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Stara V, Maranesi E, Möller J, Palmier C, Ogawa T, Browne R, Luc M, Wieching R, Boudy J, Bevilacqua R. Technology-Enabled Senior Living: A Preliminary Report on Stakeholder Perspectives. Healthcare (Basel) 2024; 12:381. [PMID: 38338266 PMCID: PMC10855261 DOI: 10.3390/healthcare12030381] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2023] [Revised: 01/30/2024] [Accepted: 01/30/2024] [Indexed: 02/12/2024] Open
Abstract
BACKGROUND The integration of stakeholders is crucial in developing smart living technologies to support the autonomy of elderly populations. Despite the clear benefits of these technologies, there remains a significant gap in comprehensive research. METHODS This study presents the viewpoints of 19 stakeholders from Europe and Japan, focusing on the sustainability of smart living solutions for Active and Healthy Ageing (AHA). Data were gathered through qualitative semi-structured interviews and analysed using a Framework Analysis approach. RESULTS Analysis of the interviews revealed six key sustainability categories: addressing the unmet needs of older adults, functionalities of the smart living coach, integration within organizations, identified barriers, financial considerations, and the social role of the smart living coach. CONCLUSIONS This research underscores the importance of evaluating user needs through the involvement of various stakeholders, including the elderly, their caregivers, professionals, technicians, service providers, and government bodies. Collaborative efforts are essential to generate new evidence demonstrating the value of smart living solutions in facilitating Active and Healthy Ageing.
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Affiliation(s)
- Vera Stara
- Scientific Direction, IRCCS INRCA, 60124 Ancona, Italy; (V.S.); (R.B.)
| | - Elvira Maranesi
- Scientific Direction, IRCCS INRCA, 60124 Ancona, Italy; (V.S.); (R.B.)
| | - Johanna Möller
- Diocesan Caritas Association for the Archdiocese of Cologne, D-50668 Cologne, Germany;
| | - Cecilia Palmier
- Service de Gériatrie 1&2, AP-HP, Hôpital Broca, 75013 Paris, France;
| | - Toshimi Ogawa
- Smart-Aging Research Center, Tohoku University, Sendai 980-8575, Japan; (T.O.); (R.B.)
| | - Ryan Browne
- Smart-Aging Research Center, Tohoku University, Sendai 980-8575, Japan; (T.O.); (R.B.)
| | - Marine Luc
- AGE Platform Europe, 1150 Brussels, Belgium;
| | - Rainer Wieching
- Institute for New Media and Information Systems, University Siegen, D-57072 Siegen, Germany;
| | - Jerome Boudy
- Institut Mines-Telecom, Telecom SudParis, SAMOVAR IP Paris, 91011 Evry, France;
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Möller J, Stara V, Amabili G, Barbarossa F, Riccardi GR, Martella C, Di Donna V, Palmier C, Ogawa T, Luc M, Wieching R, Maranesi E, Bevilacqua R. Toward Innovation in Healthcare: An Analysis of the Digital Behavior of Older People in Europe and Japan for the Introduction of a Technological Coaching System. Healthcare (Basel) 2024; 12:143. [PMID: 38255032 PMCID: PMC10815043 DOI: 10.3390/healthcare12020143] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2023] [Revised: 01/04/2024] [Accepted: 01/05/2024] [Indexed: 01/24/2024] Open
Abstract
(1) Background: The increasing older population and demographic shifts highlight the need to understand the digital profiles of older adults, a pivotal factor in developing innovative technologies like the e-VITA virtual coach. This personalized coach provides recommendations for sustainable well-being in a smart home environment. (2) Methods: This study focuses on analyzing the characteristics of older individuals categorized as Internet users (onliners) and non-users (offliners). European Social Survey data from 2021 were utilized for European analysis, determining Internet usage based on frequency. Offliners are defined as users who never use the Internet, and onliners as those who use it, albeit with different frequencies. In Japan, data from the 9th International Comparative Survey on the Lives and Attitudes of the Elderly were employed, based on the responses of 1367 subjects, which defined onliners as individuals using communication devices and offliners as those not utilizing fax machines, cell phones, or the Internet. (3) Results: This paper presents a primary analysis of older end-user context and perspectives, outlining effective strategies for the diffusion of an active and healthy aging coaching system in the market and society. (4) Conclusions: the study emphasizes the importance of analyzing digital behavior in any user-centered design approach to ensure the system's acceptance after deployment.
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Affiliation(s)
- Johanna Möller
- Diözesan-Caritasverband für das Erzbistum Köln e.V., D-50676 Cologne, Germany;
| | - Vera Stara
- Scientific Direction, IRCCS INRCA, 60124 Ancona, Italy; (G.A.); (F.B.); (R.B.)
| | - Giulio Amabili
- Scientific Direction, IRCCS INRCA, 60124 Ancona, Italy; (G.A.); (F.B.); (R.B.)
| | - Federico Barbarossa
- Scientific Direction, IRCCS INRCA, 60124 Ancona, Italy; (G.A.); (F.B.); (R.B.)
| | | | - Clotilda Martella
- Clinical Unit of Nephrology and Dialysis, IRCCS INRCA, 60121 Ancona, Italy;
| | - Valentina Di Donna
- Clinical Unit of Physical Rehabilitation, IRCCS INRCA, 63900 Fermo, Italy;
| | - Cecilia Palmier
- Service de Gériatrie 1&2, AP-HP, Hôpital Broca, 75013 Paris, France;
| | - Toshimi Ogawa
- Smart-Aging Research Center, Tohoku University, Sendai 980-8575, Miyagi, Japan;
| | - Marine Luc
- AGE Platform Europe, 1150 Brussels, Belgium;
| | - Rainer Wieching
- Institute for New Media and Information Systems, University Siegen, D-57072 Siegen, Germany;
| | - Elvira Maranesi
- Scientific Direction, IRCCS INRCA, 60124 Ancona, Italy; (G.A.); (F.B.); (R.B.)
| | - Roberta Bevilacqua
- Scientific Direction, IRCCS INRCA, 60124 Ancona, Italy; (G.A.); (F.B.); (R.B.)
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Stara V, Soraci L, Takano E, Kondo I, Möller J, Maranesi E, Luzi R, Riccardi GR, Browne R, Dacunha S, Palmier C, Wieching R, Ogawa T, Bevilacqua R. Intrinsic Capacity and Active and Healthy Aging Domains Supported by Personalized Digital Coaching: Survey Study Among Geriatricians in Europe and Japan on eHealth Opportunities for Older Adults. J Med Internet Res 2023; 25:e41035. [PMID: 37824183 PMCID: PMC10603559 DOI: 10.2196/41035] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [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: 07/14/2022] [Revised: 10/03/2022] [Accepted: 07/14/2023] [Indexed: 10/13/2023] Open
Abstract
BACKGROUND The worldwide aging trend requires conceptually new prevention, care, and innovative living solutions to support human-based care using smart technology, and this concerns the whole world. Enabling access to active and healthy aging through personalized digital coaching services like physical activity coaching, cognitive training, emotional well-being, and social connection for older adults in real life could offer valuable advantages to both individuals and societies. A starting point might be the analysis of the perspectives of different professionals (eg, geriatricians) on such technologies. The perspectives of experts in the sector may allow the individualization of areas of improvement of clinical interventions, supporting the positive perspective pointed out by the intrinsic capacity framework. OBJECTIVE The overall aim of this study was to explore the cross-national perspectives and experiences of different professionals in the field of intrinsic capacity, and how it can be supported by eHealth interventions. To our knowledge, this is the first study to explore geriatric care providers' perspectives about technology-based interventions to support intrinsic capacity. METHODS A survey involving 20 geriatricians or clinical experts in the fields of intrinsic capacity and active and healthy aging was conducted in Italy, France, Germany, and Japan between August and September 2021. RESULTS The qualitative findings pointed out relevant domains for eHealth interventions and provided examples for successful practices that support subjective well-being under the intrinsic capacity framework (the benefits offered by personalized interventions, especially by promoting health literacy but avoiding intrusiveness). Moreover, eHealth interventions could be used as a bridge that facilitates and enables social engagement; an instrument that facilitates communication between doctors and patients; and a tool to enrich the monitoring actions of medical staff. CONCLUSIONS There is an unexplored and significant role for such geriatric perspectives to help the development process and evaluate the evidence-based results on the effectiveness of technologies for older people. This is possible only when clinicians collaborate with data scientists, engineers, and developers in order to match the complex daily needs of older adults.
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Affiliation(s)
- Vera Stara
- Medical Direction, IRCCS, INRCA, Ancona, Italy
| | - Luca Soraci
- Unit of Geriatric Medicine, IRCCS, INRCA, Cosenza, Italy
| | - Eiko Takano
- National Center for Geriatrics and Gerontology, Obu City, Japan
| | - Izumi Kondo
- National Center for Geriatrics and Gerontology, Obu City, Japan
| | - Johanna Möller
- Diocesan Caritas Association for the Archdiocese of Cologne, Cologne, Germany
| | | | | | | | - Ryan Browne
- Smart-Aging Research Center, Tohoku University, Sendai, Japan
| | | | - Cecilia Palmier
- Service de gériatrie 1&2, AP-HP, Hôpital Broca, Paris, France
| | - Rainer Wieching
- Institute for New Media & Information Systems, University of Siegen, Siegen, Germany
| | - Toshimi Ogawa
- Smart-Aging Research Center, Tohoku University, Sendai, Japan
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Möller J, Lindholm E, Fredlund P, Vaez M, Liang Y, Laflamme L. Trends in intentional and unintentional poisonings among older adults - A national register-based study in Sweden. BMC Geriatr 2023; 23:296. [PMID: 37189030 DOI: 10.1186/s12877-023-03973-4] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2022] [Accepted: 04/13/2023] [Indexed: 05/17/2023] Open
Abstract
BACKGROUND Among older people intentional poisoning outnumber unintentional ones. While there are indications that time trends differ by poisoning intent, studies are scarce. We assessed how the annual prevalence of intentional and unintentional poisoning changed over time, overall and by demographic groups. METHODS We conducted a national open cohort study of individuals aged 50-100 years, resident in Sweden during 2005-2016. Individuals were followed up in population-based registers for their demographic and health attributes from 2006-2016. Annual prevalence of hospitalization and death by poisoning intent (unintentional vs. intentional or undetermined; ICD-10 definitions) were compiled for the categories of four demographic attributes (age, sex, marital status, and birth cohort "baby boomers"). The time trends were assessed by multinomial logistic regression with year as an independent variable. RESULTS The annual overall prevalence of hospitalization and death by intentional poisonings consistently exceeded that of unintentional poisonings. There was a significant downward trend in intentional poisonings but not in unintentional ones. This difference in trends also applied when considering men and women separately, married and unmarried people, the young-old individuals (but not the older- or oldest-old ones), and the baby boomers and non-baby boomers. The largest demographic differences within intent were found between married and unmarried people, and the smallest one between men and women. CONCLUSION As expected, the annual prevalence of intentional poisonings considerably exceed that of unintentional ones among Swedish older people. The recent trends reveal a significant reduction of intentional poisonings, consistent across a range of demographic attributes. The scope for action regarding this preventable cause of mortality and morbidity remains considerable.
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Affiliation(s)
- J Möller
- Department of Global Public Health, Karolinska Institutet, K9 Global Folkhälsa, K9 GH, 171 77, Stockholm, Sweden
| | - E Lindholm
- Department of Global Public Health, Karolinska Institutet, K9 Global Folkhälsa, K9 GH, 171 77, Stockholm, Sweden.
| | - P Fredlund
- Department of Global Public Health, Karolinska Institutet, K9 Global Folkhälsa, K9 GH, 171 77, Stockholm, Sweden
| | - M Vaez
- Department of Living Conditions and Lifestyles, The Public Health Agency of Sweden, Stockholm, Sweden
- Department of Clinical Neuroscience, Division of Insurance Medicine, Karolinska Institutet, Stockholm, Sweden
| | - Y Liang
- Department of Global Public Health, Karolinska Institutet, K9 Global Folkhälsa, K9 GH, 171 77, Stockholm, Sweden
| | - L Laflamme
- Department of Global Public Health, Karolinska Institutet, K9 Global Folkhälsa, K9 GH, 171 77, Stockholm, Sweden
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Melendez P, Möller J, Arevalo A, Pinedo P. The effect of rumen-protected lysine and methionine on milk yield, milk components, and body weight in grazing Holstein cows during spring calving season in the southern hemisphere. Livest Sci 2023. [DOI: 10.1016/j.livsci.2023.105230] [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: 04/08/2023]
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Möller J, Wolnicka-Glubisz A, Neesen F, Becker C, Raker V, Dreier R, Tulic M, Steinbrink K, öhm M, Kleszczynski K. 484 Melatonin induces melanoma cell death and synergizes with BRAF/MEK inhibitors by altering cell bioenergetics. J Invest Dermatol 2022. [DOI: 10.1016/j.jid.2022.09.498] [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: 11/19/2022]
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Möller J, Bevilacqua R, Browne R, Shinada T, Dacunha S, Palmier C, Stara V, Maranesi E, Margaritini A, Takano E, Kondo I, Watanabe S, Ahmadi M, Wieching R, Ogawa T. User Perceptions and Needs Analysis of a Virtual Coach for Active and Healthy Ageing-An International Qualitative Study. Int J Environ Res Public Health 2022; 19:10341. [PMID: 36011975 PMCID: PMC9408500 DOI: 10.3390/ijerph191610341] [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: 07/11/2022] [Revised: 08/12/2022] [Accepted: 08/18/2022] [Indexed: 06/15/2023]
Abstract
Virtual coaching systems show great potential for meeting the challenges of demographic change. However, the proportion of older users in the field of digital technologies is far behind that of younger people. As part of the e-VITA project, semi-structured interviews were conducted in Japan, France, Italy and Germany with 58 people aged 65 and over, and the content was analyzed with the aim of obtaining information about how older adults organize their everyday lives, also with regard to the COVID-19 pandemic, how they deal with their health, what role digital technologies play in the lives of the interviewees and why they oppose progressive digitization. Second, the survey asked why the older adults oppose a virtual coach, which is to be developed in the e-VITA project to support older adults in healthy and active aging, and what barriers they see in a possible implementation. It was found that older respondents lead active, varied lives and that the COVID-19 pandemic contributed to the increased use of digital solutions. In addition, respondents were consciously addressing their own health. With regard to a virtual coach, barriers were seen primarily in the area of data security and sharing. It can be concluded from this that heterogeneity among older user groups should be taken into account when developing virtual coaches. In addition, aspects of data security and data protection should be presented in a clearly understandable and transparent manner.
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Affiliation(s)
- Johanna Möller
- Diocesan Caritas Association for the Archdiocese of Cologne, 50668 Cologne, Germany
| | | | - Ryan Browne
- Smart-Aging Research Center, Tohoku University, Sendai 980-8575, Miyagi, Japan
| | - Takamitsu Shinada
- Smart-Aging Research Center, Tohoku University, Sendai 980-8575, Miyagi, Japan
| | - Sébastien Dacunha
- Faculté de Médecine, Université de Paris, Maladie d’Alzheimer, 75015 Paris, France
- Service de Gériatrie 1&2, AP-HP, Hôpital Broca, 75013 Paris, France
| | - Cecilia Palmier
- Faculté de Médecine, Université de Paris, Maladie d’Alzheimer, 75015 Paris, France
- Service de Gériatrie 1&2, AP-HP, Hôpital Broca, 75013 Paris, France
| | - Vera Stara
- IRCCS INRCA, Scientific Direction, 60124 Ancona, Italy
| | | | | | - Eiko Takano
- Department of Rehabilitation Medicine, National Center for Geriatrics and Gerontology, Obu 474-8511, Aichi, Japan
| | - Izumi Kondo
- Department of Rehabilitation Medicine, National Center for Geriatrics and Gerontology, Obu 474-8511, Aichi, Japan
| | - Shuichiro Watanabe
- Institute of Gerontology, J. F. Oberlin University, 3758, Tokiwa-machi, Machida-shi 194-0294, Tokyo, Japan
| | - Michael Ahmadi
- Institute for New Media and Information Systems, University Siegen, Kohlbettstr. 15, 57072 Siegen, Germany
| | - Rainer Wieching
- Institute for New Media and Information Systems, University Siegen, Kohlbettstr. 15, 57072 Siegen, Germany
| | - Toshimi Ogawa
- Smart-Aging Research Center, Tohoku University, Sendai 980-8575, Miyagi, Japan
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Laflamme L, Lindholm E, Airaksinen E, Vaez M, Möller J. 410 - Tendances des hospitalisations et décès par empoisonnement chez les personnes âgées. Étude nationale populationnelle en Suède. Rev Epidemiol Sante Publique 2022. [DOI: 10.1016/j.respe.2022.06.143] [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: 11/30/2022] Open
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9
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Bevilacqua R, Soraci L, Stara V, Riccardi GR, Corsonello A, Pelliccioni G, Lattanzio F, Casaccia S, Möller J, Wieching R, Ogawa T, Watanabe S, Kokobun K, Kondo I, Takano E, Maranesi E. A systematic review of multidomain and lifestyle interventions to support the intrinsic capacity of the older population. Front Med (Lausanne) 2022; 9:929261. [PMID: 35911409 PMCID: PMC9335156 DOI: 10.3389/fmed.2022.929261] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2022] [Accepted: 06/28/2022] [Indexed: 11/23/2022] Open
Abstract
Introduction The focus on intrinsic capacity (IC) could help clinicians to design interventions to improve the health of the older population. This review aims to map the current state of the art in the field of multi-domain interventions based on the IC framework, to allow health professionals in identifying personalized clinical interventions, oriented to empower the older people with a holistic and positive approach. Methods A systematic review of the literature was conducted in July 2021 analyzing manuscripts and articles of the last 10.5 years from PubMed, Scopus, Embase, Google Scholar and Elsevier databases. A total of 12 papers were included. Results The majority of successful interventions are based on a goal setting approach where the older people are involved in the definition of the strategy to follow to remain active and independent. None of the study have used the IC as a framework to design a clinical intervention. Conclusion To the best of our knowledge, no other reviews are reported in the literature regarding the IC. Our study offers several research directions, which may take the existing debates to the next level.
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Affiliation(s)
- Roberta Bevilacqua
- Scientific Direction, IRCCS INRCA, Ancona, Italy
- *Correspondence: Roberta Bevilacqua,
| | - Luca Soraci
- Unit of Geriatric Medicine, IRCCS INRCA, Cosenza, Italy
| | - Vera Stara
- Scientific Direction, IRCCS INRCA, Ancona, Italy
| | | | - Andrea Corsonello
- Unit of Geriatric Medicine, IRCCS INRCA, Cosenza, Italy
- Unit of Geriatric Pharmacoepidemiology and Biostatistics, IRCCS INRCA, Cosenza, Italy
| | | | | | - Sara Casaccia
- Department of Industrial Engineering and Mathematical Sciences, Polytechnic University of Marche, Ancona, Italy
| | - Johanna Möller
- Department Elderly Care, Diocesan Caritas Association for the Archdiocese of Cologne, Cologne, Germany
| | - Rainer Wieching
- Universität Siegen, Wirtschaftsinformatik und Neue Medien, Siegen, Germany
| | - Toshimi Ogawa
- Smart-Aging Research Center, Tohoku University, Sendai, Japan
| | | | - Keisuke Kokobun
- Smart-Aging Research Center, Tohoku University, Sendai, Japan
| | - Izumi Kondo
- Department of Rehabilitation Medicine, National Center for Geriatrics and Gerontology, Obu, Japan
| | - Eiko Takano
- Department of Rehabilitation Medicine, National Center for Geriatrics and Gerontology, Obu, Japan
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Petrov I, Boesenberg U, Bushuev VA, Hallmann J, Kazarian K, Lu W, Möller J, Reiser M, Rodriguez-Fernandez A, Samoylova L, Scholz M, Sinn H, Zozulya A, Madsen A. Performance of a cryo-cooled crystal monochromator illuminated by hard X-rays with MHz repetition rate at the European X-ray Free-Electron Laser. Opt Express 2022; 30:4978-4987. [PMID: 35209469 DOI: 10.1364/oe.451110] [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] [Subscribe] [Scholar Register] [Received: 12/13/2021] [Accepted: 01/18/2022] [Indexed: 06/14/2023]
Abstract
Due to the high intensity and MHz repetition rate of photon pulses generated by the European X-ray Free-Electron Laser, the heat load on silicon crystal monochromators can become large and prevent ideal transmission in Bragg diffraction geometry due to crystal deformation. Here, we present experimental data illustrating how heat load affects the performance of a cryogenically cooled monochromator under such conditions. The measurements are in good agreement with a depth-uniform model of X-ray dynamical diffraction taking beam absorption and heat deformation of the crystals into account.
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11
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Vassholz M, Hoeppe HP, Hagemann J, Rosselló JM, Osterhoff M, Mettin R, Kurz T, Schropp A, Seiboth F, Schroer CG, Scholz M, Möller J, Hallmann J, Boesenberg U, Kim C, Zozulya A, Lu W, Shayduk R, Schaffer R, Madsen A, Salditt T. Pump-probe X-ray holographic imaging of laser-induced cavitation bubbles with femtosecond FEL pulses. Nat Commun 2021; 12:3468. [PMID: 34103498 PMCID: PMC8187368 DOI: 10.1038/s41467-021-23664-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2020] [Accepted: 04/27/2021] [Indexed: 11/24/2022] Open
Abstract
Cavitation bubbles can be seeded from a plasma following optical breakdown, by focusing an intense laser in water. The fast dynamics are associated with extreme states of gas and liquid, especially in the nascent state. This offers a unique setting to probe water and water vapor far-from equilibrium. However, current optical techniques cannot quantify these early states due to contrast and resolution limitations. X-ray holography with single X-ray free-electron laser pulses has now enabled a quasi-instantaneous high resolution structural probe with contrast proportional to the electron density of the object. In this work, we demonstrate cone-beam holographic flash imaging of laser-induced cavitation bubbles in water with nanofocused X-ray free-electron laser pulses. We quantify the spatial and temporal pressure distribution of the shockwave surrounding the expanding cavitation bubble at time delays shortly after seeding and compare the results to numerical simulations.
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Affiliation(s)
- M Vassholz
- Institut für Röntgenphysik, Georg-August-Universität Göttingen, Göttingen, Germany
| | - H P Hoeppe
- Institut für Röntgenphysik, Georg-August-Universität Göttingen, Göttingen, Germany
| | - J Hagemann
- CXNS - Center for X-ray and Nano Science, Deutsches Elektronen-Synchrotron DESY, Hamburg, Germany
| | - J M Rosselló
- Drittes Physikalisches Institut, Georg-August-Universität Göttingen, Göttingen, Germany
| | - M Osterhoff
- Institut für Röntgenphysik, Georg-August-Universität Göttingen, Göttingen, Germany
| | - R Mettin
- Drittes Physikalisches Institut, Georg-August-Universität Göttingen, Göttingen, Germany
| | - T Kurz
- Drittes Physikalisches Institut, Georg-August-Universität Göttingen, Göttingen, Germany
| | - A Schropp
- CXNS - Center for X-ray and Nano Science, Deutsches Elektronen-Synchrotron DESY, Hamburg, Germany
| | - F Seiboth
- CXNS - Center for X-ray and Nano Science, Deutsches Elektronen-Synchrotron DESY, Hamburg, Germany
| | - C G Schroer
- CXNS - Center for X-ray and Nano Science, Deutsches Elektronen-Synchrotron DESY, Hamburg, Germany
- Department Physik, Universität Hamburg, Hamburg, Germany
| | - M Scholz
- European X-Ray Free-Electron Laser Facility, Schenefeld, Germany
| | - J Möller
- European X-Ray Free-Electron Laser Facility, Schenefeld, Germany
| | - J Hallmann
- European X-Ray Free-Electron Laser Facility, Schenefeld, Germany
| | - U Boesenberg
- European X-Ray Free-Electron Laser Facility, Schenefeld, Germany
| | - C Kim
- European X-Ray Free-Electron Laser Facility, Schenefeld, Germany
| | - A Zozulya
- European X-Ray Free-Electron Laser Facility, Schenefeld, Germany
| | - W Lu
- European X-Ray Free-Electron Laser Facility, Schenefeld, Germany
| | - R Shayduk
- European X-Ray Free-Electron Laser Facility, Schenefeld, Germany
| | - R Schaffer
- European X-Ray Free-Electron Laser Facility, Schenefeld, Germany
| | - A Madsen
- European X-Ray Free-Electron Laser Facility, Schenefeld, Germany
| | - T Salditt
- Institut für Röntgenphysik, Georg-August-Universität Göttingen, Göttingen, Germany.
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12
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Madsen A, Hallmann J, Ansaldi G, Roth T, Lu W, Kim C, Boesenberg U, Zozulya A, Möller J, Shayduk R, Scholz M, Bartmann A, Schmidt A, Lobato I, Sukharnikov K, Reiser M, Kazarian K, Petrov I. Materials Imaging and Dynamics (MID) instrument at the European X-ray Free-Electron Laser Facility. J Synchrotron Radiat 2021; 28:637-649. [PMID: 33650576 PMCID: PMC7941285 DOI: 10.1107/s1600577521001302] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/19/2020] [Accepted: 02/04/2021] [Indexed: 05/27/2023]
Abstract
The Materials Imaging and Dynamics (MID) instrument at the European X-ray Free-Electron Laser (EuXFEL) facility is described. EuXFEL is the first hard X-ray free-electron laser operating in the MHz repetition range which provides novel science opportunities. The aim of MID is to enable studies of nano-structured materials, liquids, and soft- and hard-condensed matter using the bright X-ray beams generated by EuXFEL. Particular emphasis is on studies of structure and dynamics in materials by coherent scattering and imaging using hard X-rays. Commission of MID started at the end of 2018 and first experiments were performed in 2019.
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Affiliation(s)
- A. Madsen
- European X-ray Free-Electron Laser Facility, Holzkoppel 4, 22869 Schenefeld, Germany
| | - J. Hallmann
- European X-ray Free-Electron Laser Facility, Holzkoppel 4, 22869 Schenefeld, Germany
| | - G. Ansaldi
- European X-ray Free-Electron Laser Facility, Holzkoppel 4, 22869 Schenefeld, Germany
| | - T. Roth
- European X-ray Free-Electron Laser Facility, Holzkoppel 4, 22869 Schenefeld, Germany
| | - W. Lu
- European X-ray Free-Electron Laser Facility, Holzkoppel 4, 22869 Schenefeld, Germany
| | - C. Kim
- European X-ray Free-Electron Laser Facility, Holzkoppel 4, 22869 Schenefeld, Germany
| | - U. Boesenberg
- European X-ray Free-Electron Laser Facility, Holzkoppel 4, 22869 Schenefeld, Germany
| | - A. Zozulya
- European X-ray Free-Electron Laser Facility, Holzkoppel 4, 22869 Schenefeld, Germany
| | - J. Möller
- European X-ray Free-Electron Laser Facility, Holzkoppel 4, 22869 Schenefeld, Germany
| | - R. Shayduk
- European X-ray Free-Electron Laser Facility, Holzkoppel 4, 22869 Schenefeld, Germany
| | - M. Scholz
- European X-ray Free-Electron Laser Facility, Holzkoppel 4, 22869 Schenefeld, Germany
| | - A. Bartmann
- European X-ray Free-Electron Laser Facility, Holzkoppel 4, 22869 Schenefeld, Germany
| | - A. Schmidt
- European X-ray Free-Electron Laser Facility, Holzkoppel 4, 22869 Schenefeld, Germany
| | - I. Lobato
- European X-ray Free-Electron Laser Facility, Holzkoppel 4, 22869 Schenefeld, Germany
| | - K. Sukharnikov
- European X-ray Free-Electron Laser Facility, Holzkoppel 4, 22869 Schenefeld, Germany
| | - M. Reiser
- European X-ray Free-Electron Laser Facility, Holzkoppel 4, 22869 Schenefeld, Germany
| | - K. Kazarian
- European X-ray Free-Electron Laser Facility, Holzkoppel 4, 22869 Schenefeld, Germany
| | - I. Petrov
- European X-ray Free-Electron Laser Facility, Holzkoppel 4, 22869 Schenefeld, Germany
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Schmidt SC, Möller J, Bürgel N, Radke C, Beyer L, Marusch F. Minimally invasive accessory splenectomy for recurrent gastric variceal bleeding due to left-sided portal hypertension: report of the first case. J Surg Case Rep 2021; 2021:rjab008. [PMID: 33604020 PMCID: PMC7877905 DOI: 10.1093/jscr/rjab008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2020] [Accepted: 01/06/2021] [Indexed: 02/06/2023] Open
Abstract
Upper gastrointestinal bleeding from esophagogastric varices is a common scenario, especially in patients with portal hypertension induced by liver cirrhosis or other diseases with thrombosis of the splenic vein. However, accessory spleen as pathophysiological cause of a regional, left-sided portal hypertension and consecutive development of isolated gastric varices is rare. We report a case of recurrent gastric variceal bleeding resulting from sinistral portal hypertension associated with an accessory spleen in a patient who had traumatic splenectomy many decades before. The accessory spleen is an extremely rare cause for the development of regional, left-sided portal hypertension leading to isolated gastric varices. Minimally invasive splenectomy is a safe and efficient treatment option.
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Affiliation(s)
- S C Schmidt
- Department for Hepato-Pancreato-Biliary Surgery, Ernst von Bergmann Clinic, Potsdam, Germany
| | - J Möller
- Department for Hepato-Pancreato-Biliary Surgery, Ernst von Bergmann Clinic, Potsdam, Germany
| | - N Bürgel
- Department for Gastroenterology and Infectiology, Ernst von Bergmann Clinic, Potsdam, Germany
| | - C Radke
- Institute for Pathology, Ernst von Bergmann Clinic, Potsdam, Germany
| | - L Beyer
- Department for Radiology, Ernst von Bergmann Clinic, Potsdam, Germany
| | - F Marusch
- Clinic for General-, Visceral-, Vascular- and Thoracic Surgery, Ernst von Bergmann Clinic, Potsdam, Germany
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Melendez P, Bartolome J, Roeschmann C, Soto B, Arevalo A, Möller J, Coarsey M. The association of prepartum urine pH, plasma total calcium concentration at calving and postpartum diseases in Holstein dairy cattle. Animal 2020; 15:100148. [PMID: 33573952 DOI: 10.1016/j.animal.2020.100148] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2020] [Revised: 11/05/2020] [Accepted: 11/09/2020] [Indexed: 10/22/2022] Open
Abstract
The use of anionic salts to prevent milk fever in dairy cattle has been an effective nutritional strategy; however, the degree of acidification that determines the most acceptable productive responses and well-being of the cow is still a controversial topic. The objective of this study was to assess urine pH in prepartum Holstein cows fed anionic diets and determine its association with plasma total Ca, Mg, P, β-hydroxyl-butyrate (BHB) concentrations at parturition and the occurrence of peripartum disorders. This investigation consisted of 2 studies. Study 1 was conducted on a grazing dairy. Between February and May 2019, 60 prepartum multiparous cows were tested for urine pH and plasma metabolite concentration at parturition. Total Ca, P, Mg and BHB at day 1 in milk (DIM) were assessed and statistically analyzed by ANOVA (models for polynomial regression). Study 2 was conducted on a drylot dairy farm. Between July 2018 and January 2019, 203 cows were evaluated for urine pH and followed-up for 30 DIM to obtain the incidence of dystocia, stillbirths, milk fever, retained fetal membranes, metritis, clinical mastitis and ketosis. Cows were categorized based on their last urine pH as group 1: pH > 7.0 (n = 135); group 2: pH between 6.0 and 7.0 (n = 46) and group 3: pH < 6.0 (n = 22). A logistic regression model for each health event was conducted considering urine pH group as the main effect. Urine sample was collected at 2.71 ± 2.84 days before parturition. In study 1, there was a quadratic effect of urine pH on total Ca. Total Ca concentration was higher between urine pH 6.0 and 7.0, while decreasing below pH 6.0 and above pH 7.0. There was a trend (P = 0.11) for a quadratic effect of urine pH on the concentration of plasma BHB at parturition. β-Hydroxyl-butyrate was lower approximately between urine pH 6.5 and 7.5. In study 2, the odds for a stillborn in cows with urine pH < 6.0 was 2.39 (95% CI = 1.06-5.40) times the odds for a stillborn in cows with urine pH ≥ 7.0. There was no association between urine pH and the other diseases. In conclusion, cows with prepartum urine pH < 6.0 and >7.0 had lower concentration of plasma total Ca and tended to have a higher concentration of BHB. Cows with urine pH < 6.0 had a higher incidence of stillbirths than cows with urine pH > 7.0.
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Affiliation(s)
- P Melendez
- Department of Population Health, College of Veterinary Medicine, University of Georgia, Tifton, GA 31793, USA.
| | - J Bartolome
- College of Veterinary Medicine, National University of La Pampa, Santa Rosa 6360, Argentina
| | - C Roeschmann
- College of Veterinary Medicine, University of Chile, Santiago 8820808, Chile
| | - B Soto
- College of Veterinary Medicine, National University of La Pampa, Santa Rosa 6360, Argentina
| | - A Arevalo
- Los Laureles Dairy Farm, Osorno 5390000, Chile
| | - J Möller
- Los Laureles Dairy Farm, Osorno 5390000, Chile
| | - M Coarsey
- Department of Pathology, College of Veterinary Medicine, University of Georgia, Tifton, GA 31793, USA
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Castritius SM, Hecht H, Möller J, Dietz CJ, Schubert P, Bernhard C, Morvilius S, Haas CT, Hammer S. Acceptance of truck platooning by professional drivers on German highways. A mixed methods approach. Appl Ergon 2020; 85:103042. [PMID: 31929025 DOI: 10.1016/j.apergo.2019.103042] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [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: 08/30/2019] [Revised: 12/20/2019] [Accepted: 12/22/2019] [Indexed: 06/10/2023]
Abstract
Truck platoon driving is a current branch of automated driving, which has the potential to radically change the work routine of professional drivers. In a platoon system, one truck (semi-)automatically follows a lead truck with a reduced distance, which produces significant savings in fuel and enables better traffic flow. In a current application of truck platoon driving, the following vehicle operates at level-2 automation. Thus, the driver of the following truck merely has to supervise the semi-automated system, which takes over steering and speed control when engaged. Level-2 truck platoon driving had not been tested with professional drivers in real traffic before. We hypothesized that user acceptance would improve after the experience of platoon driving. Quantitative questionnaires and qualitative interviews were conducted with 10 drivers before and after an extensive Autobahn experience. The results show a clear increase of acceptance after the experience. Platoon driving was evaluated to be more useful, easier to use, and safer after the experience. Besides perceived driving safety, the prestige of truck platooning, the perceived usefulness of the system, and general technology affinity co-determined user acceptance.
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Affiliation(s)
- Sarah-Maria Castritius
- Johannes Gutenberg-Universität Mainz, Mainz, Germany; Hochschule Fresenius, University of Applied Sciences, Idstein, Germany.
| | - Heiko Hecht
- Johannes Gutenberg-Universität Mainz, Mainz, Germany
| | - Johanna Möller
- Hochschule Fresenius, University of Applied Sciences, Idstein, Germany
| | - Christoph J Dietz
- Hochschule Fresenius, University of Applied Sciences, Idstein, Germany
| | - Patric Schubert
- Hochschule Fresenius, University of Applied Sciences, Idstein, Germany
| | | | - Simone Morvilius
- Hochschule Fresenius, University of Applied Sciences, Idstein, Germany
| | - Christian T Haas
- Hochschule Fresenius, University of Applied Sciences, Idstein, Germany
| | - Sabine Hammer
- Hochschule Fresenius, University of Applied Sciences, Idstein, Germany
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Nieber K, Raskopf E, Möller J, Kelber O, Fürst R, Shah-Hosseini K, Singh J, Kraft K, Mösgens R. Pharmaco-epidemiological research on herbal medicinal products in the paediatric population: data from the PhytoVIS study. Eur J Pediatr 2020; 179:507-512. [PMID: 31823076 PMCID: PMC7028796 DOI: 10.1007/s00431-019-03532-3] [Citation(s) in RCA: 4] [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] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/13/2019] [Revised: 11/04/2019] [Accepted: 11/19/2019] [Indexed: 10/25/2022]
Abstract
In paediatrics, clinical study data are limited, especially on herbal medicinal products. To address this gap, 2063 datasets from the paediatric population were evaluated in the PhytoVIS data base. By screening for paediatric data, information on indication, gender, treatment, co-medication and tolerability were evaluated. The majority of patients was treated because of common cold, fever, digestive complaints, skin diseases, sleep disturbances and anxiety. The perceived effect of the therapy was rated in 84% of the patients as very good or good without adverse events. The data shed light on a still neglected field of phyto-pharmacotherapy by giving information on the use of herbal medicines in an unselected cohort of paediatric patients. The results confirm the good clinical effects and safety of herbal medicinal products in this patient population and show that they are widely used in Germany.What is Known:• In Germany, about 85% of children receive one or more herbal medicinal products per year.• Despite international initiatives to promote clinical research in paediatrics, there are still many gaps of knowledge in the use of drugs in paediatrics.What is New:• The PhytoVIS project evaluated 2063 data sets from the paediatric population using herbal medicinal products.• The majority of patients was treated because of common cold, fever, digestive complaints, skin diseases, sleep disturbances and anxiety, and 84% of the patients rated the therapy as very good or good without adverse events.
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Affiliation(s)
- Karen Nieber
- Institute of Pharmacy, University of Leipzig, Brüderstr. 34, 04103, Leipzig, Germany. .,Kooperation Phytopharmaka GbR, Plittersdorfer Str. 218, 53173, Bonn, Germany.
| | - Esther Raskopf
- grid.6190.e0000 0000 8580 3777Institute of Medical Statistics and Computational Biology, Faculty of Medicine, University of Cologne, Kerpener Str. 62, 50937 Cologne, Germany ,ClinNovis GmbH, Genter Str. 7, 50672 Cologne, Germany
| | - Johanna Möller
- Bayer Consumer Health, Research & Development, Phytomedicines Supply and Development Center, Steigerwald Arzneimittelwerk GmbH, Havelstr. 5, 64295 Darmstadt, Germany
| | - Olaf Kelber
- Kooperation Phytopharmaka GbR, Plittersdorfer Str. 218, 53173 Bonn, Germany ,ClinNovis GmbH, Genter Str. 7, 50672 Cologne, Germany
| | - Robert Fürst
- Kooperation Phytopharmaka GbR, Plittersdorfer Str. 218, 53173 Bonn, Germany ,grid.7839.50000 0004 1936 9721Institute of Pharmaceutical Biology, Goethe University Frankfurt, Max-von-Laue-Str. 9, 60438 Frankfurt, Germany
| | - Kija Shah-Hosseini
- Kooperation Phytopharmaka GbR, Plittersdorfer Str. 218, 53173 Bonn, Germany
| | - Jaswinder Singh
- grid.6190.e0000 0000 8580 3777Institute of Medical Statistics and Computational Biology, Faculty of Medicine, University of Cologne, Kerpener Str. 62, 50937 Cologne, Germany ,ClinNovis GmbH, Genter Str. 7, 50672 Cologne, Germany
| | - Karin Kraft
- Kooperation Phytopharmaka GbR, Plittersdorfer Str. 218, 53173 Bonn, Germany ,grid.10493.3f0000000121858338Chair of Naturopathy, University Medicine Rostock, Ernst-Heydemann Str. 6, 18057 Rostock, Germany
| | - Ralph Mösgens
- grid.6190.e0000 0000 8580 3777Institute of Medical Statistics and Computational Biology, Faculty of Medicine, University of Cologne, Kerpener Str. 62, 50937 Cologne, Germany ,ClinNovis GmbH, Genter Str. 7, 50672 Cologne, Germany
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17
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Zinn T, Homs A, Sharpnack L, Tinti G, Fröjdh E, Douissard PA, Kocsis M, Möller J, Chushkin Y, Narayanan T. Ultra-small-angle X-ray photon correlation spectroscopy using the Eiger detector. J Synchrotron Radiat 2018; 25:1753-1759. [PMID: 30407186 PMCID: PMC6225738 DOI: 10.1107/s1600577518013899] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/06/2018] [Accepted: 10/01/2018] [Indexed: 05/10/2023]
Abstract
Successful implementation of the single-photon-counting Eiger 500k pixel array detector for sub-millisecond X-ray photon correlation spectroscopy (XPCS) measurements in the ultra-small-angle scattering region is reported. The performance is demonstrated by measuring the dynamics of dilute silica colloids in aqueous solvents when the detector is operated at different counter depths, 4, 8 and 12 bit. In the fastest mode involving 4 bit parallel readout, a stable frame rate of 22 kHz is obtained that enabled measurement of intensity-intensity autocorrelation functions with good statistics down to the 50 µs range for a sample with sufficient scattering power. The high frame rate and spatial resolution together with large number of pixels of the detector facilitate the investigation of sub-millisecond dynamics over a broad length scale by multispeckle XPCS. This is illustrated by an example involving phoretic motion of colloids during the phase separation of the solvent.
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Affiliation(s)
- T. Zinn
- ESRF – The European Synchrotron, 38043 Grenoble, France
| | - A. Homs
- ESRF – The European Synchrotron, 38043 Grenoble, France
| | - L. Sharpnack
- ESRF – The European Synchrotron, 38043 Grenoble, France
| | - G Tinti
- Paul Scherrer Institut, 5232 Villigen, Switzerland
| | - E Fröjdh
- Paul Scherrer Institut, 5232 Villigen, Switzerland
| | | | - M. Kocsis
- ESRF – The European Synchrotron, 38043 Grenoble, France
| | - J. Möller
- European X-ray Free-Electron Laser Facility, 22869 Schenefeld, Germany
| | - Y. Chushkin
- ESRF – The European Synchrotron, 38043 Grenoble, France
| | - T. Narayanan
- ESRF – The European Synchrotron, 38043 Grenoble, France
- Correspondence e-mail:
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18
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Möller J, Pörtner R, Zeng AP, Jandt U. Population Dynamics in Antibody Producing CHO Cell Cultures. CHEM-ING-TECH 2018. [DOI: 10.1002/cite.201855335] [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: 11/07/2022]
Affiliation(s)
- J. Möller
- Technische Universität Hamburg; Institut für Bioprozess- und Biosystemtechnik; Denickestraße 15 21073 Hamburg Germany
| | - R. Pörtner
- Technische Universität Hamburg; Institut für Bioprozess- und Biosystemtechnik; Denickestraße 15 21073 Hamburg Germany
| | - A.-P. Zeng
- Technische Universität Hamburg; Institut für Bioprozess- und Biosystemtechnik; Denickestraße 15 21073 Hamburg Germany
| | - U. Jandt
- Technische Universität Hamburg; Institut für Bioprozess- und Biosystemtechnik; Denickestraße 15 21073 Hamburg Germany
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19
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Affiliation(s)
- J. Möller
- Technische Universität Hamburg; Institut für Bioprozess und Biosystemtechnik; Denickestraße 15 21073 Hamburg Germany
| | - K. Kuchemüller
- Technische Universität Hamburg; Institut für Bioprozess und Biosystemtechnik; Denickestraße 15 21073 Hamburg Germany
| | - R. Pörtner
- Technische Universität Hamburg; Institut für Bioprozess und Biosystemtechnik; Denickestraße 15 21073 Hamburg Germany
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20
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Nevriana A, Möller J, Laflamme L, Monárrez-Espino J. Road traffic crashes in Swedish older adults using zolpidem or zopiclone – population-based studies. Eur J Public Health 2017. [DOI: 10.1093/eurpub/ckx187.325] [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: 11/15/2022] Open
Affiliation(s)
- A Nevriana
- Karolinska Institutet, Stockholm, Sweden
| | - J Möller
- Karolinska Institutet, Stockholm, Sweden
| | - L Laflamme
- Karolinska Institutet, Stockholm, Sweden
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21
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Rausch C, Laflamme L, Liang Y, Bültmann U, de Rooij S, Johnell K, Möller J. Social inequalities in geriatric syndromes among community-dwelling older people. Eur J Public Health 2017. [DOI: 10.1093/eurpub/ckx189.163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- C Rausch
- University Medical Center Groningen, Stockholm, Sweden
| | - L Laflamme
- Karolinska Institutet, Stockholm, Sweden
| | - Y Liang
- Karolinska Institutet, Stockholm, Sweden
| | - U Bültmann
- University of Groningen, Groningen, Netherland
| | - S de Rooij
- University Medical Center Groningen, Stockholm, Sweden
| | - K Johnell
- Karolinska Institutet, Stockholm, Sweden
| | - J Möller
- Karolinska Institutet, Stockholm, Sweden
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22
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Rausch CP, Laflamme L, Möller J, Llang Y. Increasing burden of geriatric syndromes among foreign born older Swedes. Eur J Public Health 2017. [DOI: 10.1093/eurpub/ckx187.392] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- CP Rausch
- Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden
| | - L Laflamme
- Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden
| | - J Möller
- Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden
| | - Y Llang
- Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden
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23
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Helgadóttir B, Forsell Y, Hallgren M, Möller J, Ekblom Ö. Exercise for depression: What are the long-term effects of different exercise intensities? Eur J Public Health 2017. [DOI: 10.1093/eurpub/ckx187.168] [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: 11/13/2022] Open
Affiliation(s)
- B Helgadóttir
- Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
| | - Y Forsell
- Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
| | - M Hallgren
- Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden
| | - J Möller
- Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden
| | - Ö Ekblom
- The Åstrand Laboratory of Work Physiology, The Swedish School of Sport and Health Sciences, Stockholm, Sweden
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Rausch C, Laflamme L, de Rooij SE, Bültmann U, Möller J. Injurious falls and subsequent adverse drug events among elderly - a Swedish population-based matched case-control study. BMC Geriatr 2017; 17:202. [PMID: 28870166 PMCID: PMC5583997 DOI: 10.1186/s12877-017-0594-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2016] [Accepted: 08/22/2017] [Indexed: 03/11/2023] Open
Abstract
Background Fall injuries are stressful and painful and they have a range of serious consequences for older people. While there is some clinical evidence of unintentional poisoning by medication following a severe fall injuries, population-based studies on that association are lacking. This is investigated in the current study, in which attention is also paid to different clinical conditions of the injured patients. Methods We conducted a matched case-control study of Swedish residents 60 years and older from various Swedish population-based registers. Cases defined as adverse drug events (ADE) by unintentional poisoning leading to hospitalization or death were extracted from the National Patient Register (NPR) and the Cause of Death Register from January 2006 to December 2009 (n = 4418). To each case, four controls were matched by sex, age and residential area. Information on injurious falls leading to hospitalization six months prior to the date of hospital admission or death from ADE by unintentional poisoning, and corresponding date for the controls, was extracted from the NPR. Data on clinical conditions, such as dispensed medications, comorbidity and previous fall injuries were also extracted from the Swedish Prescribed Drug Register (SPDR) and NPR. Effect estimates were calculated using conditional logistic regression and presented as odds ratios (OR) and 95% confidence intervals (CI). Results We found a three-fold increased risk of unintentional poisoning by medication in the six-month period after an injurious fall (OR 3.03; 95% CI, 2.54–3.74), with the most pronounced increase 1–3 weeks immediately after (OR, 7.66; 95% CI, 4.86–12.1). In that time window, from among those hospitalized for a fall (n = 92), those who sustained an unintentional poisoning (n = 60) tended to be in poorer health condition and receive more prescribed medications than those who did not, although this was not statistically significant. Age stratified analyses revealed a higher risk of poisoning among the younger (aged 60–79 years) than older elderly (80+ years). Conclusion Medication-related poisoning leading to hospitalization or death can be an ADE subsequent to an episode of hospitalization for a fall-related injury. Poisoning is more likely to occur closer to the injurious event and among the younger elderly. It cannot be ruled out that some of those falls are themselves ADE and early signs of greater vulnerability among certain patients. Electronic supplementary material The online version of this article (10.1186/s12877-017-0594-1) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- C Rausch
- Department of Public Health Sciences, Karolinska Institutet, Widerströmska huset 4:th floor, Tomtebodavägen 18A, SE 17177, Stockholm, Sweden. .,Department of Health Sciences, Community and Occupational Medicine, University of Groningen, University Medical Center Groningen, Antonius Deusinglaan 1, FA10, 9713 AV, Groningen, The Netherlands.
| | - L Laflamme
- Department of Public Health Sciences, Karolinska Institutet, Widerströmska huset 4:th floor, Tomtebodavägen 18A, SE 17177, Stockholm, Sweden
| | - S E de Rooij
- Department of Internal Medicine, University Center for Geriatric Medicine, University of Groningen, University Medical Center Groningen, Hanzeplein 1, 9713 GZ, Groningen, the Netherlands
| | - U Bültmann
- Department of Health Sciences, Community and Occupational Medicine, University of Groningen, University Medical Center Groningen, Antonius Deusinglaan 1, FA10, 9713 AV, Groningen, The Netherlands
| | - J Möller
- Department of Public Health Sciences, Karolinska Institutet, Widerströmska huset 4:th floor, Tomtebodavägen 18A, SE 17177, Stockholm, Sweden
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Michel S, Bergmüller A, Möller J. Faktoren und Auswirkungen von Mehrfachbelastungen bei Studierenden. Das Gesundheitswesen 2017. [DOI: 10.1055/s-0037-1605878] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Nooijen CFJ, Galanti MR, Engström K, Möller J, Forsell Y. Effectiveness of interventions on physical activity in overweight or obese children: a systematic review and meta-analysis including studies with objectively measured outcomes. Obes Rev 2017; 18:195-213. [PMID: 28067022 DOI: 10.1111/obr.12487] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/03/2016] [Revised: 10/29/2016] [Accepted: 10/29/2016] [Indexed: 11/28/2022]
Abstract
There is no consensus on interventions to be recommended in order to promote physical activity among overweight or obese children. The objective of this review was to assess the effects on objectively measured physical activity, of interventions promoting physical activity among overweight or obese children or adolescents, compared to no intervention or to interventions without a physical activity component. Publications up to December 2015 were located through electronic searches for randomized controlled trials resulting in inclusion of 33 studies. Standardized mean differences from baseline to post-intervention and to long-term follow-up were determined for intervention and control groups and meta-analysed using random effects models. The meta-analysis showed that interventions had no effect on total physical activity of overweight and obese children, neither directly post-intervention (-0.02 [-0.15, 0.11]) nor at long-term follow-up (0.07 [-0.27, 0.40]). Separate analyses by typology of intervention (with or without physical fitness, behavioural or environmental components) showed similar results (no effect). In conclusion, there is no evidence that currently available interventions are able to increase physical activity among overweight or obese children. This questions the contribution of physical activity to the treatment of overweight and obesity in children in the studied interventions and calls for other treatment strategies.
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Affiliation(s)
- C F J Nooijen
- Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden
| | - M R Galanti
- Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.,Centre for Epidemiology and Community Medicine, Stockholm Health Care District, Stockholm, Sweden
| | - K Engström
- Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.,Centre for Epidemiology and Community Medicine, Stockholm Health Care District, Stockholm, Sweden
| | - J Möller
- Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.,Centre for Epidemiology and Community Medicine, Stockholm Health Care District, Stockholm, Sweden
| | - Y Forsell
- Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.,Centre for Epidemiology and Community Medicine, Stockholm Health Care District, Stockholm, Sweden
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Falkstedt D, Möller J, Zeebari Z, Engström K. Multiple health-risk behaviors in women and men with different socio-economic trajectories. Eur J Public Health 2016. [DOI: 10.1093/eurpub/ckw166.059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Tiemeyer S, Bombeck M, Göhring H, Paulus M, Sternemann C, Nase J, Wirkert FJ, Möller J, Büning T, Seeck OH, Reuter D, Wieck AD, Bayer M, Tolan M. Polaron-induced lattice distortion of (In,Ga)As/GaAs quantum dots by optically excited carriers. Nanotechnology 2016; 27:425702. [PMID: 27622774 DOI: 10.1088/0957-4484/27/42/425702] [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] [Indexed: 06/06/2023]
Abstract
We report on a high resolution x-ray diffraction study unveiling the effect of carriers optically injected into (In,Ga)As quantum dots on the surrounding GaAs crystal matrix. We find a tetragonal lattice expansion with enhanced elongation along the [001] crystal axis that is superimposed on an isotropic lattice extension. The isotropic contribution arises from excitation induced lattice heating as confirmed by temperature dependent reference studies. The tetragonal expansion on the femtometer scale is tentatively attributed to polaron formation by carriers trapped in the quantum dots.
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Affiliation(s)
- S Tiemeyer
- Fakultät Physik / DELTA, Technische Universität Dortmund, D-44221 Dortmund, Germany
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Cádenas-Dimaté MA, Rausch C, Elling B, Laflamme L, Möller J, Monárrez-Espino J. New and frequent opioid analgesic use and the risk of crashing in drivers aged 50–60 years. Eur J Public Health 2015. [DOI: 10.1093/eurpub/ckv172.038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Heed T, Möller J, Röder B. Movement Induces the Use of External Spatial Coordinates for Tactile Localization in Congenitally Blind Humans. Multisens Res 2015; 28:173-94. [PMID: 26152057 DOI: 10.1163/22134808-00002485] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
To localize touch, the brain integrates spatial information coded in anatomically based and external spatial reference frames. Sighted humans, by default, use both reference frames in tactile localization. In contrast, congenitally blind individuals have been reported to rely exclusively on anatomical coordinates, suggesting a crucial role of the visual system for tactile spatial processing. We tested whether the use of external spatial information in touch can, alternatively, be induced by a movement context. Sighted and congenitally blind humans performed a tactile temporal order judgment task that indexes the use of external coordinates for tactile localization, while they executed bimanual arm movements with uncrossed and crossed start and end postures. In the sighted, start posture and planned end posture of the arm movement modulated tactile localization for stimuli presented before and during movement, indicating automatic, external recoding of touch. Contrary to previous findings, tactile localization of congenitally blind participants, too, was affected by external coordinates, though only for stimuli presented before movement start. Furthermore, only the movement's start posture, but not the planned end posture affected blind individuals' tactile performance. Thus, integration of external coordinates in touch is established without vision, though more selectively than when vision has developed normally, and possibly restricted to movement contexts. The lack of modulation by the planned posture in congenitally blind participants suggests that external coordinates in this group are not mediated by motor efference copy. Instead the task-related frequent posture changes, that is, movement consequences rather than planning, appear to have induced their use of external coordinates.
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Laitinen A, Oja S, Kilpinen L, Kaartinen T, Möller J, Laitinen S, Korhonen M, Nystedt J. A robust and reproducible animal serum-free culture method for clinical-grade bone marrow-derived mesenchymal stromal cells. Cytotechnology 2015; 68:891-906. [PMID: 25777046 PMCID: PMC4960139 DOI: 10.1007/s10616-014-9841-x] [Citation(s) in RCA: 43] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2014] [Accepted: 12/30/2014] [Indexed: 12/19/2022] Open
Abstract
Efficient xenofree expansion methods to replace fetal bovine serum (FBS)-based culture methods are strongly encouraged by the regulators and are needed to facilitate the adoption of mesenchymal stromal cell (MSC)-based therapies. In the current study we established a clinically-compliant and reproducible animal serum-free culture protocol for bone marrow-(BM-) MSCs based on an optimized platelet-derived supplement. Our study compared two different platelet-derived supplements, platelet lysate PL1 versus PL2, produced by two different methods and lysed with different amounts of freeze–thaw cycles. Our study also explored the effect of a low oxygen concentration on BM-MSCs. FBS-supplemented BM-MSC culture served as control. Growth kinetics, differentiation and immunomodulatory potential, morphology, karyotype and immunophenotype was analysed. Growth kinetics in long-term culture was also studied. Based on the initial results, we chose to further process develop the PL1-supplemented culture protocol at 20 % oxygen. The results from 11 individual BM-MSC batches expanded in the chosen condition were consistent, yielding 6.60 × 109 ± 4.74 × 109 cells from only 20 ml of bone marrow. The cells suppressed T-cell proliferation, displayed normal karyotype and typical MSC differentiation potential and phenotype. The BM-MSCs were, however, consistently HLA-DR positive when cultured in platelet lysate (7.5–66.1 %). We additionally show that culture media antibiotics and sterile filtration of the platelet lysate can be successfully omitted. We present a robust and reproducible clinically-compliant culture method for BM-MSCs based on platelet lysate, which enables high quantities of HLA-DR positive MSCs at a low passage number (p2) and suitable for clinical use.
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Affiliation(s)
- Anita Laitinen
- Research and Cell Therapy Services, Finnish Red Cross Blood Service, Kivihaantie 7, 00310, Helsinki, Finland.
| | - Sofia Oja
- Research and Cell Therapy Services, Finnish Red Cross Blood Service, Kivihaantie 7, 00310, Helsinki, Finland
| | - Lotta Kilpinen
- Research and Cell Therapy Services, Finnish Red Cross Blood Service, Kivihaantie 7, 00310, Helsinki, Finland
| | - Tanja Kaartinen
- Research and Cell Therapy Services, Finnish Red Cross Blood Service, Kivihaantie 7, 00310, Helsinki, Finland
| | - Johanna Möller
- Research and Cell Therapy Services, Finnish Red Cross Blood Service, Kivihaantie 7, 00310, Helsinki, Finland
| | - Saara Laitinen
- Research and Cell Therapy Services, Finnish Red Cross Blood Service, Kivihaantie 7, 00310, Helsinki, Finland
| | - Matti Korhonen
- Research and Cell Therapy Services, Finnish Red Cross Blood Service, Kivihaantie 7, 00310, Helsinki, Finland
| | - Johanna Nystedt
- Research and Cell Therapy Services, Finnish Red Cross Blood Service, Kivihaantie 7, 00310, Helsinki, Finland
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Stichtenoth G, Härtel C, Spiegler J, Dördelmann M, Möller J, Wieg C, Orlikowsky T, Stein A, Herting E, Goepel W. Increased risk for bronchitis after discharge in non-vaccinated very low birth weight infants. Klin Padiatr 2015; 227:80-3. [PMID: 25751681 DOI: 10.1055/s-0034-1396865] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
BACKGROUND In very low birth weight (VLBW) infants, obstructive bronchitis is a frequent cause of hospital re-admission. For VLBW infants, early vaccinations starting at 2 months after birth have been recommended. OBJECTIVE To analyze risk factors for bronchitis during the first year after discharge and the effects of in-hospital standard vaccination (hexavalent/pneumococci) and/or RSV immunoprophylaxis with palivizumab. METHODS A standardized questionnaire was sent to the parents of VLBW infants 7 month after discharge. The reported episodes of bronchitis were correlated with clinically recorded parameters including risk factors for pulmonary morbidity. The effects of in-hospital vaccination were assessed in a subgroup discharged after day 60. RESULTS A sample of 1 967 responses of infants born 2009-2011 was analyzed. Risk factors for bronchitis were male gender and older siblings. 24% of the population had episodes of bronchitis. In the subgroup discharged after day 60, episodes of bronchitis were reported for 31% of infants who were not vaccinated in-hospital. A significant reduction of the bronchitis rate was found in infants who received palivizumab±standard vaccination (17% bronchitis, p=0.003). Interestingly, in-hospital standard vaccination without RSV immunoprophylaxis was protective (20% bronchitis; p=0.037) as well. CONCLUSIONS Non-vaccinated male VLBW infants with older siblings are at increased risk for bronchitis during the first year after discharge. Vaccination according to schedule seems to have protective effects, while underlying mechanisms are unknown. The rate of timely vaccination in preterm infants should be increased.
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Affiliation(s)
- G Stichtenoth
- Department of Pediatrics, University Hospital of Schleswig-Holstein, Lübeck, Germany
| | - C Härtel
- Department of Pediatrics, University Hospital of Schleswig-Holstein, Lübeck, Germany
| | - J Spiegler
- Department of Pediatrics, University Hospital of Schleswig-Holstein, Lübeck, Germany
| | - M Dördelmann
- Department of Paediatrics, Diakonissenkrankenhaus, Flensburg, Germany
| | - J Möller
- Department of Pediatrics, Saarbrücken General Hospital, Saarbrücken, Germany
| | - C Wieg
- Department of Neonatology, Children's Hospital, Aschaffenburg, Germany
| | - T Orlikowsky
- Department of Neonatology, University Hospital Aachen, Aachen, Germany
| | - A Stein
- Departments of Pediatrics I, Neonatology, University Hospital, Essen, Germany
| | - E Herting
- Department of Pediatrics, University Hospital of Schleswig-Holstein, Lübeck, Germany
| | - W Goepel
- Department of Pediatrics, University Hospital of Schleswig-Holstein, Lübeck, Germany
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Grobelny S, Erlkamp M, Möller J, Tolan M, Winter R. Intermolecular interactions in highly concentrated protein solutions upon compression and the role of the solvent. J Chem Phys 2014; 141:22D506. [DOI: 10.1063/1.4895542] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023] Open
Affiliation(s)
- S. Grobelny
- Faculty of Chemistry, Physical Chemistry-Biophysical Chemistry, TU Dortmund, Otto-Hahn Str. 6, 44227 Dortmund, Germany
| | - M. Erlkamp
- Faculty of Chemistry, Physical Chemistry-Biophysical Chemistry, TU Dortmund, Otto-Hahn Str. 6, 44227 Dortmund, Germany
| | - J. Möller
- Fakultät Physik/DELTA, TU Dortmund, Maria-Goeppert-Mayer-Str. 2, 44227 Dortmund, Germany
| | - M. Tolan
- Fakultät Physik/DELTA, TU Dortmund, Maria-Goeppert-Mayer-Str. 2, 44227 Dortmund, Germany
| | - R. Winter
- Faculty of Chemistry, Physical Chemistry-Biophysical Chemistry, TU Dortmund, Otto-Hahn Str. 6, 44227 Dortmund, Germany
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Wirback T, Möller J, Larsson JO, Galanti R, Engström K. Social factors in childhood and risk of depressive symptoms among adolescents-a longitudinal study in Sweden. Eur J Public Health 2014. [DOI: 10.1093/eurpub/cku166.153] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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35
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Oddo S, Möller J, Skoruppa S, Stirn A. Psychische Merkmale von Body Integrity Identity Disorder (BIID): Persönlichkeitseigenschaften, Interpersonale Aspekte, Copingmechanismen bei Stress und Konflikten, Körpererleben. Fortschr Neurol Psychiatr 2014; 82:250-60. [DOI: 10.1055/s-0034-1366245] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- S. Oddo
- Abteilung für Geburtshilfe und Pränatalmedizin, Psychologie in der Geburtshilfe, Universitätsklinik Frankfurt/M
| | - J. Möller
- Klinik für Psychosomatische Medizin, Psychotherapie, Schmerztherapie, Asklepios Westklinikum, Hamburg
| | - S. Skoruppa
- Klinik für Innere Medizin, Klinikum Oldenburg
| | - A. Stirn
- Zentrum für Integrative Psychiatrie, Psychosomatische Medizin und Sexualmedizin, Christian-Albrechts-Universität zu Kiel
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Affiliation(s)
- A Puzik
- Department of Pediatric Hematology and Oncology, Albert-Ludwigs-University of Freiburg , Mathildenstrasse 1, Freiburg , Germany
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Schmidt CE, Möller J, Schmidt K, Gerbershagen MU, Wappler F, Limmroth V, Padosch SA, Bauer M. [Generation 55+: leadership and motivation of generations in hospitals]. Anaesthesist 2014; 61:630-4, 636-9. [PMID: 22740193 DOI: 10.1007/s00101-012-2055-8] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [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: 11/28/2022]
Abstract
BACKGROUND Demographic changes in Germany are leading towards a decrease of the population from the current 82 million to 74 million in the year 2050. As a consequence the shortage of qualified staff will be aggravated and intensifying recruiting efforts will increase competition among employers. An alternative is to utilize the potential of jobholders older than 55 years, the so-called generation 55 +. However, little is known about the hospital workforce generation 55 +. METHODS An internet search was conducted using google.de, yahoo.de and altavista.de for "generation 55 + and medicine" and "demographics, personnel and hospital" In Medline/pubmed a search was conducted for the key words "aging workforce" (949 sources) and in combination with AND "doctors" (134 sources), "demographic changes", "staff" (794 sources) as well as for "generation 55 + AND doctors" (312 sources). Finally, sources from reputable public institutions and academic medical societies were analyzed. The data were sorted by main categories and relevance for hospitals. Statistical analysis was done mainly using descriptive measures. RESULTS From initially more than 530,000 sources, a total of 289 studies and reports on the topic were plotted. There was no evidence for a negative correlation between age and work ability or fitness. Jobholders senior to 55 years can be divided into the "economic miracle generation" and into the so-called baby-boomers. Both groups have differences in values, communication needs and leadership requirements. They jointly prefer direct communication and seek appreciation for their experience on the job. CONCLUSIONS Generation 55 + is not asking for an upscaled position in hospitals. They expect respect and appreciation for their sound experience of work and life. Generation 55 + wants to be integrated and sought after. Keeping these employees fit, motivated and qualified is a sound approach to fight the foreseeable shortage of qualified staff in hospitals.
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Affiliation(s)
- C E Schmidt
- Kliniken der Stadt Köln gGmbH, Akademische Lehrkrankenhäuser der Universität zu Köln, Universität Witten-Herdecke, Neufelder Str. 34, 51067, Köln, Deutschland.
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Spiegler J, Jensen R, Segerer H, Ehlers S, Kühn T, Jenke A, Gebauer C, Möller J, Orlikowsky T, Heitmann F, Boeckenholt K, Herting E, Göpel W. Influence of Smoking and Alcohol during Pregnancy on Outcome of VLBW Infants. Z Geburtshilfe Neonatol 2013; 217:215-9. [DOI: 10.1055/s-0033-1361145] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- J. Spiegler
- Department of Pediatrics, University of Luebeck, Luebeck, Germany
| | - R. Jensen
- Department of Pediatrics, Heide, Germany
| | - H. Segerer
- Children’s Hospital St. Hedwig, University of Regensburg, Regensburg, Germany
| | - S. Ehlers
- Bürgerhospital, Verein Frankfurter Stiftungskrankenhäuser, Neonatology, Frankfurt, Germany
| | - T. Kühn
- Department of Pediatrics, Hospital Neukölln, Vivantes, Berlin, Germany
| | - A. Jenke
- Department of Neonatology, Helios, Wuppertal, Germany
| | - C. Gebauer
- Department of Pediatrics, University of Leipzig, Leipzig, Germany
| | - J. Möller
- Department of Pediatrics, Hospital Saarbruecken, Saabrücken, Germany
| | - T. Orlikowsky
- Department of Neonatology, University of Aachen, Aachen, Germany
| | - F. Heitmann
- Westfaelisches Kinderzentrum, Dortmund, Germany
| | | | - E. Herting
- Department of Pediatrics, University of Luebeck, Luebeck, Germany
| | - W. Göpel
- Department of Pediatrics, University of Luebeck, Luebeck, Germany
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Stirn A, Möller J. Psychologische und medizinische Aspekte von Tattoo und Piercing, ein Update. Akt Dermatol 2013. [DOI: 10.1055/s-0032-1309609] [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: 10/26/2022]
Affiliation(s)
- A. Stirn
- Klinik für Psychosomatische Medizin und Psychotherapie/Schmerztherapie, Asklepios Westklinikum Hamburg
| | - J. Möller
- Klinik für Psychosomatische Medizin und Psychotherapie/Schmerztherapie, Asklepios Westklinikum Hamburg
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Hofmann SR, Möller J, Rauen T, Paul D, Gahr M, Rösen-Wolff Z, Brenner S, Hedrich CM. Dynamic CpG-DNA methylation of Il10 and Il19 in CD4+ T lymphocytes and macrophages: effects on tissue-specific gene expression. Klin Padiatr 2011; 224:53-60. [PMID: 22187331 DOI: 10.1055/s-0031-1291359] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
Abstract
The IL-10 family of cytokines consists of 9 members, including the immune-regulatory IL-10; Il19 is in close physical relationship with Il10 in the so-called IL-10 cytokine cluster on chromosome 1q32. While IL-10 is ubiquitously expressed, IL-19 expression is restricted to myeloid and epithelial cells. Little is known about molecular mechanisms that control tissue-specific expression of IL-10, and IL-19. Modifications in CpG-DNA methylation are a key mechanism in controlling transcription. Using bisulfite sequencing, we demonstrate that murine Il19 is methylated in CD4+ T lymphocytes. Macrophages display site-specific demethylation of Il19. The ubiquitously expressed Il10 gene is methylated to a lower degree and exhibits tissue-specific methylation patterns. DNA demethylation with 5-azacytidine resulted in an induction of IL-10, and IL-19 expression in CD4+ T cells, and CpG-DNA methylation through DNMT3a resulted in transcriptional silencing in macrophages. Thus, our findings suggest a role of CpG-DNA methylation in the regulation of Il10 and Il19.
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Affiliation(s)
- S R Hofmann
- Klinik und Poliklinik für Kinder- und Jugendmedizin, Neonatologie und Intensivmedizin, Dresden, Germany
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Gortner L, Möller J, Reiss I. [ARDS/ALI in Childhood: treatment guideline]. Klin Padiatr 2011; 223:440-4. [PMID: 22105562 DOI: 10.1055/s-0031-1286298] [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] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
Affiliation(s)
- L Gortner
- Kliniken für Kinder- und Jugendmedizin, Universitätsklinikum des Saarlandes , Homburg/Saar.
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Altenhöner T, Haustein S, Reime B, Möller J. [Predictors for low birth weight--an epidemiological case-control study with women in childbed in the federal state Saarland, Germany]. Z Geburtshilfe Neonatol 2011; 215:77-82. [PMID: 21541906 DOI: 10.1055/s-0031-1273717] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
BACKGROUND AND AIMS Low birth weight is associated with elevated health-care costs and adverse conditions for the newborn's start to life. A variety of health problems and an impaired potential for the infant's development are known long-term effects. Only few studies have examined the role of psychosocial and socioeconomic determinants for the incidence of low birth weight, especially in Germany. The aim of our study was to test the impact of maternal socioeconomic and psychosocial characteristics as well as health behaviour on the infant's birth weight. METHODS In an exploratory case-control study we tested whether the before mentioned potential determinants of low birth weight were observed more often among cases (birth weight <2,500 g) than among controls. Standardised interviews were conducted with maternal cases and controls. RESULTS The results show that mothers in the control group more often were married or cohabiting (100% vs. 77%; p<0.05) and that they had a higher occupational status (83% non-manual vs. 54%; p<0.05). Level of education was not significantly related to birth weight. Mothers in the case group more often reported exhaustion (p<0.05) and marital problems [M=1.8 (1.1) vs. M=1.3 (0.5); p<0.05). They were characterised by a higher burden of work-strain in terms of weather conditions, heat or infiltration [M=1.7 (1.0) vs. M=1.1 (0.4); p<0.05). The available living space was slightly smaller in the case group [M=96.5 m(2) (31.5 m(2)) vs. M=118.5 m(2) (46.8 m(2)); p<0.1). DISCUSSION AND CONCLUSIONS Our results confirm international studies showing differences regarding the social context of women who give birth to a child with normal or low birth weight. Apart from vertical status characteristics, marital conditions and resulting psychosocial stressors seem to have an impact.
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Affiliation(s)
- T Altenhöner
- Hochschule für Technik und Wirtschaft des Saarlandes, Saarbrücken.
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Kirsch A, Möller J. Ist das pulmonale Outcome von Frühgeborenen <1500g mit RDS abhängig von der Flüssigkeitszufuhr in der ersten Lebenwoche? Klin Padiatr 2010. [DOI: 10.1055/s-0030-1261505] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Altenhöner T, Haustein S, Reime B, Möller J. Prädiktoren für niedriges Geburtsgewicht – Eine epidemiologische Fall-Kontroll-Studie an saarländischen Wöchnerinnen. Klin Padiatr 2010. [DOI: 10.1055/s-0030-1261282] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Haller S, Gebauer C, Küster H, Teig N, Müller D, Segerer H, Nikischin W, Roth B, Höhn T, Wense AVD, Kattner E, Möller J, Vochem M, Wieg C, Härtel C, Herting E, Göpel W. Genetic risk factors for obesity (MAF MC4R and FTO-polymorphisms) in a large cohort of German VLBW infants. Klin Padiatr 2010. [DOI: 10.1055/s-0030-1261622] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Wurm D, Kruse S, Mink D, Möller J. Wunschsektio und neonatales Outcome im Jahre 2009 an einem Perinatalzentrum. Klin Padiatr 2010. [DOI: 10.1055/s-0030-1261499] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Dougali F, Kruse S, Möller J. Das Sandifer-Syndrom. Klin Padiatr 2010. [DOI: 10.1055/s-0030-1261602] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Theiß K, Weber S, Anhalt D, Möller J. Sepsis durch Probiotika bei einem Frühgeborenen mit Morbus Hirschsprung. Klin Padiatr 2010. [DOI: 10.1055/s-0030-1261482] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Möller J, Wittenberg RH, Nolte LP, Jergas M, Willburger R, Krämer J. Results of lumbosacral distraction spondylodesis for the treatment of spondylolisthesis, failed-back syndrome, and lumbar instability. Eur Spine J 2010; 1:117-24. [PMID: 20054958 DOI: 10.1007/bf00300938] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Various methods of lumbosacral fusions for the treatment of degenerative spinal diseases are used clinically. Results vary greatly depending on indication, type of fusion, implants, and method of evaluation. In a retrospective clinical and radiological examination after an average follow-up time of 3.9 years this study reports on the outcome of lumbosacral distraction spondylodesis (LSDS) in a consecutive series of 147 patients being fused for the treatment of spondylolisthesis, failed-back syndrome, or lumbar instability. LSDS consists of a posterolateral fusion together with an autologous corticocancellous H-graft wedged under distraction between the spinous processes of L4 and S1. With 81.0% good and excellent results this noninstrumented fusion technique showed the best outcome in patients with spondylolisthesis, while in cases with a failed-back syndrome or lumbar instability only 62.3% excellent to satisfying outcomes were noted. The rate of pseudarthrosis was 13.6% in the whole patient group; no major complications such as nerve root damage, postoperative neurological deficits, or spinal stenosis were found.
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Affiliation(s)
- J Möller
- Department of Orthopaedic Surgery, Wayne State University, Detroit, USA
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