620 results match your criteria: "Leipzig University Hospital.[Affiliation]"

Rheumatoid arthritis (RA) is characterized by progressive joint destruction with subsequent serious disability. Objective biomarkers of RA course progression are lacking, which necessitates the discovery of activity indicators and predictors of the disease outcome. Musculoskeletal Ultrasound Seven-joint Score (MSUS7) is proposed as a reliable technique to evaluate radiographic RA progression.

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Background: Hematological cancer patients must comply with extensive medical instructions to prevent cancer progression or relapse. Psychological comorbidities and patient characteristics have been shown to affect compliance. However, the impact of posttraumatic stress disorder (PTSD) and adjustment disorder (AjD) on compliance in cancer patients remains unclear.

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Clinical outcome of patients with acute myeloid leukemia (AML) is associated with demographic and genetic features. Although the associations of acquired genetic alterations with patients' sex have been recently analyzed, their impact on outcome of female and male patients has not yet been comprehensively assessed. We performed mutational profiling, cytogenetic and outcome analyses in 1726 adults with AML (749 female and 977 male) treated on frontline Alliance for Clinical Trials in Oncology protocols.

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Are We Ready For "Triplet" Therapy in Higher-Risk MDS?

Clin Hematol Int

November 2023

Section of Hematology, Department of Internal Medicine, Yale University School of Medicine and Yale Cancer Center, New Haven, CT, USA.

Article Synopsis
  • * Current disease-modifying therapies, like azacitidine and decitabine, primarily offer palliative care and are limited outside of transplant options.
  • * Researchers are focusing on applying combination chemotherapies, commonly used for acute myeloid leukemia (AML), to MDS, considering study design and patient needs in developing new treatment strategies.
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Patients' Use of a Standardized Medication List - A Mixed Methods Study.

Patient Prefer Adherence

October 2023

Clinical Pharmacy Department, Institute of Pharmacy, Medical Faculty, Leipzig University, Leipzig, Germany.

Purpose: A medication list (ML) is a document listing the patient's entire medication, instructions for use, and indications. In Germany, a national standard was established in 2016 by law. However, data on patients' use of this standardized ML are scarce.

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Article Synopsis
  • Testing for mismatch repair deficiency (dMMR) and high-grade microsatellite instability (MSI-H) is crucial for diagnosing colorectal cancer and predicting response to immune therapies.
  • Originally linked to Lynch syndrome, MSI is now important in the treatment of various cancers beyond CRC, including endometrial and gastric cancers.
  • The review highlights the importance of quality assurance measures in testing, the challenges of assessing results, and the potential of Next Generation Sequencing in improving diagnostic accuracy.
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  • The study aimed to explore how caregivers of patients with Dravet syndrome (DS) monitor critical incidents and their knowledge about sudden unexpected death in epilepsy (SUDEP).
  • It involved a cross-sectional survey in Germany that collected data through questionnaires and diaries from 108 patients and their 82 caregivers, revealing that 75.9% of caregivers used monitoring devices regularly, including pulse oximeters and baby monitors.
  • While caregivers were mostly informed about SUDEP and engaged in various nighttime interventions, only a small percentage received formal resuscitation training, highlighting a potential gap in emergency preparedness.
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Introduction: To ensure the fastest and earliest possible treatment, the German Federal Ministry of Health (BMG) initiated central procurement and nationwide distribution of new drugs against COVID-19. A single centre was used for a retrospective temporal analysis of this procedure.

Methods: A descriptive analysis of hospitalization and treatment of COVID-19 patients with drugs centrally procured by the BMG at St.

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Acceptance of human papillomavirus vaccination and parents' willingness to vaccinate their adolescents in Ethiopia: a systematic review and meta-analysis.

Infect Agent Cancer

October 2023

Department of Medical Microbiology, Immunology, and Parasitology, School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.

Introduction: Despite the global vaccination campaign to prevent HPV-related morbidity, HPV vaccination uptake remains unacceptably low in the developing world, like Ethiopia. For strong interventional measures, compiled data in the field is required which is otherwise missed in the Ethiopian context. Therefore, this systematic review aimed to provide an estimate of the HPV vaccination uptake, mothers' willingness to vaccinate their adolescent girls, and associated factors in Ethiopia.

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Unlabelled: The aim of this study is to evaluate where exactly children and adolescents of the same group look when they interact with each other, and attempt to record and analyse the data recorded by eye-tracking technology.

Materials And Methods: 60 subjects participated in the study, evenly divided into three age categories of 20 each in pre-school/primary school age (5-9 years), early adolescence (10-14 years) and late adolescence/transition to adulthood (15-19 years). Age groups were matched and categorized to be used both for creating the picture series and testing.

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argue that identifying successful policies and practices in countries with falls in early childhood overweight can help enhance efforts and reduce within country inequities

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Ex vivo drug response profiling is a powerful tool to study genotype-drug response associations and is being explored as a tool set for precision medicine in cancer. Here we conducted a prospective non-interventional trial to investigate feasibility of ex vivo drug response profiling for treatment guidance in hematologic malignancies (SMARTrial, NCT03488641 ). The primary endpoint to provide drug response profiling reports within 7 d was met in 91% of all study participants (N = 80).

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Article Synopsis
  • Approximately 50% of older patients with acute myeloid leukemia (AML) do not achieve complete remission after traditional chemotherapy, and alternatives like higher doses of cytarabine combined with mitoxantrone have low success rates, especially for those with the unfavorable FLT3-ITD marker.* -
  • This study investigates the efficacy of quizartinib, a selective FLT3 inhibitor, combined with a chemotherapy regimen (HAM) in a randomized phase II trial, assessing outcomes such as complete remission rate compared to historical controls.* -
  • The trial employs a novel matched threshold crossing approach to bolster the reliability of results by comparing the current treatment outcomes with data from previous similar studies, aiming to improve the understanding of
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  • - The International Consortium for MDS has updated guidelines on classification, prognostication, and response assessment for myelodysplastic syndromes/neoplasms (MDS), focusing on recent changes in the WHO and ICC classifications.
  • - The report compares traditional risk assessment tools with newer molecular approaches, addressing the limitations of existing criteria in measuring treatment effectiveness.
  • - Emphasizing patient-centered care, the review highlights the importance of quality-of-life assessments and presents how the latest IWG response criteria improve the evaluation of therapeutic outcomes.
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Early Initiation of Sacubitril/Valsartan in Patients With Acute Heart Failure and Renal Dysfunction: An Analysis of the TRANSITION Study.

J Card Fail

March 2024

Hospital Virgen de la Arrixaca, University of Murcia, Murcia, Spain & Centro Nacional de Investigaciones Cardiovasculares (CNIC), Madrid, Spain.

Background: Treatment of patients with heart failure with reduced ejection fraction (HFrEF) and renal dysfunction (RD) is challenging owing to the risk of further deterioration in renal function, especially after acute decompensated HF (ADHF).

Methods And Results: We assessed the effect of RD (estimated glomerular filtration rate of ≥30 to <60 mL/min/1.73 m) on initiation, up-titration, and tolerability of sacubitril/valsartan in hemodynamically stabilized patients with HFrEF admitted for ADHF (RD, n = 476; non-RD, n = 483).

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Background And Importance: Adverse drug reactions impose a major burden. Those adverse drug reactions might lead to hospitalization but are often not correctly identified in the emergency department (ED). Clinical pharmacists, although not routinely implemented, can help identify adverse drug reactions.

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Incidences of diseases treated with transplantation frequently peak at higher age. The contribution of age to total risk of transplantation has not been estimated amidst an aging society. We compare outcomes of 1,547 patients aged 70-79 years and 9,422 patients aged 60-69 years transplanted 1998-2018 for myeloid, lymphoid and further neoplasia in Germany.

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Drug-related problems (DRP) jeopardize patient safety. Unit-dose dispensing systems (UDDS) with computerized-physician-order-entry (CPOE) and clinical-decision-support-systems (CDSS) were reported as a promising concept for preventing DRP. We aimed at identifying and categorizing DRP in peroral drug administration considering their clinical risk and preventability by UDSS/CPOE/CDSS.

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Purpose: Autonomic dysfunction and a chronic low-grade inflammation are supposed to play a role in the etiology of major depressive disorder (MDD). The vagus nerves (VN) form a major part of the parasympathetic nervous system and of the gut-brain axis. They are supposed to exert anti-inflammatory and epithelial barrier protective effects in the gut.

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Article Synopsis
  • Cancer progression results from genetic changes that alter cell properties and the mechanical state of tumors, with increased stiffness recognized but having limited prognostic utility.
  • Recent research suggests that tissue fluidization occurs alongside cancer progression, leading to changes in tissue behavior influenced by factors like cellular activity and microenvironment.
  • Advanced techniques, such as multifrequency magnetic resonance elastography, can differentiate tumors from surrounding tissues, and a meta-analysis identifies key mechanical characteristics that could help predict tumor aggressiveness and metastatic potential.
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Background: Symptoms of posttraumatic stress disorder (PTSD) and adjustment disorder (AjD) are common in hematological cancer patients as they face severe stressors during their serious disease and often intensive treatment, such as stem cell transplantation (SCT). Aims of the present study were to provide frequency and risk factors for PTSD and AjD based on updated diagnostic criteria that are lacking to date.

Material And Methods: In a cross-sectional study, hematological cancer patients were assessed for stressor-related symptoms via validated self-report questionnaires based on updated criteria for PTSD (PCL-5) and AjD (ADMN-20).

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Hearing rehabilitation of patients with severe hearing loss or deafness using cochlear implants (CI) is a very successful but also complex and lifelong process that requires high quality standards for structure, process, and results. Medical registries represent an ideal tool for conducting quality control relevant to care while at the same time collecting scientific data. Therefore, at the initiative of the Executive Committee of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery (DGHNO-KHC), a Germany-wide CI registry (the German Cochlear Implant Register, DCIR) was to be established.

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Abdominal fat quantification using convolutional networks.

Eur Radiol

December 2023

Department of Diagnostic and Interventional Radiology, Leipzig University Hospital, Liebigstr. 20, Haus 4, 04103, Leipzig, Germany.

Objectives: To present software for automated adipose tissue quantification of abdominal magnetic resonance imaging (MRI) data using fully convolutional networks (FCN) and to evaluate its overall performance-accuracy, reliability, processing effort, and time-in comparison with an interactive reference method.

Materials And Methods: Single-center data of patients with obesity were analyzed retrospectively with institutional review board approval. Ground truth for subcutaneous (SAT) and visceral adipose tissue (VAT) segmentation was provided by semiautomated region-of-interest (ROI) histogram thresholding of 331 full abdominal image series.

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