184 results match your criteria: "UNIVERSITY CLINIC SCHLESWIG-HOLSTEIN[Affiliation]"

Differences between Current Clinical Practice and Evidence-Based Guideline Recommendations Regarding Tocolysis - an Austria-wide Survey.

Geburtshilfe Frauenheilkd

January 2025

Department of Gynecology, Obstetrics, and Gynecological Endocrinology, Kepler University Hospital, Johannes Kepler University Linz, Linz, Austria.

Introduction: To evaluate the adherence of Austrian obstetricians to national guideline recommendations by investigating data on the current practice of tocolysis regarding indications, timing and monitoring of tocolysis, choice of tocolytics and serious side effects, maintenance tocolysis, support of decision-making and recommendations at patient's discharge from the hospital.

Materials And Methods: 78 obstetric departments in Austria were invited to participate in a nationwide survey between June 5 and August 31 2023 by answering a web-based questionnaire about clinical standards. The survey was conducted approximately one year after implementation of the AWMF Guideline "Prevention and Therapy of Preterm Birth" 015‑025.

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Objective: Aim: To analyse in detail the incidence of POAP after urgent abdominal and endoscopic transpapillary surgical interventions.

Patients And Methods: Materials and Methods: A retrospective analysis of 52 clinical cases of POAP was done, among which 27 patients developed POAP after urgent abdominal interventions and 25 patients - after endoscopic transpapillary interventions.

Results: Results: The incidence of POAP after urgent surgical interventions consisted 0,3%, after endoscopic transpapillary interventions - 18,25%.

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In terms of infection control, environmental cleaning is critical in nursing homes, including long term care facilities. According to the statement of the Commission of Hospital Hygiene and Infection Prevention (KRINKO) at the Robert Koch Institute Berlin on the requirements for disinfectants in these areas, procedures should be used that have been certified by the Association for Applied Hygiene (VAH) for the necessary spectrum of efficacy (or are listed accordingly in the disinfectant list of the Robert Koch Institute). Since ozone is a powerfully oxidizing gas with high inhalation toxicity, the conditions of ap-plication and the measures for occupational safety - including ensuring that the limit value in indoor air is not exceeded when handling and using the product -, must be declared by the manufacturer and observed by the staff to exclude toxic long-term hazard.

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Tuberculosis in adult migrants in Europe: a TBnet consensus statement.

Eur Respir J

December 2024

Clinical Infectious Diseases, Research Center Borstel, Leibniz Lung Center, Borstel, Germany.

Introduction: Global migration has increased in recent decades due to war, conflict, persecutions, and natural disasters, but also secondary to increased opportunities related to work or study. Migrants' risk of tuberculosis (TB) differs by reasons for migration, socioeconomic status, mode of travel and TB risk in transit, TB incidence and healthcare provision in country of origin. Despite advances in TB care for migrants and new treatment strategies, decisions for the management of migrants at risk of TB often rely on expert opinions, rather than clinical evidence.

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Background: Humans are subjected to various environmental stressors (bacteria, viruses, pollution) throughout life. As such, an inherent relationship exists between the effect of these exposures with age. The impact of these environmental stressors can manifest through DNA methylation (DNAm).

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Patients with acute psychosis are often confronted with the prejudice that they refuse all treatment due to lack of insight. This study examined and compared the aims and preferences for treatment of patients with acute psychosis and of psychiatric inpatient staff. A total of 142 inpatients being treated for a psychotic disorder on either a locked or an open ward indicated which of a range of symptoms they want to be treated and which of various biopsychosocial treatment options they would like to receive.

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Youths with Extreme Obesity: A High-Risk Group for Pain and Mental Health Impairments.

Obes Facts

September 2024

Division of Pediatric Endocrinology and Diabetes, Department of Pediatrics and Adolescent Medicine, University Medical Center Ulm, Ulm, Germany.

Article Synopsis
  • Some young people with extreme obesity (very high body weight) face more physical pain and mental health issues than those with less obesity.
  • In a study of 431 youths, those with extreme obesity reported more pain, depression, and lower quality of life.
  • Girls with extreme obesity experienced more pain and depression than boys, showing that it's important to focus on both pain relief and mental health support for these young people.
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Article Synopsis
  • - Primary ciliary dyskinesia (PCD) is a rare genetic disorder affecting cilia function, impacting respiratory health, with no cure available; supportive therapies like physical activity are recommended despite a lack of scientific backing.
  • - A multi-center randomized controlled trial will involve 158 participants to test whether a personalized physical activity program improves quality of life (QoL) compared to standard recommendations over six months, utilizing activity trackers and regular assessments.
  • - The trial aims to address challenges posed by the diversity of PCD cases and age variation through stratified randomization, emphasizing individualized approaches and maintaining close contact with trainers to enhance outcomes.
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Background: Until recently, about three-quarters of all monogenic Parkinson's disease (PD) studies were performed in European/White ancestry, thereby severely limiting our insights into genotype-phenotype relationships at a global scale.

Objective: To identify the multi-ancestry spectrum of monogenic PD.

Methods: The first systematic approach to embrace monogenic PD worldwide, The Michael J.

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Objectives: Sexuality is an important dimension of health-related quality of life (HRQOL) in cancer patients. Studies evidence that most patients report impairments of their sexual health related to their disease or its treatment. The Quality of Life Group of the European Organization for the Research and Treatment of Cancer (EORTC) developed a patient reported outcome measure assessing multidimensional aspects of sexual health.

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Automatic robotic doppler sonography of leg arteries.

Int J Comput Assist Radiol Surg

October 2024

Institute for Robotics and Cognitive Systems, University of Luebeck, Ratzeburger Allee 160, Luebeck, 23562, Germany.

Purpose: Robot-assisted systems offer an opportunity to support the diagnostic and therapeutic treatment of vascular diseases to reduce radiation exposure and support the limited medical staff in vascular medicine. In the diagnosis and follow-up care of vascular pathologies, Doppler ultrasound has become the preferred diagnostic tool. The study presents a robotic system for automatic Doppler ultrasound examinations of patients' leg vessels.

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Background: Information on specialist physiotherapeutic treatment for functional movement disorders is scarce. Previous studies focussed on functional gait disorders and availability of descriptions of the practical application especially for other body regions is very limited.

Cases: We present two illustrative cases, demonstrating the key elements of physiotherapy for the treatment of functional movement disorders beyond gait difficulties.

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Radiation-Induced DNA Damage in Uveal Melanoma Is Influenced by Dose Delivery and Chromosome 3 Status.

Invest Ophthalmol Vis Sci

June 2024

Department of Ophthalmology, University Clinic Schleswig-Holstein (UKSH), University of Lübeck, Lübeck, Germany.

Purpose: The purpose of this study was to analyze the extent of DNA breaks in primary uveal melanoma (UM) with regard to radiotherapy dose delivery (single-dose versus fractionated) and monosomy 3 status.

Methods: A total of 54 patients with UM were included. Stereotactic radiotherapy (SRT) was performed in 23 patients, with 8 undergoing single-dose SRT (sdSRT) treatment and 15 receiving fractionated SRT (fSRT).

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Aims: Simplified ablation technologies for pulmonary vein isolation (PVI) are increasingly performed worldwide. One of the most common complications following PVI are vascular access-related complications. Lately, venous closure systems (VCSs) were introduced into clinical practice, aiming to reduce the time of bed rest, to increase the patients' comfort, and to reduce vascular access-related complications.

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Until recently, about three-quarters of all monogenic Parkinson's disease (PD) studies were performed in European/White ancestry, thereby severely limiting our insights into genotype-phenotype relationships at global scale. The first systematic approach to embrace monogenic PD worldwide, The Michael J. Fox Foundation Global Monogenic PD (MJFF GMPD) Project, contacted authors of publications reporting individuals carrying pathogenic variants in known PD-causing genes.

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Glioblastoma multiforme (GBM) and the GBM variant gliosarcoma (GS) are among the tumors with the highest morbidity and mortality, providing only palliation. Stem-like glioma cells (SLGCs) are involved in tumor initiation, progression, therapy resistance, and relapse. The identification of general features of SLGCs could contribute to the development of more efficient therapies.

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Article Synopsis
  • A 2016 study tested the effectiveness of 1 mg rasagiline per day as an additional treatment for 252 ALS patients, aiming to identify which subgroups may benefit most from the drug.
  • New analyses revealed that ALS patients with very slow disease progression showed better survival rates without treatment, while those with intermediate to fast progression benefited from rasagiline, showing increased survival at 6 and 12 months.
  • The study found no clear link between genetic variations in the MAOB and DRD2 genes and rasagiline's treatment effects, emphasizing the importance of factoring in individual disease progression in future ALS research.
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Viral disinfection is important for medical facilities, the food industry, and the veterinary field, especially in terms of controlling virus outbreaks. Therefore, standardized methods and activity levels are available for these areas. Usually, disinfectants used in these areas are characterized by their activity against test organisms (i.

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RAR-Dependent and RAR-Independent RXR Signaling in Stem-like Glioma Cells.

Int J Mol Sci

November 2023

Laboratory of Experimental Neuro-Oncology, Center of Brain, Behavior and Metabolism, University Lübeck, Marie-Curie Strasse 66, D-23562 Lübeck, Germany.

Retinoic acid (RA) exerts pleiotropic effects during neural development and regulates homeostasis in the adult human brain. The RA signal may be transduced through RXR (retinoid-X receptor)-non-permissive RA receptor/RXR heterodimers or through RXR-permissive RXR heterodimers. The significance of RA signaling in malignant brain tumors such as glioblastoma multiforme (GBM) and gliosarcoma (GS) is poorly understood.

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  • The study investigated the outcomes of patients with systemic sclerosis (SSc) who contracted COVID-19 across different waves of the pandemic, highlighting a lack of data for this specific group.
  • A total of 333 SSc patients were analyzed, revealing a reduction in severe outcomes, hospitalizations, and deaths from wave 1 to waves 2 and 3.
  • The findings suggest that younger demographics, lower use of high-dose corticosteroids, and possibly improved healthcare responses contributed to better outcomes for SSc patients as the pandemic progressed.
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  • Cardiovascular health in young people can reduce the risk of heart disease later in life and enhance physical and cognitive abilities as they age.
  • This study examined high school students' physical activity levels, comparing those with a sports-focused curriculum to their peers regarding physical and cognitive performance and arterial stiffness.
  • Findings indicated that male students with extracurricular sports activities showed improved cognitive skills, while females in a sports curriculum performed better in running, and male students displayed lower arterial stiffness, suggesting a connection between sports involvement and better cardiovascular health.
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Objectives: Despite the increasing number of female medical students and fellows in Europe, women are still under-represented in higher academic careers and positions in medicine. The aim of this survey was to assess the 'status quo' on gender distribution among rheumatologists in Germany.

Methods: A web-based anonymous survey (21 questions with multiple answers and free text) using QuestionPro was distributed among rheumatologists in Germany via newsletters, social media and personal contact, including questions regarding hierarchical positions and work characteristics.

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Effect of obesity on venous blood flow in the lower limbs.

J Dtsch Dermatol Ges

June 2023

Professor Birgit Kahle 1, Department of Dermatology, University Clinic Schleswig-Holstein, Luebeck, Germany.

Background And Objectives: Although obesity is a recognized risk factor for the development of lower limb venous disease, less attention has been paid to objectively measuring the effect of centripetal obesity on blood flow in the lower limbs.

Patients And Methods: The diameter of lower limb veins and venous blood flow were measured in 44 patients (65.6 ± 12.

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