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Schumacher S, Mitzlaff B, Mohrmann C, Fiedler KM, Heep A, Beske F, Hoffmann F, Lange M. Characteristics and special challenges of neonatal emergency transports. Early Hum Dev 2024; 192:106012. [PMID: 38648678 DOI: 10.1016/j.earlhumdev.2024.106012] [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] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/02/2024] [Revised: 04/14/2024] [Accepted: 04/15/2024] [Indexed: 04/25/2024]
Abstract
BACKGROUND As a rule, newborns do not require special medical care. If unexpected complications occur peripartum or postpartum, support from and transport to specialised neonatal hospitals might be needed. METHODS In a retrospective study, all transport protocols of a supraregional paediatric‑neonatological maximum care hospital in northwestern Germany from 01.10.2018 through 30.09.2021 were analysed. The particular focus was on transports of newborns (<7 days) and the leading symptoms that led to contact. RESULTS A total of 299 patients were included (average age of 15.4 h, 61.6 % males). The average complete transport time was approximately 2 h. Five leading neonatal diseases (respiratory, infectious, asphyxia, cardiac, haematological) were found to represent the causes of >80 % of transfers. Respiratory adaptation disorders are the main reason for transferring a newborn to a centre, whereas asphyxia is the most severe condition. The various symptoms differ in their time of onset, a factor which must be taken into account in practice. Differences were also found between different types of hospitals: while a large proportion of transports were carried out from maternity hospitals (80.6 %), children transported from children's hospitals were generally more severely ill. DISCUSSION Transfers of neonates, especially from maternity hospitals to neonatal intensive care units due to special neonatal diseases, are not rare. In times of increasingly scarce resources, the effective care of sick or at-risk neonates is essential. For low-population regions, this means professional cooperation between maximum care providers and smaller children's hospitals and maternity-only hospitals.
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Affiliation(s)
- S Schumacher
- Department of Pediatrics, Klinikum Leer, Leer, Germany
| | - B Mitzlaff
- Institute for Emergency Medicine, University Hospital Schleswig-Holstein, Kiel, Germany
| | - C Mohrmann
- Department of Pediatrics, Elisabeth Children's Hospital, University of Oldenburg, Oldenburg, Germany
| | - K M Fiedler
- Department of Pediatrics, Elisabeth Children's Hospital, University of Oldenburg, Oldenburg, Germany
| | - A Heep
- Department of Pediatrics, Elisabeth Children's Hospital, University of Oldenburg, Oldenburg, Germany
| | - F Beske
- Department of Pediatrics, Elisabeth Children's Hospital, University of Oldenburg, Oldenburg, Germany
| | - F Hoffmann
- Department of Healthcare Research, Carl von Ossietzky University Oldenburg, Oldenburg, Germany
| | - M Lange
- Department of Pediatrics, Elisabeth Children's Hospital, University of Oldenburg, Oldenburg, Germany.
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Zhou T, Boettger M, Knopp J, Lange M, Heep A, Chase JG. Model-based subcutaneous insulin for glycemic control of pre-term infants in the neonatal intensive care unit. Comput Biol Med 2023; 160:106808. [PMID: 37163965 DOI: 10.1016/j.compbiomed.2023.106808] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2022] [Revised: 03/02/2023] [Accepted: 03/20/2023] [Indexed: 03/30/2023]
Abstract
Hyperglycaemia is a common problem in neonatal intensive care units (NICUs). Achieving good control can result in better outcomes for patients. However, good control is difficult, where poor control and resulting hypoglycaemia reduces outcomes and confounds results. Clinically validated models can provide good control, and subcutaneous insulin delivery can provide more options for insulin therapy for clinicians. However, this combination has only been significantly utilised in adult outpatient diabetes, but could hold benefit for treating NICU infants. This research combines a well-validated NICU metabolic model with subcutaneous insulin kinetics models to assess the feasibility of a model-based approach. Clinical data from 12 very/extremely pre-mature infants was collected for an average study duration of 10.1 days. Blood glucose, interstitial and plasma insulin, as well as subcutaneous and local insulin were modelled, and patient-specific insulin sensitivity profiles were identified for each patient. Modelling error was low, where the cohort median [IQR] mean percentage error was 0.8 [0.3 3.4] %. For external validation, insulin sensitivity was compared to previous NICU cohorts using the same metabolic model, where overall levels of insulin sensitivity were similar. Overall, the combined system model accurately captured observed glucose and insulin dynamics, showing the potential for a model-based approach to glycaemic control using subcutaneous insulin in this cohort. The results justify further model validation and clinical trial research to explore a model-based protocol.
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Lange M, Kramer S, Voll C, Corbacioglu S. Sturz vom Wickeltisch. Monatsschr Kinderheilkd 2023. [DOI: 10.1007/s00112-023-01712-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/25/2023]
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Kußmaul C, Schaffrath Rosario A, Allen J, Lange M, Koschollek C, Haller S, Schlaud M. Waning of SARS-CoV-2 IgG antibodies after vaccination: first results from the CoMoLo follow-up 2021. Eur J Public Health 2022. [PMCID: PMC9593459 DOI: 10.1093/eurpub/ckac129.048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Abstract
Background In 2020, the study “Corona-Monitoring Lokal” (CoMoLo) assessed seroprevalences of SARS-CoV-2 IgG antibodies in four study locations that were particularly affected by outbreaks in the early stages of the pandemic in Germany. One of the objectives of the 2021 follow-up was to examine the development of immunological parameters over time, including the extent of IgG antibody waning after vaccination. Methods Venous blood specimens were collected from a sample of initial study participants over a 2-week period between May and October 2021, with an oversampling of seropositive or previously infected individuals. Levels of IgG antibodies to the SARS-CoV-2 spike protein were measured from serum using Anti-SARS-CoV-2-QuantiVac-ELISA (IgG) tests by Euroimmun. Information on SARS-CoV-2 vaccinations or known infections was collected via online questionnaires or telephone interviews. Results A total of 3328 participants (74% response) gave blood specimens for this follow-up study, with questionnaire information available for 2843 (85%) of these. Preliminary analyses suggest that in participants who had received two doses of a vaccine more than 3 weeks before giving blood (n = 1583), IgG levels decreased exponentially by about 9.8% (95%CI 9.1% - 10.4%) with each additional week since the last dose, when controlling for age, sex, and type of vaccine. There was evidence of this waning effect differing by vaccine type. Antibody levels also appear to decline with increasing age, according to preliminary results. Final results of the linear model used to assess the dynamics and predictive factors of antibody levels will be reported. Conclusions This follow-up study will add evidence to an improved understanding of antibody waning after SARS-CoV-2 vaccination. Preliminary results are in line with international studies and may be helpful for discussions on potential benefits of further vaccinations in Germany. Key messages • Antibodies induced by COVID-19 vaccination wane over time. The magnitude of this effect differs by vaccine type. Antibodies also decreased with increasing age. • Our results may be helpful for discussions on potential benefits of further COVID-19 vaccinations in Germany.
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Affiliation(s)
- C Kußmaul
- Department of Epidemiology and Health Monitoring, Robert Koch Institute , Berlin, Germany
| | - A Schaffrath Rosario
- Department of Epidemiology and Health Monitoring, Robert Koch Institute , Berlin, Germany
| | - J Allen
- Department of Epidemiology and Health Monitoring, Robert Koch Institute , Berlin, Germany
| | - M Lange
- Department of Epidemiology and Health Monitoring, Robert Koch Institute , Berlin, Germany
| | - C Koschollek
- Department of Epidemiology and Health Monitoring, Robert Koch Institute , Berlin, Germany
| | - S Haller
- Department of Infectious Disease Epidemiology, Robert Koch Institute , Berlin, Germany
| | - M Schlaud
- Department of Epidemiology and Health Monitoring, Robert Koch Institute , Berlin, Germany
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Das S, Lange M, Cacciuto A. Designing active colloidal folders. J Chem Phys 2022; 156:094901. [DOI: 10.1063/5.0081071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Can active forces be exploited to drive the consistent collapse of an active polymer into a folded structure? In this paper, we introduce and perform numerical simulations of a simple model of active colloidal folders and show that a judicious inclusion of active forces into a stiff colloidal chain can generate designable and reconfigurable two-dimensional folded structures. The key feature is to organize the forces perpendicular to the chain backbone according to specific patterns (sequences). We characterize the physical properties of this model and perform, using a number of numerical techniques, an in-depth statistical analysis of structure and dynamics of the emerging conformations. We discovered a number of interesting features, including the existence of a direct correspondence between the sequence of the active forces and the structure of folded conformations, and we discover the existence of an ensemble of highly mobile compact structures capable of moving from conformation to conformation. Finally, akin to protein design problems, we discuss a method that is capable of designing specific target folds by sampling over sequences of active forces.
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Affiliation(s)
- S. Das
- Department of Chemistry, Columbia University, 3000 Broadway, New York, New York 10027, USA
- Department of Polymer Science and Engineering, University of Massachusetts Amherst, 120 Governors Drive, Amherst, Massachusetts 01003, USA
| | - M. Lange
- Department of Chemistry, Columbia University, 3000 Broadway, New York, New York 10027, USA
| | - A. Cacciuto
- Department of Chemistry, Columbia University, 3000 Broadway, New York, New York 10027, USA
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Lange M, Loewe A, Schaller A. Association between different outcomes of students’ health status, health behavior & health literacy. Eur J Public Health 2021. [DOI: 10.1093/eurpub/ckab165.384] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background
Next to classic full-time studies, a significant part of students of universities of applied (UAS) chooses part-time or dual study formats leading to double burden and higher stress levels. Up to now, the impact of different study formats on student's health status (HS) and health behavior (HB) has not been analysed in the context of UAS comprehensively. Also, the role of health literacy (HL) is not sufficiently investigated (Bai et al., 2019; Krüsmann, 2019; Plotnikoff et al., 2019). The primary aim of the study is to collect associated data on various aspects of HS, HB and HL of UAS students.
Methods
The prospective cohort study collects data on HS, HB and HL every semester from winter semester 20/21 to 22/23. HS is operationalized with stress level (SL), sleep quality (SQ) and life-study-satisfaction (LSS). HB included physical activity (PA), screen-time (ST) nutrition (NU), smoking, drinking and drug-use behavior (SDB); HL was assessed with the HLS-EU-Q16. At t1 n = 295 students (n: ♂=213; ♀=82; age∅=28,8 (SD = 8,49) could be included.
Results
Analysis revealed that all HS-domains correlated significantly with all HL (Range: r=.14** to .31**) and most HB-scores (NU: r=.22** to .35**; ST: r=.15** to .28**). PA correlated significantly with most HS-scores (r=.13** to .29**), but not with HL. Also, no correlations could be found between SQ, SDB and HS, HB and HL. With regard to gender difference, female students show significantly lower SDB (t = 4,38***), higher SL (t=-3,92***) and ST (t = 3,99***). Also, NU (R2 =, 30***; F = 27,21; f2 =, 32) and PA (R2 =, 34***; F = 17.9; f2 =, 37) reveal a strong explanation of variance of HS.
Conclusions
HS, HB and HL are complex dimension of students' health. The results indicate that HL AS a major impact on overall HS, but not necessarily on all HB-scores such as PA. Health promoting interventions should consider these findings on HS, HB and HL and target specific groups with individualized interventions.
Key messages
Health literacy plays an important role in students’ health, but is not linked to physical activity as a health behavior. Student health promotion should be target group specific and focus on different aspects of health behaviours.
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Affiliation(s)
- M Lange
- Department of Fitness & Health, IST-College, Düsseldorf, Germany
| | - A Loewe
- Department of Fitness & Health, IST-College, Düsseldorf, Germany
| | - A Schaller
- Department of Prevention and Rehabilitation, German Sports University, Cologne, Germany
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Lobbedez FJ, Hardy-Léger I, Arbogast SL, Rigal O, Le Fel J, Pistilli B, Petrucci J, Lévy C, Capel A, Coutant C, Lerebours F, Vanlemmens L, Bourbouloux E, Vaz-Luis I, Martin AL, Everhard S, André F, Charles C, Dauchy S, Lange M. 125P Cognitive impairment in breast cancer patients up to 18 months after cancer treatments: The French multicentric longitudinal CANTO-Cog cohort substudy. Ann Oncol 2021. [DOI: 10.1016/j.annonc.2021.08.406] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Mezenge E, Pozuelos C, Bouguet G, Tron L, Joly F, Lange M. Plainte cognitive à l’issue des traitements d’un lymphome. PSYCHO-ONCOLOGIE 2021. [DOI: 10.3166/pson-2021-0144] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Objectif : Évaluer la prévalence de la plainte cognitive chez des personnes ayant été traitées pour un lymphome.
Matériel et méthode : Questionnaire diffusé auprès des participants de la Journée mondiale des lymphomes, en septembre 2017 et février 2018.
Résultats : Soixante-deux pour cent des participants (n = 396) rapportaient une plainte cognitive, et 39 % l’attribuaient aux traitements oncologiques reçus. Cinquantequatre pour cent d’entre eux auraient souhaité bénéficier de soins de support adaptés.
Conclusion : Les difficultés cognitives à la suite des traitements oncologiques doivent être mieux connues des professionnels de santé afin de proposer des soins de support adaptés.
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Nguyen HGT, Sims CM, Toman B, Horn J, van Zee RD, Thommes M, Ahmad R, Denayer JFM, Baron GV, Napolitano E, Bielewski M, Mangano E, Brandani S, Broom DP, Benham MJ, Dailly A, Dreisbach F, Edubilli S, Gumma S, Möllmer J, Lange M, Tian M, Mays TJ, Shigeoka T, Yamakita S, Hakuman M, Nakada Y, Nakai K, Hwang J, Pini R, Jiang H, Ebner AD, Nicholson MA, Ritter JA, Farrando-Pérez J, Cuadrado-Collados C, Silvestre-Albero J, Tampaxis C, Steriotis T, Řimnáčová D, Švábová M, Vorokhta M, Wang H, Bovens E, Heymans N, De Weireld G. A reference high-pressure CH4 adsorption isotherm for zeolite Y: results of an interlaboratory study. ADSORPTION 2020. [DOI: 10.1007/s10450-020-00253-0] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
AbstractThis paper reports the results of an international interlaboratory study led by the National Institute of Standards and Technology (NIST) on the measurement of high-pressure surface excess methane adsorption isotherms on NIST Reference Material RM 8850 (Zeolite Y), at 25 °C up to 7.5 MPa. Twenty laboratories participated in the study and contributed over one-hundred adsorption isotherms of methane on Zeolite Y. From these data, an empirical reference equation was determined, along with a 95% uncertainty interval (Uk=2). By requiring participants to replicate a high-pressure reference isotherm for carbon dioxide adsorption on NIST Reference Material RM 8852 (ZSM-5), this interlaboratory study also demonstrated the usefulness of reference isotherms in evaluating the performance of high-pressure adsorption experiments.
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Goesswald A, Lange M, Hoffmann R, Houben R. Monitoring health and well-being of children and adolescents in Germany since 2003. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa165.1060] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
KiGGS - the German Health Interview and Examination Survey for Children and Adolescents is part of the German health monitoring framework providing data analyses and recommendations for politics based on own primary data collection and secondary data from other sources. In 1998, the Robert Koch Institute was commissioned by the Federal Ministry of Health to develop approaches and instruments for a health survey for children and adolescents aged 0 to 17 years.
Methods
KiGGS is conducted at regular intervals and acts as a central source of information that collects wide-ranging, reliable data on child and adolescent health. KiGGS comprises a cross-sectional and a longitudinal component. Until now, three nationally representative surveys have been performed: KiGGS baseline (2003-2006), Wave 1 (2009-2012) and Wave 2 (2014-2017). The baseline sample comprises 17,641 children and adolescents. The KiGGS cohort is the longitudinal component of the study. To date, two follow-ups have been accomplished.
Results
The repeated cross-sectional surveys have provided a profound data basis in order to calculate prevalences and conduct context analyses for each period and identifying changes over time in physical and mental health status, health behaviour, utilisation of health care services and prevention as well as social, family and environmental factors. Additionally, the longitudinal data enable to analyse developments in health and their influencing factors during the life course. Reports and recommendations based on KiGGS data have been useful to support the implementation of national health programs for children and adolescents, e.g. for the prevention of childhood obesity.
Conclusions
Regular health interview and examination surveys are necessary to provide reliable data to derive recommendations for health politics. Furthermore, they offer a robust method to evaluate actions taken to prevent illness and promote positive health behaviour on the population level.
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Affiliation(s)
- A Goesswald
- Epidemiology and Health Monitoring, Robert Koch-Institute, Berlin, Germany
| | - M Lange
- Epidemiology and Health Monitoring, Robert Koch-Institute, Berlin, Germany
| | - R Hoffmann
- Epidemiology and Health Monitoring, Robert Koch-Institute, Berlin, Germany
| | - R Houben
- Epidemiology and Health Monitoring, Robert Koch-Institute, Berlin, Germany
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Steinfeldt T, Kessler P, Vicent O, Schwemmer U, Döffert J, Lang P, Mathioudakis D, Hüttemann E, Armbruster W, Sujatta S, Lange M, Weber S, Reisig F, Hillmann R, Volk T, Wiesmann T. [Peripheral truncal blocks-Overview and assessment]. Anaesthesist 2020; 69:860-877. [PMID: 32620990 DOI: 10.1007/s00101-020-00809-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
By implementation of sonography for regional anesthesia, truncal blocks became more relevant in the daily practice of anesthesia and pain therapy. Due to visualized needle guidance ultrasound supports more safety and helps to avoid complications during needle placement. Additionally, complex punctures are possible that were associated with higher risk using landmarks alone. Next to the blocking of specific nerve structures, interfascial and compartment blocks have also become established, whereby the visualization of individual nerves and plexus structures is not of relevance. The present review article describes published and clinically established puncture techniques with respect to the indications and procedures. The clinical value is reported according to the scientific evidence and the analgesic profile. Moreover, the authors explain potential risks, complications and dosing of local anesthetic agents.
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Affiliation(s)
- T Steinfeldt
- Klinik für Anästhesiologie, operative Intensivmedizin und Schmerztherapie, Diakoneo DIAK Klinikum, Diakoniestr. 10, 74523, Schwäbisch Hall, Deutschland.
- Klinik für Anästhesie und Intensivtherapie, Philipps-Universität Marburg, Baldingerstr., 35033, Marburg, Deutschland.
| | - P Kessler
- Abteilung für Anästhesiologie, Intensiv- und Schmerzmedizin, Orthopädische Universitätsklinik Friedrichsheim, Marienburgstraße 2, 60528, Frankfurt am Main, Deutschland
| | - O Vicent
- Klinik und Poliklinik für Anästhesiologie und Intensivtherapie, Universitätsklinikum Karl-Gustav Carus, Fetscherstr. 74, 01307, Dresden, Deutschland
| | - U Schwemmer
- Klinik für Anästhesiologie und Intensivmedizin, Kliniken des Landkreises Neumarkt i.d.OPf., Nürnberger Str. 12, 92318, Neumarkt i.d.OPf., Deutschland
| | - J Döffert
- , Leipzigerstraße 18, 76356, Weingarten, Deutschland
| | - P Lang
- Klinik für Anästhesiologie, operative Intensivmedizin und Schmerztherapie, Klinikum am Bruderwald, Sozialstiftung Bamberg, Burger Str. 80, 96049, Bamberg, Deutschland
| | - D Mathioudakis
- Centre Hospitalier Bienne, Chante-Merle 84, Case postale, 2501, Bienne, Schweiz
| | - E Hüttemann
- Klinik für Anästhesiologie und Intensivmedizin, Klinikum Worms gGmbH, Gabriel-von-Seidl-Straße 81, 67550, Worms, Deutschland
| | - W Armbruster
- Klinik für Anästhesiologie, Intensivmedizin, Schmerztherapie, Evangelisches Krankenhaus Unna, Holbeinstraße 10, 59423, Unna., Deutschland
| | - S Sujatta
- Klinik für Anästhesiologie und Operative Intensivmedizin, Klinikum Bayreuth GmbH, Preuschwitzer Straße 101, 95445, Bayreuth, Deutschland
| | - M Lange
- Abteilung Anästhesie und Intensivtherapie, Waldkrankenhaus "Rudolf Elle" GmbH, Klosterlausnitzer Straße 81, 07607, Eisenberg, Deutschland
| | - S Weber
- Klinik für Anästhesie, Intensivmedizin und Schmerztherapie, Heilig Geist Krankenhaus Köln, Graseggerstr. 105, 50737, Köln, Deutschland
| | - F Reisig
- Standort Burgdorf, Schweiz. Abteilung für Anästhesiologie, Spital Emmental, Oberburgstraße 54, 3400, Burgdorf, Schweiz
| | - R Hillmann
- , Goethestr. 35, 73614, Schorndorf, Deutschland
| | - T Volk
- Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie, Universitätsklinikum des Saarlandes, Gebäude 57, 66421, Homburg, Deutschland
| | - T Wiesmann
- Klinik für Anästhesie und Intensivtherapie, UKGM Gießen-Marburg, Standort Marburg, Baldingerstr., 35033, Marburg, Deutschland
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Haase S, Bauer T, Hilpmann G, Lange M, Ayubi MM, Abiev R. Simultaneous Detection of Hydrodynamics, Mass Transfer and Reaction Rates in a Three-Phase Microreactor. Theor Found Chem Eng 2020. [DOI: 10.1134/s0040579520010091] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Lange M, Joly F, Vardy J, Ahles T, Dubois M, Tron L, Winocur G, De Ruiter M, Castel H. Cancer-related cognitive impairment: an update on state of the art, detection, and management strategies in cancer survivors. Ann Oncol 2019; 30:1925-1940. [PMID: 31617564 PMCID: PMC8109411 DOI: 10.1093/annonc/mdz410] [Citation(s) in RCA: 255] [Impact Index Per Article: 51.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023] Open
Abstract
BACKGROUND Advances in diagnostic and therapeutic strategies in oncology have significantly increased the chance of survival of cancer patients, even those with metastatic disease. However, cancer-related cognitive impairment (CRCI) is frequently reported in patients treated for non-central nervous system cancers, particularly during and after chemotherapy. DESIGN This review provides an update of the state of the art based on PubMed searches between 2012 and March 2019 on 'cognition', 'cancer', 'antineoplastic agents' or 'chemotherapy'. It includes the most recent clinical, imaging and pre-clinical data and reports management strategies of CRCI. RESULTS Evidence obtained primarily from studies on breast cancer patients highlight memory, processing speed, attention and executive functions as the most cognitive domains impaired post-chemotherapy. Recent investigations established that other cancer treatments, such as hormone therapies and targeted therapies, can also induce cognitive deficits. Knowledge regarding predisposing factors, biological markers or brain functions associated with CRCI has improved. Factors such as age and genetic polymorphisms of apolipoprotein E, catechol-O-methyltransferase and BDNF may predispose individuals to a higher risk of cognitive impairment. Poor performance on neuropsychological tests were associated with volume reduction in grey matter, less connectivity and activation after chemotherapy. In animals, hippocampus-based memory and executive functions, mediated by the frontal lobes, were shown to be particularly susceptible to the effects of chemotherapy. It involves altered neurogenesis, mitochondrial dysfunction or brain cytokine response. An important next step is to identify strategies for managing cognitive difficulties, with primary studies to assess cognitive training and physical exercise regimens. CONCLUSIONS CRCI is not limited to chemotherapy. A multidisciplinary approach has improved our knowledge of the complex mechanisms involved. Nowadays, studies evaluating cognitive rehabilitation programmes are encouraged to help patients cope with cognitive difficulties and improve quality of life during and after cancer.
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Affiliation(s)
- M. Lange
- INSERM, U1086, ANTICIPE, 14000 Caen,Clinical Research Department, Centre François Baclesse, 14000 Caen,Cancer and Cognition Platform, Ligue Nationale Contre le Cancer, 14000 Caen
| | - F. Joly
- INSERM, U1086, ANTICIPE, 14000 Caen,Clinical Research Department, Centre François Baclesse, 14000 Caen,Cancer and Cognition Platform, Ligue Nationale Contre le Cancer, 14000 Caen,Medical Oncology Department, CHU de Caen, 14000 Caen, France,Correspondence to: Prof. Florence Joly, Medical Oncology Department, Inserm U1086 Anticipe, Centre François Baclesse, 3 avenue Général Harris, Caen 14000, France. Tel: +33-2-3145-5002;
| | - J Vardy
- Concord Cancer Centre, Concord Repatriation General Hospital, Sydney, New South Wales,Sydney Medical School, University of Sydney, Sydney, New South Wales, Australia
| | - T. Ahles
- Neurocognitive Research Lab, Memorial Sloan Kettering Cancer Center, New York, USA
| | - M. Dubois
- Cancer and Cognition Platform, Ligue Nationale Contre le Cancer, 14000 Caen,Normandie University, UNIROUEN, INSERM, DC2N, 76000 Rouen,Institute for Research and Innovation in Biomedicine (IRIB), 76000 Rouen
| | - L. Tron
- INSERM, U1086, ANTICIPE, 14000 Caen,Cancer and Cognition Platform, Ligue Nationale Contre le Cancer, 14000 Caen,CHU de Caen, 14000 Caen, France
| | - G. Winocur
- Baycrest Centre, Rotman Research Institute, Toronto,Department of Psychology, Trent University, Peterborough,Department of Psychology and Psychiatry, University of Toronto, Toronto, Canada
| | - M.B. De Ruiter
- Division of Psychosocial Research and Epidemiology, Netherlands Cancer Institute, Amsterdam, The Netherlands
| | - H. Castel
- Cancer and Cognition Platform, Ligue Nationale Contre le Cancer, 14000 Caen,Normandie University, UNIROUEN, INSERM, DC2N, 76000 Rouen,Institute for Research and Innovation in Biomedicine (IRIB), 76000 Rouen
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Hechtfischer U, Levin J, Lange M, Knoll L, Schwalm D, Wester R, Wolf A, Zajfman D. Near-threshold photodissociation of cool OH + to O + H + and O + + H. J Chem Phys 2019; 151:044303. [DOI: 10.1063/1.5098321] [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: 11/14/2022] Open
Affiliation(s)
- U. Hechtfischer
- Max-Planck-Institut für Kernphysik, 69029 Heidelberg, Germany
| | - J. Levin
- Max-Planck-Institut für Kernphysik, 69029 Heidelberg, Germany
| | - M. Lange
- Max-Planck-Institut für Kernphysik, 69029 Heidelberg, Germany
| | - L. Knoll
- Max-Planck-Institut für Kernphysik, 69029 Heidelberg, Germany
| | - D. Schwalm
- Max-Planck-Institut für Kernphysik, 69029 Heidelberg, Germany
| | - R. Wester
- Max-Planck-Institut für Kernphysik, 69029 Heidelberg, Germany
| | - A. Wolf
- Max-Planck-Institut für Kernphysik, 69029 Heidelberg, Germany
| | - D. Zajfman
- Weizmann Institute of Science, Rehovot 76100, Israel
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Tarantelli C, Lange M, Gaudio E, Cascione L, Spriano F, Kwee I, Arribas A, Rinaldi A, Jourdan T, Berthold M, Margheriti F, Gritti G, Rossi D, Stathis A, Liu N, Zucca E, Politz O, Bertoni F. COPANLISIB SYNERGIES WITH CONVENTIONAL AND TARGETED AGENTS INCLUDING VENETOCLAX IN PRECLINICAL MODELS OF B- AND T-CELL LYMPHOMAS. Hematol Oncol 2019. [DOI: 10.1002/hon.127_2630] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- C. Tarantelli
- Institute of Oncology Research; Università della Svizzera Italiana; Bellinzona Switzerland
| | - M. Lange
- Pharmaceuticals Division - Therapeutic Research Groups Oncology; Bayer AG; Leverkusen Germany
| | - E. Gaudio
- Institute of Oncology Research; Università della Svizzera Italiana; Bellinzona Switzerland
| | - L. Cascione
- Institute of Oncology Research; Università della Svizzera Italiana; Bellinzona Switzerland
| | - F. Spriano
- Institute of Oncology Research; Università della Svizzera Italiana; Bellinzona Switzerland
| | - I. Kwee
- Institute of Oncology Research; Università della Svizzera Italiana; Bellinzona Switzerland
| | - A. Arribas
- Institute of Oncology Research; Università della Svizzera Italiana; Bellinzona Switzerland
| | - A. Rinaldi
- Institute of Oncology Research; Università della Svizzera Italiana; Bellinzona Switzerland
| | - T. Jourdan
- Pharmaceuticals Division - Therapeutic Research Groups Oncology; Bayer AG; Leverkusen Germany
| | - M. Berthold
- Pharmaceuticals Division - Therapeutic Research Groups Oncology; Bayer AG; Leverkusen Germany
| | - F. Margheriti
- Institute of Oncology Research; Università della Svizzera Italiana; Bellinzona Switzerland
| | - G. Gritti
- USC Ematologia; Ospedale Papa Giovanni XXIII; Bergamo Italy
| | - D. Rossi
- Institute of Oncology Research; Università della Svizzera Italiana; Bellinzona Switzerland
| | - A. Stathis
- IOSI; Oncology Institute of Southern Switzerland; Bellinzona Switzerland
| | - N. Liu
- Pharmaceuticals Division - Therapeutic Research Groups Oncology; Bayer AG; Leverkusen Germany
| | - E. Zucca
- IOSI; Oncology Institute of Southern Switzerland; Bellinzona Switzerland
| | - O. Politz
- Pharmaceuticals Division - Therapeutic Research Groups Oncology; Bayer AG; Leverkusen Germany
| | - F. Bertoni
- Institute of Oncology Research; Università della Svizzera Italiana; Bellinzona Switzerland
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16
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Dos Santos M, Lange M, Gervais R, Clarisse B, Capel A, Barillet M, Grellard JM, Heutte N, Licaj I, Joly F. Impact of anxio-depressive symptoms and cognitive function on oral anticancer therapies adherence. Support Care Cancer 2019; 27:3573-3581. [PMID: 30690685 DOI: 10.1007/s00520-019-4644-4] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2018] [Accepted: 01/14/2019] [Indexed: 02/07/2023]
Abstract
PURPOSE Oral anticancer therapies have an important place in the therapeutic arsenal, but factors influencing adherence to oral treatment are poorly documented in oncology. The objective of this study was to assess the impact of anxio-depressive symptoms and cognitive functioning on oral medication adherence. METHODS This prospective study included cancer patients initiating a first oral therapy. Before initiation of treatment, an assessment of depression, anxiety, and cognition was performed. Using self-report questionnaires, we collected information on socio-demographic conditions and the non-adherence at 1 (M1) and 3 months (M3) after the beginning of treatment. RESULTS Among 129 patients enrolled, median age was 70 years and 81% of patients were treated for metastatic cancer. Before initiating treatment, 16% and 8% of patients presented respectively depression and anxiety symptoms. Global cognitive impairment was observed in 51% of patients. Ten percent of the patients were non-adherent at M1 and 13% at M3. Depression was strongly associated with non-adherence at M1 (P = 0.046) and M3 (P = 0.014), but not anxiety. Non-adherence was associated with lower working memory (P = 0.037) and digit memory (P = 0.018) at M1 and short-term memory (P = 0.04) at M3. Patients with more than eight co-medications were more often non-adherents (P = 0.055). CONCLUSIONS Non-adherence to oral anticancer therapies was mainly associated to depression. Focusing on depressive symptoms before initiation of oral anticancer therapy could help to identify patient profiles more likely to fail self-management. Working memory, digit memory, and short-term memory also seem to play a role in non-adherence. Further studies should include a more specific population, especially according to age.
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Affiliation(s)
- Mélanie Dos Santos
- Clinical Research Department, Centre François Baclesse, 14000, Caen, France. .,Department of Medicine, Hospital University, 14000, Caen, France. .,Department of Medical Oncology, Centre François Baclesse, 3 Avenue du Général Harris, 14000, Caen, France. .,INSERM, U1086, ANTICIPE, 14000, Caen, France.
| | - M Lange
- Clinical Research Department, Centre François Baclesse, 14000, Caen, France.,INSERM, U1086, ANTICIPE, 14000, Caen, France
| | - R Gervais
- Department of Medical Oncology, Centre François Baclesse, 3 Avenue du Général Harris, 14000, Caen, France
| | - B Clarisse
- Clinical Research Department, Centre François Baclesse, 14000, Caen, France
| | - A Capel
- Clinical Research Department, Centre François Baclesse, 14000, Caen, France
| | - M Barillet
- Clinical Research Department, Centre François Baclesse, 14000, Caen, France
| | - J M Grellard
- Clinical Research Department, Centre François Baclesse, 14000, Caen, France
| | - N Heutte
- Clinical Research Department, Centre François Baclesse, 14000, Caen, France.,INSERM, U1086, ANTICIPE, 14000, Caen, France
| | - I Licaj
- Clinical Research Department, Centre François Baclesse, 14000, Caen, France.,INSERM, U1086, ANTICIPE, 14000, Caen, France
| | - F Joly
- Clinical Research Department, Centre François Baclesse, 14000, Caen, France.,Department of Medicine, Hospital University, 14000, Caen, France.,Department of Medical Oncology, Centre François Baclesse, 3 Avenue du Général Harris, 14000, Caen, France.,INSERM, U1086, ANTICIPE, 14000, Caen, France
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Stefan D, Lesueur P, Lequesne J, Coquan E, Brachet P, Castera L, Goardon N, Lacroix J, Lange M, Capel A, Andre B, Grellard JM, Clarisse B. Phase I/IIa study of concomitant radiotherapy with olaparib and temozolomide in unresectable high-grade gliomas patients: OLA-TMZ-RTE-01. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy273.394] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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18
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Mollenhauer M, Lange M, Remane L, Friedrichs K, Wagner M, Geisler A, Rudolph TK, Carrier L, El-Armouche A, Klinke A, Baldus S, Rudolph V. P3441Anti-arrhythmic effects of nitrated fatty acids during acute myocardial ischemia. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy563.p3441] [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: 11/14/2022] Open
Affiliation(s)
- M Mollenhauer
- Cologne University Hospital - Heart Center, Cardiology, Cologne, Germany
| | - M Lange
- Cologne University Hospital - Heart Center, Cardiology, Cologne, Germany
| | - L Remane
- Cologne University Hospital - Heart Center, Cardiology, Cologne, Germany
| | - K Friedrichs
- Cologne University Hospital - Heart Center, Cardiology, Cologne, Germany
| | - M Wagner
- Dresden University of Technology, Institute of Pharmacology and Toxicology, Dresden, Germany
| | - A Geisler
- University Medical Center Hamburg Eppendorf, Cardiology, Hamburg, Germany
| | - T K Rudolph
- Cologne University Hospital - Heart Center, Cardiology, Cologne, Germany
| | - L Carrier
- University Medical Center Hamburg Eppendorf, Cardiology, Hamburg, Germany
| | - A El-Armouche
- Dresden University of Technology, Institute of Pharmacology and Toxicology, Dresden, Germany
| | - A Klinke
- Cologne University Hospital - Heart Center, Cardiology, Cologne, Germany
| | - S Baldus
- Cologne University Hospital - Heart Center, Cardiology, Cologne, Germany
| | - V Rudolph
- Cologne University Hospital - Heart Center, Cardiology, Cologne, Germany
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Knierbein B, Reul H, Eilers R, Lange M, Kaufmann R, Rau G. Compact Mock Loops of the Systemic and Pulmonary Circulation for Blood Pump Testing. Int J Artif Organs 2018. [DOI: 10.1177/039139889201500108] [Citation(s) in RCA: 40] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Mock loops are an important tool for in vitro investigations of artificial blood pumps. The simple windkessel, throttle, and atrium principle was used for the mock loop design presented. The components of the systemic and the pulmonary mock loop were designed according to calculated numerical simulation parameters. The loops offer a compact design and simple handling. For simulating biventricular assist or total artificial heart (TAH), both loops can be coupled correspondingly. The numerical simulation and the first results with the loops show very good similarity to physiological data of systemic and pulmonary circulation. The measurements of pump characteristics are significant for quantitative comparison of different pump sizes and types, or driving systems.
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Affiliation(s)
- B. Knierbein
- Helmholtz-Institute for Biomedical Engineering at the RWTH Aachen, Aachen - Germany
| | - H. Reul
- Helmholtz-Institute for Biomedical Engineering at the RWTH Aachen, Aachen - Germany
| | - R. Eilers
- Helmholtz-Institute for Biomedical Engineering at the RWTH Aachen, Aachen - Germany
| | - M. Lange
- Helmholtz-Institute for Biomedical Engineering at the RWTH Aachen, Aachen - Germany
| | - R. Kaufmann
- Helmholtz-Institute for Biomedical Engineering at the RWTH Aachen, Aachen - Germany
| | - G. Rau
- Helmholtz-Institute for Biomedical Engineering at the RWTH Aachen, Aachen - Germany
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20
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Lange M, Guénon S, Lever F, Kleiner R, Koelle D. A high-resolution combined scanning laser and widefield polarizing microscope for imaging at temperatures from 4 K to 300 K. Rev Sci Instrum 2017; 88:123705. [PMID: 29289195 DOI: 10.1063/1.5009529] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Polarized light microscopy, as a contrast-enhancing technique for optically anisotropic materials, is a method well suited for the investigation of a wide variety of effects in solid-state physics, as, for example, birefringence in crystals or the magneto-optical Kerr effect (MOKE). We present a microscopy setup that combines a widefield microscope and a confocal scanning laser microscope with polarization-sensitive detectors. By using a high numerical aperture objective, a spatial resolution of about 240 nm at a wavelength of 405 nm is achieved. The sample is mounted on a 4He continuous flow cryostat providing a temperature range between 4 K and 300 K, and electromagnets are used to apply magnetic fields of up to 800 mT with variable in-plane orientation and 20 mT with out-of-plane orientation. Typical applications of the polarizing microscope are the imaging of the in-plane and out-of-plane magnetization via the longitudinal and polar MOKE, imaging of magnetic flux structures in superconductors covered with a magneto-optical indicator film via the Faraday effect, or imaging of structural features, such as twin-walls in tetragonal SrTiO3. The scanning laser microscope furthermore offers the possibility to gain local information on electric transport properties of a sample by detecting the beam-induced voltage change across a current-biased sample. This combination of magnetic, structural, and electric imaging capabilities makes the microscope a viable tool for research in the fields of oxide electronics, spintronics, magnetism, and superconductivity.
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Affiliation(s)
- M Lange
- Physikalisches Institut-Experimentalphysik II and Center for Quantum Science (CQ) in LISA, Universität Tübingen, D-72076 Tübingen, Germany
| | - S Guénon
- Physikalisches Institut-Experimentalphysik II and Center for Quantum Science (CQ) in LISA, Universität Tübingen, D-72076 Tübingen, Germany
| | - F Lever
- Physikalisches Institut-Experimentalphysik II and Center for Quantum Science (CQ) in LISA, Universität Tübingen, D-72076 Tübingen, Germany
| | - R Kleiner
- Physikalisches Institut-Experimentalphysik II and Center for Quantum Science (CQ) in LISA, Universität Tübingen, D-72076 Tübingen, Germany
| | - D Koelle
- Physikalisches Institut-Experimentalphysik II and Center for Quantum Science (CQ) in LISA, Universität Tübingen, D-72076 Tübingen, Germany
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21
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Thulke HH, Lange M, Tratalos JA, Clegg TA, McGrath G, O'Grady L, O'Sullivan P, Doherty ML, Graham DA, More SJ. Eradicating BVD, reviewing Irish programme data and model predictions to support prospective decision making. Prev Vet Med 2017; 150:151-161. [PMID: 29221591 DOI: 10.1016/j.prevetmed.2017.11.017] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2017] [Revised: 11/17/2017] [Accepted: 11/22/2017] [Indexed: 11/25/2022]
Abstract
Bovine Viral Diarrhoea is an infectious production disease of major importance in many cattle sectors of the world. The infection is predominantly transmitted by animal contact. Postnatal infections are transient, leading to immunologically protected cattle. However, for a certain window of pregnancy, in utero infection of the foetus results in persistently infected (PI) calves being the major risk of BVD spread, but also an efficient target for controlling the infection. There are two acknowledged strategies to identify PI animals for removal: tissue tag testing (direct; also known as the Swiss model) and serological screening (indirect by interpreting the serological status of the herd; the Scandinavian model). Both strategies are effective in reducing PI prevalence and herd incidence. During the first four years of the Irish national BVD eradication programme (2013-16), it has been mandatory for all newborn calves to be tested using tissue tag testing. During this period, PI incidence has substantially declined. In recent times, there has been interest among stakeholders in a change to an indirect testing strategy, with potential benefit to the overall programme, particularly with respect to cost to farmers. Advice was sought on the usefulness of implementing the necessary changes. Here we review available data from the national eradication programme and strategy performance predictions from an expert system model to quantify expected benefits of the strategy change from strategic, budgetary and implementation points of view. Key findings from our work include (i) drawbacks associated with changes to programme implementation, in particular the loss of epidemiological information to allow real-time monitoring of eradication progress or to reliably predict time to eradication, (ii) the fact that only 25% of the herds in the Irish cattle sector (14% beef, 78% dairy herds) would benefit financially from a change to serosurveillance, with half of these participants benefiting by less than EUR 75 per annum at herd level or an average of EUR 1.22 per cow, and (iii) opportunities to enhance the effectiveness of the current programme, particularly in terms of time to eradication, through enforced compliance with PI removal as currently outlined in programme recommendations. The assembled information provides scientific arguments, contributing to an informed debate of the pros and cons of a change in eradication strategy in Ireland.
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Affiliation(s)
- H-H Thulke
- Helmholtz Centre for Environmental Research GmbH - UFZ, Department of Ecological Modelling, Leipzig, Germany.
| | - M Lange
- Helmholtz Centre for Environmental Research GmbH - UFZ, Department of Ecological Modelling, Leipzig, Germany
| | - J A Tratalos
- UCD Centre for Veterinary Epidemiology and Risk Analysis, UCD School of Veterinary Medicine, University College Dublin, Belfield, Dublin 4, Ireland
| | - T A Clegg
- UCD Centre for Veterinary Epidemiology and Risk Analysis, UCD School of Veterinary Medicine, University College Dublin, Belfield, Dublin 4, Ireland
| | - G McGrath
- UCD Centre for Veterinary Epidemiology and Risk Analysis, UCD School of Veterinary Medicine, University College Dublin, Belfield, Dublin 4, Ireland
| | - L O'Grady
- UCD Centre for Veterinary Epidemiology and Risk Analysis, UCD School of Veterinary Medicine, University College Dublin, Belfield, Dublin 4, Ireland
| | - P O'Sullivan
- Irish Cattle Breeding Federation, Shinagh House, Bandon, Ireland
| | - M L Doherty
- UCD Centre for Veterinary Epidemiology and Risk Analysis, UCD School of Veterinary Medicine, University College Dublin, Belfield, Dublin 4, Ireland
| | - D A Graham
- Animal Health Ireland, 4-5 The Archways, Carrick on Shannon, Co. Leitrim, Ireland
| | - S J More
- UCD Centre for Veterinary Epidemiology and Risk Analysis, UCD School of Veterinary Medicine, University College Dublin, Belfield, Dublin 4, Ireland
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22
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Jiang J, Adams H, Lange M, Siemann S, Feldkamp M, Schulze S, Froehler S, Yaung S, Yao L, Balasubramanyam A, Tikoo N, Achenbach H, Krügel R, Palma J, Rosenthal A. OA 10.06 Longitudinal Mutation Monitoring in Plasma by Deep Sequencing as a Potential Predictor of Disease Progression in NSCLC. J Thorac Oncol 2017. [DOI: 10.1016/j.jtho.2017.09.386] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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23
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Kverneng Hultberg D, Afshar AA, Rutegård J, Lange M, Haapamäki MM, Matthiessen P, Rutegård M. Level of vascular tie and its effect on functional outcome 2 years after anterior resection for rectal cancer. Colorectal Dis 2017; 19:987-995. [PMID: 28544473 DOI: 10.1111/codi.13745] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/16/2017] [Accepted: 04/12/2017] [Indexed: 02/08/2023]
Abstract
AIM Previous research indicates that high tie of the inferior mesenteric artery during anterior resection for rectal cancer might be associated with an increased risk of postoperative functional disturbances. The goal of this population-based retrospective cohort study was to further investigate that association. METHOD Patients who underwent anterior resection for rectal cancer from April 2011 to September 2012 were identified through the Swedish Colorectal Cancer Registry. Bowel and urogenital function were assessed by a postal questionnaire 2 years after surgery. Information on the level of mesenteric tie and clinical variables was retrieved from the registry. The outcome was defined as any defaecatory, urinary or sexual dysfunction as reported by the patient. The association between high tie and the outcome was evaluated with multivariable logistic and linear regression with adjustment for confounders, such as sex, body mass index, comorbidity and preoperative radiation. RESULTS With a response rate of 86%, 805 patients were included in the study. Of these, 46% were operated with high tie. After adjustment for confounders, high tie did not affect the risk of faecal incontinence (OR 0.85; 95% CI 0.59-1.22), urinary incontinence (OR 0.94; 95% CI 0.63-1.41) or various aspects of sexual dysfunction (erectile dysfunction, anejaculation, dyspareunia and coital vaginal dryness). However, an association between high tie and defaecation at night was detected (OR 1.44; 95% CI 1.02-2.03). CONCLUSION This study does not support that the level of vascular tie influences the risk of major defaecatory, urinary or sexual disturbances 2 years after anterior resection for rectal cancer.
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Affiliation(s)
- D Kverneng Hultberg
- Department of Surgical and Perioperative Sciences, Surgery, Umeå University, Umeå, Sweden
| | - A A Afshar
- Department of Surgical and Perioperative Sciences, Surgery, Umeå University, Umeå, Sweden
| | - J Rutegård
- Department of Surgical and Perioperative Sciences, Surgery, Umeå University, Umeå, Sweden
| | - M Lange
- Department of Surgery, Leiden University Medical Center, Leiden, The Netherlands
| | - M M Haapamäki
- Department of Surgical and Perioperative Sciences, Surgery, Umeå University, Umeå, Sweden
| | - P Matthiessen
- Department of Surgery, Faculty of Medicine and Health, School of Health and Medical Sciences, Örebro University, Örebro, Sweden
| | - M Rutegård
- Department of Surgical and Perioperative Sciences, Surgery, Umeå University, Umeå, Sweden
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Rosenthal A, Lange M, Beckert S, Hinzmann B, Woestmann C, Wehnl B, Schneider M, Meister M, Thomas M, Muley T, Warth A, Froehler S, Palma J, Herth F. P1.15-011 Longitudinal Mutation Monitoring in Plasma Without Matching Tumor Tissue by Deep Sequencing in Small Cell Lung Cancer (SCLC). J Thorac Oncol 2017. [DOI: 10.1016/j.jtho.2017.09.1047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [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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25
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Hinck S, Hoffmann R, Lange M, Kamtsiuris P. Nonresponse-Bias in der KiGGS-Kohorte am Beispiel des ersten Erhebungsjahres von KiGGS Welle 2. Das Gesundheitswesen 2017. [DOI: 10.1055/s-0037-1605699] [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: 10/18/2022]
Affiliation(s)
- S Hinck
- Robert Koch-Institut, Berlin
| | | | - M Lange
- Robert Koch-Institut, Berlin
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26
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Paul J, Soujon M, Wengner A, Zitzmann-Kolbe S, Sturz A, Haike K, Koh H, Tan S, Lange M, Mumberg D, Tan S, Lim S, Ziegelbauer K, Liu N. MOLECULAR MECHANISMS AND COMBINATION STRATEGIES WITH PI3K AND BTK INHIBITORS TO OVERCOME INTRINSIC AND ACQUIRED RESISTANCE IN PRECLINICAL MODELS OF ABC-DLBCL. Hematol Oncol 2017. [DOI: 10.1002/hon.2439_179] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Affiliation(s)
- J. Paul
- Drug Discovery, Pharmaceuticals, Bayer AG; Berlin Germany
| | - M. Soujon
- Drug Discovery, Pharmaceuticals, Bayer AG; Berlin Germany
| | - A.M. Wengner
- Drug Discovery, Pharmaceuticals, Bayer AG; Berlin Germany
| | | | - A. Sturz
- Drug Discovery, Pharmaceuticals, Bayer AG; Berlin Germany
| | - K. Haike
- Drug Discovery, Pharmaceuticals, Bayer AG; Berlin Germany
| | - H.M. Koh
- Advanced Molecular Pathology Laboratory; Singapore Health Services Pte Ltd, Singapore; Singapore
| | - S. Tan
- Biostatistics & Epidemiology Unit; Clinical Trials and Epidemiological Sciences, National Cancer Centre Singapore, Singapore; Singapore
| | - M. Lange
- Drug Discovery, Pharmaceuticals, Bayer AG; Berlin Germany
| | - D. Mumberg
- Drug Discovery, Pharmaceuticals, Bayer AG; Berlin Germany
| | - S. Tan
- Department of Pathology; National University of Singapore, Singapore; Singapore
| | - S. Lim
- Lymphoma Genomic Translational Research Laboratory, Division of Medical Oncology; National Cancer Centre Singapore and Duke-NUS Medical School, Singapore; Singapore
| | - K. Ziegelbauer
- Drug Discovery, Pharmaceuticals, Bayer AG; Berlin Germany
| | - N. Liu
- Drug Discovery, Pharmaceuticals, Bayer AG; Berlin Germany
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Gaudio E, Kwee I, Spriano F, Tarantelli C, Rinaldi A, Jourdan T, Berthold M, Arribas A, Stathis A, Rossi D, Liu N, Lange M, Politz O, Zucca E, Bertoni F. COMBINATORIAL SCREENING OF THE PI3K INHIBITOR COPANLISIB IN T CELL LYMPHOMAS. Hematol Oncol 2017. [DOI: 10.1002/hon.2438_122] [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: 11/06/2022]
Affiliation(s)
- E. Gaudio
- IOR Institute of Oncology Research; Bellinzona Switzerland
| | - I. Kwee
- IOR Institute of Oncology Research; Bellinzona Switzerland
| | - F. Spriano
- IOR Institute of Oncology Research; Bellinzona Switzerland
| | - C. Tarantelli
- IOR Institute of Oncology Research; Bellinzona Switzerland
| | - A. Rinaldi
- IOR Institute of Oncology Research; Bellinzona Switzerland
| | - T. Jourdan
- Drug Discovery, Pharmaceuticals, Bayer AG; Berlin Germany
| | - M. Berthold
- Drug Discovery, Pharmaceuticals, Bayer AG; Berlin Germany
| | - A. Arribas
- Drug Discovery, Pharmaceuticals, Bayer AG; Berlin Germany
| | - A. Stathis
- IOSI Oncology Institute of Southern Switzerland; Bellinzona Switzerland
| | - D. Rossi
- IOR Institute of Oncology Research; Bellinzona Switzerland
| | - N. Liu
- Drug Discovery, Pharmaceuticals, Bayer AG; Berlin Germany
| | - M. Lange
- Drug Discovery, Pharmaceuticals, Bayer AG; Berlin Germany
| | - O. Politz
- Drug Discovery, Pharmaceuticals, Bayer AG; Berlin Germany
| | - E. Zucca
- IOSI Oncology Institute of Southern Switzerland; Bellinzona Switzerland
| | - F. Bertoni
- IOR Institute of Oncology Research; Bellinzona Switzerland
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Lange M, Palamara S, Lassila T, Vergara C, Quarteroni A, Frangi AF. Improved hybrid/GPU algorithm for solving cardiac electrophysiology problems on Purkinje networks. Int J Numer Method Biomed Eng 2017; 33:e2835. [PMID: 27661463 DOI: 10.1002/cnm.2835] [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] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/25/2016] [Accepted: 09/15/2016] [Indexed: 06/06/2023]
Abstract
Cardiac Purkinje fibers provide an important pathway to the coordinated contraction of the heart. We present a numerical algorithm for the solution of electrophysiology problems across the Purkinje network that is efficient enough to be used in in silico studies on realistic Purkinje networks with physiologically detailed models of ion exchange at the cell membrane. The algorithm is on the basis of operator splitting and is provided with 3 different implementations: pure CPU, hybrid CPU/GPU, and pure GPU. Compared to our previous work, we modify the explicit gap junction term at network bifurcations to improve its mathematical consistency. Due to this improved consistency of the model, we are able to perform an empirical convergence study against analytical solutions. The study verified that all 3 implementations produce equivalent convergence rates, and shows that the algorithm produces equivalent result across different hardware platforms. Finally, we compare the efficiency of all 3 implementations on Purkinje networks of increasing spatial resolution using membrane models of increasing complexity. Both hybrid and pure GPU implementations outperform the pure CPU implementation, but their relative performance difference depends on the size of the Purkinje network and the complexity of the membrane model used.
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Affiliation(s)
- M Lange
- CISTIB, Department of Electronic and Electrical Engineering, The University of Sheffield, UK
| | - S Palamara
- MOX, Dipartimento di Matematica, Politecnico di Milano, Italy
| | - T Lassila
- CISTIB, Department of Electronic and Electrical Engineering, The University of Sheffield, UK
| | - C Vergara
- MOX, Dipartimento di Matematica, Politecnico di Milano, Italy
| | - A Quarteroni
- CMCS, Mathematics Institute of Computational Science and Engineering, École Polytechnique Fédérale de Lausanne, Switzerland
| | - A F Frangi
- CISTIB, Department of Electronic and Electrical Engineering, The University of Sheffield, UK
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Blume J, Lange M, Rothenfusser E, Doenitz C, Bogdahn U, Brawanski A, Schlaier J. The impact of white matter lesions on the cognitive outcome of subthalamic nucleus deep brain stimulation in Parkinson's disease. Clin Neurol Neurosurg 2017; 159:87-92. [PMID: 28582689 DOI: 10.1016/j.clineuro.2017.05.023] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2017] [Revised: 05/24/2017] [Accepted: 05/27/2017] [Indexed: 01/14/2023]
Abstract
OBJECTIVES White Matter lesions (WML) are a risk factor for cognitive impairment in Parkinson's disease. There is no clear evidence of reduced general cognitive function after DBS. However, a subgroup of patients develops dementia rapidly after DBS despite careful patient selection processes. The aim of this study was to evaluate the load of WML as a possible risk factor for cognitive decline following STN DBS. PATIENTS AND METHODS 40 PD-patients receiving bilateral STN-DBS were followed at least three years after surgery to detect dementia. All patients underwent comprehensive neuropsychological assessment and MRI before surgery. The extent of WML was assessed using an automated approach. WML volume was correlated to the onset of dementia and the decline of a cognitive composite score retrospectively. RESULTS Patients with a rapid onset of dementia within one, respective three following DBS showed significant higher WML volumes compared to cognitive normal and MCI patients (55.8cm3±18.836 vs. 9.3cm3±12.2; p=0.002). The same significant association was found in a multivariable model, including the covariables age, gender and PD disease duration (p=0.01). WML volume was associated to the rate of decline in cognitive composite score within three years after DBS surgery (p=0.006; R2=0.40) after correction for age. CONCLUSIONS Damaged white matter may lead to a reduced compensation of disconnections in cognitive circuits caused by the implantation of the DBS electrodes or by chronic stimulation. The role of WML as a prognostic factor for the cognitive outcome after DBS may be underestimated. The WML burden should be taken seriously in preoperative risk stratification.
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Affiliation(s)
- J Blume
- Department of Neurology, University of Regensburg, Medical Center, Germany; Center for Deep Brain Stimulation, University of Regensburg, Medical Center, Germany.
| | - M Lange
- Center for Deep Brain Stimulation, University of Regensburg, Medical Center, Germany; Department of Neurosurgery, University of Regensburg, Medical Center, Germany
| | - E Rothenfusser
- Center for Deep Brain Stimulation, University of Regensburg, Medical Center, Germany
| | - C Doenitz
- Department of Neurosurgery, University of Regensburg, Medical Center, Germany
| | - U Bogdahn
- Department of Neurology, University of Regensburg, Medical Center, Germany
| | - A Brawanski
- Department of Neurosurgery, University of Regensburg, Medical Center, Germany
| | - J Schlaier
- Center for Deep Brain Stimulation, University of Regensburg, Medical Center, Germany; Department of Neurosurgery, University of Regensburg, Medical Center, Germany
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Alnawaiseh M, Alten F, Huelsken G, Rentmeister G, Lange M, Claes T, Wente S, Kreuznacht D, Eter N, Roeder N. [Implementation of electronic health records at a tertiary care eye hospital]. Ophthalmologe 2016; 112:337-45. [PMID: 25501930 DOI: 10.1007/s00347-014-3124-y] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
BACKGROUND Although electronic health records (EHR) were introduced into ophthalmology practices many years ago, paper-based medical records are still common in most tertiary care eye hospitals. MATERIAL AND METHODS We report on the implementation of an EHR system at the university eye hospital in Münster in the time period between January and December 2013. RESULTS Advantages of an EHR system in the setting of a university eye hospital include ubiquitous access to patient data, structurability as well as scientific interpretability. Data safety, personnel and financial investment and integration into existing hospital software systems represent the main challenges. CONCLUSION The EHR system will replace paper-based records in the future. In view of the high need for visualization and recording of medical findings, EHR software solutions seem promising particularly in ophthalmology.
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Affiliation(s)
- M Alnawaiseh
- Klinik für Augenheilkunde, Universitätsklinikum Münster, Albert-Schweitzer-Campus 1, Gebäude D15, 48149, Münster, Deutschland,
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Möller A, Eschrich R, Reichenbach C, Guderian J, Lange M, Möllmer J. Dynamic and equilibrium-based investigations of CO2-removal from CH4-rich gas mixtures on microporous adsorbents. ADSORPTION 2016. [DOI: 10.1007/s10450-016-9821-x] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Santos MD, Lange M, Clarisse B, Barillet M, Joly F. Impact of cognitive functions on oral anticancer therapies adherence. Ann Oncol 2016. [DOI: 10.1093/annonc/mdw390.65] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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33
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Joly F, Lange M, Heutte N, Leconte A, Léger I, Fizazi K, Di Fiore F, Giffard B, Capel A, Laviec H, Dubois M, Clarisse B, Hélène C. Cog-Pro: Impact of new generation hormono-therapy on cognitive functions in elderly patients treated for a metastatic prostate cancer. Ann Oncol 2016. [DOI: 10.1093/annonc/mdw372.48] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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34
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Kurth BM, Allen J, Born S, Butschalowski H, Dölle R, Franke A, Gößwald A, Hoffmann R, Hölling H, Lange C, Lange M, Meisegeier S, Schlaud M, Schmich P, Thamm M, Wetzstein M, Kamtsiuris P. Was ist, was kann das RKI-Gesundheitsmonitoring – 25 Jahre bundesweite Gesundheitssurveys. Gesundheitswesen 2016. [DOI: 10.1055/s-0036-1586600] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Steinfeldt T, Volk T, Kessler P, Vicent O, Wulf H, Gottschalk A, Lange M, Schwartzkopf P, Hüttemann E, Tessmann R, Marx A, Souquet J, Häger D, Nagel W, Biscoping J, Schwemmer U. Peripheral nerve blocks on the upper extremity: Technique of landmark-based and ultrasound-guided approaches. Anaesthesist 2016; 64:846-54. [PMID: 26408023 DOI: 10.1007/s00101-015-0091-x] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
The German Society of Anaesthesiology and Intensive Care Medicine (Deutsche Gesellschaft für Anästhesiologie und Intensivmedizin, DGAI) established an expert panel to develop preliminary recommendations for the application of peripheral nerve blocks on the upper extremity. The present recommendations state in different variations how ultrasound and/or electrical nerve stimulation guided nerve blocks should be performed. The description of each procedure is rather a recommendation than a guideline. The anaesthesiologist should select the variation of block which provides the highest grade of safety according to his individual opportunities. The first section comprises recommendations regarding dosages of local anaesthetics, general indications and contraindications for peripheral nerve blocks and informations about complications. In the following sections most common blocks techniques on the upper extremity are described.
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Affiliation(s)
- T Steinfeldt
- Department of Anaesthesiology and Intensive Care Therapy, UKGM Giessen-Marburg, Location Marburg, Marburg, Germany. .,Department of Anaesthesiology and Intensive Care Therapy, Philipps University Hospital, Philipps University Marburg, Baldingerstr., 35033, Marburg, Germany.
| | - T Volk
- Department of Anaesthesiology, Intensive Care Medicine and Pain Management, University Hospital Saarland, Homburg, Germany
| | - P Kessler
- Department of Anaesthesiology, Intensive Care- and Pain Medicine, Orthopaedic University Hospital Friedrichsheim, Frankfurt am Main, Germany
| | - O Vicent
- Department of Anaesthesiology and Intensive Care Medicine, University Hospital Karl-Gustav Carus, Dresden, Germany
| | - H Wulf
- Department of Anaesthesiology and Intensive Care Therapy, UKGM Giessen-Marburg, Location Marburg, Marburg, Germany
| | - A Gottschalk
- Department for Anaesthesiology, Intensive Care- and Pain Medicine, Diakonische Dienste Hannover gGmbH, Hannover, Germany
| | - M Lange
- Department for Anaesthesia and Intensive Care Therapy, Waldkrankenhaus "Rudolf Elle" GmbH, Eisenberg, Germany
| | - P Schwartzkopf
- Department for Anaesthesiology, Intensive Care Medicine, Pain Therapy and Palliative Medicine, HELIOS Klinikum Borna, HELIOS Klinikum Borna, Borna, Germany
| | - E Hüttemann
- Department for Anaesthesia and Intensive Care Medicine, Klinikum Worms gGmbH, Worms, Germany
| | - R Tessmann
- Department for Anaesthesiology, Intensive Care Medicine and Pain Therapy, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main, Frankfurt, Germany
| | - A Marx
- Department for Anaesthesiology, Intensive Care Medicine and Pain Therapy, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main, Frankfurt, Germany
| | - J Souquet
- Department of Anaesthesiology, Intensive Care- and Pain Medicine, Orthopaedic University Hospital Friedrichsheim, Frankfurt am Main, Germany
| | - D Häger
- Department for Anaesthesiology and Intensive Care Medicine, Diakonissenkrankenhaus, Flensburg, Germany
| | - W Nagel
- Department for Anaesthesiology and Surgical Intensive Care Medicine, St. Vincentius-Kliniken gAG Karlsruhe, Karlsruhe, Germany
| | - J Biscoping
- Department for Anaesthesiology and Surgical Intensive Care Medicine, St. Vincentius-Kliniken gAG Karlsruhe, Karlsruhe, Germany
| | - U Schwemmer
- Department for Anaesthesiology and Intensive Care Medicine, County Hospital Neumarkt i. d. OPf., Neumarkt i. d. OPf., Germany
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Kobalz K, Kobalz M, Möllmer J, Junghans U, Lange M, Bergmann J, Dietrich S, Wecks M, Gläser R, Krautscheid H. Bis(carboxyphenyl)-1,2,4-triazole Based Metal–Organic Frameworks: Impact of Metal Ion Substitution on Adsorption Performance. Inorg Chem 2016; 55:6938-48. [DOI: 10.1021/acs.inorgchem.6b00530] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- K. Kobalz
- Fakultät
für Chemie und Mineralogie, Universität Leipzig, Johannisallee
29, D-04103 Leipzig, Germany
| | - M. Kobalz
- Fakultät
für Chemie und Mineralogie, Universität Leipzig, Johannisallee
29, D-04103 Leipzig, Germany
| | - J. Möllmer
- Institut für Nichtklassische Chemie e.V., Permoserstrasse
15, D-04318 Leipzig, Germany
| | - U. Junghans
- Fakultät
für Chemie und Mineralogie, Universität Leipzig, Johannisallee
29, D-04103 Leipzig, Germany
| | - M. Lange
- Institut für Nichtklassische Chemie e.V., Permoserstrasse
15, D-04318 Leipzig, Germany
| | - J. Bergmann
- Fakultät
für Chemie und Mineralogie, Universität Leipzig, Johannisallee
29, D-04103 Leipzig, Germany
| | - S. Dietrich
- Fakultät
für Chemie und Mineralogie, Universität Leipzig, Johannisallee
29, D-04103 Leipzig, Germany
| | - M. Wecks
- Institut für Nichtklassische Chemie e.V., Permoserstrasse
15, D-04318 Leipzig, Germany
| | - R. Gläser
- Fakultät
für Chemie und Mineralogie, Universität Leipzig, Johannisallee
29, D-04103 Leipzig, Germany
- Institut für Nichtklassische Chemie e.V., Permoserstrasse
15, D-04318 Leipzig, Germany
| | - H. Krautscheid
- Fakultät
für Chemie und Mineralogie, Universität Leipzig, Johannisallee
29, D-04103 Leipzig, Germany
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Ma HJH, Scharinger S, Zeng SW, Kohlberger D, Lange M, Stöhr A, Wang XR, Venkatesan T, Kleiner R, Scott JF, Coey JMD, Koelle D. Local Electrical Imaging of Tetragonal Domains and Field-Induced Ferroelectric Twin Walls in Conducting SrTiO_{3}. Phys Rev Lett 2016; 116:257601. [PMID: 27391752 DOI: 10.1103/physrevlett.116.257601] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/05/2015] [Indexed: 06/06/2023]
Abstract
We demonstrate electrical mapping of tetragonal domains and electric field-induced twin walls in SrTiO_{3} as a function of temperature and gate bias utilizing the conducting LaAlO_{3}/SrTiO_{3} interface and low-temperature scanning electron microscopy. Conducting twin walls appear below 105 K, and new twin patterns are observed after thermal cycling through the transition or on electric field gating. The nature of the twin walls is confirmed by calculating their intersection angles for different substrate orientations. Numerous walls formed when a large side- or back-gate voltage is applied are identified as field-induced ferroelectric twin walls in the paraelectric tetragonal matrix. The walls persist after switching off the electric field and on thermal cycling below 105 K. These observations point to a new type of ferroelectric functionality in SrTiO_{3}, which could be exploited together with magnetism and superconductivity in a multifunctional context.
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Affiliation(s)
- H J Harsan Ma
- NUSNNI-Nanocore, National University of Singapore, 117411 Singapore, Singapore
- Department of Physics, National University of Singapore, 117542 Singapore, Singapore
| | - S Scharinger
- Physikalisches Institut and Center for Quantum Science (CQ) in LISA+, Universität Tübingen, Auf der Morgenstelle 14, D-72076 Tübingen, Germany
| | - S W Zeng
- NUSNNI-Nanocore, National University of Singapore, 117411 Singapore, Singapore
- Department of Physics, National University of Singapore, 117542 Singapore, Singapore
| | - D Kohlberger
- Physikalisches Institut and Center for Quantum Science (CQ) in LISA+, Universität Tübingen, Auf der Morgenstelle 14, D-72076 Tübingen, Germany
| | - M Lange
- Physikalisches Institut and Center for Quantum Science (CQ) in LISA+, Universität Tübingen, Auf der Morgenstelle 14, D-72076 Tübingen, Germany
| | - A Stöhr
- Physikalisches Institut and Center for Quantum Science (CQ) in LISA+, Universität Tübingen, Auf der Morgenstelle 14, D-72076 Tübingen, Germany
| | - X Renshaw Wang
- NUSNNI-Nanocore, National University of Singapore, 117411 Singapore, Singapore
- Department of Physics, National University of Singapore, 117542 Singapore, Singapore
| | - T Venkatesan
- NUSNNI-Nanocore, National University of Singapore, 117411 Singapore, Singapore
- Department of Physics, National University of Singapore, 117542 Singapore, Singapore
- Department of Electrical and Computer Engineering, National University of Singapore, 117576 Singapore, Singapore
| | - R Kleiner
- Physikalisches Institut and Center for Quantum Science (CQ) in LISA+, Universität Tübingen, Auf der Morgenstelle 14, D-72076 Tübingen, Germany
| | - J F Scott
- School of Chemistry and School of Physics, St. Andrews University, St. Andrews KY16 9ST, United Kingdom
| | - J M D Coey
- NUSNNI-Nanocore, National University of Singapore, 117411 Singapore, Singapore
- Department of Pure and Applied Physics, Trinity College, Dublin 2, Ireland
| | - D Koelle
- Physikalisches Institut and Center for Quantum Science (CQ) in LISA+, Universität Tübingen, Auf der Morgenstelle 14, D-72076 Tübingen, Germany
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von Hahn R, Becker A, Berg F, Blaum K, Breitenfeldt C, Fadil H, Fellenberger F, Froese M, George S, Göck J, Grieser M, Grussie F, Guerin EA, Heber O, Herwig P, Karthein J, Krantz C, Kreckel H, Lange M, Laux F, Lohmann S, Menk S, Meyer C, Mishra PM, Novotný O, O'Connor AP, Orlov DA, Rappaport ML, Repnow R, Saurabh S, Schippers S, Schröter CD, Schwalm D, Schweikhard L, Sieber T, Shornikov A, Spruck K, Sunil Kumar S, Ullrich J, Urbain X, Vogel S, Wilhelm P, Wolf A, Zajfman D. The cryogenic storage ring CSR. Rev Sci Instrum 2016; 87:063115. [PMID: 27370434 DOI: 10.1063/1.4953888] [Citation(s) in RCA: 16] [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: 06/06/2023]
Abstract
An electrostatic cryogenic storage ring, CSR, for beams of anions and cations with up to 300 keV kinetic energy per unit charge has been designed, constructed, and put into operation. With a circumference of 35 m, the ion-beam vacuum chambers and all beam optics are in a cryostat and cooled by a closed-cycle liquid helium system. At temperatures as low as (5.5 ± 1) K inside the ring, storage time constants of several minutes up to almost an hour were observed for atomic and molecular, anion and cation beams at an energy of 60 keV. The ion-beam intensity, energy-dependent closed-orbit shifts (dispersion), and the focusing properties of the machine were studied by a system of capacitive pickups. The Schottky-noise spectrum of the stored ions revealed a broadening of the momentum distribution on a time scale of 1000 s. Photodetachment of stored anions was used in the beam lifetime measurements. The detachment rate by anion collisions with residual-gas molecules was found to be extremely low. A residual-gas density below 140 cm(-3) is derived, equivalent to a room-temperature pressure below 10(-14) mbar. Fast atomic, molecular, and cluster ion beams stored for long periods of time in a cryogenic environment will allow experiments on collision- and radiation-induced fragmentation processes of ions in known internal quantum states with merged and crossed photon and particle beams.
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Affiliation(s)
- R von Hahn
- Max-Planck-Institut für Kernphysik, 69117 Heidelberg, Germany
| | - A Becker
- Max-Planck-Institut für Kernphysik, 69117 Heidelberg, Germany
| | - F Berg
- Max-Planck-Institut für Kernphysik, 69117 Heidelberg, Germany
| | - K Blaum
- Max-Planck-Institut für Kernphysik, 69117 Heidelberg, Germany
| | - C Breitenfeldt
- Max-Planck-Institut für Kernphysik, 69117 Heidelberg, Germany
| | - H Fadil
- Max-Planck-Institut für Kernphysik, 69117 Heidelberg, Germany
| | - F Fellenberger
- Max-Planck-Institut für Kernphysik, 69117 Heidelberg, Germany
| | - M Froese
- Max-Planck-Institut für Kernphysik, 69117 Heidelberg, Germany
| | - S George
- Max-Planck-Institut für Kernphysik, 69117 Heidelberg, Germany
| | - J Göck
- Max-Planck-Institut für Kernphysik, 69117 Heidelberg, Germany
| | - M Grieser
- Max-Planck-Institut für Kernphysik, 69117 Heidelberg, Germany
| | - F Grussie
- Max-Planck-Institut für Kernphysik, 69117 Heidelberg, Germany
| | - E A Guerin
- Max-Planck-Institut für Kernphysik, 69117 Heidelberg, Germany
| | - O Heber
- Weizmann Institute of Science, Rehovot 76100, Israel
| | - P Herwig
- Max-Planck-Institut für Kernphysik, 69117 Heidelberg, Germany
| | - J Karthein
- Max-Planck-Institut für Kernphysik, 69117 Heidelberg, Germany
| | - C Krantz
- Max-Planck-Institut für Kernphysik, 69117 Heidelberg, Germany
| | - H Kreckel
- Max-Planck-Institut für Kernphysik, 69117 Heidelberg, Germany
| | - M Lange
- Max-Planck-Institut für Kernphysik, 69117 Heidelberg, Germany
| | - F Laux
- Max-Planck-Institut für Kernphysik, 69117 Heidelberg, Germany
| | - S Lohmann
- Max-Planck-Institut für Kernphysik, 69117 Heidelberg, Germany
| | - S Menk
- Max-Planck-Institut für Kernphysik, 69117 Heidelberg, Germany
| | - C Meyer
- Max-Planck-Institut für Kernphysik, 69117 Heidelberg, Germany
| | - P M Mishra
- Max-Planck-Institut für Kernphysik, 69117 Heidelberg, Germany
| | - O Novotný
- Max-Planck-Institut für Kernphysik, 69117 Heidelberg, Germany
| | - A P O'Connor
- Max-Planck-Institut für Kernphysik, 69117 Heidelberg, Germany
| | - D A Orlov
- Max-Planck-Institut für Kernphysik, 69117 Heidelberg, Germany
| | - M L Rappaport
- Weizmann Institute of Science, Rehovot 76100, Israel
| | - R Repnow
- Max-Planck-Institut für Kernphysik, 69117 Heidelberg, Germany
| | - S Saurabh
- Max-Planck-Institut für Kernphysik, 69117 Heidelberg, Germany
| | - S Schippers
- I. Physikalisches Institut, Justus-Liebig-Universität Gießen, 35392 Gießen, Germany
| | - C D Schröter
- Max-Planck-Institut für Kernphysik, 69117 Heidelberg, Germany
| | - D Schwalm
- Max-Planck-Institut für Kernphysik, 69117 Heidelberg, Germany
| | - L Schweikhard
- Institut für Physik, Ernst-Moritz-Arndt-Universität, 17487 Greifswald, Germany
| | - T Sieber
- Max-Planck-Institut für Kernphysik, 69117 Heidelberg, Germany
| | - A Shornikov
- Max-Planck-Institut für Kernphysik, 69117 Heidelberg, Germany
| | - K Spruck
- Max-Planck-Institut für Kernphysik, 69117 Heidelberg, Germany
| | - S Sunil Kumar
- Max-Planck-Institut für Kernphysik, 69117 Heidelberg, Germany
| | - J Ullrich
- Max-Planck-Institut für Kernphysik, 69117 Heidelberg, Germany
| | - X Urbain
- Institute of Condensed Matter and Nanosciences, Université Catholique de Louvain, 1348 Louvain-la-Neuve, Belgium
| | - S Vogel
- Max-Planck-Institut für Kernphysik, 69117 Heidelberg, Germany
| | - P Wilhelm
- Max-Planck-Institut für Kernphysik, 69117 Heidelberg, Germany
| | - A Wolf
- Max-Planck-Institut für Kernphysik, 69117 Heidelberg, Germany
| | - D Zajfman
- Weizmann Institute of Science, Rehovot 76100, Israel
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Bohnsack A, Domaschke K, Kaden M, Lange M, Villmann T. Learning matrix quantization and relevance learning based on Schatten-p-norms. Neurocomputing 2016. [DOI: 10.1016/j.neucom.2015.12.109] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Lange M, Reimer T, Hartmann S, Glass Ä, Stachs A. The role of specimen radiography in breast-conserving therapy of ductal carcinoma in situ. Breast 2016; 26:73-9. [DOI: 10.1016/j.breast.2015.12.014] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2015] [Accepted: 12/26/2015] [Indexed: 11/15/2022] Open
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Stumpner J, Tischer-Zeitz T, Lotz C, Umminger J, Neuwirth A, Smul TM, Redel A, Kehl F, Roewer N, Lange M. The second window of desflurane-induced preconditioning is mediated by STAT3: role of Pim-1 kinase. Acta Anaesthesiol Scand 2016; 60:103-16. [PMID: 26190257 DOI: 10.1111/aas.12587] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2015] [Revised: 06/10/2015] [Accepted: 06/23/2015] [Indexed: 12/17/2022]
Abstract
BACKGROUND Late ischemic preconditioning is mediated via nuclear transcription factor signal transducer and activator of transcription 3 (STAT3). Pim-1 kinase reduces infarct size in cardiomyocytes and is regulated by STAT3. We tested the hypothesis that late desflurane-induced preconditioning (DES-SWOP) is mediated via STAT3 and Pim-1. METHODS After institutional approval, pentobarbital-anesthetized male C57BL/6 mice were subjected to 45 min coronary artery occlusion (CAO) and 3 h reperfusion. Control animals received no additional intervention. Desflurane was administered 48 h before CAO either alone or in combination with the janus kinase/STAT3 inhibitor AG-490 (40 μg/g i.p., 20 min before desflurane administration) or the Pim-1 kinase inhibitor II (PIM-Inh.II, 10 μg/g i.p., 15 min before CAO). Infarct size (IS) and area at risk were determined with triphenyltetrazolium chloride and Evans blue, respectively. Additionally, cytosolic and nuclear fractions were separated at two different time points and expression of STAT3, phospho-STAT3(Ser727) , phospho-STAT3(Tyr705) , Pim-1, Bad and phospho-Bad(Ser112) were determined by Western Blot analysis. Data were analyzed with one-way or two-way ANOVA and post hoc Duncan test and are presented as mean ± SEM. RESULTS IS was 47 ± 2% (n = 7-8 per group) in control animals (CON). DES-SWOP reduced myocardial infarct size to 23 ± 4%* (*P < 0.05 vs. CON). AG-490 alone did not affect myocardial infarct size (44 ± 7%), but abolished DES-SWOP (44 ± 4%). Blockade of Pim-1 did not affect the protection by DES-SWOP (34 ± 4%*). Desflurane reduced cytosolic content and enhanced nuclear content of phospho-STAT(S) (er727) . After 48 h, desflurane enhanced Pim-1 activity, whereas Pim-1 expression remained unchanged. CONCLUSION These data suggest that DES-SWOP is mediated by activation and nuclear translocation of STAT3. The impact of Pim-1 in DES-SWOP signaling remains unclear.
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Affiliation(s)
- J. Stumpner
- Department of Anaesthesia and Critical Care; University Hospital of Wuerzburg; Wuerzburg Germany
| | - T. Tischer-Zeitz
- Department of Anaesthesia and Critical Care; University Hospital of Wuerzburg; Wuerzburg Germany
| | - C. Lotz
- Department of Anaesthesia and Critical Care; University Hospital of Wuerzburg; Wuerzburg Germany
| | - J. Umminger
- Department of Anaesthesia and Critical Care; University Hospital of Wuerzburg; Wuerzburg Germany
| | - A. Neuwirth
- Department of Anaesthesia and Critical Care; University Hospital of Wuerzburg; Wuerzburg Germany
| | - T. M. Smul
- Department of Anaesthesia and Critical Care; University Hospital of Wuerzburg; Wuerzburg Germany
| | - A. Redel
- Department of Anesthesia; University of Regensburg; Regensburg Germany
| | - F. Kehl
- Department of Anesthesiology and Critical Care; Hospital of Karlsruhe; Karlsruhe Germany
| | - N. Roewer
- Department of Anaesthesia and Critical Care; University Hospital of Wuerzburg; Wuerzburg Germany
| | - M. Lange
- Department of Anesthesia and Critical Care Medicine; Mathias-Spital Rheine; Rheine Germany
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Becker A, Blaum K, Breitenfeldt C, Fellenberger F, George S, Göck J, Grieser M, Grussie F, von Hahn R, Herwig P, Karthein J, Krantz C, Kreckel H, Kumar S, Lange M, Lohmann S, Meyer C, Mishra PM, Novotný O, O'Connor A, Repnow R, Schippers S, Schröter CD, Spruck K, Schwalm D, Schweikard L, Urbain X, Vogel S, Wolf A. The cryogenic storage ring CSR for collision experiments with state-controlled and phase-space cooled molecular ion beams. ACTA ACUST UNITED AC 2015. [DOI: 10.1088/1742-6596/635/7/072059] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Eckert K, Lange M. [Effects of Behaviour-oriented Exercise Interventions as Supplement within Structured Health-care Programmes for Diabetes Mellitus Type 2 - A Quasi-experimental Multicentre Intervention Study]. Gesundheitswesen 2015; 78:367-72. [PMID: 26140578 DOI: 10.1055/s-0035-1549973] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Exercise programs do not belong to standard treatment within disease management programmes for diabetes mellitus type 2, up to now. For these reason the effects of a 10-week behaviour-oriented exercise programme have been evaluated focusing on change in activity behaviour and health-related qualitiy of life. 202 patients took part in the investigation. There were significant inbetween group differences in some aspects of the outcome parameters. The study presents useful information on how to modify existing DMPs successfully for improving patient treatment.
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Affiliation(s)
- K Eckert
- Institut für Gesundheitssport und Public Health, Universität Leipzig, Leipzig
| | - M Lange
- Institut für Gesundheitssport und Public Health, Universität Leipzig, Leipzig
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Affiliation(s)
- M. Lange
- PG EcoEpi: Helmholtz Centre for Environmental Research, Leipzig/Halle Department Ecological Modelling
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Lange M, Zech N, Seemann M, Janzen A, Halbing D, Zeman F, Doenitz C, Rothenfusser E, Hansen E, Brawanski A, Schlaier J. Anesthesiologic regimen and intraoperative delirium in deep brain stimulation surgery for Parkinson's disease. J Neurol Sci 2015; 355:168-73. [PMID: 26073485 DOI: 10.1016/j.jns.2015.06.012] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2014] [Revised: 05/23/2015] [Accepted: 06/07/2015] [Indexed: 11/16/2022]
Abstract
BACKGROUND In many centers the standard anesthesiological care for deep brain stimulation (DBS) surgery in Parkinson's disease patients is an asleep-awake-asleep procedure. However, sedative drugs and anesthetics can compromise ventilation and hemodynamic stability during the operation and some patients develop a delirious mental state after the initial asleep phase. Further, these drugs interfere with the patient's alertness and cooperativeness, the quality of microelectrode recordings, and the recognition of undesired stimulation effects. In this study, we correlated the incidence of intraoperative delirium with the amount of anesthetics used intraoperatively. METHODS The anesthesiologic approach is based on continuous presence and care, avoidance of negative suggestions, use of positive suggestions, and utilization of the patient's own resources. Clinical data from the operations were analyzed retrospectively, the occurrence of intraoperative delirium was extracted from patients' charts. The last 16 patients undergoing the standard conscious sedation procedure (group I) were compared to the first 22 (group II) psychologically-guided patients. RESULTS The median amount of propofol decreased from 146 mg (group I) to 0mg (group II), remifentanyl from 0.70 mg to 0.00 mg, respectively (P<0.001 for propofol and remifentanyl). Using the new procedure, 12 of 22 patients (55%) in group II required no anesthetics. Intraoperative delirium was significantly less frequent in group II (P=0.03). CONCLUSIONS The occurrence of intraoperative delirium correlates with the amount of intraoperative sedative and anesthetic drugs. Sedation and powerful analgesia are not prerequisites for patients' comfort during awake-DBS-surgery.
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Affiliation(s)
- M Lange
- Department of Neurosurgery, University of Regensburg, Medical Center, Germany; Centre for Deep Brain Stimulation, University of Regensburg, Medical Center, Germany
| | - N Zech
- Centre for Deep Brain Stimulation, University of Regensburg, Medical Center, Germany; Department of Anesthesiology, University of Regensburg, Medical Center, Germany
| | - M Seemann
- Centre for Deep Brain Stimulation, University of Regensburg, Medical Center, Germany; Department of Anesthesiology, University of Regensburg, Medical Center, Germany
| | - A Janzen
- Centre for Deep Brain Stimulation, University of Regensburg, Medical Center, Germany; Department of Neurology, University of Regensburg, Medical Center, Germany
| | - D Halbing
- Department of Neurosurgery, University of Regensburg, Medical Center, Germany
| | - F Zeman
- Center for Clinical Studies, University of Regensburg, Medical Center, Germany
| | - C Doenitz
- Department of Neurosurgery, University of Regensburg, Medical Center, Germany
| | - E Rothenfusser
- Centre for Deep Brain Stimulation, University of Regensburg, Medical Center, Germany; Department of Neurology, University of Regensburg, Medical Center, Germany
| | - E Hansen
- Centre for Deep Brain Stimulation, University of Regensburg, Medical Center, Germany; Department of Anesthesiology, University of Regensburg, Medical Center, Germany
| | - A Brawanski
- Department of Neurosurgery, University of Regensburg, Medical Center, Germany
| | - J Schlaier
- Department of Neurosurgery, University of Regensburg, Medical Center, Germany; Centre for Deep Brain Stimulation, University of Regensburg, Medical Center, Germany.
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Schramm F, Lange M, Hallier E, Hoppmann P, Heutelbeck A. In-vitro-Untersuchungen von Kohlenstoffnanohorns an humanen Bronchialepithelzellen. Pneumologie 2015. [DOI: 10.1055/s-0035-1544849] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Lange M, Siemen H, Blome S, Thulke HH. Analysis of spatio-temporal patterns of African swine fever cases in Russian wild boar does not reveal an endemic situation. Prev Vet Med 2014; 117:317-25. [DOI: 10.1016/j.prevetmed.2014.08.012] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2014] [Revised: 08/15/2014] [Accepted: 08/19/2014] [Indexed: 11/27/2022]
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Lange M, Eckert K. Messgenauigkeit eines akzelerometerbasierten Multisensorgeräts zur Energieumsatzbestimmung bei normal-, übergewichtigen und adipösen Personen. AKTUEL RHEUMATOL 2014. [DOI: 10.1055/s-0034-1387722] [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: 10/24/2022]
Affiliation(s)
- M. Lange
- Sportwissenschaftliche Fakultät, Institut für Gesundheitssport und Public Health, Universität Leipzig
| | - K. Eckert
- Sportwissenschaftliche Fakultät, Institut für Gesundheitssport und Public Health, Universität Leipzig
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Brück S, Trautner H, Wolff A, Hain J, Mols G, Pakos P, Roewer N, Lange M. Comparison of the C-MAC®and GlideScope®videolaryngoscopes in patients with cervical spine disorders and immobilisation. Anaesthesia 2014; 70:160-5. [DOI: 10.1111/anae.12858] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/07/2014] [Indexed: 11/30/2022]
Affiliation(s)
- S. Brück
- Department of Anaesthesia and Critical Care; University Hospital of Würzburg; Würzburg Germany
- Department of Cardioanaesthesia; University Hospital of Ulm; Ulm Germany
| | - H. Trautner
- Department of Anaesthesia and Critical Care; University Hospital of Würzburg; Würzburg Germany
| | - A. Wolff
- Department of Anaesthesia and Critical Care; University Hospital of Würzburg; Würzburg Germany
| | - J. Hain
- Department of Mathematics; University of Würzburg; Würzburg Germany
| | - G. Mols
- Department of Anaesthesia and Critical Care; Ortenau Klinikum Lahr-Ettenheim; Lahr Germany
| | - P. Pakos
- Department of Neurosurgery; University Hospital of Würzburg; Würzburg Germany
| | - N. Roewer
- Department of Anaesthesia and Critical Care; University Hospital of Würzburg; Würzburg Germany
| | - M. Lange
- Department of Anaesthesia and Critical Care; University Hospital of Würzburg; Würzburg Germany
- Department of Anaesthesia and Critical Care; Mathias-Spital-Rheine; Rheine Germany
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Lange M, Krohn-Grimberghe B, Dahlhaus C, Petermann F. Schmerzverarbeitung bei Fibromyalgiesyndrom-Patienten im Vergleich zu Gesunden. AKTUEL RHEUMATOL 2014. [DOI: 10.1055/s-0034-1383658] [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: 10/25/2022]
Affiliation(s)
- M. Lange
- Zentrum für Klinische Psychologie und Rehabilitation, Universität Bremen, Bremen
| | | | - C. Dahlhaus
- Zentrum für Klinische Psychologie und Rehabilitation, Universität Bremen, Bremen
| | - F. Petermann
- Zentrum für Klinische Psychologie und Rehabilitation, Universität Bremen, Bremen
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