanol and n-amylacetate are distinctly represented in sensory neurons, but appear merged in projection neurons. These results may suggest that within-antennal lobe processing funnels sensory signals into behaviourally meaningful categories, in register with the physico-chemical relatedness of the odours.
How do physico-chemical stimulus features, perception, and physiology relate? Given the multi-layered and parallel architecture of brains, the question specifically is where physiological activity patterns correspond to stimulus features and/ or perception. Perceived distances between six odour pairs are defined behaviourally from four independent odour recognition tasks. We find that, in register with the physico-chemical distances of these odours, perceived distances for 3-octanol and n-amylacetate are consistently smallest in all four tasks, while the other five odour pairs are about equally distinct. Optical imaging in the antennal lobe, using a calcium sensor transgenically expressed in only first-order sensory or only second-order olfactory projection neurons, reveals that 3-octanol and n-amylacetate are distinctly represented in sensory neurons, but appear merged in projection neurons. These results may suggest that within-antennal lobe processing funnels sensory signals into behaviourally meaningful categories, in register with the physico-chemical relatedness of the odours.
We investigate transport measurements on all II-VI semiconductor resonant tunneling diodes (RTDs). Being very versatile, the dilute magnetic semiconductor (DMS) system (Zn,Be,Mn,Cd)Se is a perfect testbed for various spintronic device designs, as it allows for separate control of electrical and magnetic properties. In contrast to the ferromagnetic semiconductor (Ga,Mn)As, doping ZnSe with Mn impurities does not alter the electrical properties of the semiconductor, as the magnetic dopant is isoelectric in the ZnSe host.
Female patients affected by Fabry disease, an X-linked lysosomal storage disorder, exhibit a wide spectrum of symptoms, which renders diagnosis, and treatment decisions challenging. No diagnostic test, other than sequencing of the alpha-galactosidase A gene, is available and no biomarker has been proven useful to screen for the disease, predict disease course and monitor response to enzyme replacement therapy. Here, we used urine proteomic analysis based on capillary electrophoresis coupled to mass spectrometry and identified a biomarker profile in adult female Fabry patients. Urine samples were taken from 35 treatment-naive female Fabry patients and were compared to 89 age-matched healthy controls. We found a diagnostic biomarker pattern that exhibited 88.2% sensitivity and 97.8% specificity when tested in an independent validation cohort consisting of 17 treatment-naive Fabry patients and 45 controls. The model remained highly specific when applied to additional control patients with a variety of other renal, metabolic and cardiovascular diseases. Several of the 64 identified diagnostic biomarkers showed correlations with measures of disease severity. Notably, most biomarkers responded to enzyme replacement therapy, and 8 of 11 treated patients scored negative for Fabry disease in the diagnostic model. In conclusion, we defined a urinary biomarker model that seems to be of diagnostic use for Fabry disease in female patients and may be used to monitor response to enzyme replacement therapy.
The analysis of real data by means of statistical methods with the aid of a software package common in industry and administration usually is not an integral part of mathematics studies, but it will certainly be part of a future professional work. The present book links up elements from time series analysis with a selection of statistical procedures used in general practice including the statistical software package SAS. Consequently this book addresses students of statistics as well as students of other branches such as economics, demography and engineering, where lectures on statistics belong to their academic training. But it is also intended for the practician who, beyond the use of statistical tools, is interested in their mathematical background. Numerous problems illustrate the applicability of the presented statistical procedures, where SAS gives the solutions. The programs used are explicitly listed and explained. No previous experience is expected neither in SAS nor in a special computer system so that a short training period is guaranteed. This book is meant for a two semester course (lecture, seminar or practical training) where the first three chapters can be dealt within the first semester. They provide the principal components of the analysis of a time series in the time domain. Chapters 4, 5 and 6 deal with its analysis in the frequency domain and can be worked through in the second term. In order to understand the mathematical background some terms are useful such as convergence in distribution, stochastic convergence, maximum likelihood estimator as well as a basic knowledge of the test theory, so that work on the book can start after an introductory lecture on stochastics. Each chapter includes exercises. An exhaustive treatment is recommended. Chapter 7 (case study) deals with a practical case and demonstrates the presented methods. It is possible to use this chapter independent in a seminar or practical training course, if the concepts of time series analysis are already well understood. This book is consecutively subdivided in a statistical part and an SAS-specific part. For better clearness the SAS-specific parts are highlighted. This book is an open source project under the GNU Free Documentation License.