3,287 results match your criteria: "Witten Herdecke University[Affiliation]"

There are well-established theoretical and empirical foundations for a negative association between trait positive affectivity and anxiety symptoms in anxiety disorders and a positive association between trait negative affectivity and anxiety symptoms, respectively. However, no previous meta-analysis systematically estimated to what extent trait positive and negative affectivity are associated with anxiety symptoms in anxiety disorders. The aim of this study was to conduct a systematic review and meta-analysis to obtain an evidence-based estimate of the associations between trait positive and negative affectivity with anxiety symptoms in anxiety disorders.

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To effectively tackle loneliness in youth, prevention and intervention strategies should be based on solid evidence regarding risk and protective factors in this age group. This systematic literature review identifies and narratively synthesizes longitudinal studies of risk and protective factors for loneliness in children and adolescents aged below 25 years. A systematic literature search was conducted in October 2023 using PsycINFO and MEDLINE, resulting in n = 398 articles, with n = 105 articles meeting the inclusion criteria.

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Although studies on the dual-continua model have demonstrated that distress and well-being are two separate but interrelated factors of mental health, only limited research exists regarding these concepts for lesbian, gay, bisexual, transgender, queer, intersex, asexual+ (LGBTQIA+) individuals. The present study aimed to investigate the factor structure of mental health in the LGBTQIA+ community. The second aim was to investigate whether different correlates are relevant for the prediction of well-being and psychological distress in LGBTQIA+ individuals when these mental health outcomes are considered separately.

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The Prognostic Value of Preoperative C-Reactive Protein Levels in Resected Early-Stage Lung Cancer.

J Surg Res

December 2024

Department of Thoracic Surgery, Cologne-Merheim Hospital, Witten/Herdecke University Hospital, Cologne, Germany; Faculty of Medicine, University of Cologne, Cologne, Germany.

Introduction: C-reactive protein (CRP) is the most widely used marker of the systemic inflammatory response. An association between preoperative elevated levels and prognosis has been demonstrated for numerous tumors. The aim of this study was to investigate the association between preoperative CRP levels and survival in early-stage nonsmall cell lung cancer.

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Deconstructing the self and reshaping perceptions: An intensive whole-brain 7T MRI case study of the stages of insight during advanced investigative insight meditation.

Neuroimage

January 2025

Meditation Research Program, Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02129, USA; Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02129, USA. Electronic address:

The stages of insight (SoI) are a series of psychological realizations experienced through advanced investigative insight meditation (AIIM). SoI provide a powerful structured framework of AIIM for understanding and evaluating insight-based meditative development through changes in perception, experiences of self, cognition, and emotional processing. Yet, the neurophenomenology of SoI remains unstudied due to methodological difficulties, rarity of suitable advanced meditation practitioners, and dominant research emphasis on attention-based meditative practices.

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Intraprocedural 3D-vena contracta area predicts survival after transcatheter edge-to-edge repair: results from MITRA-PRO registry.

Clin Res Cardiol

December 2024

Department of Cardiology, Faculty of Health, School of Medicine, Witten, Witten/Herdecke University, Alfred-Herrhausen-Straße 50, 58455, Witten, Germany.

Article Synopsis
  • - The MITRA-PRO registry shows that evaluating residual mitral regurgitation (MR) using 3D-Vena Contracta Area (VCA) is key for predicting patient survival after mitral valve repairs (TEER).
  • - A study of 823 patients found that lower levels of residual MR (measured by 3D-VCA) correlate with reduced 1-year mortality, establishing 0.07 cm as a critical threshold for patient survival post-procedure.
  • - The findings suggest that 3D-VCA is an effective tool for assessing MR during TEER, with lower residual MR levels associated with better survival outcomes.
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Introduction: Today, accessing information on health issues is easier than ever. However, the flood of information can make decision-making difficult. Information can influence the intention for an action, yet the action often remains unpredictable.

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Background: Traditional self-reported measures in health science education often overlook the physiological processes underlying cognitive and emotional responses.

Purpose: This review aims to analyze the frequency, sensitivity, and utility of physiological markers in understanding cognitive and emotional dynamics in learning environments.

Methods: A systematic PubMed search identified 156 records, with 13 studies meeting inclusion criteria.

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Background: Whole lung transpulmonary chemoembolization using a combination of doxorubicin (DXO) and degradable starch microspheres (DSM-TPCE) might be a promising treatment option in soft tissue sarcoma. To pave the way for clinical studies, this study aimed to evaluate the short-term effects of DSM-TPCE with DXO using an ex vivo isolated lung perfusion (ILP) model.

Methods: Nine lung specimens retrieved from patients undergoing lobectomy underwent ex vivo ILP.

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Background: In systematic reviews (SRs), geographical limitations in literature searches can aid in focussing research efforts. A methodological review published in 2016 examined the approaches SR authors use to identify studies about Germany, analysing 36 SRs.

Objective: The aim of this study was to update the original review.

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Role of homologous recombination/recombineering on human adenovirus genome engineering: Not the only but the most competent solution.

Eng Microbiol

March 2024

Virology and Microbiology, Center for Biomedical Education and Research (ZBAF), School of Medicine, Faculty of Health, Witten/Herdecke University, Stockumer Str. 10 58453 Witten, Germany.

Adenoviruses typically cause mild illnesses, but severe diseases may occur primarily in immunodeficient individuals, particularly children. Recently, adenoviruses have garnered significant interest as a versatile tool in gene therapy, tumor treatment, and vaccine vector development. Over the past two decades, the advent of recombineering, a method based on homologous recombination, has notably enhanced the utility of adenoviral vectors in therapeutic applications.

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Background: The German Infection Protection Act and KRINKO recommend nominating one authorized medical specialist in every medical department as an infection prevention link physician (PLP). Detailed evidence on the contribution of PLPs to reducing infection rates is not available in Germany.

Aim: The "HygArzt"-study investigated whether, and to what extent, a PLP in orthopaedics/trauma surgery is able to improve hand hygiene adherence (HHA), process steps of dressing change, nosocomial infection (NI) and surgical site infection (SSI) rates by implementing an infection prevention bundle (IPB).

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Local recurrences after DIEP reconstruction of the breast - Epidemiology and strategies for treatment.

J Plast Reconstr Aesthet Surg

January 2025

Department of Plastic Surgery, Sana Hospital Gerresheim, Gräulinger Str. 120, 40625 Düsseldorf, Germany; In cooperation with the Faculty of Health at Witten/Herdecke University, Germany. Electronic address:

Article Synopsis
  • Breast cancer is the most prevalent cancer among women, and breast reconstruction can utilize either autologous fat tissue, implants, or both, with no increased risk of cancer recurrence after reconstruction compared to mastectomy alone.
  • The study aimed to assess the recurrence rates following deep inferior epigastric perforator (DIEP) flap reconstruction and share experiences in managing any local recurrences.
  • A total of 666 patients underwent DIEP flap reconstruction across two breast centers, revealing a 2% recurrence rate, with options for tumor resection while preserving the DIEP flap.
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Article Synopsis
  • - The study aimed to analyze factors affecting postoperative renal function (PRF) following robot-assisted partial nephrectomy for patients with multiple kidney tumors, using data from 132 surgeries and assessing both patient and surgical influences on outcomes.
  • - Key findings included that most patients had two tumors, the average surgery lasted 175 minutes, and that the majority of surgeries met trifecta criteria, indicating successful outcomes in terms of cancer control, renal preservation, and complications.
  • - Factors such as warm ischemia time, body mass index (BMI), and preoperative kidney function were found to impact kidney function loss post-surgery, with BMI and comorbidities being significant predictors of acute kidney injury during hospitalization.
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Long-Term Follow Up in Anti-Contactin-1 Autoimmune Nodopathy.

Ann Neurol

November 2024

Neuromuscular Diseases Unit, Department of Neurology, Hospital de la Santa Creu i Sant Pau, Sant Pau Biomedical Research Institute (IIB Sant Pau), Universitat Autònoma de Barcelona, Barcelona, Spain.

Objective: To analyze long-term clinical and biomarker features of anti-contactin-1 (CNTN1) autoimmune nodopathy (AN).

Methods: Patients with anti-CNTN1 autoimmune nodopathy detected in our laboratory from which clinical information was available were included. Clinical features and treatment response were retrospectively collected.

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Pulsed Field Ablation as First-Line Therapy for Atrial Fibrillation: A Substudy of the EU-PORIA Registry.

Circ Arrhythm Electrophysiol

December 2024

Department of Cardiology, Cardioangiologisches Centrum Bethanien, Frankfurt, Germany (S. Bordignon, K.R.J.C., B. Schmidt).

Background: Recent studies have demonstrated the benefit of early ablation in preventing the progression of atrial fibrillation (AF). Clinical practice has reflected this shift in AF management and no longer requires patients to fail antiarrhythmic drugs (AADs) before receiving ablation. However, there is limited evidence on outcomes with pulsed field ablation (PFA) as a first-line therapy.

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Adenoviruses are important human pathogens that are widespread and mainly associated with respiratory and gastrointestinal infections. In a previous study on human adenovirus (HAdV) seroprevalence, we observed reduced binding antibody levels against a range of HAdV types in sera collected from students in 2021 compared to sera collected before the SARS-CoV-2 pandemic. In this follow-up study, we wanted to verify this observation in a cohort of regular blood donors for whom serial samples were available.

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: The number of seriously injured elderly patients is continuously rising. Several studies have underlined the benefit of orthogeriatric co-management in treating older patients with a proximal femur fracture. The basis of this orthogeriatric co-management is a certification as a Centre for Geriatric Trauma (ATZ).

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Article Synopsis
  • Herpes zoster (HZ) significantly impacts individual and public health, and a study analyzed clinical and laboratory data from 520 hospitalized HZ patients to identify key prognostic indicators.* ! -
  • Results showed that systemic immune inflammatory biomarkers (like NLR and PIV) were much higher in HZ patients than healthy individuals, with absolute eosinopenia being a strong predictor for herpes zoster ophthalmicus (HZO).* ! -
  • Key findings linked immunosuppression to a higher risk of herpes encephalitis and longer hospital stays, while not receiving intravenous antiviral therapy increased the likelihood of postherpetic neuralgia.* !
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Fifty years ago, the Rosenhan experiment was one of the most impactful psychological studies across decades. One of the main claims of the experiment was that clinicians could be negatively biased in their first clinical impressions, which would negatively impact further clinical decisions. We conducted two experiments ( = 56 and 64) in which psychotherapists were asked to give their first clinical impressions in two consecutive cases after a brief presentation of the case (case description and video excerpt) and a short recall task of the information provided.

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: The purpose of this study is to determine the magnitude of change that is clinically meaningful in the EORTC QLQ-C30 and EORTC QLQ-HN35 instruments in head and neck cancer patients. : Two hundred and twenty-two patients completed the EORTC QLQ-C30 and EORTC QLQ-HN35 at baseline and follow-up one to two months later. Minimal clinically important differences (MCIDs) were calculated through anchor- and distribution-based methods for improvement and deterioration.

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Article Synopsis
  • Familial Mediterranean fever (FMF) is a genetic condition marked by inflammation episodes, usually treated with colchicine to prevent complications like amyloid A amyloidosis, but its necessity for heterozygous patients is debated.* -
  • A study analyzed 747 FMF patients' demographic and inflammatory biomarker data, revealing that heterozygous patients generally exhibited lower inflammatory markers compared to those with more severe genetic variants.* -
  • The findings suggest that certain biomarkers (S100A8/A9 and S100A12) can indicate disease activity, and some heterozygous patients may be eligible to safely stop colchicine treatment.*
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Article Synopsis
  • - The study evaluates the effectiveness and safety of free dermal fat graft (FDFG) reconstruction after parotidectomy by analyzing clinical complications and patient satisfaction.
  • - Researchers conducted a systematic review of 20 studies involving 922 reconstructions and found low rates of complications like hematoma and infection, with most donor site issues being under 1%.
  • - Results show that FDFG is a safe and effective method for correcting facial contour deformities, with high patient satisfaction and low incidence of complications such as Frey's syndrome.
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Background: Recruiting a sufficient number of patients is often a challenge for conducting clinical trials. Published data reveal that only 10% of eligible patients according to inclusion and exclusion criteria are enrolled in clinical trials. Consequentially, identifying barriers and facilitators may improve enrollment.

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