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The treatment of alveolar proteinosis is complex and frustrating

On Friday he raced alone from Eschborn to the Alte Oper, the usual crowds on the route naturally stayed away this time.

Eschborn-Frankfurt is currently only postponed and could actually be rescheduled in autumn if bike races are possible again by then. Race director Claude Rach said: “There is definitely a chance that we want to play. You don’t know in the current situation. You just have to see how the situation develops. For us, the following applies: only if safety can be guaranteed, the classic can take place. ” Otherwise May 1, 2021 would be the next date.

On Friday, not only Degenkolb and Ackermann were active on their bikes, but also numerous amateur athletes who were able to participate digitally in a competition. Instead of technical breakdowns and flat tires, problems with the internet connection caused one or the other athlete to fall behind in the ranking.

Last year’s winner Ackermann didn’t let the adverse circumstances spoil his good mood. “The weather is dry, the conditions are good,” he joked on his balcony before the start. Later on, the rain set in more and more, as was best seen in Ackermann’s webcam.

The professional from the Bora-hansgrohe team has already announced his participation in the next regular edition. “I think May 1st is always a suitable date. The classics are over, the Tour de France is still a few weeks away. May 1st is on my calendar,” said the 26-year-old.

On his very special route through the holiday traffic, Degenkolb even got company on the traditional route: Jens Zemke, formerly a professional and now sports director at Bora-hansgrohe, cycled a few kilometers along the route. The 53-year-old competed a total of 25 times in the cycling classic around Frankfurt.

A 37-year-old sucks air into her lungs, step by step, and breathing becomes increasingly difficult. What is blocking the way for vital oxygen into your body?

Doctor – This is how your lungs are tested

doctor

This will test the function of your lungs

This is how a spiometric examination works. to the video

The 37-year-old South African’s shortness of breath is getting worse and worse. She has been getting bad breath for six months now. She feels tired, cannot sleep at night, her whole body is in pain. Despite having such great difficulty breathing, she doesn’t have to cough.

The 37-year-old seeks help from general practitioners who try different therapies: sometimes she is given antibiotics, then drugs that dilate the bronchi and are supposed to make breathing easier – none of the treatments work. After half a year, she finally went to the university hospital in the capital Pretoria.

Patient gasps for air

Upon admission, the attending physicians around Prashilla Soma measure normal blood pressure. What is particularly noticeable is the high breathing rate, report the doctors in the specialist magazine “The Lancet”. The patient breathes 24 times per minute, eight to ten breaths per minute are normal. Although she is pumping air into her lungs so hard, she only achieves an oxygen saturation of 48 percent without additional oxygen; in a healthy person one would expect values ​​just below 100 percent. Nevertheless, the doctors hear normal breathing noises, so the air seems to get into the lungs.

In a laboratory test of the blood, a value is found that the so-called lactate dehydrogenase (LDH) is increased. However, that alone is of little help, because the amount of this enzyme is increased in many different diseases. It merely indicates cell damage.

A substance that doesn’t belong in the lungs

An X-ray and a computed tomography of the lungs ultimately help doctors find the diagnosis: In both examinations, the radiologists see a substance in the lungs that does not belong there, so-called infiltrates.argumentative research essay topics There may be a lot behind this at first, such as a solid tumor or a liquid. However, the pattern that doctors see already gives them an indication of the diagnosis.

You suspect that the woman suffers from the rare alveolar proteinosis. In the process, viscous, protein-rich fluid collects in the alveoli, the alveoli, in which the oxygen actually passes from the inhaled air into the blood flowing by. Doctors could prove their suspicions by detecting a specific antibody in the patient, but this test is not available in South Africa.

Doctors therefore work their way through the windpipe deep into the lungs with an endoscope and take a biopsy of the fluid there. In the laboratory, pathologists color the sample obtained and thus prove that it is the substance typical of alveolar proteinosis. To be on the safe side, the doctors also examine the biopsy for pathogens and evidence of malignant diseases, but they find nothing.

Therapy of the cause of the disease is impossible

The treatment of alveolar proteinosis is complex and frustrating. Therapy for the cause of the disease is impossible, and it is still not known what causes the disease. To get the affected alveoli free, doctors need to flush the lungs. This so-called bronchoalveolar lavage is carried out under general anesthesia because large quantities of irrigation fluid have to be pumped into the lungs and then sucked off again.

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The therapy initially works for the South African patient: one year after the treatment, in April 2014, the woman no longer has any symptoms. X-rays no longer show infiltrates in the lungs. However, there is no guarantee that it will stay that way. If the symptoms reappear, the lungs must be flushed again.

All five Bavarian clubs, including two previous wobbly candidates, have spoken out in favor of a restart of the German Ice Hockey League. It is almost certain that the DEL will decide to start the championship at its shareholders’ meeting on Thursday, despite the current Corona measures.

On Tuesday, the Straubing Tigers and the Augsburger Panther announced that they had financially planned the season and, if necessary, could contest it completely without a spectator. The two clubs had kept a low profile until the end. The Nürnberg Ice Tigers and ERC Ingolstadt recently gave the green light for such a scenario with ghost games. Ex-champion Red Bull Munich has been hoping for the championship to start for weeks.

Of the 14 first division clubs, only the Kölner Haie had not decided whether they would take part in the season. At least the Haie saw themselves “basically on the right track” on Monday, as managing director Philipp Walter said. The Iserlohn Roosters, who have also been insecure for a long time, gave the green light on Tuesday evening.

Straubing’s managing director Gaby Sennebogen announced that they had been working intensively on a solid concept right up to the end. “That’s why we didn’t start any quick action and didn’t want to raise false hopes,” she said. With the help of sponsors, but also coaches, players and other participants, the season is financially feasible. Augsburg’s partner Lothar Sigl spoke of an “unbelievable show of strength” and praised the players and coaches who “agreed to a substantial wage cut. It is impressive how loyally everyone has fought for the season”.

Bavaria’s Prime Minister Markus Söder (CSU) defended the corona restrictions at the digital district party convention of the CSU Niederbayern and at the same time raised hopes for Christmas. “Our goal must be to celebrate a reasonably normal Christmas,” said Söder, who also took part in an internet state assembly of the Bavarian Young Union on Saturday.

“We have to reduce the contacts of each individual by three quarters,” warned Söder in front of around 400 delegates and guests from the Lower Bavaria CSU. The incidence should fall below 50. Söder also agreed the delegates on a possible extension of the restrictions. There will be sufficient economic aid, especially for the catering and cultural sectors. The aim is to keep schools and childcare facilities open – with a mask requirement also in the lower grades and uniform regulations. “When it comes to masks, children are much more relaxed than some parents.”

The CSU district chairman and Federal Transport Minister Andreas Scheuer said: “We take the concerns seriously, as well as criticism and uncertainty.” After ten years of growth and full employment, Lower Bavaria has to pass an exam. “We were now always used to the higher, faster, further and perhaps also did not pursue one or the other innovation through slowness and comfort.” It is now all the more important to focus on the post-Corona period. “Prosperity is not automatic,” warned Scheuer. A variety of approaches are needed to maintain this.

Investigators have arrested four suspected drug traffickers in Lower Bavaria. The suspects are in custody, as the Lower Bavaria police headquarters announced on Wednesday. The officers were able to seize large quantities of drugs, several weapons and cash. As part of the investigation, the police checked a 32-year-old from the Deggendorf district and a 35-year-old from the Dingolfing-Landau district in their cars on Monday. They found nine kilograms of marijuana in the 32-year-old’s car.

In the apartments of the two men and a clubhouse, the investigators discovered, among other things, two pistols, a revolver, ammunition and a counterfeit banknote. The police also arrested two 40 and 41 year old men in Regensburg on Monday. You are suspected of having sold the marijuana to the other two suspects. The investigators seized a small amount of drugs and cash in the mid four-digit range from them.

After 25 years in prison, a seven-time murderer has died in the Straubing correctional facility. According to a spokesman on Thursday, the Regensburg public prosecutor’s office initiated a death investigation in order to rule out third-party fault. So far, however, there is no evidence of this. The 81-year-old prisoner became known as the “Strangler of Regensburg”. Several media had reported about the death of the man. Accordingly, he had been sick for a long time.

The man was sentenced to life imprisonment before the Munich I Regional Court in 1995 for the murder of seven women between the ages of 23 and 85, and the gravity of the guilt was determined. The motive for the crimes committed between 1975 and 1993 was greed. The victims were two prostitutes and five retirees.

The Straubing Tigers have secured the services of goalkeeper Marco Eisenhut for the coming season in the German Ice Hockey League (DEL). As the Lower Bavaria announced on Tuesday, the 26-year-old is leaving the Dresden Ice Lions from the DEL2 after three seasons. The goalkeeper had previously played for ERC Ingolstadt.

“With him we get a goalkeeper who has a lot of experience for his age and whom we can rely on 100 percent,” said Straubing’s sporting director Jason Dunham. The other two goalkeepers for the Tigers are Mat Robson and Sebastian Vogl.

Los Angeles (AP) – Hollywood star Scarlett Johansson (34) is angry with photographers who follow celebrities and repeatedly cause dangerous situations.

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“Until paparazzi are legally considered to be the criminal stalkers they are, it is only a matter of time before someone is seriously injured or dies like Princess Diana,” Johansson wrote in a statement published on Tuesday (local time) several US -Media cited. The evening before, she was followed by five darkened cars and went to the police.

Again and again – especially in Hollywood – there are regular chases between celebrities and photographers. In 1997, the then Princess of Wales died in a car accident in Paris after being chased by paparazzi.

“Even after Princess Diana’s tragic death, the law never changed to protect targets of outlaw paparazzi,” writes Johansson. “Many paparazzi have criminal histories and will act criminally to get their snapshots.” Sometimes, according to the “Avengers” star, photographers followed her to the playground to take pictures of her five-year-old daughter.

Hollywood star Scarlett Johansson and Colin Jost got engaged after two years of relationship. For Johansson it would be the third marriage. Jost was not yet in front of the altar.

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Scarlett Johansson and her boyfriend Colin Jost got engaged. Her spokesman confirmed this on Sunday (local time) for the US magazine “Entertainment Weekly”. A date for the wedding has not yet been set.

Third marriage for Johansson

Johansson and Jost, who can be seen regularly on the comedy show “Saturday Night Live”, appeared as a couple for the first time in 2017, according to media reports.

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The US actress (“Avengers: Endgame”) was previously married to her colleague Ryan Reynolds and the journalist Romain Dauriac. She has a four-year-old daughter, Dauriac.

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