804 results match your criteria: "The University Medical Center[Affiliation]"

A hepatocellular carcinoma model with and without parenchymal liver damage that integrates technical and pathophysiological advantages for therapy testing.

Pharmacol Res

December 2024

Department of Dermatology, University Medical Center of the Johannes Gutenberg-University, Langenbeckstrasse 1, 55131 Mainz, Germany; Department of Medicine II, Saarland University Medical Center, Saarland University, Kirrberger Strasse 100, 66123 Saarbrücken, Germany. Electronic address:

Hepatocellular Carcinoma (HCC) is the most common form of primary liver cancer, with cirrhosis being its strongest risk factor. Interestingly, an increasing number of HCC cases is also observed without cirrhosis. We developed an HCC model via intrasplenic injection of highly tumorigenic HCC cells, which, due to cellular tropism, invade the liver and allow for a controllable disease progression.

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Modeling cancer-microbiome interactions in vitro: A guide to co-culture platforms.

Int J Cancer

December 2024

Junior Research Group Epithelium Microbiome Interactions (EMIL), German Cancer Research Center, Heidelberg, Germany.

The biology of cancer is characterized by an intricate interplay of cells originating not only from the tumor mass, but also its surrounding environment. Different microbial species have been suggested to be enriched in tumors and the impacts of these on tumor phenotypes is subject to intensive investigation. For these efforts, model systems that accurately reflect human-microbe interactions are rapidly gaining importance.

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Immune-checkpoint inhibitors (ICIs) have revolutionized melanoma treatment, yet approximately half of patients do not respond to these therapies. Identifying prognostic biomarkers is crucial for treatment decisions. Our retrospective study assessed liquid biopsies and tumor tissue analyses for two potential biomarkers: danger-associated molecular pattern (DAMP) S100A8/A9 and its source, neutrophils.

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Background: In recent studies addressing colorectal liver metastases and HCC, R1 vascular surgery has demonstrated safety and oncological adequacy. Recognizing that patient prognosis after liver surgery for HCC depends more on preserving an adequate future liver remnant than on the width of the surgical margin, this surgical approach has achieved rising interest. However, data for its feasibility and safety for minimally invasive approaches for HCC resections are limited.

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Quantification of indocyanine-green-enhanced fluorescence with spectrophotometry (O2C®) in low anterior rectal resection: A prospective study.

Tech Coloproctol

December 2024

Department of Surgery, St. Marienkrankenhaus Siegen, Kampenstr. 51, 57072, Siegen, Germany.

Introduction: Despite spectacular visuals and the seemingly convincing rationale of using indocyanine-green-enhanced fluorescence in assessing bowel perfusion during colorectal resections, a lingering sense of subjectivity remains in the challenge of quantifying this fluorescence. This prospective study analyzed the application of O2C® spectrophotometry to quantify zones of fluorescence on the large bowel during low anterior resection.

Materials And Methods: Patients receiving a low anterior resection for cancer of the mid- and lower rectum were enrolled in this observational prospective study between February 2020 and December 2022.

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Article Synopsis
  • The study investigates the long-term effects of multiple myeloma and its treatment on the immune system of cancer survivors, finding significant changes even years after being cancer-free.
  • Analysis revealed that these survivors have a compromised bone marrow environment, which is linked to ongoing inflammation and the presence of residual myeloma cells, despite the absence of detectable cancer.
  • The research suggests that initial cancer treatment leads to lasting "immunological scarring," indicating that some immune system changes may be irreversible.
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Primary cutaneous T cell lymphomas (CTCL) are characterized by high relapse rates to initially highly effective therapies. Combination therapies have proven beneficial, particularly if they incorporate extracorporeal photopheresis (ECP). The NF-κB inhibitor dimethyl fumarate (DMF) has proven a new, effective drug in CTCL in a clinical phase II study.

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Neuroeconomics theories propose that the value associated with diverse rewards or reward-predicting stimuli is encoded along a common reference scale, irrespective of their sensory properties. However, in a dynamic environment with changing stimulus-reward pairings, the brain must also represent the sensory features of rewarding stimuli. The mechanism by which the brain balances these needs-deriving a common reference scale for valuation while maintaining sensitivity to sensory contexts-remains unclear.

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Oral Transport, Penetration, and Aspiration in PD: Insights from a RCT on STN + SNr Stimulation.

Dysphagia

November 2024

Centre of Neurology and Department of Neurodegenerative Diseases and Hertie Institute for Clinical Brain Research (HIH), University of Tübingen, Hoppe- Seyler- Str. 3, 72076, Tuebingen, Germany.

Article Synopsis
  • Dysphagia, a serious swallowing disorder, is common in patients with advanced Parkinson's disease (PD) and doesn’t improve with standard treatments.
  • This study tested whether combining stimulation of the subthalamic nucleus (STN) and substantia nigra pars reticulata (SNr) could enhance swallowing function in 20 PD patients undergoing deep brain stimulation (DBS).
  • Results showed no significant difference in swallowing improvements between the two stimulation methods, but overall, all patients experienced better outcomes over eight weeks, likely due to ongoing swallowing therapy and increased focus on their swallowing abilities.
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Background: Head and neck squamous cell carcinomas (HNSCCs) are heterogeneous in terms of origin and aetiology. In addition, there is uncertainty about the genetic evolution from initial diagnosis to recurrence after primary treatments and further disease progression following systemic treatment. Changes in the genetic profile have implications on the selection of appropriate treatments for patients, especially in the era of targeted therapies and immunotherapies.

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Cannabinoid receptor activation has been proposed to trigger glutamate release from astrocytes located in cortical layer 2/3. Here, we measure the basal concentration of extracellular glutamate in layer 2/3 of mouse somatosensory cortex and find it to be 20-30 nM. We further examine the effect of cannabinoid receptor signaling on extracellular glutamate, and find no evidence for increased extracellular glutamate upon cannabinoid receptor agonist application.

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Lived experiences of working-age polytrauma patients in Germany - A qualitative Analysis.

Injury

October 2024

Academy for Traumatology (AUC) @ German Society of Traumatology, Straße des 17, Juni 106-108, Berlin, Germany.

Article Synopsis
  • Survivors of major trauma face various challenges affecting their physical, mental, and social well-being, ultimately impacting their quality of life, which the study investigates within the German healthcare system.
  • The research involved interviews with nine trauma survivors, highlighting key issues like poor communication between healthcare providers and the need for dedicated support contacts during recovery.
  • Findings emphasize the importance of social support from networks, including employers, as crucial for emotional healing and successful reintegration into work and life, with mobility playing a key role in enhancing overall quality of life.
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Real-world federated learning in radiology: hurdles to overcome and benefits to gain.

J Am Med Inform Assoc

January 2025

Institute for Diagnostic and Interventional Radiology, Klinikum rechts der Isar, Technical University of Munich, Munich, 81675, Germany.

Objective: Federated Learning (FL) enables collaborative model training while keeping data locally. Currently, most FL studies in radiology are conducted in simulated environments due to numerous hurdles impeding its translation into practice. The few existing real-world FL initiatives rarely communicate specific measures taken to overcome these hurdles.

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ECM1 attenuates hepatic fibrosis by interfering with mediators of latent TGF-β1 activation.

Gut

October 2024

Department of Medicine II, University Medical Center Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany

Objective: Extracellular matrix protein 1 (ECM1) serves as a gatekeeper of hepatic fibrosis by maintaining transforming growth factor-β1 (TGF-β1) in its latent form. ECM1 knockout (KO) causes latent (L) TGF-β1 activation, resulting in hepatic fibrosis with rapid mortality. In chronic liver disease (CLD), ECM1 decreases with increasing CLD severity.

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Impact of a kidney-adjusted ERAS protocol on postoperative outcomes in patients undergoing partial nephrectomy.

Langenbecks Arch Surg

October 2024

Department of Urology and Urosurgery, Medical Faculty Mannheim, University Medical Centre Mannheim, University of Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany.

Purpose: Evaluation of a kidney-adjusted enhanced recovery after surgery (ERAS) protocol (kERAS) in patients undergoing nephron-sparing surgery (PN).

Methods: The kERAS protocol is a multidimensional protocol focusing on optimized perioperative fluid and nutrition management as well as strict intraoperative and postoperative blood pressure limits. It was applied in a prospective cohort (n = 147) of patients undergoing open or robotic PN.

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Background: Spinal muscular atrophy is a rare neurodegenerative disorder in children which leads untreated to muscle wasting, respiratory impairments, and a shortened life expectancy. Parents as primary caregivers are often physically and psychologically burdened. In recent years, new and promising treatment options have been approved, but it remains unclear if they have an impact on the psychosocial situation of affected families.

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Article Synopsis
  • The integration of sex and gender in research is essential for valid data, especially in studying the mental health of hospital staff during the COVID-19 pandemic, but the extent of gender sensitivity in these studies is unclear.
  • A scoping review was conducted reviewing studies from various databases to evaluate the mental health of hospital staff, using specific psychometric scales and a developed gender sensitivity assessment tool.
  • Out of 3,112 identified studies, only 72 met the criteria, with most being cross-sectional; however, a significant majority mishandled the concepts of sex and gender, and only one study adequately addressed gender in their findings.
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Background: Microvascular invasion is a major histopathological risk factor of postoperative recurrence in patients with hepatocellular carcinoma. This study aimed to develop and validate a digital biopsy model using imaging features to predict microvascular invasion before hepatectomy.

Methods: A total of 217 consecutive patients who underwent hepatectomy for resectable hepatocellular carcinoma were enrolled at two tertiary-care reference centers.

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Article Synopsis
  • The study explores the differences in reactivity between Brazilian (Green) propolis and Chinese (poplar-type) propolis in patch tests involving 1290 patients.
  • Results indicated that 23.5% of patients reacted positively to the Brazilian propolis, but many reactions lacked clear clinical significance.
  • Findings suggested that the high rate of positive reactions to the Brazilian propolis may be attributed more to bacterial contamination or impurities rather than the actual components of the propolis itself.
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Irradiation alters extracellular vesicle microRNA load in the serum of patients with leukaemia.

Strahlenther Onkol

September 2024

Department of Radiotherapy and Oncology, University Hospital Frankfurt, Goethe University Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany.

Purpose: Recent data suggest an impact of extracellular vesicles (EVs) and their micro(mi)RNA cargo on cell-cell interactions to contribute to pathophysiology of leukaemia and radiation response. Here, we investigated differential miRNA cargo of EVs from serum derived from patients with leukaemia (n = 11) before and after total body irradiation with 2 × 2 Gy as compared to healthy donors (n = 6).

Methods: RNA was isolated from EVs and subjected to next generation sequencing of miRNAs.

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Objective: This study analyzes the development, benefits, trial evidence, and price of new breast cancer drugs with US Food and Drug Administration (FDA) approval.

Methods: We identified 26 drugs with 42 FDA-approved indications for early and metastatic breast cancer (2000-2023). Data were collected from FDA labels, clinicaltrials.

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