76
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Lehmann H. Friedrich Wegener 75 Jahre. Dtsch Med Wochenschr 2009. [DOI: 10.1055/s-0029-1236733] [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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77
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Barth G, Lehmann H, Schoenefeldt T, Wachsmann F. Über die Fieberbehandlung mit Kurzwellen. Dtsch Med Wochenschr 2009. [DOI: 10.1055/s-0028-1121429] [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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78
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79
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Stavem P, Strömme J, Lorkin PA, Lehmann H. Haemoglobin M Saskatoon with slight constant haemolysis, markedly increased by sulphonamides. SCANDINAVIAN JOURNAL OF HAEMATOLOGY 2009; 9:566-71. [PMID: 4644421 DOI: 10.1111/j.1600-0609.1972.tb00987.x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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80
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Ringelhann B, Lewis R, Lorkin P, Kynoch P, Lehmann H. Sickle Cell Haemoglobin D Punjab Disease: S from Ghana and D from England. Acta Haematol 2009. [DOI: 10.1159/000209032] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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81
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Sim I, Chute CG, Lehmann H, Nagarajan R, Nahm M, Scheuermann RH. Keeping Raw Data in Context. Science 2009; 323:713. [DOI: 10.1126/science.323.5915.713a] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
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82
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Schlaak M, Lehmann H, Zabel P, Bernhard A. Immunglobulinspiegel und Lymphocytenfunktionsänderungen bei der extrakorporalen Zirkulation und Massentransfusion*. Thorac Cardiovasc Surg 2008. [DOI: 10.1055/s-0028-1096996] [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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83
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Dambita N, Streshley L, Ajayi O, Lehmann H. Leveraging IT to deliver primary care -- the case of the Democratic Republic of the Congo (age-old problem, new paradigm). AMIA ... ANNUAL SYMPOSIUM PROCEEDINGS. AMIA SYMPOSIUM 2008:919. [PMID: 18999258] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Received: 03/14/2008] [Revised: 07/16/2008] [Indexed: 05/27/2023]
Abstract
There is a growing acknowledgement of the role of information technology (IT) tools in improving health-care delivery. The gains in efficiency resulting from implementing even limited IT are expected to be more significant in resources-constrained health-care settings. The Democratic Republic of the Congo (DRC), emerging from a devastating civil war, has incorporated IT into the rebuilding of its primary care delivery system. Its basic strategy is to leverage COTS when affordable, FLOSS when practical.
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84
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Kleinlogel H, Dierks T, Koenig T, Lehmann H, Minder A, Berz R. Effects of weak mobile Phone-Electromagnetic fields (GSM, UMTS) on well-being and resting EEG. Bioelectromagnetics 2008; 29:479-87. [DOI: 10.1002/bem.20419] [Citation(s) in RCA: 39] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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85
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Kleinlogel H, Dierks T, Koenig T, Lehmann H, Minder A, Berz R. Effects of weak mobile phone-Electromagnetic fields (GSM, UMTS) on event related potentials and cognitive functions. Bioelectromagnetics 2008; 29:488-97. [DOI: 10.1002/bem.20418] [Citation(s) in RCA: 47] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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86
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Arends T, Davies DA, Lehmann H. Absence of Variants of Usual Serum Pseudocholinesterase (Acyleholine Acylhydrolase) in South American Indians. Hum Hered 2008. [DOI: 10.1159/000152046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
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87
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Liddell J, Lehmann H, Davies D. Harris and Whittaker’s Pseudocholinesterase Variant with Increased Resistance to Fluoride. Hum Hered 2008. [DOI: 10.1159/000151790] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
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88
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Kieseier B, Lehmann H, Hartung HP. Immunneuropathien - Von der Pathogenese zur Therapie. AKTUELLE NEUROLOGIE 2008. [DOI: 10.1055/s-2007-986396] [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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89
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Lehmann H. Urothelkarzinom - Verlaufsbeobachtung einer panurothelialen Erkrankung über 11 Jahre. Aktuelle Urol 2008. [DOI: 10.1055/s-2008-1061207] [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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90
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Jörg J, Gerhard H, Lehmann H. Somatosensorische Reizantwortpotentiale bei Normalpersonen nach Einzel- und Doppelstimulation des N. medianus. KLIN NEUROPHYSIOL 2008. [DOI: 10.1055/s-2008-1061157] [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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91
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Jörg J, Gerhard H, Lehmann H. Zerebrale Refraktärperiode des somatosensorischen Systems bei ausgewählten Erkrankungen des Zentralnervensystems. KLIN NEUROPHYSIOL 2008. [DOI: 10.1055/s-2008-1061158] [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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92
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Dunstan JA, Breckler L, Hale J, Lehmann H, Franklin P, Lyons G, Ching SYL, Mori TA, Barden A, Prescott SL. Supplementation with vitamins C, E, beta-carotene and selenium has no effect on anti-oxidant status and immune responses in allergic adults: a randomized controlled trial. Clin Exp Allergy 2007; 37:180-7. [PMID: 17250690 DOI: 10.1111/j.1365-2222.2007.02657.x] [Citation(s) in RCA: 40] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
BACKGROUND Anti-oxidants are of growing interest in early treatment and prevention of allergic diseases in early life, but the effects on allergen-specific immune responses need to be documented further before intervention studies in infants are undertaken. The aim of this study in adults was to determine the effects of dietary anti-oxidants on allergen-specific immune responses in sensitized individuals. METHODS In a randomized controlled trial, 54 allergic adults received an anti-oxidant supplement (n=36) comprising beta-carotene (9 mg/day), vitamin C (1500 mg/day), vitamin E (130 mg/day), zinc (45 mg/day), selenium (76 microg/day) and garlic (150 mg/day) or a placebo (n=18) for 4 weeks. Anti-oxidant capacity (AC), serum levels of vitamin C, vitamin E, beta-carotene and selenium, peripheral blood responses, exhaled nitric oxide (eNO), as a marker of airway inflammation, and plasma F(2) isoprostanes, as a measure of oxidative stress, were measured before and after supplementation. RESULTS Anti-oxidant supplementation resulted in significant increases in serum levels of vitamin C, vitamin E, beta-carotene and selenium levels, compared with the placebo group (P<0.001). There was no change in serum AC, plasma F(2)-isoprostanes, eNO or immune responses following supplementation with anti-oxidants compared with placebo. CONCLUSION Supplementation with anti-oxidants resulted in significantly increased levels of vitamin C, vitamin E, beta-carotene and selenium but no change in immune responses, serum AC or plasma F(2)-isoprostanes.
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93
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Bress JN, Hulgan T, Lyon JA, Johnston CP, Lehmann H, Sterling TR. Agreement of decision analyses and subsequent clinical studies in infectious diseases. Am J Med 2007; 120:461.e1-9. [PMID: 17466659 PMCID: PMC1909755 DOI: 10.1016/j.amjmed.2006.08.032] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/04/2006] [Revised: 07/13/2006] [Accepted: 08/08/2006] [Indexed: 11/17/2022]
Abstract
PURPOSE Decision analysis techniques can compare management strategies when there are insufficient data from clinical studies to guide decision making. We compared the outcomes of decision analyses and subsequent clinical studies in the infectious disease literature to assess the validity of the conclusions of the decision analyses. METHODS A search strategy to identify decision analyses in infectious disease topics published from 1990 to 2005 was developed and performed using PubMed. Abstracts of all identified articles were reviewed, and infectious disease-related decision analyses were retained. Subsequent clinical trials and observational studies that corresponded to these decision analyses were identified using prespecified search strategies. Clinical studies were considered a match for the decision analysis if they assessed the same patient population, intervention, and outcome. Agreement or disagreement between the conclusions of the decision analysis and clinical study were determined by author review. RESULTS The initial PubMed search yielded 318 references. Forty decision analyses pertaining to 29 infectious disease topics were identified. Of the 40, 16 (40%) from 13 infectious disease topics had matching clinical studies. In 12 of 16 (75%), conclusions of at least 1 clinical study agreed with those of the decision analysis. Three of the 4 decision analyses in which conclusions disagreed were from the same topic (management of febrile children). CONCLUSIONS There was substantial agreement between the conclusions of decision analyses and clinical studies in infectious diseases, supporting the validity of decision analysis and its utility in guiding management decisions.
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94
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Dunstan JA, Breckler L, Hale J, Lehmann H, Franklin P, Lyons G, Lyonso G, Ching SYL, Mori TA, Barden A, Prescott SL. Associations between antioxidant status, markers of oxidative stress and immune responses in allergic adults. Clin Exp Allergy 2007; 36:993-1000. [PMID: 16911355 DOI: 10.1111/j.1365-2222.2006.02539.x] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
BACKGROUND There has been growing interest in the role of antioxidant function in controlling inflammatory disease states, such as allergy. This study investigated the relationship between antioxidant status, markers of airways inflammation [exhaled nitric oxide (eNO)], oxidative stress (F(2) isoprostanes) and immune responses in allergic adults. METHODS Antioxidants (vitamins C, E, beta-carotene and selenium) and total antioxidant capacity (tAC) in serum were examined in relation to eNO, plasma F(2) isoprostanes and peripheral blood mononuclear cell (PBMC) cytokine and lymphoproliferative response to house dust mite (HDM) allergen, Staphylococcus enterotoxin B (SEB), phytohaemaglutinin (PHA) and lipopolysaccharide (LPS) in 54 allergic adults. RESULTS Firstly, levels of specific vitamins did not correlate with tAC. Secondly, we did not see any evidence that specific vitamin levels (or tAC) were associated with either polarization or attenuation of in vitro immune responses. If anything, there were positive correlations between antioxidant (vitamin C and selenium) levels and HDM allergen responses [lymphoproliferation (selenium; r=0.35, P=0.013) and both Th2 IL13 (vitamin C; tau=0.254, P=0.028) and Th1 IFN-gamma (vitamin C; tau=0.302, P=0.009) responses]. There were also significant positive relationships between antioxidant levels and IL-10 responses to polyclonal stimulation by SEB (r=0.292, P=0.036) and LPS (r=0.34, P=0.015) (beta-carotene) and PHA (r=0.34, P=0.021) (tAC). Thirdly, although airways inflammation (eNO) was associated with both in vitro and in vivo (skin test reactivity) to HDM, we did not see any correlation between eNO and oxidative stress (F(2)-isoprostanes). Finally, there were no consistent relationships between oxidative stress and immune responses. CONCLUSION There was no evidence that higher antioxidant levels were associated with reduced allergen responsiveness in allergic adults. If anything, antioxidant status was associated with increased immune responsiveness. The significance of this needs to be addressed in future intervention studies.
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95
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Michels H, Ganser G, Dannecker G, Forster J, Häfner R, Horneff G, Küster RM, Lakomek HJ, Lehmann H, Minden K, Rogalski B, Schöntube M. [Structural quality of rheumatology clinics for children and adolescents. Paper by a task force of the "Society of Pediatric and Adolescent Rheumatology" and of the "Association of Rheumatology Clinics in Germany"]. Z Rheumatol 2007; 65:315-22, 324-6. [PMID: 16710651 DOI: 10.1007/s00393-006-0056-1] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Rheumatic diseases in childhood and adolescence differ from those of adulthood according to type, manifestation, treatment and course. A specialized therapy, starting as early as possible, improves the prognosis, can prevent long-term damage and saves the costs of long-term care. Only a specialized pediatric care system can guarantee optimum quality of the processes involved and the results for rheumatology in childhood and adolescence within a global financial system. This requires adequate structural quality of the specialized clinics and departments for pediatric rheumatology. The management of rheumatic diseases in childhood and adolescence is comprehensive and requires a multidisciplinary, specialized and engaged team which can cover the whole spectrum of rheumatic diseases with their various age-dependent aspects. In order to guarantee an adequate, cost-efficient routine, a specialized center which concentrates on inpatient care should treat at least 300 patients with pediatric rheumatic diseases per year. The diagnoses should be divided among the various disease categories with at least 70% of them involving inflammatory rheumatic diseases. For the inpatient care of small children, an accompanying person (parent) is necessary, requiring adequate structures and services. Patient rooms as well as diagnostic (radiography, sonography, etc.) and therapeutic services (physiotherapy, occupational therapy, pool, etc.) must be adequate for small children and school children as well as adolescents. Suitable mother-child units must also be provided and a school for patients is required within the clinic. A pediatric rheumatologist must be available 24 h a day, and it must be possible to reach other specialists within a short time. For painful therapeutic procedures, age-appropriate pain management is obligatory. A continuous adjustment of these recommendations to changing conditions in health politics is intended.
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96
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97
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Hynes M, Lehmann H. The accuracy of haemoglobin determination by the copper sulphate-blood gravity method in indian soldiers. J Physiol 2007; 104:305-11. [PMID: 16991686 PMCID: PMC1393823 DOI: 10.1113/jphysiol.1946.sp004123] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
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98
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Lange TJ, Schroll S, Arzt M, Sebah D, Nowrotek A, Lehmann H, Pfeifer M. Simvastatin reduziert pulmonale Hypertonie, rechtsventrikuläre Hypertrophie und bleomycin-induzierte Lungenfibrose im Rattenmodel. Pneumologie 2007. [DOI: 10.1055/s-2007-973280] [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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99
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Waskow C, Klauwer D, Geidel C, Lehmann H, Heckmann M. Extreme Frühgeburtlichkeit und Parvovirus B19-Infektion in der Schwangerschaft. Z Geburtshilfe Neonatol 2006. [DOI: 10.1055/s-2006-946109] [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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100
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Dunstan JA, Breckler L, Hale J, Lehmann H, Franklin P, Lyons G, Ching SYL, Mori TA, Barden A, Prescott SL. Associations between antioxidant status, markers of oxidative stress and immune responses in allergic adults. Clin Exp Allergy 2006. [DOI: 10.1111/j.1365-2222.2006.02610.x] [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]
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