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- SNP (12)
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- Spracherwerb (12)
- Toll-like-Rezeptoren (12)
- Ultrakurzer Lichtimpuls (12)
- Validierung (12)
- Zelladhäsion (12)
- adolescents (12)
- animal model (12)
- biofabrication (12)
- blood–brain barrier (12)
- carbenes (12)
- case report (12)
- cell cycle (12)
- chemistry (12)
- colorectal carcinoma (12)
- complications (12)
- database (12)
- dementia (12)
- drug delivery (12)
- dynamics (12)
- endothelium (12)
- enzyme replacement therapy (12)
- fear conditioning (12)
- genome (12)
- interaction (12)
- lymphocytes (12)
- malignant hyperthermia (12)
- measles (12)
- metaanalysis (12)
- microarray (12)
- molecular beam epitaxy (12)
- monoclonal antibodies (12)
- neuropathy (12)
- optimization (12)
- osteoarthritis (12)
- pollen (12)
- polymers (12)
- rats (12)
- recombination (12)
- reconstruction (12)
- reliability (12)
- screening (12)
- super-resolution microscopy (12)
- systematic review (12)
- therapeutic drug monitoring (12)
- tinnitus (12)
- total knee arthroplasty (12)
- trabeculectomy (12)
- translation (12)
- ubiquitin (12)
- ultrasound (12)
- vitamin D (12)
- vorsprachliche Entwicklung (12)
- zebrafish (12)
- Überleben (12)
- ++ (11)
- 3D (11)
- ARDS (11)
- Anorexia nervosa (11)
- Antigen CD8 (11)
- Arabidopsis (11)
- B-Zelle (11)
- Bioisosterie (11)
- Biosynthese (11)
- Bioverfügbarkeit (11)
- Bruchpilot (11)
- Candida (11)
- Chromatin (11)
- Click-Chemie (11)
- Diboren (11)
- Dynamik (11)
- EGFR (11)
- Elektronentransfer (11)
- Enzym (11)
- Epidermaler Wachstumsfaktor-Rezeptor (11)
- Flavonoide (11)
- Fließverhalten (11)
- Fluorescence (11)
- Fotovoltaik (11)
- Genom (11)
- Hirntumor (11)
- Hypoxie (11)
- Immuncytochemie (11)
- Immunotherapy (11)
- Japankärpfling (11)
- Knochen (11)
- Knochenersatz (11)
- Kolorektales Karzinom (11)
- Laser (11)
- Längsschnittuntersuchung (11)
- MS (11)
- Mais (11)
- Mathematik (11)
- Medienkompetenz (11)
- Megakaryozyt (11)
- Mensch-Maschine-Kommunikation (11)
- Mesenchymale Stammzellen (11)
- Mesenchymzelle (11)
- Model (11)
- NIRS (11)
- Nanodiamant (11)
- Neuropathie (11)
- Operation (11)
- Osteoinduktion (11)
- PCR (11)
- Parathormon (11)
- Perylenbisimid (11)
- Phylogenie (11)
- Proteaseinhibitor (11)
- Proteasen (11)
- Psychiatrie (11)
- Pulmonale Hypertonie (11)
- Quality of life (11)
- Quanten-Hall-Effekt (11)
- Reperfusion (11)
- Risikofaktoren (11)
- Rotatorenmanschette (11)
- Salmonella (11)
- Schizophrenia (11)
- Schlafapnoe (11)
- Schließzelle (11)
- Schule (11)
- Schädel-Hirn-Trauma (11)
- Silicate (11)
- Skala (11)
- Small RNA (11)
- Sprache (11)
- Squark (11)
- Stammzellen (11)
- Sterblichkeit (11)
- Supraleitung (11)
- Symbiose (11)
- T cell (11)
- Topologie (11)
- Training (11)
- Tuberkelbakterium (11)
- Tumor-Nekrose-Faktor <alpha> (11)
- USA (11)
- Ubiquitin (11)
- Vasodilatator-stimuliertes Phosphoprotein (11)
- Wahrnehmung (11)
- Westafrika (11)
- Zelltod (11)
- adhesion (11)
- age (11)
- allergy (11)
- amygdala (11)
- antibody (11)
- autoantibodies (11)
- biocompatibility (11)
- biofilm (11)
- cancer treatment (11)
- catalysis (11)
- cell adhesion (11)
- cochlear implant (11)
- communication (11)
- coping (11)
- dosimetry (11)
- emotions (11)
- fluorescence microscopy (11)
- glioblastoma multiforme (11)
- hypoxia (11)
- kinetics (11)
- lung (11)
- meiosis (11)
- membrane proteins (11)
- molecular dynamics (11)
- nervous system (11)
- neural networks (11)
- neuroendocrine tumor (11)
- next generation sequencing (11)
- nuclear envelope (11)
- periodontitis (11)
- plasticity (11)
- pollination (11)
- randomized controlled trial (11)
- reactive oxygen species (11)
- relapse (11)
- review (11)
- safety (11)
- synaptic plasticity (11)
- topological insulator (11)
- transport (11)
- university (11)
- Alkohol (10)
- Alzheimer's disease (10)
- Alzheimer’s disease (10)
- Antigen CD28 (10)
- Arzneimittelüberwachung (10)
- Atherosclerosis (10)
- BERA (10)
- Bacteria (10)
- Beschichtung (10)
- Bildverarbeitung (10)
- Bioinformatics (10)
- Biokompatibilität (10)
- Blazar (10)
- Borole (10)
- CRISPR/Cas-Methode (10)
- Cadherine (10)
- Calciumphosphate (10)
- Children (10)
- Chronische Niereninsuffizienz (10)
- Churritisch (10)
- Cochlear-Implantat (10)
- Computertomografie (10)
- Coronaviren (10)
- Cyclo-GMP (10)
- Depressivität (10)
- Diamant (10)
- Dimerisierung (10)
- Dotierung (10)
- Durchflusscytometrie (10)
- Echokardiographie (10)
- Eierstockkrebs (10)
- Elektrochemie (10)
- Elektronenkorrelation (10)
- Englisch (10)
- Enzyminhibitor (10)
- Epidemiologie (10)
- Erbkrankheit (10)
- Ereigniskorreliertes Potenzial (10)
- Erwachsener (10)
- Franken (10)
- Frau (10)
- Funktionalisierung <Chemie> (10)
- Förderung (10)
- Geldpolitik (10)
- Geschlecht (10)
- Glatter Krallenfrosch (10)
- HSM-Satztest (10)
- Herzmuskelzelle (10)
- Honigbiene (10)
- Hypophosphatasie (10)
- Immunology (10)
- Impfstoff (10)
- Induzierte pluripotente Stammzelle (10)
- Interleukin 4 (10)
- JNK (10)
- Klassifikation (10)
- Kniegelenk (10)
- Kohlenstoff (10)
- Komplikation (10)
- Kooperation (10)
- Kultur (10)
- LASP1 (10)
- LC-MS (10)
- LPS (10)
- Ladungstransfer (10)
- Ligand (10)
- Lokalisation (10)
- Mathematikunterricht (10)
- Mathematisches Modell (10)
- Medulloblastom (10)
- Metallocene (10)
- Methylphenidat (10)
- Mikrokerne (10)
- Multiple Myeloma (10)
- Musik (10)
- Mutagenität (10)
- Nahrungserwerb (10)
- Nebennierenrindenkarzinom (10)
- Neolithikum (10)
- Neuropathischer Schmerz (10)
- Niereninsuffizienz (10)
- Niger (10)
- Osteosynthese (10)
- Pain (10)
- Panikstörung (10)
- Parasit (10)
- Parodontitis (10)
- Pathogenität (10)
- Plattenepithelkarzinom (10)
- Prevalence (10)
- Prostaglandine (10)
- Präfrontaler Cortex (10)
- Pädagogik (10)
- Qualitätskontrolle (10)
- RNA interference (10)
- RNA-seq (10)
- RNS-Spleißen (10)
- Remote Sensing (10)
- Rhodium (10)
- Rituximab (10)
- SAR (10)
- Schilddrüse (10)
- Schultergelenk (10)
- Silaanaloga (10)
- Silber (10)
- Silicon (10)
- South Africa (10)
- Sphingolipide (10)
- Sprachverstehen (10)
- Starke Kopplung (10)
- Stickstoffmonoxid-Synthase (10)
- Stroke (10)
- Struktur (10)
- T-Lymphozyten (10)
- T-Lymphozyten-Rezeptor (10)
- Tagesrhythmus (10)
- Totalsynthese (10)
- Toxizität (10)
- Treg (10)
- Trypanosomen (10)
- Verwaltungsrecht (10)
- Vitamin D (10)
- Vor- und Frühgeschichte (10)
- Vorschulkind (10)
- Wachstum (10)
- Zebrabärbling (10)
- amino acids (10)
- antimicrobial resistance (10)
- bariatric surgery (10)
- biosynthesis (10)
- boranes (10)
- cartilage (10)
- chemokines (10)
- circadian rhythms (10)
- clinical trial (10)
- comparison (10)
- complex (10)
- coronary artery disease (10)
- decision-making (10)
- density functional calculations (10)
- eNOS (10)
- education (10)
- emotion regulation (10)
- fear (10)
- genome-wide association (10)
- head and neck cancer (10)
- heart rate (10)
- hydrogels (10)
- immunomodulation (10)
- injury (10)
- insect (10)
- knockout (10)
- leaf-cutting ants (10)
- leukemia (10)
- lymph nodes (10)
- mechanism (10)
- membrane potential (10)
- microbiome (10)
- microglia (10)
- molecular imaging (10)
- motivation (10)
- oncolytic virotherapy (10)
- oncolytic virus (10)
- oxidativer Stress (10)
- phenotype (10)
- proteomics (10)
- regulatorische T-Zellen (10)
- remodeling (10)
- senescence (10)
- silicon (10)
- social interaction (10)
- stem cell transplantation (10)
- tDCS (10)
- thrombosis (10)
- tight junctions (10)
- tumor microenvironment (10)
- tumors (10)
- vaccination (10)
- vertigo (10)
- water oxidation (10)
- Östrogene (10)
- 3 (9)
- Adenosin (9)
- Adenosine receptors (9)
- Affekt (9)
- Afrika (9)
- Alps (9)
- Analyse (9)
- Angeregter Zustand (9)
- Anxiety (9)
- Aorta (9)
- BMP-2 (9)
- Bakterielle Infektion (9)
- Bauchspeicheldrüsenkrebs (9)
- Beyond Standard Model (9)
- Bordetella pertussis (9)
- Borylierung (9)
- Boğazkale (9)
- Butyrat (9)
- CRISPR/Cas9 (9)
- Carbene (9)
- Carcinogenese (9)
- Catalysis (9)
- Chiralität <Chemie> (9)
- Cloud Computing (9)
- Computational chemistry (9)
- Covid-19 (9)
- Dendritic cells (9)
- Diborane (9)
- Digital Humanities (9)
- Diskursanalyse (9)
- Dünndarm (9)
- Einzelphotonenemission (9)
- Elektroencephalographie (9)
- Elektronenmikroskopie (9)
- Elektronenstruktur (9)
- Elementarteilchenphysik (9)
- Epithel (9)
- Ernährung (9)
- Experimentelle Psychologie (9)
- Extremwertstatistik (9)
- Familie (9)
- Fanconi Anämie (9)
- Fettgewebe (9)
- Fibroblastenwachstumsfaktor (9)
- Fibromyalgie (9)
- Frühgeborene (9)
- Funktionelle Kernspintomografie (9)
- GIS (9)
- Geistigbehindertenpädagogik (9)
- Gentherapie (9)
- Geoinformationssystem (9)
- Geruchswahrnehmung (9)
- Glioblastoma (9)
- Google Earth Engine (9)
- Grammatik (9)
- Grenzfläche (9)
- Handlungsorientierung (9)
- Hethiter (9)
- Hyaluronsäure (9)
- IL-4 (9)
- Immunfluoreszenz (9)
- Immunisierung (9)
- Innovation (9)
- Instrumentelle Analytik (9)
- Integrine (9)
- Interview (9)
- Iran (9)
- Isolierung <Chemie> (9)
- Jugendliche (9)
- Kapillarelektrophorese (9)
- Knorpel (9)
- Kommunikation (9)
- Koordinationslehre (9)
- Korpus <Linguistik> (9)
- Landsat (9)
- Leber (9)
- Linguistik (9)
- Löslichkeit (9)
- MAPK (9)
- Macrophage (9)
- Magnesiumphosphate (9)
- Magnetische Resonanz (9)
- Magnetismus (9)
- Mehrfachbindung (9)
- Mehrsprachigkeit (9)
- Messenger-RNS (9)
- Metakognition (9)
- Mice (9)
- Molekulare Erkennung (9)
- Monitoring (9)
- Morphologie (9)
- Mukoviszidose (9)
- Myokardprotektion (9)
- NAFLD (9)
- NO (9)
- Nebennierenrindenkrebs (9)
- Neuroinflammation (9)
- Nierentransplantation (9)
- Oberflächenphysik (9)
- Optoelektronik (9)
- PD-1 (9)
- Pathogenese (9)
- Pharmakotherapie (9)
- Photolumineszenzspektroskopie (9)
- Physiologie (9)
- Plasmamembran (9)
- Platelets (9)
- Protein (9)
- Pseudomonas syringae (9)
- Psychoonkologie (9)
- Psychotherapie (9)
- Quantenmechanik (9)
- Radiotherapy (9)
- Rechenzentrum (9)
- Rechtsvergleich (9)
- Regeneration (9)
- Regionalentwicklung (9)
- Revision (9)
- Sarkoidose (9)
- Satellit (9)
- Schmalwand <Arabidopsis> (9)
- Schwindel (9)
- Schüttgut (9)
- Sentinel-1 (9)
- Squaraine (9)
- Staphylococcus (9)
- Stathmin (9)
- Stereoselektive Synthese (9)
- Stressreaktion (9)
- Supply Chain Management (9)
- Syntax (9)
- Systembiologie (9)
- Südafrika (9)
- TWEAK (9)
- Textverstehen (9)
- Theologie (9)
- Tourismus (9)
- Trabekulektomie (9)
- Transplantat (9)
- Transplantat-Wirt-Reaktion (9)
- Transport (9)
- Trypanosoma (9)
- Tumorantigen (9)
- Vakuole (9)
- Vergleich (9)
- Visuelle Aufmerksamkeit (9)
- Wurzel (9)
- X-ray crystallography (9)
- Zellkern (9)
- Zinkselenid (9)
- aggregation (9)
- agriculture (9)
- aldosterone (9)
- antennal lobe (9)
- anxiety disorders (9)
- aromaticity (9)
- atrial fibrillation (9)
- biomechanics (9)
- blood brain barrier (9)
- body size (9)
- bone cement (9)
- cancer therapy (9)
- cell culture (9)
- cell wall (9)
- central nervous system (9)
- chronic heart failure (9)
- collagen (9)
- coronary heart disease (9)
- cystic fibrosis (9)
- decision making (9)
- dendritische Zellen (9)
- dialysis (9)
- dispersal (9)
- earth observation (9)
- electron microscopy (9)
- electrophysiology (9)
- energy (9)
- experimental autoimmune encephalomyelitis (9)
- family (9)
- fatigue (9)
- forest (9)
- gene therapy (9)
- genomics (9)
- glioma (9)
- global change (9)
- glucose (9)
- high energy physics (9)
- hip (9)
- hyaluronic acid (9)
- hydrogel (9)
- impact (9)
- incidence (9)
- inhibitor (9)
- interferon (9)
- mapping (9)
- mechanotransduction (9)
- mesenchymale Stammzellen (9)
- metapopulation (9)
- methylation (9)
- mitosis (9)
- monitoring (9)
- monoklonale Antikörper (9)
- myocardium (9)
- near-infrared spectroscopy (9)
- neurology (9)
- organic chemistry (9)
- organic semiconductors (9)
- pathway (9)
- permeability (9)
- platelet activation (9)
- platelet aggregation (9)
- prognostic factors (9)
- quality assurance (9)
- quantification (9)
- rectal cancer (9)
- reveals (9)
- spinal muscular atrophy (9)
- synapse (9)
- systematic uncertainty (9)
- temperature (9)
- tolerance (9)
- transcription factor (9)
- transient absorption (9)
- transmission (9)
- type 2 diabetes (9)
- vaccine (9)
- walking (9)
- water (9)
- wound healing (9)
- Übersetzung (9)
- ATLAS (8)
- Adhärenz (8)
- Aggregat <Chemie> (8)
- Akt (8)
- Aktiver galaktischer Kern (8)
- Alltagskultur (8)
- Ancistrocladaceae (8)
- Anthocyane (8)
- Antigen (8)
- Antigen CD40 (8)
- Aortenklappenersatz (8)
- Aortenstenose (8)
- Arthroskopie (8)
- Arzneimittelforschung (8)
- Asymmetrie (8)
- Asymmetrische Synthese (8)
- Auge (8)
- Autoaggressionskrankheit (8)
- Autonomer Roboter (8)
- Autophagie (8)
- Bauchspeicheldrüse (8)
- Biotransformation (8)
- Biradikal (8)
- Blimp-1 (8)
- Blutdruck (8)
- Blutstammzelle (8)
- Botanik (8)
- Brain (8)
- Burkina Faso (8)
- CD28 (8)
- CD40 (8)
- CD95 (8)
- COMT (8)
- CT (8)
- Caenorhabditis elegans (8)
- Camponotus floridanus (8)
- Chlamydia (8)
- Compressed Sensing (8)
- Cross-Section (8)
- Cysteinproteasen (8)
- Cytomegalie-Virus (8)
- DLBCL (8)
- Data Mining (8)
- Datenbank (8)
- Deep learning (8)
- Demenz (8)
- Deutschunterricht (8)
- Diagnose (8)
- Diborene (8)
- ERK (8)
- Elektronenspin (8)
- Elektronenspinresonanz (8)
- Emotionsregulation (8)
- Endothelzellen (8)
- Engagement (8)
- Erbrechen (8)
- Europa (8)
- Europe (8)
- Fachdidaktik (8)
- Femtosekundenbereich (8)
- Fibroblasten (8)
- Finite-Elemente-Methode (8)
- Fitness (8)
- Fluoreszenzspektroskopie (8)
- Forschung (8)
- Fußball (8)
- GABA (8)
- Gammastrahlung (8)
- Gedächtnisleistung (8)
- Geschlechtsunterschied (8)
- Gewebe (8)
- Gliom (8)
- HPLC-MS (8)
- Habichtskraut (8)
- Harnwegsinfektion (8)
- Haut (8)
- Hernie (8)
- Herzmuskelkrankheit (8)
- Hochbegabung (8)
- Hubbard-Modell (8)
- Humangenetik (8)
- Hymenoptera (8)
- Hypertrophie (8)
- Hüftgelenk (8)
- IL-10 (8)
- Immunantwort (8)
- Impulsivität (8)
- In vivo (8)
- Indien (8)
- Inklusion (8)
- Juvenile chronische Arthritis (8)
- Keilschrifttext (8)
- Kephalometrie (8)
- Kieferorthopädie (8)
- Kinetik (8)
- Kleinsatellit (8)
- Knockout (8)
- Komposit <Zahnmedizin> (8)
- Kondo-Effekt (8)
- Korrelation (8)
- Kreuzband (8)
- Kristallstruktur (8)
- Landwirtschaft (8)
- Langerhans-Inseln (8)
- Lanthanoide (8)
- Lehre (8)
- Lernautonomie (8)
- Lower Franconia (8)
- Lungenfibrose (8)
- Machine Learning (8)
- Magenbypass (8)
- Makuladegeneration (8)
- Mass (8)
- Meeresschwämme (8)
- Meiosis (8)
- Meningitis (8)
- Meningokokken (8)
- Methode (8)
- Mikroglia (8)
- Mikrokerntest (8)
- Mikrostruktur (8)
- Mitochondrien (8)
- Mobiler Roboter (8)
- Monozyt (8)
- Monozyten (8)
- Multiple myeloma (8)
- N-heterocyclic carbenes (8)
- NSCLC (8)
- Nachsorge (8)
- Naturstoff (8)
- Neugeborenes (8)
- Neutrino (8)
- Oberfläche (8)
- Obesity (8)
- Onkolyse (8)
- Optogenetik (8)
- Organisches Molekül (8)
- Oxylipine (8)
- PD-L1 (8)
- PONV (8)
- Pankreaskarzinom (8)
- Parton distributions (8)
- Pemphigus (8)
- Peptide (8)
- Periphere arterielle Verschlusskrankheit (8)
- Permeabilität (8)
- Persönlichkeit (8)
- Pharmakodynamik (8)
- Photodissoziation (8)
- Photovoltaik (8)
- Platin (8)
- Pollen (8)
- Polycyclische Aromaten (8)
- Protein p53 (8)
- Proteinbindung (8)
- Protonen-NMR-Spektroskopie (8)
- Präkonditionierung (8)
- Psychische Störung (8)
- Pump-Probe-Technik (8)
- Quantendynamik (8)
- Quelle (8)
- Quran (8)
- Radikal <Chemie> (8)
- Raf <Biochemie> (8)
- Raf-Kinasen (8)
- Raman spectroscopy (8)
- Rastertunnelmikroskop (8)
- Rechenzentrum Universität Würzburg (8)
- Regenerative Medizin (8)
- Rekombination (8)
- Retroviren (8)
- Ringöffnungspolymerisation (8)
- Roman (8)
- Röntgen-Photoelektronenspektroskopie (8)
- Salmonella typhimurium (8)
- Schmerzforschung (8)
- Schwämme (8)
- Semimagnetischer Halbleiter (8)
- Siliciumcarbid (8)
- Sozialpsychologie (8)
- Sprachaudiometrie (8)
- Statistik (8)
- Stent (8)
- Stofftransport <Biologie> (8)
- Synthesis (8)
- T cell activation (8)
- T lymphocytes (8)
- T-Zelle (8)
- TDM (8)
- Tabak (8)
- Tagung (8)
- Text Mining (8)
- Textanalyse (8)
- Therapy (8)
- Thrombosis (8)
- Thrombozyten (8)
- Thymus (8)
- Tight junction (8)
- Titan (8)
- Transkriptomanalyse (8)
- Transthorakale Echokardiographie (8)
- Trypanosomiase (8)
- Tumorimmunologie (8)
- UAV (8)
- Ultraschalldiagnostik (8)
- Virusinfektion (8)
- Visualisierung (8)
- Vulnerabilität (8)
- Wirkstofffreisetzung (8)
- Zahnmedizin (8)
- Zeitreihenanalyse (8)
- Zentralnervensystem (8)
- actin cytoskeleton (8)
- adherence (8)
- amyotrophic lateral sclerosis (8)
- analysis of variance (8)
- animal models (8)
- antigen (8)
- astrocytes (8)
- bioinformatics (8)
- body mass index (8)
- borylene (8)
- calcium phosphate (8)
- cardiac surgery (8)
- cardiovascular disease (8)
- cell migration (8)
- central complex (8)
- ceramide (8)
- cerebrospinal fluid (8)
- charge transfer (8)
- chromatin (8)
- chronic pain (8)
- cleft lip and palate (8)
- coagulation (8)
- cognitive impairment (8)
- coherence (8)
- computed tomography (8)
- copper (8)
- cortisol (8)
- cuticular hydrocarbons (8)
- decay (8)
- division of labor (8)
- domain (8)
- dystonia (8)
- electroencephalography (8)
- electronic properties and materials (8)
- electronic structure (8)
- embodiment (8)
- endocytosis (8)
- extinction (8)
- flavonoids (8)
- foamy virus (8)
- forest management (8)
- gephyrin (8)
- hearing (8)
- histology (8)
- immune evasion (8)
- immunology (8)
- implant (8)
- in vivo imaging (8)
- induced pluripotent stem cells (8)
- integrins (8)
- iron (8)
- jet energy scale (8)
- juvenile idiopathic arthritis (8)
- kinematic alignment (8)
- latency (8)
- mHealth (8)
- macrophage (8)
- major depression (8)
- meta-analysis (8)
- methylphenidate (8)
- microenvironment (8)
- microstructure (8)
- monocyte (8)
- mutualism (8)
- neurogenesis (8)
- oncology (8)
- optimal control (8)
- organic solar cells (8)
- pediatrics (8)
- perfusion (8)
- peripheral nervous system (8)
- personality (8)
- pharmacology (8)
- photocatalysis (8)
- phylogeny (8)
- polycyclic aromatic hydrocarbons (8)
- preconditioning (8)
- presence (8)
- protease (8)
- pulmonary hypertension (8)
- questionnaire (8)
- radiation (8)
- radicals (8)
- receptors (8)
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- secretion (8)
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- semiconductor (8)
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- signaling (8)
- sleep (8)
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- sodium (8)
- species richness (8)
- spintronics (8)
- staphylococcus aureus (8)
- structure (8)
- subthalamic nucleus (8)
- susceptibility (8)
- targeted therapy (8)
- thymus (8)
- tool (8)
- 53BP1 (7)
- Adsorption (7)
- Adulte Stammzelle (7)
- Africa (7)
- Aktin (7)
- Aktivierung (7)
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- Akute myeloische Leukämie (7)
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- Blut (7)
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- Bordetella (7)
- Borylenkomplexe (7)
- CMV (7)
- CNS (7)
- Calciumkanal (7)
- Catecholmethyltransferase <Catechol-0-Methyltransferase> (7)
- Charakterisierung (7)
- Charcot-Marie-Tooth (7)
- Chronobiologie (7)
- Chrysomelidae (7)
- Cisplatin (7)
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- Cytoskeleton (7)
- DHEA (7)
- DNS-Doppelstrangbruch (7)
- Darm (7)
- Degradation (7)
- Deutsch als Fremdsprache (7)
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- Dopamine (7)
- Durchblutung (7)
- Durchflusszytometrie (7)
- Dysgnathie (7)
- E-Learning (7)
- ELISA (7)
- ELISPOT (7)
- EMG (7)
- ERK1/2 (7)
- ERN (7)
- Einwandige Kohlenstoff-Nanoröhre (7)
- Eisen (7)
- Elektrokardiogramm (7)
- Embryo (7)
- Endoprothetik (7)
- Ethik (7)
- Exziton-Polariton (7)
- FISH (7)
- Fahrsimulator (7)
- Festkörperoberfläche (7)
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- LEED (7)
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- REMPI (7)
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- SMA (7)
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- Wolfram (7)
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- absorption (7)
- acute ischemic stroke (7)
- acute kidney injury (7)
- acute myeloid leukemia (7)
- adaptation (7)
- adipose tissue (7)
- adolescence (7)
- adolescent (7)
- adult neurogenesis (7)
- adults (7)
- aggression (7)
- algorithm (7)
- allogeneic stem cell transplantation (7)
- anemia (7)
- animal behavior (7)
- antibacterial activity (7)
- antibiotic resistance (7)
- antidepressant (7)
- arabidopsis thaliana (7)
- behaviour (7)
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- butyrate (7)
- caffeine (7)
- capillary electrophoresis (7)
- carbon dioxide (7)
- carcinoma (7)
- cell membranes (7)
- change detection (7)
- chemokine receptor (7)
- classical conditioning (7)
- click chemistry (7)
- cognition (7)
- cognitive control (7)
- cognitive decline (7)
- comparative genomics (7)
- complexes (7)
- crystallization (7)
- cytokinesis (7)
- cytotoxic T cells (7)
- degeneration (7)
- degradation (7)
- diborynes (7)
- diffusion (7)
- distribution (7)
- drought (7)
- drug (7)
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- efficacy (7)
- exciton (7)
- extracellular vesicles (7)
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- genes (7)
- genomic damage (7)
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- health-related quality of life (7)
- heterocycles (7)
- honey bee (7)
- hymenoptera (7)
- hypophosphatasia (7)
- immersion (7)
- immunofluorescence (7)
- immunoprecipitation (7)
- inflammatory bowel disease (7)
- kinase (7)
- knee (7)
- knockout mice (7)
- kolorektales Karzinom (7)
- learning and memory (7)
- lithium (7)
- localization (7)
- locomotion (7)
- luciferase (7)
- melt electrospinning writing (7)
- membrane (7)
- meningitis (7)
- minimally invasive (7)
- modeling (7)
- molecular biology (7)
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- morphology (7)
- motility (7)
- motoneuron (7)
- mri (7)
- multicenter (7)
- myelin (7)
- nanodiamond (7)
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- oxidation (7)
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- pancreas (7)
- pathogens (7)
- pemphigus (7)
- permafrost (7)
- photoinduced electron transfer (7)
- plasmodium falciparum (7)
- population (7)
- potassium (7)
- pre-speech development (7)
- precision medicine (7)
- primary care (7)
- progression (7)
- prospective (7)
- psoriasis (7)
- pulse shaping (7)
- quantum dots (7)
- quantum dynamics (7)
- radioiodine therapy (7)
- radioligand therapy (7)
- random forest (7)
- recovery (7)
- recruitment (7)
- reperfusion (7)
- resilience (7)
- responses (7)
- retina (7)
- risk factor (7)
- rotator cuff (7)
- sRNA (7)
- salt stress (7)
- secondary prevention (7)
- segmentation (7)
- semiconductors (7)
- serotonin transporter (7)
- sex chromosomes (7)
- shear stress (7)
- signaltransduction (7)
- smoking (7)
- social anxiety (7)
- social cognition (7)
- speech audiometry (7)
- superconductivity (7)
- target (7)
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- technology (7)
- telomeres (7)
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- total hip arthroplasty (7)
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- trial (7)
- variability (7)
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- wearable (7)
- Übergewicht (7)
- - (6)
- 18F-FDG (6)
- 2 (6)
- 3D tissue model (6)
- ABA (6)
- ACC (6)
- AMPK (6)
- ANP (6)
- ATLAS <Teilchendetektor> (6)
- Abwehrreaktion (6)
- AdS-CFT-Korrespondenz (6)
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- Frankreich (6)
- Französisch (6)
- Funktion (6)
- Funktionelle NMR-Tomographie (6)
- GC-MS (6)
- GaAs (6)
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- Karriere (6)
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- Keratinozyt (6)
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- Komplexität (6)
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- acid sphingomyelinase (6)
- actinomycetes (6)
- adenosine (6)
- adsorption (6)
- ageing (6)
- alignment (6)
- alkaloids (6)
- alternative splicing (6)
- altitudinal gradient (6)
- anorexia nervosa (6)
- antidepressants (6)
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- hyperekplexia (5)
- hypertrophy (5)
- immunization (5)
- implementation (5)
- in situ hybridization (5)
- in vitro model (5)
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- inhibitors (5)
- innovation (5)
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- integration (5)
- integrin (5)
- intestine (5)
- ion channel (5)
- iron oxide nanoparticles (5)
- irradiation (5)
- jasmonates (5)
- keratinocytes (5)
- kinematics (5)
- knee arthroplasty (5)
- lactate (5)
- land cover (5)
- language acquisition (5)
- larvae (5)
- late enhancement (5)
- lipid rafts (5)
- long-term outcome (5)
- longitudinal study (5)
- loss of heterozygosity (5)
- loudness (5)
- magnetism (5)
- masked priming (5)
- mechanical thrombectomy (5)
- medical education (5)
- medical rehabilitation (5)
- megakaryocyte (5)
- mental disorders (5)
- mesenchymal stem cell (5)
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- microbiology (5)
- microglomeruli (5)
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- modelling (5)
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- neurotrophic factor (5)
- newborn hearing screening (5)
- nickel (5)
- nitric oxide synthase (5)
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- nucleolus (5)
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- patch-clamp (5)
- pathogenicity (5)
- peptide (5)
- persistence (5)
- pharmacokinetic (5)
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- phylogenetic analysis (5)
- plants (5)
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- porin (5)
- power (5)
- predictors (5)
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- protein binding (5)
- protein expression (5)
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- psychological distress (5)
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- quality (5)
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- specificity (5)
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- spin (5)
- spinal cord (5)
- splicing (5)
- stability (5)
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- subtypes (5)
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- xx (5)
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- γ-H2AX (5)
- --- (4)
- 3D Printing (4)
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- 3D reconstruction (4)
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- ACL (4)
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- Johns Hopkins School of Medicine (18)
- Fraunhofer-Institut für Silicatforschung ISC (8)
- IZKF Nachwuchsgruppe Geweberegeneration für muskuloskelettale Erkrankungen (7)
- Akademie der Wissenschaften und der Literatur, Mainz (6)
- DFG Forschungsgruppe 2757 / Lokale Selbstregelungen im Kontext schwacher Staatlichkeit in Antike und Moderne (LoSAM) (6)
- Clinical Trial Center (CTC) / Zentrale für Klinische Studien Würzburg (ZKSW) (5)
- Helmholtz Institute for RNA-based Infection Research (HIRI) (5)
- Johns Hopkins University School of Medicine (5)
- Universität Leipzig (5)
ResearcherID
- B-1911-2015 (1)
- B-4606-2017 (1)
- C-2593-2016 (1)
- D-1221-2009 (1)
- D-1250-2010 (1)
- D-3057-2014 (1)
- I-5818-2014 (1)
- J-8841-2015 (1)
- M-1240-2017 (1)
- N-2030-2015 (1)
Integrative, three-dimensional \(in\) \(silico\) modeling of gas exchange in the human alveolus
(2024)
The lung plays a vital role by exchanging respiratory gases. At the core of this gas exchange is a simple yet crucial passive diffusion process occurring within the alveoli. These balloon-like structures, connected to the peripheral airways, are surrounded by a dense network
of small capillaries. Here, inhaled air comes into close proximity with deoxygenated blood coming from the heart, enabling the exchange of oxygen and carbon dioxide across their concentration gradients.
The efficiency of gas exchange can be measured through indicators such as the diffusion capacity of the lung for oxygen and the reaction half-time. A notable discrepancy exists in humans between physiological estimates of diffusion capacity and the theoretical maximum capacity under optimal structural conditions (morphological estimate). This discrepancy is influenced by a range of interrelated factors, including structural elements like the surface area and thickness of the diffusion barrier, as well as physiological factors such as blood flow dynamics. To unravel the different roles of these factors, we investigated how morphological and physiological properties of the human alveolar micro-environment collectively and individually influence the process of gas exchange. To this end, we developed an integrative in silico approach combining 3D morphological modeling and simulation of blood flow and of oxygen transport.
At the core of our approach lies the simulation software Alvin, serving as an interactive platform for the underlying mathematical model of oxygen transport within the alveolus. Developed by integrating and expanding existing mathematical models, our spatio-temporal model produces results in agreement with experimental data. Alvin allows for real-time parameter adjustments and the execution of multiple simultaneous simulation instances and provides detailed quantitative feedback, offering an immersive exploration of the simulated gas exchange process. The morphological and physiological parameters at play were further investigated with a focus on the microvasculature. By compiling a stereological database from the literature and 3D geometric modeling, we created a sheet-flow model as a realistic representation of the morphology of the human alveolar capillary network. Blood flow was simulated using computational fluid dynamics. Our findings were in line with previous estimations and highlighted the crucial role of viscosity models in predicting pressure drop across the microvasculature. Furthermore, we showcased how our approach can be harnessed to explore structural details, such as the connectivity of the alveolar capillary network with the vascular tree, using blood flow indices. It is important to emphasize that
so far we have relied on different data sources and that experimental validation is needed to move forward.
Integration of our findings into Alvin allowed quantification of the simulated gas exchange process through the diffusion capacity for oxygen and reaction half-time. In addition to evaluating the collective influences of the morphological and physiological properties, our interactive software facilitates the assessment of individual parameter value changes. Exploring blood volume and surface area available for gas exchange revealed linear correlations with diffusion capacity. The blood flow velocity had a positive, non-linear effect on diffusion capacity. The reaction half-time confirmed that under normal conditions, the gas exchange process is not diffusion-limited. Collectively, our alveolar model yielded a diffusion capacity value that fell in the middle of previous physiological and morphological estimates, implying that alveolar-level phenomena contribute to 50% of the diffusion capacity limitations that occur in vivo.
In summary, our integrative in silico approach disentangles various structural and functional influences on alveolar gas exchange, complementing traditional investigations in respiratory
research. We further showcase its utility in teaching and the interpretation of published data. To advance our understanding, future work should prioritize obtaining a cohesive experimental data set and identifying an appropriate viscosity model for blood flow simulations.
Die Gesellschaft altert und es erhalten vermehrt geriatrische Patienten radikale urologische Eingriffe. Alte Patienten haben im Rahmen derartiger Operationen ein erhöhtes Risiko sowohl für Komplikation, verschlechtertes funktionelles Outcome und Mortalität. Da alte Patienten dennoch von den Operationen profitieren können und diese auch weitgehend sicher bei diesen durchgeführt werden können, gilt es das geriatrische Patientenklientel in Bezug auf ihre Konstitution präoperativ genauer zu evaluieren.
Die Erlanger Pilotstudie, an die sich vorliegende Arbeit anlehnt, hat dazu einen Index für Patienten ≥ 70 Jahre mit geplanter Prostatektomie, Nephrektomie und Zystektomie entwickelt, der sowohl das postoperative funktionelle Outcome nach 30 bzw. 180 Tagen, wie auch die Mortalität, nicht aber Komplikationen signifikant korrekt vorhersagen konnte. Ziel vorliegender Arbeit war es, die Prädiktivität des Erlangen Index hinsichtlich dieser vier Endpunkte in einer prospektiv angelegten Studie mit n=46 Patienten ≥ 65 Jahre am Universitätsklinikum Würzburg zu validieren. Es sollte dabei im Speziellen die in der Erlanger Pilotstudie erfasste gute Prädiktivität des Erlangen Index für das funktionelle Outcome nach 180 Tagen überprüft werden.
In dieser Arbeit zeigte sich der Erlangen Index prädiktiv für das funktionelle Outcome nach 180 Tagen. Für die anderen Endpunkte konnte keine Prädiktivität des Erlangen Index festgestellt werden. Durch vorliegende Studie konnte die schlechte Prädiktion der Komplikationen durch den EI bestätigt werden. Anders als in der Pilotstudie war der Erlangen Index in vorliegender Studie zur Vorhersage des funktionellen Outcome nach 30 Tagen und der Mortalität nicht geeignet. Bei Betrachtung der Untergruppen nach Art der Operation zeigte der EI starke Korrelationen für die Prädiktion des funktionellen Outcome nach 180 Tagen in den Gruppen der Patienten nach Prostata- und Harnblasenoperation. Die Ergebnisse decken sich somit nur teilweise mit den Ergebnissen aus der Pilotstudie in Erlangen, in der der Erlangen Index bzgl. des funktionellen Outcome nach 180 Tagen die größte Korrelation in der Untergruppe der Patienten nach Nephrektomie zeigte.
Der Index erwies sich als schnell durchführbares Assessment, das wenig Personal erfordert. Es ist weiter zu prüfen, ob sich durch Anwendung dieses Assessment tatsächlich Änderungen im klinischen Therapieregime ergeben bzw. ob sich die Modifizierungen der Therapie auch in einem verbesserten Outcome der Patienten auswirken.
Der kathetergestützte Aortenklappenersatz nimmt auch bei Patienten mit niedrigem OP-Risiko einen zunehmend größeren Stellenwert zur Behandlung der hochgradigen Aortenklappenstenose ein.45 Umso wichtiger ist es, die einzelnen Schritte der Intervention zu optimieren. In einigen Arbeiten wurde bereits die Vordilatation als obsolet bezeichnet, da sie lediglich die OP-Zeit verlängere und Komplikationen wie Schlaganfälle und AV-Blockierungen begünstige.22,52,53,57,59 Ziel dieser Studie war es, die Vor- und Nachteile der Vordilatation zu untersuchen. Hierzu wurden 625 Patienten, die im Zeitraum von 2016-2020 eine TAVI am UKW erhielten, retrospektiv analysiert (323 mit, 302 ohne Vordilatation). Es wurden demographische sowie prä-, peri- und post-interventionelle Daten analysiert. Statistisch signifikante Unterschiede wurden bei den Schlaganfällen beobachtet (p=0,01), die mit 2,2% lediglich bei Patienten mit Vordilatation auftraten, sodass bei einem hohen Schlaganfallrisiko hierauf verzichtet werden sollte. Zusätzlich war in der Gruppe mit Vordilatation die passagere Schrittmacherabhängigkeit signifikant häufiger (p=0,01). Alle anderen Komplikationen waren nicht signifikant. In beiden Gruppen zeigte sich zu >95% ein Device-Success, sodass der Verzicht auf eine Prädilatation nicht mit einem schlechteren Outcome assoziiert und somit sicher ist.53,57,58,59,61
Die Auswertung der TTE-Daten zeigte, dass eine Prädilatation durchgeführt wurde, wenn die Klappe signifikant höhergradig stenosiert war (Pmean 50,17 vs. 46,79mmHG). Ferner wurde bei leichtgradigen Aortenklappeninsuffizienzen signifikant häufiger auf eine Vordilatation verzichtet (p=0,04). Eine Vordilatation kann also bei komplexeren anatomischen Verhältnissen sinnvoll sein, um einen optimalen Klappensitz zu gewährleisten.52,53 Nach TAVI zeigte sich die LV-EF in der Gruppe mit Prädilatation signifikant höher (p=0,002). Höhergradige Aortenklappeninsuffizienzen scheinen nicht durch eine Vordilatation begünstigt zu sein, die AI°II wurde nur bei 4 Patienten ohne Vordilatation beobachtet. In den postinterventionellen EKG-Daten zeigten sich in der Gruppe ohne Vordilatation signifikant häufiger Linksschenkelblöcke sowie ein AVB °II, Typ II, was vermutlich durch die fehlende Vorbereitung der Klappe und den damit assoziierten ungünstigeren Prothesensitz zu erklären ist.53 Die Nachdilatation wurde nicht durch eine vorausgegangene Vordilatation beeinflusst. Bezüglich der implantierten Klappenarten wurde die S3 Ultra signifikant häufiger bei Patienten ohne Vordilatation eingesetzt. Die in vielen Arbeiten beschriebene kürzere OP-Dauer ließ sich in dieser Studie nicht bestätigen.52,53,56 Stattdessen war bei TAVIs ohne Vordilatation die Eingriffsdauer im Schnitt 4min länger (p=0,11). Es bestätigte sich, dass bei einer Prädilatation signifikant mehr Kontrastmittel verwendet wurde (p=0,001) und die Strahlenbelastung höher war. Dies ist insbesondere für Patienten mit einer Niereninsuffizienz von Bedeutung.42 Ob eine Vordilatation durchgeführt wird, sollte also individuell aufgrund der Begleiterkrankungen und Risikofaktoren entschieden werden.
Die vorliegende Arbeit widmet sich den Reaktionsmöglichkeiten, welche die Rechtsordnung der Europäischen Union ihren Organen zur Sicherung der in Artikel 2 EUV kodifizierten Werte zur Verfügung stellt. Die Europäische Union wird hierbei in ihrer Eigenschaft als Wertegemeinschaft, die sich insbesondere auf demokratischen, rechtsstaatlichen und menschenrechtlichen Zielen und Vorstellungen gründet, beleuchtet. Neben der Analyse der Werteklausel nach Artikel 2 EUV setzt sich die Dissertation im Kern sowohl mit den präventiven als auch repressiven Instrumenten des unionalen Primär- und Sekundärrechts zur Sicherung des Wertekanons auseinander. Im Wege eines systematischen Vergleichs erfolgt abschließend eine Bewertung der verschiedenen Handlungsmechanismen.
Eine Dysbalance zwischen regulatorischen und proinflammatorischen T-Helferzellen kann zu Autoimmunerkrankungen führen. In dieser methodischen Arbeit wurde die Polarisierbarkeit von peripheren T-Lymphozyten durch verschiedene Zytokin-Stimuli untersucht. Hauptziel war es, CD4+CD25-CD127- Lymphozyten durch Stimulation mit einem IL-2 und TGFβ-beinhaltenden Zytokin-Cocktail (Treg-Cocktail) zu iTregs zu polarisieren und deren Suppressionsfunktion auf autologe Effektor-Leukozyten zu untersuchen.
Es erfolgte eine Phänotypisierung der PBMCs gesunder Probanden, insbesondere im Hinblick auf die Verteilung der T-Lymphozyten-Subpopulationen, deren Zytokinproduktion und FoxP3-Expression. Zudem wurden aus den PBMCs der Probanden Tregs (CD4+CD25+CD127low/-) sowie CD4+CD25-CD127- Zellen isoliert und deren Funktionsfähigkeit durch die Untersuchung ihrer Suppressionsfunktion auf autologe Effektor-Lymphozyten analysiert. Die Zellen wurden mittels verschiedener Zytokin-Cocktails in Richtung Treg sowie in Richtung Th17-Zellen polarisiert; anschließend wurde die Funktionsfähigkeit der polarisierten Zellen in Suppression-Assays gemessen.
Wir konnten zeigen, dass die CD4+CD25+CD127low/- Zellen Tregs mit der Fähigkeit zur Suppression der Proliferation autologer Effektor-Lymphozyten waren. Bei den CD4+CD25-CD127-Zellen handelte es sich um T-Lymphozyten ohne Suppressionsfunktion. Nach Stimulation der CD4+CD25-CD127-Zellen mit dem Treg-Cocktail zeigten die Zellen eine mit den Tregs vergleichbare Suppressionsfunktion.
Mit dieser Studie haben wir eine aktuelle methodische Quelle für die Untersuchung von Phänotyp und Funktion regulatorischer T-Zellen sowie für die Stimulation peripherer T-Lymphozyten hin zu Tregs geschaffen, die als Basis für Folgeversuche dienen soll, in denen Zellen von Patienten mit Autoimmunkrankheiten untersucht werden sollen. Da sich die Inflammation bei Autoimmunerkrankungen insbesondere in den betroffenen Geweben abspielt, wäre eine Studie anzustreben, in der aus dem Blut isolierte T-Lymphozyten den Zellen aus den entzündeten Geweben gegenübergestellt werden. Ergänzend sollte eine Phänotypisierung der Tregs und der CD4+CD25-CD127- Zellen nach der Zytokin-Stimulation erfolgen.
Zusammenfassend konnte die Plastizität peripherer T-Lymphozyten in Richtung Treg gezeigt werden. Besonders hervorzuheben ist die bislang wenig untersuchte Zellpopulation der CD4+CD25-CD127- Zellen, die eine vielversprechende Zellpopulation für die in vitro Induktion von Tregs darstellt.
Das frühzeitige Erkennen psychoonkologischer Belastungen ist Bestandteil des optimalen therapeutischen Managements von Tumorpatienten. Nur wenige, widersprüchliche Studien untersuchten bisher das psychische Befinden im Verlauf einer PET/CT. Bezogen auf das Prostatakarzinom gibt es bislang keine spezifische Studie, obwohl es die häufigste onkologische Erkrankung des Mannes darstellt. Aufgrund der insgesamt guten Prognose wird von einer geringeren psychischen Belastung ausgegangen. Mithilfe dieser Studie sollte durch Kombination etablierter Fragebögen das psychische Befinden im Verlauf der PET/CT explorativ untersucht werden.
Von Oktober 2018 bis Februar 2020 wurde 531 männlichen Patienten der Nuklearmedizin des Universitätsklinikums Würzburg die Teilnahme angeboten. N = 85 Patienten (n = 38 Patienten mit Prostatakarzinom sowie n = 47 Patienten mit anderen malignen Erkrankungen) stimmten einer vollständigen Teilnahme zu. Es wurden zwei Messzeitpunkte (T1 nach Durchführung der PET/CT; T2 nach Ergebnismitteilung) festgelegt. Als Messinstrumente wurden der PA-F-KF, QUICC, DT, STAI-X1, PANAS und ein Selbsteinschätzungsbogen verwendet.
24 % (T1) bzw. 35 % (T2) der Patienten mit Prostatakarzinom gaben eine dysfunktionale Progredienzangst an, 55 % (T1+T2) eine pathologische psychische Belastung. 53 % (T1) bzw. 50 % (T2) der Patienten zeigten eine relevant erhöhte Zustandsangst.
Die Progredienzangst stieg nach Ergebnismitteilung an (p = 0,048; η² = 0,106), die Ungewissheit über den Stand der Erkrankung (p = 0,014; η² = 0,165) und Bewältigbarkeit des Alltags (p = 0,016; η² = 0,163) reduzierten sich. Allgemeine Ängste wie die Zustandsangst, der Distress und negative Affekte veränderten sich nicht. PSA-Werte ohne bildmorphologisches Korrelat lösten eine größere Unsicherheit bezüglich des aktuellen Krankheitszustandes aus (p = 0,029; η² = 0,128). Jüngere Patienten zeigten vor (p = 0,005; η² = 0,207) und nach (p = 0,001; η² = 0,290) Ergebnismitteilung eine höhere Angst um ihre Berufstätigkeit und gaben eine geringere Erleichterung nach Ergebnismitteilung (p = 0,016; η² = 0,165) an.
Als Limitationen sind die geringe Fallzahl und Teilnahmequote, multiple Testung und fehlende Erfragung psychischer Erkrankungen zu beachten.
Insgesamt zeigen sich eine hohe psychische Belastung und Ängste im Verlauf der PET/CT. Patienten mit Prostatakarzinom sind zu diesem Zeitpunkt nicht weniger belastet als Patienten mit anderen malignen Erkrankungen.
Störungen der Ionen- und Blutgas Homöostase mit Verschiebungen von Na+ und K+ in der regionalen Hypoxie sind ein Kennzeichen der experimentellen zerebralen Ischämie, wurden aber in ihrer Bedeutung für Schlaganfallpatienten noch nicht hinreichend untersucht. Wir berichten über eine prospektive, humane Querschnittsstudie an 366 Schlaganfallpatienten, die mit einer endovaskulären Rekanalisation bei einem akuten LVO der vorderen Zirkulation zwischen dem 18.Dezember 2018 und dem 31.August 2020 behandelt wurden. Im Rahmen der vorliegenden Dissertationsarbeit wurden intraprozedural arterielle Blutgasproben (1ml) aus dem lokal ischämischen Kollateralkreislauf und der intraindividuellen systemischen Referenzlokalisation in 51 Patienten gewonnen. Die Probengewinnung mit Hilfe eines Mikrokatheters erfolgte nach einem bereits veröffentlichten Protokoll.
Diese Arbeit weist in der Perakutphase eines Großgefäßverschlusses signifikant nach, dass der lokal ischämische paO2 (-4,29%, paO2ischämisch=185,3 mmHg vs. paO2systemisch=193,6mmHg; p=0,035) und die Konzentration von K+ (-5,49%, K+ischämisch=3,44mmol/L vs. K+systemisch=3,64mmol/L; p=0,0081) signifikant reduziert war. Wir beobachteten, dass der Na+:K+-Quotient in der Kollateralzirkulation (+3,29%; Na+:K+-Quotientischämisch=41,74 vs. Na+:K+-Quotientsystemisch=40,38; p=0,0048) im Vergleich zur systemischen Zirkulation signifikant erhöht war, während die Na+-Konzentration signifikant positiv mit einer Zunahme des Infarktausmaßes assoziiert war (r=0,42, p=0,0033). Wir fanden eine alkaline Tendenz des zerebralen pH (+0,14%, pHischämisch=7,38 vs. pHsystemisch=7,37, p=0,0019), mit einer zeitabhängigen Verschiebung in den azidotischen Bereich (r=-0,36, p=0,0549).
Schlussfolgernd deuten unsere Ergebnisse darauf hin, dass die durch den Schlaganfall verursachten Veränderungen der zerebralen Sauerstoffversorgung, der Ionenzusammensetzung und des Säure-Basen-Gleichgewichts dynamisch auftreten, während der okklusiven Ischämie fortschreiten und mit der akuten Gewebeschädigung im Zusammenhang stehen. Wünschenswert sind weitere prospektive Studien, um die Ergebnisse valide zu reproduzieren.
Background and Objective: Staphylococcus aureus is one of the major pathogens of nosocomial infections as wells as community-acquired (CA) infections worldwide. So far, large-scale comprehensive molecular and epidemiological characterisation of S. aureus from very diverse settings has not been carried out in India. The objective of this study is to evaluate the molecular, epidemiological and virulence characteristics of S. aureus in both community and hospital settings in Chennai, southern India. Methods: S. aureus isolates were obtained from four different groups (a) healthy individuals from closed community settings, (b) inpatients from hospitals, (c) outpatients from hospitals, representing isolates of hospital-community interface and (d) HIV-infected patients to define isolates associated with the immunocompromised. Antibiotic susceptibility testing, multiplex polymerase chain reactions for detection of virulence and resistance determinants, molecular typing including Staphylococcal cassette chromosome mec (SCCmec) and agr typing, were carried out. Sequencing-based typing was done using spa and multilocus sequence typing (MLST) methods. Clonal complexes (CC) of hospital and CA methicillin-resistant S. aureus (MRSA) were identified and compared for virulence and resistance.
Results and Conclusion: A total of 769 isolates of S. aureus isolates were studied. The prevalence of MRSA was found to be 7.17%, 81.67%, 58.33% and 22.85% for groups a, b, c and d, respectively. Of the four SCCmec types (I, III, IV and V) detected, SCCmec V was found to be predominant. Panton-Valentine leucocidin toxin genes were detected among MRSA isolates harbouring SCCmec IV and V. A total of 78 spa types were detected, t657 being the most prevalent. 13 MLST types belonging to 9 CC were detected. CC1 (ST-772, ST-1) and CC8 (ST238, ST368 and ST1208) were found to be predominant among MRSA. CA-MRSA isolates with SCCmec IV and V were isolated from all study groups including hospitalised patients and were found to be similar by molecular tools. This shows that CA MRSA has probably infiltrated into the hospital settings.
Nearly a quarter of the Alpine area is covered by a dense network of large protected areas (LPAs) of the four categories national park(NP), biosphere reserve (BR), nature park and world natural heritage site (WNHS). From the time of early industrialization, the Alpine area has undergone a mixed and increasingly polarized demographic development between the poles of immigration and emigration. This article investigates the possible mutual impact of population development and the existence of LPAs. The research design includes a quantitative survey of all Alpine LPAs in terms of their population development and the structure of immigration in the first decade of the 21st century. This will be linked with qualitative expert interviews in four selected NPs. The overall results allow an interpretation of the statistical
correlations between type of LPA and migration.
Background
Juvenile idiopathic arthritis (JIA) is often accompanied by pathomorphological changes to the temporomandibular joint (TMJ). By analyzing orthodontical orthopantomograms of JIA patients the aims of the study were a) classification of condyle changes, b) quantification of bony asymmetries of condylar destruction and c) detection of relationships between disease duration and TMJ-involvement.
Patients/Methods
46 caucasian JIA-patients (28 female; 18 male; < 16.0 years) were enrolled, each joint (n = 92) was morphologically assessed by means of orthopantomogram, quantitatively analysed and compared with duration of general disease. Condyle morphology was assessed using the Billiau scale for severity of destruction [1]. The quantitative analysis was based on ratios of condyle, ramus and mandible height.
Results
Patients were divided into groups (Group I – slightly affected, n = 36; Billiau severity 0–2; condyle findings: X-ray normal, condyle erosions, condylar flattening; Group II – severely affected, N = 10; Billiau severity 3–4; condyle findings: condylar flattenings and erosions, unilateral/bilateral complete loss of condyles), based on morphological analysis of condylar destruction. Duration of disease was significantly longer in Group II (8.9 ± 5.2 years) than in Group I (4.6 ± 4.7 years). Asymmetries of condyle, ramus and mandible height, quantitatively analysed by contralateral comparison, were significantly more marked in patients of Group II than of Group I.
Conclusions
Orthopantomogram imaging can be used in orthodontics clinical routine to detect TMJ-pathologies and is an important reference for monitoring progression of JIA. Classification into severe and slightly affected TMJ is possible by analysis of condylar pathomorphology. An association between degree of destruction, extent of lower jaw asymmetry and disease duration is suggested by the results.
Background
Shotgun metagenomes contain a sample of all the genomic material in an environment, allowing for the characterization of a microbial community. In order to understand these communities, bioinformatics methods are crucial. A common first step in processing metagenomes is to compute abundance estimates of different taxonomic or functional groups from the raw sequencing data.
Given the breadth of the field, computational solutions need to be flexible and extensible, enabling the combination of different tools into a larger pipeline.
Results
We present NGLess and NG-meta-profiler. NGLess is a domain specific language for describing next-generation sequence processing pipelines. It was developed with the goal of enabling user-friendly computational reproducibility. It provides built-in support for many common operations on sequencing data and is extensible with external tools with configuration files.
Using this framework, we developed NG-meta-profiler, a fast profiler for metagenomes which performs sequence preprocessing, mapping to bundled databases, filtering of the mapping results, and profiling (taxonomic and functional). It is significantly faster than either MOCAT2 or htseq-count and (as it builds on NGLess) its results are perfectly reproducible.
Conclusions
NG-meta-profiler is a high-performance solution for metagenomics processing built on NGLess. It can be used as-is to execute standard analyses or serve as the starting point for customization in a perfectly reproducible fashion.
NGLess and NG-meta-profiler are open source software (under the liberal MIT license) and can be downloaded from https://ngless.embl.de or installed through bioconda.
Background
With upcoming therapeutic interventions for patients with primary progressive aphasia (PPA), instruments for the follow-up of patients are needed to describe disease progression and to evaluate potential therapeutic effects. So far, volumetric brain changes have been proposed as clinical endpoints in the literature, but cognitive scores are still lacking. This study followed disease progression predominantly in language-based performance within 1 year and defined a PPA sum score which can be used in therapeutic interventions.
Methods
We assessed 28 patients with nonfluent variant PPA, 17 with semantic variant PPA, 13 with logopenic variant PPA, and 28 healthy controls in detail for 1 year. The most informative neuropsychological assessments were combined to a sum score, and associations between brain atrophy were investigated followed by a sample size calculation for clinical trials.
Results
Significant absolute changes up to 20% in cognitive tests were found after 1 year. Semantic and phonemic word fluency, Boston Naming Test, Digit Span, Token Test, AAT Written language, and Cookie Test were identified as the best markers for disease progression. These tasks provide the basis of a new PPA sum score. Assuming a therapeutic effect of 50% reduction in cognitive decline for sample size calculations, a number of 56 cases is needed to find a significant treatment effect. Correlations between cognitive decline and atrophy showed a correlation up to r = 0.7 between the sum score and frontal structures, namely the superior and inferior frontal gyrus, as well as with left-sided subcortical structures.
Conclusion
Our findings support the high performance of the proposed sum score in the follow-up of PPA and recommend it as an outcome measure in intervention studies.
Background
The intent of this pooled analysis as part of the German society for radiation oncology (DEGRO) stereotactic body radiotherapy (SBRT) initiative was to analyze the patterns of care of SBRT for liver oligometastases and to derive factors influencing treated metastases control and overall survival in a large patient cohort.
Methods
From 17 German and Swiss centers, data on all patients treated for liver oligometastases with SBRT since its introduction in 1997 has been collected and entered into a centralized database. In addition to patient and tumor characteristics, data on immobilization, image guidance and motion management as well as dose prescription and fractionation has been gathered. Besides dose response and survival statistics, time trends of the aforementioned variables have been investigated.
Results
In total, 474 patients with 623 liver oligometastases (median 1 lesion/patient; range 1–4) have been collected from 1997 until 2015. Predominant histologies were colorectal cancer (n = 213 pts.; 300 lesions) and breast cancer (n = 57; 81 lesions). All centers employed an SBRT specific setup. Initially, stereotactic coordinates and CT simulation were used for treatment set-up (55%), but eventually were replaced by CBCT guidance (28%) or more recently robotic tracking (17%). High variance in fraction (fx) number (median 1 fx; range 1–13) and dose per fraction (median: 18.5 Gy; range 3–37.5 Gy) was observed, although median BED remained consistently high after an initial learning curve. Median follow-up time was 15 months; median overall survival after SBRT was 24 months. One- and 2-year treated metastases control rate of treated lesions was 77% and 64%; if maximum isocenter biological equivalent dose (BED) was greater than 150 Gy EQD2Gy, it increased to 83% and 70%, respectively. Besides radiation dose colorectal and breast histology and motion management methods were associated with improved treated metastases control.
Conclusion
After an initial learning curve with regards to total cumulative doses, consistently high biologically effective doses have been employed translating into high local tumor control at 1 and 2 years. The true impact of histology and motion management method on treated metastases control deserve deeper analysis. Overall survival is mainly influenced by histology and metastatic tumor burden.
π-Conjugated organic polymers have attracted tremendous attention in the last decades, and the interest in these materials is mainly driven by their applicability in next-generation electronic and optoelectronic devices (OLEDs, OFETs, photovoltaics). The partial or complete replacement of carbon atoms by main group elements in conjugated polymers can significantly change the characteristics and applications of these macromolecules. In this work, a class of inorganic polymers comprising a backbone of exclusively boron and nitrogen atoms (poly(iminoborane)s, PIBs) and their monodisperse oligomers is described. In addition, novel inorganic–organic hybrid polymers containing BN units in their polymer backbone were synthesized and characterized.
In chapter 2.1, the development of catalytic B–N coupling routes for the controlled synthesis of macromolecular materials is described. While the reaction of an N-silyl-B-chloro-aminoborane with the electrophilic reagent trimethylsilyl triflate led to effective B–N coupling, the reaction with a silver(I) salt resulted in an intramolecular Cl/Me exchange between the boron and silicon centers.
In chapter 2.2-2.4, the study of oligo- and poly(iminoborane)s is discussed. Monodisperse and cyclolinear oligo(iminoborane)s based on diazaborolidines with up to 7 boron and 8 nitrogen atoms were synthesized by successively extending the B-N main chain. However, the use of benzodiazaborolines only led to limited BN catenation. Furthermore, the redistribution processes resulting from the reaction of longer oligomers with non-stoichiometric amounts of (di)halogenated boranes is reported.
In chapter 2.5-2.6, the synthesis of 1,2,5-azadiborolanes as building blocks for the synthesis of poly(iminoborane)s and inorganic-organic hybrid polymers is described. While the attempt to apply an azadiborolane with sterically demanding groups on the boron-bridging ethylene unit for the construction of PIB was unfeasible, it was successfully incorporated in inorganic-organic hybrid polymers. Photophysical studies indicated π-conjugation along the polymer chain. A first attempt to synthesize PIBs based on azadiborolanes with unsubstituted ethylene units showed promising results.
In chapter 2.7-2.8, a comprehensive study of poly(arylene iminoborane)s, which are BN analogs of poly(arylene vinylene)s is described, and the properties of four polymers as well as twelve monodisperse oligomers were investigated. Photophysical investigations of the monomers, dimers and polymers showed a systematic bathochromic shift of the absorption maximum with increasing chain length and thiophene content. Based on TD-DFT calculations of the model oligomers, the lowest-energy absorption band could be assigned to HOMO to LUMO transitions with π-π* character. The oligo- and poly(arylene iminoborane)s showed only very weak to no emission in solution but they were emissive in the solid state. For four oligomers the aggregation induced emission (AIE) in a THF/water mixture was investigated and DLS studies confirmed the formation of nanoaggregates.
In chapter 2.9, oligo- and polymerizations of sulfur-containing building blocks and subsequent pH-triggered degradation of the products is described. While a sulfilimine-containing oligomer could not be isolated, the sulfone-, sulfoximine-, and sulfoxide-containing molecular oligomers and polymers could be successfully synthesized by B=N or B–O bond formation reactions. The sulfur-containing building blocks were successfully released under acidic or basic conditions, which was confirmed by NMR spectroscopy and mass spectrometry.
Background
Disentangling the etiology of common, complex diseases is a major challenge in genetic research. For bipolar disorder (BD), several genome-wide association studies (GWAS) have been performed. Similar to other complex disorders, major breakthroughs in explaining the high heritability of BD through GWAS have remained elusive. To overcome this dilemma, genetic research into BD, has embraced a variety of strategies such as the formation of large consortia to increase sample size and sequencing approaches. Here we advocate a complementary approach making use of already existing GWAS data: a novel data mining procedure to identify yet undetected genotype–phenotype relationships. We adapted association rule mining, a data mining technique traditionally used in retail market research, to identify frequent and characteristic genotype patterns showing strong associations to phenotype clusters. We applied this strategy to three independent GWAS datasets from 2835 phenotypically characterized patients with BD. In a discovery step, 20,882 candidate association rules were extracted.
Results
Two of these rules—one associated with eating disorder and the other with anxiety—remained significant in an independent dataset after robust correction for multiple testing. Both showed considerable effect sizes (odds ratio ~ 3.4 and 3.0, respectively) and support previously reported molecular biological findings.
Conclusion
Our approach detected novel specific genotype–phenotype relationships in BD that were missed by standard analyses like GWAS. While we developed and applied our method within the context of BD gene discovery, it may facilitate identifying highly specific genotype–phenotype relationships in subsets of genome-wide data sets of other complex phenotype with similar epidemiological properties and challenges to gene discovery efforts.
Background
Gut microbes influence their hosts in many ways, in particular by modulating the impact of diet. These effects have been studied most extensively in humans and mice. In this work, we used whole genome metagenomics to investigate the relationship between the gut metagenomes of dogs, humans, mice, and pigs.
Results
We present a dog gut microbiome gene catalog containing 1,247,405 genes (based on 129 metagenomes and a total of 1.9 terabasepairs of sequencing data). Based on this catalog and taxonomic abundance profiling, we show that the dog microbiome is closer to the human microbiome than the microbiome of either pigs or mice. To investigate this similarity in terms of response to dietary changes, we report on a randomized intervention with two diets (high-protein/low-carbohydrate vs. lower protein/higher carbohydrate). We show that diet has a large and reproducible effect on the dog microbiome, independent of breed or sex. Moreover, the responses were in agreement with those observed in previous human studies.
Conclusions
We conclude that findings in dogs may be predictive of human microbiome results. In particular, a novel finding is that overweight or obese dogs experience larger compositional shifts than lean dogs in response to a high-protein diet.
Background
Temporal lobe epilepsy (TLE) with hippocampal sclerosis (HS) is a common pharmaco-resistant epilepsy referred for adult epilepsy surgery. Though associated with prolonged febrile seizures (FS) in childhood, the neurobiological basis for this relationship is not fully understood and currently no preventive or curative therapies are available. DNA methylation, an epigenetic mechanism catalyzed by DNA methyltransferases (DNMTs), potentially plays a pivotal role in epileptogenesis associated with FS. In an attempt to start exploring this notion, the present cross-sectional pilot study investigated whether global DNA methylation levels (5-mC and 5-hmC markers) and DNMT isoforms (DNMT1, DNMT3a1, and DNMT3a2) expression would be different in hippocampal and neocortical tissues between controls and TLE patients with or without a history of FS.
Results
We found that global DNA methylation levels and DNMT3a2 isoform expression were lower in the hippocampus for all TLE groups when compared to control patients, with a more significant decrease amongst the TLE groups with a history of FS. Interestingly, we showed that DNMT3a1 expression was severely diminished in the hippocampus of TLE patients with a history of FS in comparison with control and other TLE groups. In the neocortex, we found a higher expression of DNMT1 and DNMT3a1 as well as increased levels of global DNA methylation for all TLE patients compared to controls.
Conclusion
Together, the findings of this descriptive cross-sectional pilot study demonstrated brain region-specific changes in DNMT1 and DNMT3a isoform expression as well as global DNA methylation levels in human TLE with or without a history of FS. They highlighted a specific implication of DNMT3a isoforms in TLE after FS. Therefore, longitudinal studies that aim at targeting DNMT3a isoforms to evaluate the potential causal relationship between FS and TLE or treatment of FS-induced epileptogenesis seem warranted.
Introduction.
Mobile health (mHealth) integrates mobile devices into healthcare, enabling remote monitoring, data collection, and personalized interventions. Machine Learning (ML), a subfield of Artificial Intelligence (AI), can use mHealth data to confirm or extend domain knowledge by finding associations within the data, i.e., with the goal of improving healthcare decisions. In this work, two data collection techniques were used for mHealth data fed into ML systems: Mobile Crowdsensing (MCS), which is a collaborative data gathering approach, and Ecological Momentary Assessments (EMA), which capture real-time individual experiences within the individual’s common environments using questionnaires and sensors. We collected EMA and MCS data on tinnitus and COVID-19. About 15 % of the world’s population suffers from tinnitus.
Materials & Methods.
This thesis investigates the challenges of ML systems when using MCS and EMA data. It asks: How can ML confirm or broad domain knowledge? Domain knowledge refers to expertise and understanding in a specific field, gained through experience and education. Are ML systems always superior to simple heuristics and if yes, how can one reach explainable AI (XAI) in the presence of mHealth data? An XAI method enables a human to understand why a model makes certain predictions. Finally, which guidelines can be beneficial for the use of ML within the mHealth domain? In tinnitus research, ML discerns gender, temperature, and season-related variations among patients. In the realm of COVID-19, we collaboratively designed a COVID-19 check app for public education, incorporating EMA data to offer informative feedback on COVID-19-related matters. This thesis uses seven EMA datasets with more than 250,000 assessments. Our analyses revealed a set of challenges: App user over-representation, time gaps, identity ambiguity, and operating system specific rounding errors, among others. Our systematic review of 450 medical studies assessed prior utilization of XAI methods.
Results.
ML models predict gender and tinnitus perception, validating gender-linked tinnitus disparities. Using season and temperature to predict tinnitus shows the association of these variables with tinnitus. Multiple assessments of one app user can constitute a group. Neglecting these groups in data sets leads to model overfitting. In select instances, heuristics outperform ML models, highlighting the need for domain expert consultation to unveil hidden groups or find simple heuristics.
Conclusion.
This thesis suggests guidelines for mHealth related data analyses and improves estimates for ML performance. Close communication with medical domain experts to identify latent user subsets and incremental benefits of ML is essential.
Ziel der vorliegenden Studie war es, verschiedene kommerzielle Anbieter für KI-gestützte FRS-Analysen hinsichtlich ihrer Genauigkeit mit einem menschlichen Goldstandard zu vergleichen.
Auf 50 FRS wurden durch zwölf erfahrene Untersucher 15 Landmarken identifiziert, auf deren Basis neun relevante Parameter vermessen wurden. Der Medianwert dieser zwölf Auswertungen wurde für jeden Parameter auf jedem FRS als Goldstandard definiert und als Referenz für die Vergleiche mit vier verschiedenen kommerziellen KI-Anbietern (DentaliQ.ortho, WebCeph, AudaxCeph, CephX) festgelegt. Die statistische Auswertung erfolgte mittels ANOVA mit Messwiederholung, paarweiser Vergleiche mittels Post-hoc-Test und Bland-Altman-Plots.
DentaliQ.ortho zeigte für alle neun untersuchten Parameter keinen statistisch signifikanten Unterschied zum menschlichen Goldstandard und es konnte insgesamt von einer hohen Genauigkeit der Auswertungen ausgegangen werden. Auch für WebCeph war kein statistisch signifikanter Unterschied zum menschlichen Goldstandard zu verzeichnen. Allerdings war die Präzision im Vergleich zu den anderen Anbietern für alle Parameter am geringsten und der proportionale Fehler bei nahezu allen Parametern am höchsten. AudaxCeph wies für sieben Parameter statistisch signifikante Unterschiede zum menschlichen Goldstandard auf. Für CephX wurden für fünf Parameter statistisch signifikante Unterschiede zum menschlichen Goldstandard ermittelt. Insbesondere für die dentale Analyse war für alle untersuchten kommerziellen KI-Anbieter eine vergleichsweise niedrigere Genauigkeit zu verzeichnen.
Die Ergebnisse zeigen, dass noch deutliche Qualitätsunterschiede zwischen den kommerziellen KI-Anbietern für die vollständig automatisierte FRS-Analyse bestehen. Vor dem Hintergrund der Zeitersparnis und Qualitätssicherung sind KI zwar vielversprechend, sollten aber zum aktuellen Zeitpunkt nur unter Aufsicht durch menschliche Experten zum Einsatz kommen.
We develop a joint formalism and numerical framework for analyzing the superconducting instability of metals from a weak coupling perspective. This encompasses the Kohn–Luttinger formulation of weak coupling renormalization group for superconductivity as well as the random phase approximation imposed on the diagrammatic expansion of the two-particle Green’s function. The central quantity to resolve is the effective interaction in the Cooper channel, for which we develop an optimized numerical framework. Our code is capable of treating generic multi-orbital models in two as well as three spatial dimensions and, in particular, arbitrary avenues of spin-orbit coupling.