Fallbeispiele aus dem Neugeborenenscrenning-System Hessen

Das Neugeborenen-Hörscreening in Hessen stützt sich neben den medizinischen Einrichtungen, in denen das Screening selbst durchgeführt wird, vor allem auf das Hessische Kinderversorgungszentrum am Universitätsklinikum Frankfurt/Main, Standort Gießen. Von dort aus werden alle Screeningergebnisse zentral verwaltet und Eltern auf noch fällige Follow-up-Untersuchungen aufmerksam gemacht. Anhand von 5 Fallbeispielen werden Sonderfälle und die Schwierigkeiten des flächendeckenden Neugeborenen-Hörscreenings in Hessen dargelegt und gezeigt, dass eine zentrale Datensicherung und ein Tracking zur Organisation des Neugeborenen-Hörscreenings unerlässlich ist und wie die optimale Zusammenarbeit zwischen den Geburtskliniken und den Follow-up-Einrichtungen eine mögliche Problemlösung bieten kann

Die Ableitung von Management- und Führungskompetenzen für das digitale Zeitalter

Die Digitalisierung der Wirtschaft stellt Führungskräfte und die Managementweiterbildung vor neue Herausforderungen. Um Nachwuchsführungskräfte in der professionellen Weiterbildung auf diese Herausforderungen vorzubereiten, werden in diesem Beitrag entsprechende Kompetenzen abgeleitet: Aufbauend auf etablierten sowie modernen Erkenntnissen der Managementforschung werden relevante Kompetenzbereiche definiert. Ergänzt werden Inhalte aus der aktuellen Diskussion um die so genannte Digitale Führung. Zudem werden die Perspektive von Arbeitgeber_innen sowie Ergebnisse aus der Forschung zur Beschäftigungsfähigkeit integriert. Diese theoretischen Erkenntnisse werden abschließend durch Expert_inneninterviews mit Personalentscheider_innen aus der Berliner Digitalszene validiert. Im Ausblick dienen diese Kompetenzen als Rahmen für die Entwicklung von Weiterbildungsprogrammen für Nachwuchsführungskräfte an der Berlin Professional School

The Impact of Halogenated Phenylalanine Derivatives on NFGAIL Amyloid Formation

The hexapeptide hIAPP(22-27)(NFGAIL) is known as a crucial amyloid core sequence of the human islet amyloid polypeptide (hIAPP) whose aggregates can be used to better understand the wild-type hIAPP ' s toxicity to beta-cell death. In amyloid research, the role of hydrophobic and aromatic-aromatic interactions as potential driving forces during the aggregation process is controversially discussed not only in case of NFGAIL, but also for amyloidogenic peptides in general. We have used halogenation of the aromatic residue as a strategy to modulate hydrophobic and aromatic-aromatic interactions and prepared a library of NFGAIL variants containing fluorinated and iodinated phenylalanine analogues. We used thioflavin T staining, transmission electron microscopy (TEM) and small-angle X-ray scattering (SAXS) to study the impact of side-chain halogenation on NFGAIL amyloid formation kinetics. Our data revealed a synergy between aggregation behavior and hydrophobicity of the phenylalanine residue. This study introduces systematic fluorination as a toolbox to further investigate the nature of the amyloid self-assembly process

Monitoring of microplastic pollution in the Arctic: Recent developments in polymer identification, quality assurance and control (QA/QC), and data reporting

The pollution of the environment with plastics is of growing concern worldwide, including the Arctic region. While larger plastic pieces are a visible pollution issue, smaller microplastics are not visible with the naked eye. These particles are available for interaction by Arctic biota and have become a concern for animal and human health. The determination of microplastic properties includes several methodological steps, i.e. sampling, extraction, quantification and chemical identification. This review discusses suitable analytical tools for the identification, quantification and characterization of microplastics in the context of monitoring in the Arctic. It further addresses quality assurance and quality control (QA/QC) which is particularly important for the determination of microplastic in the Arctic, as both contamination and analyte losses can occur. It presents specific QA/QC measures for sampling procedures and for the handling of samples in the laboratory, either on land or on ship, and considering the small size of microplastics as well as the high risk of contamination. The review depicts which data should be mandatory to report, thereby supporting a framework for harmonized data reporting.publishedVersio

„Systematische Überwachung von SARS-CoV-2 im Abwasser“ – Start eines nationalen Pilotprojekts

Etablierte Surveillancesysteme zur Überwachung der Verbreitung von SARS-CoV-2 können durch eine abwasserbasierte Surveillance ergänzt werden, um Informationen zu relevanten Krankheitserregern und zum Trend der Infektionsdynamik zu gewinnen. Vorgestellt wird ein durch die EU gefördertes Pilotprojekt zur Evaluierung von Umsetzbarkeit und Nutzen der SARS-CoV-2-Abwassersurveillance in Deutschland.Peer Reviewe

Glucosylsphingosine Is a Highly Sensitive and Specific Biomarker for Primary Diagnostic and Follow-Up Monitoring in Gaucher Disease in a Non-Jewish, Caucasian Cohort of Gaucher Disease Patients

Gaucher disease (GD) is the most common lysosomal storage disorder (LSD). Based on a deficient β-glucocerebrosidase it leads to an accumulation of glucosylceramide. Standard diagnostic procedures include measurement of enzyme activity, genetic testing as well as analysis of chitotriosidase and CCL18/PARC as biomarkers. Even though chitotriosidase is the most well-established biomarker in GD, it is not specific for GD. Furthermore, it may be false negative in a significant percentage of GD patients due to mutation. Additionally, chitotriosidase reflects the changes in the course of the disease belatedly. This further enhances the need for a reliable biomarker, especially for the monitoring of the disease and the impact of potential treatments.Here, we evaluated the sensitivity and specificity of the previously reported biomarker Glucosylsphingosine with regard to different control groups (healthy control vs. GD carriers vs. other LSDs).Only GD patients displayed elevated levels of Glucosylsphingosine higher than 12 ng/ml whereas the comparison controls groups revealed concentrations below the pathological cut-off, verifying the specificity of Glucosylsphingosine as a biomarker for GD. In addition, we evaluated the biomarker before and during enzyme replacement therapy (ERT) in 19 patients, demonstrating a decrease in Glucosylsphingosine over time with the most pronounced reduction within the first 6 months of ERT. Furthermore, our data reveals a correlation between the medical consequence of specific mutations and Glucosylsphingosine.In summary, Glucosylsphingosine is a very promising, reliable and specific biomarker for GD

Combined therapy with ibrutinib and bortezomib followed by ibrutinib maintenance in relapsed or refractory mantle cell lymphoma and high-risk features: a phase 1/2 trial of the European MCL network (SAKK 36/13).

BACKGROUND The Bruton's tyrosine kinase inhibitor ibrutinib and the proteasome inhibitor bortezomib have single-agent activity, non-overlapping toxicities, and regulatory approval in mantle cell lymphoma (MCL). In vitro, their combination provides synergistic cytotoxicity. In this investigator-initiated phase 1/2 trial, we established the recommended phase 2 dose of ibrutinib in combination with bortezomib, and assessed its efficacy in patients with relapsed or refractory MCL. METHODS In this phase 1/2 study open in 15 sites in Switzerland, Germany and Italy, patients with relapsed or refractory MCL after ≤2 lines of chemotherapy and both ibrutinib-naïve and bortezomib-naïve received six cycles of ibrutinibb and bortezomib, followed by ibrutinib maintenance. For the phase 1 study, a standard 3 + 3 dose escalation design was used to determine the recommended phase 2 dose of ibrutinib in combination with bortezomib. The primary endpoint in phase 1 was the dose limiting toxicities in cycle 1. The phase 2 study was an open-label, single-arm trial with a Simon's two-stage min-max design, with a primary endpoint of overall response rate (ORR) assessed by CT/MRI. This study was registered with ClinicalTrials.gov, NCT02356458. FINDINGS Between August 2015 and September 2016, nine patients were treated in the phase 1 study, and 49 patients were treated between November 2016 and March 2020 in the phase 2 of the trial. The ORR was 81.8% (90% CI 71.1, 89.8%, CR(u) 21.8%) which increased with continued ibrutinib (median 10.6 months) to 87.3%, (CR(u) 41.8%). 75.6% of patients had at least one high-risk feature (Ki-67 > 30%, blastoid or pleomorphic variant, p53 overexpression, TP53 mutations and/or deletions). In these patients, ibrutinib and bortezomib were also effective with an ORR of 74%, increasing to 82% during maintenance. With a median follow-up of 25.4 months, the median duration of response was 22.7, and the median PFS was 18.6 months. PFS reached 30.8 and 32.9 months for patients with a CR or Cru, respectively. INTERPRETATION The combination of ibrutinib and bortezomib shows durable efficacy in patients with relapsed or refractory MCL, also in the presence of high-risk features. FUNDING SAKK (Hubacher Fund), Swiss State Secretariat for Education, Research and Innovation, Swiss Cancer Research Foundation, and Janssen

The Impact of Halogenated Phenylalanine Derivatives on NFGAIL Amyloid Formation

The hexapeptide hIAPP22–27 (NFGAIL) is known as a crucial amyloid core sequence of the human islet amyloid polypeptide (hIAPP) whose aggregates can be used to better understand the wild-type hIAPP’s toxicity to β-cell death. In amyloid research, the role of hydrophobic and aromatic-aromatic interactions as potential driving forces during the aggregation process is controversially discussed not only in case of NFGAIL, but also for amyloidogenic peptides in general. We have used halogenation of the aromatic residue as a strategy to modulate hydrophobic and aromatic-aromatic interactions and prepared a library of NFGAIL variants containing fluorinated and iodinated phenylalanine analogues. We used thioflavin T staining, transmission electron microscopy (TEM) and smallangle X-ray scattering (SAXS) to study the impact of side-chain halogenation on NFGAIL amyloid formation kinetics. Our data revealed a synergy between aggregation behavior and hydrophobicity of the phenylalanine residue. This study introduces systematic fluorination as a toolbox to further investigate the nature of the amyloid self-assembly process