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Daniel S, May M, Uder M, Kopp M, Taubmann O. Automatisierte Textanalyse für die personalisierte Protokollauswahl der thorakalen Computertomographie. ROFO-FORTSCHR RONTG 2022. [DOI: 10.1055/s-0042-1749776] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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Klimek L, Brehler R, Mösges R, Demoly P, Mullol J, Wang DY, O'Hehir RE, Didier A, Kopp M, Bos C, Karagiannis E. Update about Oralair® as a treatment for grass pollen allergic rhinitis. Hum Vaccin Immunother 2022; 18:2066424. [PMID: 35704772 PMCID: PMC9302518 DOI: 10.1080/21645515.2022.2066424] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Sublingual immunotherapy (SLIT) is a well-tolerated, safe, and effective approach to treating allergic rhinitis (AR). Oralair® is a five-grass pollen SLIT tablet containing natural pollen allergens from five of the major grass species responsible for seasonal AR due to grass pollen allergy. Recommended use is in a pre-coseasonal regimen, starting daily treatment approximately 4 months before the start of the pollen season, with treatment then continued daily throughout the season; treatment should continue for 3–5 y. Clinical efficacy and safety of Oralair® in patients with grass pollen-induced AR has been demonstrated in a comprehensive clinical development program of randomized controlled trials. Effectiveness has been substantiated in subsequent observational studies with sustained efficacy following treatment cessation and a favorable level of adherence, quality of life, benefit, and satisfaction for the patients. Supportive evidence for a benefit in reducing the risk or delaying the development of allergic asthma is emerging.
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Karl M, Engel T, Kopp M, Kress V, Berti NT, Seidler A, Garthus-Niegel S. Validierung der Employment Precariousness Scale (EPRES) an schwangeren Frauen und deren PartnerInnen in einer deutschen Population. DAS GESUNDHEITSWESEN 2021. [DOI: 10.1055/s-0041-1732050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Kopp M, Wetzl M, Geissler F, Roth JP, Wallner R, Hoefler D, Faby S, Allmendinger T, Amarteifio P, Wuest W, Cavallaro A, Uder M, May MS. Structured Digital Self-Assessment of Patient Anamnesis Prior to Computed Tomography: Performance Evaluation and Added Value. J Med Syst 2021; 45:30. [PMID: 33511485 PMCID: PMC7843739 DOI: 10.1007/s10916-020-01690-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2020] [Accepted: 12/01/2020] [Indexed: 01/02/2023]
Abstract
The aim of this study was to evaluate the performance of a tablet-based, digitized structured self-assessment (DSSA) of patient anamnesis (PA) prior to computed tomography (CT). Of the 317 patients consecutively referred for CT, the majority (n = 294) was able to complete the tablet-based questionnaire, which consisted of 67 items covering social anamnesis, lifestyle factors (e.g., tobacco abuse), medical history (e.g., kidney diseases), current symptoms, and the usability of the system. Patients were able to mark unclear questions for a subsequent discussion with the radiologist. Critical issues for the CT examination were structured and automatically highlighted as “red flags” (RFs) in order to improve patient interaction. RFs and marked questions were highly prevalent (69.5% and 26%). Missing creatinine values (33.3%), kidney diseases (14.4%), thyroid diseases (10.6%), metformin (5.5%), claustrophobia (4.1%), allergic reactions to contrast agents (2.4%), and pathological TSH values (2.0%) were highlighted most frequently as RFs. Patient feedback regarding the comprehensibility of the questionnaire and the tablet usability was mainly positive (90.9%; 86.2%). With advanced age, however, patients provided more negative feedback for both (p = 0.007; p = 0.039). The time effort was less than 20 min for 85.1% of patients, and faster patients were significantly younger (p = 0.046). Overall, the DSSA of PA prior to CT shows a high success rate and is well accepted by most patients. RFs and marked questions were common and helped to focus patients’ interactions and reporting towards decisive aspects.
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Schnitzer M, Schöttl SE, Kopp M, Barth M. COVID-19 stay-at-home order in Tyrol, Austria: sports and exercise behaviour in change? Public Health 2020; 185:218-220. [PMID: 32659514 PMCID: PMC7318923 DOI: 10.1016/j.puhe.2020.06.042] [Citation(s) in RCA: 34] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2020] [Accepted: 06/19/2020] [Indexed: 11/28/2022]
Abstract
Objectives The aim of the study was to investigate differences in the frequency and types of engagement in sports before, during and after the coronavirus disease 2019 (COVID-19) stay-at-home order in Tyrol, Austria. Study design A representative population survey was conducted. Methods A sample of Tyroleans (N = 511) was questioned by a market research institute via an online questionnaire or telephone survey. Results During the stay-at-home order, participants engaged less in sports than before and after the restrictions. However, within-group analyses revealed increasing sport participation in less active groups when comparing the pre- and post-COVID-19 period. Conclusions Despite the restrictions during the stay-at-home order, respondents did engage in sports and promoted their health. Nevertheless, it is still necessary to investigate the long-term effects of the COVID-19 crisis on sports and exercise behaviour as well as the extent to which sports policy measures may be able increase sports participation. In general, participants engaged less in sports during the coronavirus disease 2019 (COVID-19) stay-at-home order. Within-group analyses showed increased sports participation in less active groups. Respondents adhered to the outdoor sports ban and did home training instead. Appropriateness of regulations implemented in the context of the COVID-19 pandemic was measured. Crises such as COVID-19 might have a long-term impact on sports participation.
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Fruhauf A, Huter M, Weib E, Kopp M. Accidents and Risk Related Behaviours in Downhill Mountain Biking in Regard to Trail Choice. Muscles Ligaments Tendons J 2020. [DOI: 10.32098/mltj.02.2020.12] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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Schaber R, Karl M, Kopp M, Weidner K, Garthus-Niegel S. Mein Job, mein Kind, mein Haus: Der Vorhersagewert von arbeits- und hausarbeitsbezogenen Faktoren für depressive Symptome in der Postpartalzeit. Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0039-3402968] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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Saerchen E, Liedtke-Gruener S, Kopp M, Heisterkamp A, Lubatschowski H, Ripken T. Femtosecond laser induced step-like structures inside transparent hydrogel due to laser induced threshold reduction. PLoS One 2019; 14:e0222293. [PMID: 31527880 PMCID: PMC6748420 DOI: 10.1371/journal.pone.0222293] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2019] [Accepted: 08/26/2019] [Indexed: 11/26/2022] Open
Abstract
In the area of laser material processing, versatile applications for cutting glasses and transparent polymers exist. However, parasitic effects such as the creation of step-like structures appear when laser cutting inside a transparent material. To date, these structures were only described empirically. This work establishes the physical and chemical mechanisms behind the observed effects and describes the influence of process and material parameters onto the creation of step-like structures in hydrogel, Dihydroxyethylmethacrylat (HEMA). By focusing laser pulses in HEMA, reduced pulse separation distance below 50 nm and rise in pulse energy enhances the creation of unintended step-like structures. Spatial resolved Raman-spectroscopy was used to measure the laser induced chemical modification, which results into a reduced breakdown threshold. The reduction in threshold influences the position of optical breakdown for the succeeding laser pulses and consequently leads to the step-like structures. Additionally, the experimental findings were supplemented with numerical simulations of the influence of reduced damage threshold onto the position of optical breakdown. In summary, chemical material change was defined as cause of the step-like structures. Furthermore, the parameters to avoid these structures were identified.
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Eller A, Wiesmüller M, Wüst W, Heiss R, Kopp M, Saake M, Brand M, Uder M, May MM. Carotid CTA at the Lowest Tube Voltage (70 kV) in Comparison with Automated Tube Voltage Adaption. AJNR Am J Neuroradiol 2019; 40:1374-1382. [PMID: 31296525 DOI: 10.3174/ajnr.a6108] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2018] [Accepted: 05/26/2019] [Indexed: 12/28/2022]
Abstract
BACKGROUND AND PURPOSE CTA is the imaging modality of choice in many institutions for the evaluation of the supraaortic vessels, but radiation exposure remains a matter of concern. Our aim was to evaluate a 70-kV protocol for CT angiography of the carotid arteries with respect to image quality and radiation exposure compared with automated tube voltage adaption. MATERIALS AND METHODS A total of 90 consecutive patients were included in this prospective study and randomized to the study group (n = 45, 70 kV) or control group (n = 45, automated tube voltage adaptation). Volume CT dose indices and dose-length products were recorded in the examination protocol. Image quality was assessed as arterial vessel contrast, signal-to-noise ratio, contrast-to-noise ratio, and contrast-to-noise ratio in reference to the radiation dose. Subjective overall image-quality analysis, image-artifact analysis, and diagnostic evaluation were performed by 2 observers by using a 4-point Likert scale. RESULTS Radiation exposure was significantly lower in the study group (volume CT dose index reduced by 22%, dose-length product reduction by 20%; each P < .001). Contrast (P = .15), SNR (P = .4), and contrast-to-noise ratio (P = .5) did not show significant differences between the groups. The contrast-to-noise ratio in reference to the radiation dose was not significantly increased using the study protocol (P = .2). Subjective image quality and visualization of pathologic findings did not differ significantly between the groups. CONCLUSIONS Carotid CTA using the lowest available voltage (70 kV) is feasible at very-low-dose levels, while overall image quality is comparable with protocols using automated tube voltage selection.
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Faehling M, Schwenk B, Kopp M, Fallscheer S, Kramberg S, Eckert R. Immuno-oncological treatment and tumor load in non-small cell lung cancer (NSCLC): Case-control analysis of overall survival (OS) in routine clinical practice. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz063.061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Sokolova V, Shi Z, Huang S, Du Y, Kopp M, Frede A, Knuschke T, Buer J, Yang D, Westendorf AM, Epple M. Session 5: Biomaterials - Inorganic. ACTA ACUST UNITED AC 2019; 64:36-40. [PMID: 30753149 DOI: 10.1515/bmt-2019-7005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Kopp M, Lindauer M, Garthus-Niegel S. Zusammenhang zwischen mütterlicher Erwerbstätigkeit und der psychischen und somatischen Gesundheit der Mutter. Geburtshilfe Frauenheilkd 2019. [DOI: 10.1055/s-0039-1678363] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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Kress V, Kopp M, Weidner K, Garthus-Niegel S. Prädiktoren der geburtsbezogenen posttraumatischen Belastungsstörung bei Müttern und Vätern. Geburtshilfe Frauenheilkd 2019. [DOI: 10.1055/s-0039-1678368] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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Kopp M, Fastner G, Dejaco M, Moser G, Kopp P, Gaisberger C, Sedlmayer F. Local Tumor Control and Long-Term Overall Survival in 47 Patients with Anterior Skull Base Tumors Treated with Intraoperative Radiation Therapy. Int J Radiat Oncol Biol Phys 2018. [DOI: 10.1016/j.ijrobp.2018.07.889] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Kopp M, Koroleva I, Bilan E, Sanz E, Petrovskiy F. Nutritional supplement ONCOXIN to maintain appetite, body mass and quality of life in patients with advanced cancer on chemotherapy. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy444.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Garthus-Niegel S, Kress V, Kopp M, Weidner K. Einzelbeitrag: DREAM – Dresden Study on parenting, work and mental health („DResdner Studie zu Elternschaft, Arbeit und Mentaler Gesundheit“)(Workshop: AG Epidemiologie in der Arbeitswelt). DAS GESUNDHEITSWESEN 2018. [DOI: 10.1055/s-0038-1667761] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Kopp M, Lindauer M, Garthus-Niegel S. Einzelbeitrag: Association between maternal employment status and the mother's mental and somatic health. DAS GESUNDHEITSWESEN 2018. [DOI: 10.1055/s-0038-1667760] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Ledochowski L, Stark R, Ruedl G, Kopp M. [Physical activity as therapeutic intervention for depression]. DER NERVENARZT 2018; 88:765-778. [PMID: 27679515 DOI: 10.1007/s00115-016-0222-x] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
AIM This article gives a conspectus of the present state of research on the efficiency of exercise as a treatment for patients suffering from depression. METHODS A systematic review of articles published between December 1980 and March 2016 was carried out. The review focused on studies that examined the effects of exercise compared to control conditions in the treatment of depression. Extracted and analyzed information from the articles included details about participants, characteristics of exercise and control conditions, assessments, study design and outcomes. RESULTS A total of 34 of the 48 studies included in the literature search reported a significant reduction of depressive symptoms due to exercise interventions. There was a trend to reduced depressive symptoms following the exercise interventions in five studies. In nine studies no positive impact of exercise on depression and affective well-being could be detected. DISCUSSION This review article shows that physical activity decreases depressive symptoms and increases affective well-being in patients with depressive diseases; therefore, exercise should be recommended as a component of depression treatment within the framework of a multi-dimensional approach.
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Kress V, Bittner A, Kopp M, Weidner K, Junge-Hoffmeister J. Mütterliche Feinfühligkeit, Bindung und psychische Belastung – Eine Prä-Post-Untersuchung einer Mutter-Kind-Behandlung bei postpartalen Erkrankungen. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1622751] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
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Oelze M, Welschof P, Knorr M, Tran LP, Ullmann E, Stamm P, Kröller-Schön S, Jansen T, Kopp M, Schulz E, Gori T, Burgin K, Scherhag A, Sartor D, Münzel T, Daiber A. Basic in vitro Characterization of the Vasodilatory Potential of 2-Aminoethyl Nitrate Fixed-Dose Combinations with Cilostazol, Metoprolol and Valsartan. Pharmacology 2017; 101:54-63. [PMID: 28988245 DOI: 10.1159/000480434] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2017] [Accepted: 08/16/2017] [Indexed: 11/19/2022]
Abstract
BACKGROUND/AIMS 2-aminoethyl nitrate (CLC-1011) is a member of the class of organic nitrates that cause vasodilation by the generation of nitric oxide (•NO). These drugs are mainly used for the treatment of angina pectoris and ischemic heart disease. The aim of this study was to characterize the vasodilatory potency of this organic nitrate alone and in combination with clinically established cardiovascular drugs. METHODS Vasodilation by CLC-1011 was tested by isometric tension studies, either alone or combined with cilostazol, valsartan, and metoprolol. Induction of oxidative stress in isolated heart mitochondria was measured by enhanced chemiluminescence. Bioactivation of CLC-1011 in aortic tissue was measured by electron paramagnetic resonance spectroscopy using an iron-based spin trap for •NO. RESULTS We observed potent vasodilation by CLC-1011 and additive effects for all three drug combinations. In contrast to nitroglycerin (GTN), CLC-1011 did not stimulate mitochondrial oxidative stress. CLC-1011 was bioactivated to •NO in aortic tissue. CONCLUSION In summary, the experiments described in this report demonstrate that CLC-1011 does not induce oxidative stress, is a more potent vasodilator than isosorbide-5-mononitrate and dinitrate ISDN, and displays synergistic vasodilation with other cardiovascular drugs. CLC-1011 fixed dose combinations could be used in the management of cardiovascular diseases.
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Steven S, Oelze M, Hanf A, Kröller-Schön S, Kashani F, Roohani S, Welschof P, Kopp M, Gödtel-Armbrust U, Xia N, Li H, Schulz E, Lackner KJ, Wojnowski L, Bottari SP, Wenzel P, Mayoux E, Münzel T, Daiber A. The SGLT2 inhibitor empagliflozin improves the primary diabetic complications in ZDF rats. Redox Biol 2017; 13:370-385. [PMID: 28667906 PMCID: PMC5491464 DOI: 10.1016/j.redox.2017.06.009] [Citation(s) in RCA: 197] [Impact Index Per Article: 28.1] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2017] [Revised: 06/20/2017] [Accepted: 06/21/2017] [Indexed: 12/20/2022] Open
Abstract
Hyperglycemia associated with inflammation and oxidative stress is a major cause of vascular dysfunction and cardiovascular disease in diabetes. Recent data reports that a selective sodium-glucose co-transporter 2 inhibitor (SGLT2i), empagliflozin (Jardiance®), ameliorates glucotoxicity via excretion of excess glucose in urine (glucosuria) and significantly improves cardiovascular mortality in type 2 diabetes mellitus (T2DM). The overarching hypothesis is that hyperglycemia and glucotoxicity are upstream of all other complications seen in diabetes. The aim of this study was to investigate effects of empagliflozin on glucotoxicity, β-cell function, inflammation, oxidative stress and endothelial dysfunction in Zucker diabetic fatty (ZDF) rats. Male ZDF rats were used as a model of T2DM (35 diabetic ZDF‐Leprfa/fa and 16 ZDF-Lepr+/+ controls). Empagliflozin (10 and 30 mg/kg/d) was administered via drinking water for 6 weeks. Treatment with empagliflozin restored glycemic control. Empagliflozin improved endothelial function (thoracic aorta) and reduced oxidative stress in the aorta and in blood of diabetic rats. Inflammation and glucotoxicity (AGE/RAGE signaling) were epigenetically prevented by SGLT2i treatment (ChIP). Linear regression analysis revealed a significant inverse correlation of endothelial function with HbA1c, whereas leukocyte-dependent oxidative burst and C-reactive protein (CRP) were positively correlated with HbA1c. Viability of hyperglycemic endothelial cells was pleiotropically improved by SGLT2i. Empagliflozin reduces glucotoxicity and thereby prevents the development of endothelial dysfunction, reduces oxidative stress and exhibits anti-inflammatory effects in ZDF rats, despite persisting hyperlipidemia and hyperinsulinemia. Our preclinical observations provide insights into the mechanisms by which empagliflozin reduces cardiovascular mortality in humans (EMPA-REG trial). Hyperglycemia induces vascular complications and cardiovascular disease. Empagliflozin reduces hyperglycemia and cardiovascular mortality (EMPA-REG trial). Here, empagliflozin normalized vascular function and oxidative stress in ZDF rats. Here, empagliflozin reduced AGE/RAGE signaling, inflammation and oxidative stress. Here, empagliflozin conferred glycemic control, epigenetic and pleiotropic effects.
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Netzer N, Popp R, Meinel S, Grahmann R, Rühle KH, Strohl KP, Kopp M, Riemann D. What moves women with snoring and sleep apnea? – Finding the right questions for quality of life (QoL) assessment in female SDB patients. Pneumologie 2017. [DOI: 10.1055/s-0037-1600141] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Kopp M, Löwe T, Wüst W, Schmidt B, Nitsch W, Uder M, May M. Anatomisch basierte Dosiskalkulation und Abschätzung des Malignomrisikos in der Ganzkörper-Computertomografie. ROFO-FORTSCHR RONTG 2017. [DOI: 10.1055/s-0037-1600434] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Kreutzträger M, Kopp M, Liebscher T. Folgen und Therapieoptionen bei einer temporären Tetraplegie nach versehentlicher epiduraler Infusion mit Kaliumchlorid – ein Fallbericht. Zentralbl Chir 2016. [DOI: 10.1055/s-0036-1586306] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Ohde J, Mutze S, Kreutzträger M, Kopp M, Liebscher T. Folgen und Therapieoptionen einer Dens axis Fraktur mit Aneurysma der A. vertebralis – ein Fallbericht. Zentralbl Chir 2016. [DOI: 10.1055/s-0036-1586298] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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