2,633 results match your criteria: "Universitaetsklinikum Regensburg | UKR[Affiliation]"

Aims: Plasma NT-proBNP is an established marker of heart failure. Previous studies suggested urinary NT-proBNP has potential as marker of chronic heart failure as well. The objective of this study was to compare urinary NT-proBNP to plasma NT-proBNP in a real-life collective of patients with an ICD, especially regarding ICD-therapies.

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Sarcopenia, defined as age-associated loss of skeletal muscle function and muscle mass, is a negative prognostic marker for survival in several tumor entities. However, data evaluating the impact of sarcopenia and fat distribution on penile cancer are rarely described. We performed a retrospective study including 38 patients who were diagnosed with squamous cell carcinoma of the penis.

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Bisphosphonates (BP) are considered a treatment option for osteoarthritis (OA) due to reduction of OA-induced microtrauma in the bone marrow, stabilization of subchondral bone (SB) layer and pain reduction. The effects of high-dose alendronate (ALN) treatment on SB and articular cartilage after destabilization of the medial meniscus (DMM) or Sham surgery of male C57Bl/6J mice were analyzed. We performed serum analysis; histology and immunohistochemistry to assess the severity of OA and a possible pain symptomatology.

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Background This study analyzed the incidence, characteristics, and mortality risk associated with cryptogenic organizing pneumonia (COP) among hospitalizations for systemic lupus erythematosus (SLE) with lung involvement. Methods Adult hospitalizations from the 2016-2020 nationwide inpatient sample were analyzed using relevant International Classification of Diseases (ICD)-10 codes for SLE with lung involvement (M32.13) and COP (J84.

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The study aimed to establish the impact of age on the predictive capability of ferritin, ferritin-hemoglobin ratio (FHR), IL-6, and sIL-2R in COVID-19 patients. Compared to patients with moderate condition, patients with severe condition had higher ferritin level (441.0 [188.

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Obesity is associated with a broad spectrum of comorbidities, including metabolic dysregulation, cardiovascular complications, and socioeconomic impacts. Traditional lifestyle interventions often yield transient results in weight management, while bariatric surgery offers a promising alternative. This systematic review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines and focused on randomized controlled trials comparing bariatric surgery (e.

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Literature suggests that intravenous prophylaxis exceeding 48 h offers no additional benefit in preventing surgical site infections (SSI) in patients with microvascular head and neck reconstruction. However, protocols for antibiotic therapy duration post-reconstruction are not standardized. This study identifies factors predicting prolonged intravenous antibiotic use and antibiotic escalation in patients receiving free flap head neck reconstruction.

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Infection image: cystic pneumocystis jirovecii pneumonia - forgotten?

Infection

October 2024

Department of Infection Prevention and Infectious Diseases, University Hospital Regensburg, Franz- Josef-Strauß-Allee 11, 93053, Regensburg, Germany.

A 43-year-old male patient presented to the emergency department with progressive dyspnea. CT scan showed pronounced cystic lesions and ground glass opacitiy in both lungs and diagnosis of HIV infection was established. Bronchoscopy confirmed diagnosis of pneumocystis jirovecii pneumonia (PCP).

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Article Synopsis
  • Hemophagocytic lymphohistiocytosis (HLH) is a rare and severe immune disorder that is hard to diagnose due to its varied causes and symptoms, often requiring intense medical care.
  • HLH can either be genetic (HLH syndrome) or acquired (HLH disease), triggered by instances like infections, autoimmune diseases, or cancers; this case study presents the first known instance of HLH caused by tularemia in an older female patient.
  • The patient was initially treated for suspected malignancy but switched to antimicrobial therapy after testing positive for tularemia, leading to a lengthy recovery period but ultimately highlighting the need for quick identification of triggering infections for more effective HLH treatment.
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Castleman disease (CD) includes rare and intricate lymphoproliferative disorders characterized by the abnormal growth of lymph nodes and immune system disturbances. It primarily presents in two forms: unicentric Castleman disease (UCD), which affects a single lymph node area, and multicentric Castleman disease (MCD), which involves multiple lymph nodes and systemic manifestations. The disease's underlying mechanisms are often linked to immune system irregularities, especially involving interleukin-6 (IL-6).

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Correlation of sonographically measured fetal abdominal wall thickness with birth weight in diabetes.

Eur J Obstet Gynecol Reprod Biol

December 2024

Department of Obstetrics and Gynaecology, Hospital St. Hedwig of the Order of St. John, University of Regensburg, Regensburg, Germany.

Article Synopsis
  • * Results indicated a moderate positive correlation between fetal AWT and both estimated fetal weight (correlation coefficient r = 0.411) and birth weight (r = 0.493), showing that thicker AWT is generally associated with higher weights.
  • * ROC curve analysis aimed to identify newborns with higher birth weights, but the combination of AWT and estimated fetal weight did not significantly improve prediction for newborns exceeding specific weight thresholds.
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Morphological responses of filamentous fungi to stressful environmental conditions.

Adv Appl Microbiol

October 2024

Geomicrobiology Group, School of Life Sciences, University of Dundee, Dundee, Scotland, United Kingdom; State Key Laboratory of Heavy Oil Processing, Beijing Key Laboratory of Oil and Gas Pollution Control, College of Chemical Engineering and Environment, China University of Petroleum, Beijing, P.R. China.

Article Synopsis
  • The filamentous growth mode of fungi allows them to adapt effectively to various environmental stresses by modifying their structure and behavior, especially in metal-rich habitats.
  • Research using a tessellated agar tile system has revealed the fungi's negative response to toxic metals and their unique growth strategies, like phalanx and guerrilla tactics, to survive challenging conditions.
  • Insights from submerged growth studies on the thermophilic fungus Thielavia terrestris indicate that specific growth forms (pelleted vs. dispersed) are influenced by a lag phase and cAMP signaling, which can enhance our understanding of fungal applications in biotechnology.
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The LIVERAID (LIVER And Infectious Diseases)-ICU score predicts in-hospital mortality in liver cirrhosis patients with infections in the intensive care unit.

BMJ Open Gastroenterol

October 2024

Department of Internal Medicine I, Gastroenterology, Hepatology, Endocrinology, Rheumatology, and Infectious diseases, University Hospital Regensburg, Regensburg, Germany

Article Synopsis
  • * Researchers analyzed data from 620 liver cirrhosis patients treated in a German hospital, using advanced statistical methods to create the scoring system based on key variables like Child-Pugh class and serum urea levels.
  • * The LIVERAID-ICU score can be calculated easily at the bedside with basic clinical data, showing improved predictive accuracy compared to existing models for these patients.
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Article Synopsis
  • Living donor liver transplantation (LDLT) shows better outcomes than deceased donor options, but evaluation processes vary significantly across transplant centers.
  • In a study of 317 potential donors, the most common reasons for rejection included liver size (40.3%) and metabolic issues like obesity (20.8%), with advanced imaging techniques identifying a majority of ineligible donors.
  • The authors propose a streamlined 4-step evaluation method that could identify nearly 90% of unsuitable donors early on, improving efficiency and reducing strain on both resources and potential donors.
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Introduction The United States includes diverse geographic areas with distinct urban and rural settings. Urban areas served with higher health services and the rural regions with restricted facilities. This disparity results in higher rural mortality rates.

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Article Synopsis
  • The study examines the biocompatibility and osteoinductive properties of bioactive ceramics made from single-phase hydroxyapatite (HAP) and two-phase HAP with β-TCP, focusing on various chemical modifications.
  • The results show that treatments improved the ceramics' solubility, increased porosity, and enhanced adsorption activity, leading to favorable conditions for cell adhesion and survival in culture.
  • Calcium phosphate ceramics were found to stimulate important cellular processes, suggesting these HAP-based bioceramics could be effective for bone regeneration and reconstruction.
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Lost in transcription.

Gene

January 2025

Centre of Psychiatry, Psychotherapy and Special Education, Bezirkskrankenhaus Kaufbeuren, Germany; Department of Education & Rehabilitation, Faculty of Psychology & Education, Ludwig-Maximilians-University of Munich, Germany.

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Heart transplantation and left ventricular assist devices (LVADs) have emerged as crucial interventions for end-stage heart failure, dramatically improving patient outcomes. This narrative review examines their historical context, indications, procedures, and outcomes, as well as their impact on long-term survival, quality of life, functional status, and mental health. While heart transplantation remains the optimal treatment, donor scarcity limits its application.

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Sex-specific response of the human plasma lipidome to short-term cold exposure.

Biochim Biophys Acta Mol Cell Biol Lipids

January 2025

ZIEL Institute for Food & Health, Research Group Lipid Metabolism, Technical University of Munich, Freising, Germany; Institute of Clinical Chemistry and Laboratory Medicine, University Hospital Regensburg, Regensburg, Germany. Electronic address:

Cold-induced lipolysis is widely studied as a potential therapeutic strategy to combat metabolic disease, but its effect on lipid homeostasis in humans remains largely unclear. Blood plasma comprises an enormous repertoire in lipids allowing insights into whole body lipid homeostasis. So far, reported results originate from studies carried out with small numbers of male participants.

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Monocyte subpopulations in children with autoimmune liver disease.

Pathol Res Pract

November 2024

Laboratory of Immunology, Institute of Pediatrics, Obstetrics and Gynecology of the National Academy of Medical Sciences of Ukraine, Kyiv 04050, Ukraine.

Article Synopsis
  • This research focuses on finding non-invasive markers to predict the recurrence of autoimmune liver diseases in children, which traditionally require invasive liver biopsies for monitoring.
  • The study analyzed blood serum from 80 children with autoimmune liver conditions, observing the relationship between monocyte subpopulations and disease activity through flow cytometry and other markers.
  • Results showed that specific monocyte types, particularly intermediate CD14++/CD16+ and non-classical CD14lowCD16+ monocytes, are linked to disease activity and could serve as valuable biomarkers for predicting relapses.
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Predictors of symptom improvement in patients with chronic coronary syndrome after percutaneous coronary intervention.

Clin Res Cardiol

December 2024

University Heart Centre Regensburg, Department of Internal Medicine II, University Hospital Regensburg, Franz-Josef-Strauß-Allee 11, 93053, Regensburg, Germany.

Article Synopsis
  • Decreases in symptom severity and enhancements in quality of life are key objectives for treating patients with symptomatic chronic coronary syndrome (CCS) using invasive methods like PCI (Percutaneous Coronary Intervention).
  • A study involving 145 patients showed significant improvements in quality of life, physical limitation, and angina frequency six months post-PCI, with the most significant improvements seen in those with worse baseline health status.
  • Engaging in physical activity after the procedure further boosted quality of life improvements, indicating that patient health before treatment is crucial for outcomes, while demographic factors and psychological traits had minimal impact.
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Background And Aims: To evaluate, if high frame rate (HiFR) contrast-enhanced ultrasound (CEUS) and external perfusion analysis (VueBox®)can give answers on liver tumour diagnostics.

Methods: A multifrequency probe (C1-6 /Resona R9) and 1-2.4 ml ultrasound contrast medium were used for CEUS up to 5-6 min.

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Article Synopsis
  • Immune checkpoint inhibitors (ICIs) are used as a treatment for advanced cancers but can lead to pancreatitis, with an incidence of about 1-2%, particularly higher in combination therapies.
  • The review examines the connections between ICIs and pancreatitis, including clinical presentations, diagnosis, management strategies, and emphasizes the need for better understanding of underlying mechanisms and risk factors.
  • Current diagnosis relies on clinical symptoms and imaging, while management may involve IV fluids and pain control, with ongoing exploration of immunosuppressants for severe cases; long-term monitoring is necessary due to potential chronic issues.
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Purpose: The evaluation of treatment success and progression in oncology patient-reported outcomes (PROs) is playing an increasingly important role. Meanwhile, PROs are a component of the certification requirements of the German Cancer Society for oncology centers. PROs are used to provide supportive therapy.

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