299 results match your criteria: "Jena University Hospital-Friedrich Schiller University Jena[Affiliation]"

Longterm course of neuropsychological symptoms and ME/CFS after SARS-CoV-2-infection: a prospective registry study.

Eur Arch Psychiatry Clin Neurosci

December 2024

Department of Internal Medicine IV (Gastroenterology, Hepatology and Infectious Diseases), Jena University Hospital/Friedrich-Schiller-University Jena, Am Klinikum 1, 07743, Jena, Germany.

A significant proportion of patients after SARS-CoV-2 infection suffer from long-lasting symptoms. Although many different symptoms are described, the majority of patients complains about neuropsychological symptoms. Additionally, a subgroup of patients fulfills diagnostic criteria for ME/CFS.

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Background: In spring of 2020, the Sars-CoV-2 incidence rate increased rapidly in Germany and around the world. Throughout the next 2 years, schools were temporarily closed and social distancing measures were put in place to slow the spread of the Covid-19 virus. Did these social restrictions and temporary school lockdowns affect children's physical fitness? The EMOTIKON project annually tests the physical fitness of all third-graders in the Federal State of Brandenburg, Germany.

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Importance: Practice guidelines often provide recommendations in which the strength of the recommendation is dissociated from the quality of the evidence.

Objective: To create a clinical guideline for the diagnosis and management of adult bacterial infective endocarditis (IE) that addresses the gap between the evidence and recommendation strength.

Evidence Review: This consensus statement and systematic review applied an approach previously established by the WikiGuidelines Group to construct collaborative clinical guidelines.

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Various studies have reported insufficient beta-lactam concentrations in critically ill patients. The optimal dosing strategy for beta-lactams in critically ill patients, particularly in septic patients, is an ongoing matter of discussion. This retrospective study aimed to evaluate the success of software-guided empiric meropenem dosing (CADDy, Calculator to Approximate Drug-Dosing in Dialysis) with subsequent routine meropenem measurements and expert clinical pharmacological interpretations.

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This critique explores the implications of integrating artificial intelligence (AI) technology, specifically OpenAI's advanced language model GPT-4 and its interface, ChatGPT, into the field of spinal surgery. It examines the potential effects of algorithmic bias, unique challenges in surgical domains, access and equity issues, cost implications, global disparities in technology adoption, and the concept of technological determinism. It posits that biases present in AI training data may impact the quality and equity of healthcare outcomes.

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Temperature-based time of death estimation using simulation methods such as the finite element method promise higher accuracy and broader applicability in nonstandard cooling scenarios than established phenomenological methods. Their accuracy depends crucially on the simulation model to capture the actual situation, which in turn hinges on the representation of the corpse's anatomy in form of computational meshes as well as on the thermodynamic parameters. While inaccuracies in anatomy representation due to coarse mesh resolution are known to have a minor impact on the estimated time of death, the sensitivity with respect to larger differences in the anatomy has so far not been studied.

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Unlabelled: Although the rate of infection after the reconstruction of a ruptured anterior cruciate ligament (ACL) is low, prophylactic incubation of the graft with vancomycin (Vanco-wrap or vancomycin soaking) is routinely performed. A cytotoxic effect of vancomycin is reported for several cell types, and the prophylactic treatment might prevent infection but harm the tissue and cells.

Aim: A comprehensive study was performed to investigate the effect of vancomycin on tendon tissue and isolated tenocytes using cell viability, molecular and mechanical analysis.

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A relevant proportion of patients suffer from long-lasting impairments following an acute SARS-CoV-2 infection. The proposed post-COVID syndrome (PCS) score may improve comparison in the course and classification of affected patients. A prospective cohort of 952 patients presenting to the post-COVID outpatient clinic at Jena University Hospital, Germany, was enrolled.

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This article provides a critical analysis of the application of the advanced language model, GPT-4, in generating surgical operative notes, with a focus on its use in ophthalmology as presented by Waisberg et al. The discussion underscores the inherent complexity and specificity of operative notes, the issue of accountability, and the potential data protection issues associated with the use of AI in healthcare. The letter emphasizes the need for a more comprehensive understanding of the complexities involved in applying AI in healthcare and calls for a more nuanced and responsible approach to the integration of AI in surgical documentation.

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Sensitivity of temperature-based time since death estimation on measurement location.

Int J Legal Med

November 2023

Jena University Hospital - Friedrich Schiller University Jena, Institute of Forensic Medicine, Am Klinikum 1, 07747, Jena, Germany.

Rectal temperature measurement (RTM) from crime scenes is an important parameter for temperature-based time of death estimation (TDE). Various influential variables exist in TDE methods like the uncertainty in thermal and environmental parameters. Although RTM depends in particular on the location of measurement position, this relationship has never been investigated separately.

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Membrane-shaping proteins are driving forces behind establishment of proper cell morphology and function. Yet, their reported structural and in vitro properties are noticeably inconsistent with many physiological membrane topology requirements. We demonstrate that dendritic arborization of neurons is powered by physically coordinated shaping mechanisms elicited by members of two distinct classes of membrane shapers: the F-BAR protein syndapin I and the N-Ank superfamily protein ankycorbin.

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Article Synopsis
  • Long-term impairments from sepsis can hinder survivors' return to work, prompting a study on employment rates 6 and 12 months after hospitalization for the condition.
  • A cohort study using health claims from 7,370 working-age sepsis survivors revealed that 69.2% returned to work at 6 months, which increased to 76.9% after 12 months.
  • Despite positive return-to-work trends, 25% of survivors still did not resume work within a year, suggesting a need for focused rehabilitation and support services.
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Article Synopsis
  • The study investigates the relationship between formal thought disorder (FTD) symptoms and the brain's structural white matter connectivity across three mental health disorders: major depressive disorder, bipolar disorder, and schizophrenia.
  • Researchers analyzed data from 864 patients to identify three main dimensions of FTD: disorganization, emptiness, and incoherence, finding that disorganization and incoherence linked to global brain dysconnectivity.
  • The results highlight specific white matter subnetworks related to FTD, revealing significant overlap with brain regions previously associated with FTD in schizophrenia, indicating that these connection issues may be common across the disorders studied.
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Respiratory infections pose a significant health problem among elderly individuals, particularly during the COVID-19 pandemic. The increased mortality and morbidity rates among individuals over 65 highlight the criticality of these infections. The normal aging process in the lungs increases vulnerability to respiratory infections due to the accumulation of cellular damage and senescence.

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Exposure of human monocytes to lipopolysaccharide (LPS) or other pathogen-associated molecular pattern (PAMPs) induces a temporary insensitivity to subsequent LPS challenges, a cellular state called endotoxin tolerance (ET), associated with the pathogenesis of sepsis. In this study, we aimed to characterize the cellular state of human monocytes from healthy donors stimulated with in comparison to TLR2-specific ligands. We analyzed induced gene expression changes after 2 and 24 hours by amplicon sequencing (RNA-AmpliSeq) and compared the pro-inflammatory response after 2 hours with the response in re-stimulation experiments.

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