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Introduction: The German PID-NET registry was founded in 2009, serving as the first national registry of patients with primary immunodeficiencies (PID) in Germany. It is part of the European Society for Immunodeficiencies (ESID) registry. The primary purpose of the registry is to gather data on the epidemiology, diagnostic delay, diagnosis, and treatment of PIDs.
Methods: Clinical and laboratory data was collected from 2,453 patients from 36 German PID centres in an online registry. Data was analysed with the software Stata® and Excel.
Results: The minimum prevalence of PID in Germany is 2.72 per 100,000 inhabitants. Among patients aged 1–25, there was a clear predominance of males. The median age of living patients ranged between 7 and 40 years, depending on the respective PID. Predominantly antibody disorders were the most prevalent group with 57% of all 2,453 PID patients (including 728 CVID patients). A gene defect was identified in 36% of patients. Familial cases were observed in 21% of patients. The age of onset for presenting symptoms ranged from birth to late adulthood (range 0–88 years). Presenting symptoms comprised infections (74%) and immune dysregulation (22%). Ninety-three patients were diagnosed without prior clinical symptoms. Regarding the general and clinical diagnostic delay, no PID had undergone a slight decrease within the last decade. However, both, SCID and hyper IgE- syndrome showed a substantial improvement in shortening the time between onset of symptoms and genetic diagnosis. Regarding treatment, 49% of all patients received immunoglobulin G (IgG) substitution (70%—subcutaneous; 29%—intravenous; 1%—unknown). Three-hundred patients underwent at least one hematopoietic stem cell transplantation (HSCT). Five patients had gene therapy.
Conclusion: The German PID-NET registry is a precious tool for physicians, researchers, the pharmaceutical industry, politicians, and ultimately the patients, for whom the outcomes will eventually lead to a more timely diagnosis and better treatment.
Ziele: Das Ziel dieser offiziellen Leitlinie, die von der Deutschen Gesellschaft für Gynäkologie und Geburtshilfe (DGGG) und der Deutschen Krebsgesellschaft (DKG) publiziert und koordiniert wurde, ist es, die Früherkennung, Diagnostik, Therapie und Nachsorge des Mammakarzinoms zu optimieren.
Methoden: Der Aktualisierungsprozess der S3-Leitlinie aus 2012 basierte zum einen auf der Adaptation identifizierter Quellleitlinien und zum anderen auf Evidenzübersichten, die nach Entwicklung von PICO-(Patients/Interventions/Control/Outcome-)Fragen, systematischer Recherche in Literaturdatenbanken sowie Selektion und Bewertung der gefundenen Literatur angefertigt wurden. In den interdisziplinären Arbeitsgruppen wurden auf dieser Grundlage Vorschläge für Empfehlungen und Statements erarbeitet, die im Rahmen von strukturierten Konsensusverfahren modifiziert und graduiert wurden.
Empfehlungen: Der Teil 1 dieser Kurzversion der Leitlinie zeigt Empfehlungen zur Früherkennung, Diagnostik und Nachsorge des Mammakarzinoms: Der Stellenwert des Mammografie-Screenings wird in der aktualisierten Leitlinienversion bestätigt und bildet damit die Grundlage der Früherkennung. Neben den konventionellen Methoden der Karzinomdiagnostik wird die Computertomografie (CT) zum Staging bei höherem Rückfallrisiko empfohlen. Die Nachsorgekonzepte beinhalten Untersuchungsintervalle für die körperliche Untersuchung, Ultraschall und Mammografie, während weiterführende Gerätediagnostik und Tumormarkerbestimmungen bei der metastasierten Erkrankung Anwendung finden.
Purpose: The aim of this official guideline coordinated and published by the German Society for Gynecology and Obstetrics (DGGG) and the German Cancer Society (DKG) was to optimize the screening, diagnosis, therapy and follow-up care of breast cancer.
Methods: The process of updating the S3 guideline dating from 2012 was based on the adaptation of identified source guidelines which were combined with reviews of evidence compiled using PICO (Patients/Interventions/Control/Outcome) questions and the results of a systematic search of literature databases and the selection and evaluation of the identified literature. The interdisciplinary working groups took the identified materials as their starting point to develop recommendations and statements which were modified and graded in a structured consensus procedure.
Recommendations: Part 1 of this short version of the guideline presents recommendations for the screening, diagnosis and follow-up care of breast cancer. The importance of mammography for screening is confirmed in this updated version of the guideline and forms the basis for all screening. In addition to the conventional methods used to diagnose breast cancer, computed tomography (CT) is recommended for staging in women with a higher risk of recurrence. The follow-up concept includes suggested intervals between physical, ultrasound and mammography examinations, additional high-tech diagnostic procedures, and the determination of tumor markers for the evaluation of metastatic disease.
Plants, fungi and algae are important components of global biodiversity and are fundamental to all ecosystems. They are the basis for human well-being, providing food, materials and medicines. Specimens of all three groups of organisms are accommodated in herbaria, where they are commonly referred to as botanical specimens.The large number of specimens in herbaria provides an ample, permanent and continuously improving knowledge base on these organisms and an indispensable source for the analysis of the distribution of species in space and time critical for current and future research relating to global biodiversity. In order to make full use of this resource, a research infrastructure has to be built that grants comprehensive and free access to the information in herbaria and botanical collections in general. This can be achieved through digitization of the botanical objects and associated data.The botanical research community can count on a long-standing tradition of collaboration among institutions and individuals. It agreed on data standards and standard services even before the advent of computerization and information networking, an example being the Index Herbariorum as a global registry of herbaria helping towards the unique identification of specimens cited in the literature.In the spirit of this collaborative history, 51 representatives from 30 institutions advocate to start the digitization of botanical collections with the overall wall-to-wall digitization of the flat objects stored in German herbaria. Germany has 70 herbaria holding almost 23 million specimens according to a national survey carried out in 2019. 87% of these specimens are not yet digitized. Experiences from other countries like France, the Netherlands, Finland, the US and Australia show that herbaria can be comprehensively and cost-efficiently digitized in a relatively short time due to established workflows and protocols for the high-throughput digitization of flat objects.Most of the herbaria are part of a university (34), fewer belong to municipal museums (10) or state museums (8), six herbaria belong to institutions also supported by federal funds such as Leibniz institutes, and four belong to non-governmental organizations. A common data infrastructure must therefore integrate different kinds of institutions.Making full use of the data gained by digitization requires the set-up of a digital infrastructure for storage, archiving, content indexing and networking as well as standardized access for the scientific use of digital objects. A standards-based portfolio of technical components has already been developed and successfully tested by the Biodiversity Informatics Community over the last two decades, comprising among others access protocols, collection databases, portals, tools for semantic enrichment and annotation, international networking, storage and archiving in accordance with international standards. This was achieved through the funding by national and international programs and initiatives, which also paved the road for the German contribution to the Global Biodiversity Information Facility (GBIF).Herbaria constitute a large part of the German botanical collections that also comprise living collections in botanical gardens and seed banks, DNA- and tissue samples, specimens preserved in fluids or on microscope slides and more. Once the herbaria are digitized, these resources can be integrated, adding to the value of the overall research infrastructure. The community has agreed on tasks that are shared between the herbaria, as the German GBIF model already successfully demonstrates.We have compiled nine scientific use cases of immediate societal relevance for an integrated infrastructure of botanical collections. They address accelerated biodiversity discovery and research, biomonitoring and conservation planning, biodiversity modelling, the generation of trait information, automated image recognition by artificial intelligence, automated pathogen detection, contextualization by interlinking objects, enabling provenance research, as well as education, outreach and citizen science.We propose to start this initiative now in order to valorize German botanical collections as a vital part of a worldwide biodiversity data pool.
Positron creation in crossed-beam collisions of high-energy, fully stripped heavy ions is investigated within the coupled-channel formalism. In comparison with fixed-target collisions of highly stripped heavy-ion projectiles positron production probabilities are enhanced by more than one order of magnitude. The increase results from the possibility to excite electrons from the negative energy continuum into all bound states. The positron spectrum is shifted towards higher energies because of the absence of electron screening. Rutherford scattering as well as nuclear collisions with time delay are investigated. We also discuss the filling of empty bound states by electrons from pair-production processes.
Excitations of the atomic shell in heavy-ion collisions are influenced by the presence of a nuclear reaction. In the present Rapid Communication we point out the equivalence between a semiclassical description based on the nuclear autocorrelation function with an earlier model which employs a distribution of reaction times f(T). For the example of U+U collisions, results of coupled-channel calculations for positron creation and K-hole excitations are discussed for two schematic reaction models.
Atomic excitations are used to obtain information on the course of a nuclear reaction. Employing a semiclassical picture we calculate the emission of δ electrons and positrons in deep inelastic nuclear reactions for the example of U+U collisions incorporating nuclear trajectories resulting from two different nuclear friction models. The emission spectra exhibit characteristic deviations from those expected for elastic Coulomb scattering. The theoretical probabilities are compared with recent experimental data by Backe et al. A simple model is used to estimate the influence of a threebody breakup of the compound system upon atomic excitations.
The demand to develop convergent technology platforms, such as bio-functionalized medical devices, is rapidly increasing. However, the loss of biological function of the effector molecules during sterilization represents a significant and general problem. Therefore, we have developed and characterized a nano-coating (NC) formulation capable of maintaining the functionality of proteins on biological-device combination products. As a proof of concept, the NC preserved the structural and functional integrity of an otherwise highly fragile antibody immobilized on polyurethane during deleterious sterilizing irradiation (≥ 25 kGy). The NC procedure enables straight-forward terminal sterilization of bio-functionalized materials while preserving optimal conditioning of the bioactive surface.
Background The effect of additional treatment strategies with antineoplastic agents on intraperitoneal tumor stimulating interleukin levels are unclear. Taurolidine and Povidone-iodine have been mainly used for abdominal lavage in Germany and Europe. Methods In the settings of a multicentre (three University Hospitals) prospective randomized controlled trial 120 patients were randomly allocated to receive either 0.5% taurolidine/2,500 IU heparin (TRD) or 0.25% povidone-iodine (control) intraperitoneally for resectable colorectal, gastric or pancreatic cancers. Due to the fact that IL-1beta (produced by macrophages) is preoperatively indifferent in various gastrointestinal cancer types our major outcome criterion was the perioperative (overall) level of IL-1beta in peritoneal fluid. Results Cytokine values were significantly lower after TRD lavage for IL-1beta, IL-6, and IL-10. Perioperative complications did not differ. The median follow-up was 50.0 months. The overall mortality rate (28 vs. 25, p = 0.36), the cancer-related death rate (17 vs. 19, p = .2), the local recurrence rate (7 vs. 12, p = .16), the distant metastasis rate (13 vs. 18, p = 0.2) as well as the time to relapse were not statistically significant different. Conclusion Reduced cytokine levels might explain a short term antitumorigenic intraperitoneal effect of TRD. But, this study analyzed different types of cancer. Therefore, we set up a multicentre randomized trial in patients undergoing curative colorectal cancer resection. Trial registration : ISRCTN66478538
Osteosarcomas are aggressive bone tumours with a high degree of genetic heterogeneity, which has historically complicated driver gene discovery. Here we sequence exomes of 31 tumours and decipher their evolutionary landscape by inferring clonality of the individual mutation events. Exome findings are interpreted in the context of mutation and SNP array data from a replication set of 92 tumours. We identify 14 genes as the main drivers, of which some were formerly unknown in the context of osteosarcoma. None of the drivers is clearly responsible for the majority of tumours and even TP53 mutations are frequently mapped into subclones. However, >80% of osteosarcomas exhibit a specific combination of single-base substitutions, LOH, or large-scale genome instability signatures characteristic of BRCA1/2-deficient tumours. Our findings imply that multiple oncogenic pathways drive chromosomal instability during osteosarcoma evolution and result in the acquisition of BRCA-like traits, which could be therapeutically exploited.
Geehrt wird Kurt Maaß, geboren am 22.09.1927, welcher zu den Bürgern gehört, die sich als junge Absolventen der Lehrerausbildung als erste nach den bitteren Kriegs- und Nachkriegsjahren aus Heimatliebe (und offenbar aus Berufung!) im Kreis Seehausen (später Osterburg) des ehemaligen Bezirkes Magdeburg für den Naturschutz engagierten. Als stellvertretender Kreisnaturschutzbeauftragter (KNB) für den damaligen Kreis Seehausen/Altmark übernahm er 1952 Verantwortung für den Schutz und die Pflege der heimatlichen Natur.
Am 23. Februar 2002 tagten in der Staatlichen Vogelschutzwarte Steckby des Landesamtes für Umweltschutz Sachsen-Anhalt die 50 ehrenamtlichen Vogelberinger des Landes. Sie sind mit Genehmigung des Ministeriums für Raumordnung, Landwirtschaft und Umwelt des Landes Sachsen-Anhalt zugleich als Mitarbeiter der Vogelwarte Hiddensee an Forschungsprogrammen der europaweit koordinierenden Dachorganisation EURING (The European Union for Bird Ringing)
tätig.
Peter Hentschel verstarb am 26. Januar 2002 nach schwerer Krankheit. Wir alle, die ihn näher kannten, trauern sehr über seinen allzu frühen Tod. Wie bereits zu seinem 65. Geburtstag dargestellt (Reichhoff & Schönbrodt 1998, in dieser Zeitschrift), war sein Leben von sowohl haupt- als auch ehrenamtlich engagierten Tätigkeiten für den Naturschutz und insbesondere die Landschaftsforschung und -planung gekennzeichnet.
Gemas Artikel 11 der FFH-Richtlinie ist ein Monitoring des Erhaltungszustandes der Arten von gemeinschaftlicher Bedeutung durchzufuhren. Weiterhin ist nach Artikel 12 eine fortlaufende Überwachung des unbeabsichtigten Fangs oder Tötens der Anhang IV-Tierarten vorgeschrieben, worauf gegebenenfalls weiterführende Erhaltungsmaßnahmen und Forschung aufbauen sollen. Im § 40 BNatSchG wird dieses Monitoring in die Verantwortung der Bundesländer übergeben.
Odonata (Libellen)
(2001)
Am 20. Juni 1999 begeht einer der dienstältesten Kreisnaturschutzbeauftragten aus dem ehemaligen Bezirk Magdeburg seinen 65. Geburtstag. Grund genug, ihm herzlich zu gratulieren und seine Arbeit für den Naturschutz zu würdigen! In den Jahren 1949/50 hatte Günter Stachowiak durch seine Schichtarbeit als Dreher-Lehrling in Oschersleben die zeitliche Möglichkeit zu ersten ornithologischen Beobachtungen. Eine intensivere Beschäftigung mit der Natur begann im Jahr 1952 durch den Kauf seiner ersten Fotoausrüstung, einer noch heute vorhandenen und liebevoll bewahrten Praktika.
Nach der ausführlichen Laudatio zum 65. Geburtstag am 20. Juni 1999 (s. Naturschutz im Land Sachsen-Anhalt 36(1999)1: 43-44) sind fünf weitere Jahre im Leben des Jubilars viel zu schnell und leider auch nicht ohne gesundheitliche Komplikationen vergangen. In dieser Zeit hat er sich dennoch als praktizierender Kreisnaturschutzbeauftragter (KNB) weiterhin intensiv mit dem Naturschutz in seinem Altmarkkreis Salzwedel beschäftigt, denn Naturschutz ist sein Leben: vor 40 Jahren, genau am 1. Januar 1965, begann er seine Laufbahn als Kreisnaturschutzbeauftragter im damaligen Kreis Kalbe/Milde.
Aeshna viridis hat wie alle Aeshniden einen mosaikartig gemusterten Hinterleib. Die Brustseiten sind grün mit dünnen braunen Nahten. Die Farbe der Hinterleibseiten der Weibchen ist ebenfalls grün. Auf den Hinterleibsegmenten zwei bis neun der Männchen befinden sich blaue Flecken, so dass Verwechslungsgefahr mit Aeshna cyanea besteht.
Bis 2003 konnte die Art der Zierlichen Moosjungfer Leucorrhinia caudalis (Charpentier, 1840) nicht nachgewiesen werden. Im Jahre 2008 gelang nunmehr auch für Sachsen-Anhalt in Sekundärbiotopen (Abgrabungsgewässern) erstmals der Nachweis der Zierlichen Moosjungfer. L. caudalis ist damit die 70. in Sachsen-Anhalt nachgewiesene Libellenart. Sie gilt in Deutschland als „vom Aussterben bedroht“ und ist nach Anhang IV der FFH-Richtlinie als Art von gemeinschaftlichem Interesse zu betrachten.