Vergleich von Thyroxin-bindendem Globulin verschiedener Spezies

In der vorliegenden Arbeit wird ein Überblick über ein breites Spektrum von höheren Säugetieren und einigen Beuteltieren und Kloakentieren geschaffen. Auf Basis dieser Forschung kann das TBG einzelner Tierarten genauer auf seinen Aufbau und seine Beschaffenheit untersucht werden. Proteinbiochemisch wurden die Tierarten durch Prüfung ihrer Serumkonzentration, der Bindungsaffinität für T4, und der Hitzestabilität charakterisiert. Die Methodik bestand aus dem T4- Bindungstest, der Scatchard-Analyse und der Hitzedenaturierung. In Verwertung und durch weiterführende Untersuchungen auf Basis der neuen Erkenntnisse könnten im TBG-Molekül Regionen identifiziert werden, welche sehr wahrscheinlich für Ligandenbindung und Hitzestabilität von Bedeutung sind. Zusätzlich könnten bestehende Hypothesen bezüglich des a1-PI-Strukturmodells zur Funktions-Struktur-Korrelation im TBG-Molekül bestätigt werden

Patient trajectories and their impact on mobility, social participation and quality of life in patients with vertigo/dizziness/balance disorders and osteoarthritis (MobilE-TRA): Study protocol of an observational, practice-based cohort study

INTRODUCTION Mobility limitations have a multitude of different negative consequences on elderly patients including decreasing opportunities for social participation, increasing the risk for morbidity and mortality. However, current healthcare has several shortcomings regarding mobility sustainment of older adults, namely a narrow focus on the underlying pathology, fragmentation of care across services and health professions and deficiencies in personalising care based on patients' needs and experiences. A tailored healthcare strategy targeted at mobility of older adults is still missing. OBJECTIVE The objective is to develop multiprofessional care pathways targeted at mobility sustainment and social participation in patients with vertigo/dizziness/balance disorders (VDB) and osteoarthritis (OA) . METHODS Data regarding quality of life, mobility limitation, pain, stiffness and physical function is collected in a longitudinal observational study between 2017 and 2019. General practitioners (GPs) recruit their patients with VDB or OA. Patients who visited their GP in the last quarter will be identified in the practice software based on VDB and OA-related International Classification of Diseases 10th Revision. Study material will be sent from the practice to patients by mail. Six months and 12 months after baseline, all patients will receive a mail directly from the study team containing the follow-up questionnaire. GPs fill out questionnaires regarding patient diagnostics, therapy and referrals. ETHICS AND DISSEMINATION The study was approved by the ethical committee of the Ludwig-Maximilians-Universität München and of the Technische Universität Dresden. Results will be published in scientific, peer-reviewed journals and at national and international conferences. Results will be disseminated via newsletters, the project website and a regional conference for representatives of local and national authorities

Improving medical care and prevention in adults with congenital heart disease—reflections on a global problem—part I: Development of congenital cardiology, epidemiology, clinical aspects, heart failure, cardiac arrhythmia

© Cardiovascular Diagnosis and Therapy. All rights reserved.Today most patients with congenital heart defects (CHD) survive into adulthood. Unfortunately, despite relevant residua and sequels, follow-up care of adults with congenital heart disease (ACHD) is not performed in specialized and/or certified physicians or centres. Major problems in the long-term course encompass heart failure, cardiac arrhythmias, heart valve disorders, pulmonary vascular disease, infective endocarditis, aortopathy and non-cardiac comorbidities. Many of them manifest themselves differently from acquired heart disease and therapy regimens from general cardiology cannot be transferred directly to CHD. It should be noted that even simple, postoperative heart defects that were until recently considered to be harmless can lead to problems with age, a fact that had not been expected so far. The treatment of ACHD has many special features and requires special expertise. Thereby, it is important that treatment regimens from acquired heart disease are not necessarily transmitted to CHD. While primary care physicians have the important and responsible task to set the course for adequate diagnosis and treatment early and to refer patients to appropriate care in specialized ACHD-facilities, they should actively encourage ACHD to pursue follow-up care in specialized facilities who can provide responsible and advanced advice. This medical update emphasizes the current data on epidemiology, heart failure and cardiac arrhythmia in ACHD

Improving medical care and prevention in adults with congenital heart disease—reflections on a global problem—part II: Infective endocarditis, pulmonary hypertension, pulmonary arterial hypertension and aortopathy

© Cardiovascular Diagnosis and Therapy. All rights reserved.Despite relevant residua and sequels, follow-up care of adults with congenital heart disease (ACHD) is too often not performed by/in specialized and/or certified physicians or centers although major problems in the long-term course may develop. The most relevant encompass heart failure, cardiac arrhythmias, heart valve disorders, pulmonary vascular disease, infective endocarditis (IE), aortopathy and non-cardiac comorbidities. The present publication emphasizes current data on IE, pulmonary and pulmonary arterial hypertension and aortopathy in ACHD and underlines the deep need of an experienced follow-up care by specialized and/or certified physicians or centers, as treatment regimens from acquired heart disease can not be necessarily transmitted to CHD. Moreover, the need of primary and secondary medical prevention becomes increasingly important in order to reduce the burden of disease as well as the socioeconomic burden and costs in this particular patient group