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Platzer L, Orthmann N, Grozinger P, Hennigs A, Rippinger N, Wallwiener M, Rom J, Riedel F. Does music genre affect medical students’ performance in standardized laparoscopic exercises? Comparing exposure to rock, hip-hop, classic and mixed radio music at 70 decibels. Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1718043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
Affiliation(s)
- L.K. Platzer
- Universitätsklinikum Heidelberg, Universitäts-Frauenklinik Heidelberg
| | - N. Orthmann
- Universitätsklinikum Heidelberg, Universitäts-Frauenklinik Heidelberg
| | - P. Grozinger
- Universitätsklinikum Heidelberg, Universitäts-Frauenklinik Heidelberg
| | - A. Hennigs
- Universitätsklinikum Heidelberg, Universitäts-Frauenklinik Heidelberg
| | - N. Rippinger
- Universitätsklinikum Heidelberg, Universitäts-Frauenklinik Heidelberg
| | - M. Wallwiener
- Universitätsklinikum Heidelberg, Universitäts-Frauenklinik Heidelberg
| | - J. Rom
- Klinikum Frankfurt-Höchst, Frauenklinik
| | - F. Riedel
- Universitätsklinikum Heidelberg, Universitäts-Frauenklinik Heidelberg
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Riedel M, Hennigs A, Dobberkau AM, Deutsch T, Rippinger N, Wallwiener M, Finkenzeller C, Golatta M, Heil J, Riedel F. Evaluation genderspezifischer Faktoren und Assoziationen für die Wahl zur Facharztweiterbildung in der Gynäkologie und Geburtshilfe – Ergebnisse einer Befragung unter Medizinstudierenden im klinischen Studienabschnitt. Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1718105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
Affiliation(s)
- M Riedel
- Klinikum rechts der Isar der Technischen Universität München, Frauenklinik
| | - A Hennigs
- Universitätsklinikum Heidelberg, Universitäts-Frauenklinik Heidelberg
| | - A.-M Dobberkau
- Universitätsklinikum Heidelberg, Universitäts-Frauenklinik Heidelberg
| | - T Deutsch
- Universitätsklinikum Heidelberg, Universitäts-Frauenklinik Heidelberg
| | - N Rippinger
- Universitätsklinikum Heidelberg, Universitäts-Frauenklinik Heidelberg
| | - M Wallwiener
- Universitätsklinikum Heidelberg, Universitäts-Frauenklinik Heidelberg
| | - C Finkenzeller
- Universitätsklinikum Heidelberg, Klinik für Allgemeine Innere Medizin und Psychosomatik
| | - M Golatta
- Universitätsklinikum Heidelberg, Universitäts-Frauenklinik Heidelberg
| | - J Heil
- Universitätsklinikum Heidelberg, Universitäts-Frauenklinik Heidelberg
| | - F Riedel
- Universitätsklinikum Heidelberg, Universitäts-Frauenklinik Heidelberg
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Rippinger N, Heinzler J, Bruckner T, Brucker J, Dinkic C, Hoffmann J, Dornhöfer N, Seitz S, Rom J, Sohn C, Schott TC, Schott S. The impact of a cervical dysplasia diagnosis on individual cancer prevention habits over time: a bicentric case-control study. Arch Gynecol Obstet 2019; 299:847-855. [PMID: 30607592 DOI: 10.1007/s00404-018-5029-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [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: 09/06/2018] [Accepted: 12/14/2018] [Indexed: 11/30/2022]
Abstract
PURPOSE Annual cervical cancer screening is recommended in Germany as a part of the statutory preventive care. Abnormal results can provoke psychological distress and anxiety, compromising women's adherence. Little is known about how a cervical dysplasia impacts adherence follow-up visits and prevention habits over time. To optimize care strategies, this study aims to identify women at risk for nonadherence to follow-up visits after a screening event. METHODS Between November 2015 and May 2017, participants with an abnormal Pap smear at the Heidelberg and Leipzig University Hospitals received a four-part questionnaire (sociodemographic data, PHQ-D, self-designed fear and prevention habit questions) at the first consultation (T1) and subsequently after 3 (T2) and 6 (T3) months; healthy controls completed the questionnaire at T1. RESULTS 132 women with an abnormal Pap smear [with conization: S1 (n = 68, 51.5%), without intervention: S2 (n = 64, 48.5%)] and healthy controls (K, n = 101) generally adhered to gynecological checkups, except S1 6 months after the first diagnosis (S1/T3 - 0.47, signed rank p < 0.0005). Knowledge of primary prevention information, i.e., HPV vaccination, was significantly higher among K (K 58%, S1 29%, S2 44%, Chi-squared p = 0.01) as was vaccine uptake (K 39% versus S1/S2 7% and 17%, respectively, Chi-squared p = 0.0004). Fear of upcoming Pap smears rose significantly over time (S1/T1-S1/T2-S1/T3, Wilcoxon signed-rank test p < 0.001) and was higher among those with conization at T2 (Chi-square test, p = 0.01) and partially accompanied by panic disorders at T1 (Chi-square test p = 0.035). Realization of general preventive habits rose significantly among women without an operative procedure (S2) over the study. CONCLUSION This study advances the understanding of non-participation in follow-up visits after a dysplasia diagnosis, identifying post-conization women as a special risk group for decreased adherence.
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Affiliation(s)
- N Rippinger
- Department of Gynaecology and Obstetrics, University Hospital Heidelberg, Im Neuenheimer Feld 440, 69120, Heidelberg, Germany
| | - J Heinzler
- Department of Gynaecology and Obstetrics, University Hospital Heidelberg, Im Neuenheimer Feld 440, 69120, Heidelberg, Germany
| | - T Bruckner
- Institute of Medical Biometry and Informatics (IMBI), University Hospital Heidelberg, Heidelberg, Germany
| | - J Brucker
- Department of Gynaecology and Obstetrics, University Hospital Heidelberg, Im Neuenheimer Feld 440, 69120, Heidelberg, Germany
| | - C Dinkic
- Department of Gynaecology and Obstetrics, University Hospital Heidelberg, Im Neuenheimer Feld 440, 69120, Heidelberg, Germany
| | - J Hoffmann
- Department of Gynaecology and Obstetrics, Leipzig University Hospital, Leipzig, Germany
| | - N Dornhöfer
- Department of Gynaecology and Obstetrics, Leipzig University Hospital, Leipzig, Germany
| | - S Seitz
- Department of Gynaecology and Obstetrics, University Medical Center Regensburg, Regensburg, Germany
| | - J Rom
- Department of Gynaecology and Obstetrics, University Hospital Heidelberg, Im Neuenheimer Feld 440, 69120, Heidelberg, Germany
| | - C Sohn
- Department of Gynaecology and Obstetrics, University Hospital Heidelberg, Im Neuenheimer Feld 440, 69120, Heidelberg, Germany
| | - T C Schott
- Department of Orthodontics and Orofacial Orthopedics, University Hospital Tubingen, Tubingen, Germany
| | - Sarah Schott
- Department of Gynaecology and Obstetrics, University Hospital Heidelberg, Im Neuenheimer Feld 440, 69120, Heidelberg, Germany. .,German Cancer Consortium (DKTK), Heidelberg and German Cancer Research Centre (DKFZ), Heidelberg, Germany.
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Rippinger N, Haun MW, Fischer C, Rhiem K, Hübbel A, Grill S, Kiechle M, Cremer FW, Kast K, Nguyen HP, Ditsch N, Kratz P, Pfister S, Pajtler KW, Speiser D, Seitz S, Glimm H, Maatouk I, Hahne A, Sutter C, Schmutzler RK, Dikow N, Sohn C, Schott S. Prophylactic surgery among germline TP53 mutation carriers in Germany – a multicentric observational study. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671357] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- N Rippinger
- University Hospital Heidelberg, Department of Gynaecology and Obstetrics, Heidelberg, Deutschland
| | - MW Haun
- University Hospital Heidelberg, Department of General Internal Medicine and Psychosomatics, Heidelberg, Deutschland
| | - C Fischer
- University Hospital Heidelberg, Institute of Human Genetics, Heidelberg, Deutschland
| | - K Rhiem
- University Hospital of Cologne, Department of Gynaecology and Obstetrics, Cologne, Deutschland
| | - A Hübbel
- University Hospital of Cologne, Department of Gynaecology and Obstetrics, Cologne, Deutschland
| | - S Grill
- Klinikum rechts der Isar; Technical University of Munich, Department of Gynaecology and Centre for Hereditary Breast and Ovarian Cancer, Munich, Deutschland
| | - M Kiechle
- Klinikum rechts der Isar; Technical University of Munich, Department of Gynaecology and Centre for Hereditary Breast and Ovarian Cancer, Munich, Deutschland
| | - FW Cremer
- SYNLAB Centre for Human Genetics, Mannheim, Deutschland
| | - K Kast
- Medical Faculty and University Hospital Carl Gustav Carus, Technical University Dresden, Department of Gynaecology and Obstetrics, Dresden, Deutschland
- National Center for Tumor Diseases, Partner Site Dresden, Dresden, Deutschland
- German Cancer Consortium (DKTK) and German Cancer Research Center (DKFZ), Dresden, Deutschland
| | - HP Nguyen
- University Hospital of Tuebingen, Institute of Medical Genetics and Applied Genomics, Tuebingen, Deutschland
- University of Bochum, Department of Human Genetics, Bochum, Deutschland
| | - N Ditsch
- Ludwig-Maximilians University, University Hospital of Munich, Department of Gynaecology and Obstetrics, Munich, Deutschland
| | - P Kratz
- Hannover Medical School, Paediatric Haematology and Oncology, Hannover, Deutschland
| | - S Pfister
- Hopp Children's Cancer Centre at the NCT Heidelberg (KiTZ), Heidelberg, Deutschland
- German Cancer Consortium (DKTK) and German Cancer Research Center (DKFZ), Division of Paediatric Neurooncology, Heidelberg, Deutschland
- University Hospital Heidelberg, Department of Paediatric Oncology, Hematology and Immunology, Heidelberg, Deutschland
| | - KW Pajtler
- Hopp Children's Cancer Centre at the NCT Heidelberg (KiTZ), Heidelberg, Deutschland
- German Cancer Consortium (DKTK) and German Cancer Research Center (DKFZ), Division of Paediatric Neurooncology, Heidelberg, Deutschland
- University Hospital Heidelberg, Department of Paediatric Oncology, Hematology and Immunology, Heidelberg, Deutschland
| | - D Speiser
- University Hospital Charité Berlin, Department of Gynaecology and Obstetrics, Berlin, Deutschland
| | - S Seitz
- University Medical Centre Regensburg, Department of Gynaecology and Obstetrics, Regensburg, Deutschland
| | - H Glimm
- National Center for Tumor Diseases (NCT), Heidelberg, Deutschland
| | - I Maatouk
- University Hospital Heidelberg, Department of General Internal Medicine and Psychosomatics, Heidelberg, Deutschland
| | - A Hahne
- BRCA Network, Hannover, Deutschland
| | - C Sutter
- University Hospital Heidelberg, Department of Human Genetics, Heidelberg, Deutschland
| | - RK Schmutzler
- University Hospital of Cologne, Department of Gynaecology and Obstetrics, Cologne, Deutschland
| | - N Dikow
- University Hospital Heidelberg, Department of Human Genetics, Heidelberg, Deutschland
| | - C Sohn
- University Hospital Heidelberg, Department of Gynaecology and Obstetrics, Heidelberg, Deutschland
| | - S Schott
- University Hospital Heidelberg, Department of Gynaecology and Obstetrics, Heidelberg, Deutschland
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Lapert F, Schramm K, Hoffmann J, Eismann S, Rippinger N, Maatouk I, Rom J, Stepan H, Sohn C, Schott S. Notdienstkonsultationen in der Geburtsmedizin – Zeit für Telemedizin? Geburtshilfe Frauenheilkd 2017. [DOI: 10.1055/s-0037-1606166] [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] Open
Affiliation(s)
- F Lapert
- Universitätsfrauenklinik Heidelberg; Heidelberg
| | - K Schramm
- Universitätsfrauenklinik Heidelberg; Heidelberg
| | - J Hoffmann
- Abteilung für Geburtsmedizin, Universitätsklinikum Leipzig, Leipzig
| | - S Eismann
- Universitätsfrauenklinik Heidelberg; Heidelberg
| | - N Rippinger
- Universitätsfrauenklinik Heidelberg; Heidelberg
| | - I Maatouk
- Klinik für Allgemeine Innere Medizin & Psychosomatik Universitätsklinikum Heidelberg
| | - J Rom
- Universitätsfrauenklinik Heidelberg; Heidelberg
| | - H Stepan
- Abteilung für Geburtsmedizin, Universitätsklinikum Leipzig, Leipzig
| | - C Sohn
- Universitätsfrauenklinik Heidelberg; Heidelberg
| | - S Schott
- Universitätsfrauenklinik Heidelberg; Heidelberg
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Schramm K, Hoffmann J, Eismann S, Rippinger N, Stepan H, Sohn C, Schott S. Notdienstkonsultationen in der Geburtsmedizin – gibt es entscheidende oder beeinflussbare Faktoren? Geburtshilfe Frauenheilkd 2017. [DOI: 10.1055/s-0037-1601519] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Rippinger N, Elsässer M, Sinn P, Sohn C, Fluhr H. Lean Umbilical Cord - a Case Report. Geburtshilfe Frauenheilkd 2016; 76:1186-1188. [PMID: 27904169 DOI: 10.1055/s-0042-112812] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
Abstract
The "lean" umbilical cord (also known as thin-cord syndrome) is a comparatively rare anomaly of the umbilical cord, which has seldom been described in the medical literature. We report on a 35-year-old women who presented to us at 29 + 4 weeks gestation with vaginal bleeding and cervical incompetence subsequently complicated not only by premature rupture of membranes but also acute placental insufficiency requiring emergency caesarean section under general anaesthesia at 31 + 2 weeks gestation. At surgery no obvious cause for the acute placental insufficiency - such as placental abruption, cord prolapse or true knot of the umbilical cord - was found. Other possible causes such as vasa praevia or placenta praevia had previously been excluded sonographically on admission for vaginal bleeding. The only notable intraoperative finding was a macroscopically extremely thin umbilical cord.
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Affiliation(s)
- N Rippinger
- Universitäts-Frauenklinik, Frauenheilkunde und Geburtshilfe, Universitätsklinikum Heidelberg, Heidelberg, Germany
| | - M Elsässer
- Universitäts-Frauenklinik, Frauenheilkunde und Geburtshilfe, Universitätsklinikum Heidelberg, Heidelberg, Germany
| | - P Sinn
- Department of Pathology, University of Heidelberg, Heidelberg, Germany
| | - C Sohn
- Universitäts-Frauenklinik, Frauenheilkunde und Geburtshilfe, Universitätsklinikum Heidelberg, Heidelberg, Germany
| | - H Fluhr
- Universitäts-Frauenklinik, Frauenheilkunde und Geburtshilfe, Universitätsklinikum Heidelberg, Heidelberg, Germany
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Deutsch O, Rippinger N, Spiliopoulos K, Eichinger W, Gansera B. “Blame it on the comorbidities” A 5-year follow-up of 53 chronic dialysis-dependent patients who underwent cardiac surgery. Thorac Cardiovasc Surg 2014. [DOI: 10.1055/s-0034-1367293] [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: 10/25/2022]
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