18 results match your criteria: "University Hospital Ludwig Maximilians University Munich[Affiliation]"

Article Synopsis
  • The COVID-19 pandemic prompted significant changes in how societies, businesses, and healthcare systems operate, particularly in delivering mental health care.
  • This review highlights the rise of digital technologies—like chat bots, online questionnaires, and video games—as tools to provide support and treatment for mental health issues such as depression and anxiety.
  • The focus is on how these digital solutions have been integrated for diagnostics, patient monitoring, and treatment, benefiting both the general public and frontline medical workers dealing with mental health challenges.
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Object recognition tests are widely used in neuroscience to assess memory function in rodents. Despite the experimental simplicity of the task, the interpretation of behavioural features that are counted as object exploration can be complicated. Thus, object exploration is often analysed by manual scoring, which is time-consuming and variable across researchers.

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Background: One in eight women is diagnosed with breast cancer in the course of their life. As systematic palliative treatment has only a limited effect on survival rates, the concept of health-related quality of life (HRQoL) was developed for measurement of patient-centered outcomes. Various studies have already demonstrated the reliability of paper-based patient-reported outcome (pPRO) and electronic patient-reported outcome (ePRO) surveys and that the 2 means of assessment are equally valid.

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Background Although trials suggest that anti-inflammatory approaches targeting interleukin (IL)-6 signaling can reduce cardiovascular risk, it remains unknown whether targeting IL-6 signaling could reduce risk additively to low-density lipoprotein cholesterol (LDL-C) lowering. Here, we assess interactions in associations of genetic downregulation of IL-6 signaling and LDL-C lowering with lifetime cardiovascular disease risk. Methods and Results Genetic scores for IL-6 signaling downregulation and LDL-C lowering were used to divide 408 225 White British individuals in UK Biobank into groups of lifelong exposure to downregulated IL-6 signaling, lower LDL-C, or both.

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Deterioration and Mortality Risk of COPD Patients Not Fitting into Standard GOLD Categories: Results of the COSYCONET Cohort.

Respiration

December 2021

Department of Internal Medicine V, Comprehensive Pneumology Center (CPC), Member of the German Center for Lung Research (DZL), University of Munich (LMU), Munich, Germany,

Background: Patients with COPD-specific symptoms and history but FEV1/FVC ratio ≥0.7 are a heterogeneous group (former GOLD grade 0) with uncertainties regarding natural history.

Objective: We investigated which lung function measures and cutoff values are predictive for deterioration according to GOLD grades and all-cause mortality.

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Article Synopsis
  • Education level significantly influences lung function and quality of life in COPD patients, regardless of smoking history.
  • Never-smokers showed better CO diffusing capacity and less lung hyperinflation than long-time ex-smokers, though overall lung function was similar.
  • Higher education correlates with improved outcomes and lower mortality rates in COPD patients, highlighting the importance of socioeconomic factors in managing the disease.
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LION-PAW (lymphadenectomy in ovarian neoplasm) sexual function assessment: a prospective sub-study of the LION trial.

Int J Gynecol Cancer

October 2020

Department of Gynecology and Gynecological Oncology, KEM, Kliniken Essen Mitte, Essen, Germany.

Background: There is limited information about the impact of radical surgery including pelvic and para-aortic lymphadenectomy and subsequent platinum-based chemotherapy on sexuality in patients with advanced ovarian cancer.

Objective: To evaluate the impact of radical surgery including pelvic and para-aortic lymphadenectomy and subsequent platinum-based chemotherapy on sexuality in patients with advanced ovarian cancer as a sub-protocol of the prospectively randomized LION trial.

Methods: The Sexual Activity Questionnaire was applied to assess sexual function according to its sub-scales activity, pleasure, and discomfort.

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Background: Cytokines are mediators of inflammation that contribute to a low-grade inflammation in different disorders like major depression and obesity. It still remains unclear which psychological and medical factors interact with cytokine regulation. In the current investigation, the association between levels of pro-and anti-inflammatory cytokines and anthropometrics, mood state (depressiveness), physical activity and sleep were investigated in a sample of community-dwelled adults.

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Health-related quality of life associates with change in FEV in COPD: results from the COSYCONET cohort.

BMC Pulm Med

May 2020

Institute of Health Economics and Health Care Management, Helmholtz Zentrum München, GmbH - German Research Center for Environmental Health, Comprehensive Pneumology Center Munich (CPC-M), Member of the German Center for Lung Research (DZL), Ingolstaedter Landstr. 1, 85764, Neuherberg, Germany.

Article Synopsis
  • The study investigates the relationship between changes in forced expiratory volume (FEV) and health-related quality of life (HRQL) in COPD patients over a three-year period, involving 1734 participants from the COSYCONET cohort who completed specific questionnaires.
  • Results showed a significant decrease in disease-specific HRQL (measured by the SGRQ), mainly due to increased limitations in activity, while the generic HRQL (EQ VAS) showed no significant change.
  • A linear correlation was found, indicating that a decrease in FEV corresponds to a worsening in quality of life (SGRQ increase) and that improvements in FEV are linked to better quality of life outcomes.
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Purpose: In an update of the randomized, open-label, phase III European Mantle Cell Lymphoma (MCL) Elderly trial (ClinicalTrials.gov identifier: NCT00209209), published in 2012, we aimed to confirm results on long-term outcome focusing on efficacy and safety of long-term use of rituximab maintenance.

Patients And Methods: Five hundred sixty patients with newly diagnosed MCL underwent a first random assignment between rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone (R-CHOP) and rituximab, fludarabine, and cyclophosphamide (R-FC) induction, followed by a second random assignment in 316 responders between rituximab and interferon alfa maintenance, to be continued until progression.

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Background: Postoperative pain remains a challenge in the developed world, but the consequences of inadequately treated postoperative pain are particularly severe in low- and middle-income countries. Since 2011, reports have drawn attention to the poor quality of postoperative pain management in Ethiopia; however, our multicenter qualitative study was the first to attempt to understand the factors that are barriers to and facilitators of quality pain managment in the country. To this aim, the study explored the perspectives of patients, healthcare professionals, and hospital officials.

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New insights into the pathophysiology of postoperative hemorrhage in thyroid surgery: An experimental study in a porcine model.

Surgery

September 2018

Department of General and Vascular Surgery, Agatharied Hospital, Hausham, Germany; Department of General, Visceral and Transplantation Surgery, University Hospital Ludwig-Maximilians University Munich, Munich, Germany. Electronic address:

Background: Postoperative cervical hemorrhage is a rare but life-threatening complication that can cause severe morbidity. Different mechanisms leading to asphyxia have been described based only on clinical observation.

Methods: We performed a series of in vivo animal studies simulating post-thyroidectomy hemorrhage and its effect on respiratory drive.

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Objective: The factors leading to the implementation of unplanned extracorporeal circulation during lung transplantation are poorly defined. Consequently, the authors aimed to identify patients at risk for unplanned extracorporeal circulation during lung transplantation.

Design: Retrospective data analysis.

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Overdosing of the analgesic acetaminophen (APAP, paracetamol) is a major cause of acute liver injury. Whereas toxicity is initiated by hepatocyte necrosis, course of disease is regulated by mechanisms of innate immunity having the potential to serve in complex manner pathogenic or pro-regenerative functions. Interleukin (IL)-36γ has been identified as novel IL-1-like cytokine produced by and targeting epithelial (-like) tissues.

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Purpose: To assess the ability of postmortem radiography and magnetic resonance (MR) imaging to depict occult cervical spine injuries as compared with anatomic and pathologic findings.

Materials And Methods: The cervical spines of 10 adult accident victims underwent radiography and MR imaging, with T1-weighted, fast spin-echo T2-weighted, and four gradient-echo pulse sequences. The frozen specimens were cut into 3-mm-thick slices (sagittal plane) and photographed, and microfocus radiographs were obtained.

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