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

ADEVO: Proof-of-concept of adenovirus-directed EVOlution by random peptide display on the fiber knob.

Mol Ther Oncol

December 2024

Virology and Microbiology, Centre for Biomedical Education & Research (ZBAF), Faculty of Health, Witten/Herdecke University, 58453 Witten, Germany.

Directed evolution of viral vectors involves the generation of randomized libraries followed by artificial selection of improved variants. Directed evolution only yielded limited results in adenovirus (AdV) engineering until now, mainly due to insufficient complexities of randomized libraries. Meanwhile, clinical applications of AdVs as gene therapy or oncolytic vectors are still hampered by the predetermined tropism of natural types.

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  • The study investigates the relationship between femoroacetabular morphology and the mechanisms of traumatic posterior hip dislocations in adults, focusing on differentiating between high-energy, sports-related, and low-energy trauma.
  • A total of 141 patients with dislocations were compared to a control group, utilizing CT scans to measure various anatomical angles related to hip structure and injury.
  • Findings revealed that most dislocations were due to high-energy events, with specific morphologies (like acetabular retroversion) linked to different trauma mechanisms, while low-energy impacts showed similar anatomy to the control group.
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Comparison of the European Foot and Ankle Score (EFAS) and the Self-Reported Foot and Ankle Score (SEFAS) in patients with foot and ankle surgery.

Arch Orthop Trauma Surg

November 2024

Department of Orthopedic and Trauma Surgery, Member Faculty of Health Witten/ /Herdecke University, St. Elisabeth-Hospital Herten, Im Schlosspark 12, 45699, Herten, Germany.

Background: The European Foot and Ankle Score EFAS and the Self-reported Foot and Ankle Score SEFAS are two Patient Reported Outcome Measures (PROMs) used in foot and ankle surgery. The EFAS has been published in recent years, while the SEFAS is a validated questionnaire based on the New Zealand total ankle questionnaire.

Methods: We compared the EFAS to the SEFAS, Short Form 36 (SF-36) and Numeric Rating Scale (NRS) regarding reliability and validity based on the results of 126 patients undergoing foot and ankle surgery in a single center.

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  • Neoadjuvant and adjuvant therapies are becoming increasingly important in treating cutaneous melanoma (CM), but there is still a need for better prognostic tools to identify patients at high risk.
  • Recent evidence suggests that liver scores could serve as potential prognostic indicators across various tumor types, prompting an investigation into their relevance for CM prognosis.
  • A study involving 423 patients demonstrated that while tumor thickness and ulceration were key predictors of survival across all stages, liver scores like the APRI showed significant associations with survival outcomes specifically in earlier stages (I and II) of melanoma.
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Background: Managing pain and distress in children experiencing procedural pain is a priority in pediatric care. Nitrous oxide (pre-mixed formulation of 50% nitrous oxide to 50% oxygen) is widely used to alleviate anxiety or pain during care procedures in various medical domains. This pharmacological intervention is safe to administer to children.

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Background/objectives: Patients with life-limiting conditions (LLCs) often suffer from restlessness, spasticity, pain, and seizures. Dronabinol (DRB) may have a relieving effect; however, data on the effectiveness of DRB in children with LLCs are limited to outpatients. The aim of this study was to assess the efficacy and safety of DRB.

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  • * The analysis included 7,801 children, showing that girls experienced more local injection-site symptoms and general symptoms after higher doses of the vaccine compared to boys.
  • * It was also found that female children had lower odds of experiencing musculoskeletal symptoms after receiving other childhood vaccinations compared to the BNT162b2 vaccine.
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Objective: Parents need to cooperate with professional organizations to support their children's development and health. In sports, knowledge on how parents, coaches, and organizations can successfully coordinate their behavior and work together for a common cause is lacking. This study was designed to identify a grounded theory of cooperation as a social process between parents and organizational stakeholders in youth soccer academies.

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Objectives: The COVID-19 pandemic affected patients' access to health services, including patients with severe chronic pain. Since limited data on pandemic-caused changes in pain therapy is available, we analyzed its effect on hospital-based pain treatment.

Methods: For this retrospective claims data analysis conducted in  = 37 hospitals, we included patients treated for a chronic pain-related diagnosis.

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Background: Transcatheter edge-to-edge repair (TEER) has emerged to address symptomatic atrial functional mitral regurgitation (aFMR) in patients who are at high operative risk.

Aims: No clinical data is available on the impact of residual mitral regurgitation (MR) following TEER in aFMR compared to ventricular functional MR (vFMR).

Methods: In the MITRA-PRO registry, 846 patients with FMR and MitraScore assessment for residual MR quantification were included (722 patients with vFMR and 124 patients with aFMR).

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Objective: Transitioning from digital health applications to digital health ecosystems, leveraging the advances in technologies and informatics, could be the next revolution in digital health. This includes offering centralized access to various health services and improving citizens' well-being, delivery, clinical processes, and data management. However, a limited understanding of citizens may impede adaptation.

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  • Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are serious, mostly drug-related conditions that affect the skin and mucous membranes, categorized under the umbrella term epidermal necrolysis (EN), which varies in severity.* -
  • A new guideline for diagnosing and treating SJS/TEN was created based on extensive scientific research and consensus among experts, involving various medical specialties to provide a comprehensive approach to patient care.* -
  • The guideline is designed for healthcare professionals across multiple fields, as well as patients, their families, insurers, and policymakers, with the first part specifically addressing diagnosis, initial treatment, and systemic immunotherapy.*
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Dietary patterns among children and adolescents in Germany consuming vegetarian, vegan or omnivore diets: results of the VeChi Youth Study.

Eur J Nutr

December 2024

Department of Nutritional Epidemiology, Institute of Nutritional and Food Science (IEL), University of Bonn, DONALD Study, Heinstück 11, 44225, Dortmund, Germany.

Purpose: To identify dietary patterns of vegetarian, vegan and omnivore children and adolescents in Germany and to examine associations with nutrient intake.

Methods: First, three principal component analyses based on 17-22 food groups were used to identify dietary patterns among vegetarians (n = 145, 3-day weighed dietary records), vegans (n = 110) and omnivores (n = 135) from the cross-sectional Vegetarian and Vegan Children and Youth (VeChi Youth) Study (2017-2019, 6-18 years, 57% girls). Secondly, these patterns were correlated (Spearman correlations) with energy and nutrient intakes.

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Background: The lumbar plexus (LP) is a group of nerves located at the fourth lumbar vertebra level, between the anterior two-thirds and posterior one-thirds of the psoas muscle. In this study, the researchers aimed to investigate the spread of latex in injections of LP, suprainguinal fascia iliaca, and circum-psoas planes to assess the different regional techniques for blocking LP nerves (LPNs).

Methods: The study involved performing ultrasound-guided injections of three different colored latexes in six cadavers.

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  • * In this study, three affected patients with congenital hydrocephalus and intestinal obstruction showed brain malformations and intestinal aganglionosis, accompanied by changes in nerve activity.
  • * Our research identified four new harmful variants of the KIF26A gene, which were analyzed using protein modeling; these variants destabilize the protein structure, highlighting the broader implications of KIF26A-related disorders.
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Objective: To investigate the efficacy of ribose-crosslinked collagen (RCLC) matrices functionalized by crosslinked hyaluronic acid (xHya) for reconstructive treatment of class I and III (b-c) peri-implantitis lesions in a transmucosal healing mode.

Materials And Methods: Thirteen patients presenting with 15 implants were included in this prospective case series. Upon flap reflection, the implants were thoroughly decontaminated employing glycine powder air polishing and adjunctive sodium hypochlorite.

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  • A systematic review was conducted to assess and synthesize studies on sleep-related measurements for evaluating sleep disturbances in people living with dementia in nursing homes.* -
  • Out of 5169 studies reviewed, 15 were included, focusing on various measurement types, but none met acceptable psychometric standards according to the COSMIN criteria.* -
  • The review concludes that current measurements are inadequate for use without adaptation, emphasizing the need for future research to follow strict quality criteria to improve assessments.*
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An exploration of available methods and tools to improve the efficiency of systematic review production: a scoping review.

BMC Med Res Methodol

September 2024

Cochrane Netherlands, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.

Background: Systematic reviews (SRs) are time-consuming and labor-intensive to perform. With the growing number of scientific publications, the SR development process becomes even more laborious. This is problematic because timely SR evidence is essential for decision-making in evidence-based healthcare and policymaking.

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Aim: To investigate the professional dementia experts' understanding of a dementia-friendly hospital to identify its characteristics.

Design: We used a qualitative design embedded in a case study. A total of 16 semi-structured expert interviews were conducted with 17 professional dementia experts.

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Description of bone health in adolescents and young persons with Klinefelter syndrome - results from a pilot study.

Mol Cell Pediatr

September 2024

Department of Pediatrics, Division of Rare Diseases, University Hospital of Pediatrics and Adolescent Medicine, Katholisches Klinikum Bochum, Member of ENDO ERN, Ruhr-University Bochum, Alexandrinenstraße 5, 44791, Bochum, Germany.

Background: In adults with Klinefelter syndrome (KS), impaired bone health with reduced bone mineral density (BMD) has been described even in the presence of testosterone replacement therapy. The aim of the present study was to characterize bone health in young patients with KS.

Patients And Methods: 20 participants aged 16.

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  • Nonoperative management (NOM) is increasingly used for blunt splenic injuries (BSIs) in Germany, showing high success rates even in severe cases, with guidelines supporting this practice.
  • A study analyzed data from 2,782 patients with BSIs, revealing that 57.5% received NOM while angioembolization (ANGIO) was used in only 1.0% of cases, mainly for less severe injuries.
  • The findings suggest a disconnect between clinical practice and guidelines, as more severe injuries typically led to splenectomy instead of ANGIO, highlighting the potential need for improved local treatment protocols.
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