Refine
Year of publication
- 2009 (2440) (remove)
Document Type
- Article (985)
- Doctoral Thesis (391)
- Part of Periodical (311)
- Book (210)
- Review (128)
- Working Paper (116)
- Part of a Book (86)
- Report (65)
- Conference Proceeding (58)
- Preprint (16)
Language
- German (1440)
- English (862)
- Portuguese (55)
- Croatian (39)
- French (24)
- Multiple languages (5)
- Italian (4)
- Spanish (4)
- dut (2)
- Hungarian (2)
Keywords
- Deutsch (58)
- Linguistik (35)
- Literatur (30)
- Rezension (24)
- Filmmusik (21)
- Lehrdichtung (18)
- Reiseliteratur (16)
- Deutschland (14)
- Film (13)
- Literaturwissenschaft (13)
Institute
- Medizin (287)
- Extern (198)
- Biochemie und Chemie (159)
- Biowissenschaften (93)
- Präsidium (80)
- Physik (67)
- Gesellschaftswissenschaften (61)
- Rechtswissenschaft (51)
- Geowissenschaften (48)
- Geschichtswissenschaften (48)
We report the case of a 62-year-old man with chronic pancreatitis who presented with increasing abdominal pain. Sonography, magnetic resonance imaging, contrast-enhanced computed tomography, and ultimately catheter angiography demonstrated a pancreatic pseudocyst that had eroded into the splenoportal venous confluence, mimicking an arterial aneurysm. The diagnostic was confirmed at the time of surgical treatment. This case demonstrates the use of imaging to diagnose complications of pancreatitis, and the difficulty of distinguishing an eroding pseudocyst from an arterial aneurysm.
Anaphylactic shock is a severe allergic reaction involving multiple organs including the bronchial and cardiovascular system. Most anaphylactic mediators, like platelet-activating factor (PAF), histamine, and others, act through G protein – coupled receptors, which are linked to the heterotrimeric G proteins Gq /G 11 , G12/G13 , and Gi . The role of downstream signaling pathways activated by anaphylactic mediators in defi ned organs during anaphylactic reactions is largely unknown. Using genetic mouse models that allow for the conditional abrogation of G q /G 11 - and G 12 /G 13 -mediated signaling pathways by inducible Cre/loxP-mediated mutagenesis in endothelial cells (ECs), we show that Gq /G11 -mediated signaling in ECs is required for the opening of the endothelial barrier and the stimulation of nitric oxide formation by various infl ammatory mediators as well as by local anaphylaxis. The systemic effects of anaphylactic mediators like histamine and PAF, but not of bacterial lipopolysaccharide (LPS), are blunted in mice with endothelial G alpha q/G alpha 11 deficiency. Mice with endothelium-specific G alpha q /G alpha 11 deficiency, but not with G alpha 12/G alpha 13 deficiency, are protected against the fatal consequences of passive and active systemic anaphylaxis. This identifies endothelial Gq/G11 -mediated signaling as a critical mediator of fatal systemic anaphylaxis and, hence, as a potential new target to prevent or treat anaphylactic reactions.
Antibodies to citrulline-modifi ed proteins have a high diagnostic value in rheumatoid arthritis (RA). However, their biological role in disease development is still unclear. To obtain insight into this question, a panel of mouse monoclonal antibodies was generated against a major triple helical collagen type II (CII) epitope (position 359 – 369; ARGLTGRPGDA) with or without arginines modifi ed by citrullination. These antibodies bind cartilage and synovial tissue, and mediate arthritis in mice. Detection of citrullinated CII from RA patients ’ synovial fl uid demonstrates that cartilage-derived CII is indeed citrullinated in vivo. The structure determination of a Fab fragment of one of these antibodies in complex with a citrullinated peptide showed a surprising beta -turn conformation of the peptide and provided information on citrulline recognition. Based on these findings, we propose that autoimmunity to CII, leading to the production of antibodies specific for both native and citrullinated CII, is an important pathogenic factor in the development of RA.
This paper investigates the impact of IT standardization on bank performance based on a panel of 457 German savings banks over the period from 1996 to 2006. We measure IT standardization as the fraction of IT expenses for centralized services over banks' total IT expenses. Bank efficiency, in turn, is measured by traditional accounting performance indicators as well as by cost and profit efficiencies that are estimated by a stochastic frontier approach. Our results suggest that IT standardization is conducive to cost efficiency. The relation is positive and robust for small and medium-sized banks but vanishes for very large banks. Furthermore, our study confirms the often cited computer paradox by showing that total IT expenditures negatively impact cost efficiency and have no influence on bank profits. To the best of our knowledge, this paper is first to empirically explore whether IT standardization enhances efficiency by employing genuine data of banks' IT expenditures. JEL Classification: C23, G21 Keywords: IT standardization, cost and profit efficiency, savings banks
Background Multimorbidity is a highly frequent condition in older people, but well designed longitudinal studies on the impact of multimorbidity on patients and the health care system have been remarkably scarce in numbers until today. Little is known about the long term impact of multimorbidity on the patients' life expectancy, functional status and quality of life as well as health care utilization over time. As a consequence, there is little help for GPs in adjusting care for these patients, even though studies suggest that adhering to present clinical practice guidelines in the care of patients with multimorbidity may have adverse effects. Methods The study is designed as a multicentre prospective, observational cohort study of 3.050 patients aged 65 to 85 at baseline with at least three different diagnoses out of a list of 29 illnesses and syndromes. The patients will be recruited in approx. 120 to 150 GP surgeries in 8 study centres distributed across Germany. Information about the patients' morbidity will be collected mainly in GP interviews and from chart reviews. Functional status, resources/risk factors, health care utilization and additional morbidity data will be assessed in patient interviews, in which a multitude of well established standardized questionnaires and tests will be performed. Discussion The main aim of the cohort study is to monitor the course of the illness process and to analyse for which reasons medical conditions are stable, deteriorating or only temporarily present. First, clusters of combinations of diseases/disorders (multimorbidity patterns) with a comparable impact (e.g. on quality of life and/or functional status) will be identified. Then the development of these clusters over time will be analysed, especially with regard to prognostic variables and the somatic, psychological and social consequences as well as the utilization of health care resources. The results will allow the development of an instrument for prediction of the deterioration of the illness process and point at possibilities of prevention. The practical consequences of the study results for primary care will be analysed in expert focus groups in order to develop strategies for the inclusion of the aspects of multimorbidity in primary care guidelines.
Die vorliegende Arbeit befasst sich mit Verletzungen im leistungsorientierten Kanusport. Deutsche Kanusportler der Disziplinen Rennsport, Slalomsport und Wildwasserabfahrt, unterteilt in die Kategorien Kajak und Kanadier, sollten die Verletzungen der letzten 4 Jahren vor dem Befragungszeitraum 2005 bis 2006 angeben. Ziel war es herauszufinden, welche Verletzungen für jede Kategorie und Disziplin sportarttypisch waren, ob es Unterschiede zwischen den Kategorien und Disziplinen gab, welche trainierte (Begleit-)Sportart die höchste Verletzungsrate hatte und welche endogenen und psychosozialen Faktoren Einfluss auf die Verletzungen hatten. Zu den häufigsten Verletzungen im leistungsorientierten Kanusport zählten die Handgelenkschmerzen, Blasen- und Hornhautbildung an Händen und Füßen, Schulterschmerzen, insbesondere das subakromiale Impingementsyndrom, Blockierungen der Brust- und Halswirbelsäule, Schmerzen im Lendenwirbelsäulenbereich, Dysästhesien der Beine, Knieschmerzen, Muskelkrämpfe, Muskelverspannungen und Muskel- und Sehnenverkürzungen. An Blasenbildung und Hornhautbildung an den Händen sowie Muskelverspannung litten die meisten Sportler aller Kategorien und Disziplinen. Die meisten Sportler der Kajakkategorien litten an Schulterschmerzen, Handgelenkschmerzen und Dysästhesien der Beine. Knieschmerzen und Schmerzen in der Lendenwirbelsäule erlitten die meisten Sportler im Kajak Renn- und Abfahrtssport. Hornhautbildung an den Füßen betraf überwiegend die Kajak-, Renn- und Slalomsportler. Blockierungen im Bereich der Hals- und Brustwirbelsäule sowie das subakromiale Impingementsyndrom erlitten nur mehr als 25% der Kajak Rennsportler. Die meisten Sportler aller Kanadierkategorien klagten über Knieschmerzen. Dysästhesien der Beine und Muskelkrämpfe gaben die meisten Kanadiersportler in den Disziplinen Slalom und Abfahrt an. Von Handgelenkschmerzen waren überwiegend nur die Kanadierrennsportler betroffen. Die Kanadierslalomsportler gaben Schulterschmerzen und Muskel-/Sehnenverkürzung an. Die Arbeit ergab, dass die meisten Verletzungen im Rahmen des Kanu- und Krafttrainings erlitten wurden. Die wenigsten Verletzungen passierten beim Training auf dem Kanuergometer. Dies lag unter anderem auch am geringen Anteil des Kanuergometertrainings am Gesamttraining. Die Sportler stellten die Verletzungen überwiegend mit den endogenen Faktoren Übermüdung, mangelndes Warm-up und fehlerhafte Technik in Zusammenhang. Psychosoziale Faktoren konnten die meisten Sportler nicht in Zusammenhang mit Verletzungen bringen. Einige Sportler gaben hierzu jedoch sozialen Stress und Wettkampfstress an.
4-(4-Nitrophenoxy)biphenyl
(2009)
The two phenyl rings of the biphenyl unit of the title compound, C18H13NO3, are almost coplanar [dihedral angle 6.70 (9)°]. The nitrophenyl ring, on the other hand, is significantly twisted out of the plane of the these two rings, making dihedral angles of 68.83 (4)° with the middle ring and 62.86 (4)° with the end ring. The nitro group is twisted by 12.1 (2)° out of the plane of the phenyl ring to which it is attached. Key indicators: single-crystal X-ray study; T = 173 K; mean σ(C–C) = 0.002 A° ; R factor = 0.040; wR factor = 0.118; data-to-parameter ratio = 12.8.
The six-membered ring of the title compound, C11H16NO, has a distorted envelope conformation. The piperidine N atom deviates by 0.128 (1) Å from the plane through its three neighbouring atoms. In the crystal structure, molecules are connected by intermolecular Cethynyl-H...O contacts to form chains extending in the [10\overline{1}] direction. Key indicators: single-crystal X-ray study; T = 167 K; mean σ(C–C) = 0.001 Å ; R factor = 0.040; wR factor = 0.112; data-to-parameter ratio = 27.3.
Molecules of the title compound, C40H42BrNO6, are located on a crystallographic twofold rotation axis. As a result, the nitro group and bromine residue are mutually disordered with equal occupancies. The propoxy-substituted aromatic rings are close to parallel to each other [dihedral angle = 21.24 (1)°], whereas the propenoxy-substituted rings enclose a dihedral angle of 70.44 (1)°. The dihedral angles between the methylene C atoms and the aromatic rings shows that the propenoxy substituted rings are bent away from the calixarene cavity [dihedral angle between the planes = 35.22 (8)°], whereas the propoxy-substituted rings are almost perpendicular [79.38 (10)°] to the plane of the methylene C atoms. Key indicators: single-crystal X-ray study; T = 173 K; mean σ(C–C) = 0.006 A° ; disorder in main residue; R factor = 0.065; wR factor = 0.130; data-to-parameter ratio = 11.8.
The asymmetric unit of the title compound, [K(C3H3N2)(C12H24O6)], is composed of a potassium cation bonded to the six O atoms of a crown ether molecule and the two N atoms of a pyrazolate anion. The K...O distances range from 2.8416 (8) to 3.0025 (8) Å, and the two K...N distances are 2.7441 (11) and 2.7654 (11) Å. The K cation is displaced by 0.8437 (4) Å from the best plane through the six O atoms. The latter plane is almost perpendicular to the plane of the pyrazolate ring [dihedral angle 83.93 (3)°]. Key indicators: single-crystal X-ray study; T = 173 K; mean σ(C–C) = 0.002 A°; R factor = 0.026; wR factor = 0.066; data-to-parameter ratio = 16.5.