Refine
Document Type
- Article (7)
- Book (2)
- Contribution to a Periodical (1)
Has Fulltext
- yes (10)
Is part of the Bibliography
- no (10)
Keywords
- Andreas-Salomé, Lou (1)
- Aufstand (1)
- Ballungsraum (1)
- Bestand (1)
- Busch, Wilhelm (1)
- Europa (1)
- Exilliteratur (1)
- Freizeiteinrichtung (1)
- Gesetz (1)
- Grass, Günter (1)
- Hessen (1)
- Komik (1)
- Landesregierung (1)
- Literatur (1)
- N-methyl-D-aspartate receptor (1)
- Pessimismus (1)
- Rhein-Main-Gebiet (1)
- Sportstätte (1)
- functional connectivity (1)
- magnetoencephalography (1)
- neural oscillations (1)
- schizophrenia (1)
Institute
BACKGROUND: Recent findings support the idea that interleukin (IL)-22 serum levels are related to disease severity in end-stage liver disease. Existing scoring systems--Model for End-Stage Liver Disease (MELD), Survival Outcomes Following Liver Transplantation (SOFT) and Pre-allocation-SOFT (P-SOFT)--are well-established in appraising survival rates with or without liver transplantation. We tested the hypothesis that IL-22 serum levels at transplantation date correlate with survival and potentially have value as a predictive factor for survival.
MATERIAL AND METHODS: MELD, SOFT, and P-SOFT scores were calculated to estimate post-transplantation survival. Serum levels of IL-22, IL-6, IL-10, C-reactive protein (CRP), and procalcitonin (PCT) were collected prior to transplantation in 41 patients. Outcomes were assessed at 3 months, 1 year, and 3 years after transplantation.
RESULTS: IL-22 significantly correlated with MELD, P-SOFT, and SOFT scores (Rs 0.35, 0.63, 0.56 respectively, p<0.05) and with the discrimination in post-transplantation survival. IL-6 showed a heterogeneous pattern (Rs 0.40, 0.63, 0.57, respectively, p<0.05); CRP and PCT did not correlate. We therefore added IL-22 serum values to existing scoring systems in a generalized linear model (GLM), resulting in a significantly improved outcome prediction in 58% of the cases for both the P-SOFT (p<0.01) and SOFT scores (p<0.001).
CONCLUSIONS: Further studies are needed to address the concept that IL-22 serum values at the time of transplantation provide valuable information about survival rates following orthotopic liver transplantation.
Background: Numerous cases of swine-origin 2009 H1N1 influenza A virus (H1N1)-associated acute respiratory distress syndrome (ARDS) bridged by extracorporeal membrane oxygenation (ECMO) therapy have been reported; however, complication rates are high. We present our experience with H1N1-associated ARDS and successful bridging of lung function using superimposed high-frequency jet ventilation (SHFJV) in combination with continuous positive airway pressure/assisted spontaneous breathing (CPAP/ASB).
Methods: We admitted five patients with H1N1 infection and ARDS to our intensive care unit. Although all patients required pure oxygen and controlled ventilation, oxygenation was insufficient. We applied SHFJV/CPAP/ASB to improve oxygenation.
Results: Initial PaO2/FiO2 ratio prior SHFJV was 58-79 mmHg. In all patients, successful oxygenation was achieved by SHFJV (PaO2/FiO2 ratio 105-306 mmHg within 24 h). Spontaneous breathing was set during first hours after admission. SHFJV could be stopped after 39, 40, 72, 100, or 240 h. Concomitant pulmonary herpes simplex virus (HSV) infection was observed in all patients. Two patients were successfully discharged. The other three patients relapsed and died within 7 weeks mainly due to combined HSV infection and in two cases reoccurring H1N1 infection.
Conclusions: SHFJV represents an alternative to bridge lung function successfully and improve oxygenation in the critically ill.
Hypofunction of the N-methyl-D-aspartate receptor (NMDAR) has been implicated as a possible mechanism underlying cognitive deficits and aberrant neuronal dynamics in schizophrenia. To test this hypothesis, we first administered a sub-anaesthetic dose of S-ketamine (0.006 mg/kg/min) or saline in a single-blind crossover design in 14 participants while magnetoencephalographic data were recorded during a visual task. In addition, magnetoencephalographic data were obtained in a sample of unmedicated first-episode psychosis patients (n = 10) and in patients with chronic schizophrenia (n = 16) to allow for comparisons of neuronal dynamics in clinical populations versus NMDAR hypofunctioning. Magnetoencephalographic data were analysed at source-level in the 1–90 Hz frequency range in occipital and thalamic regions of interest. In addition, directed functional connectivity analysis was performed using Granger causality and feedback and feedforward activity was investigated using a directed asymmetry index. Psychopathology was assessed with the Positive and Negative Syndrome Scale. Acute ketamine administration in healthy volunteers led to similar effects on cognition and psychopathology as observed in first-episode and chronic schizophrenia patients. However, the effects of ketamine on high-frequency oscillations and their connectivity profile were not consistent with these observations. Ketamine increased amplitude and frequency of gamma-power (63–80 Hz) in occipital regions and upregulated low frequency (5–28 Hz) activity. Moreover, ketamine disrupted feedforward and feedback signalling at high and low frequencies leading to hypo- and hyper-connectivity in thalamo-cortical networks. In contrast, first-episode and chronic schizophrenia patients showed a different pattern of magnetoencephalographic activity, characterized by decreased task-induced high-gamma band oscillations and predominantly increased feedforward/feedback-mediated Granger causality connectivity. Accordingly, the current data have implications for theories of cognitive dysfunctions and circuit impairments in the disorder, suggesting that acute NMDAR hypofunction does not recreate alterations in neural oscillations during visual processing observed in schizophrenia.
Der kürzeste Heiratsantrag, den man aus der Literatur kennt, stammt von Wilhelm Busch: „'Mädchen' – spricht er – 'sag mir ob.' / Und sie lächelt: 'Ja, Herr Knopp!'“ Nun hören sich manche solcher Reime bei Busch ziemlich schräg an, aber dennoch provozieren sie Gelächter, das einen irgendwie entfesselt, animalisch, tränentreibend wirkt, ein kreatürliches Lachen, das sich von Generation zu Generation fortzusetzen scheint. Dabei ist Buschs Komik immer näher an der Katastrophe als an der Idylle.
Das Exil war sein Schicksal. Davon ist er zeit seines Lebens nicht losgekommen. Hans Sahl, aus Dresden gebürtig, gehörte zu jenen brillanten Intellektuellen, die bereits im geistigen Leben der Weimarer Republik eine Rolle spielten, vor den Nazis fliehen mußten und als ungeliebte Heimkehrer in der Bundesrepublik lange vergessen blieben. Erst in seinen letzten Lebensjahren, die der fast erblindete Autor in Tübingen verbrachte, wurde er mit Preisen überschüttet, wurden seine Gedichte und Romane neuaufgelegt. “Wir sind die Letzten“, hieß eine Gedichtsammlung, die 1941 erschien, in der sich dieser „Trödler des Unbegreiflichen“, wie er sich nannte, als Moralist und Wahrheitsfanatiker von hohen Graden zu erkennen gab.
“Es ist weder Schwäche noch Minderwertigkeit des Erotischen, wenn es seiner Art nach auf gespanntem Fuß mit der Treue steht, vielmehr bedeutet es an ihm das Abzeichen seines Aufstiegs zu noch weiteren Zusammenhängen. Und darum muß auch da, wo es in solche schon weiter einbezogen wird, ihm von dieser ungenügsamen Sensibilität vieles erhalten bleiben, gerade so, wie es seinerzeit sich nur begründet auf den ursprünglichsten Vorgängen des Organlebens.“ Lou Andreas-Salomé – sie taucht auf zum ersten Mal 1882 als Einundzwanzigjährige, von Nietzsche und seinem Freund Paul Rée gleichermaßen verehrt, geliebt, bewundert. Das Paar Lou/ Nietzsche hat die Phantasie späterer Generationen beflügelt, dieses Zuendedenken und –leben nicht erfüllter Wünsche und Sehnsüchte hat das Kolorit beider Erinnerung wesentlich überzeichnet.