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Sieweke J, Olthoff J, Ledwon P. Adipositas in der Schwangerschaft – eine Beobachtungsstudie über geburtshilfliche Risiken und Komplikationen bei Frauen mit einem BMI >35kg/m2 am Städtischen Klinikum Brandenburg. Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1717974] [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)
- J Sieweke
- Medizinische Hochschule Brandenburg (MHB)
| | - J Olthoff
- Städtisches Klinikum Brandenburg, Klinik für Frauenheilkunde und Geburtshilfe
| | - P Ledwon
- Städtisches Klinikum Brandenburg, Klinik für Frauenheilkunde und Geburtshilfe
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Olthoff J, Ledwon P, Fahlke K. Seltene histologische Befunde der Vulva. Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1718305] [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)
- J Olthoff
- Städtisches Klinikum Brandenburg, Frauenklinik
| | - P Ledwon
- Städtisches Klinikum Brandenburg, Frauenklinik
| | - K Fahlke
- Städtisches Klinikum Brandenburg, Frauenklinik
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Olthoff J, Ledwon P. Erfolgreicher Schwangerschaftserhalt nach Spätabort bzw. extremer Frühgeburt eines Mehrlings – zwei Fallberichte. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671552] [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)
- J Olthoff
- Städtisches Klinikum Brandenburg, Gynäkologie und Geburtshilfe, Brandenburg an der Havel, Deutschland
| | - P Ledwon
- Städtisches Klinikum Brandenburg, Gynäkologie und Geburtshilfe, Brandenburg an der Havel, Deutschland
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Orwat B, Witkowska E, Kownacki I, Oh MJ, Hoffmann M, Kubicki M, Grzelak I, Marciniec B, Glowacki I, Luszczynska B, Wiosna-Salyga G, Ulanski J, Ledwon P, Lapkowski M. Microwave-assisted one-pot synthesis of new ionic iridium complexes of [Ir(bzq) 2(N^N)] +A - type and their selected electroluminescent properties. Dalton Trans 2017; 46:9210-9226. [PMID: 28678255 DOI: 10.1039/c7dt01372h] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
Iridium C,N-cyclometalated complexes with an ionic structure are considered to be promising candidates for application in host/guest solid-state phosphorescent single-layer devices because the employment of such dopants offers the possibility of reducing their concentration in organic matrices as well as allows obtaining organic light emitting devices (OLEDs) with interesting emission parameters. We report herein a methodology enabling the synthesis of cyclometalated ionic iridium(iii) complexes of the type [Ir(C^N)2(N^N)]+A- according to a three-component one-pot strategy involving the acceleration of the reaction via microwave irradiation. The developed protocol allowed efficient synthesis of a series of new cationic iridium(iii) coordination derivatives, which were isolated and spectroscopically characterized, while the structures of two of them were determined by the X-ray method. Moreover, the iridium(iii) derivatives were subjected to the cyclic voltammetry studies in order to determine the energies of the HOMO and LUMO levels as well as to estimate their electrochemical properties and to predict some electronic properties. Additionally, the ONIOM calculation scheme that was used to predict HOMO-LUMO gaps for the studied Ir(iii) complexes showed a good correlation between the experimental and calculated values. In order to determine the influence of the structure and nature of the ancillary ligand on the location of the maximum emission band, the photophysical properties of the synthesized iridium complexes were characterized. Finally, the selected compounds were used as emitters for the construction of polymer light emitting diodes (PLEDs) based on a poly(N-vinylcarbazole)/2-(4-tert-butylphenyl)-5-(4-biphenyl)-1,3,4-oxadiazole (PVK/PBD) matrix. The highest luminance, above 10 000 cd m-2, was recorded for the device containing only 1.0 wt% of [Ir(bzq)2(1,10-phenanthroline)]+PF6- in the PVK/PBD. The fabricated PLEDs exhibit current efficiency in the range of 1.0 to 2.2 cd A-1.
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Affiliation(s)
- B Orwat
- Faculty of Chemistry, Adam Mickiewicz University in Poznan, St. Umultowska 89b, 61-614 Poznan, Poland.
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Mergel K, Müller C, Pauli R, Ledwon P. Primäres bilaterales Siegelringzellkarzinom des Ovars – ein Fallbericht. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1592846] [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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Schümann J, Müller C, Pauli R, Ledwon P. Monströses Cystosarcoma phylloides der Mamma bei einer sehr adipösen Patientin – ein Fallbericht. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1593171] [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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Mergel K, Müller C, Pauli R, Ledwon P. Monströses Lipoleiomyom des Uterus – Fallbericht. Geburtshilfe Frauenheilkd 2014. [DOI: 10.1055/s-0034-1388309] [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: 10/24/2022] Open
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Weinke S, Ledwon P, Müller C, Pauli R. Akutes Abdomen durch eine Myomnekrose im Wochenbett nach Sectio caesarea – ein Fallbericht. Geburtshilfe Frauenheilkd 2014. [DOI: 10.1055/s-0034-1388222] [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: 10/24/2022] Open
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Mustea A, Belau A, Sehouli J, Drzewiecki K, Eichbaum MHR, Bartz K, Angelidou E, Saegner S, Langenbruch MO, Ledwon P, Zygmunt M, Koehler G, Koensgen D. Response rate and toxicity of primary concomitant radio-chemotherapy in locally advanced cervical cancer: Results of an open prospective, multicenter phase II study of the NOGGO. J Clin Oncol 2011. [DOI: 10.1200/jco.2011.29.15_suppl.5038] [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: 11/20/2022] Open
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Koensgen D, Belau A, Sehouli J, Sommer HL, Bartz K, Markmann S, Schneidewind L, Scharf JP, Ehmke M, Stengel D, Ledwon P, Guba H, Zygmunt M, Koehler G, Mustea A. Adjuvant sequential chemo-radiation therapy in high-risk endometrial cancer: Results of a prospective, multicenter phase II study of the NOGGO. J Clin Oncol 2011. [DOI: 10.1200/jco.2011.29.15_suppl.5109] [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: 11/20/2022] Open
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Sehouli J, Oskay-Oezcelik G, Camara O, Keil E, Ledwon P, Diedrich K, Elling D, Gebauer G, Christiansen C, Ortmann O, Lichtenegger W. Final analysis of weekly paclitaxel and weekly carboplatin (P) as first-line chemotherapy in 130 patients with advanced ovarian cancer (AOC). J Clin Oncol 2005. [DOI: 10.1200/jco.2005.23.16_suppl.5057] [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: 11/20/2022] Open
Affiliation(s)
- J. Sehouli
- Charité, Medical Univ, Berlin, Germany; North-Eastern-Society of Gynaecological Oncology, Berlin, Germany; North-Eastern-Society of Gynaecological Oncology, Berlin, Germany
| | - G. Oskay-Oezcelik
- Charité, Medical Univ, Berlin, Germany; North-Eastern-Society of Gynaecological Oncology, Berlin, Germany; North-Eastern-Society of Gynaecological Oncology, Berlin, Germany
| | - O. Camara
- Charité, Medical Univ, Berlin, Germany; North-Eastern-Society of Gynaecological Oncology, Berlin, Germany; North-Eastern-Society of Gynaecological Oncology, Berlin, Germany
| | - E. Keil
- Charité, Medical Univ, Berlin, Germany; North-Eastern-Society of Gynaecological Oncology, Berlin, Germany; North-Eastern-Society of Gynaecological Oncology, Berlin, Germany
| | - P. Ledwon
- Charité, Medical Univ, Berlin, Germany; North-Eastern-Society of Gynaecological Oncology, Berlin, Germany; North-Eastern-Society of Gynaecological Oncology, Berlin, Germany
| | - K. Diedrich
- Charité, Medical Univ, Berlin, Germany; North-Eastern-Society of Gynaecological Oncology, Berlin, Germany; North-Eastern-Society of Gynaecological Oncology, Berlin, Germany
| | - D. Elling
- Charité, Medical Univ, Berlin, Germany; North-Eastern-Society of Gynaecological Oncology, Berlin, Germany; North-Eastern-Society of Gynaecological Oncology, Berlin, Germany
| | - G. Gebauer
- Charité, Medical Univ, Berlin, Germany; North-Eastern-Society of Gynaecological Oncology, Berlin, Germany; North-Eastern-Society of Gynaecological Oncology, Berlin, Germany
| | - C. Christiansen
- Charité, Medical Univ, Berlin, Germany; North-Eastern-Society of Gynaecological Oncology, Berlin, Germany; North-Eastern-Society of Gynaecological Oncology, Berlin, Germany
| | - O. Ortmann
- Charité, Medical Univ, Berlin, Germany; North-Eastern-Society of Gynaecological Oncology, Berlin, Germany; North-Eastern-Society of Gynaecological Oncology, Berlin, Germany
| | - W. Lichtenegger
- Charité, Medical Univ, Berlin, Germany; North-Eastern-Society of Gynaecological Oncology, Berlin, Germany; North-Eastern-Society of Gynaecological Oncology, Berlin, Germany
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Sehouli J, Stengel D, Oskay G, Camara O, Hindenburg HJ, Klare P, Blohmer J, Heinrich G, Elling D, Ledwon P, Lichtenegger W. A phase II study of topotecan plus gemcitabine in the treatment of patients with relapsed ovarian cancer after failure of first-line chemotherapy. Ann Oncol 2002; 13:1749-55. [PMID: 12419747 DOI: 10.1093/annonc/mdf294] [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] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND Second-line chemotherapy for patients with ovarian cancer who failed platinum and paclitaxel treatment remains a therapeutic challenge. We investigated the toxicity profile and therapeutic efficacy of a novel combination regimen, topotecan plus gemcitabine, in a clinical phase II study. PATIENTS AND METHODS Women with relapsed epithelial ovarian cancer after platinum and paclitaxel treatment were eligible to participate in this trial. Topotecan was given at an initial dose of 0.5 mg/m(2) daily (days 1-5), combined with gemcitabine 800 mg/m(2) and 600 mg/m(2) on days 1 and 8, respectively. Precluding good tolerability, this protocol facilitated subsequent dose increases of topotecan up to 1.0 mg/m(2). The primary objective was to determine the dose-limiting toxicity, whereas secondary objectives comprised measurable and CA-125 response rates, disease-free and overall survival. RESULTS The twenty-one patients (median age 57 years, range 37-70 years) who were allocated to this trial received a total of 94 courses of chemotherapy. Median follow-up was 20.5 months. Topotecan dosage could be escalated to 0.75 mg/m(2) in nine patients and 1 mg/m(2) in another two patients. Dose reduction was not necessary in any case. There were no episodes of neutropenic fever, sepsis or chemotherapy-related fatalities. Only one patient developed CTC grade 4 leukopenia after the first treatment cycle, whereas three patients showed grade 3/4 anaemia. Five patients experienced thrombocytopenia grade 4 without clinical sequelae. Non-hematological toxicities were mild and rare. Eleven patients could be evaluated for clinical tumour response, with three complete, and four partial remissions. Two patients each had stable and progressive diseases. The median progression-free survival rate was 8.8 months [95% confidence interval (CI) 6.3-13.4 months]. The median overall survival rate was 21.1 months (95% CI 14.8-22.1 months). CONCLUSIONS Topotecan combined with gemcitabine has a favourable toxicity profile and encouraging efficacy in patients with recurrent ovarian cancer.
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Affiliation(s)
- J Sehouli
- Departments of Gynaecology and Obstetrics, Charité Virchow University Hospital, Berlin, Germany.
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Döcke F, Rohde W, Stürzebecher B, Ledwon P, Dörner G. Evidence that desensitization of the negative feedback of oestrogen and priming for the positive feedback of oestrogen depend upon a common mechanism of oestrogen action in rats. J Endocrinol 1990; 126:395-402. [PMID: 2212930 DOI: 10.1677/joe.0.1260395] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
Oestrogen priming of the central nervous system is required for the positive feedback of oestrogen, and the sensitivity of the negative feedback of oestrogen can be reduced by oestrogen itself. Using adult female and male rats we examined the possibility that these effects depend upon a common mechanism of oestrogen action that is mediated by the medial preoptic area (MPOA). Guide cannulae were implanted in the MPOA of 4-day cyclic rats which were ovariectomized during the evening of day 1 of dioestrus. Glass capillary tubes containing different substances were placed in the cannulae between 09.00 and 12.00 h on the presumptive day 2 of dioestrus. The effectiveness of oestrogen priming was evaluated by examining whether an s.c. implant of oestradiol-17 beta (OE2) induced an LH surge, and the inhibitory effect of oestrogen on tonic LH secretion was investigated by injecting the rats with 3 micrograms oestradiol benzoate (OB)/100 g body weight. The priming effect of an s.c. implant of OE2 could be imitated by the bilateral implantation in the MPOA of a mixture of OB and cholesterol at a ratio of 1:360 for 3 h only. Similar medial preoptic oestrogen implantation also significantly reduced the LH-inhibiting effect of OB. In accord with findings obtained in former studies on desensitization of the negative oestrogen feedback, oestrogen priming resulting from the s.c. administration of OE2 could be suppressed by short-term medial preoptic implantation of clomiphene citrate or apomorphine; bilateral electrical stimulation of the medial amygdaloid nucleus induced an increase in the serum concentration of LH in ovariectomized females implanted with OB in the MPOA, but not in castrated males pretreated and implanted with OB.(ABSTRACT TRUNCATED AT 250 WORDS)
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Affiliation(s)
- F Döcke
- Institute of Experimental Endocrinology, Humboldt University Medical School (Charité), Berlin, German Democratic Republic
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Döcke F, Ledwon P, Stürzebecher B, Rohde W, Dörner G. Oestrogen priming for the positive oestrogen feedback: site of action. Exp Clin Endocrinol 1989; 94:55-60. [PMID: 2599022 DOI: 10.1055/s-0029-1210880] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
The significance of oestrogen priming for efficacy of the positive, ovulation-inducing oestrogen feedback has been known for more than 15 years, but the site and mechanism of oestrogen action in the priming effect have not yet been elucidated. Long-term ovariectomized adult female rats were injected once or twice with 20 micrograms oestradiol benzoate (OB), and the serum LH concentration was estimated. Whereas a single injection of OB induced significant inhibition of LH secretion, high circulating LH levels were recorded in rats injected twice with the hormone at an interval of 48 h. This increase was prevented in ovariectomized females fitted with guide cannulae, if the antioestrogen clomiphene citrate was implanted into the medial preoptic area (MPOA) before the first injection of oestrogen and removed prior to the second. On the other hand, replacement of the first oestrogen administration by the implantation of a very low dose of OB into the MPOA resulted in stimulation of LH secretion. OB implants placed into the hypothalamic ventromedial-arcuate region were ineffective in this regard. Taken together, the findings suggest that the priming effect of oestrogen is mediated in rats, at least in part, by the MPOA.
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Affiliation(s)
- F Döcke
- Institute of Experimental Endocrinology, Humboldt University Medical School (Charité), Berlin, GDR
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