4,142 results match your criteria: "University Medical Center Goettingen; 37075 Goettingen[Affiliation]"

A retrospective cohort analysis of factors influencing continuous antibiotic therapy with ampicillin.

Life Sci

December 2024

Clinic for Anesthesiology, University Medical Center Göttingen, Robert Koch-Straße 40, 37075 Göttingen, Germany. Electronic address:

Aims: There are limited data on ampicillin/sulbactam, both for continuous infusion and for use in critically ill patients. We aimed to identify factors that help predict ampicillin plasma levels during continuous antibiotic therapy in intensive care patients.

Main Methods: We retrospectively reviewed and retrieved a large dataset of patients who received continuous ampicillin infusion with therapeutic drug monitoring between 2015 and 2022.

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Background: Multiple Sulfatase Deficiency (MSD) is an ultra-rare autosomal recessive disorder characterized by deficient enzymatic activity of all known sulfatases. MSD patients frequently carry two loss of function mutations in the SUMF1 gene, encoding a formylglycine-generating enzyme (FGE) that activates 17 different sulfatases. MSD patients show common features of other lysosomal diseases like mucopolysaccharidosis and metachromatic leukodystrophy, including neurologic impairments, developmental delay, and visceromegaly.

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What to expect, when you expect. The neurosurgical perspective.

J Clin Neurosci

November 2024

Department of Neurosurgery, University Hospital of Larissa, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece. Electronic address:

Article Synopsis
  • The study focuses on the experiences of women in neurosurgery who face challenges in balancing their careers with motherhood, particularly due to the timing of pregnancy coinciding with demanding training periods.
  • Through interviews with 21 women in varying stages of their neurosurgery careers, the research found that many feel social stigma around pregnancy and that support in the workplace tends to be more theoretical than practical.
  • The conclusion emphasizes the need for greater flexibility and support in the field to help women integrate their professional aspirations with family life, which is crucial for retaining talented professionals in neurosurgery.
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Background: The Extended Focused Assessment with Sonography for Trauma (E-FAST) is a diagnostic ultrasound technique used in hospital and pre-hospital settings for patients with torso trauma. While E-FAST is common in emergency departments, its pre-hospital use is less routine. This study aims to establish a set of variables for designing studies on pre-hospital E-FAST through a Delphi consensus process involving international experts.

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The three-dimensional course of cranial development of very preterm infants during the first year of life.

Early Hum Dev

November 2024

Department of Paediatric Cardiology, Intensive Care Medicine and Neonatology, University Medical Centre, Robert-Koch-Straße 40, 37075 Göttingen, Germany. Electronic address:

Background: Cranial measurements are crucial for evaluating preterm general development because they are a surrogate tool for evaluating brain growth. Usually, they are based on tape-measured head circumference; however, a three-dimensional (3D) approach expands the diagnostic spectrum to the evaluation of cranial volume and shape.

Aims: Very preterm (vPT) infants face multiple risks and obstacles in their early development.

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Apolipoprotein E aggregation in microglia initiates Alzheimer's disease pathology by seeding β-amyloidosis.

Immunity

November 2024

Institute of Neuronal Cell Biology, Technical University Munich, Munich, Germany; German Center for Neurodegenerative Diseases (DZNE), Munich, Germany; Munich Cluster of Systems Neurology (SyNergy), Munich, Germany; Institute for Stroke and Dementia Research, University Hospital of Munich, LMU Munich, Munich, Germany. Electronic address:

The seeded growth of pathogenic protein aggregates underlies the pathogenesis of Alzheimer's disease (AD), but how this pathological cascade is initiated is not fully understood. Sporadic AD is linked genetically to apolipoprotein E (APOE) and other genes expressed in microglia related to immune, lipid, and endocytic functions. We generated a transgenic knockin mouse expressing HaloTag-tagged APOE and optimized experimental protocols for the biochemical purification of APOE, which enabled us to identify fibrillary aggregates of APOE in mice with amyloid-β (Aβ) amyloidosis and in human AD brain autopsies.

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Article Synopsis
  • Mandibular movement is influenced by individual variations in the temporomandibular joint (TMJ), necessitating a patient-centered approach in dental treatment that accounts for unique anatomy and condylar function.
  • This study introduced an automatic tracking algorithm for monitoring mandibular movement using real-time magnetic resonance imaging (rt-MRI), finding it to be significantly faster and more accurate than traditional manual tracking techniques.
  • Results indicated that the new least mean square registration (LMS) method was 76% quicker and had better alignment accuracy, suggesting it could enhance the objective assessment of TMJ function in clinical settings.
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A particle-filled hydrogel based on alginate and calcium phosphate nanoparticles as bone adhesive.

J Mater Sci Mater Med

October 2024

Inorganic Chemistry and Centre for Nanointegration Duisburg-Essen (CENIDE), University of Duisburg-Essen, Essen, Germany.

Article Synopsis
  • - The development of a nanoparticle-loaded hydrogel aims to address the clinical need for effective bone adhesives as alternatives to traditional surgical techniques, especially in challenging moist environments.
  • - This hydrogel combines silica-coated calcium phosphate and carboxymethyl cellulose nanoparticles with sodium alginate, creating a thixotropic paste that can quickly bond bone fragments in air and underwater, maintaining strong adhesion of about 84 kPa.
  • - Additionally, the hydrogel is made from biocompatible and biodegradable materials, showing good biocompatibility in cell culture tests, and effectively keeps bone fragments connected for over three months while submerged in water.
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Background: Postoperative continuous thoracic epidural analgesia (TEA) is an integral aspect of pain management after major abdominal and thoracic surgery. Under TEA, postoperative urinary retention (POUR) is frequently noted, prompting a common practice of maintaining the transurethral catheter (UC) until the cessation of TEA to avoid the necessity for reinsertion of the UC. This study analyzes the effect of an early bladder catheter removal during TEA on POUR incidence.

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Article Synopsis
  • The study investigates the significance of cardiac troponin (cTn) levels in predicting mortality in patients with Takotsubo syndrome (TTS), analyzing data from the International Takotsubo Registry.
  • It identifies that a cTn increase greater than 28.8 times the upper reference limit signals clinically relevant myocardial injury, correlating with a higher risk of mortality over 5 years (adjusted HR 1.58).
  • The findings enhance understanding of patient risk profiles in TTS, emphasizing the need for increased monitoring and follow-up for those with significant troponin elevations.
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Non-pharmaceutical infection prevention measures in nosocomial SARS-CoV-2 outbreaks: a retrospective multi-centre cohort study.

J Hosp Infect

January 2025

Department for Infection Control and Infectious Diseases, University Medical Center Göttingen, Georg-August University Göttingen, Göttingen, Germany.

Background: Hospital severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) outbreaks are relevant for patients and healthcare systems within and beyond the pandemic.

Aim: To explore the characteristics of SARS-CoV-2 outbreaks and their infection prevention and control (IPC) measures during the different pandemic waves.

Methods: A comprehensive structured template for SARS-CoV-2 outbreaks was developed and filled out by six university hospitals.

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Article Synopsis
  • Fluorescence microscopy has advanced to subnanometer resolution but struggles to visualize single proteins or small complexes; researchers have developed a method called ONE microscopy to address this.
  • ONE microscopy expands specimens, tags them with fluorophores, and captures videos to analyze fluorescence fluctuations, allowing for the visualization of individual proteins' shapes at around 1-nm resolution.
  • This technique can observe protein conformational changes and has potential applications in clinical settings, such as analyzing protein aggregates in cerebrospinal fluid from Parkinson's patients, bridging high-resolution biology and light microscopy for new discoveries.
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Article Synopsis
  • The study evaluated the clinical performance of chairside-fabricated lithia-zirconia glass-ceramic partial crowns (CCPCs) in a multicenter dental practice involving 71 patients and 92 restorations.
  • Results showed that most restorations had a high success rate, but a few failures and complications occurred, particularly in one of the dental clinics, indicating variability in outcomes based on the operator.
  • Overall, the findings suggest that LZGC CCPCs perform well over five years, but more data is needed to understand the impact of different operators on the success and survival rates of these restorations.
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Voluntarily stopping eating and drinking (VSED): A systematic mixed-methods review focusing on the carers' experiences.

Health Policy

December 2024

Department of Palliative Medicine, University Medical Center Göttingen, Georg-August University of Göttingen, Robert-Koch-Straße 40, 37075 Göttingen, Germany; Centre for Nursing Research and Counselling, School of Social Science, Hochschule Bremen - City University of Applied Sciences, Am Brill 2-4, 28195 Bremen, Germany. Electronic address:

Background: Voluntary stopping of eating and drinking (VSED) is a way to end one's life prematurely. We synthesized the empirical data on VSED.

Methods: In this systematic mixed-methods review, we searched MEDLINE, CINAHL, PsycINFO, Google Scholar, and BELIT for English and German articles published between January 1, 2013 and November 12, 2021.

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Sudden cardiac death after myocardial infarction: individual participant data from pooled cohorts.

Eur Heart J

November 2024

Department of Cardiology, Angiology and Intensive Care Medicine, Deutsches Herzzentrum der Charité, Campus Charité Mitte, Charitéplatz 1, 10117 Berlin, Germany.

Article Synopsis
  • This study looks at how well doctors can predict sudden cardiac death after someone has a heart attack using a measurement called left ventricular ejection fraction (LVEF).
  • They combined information from over 140,000 heart attack patients to see if LVEF alone is good enough for deciding who should get a heart device called a defibrillator.
  • The results showed that LVEF didn't do a great job at predicting sudden cardiac death, which means doctors need better ways to tell who is at risk.
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Article Synopsis
  • The study investigated how well automated transcriptions match manual transcriptions in a telephone chatbot-based semantic verbal fluency test involving different cognitive states.
  • Analysis of 78 cases showed a strong correlation in word counts between the two transcription methods, with a 93% probability that differences stayed within a minimally important range, although qualitative features showed only fair agreement.
  • Results indicate that automated speech recognition is a reliable tool for assessing both quantitative and qualitative speech features in cognitively impaired individuals, highlighting its potential usefulness in remote evaluations.
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In vitro primary cell culture models of retinal ganglion cells (RGC) are widely used to study pathomechanisms of diseases such as glaucoma. The biomechanic interaction with the culture substrate is known to influence core cellular functions. RGC cultures, however, are usually grown on rigid plastic or glass substrates.

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PET imaging identifies anti-inflammatory effects of fluoxetine and a correlation of glucose metabolism during epileptogenesis with chronic seizure frequency.

Neuropharmacology

December 2024

Department of Nuclear Medicine, Hannover Medical School, Hannover, Germany; Institute for Auditory Neuroscience, University Medical Center, Goettingen, Germany; Brain Mapping Unit, Instituto de Investigación Sanitaria Hospital Clínico San Carlos (IdISCC), Madrid, Spain; Department of Nuclear Medicine, Instituto de Investigación Sanitaria Hospital Clínico San Carlos (IdISCC), Madrid, Spain.

Article Synopsis
  • - The study investigated the effects of fluoxetine, a selective serotonin reuptake inhibitor, on epilepsy development in female rats that underwent status epilepticus induced by lithium-pilocarpine.
  • - Although fluoxetine did not change brain glucose metabolism or seizure frequency, it reduced neuroinflammation in the hippocampus by 22.6%.
  • - The researchers found a correlation between glucose metabolism in the hippocampus shortly after status epilepticus and seizure frequency later on, suggesting that FDG-PET could serve as a biomarker for epilepsy progression.
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Structural-functional connectomics in major depressive disorder following aiTBS treatment.

Psychiatry Res

December 2024

Laboratory of Systems Neuroscience and Imaging in Psychiatry (SNIP-Lab), Department of Psychiatry and Psychotherapy, University Medical Center Göttingen (UMG), University of Göttingen, Göttingen, Germany. Electronic address:

Major depressive disorder (MDD) has been associated with changes in the structural (SC) and functional connectivity (FC) of the brain. This study investigated the effects of accelerated intermittent theta burst stimulation (aiTBS) on SC-FC coupling and graph theory measures, focusing on the association between baseline SC-FC coupling of the dorsolateral prefrontal cortex (dlPFC) and clinical improvement. In a randomized, sham-controlled, quadruple-blind, crossover study, aiTBS was delivered to the left dlPFC of depressed patients with MDD, and diffusion tensor imaging (DTI) and resting-state functional magnetic resonance imaging (rsfMRI) data were acquired.

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Article Synopsis
  • Anxiety disorders impact brain connectivity, but how this varies among different types of anxiety disorders (like panic disorder and social anxiety disorder) isn't fully understood due to limited studies.
  • Researchers examined the brain connectivity of 439 anxiety disorder patients and 105 healthy controls using resting-state fMRI, finding notable differences in connectivity patterns, especially in panic disorder and agoraphobia patients.
  • The study revealed that panic disorder patients had increased connectivity in brain regions linked to emotion regulation, unlike those with social anxiety disorder or specific phobia, suggesting the potential for personalized treatment approaches based on these neurological differences.
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Digitalomics - digital transformation leading to omics insights.

Expert Rev Proteomics

November 2024

Segal Cancer Proteomics Center, Lady Davis Institute for Medical Research, Jewish General Hospital and McGill University, Montreal, QC, Canada.

Introduction: Biomarker discovery is increasingly moving from single omics to multiomics, as well as from multi-cell omics to single-cell omics. These transitions have increasingly adopted digital transformation technologies to accelerate the progression from data to insight. Here, we will discuss the concept of 'digitalomics' and how digital transformation directly impacts biomarker discovery.

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B cell receptor (BCR) signaling is required for the survival and maturation of B cells and is deregulated in B cell lymphomas. While proximal BCR signaling is well studied, little is known about the crosstalk of downstream effector pathways, and a comprehensive quantitative network analysis of BCR signaling is missing. Here, we semi-quantitatively modelled BCR signaling in Burkitt lymphoma (BL) cells using systematically perturbed phosphorylation data of BL-2 and BL-41 cells.

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Aims: Patients with severe aortic stenosis (AS), low transvalvular flow (LF) and low gradient (LG) with normal ejection fraction (EF)-are referred to as paradoxical LF-LG AS (PLF-LG). PLF-LG patients develop more advanced heart failure symptoms and have a worse prognosis than patients with normal EF and high-gradient AS (NEF-HG). Despite its clinical relevance, the mechanisms underlying PLF-LG are still poorly understood.

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Article Synopsis
  • Preclinical studies suggest that combining MEK inhibition with autophagy or CDK4/6 targeting may be beneficial for pancreatic cancer (PDAC) patients.
  • A retrospective analysis of 34 patients treated with trametinib combined with hydroxychloroquine (THCQ) or palbociclib (TP) was conducted to evaluate the effectiveness of these regimens.
  • Results showed that both combinations were ineffective, with most patients experiencing disease progression within a short time frame, highlighting the need for better treatment strategies for advanced PDAC with specific genetic mutations.
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