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Geißler C, Knoerlein J, Bohlmann MK, Brandt A, Guluzade D, Gerber M, Watermann D, Weiz O, König G, Markfeld F, Klar M, Juhasz-Böss I, Kunze M. [Correction: Evaluation of Psychological Distress in Obstetric Patients during the Visit Ban in Hospitals in the SARS-CoV-2 Pandemic: A Prospective, Multicentre, Controlled Study]. Z Geburtshilfe Neonatol 2024; 228:e1. [PMID: 37984361 DOI: 10.1055/a-2206-7340] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2023]
Affiliation(s)
- Carmen Geißler
- Frauenheilkunde und Geburtshilfe, Universitätsklinikum Freiburg, Medizinische Universitätsklinik, Freiburg im Breisgau, Germany
| | - Julian Knoerlein
- Anästhesiologische Klinik, Universitätsklinikum Freiburg, Medizinische Universitätsklinik, Freiburg im Breisgau, Germany
| | - Michael K Bohlmann
- Frauenheilkunde und Geburtshilfe , St Elisabethen-Krankenhaus Lörrach gGmbH, Lörrach, Germany
| | - Andreas Brandt
- Frauenheilkunde und Geburtshilfe, Ortenau Klinikum, Offenburg, Germany
| | - Durdana Guluzade
- Frauenheilkunde und Geburtshilfe , St Elisabethen-Krankenhaus Lörrach gGmbH, Lörrach, Germany
| | - Monika Gerber
- Frauenheilkunde und Geburtshilfe, Evangelisches Diakoniekrankenhaus Freiburg, Freiburg, Germany
| | - Dirk Watermann
- Frauenheilkunde und Geburtshilfe, Evangelisches Diakoniekrankenhaus Freiburg, Freiburg, Germany
| | - Olga Weiz
- Frauenheilkunde und Geburtshilfe, Evangelisches Diakoniekrankenhaus Freiburg, Freiburg, Germany
| | - Gudrun König
- Geburtshilfe, Eichsfeld Klinikum, Eichsfeld, Germany
| | - Filiz Markfeld
- Frauenheilkunde und Geburtshilfe, Universitätsklinikum Freiburg, Medizinische Universitätsklinik, Freiburg im Breisgau, Germany
| | - Maximilian Klar
- Frauenheilkunde und Geburtshilfe, Universitätsklinikum Freiburg, Medizinische Universitätsklinik, Freiburg im Breisgau, Germany
| | - Ingolf Juhasz-Böss
- Frauenheilkunde und Geburtshilfe, Universitätsklinikum Freiburg, Medizinische Universitätsklinik, Freiburg im Breisgau, Germany
| | - Mirjam Kunze
- Frauenklinik, Universitätsklinik Freiburg, Freiburg, Germany
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Geißler C, Knoerlein J, Bohlmann MK, Brandt A, Guluzade D, Gerber M, Watermann D, Weiz O, König G, Markfeld F, Klar M, Juhasz-Böss I, Kunze M. [Evaluation of Psychological Distress in Obstetric Patients during the Visit Ban in Hospitals in the SARS-CoV-2 Pandemic: A Prospective, Multicentre, Controlled Study]. Z Geburtshilfe Neonatol 2024; 228:80-87. [PMID: 37931900 DOI: 10.1055/a-2180-7507] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2023]
Abstract
INTRODUCTION Risk factors for postpartum depression include a lack of social support and perceived social isolation. We would like to determine whether the isolation of inpatients on the maternity wards during Covid-19 leads to increased psychological stress. METHODS This is a multicentre, controlled study of obstetric patients who gave birth during an inpatient stay. Patients were included during the visitation ban (study group) and after the visitation ban (control group). Psychological stress was evaluated with the Edinburgh Postnatal Depression Scale (EPDS) during the inpatient stay and six to eight weeks postpartum. RESULTS A total of 194 women were included, 107 in the study group and 87 in the control group. The overall result of the first EPDS shows a higher score in the study group compared to the control group (7.0 vs. 4.9 points). Primipara show a higher score in the first EPDS compared to multipara (7.28 vs. 4.82). Caesarean section, regardless of isolation, shows a higher score in the first EPDS than vaginal birth (8.42 vs. 5.11). Comparison of vaginal birth shows a higher score only in the study group (5.97 vs. 4.07). CONCLUSION In the context of Covid-19, women giving birth and new mothers, especially primipara, are exposed to increased psychological stress in the clinics. Caesarean section leads to increased psychological stress.
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Affiliation(s)
- Carmen Geißler
- Frauenheilkunde und Geburtshilfe, Universitätsklinikum Freiburg, Medizinische Universitätsklinik, Freiburg im Breisgau, Germany
| | - Julian Knoerlein
- Anästhesiologische Klinik, Universitätsklinikum Freiburg, Medizinische Universitätsklinik, Freiburg im Breisgau, Germany
| | - Michael K Bohlmann
- Frauenheilkunde und Geburtshilfe , St Elisabethen-Krankenhaus Lörrach gGmbH, Lörrach, Germany
| | - Andreas Brandt
- Frauenheilkunde und Geburtshilfe, Ortenau Klinikum, Offenburg, Germany
| | - Durdana Guluzade
- Frauenheilkunde und Geburtshilfe , St Elisabethen-Krankenhaus Lörrach gGmbH, Lörrach, Germany
| | - Monika Gerber
- Frauenheilkunde und Geburtshilfe, Evangelisches Diakoniekrankenhaus Freiburg, Freiburg, Germany
| | - Dirk Watermann
- Frauenheilkunde und Geburtshilfe, Evangelisches Diakoniekrankenhaus Freiburg, Freiburg, Germany
| | - Olga Weiz
- Frauenheilkunde und Geburtshilfe, Evangelisches Diakoniekrankenhaus Freiburg, Freiburg, Germany
| | - Gudrun König
- Geburtshilfe, Eichsfeld Klinikum, Eichsfeld, Germany
| | - Filiz Markfeld
- Frauenheilkunde und Geburtshilfe, Universitätsklinikum Freiburg, Medizinische Universitätsklinik, Freiburg im Breisgau, Germany
| | - Maximilian Klar
- Frauenheilkunde und Geburtshilfe, Universitätsklinikum Freiburg, Medizinische Universitätsklinik, Freiburg im Breisgau, Germany
| | - Ingolf Juhasz-Böss
- Frauenheilkunde und Geburtshilfe, Universitätsklinikum Freiburg, Medizinische Universitätsklinik, Freiburg im Breisgau, Germany
| | - Mirjam Kunze
- Frauenklinik, Universitätsklinik Freiburg, Freiburg, Germany
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Ge I, Geißler C, Geffroy A, Juhasz-Böss I, Wiehle P, Asberger J. Treatment of Cesarean Scar and Cervical Pregnancies Using the Ovum Aspiration Set for Intrachorial Methotrexate Injection as a Conservative, Fertility-Preserving Procedure. Medicina (Kaunas) 2023; 59:medicina59040761. [PMID: 37109719 PMCID: PMC10143318 DOI: 10.3390/medicina59040761] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/11/2023] [Revised: 04/07/2023] [Accepted: 04/11/2023] [Indexed: 04/29/2023]
Abstract
Background and Objectives: Cesarean scar and cervical pregnancies are rare forms of ectopic pregnancies, occurring in 1 in 2000 and 1 in 9000 pregnancies, respectively. Both entities are medically challenging due to their high morbidity and mortality potential. Materials and Methods: In this retrospective study, we analyzed all cesarean scar and cervical pregnancies from 2010 to 2019 in the Department of Gynecology and Obstetrics of the University Hospital Freiburg, treated with both intrachorial (using the ovum aspiration set) and systemic methotrexate application. Results: We identified seven patients with a cesarean scar and four patients with cervical pregnancies. At diagnosis, the median gestational age was 7 + 1 (range: 5 + 5-9 + 5) weeks and the mean value of ß-hCG was 43,536 (range: 5132-87842) mlU/mL. On average, one dose of intrachorial and two doses of systemic methotrexate were administered per patient. The efficacy rate was 72.7% with three patients (27.3%) needing an additional surgical or interventional procedure. The uterus was preserved in 100% of the patients. Out of the eight patients with follow-up data, five reported subsequent pregnancies (62.5%) that resulted in six live births. None had recurrent cesarean scars or cervical pregnancies. In the subgroup analyses, when comparing cesarean scar pregnancies to cervical pregnancies, patient characteristics, treatment modality, and the outcome did not differ significantly, except for parity (2 versus 0, p = 0.02) and the duration since the last pregnancy (3 vs. 0.75 years, p = 0.048). When comparing cases with successful and failed methotrexate-only treatments, the maternal age was significantly higher in the successful group (34 vs. 27 years, p = 0.02). Localization of the gestation, gestational and maternal age, ß-hCG, and history of preceding pregnancies were non-predictive for the efficacy of the treatment. Conclusions: The combined application of intrachorial and systemic methotrexate for the treatment of cesarean scar and cervical pregnancies has been proven effective, well-tolerated, organ- and fertility-conserving with a low complication rate.
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Affiliation(s)
- Isabell Ge
- Department of Obstetrics and Gynaecology, University Hospital of Basel, 4056 Basel, Switzerland
- Breast Center, University Hospital Basel, University of Basel, 4056 Basel, Switzerland
- Department of Obstetrics and Gynecology, Medical Center-University Hospital Freiburg, 79106 Freiburg, Germany
- Faculty of Medicine, University of Freiburg, 79106 Freiburg, Germany
| | - Carmen Geißler
- Department of Obstetrics and Gynecology, Medical Center-University Hospital Freiburg, 79106 Freiburg, Germany
- Faculty of Medicine, University of Freiburg, 79106 Freiburg, Germany
| | - Alexandra Geffroy
- Department of Obstetrics and Gynecology, Medical Center-University Hospital Freiburg, 79106 Freiburg, Germany
- Faculty of Medicine, University of Freiburg, 79106 Freiburg, Germany
| | - Ingolf Juhasz-Böss
- Department of Obstetrics and Gynecology, Medical Center-University Hospital Freiburg, 79106 Freiburg, Germany
- Faculty of Medicine, University of Freiburg, 79106 Freiburg, Germany
| | - Philipp Wiehle
- Department of Obstetrics and Gynecology, Medical Center-University Hospital Freiburg, 79106 Freiburg, Germany
- Faculty of Medicine, University of Freiburg, 79106 Freiburg, Germany
| | - Jasmin Asberger
- Department of Obstetrics and Gynecology, Medical Center-University Hospital Freiburg, 79106 Freiburg, Germany
- Faculty of Medicine, University of Freiburg, 79106 Freiburg, Germany
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Ge I, Geißler C, Prömpeler HJ, Juhasz-Böss I, Wiehle P. Intrachoriale und systemische Methotrexat (MTX)-Applikation bei Zervix- und Sectionarbengravidität als konservativer, fertilitätserhaltender Behandlungsansatz. Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1718072] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
Affiliation(s)
- I. Ge
- Universitätsfrauenklinik Freiburg
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Geißler C, Ge I, Hess M, Metzger P, Bronsert P, Lassmann S, Börries M, Juhasz-Böss I, Illert AL, Bossart M. Personalisierte Therapie des therapieresistenten Ovarialkarzinoms einer jungen Patientin. Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1718269] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
Affiliation(s)
- C Geißler
- Uniklinik Freiburg, Gynäkologie und Geburtshilfe
| | - I Ge
- Uniklinik Freiburg, Gynäkologie und Geburtshilfe
| | | | | | | | | | | | | | | | - M Bossart
- Uniklinik Freiburg, Gynäkologie und Geburtshilfe
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Natarelli L, Geißler C, Csaba G, Wei Y, Zhu M, di Francesco A, Hartmann P, Zimmer R, Schober A. P25 MIR-103 PROMOTES ENDOTHELIAL MALADAPTATION AND ATHEROSCLEROSIS BY TARGETING LNCWDR59. Cardiovasc Res 2018. [DOI: 10.1093/cvr/cvy216.028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- L Natarelli
- Institut für Prophylaxe und Epidemiologie der KreislaufkrankheitenExperimental Vascular Medicine (IPEK), Institute for Cardiovascular Prevention, Ludwig-Maximilians University Munich, Munich, Pettenkoferstrasse 9; Munich, Germany
| | | | - G Csaba
- Institute for Informatics, Ludwig-Maximilians University Munich, Oettingenstraße 67; Munich, Germany
| | - Y Wei
- Institut für Prophylaxe und Epidemiologie der KreislaufkrankheitenExperimental Vascular Medicine (IPEK), Institute for Cardiovascular Prevention, Ludwig-Maximilians University Munich, Munich, Pettenkoferstrasse 9; Munich, Germany
| | - M Zhu
- Institut für Prophylaxe und Epidemiologie der KreislaufkrankheitenExperimental Vascular Medicine (IPEK), Institute for Cardiovascular Prevention, Ludwig-Maximilians University Munich, Munich, Pettenkoferstrasse 9; Munich, Germany
| | - A di Francesco
- Department of Cardiac, Thoracic and Vascular Sciences, University of Padova, Via Giustiniani 2; Padova, Italy
| | - P Hartmann
- Institut für Prophylaxe und Epidemiologie der KreislaufkrankheitenExperimental Vascular Medicine (IPEK), Institute for Cardiovascular Prevention, Ludwig-Maximilians University Munich, Munich, Pettenkoferstrasse 9; Munich, Germany
| | - R Zimmer
- Institute for Informatics, Ludwig-Maximilians University Munich, Oettingenstraße 67; Munich, Germany
| | - A Schober
- Institut für Prophylaxe und Epidemiologie der KreislaufkrankheitenExperimental Vascular Medicine (IPEK), Institute for Cardiovascular Prevention, Ludwig-Maximilians University Munich, Munich, Pettenkoferstrasse 9; Munich, Germany
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Geißler C, Krause C, Kähler M, Cascorbi I, Kirchner H. Longitudinal analysis of the development of hepatic insulin resistance in diet-induced obese mice. DIABETOL STOFFWECHS 2018. [DOI: 10.1055/s-0038-1641822] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- C Geißler
- Medical Department I, University of Lübeck, Lübeck, Germany
| | - C Krause
- Medical Department I, University of Lübeck, Lübeck, Germany
| | - M Kähler
- Institute of Experimental and Clinical Pharmacology, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany
| | - I Cascorbi
- Institute of Experimental and Clinical Pharmacology, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany
| | - H Kirchner
- Medical Department I, University of Lübeck, Lübeck, Germany
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Krause C, Sievert H, Grohs M, Geißler C, El Gammal AT, Wolter S, Lill CM, Krämer UM, Kasten M, Klein C, Brabant G, Mann O, Lehnert H, Kirchner H. Critical evaluation of DNA methylation markers for type-2-diabetes risk prediction. DIABETOL STOFFWECHS 2018. [DOI: 10.1055/s-0038-1641819] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- C Krause
- University of Lübeck, Medical Department I, Lübeck, Germany
| | - H Sievert
- University of Lübeck, Medical Department I, Lübeck, Germany
| | - M Grohs
- University of Lübeck, Medical Department I, Lübeck, Germany
| | - C Geißler
- University of Lübeck, Medical Department I, Lübeck, Germany
| | - AT El Gammal
- University Medical Center Hamburg-Eppendorf, Department of General, Visceral and Thoracic Surgery, Hamburg, Germany
| | - S Wolter
- University Medical Center Hamburg-Eppendorf, Department of General, Visceral and Thoracic Surgery, Hamburg, Germany
| | - CM Lill
- University of Lübeck, Institute of Neurogenetics, Lübeck, Germany
| | - UM Krämer
- University of Lübeck, Department of Neurology, Lübeck, Germany
- University of Lübeck, Institute of Psychology II, Lübeck, Germany
| | - M Kasten
- University of Lübeck, Institute of Neurogenetics, Lübeck, Germany
- University of Lübeck, Dept. of Psychiatry and Psychotherapy, Lübeck, Germany
| | - C Klein
- University of Lübeck, Institute of Neurogenetics, Lübeck, Germany
| | - G Brabant
- University of Lübeck, Medical Department I, Lübeck, Germany
| | - O Mann
- University Medical Center Hamburg-Eppendorf, Department of General, Visceral and Thoracic Surgery, Hamburg, Germany
| | - H Lehnert
- University of Lübeck, Medical Department I, Lübeck, Germany
| | - H Kirchner
- University of Lübeck, Medical Department I, Lübeck, Germany
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Krause C, Tackenberg H, Geißler C, El Gammal AT, Wolter S, Mann O, Lehnert H, Kirchner H. Altered hepatic DNA methylation and gene expression of metabolic genes in non-diabetic obese and type-2-diabetic obese subjects. DIABETOL STOFFWECHS 2017. [DOI: 10.1055/s-0037-1601581] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- C Krause
- University of Lübeck, Medical Department I, Lübeck, Germany
| | - H Tackenberg
- University of Lübeck, Medical Department I, Lübeck, Germany
| | - C Geißler
- University of Lübeck, Medical Department I, Lübeck, Germany
| | - AT El Gammal
- University Medical Center Hamburg-Eppendorf, Department of General, Visceral and Thoracic Surgery, Hamburg, Germany
| | - S Wolter
- University Medical Center Hamburg-Eppendorf, Department of General, Visceral and Thoracic Surgery, Hamburg, Germany
| | - O Mann
- University Medical Center Hamburg-Eppendorf, Department of General, Visceral and Thoracic Surgery, Hamburg, Germany
| | - H Lehnert
- University of Lübeck, Medical Department I, Lübeck, Germany
| | - H Kirchner
- University of Lübeck, Medical Department I, Lübeck, Germany
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Ribitsch I, Burk J, Delling U, Geißler C, Gittel C, Jülke H, Brehm W. Basic science and clinical application of stem cells in veterinary medicine. Adv Biochem Eng Biotechnol 2014; 123:219-63. [PMID: 20309674 DOI: 10.1007/10_2010_66] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
Stem cells play an important role in veterinary medicine in different ways. Currently several stem cell therapies for animal patients are being developed and some, like the treatment of equine tendinopathies with mesenchymal stem cells (MSCs), have already successfully entered the market. Moreover, animal models are widely used to study the properties and potential of stem cells for possible future applications in human medicine. Therefore, in the young and emerging field of stem cell research, human and veterinary medicine are intrinsically tied to one another. Many of the pioneering innovations in the field of stem cell research are achieved by cooperating teams of human and veterinary medical scientists.Embryonic stem (ES) cell research, for instance, is mainly performed in animals. Key feature of ES cells is their potential to contribute to any tissue type of the body (Reed and Johnson, J Cell Physiol 215:329-336, 2008). ES cells are capable of self-renewal and thus have the inherent potential for exceptionally prolonged culture (up to 1-2 years). So far, ES cells have been recovered and maintained from non-human primate, mouse (Fortier, Vet Surg 34:415-423, 2005) and horse blastocysts (Guest and Allen, Stem Cells Dev 16:789-796, 2007). In addition, bovine ES cells have been grown in primary culture and there are several reports of ES cells derived from mink, rat, rabbit, chicken and pigs (Fortier, Vet Surg 34:415-423, 2005). However, clinical applications of ES cells are not possible yet, due to their in vivo teratogenic degeneration. The potential to form a teratoma consisting of tissues from all three germ lines even serves as a definitive in vivo test for ES cells.Stem cells obtained from any postnatal organism are defined as adult stem cells. Adult haematopoietic and MSCs, which can easily be recovered from extra embryonic or adult tissues, possess a more limited plasticity than their embryonic counterparts (Reed and Johnson, J Cell Physiol 215:329-336, 2008). It is believed that these stem cells serve as cell source to maintain tissue and organ mass during normal cell turnover in adult individuals. Therefore, the focus of attention in veterinary science is currently drawn to adult stem cells and their potential in regenerative medicine. Also experience gained from the treatment of animal patients provides valuable information for human medicine and serves as precursor to future stem cell use in human medicine.Compared to human medicine, haematopoietic stem cells only play a minor role in veterinary medicine because medical conditions requiring myeloablative chemotherapy followed by haematopoietic stem cell induced recovery of the immune system are relatively rare and usually not being treated for monetary as well as animal welfare reasons.In contrast, regenerative medicine utilising MSCs for the treatment of acute injuries as well as chronic disorders is gradually turning into clinical routine. Therefore, MSCs from either extra embryonic or adult tissues are in the focus of attention in veterinary medicine and research. Hence the purpose of this chapter is to offer an overview on basic science and clinical application of MSCs in veterinary medicine.
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Affiliation(s)
- I Ribitsch
- Translational Centre for Regenerative Medicine, Leipzig, Germany,
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Iserloh T, Ries J, Cerdà A, Echeverría M, Fister W, Geißler C, Kuhn N, León F, Peters P, Schindewolf M, Schmidt J, Scholten T, Seeger M. Comparative measurements with seven rainfall simulators on uniform bare fallow land. ACTA ACUST UNITED AC 2013. [DOI: 10.1127/0372-8854/2012/s-00085] [Citation(s) in RCA: 59] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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Zeyner A, Geißler C, Dittrich A. Effects of hay intake and feeding sequence on variables in faeces and faecal water (dry matter, pH value, organic acids, ammonia, buffering capacity) of horses. J Anim Physiol Anim Nutr (Berl) 2004; 88:7-19. [DOI: 10.1111/j.1439-0396.2004.00447.x] [Citation(s) in RCA: 45] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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