51
|
Engel J, Blanchet L, Bloemen B, van den Heuvel LP, Engelke UHF, Wevers RA, Buydens LMC. Regularized MANOVA (rMANOVA) in untargeted metabolomics. Anal Chim Acta 2015; 899:1-12. [PMID: 26547490 DOI: 10.1016/j.aca.2015.06.042] [Citation(s) in RCA: 37] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2015] [Revised: 06/09/2015] [Accepted: 06/11/2015] [Indexed: 12/14/2022]
Abstract
Many advanced metabolomics experiments currently lead to data where a large number of response variables were measured while one or several factors were changed. Often the number of response variables vastly exceeds the sample size and well-established techniques such as multivariate analysis of variance (MANOVA) cannot be used to analyze the data. ANOVA simultaneous component analysis (ASCA) is an alternative to MANOVA for analysis of metabolomics data from an experimental design. In this paper, we show that ASCA assumes that none of the metabolites are correlated and that they all have the same variance. Because of these assumptions, ASCA may relate the wrong variables to a factor. This reduces the power of the method and hampers interpretation. We propose an improved model that is essentially a weighted average of the ASCA and MANOVA models. The optimal weight is determined in a data-driven fashion. Compared to ASCA, this method assumes that variables can correlate, leading to a more realistic view of the data. Compared to MANOVA, the model is also applicable when the number of samples is (much) smaller than the number of variables. These advantages are demonstrated by means of simulated and real data examples. The source code of the method is available from the first author upon request, and at the following github repository: https://github.com/JasperE/regularized-MANOVA.
Collapse
|
52
|
Schlager V, Burgmann M, Lotz A, Engel J, Harbeck N, Hermelink K, Würstlein R. Gesundheitsbezogene Lebensqualität der älteren Mammakarzinom-Patientin unter besonderer Berücksichtigung der Therapiewahl – Eine Interimsanalyse. Geburtshilfe Frauenheilkd 2015. [DOI: 10.1055/s-0035-1555069] [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
|
53
|
Lotz A, Burgmann M, Schlager V, Engel J, Harbeck N, Hermelink K, Würstlein R. Eine Interimsanalyse zur Lebenszufriedenheit bei der älteren Mammakarzinompatientin. Geburtshilfe Frauenheilkd 2015. [DOI: 10.1055/s-0035-1555068] [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
|
54
|
Burgmann M, Hermelink K, Heiduschka A, Farr A, Engel J, Harbeck N, Wuerstlein R. Die junge Mammakarzinom-Patientin – Lebenszufriedenheit und krebsspezifische Beschwerden. Geburtshilfe Frauenheilkd 2015. [DOI: 10.1055/s-0035-1555083] [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
|
55
|
Engel J, Tuller HL. The electrical conductivity of thin film donor doped hematite: from insulator to semiconductor by defect modulation. Phys Chem Chem Phys 2015; 16:11374-80. [PMID: 24797819 DOI: 10.1039/c4cp01144a] [Citation(s) in RCA: 49] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Hematite or α-Fe2O3 has emerged as a highly promising photoanode candidate for photoelectrochemical cells. While significant improvements in its performance have recently been achieved, it remains unclear why the maximum photocurrents still remain well below their theoretical predictions. Here, we report, for the first time, a detailed correlation between the electrical conductivity of undoped and 1 atom% Ti doped hematite and the conditions under which it was annealed (20 ≤ T ≤ 800 °C and 10(-4) ≤ pO2 ≤ 1 atm). Hematite thin films grown by pulsed laser deposition onto sapphire single crystals were evaluated by impedance spectroscopy. Hematite's room temperature conductivity can be increased from ∼10(-11) S cm(-1) for undoped films by as much as nine orders of magnitude by doping with the Ti donor. Furthermore, by controlling the non-stoichiometry of Ti-doped hematite, one can tune its conductivity by up to five orders of magnitude. Depending on processing conditions, donor dopants in hematite may be compensated largely by electrons or by ionic defects (Fe vacancies). A defect model was derived to explain this phenomenon. In addition, a temperature independent value for the electron mobility of 0.01 cm(2) V(-1) s(-1) for a donor density of 4.0 × 10(20) cm(-3) (1% Ti) was derived. These results highlight the importance of carefully controlling photoanode processing conditions, even when operating within the material's extrinsic dopant regime, and more generally, provide a model for the electronic properties of semiconducting metal oxide photoanodes.
Collapse
|
56
|
Eibl H, Engel J. Synthesis of hexadecylphosphocholine (miltefosine). PROGRESS IN EXPERIMENTAL TUMOR RESEARCH 2015; 34:1-5. [PMID: 1438793 DOI: 10.1159/000420825] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
|
57
|
Unger C, Sindermann H, Peukert M, Hilgard P, Engel J, Eibl H. Hexadecylphosphocholine in the topical treatment of skin metastases in breast cancer patients. PROGRESS IN EXPERIMENTAL TUMOR RESEARCH 2015; 34:153-9. [PMID: 1438798 DOI: 10.1159/000420840] [Citation(s) in RCA: 42] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
|
58
|
Engel J, Farin I, Baruch A. Soft tissue damage in war injuries of the upper extremity with special reference to tendons and nerves. PROGRESS IN SURGERY 2015; 16:53-67. [PMID: 375311 DOI: 10.1159/000402253] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
|
59
|
Engel J, Farin Y. Some specific aspects of osteosynthesis in war surgery. PROGRESS IN SURGERY 2015; 16:124-30. [PMID: 441404 DOI: 10.1159/000402257] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
|
60
|
Kolben T, Wuerstlein R, Harbeck N, Schubert-Fritschle G, Bauerfeind I, Schrodi S, Engel J. P087 Endocrine sensitivity is decisive for patient outcome in small PN0 breast cancers (PT1A,b). Breast 2015. [DOI: 10.1016/s0960-9776(15)70132-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
|
61
|
Wuerstlein R, Hermelink K, Heiduschka A, Engel J, Harbeck N, Burgmann M. P157 Life satisfaction and biographic changes in young breast cancer survivors. Breast 2015. [DOI: 10.1016/s0960-9776(15)70199-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
|
62
|
Hollederer A, Braun GE, Dahlhoff G, Drexler H, Engel J, Gräßel E, Häusler E, Heide H, Heuschmann PU, Hörl G, Imhof H, Kaplan M, Kasperbauer R, Klemperer D, Kolominsky-Rabas P, Kuhn J, Lang M, Langejürgen R, Lankes A, Leidl R, Liebl B, Loss J, Ludewig K, Mansmann U, Melcop N, Nagels K, Nowak D, Pfundner H, Reuschenbach B, Schneider A, Schneider W, Schöffski O, Schreiber W, Voigtländer S, Wildner M, Zapf A, Zellner A. [Memorandum 'Development of health services research in Bavaria from the perspective of the Bavarian State Working Group 'Health Services Research (LAGeV)': status quo - potential - strategies']. DAS GESUNDHEITSWESEN 2014; 77:180-5. [PMID: 25422951 DOI: 10.1055/s-0034-1389915] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
The aim of the memorandum on the development of health services research (HSR) in Bavaria is to operationalise the global objectives of the State Working Group "Health Services Research" (LAGeV) and to collectively define future topics, specific implementation steps, methods as well as ways of working for the future course of the LAGeV. The LAGeV is an expert committee that integrates and links the competencies of different actors from science, politics and health care regarding HSR and facilitates their cooperation. The memorandum is based on an explorative survey among the LAGeV members, which identified the status quo of health services research in Bavaria, potential for development, important constraints, promoting factors, specific recommendations as well as future topics for the further development of HSR in Bavaria. From the perspective of the LAGeV members, the 12 most important future topics are: 1) Interface and networking research, 2) Innovative health care concepts, 3) Health care for multimorbid patients, 4)Health care for chronically ill patients, 5) Evaluation of innovations, processes and technologies, 6) Patient orientation and user focus, 7) Social and regional inequalities in health care, 8) Health care for mentally ill patients, 9) Indicators of health care quality, 10) Regional needs planning, 11) Practical effectiveness of HSR and 12) Scientific use of routine data. Potential for development of HSR in Bavaria lies a) in the promotion of networking and sustainable structures, b) the establishment of an HSR information platform that bundles information and results in regard to current topics and aims to facilitate cooperation as well as c) in the initiation of measures and projects. The latter ought to pinpoint health care challenges and make recommendations regarding the improvement of health care and its quality. The cooperation and networking structures that were established with the LAGeV should be continuously expanded and be used to work on priority topics in order to achieve the global objectives of the LAGeV.
Collapse
|
63
|
Burgmann M, Wuerstlein R, Neff J, Engel J, Hermelink K, Harbeck N. PR50 Life satisfaction among young breast cancer survivors. Breast 2014. [DOI: 10.1016/s0960-9776(14)70060-8] [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
|
64
|
Wuerstlein R, Burgmann M, Neff J, Engel J, Hermelink K, Harbeck N. PO46 Unmet needs and biographic changes among young breast cancer survivors. Breast 2014. [DOI: 10.1016/s0960-9776(14)70056-6] [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
|
65
|
Jansen GR, Engel J, Hagen G, Navratil P, Signoracci A. Ab initio coupled-cluster effective interactions for the shell model: application to neutron-rich oxygen and carbon isotopes. PHYSICAL REVIEW LETTERS 2014; 113:142502. [PMID: 25325637 DOI: 10.1103/physrevlett.113.142502] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/10/2014] [Indexed: 06/04/2023]
Abstract
We derive and compute effective valence-space shell-model interactions from ab initio coupled-cluster theory and apply them to open-shell and neutron-rich oxygen and carbon isotopes. Our shell-model interactions are based on nucleon-nucleon and three-nucleon forces from chiral effective-field theory. We compute the energies of ground and low-lying states, and find good agreement with experiment. In particular, our computed 2(+) states are consistent with N = 14,16 shell closures in (22,24)O, and a weaker N=14 shell closure in (20)C. We find good agreement between our coupled-cluster effective-interaction results with those obtained from standard single-reference coupled-cluster calculations for up to eight valence neutrons.
Collapse
|
66
|
Kolben T, Harbeck N, Würstlein R, Schubert-Fritschle G, Bauerfeind I, Schrodi S, Engel J. Hormonrezeptorstatus ist bei kleinen nodalnegativen Tumoren (pT1a, b) entscheidend für den Krankheitsverlauf – Auswertung aus dem Tumorregister München. Geburtshilfe Frauenheilkd 2014. [DOI: 10.1055/s-0034-1388393] [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
|
67
|
Schmalfeldt B, Burges A, Mayr D, Schubert-Fritschle G, Rottmann M, Engel J. Qualität der Therapie des Ovarialkarzinoms in der Region des Tumorzentrums München. Epidemiologische Daten im Vergleich. Geburtshilfe Frauenheilkd 2014. [DOI: 10.1055/s-0034-1388451] [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
|
68
|
Burgmann M, Wuerstlein R, Farr A, Heiduschka A, van Meegen F, Engel J, Harbeck N, Hermelink K. Die junge Mammakarzinompatientin: Biographische Veränderungen, Belastung und Lebenszufriedenheit in den ersten Jahren nach Diagnose. Geburtshilfe Frauenheilkd 2014. [DOI: 10.1055/s-0034-1388468] [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
|
69
|
Tra J, Engel J, van der Wulp I, de Bruijne MC, Wagner C. Monitoring guideline adherence in the management of acute coronary syndrome in hospitals: design of a multicentre study. Neth Heart J 2014; 22:346-53. [PMID: 24980680 PMCID: PMC4099437 DOI: 10.1007/s12471-014-0574-4] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022] Open
Abstract
Background Increasing guideline adherence in the management of acute coronary syndrome (ACS) in hospitals potentially reduces heart failure and mortality. Therefore, an expert panel identified three guideline recommendations as the most important aims for improvement in ACS care, i.e. timely invasive treatment, use of risk scoring instruments and prescription of secondary prevention medication at discharge. Aims This study aims to evaluate in-hospital guideline adherence in the care of patients diagnosed with ACS and to identify associated factors. Methods The study has a cross-sectional design. Data are collected in 13 hospitals in the Netherlands by means of retrospective chart review of patients discharged in 2012 with a diagnosis of ACS. The primary outcomes will be the percentages of patients receiving timely invasive treatment, with a documented cardiac risk score, and with a prescription of the guideline-recommended discharge medication. In addition, factors associated with guideline adherence will be studied using generalised linear (mixed) models. Discussion This study explores guideline adherence in Dutch hospitals in the management of patients diagnosed with ACS, using a data source universally available in hospitals. The results of this study can be informative for professionals involved in ACS care as they facilitate targeted improvement efforts.
Collapse
|
70
|
Schrodi S, Niedostatek A, Werner C, Tillack A, Schubert-Fritschle G, Engel J. Is primary surgery of breast cancer patients consistent with German guidelines? Twelve-year trend of population-based clinical cancer registry data. Eur J Cancer Care (Engl) 2014; 24:242-52. [DOI: 10.1111/ecc.12194] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/27/2014] [Indexed: 02/06/2023]
|
71
|
Husemann K, Engel J, Berg N, Kohlhäufl M. Praktikabilität und Profile verschiedener Gasauswaschtests bei COPD. Pneumologie 2014. [DOI: 10.1055/s-0034-1367744] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
|
72
|
Raabe E, Dammer U, Strahl O, Engel J, Faschingbauer F, Winkler M, Beckmann MW, Kehl S. Sekundäre Sectio caesarea – Was sind die Risikofaktoren? Z Geburtshilfe Neonatol 2013. [DOI: 10.1055/s-0033-1361320] [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]
|
73
|
Abstract
Surgical treatment for epilepsy has made tremendous strides in the past few decades as a result of advances in neurodiagnostics-particularly structural and functional neuroimaging-and improved surgical techniques. This has not only resulted in better outcomes with respect to epileptic seizures and quality of life, and reduced surgical morbidity and mortality, but it has also increased the population of patients now considered as surgical candidates, particularly in the pediatric age range, and enhanced cost-effectiveness sufficient to make surgical treatment available to countries with limited resources. Yet surgical treatment for epilepsy remains arguably the most underutilized of all accepted medical interventions. In the United States, less than 1% of patients with pharmacoresistant epilepsy are referred to epilepsy centers. Although the number of epilepsy surgery centers has increased appreciably over the past two decades, the number of therapeutic surgical procedures performed for epilepsy has not increased at all. For patients who are referred, the average delay from onset of epilepsy to surgery is more than 20 years-too late for many to avoid a lifetime of disability or premature death. Not only has there been no consistent message to convince neurologists and primary care physicians to refer patients for surgery, but the increase in epilepsy surgery centers in the United States has appeared to result in a divergence of approaches to surgical treatment. Efforts are still needed to further improve the safety and efficacy of surgical treatment, including the identification of biomarkers that can reliably determine the extent of the epileptogenic region; however, the greatest benefits would derive from increasing access for potential surgical candidates to epilepsy surgery facilities. Information is needed to determine why appropriate surgical referrals are not being made. Consensus conferences are necessary to resolve controversies that still exist regarding presurgical evaluation and surgical approaches. Standards should be established for certifying epilepsy centers as recommended by the Institute of Medicine's report on epilepsy. Finally, the epilepsy community should not be promoting epilepsy surgery per se but instead emphasize that epilepsy centers do more than epilepsy surgery, promoting the message: All patients with disabling pharmacoresistant seizures deserve evaluation by specialists at epilepsy centers who can provide a variety of advanced diagnostic and therapeutic services.
Collapse
|
74
|
Jerlhag E, Steensland P, Fredriksson I, Feltmann K, Egecioglu E, Engel J, Steensland P, Fredriksson I, Feltmann K, Holst S, Franck J, Schilstrom B, Carlsson A, Colombo G, Naassila M, Houchi H, Jeanblanc J, Coune F, Persyn W. S10 * EMERGING DRUGS FOR TREATING ALCOHOL USE DISORDERS: PRECLINICAL EVIDENCE. Alcohol Alcohol 2013. [DOI: 10.1093/alcalc/agt075] [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
|
75
|
Kandel R, Coakley N, Werier J, Engel J, Ghert M, Verma S. Surgical margins and handling of soft-tissue sarcoma in extremities: a clinical practice guideline. ACTA ACUST UNITED AC 2013; 20:e247-54. [PMID: 23737694 DOI: 10.3747/co.20.1308] [Citation(s) in RCA: 71] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
QUESTIONS In limb salvage surgery for extremity soft-tissue sarcoma (sts), what is an adequate surgical margin?What is the appropriate number of samples to take from the margins of a surgical resection specimen?What is the appropriate handling of surgical resection specimens? BACKGROUND Surgery is the primary treatment for extremity sts. The combination of radiotherapy with surgery allows for limb salvage by using radiation to biologically "sterilize" microscopic extensions of tumour and to spare neurovascular and osseous structures. Adjuvant chemotherapy in sts-except for rhabdomyosarcoma and Ewing sarcoma-continues to be controversial. METHODS The medline and embase databases (1975 to June 2011) and the Cochrane Library were searched for pertinent studies. The Web sites of the main guideline organizations and the American Society of Clinical Oncology conference proceedings (2007-2010) were also searched. RESULTS AND CONCLUSIONS Thirty-three papers, including four guidelines, one protocol, and one abstract, were eligible for inclusion. The data suggest that patients with clear margins have a better prognosis, but no prospective studies have indicated how wide margins should be. In limb-salvage surgery for extremity sts, the procedure should be planned to achieve a clear margin. However, to preserve functionality, surgery may result in a very close (<1 cm) or even microscopically positive margin. In this circumstance, the use of preoperative or postoperative radiation should be considered. No studies described the optimal number of tissue sections required to assess adequacy of excision nor the appropriate handling of surgical resection specimens. The Sarcoma Disease Site Group made its recommendations based on expert opinion and consensus.
Collapse
|