2,551 results match your criteria: "University-Hospital Freiburg[Affiliation]"

How To Write a Response to Reviewers.

Eur Urol

January 2025

Division of Oncology, Unit of Urology, IRCCS Ospedale San Raffaele, Vita-Salute San Raffaele University, Milan, Italy.

Peer review and comments from reviewers are part of the submission process for scientific papers. We provide tips on how best to respond to reviewers, and point out the most common mistakes that authors make. The ultimate goal is to work with reviewers and editors to improve the quality of a paper so that it is accepted for publication.

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Objectives: Evidence for different surveillance protocols following aortic treatment is still lacking. The aim of this study was to analyse the clinical relevance of a first follow-up visit after 6 months.

Methods: Between January 2018 and December 2019, 464 patients treated for non-emergent aortic pathologies were retrospectively analysed.

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To address the challenges posed by influenza, its associated complications, and economic burden, the World Health Organization recommends a vaccination rate exceeding 75 % for populations at elevated risk of severe diseases. Presently, vaccination rates in Germany severely lag behind. To augment these rates, pilot projects have been initiated, allowing community pharmacists to administer vaccines.

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Prognostic value of metabolic tumor volume on [F]FDG PET/CT in addition to the TNM classification system of locally advanced non-small cell lung cancer.

Cancer Imaging

December 2024

Department of Translational Imaging in Oncology, National Center for Tumor Diseases (NCT/UCC) Dresden, Medical Faculty and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Fetscherstraße 74, Dresden, 01307, Germany.

Purpose: Staging of non-small cell lung cancer (NSCLC) is commonly based on [F]FDG PET/CT, in particular to exclude distant metastases and guide local therapy approaches like resection and radiotherapy. Although it is hoped that PET/CT will increase the value of primary staging compared to conventional imaging, it is generally limited to the characterization of TNM. The first aim of this study was to evaluate the PET parameter metabolic tumor volume (MTV) above liver background uptake as a prognostic marker in lung cancer.

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Background: Post-dural puncture headache (PDPH) is still mostly regarded a minor complication after lumbar puncture. In the International Classification of Headache Disorders (ICHD)-3 headaches lasting longer than 14 days or persisting after epidural blood patch (EBP) are not even considered. We illustrate that there may be many patients with persisting headaches and a large disease burden.

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Combining epigenetic modulation: the next step for HCC immunotherapy?

Gut

December 2024

Department of Internal Medicine, Clinic for Internal Medicine II, Gastroenterology, Hepatology, Endocrinology and Infectious Diseases, Section Translational Systems Immunology in Hepatogastroenterology, University Hospital Freiburg, Freiburg, Germany

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Hepatitis C virus (HCV) infection causes ~290,000 annual human deaths despite the highly effective antiviral treatment available. Several viral immune evasion mechanisms have hampered the development of an effective vaccine against HCV, among them the remarkable conformational flexibility within neutralization epitopes in the HCV antigens. Here, we report the design of epitope-focused immunogens displaying two distinct HCV cross-neutralization epitopes.

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Study Design: Experimental single-centre study of X-ray absorption using a phantom skull.

Objective: This experimental study aimed to compare the radiation doses of different 3D imaging devices used in maxillofacial surgery, including one Multidetector CT (MDCT), two Conebeam CT (CBCT) and four intraoperative 3D C-arms.

Methods: Thermoluminescent dosimeters (TLD) were used to determine the absorbed radiation in an Alderson-Rando phantom skull.

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We investigated the effect of center-specific variables on overall survival (OS) after allogeneic hematopoietic cell transplantation (alloHCT) in acute myeloid leukemia (AML). Eligible were adult patients reported to DRST registry receiving first alloHCT for AML from a related or matched (>= 9/10 HLA-match) unrelated donor 2015-2021. Primary endpoint was OS at 12 months from alloHCT.

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Article Synopsis
  • * The survey revealed significant disparities between men and women, such as fewer women in leadership roles, higher rates of part-time work among female physicians, and a perception that women face more challenges in entering the field and balancing work-family commitments.
  • * The findings suggest a need for improved support measures, including flexible work schedules and better childcare options, to promote gender equality and attract young talent in the profession.
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Impact of sedation depth on neurological outcome in post-cardiac arrest patients - A retrospective cohort study.

Resuscitation

December 2024

Department of Cardiology and Angiology, Heart Center Freiburg University, Faculty of Medicine, University of Freiburg, Germany. Electronic address:

Article Synopsis
  • The study investigates whether different sedation depths during targeted temperature management (TTM) can affect neurological outcomes in post-cardiac arrest patients.
  • It analyzed data from a medical ICU over several years, comparing patients sedated to a RASS-target of -5 versus -4, focusing on favorable neurological outcomes defined as a Cerebral Performance Category (CPC) score of 1 or 2.
  • The results suggest that lighter sedation (RASS-target -4) is linked to better neurological outcomes and 30-day survival rates compared to deeper sedation (RASS-target -5), indicating a need for further research in this area.
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Article Synopsis
  • * Increased levels of palmitate from the HFD activate microglia, promoting changes in their metabolism that enhance energy production through aerobic glycolysis, observable within 12 hours of HFD exposure.
  • * Microglia help process harmful fatty acids and provide protective metabolites to surrounding brain cells, showing that short-term high-fat intake can have unexpected positive effects on spatial learning and memory.
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Article Synopsis
  • Cadmium is a highly toxic heavy metal that poses serious health risks, and finding effective treatments for cadmium poisoning is still a challenge despite ongoing research.* -
  • This study focuses on creating better chelation therapy options by exploring sulfur-rich macrocycles with different polyamine backbones, revealing that DO4S has the strongest ability to bind and remove cadmium.* -
  • The research shows that DO4S forms the most stable complex with cadmium compared to other chelators, outperforming established agents like EDTA and DTPA, indicating its potential for improved treatments for cadmium intoxication.*
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Natural Evolution of Incomplete Reperfusion in Patients following Endovascular Therapy after Ischemic Stroke.

Stroke

November 2024

University Institute of Diagnostic and Interventional Neuroradiology, University Hospital Bern, Inselspital, University of Bern; CIC-IT 1415, CHRU de Tours; Le Studium Loire Valley Institute for Advanced Studies, SWITZERLAND.

Background: A third of endovascularly treated stroke patients experience incomplete reperfusion (expanded Thrombolysis in Cerebral Infarction, eTICI<3) and the natural evolution of this incomplete reperfusion remains unknown. We systematically reviewed literature and performed a meta-analysis on the natural evolution of incomplete reperfusion after endovascular therapy.

Methods: A systematic review of MEDLINE, Embase and PubMed up until March 1, 2024 using a predefined strategy.

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Delirium after cardiac arrest: incidence, risk factors, and association with neurologic outcome-insights from the Freiburg Delirium Registry.

Clin Res Cardiol

November 2024

Department of Cardiology and Angiology, Heart Center Freiburg University, Faculty of Medicine, University of Freiburg, Hugstetter Strasse 55, 79106, Freiburg, Germany.

Aim: Delirium in patients treated in the intensive care unit (ICU) is linked to adverse outcome, according to previous observations. However, data on patients recovering after cardiac arrest are sparse. The aim of this study was to assess incidence, risk factors, and outcome of patients with delirium after cardiac arrest in the Freiburg Delirium Registry (FDR).

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Purpose: The emergence of multidrug-resistant P. aeruginosa isolates poses a challenge to healthcare systems worldwide. Rising numbers in deaths, duration of hospitalization as well as failing treatments prove the hazards posed by these pathogens.

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Therapy-related myeloid neoplasms (t-MN) are a complication of multiple myeloma (MM) treatment. Our retrospective, EBMT registry study included 157 such patients allografted (allo-HCT) between 2006 and 2018. Most patients (130) had a prior autologous HCT.

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Introduction: Reirradiation has gained increasing interest, as advances in systemic therapy increase the survival of patients with cancer, and modern radiation techniques allow more precise treatments. However, high-quality prospective evidence on the safety and efficacy of reirradiation to guide clinical practice remains scarce. This systematic review evaluates ongoing prospective studies on reirradiation to identify research gaps and priorities.

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Transcranial direct current stimulation (tDCS) is a promising noninvasive intervention for Parkinson's disease (PD). However, studies of its motor and cognitive effect have produced mixed results. We conducted a systematic review including 38 studies and meta-analysis of 12 randomized sham-controlled trials with 263 PD patients.

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A cluster of Mayaro virus infections in a film team returning from Suriname, February 2024.

Euro Surveill

October 2024

Department of Gastroenterology, Hepatology and Infectious Diseases, Medical Faculty and University Hospital Düsseldorf, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany.

Mayaro virus is endemic to the tropical Americas, where the incidence is currently increasing. Like other viruses of the Semliki Forest virus serocomplex, such as , symptomatic infections are typically characterised by an acute febrile disease followed by long-lasting arthralgia. Cases in travellers are rarely reported but may be underdiagnosed.

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Myocardial inflammation is associated with impaired mitochondrial oxidative capacity in ischaemic cardiomyopathy.

ESC Heart Fail

October 2024

Division of Cardiology, Pulmonology and Vascular Medicine, Medical Faculty, Heinrich-Heine University, Düsseldorf, Germany.

Aims: Myocardial inflammation and impaired mitochondrial oxidative capacity are hallmarks of heart failure (HF) pathophysiology. The extent of myocardial inflammation in patients suffering from ischaemic cardiomyopathy (ICM) or dilated cardiomyopathy (DCM) and its association with mitochondrial energy metabolism are unknown. We aimed at establishing a relevant role of cardiac inflammation in the impairment of mitochondrial energy production in advanced ischaemic and non-ischaemic HF.

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Hysterectomy (HE) is the most common surgical procedure in gynecology worldwide. The guidelines of most countries unanimously recommend vaginal hysterectomy (VH) as the access of first choice. However, there are significant international differences in the implementation of this recommendation.

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Background: Time-resolved angiography with interleaved stochastic trajectories (TWIST) magnetic resonance angiography (MRA) may obscure smaller vessels and is highly susceptibility to motion artifacts, potentially reducing endoleak detection accuracy after endovascular aortic repair (EVAR). The novel golden-angle radial sparse parallel (GRASP) sequence enhances spatial and temporal resolution with continuous, motion-robust datasets, showing promise for accurate endoleak detection post-EVAR. This study aimed to compare the diagnostic effectiveness of contrast-enhanced compressed-sensing radial GRASP-volume interpolated breath-hold examination (VIBE) sequence with standard contrast-enhanced dynamic TWIST-VIBE sequence in patients with inconclusive computed tomography angiography (CTA) findings regarding endoleak after EVAR.

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Article Synopsis
  • * This review analyzes factors influencing the choice between active (Osia System) and passive (Baha Connect System) bone-conduction devices based on expert feedback from surveys and discussions.
  • * Key decision-making factors include surgical requirements, bone thickness, MRI compatibility, patient preferences, and risks like skin infections, emphasizing the need for personalized consultations in multidisciplinary settings.
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