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Maurer C, Galmarini S, Solazzo E, Kuśmierczyk-Michulec J, Baré J, Kalinowski M, Schoeppner M, Bourgouin P, Crawford A, Stein A, Chai T, Ngan F, Malo A, Seibert P, Axelsson A, Ringbom A, Britton R, Davies A, Goodwin M, Eslinger PW, Bowyer TW, Glascoe LG, Lucas DD, Cicchi S, Vogt P, Kijima Y, Furuno A, Long PK, Orr B, Wain A, Park K, Suh KS, Quérel A, Saunier O, Quélo D. Third international challenge to model the medium- to long-range transport of radioxenon to four Comprehensive Nuclear-Test-Ban Treaty monitoring stations. J Environ Radioact 2022; 255:106968. [PMID: 36148707 DOI: 10.1016/j.jenvrad.2022.106968] [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: 12/21/2021] [Revised: 07/08/2022] [Accepted: 07/15/2022] [Indexed: 06/16/2023]
Abstract
In 2015 and 2016, atmospheric transport modeling challenges were conducted in the context of the Comprehensive Nuclear-Test-Ban Treaty (CTBT) verification, however, with a more limited scope with respect to emission inventories, simulation period and number of relevant samples (i.e., those above the Minimum Detectable Concentration (MDC)) involved. Therefore, a more comprehensive atmospheric transport modeling challenge was organized in 2019. Stack release data of Xe-133 were provided by the Institut National des Radioéléments/IRE (Belgium) and the Canadian Nuclear Laboratories/CNL (Canada) and accounted for in the simulations over a three (mandatory) or six (optional) months period. Best estimate emissions of additional facilities (radiopharmaceutical production and nuclear research facilities, commercial reactors or relevant research reactors) of the Northern Hemisphere were included as well. Model results were compared with observed atmospheric activity concentrations at four International Monitoring System (IMS) stations located in Europe and North America with overall considerable influence of IRE and/or CNL emissions for evaluation of the participants' runs. Participants were prompted to work with controlled and harmonized model set-ups to make runs more comparable, but also to increase diversity. It was found that using the stack emissions of IRE and CNL with daily resolution does not lead to better results than disaggregating annual emissions of these two facilities taken from the literature if an overall score for all stations covering all valid observed samples is considered. A moderate benefit of roughly 10% is visible in statistical scores for samples influenced by IRE and/or CNL to at least 50% and there can be considerable benefit for individual samples. Effects of transport errors, not properly characterized remaining emitters and long IMS sampling times (12-24 h) undoubtedly are in contrast to and reduce the benefit of high-quality IRE and CNL stack data. Complementary best estimates for remaining emitters push the scores up by 18% compared to just considering IRE and CNL emissions alone. Despite the efforts undertaken the full multi-model ensemble built is highly redundant. An ensemble based on a few arbitrary runs is sufficient to model the Xe-133 background at the stations investigated. The effective ensemble size is below five. An optimized ensemble at each station has on average slightly higher skill compared to the full ensemble. However, the improvement (maximum of 20% and minimum of 3% in RMSE) in skill is likely being too small for being exploited for an independent period.
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Affiliation(s)
- C Maurer
- Zentralanstalt für Meteorologie und Geodynamik (ZAMG), Vienna, Austria.
| | - S Galmarini
- European Commission - Joint Research Center (JRC), Ispra VA, Italy
| | - E Solazzo
- European Commission - Joint Research Center (JRC), Ispra VA, Italy
| | | | - J Baré
- Comprehensive Nuclear-Test-Ban Treaty Organization (CTBTO), Vienna, Austria
| | - M Kalinowski
- Comprehensive Nuclear-Test-Ban Treaty Organization (CTBTO), Vienna, Austria
| | - M Schoeppner
- Comprehensive Nuclear-Test-Ban Treaty Organization (CTBTO), Vienna, Austria
| | - P Bourgouin
- Comprehensive Nuclear-Test-Ban Treaty Organization (CTBTO), Vienna, Austria
| | - A Crawford
- National Oceanic and Atmospheric Administration Air Resources Laboratory (NOAA-ARL), College Park, MD, USA
| | - A Stein
- National Oceanic and Atmospheric Administration Air Resources Laboratory (NOAA-ARL), College Park, MD, USA
| | - T Chai
- National Oceanic and Atmospheric Administration Air Resources Laboratory (NOAA-ARL), College Park, MD, USA
| | - F Ngan
- National Oceanic and Atmospheric Administration Air Resources Laboratory (NOAA-ARL), College Park, MD, USA
| | - A Malo
- Environment and Climate Change Canada (ECCC), Meteorological Service of Canada, Canadian Meteorological Centre (CMC), Environmental Emergency Response Section, RSMC Montréal, Dorval, Québec, Canada
| | - P Seibert
- University of Natural Resources and Life Sciences (BOKU), Institute of Meteorology and Climatology, Vienna, Austria
| | - A Axelsson
- Swedish Defence Research Agency (FOI), Stockholm, Sweden
| | - A Ringbom
- Swedish Defence Research Agency (FOI), Stockholm, Sweden
| | - R Britton
- Atomic Weapons Establishment/United Kingdom-National Data Center (AWE/UK-NDC), Aldermaston, Reading, United Kingdom
| | - A Davies
- Atomic Weapons Establishment/United Kingdom-National Data Center (AWE/UK-NDC), Aldermaston, Reading, United Kingdom
| | - M Goodwin
- Atomic Weapons Establishment/United Kingdom-National Data Center (AWE/UK-NDC), Aldermaston, Reading, United Kingdom
| | - P W Eslinger
- Pacific Northwest National Laboratory (PNNL), Richland, WA, USA
| | - T W Bowyer
- Pacific Northwest National Laboratory (PNNL), Richland, WA, USA
| | - L G Glascoe
- National Atmospheric Release Advisory Center (NARAC) at the Lawrence Livermore National Laboratory (LLNL), Livermore, CA, USA
| | - D D Lucas
- National Atmospheric Release Advisory Center (NARAC) at the Lawrence Livermore National Laboratory (LLNL), Livermore, CA, USA
| | - S Cicchi
- National Atmospheric Release Advisory Center (NARAC) at the Lawrence Livermore National Laboratory (LLNL), Livermore, CA, USA
| | - P Vogt
- National Atmospheric Release Advisory Center (NARAC) at the Lawrence Livermore National Laboratory (LLNL), Livermore, CA, USA
| | - Y Kijima
- Japan Atomic Energy Agency (JAEA), Tokai, Ibaraki, Japan
| | - A Furuno
- Japan Atomic Energy Agency (JAEA), Tokai, Ibaraki, Japan
| | - P K Long
- Vietnam Atomic Energy Institute (VINATOM), Hanoi, Vietnam
| | - B Orr
- Australian Radiation Protection and Nuclear Safety Agency (ARPANSA), Yallambie/Miranda, Australia
| | - A Wain
- Bureau of Meteorology (BOM), Melbourne, Australia
| | - K Park
- Korea Atomic Energy Research Institute (KAERI), Daejeon, Republic of Korea
| | - K-S Suh
- Korea Atomic Energy Research Institute (KAERI), Daejeon, Republic of Korea
| | - A Quérel
- French Institute for Radiation Protection and Nuclear Safety (IRSN), Fontenay-aux-Roses, France
| | - O Saunier
- French Institute for Radiation Protection and Nuclear Safety (IRSN), Fontenay-aux-Roses, France
| | - D Quélo
- French Institute for Radiation Protection and Nuclear Safety (IRSN), Fontenay-aux-Roses, France
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Könneker S, Vogt P. Comment on "Is bio absorbable screw really reliable for midcarpal arthrodesis? A literature review illustrated by a case report". Hand Microsurg 2020. [DOI: 10.5455/handmicrosurg.24879] [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: 11/03/2022] Open
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Abstract
Background The Hemopump HP14 is a catheter-mounted, transvalvular, left ventricular assist device intended for femoral percutaneous insertion. The pump was developed for patients with postoperative or postinterventional low cardiac output and for CABG surgery on the beating heart. Little is known about the effect of afterload and hematocrit on the pump performance. Methods The influence of hematocrit and afterload on the pump flow was tested using an in vitro model filled with heparinized bovine blood. Regression analysis of the pump flow with respect to three hematocrit values (20%, 30%, 40%) and ten afterload levels (30 mmHg-120 mmHg in 10 mmHg increments) was performed for all pump speed levels (n = 7). Results At all pump speed levels reduction of afterload and hematocrit were significant predictors for increasing pump flow (p<0.001). For hematocrit values between 40% and 20% and highest pump speed, mean pump flow at lowest afterload ranged between 2.34 and 2.53 L/min; and at highest afterload between 1.31 and 1.53 L/min. For speed level 1, afterload of 120 mmHg and hematocrit of 40% there was a maximal retrograde flow of 230 ± 35 ml/min. Conclusions Pump performance is significantly improved by both afterload and hematocrit reduction. In the weaning phase and during the removal of the device, the pump should run at a speed level of at least three to prevent retrograde flow in the pump. Estimates for pump flow in vivo can be extrapolated from our diagrams. Our results show that the Hemopump HP14 is a valuable alternative to intra-aortic balloon counterpulsation.
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Affiliation(s)
- M. Lachat
- Clinical for Cardiovascular Surgery, University Hospital Zurich, Zurich - Switzerland
| | - C. Jaggy
- Clinical for Cardiovascular Surgery, University Hospital Zurich, Zurich - Switzerland
| | - B. Leskosek
- Clinical for Cardiovascular Surgery, University Hospital Zurich, Zurich - Switzerland
| | - L. Von Segesser
- Clinical for Cardiovascular Surgery, University Hospital Zurich, Zurich - Switzerland
| | - G. ZÜnd
- Clinical for Cardiovascular Surgery, University Hospital Zurich, Zurich - Switzerland
| | - P. Vogt
- Clinical for Cardiovascular Surgery, University Hospital Zurich, Zurich - Switzerland
| | - M. Turina
- Clinical for Cardiovascular Surgery, University Hospital Zurich, Zurich - Switzerland
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Limbourg A, Radtke C, Ipaktchi R, Vogt P. Quantitative Perfusionsanalyse durch Laser Speckle Contrast Analysis (LASCA) Perfusions-Imaging von kritisch perfundierten Geweben Quantitative Perfusion. HANDCHIR MIKROCHIR P 2016; 48:354-362. [DOI: 10.1055/s-0042-115772] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
Affiliation(s)
- A. Limbourg
- Plastische, Ästhetische, Hand- und Wiederherstellungschirurgie, Medizinische Hochschule Hannover, Hannover
| | - C. Radtke
- Plastische, Hand- und Wiederherstellungschirurgie, Medizinische Hochschule Hannover, Hannover
| | - R. Ipaktchi
- Plastische, Ästhetische, Hand- und Wiederherstellungschirurgie, Medizinische Hochschule Hannover, Hannover
| | - P. Vogt
- Klinik für Plastische, Hand- und Wiederherstellungschirurgie, Zentrum für Schwerbrandverletzte, Mendizinische Hochschule Hannover, Hannover
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Goffin Y, Grandmougin D, Wozniak G, Keppenne V, Nevelsteen A, Vogt P, Van Damme H, Stankowiak C, Dapper F, De Geest R, Deuvaert F, Van Hoeck B. Banking and Distribution of Large Cryopreserved Arterial Homografts in Brussels: Assessment of 4 Years of Activity by the European Homograft Bank (EHB) with Reference to Implantation Results in Reconstruction of Infected Infrarenal Arterial Prostheses and Mycotic Aneurysms. ACTA ACUST UNITED AC 2016. [DOI: 10.1177/153857449803200104] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
In 1991 European Homograft Bank (EHB) initiated a program of cryopreservation and distribution of large arteries to meet a new demand for quality-controlled arterial homo grafts of various sizes. From May 1991 to June 1995, 308 arteries have been registered from 136 donors: 122 brain death cases and 14 cadavers (mean age 34 years, male/female ratio 1.52/1); 263 arteries were cryopreserved (113 aortas, 64 aortic bifur cations, and 86 femoral); 19 were discarded for atherosclerosis (6.7%); 10 batches of arteries were partially or totally discarded because of persistent contamination and further eight batches for positive or doubtful viral serology. One hundred patients were treated in nine European centers with one (N = 69) or more EHB homografts. Indications were: infected prosthesis 70 (17 with aortoenteric fistula); mycotic aneurysm 19 (four ascending aortas, two with bronchial fistula); neoplastic infiltration of subrenal aorta one; extracardiac reconstructions/shunts 10. (continued on next page) (Abstract continued) Results from homograft reconstructions in infected prosthesis or mycotic aneurysm were available in 90 patients. There were 19 early deaths and 24 early complications, three were directly graft-related and included a fatal case of homograft rupture. Sixty- seven vascular cases were followed up from 1 month onward (mean: 16 months): 50 were uneventful; there were nine late deaths, of which two resulted from graft-related digestive hemorrhage; there were eight cases of late complications; three arteries were partly explanted as a result of focal thrombosis. Four patients were lost to follow-up. In the cases of aortoenteric fistula, however, the results were disappointing with only five late survivors of the 16 treated patients. Finally, these results show that cryopreserved arteries seem to perform as well in the midterm as the fresh ones. Both the banking activity of cryopreserved homografts and the short- to mid-term performances of the implants in cases of prosthetic or native arterial infection are very satisfactory, provided no aortoenteric fistula is present. Cryopreserved arteries can also be used for extracardiac shunts and reconstructions.
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Affiliation(s)
- Y.A. Goffin
- European Homograft Bank International Association c/o Military Hospital Rue Bruyn 1120 Brussels, Belgium
| | - D. Grandmougin
- European Homograft Bank International Association c/o Military Hospital Rue Bruyn 1120 Brussels, Belgium
| | - G. Wozniak
- European Homograft Bank International Association c/o Military Hospital Rue Bruyn 1120 Brussels, Belgium
| | - V. Keppenne
- European Homograft Bank International Association c/o Military Hospital Rue Bruyn 1120 Brussels, Belgium
| | - A. Nevelsteen
- European Homograft Bank International Association c/o Military Hospital Rue Bruyn 1120 Brussels, Belgium
| | - P. Vogt
- European Homograft Bank International Association c/o Military Hospital Rue Bruyn 1120 Brussels, Belgium
| | - H. Van Damme
- European Homograft Bank International Association c/o Military Hospital Rue Bruyn 1120 Brussels, Belgium
| | - C. Stankowiak
- European Homograft Bank International Association c/o Military Hospital Rue Bruyn 1120 Brussels, Belgium
| | - F. Dapper
- European Homograft Bank International Association c/o Military Hospital Rue Bruyn 1120 Brussels, Belgium
| | - R. De Geest
- European Homograft Bank International Association c/o Military Hospital Rue Bruyn 1120 Brussels, Belgium
| | - Fr. Deuvaert
- European Homograft Bank International Association c/o Military Hospital Rue Bruyn 1120 Brussels, Belgium
| | - B. Van Hoeck
- European Homograft Bank International Association c/o Military Hospital Rue Bruyn 1120 Brussels, Belgium
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Frank-Herrmann P, Vogt P, Strowitzki T. Fehlanlage der Gonaden und endokrinologische Ursachen genitaler Fehlbildungen bei Frauen. Gynäkologe 2015. [DOI: 10.1007/s00129-015-3796-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
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Leclère FM, Vogt P, Casoli V, Pelissier P, Choughri H. Double crush syndrome of the median nerve revealing a primary non-Hodgkin's lymphoma of the flexor digitorum superficialis muscle. ACTA ACUST UNITED AC 2015; 34:256-9. [PMID: 26453264 DOI: 10.1016/j.main.2015.06.006] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [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] [Received: 02/05/2015] [Revised: 05/28/2015] [Accepted: 06/27/2015] [Indexed: 11/18/2022]
Abstract
Extranodal manifestations of lymphoma are well described in the literature and occur in 20 to 30% of patients. Skeletal muscle involvement is rare. We describe the case of a patient with non-Hodgkin's lymphoma in a forearm muscle. At the age of 86, the featured patient started experiencing continuous, progressive and high intensity pain that was more frequent at night and localized in the right dominant hand. It was associated with paresthesia and hypoesthesia, primarily in the thumb, index finger and middle finger. Clinical examination and electrodiagnosis led to the diagnosis of carpal tunnel syndrome. The patient underwent carpal tunnel release at a private hand center. The progression was unfavorable. Additional clinical examination and electrodiagnosis showed compression of the anterior interosseous nerve (double crush syndrome). The patient was referred to our university hand center for further management. Magnetic resonance imaging showed a large mass of about 20cm occupying the entire anterior compartment of the forearm and enclosing the median nerve. Biopsies were performed and revealed a diffuse large B-cell primary non-Hodgkin's lymphoma. The patient underwent chemotherapy and radiotherapy. Six months later, the patient was in complete remission. Muscular involvement during lymphoma is rare. Biopsy is mandatory; needless radical surgery can be avoided because lymphoma is primarily a non-surgical disease. The key points of the treatment process are reviewed.
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Affiliation(s)
- F M Leclère
- Department of Hand Surgery, Plastic & Transsexual Surgery, Burn Surgery, CHU University of Bordeaux, Centre François-Xavier-Michelet, Groupe hospitalier Pellegrin, place Amélie-Raba-Léon, 33076 Bordeaux, France; Department of Plastic, Hand and Reconstructive Surgery, Hannover Medical School, Hannover, Germany.
| | - P Vogt
- Department of Plastic, Hand and Reconstructive Surgery, Hannover Medical School, Hannover, Germany
| | - V Casoli
- Department of Hand Surgery, Plastic & Transsexual Surgery, Burn Surgery, CHU University of Bordeaux, Centre François-Xavier-Michelet, Groupe hospitalier Pellegrin, place Amélie-Raba-Léon, 33076 Bordeaux, France
| | - P Pelissier
- Department of Hand Surgery, Plastic & Transsexual Surgery, Burn Surgery, CHU University of Bordeaux, Centre François-Xavier-Michelet, Groupe hospitalier Pellegrin, place Amélie-Raba-Léon, 33076 Bordeaux, France
| | - H Choughri
- Department of Hand Surgery, Plastic & Transsexual Surgery, Burn Surgery, CHU University of Bordeaux, Centre François-Xavier-Michelet, Groupe hospitalier Pellegrin, place Amélie-Raba-Léon, 33076 Bordeaux, France
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Vogt P, Mach F. [The war is over -- let us learn to work together]. Rev Med Suisse 2015; 11:1163-1164. [PMID: 26182633] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
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Steinau HU, Podleska L, Tilkorn D, Farzalyiev F, Vogt P, Hauser J. [Prefabrication of transplants in plastic surgery]. Chirurg 2015; 86:263-7. [PMID: 25712785 DOI: 10.1007/s00104-014-2886-8] [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: 10/23/2022]
Abstract
Complex three-dimensional defects with destruction of the external form, loss of functional stability and inner lining are associated with tactical and technical challenges in reconstructive plastic surgery. Causative factors are mutilating infections, resection of malignant tumors and trauma, predominantly located at the aerodigestive junction, the urogenital region and the extremities. Three-dimensional tissue constructions are preformed distant to the defect site allowing safe pedicled or microsurgical transfer into the defect.
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Affiliation(s)
- H-U Steinau
- Klinik für Allgemein-, Viszeral- und Transplantationschirurgie, Sektion Sarkomchirurgie; Westdeutsches Tumorzentrum CCC, Universitätsklinikum Essen, Universität Duisburg-Essen, Hufeland Str. 55, 45147, Essen, Deutschland,
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Alcoba D, Dietrich J, Brum I, Strowitzki T, Vogt P, Rehnitz J. Variable FMR1 gene expression in human granulosa cells depending on FSH stimulation. Geburtshilfe Frauenheilkd 2014. [DOI: 10.1055/s-0034-1388543] [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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Kolbenschlag J, Gehl B, Daigeler A, Kremer T, Hirche C, Vogt P, Horch R, Lehnhardt M, Kneser U. Mikrochirurgische Ausbildung in Deutschland – Ergebnisse einer Umfrage unter Weiterbildungsassistenten und Weiterbildern. HANDCHIR MIKROCHIR P 2014; 46:234-41. [DOI: 10.1055/s-0034-1381996] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [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] Open
Affiliation(s)
- J. Kolbenschlag
- Klinik für Plastische Chirurgie und Schwerbrandverletzte, Handchirurgiezentrum, Operatives Referenzzentrum für Gliedmaßentumoren, BG Universitätsklinikum Bergmannsheil Bochum
| | - B. Gehl
- Sektion für Plastische Chirurgie, Handchirurgie, Intensivstation für Schwerbrandverletzte Universitätsklinikum Schleswig-Holstein, Lübeck
| | - A. Daigeler
- Klinik für Plastische Chirurgie und Schwerbrandverletzte, Handchirurgiezentrum, Operatives Referenzzentrum für Gliedmaßentumoren, BG Universitätsklinikum Bergmannsheil Bochum
| | - T. Kremer
- Klinik für Hand-, Plastische und Rekonstruktive Chirurgie, Schwerbrandverletztenzentrum BG-Unfallklinik Ludwigshafen, Klinik für Plastische Chirurgie der Ruprecht-Karls-Universität Heidelberg
| | - C. Hirche
- Klinik für Hand-, Plastische und Rekonstruktive Chirurgie, Schwerbrandverletztenzentrum BG-Unfallklinik Ludwigshafen, Klinik für Plastische Chirurgie der Ruprecht-Karls-Universität Heidelberg
| | - P. Vogt
- Klinik für Plastische, Hand- und Wiederherstellungschirurgie, Zentrum für Schwerbrandverletzte Medizinische Hochschule Hannover
| | - R. Horch
- Plastisch- und Handchirurgische Klinik, Universitätsklinikum Erlangen
| | - M. Lehnhardt
- Klinik für Plastische Chirurgie und Schwerbrandverletzte, Handchirurgiezentrum, Operatives Referenzzentrum für Gliedmaßentumoren, BG Universitätsklinikum Bergmannsheil Bochum
| | - U. Kneser
- Klinik für Hand-, Plastische und Rekonstruktive Chirurgie, Schwerbrandverletztenzentrum BG-Unfallklinik Ludwigshafen, Klinik für Plastische Chirurgie der Ruprecht-Karls-Universität Heidelberg
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Welker J, Nacht CA, Savcic M, Marques-Vidal P, Cornuz J, Vogt P, Nanchen D. [Cardiac rehabilitation, a proven intervention underutilized in the French-speaking part of Switzerland]. Rev Med Suisse 2014; 10:545-548. [PMID: 24701673] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
Cardiac rehabilitation is associated with a reduced risk of recurrence and mortality after an acute coronary syndrome. Cardiac rehabilitation is a multidisciplinary approach which starts during the acute hospital phase, then followed by a four to six weeks home-based or stationary program, in order to maintain long-term lifestyle changes. Despite the important health benefits of cardiac rehabilitation and its cost-effectiveness, only half of the patients in Europe will achieve a cardiovascular prevention program after an acute coronary syndrome. In the French part of Switzerland, one explanation for this low adherence might be the lack of both stationary and home-based program facilities.
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Vincenti G, Monney P, Locca D, Rutz T, Jeanrenaud X, Vogt P, Schwitter J. [Cardiac MR in development: the large multicenter CMR studies in 2012]. Rev Med Suisse 2013; 9:1688-1693. [PMID: 24164020] [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: 06/02/2023]
Abstract
The results of several large multicenter CMR studies were reported in 2012, thus, constantly corroborating the evidence on CMR performance. In this review, we present results of the MR-IMPACT programme and the CE-MARC study, which demonstrated the superiority of perfusion-CMR over gated SPECT for the workup of suspected CAD, the currently available data from the European CMR registry, comprising almost 30,000 patients from 57 participating centers in 15 European countries, and finally, the results of the Advisa-MRI study, which documented the safety of a MRI-compatible pacemaker system. These large trials and others set the basis for the recommendations in the new European guidelines on heart failure to use CMR as a first line method if echocardiographic quality is inadequate or the etiology of heart failure is unclear.
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Affiliation(s)
- G Vincenti
- Service de Cardiologie, Départment de Médecine Interne, CHUV, Lausanne
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Muzzarelli S, Monney P, O'Brien K, Faletra F, Moccetti T, Vogt P, Schwitter J. Quantification of aortic flow by phase-contrast magnetic resonance in patients with bicuspid aortic valve. Eur Heart J Cardiovasc Imaging 2013; 15:77-84. [DOI: 10.1093/ehjci/jet129] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Avila J, De Padova P, Cho S, Colambo I, Lorcy S, Quaresima C, Vogt P, Resta A, Le Lay G, Asensio MC. Presence of gapped silicene-derived band in the prototypical (3 × 3) silicene phase on silver (111) surfaces. J Phys Condens Matter 2013; 25:262001. [PMID: 23759650 DOI: 10.1088/0953-8984/25/26/262001] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [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
By mapping the low-energy electronic dynamics using angle resolved photoemission spectroscopy (ARPES), we have shed light on essential electronic characteristics of the (3 × 3) silicene phase on Ag(111) surfaces. In particular, our results show a silicene-derived band with a clear gap and linear energy-momentum dispersion near the Fermi level at the Γ symmetry point of the (3 × 3) phase at several distinctive Brillouin zones. Moreover, we have confirmed that the large buckling of ~0.7 Å of this silicene structure induces the opening of a gap close to the Fermi level higher than at least 0.3 eV, in agreement with recent reported photoemission results. The two-dimensional character of the charge carriers has also been revealed by the photon energy invariance of the gapped silicene band, suggesting a limited silicene-silver hybridization, in disagreement with recent density-functional theory (DFT) predictions.
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Affiliation(s)
- J Avila
- Synchrotron SOLEIL, L'Orme des Merisiers, Saint Aubin-BP 48, F-91192 Gif sur Yvette Cedex, France
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Mach F, Vogt P. [High quality Cardiology: a "leitmotiv" ]. Rev Med Suisse 2013; 9:1131. [PMID: 23789180] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
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Blanche C, Rutz T, Vogt P, Mach F, Beghetti M, Bouchardy J. [Adults with congenital heart diseases: a growing population, a multidisciplinary approach]. Rev Med Suisse 2013; 9:1142-1147. [PMID: 23789183] [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: 06/02/2023]
Abstract
Untill recently, congenital heart disease was considered as a childhood's disease. With improvement in pediatric survival, adults with a congenital heart disease (ACHD) represent an emerging group of patients who need specialized medical care. In 2010, the ESC published newguidelines on global and specific management of adults with congenital heart disease. ACHD centers organize appropriate medical care for these patients, promote specialist training and national scientific research in collaboration with other national ACHD centers.
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Affiliation(s)
- C Blanche
- Service de cardiologie, HUG, 121 I Genève 14.
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20
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Vogt P, Henseler H, Radtke C. Komplikationen nach Unterlidblepharoplastik - Technische Korrekturmöglichkeiten. HANDCHIR MIKROCHIR P 2013. [DOI: 10.1055/s-0033-1341616] [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] Open
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21
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Girod G, Delabays A, Eeckhout E, Fromer M, Monney P, Vogt P, Pruvot E. [Percutaneous closure of left atrial appendage: a new hope for patients with atrial fibrillation?]. Rev Med Suisse 2013; 9:332-336. [PMID: 23469402] [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: 06/01/2023]
Abstract
Atrial fibrillation (AF) is the most common cardiac arrhythmia. The risk of thromboembolic events is important, and at that time, there is no definite treatment for AF. Oral anticoagulation also represents a hemorrhagic risk factor. Ninety percent of atrial thrombi are located within the left atrial appendage. The percutaneous closure of this left atrial appendage with a device has been shown to decrease thromboembolic events even after interruption of oral anticoagulation as compared to warfarin in a recent randomized study. Recent data support this innovative technique as a reasonable alternative to long term anticoagulation in patients at high risk of bleeding.
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Affiliation(s)
- G Girod
- Service de cardiologie, CHUV, Lausanne.
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22
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Hille U, Jentschke M, Soergel P, Heckmann A, Hillemanns P, Vogt P, Breuing K. Erste Erfahrungen mit azellulärer porciner dermaler Matrix in der rekonstruktiven Brustchirurgie mit Implantaten. ACTA ACUST UNITED AC 2012. [DOI: 10.1055/s-0032-1312907] [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: 10/28/2022]
Affiliation(s)
- U. Hille
- Frauenklinik/Brustzentrum der Medizinischen Hochschule Hannover
| | - M. Jentschke
- Frauenklinik/Brustzentrum der Medizinischen Hochschule Hannover
| | - P. Soergel
- Frauenklinik/Brustzentrum der Medizinischen Hochschule Hannover
| | - A. Heckmann
- Klinik für Plastische Chirurgie der Medizinischen Hochschule Hannover
| | - P. Hillemanns
- Frauenklinik/Brustzentrum der Medizinischen Hochschule Hannover
| | - P. Vogt
- Klinik für Plastische Chirurgie der Medizinischen Hochschule Hannover
| | - K. Breuing
- Abteilung für Plastische & Rekonstruktive Chirurgie, Klinik für Senologie/Brustzentrum der Kliniken Essen-Mitte, Evang. Huyssens Stiftung/Knappschaft GmbH, Essen
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23
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Stingl K, Knüver MT, Vogt P, Buhler C, Krüger NJ, Alt K, Tenhagen BA, Hartung M, Schroeter A, Ellerbroek L, Appel B, Käsbohrer A. Quo vadis? - Monitoring Campylobacter in Germany. Eur J Microbiol Immunol (Bp) 2012; 2:88-96. [PMID: 24611125 DOI: 10.1556/eujmi.2.2012.1.12] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [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: 01/12/2012] [Accepted: 01/16/2012] [Indexed: 11/19/2022] Open
Abstract
Campylobacter is a poorly recognized foodborne pathogen, leading the statistics of bacterially caused human diarrhoea in Europe during the last years. In this review, we present qualitative and quantitative German data obtained in the framework of specific monitoring programs and from routine surveillance. These also comprise recent data on antimicrobial resistances of food isolates. Due to the considerable reduction of in vitro growth capabilities of stressed bacteria, there is a clear discrepancy between the detection limit of Campylobacter by cultivation and its infection potential. Moreover, antimicrobial resistances of Campylobacter isolates established during fattening of livestock are alarming, since they constitute an additional threat to human health. The European Food Safety Authority (EFSA) discusses the establishment of a quantitative limit for Campylobacter contamination of broiler carcasses in order to achieve an appropriate level of protection for consumers. Currently, a considerable amount of German broiler carcasses would not comply with this future criterion. We recommend Campylobacter reduction strategies to be focussed on the prevention of fecal contamination during slaughter. Decontamination is only a sparse option, since the reduction efficiency is low and its success depends on the initial contamination concentration.
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Affiliation(s)
- K Stingl
- Department of Biological Safety, Federal Institute for Risk Assessment Diedersdorfer Weg 1, 12277 Berlin Germany
| | - M-T Knüver
- Department of Biological Safety, Federal Institute for Risk Assessment Diedersdorfer Weg 1, 12277 Berlin Germany
| | - P Vogt
- Department of Biological Safety, Federal Institute for Risk Assessment Diedersdorfer Weg 1, 12277 Berlin Germany
| | - C Buhler
- Department of Biological Safety, Federal Institute for Risk Assessment Diedersdorfer Weg 1, 12277 Berlin Germany
| | - N-J Krüger
- Department of Biological Safety, Federal Institute for Risk Assessment Diedersdorfer Weg 1, 12277 Berlin Germany
| | - K Alt
- Department of Biological Safety, Federal Institute for Risk Assessment Diedersdorfer Weg 1, 12277 Berlin Germany
| | - B-A Tenhagen
- Department of Biological Safety, Federal Institute for Risk Assessment Diedersdorfer Weg 1, 12277 Berlin Germany
| | - M Hartung
- Department of Biological Safety, Federal Institute for Risk Assessment Diedersdorfer Weg 1, 12277 Berlin Germany
| | - A Schroeter
- Department of Biological Safety, Federal Institute for Risk Assessment Diedersdorfer Weg 1, 12277 Berlin Germany
| | - L Ellerbroek
- Department of Biological Safety, Federal Institute for Risk Assessment Diedersdorfer Weg 1, 12277 Berlin Germany
| | - B Appel
- Department of Biological Safety, Federal Institute for Risk Assessment Diedersdorfer Weg 1, 12277 Berlin Germany
| | - A Käsbohrer
- Department of Biological Safety, Federal Institute for Risk Assessment Diedersdorfer Weg 1, 12277 Berlin Germany
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24
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Herold C, Pflaum M, Utz P, Wilhelmi M, Rennekampff HO, Vogt P. Vitalitätsvergleich von Fetttransplantaten welche mit der Coleman Technik und dem Tissu Trans System (Shippert Methode) gewonnen wurden. HANDCHIR MIKROCHIR P 2012; 43:361-7. [DOI: 10.1055/s-0031-1284380] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022] Open
Affiliation(s)
- C. Herold
- Medizinische Hochschule Hannover, Klinik für Plastische, Hand- und Wiederherstellungschirurgie, Zentrum für Schwerbrandverletzte, Hannover
| | - M. Pflaum
- MHH, Abteilung für Herz, Thorax, Transplantations- und Gefäßchirurgie, Hannover
| | - P. Utz
- Medizinische Hochschule Hannover, Klinik für Plastische, Hand- und Wiederherstellungschirurgie, Zentrum für Schwerbrandverletzte, Hannover
| | - M. Wilhelmi
- MHH, Abteilung für Herz, Thorax, Transplantations- und Gefäßchirurgie, Hannover
| | - H.-O. Rennekampff
- Medizinische Hochschule Hannover, Klinik für Plastische, Hand- und Wiederherstellungschirurgie, Zentrum für Schwerbrandverletzte, Hannover
| | - P. Vogt
- Medizinische Hochschule Hannover, Klinik für Plastische, Hand- und Wiederherstellungschirurgie, Zentrum für Schwerbrandverletzte, Hannover
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25
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Ennker IC, Kojcici B, Ennker J, Vogt P, Melichercik J. [Examination of the opportunity costs and turnover situation in patients with deep sternal infections]. Zentralbl Chir 2011; 137:257-61. [PMID: 22194084 DOI: 10.1055/s-0031-1283762] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
BACKGROUND Each and every hospital of any kind is forced, due to increased cost pressure, to work as economically and as efficiently as possible. This even applies when the operational orientations of the hospitals institutions are different. In the present article an analysis of the repercussions of the treatment of postoperative complications in terms of entrepreneurial practice is given. Our focus is on the opportunity cost. METHOD A theoretical calculation of opportunity costs is made based on the example of postoperative infections following cardiac surgery and the resulting treatment. The bases of the examinations are the results collected at the hospital Mediclin Herzentrum Lahr / Baden in 2008. The wound healing disorders were recorded from November 2004 until November 2007 and include 3675 patients who were operated on using a median sternotomy. Out of the 3675 patients 45 (1.2 %) were affected. Various treatment options are at hand. The used therapy algorithm in our practice is dependent on the stage and the development of the infection. RESULTS If the high trim point, the medial trim point and the low trim point of the mediastinitis patients, as well as the average revenue and the surcharge omission on exceeding the high trim point (these data can be found in the annual accounts) and knowledge of the actual length of stay of the mediastinitis patient are known, the opportunity cost, respectively potential turnover increases, can be calculated. Reducing the medial trim point from 48.43 to, for example, 36.37 days could potentially produce a turnover increase of as much as 10 633.41 €. CONCLUSION Keeping patient safety in mind, significant turnover increases can be achieved with adequate planning. The considered sales situation, however, can only be achieved under the same terms: these being free operating room and bed capacities, available personnel, equal cost of materials as well as enough patients. The consideration of opportunity costs could be important for entrepreneurs if staff shortage continues and, in economical terms, non-expendable capacities are created.
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Affiliation(s)
- I C Ennker
- Medizinische Hochschule Hannover, Klinik für Plastische-, Hand- und Wiederherstellungschirurgie, Hannover, Deutschland.
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26
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Schmitz M, Riss R, Kneser U, Jokuszies A, Harder Y, Beier J, Schäfer D, Vogt P, Fansa H, Andree C, Pierer G, Horch R. Perioperatives Gerinnungsmanagement in der Mikrochirurgie – Bericht der Konsensus-Workshops im Rahmen der 31. und 32. Jahrestagung der Deutschsprachigen Arbeitsgemeinschaft für Mikrochirurgie der peripheren Nerven und Gefäße (DAM) im November 2009 in Erlangen und November 2010 in Basel. HANDCHIR MIKROCHIR P 2011; 43:376-83. [DOI: 10.1055/s-0031-1291317] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022] Open
Affiliation(s)
- M. Schmitz
- Universitätsklinikum Erlangen, Plastisch- und Handchirurgische Klinik, Erlangen
| | - R. Riss
- Universitätsklinikum Erlangen, Anästhesiologische Klinik, Erlangen
| | - U. Kneser
- Universitätsklinikum Erlangen, Plastisch- und Handchirurgische Klinik, Erlangen
| | - A. Jokuszies
- Hannover Medical School, Plastic, Hand- and Reconstructive Surgery, Hannover
| | - Y. Harder
- Klinikum rechts der Isar der Technischen Universität München, Klinik für Plastische Chirurgie und Handchirurgie, München
| | - J. Beier
- Universitätsklinikum Erlangen, Plastisch- und Handchirurgische Klinik, Erlangen
| | - D. Schäfer
- Plastische, Rekonstruktive, Ästhetische Chirurgie und Handchirurgie, Universitätsspital Basel
| | - P. Vogt
- Hannover Medical School, Plastic, Hand- and Reconstructive Surgery, Hannover
| | - H. Fansa
- Klinik für Plastische-, Wiederherstellungs- und Ästhetische Chirurgie Handchirurgie, Klinikum Bielefeld
| | - C. Andree
- Klinik für Plastische und ästhetische Chirurgie, Sana Kliniken Düsseldorf GmbH, Sana Krankenhaus Gerresheim
| | - G. Pierer
- Univ. Klinik für Plastische-, Rekonstruktive- und Ästhetische Chirurgie, Innsbruck
| | - R. Horch
- Universitätsklinikum Erlangen, Plastisch- und Handchirurgische Klinik, Erlangen
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27
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Mach F, Vogt P. [Trends in cardiology]. Rev Med Suisse 2011; 7:1179. [PMID: 21717689] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
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28
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Monney P, Stalder N, Clair M, Vogt P, Schwitter J, Meijboom EJ, Bouchardy J. [Cardiac MRI in the follow-up of adult congenital cardiomyopathy patients]. Rev Med Suisse 2011; 7:1194-1199. [PMID: 21717692] [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: 05/31/2023]
Abstract
Magnetic resonance imaging is a rapidly developing modality in cardiology. It offers an excellent image definition and a large field of view, allowing a more accurate morphological assessment of cardiac malformations. Due to its unique versatility and its ability to provide myocardial tissue characterization, cardiac magnetic resonance (CMR) is now recognized as a central imaging modality for a wide range of congenital heart diseases, including assessment of post-surgical cardiac anatomy, quantification of valvular disease and detection of myocardial ischemia. CMR provides useful diagnostic information without any radiation exposure, and improves the global management of patients with congenital heart disease.
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Affiliation(s)
- P Monney
- Service de cardiologie, Département de médecine interne, CHUV, Lausanne.
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29
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Yarol N, Tozzi P, von Segesser L, Kalangos A, Vogt P, Yerly P, Mach F, Pascual M, Meyer P, Hullin R. [Selection and preoperative follow-up of heart transplantation candidates in the French part of Switzerland]. Rev Med Suisse 2011; 7:1212-1216. [PMID: 21717695] [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: 05/31/2023]
Abstract
Heart transplantation (HTx) started in 1987 at two university hospitals (CHUV, HUG) in the western part of Switzerland, with 223 HTx performed at the CHUV until December 2010. Between 1987 and 2003, 106 HTx were realized at the HUG resulting in a total of 329 HTx in the western part of Switzerland. After the relocation of organ transplantation activity in the western part of Switzerland in 2003, the surgical part and the early postoperative care of HTx remained limited to the CHUV. However, every other HTx activity are pursued at the two university hospitals (CHUV, HUG). This article summarizes the actual protocols for selection and pre-transplant follow-up of HTx candidates in the western part of Switzerland, permitting a uniform structure of pretransplant follow-up in the western part of Switzerland.
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Affiliation(s)
- N Yarol
- Service de Cardiologie, Départment de Médicine Interne, CHUV, Lausanne.
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30
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Kollewe K, Brandis A, Mohammadi B, Dengler R, Vogt P, Knobloch K. Cost-effectiveness of sural nerve biopsies - a single center experience. KLIN NEUROPHYSIOL 2011. [DOI: 10.1055/s-0031-1272706] [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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31
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Herold C, Rennekampff H, Krämer R, Hillmer A, Knobloch K, Vogt P. Stammzellangereicherte Fetttransplantation - eine mögliche Therapieoption bei Strahlenulzera? Zentralbl Chir 2011; 138:164-5. [DOI: 10.1055/s-0030-1247476] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [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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32
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Muller O, Trana C, Roux Y, Pruvot E, Graf D, Jeanrenaud X, Locca D, Vogt P. [Cardiology]. Rev Med Suisse 2011; 7:8-15. [PMID: 21309167] [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: 05/30/2023]
Abstract
The present review provides a selected choice of clinical research in the field of interventional cardiology, electrophysiology and cardiac imaging. We also focused on the new guidelines published by the European society of cardiology in 2010 (revascularization, atrial fibrillation and device therapy in heart failure).
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Affiliation(s)
- O Muller
- Service de cardiologie, Departement de médecine interne, CHUV, Lausanne.
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33
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Lorenzen J, Krämer R, Vogt P, Knobloch K. Systematische Literaturanalyse über exzentrisches Training bei chronischer Patellatendinopathie: Gibt es einen Standard? Sportverletz Sportschaden 2010; 24:198-203. [DOI: 10.1055/s-0029-1245818] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Iglesias JF, Sierro C, Aebischer N, Vogt P, Eeckhout E. [Preoperative cardiac assessment before non-cardiac surgery: cardiac risk stratification]. Rev Med Suisse 2010; 6:1110-1116. [PMID: 20572353] [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: 05/29/2023]
Abstract
Perioperative cardiac events occurring in patients undergoing non-cardiac surgery are a common cause of morbidity and mortality. Current guidelines recommend an individualized approach to preoperative cardiac risk stratification prior to non-cardiac surgery, integrating risk factors both for the patient (active cardiac conditions, clinical risk factors, functional capacity) and for the planned surgery. Preoperative cardiac investigations are currently limited to high-risk patients in whom they may contribute to modify the perioperative management. A multidisciplinary approach to such patients, integrating the general practitioner, is recommended in order to define an individualized peri-operative strategy.
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35
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Sierro C, Iglesias JF, Eeckhout E, Vogt P. [Pre-operative cardiac assessment in non-cardiac surgery: a frequent dilemma simplified by a decision tree]. Rev Med Suisse 2010; 6:1117-1121. [PMID: 20572354] [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: 05/29/2023]
Abstract
In patients undergoing non-cardiac surgery, cardiac events are the most common cause of perioperative morbidity and mortality. It is often difficult to choose adequate cardiologic examinations before surgery. This paper, inspired by the guidelines of the European and American societies of cardiology (ESC, AHA, ACC), discusses the place of standard ECG, echocardiography, treadmill or bicycle ergometer and pharmacological stress testing in preoperative evaluations. The role of coronary angiography and prophylactic revascularization will also be discussed. Finally, we provide a decision tree which will be helpful to both general practitioners and specialists.
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Affiliation(s)
- C Sierro
- Service de cardiologie, CHUV, Lausanne.
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36
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Chappuis S, Vogt P, Petitpierre S, Leimgruber A, Spertini F, Bart PA. [Cardiac involvement in connective tissue disease: the example of systemic lupus erythematosus]. Rev Med Suisse 2010; 6:804-811. [PMID: 20469662] [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: 05/29/2023]
Abstract
When we think of cardiac affection in the context of systemic lupus erythematosus (SLE), we usually refer to pericarditis first. As frequent as this affection is, it is actually not the only cardio-vascular problem that occurs with this systemic inflammatory disease. Are the cardiac events--ranging from multiple heart valve involvements to increased cardiovascular risks--clinically significant? And are they involving a specific follow-up, treatment or support? We are therefore trying to evaluate these questions in order to give some recommendations to any practitioners following up a lupus patient, or a patient suffering from any other inflammatory systemic disease.
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Affiliation(s)
- S Chappuis
- Service d'immunologie et d'allergie, CHUV, 1011 Lausanne.
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37
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Rennekampff HO, Reimers K, Gabka C, Germann G, Giunta R, Knobloch K, Machens H, Pallua N, Ueberreiter K, Heimburg DV, Vogt P. Möglichkeiten und Grenzen der autologen Fetttransplantation – „Consensus Meeting” der DGPRÄC in Hannover, September 2009. HANDCHIR MIKROCHIR P 2010; 42:137-42. [PMID: 20352577 DOI: 10.1055/s-0030-1249672] [Citation(s) in RCA: 14] [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: 10/19/2022] Open
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38
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Locca D, Yerly P, Pascale P, Katz E, Monney P, Muller O, Stalder N, Vogt P. [Cardiology 2009: what is new?]. Rev Med Suisse 2010; 6:93-99. [PMID: 20170024] [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: 05/28/2023]
Abstract
The present review provides a selected choice of clinical research in the field of heart failure, electrophysiology, cardiac imaging and interventional cardiology.
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Affiliation(s)
- D Locca
- Service de cardiologie, Département de médecine, CHUV, 1011 Lausanne.
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39
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Pascale P, Schlaepfer J, Oddo M, Schaller MD, Vogt P, Fromer M. Ventricular arrhythmia in coronary artery disease: limits of a risk stratification strategy based on the ejection fraction alone and impact of infarct localization. Europace 2009; 11:1639-46. [DOI: 10.1093/europace/eup314] [Citation(s) in RCA: 39] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023] Open
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40
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Abstract
Bronchiolitis obliterans, the pathological hallmark of chronic pulmonary rejection, severely impacts long-term survival following lung transplantation. However, experimental reproduction of this pathophysiological phenomenon has not been achieved with contemporary in vivo models. Here, a model of chronic rejection is described, with sensitised recipients receiving unilateral orthotopic rat lung transplants. Lewis rats, sensitised with skin from brown Norway rats 7 days before receiving left lung transplants from donors that were Lewis x brown Norway F(1) hybrids, were analysed during day 21-84. The development of chronic rejection was modulated by a treatment with rapamycin and cyclosporin, and characterised histologically, immunohistochemically and by reverse transcriptase PCR. Characteristic histopathological changes leading to chronic rejection were induced over time by an initial treatment with cyclosporin in the presence of continuous rapamycin application. At day 84, fibrotic lesions replaced the respiratory epithelium within small bronchioles, with strong expression of smooth muscle alpha-actin and upregulation of mRNA for T-helper cell type-1 cytokines, smooth muscle alpha-actin, transforming growth factor-beta and CC chemokine ligand 5, but decreased forkhead box protein P3 gene expression. A reproducible and clinically relevant experimental set-up for progressive chronic rejection in rat pulmonary allografts is described. This model will permit better understanding of the pathological changes of small airways during the development of bronchiolitis obliterans, and may serve as an in vivo set-up for testing the efficacy of novel therapeutic interventions.
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Affiliation(s)
- W Jungraithmayr
- Division of Thoracic Surgery, University Hospital Zurich, Raemistr. 100, 8091 Zurich, Switzerland.
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41
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Niederbichler A, Jokuszies A, Peters T, Steiert A, Knobloch K, Busch K, Vogt P. Extracorporeal life support devices (ECMO, ILA) in severely burned patients: Bridging the gap? Burns 2009. [DOI: 10.1016/j.burns.2009.06.179] [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: 11/24/2022]
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42
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Iglesias JF, Roguelov C, Kabir T, Vogt P, Eeckhout E. [Indications for urgent coronary angiography. Part II: Acute coronary syndromes without ST-segment elevation]. Rev Med Suisse 2009; 5:1202-1209. [PMID: 19517752] [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: 05/27/2023]
Abstract
The optimal treatment strategy for patients presenting with an acute coronary syndrome without ST elevation is controversial and different therapeutic approaches are recognized. Currently, given the literature available, it is not possible to recommend a universal systematic invasive approach. It is essential to individually risk stratify patients in order to identify those high risk patients that have been shown to benefit from an invasive strategy. Compared to conservative medical treatment, patients at low risk have not been shown to benefit from an invasive strategy. Urgent coronary angiography remains recommended for those patients with persistent or recurrent ischemic symptoms under optimal medical treatment.
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Vogt P, Mach F. [Cardiology--trends]. Rev Med Suisse 2009; 5:1163-1164. [PMID: 19517747] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
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Yerly P, Mach F, Kalangos A, Rotman S, von Segesser L, Vogt P, Hullin R, Pascual M. [Monitoring and adjustment of immunosuppression after heart transplantation]. Rev Med Suisse 2009; 5:1214-1220. [PMID: 19517754] [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: 05/27/2023]
Abstract
Heart transplantation remains the best therapeutic option for the treatment of end-stage heart failure. However, good survival rates can be obtained only if patients are closely monitored, particularly for their immunosuppressive regimens. Currently, a triple-drug regimen usually based on calcineurin-inhibitors (cyclosporin A or tacrolimus), anti-proliferative agents and steroids is used in most recipients. New agents such as the mTOR inhibitors, a more recently developed class of immunosuppressive drugs, can also be used in some patients. The aim of this article is to review currently used immunosuppressive regimens after heart transplantation, and to propose some individualized options depending on specific patient characteristics and recent pharmacological developments in the field.
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Affiliation(s)
- P Yerly
- Département de médecine interne, CHUV, 1011 Lausane.
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Iglesias JF, Roguelov C, Kabir T, Vogt P, Eeckhout E. [Indications for urgent coronary angiography. Part I: ST-segment elevation acute coronary syndromes]. Rev Med Suisse 2009; 5:1195-1201. [PMID: 19517751] [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: 05/27/2023]
Abstract
The indications for urgent coronary angiography are stated in the guidelines for treatment of acute coronary syndromes. An invasive approach is considered the treatment of choice for patients presenting with ST elevation myocardial infarction within 12 hours of the beginning of symptoms. In the absence of contraindication, intravenous thrombolysis continues to be a valuable alternative to primary angioplasty within 3 hours of the beginning of clinical symptoms. Urgent coronary angiography continues to be recommended following the failure of thrombolysis, persistent myocardial ischemia after 12 hours of symptoms, recurrent myocardial ischemia following myocardial infarction or in the case of cardiogenic shock.
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Golf S, Vogt P, Kaufmann U, Sigwart U, Kappenberger L. Intravenous thrombolytic treatment for acute myocardial infarction. Effects of early intervention and early examination. Acta Med Scand 2009; 224:523-9. [PMID: 3061290 DOI: 10.1111/j.0954-6820.1988.tb19622.x] [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] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
Intravenous thrombolytic treatment (streptokinase or anisoylated plasminogen streptokinase activator complex (APSAC) was given to 50 consecutive patients within 3 hours after onset of symptoms of acute myocardial infarction. Left heart catheterisation with coronary angiography and simultaneous double view left ventriculography were performed approximately 4 hours after start of thrombolytic treatment. This examination showed that the acute infarct-related coronary artery was open in 36 patients (72%) and closed in 14 patients (28%). A higher left ventricular ejection fraction was found among patients with open, than among patients with closed infarct-related artery (58.8% vs. 48.4%, p = 0.05). The group with open artery also had a lower score of regional left ventricular dysfunction (1.7 vs. 2.4, p less than 0.05, on a scale from 0-3). Single, double and triple vessel coronary heart disease was found in 22, 14 and 13 patients respectively. Mean age was lower in the group with single vessel disease as compared to double and triple vessel disease (48.4 years vs. 53.4 and 55.4 years, p less than 0.05 and p less than 0.005). Independently of whether the infarct-related artery was open or closed, there tended to be an inverse correlation between number of diseased vessels and preservation of left ventricular function (statistical significance only for single vessel versus triple vessel disease with respect to score of regional left ventricular dysfunction, 1.8 vs. 2.4, p less than 0.05). These findings suggest that early thrombolytic treatment within 3 hours of onset of symptoms may preserve myocardial tissue during the evolution of acute infarction. Furthermore, a presumably better collateralisation from adjacent coronary arteries without stenoses may be important for myocardial preservation. Finally, early angiographic examination can be performed safely and is a good support for determination of further treatment, which in the actual patients was coronary bypass surgery in 8 cases, transluminal angioplasty, PTCA, in 20 cases, and medical treatment alone in 22 cases.
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Affiliation(s)
- S Golf
- Department of Medicine, University Hospital, CHUV, Lausanne, Switzerland
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Corre T, Schuettler J, Bione S, Marozzi A, Persani L, Rossetti R, Torricelli F, Giotti I, Vogt P, Toniolo D. A large-scale association study to assess the impact of known variants of the human INHA gene on premature ovarian failure. Hum Reprod 2009; 24:2023-8. [DOI: 10.1093/humrep/dep090] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.5] [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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Heidt M, Sedding D, Stracke S, Stadlbauer T, Boening A, Vogt P, Schönburg M. Measurement of Myocardial Oxygen Tension: A Valid and Sensitive Method in the Investigation of Transmyocardial Laser Revascularization in an Acute Ischemia Model. Thorac Cardiovasc Surg 2009; 57:79-84. [DOI: 10.1055/s-2008-1039209] [Citation(s) in RCA: 4] [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: 10/21/2022]
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Kolbe T, Knauer A, Wenzel H, Einfeldt S, Kueller V, Vogt P, Weyers M, Kneissl M. Emission characteristics of InGaN multi quantum well light emitting diodes with differently strained InAlGaN barriers. ACTA ACUST UNITED AC 2009. [DOI: 10.1002/pssc.200880895] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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Knobloch K, Yoon U, Kraemer R, Vogt P. Die 200- bis 400 m-Brustlage dominiert bei Knieüberlastungsschäden im Schwimmsport. Sportverletz Sportschaden 2008; 22:213-9. [DOI: 10.1055/s-2008-1027987] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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