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Abstract
Rapid eye movement (REM) sleep behaviour disorder (RBD) precedes or accompanies many neurodegenerative disorders. In synucleinopathies, including dementia with Lewy bodies, Parkinson's disease and multiple system atrophy, the prevalence of RBD varies from 19% to almost 77% in different reports. In tauopathies, including Alzheimer's disease, corticobasal degeneration, progressive supranuclear palsy and frontotemporal dementia, the prevalence is rare, ranging from 0% to 27%. RBD has however also been described in amyotrophic lateral sclerosis, limbic encephalitis, Guillain-Barré syndrome, Tourette's syndrome, autism, epilepsy and post-traumatic stress disorder. The present paper reviews the current literature on symptomatic RBD and on RBD induced by drug administration, antidepressants, tricyclics and newer drugs, which are often described as precipitating factors for RBD. Controversial findings, flaws in categorisation and hypothetical aetiological mechanisms are also discussed.
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702
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Fischer T, Rückert RI, Tsilimparis N, Filimonow S, Thomas A. Untersuchungen zur in vivo Hämodynamik nach femoro-supragenualem Bypass mit der DynafloTM-Prothese. ROFO-FORTSCHR RONTG 2007. [DOI: 10.1055/s-2007-977303] [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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703
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Schönauer M, Schönauer U, Höppner S, Thomas A, Thiele H, Niebauer J. Supplementäre Insulintherapie nach Herzinfarkt. DIABETOL STOFFWECHS 2007. [DOI: 10.1055/s-2007-982183] [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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704
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Schönauer M, Schönauer U, Thomas A, Höppner S, Niebauer J. Fallstudie: Nachweis der postprandialen Hyperglykämie mittels kontinuierlichem Glukosemonitorings bei Patienten nach Myokardinfarkt. DIABETOL STOFFWECHS 2007. [DOI: 10.1055/s-2007-982366] [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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705
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Paulick J, Hasenbein K, Lanowska M, Thomas A, Schneider A, Köhler C. Management der postpartalen Atonie durch temporäres Clipping der A. uterina mittels Yarsagil-Clips. Z Geburtshilfe Neonatol 2007. [DOI: 10.1055/s-2007-1003051] [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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706
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Ansley L, Petersen D, Thomas A, St Clair Gibson A, Robson-Ansley P, Noakes TD. The effect of breathing an ambient low-density, hyperoxic gas on the perceived effort of breathing and maximal performance of exercise in well-trained athletes. Br J Sports Med 2007; 41:2-7. [PMID: 17062658 PMCID: PMC2465133 DOI: 10.1136/bjsm.2006.026989] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/09/2006] [Indexed: 11/03/2022]
Abstract
BACKGROUND The role of the perception of breathing effort in the regulation of performance of maximal exercise remains unclear. AIMS To determine whether the perceived effort of ventilation is altered through substituting a less dense gas for normal ambient air and whether this substitution affects performance of maximal incremental exercise in trained athletes. METHODS Eight highly trained cyclists (mean SD) maximal oxygen consumption (VO(2)max) = 69.9 (7.9) (mlO(2)/kg/min) performed two randomised maximal tests in a hyperbaric chamber breathing ambient air composed of either 35% O(2)/65% N(2) (nitrox) or 35% O(2)/65% He (heliox). A ramp protocol was used in which power output was incremented at 0.5 W/s. The trials were separated by at least 48 h. The perceived effort of breathing was obtained via Borg Category Ratio Scales at 3-min intervals and at fatigue. Oxygen consumption (VO(2)) and minute ventilation (V(E)) were monitored continuously. RESULTS Breathing heliox did not change the sensation of dyspnoea: there were no differences between trials for the Borg scales at any time point. Exercise performance was not different between the nitrox and heliox trials (peak power output = 451 (58) and 453 (56) W), nor was VO(2)max (4.96 (0.61) and 4.88 (0.65) l/min) or maximal V(E) (157 (24) and 163 (22) l/min). Between-trial variability in peak power output was less than either VO(2)max or maximal V(E). CONCLUSION Breathing a less dense gas does not improve maximal performance of exercise or reduce the perception of breathing effort in highly trained athletes, although an attenuated submaximal tidal volume and V(E) with a concomitant reduction in VO(2) suggests an improved gas exchange and reduced O(2) cost of ventilation when breathing heliox.
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707
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Voigt M, Ehling B, Thomas A, Bollmann R. Wachstumsverhalten von Uterusmyomen in der Schwangerschaft. Z Geburtshilfe Neonatol 2007. [DOI: 10.1055/s-2007-1003055] [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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708
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Choudhrie L, Mahajan NN, Solomon MV, Thomas A, Kale AJ, Mahajan K. Ovarian ligament adenomyoma: a case report. Acta Chir Belg 2007; 107:84-5. [PMID: 17405609 DOI: 10.1080/00015458.2007.11680021] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
BACKGROUND Adenomyoma is a benign tumour composed of smooth muscle and benign endometrium. These tumours typically originate within the uterus. An extra-uterine adenomyoma is a rare entity. CASE We report a case of extra-uterine adenomyoma of the ovarian ligament, which was an incidental finding during a total abdominal hysterectomy and bilateral salpingo-oophorectomy for a benign ovarian tumour in a postmenopausal woman. The mass was round with uterine-type smooth muscle and scattered functional endometrial glands and stroma. DISCUSSION Only seven other cases of an extra-uterine uterine-like mass are reported in the literature. There have been no cases of adenomyoma in the ovarian ligament reported until now. CONCLUSION It is most likely that this uterine-like mass arose from the tissues of the secondary müllerian system.
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709
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Thomas A, Fischer T. Altersabhängige Zervixveränderung–Sonoelastography in der Schwangerschaft. Z Geburtshilfe Neonatol 2007. [DOI: 10.1055/s-2007-1002931] [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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710
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Korner-Bitensky N, Menon-Nair A, Thomas A, Boutin E, Arafah AM. Practice Style Traits: Do they help explain practice behaviours of stroke rehabilitation professionals? J Rehabil Med 2007; 39:685-92. [DOI: 10.2340/16501977-0106] [Citation(s) in RCA: 32] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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711
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Thomas A, Fischer T. Tissue Doppler- und Strain Imaging zur Abbildung von Gewebeeigenschaften von Brustläsionen. ROFO-FORTSCHR RONTG 2007. [DOI: 10.1055/s-2007-977132] [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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712
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Fischer T, Filimonow S, Mutze S, Morgera S, Thomas A. Die Transplantatniere: Farbkodierte Duplex-Sonographie und kontrastmittelverstärkte Sonographie in der Beurteilung nephrologischer und chirurgischer Komplikationen. ROFO-FORTSCHR RONTG 2006; 178:1202-11. [PMID: 17133291 DOI: 10.1055/s-2006-926979] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Contrast ultrasound is a promising and straightforward method that is superior to established sonographic techniques such as conventional B-mode scanning which is used for volume measurement and hematoma demonstration. Color Doppler is important for the evaluation of rejection, the detection of perfusion defects, and complete vascularization in the diagnostic evaluation of kidney grafts. Moreover, contrast US has the potential for tumor characterization in transplanted kidneys. A single examination by contrast ultrasound can answer a variety of questions with respect to the early postoperative phase and chronic damage. New applications of contrast US will arise from the further technical development of ultrasound equipment. The rapid technical advances seen in recent years have been followed by the introduction of new software tools for the analysis of raw datasets or the improved visualization of microbubbles at very low energy. Initial studies show that efficient and early diagnosis of rejection is possible. Surgical complications like perfusion defects or hematoma can also be identified.
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713
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Fischer T, Filimonow S, Hamm B, Slowinski T, Thomas A. Dignitätsbeurteilung mammasonographischer Herde mittels dreidimensionaler Darstellung. ROFO-FORTSCHR RONTG 2006; 178:1224-34. [PMID: 17136646 DOI: 10.1055/s-2006-927061] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
PURPOSE The diagnostic value of 3D ultrasound (US) was evaluated in comparison to 2D US on the basis of a set of pre-defined criteria for breast lesions. The individual criteria were correlated with the histological findings and they were ranked according to their significance for lesion characterization in both 3D US and 2D US. MATERIALS AND METHODS A total of 92 breast lesions were examined of which 61 were malignant and 31 were benign, as confirmed by histology of core biopsy specimens (Aplio 80, Toshiba, Otawara, Japan). The 2D and 3D data sets were stored digitally. The vascular tree was stored separately using 3D fusion. In addition, a power Doppler (PD) examination was performed. A total of 644 individual images were evaluated by two independent readers. The lesions were evaluated using established criteria (BI-RADS classification). For statistical evaluation, the individual US measurements were classified according to the following two groups: those suggesting malignant lesions and those suggestive of benign lesions. Pearsons's chi-square test was performed for both groups. The 2D and 3D techniques were compared directly using kappa (kappa) statistics. Odds ratios (OR) were determined for the purpose of weighting the individual criteria. The sensitivities and specificities of 2D and 3D US were calculated. RESULTS The diagnostic value of 3D US was comparable to that of 2D US, with only slight differences observed for specific measurements. Analysis of 2D US data indicated that there was a strong correlation between malignant tumor growth and two specific 2D criteria: lesion margin and effect of the lesion on adjacent breast tissue (r (2) = 0.632, p < 0.001). Analysis of 3D images indicated that the significant measurements for tumor malignancy were shape and lesion margin in sagittal, transverse (r (2) = 0741, p < 0.001), and frontal views (r (2) = 0.592, p < 0.001) as well as retraction and lesion demarcation in the frontal views (r (2) = 0.649, p < 0.001). The comparison of 2D and 3D yielded primarily moderate (kappa = 0.412) to good (kappa = 0.789) agreement between the individual criteria. Crucial criteria for lesion characterization were the effect of the lesion on adjacent breast tissue (OR 47.8 [16.0-143.3]) in 2D US and the lesion margin (OR 36.4 [15.3-86.6]) and the 3 additional criteria of the frontal plane (OR 21.9-32.9) in 3D US. The two US techniques had comparable sensitivities (2D/3D 95-97 %/92-95 %) and specificities (2D/3D 54-58 %/61-67 %). The reconstructed 3D view of the vascular tree was subjectively considered to be helpful by both readers. A higher degree of vascularization was observed with 3D US. CONCLUSIONS The diagnostic role of 3D ultrasound in the diagnostic evaluation of breast cancer is comparable to that of 2D US. Our findings illustrate the significance of the evaluation of frontal views in lesion characterization.
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714
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Schofield R, Johnston PV, Thomas A, Kreher K, Connor BJ, Wood S, Shooter D, Chipperfield MP, Richter A, von Glasow R, Rodgers CD. Tropospheric and stratospheric BrO columns over Arrival Heights, Antarctica, 2002. ACTA ACUST UNITED AC 2006. [DOI: 10.1029/2005jd007022] [Citation(s) in RCA: 33] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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715
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Ahrens J, Altieri S, Annand JRM, Arends HJ, Beck R, Bradtke C, Braghieri A, d'Hose N, Dutz H, Goertz S, Grabmayr P, Hasegawa S, Heid E, Holvoet H, Van Hoorebeke L, Horikawa N, Iwata T, Jahn O, Jennewein P, Klein F, Kondratiev R, Lang M, Lannoy B, Lisin V, Martinez-Fabregate M, McGeorge JC, Meyer W, Panzeri A, Pedroni P, Pinelli T, Preobrajenski I, Reicherz G, Rohlof C, Rosner G, Rost M, Rostomyan T, Ryckbosch D, Schumacher M, Seitz B, Tamas G, Thomas A, Van de Vyver R, Zapadtka F. Measurement of the Gerasimov-Drell-Hearn Integrand for 2H from 200 to 800 MeV. PHYSICAL REVIEW LETTERS 2006; 97:202303. [PMID: 17155680 DOI: 10.1103/physrevlett.97.202303] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/07/2006] [Indexed: 05/12/2023]
Abstract
A measurement of the helicity dependence of the total inclusive photoabsorption cross section on the deuteron was carried out at MAMI (Mainz) in the energy range 200<Egamma<800 MeV. The experiment used a 4pi detection system, a circularly polarized tagged photon beam and a frozen-spin target which provided longitudinally polarized deuterons. The contribution to the Gerasimov-Drell-Hearn sum rule for the deuteron determined from the data is 407+/-20(stat)+/-24(syst) mu b for 200<Egamma<800 MeV.
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716
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Bourges JL, Bloquel C, Thomas A, Froussart F, Bochot A, Azan F, Gurny R, BenEzra D, Behar-Cohen F. Intraocular implants for extended drug delivery: therapeutic applications. Adv Drug Deliv Rev 2006; 58:1182-202. [PMID: 17107737 DOI: 10.1016/j.addr.2006.07.026] [Citation(s) in RCA: 168] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2006] [Accepted: 07/31/2006] [Indexed: 12/16/2022]
Abstract
An overview of ocular implants with therapeutic application potentials is provided. Various types of implants can be used as slow release devices delivering locally the needed drug for an extended period of time. Thus, multiple periocular or intraocular injections of the drug can be circumvented and secondary complications minimized. The various compositions of polymers fulfilling specific delivery goals are described. Several of these implants are undergoing clinical trials while a few are already commercialized. Despite the paramount progress in design, safety and efficacy, the place of these implants in our clinical therapeutic arsenal remains limited. Miniaturization of the implants allowing for their direct injection without the need for a complicated surgery is a necessary development avenue. Particulate systems which can be engineered to target specifically certain cells or tissues are another promising alternative. For ocular diseases affecting the choroid and outer retina, transscleral or intrasscleral implants are gaining momentum.
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717
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Thomas A. Clark's Positioning in Radiography, 12th edn. By A Stewart Whitley, Charles Sloane, Graham Hoadley, Adrian D Moore and Chrissie W Alsop. pp. 544, 2005 (Hodder Arnold, London, UK), £75.00 ISBN 0-340-76390-6. Br J Radiol 2006. [DOI: 10.1259/bjr.79.947.929] [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] Open
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718
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Sagredos AN, Sinha‐Roy D, Thomas A. Zur Bestimmung, zum Vorkommen und zur Zusammensetzung von polycyclischen aromatischen Kohlenwasserstoffen in Ölen und Fetten. ACTA ACUST UNITED AC 2006. [DOI: 10.1002/lipi.19880900209] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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719
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Kotwal RS, Thomas A, Deglurkar M. Comment on: Alternate nail cleaners. Ann R Coll Surg Engl 2006; 88:515-6; author reply 516. [PMID: 17002861 PMCID: PMC1964685 DOI: 10.1308/003588406x116936] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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720
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Thomas A, Geyer H, Mester HJ, Schänzer W, Zimmermann E, Thevis M. Quantitative Determination of Adrenaline and Noradrenaline in Urine Using Liquid Chromatography-Tandem Mass Spectrometry. Chromatographia 2006. [DOI: 10.1365/s10337-006-0067-8] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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721
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Wang Y, Paramasivam M, Thomas A, Bai J, Kaminen-Ahola N, Kere J, Voskuil J, Rosen GD, Galaburda AM, Loturco JJ. DYX1C1 functions in neuronal migration in developing neocortex. Neuroscience 2006; 143:515-22. [PMID: 16989952 DOI: 10.1016/j.neuroscience.2006.08.022] [Citation(s) in RCA: 116] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2006] [Revised: 08/02/2006] [Accepted: 08/08/2006] [Indexed: 12/29/2022]
Abstract
Rodent homologues of two candidate dyslexia susceptibility genes, Kiaa0319 and Dcdc2, have been shown to play roles in neuronal migration in developing cerebral neocortex. This functional role is consistent with the hypothesis that dyslexia susceptibility is increased by interference with normal neural development. In this study we report that in utero RNA interference against the rat homolog of another candidate dyslexia susceptibility gene, DYX1C1, disrupts neuronal migration in developing neocortex. The disruption of migration can be rescued by concurrent overexpression of DYX1C1, indicating that the impairment is not due to off-target effects. Transfection of C- and N-terminal truncations of DYX1C1 shows that the C-terminal TPR domains determine DYX1C1 intracellular localization to cytoplasm and nucleus. RNAi rescue experiments using truncated versions of DYX1C1 further indicate that the C-terminus of DYX1C1 is necessary and sufficient to DYX1C1's function in migration. In conclusion, DYX1C1, similar to two other candidate dyslexia susceptibility genes, functions in neuronal migration in rat neocortex.
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722
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Landt S, Thomas A, Korlach S, Füger A, Ulm K, Lichtenegger W, Kümmel S. Nachweis der VEGF -Familie und ihrer Rezeptoren im Serum / Plasma von Patientinnen mit präinvasivem und invasivem Zervixkarzinom. Geburtshilfe Frauenheilkd 2006. [DOI: 10.1055/s-2006-952533] [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] Open
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723
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Thomas A, Kümmel S, Ebert B, Fischer T. Verbesserte Differenzierung von 300 Brustläsionen durch die Realtime-Elastographie. Geburtshilfe Frauenheilkd 2006. [DOI: 10.1055/s-2006-952848] [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] Open
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724
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Kümmel S, Heidecke H, Brock B, Becker I, Sehouli J, Lichtenegger W, Thomas A, Thonas A. Imatinib als mögliche Therapieoption beim Zervixkarzinom. Geburtshilfe Frauenheilkd 2006. [DOI: 10.1055/s-2006-952398] [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] Open
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725
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Schmidt-Petruschkat S, Kümmel S, Jeschke S, Korlach S, Korlach S, Sehouli J, Sehouli J, Lichtenegger W, Lichtenegger W, Thomas A. Tumor-spezifische Korrelation von Tumor M2-Pyruvatkinase (PK) beim Zervixkarzinom. Geburtshilfe Frauenheilkd 2006. [DOI: 10.1055/s-2006-952657] [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] Open
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