Publications by authors named "Westhoff T"

Urinary biomarker studies in cardiothoracic and kidney-sparing surgery have demonstrated renal protection by Remote Ischaemic PreConditioning (RIPC). RIPC intervention generates cycles of ischaemia and reperfusion of the limbs before the actual ischaemia of the target organ (e.g.

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Determining the concentration of IgG in colostrum is critical for assessment of colostrum quality. On-farm use of a Brix refractometer to estimate colostrum IgG concentration is widespread, whereas radial immunodiffusion (RID) is the laboratory reference method. Turbidimetric immunoassay (TIA) might offer an alternative method to quantify IgG in colostrum, but the agreement with RID, as well as critical thresholds to determine high-quality colostrum, remain uncertain.

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Assessing transfer of passive immunity (TPI) is a critical management strategy to evaluate colostrum management and feeding; however, variability in hemoconcentration or serum or plasma volume in calves might influence TPI assessment. The objectives of this study were to (1) describe the variability in hemoconcentration as well as TPI in Holstein calves in New York State and (2) describe the effect of adjusting total protein (TP) for the degree of hemoconcentration by applying a sample average proportion of plasma in blood (PP) on TPI assessment. Records of TP and PP from 703 Holstein calves 1 to 9 d of age from 19 commercial dairy farms were analyzed.

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Many complications associated with type 2 diabetes mellitus (T2DM) are closely linked with the generation of reactive species or free radicals leading to oxidative/nitrosative stress. The aim of this study was to investigate the effect of combined administration of metformin with propionate on the degree of oxidative/nitrosative damage in the brain of rats with an experimental model of T2DM. Male Wistar rats were divided into control (healthy rats); rats with T2DM and no further therapy; rats with T2DM that received: metformin, propionate, propionate + metformin.

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Article Synopsis
  • LCP-Tacro (LCPT) is a new once-daily formulation of tacrolimus for kidney transplant patients that allows for a 30% lower dosage while maintaining similar efficacy and safety compared to the traditional immediate-release tacrolimus (IR-Tac).
  • In a study involving 16 kidney transplant patients, researchers examined changes in T-cells and B-cells before and after switching from IR-Tac to LCPT, using detailed flow cytometry techniques.
  • The results showed no significant changes overall in immune cell populations post-conversion, but there was a notable transient increase in regulatory T cells and B cell expansion at 4 weeks that reverted thereafter, indicating some adaptive immune changes with the switch.
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  • Magnesium supplementation was tested in a double-blind study involving 27 patients with metabolic syndrome to see its effects on blood pressure and metabolic health.
  • After 12 weeks, patients taking magnesium showed significant reductions in systolic and diastolic blood pressure, as well as lower levels of interleukin-6, which is related to inflammation.
  • Ionized magnesium levels increased notably, while the calcium-to-magnesium ratio decreased, indicating improvements in magnesium balance without significant changes in serum magnesium levels.
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The objective of this study was to investigate the effect of increasing MP supply in the prepartum, postpartum, or both diets on intake, performance, and metabolic indicators. Multiparous Holstein cows (n = 96) were assigned to 1 of 4 treatment groups at 28 d before expected calving following a randomized block design. Prepartum diets were formulated to contain either a control (CON; 85 g of MP/kg DM) or high (HI; 113 g of MP/kg DM) level of estimated MP.

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The influence of diet composition on the degree of adipose and lean muscle mobilization and concentrations of circulating AA has been demonstrated during the transition period. Altering the MP supply might offer a strategy to control tissue mobilization and increase circulating AA availability, but the optimum supply of MP fed pre- and postpartum remains unknown. We investigated the effect of increasing the MP supply in the prepartum, postpartum, or both diets on plasma AA concentrations and ultrasound and circulating indicators of tissue mobilization.

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  • The study investigates the effects of propionic acid on inflammation and T-cell composition in kidney transplant patients compared to dialysis patients.
  • A total of 26 participants (10 dialysis and 16 transplant patients) received propionic acid supplementation for 30 days while their immune systems were analyzed before, after, and during follow-ups.
  • Results showed that propionic acid enhanced Treg expansion in dialysis patients but had no significant effect on Treg levels in transplant patients, likely due to the immunosuppressive therapy they were undergoing.
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The prepartum diet as well as individual metabolic status of the cow influences colostrum parameters. The objectives of this study were to (1) investigate the effect of increasing prepartum dietary MP supply on colostrum yield, composition, and IgG concentration, and (2) identify prepartum metabolic indicators associated with these outcomes. Multiparous Holstein cows (n = 96) were blocked by expected calving date and randomly assigned to 1 of 2 prepartum diets formulated to contain a control (85 g of MP/kg of DM; 1,175 g of MP/d) or high (HI; 113 g of MP/kg DM; 1,603 g of MP/d) level of MP starting at 28 d before expected calving.

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  • Human herpesvirus 6 (HHV-6) has two types, HHV-6A and HHV-6B, with HHV-6A being more prevalent in kidney transplant patients.
  • A study involving 93 patients showed that HHV-6A was found in over half of the participants, while HHV-6B was much less common, and the viral loads for HHV-6A were significantly higher than those of other viruses tested.
  • Despite high levels of HHV-6A, no negative impact on kidney function or overall health was observed in patients one year post-transplant.
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Background: Mono and combined reactivation of latent viruses occurs frequently under immunosuppressive therapy in kidney transplant patients. Recently, monitoring torque teno virus (TTV) reactivation came more into focus as a potential biomarker for immune status. The surrogate characteristics of TTV reactivation on acute rejection, and the combined reactivation with other latent viruses such as cytomegalovirus (CMV), human BK virus (BKV), Epstein-Barr virus (EBV), and human herpes virus-6A (HHV-6A) on allograft function, are unknown so far.

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Introduction: The aim of the presented prospective observational study was to evaluate the effect of fistula flow on peripheral wave morphology and pulse wave velocity by means of the oscillometric Vicorder®-device with the purpose of fistula surveillance.

Methods: Digitized and normalized curves of 53 haemodialysis patients at the fistula and non-fistula arm were analysed. Slope parameters and the areas under the curve of characteristic sections of pulse waves as well as the power spectrum of the pulse waves and their first and second derivatives were computed.

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Immune thrombotic thrombocytopenic purpura (iTTP) is a rare, life-threatening autoimmune disorder caused by a disintegrin and metalloproteinase with thrombospondin type 1 motif, member 13 (ADAMTS13) deficiency. Caplacizumab, an anti-von Willebrand factor nanobody, is approved for iTTP treatment, reducing the need for therapeutic plasma exchange (TPE) and improving platelet count recovery and survival. We conducted a retrospective study on 42 acute iTTP cases in Austria and Germany, treated with a modified regimen aimed at avoiding TPE if platelet count increased after the first caplacizumab dose.

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Background: During the SARS-CoV-2 pandemic it was speculated that the virus might be associated with a persistent increase of cardiovascular risk. The present study compares pre- and post-pandemic hospital admission rates for hypertension and coronary artery disease.

Methods: Systematic multicentric retrospective cohort analysis of 57.

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Pyuria in dipstick examination serves as the most widespread screening tool for urinary tract infections (UTI). The absence of pyuria, however, does not exclude UTI. We investigated the diagnostic value of urinary calprotectin, a mediator protein of the innate immune system, which is released by leukocytes, for the detection of UTI and compared it with dipstick pyuria.

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There is a controversial debate regarding whether unattended blood pressure (BP) measurement should be regarded as the new gold standard of office BP measurement. Unattended BP measurement eliminates the white-coat effect and reduces external influences on the patient. On the other hand, it might underestimate real-life BP.

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Osteosarcopenia, the concurrent presence of sarcopenia and osteopenia/osteoporosis, poses a significant health risk to older adults, yet its impact on clinical outcomes is not fully understood. The aim of this prospective, longitudinal multicentre study was to examine the impact of osteosarcopenia on 3-year mortality and unplanned hospitalizations among 572 older hospitalized patients (mean age 75.1 ± 10.

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Background: Sleep apnea is associated with hypertension. Metaanalyses indicate that treatment of sleep apnea by continuous positive airway pressure (CPAP) reduces blood pressure (BP) by a mean of 3 mmHg. To date, predictors of BP response to CPAP remain incompletely understood.

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Colostrum is a rich source of nutritional and non-nutritional components and is recognized as essential to transfer passive immunity to newborn calves. Because of the individual and seasonal variability in colostrum yield and composition, maintaining an adequate supply of high-quality colostrum year-round remains a challenge for commercial dairy producers. In this narrative review, we described the individual, seasonal, and herd-level variability of colostrum production and summarized the association between individual animal factors such as parity, sex of the calf, calf birth weight, as well as indicators of the cow's metabolic status and the yield and composition of colostrum.

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Background: A proportion of the convalescent SARS-CoV-2 pediatric population presents nonspecific symptoms, mental health problems, and a reduction in quality of life similar to myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) and long COVID-19 symptomatic. However, data regarding its clinical manifestation and immune mechanisms are currently scarce.

Methods: In this study, we perform a comprehensive clinical and immunological profiling of 17 convalescent COVID-19 children with post-acute COVID-19 sequelae (PASC) manifestation and 13 convalescent children without PASC manifestation.

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Background: Atrial fibrillation (AF) is the most common heart arrhythmia and considered to be a progressive chronic disease associated with increased morbidity and mortality. Recent data suggest a link between inflammation, oxidative stress, and AF, although the underlying mechanisms are not fully understood. Because oxidized lipoproteins cause structural damage and electrophysiologic changes in cardiomyocytes, it is feasible that the transformation of atheroprotective high-density lipoprotein (HDL) into dysfunctional HDL contributes to the development of AF.

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Cross-reactive cellular and humoral immunity can substantially contribute to antiviral defense against SARS-CoV-2 variants of concern (VOC). While the adult SARS-CoV-2 cellular and humoral immunity and its cross-recognition potential against VOC is broadly analyzed, similar data regarding the pediatric population are missing. In this study, we perform an analysis of the humoral and cellular SARS-CoV-2 response immune of 32 convalescent COVID-19 children (children), 27 convalescent vaccinated adults(C + V+) and 7 unvaccinated convalescent adults (C + V-).

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Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) caused millions of COVID-19 cases and deaths worldwide. Severity of pulmonary pathologies and poor prognosis were reported to be associated with the activation non-virus-specific bystander T cells. In addition, high concentrations of the macrophage migration inhibitory factor (MIF) were found in serum of COVID-19 patients.

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Background: The objective of this study was to investigate the utility of neutrophil gelatinase-associated lipocalin (NGAL) and calprotectin (CPT) to predict long-term graft survival in stable kidney transplant recipients (KTR).

Methods: A total of 709 stable outpatient KTR were enrolled >2 months post-transplant. The utility of plasma and urinary NGAL (pNGAL, uNGAL) and plasma and urinary CPT at enrollment to predict death-censored graft loss was evaluated during a 58-month follow-up.

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