49 research outputs found
Improved hypercalcemia after debulking of uremic tumoral calcinosis in a parathyroidectomized patient.
Uremic Tumoral Calcinosis (UTC) is a rare complication of chronic kidney disease on dialysis, characterized by large periarticular calcification. Among some cases, hypercalcemia with no conventional etiologies has been reported. We present a case of UTC in which hypercalcemia occurred after parathyroidectomy and introduction of low-calcium containing dialysate. Work-up of hypercalcemia did not reveal any conventional etiology, but hypercalcemia resolved after debulking of the tumor. This change in serum calcium gives us an insight into the mechanism of hypercalcemia, occasionally seen among cases with UTC
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Substituent-controlled, mild oxidative fluorination of iodoarenes: synthesis and structural study of aryl I(iii)- and I(v)-fluorides.
We report a mild approach to the synthesis of difluoro(aryl)-λ3-iodanes (aryl-IF2 compounds) and tetrafluoro(aryl)-λ5-iodanes (aryl-IF4 compounds) using trichloroisocyanuric acid (TCICA) and potassium fluoride (KF). Under these reaction conditions, selective access to either the I(iii)- or I(v)-derivatives is predictable based solely on the substitution pattern of the iodoarene starting material. Moreover, the discovery of this TCICA/KF approach prompted detailed dynamic NMR, kinetic, computational, and crystallographic studies on the relationship between the IF2 group and the ortho-substituents on carefully designed probe molecules. It was during these experiments that the role of the ortho-substituent in inhibiting further oxidative fluorination of I(iii)-compounds to I(v)-compounds during the reaction with TCICA and KF was revealed. Additionally, a notable exception to this empirical trend is discussed herein
DART 2030 und die sektorübergreifende Umsetzung – ein Anwendungsfall für lokale ABS-Netzwerke?
Die Bekämpfung der gesundheitlichen Bedro¬hung durch Antibiotikaresistenzen beruht vor allem auf zwei Säulen: hygienisch-präventive Maßnahmen mit Surveillance und Eindämmung von resistenten Erregern sowie Maßnahmen zum rationalen und ver¬antwortungsvollen Antibiotikaeinsatz, meist unter dem Begriff „Antibiotic Stewardship“ (ABS) zusammengefasst. Im Jahr 2008 entstand unter Federführung des BMG die Deutsche Antibiotika-Resistenzstrategie (DART), die ein umfassendes Konzept zum Umgang mit dem ökologischen Problem der bakteriellen Multi¬resistenz beinhaltete. Das BMG hat dieses Strategie¬papier zuletzt im Jahr 2023 als „DART 2030“ weiterentwickelt. Ein zentraler An¬satz besteht darin, verschiedene Akteurinnen und Akteure zusammenzubringen, um einen Wissensaustausch zu fördern und Synergien zu nutzen. Wie das Epidemiologische Bulletin 8/2025 ausführt, waren diese Aspekte eine wichtige Triebfeder für die Gründung des ABS-Netzwerks Westfalen-Lippe im Jahr 2022
The Prohibition of the Proposed Springer-Prosiebensat.1-Merger: How Much Economics in German Merger Control?
We review the Bundeskartellamt (Federal Cartel Office Germany) decision on the proposed merger between Springer and ProSiebenSat.1 from an economic point of view. In doing so, it is not our goal to analyse whether the controversial decision by the Bundeskar-tellamt has been correct or flawed from a legal point of view. Instead, we analyse whether the economic reasoning in the decision document reflects state-of-the-art economic theory on conglomerate mergers. Regarding such types of mergers, anticompetitive effects either do not occur regularly or are more often than not overcompensated by efficiency gains, so that a standard welfare perspective demands reluctance concerning antitrust interventions. This is particularly true if two-sided markets, like media markets, are involved. However, anticompe-titive conglomerate mergers are not impossible, in particular in neighbouring markets where there is some relationship between the products of the merging companies. In line with the more-economic approach in European merger control, a particular thorough line of argumen-tation, backed with particularly convincing economic evidence, is necessary to justify a pro-hibition of a conglomerate merger from an economic point of view. Against this background, we do not find the reasoning of the Bundeskartellamt entirely convincing and sufficiently strong to justify a prohibition of the proposed combination from an economic perspective. The reasons are that (i) the Bundeskartellamt fails to continuously consider consumer and customer welfare as the relevant standards, (ii) positive efficiency and welfare effects of cross-media strategies are neglected, (iii) in contrast, the competition agency sometimes ap-pears to view profitability of post-merger strategy options to be per se anticompetitive (effi-ciency offence), (iv) the incontestability of the relevant markets is not sufficiently substanti-ated, (v) inconsistencies occur regarding the symmetry of the TV advertising market duopoly versus the unique role of the BILD-Zeitung and (vi) the employment of modern economic instruments appears to be underdeveloped. Thus, we conclude that the Bundeskartellamt has not embraced the European more-economic approach in the analysed decision. However, one can discuss whether economic effects are overcompensated in this case by concerns about a reduction in diversity of opinion and threats to free speech. Similar to the Bundeskartellamt, we do not consider these concerns in our analysis
