Guidelines for the Development of Comprehensive Care Centers for Congenital Adrenal Hyperplasia: Guidance from the CARES Foundation Initiative

Patients with rare and complex diseases such as congenital adrenal hyperplasia (CAH) often receive fragmented and inadequate care unless efforts are coordinated among providers. Translating the concepts of the medical home and comprehensive health care for individuals with CAH offers many benefits for the affected individuals and their families. This manuscript represents the recommendations of a 1.5 day meeting held in September 2009 to discuss the ideal goals for comprehensive care centers for newborns, infants, children, adolescents, and adults with CAH. Participants included pediatric endocrinologists, internal medicine and reproductive endocrinologists, pediatric urologists, pediatric surgeons, psychologists, and pediatric endocrine nurse educators. One unique aspect of this meeting was the active participation of individuals personally affected by CAH as patients or parents of patients. Representatives of Health Research and Services Administration (HRSA), New York-Mid-Atlantic Consortium for Genetics and Newborn Screening Services (NYMAC), and National Newborn Screening and Genetics Resource Center (NNSGRC) also participated. Thus, this document should serve as a "roadmap" for the development phases of comprehensive care centers (CCC) for individuals and families affected by CAH.

Studies on the interaction of surfactants and neutral cyclodextrins by capillary electrophoresis. Application to chiral analysis

In the present study, mixed systems composed of SDS in the presence of neutral cyclodextrins were considered. Firstly, the effect of the CDs on the CMC of the surfactant was evaluated by CE experiments. Furthermore, a new CE approach based on electric current measurement was developed for the estimation of the stoichiometry as well as of the binding constants of SDS-CDs complexes. The results of these investigations were compared to those obtained with a different technique, electronic paramagnetic resonance (EPR). The obtained results suggested that methylated CDs, in particular (2,6-di-O-methyl)-beta-cyclodextrin (DM-beta-CD), strongly affect the micellization of SDS in comparison to the other studied CDs. This effect also paralleled the chiral CD-MEKC performance, as indicated by the enantioresolution of (+/-)-Catechin, which was firstly selected as a model compound representative of important chiral phytomarkers. Then a CD-MEKC system, composed of sodium dodecyl sulfate as surfactant (90 mM) and hydroxypropyl-beta-cyclodextrin (25 mM) as chiral selector, under acidic conditions (25 mM borate – phosphate buffer, pH 2.5) was applied to study the thermal epimerisation of epi-structured catechins, (-)-Epicatechin and (-)-Epigallocatechin, to non epi-structured (-)-Catechin and (-)-Gallocatechin. The latter compounds, being non-native molecules, were for the first time regarded as useful phytomarkers of tea sample degradation. The proposed method was applied to the analysis of more than twenty tea samples of different geographical origins (China, Japan, Ceylon), having undergone different storage conditions and manufacturing processes.

Mesonic chiral perturbation theory - odd intrinsic parity sector

In der vorliegenden Dissertation werden zwei verschiedene Aspekte des Sektors ungerader innerer Parität der mesonischen chiralen Störungstheorie (mesonische ChPT) untersucht. Als erstes wird die Ein-Schleifen-Renormierung des führenden Terms, der sog. Wess-Zumino-Witten-Wirkung, durchgeführt. Dazu muß zunächst der gesamte Ein-Schleifen-Anteil der Theorie mittels Sattelpunkt-Methode extrahiert werden. Im Anschluß isoliert man alle singulären Ein-Schleifen-Strukturen im Rahmen der Heat-Kernel-Technik. Zu guter Letzt müssen diese divergenten Anteile absorbiert werden. Dazu benötigt man eine allgemeinste anomale Lagrange-Dichte der Ordnung O(p^6), welche systematisch entwickelt wird. Erweitert man die chirale Gruppe SU(n)_L x SU(n)_R auf SU(n)_L x SU(n)_R x U(1)_V, so kommen zusätzliche Monome ins Spiel. Die renormierten Koeffizienten dieser Lagrange-Dichte, die Niederenergiekonstanten (LECs), sind zunächst freie Parameter der Theorie, die individuell fixiert werden müssen. Unter Betrachtung eines komplementären vektormesonischen Modells können die Amplituden geeigneter Prozesse bestimmt und durch Vergleich mit den Ergebnissen der mesonischen ChPT eine numerische Abschätzung einiger LECs vorgenommen werden. Im zweiten Teil wird eine konsistente Ein-Schleifen-Rechnung für den anomalen Prozeß (virtuelles) Photon + geladenes Kaon -> geladenes Kaon + neutrales Pion durchgeführt. Zur Kontrolle unserer Resultate wird eine bereits vorhandene Rechnung zur Reaktion (virtuelles) Photon + geladenes Pion -> geladenes Pion + neutrales Pion reproduziert. Unter Einbeziehung der abgeschätzten Werte der jeweiligen LECs können die zugehörigen hadronischen Strukturfunktionen numerisch bestimmt und diskutiert werden.

Aufbau und Kupplung von Schlüsselintermediaten zur enantioselektiven Steroidsynthese

Steroide sind im Organismus weit verbreitete, vielfältig substituierte Naturstoffe mit einem breiten biologischen Wirkungsspektrum. C/D-cis-verknüpfte Steroide kommen in der Natur zwar selten vor, sie sind aber in ihrer pharmakologischen Aktivität nicht weniger interessant. Total- bzw. Partialsynthesen sind bisher in der Literatur kaum beschrieben worden. Die Arbeit beschäftigt sich mit grundlegenden Reaktionen zur enantioselektiven Synthese eines 13,14-cis-verknüpften Steroids. Als Fernziel wurde C/D-cis-verknüpftes Östradiol ausgewählt mit der Option, das Substitutionsmuster dieses Steroids vielfältig variieren zu können. Der Syntheseplan beinhaltet zunächst den Aufbau des Kohlenstoffgerüsts im Sinne einer konvergenten Synthese, abschließende Cyclisierungen sollten dann das vollständige Molekül ergeben. Im Rahmen dieser Arbeit wurde zunächst das C/D-Ringfragment als Allylamin hergestellt. Das Amin ist dabei als chirales Auxiliar ausgelegt. Als A,B-Ringfragment wurden eine Reihe 4-Aryl-2,3-ungesättigte Carbonsäurefluoride synthetisiert. Im Verknüpfungsschritt, einer zwitterionischen Aza-Claisen-Umlagerung, konnten nun beide Fragmente mit hoher simpler, aber mäßiger induzierter Diastereoselektivität gekuppelt werden. Das Entfernen der Doppelbindung im Produkt erwies sich als erhebliche Hürde, die jedoch durch die Verwendung eines Enolethers genommen werden konnte. Das im Rahmen der Arbeit hergestellte Material sollte nun in wenigen Stufen zum C/D- cis-verknüpften Steroid umgesetzt werden können.

The coupling between electron transfer and Protein/Solvent Dynamics in Photosynthetic Reaction Centers: Spectroscopic Studies in Amorphous Matrices

We investigated at the molecular level protein/solvent interactions and their relevance in protein function through the use of amorphous matrices at room temperature. As a model protein, we used the bacterial photosynthetic reaction center (RC) of Rhodobacter sphaeroides, a pigment protein complex which catalyzes the light-induced charge separation initiating the conversion of solar into chemical energy. The thermal fluctuations of the RC and its dielectric conformational relaxation following photoexcitation have been probed by analyzing the recombination kinetics of the primary charge-separated (P+QA-) state, using time resolved optical and EPR spectroscopies. We have shown that the RC dynamics coupled to this electron transfer process can be progressively inhibited at room temperature by decreasing the water content of RC films or of RC-trehalose glassy matrices. Extensive dehydration of the amorphous matrices inhibits RC relaxation and interconversion among conformational substates to an extent comparable to that attained at cryogenic temperatures in water-glycerol samples. An isopiestic method has been developed to finely tune the hydration level of the system. We have combined FTIR spectral analysis of the combination and association bands of residual water with differential light-minus-dark FTIR and high-field EPR spectroscopy to gain information on thermodynamics of water sorption, and on structure/dynamics of the residual water molecules, of protein residues and of RC cofactors. The following main conclusions were reached: (i) the RC dynamics is slaved to that of the hydration shell; (ii) in dehydrated trehalose glasses inhibition of protein dynamics is most likely mediated by residual water molecules simultaneously bound to protein residues and sugar molecules at the protein-matrix interface; (iii) the local environment of cofactors is not involved in the conformational dynamics which stabilizes the P+QA-; (iv) this conformational relaxation appears to be rather delocalized over several aminoacidic residues as well as water molecules weakly hydrogen-bonded to the RC.

Higher-order calculations in manifestly Lorentz-invariant baryon chiral perturbation theory

This thesis is concerned with calculations in manifestly Lorentz-invariant baryon chiral perturbation theory beyond order D=4. We investigate two different methods. The first approach consists of the inclusion of additional particles besides pions and nucleons as explicit degrees of freedom. This results in the resummation of an infinite number of higher-order terms which contribute to higher-order low-energy constants in the standard formulation. In this thesis the nucleon axial, induced pseudoscalar, and pion-nucleon form factors are investigated. They are first calculated in the standard approach up to order D=4. Next, the inclusion of the axial-vector meson a_1(1260) is considered. We find three diagrams with an axial-vector meson which are relevant to the form factors. Due to the applied renormalization scheme, however, the contributions of the two loop diagrams vanish and only a tree diagram contributes explicitly. The appearing coupling constant is fitted to experimental data of the axial form factor. The inclusion of the axial-vector meson results in an improved description of the axial form factor for higher values of momentum transfer. The contributions to the induced pseudoscalar form factor, however, are negligible for the considered momentum transfer, and the axial-vector meson does not contribute to the pion-nucleon form factor. The second method consists in the explicit calculation of higher-order diagrams. This thesis describes the applied renormalization scheme and shows that all symmetries and the power counting are preserved. As an application we determine the nucleon mass up to order D=6 which includes the evaluation of two-loop diagrams. This is the first complete calculation in manifestly Lorentz-invariant baryon chiral perturbation theory at the two-loop level. The numerical contributions of the terms of order D=5 and D=6 are estimated, and we investigate their pion-mass dependence. Furthermore, the higher-order terms of the nucleon sigma term are determined with the help of the Feynman-Hellmann theorem.

Enantioselective Reactions Promoted by Organocatalytic Species From The Natural Chiral Pool

During the course of my Ph.D. in the laboratories directed by Prof. Alfredo Ricci at the Department of Organic Chemistry “A. Mangini” of the University of Bologna, I was involved in the study and the application of a number of organocatalytic systems, all coming from the natural chiral pool. The first part of this thesis will be devoted to new homogeneous organocatalytic reactions promoted by Cinchona alkaloid-based organocatalysts. Quinine based catalysts were found to be a very effective catalyst for Diels-Alder reactions involving 3-vinylindoles. Excellent results in terms of yields and enantioselectivities were achieved, outlining also a remarkable organocatalytic operational mode mimicking enzymatic catalysis. The same reaction with 2-vinylindoles showed a completely different behaviour resulting in an unusual resolution-type process. The asymmetric formal [3+2] cycloaddition with in situ generated N-carbamoyl nitrones using Cinchona-derived quaternary ammonium salts as versatile catalysts under phase transfer conditions, outlines another application in organocatalysis of this class of alkaloids. During the seven months stage in the Prof. Helma Wennemers’ group at the Department of Chemistry of the University of Basel (Switzerland) I have been involved in organocatalysis promoted by oligopeptides. My contribution regarded the 1,4-addition reaction of aldehydes to nitroolefins. In the work performed at the Department of Organic Chemistry “A. Mangini” of the University of Bologna, in collaboration with the ‘Institut Charles Gerhardt-Montpellier, of Montpellier (France) the possibility of performing for the first time heterogeneous organocatalysis by using a natural polysaccharide biopolymer as the source of chirality was disclosed. With chitosan, derived from deacetylation of chitin, a highly enantioselective heterogeneous organocatalytic aldol reaction could be performed. The use of an eco-friendly medium such as water, the recyclability of the catalytic specie and the renewable nature of the polysaccharide are assets of this new approach in organocatalysis and open interesting perspectives for the use of biopolymers.

Virtual Compton scattering in baryon chiral perturbation theory

This thesis is concerned with the calculation of virtual Compton scattering (VCS) in manifestly Lorentz-invariant baryon chiral perturbation theory to fourth order in the momentum and quark-mass expansion. In the one-photon-exchange approximation, the VCS process is experimentally accessible in photon electro-production and has been measured at the MAMI facility in Mainz, at MIT-Bates, and at Jefferson Lab. Through VCS one gains new information on the nucleon structure beyond its static properties, such as charge, magnetic moments, or form factors. The nucleon response to an incident electromagnetic field is parameterized in terms of 2 spin-independent (scalar) and 4 spin-dependent (vector) generalized polarizabilities (GP). In analogy to classical electrodynamics the two scalar GPs represent the induced electric and magnetic dipole polarizability of a medium. For the vector GPs, a classical interpretation is less straightforward. They are derived from a multipole expansion of the VCS amplitude. This thesis describes the first calculation of all GPs within the framework of manifestly Lorentz-invariant baryon chiral perturbation theory. Because of the comparatively large number of diagrams - 100 one-loop diagrams need to be calculated - several computer programs were developed dealing with different aspects of Feynman diagram calculations. One can distinguish between two areas of development, the first concerning the algebraic manipulations of large expressions, and the second dealing with numerical instabilities in the calculation of one-loop integrals. In this thesis we describe our approach using Mathematica and FORM for algebraic tasks, and C for the numerical evaluations. We use our results for real Compton scattering to fix the two unknown low-energy constants emerging at fourth order. Furthermore, we present the results for the differential cross sections and the generalized polarizabilities of VCS off the proton.

Resonances in the two centers Coulomb system

In this work we investigate the existence of resonances for two-centers Coulomb systems with arbitrary charges in two and three dimensions, defining them in terms of generalized complex eigenvalues of a non-selfadjoint deformation of the two-center Schrödinger operator. After giving a description of the bifurcation of the classical system for positive energies, we construct the resolvent kernel of the operators and we prove that they can be extended analytically to the second Riemann sheet. The resonances are then defined and studied with numerical methods and perturbation theory.

Modeling and simulations of some anisotropic soft-matter systems: from biaxial to chiral materials

We have modeled various soft-matter systems with molecular dynamics (MD) simulations. The first topic concerns liquid crystal (LC) biaxial nematic (Nb) phases, that can be possibly used in fast displays. We have investigated the phase organization of biaxial Gay-Berne (GB) mesogens, considering the effects of the orientation, strength and position of a molecular dipole. We have observed that for systems with a central dipole, nematic biaxial phases disappear when increasing dipole strength, while for systems characterized by an offset dipole, the Nb phase is stabilized at very low temperatures. In a second project, in view of their increasing importance as nanomaterials in LC phases, we are developing a DNA coarse-grained (CG) model, in which sugar and phosphate groups are represented with Lennard-Jones spheres, while bases with GB ellipsoids. We have obtained shape, position and orientation parameters for each bead, to best reproduce the atomistic structure of a B-DNA helix. Starting from atomistic simulations results, we have completed a first parametrization of the force field terms, accounting for bonded (bonds, angles and dihedrals) and non-bonded interactions (H-bond and stacking). We are currently validating the model, by investigating stability and melting temperature of various sequences. Finally, in a third project, we aim to explain the mechanism of enantiomeric discrimination due to the presence of a chiral helix of poly(gamma-benzyl L-glutamate) (PBLG), in solution of dimethylformamide (DMF), interacting with chiral or pro-chiral molecules (in our case heptyl butyrate, HEP), after tuning properly an atomistic force field (AMBER). We have observed that DMF and HEP molecules solvate uniformly the PBLG helix, but the pro-chiral solute is on average found closer to the helix with respect to the DMF. The solvent presents a faster isotropic diffusion, twice as HEP, also indicating a stronger interaction of the solute with the helix.

Imine von Formyl-[2.2]paracyclophanen und ihre Anwendung in der enantioselektiven Katalyse

Kohlenhydrate wurden bislang nur selten zur Darstellung chiraler Liganden verwendet. Sie gelten als zu polyfunktionell und konformativ zu flexibel, um daraus mit vertretbarem Aufwand Liganden zu synthetisieren, die die Anforderungen an ein leistungsfähiges Katalysatorsystem - die spezifische Komplexierung des Metalls in einer konformativ möglichst rigiden Umgebung - erfüllen.rnDas Element der planaren Chiralität erwies sich in vielen asymmetrischen, katalytischen Prozessen als entscheidend für die Erzielung hoher Enantioselektivitäten.rnDie vorliegende Arbeit baut auf den Kohlenhydratliganden-Synthesen mit Glycosylaminen auf, die über geeignete komplexierende Zentren verfügen, um damit andere als die bisher mit Kohlenhydraten bekannten enantioselektiven Katalysen durchführen zu können. Zur Synthese stickstoffhaltiger chiraler Verbindungen haben sich besonders perpivaloylierte Glycosylamine vom Typ des 2,3,4,6-Tetra-O-pivaloyl-β-D-galactopyranosylamins bewährt. Im Rahmen dieser Dissertation wurden Schiff-Basen aus pivaloyliertem Galactosylamin bzw. verschiedenen anderen Galactosylamin-Bausteinen als chiralem Rückgrat, und einem Aldehyd auf der Basis von planar chiralem [2.2]Paracyclophan dargestellt. Die neuen N-Galactosylimine wurden außerdem in asymmetrischen Ugi-Reaktionen und in Tandem Mannich-Michael-Reaktionen zu N-Galactosyl-dehydropiperidinonen untersucht. Bei der Spaltung der dargestellten N-Galactosylimine von Paracyclophan-aldehyden unter mineralsauren Bedingungen sollten die entsprechenden mono- und di-substituierten Formyl- [2.2]paracyclophane in enantiomerenreiner Form erhalten werden. Die erhaltenen Verbindungen wurden als potentielle N,O-Liganden in der asymmetrischen Strecker Reaktion, in die enantioselektiven Epoxidierungen und in der Addition von Diethylzink an aromatische und aliphatische Aldehyde untersucht.rn

Novel Synthetic Procedures in Organocatalysis

The main aim of my PhD project was the design and the synthesis of new pyrrolidine organocatalysts. New effective ferrocenyl pyrrolidine catalysts, active in benchmark organocatalytic reactions, has been developed. The ferrocenyl moiety, in combination with simple ethyl chains, is capable of fixing the enamine conformation addressing the approach trajectory of the nucleophile in the reaction. The results obtained represent an interesting proof-of-concept, showing for the first time the remarkable effectiveness of the ferrocenyl moiety in providing enantioselectivity through conformational selection. This approach could be viably employed in the rational design of ligands for metal or organocatalysts. Other hindered secondary amines has been prepared from alkylation of acyclic chiral nitroderivatives with alcohols in a highly diastereoselective fashion, giving access to functionalized, useful organocatalytic chiral pyrrolidines. A family of new pyrrolidines bearing sterogenic centers and functional groups can be readily accessible by this methodology. The second purpose of the project was to study in deep the reactivity of stabilized carbocations in new metal-free and organocatalytic reactions. By taking advantage of the results from the kinetic studies described by Mayr, a simple and effective procedure for the direct formylation of aryltetrafluoroborate salts, has been development. The coupling of a range of aryl- and heteroaryl- trifluoroborate salts with 1,3-benzodithiolylium tetrafluoroborate, has been attempted in moderate to good yields. Finally, a simple and general methodology for the enamine-mediated enantioselective α-alkylation of α-substituted aldehydes with 1,3-benzodithiolylium tetrafluoroborate has been reported. The introduction of the benzodithiole moiety permit the installation of different functional groups due to its chameleonic behaviour.

Possibili soluzioni per garantire qos nelle comunicazioni inter-data centers in ambienti cloud computing.

Nel presente lavoro, partendo dalla definizione di alcuni punti chiavi del concetto di cloud computing, si è insistito molto sulle problematiche relative alle performance degli ambenti cloud, e alle diverse proposte attualmente presenti sul mercato con i relativi limiti. Dopo averle illustrate in modo dettagliato, le diverse proposte sono state tra loro messe a confronto al fine di evidenziare, per ciascuna di essa, tanto gli aspetti positivi quanto i punti di criticità.

Baryons in the chiral regime

Quantum Chromodynamics (QCD) is the theory of strong interactions, one of the four fundamental forces in our Universe. It describes the interaction of gluons and quarks which build up hadrons like protons and neutrons. Most of the visible matter in our universe is made of protons and neutrons. Hence, we are interested in their fundamental properties like their masses, their distribution of charge and their shape. \\rnThe only known theoretical, non-perturbative and {\it ab initio} method to investigate hadron properties at low energies is lattice Quantum Chromodynamics (lattice QCD). However, up-to-date simulations (especially for baryonic quantities) do not achieve the accuracy of experiments. In fact, current simulations do not even reproduce the experimental values for the form factors. The question arises wether these deviations can be explained by systematic effects in lattice QCD simulations.rnrnThis thesis is about the computation of nucleon form factors and other hadronic quantities from lattice QCD. So called Wilson fermions are used and the u- and d-quarks are treated fully dynamically. The simulations were performed using gauge ensembles with a range of lattice spacings, volumes and pion masses.\\rnFirst of all, the lattice spacing was set to be able to make contact between the lattice results and their experimental complement and to be able to perform a continuum extrapolation. The light quark mass has been computed and found to be $m_{ud}^{\overline{\text{MS}}}(2\text{ GeV}) = 3.03(17)(38)\text{ MeV}$. This value is in good agreement with values from experiments and other lattice determinations.\\rnElectro-magnetic and axial form factors of the nucleon have been calculated. From these form factors the nucleon radii and the coupling constants were computed. The different ensembles enabled us to investigate systematically the dependence of these quantities on the volume, the lattice spacing and the pion mass.\newpage Finally we perform a continuum extrapolation and chiral extrapolations to the physical point.\\rnIn addition, we investigated so called excited state contributions to these observables. A technique was used, the summation method, which reduces these effects significantly and a much better agreement with experimental data was achieved. On the lattice, the Dirac radius and the axial charge are usually found to be much smaller than the experimental values. However, due to the carefully investigation of all the afore-mentioned systematic effects we get $\langle r_1^2\rangle_{u-d}=0.627(54)\text{ fm}^2$ and $g_A=1.218(92)$, which is in agreement with the experimental values within the errors.rnrnThe first three chapters introduce the theoretical background of form factors of the nucleon and lattice QCD in general. In chapter four the lattice spacing is determined. The computation of nucleon form factors is described in chapter five where systematic effects are investigated. All results are presented in chapter six. The thesis ends with a summary of the results and identifies options to complement and extend the calculations presented. rn

Chiral properties of two-flavour QCD at zero and non-zero temperature

Lattice Quantum Chromodynamics (LQCD) is the preferred tool for obtaining non-perturbative results from QCD in the low-energy regime. It has by nowrnentered the era in which high precision calculations for a number of phenomenologically relevant observables at the physical point, with dynamical quark degrees of freedom and controlled systematics, become feasible. Despite these successes there are still quantities where control of systematic effects is insufficient. The subject of this thesis is the exploration of the potential of todays state-of-the-art simulation algorithms for non-perturbativelyrn$\mathcal{O}(a)$-improved Wilson fermions to produce reliable results in thernchiral regime and at the physical point both for zero and non-zero temperature. Important in this context is the control over the chiral extrapolation. Thisrnthesis is concerned with two particular topics, namely the computation of hadronic form factors at zero temperature, and the properties of the phaserntransition in the chiral limit of two-flavour QCD.rnrnThe electromagnetic iso-vector form factor of the pion provides a platform to study systematic effects and the chiral extrapolation for observables connected to the structure of mesons (and baryons). Mesonic form factors are computationally simpler than their baryonic counterparts but share most of the systematic effects. This thesis contains a comprehensive study of the form factor in the regime of low momentum transfer $q^2$, where the form factor is connected to the charge radius of the pion. A particular emphasis is on the region very close to $q^2=0$ which has not been explored so far, neither in experiment nor in LQCD. The results for the form factor close the gap between the smallest spacelike $q^2$-value available so far and $q^2=0$, and reach an unprecedented accuracy at full control over the main systematic effects. This enables the model-independent extraction of the pion charge radius. The results for the form factor and the charge radius are used to test chiral perturbation theory ($\chi$PT) and are thereby extrapolated to the physical point and the continuum. The final result in units of the hadronic radius $r_0$ is rn$$ \left\langle r_\pi^2 \right\rangle^{\rm phys}/r_0^2 = 1.87 \: \left(^{+12}_{-10}\right)\left(^{+\:4}_{-15}\right) \quad \textnormal{or} \quad \left\langle r_\pi^2 \right\rangle^{\rm phys} = 0.473 \: \left(^{+30}_{-26}\right)\left(^{+10}_{-38}\right)(10) \: \textnormal{fm} \;, $$rn which agrees well with the results from other measurements in LQCD and experiment. Note, that this is the first continuum extrapolated result for the charge radius from LQCD which has been extracted from measurements of the form factor in the region of small $q^2$.rnrnThe order of the phase transition in the chiral limit of two-flavour QCD and the associated transition temperature are the last unkown features of the phase diagram at zero chemical potential. The two possible scenarios are a second order transition in the $O(4)$-universality class or a first order transition. Since direct simulations in the chiral limit are not possible the transition can only be investigated by simulating at non-zero quark mass with a subsequent chiral extrapolation, guided by the universal scaling in the vicinity of the critical point. The thesis presents the setup and first results from a study on this topic. The study provides the ideal platform to test the potential and limits of todays simulation algorithms at finite temperature. The results from a first scan at a constant zero-temperature pion mass of about 290~MeV are promising, and it appears that simulations down to physical quark masses are feasible. Of particular relevance for the order of the chiral transition is the strength of the anomalous breaking of the $U_A(1)$ symmetry at the transition point. It can be studied by looking at the degeneracies of the correlation functions in scalar and pseudoscalar channels. For the temperature scan reported in this thesis the breaking is still pronounced in the transition region and the symmetry becomes effectively restored only above $1.16\:T_C$. The thesis also provides an extensive outline of research perspectives and includes a generalisation of the standard multi-histogram method to explicitly $\beta$-dependent fermion actions.