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Mueller C, Sipahi N, Buchholz S, Vlachea P, Hagl C, Juchem G. Change of Paradigm? Ten-year Outcome of Aortic Pericardial Tissue Valves in Patients Younger than 50 Years of Age - is the „Bio“-Trend Justified? Thorac Cardiovasc Surg 2016. [DOI: 10.1055/s-0036-1571507] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Mayr B, Buchholz S, Lühr M, Hagl C, Pichlmaier M. Idiopathic Right Coronary Artery Rupture: A Rare Diagnosis in Young Adults. Thorac Cardiovasc Surg 2016. [DOI: 10.1055/s-0036-1571780] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Gomez R, Buchholz S, Suikkanen H. Experimental and numerical investigation of heat transfer and pressure drop for innovative gas cooled systems. NUCLEAR ENGINEERING AND DESIGN 2015. [DOI: 10.1016/j.nucengdes.2014.11.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Donders G, Bellen G, Neven P, Grob P, Prasauskas V, Buchholz S, Ortmann O. Effect of ultra-low-dose estriol and lactobacilli vaginal tablets (Gynoflor®) on inflammatory and infectious markers of the vaginal ecosystem in postmenopausal women with breast cancer on aromatase inhibitors. Eur J Clin Microbiol Infect Dis 2015. [PMID: 26223323 PMCID: PMC4565868 DOI: 10.1007/s10096-015-2447-1] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
This study was a detailed microscopic analysis of the changes of vaginal microflora characteristics after application of 0.03 mg estriol-lactobacilli combination on the vaginal ecosystem in postmenopausal breast cancer (BC) survivors on aromatase inhibitors (AI) with severe atrophic vaginitis. A total of 16 BC women on AI applied daily one vaginal tablet of Gynoflor® for 28 days followed by a maintenance therapy of three tablets weekly for 8 weeks. During four follow up visits a smear from the upper lateral vaginal wall was analysed by phase contrast microscopy at 400 times magnification in order to classify the lactobacillary grades(LBG), bacterial vaginosis (BV), aerobic vaginitis (AV), vulvovaginal candidosis (VVC), proportional number of leukocytes and evidence of parabasal cells and epitheliolysis. LBG improved from 81 % LBG-III at entry to 88 % LBG-I&IIa after 2 weeks of initial therapy, which further improved upon follow up (p < 0.001). Whereas BV was a rare event, AV was frequent and substantially improved during treatment (p < 0.01). While at entry most patients had moderate or severe AV, after maintenance therapy no patient except one had AV. The number of leukocytes dropped dramatically from a score of 1.78 ± 0.70 to 1.06 ± 0.25 which was consistent till the end of the study (p < 0.01). Parabasal cells dropped from a score of 3.4 ± 0.64 at entry to 1.3 ± 0.60 at the final visit (ptrend < 0.01). Starting from a low rate of Candida colonisation of 2/14 (14 %), a sudden rise to 7/16 (44 %) occurred after 2 weeks, to return back to base levels at susequent visits. The vaginal use of ultra-low dose estriol and lactobacilli results in rapid and enduring improvement of all markers of the vaginal microflora and epithelial vaginal cell quality in women with breast cancer on AI with dyspareunia. Candida may develop soon after its use, but rapidly disappears again upon their prolonged use. Due to its excellent safety profiles and clinical efficacy we recommend this product as first choice in women on AI with severe dyspareunia.
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Mögele M, Lintermans A, Bellen G, Prasauskas V, Ortmann O, Grob P, Neven P, Donders G, Buchholz S. Effekte einer vaginalen Applikation von ultra-niedrig dosiertem Estriol (Gynoflor®) auf die Sexualität bei Brustkrebspatientinnen mit atropher Vaginitis unter Aromatasehemmer Therapie. Geburtshilfe Frauenheilkd 2015. [DOI: 10.1055/s-0035-1555072] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Brenner P, Abicht J, Guethoff S, Buchholz S, Mayr T, Bauer A, Blanck S, Kessler B, Wolf E, Becker C, Ayares D, Belka C, Hagl C, Reichart B. The Heterotopic Thoracic Cardiac Xenotransplantation Model (Pig-to-Baboon): Results With and Without a Myelodepressive Protocol. J Heart Lung Transplant 2015. [DOI: 10.1016/j.healun.2015.01.765] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Lattrich C, Diller M, Schüler S, Buchholz S, Treeck O, Ortmann O. P036 Effects of estriol on growth, gene expression and ERE activation in human breast cancer cell lines. Breast 2015. [DOI: 10.1016/s0960-9776(15)70086-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Brenner P, Abicht JM, Guethoff S, Buchholz S, Mayr T, Bauer A, Blank S, Kessler B, Wolf E, Becker C, Ayares D, McGregor C, Belka C, Hagl C, Reichart B. The Heterotopic Thoracic Cardiac Xenotransplantation Model (Pig-to-baboon) in Two Different Groups without and with an Additional Myelodepressive Regime. Thorac Cardiovasc Surg 2015. [DOI: 10.1055/s-0035-1544419] [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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Buchholz S, Mögele M, Lintermans A, Bellen G, Prasauskas V, Ortmann O, Grob P, Neven P, Donders G. Vaginal estriol-lactobacilli combination and quality of life in endocrine-treated breast cancer. Climacteric 2015; 18:252-9. [PMID: 25427450 DOI: 10.3109/13697137.2014.991301] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
OBJECTIVE We investigated the effect of a combination of vaginal ultra-low-dose estriol with lactobacilli on the sexual functioning domain of quality of life during the treatment of breast cancer survivors on an aromatase inhibitor with vaginal atrophy. SUBJECTS AND METHODS This was an open-label, bicentric, exploratory, clinical study in 16 postmenopausal breast cancer survivors on aromatase inhibitors suffering from vaginal atrophy-induced sexual disorders. Atrophy symptoms were assessed by scoring with an 11-point estimation scale (0 = not at all, 10 = worst imaginable feeling). Sexuality parameters of quality of life and medication adherence were recorded in a patient's diary and in the Female Somatic Sexual Experience Instrument (FSSEI) questionnaire. Patients underwent an initial treatment for 4 weeks (one vaginal tablet of Gynoflor(®) containing 0.03 mg estriol daily), followed by maintenance therapy (three vaginal Gynoflor(®) tablets weekly) for 8 weeks. RESULTS Vaginal dryness continuously improved from a median score of 8 at entry to a score of 4 at the end of initial therapy, and a median score of 2 at the end of maintenance therapy. Normal sexual activity before breast cancer diagnosis was reported by 14 women (88%). At study entry, only three women (19%) were sexually active. At the end of the Gynoflor(®) regimen, ten women (63%) reported sexual activity, of which seven (44%) reported sexual intercourse. The FSSEI demonstrated a non-significant trend of improvement of parameters related to sexuality. CONCLUSIONS Local vaginal therapy with Gynoflor(®) in breast cancer survivors on aromatase inhibitors reporting atrophic vaginitis could be considered as a useful treatment for the quality of sexual life.
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Gluer R, Boteju I, Haladyn K, Zhang M, Buchholz S. Predictors of delay to thrombolysis in STEMI patients in a peripheral centre. Heart Lung Circ 2015. [DOI: 10.1016/j.hlc.2015.06.114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Habibian M, Crane K, Beattie V, Bazley M, Zhang M, Buchholz S. Inappropriate use of continuous cardiac telemetry and its potential adverse impact on human resources management and financial burdens. Heart Lung Circ 2015. [DOI: 10.1016/j.hlc.2015.06.713] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Challa A, Bhadange N, Habibian M, Zhang M, Buchholz S. Recurrence of atrial fibrillation after electrical cardioversion is not predicted by electrocardiographic P wave duration or PR interval. Heart Lung Circ 2015. [DOI: 10.1016/j.hlc.2015.06.651] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Buchholz S, Schrale R, Zhang M. Successful palliative valvuloplasty for critical aortic valve stenosis in aspartylglucosaminuria (AGU) syndrome. Heart Lung Circ 2015. [DOI: 10.1016/j.hlc.2015.06.450] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Tatavarti S, Raghuraman H, Buchholz S. Influence of heart rate correction on guideline-driven classification of valvular aortic stenosis. Heart Lung Circ 2015. [DOI: 10.1016/j.hlc.2015.06.546] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Habibian M, Yedalian A, Raghuraman H, Zhang M, Buchholz S. Is bicuspid aortic valve phenotype heterogeneity predicting aortopathy or accelerated valve dysfunction? Heart Lung Circ 2015. [DOI: 10.1016/j.hlc.2015.06.548] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Buchholz S, Bolbol B, Somaratna K, Zhang M. Initial experience with semi-supine bicycle stress echocardiography in a regional setting. Heart Lung Circ 2015. [DOI: 10.1016/j.hlc.2015.06.547] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Kwok CW, Treeck O, Buchholz S, Seitz S, Ortmann O, Engel JB. Receptors for luteinizing hormone-releasing hormone (GnRH) as therapeutic targets in triple negative breast cancers (TNBC). Target Oncol 2014; 10:365-73. [DOI: 10.1007/s11523-014-0340-y] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2014] [Accepted: 09/25/2014] [Indexed: 12/25/2022]
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Buchholz S, Hannig K, Schirmel J. Losing uniqueness - shifts in carabid species composition during dry grassland and heathland succession. Anim Conserv 2013; 16:661-670. [PMID: 32313440 PMCID: PMC7159390 DOI: 10.1111/acv.12046] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2012] [Accepted: 03/14/2013] [Indexed: 11/30/2022]
Abstract
Dry sand ecosystems, such as dry grasslands and heathlands, have suffered habitat loss and degradation due to land‐use changes and are today among the most endangered habitats in Central Europe. To evaluate the impact of degradation processes on habitat quality, we investigated how succession from sparse vegetated sand ecosystems to grass‐invaded and tree‐dominated ecosystems and the environmental parameters associated with it influences carabid assemblages. We also determined to what extent typical xerophilic species assemblages still exist. Pitfall trapping at 28 study sites in northwestern Germany yielded 111 carabid species that were grouped using Kendall's W coefficient of concordance. Ordination revealed that the differences between the four species groups resulted from vegetation cover and soil humidity, indicating that carabid distribution clearly reflects degradation processes. Our results suggest that areas in which succession proceeds were unsuitable for assemblages typical of dry grasslands and heathlands. In all, 35 species are lost due to succession from dry grassland and heathland to grass‐invaded and tree‐dominated sites. We discuss implications for habitat management and restoration, since dry sand ecosystems comprise a very high number of specialized and endangered species.
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Reichart B, Guethoff S, Mayr T, Thormann M, Buchholz S, Postrach J, Ayares D, Elliott RB, Tan P, Kind A, Hagl C, Brenner P, Abicht JM. Discordant cardiac xenotransplantation: broadening the horizons. Eur J Cardiothorac Surg 2013; 45:1-5. [DOI: 10.1093/ejcts/ezt483] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/07/2023] Open
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45
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Moegele M, Buchholz S, Seitz S, Lattrich C, Ortmann O. Vaginal Estrogen Therapy for Patients with Breast Cancer. Geburtshilfe Frauenheilkd 2013; 73:1017-1022. [PMID: 24771890 PMCID: PMC3862044 DOI: 10.1055/s-0033-1350876] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2013] [Revised: 08/03/2013] [Accepted: 08/26/2013] [Indexed: 02/07/2023] Open
Abstract
On account of the good prognosis for patients with breast cancer, improving or maintaining the quality of life in the aftercare period is becoming more and more important. In particular, the increasing usage of aromatase inhibitors in the past few years has led to an increased incidence of vaginal atrophy with symptoms such as vaginal dryness, petechial bleeding, dyspareunia and recurrent cystitis. And just these symptoms have a detrimental impact on the quality of life of breast cancer patients. Application of a topical estrogen therapy represents the most effective means to treat vaginal atrophy. The use of a systemic or, respectively, topical hormone therapy is, however, contraindicated for breast cancer patients. Further clinical trials are needed in order to assess the safety of vaginal estrogen therapy.
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Seitz S, Engel J, Weber F, Ortmann O, Buchholz S. Kombination aus mTOR Inhibitor Rapamycin und GHRH Antagonisten als effektive Therapie des triple negativen Mammakarzinoms. Geburtshilfe Frauenheilkd 2013. [DOI: 10.1055/s-0033-1347891] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
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47
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Jenewein N, Hellfeier A, Buchholz S, Ortmann O. Darstellung der Versorgungsstruktur am Beckenboden Zentrum Regensburg (BBZ) in Bezug auf isolierte und kombinierte Beckenbodenstörungen. Geburtshilfe Frauenheilkd 2013. [DOI: 10.1055/s-0033-1347847] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
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48
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Engel JB, Treeck O, Ortmann O, Buchholz S, Seitz S, Kwok B. AEZS-125 induces inhibition of cell growth of triple negative breast cancer via binding to GnRH receptor. Geburtshilfe Frauenheilkd 2013. [DOI: 10.1055/s-0033-1347877] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
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49
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Machleidt A, Buchholz S, Piendl G, Ortmann O, Brockhoff G. Der prognostische Wert einer Her4-Rezeptor (Isoform) Expression im triple-negativen und Her2-positiven Mammakarzinom. Geburtshilfe Frauenheilkd 2013. [DOI: 10.1055/s-0033-1347887] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
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50
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Mohr C, Buchholz S, Dausch E, Ortmann O, Germer U. Warum ist die Sonografie als Methode der Früherkennung des Ovarialkarzinoms nicht geeignet? Geburtshilfe Frauenheilkd 2013. [DOI: 10.1055/s-0033-1347865] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
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