1,238 results match your criteria: "University Hospital 'Bergmannsheil'[Affiliation]"

Background: Invasive coronary angiography (ICA) is the standard for pre-procedural assessment of coronary artery disease (CAD) in patients undergoing transcatheter aortic valve implantation (TAVI). However, it requires hospitalization and can be associated with complications. Computed tomography angiography (CTA) may be a viable alternative to rule out prognostically relevant CAD.

View Article and Find Full Text PDF

Amyotrophic lateral sclerosis (ALS) is a fatal neurodegenerative disease characterized by motor neuron degeneration in the central nervous system. Recent research has increasingly linked the activation of nucleotide oligomerization domain-like receptor protein 3 (NLRP3) inflammasome to ALS pathogenesis. NLRP3 activation triggers Caspase 1 (CASP 1) auto-activation, leading to the cleavage of Gasdermin D (GSDMD) and pore formation on the cellular membrane.

View Article and Find Full Text PDF

Generation of two induced pluripotent stem cell lines (HIMRi006-A and HIMRi007-A) from Pompe patients with infantile and late disease onset.

Stem Cell Res

September 2024

Department of Neurology, Heimer Institute for Muscle Research, BG-University Hospital Bergmannsheil, Ruhr-University Bochum, 44789 Bochum, Germany.

Here we present the generation of HIMRi006-A and HIMRi007-A Pompe disease (PD) patient derived human induced pluripotent stem cell (hiPSC) lines. HIMRi006-A represents an infantile onset disease (IOPD) phenotype caused by a homozygous c.307 T > G mutation in the GAA gene.

View Article and Find Full Text PDF
Article Synopsis
  • Fatigue is a significant issue for patients with complex regional pain syndrome (CRPS), often overlooked in favor of pain management, prompting this study to explore its prevalence and impact on life quality.
  • Among 181 CRPS patients and 141 controls, results showed CRPS patients experience much higher levels of fatigue, with 85% reporting it compared to 44.2% in the control group.
  • The study found severe fatigue in CRPS patients correlates with greater pain intensity and notably influences their overall quality of life, emphasizing the need for integrated management of both pain and fatigue.
View Article and Find Full Text PDF

Background: Single-stage mastopexy augmentation is a much-debated intervention due to its complexity and the associated relatively high complication rates. This study aimed to reevaluate the risk factors for these complications using a novel approach based on artificial intelligence and to demonstrate its possible limitations.

Patients And Methods: Complete datasets of patients who underwent single-staged augmentation mastopexy during 2014-2023 at one institution by a single surgeon were collected retrospectively.

View Article and Find Full Text PDF

Cognitive functions, such as learning and memory processes, depend on effective communication between brain regions which is facilitated by white matter tracts (WMT). We investigated the microstructural properties and the contribution of WMT to extinction learning and memory in a predictive learning task. Forty-two healthy participants completed an extinction learning paradigm without a fear component.

View Article and Find Full Text PDF

Impaired autonomic function and somatosensory disturbance in patients with treated autoimmune thyroiditis.

Sci Rep

May 2024

Diabetes, Endocrinology and Metabolism Section, Department of Internal Medicine I, St. Josef Hospital, Ruhr University Bochum, Gudrunstr. 56, 44791, Bochum, NRW, Germany.

Despite treatment with levothyroxine, hypothyroidism and autoimmune thyroiditis (AIT) may be associated with reduced quality of life (QoL), an enigmatic condition referred to as "syndrome T". Peripheral neuropathy, described in untreated thyroid disease, could be a contributing mechanism. We analysed autonomic and somatosensory function in 29 patients with AIT and treated hypothyroidism and 27 healthy volunteers.

View Article and Find Full Text PDF

Limb-girdle muscular dystrophy (LGMD) type R1 (LGMDR1) is the most common subtype of LGMD in Europe. Prospective longitudinal data, including clinical assessments and new biomarkers such as quantitative magnetic resonance imaging (qMRI), are needed to evaluate the natural course of the disease and therapeutic options. We evaluated eight thigh and seven leg muscles of 13 LGMDR1 patients (seven females, mean age 36.

View Article and Find Full Text PDF

Background: Sarculator and Memorial Sloan Kettering Cancer Center (MSKCC) nomograms are freely available risk prediction scores for surgically treated patients with primary sarcomas. Due to the rarity of angiosarcomas, these scores have only been tested on small cohorts of angiosarcoma patients. In neither the original patient cohort upon which the Sarculator is based nor in subsequent studies was a distinction made between primary and secondary angiosarcomas, as the app is intended to be applied to primary sarcomas.

View Article and Find Full Text PDF

Background: Prostate cancer (PC) is the most common cancer in men in 112 countries, and accounts for 15% of cancers. Because it cannot be prevented, the rise in cases is inevitable, and improvements in diagnostic pathways and treatments are needed, as there is still a shortage of cost-effective diagnostics and widespread oncologically safe treatment options with measurable quality. As part of the implementation of a Full Cycle of Care, instruments have been developed to achieve value-based medicine, such as consistent commitment to measurability.

View Article and Find Full Text PDF

Datasets consist of measurement data and metadata. Metadata provides context, essential for understanding and (re-)using data. Various metadata standards exist for different methods, systems and contexts.

View Article and Find Full Text PDF

Objective: De novo spinal infections are an increasing medical problem. The decision-making for surgical or nonsurgical treatment for de novo spinal infections is often a non-evidence-based process and commonly a case-by-case decision by single physicians. A scoring system based on the latest evidence might help improve the decision-making process compared with other purely radiology-based scoring systems or the judgment of a single senior physician.

View Article and Find Full Text PDF

Generation of Skeletal Muscle Organoids from Human Pluripotent Stem Cells.

Bio Protoc

May 2024

Ruhr University Bochum, Medical Faculty, Institute of Anatomy, Department of Anatomy and Molecular Embryology, Bochum, Germany.

Various protocols have been proven effective in the directed differentiation of mouse and human pluripotent stem cells into skeletal muscles and used to study myogenesis. Current 2D myogenic differentiation protocols can mimic muscle development and its alteration under pathological conditions such as muscular dystrophies. 3D skeletal muscle differentiation approaches can, in addition, model the interaction between the various cell types within the developing organoid.

View Article and Find Full Text PDF

Symphony of surprises: Unveiling organ interactions in Takotsubo Syndrome.

Int J Cardiol

August 2024

Department of Cellular and Translational Physiology, Institute of Physiology, Ruhr University Bochum, 44801 Bochum, Germany; Institut für Forschung und Lehre (IFL), Molecular and Experimental Cardiology, Ruhr University Bochum, 44801 Bochum, Germany; Department of Cardiology, St. Josef-Hospital, UK RUB, Ruhr University Bochum, 44791 Bochum, Germany. Electronic address:

View Article and Find Full Text PDF

Lower extremity amputations (LEAs) are a burdensome complication of peripheral artery disease (PAD) and/or arterial embolism and thrombosis (AET). We assessed the trends in PAD- and/or AET-related LEAs in Romania. This retrospective study (2015-2019) analyzed data on minor and major LEAs in hospitalized patients recorded in the National School for Public Health, Management, and Health Education database.

View Article and Find Full Text PDF

Background: Acute upper airway compromise is a rare but catastrophic complication after anterior cervical discectomy and fusion. This study aims to develop a score to identify patients at risk of acute postoperative airway compromise (PAC).

Methods: Potential risk factors for acute PAC were selected by a modified Delphi process.

View Article and Find Full Text PDF

Effects on gait kinematics, pedobarography, functional and subjective results after isolated chopart injury.

BMC Musculoskelet Disord

April 2024

Department of General and Trauma Surgery, BG-University Hospital Bergmannsheil, Ruhr-University, Bochum, Germany, Bürkle-de-la-Camp Platz 1, 44789.

Background: This study analysed changes in gait and pedobarography and subjective and functional outcomes after isolated Chopart joint injury.

Methods: The results of 14 patients were reviewed. Kinematic 3D gait analysis, comparative bilateral electromyography (EMG) and pedobarography were performed.

View Article and Find Full Text PDF

Background: In patients with embolic stroke of undetermined source (ESUS), underlying subclinical atrial fibrillation (AF) is often suspected. Previous studies identifying predictors of AF have been limited in their ability to diagnose episodes of AF. Implantable loop recorders enable prolonged, continuous, and therefore more reliable detection of AF.

View Article and Find Full Text PDF
Article Synopsis
  • Patients with stage 4 chronic kidney disease (CKD) were studied to compare the risk of infections and complications between transvenous implantable cardioverter-defibrillators (TV-ICDs) and subcutaneously implanted ICDs (S-ICDs).
  • The study included 70 patients, with follow-ups over several years, revealing that those with TV-ICDs had a higher incidence of infections, complications, and hospitalizations compared to those with S-ICDs.
  • The findings suggest that S-ICDs may be a safer option for CKD patients needing prophylactic defibrillators, as they were linked to significantly fewer adverse outcomes.
View Article and Find Full Text PDF

Proteomic studies in VWA1-related neuromyopathy allowed new pathophysiological insights and the definition of blood biomarkers.

J Cell Mol Med

April 2024

Department of Neurology, Heimer Institute for Muscle Research, University Hospital Bergmannsheil, Ruhr-University Bochum, Bochum, Germany.

Bi-allelic variants in VWA1, encoding Von Willebrand Factor A domain containing 1 protein localized to the extracellular matrix (ECM), were linked to a neuromuscular disorder with manifestation in child- or adulthood. Clinical findings indicate a neuromyopathy presenting with muscle weakness. Given that pathophysiological processes are still incompletely understood, and biomarkers are still missing, we aimed to identify blood biomarkers of pathophysiological relevance: white blood cells (WBC) and plasma derived from six VWA1-patients were investigated by proteomics.

View Article and Find Full Text PDF

Postoperative Epidural Fibrosis: Challenges and Opportunities - A Review.

Spine Surg Relat Res

March 2024

Department of Orthopedics and Trauma Surgery, Katholisches Klinikum Bochum - St. Josef Hospital, Ruhr University Bochum, Bochum, Germany.

Postoperative epidural fibrosis (EF) is still a major limitation to the success of spine surgery. Fibrotic adhesions in the epidural space, initiated via local trauma and inflammation, can induce difficult-to-treat pain and constitute the main cause of failed back surgery syndrome, which not uncommonly requires operative revision. Manifold agents and methods have been tested for EF relief in order to mitigate this longstanding health burden and its socioeconomic consequences.

View Article and Find Full Text PDF

Quantitative muscle MRI (qMRI) is a promising tool for evaluating and monitoring neuromuscular disorders (NMD). However, the application of different imaging protocols and processing pipelines restricts comparison between patient cohorts and disorders. In this qMRI study, we aim to compare dystrophic (limb-girdle muscular dystrophy), inflammatory (inclusion body myositis), and metabolic myopathy (Pompe disease) as well as patients with post-COVID-19 conditions suffering from myalgia to healthy controls.

View Article and Find Full Text PDF
Article Synopsis
  • Transfemoral transcatheter aortic valve implantation (TAVI) is now the primary treatment for severe aortic stenosis, and intravascular lithotripsy (IVL-TAVI) can improve access for patients with severe iliofemoral calcifications.
  • A study comparing IVL-TAVI (30 patients) to traditional transaxillary access (TAX-TAVI, 44 patients) showed that IVL-TAVI had higher technical success (93.3% vs 81.8%) and lower safety complications (10.0% vs 31.8%).
  • The findings suggest that IVL-TAVI is a safe and effective method for patients previously deemed ineligible for transfemoral access
View Article and Find Full Text PDF

Purpose: Corneal confocal microscopy is a noninvasive imaging technique to analyze corneal nerve fibers and corneal inflammatory cells (CICs). The amount of CICs is a potential biomarker of disease activity in chronic autoinflammatory diseases. To date, there are no standardized criteria for the morphological characterization of CICs.

View Article and Find Full Text PDF