1
|
Dupuy R, Filser J, Richter C, Buttersack T, Trinter F, Gholami S, Seidel R, Nicolas C, Bozek J, Egger D, Oberhofer H, Thürmer S, Hergenhahn U, Reuter K, Winter B, Bluhm H. Ångstrom-Depth Resolution with Chemical Specificity at the Liquid-Vapor Interface. Phys Rev Lett 2023; 130:156901. [PMID: 37115858 DOI: 10.1103/physrevlett.130.156901] [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] [Subscribe] [Scholar Register] [Received: 09/29/2022] [Accepted: 02/22/2023] [Indexed: 06/19/2023]
Abstract
The determination of depth profiles across interfaces is of primary importance in many scientific and technological areas. Photoemission spectroscopy is in principle well suited for this purpose, yet a quantitative implementation for investigations of liquid-vapor interfaces is hindered by the lack of understanding of electron-scattering processes in liquids. Previous studies have shown, however, that core-level photoelectron angular distributions (PADs) are altered by depth-dependent elastic electron scattering and can, thus, reveal information on the depth distribution of species across the interface. Here, we explore this concept further and show that the experimental anisotropy parameter characterizing the PAD scales linearly with the average distance of atoms along the surface normal obtained by molecular dynamics simulations. This behavior can be accounted for in the low-collision-number regime. We also show that results for different atomic species can be compared on the same length scale. We demonstrate that atoms separated by about 1 Å along the surface normal can be clearly distinguished with this method, achieving excellent depth resolution.
Collapse
Affiliation(s)
- R Dupuy
- Fritz-Haber-Institut der Max-Planck-Gesellschaft, Faradayweg 4-6, 14195 Berlin, Germany
- Sorbonne Université, CNRS, Laboratoire de Chimie Physique-Matière et Rayonnement, LCPMR, F-75005 Paris Cedex 05, France
| | - J Filser
- Fritz-Haber-Institut der Max-Planck-Gesellschaft, Faradayweg 4-6, 14195 Berlin, Germany
| | - C Richter
- Fritz-Haber-Institut der Max-Planck-Gesellschaft, Faradayweg 4-6, 14195 Berlin, Germany
| | - T Buttersack
- Fritz-Haber-Institut der Max-Planck-Gesellschaft, Faradayweg 4-6, 14195 Berlin, Germany
| | - F Trinter
- Fritz-Haber-Institut der Max-Planck-Gesellschaft, Faradayweg 4-6, 14195 Berlin, Germany
- Institut für Kernphysik, Goethe-Universität Frankfurt am Main, Max-von-Laue-Strasse 1, 60438 Frankfurt am Main, Germany
| | - S Gholami
- Fritz-Haber-Institut der Max-Planck-Gesellschaft, Faradayweg 4-6, 14195 Berlin, Germany
| | - R Seidel
- Helmholtz-Zentrum Berlin für Materialien und Energie, Albert-Einstein-Strasse 15, 12489 Berlin, Germany
| | - C Nicolas
- Synchrotron SOLEIL, L'Orme des Merisiers, Saint-Aubin-BP 48 91192, Gif-sur-Yvette Cedex, France
| | - J Bozek
- Synchrotron SOLEIL, L'Orme des Merisiers, Saint-Aubin-BP 48 91192, Gif-sur-Yvette Cedex, France
| | - D Egger
- Fritz-Haber-Institut der Max-Planck-Gesellschaft, Faradayweg 4-6, 14195 Berlin, Germany
| | - H Oberhofer
- Department of Physics, University of Bayreuth, 95440 Bayreuth, Germany
| | - S Thürmer
- Department of Chemistry, Graduate School of Science, Kyoto University, Kitashirakawa-Oiwakecho, Sakyo-Ku, Kyoto 606-8502, Japan
| | - U Hergenhahn
- Fritz-Haber-Institut der Max-Planck-Gesellschaft, Faradayweg 4-6, 14195 Berlin, Germany
| | - K Reuter
- Fritz-Haber-Institut der Max-Planck-Gesellschaft, Faradayweg 4-6, 14195 Berlin, Germany
| | - B Winter
- Fritz-Haber-Institut der Max-Planck-Gesellschaft, Faradayweg 4-6, 14195 Berlin, Germany
| | - H Bluhm
- Fritz-Haber-Institut der Max-Planck-Gesellschaft, Faradayweg 4-6, 14195 Berlin, Germany
| |
Collapse
|
2
|
Komarla R, Gilliland L, Piraner M, Seidel R, Clifford K, Kunjummen J. Imaging and pathologic features of non-calcified ductal carcinoma in situ: can sonography predict upgrade? Br J Radiol 2022; 95:20211013. [PMID: 34870448 PMCID: PMC8822564 DOI: 10.1259/bjr.20211013] [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: 02/03/2023] Open
Abstract
OBJECTIVE The purpose of this study was to evaluate the imaging and pathologic features and upgrade rate of non-calcified ductal carcinoma in situ (NCDCIS). The study tested the hypothesis that lesions with sonographic findings have higher upgrade rate compared to lesions seen on mammography or MRI only. METHODS This retrospective study included patients with ductal carcinoma in situ (DCIS) diagnosed by image-guided core breast biopsy from December 2009 to April 2018. Patients with microcalcifications on mammography or concurrent ipsilateral cancer on core biopsy were excluded. An upgrade was defined as surgical pathology showing microinvasive or invasive cancer. RESULTS A total of 71 lesions constituted the study cohort. 62% of cases (44/71) had a mammographic finding, and 38% (27/71) of mammographically occult lesions had findings on either ultrasound, MRI, or both. Of the 67 cases that underwent sonography, a mass was noted in 56/67 (83.6%) cases and no sonographic correlate was identified in 11/67 (16.4%) cases. 21% (15/71) of lesions were upgraded on final surgical pathology. The upgrade rate of patients with sonographic correlate was 27% (15/56) vs with mammographic findings only was 0% (0/11). CONCLUSION DCIS should be considered in the differential diagnosis of architectural distortion, asymmetries, focal asymmetries, and masses, even in the absence of microcalcifications. NCDCIS diagnosed by ultrasound may be an independent risk factor for upgrade. ADVANCES IN KNOWLEDGE Radiologists must be aware of imaging features of DCIS and consider increased upgrade rate when NCDCIS is diagnosed by ultrasound.
Collapse
Affiliation(s)
- Rohini Komarla
- Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia
| | - Lawrence Gilliland
- Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia
| | - Maria Piraner
- Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia
| | - Rebecca Seidel
- Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia
| | - Kelly Clifford
- Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia
| | - Jean Kunjummen
- Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia
| |
Collapse
|
3
|
Miller-Kleinhenz JM, Collin LJ, Seidel R, Reddy A, Nash R, Switchenko JM, McCullough LE. Racial Disparities in Diagnostic Delay Among Women With Breast Cancer. J Am Coll Radiol 2021; 18:1384-1393. [PMID: 34280379 DOI: 10.1016/j.jacr.2021.06.019] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [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: 03/22/2021] [Revised: 06/16/2021] [Accepted: 06/22/2021] [Indexed: 10/20/2022]
Abstract
PURPOSE Early diagnosis is fundamental to reducing breast cancer (BC) mortality, and understanding potential barriers from initial screening to confirmed diagnosis is essential. The aim of this study was to evaluate patient characteristics that contribute to delay in diagnosis of screen-detected cancers and the contribution of delay to tumor characteristics and BC mortality. METHODS Three hundred sixty-two White and 368 Black women were identified who were screened and received subsequent BC diagnoses within Emory Healthcare, a part of Emory University health care system (2010-2014). Multivariable-adjusted logistic regression was used to calculate the odds ratios (ORs) and 95% confidence intervals (CIs) associating patient characteristics with delay to diagnostic evaluation (≥30 versus <30 days), delay to biopsy (≥15 versus <15 days), and total delay (≥45 versus <45 days). Additionally, the ORs and 95% CIs associating delay with tumor characteristics and BC mortality were computed. RESULTS Black women and women diagnosed at later stages, with larger tumor sizes, and with triple-negative tumors were more likely to experience ≥45 days to diagnosis. In multivariable-adjusted models, Black women had at least a two-fold increase in the odds of delay to diagnostic evaluation (OR, 1.98; 95% CI, 1.45-2.71), biopsy delays (OR, 2.41; 95% CI, 1.67-3.41), and total delays ≥45 days (OR, 2.22; 95% CI, 1.63-3.02) compared with White women. A 1.6-fold increased odds of BC mortality was observed among women who experienced total delays ≥45 days compared with women without delays in diagnosis (OR, 1.57, 95% CI, 0.96-2.58). CONCLUSIONS The study demonstrated racial disparities in delays in the diagnostic process for screen-detected malignancies. Total delay in diagnosis was associated with an increase in BC mortality.
Collapse
Affiliation(s)
| | - Lindsay J Collin
- Huntsman Cancer Institute, Department of Population Health Sciences, University of Utah, Salt Lake City, Utah
| | - Rebecca Seidel
- Department of Radiology and Imaging Services, Emory University School of Medicine, Atlanta, Georgia
| | - Arthi Reddy
- Department of Epidemiology, Emory University Rollins School of Public Health, Atlanta, Georgia
| | - Rebecca Nash
- Department of Epidemiology, Emory University Rollins School of Public Health, Atlanta, Georgia
| | - Jeffrey M Switchenko
- Department of Biostatistics and Bioinformatics, Rollins School of Public Health of Emory University, Atlanta, Georgia
| | - Lauren E McCullough
- Department of Epidemiology, Emory University Rollins School of Public Health, Atlanta, Georgia
| |
Collapse
|
4
|
Pfister G, Bernnat W, Seidel R, Schatz AK, Wagner FM, Waschkowski W, Schraube H. Design of an irradiation facility with thermal, epithermal and fast neutron beams / Auslegung einer Bestrahlungsanlage für thermische, epithermische und schnelle Neutronen. KERNTECHNIK 2021. [DOI: 10.1515/kern-1992-570418] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
|
5
|
Seidel R, Barbakow E. [Surgical treatment of proximal femoral fractures in high-risk geriatric patients under peripheral regional anesthesia : A clinical case series]. Anaesthesist 2019; 68:108-114. [PMID: 30721327 DOI: 10.1007/s00101-019-0537-7] [Citation(s) in RCA: 5] [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] [Received: 11/15/2018] [Revised: 12/23/2018] [Accepted: 12/24/2018] [Indexed: 11/30/2022]
Abstract
The authors describe in a clinical case series (n = 7) of older (age 78-95 years) high-risk patients the successful surgical treatment of proximal femoral fractures in a peripheral regional anesthesia technique. After positioning on the non-fractured side, a double injection technique (dual guidance concept: sonography plus nerve stimulation) was chosen. The injections were performed parasacrally (blockade of the sacral plexus under the piriformis muscle) and lumbar-paravertebrally (psoas compartment block and transmuscular quadratus lumborum block). Per block 15 ml ropivacaine 0.5% or 20 ml ropivacaine 0.375% was administered. The total dose of 225 mg ropivacaine was never exceeded. In 5 out of 7 cases a supplemental medication with 2 times 5 μg sufentanil (n = 2) and/or 1-1.5 mg/kg body weight and h propofol (n = 4) was administered with spontaneous breathing. In addition to potential benefits, the authors also discuss limitations of the procedure, for example by the use of oral anticoagulants.
Collapse
Affiliation(s)
- R Seidel
- Klinik für Anästhesiologie, HELIOS-Kliniken Schwerin, Wismarsche Straße 393-7, 19049, Schwerin, Deutschland.
| | - E Barbakow
- Klinik für Anästhesiologie, HELIOS-Kliniken Schwerin, Wismarsche Straße 393-7, 19049, Schwerin, Deutschland
| |
Collapse
|
6
|
Seidel R, Gray AT, Wree A, Schulze M. Surgery of the axilla with combined brachial plexus and intercostobrachial nerve block in the subpectoral intercostal plane. Br J Anaesth 2018; 118:472-474. [PMID: 28203727 DOI: 10.1093/bja/aex009] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [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
|
7
|
Seidel R, Zukowski K, Wree A, Schulze M. Ultrasound-guided intermediate cervical plexus and additional peripheral facial nerve block for carotid endarterectomy. Anaesthesist 2018; 67:907-913. [DOI: 10.1007/s00101-018-0493-7] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2018] [Revised: 07/25/2018] [Accepted: 09/03/2018] [Indexed: 10/28/2022]
|
8
|
Jayasankar A, Seidel R, Naumann J, Guiducci L, Hosny A, Fratzl P, Weaver J, Dunlop J, Dean M. Mechanical behavior of idealized, stingray-skeleton-inspired tiled composites as a function of geometry and material properties. J Mech Behav Biomed Mater 2017; 73:86-101. [DOI: 10.1016/j.jmbbm.2017.02.028] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2016] [Revised: 02/10/2017] [Accepted: 02/25/2017] [Indexed: 11/15/2022]
|
9
|
Seidel R, Maßmann A, Fries P, Mehrmann M, Bücker A. Lokale Tumorkontrolle des HCC nach transarterieller Lipiodolembolisation gefolgt von einer Mikrowellenablation. ROFO-FORTSCHR RONTG 2017. [DOI: 10.1055/s-0037-1600299] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- R Seidel
- Uniklinik Saarland, Klinik für diagnostische uns interventionelle Radiologie, Homburg
| | - A Maßmann
- Uniklinik Saarland, Klinik für diagnostische uns interventionelle Radiologie, Homburg
| | - P Fries
- Uniklinik Saarland, Klinik für diagnostische uns interventionelle Radiologie, Homburg
| | - M Mehrmann
- Uniklinik Saarland, Klinik für diagnostische uns interventionelle Radiologie, Homburg
| | - A Bücker
- Uniklinik Saarland, Klinik für diagnostische uns interventionelle Radiologie, Homburg
| |
Collapse
|
10
|
Kremp K, Seidel R, Pfeifer J, Abdul-Khaliq H, Krenn T, Altmeyer K, Bücker A, Fries P. Evaluation der Strahlenexposition thorakaler CT-Untersuchungen im Kindesalter unter Verwendung eines Dual-Source CT der 3. Generation. ROFO-FORTSCHR RONTG 2017. [DOI: 10.1055/s-0037-1600308] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- K Kremp
- Universitätsklinikum des Saarlandes, Klinik für Diagnostische und Interventionelle Radiologie, Homburg
| | - R Seidel
- Universitätsklinikum des Saarlandes, Klinik für Diagnostische und Interventionelle Radiologie, Homburg
| | - J Pfeifer
- Universitätsklinikum des Saarlandes, Klinik für Kinderkardiologie, Homburg
| | - H Abdul-Khaliq
- Universitätsklinikum des Saarlandes, Klinik für Kinderkardiologie, Homburg
| | - T Krenn
- Universitätsklinikum des Saarlandes, Klinik für pädiatrische Onkologie und Hämatologie, Homburg
| | - K Altmeyer
- Universitätsklinikum des Saarlandes, Klinik für Diagnostische und Interventionelle Radiologie, Homburg
| | - A Bücker
- Universitätsklinikum des Saarlandes, Klinik für Diagnostische und Interventionelle Radiologie, Homburg
| | - P Fries
- Universitätsklinikum des Saarlandes, Klinik für Diagnostische und Interventionelle Radiologie, Homburg
| |
Collapse
|
11
|
Fries P, Legler K, Dabew R, Altmeyer K, Seidel R, Scheller B, Stroeder J, Bücker A. Analyse der Strahlenexposition unterschiedlicher CT-Angiografieprotokolle für die TAVI-Planung. ROFO-FORTSCHR RONTG 2017. [DOI: 10.1055/s-0037-1600233] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- P Fries
- Universitätsklinikum des Saarlandes, Klinik für Diagnostische und Interventionelle Radiologie, Homburg
| | - K Legler
- Universitätsklinikum des Saarlandes, Klinik für Diagnostische und Interventionelle Radiologie, Homburg
| | - R Dabew
- Universitätsklinikum des Saarlandes, Klinik für Diagnostische und Interventionelle Radiologie, Homburg
| | - K Altmeyer
- Universitätsklinikum des Saarlandes, Klinik für Diagnostische und Interventionelle Radiologie, Homburg
| | - R Seidel
- Universitätsklinikum des Saarlandes, Klinik für Diagnostische und Interventionelle Radiologie, Homburg
| | - B Scheller
- Universitätsklinikum des Saarlandes, Klinik für Innere Medizin III – Kardiologie, Angiologie und internistische Intensivmedizin, Homburg
| | - J Stroeder
- Universitätsklinikum des Saarlandes, Klinik für Diagnostische und Interventionelle Radiologie, Homburg
| | - A Bücker
- Universitätsklinikum des Saarlandes, Klinik für Diagnostische und Interventionelle Radiologie, Homburg
| |
Collapse
|
12
|
Sommer C, Pallwein-Prettner L, Vollherbst D, Seidel R, Rieder C, Radeleff B, Kauczor H, Wacker F, Richter G, Bücker A, Rodt T, Massmann A, Pereira P. Transarterial embolization (TAE) as add-on to percutaneous radiofrequency ablation (RFA) for the treatment of renal tumors: Review of the literature, overview of state-of-the-art embolization materials and further perspective of advanced image-guided tumor ablation. Eur J Radiol 2017; 86:143-162. [DOI: 10.1016/j.ejrad.2016.10.024] [Citation(s) in RCA: 13] [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: 08/18/2016] [Revised: 10/17/2016] [Accepted: 10/21/2016] [Indexed: 02/08/2023]
|
13
|
Abstract
Ribonucleoprotein (RNP) complexes from CRISPR-Cas systems have attracted enormous interest since they can be easily and flexibly reprogrammed to target any desired locus for genome engineering and gene regulation applications. Basis for the programmability is a short RNA (crRNA) inside these complexes that recognizes the target nucleic acid by base pairing. For CRISPR-Cas systems that target double-stranded DNA this results in local DNA unwinding and formation of a so-called R-loop structure. Here we provide an overview how this target recognition mechanism can be dissected in great detail at the level of a single molecule. Specifically, we demonstrate how magnetic tweezers are applied to measure the local DNA unwinding at the target in real time. To this end we introduce the technique and the measurement principle. By studying modifications of the consensus target sequence, we show how different sequence elements contribute to the target recognition mechanism. From these data, a unified target recognition mechanism can be concluded for the RNPs Cascade and Cas9 from types I and II CRISPR-Cas systems. R-loop formation is hereby initiated on the target at an upstream element, called protospacer adjacent motif (PAM), from which the R-loop structure zips directionally toward the PAM-distal end of the target. At mismatch positions, the R-loop propagation stalls and further propagation competes with collapse of the structure. Upon full R-loop zipping conformational changes within the RNPs trigger degradation of the DNA target. This represents a shared labor mechanism in which zipping between nucleic acid strands is the actual target recognition mechanism while sensing of the R-loop arrival at the PAM-distal end just verifies the success of the full zipping.
Collapse
Affiliation(s)
- M Rutkauskas
- Molecular Biophysics Group, Institute for Experimental Physics I, Universität Leipzig, Leipzig, Germany
| | - A Krivoy
- Molecular Biophysics Group, Institute for Experimental Physics I, Universität Leipzig, Leipzig, Germany; Skolkovo Institute of Science and Technology, Skolkovo, Russia
| | - M D Szczelkun
- DNA-Protein Interactions Unit, School of Biochemistry, University of Bristol, Bristol, United Kingdom
| | - C Rouillon
- Molecular Biophysics Group, Institute for Experimental Physics I, Universität Leipzig, Leipzig, Germany.
| | - R Seidel
- Molecular Biophysics Group, Institute for Experimental Physics I, Universität Leipzig, Leipzig, Germany.
| |
Collapse
|
14
|
Seidel R, Maßmann A, Fries P, Schneider G, Bücker A. Lokales Tumoransprechen bei Patienten mit HCC nach transarterieller Lipiodolembolisation gefolgt von einer Mikrowellenablation. ROFO-FORTSCHR RONTG 2016. [DOI: 10.1055/s-0036-1581526] [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: 10/22/2022]
|
15
|
Fries P, Morr D, Müller A, Lux F, Tillement O, Massmann A, Seidel R, Schäfer T, Menger M, Schneider G, Bücker A. Evaluation of a Gadolinium-Based Nanoparticle (AGuIX) for Contrast-Enhanced MRI of the Liver in a Rat Model of Hepatic Colorectal Cancer Metastases at 9.4 Tesla. ROFO-FORTSCHR RONTG 2015; 187:1108-15. [DOI: 10.1055/s-0035-1553500] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [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]
Affiliation(s)
- P. Fries
- Clinic of Diagnostic and Interventional Radiology, Saarland University Medical Center, Homburg, Germany
| | - D. Morr
- Clinic of Diagnostic and Interventional Radiology, Saarland University Medical Center, Homburg, Germany
| | - A. Müller
- Clinic of Diagnostic and Interventional Radiology, Saarland University Medical Center, Homburg, Germany
| | - F. Lux
- Laboratoire de Physico-Chimie des Matériaux Luminescents, Université Claude Bernard, Lyon, France
| | - O. Tillement
- Laboratoire de Physico-Chimie des Matériaux Luminescents, Université Claude Bernard, Lyon, France
| | - A. Massmann
- Clinic of Diagnostic and Interventional Radiology, Saarland University Medical Center, Homburg, Germany
| | - R. Seidel
- Clinic of Diagnostic and Interventional Radiology, Saarland University Medical Center, Homburg, Germany
| | - T. Schäfer
- Department of General, Visceral and Pediatric Surgery, Saarland University Medical Center, Homburg, Germany
| | - M. Menger
- Institute for Clinical and Experimental Surgery, Saarland University Medical Center, Homburg, Germany
| | - G. Schneider
- Clinic of Diagnostic and Interventional Radiology, Saarland University Medical Center, Homburg, Germany
| | - A. Bücker
- Clinic of Diagnostic and Interventional Radiology, Saarland University Medical Center, Homburg, Germany
| |
Collapse
|
16
|
Seidel R, Schulze M, Zukowski K, Wree A. [Ultrasound-guided intermediate cervical plexus block. Anatomical study]. Anaesthesist 2015; 64:446-50. [PMID: 26013020 DOI: 10.1007/s00101-015-0018-6] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2015] [Revised: 02/28/2015] [Accepted: 03/02/2015] [Indexed: 01/27/2023]
Abstract
BACKGROUND AND OBJECTIVES The innervation of the human cervical region is complex and subject to relevant anatomical variability involving sections of the cervical plexus, brachial plexus and cranial nerves. AIM The objective was to demonstrate the dissemination of injected dye solution by anatomical preparation and to define a suitable target compartment for an ultrasound-guided block technique. MATERIAL AND METHODS Own anatomical preparations are compared to recent review articles on the subject. The focus is on clinically relevant conclusions for performing cervical plexus blocks. In three non-embalmed cadavers six intermediate ultrasound-guided blocks of the cervical plexus were carried out, each with 20 ml methylene blue. Following preparation of the cervical plexus photographic documentation of the spread of the injected marker was performed. RESULTS In five cases the target compartment was correctly identified. In these cases, a cranio-caudal spread of the injectate within the double layer of the cervical fascia was observed. In addition, the superficial layer was permeable to the injected methylene blue. The injection solution disseminated with the sensitive terminal branches of the cervical plexus below the platysma. In all cases an anastomosis (superficial cervical ansa) between the facial nerve (ramus colli) and the cervical plexus (transverse cervical nerve) could be demonstrated. The prevertebral lamina proved to be impermeable to injected methylene blue and no evidence of a porous structure of the prevertebral lamina was found. CONCLUSION The compartment between the superficial and the prevertebral layer of the cervical fascia is a suitable target for cervical plexus blocks. This injection site describes an intermediate cervical plexus block. As the compartment contains the sensory terminal branches of the spinal nerves C2-4, it may be referred to as C2-C4 compartment. The cranio-caudal spread of the injectate allows lateromedial needle guidance in the horizontal plane. As the superficial lamina is not a barrier to the injectate an additional subcutaneous infiltration of the nerve area appears dispensable. The prevertebral lamina proved to be impermeable to injected methylene blue. Whether phrenic nerve blocks are preventable with more distal intermediate cervical plexus blocks (selective block of the supraclavicular nerves, e.g. for surgery of the clavicle) must be investigated in clinical trials. The permanent anastomosis (superficial cervical ansa) between the cervical plexus and the ramus colli of the facial nerve provides an anatomically reasonable explanation for inadequate cervical plexus blocks.
Collapse
Affiliation(s)
- R Seidel
- Klinik für Anästhesiologie und Intensivmedizin, HELIOS-Kliniken Schwerin, Wismarsche Str. 393-397, 19049, Schwerin, Deutschland,
| | | | | | | |
Collapse
|
17
|
Schmitz D, Dabew R, Seidel R, Bücker A. Einfluss eines kommerziell erhältlichen Algorithmus zur Metallartefaktreduktion auf die Bildrekonstruktion in der CT: Retrospektive Evaluation an einem Patientengut mit Metallimplantaten. ROFO-FORTSCHR RONTG 2015. [DOI: 10.1055/s-0035-1550787] [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: 10/23/2022]
|
18
|
Fries P, Stroeder J, Müller A, Mafoud F, Hohl M, Linz D, Maßmann A, Seidel R, Schneider G, Bücker A. Evaluation der Aortendistensibilität in Ratten mit Atherosklerose mittels hochaufgelöster Black-Blood Cine Sequenzen bei 9,4 Tesla. ROFO-FORTSCHR RONTG 2015. [DOI: 10.1055/s-0035-1550845] [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: 10/23/2022]
|
19
|
Risendal B, Dwyer A, Seidel R, Lorig K, Katzenmeyer C, Coombs L, Kellar-Guenther Y, Warren L, Franco A, Ory M. Adaptation of the chronic disease self-management program for cancer survivors: feasibility, acceptability, and lessons for implementation. J Cancer Educ 2014; 29:762-771. [PMID: 24903138 DOI: 10.1007/s13187-014-0652-8] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
Self-management in chronic disease has been shown to improve patient-reported and health care-related outcomes. However, relatively little information about its utility in cancer survivorship is known. We evaluated the feasibility and acceptability of the delivery of an adaptation of the evidence-based Chronic Disease Self-management Program (Stanford) called Cancer Thriving and Surviving (CTS). Triangulated mixed methods were used to capture baseline characteristics and post-program experiences using a combination of closed- and open-ended survey items; emergent coding and simple descriptive statistics were used to summarize the data. Twenty-seven workshops were delivered by 22 CTS leaders to 244 participants between August 2011 and January 2013 in a variety of settings (48 % community, 30 % health care, 22 % regional/community cancer center). Representing a variety of cancer types, about half the participants were 1-3 years post-diagnosis and 45 % were 4 or more years from diagnosis. Program attendance was high with 84 % of participants attending four or more of the six sessions in the workshop. Overall, 95 % of the participants were satisfied with the program content and leaders, and would recommend the program to friends and family. These results confirm the feasibility and acceptability of delivery of a high-fidelity, peer-led model for self-management support for cancer survivors. Expansion of the CTS represents a powerful tool toward improving health-related outcomes in this at-risk population.
Collapse
Affiliation(s)
- B Risendal
- Community and Behavioral Health, Colorado School of Public Health, University of Colorado Cancer Center, 13001 E. 17th Street, MS F538, Aurora, CO, 80045, USA,
| | | | | | | | | | | | | | | | | | | |
Collapse
|
20
|
Fusaro M, Giannini S, Miozzo D, Noale M, Tripepi G, Plebani M, Zaninotto M, Piccoli A, Vilei MT, Cristofaro R, Gallieni M, Hamamoto K, Inaba M, Okuno S, Imanishi Y, Ishimura E, Yamakawa T, Shoji S, Rothe HM, Eller P, Mayer G, Ketteler M, Kramar R, Shaheen F, Al Rukhaimi M, Alsahow A, Al-Ali F, Al Salmi I, Al Ghareeb S, Wang M, Bieber B, Robinson BM, Pisoni RL, Waniewski J, Debowska M, Wojcik-Zaluska A, Ksiazek A, Zaluska W, De Broe ME, Wilson RJ, Copley JB, Hiramtasu R, Ubara Y, Hoshino J, Takaichi K, Ghalli FG, Ghalli FG, Ibakkanavar R, Chess J, Roberts G, Riley S, Oliveira ASA, Carvalho CJB, Oliveira CBL, Pessoa CTBC, Leao RAS, Gueiros JEB, Gueiros APS, Okano K, Tsuruta Y, Hibi A, Tsukada M, Miwa N, Kimata N, Tsuchiya K, Akiba T, Nitta K, Mizobuchi M, Ogata H, Hosaka N, Sanada D, Arai N, Koiwa F, Kinugasa E, Shibata T, Akizawa T, Delanaye P, Krzesinski JM, Warling X, Moonen M, Smelten N, Medart L, Pottel H, Cavalier E, Delanaye P, Souberbielle JC, Gadisseur R, Dubois BE, Krzesinski JM, Cavalier E, Matias P, Jorge C, Mendes M, Azevedo A, Navarro D, Ferreira C, Amaral T, Aires I, Gil C, Ferreira A, Kikuchi H, Shimada H, Karasawa R, Suzuki M, An WS, Lee SM, Oh YJ, Son YK, De Paola L, Lombardi G, Panzino MT, Lombardi L, Reichel H, Hahn KM, Kohnle M, Guggenberger C, Delanna F, Sasaki N, Tsunoda M, Ikee R, Hashimoto N, Sola L, Leyun MN, Diaz JC, Sehabiague C, Gonzalez S, Alallon W, Bourbeau K, Lajoie C, Macway F, Fujii T, Suzuki S, Shinozaki M, Tanaka H, Klingele M, Seiler S, Poppleton A, Lepper P, Fliser D, Seidel R, Lun L, Liu D, Li X, Wei X, Miao J, Gao Z, Hu R, De Paola L, Lombardi G, Panzino MT, Lombardi L, Gros B, Galan A, Gonzalez-Parra E, Herrero JA, Echave M, Vegter S, Tolley K, Oyaguez I, Gutzwiller FS, Braunhofer PG, Szucs TD, Schwenkglenks M, Yilmaz VT, Ozdem S, Donmez L, Kocak H, Dinckan A, Cetinkaya R, Suleymanlar G, Ersoy FF. DIALYSIS BONE DISEASE. Nephrol Dial Transplant 2014. [DOI: 10.1093/ndt/gfu157] [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: 11/13/2022] Open
|
21
|
Fries P, Morr D, Müller A, Maßmann A, Seidel R, Robert P, Schneider G, Bücker A. Kontrasteigenschaften des experimentellen makromolekularen Gd-Komplexes P846 im Vergleich zu Gd-DTPA in experimentellen Lebertumoren bei 9,4 Tesla. ROFO-FORTSCHR RONTG 2014. [DOI: 10.1055/s-0034-1372772] [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]
|
22
|
Seidel R. [Werner Leibbrand as psychiatric opponent of National Socialism]. Nervenarzt 2013; 84:1043-1048. [PMID: 23942580 DOI: 10.1007/s00115-012-3648-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
The psychiatrist and medical historian Werner Leibbrand resigned from the Berlin Medical Association after the seizure of power in protest against the exclusion of Jewish colleagues and lost both the license to practice as well as his professional position in the public health service. After the end of the war the American military authorities appointed him as expert witness for the prosecution in the Nürnberg Doctors Trial. In addition to a biographical review, Leibbrand's resolute although still undisputed attitude as ethical expert in the trials will be roughly outlined.
Collapse
|
23
|
Seidel R, Thielen M, Schmitt C, Bührig-Polaczek A, Fleck C, Speck T. Fruit walls and nut shells as an inspiration for the design of bio-inspired impact-resistant hierarchically structured materials. ACTA ACUST UNITED AC 2013. [DOI: 10.2495/dne-v8-n2-172-179] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
|
24
|
Thielen M, Schmitt CNZ, Eckert S, Speck T, Seidel R. Structure-function relationship of the foam-like pomelo peel (Citrus maxima)-an inspiration for the development of biomimetic damping materials with high energy dissipation. Bioinspir Biomim 2013; 8:025001. [PMID: 23648799 DOI: 10.1088/1748-3182/8/2/025001] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
Abstract
The mechanical properties of artificial foams are mainly determined by the choice of bulk materials and relative density. In natural foams, in contrast, variation to optimize properties is achieved by structural optimization rather than by conscious substitution of bulk materials. Pomelos (Citrus maxima) have a thick foam-like peel which is capable of dissipating considerable amounts of kinetic energy and thus this fruit represents an ideal role model for the development of biomimetic impact damping structures. This paper focuses on the analysis of the biomechanics of the pomelo peel and on its structure-function relationship. It deals with the determination of the onset strain of densification of this foam-like tissue and on how this property is influenced by the arrangement of vascular bundles. It was found here that the vascular bundles branch in a very regular manner-every 16.5% of the radial peel thickness-and that the surrounding peel tissue (pericarp) attains its exceptional thickness mainly by the expansion of existing interconnected cells causing an increasing volume of the intercellular space, rather than by cell division. These findings lead to the discussion of the pomelo peel as an inspiration for fibre-reinforced cast metallic foams with the capacity for excellent energy dissipation.
Collapse
Affiliation(s)
- M Thielen
- Plant Biomechanics Group Freiburg, Botanic Garden, Faculty of Biology, University of Freiburg, Freiburg, Germany.
| | | | | | | | | |
Collapse
|
25
|
Fries P, Morr D, Müller A, Lux F, Tillement O, Massmann A, Schneider G, Seidel R, Bücker A. Kontrasteigenschaften eines Gd-markierten Nanopartikels in Ratten mit experimentell induzierten Lebertumoren in der MRT bei 9,4 Tesla. ROFO-FORTSCHR RONTG 2013. [DOI: 10.1055/s-0033-1346215] [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: 10/26/2022]
|
26
|
Abstract
This article reports the successful use of C1 esterase inhibitor in the treatment of capillary leak syndrome. The coincidence of exposure to latex during surgery and medication with ramipril led to prolonged shock complicated by secondary hyperfibrinolysis, capillary leak syndrome and multiple organ failure. Initial treatment according to relevant guidelines failed to stabilize the condition. Treatment was only successful after administration of 1,500 IU of human C1 esterase inhibitor.
Collapse
Affiliation(s)
- R Seidel
- Klinik für Anästhesiologie und Intensivmedizin, HELIOS-Kliniken Schwerin, Schwerin, Deutschland.
| |
Collapse
|
27
|
Massmann A, Katoh M, Kunihara T, Seidel R, Fries P, Schneider G, Schäfers HJ, Bücker A. Implantation nicht-ummantelter Stents bei akuter/subakuter komplizierter Typ-B Aortendissektion. ROFO-FORTSCHR RONTG 2012. [DOI: 10.1055/s-0032-1311016] [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: 10/28/2022]
|
28
|
Fries P, Matthes K, Müller A, Denda G, Massmann A, Sperling J, Schneider G, Bücker A, Seidel R. Vergleich zwischen externem Gating und retrospektivem Selbstgating zur Akquisition T1-gewichteter FLASH Sequenzen bei der dynamischen kontrastmittelverstärkten MRT der Leber an Ratten bei 9.4 Tesla. ROFO-FORTSCHR RONTG 2012. [DOI: 10.1055/s-0032-1311067] [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: 10/28/2022]
|
29
|
Fries P, Reil J, Müller A, Seidel R, Altmeyer K, Maßmann A, Bücker A, Schneider G. Evaluation der Herzfunktion und der Aortendistensibilität an normalen Wildtyp-Mäusen und Mäusen mit Diabetes mittels MRT bei 9,4 Tesla. ROFO-FORTSCHR RONTG 2011. [DOI: 10.1055/s-0031-1279242] [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]
|
30
|
Zimmer V, Juengling B, Grobholz R, Farmakis G, Seidel R, Raedle J, Lammert F. Education and Imaging. Gastrointestinal: large antro-duodenal ulcers following hepatic selective internal radiotherapy. J Gastroenterol Hepatol 2010; 25:1710. [PMID: 20928947 DOI: 10.1111/j.1440-1746.2010.06467.x] [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: 12/09/2022]
Affiliation(s)
- V Zimmer
- Department of Medicine, Saarland University Hospital, Homburg, Germany
| | | | | | | | | | | | | |
Collapse
|
31
|
Ivanova B, Kolev T, Lamshöft M, Mayer-Figge H, Seidel R, Sheldrick W, Spiteller M. Structural, spectroscopic and theoretical study of novel ephedrinum salt. J Mol Struct 2010. [DOI: 10.1016/j.molstruc.2010.02.039] [Citation(s) in RCA: 5] [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: 11/30/2022]
|
32
|
Fries P, Seidel R, Maßmann A, Schneider G, Weskott HP, Bücker A, Kubale R. Anomalien der splenoportalen Achse –Übersicht typischer Befund in der Sonographie, CT und MRT. ROFO-FORTSCHR RONTG 2010. [DOI: 10.1055/s-0030-1253068] [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: 10/19/2022]
|
33
|
Seidel R, Dabew R, Fries P, Bücker A, Schneider G. Evaluierung dilatierter Gallengangsstrukturen nach Applikation des hepatobiliären Kontrastmittels Gd-BOPTA. ROFO-FORTSCHR RONTG 2010. [DOI: 10.1055/s-0030-1252771] [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: 10/19/2022]
|
34
|
Abstract
AbstractThe 1999 severe crop season drought in the northeastern US was followed by hurricane-driven torrential rains in September, offering a unique opportunity to observe how managed and natural systems respond to climate-related stress. The Rodale Institute Farming Systems Trial has been operating since 1981 and consists of three replicated cropping systems, one organic manure based (MNR), one organic legume based (LEG) and a conventional system (CNV). The MNR system consists of a 5-year maize–soybean–wheat–clover/hay rotation, the LEG of a 3-year maize–soybean–wheat–green manure, and the CNV of a 5-year maize-soybean rotation. Subsoil lysimeters allowed quantification of percolated water in each system. Average maize and soybean yields were similar in all three systems over the post-transition years (1985–1998). Five drought years occurred between 1984 and 1998 and in four of them the organic maize outyielded the CNV by significant margins. In 1999 all crop systems suffered severe yield depressions; however, there were substantial yield differences between systems. Organic maize yielded 38% and 137% relative to CNV in the LEG and MNR treatments, respectively, and 196% and 152% relative to CNV in the soybean plots. The primary mechanism of the higher yield of the MNR and LEG is proposed to be the higher water-holding capacity of the soils in those treatments, while the lower yield of the LEG maize was due to weed competition in that particular year and treatment. Soils in the organic plots captured more water and retained more of it in the crop root zone than in the CNV treatment. Water capture in the organic plots was approximately 100% higher than in CNV plots during September's torrential rains.
Collapse
|
35
|
Bieler F, Ott C, Thompson M, Seidel R, Ahrens S, Epari D, Wilkening U, Schaser K, Mundlos S, Duda G. Biaxial cell stimulation: A mechanical validation. J Biomech 2009; 42:1692-6. [DOI: 10.1016/j.jbiomech.2009.04.013] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2008] [Revised: 04/12/2009] [Accepted: 04/15/2009] [Indexed: 10/20/2022]
|
36
|
Fries P, Ziegler K, Bücker A, Seidel R, Schneider G. Differenzialdiagnose renaler Raumforderungen in der MRT. ROFO-FORTSCHR RONTG 2009. [DOI: 10.1055/s-0029-1221793] [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]
|
37
|
Fries P, Wirth M, Seidel R, Bücker A, Schneider G. Differenzialdiagnose ovarieller Raumforderungen in der MRT. ROFO-FORTSCHR RONTG 2009. [DOI: 10.1055/s-0029-1221794] [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]
|
38
|
Seidel R, Dabew ER, Zwick C, Wirth M, Bücker A. Evaluierung der HRCT bei immunsuppremierten Patienten mit Verdacht auf pulmonale Pilzinfektion. ROFO-FORTSCHR RONTG 2009. [DOI: 10.1055/s-0029-1221587] [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]
|
39
|
Agar M, Currow D, Plummer J, Seidel R, Carnahan R, Abernethy AP. Changes in anticholinergic load from regular prescribed medications in palliative care as death approaches. Palliat Med 2009; 23:257-65. [PMID: 19318461 DOI: 10.1177/0269216309102528] [Citation(s) in RCA: 60] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Although there is an understandable emphasis on the side effects of individual medications, the cumulative effects of medications have received little attention in palliative care prescribing. Anticholinergic load reflects a cumulative effect of medications that may account for several symptoms and adverse health outcomes frequently encountered in palliative care. A secondary analysis of 304 participants in a randomised controlled trial had their cholinergic load calculated using the Clinician-Rated Anticholinergic Scale (modified version) longitudinally as death approached from medication data collected prospectively by study nurses on each visit. Mean time from referral to death was 107 days, and mean 4.8 visits were conducted in which data were collected. Relationships to key factors were explored. Data showed that anticholinergic load rose as death approached because of increasing use of medications for symptom control. Symptoms significantly associated with increasing anticholinergic load included dry mouth and difficulty concentrating (P < 0.05). There were also significant associations with increasing anticholinergic load and decreasing functional status (Australia-modified Karnofsky Performance Scale; and quality of life (P < 0.05). This study has documented in detail the longitudinal anticholinergic load associated with medications used in a palliative care population between referral and death, demonstrating the biggest contributor to anticholinergic load in a palliative care population is from symptom-specific medications, which increased as death approached.
Collapse
Affiliation(s)
- M Agar
- Department of Palliative and Supportive Services, Flinders University, 700 Goodwood Road, Daw Park, South Australia 5041, Australia
| | | | | | | | | | | |
Collapse
|
40
|
Seidel R, Wirth M, Dabew ER, Opitz A, Bücker A. CT Angiographie zur Detektion akuter pulmonaler Embolien im Kontext typischer und atypischer klinischer Präsentation. ROFO-FORTSCHR RONTG 2009. [DOI: 10.1055/s-0029-1221766] [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]
|
41
|
Seidel R, Weinrich M, Fries P, Bücker A, Schneider G. Niedrigdosis HRCT zur Abschätzung des Risikos perioperativer respiratorischer Komplikationen vor umfangreichen abdominalchirurgischen Eingriffen. ROFO-FORTSCHR RONTG 2008. [DOI: 10.1055/s-2008-1074025] [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]
|
42
|
Minko P, Altmeyer K, Seidel R, Katoh M, Bücker A, Schneider G. Bildgebung der Chronisch rekurrierenden multifokalen Osteomyelitis. ROFO-FORTSCHR RONTG 2008. [DOI: 10.1055/s-2008-1074030] [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]
|
43
|
Weinrich M, Seidel R, Pistorius GA. Solitary liver lesion in a patient with blunt abdominal trauma. Br J Radiol 2007; 80:293-5. [PMID: 17551168 DOI: 10.1259/bjr/22132984] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Affiliation(s)
- M Weinrich
- Department of Abdominal, Visceral, Vascular and Pediatric Surgery, University Hospital of the Saarland, D-66421 Homburg/Saar, Germany.
| | | | | |
Collapse
|
44
|
Seidel R, Sanderson C, Mitchell G, Currow DC. Until the chemist opens - palliation from the doctor's bag. Aust Fam Physician 2006; 35:225-31. [PMID: 16642239] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/08/2023]
Abstract
BACKGROUND People with a life limiting illness may have unpredictable exacerbations of their symptoms requiring after hours care by general practitioners using medications that are readily accessible. All doctors are provided with injectable 'doctor's bag' emergency drugs for use in such a crisis. OBJECTIVE This article aims to: identify which medications from the doctor's bag can be used in the palliative care crises that are most frequently encountered, present the best possible evidence for these indications, and to provide GPs caring for palliative care patients after hours with management strategies so, whenever appropriate, they can continue to be managed at home. DISCUSSION The clinical context, including disease trajectory and patient and caregivers' wishes, must be assessed in palliative care crises. Having excluded reversible problems, symptoms can be treated using doctor's bag medications. Attention must be given to route of administration, duration of effect, and appropriate doses for effective palliation.
Collapse
Affiliation(s)
- Rebecca Seidel
- Southern Adelaide Palliative Services, Repatriation General Hospital, South Australia
| | | | | | | |
Collapse
|
45
|
Köhler K, Hecht W, Textor K, Bostedt H, Seidel R. Bericht über das Auftreten einer hereditären Chondrodysplasie bei Jungschafen (Spider Lamb Syndrome). Tierarztl Prax Ausg G Grosstiere Nutztiere 2006. [DOI: 10.1055/s-0037-1621060] [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: 10/28/2022]
Abstract
Zusammenfassung
Gegenstand und Ziel: Bei neonatalen Lämmern und Jungtieren einer Herde von Suffolk-Schafen traten plötzlich progressive skelettale Anomalien auf. Ziel dieser Untersuchung war, klinische und genetische Nachweise auf das Vorliegen einer hereditären Chondrodysplasie bei den Jungtieren durchzuführen. Falldarstellung: Vier betroffene Jungtiere, ein weibliches und drei männliche Lämmer im Alter von zwei bis vier Monaten, wurden zur Abklärung des Krankheitsgeschehens näher untersucht. Ergebnisse: Die Befunde der klinischen und röntgenologischen Untersuchung, die histologische Auswertung des unregelmäßigen Wachstums in den Röhrenknochen sowie der genetische Nachweis bestätigten das Vorliegen einer hereditären Chondrodysplasie, des so genannten “Spider Lamb Syndrome”. Klinische Relevanz: In der vorliegenden Arbeit werden die Befunde der klinischen, röntgenologischen, postmortalen und genetischen Untersuchungen präsentiert, der derzeitige Stand der Wissenschaft dokumentiert und die züchterischen Konsequenzen diskutiert.
Collapse
|
46
|
Weinrich M, Seidel R, Graeter TP, Schäfers HJ, Lausberg HF. [Cystic lesion of the dorsal mediastinum]. Chirurg 2005; 76:894-6. [PMID: 15864485 DOI: 10.1007/s00104-005-1030-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
We present the case of a 52-year-old male who underwent thoracotomy for resection of a suspected bronchogenic cyst in the right posterior mediastinum. The size of the tumor had increased over years, according to repeated X-rays, and the cyst became symptomatic with obstruction of the right subclavian and jugular veins. To our surprise, histopathology revealed a hydatid cyst.
Collapse
Affiliation(s)
- M Weinrich
- Klinik für Allgemein-, Viszeral-, Gefäss- und Kinderchirurgie, Universitätsklinikum des Saarlandes, Homburg/Saar.
| | | | | | | | | |
Collapse
|
47
|
Reimer P, Schulte B, Seidel R, Schneider G. Pulssequenzoptimierung für den Nachweis fokaler Leberläsionen mit dem neuen klinisch-zugelassenen hepatobiliären MR-Kontrastmittel Primovist. ROFO-FORTSCHR RONTG 2005. [DOI: 10.1055/s-2005-868261] [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: 10/19/2022]
|
48
|
Abstract
Due to low costs and common availability, ultrasonography and computed tomography still represent the most common diagnostic tools in uroradiology. However, magnetic resonance imaging (MRI) is gaining more and more importance since this imaging modality allows for a comprehensive examination of almost the complete spectrum of urologic diseases, including congenital malformations. The most important advantages of MRI are the free choice of slice orientation, high soft tissue contrast and high resolution as well as the lack of radiation. Technical progresses in hard and software components have led to a reduction in acquisition time, allowing for real-time imaging as well as MR angiography and MR urography with a significant reduction in motion artifacts. In addition, contrast enhanced MRI represents the imaging modality of choice in patients with reduced renal function or known allergy against iodinated contrast agent.
Collapse
Affiliation(s)
- G Schneider
- Abt. für diagnostische und interventionelle Radiologie, Universitätskliniken des Saarlandes, Homburg/Saar.
| | | | | |
Collapse
|
49
|
Hoenlein W, Kreupl F, Duesberg G, Graham A, Liebau M, Seidel R, Unger E. Carbon nanotubes for microelectronics: status and future prospects. Materials Science and Engineering: C 2003. [DOI: 10.1016/j.msec.2003.09.153] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
|
50
|
Schneider G, Seidel R, Altmeyer K, Remberger K, Pistorius G, Kramann B, Uder M. Lymphangioma of the pancreas and the duodenal wall: MR imaging findings. Eur Radiol 2002; 11:2232-5. [PMID: 11702164 DOI: 10.1007/s003300100846] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2000] [Accepted: 01/22/2001] [Indexed: 11/24/2022]
Abstract
Pancreatic lymphangiomas are rare benign tumours with a histogenesis not yet completely understood. Predominantly the cystic aspect of this lesion can complicate the differentiation from other neoplastic and non-neoplastic cystic tumours of the pancreas. We present a case of a middle-aged woman with a lymphangioma involving the duodenal wall and the pancreatic head. With special regard to MR imaging findings differential diagnosis is discussed.
Collapse
Affiliation(s)
- G Schneider
- Department of Diagnostic Radiology, University Hospital, 66421 Homburg/Saar, Germany.
| | | | | | | | | | | | | |
Collapse
|