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Bhorat I, Buchmann E, Frank K, Soma-Pillay P, Nicolaou E, Pistorius L, Smuts I. Response to 'Commentary on the published position statement regarding the pathogenesis of fetal basal ganglia- thalamic hypoxic-ischaemic injury' (Anthony et al.). S Afr Med J 2023; 114:10-12. [PMID: 38525610 DOI: 10.7196/samj.2024.v114i1.1844] [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] [Received: 12/31/2023] [Indexed: 03/26/2024] Open
Affiliation(s)
- I Bhorat
- Subdepartment of Fetal Medicine, Department of Obstetrics and Gynaecology, Faculty of Health Sciences, University of KwaZulu-Natal, Durban, South Africa.
| | - E Buchmann
- Department of Obstetrics and Gynaecology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
| | - K Frank
- Department of Obstetrics and Gynaecology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
| | - P Soma-Pillay
- Department of Obstetrics and Gynaecology, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.
| | - E Nicolaou
- Division of Fetal Medicine, Department of Obstetrics and Gynaecology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
| | - L Pistorius
- Division of Fetal Medicine, Department of Obstetrics and Gynaecology, Stellenbosch University, Cape Town, South Africa.
| | - I Smuts
- Department of Paediatric Neurology, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.
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Bhorat I, Buchmann E, Frank K, Soma-Pillay P, Nicolaou E, Pistorius L, Smuts I. Clinical practice. S Afr Med J 2023; 113:22-24. [PMID: 37882127 DOI: 10.7196/samj.2023.v113i9.1063] [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] [Received: 05/10/2023] [Indexed: 10/27/2023] Open
Abstract
Basal ganglia and thalamus (BGT) hypoxic-ischaemic brain injury is currently the most contentious issue in cerebral palsy (CP) litigation in South Africa (SA), and merits a consensus response based on the current available international literature. BGT pattern injury is strongly associated with a preceding perinatal sentinel event (PSE), which has a sudden onset and is typically unforeseen and unpreventable. Antepartum pathologies may result in fetal priming, leading to vulnerability to BGT injury by relatively mild hypoxic insults. BGT injury may uncommonly follow a gradual-onset fetal heart rate deterioration pattern, of duration ≥1 hour. To prevent BGT injury in a clinical setting, the interval from onset of PSE to delivery must be short, as little as 10 - 20 minutes. This is difficult to achieve in any circumstances in SA. Each case needs holistic, multidisciplinary, unbiased review of all available antepartum, intrapartum and postpartum and childhood information, aiming at fair resolution without waste of time and resources.
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Affiliation(s)
- I Bhorat
- Subdepartment of Fetal Medicine, Department of Obstetrics and Gynaecology, Faculty of Health Sciences, University of KwaZulu-Natal, Durban, South Africa.
| | - E Buchmann
- Department of Obstetrics and Gynaecology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
| | - K Frank
- Department of Obstetrics and Gynaecology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
| | - P Soma-Pillay
- Department of Obstetrics and Gynaecology, Faculty of Health Sciences, University of Pretoria, South Africa.
| | - E Nicolaou
- Division of Fetal Medicine, Department of Obstetrics and Gynaecology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
| | - L Pistorius
- Division of Fetal Medicine, Department of Obstetrics and Gynaecology, Stellenbosch University, Cape Town, South Africa.
| | - I Smuts
- Department of Paediatric Neurology, Faculty of Health Sciences, University of Pretoria, South Africa.
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Brebant V, Lemonnier L, Georgieva M, Anker A, Heine N, Seitz S, Frank K, Prantl L, Eigenberger A. Comparison of analog and digitally evaluated volume of the female breast in reconstructive breast surgery. Validation of a noninvasive measurement method with 3D camera1. Clin Hemorheol Microcirc 2023; 85:277-287. [PMID: 36502309 DOI: 10.3233/ch-229101] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
BACKGROUND Reconstructive surgery is established as a standard treatment option after mastectomy due to cancer. It is crucial to patients to achieve a natural and symmetric looking breast through reconstruction. Anthropometric measurements are used to assess the objective symmetry of the breast, which are prone to errors and difficult to reproduce. OBJECTIVE The aim of this work is to validate breast volumetry using three-dimensional surface imaging. METHODS We compared preoperatively analog and digitally evaluated volume of the breast with our gold standard, direct water displacement measurement of the mastectomy specimen. We examined 34 breast specimens in total. RESULTS Each measurement method (Breast Sculptor, VAM, Breast-V) for breast volume/mass determination demonstrates acceptable agreement ranges when compared with resected volumes and masses. The strongest volumetry instrument is Breast Sculptor (digital), the weakest is Breast-V (analog). CONCLUSIONS 3D surface imaging is a quick, effective, and convenient method to evaluate breast shape and volume. The accuracy, reproducibility, and reliability of 3D surface imaging were comparable with MRI in our study.This takes us a step closer to the long-term goal of establishing robust instruments to plan breast reconstructive surgery, achieve better surgical results, and contribute to quality assurance in breast surgery.
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Affiliation(s)
- V Brebant
- University Medical Center Regensburg. Center for Plastic, Reconstructive, Aesthetic and Hand Surgery, Regensburg, Germany
| | - L Lemonnier
- University Medical Center Regensburg. Center for Plastic, Reconstructive, Aesthetic and Hand Surgery, Regensburg, Germany
| | - M Georgieva
- University Medical Center Regensburg, Department of Radiology, Regensburg, Germany
| | - A Anker
- University Medical Center Regensburg. Center for Plastic, Reconstructive, Aesthetic and Hand Surgery, Regensburg, Germany
| | - N Heine
- University Medical Center Regensburg. Center for Plastic, Reconstructive, Aesthetic and Hand Surgery, Regensburg, Germany
| | - S Seitz
- University Medical Center Regensburg, Department of Gynecology and Obstetrics, Caritas Hospital St. Josef, Regensburg, Germany
| | - K Frank
- Division of Hand-, Plastic- and Aesthetic Surgery, Ludwig-Maximilians-University Munich, Munich, Germany
| | - L Prantl
- University Medical Center Regensburg. Center for Plastic, Reconstructive, Aesthetic and Hand Surgery, Regensburg, Germany
| | - A Eigenberger
- University Medical Center Regensburg. Center for Plastic, Reconstructive, Aesthetic and Hand Surgery, Regensburg, Germany
- Medical Device Lab, Regensburg Center of Biomedical Engineering (RCBE), Faculty of Mechanical Engineering, Ostbayerische Technische Hochschule Regensburg, Regensburg, Germany
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Schreiber T, Hagmeyer L, Kofler DM, Kubacki T, Frank K, Randerath WJ. [Latest news on RA-ILD]. Pneumologie 2022; 76:614-621. [PMID: 36104017 DOI: 10.1055/a-1895-9360] [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: 10/14/2022]
Abstract
Rheumatoid arthritis-associated interstitial lung disease (RA-ILD) is of high clinical relevance. It not only affects the quality of life but also makes a significant contribution to the mortality rate of patients with rheumatoid arthritis. RA-ILD can present with all known radiological and histopathological patterns seen in other interstitial pneumonias. Among these pneumonias, diffuse alveolar damage (DAD), followed by usual interstitial pneumonia (UIP) has the worst prognosis. In addition, acute exacerbation of RA-ILD, which can occur at any time during the disease, is highly lethal. An algorithm for the diagnosis and treatment of RA-ILD is pending and will be addressed in the following article. In addition to immunosuppressants and disease-modifying antirheumatic drugs (DMARD), antifibrotics have recently gained importance in the therapy of RA-ILD.
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Affiliation(s)
- Tina Schreiber
- Klinik für Pneumologie, Schlaf- und Beatmungsmedizin, Helios Klinikum Bonn/Rhein-Sieg, Bonn, Deutschland
| | - Lars Hagmeyer
- Klinik für Pneumologie und Allergologie, Krankenhaus Bethanien, Solingen, Deutschland
| | - David M Kofler
- Klinik I für Innere Medizin, Universitätsklinikum Köln, Klinische Immunologie und Rheumatologie, Köln, Deutschland
| | - Torsten Kubacki
- Klinik II für Innere Medizin und Zentrum für Molekulare Medizin, Universitätsklinikum Köln, Sektion Rheumatologie, Köln, Deutschland
| | - Konrad Frank
- Klinik III für Innere Medizin, Universitätsklinikum Köln, Sektion Pneumologie, Köln, Deutschland
| | - Winfried J Randerath
- Klinik für Pneumologie und Allergologie, Krankenhaus Bethanien, Solingen, Deutschland
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5
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Frank K, Bernau C, Buyel J. Spherical nanoparticles can be used as non-penetrating tracers to determine the extra-particle void volume in packed-bed chromatography columns. J Chromatogr A 2022; 1675:463174. [DOI: 10.1016/j.chroma.2022.463174] [Citation(s) in RCA: 2] [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] [Received: 03/14/2022] [Revised: 05/20/2022] [Accepted: 05/21/2022] [Indexed: 11/24/2022]
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6
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Gangfuß A, Czech A, Hentschel A, Münchberg U, Horvath R, Töpf A, O'Heir E, Lochmüller H, Stehling F, Kiewert C, Sickmann A, Kuechler A, Frank K, Kölbel H, Christiansen J, Schara-Schmidt U, Roos A. NEW GENES AND DISEASES. Neuromuscul Disord 2021. [DOI: 10.1016/j.nmd.2021.07.330] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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7
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Reitzel T, Bergmann A, Schloesser K, Pauli B, Eisenmann Y, Randerath W, Tuchscherer A, Frank K, Simon ST, Pralong A. The experience of episodic breathlessness from the perspective of informal caregivers: a qualitative interview study. Ann Palliat Med 2021; 11:2225-2234. [DOI: 10.21037/apm-21-3361] [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] [Received: 11/16/2021] [Accepted: 01/14/2022] [Indexed: 11/06/2022]
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8
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Gassa A, Fassunke J, Schueten S, Kuhlmann L, Scherer M, Qien J, Zhao Y, Michel M, Loeser H, Wolf J, Buettner R, Doerr F, Heldwein M, Hagmeyer L, Frank K, Merkelbach-Bruse S, Quaas A, Bruns C, Hekmat K, Weiss J, Wahlers T, Alakus H. Detection of circulating tumor DNA by digital droplet PCR in resectable lung cancer as a predictive tool for recurrence. Lung Cancer 2020; 151:91-96. [PMID: 33257044 DOI: 10.1016/j.lungcan.2020.10.019] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [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: 05/15/2020] [Revised: 10/22/2020] [Accepted: 10/26/2020] [Indexed: 01/05/2023]
Abstract
Lung cancer is the leading cause of cancer-related mortality worldwide due to difficulties in early detection and high postsurgical recurrence rate. Current European Guidelines recommend follow-up via computerized tomography (CT) scans on regular basis within the first 2 years after radical surgical resection. Despite these efforts, recurrence rates remain high with 30-70 %. Therefore, it is imperative to develop predictive markers for metastases and postsurgical recurrence using minimally invasive methods. This prospective study aims at defining the feasibility of detecting circulating tumor DNA (ctDNA) in presurgical plasma samples of patients with lung cancer by digital droplet PCR. Resected tumor tissue and simultaneous blood samples were collected from 24 patients with lung cancer in stage I-IIIA (12 stage I, 8 stage II, 4 stage III). Genomic DNA from the tumor tissue samples were analyzed for hotspot mutations using a 17 gene panel next-generation sequencing (NGS) assay. CtDNA from corresponding plasma samples were analyzed using digital droplet PCR (ddPCR). Additionally, DNA sequencing results were correlated with patients' outcome. At least one somatic mutation was detected by NGS (96 %) in 23 of the tested tissue samples. DdPCR detected mutations in circulating cell-free DNA (ccfDNA) of nine patients' samples (9/23, 39 %). Postsurgical outcome analysis was performed for those patients who had received complete tumor resection (n = 21). Four of them suffered from an early relapse within the first two years after surgery, including two with detectable somatic mutations in ccfDNA during primary staging. Taken together, we showed that the 17 gene panel assay revealed in 23 of 24 patients at least one somatic mutation in the primary tumor by NGS. Tumor-specific mutation was detectable in 39 % from the blood of early stage lung cancer patients by ddPCR.
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Affiliation(s)
- Asmae Gassa
- Department of Cardiothoracic Surgery, University of Cologne, Germany; Department of General, Visceral, and Cancer Surgery, University of Cologne, Germany.
| | - Jana Fassunke
- Institute of Pathology, University of Cologne, Germany
| | - Sarah Schueten
- Department of Cardiothoracic Surgery, University of Cologne, Germany; Department of General, Visceral, and Cancer Surgery, University of Cologne, Germany; School of Medicine, University of Cologne, Germany
| | - Luca Kuhlmann
- Department of Cardiothoracic Surgery, University of Cologne, Germany; Department of General, Visceral, and Cancer Surgery, University of Cologne, Germany; School of Medicine, University of Cologne, Germany
| | - Marie Scherer
- Department of General, Visceral, and Cancer Surgery, University of Cologne, Germany; School of Medicine, University of Cologne, Germany
| | - Jie Qien
- Department of General, Visceral, and Cancer Surgery, University of Cologne, Germany
| | - Yue Zhao
- Department of General, Visceral, and Cancer Surgery, University of Cologne, Germany
| | - Max Michel
- Institute of Zoology, University of Cologne, Germany
| | - Heike Loeser
- Institute of Pathology, University of Cologne, Germany
| | - Juergen Wolf
- Department of Internal Medicine I, University of Cologne, Germany
| | | | - Fabian Doerr
- Department of Cardiothoracic Surgery, University of Cologne, Germany
| | - Matthias Heldwein
- Department of Cardiothoracic Surgery, University of Cologne, Germany
| | - Lars Hagmeyer
- Hospital Bethanien Solingen, Institute of Pneumology, University of Cologne, Solingen, Germany
| | - Konrad Frank
- Department of Internal Medicine III, University of Cologne, Germany
| | | | | | - Christiane Bruns
- Department of General, Visceral, and Cancer Surgery, University of Cologne, Germany
| | - Khosro Hekmat
- Department of Cardiothoracic Surgery, University of Cologne, Germany
| | - Jonathan Weiss
- Department of Internal Medicine I, University of Cologne, Germany
| | - Thorsten Wahlers
- Department of Cardiothoracic Surgery, University of Cologne, Germany
| | - Hakan Alakus
- Department of General, Visceral, and Cancer Surgery, University of Cologne, Germany
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Hagmeyer L, Matthes S, Frank K, Randerath W. Diagnosis in interstitial lung disease: highly confident histopathological results from transbronchial cryobiopsy are reliable. Ann Transl Med 2020; 8:1328. [PMID: 33209908 PMCID: PMC7661901 DOI: 10.21037/atm-20-3132] [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] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Affiliation(s)
- Lars Hagmeyer
- Institute of Pneumology, University of Cologne, Solingen, Germany
- Hospital Bethanien Solingen, Clinic of Pneumology and Allergology, Center for Sleep Medicine and Respiratory Care, Solingen, Germany
| | - Sandhya Matthes
- Hospital Bethanien Solingen, Clinic of Pneumology and Allergology, Center for Sleep Medicine and Respiratory Care, Solingen, Germany
| | - Konrad Frank
- University Hospital of Cologne, Section Pneumology, Clinic III of Internal Medicine, Cologne, Germany
| | - Winfried Randerath
- Institute of Pneumology, University of Cologne, Solingen, Germany
- Hospital Bethanien Solingen, Clinic of Pneumology and Allergology, Center for Sleep Medicine and Respiratory Care, Solingen, Germany
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10
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Kuhlmann J, Link T, Passek S, Frank K, Vassileva Y, Kramer M, Wimberger P. Serum Calretinin als unabhängiger Prädiktor für Platinresistenz und Prognose beim Ovarialkarzinom. Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1718156] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
Affiliation(s)
| | - T Link
- Klinik für Frauenheilkunde und Geburtshilfe
| | - S Passek
- Klinik für Frauenheilkunde und Geburtshilfe
| | - K Frank
- DRK-Blutspendedienst Nord-Ost
| | | | - M Kramer
- Medizinische Klinik und Poliklinik I
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Xepapadeas AB, Weise C, Frank K, Spintzyk S, Poets CF, Wiechers C, Arand J, Koos B. Technical note on introducing a digital workflow for newborns with craniofacial anomalies based on intraoral scans - part II: 3D printed Tübingen palatal plate prototype for newborns with Robin sequence. BMC Oral Health 2020; 20:171. [PMID: 32546229 PMCID: PMC7298740 DOI: 10.1186/s12903-020-01159-7] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [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: 10/06/2019] [Accepted: 06/04/2020] [Indexed: 11/28/2022] Open
Abstract
Background Orthodontic treatment of newborns and infants with Robin-Sequence using the Tübingen Palatal Plate (TPP) is a complex procedure that could benefit from simplification through digitalization. The design of the velar extension (spur) and the palatal base determines the success of the treatment. Therefore, a prototype must be produced and inserted under endoscopic supervision in order to determine the appropriate shape, length and position of the spur. This technical note demonstrates a fully digital workflow for the design and manufacturing of a functional TPP prototype, based on an intraoral scan. This prototype can be altered and individualized digitally for each patient. After the shape and position of the spur have been optimized, the prototype is duplicated using a silicone mold. Then the definitive TPP is manufactured and inserted. We aim to present a workflow which facilitates the fitting procedure and does not require a conventional impression or a physical model to create the appliance. Methods As described in part I of this series, the intraoral scan is performed using the 3Shape TRIOS3 scanner and its corresponding acquisition software. The virtual model is rendered in the 3Shape ortho appliance designer and the base of the palatal plate is designed in the 3Shape dental designer. The palatal plate and the virtual model are then imported into Autodesk Meshmixer and a standardized spur is positioned and merged with the base. The TPP is exported in Standard Tessellation Language (STL) format and manufactured on a W2P Solflex 170 DLP printer using VOCO VPrint Splint material (MDR Class IIa). Results Based on an intraoral scan, the TPP prototype could be successfully manufactured and proved suitable for the patients’ treatment. Conclusion The new digital workflow for the design of the TPP can been successfully implemented into daily clinical routine in our facility. Patients could be alleviated from having to undergo conventional impression procedures and fitting of the TPP could be facilitated by producing multiple functional prototypes for endoscopic evaluation. Through rapid prototyping, the expenditure of the fitting process was reduced, which makes the TPP therapy more efficient and accessible to a wider range of clinicians.
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Affiliation(s)
- A B Xepapadeas
- Department of Orthodontics, University Hospital Tuebingen, Osianderstr. 2-8, 72076, Tuebingen, Germany. .,Section "Medical Materials Science & Technology" University Hospital Tuebingen, Osianderstr. 2-8, 72076, Tuebingen, Germany.
| | - C Weise
- Department of Orthodontics, University Hospital Tuebingen, Osianderstr. 2-8, 72076, Tuebingen, Germany
| | - K Frank
- Department of Orthodontics, University Hospital Tuebingen, Osianderstr. 2-8, 72076, Tuebingen, Germany
| | - S Spintzyk
- Section "Medical Materials Science & Technology" University Hospital Tuebingen, Osianderstr. 2-8, 72076, Tuebingen, Germany
| | - C F Poets
- Department of Neonatology, University Hospital Tuebingen, Calwerstr. 7, 72076, Tuebingen, Germany
| | - C Wiechers
- Department of Neonatology, University Hospital Tuebingen, Calwerstr. 7, 72076, Tuebingen, Germany
| | - J Arand
- Department of Neonatology, University Hospital Tuebingen, Calwerstr. 7, 72076, Tuebingen, Germany
| | - B Koos
- Department of Orthodontics, University Hospital Tuebingen, Osianderstr. 2-8, 72076, Tuebingen, Germany
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Xepapadeas AB, Weise C, Frank K, Spintzyk S, Poets CF, Wiechers C, Arand J, Koos B. Technical note on introducing a digital workflow for newborns with craniofacial anomalies based on intraoral scans - part I: 3D printed and milled palatal stimulation plate for trisomy 21. BMC Oral Health 2020; 20:20. [PMID: 31973720 PMCID: PMC6979345 DOI: 10.1186/s12903-020-1001-4] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2019] [Accepted: 01/10/2020] [Indexed: 11/27/2022] Open
Abstract
Background Advanced digital workflows in orthodontics and dentistry often require a combination of different software solutions to create patient appliances, which may be a complex and time-consuming process. The main objective of this technical note is to discuss treatment of craniofacial anomalies using digital technologies. We present a fully digital, linear workflow for manufacturing palatal plates for infants with craniofacial anomalies based on intraoral scanning. Switching to intraoral scanning in infant care is advantageous as taking conventional impressions carries the risk of impression material aspiration and/or infections caused by material remaining in the oronasal cavity. Material and methods The fully digital linear workflow presented in this technical note can be used to design and manufacture palatal plates for cleft palate patients as well as infants with functional disorders. We describe the workflow implemented in an infant with trisomy 21. The maxilla was registered using a digital scanner and a stimulation plate was created using dental CAD software and an individual impression tray module on a virtual model. Plates were manufactured using both additive and subtractive methods. Methacrylate based light curing resin and Poly-Ether-Ether-Ketone were the materials used. Results The palatal area was successfully scanned to create a virtual model. The plates fitted well onto the palatal area. Manual post-processing was necessary to optimize a functional ridge along the vestibular fold and remove support structures from the additively manufactured plate as well as the milled plate produced from a blank. The additively manufactured plate fitted better than the milled one. Conclusion Implementing a fully digital linear workflow into clinical routine for treatment of neonates and infants with craniofacial disorders is feasible. The software solution presented here is suitable for this purpose and does not require additional software for the design. This is the key advantage of this workflow, which makes digital treatment accessible to all clinicians who want to deal with digital technology. Whether additive or subtractive manufacturing is preferred depends on the appliance material of choice and influences the fit of the appliance.
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Affiliation(s)
- Alexander B Xepapadeas
- Department of Orthodontics, University Hospital Tuebingen, Osianderstr, 2-8, 72076, Tuebingen, Germany.,Section "Medical Materials Science & Technology", University Hospital Tuebingen, Osianderstr, 2-8, 72076, Tuebingen, Germany
| | - Christina Weise
- Department of Orthodontics, University Hospital Tuebingen, Osianderstr, 2-8, 72076, Tuebingen, Germany.
| | - K Frank
- Department of Orthodontics, University Hospital Tuebingen, Osianderstr, 2-8, 72076, Tuebingen, Germany
| | - S Spintzyk
- Section "Medical Materials Science & Technology", University Hospital Tuebingen, Osianderstr, 2-8, 72076, Tuebingen, Germany
| | - C F Poets
- Department of Neonatology, University Hospital Tübingen, Calwerstr, 7, 72076, Tuebingen, Germany
| | - C Wiechers
- Department of Neonatology, University Hospital Tübingen, Calwerstr, 7, 72076, Tuebingen, Germany
| | - J Arand
- Department of Neonatology, University Hospital Tübingen, Calwerstr, 7, 72076, Tuebingen, Germany
| | - B Koos
- Department of Orthodontics, University Hospital Tuebingen, Osianderstr, 2-8, 72076, Tuebingen, Germany
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Frank K, Elliott D, Reddy K, Saraiya S. An NCDB Analysis Investigating Outcomes in HPV Negative Oropharyngeal Carcinoma - An Attempt to Bridge the Gap Due to Lack of Accrual in RTOG 1221. Int J Radiat Oncol Biol Phys 2018. [DOI: 10.1016/j.ijrobp.2018.07.755] [Citation(s) in RCA: 2] [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: 10/28/2022]
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Reuter H, Herkenrath S, Treml M, Halbach M, Steven D, Frank K, Castrogiovanni A, Kietzmann I, Baldus S, Randerath WJ. Sleep-disordered breathing in patients with cardiovascular diseases cannot be detected by ESS, STOP-BANG, and Berlin questionnaires. Clin Res Cardiol 2018; 107:1071-1078. [PMID: 29845331 DOI: 10.1007/s00392-018-1282-7] [Citation(s) in RCA: 38] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/19/2018] [Accepted: 05/15/2018] [Indexed: 12/11/2022]
Abstract
Sleep-disordered breathing (SDB) is highly prevalent in patients with cardiovascular diseases (CVD) and associated with poor outcome. At least 50% of heart failure (HF) patients present with SDB, equally divided in obstructive sleep apnea (OSA) and central sleep apnea (CSA). CVD patients with SDB do not always present with typical SDB symptoms. Therefore, we asked whether established questionnaires allow for the reliable detection of SDB. In this prospective cohort study, 89 CVD patients (54 male, 59 ± 15 years, BMI 30 ± 6 kg/m2) in stable clinical state underwent an ambulatory polygraphy. SDB was defined as an apnea-hypopnea index (AHI) ≥ 15/h. We evaluated the Epworth Sleepiness Scale (ESS), STOP-BANG and Berlin questionnaires as well as anthropometric data and comorbidities regarding their ability to predict SDB. The ESS showed no correlation with SDB. The sensitivity of the Berlin Questionnaire to detect SDB was 73%, specificity was 42%. The STOP-BANG questionnaire showed a sensitivity of 97% while specificity was 13%. Coronary heart disease and/or history of myocardial infarction, hyperuricemia and age significantly contributed to a logistic regression model predicting presence of SDB. However, our regression model explains only 36% of the variance regarding the presence or absence of SDB. The approach to find variables, which would allow an early and reliable differentiation between patients with CVD and coexistence or absence of SDB, failed. Thus, as CVD patients show a high SDB prevalence and poor outcome, only a systematic screening based on measures of respiration-related parameters (i.e., respiratory flow, blood oxygen saturation, etc.) allows for a reliable SDB assessment.
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Affiliation(s)
- Hannes Reuter
- Clinic III for Internal Medicine, Heart Center, University of Cologne, Kerpener Str. 62, 50937, Cologne, Germany
- Evangelisches Klinikum Köln-Weyertal, Weyertal 76, 50931, Cologne, Germany
| | - Simon Herkenrath
- Institute for Pneumology at the University of Cologne, Aufderhöher Str. 169-175, 42699, Solingen, Germany
- Bethanien Hospital gGmbH, Solingen, Aufderhöher Str. 169-175, 42699, Solingen, Germany
| | - Marcel Treml
- Institute for Pneumology at the University of Cologne, Aufderhöher Str. 169-175, 42699, Solingen, Germany
| | - Marcel Halbach
- Clinic III for Internal Medicine, Heart Center, University of Cologne, Kerpener Str. 62, 50937, Cologne, Germany
| | - Daniel Steven
- Clinic III for Internal Medicine, Heart Center, University of Cologne, Kerpener Str. 62, 50937, Cologne, Germany
| | - Konrad Frank
- Clinic III for Internal Medicine, Heart Center, University of Cologne, Kerpener Str. 62, 50937, Cologne, Germany
| | | | - Ilona Kietzmann
- Institute for Pneumology at the University of Cologne, Aufderhöher Str. 169-175, 42699, Solingen, Germany
| | - Stephan Baldus
- Clinic III for Internal Medicine, Heart Center, University of Cologne, Kerpener Str. 62, 50937, Cologne, Germany
| | - Winfried J Randerath
- Institute for Pneumology at the University of Cologne, Aufderhöher Str. 169-175, 42699, Solingen, Germany.
- Bethanien Hospital gGmbH, Solingen, Aufderhöher Str. 169-175, 42699, Solingen, Germany.
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Hennig B, Hagmeyer L, Brathe K, Ladage D, Randerath WJ, Frank K. Der Composite Physiologic Index als Prädiktor einer eingeschränkten Rechtsherzfunktion bei Idiopathischer Pulmonaler Fibrose. Pneumologie 2018. [DOI: 10.1055/s-0037-1619322] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- B Hennig
- Sektion Pneumologie, Herzzentrum, Uniklinik Köln
| | - L Hagmeyer
- Klinik für Pneumologie und Allergologie, Zentrum für Schlaf- und Beatmungsmedizin, Krankenhaus Bethanien gGmbH, Solingen
| | - K Brathe
- Klinik III für Innere Medizin, Sektion Pneumologie, Herzzentrum der Universität zu Köln
| | - D Ladage
- Sektion Pneumologie, Herzzentrum, Uniklinik Köln
| | - WJ Randerath
- Klinik für Pneumologie und Allergologie, Zentrum für Schlaf- und Beatmungsmedizin, Krankenhaus Bethanien gGmbH, Solingen
| | - K Frank
- Sektion Pneumologie, Herzzentrum, Uniklinik Köln
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16
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Brathe K, Hennig B, Ladage D, Frank K. Charakterisierung potentieller inflammatorischer und immunologischer Biomarker bei aktiver und inaktiver Sarkoidose. Pneumologie 2018. [DOI: 10.1055/s-0037-1619186] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- K Brathe
- Sektion Pneumologie, Klinik III für Innere Medizin, Herzzentrum der Universität zu Köln
| | - B Hennig
- Sektion Pneumologie, Klinik III für Innere Medizin, Herzzentrum der Universität zu Köln
| | - D Ladage
- Sektion Pneumologie, Klinik III für Innere Medizin, Herzzentrum der Universität zu Köln
| | - K Frank
- Sektion Pneumologie, Klinik III für Innere Medizin, Herzzentrum der Universität zu Köln
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17
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Brathe K, Hennig B, Ladage D, Frank K. Der Einfluss von Corticosteroidtherapie auf das Profil inflammatorischer und immunologischer serologischer Marker bei Sarkoidose. Pneumologie 2018. [DOI: 10.1055/s-0037-1619187] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- K Brathe
- Sektion Pneumologie, Klinik III für Innere Medizin, Herzzentrum der Universität zu Köln
| | - B Hennig
- Sektion Pneumologie, Klinik III für Innere Medizin, Herzzentrum der Universität zu Köln
| | - D Ladage
- Sektion Pneumologie, Klinik III für Innere Medizin, Herzzentrum der Universität zu Köln
| | - K Frank
- Sektion Pneumologie, Klinik III für Innere Medizin, Herzzentrum der Universität zu Köln
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18
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Ladage D, Valter M, Frank K. Case Report: Respiratory management of a successful pregnancy in type II spinal muscular atrophy. Pneumologie 2018. [DOI: 10.1055/s-0037-1619386] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- D Ladage
- Sektion Pneumologie, Herzzentrum, Uniklinik Köln
| | - M Valter
- Klink für Frauenheilkunde und Geburtshilfe, Universitätsklinikum Köln
| | - K Frank
- Sektion Pneumologie, Herzzentrum, Uniklinik Köln
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Affiliation(s)
- A Worlu
- Sektion Pneumologie, Herzzentrum, Uniklinik Köln
| | - K Frank
- Sektion Pneumologie, Herzzentrum, Uniklinik Köln
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20
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Frank K, Reddy K, Elliott D, Chen C, Shahrour K, Jain S, Saraiya S. Impact of Surgery in the Management of High-Risk Prostate Cancer With Known Preoperative Clinical Risk Factors for Adjuvant Radiation Therapy. Int J Radiat Oncol Biol Phys 2017. [DOI: 10.1016/j.ijrobp.2017.06.1160] [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]
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21
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Schönwald C, Körber MI, Beutner D, Pfister R, Frank K, Guntinas-Lichius O, Michels G. Short-term and long-term follow-up of pulmonary function in patients with COPD after total laryngectomy: A prospective study. Laryngoscope 2017; 127:2045-2049. [PMID: 28093768 DOI: 10.1002/lary.26484] [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] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2016] [Revised: 11/10/2016] [Accepted: 12/05/2016] [Indexed: 11/07/2022]
Abstract
OBJECTIVE There exists no standardized method for examining lung function in laryngectomized patients. STUDY DESIGN AND METHODS We established a base plate adapter (BPA) system for patients after laryngectomy. In 10 patients with chronic obstructive pulmonary disease (COPD), we evaluated pulmonary function before laryngectomy, as well as 2 weeks and 3 months after laryngectomy. RESULTS The BPA system was well tolerated and delivered reliable results comparable to measurements with a mouthpiece. The parameters forced expiratory volume in one second (FEV1 ), forced vital capacity (FVC), and mean forced expiratory flow between 25% and 75% of forced vital capacity (MFEF25-75 ) changed in the early postoperative examinations (2 weeks postoperative), whereas MFEF25-75 , FEF75 , peak expiratory flow (PEF), and peak inspiratory flow (PIF)) showed differences from baseline in long-term follow-up (3 months postoperative). CONCLUSION We provide a practicable method of lung function testing in laryngectomized patients with COPD that is essential to tailor inhalation therapy despite tracheotomy. Lung function measurements of laryngectomized patients with COPD should be performed under stable clinical conditions a few weeks after surgery. Guidelines of COPD might be complemented considering the subgroup of laryngectomized patients. LEVEL OF EVIDENCE 4. Laryngoscope, 127:2045-2049, 2017.
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Affiliation(s)
- Charlotte Schönwald
- Department III of Internal Medicine, University of Cologne, Cologne, Germany
| | - Maria Isabel Körber
- Department III of Internal Medicine, University of Cologne, Cologne, Germany
| | - Dirk Beutner
- Department of Otorhinolaryngology, Head and Neck Surgery, University of Cologne, Cologne, Germany
| | - Roman Pfister
- Department III of Internal Medicine, University of Cologne, Cologne, Germany
| | - Konrad Frank
- Department III of Internal Medicine, University of Cologne, Cologne, Germany
| | | | - Guido Michels
- Department III of Internal Medicine, University of Cologne, Cologne, Germany
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Cometto F, Frank K, Stel B, Arisnabarreta N, Kern K, Lingenfelder M. The STM bias voltage-dependent polymorphism of a binary supramolecular network. Chem Commun (Camb) 2017; 53:11430-11432. [DOI: 10.1039/c7cc06597c] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
Abstract
We control complex multicomponent switches by tuning the local electric field at the liquid/solid interface.
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Affiliation(s)
- F. Cometto
- Max Planck-EPFL Laboratory for Molecular Nanoscience, and Institut de Physique
- École Polytechnique Fédérale de Lausanne
- CH 1015 Lausanne
- Switzerland
- Departamento de Fisicoquímica
| | - K. Frank
- Max Planck-EPFL Laboratory for Molecular Nanoscience, and Institut de Physique
- École Polytechnique Fédérale de Lausanne
- CH 1015 Lausanne
- Switzerland
| | - B. Stel
- Max Planck-EPFL Laboratory for Molecular Nanoscience, and Institut de Physique
- École Polytechnique Fédérale de Lausanne
- CH 1015 Lausanne
- Switzerland
| | - N. Arisnabarreta
- Departamento de Fisicoquímica
- Instituto de Investigaciones en Fisicoquímica de Córdoba (INFIQC)
- Facultad de Ciencias Químicas
- Universidad Nacional de Córdoba
- Córdoba
| | - K. Kern
- Max Planck-EPFL Laboratory for Molecular Nanoscience, and Institut de Physique
- École Polytechnique Fédérale de Lausanne
- CH 1015 Lausanne
- Switzerland
- Max-Planck-Institut für Festkörperforschung
| | - M. Lingenfelder
- Max Planck-EPFL Laboratory for Molecular Nanoscience, and Institut de Physique
- École Polytechnique Fédérale de Lausanne
- CH 1015 Lausanne
- Switzerland
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23
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Müller S, Hennig B, Grönke S, Hunzelmann N, Frank K. Bedeutung der Lungenfunktion für die Progredienz der Lungenfibrose und Rechtsherzbelastung bei systemischer Sklerodermie. Pneumologie 2016. [DOI: 10.1055/s-0036-1572033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Grönke S, Oesterlee U, Chang DH, Ladage D, Hagmeyer L, Randerath WJ, Frank K. Arterio-arterielle Gefäßfistel als Ursache einer Hb-relevanten pulmonalen Blutung. Pneumologie 2016. [DOI: 10.1055/s-0036-1572204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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25
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Eller D, Beweng J, Grönke S, Frank K. Endoskopische Volumenreduktion mittels Coil-Implantation verbessert Belastbarkeit und Symptomatik. Pneumologie 2016. [DOI: 10.1055/s-0036-1572157] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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26
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Frank K, Gerychová R, Janků P, Huser M, Ventruba P. [Medical termination of pregnancy by mifepristone and misoprostol - evaluation of succes rate, complications and satisfaction of patients]. Ceska Gynekol 2015; 80:451-455. [PMID: 26741161] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
OBJECTIVE The purpose of this study was to evaluate the success rate and complications of medical termination of pregnancy up to 49 days of amenorrhea and present the outcome of our phone questionaire of satisfaction of patients. DESIGN Retrospective analysis. SETTING Department of Obstetrics and Gynecology Masaryk University and University Hospital Brno. METHODS The analysis of 111 patients, who underwent medical termination of pregnancy at the Department of Obstetrics and Gynecology Masaryk University and University Hospital Brno from 1. 6. 2014 to 30. 6. 2015 using 600 mg of mifepristone (Mifegyne) and 400 µg of misoprostol (Mispregnol). In our set of patients we monitored subjective perception of medical termination of pregnancy (pain, nausea, vomiting, satisfaction with this method) and objective process (hospitalisation, surgical intervention). The view of patients was found out by the phone questionnaire RESULTS Complete abortion without a surgical intervention underwent 103 patients. Nausea, pelvic pain, and intensity of bleeding were evaluated as suitable. Only 1 patient (0.9%) was hospitalised for nausea and 1 patient (0.9%) was hospitalised in case of need for an emergency curretage and transfusions. Some kind of contraception after the medical termination of pregnancy started using 98.0% of women. The satisfaction rate of this method was high - 101 patients declared themselves satisfied - 66.7% very satisfied, 24.3% rather satisfied. CONCLUSION Medical termination of pregnancy has good efficiency, we consider it safe with minimum side-effects and is well evaluated by patients.
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Arnold S, Attinger S, Frank K, Hildebrandt A. Assessing the structural adequacy of alternative ecohydrological models using a pattern-oriented approach. Ecol Modell 2015. [DOI: 10.1016/j.ecolmodel.2015.08.003] [Citation(s) in RCA: 3] [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: 10/23/2022]
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Jakoby O, Quaas MF, Baumgärtner S, Frank K. Adapting livestock management to spatio-temporal heterogeneity in semi-arid rangelands. J Environ Manage 2015; 162:179-189. [PMID: 26241933 DOI: 10.1016/j.jenvman.2015.07.047] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [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: 12/01/2014] [Revised: 07/19/2015] [Accepted: 07/21/2015] [Indexed: 06/04/2023]
Abstract
Management strategies in rotational grazing systems differ in their level of complexity and adaptivity. Different components of such grazing strategies are expected to allow for adaptation to environmental heterogeneities in space and time. However, most models investigating general principles of rangeland management strategies neglect spatio-temporal system properties including seasonality and spatial heterogeneity of environmental variables. We developed an ecological-economic rangeland model that combines a spatially explicit farm structure with intra-annual time steps. This allows investigating different management components in rotational grazing systems (including stocking and rotation rules) and evaluating their effect on the ecological and economic states of semi-arid grazing systems. Our results show that adaptive stocking is less sensitive to overstocking compared to a constant stocking strategy. Furthermore, the rotation rule becomes important only at stocking numbers that maximize expected income. Altogether, the best of the tested strategies is adaptive stocking combined with a rotation that adapts to both spatial forage availability and seasonality. This management strategy maximises mean income and at the same time maintains the rangeland in a viable condition. However, we could also show that inappropriate adaptation that neglects seasonality even leads to deterioration. Rangelands characterised by higher inter-annual climate variability show a higher risk of income losses under a non-adaptive stocking rule, and non-adaptive rotation is least able to buffer increasing climate variability. Overall, all important system properties including seasonality and spatial heterogeneity of available resources need to be considered when designing an appropriate rangeland management system. Resulting adaptive rotational grazing strategies can be valuable for improving management and mitigating income risks.
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Affiliation(s)
- O Jakoby
- Department for Ecological Modelling, Helmholtz Centre for Environmental Research - UFZ, Leipzig, Germany; Swiss Federal Institute for Forest, Snow and Landscape Research WSL, Birmensdorf, Switzerland.
| | - M F Quaas
- Department of Economics, Christian-Albrechts University of Kiel, Germany.
| | - S Baumgärtner
- Department of Sustainability Science, Leuphana University of Lüneburg, Germany; Department of Environment and Natural Resources, University of Freiburg, Germany.
| | - K Frank
- Department for Ecological Modelling, Helmholtz Centre for Environmental Research - UFZ, Leipzig, Germany.
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29
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Frank K, Esbensen AJ. Fine motor and self-care milestones for individuals with Down syndrome using a Retrospective Chart Review. J Intellect Disabil Res 2015; 59:719-729. [PMID: 25533735 DOI: 10.1111/jir.12176] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 11/05/2014] [Indexed: 06/04/2023]
Abstract
BACKGROUND Developmental milestone markers for fine motor and self-care skills among children with Down syndrome (DS) are either minimal, anecdotal or out-of date. Our goal was to produce normative expectations for the development of fine motor and self-care milestones specific to children with DS. METHOD A cross-sectional retrospective chart review was completed on 274 children with DS seen at a specialty clinic that ranged in age from 4 months to 18 years. Specific skills were assessed at occupational therapy assessments as either present or absent, including fine motor, handwriting, scissor usage, self-feeding and clothing management. RESULTS Fine motor milestones describing when 10-30% ('early achievers') and 75-95% ('representative achievement') of children with DS had mastered each skill were developed based upon descriptive review. As the fine motor and self-care skills advanced in complexity, the range of ages for documented skill acquisition was observed to increase. CONCLUSIONS Age ranges for the mastery of fine motor developmental milestones for early and representative achievement were developed based upon descriptive analysis of cross-sectional retrospective clinical chart reviews. That the age range for mastering fine motor and self-care skills broadens as children with DS get older is in agreement with what is identified in the DS behavioural phenotype with regard to variable motor skills overall. These fine motor and self-care developmental milestone markers contribute to the field by informing parents, caregivers and healthcare providers of potential fine motor and self-care outcomes and describing normative development for children with DS.
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Affiliation(s)
- K Frank
- Disability and Human Development, University of Illinois at Chicago, Chicago, IL, USA
| | - A J Esbensen
- Division of Developmental and Behavioral Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA
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Frank U, Frank K, Zimmermann H. Effects of Respiratory Therapy (bagging) on Respiratory Function, Swallowing Frequency and Vigilance in Tracheotomized Patients in Early Neurorehabilitation. Pneumologie 2015; 69:394-9. [PMID: 26125656 DOI: 10.1055/s-0034-1392359] [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: 10/23/2022]
Abstract
OBJECTIVE Tracheotomized patients often suffer from impairments in mucociliary clearance and limited capacities for active expectoration of secretions. We investigated the effects of a specific respiratory intervention method (bagging) for tracheotomized patients on respiratory parameters (pO2, pCO2, SpO2, respiratory rates), swallowing frequency, vigilance and secretion viscosity. METHODS The bagging method supports enforced mobilization and expectoration of secretions by application of a series of manual hyperinflations with a resuscitation bag during active inspiration and manual cough support on the chest. 30 tracheotomized neurological patients participated in a multiple-baseline study including a three-weeks intervention period and a follow-up measurement three weeks after termination of the treatment. RESULTS Most outcome parameters improved significantly during the intervention period: pO2 (p < .01), SpO2 (p < .01), respiratory rates (p < .01), swallowing rates (p < .01), and vigilance scores (p < .01). The quality of bronchial secretions improved in all participants. All effects were sustained up to the follow-up measurements. CONCLUSION This preliminary data indicates positive effects for a respiratory intervention method (bagging) on respiratory function and additional respiration-related functions in tracheotomized neurological patients. This easy-to-learn and inexpensive method might expand the range of treatment options for tracheotomized and non-responsive patients.
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Affiliation(s)
- U Frank
- Universität Potsdam, Department Linguistik, Swallowing Research Lab, Potsdam, Deutschland
| | - K Frank
- MVZ Bielefeld am Evangelischen Krankenhaus Bielefeld, Bereich GILEAD 1, Deutschland
| | - H Zimmermann
- Aatalklinik Wünnenberg, Bad Wünnenberg, Deutschland
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31
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Frank K, Ding G, Raue F, Ziegler R. Can the routine treatment of Graves' orbitopathy be efficiently supplemented by the administration of Venalot? Dev Ophthalmol 2015; 20:127-9. [PMID: 2687048 DOI: 10.1159/000417928] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Affiliation(s)
- K Frank
- Abteilung Innere Medizin I, Universitätsklinik, Heidelberg, FRG
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Hofmeyr GJ, Seuc AH, Betrán AP, Purnat TD, Ciganda A, Munjanja SP, Manyame S, Singata M, Fawcus S, Frank K, Hall DR, Cormick G, Roberts JM, Bergel EF, Drebit SK, Von Dadelszen P, Belizan JM. The effect of calcium supplementation on blood pressure in non-pregnant women with previous pre-eclampsia: An exploratory, randomized placebo controlled study. Pregnancy Hypertens 2015; 5:273-9. [PMID: 26597740 DOI: 10.1016/j.preghy.2015.04.001] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2015] [Revised: 02/19/2015] [Accepted: 04/02/2015] [Indexed: 11/17/2022]
Abstract
BACKGROUND Epidemiological findings suggest that the link between poverty and pre-eclampsia might be dietary calcium deficiency. Calcium supplementation has been associated with a modest reduction in pre-eclampsia, and also in blood pressure (BP). METHODS This exploratory sub-study of the WHO Calcium and Pre-eclampsia (CAP) trial aims to determine the effect of 500mg/day elemental calcium on the blood pressure of non-pregnant women with previous pre-eclampsia. Non-pregnant women with at least one subsequent follow-up trial visit at approximately 12 or 24weeks after randomization were included. RESULTS Of 836 women randomized by 9 September 2014, 1st visit data were available in 367 women of whom 217 had previously had severe pre-eclampsia, 2nd visit data were available in 201 women. There was an overall trend to reduced BP in the calcium supplementation group (1-2.5mmHg) although differences were small and not statistically significant. In the subgroup with previous severe pre-eclampsia, the mean diastolic BP change in the calcium group (-2.6mmHg) was statistically larger than in the placebo group (+0.8mmHg), (mean difference -3.4, 95% CI -0.4 to -6.4; p=0.025). The effect of calcium on diastolic BP at 12weeks was greater than in those with non-severe pre-eclampsia (p=0.020, ANOVA analysis). CONCLUSIONS There is an overall trend to reduced BP but only statistically significant in the diastolic BP of women with previous severe pre-eclampsia. This is consistent with our hypothesis that this group is more sensitive to calcium supplementation, however results need to be interpreted with caution.
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Affiliation(s)
- G J Hofmeyr
- Department of Obstetrics and Gynaecology, East London Hospital Complex, University of the Witwatersrand, South Africa; University of Fort Hare, Eastern Cape Department of Health, East London, South Africa.
| | - A H Seuc
- Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland.
| | - A P Betrán
- Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland.
| | - T D Purnat
- World Health Organization Regional Office for Europe, Marmorvej 51, Copenhagen, Denmark.
| | - A Ciganda
- Institute for Clinical Effectiveness and Health Policy (IECS), Emilio Ravignani 2024, Buenos Aires, Argentina.
| | | | - S Manyame
- University of Zimbabwe, Harare, Zimbabwe.
| | - M Singata
- Department of Nursing Sciences, Fort Hare University, South Africa.
| | - S Fawcus
- Department of Obstetrics and Gynaecology, University of Cape Town, South Africa; Head, Obstetric Services, Mowbray Maternity Hospital, Cape Town, South Africa.
| | - K Frank
- Department of Obstetrics and Gynaecology, University of the Witwatersrand, South Africa.
| | - D R Hall
- Department of Obstetrics and Gynaecology, Stellenbosch University and Tygerberg Hospital, Cape Town, South Africa.
| | - G Cormick
- Institute for Clinical Effectiveness and Health Policy (IECS), Emilio Ravignani 2024, Buenos Aires, Argentina.
| | - J M Roberts
- Magee-Womens Research Institute, Department of Obstetrics and Gynecology, University of Pittsburgh, Pittsburgh, USA.
| | - E F Bergel
- Institute for Clinical Effectiveness and Health Policy (IECS), Emilio Ravignani 2024, Buenos Aires, Argentina.
| | - S K Drebit
- Department of Obstetrics and Gynaecology, University of British Columbia, Room V3-339, 950 West 28th Avenue, Vancouver, BC V5Z 4H4, Canada.
| | - P Von Dadelszen
- Department of Obstetrics and Gynaecology, University of British Columbia, Room V3-339, 950 West 28th Avenue, Vancouver, BC V5Z 4H4, Canada.
| | - J M Belizan
- Institute for Clinical Effectiveness and Health Policy (IECS), Emilio Ravignani 2024, Buenos Aires, Argentina.
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Liss B, Vehreschild JJ, Bangard C, Maintz D, Frank K, Grönke S, Michels G, Hamprecht A, Wisplinghoff H, Markiefka B, Hekmat K, Vehreschild MJGT, Cornely OA. Our 2015 approach to invasive pulmonary aspergillosis. Mycoses 2015; 58:375-82. [DOI: 10.1111/myc.12319] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2015] [Revised: 03/09/2015] [Accepted: 03/09/2015] [Indexed: 12/13/2022]
Affiliation(s)
- B. Liss
- Department I of Internal Medicine; University Hospital of Cologne; Cologne Germany
- Center for Integrated Oncology CIO KölnBonn; University of Cologne; Cologne Germany
| | - J. J. Vehreschild
- Department I of Internal Medicine; University Hospital of Cologne; Cologne Germany
- Center for Integrated Oncology CIO KölnBonn; University of Cologne; Cologne Germany
- German Centre for Infection Research (DZIF); partner site Bonn-Cologne; Cologne Germany
| | - C. Bangard
- Department of Radiology; University Hospital of Cologne; Cologne Germany
| | - D. Maintz
- Department of Radiology; University Hospital of Cologne; Cologne Germany
| | - K. Frank
- Department III of Internal Medicine; Heart Centre of the University of Cologne; Cologne Germany
| | - S. Grönke
- Department III of Internal Medicine; Heart Centre of the University of Cologne; Cologne Germany
| | - G. Michels
- Department III of Internal Medicine; Heart Centre of the University of Cologne; Cologne Germany
| | - A. Hamprecht
- Institute for Medical Microbiology; Immunology and Hygiene; University Hospital of Cologne; Cologne Germany
| | - H. Wisplinghoff
- Institute for Medical Microbiology; Immunology and Hygiene; University Hospital of Cologne; Cologne Germany
| | - B. Markiefka
- Institute of Pathology; University Hospital of Cologne; Cologne Germany
| | - K. Hekmat
- Department of Cardiothoracic Surgery; University Hospital of Cologne; Cologne Germany
| | - M. J. G. T. Vehreschild
- Department I of Internal Medicine; University Hospital of Cologne; Cologne Germany
- Center for Integrated Oncology CIO KölnBonn; University of Cologne; Cologne Germany
- German Centre for Infection Research (DZIF); partner site Bonn-Cologne; Cologne Germany
| | - O. A. Cornely
- Department I of Internal Medicine; University Hospital of Cologne; Cologne Germany
- Center for Integrated Oncology CIO KölnBonn; University of Cologne; Cologne Germany
- German Centre for Infection Research (DZIF); partner site Bonn-Cologne; Cologne Germany
- Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD); University of Cologne; Cologne Germany
- Clinical Trials Centre Cologne; ZKS Köln; University of Cologne; Cologne Germany
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Grönke S, Reuter S, Jaussi R, Frank K, Reuter H. Sturz mit Folgen – Noduläre lymphoide Hyperplasie als Zufallsbefund einer malignitätsverdächtigen RF. Pneumologie 2015. [DOI: 10.1055/s-0035-1544752] [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]
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Grönke S, Boedecker S, Hochgreef T, Heldwein M, Hekmat K, Frank K. Ein Zahnarztbesuch mit dramatischen Folgen – Trachealruptur nach Routineeingriff. Pneumologie 2015. [DOI: 10.1055/s-0035-1544648] [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]
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Hennig B, Müller S, Hochgreef T, Grönke S, Frank K. Zusammenhang zwischen Lungenfunktionsparametern und Rechtsherzbelastung bei idiopathischer Lungenfibrose – Falluntersuchung an 103 Patienten. Pneumologie 2015. [DOI: 10.1055/s-0035-1544836] [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]
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Affiliation(s)
- K. Schweer
- Medizinische Klinik I, Universitätsklinikum Köln
| | | | - C. Bangard
- Institut und Poliklinik für Radiologische Diagnostik, Universitätsklinikum Köln
| | - K. Frank
- Herzzentrum, Sektion Pneumologie, Universitätsklinikum Köln
| | - O. Cornely
- Klinik I für Innere Medizin und Center for Integrated Oncology (CIO) Köln-Bonn, Uniklinik Köln; ZKS Köln, BMBF 01KN1106 und Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD), Universität zu Köln
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Voss J, Graff C, Schwartz A, Hyland D, Argiriadi M, Camp H, Dowding L, Friedman M, Frank K, George J, Goedken E, Lo Schiavo G, Morytko M, O'Brien R, Padley R, Rozema M, Rosebraugh M, Stewart K, Wallace G, Wishart N, Murtaza A, Olson L. THU0127 Pharmacodynamics of A Novel JAK1 Selective Inhibitor in Rat Arthritis and Anemia Models and in Healthy Human Subjects. Ann Rheum Dis 2014. [DOI: 10.1136/annrheumdis-2014-eular.3823] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Boedecker S, Hochgreef T, Grönke S, Frank K. Bronchoskopische Lungenvolumenreduktion mit Ventilen – Auswirkungen auf die kardiale Funktion. Pneumologie 2014. [DOI: 10.1055/s-0034-1367870] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Hochgreef T, Boedecker S, Grönke S, Frank K. Lungenvolumenreduktion mit Lungenventilen bei Emphysem-Patienten – 12 Monate Follow-Up. Pneumologie 2014. [DOI: 10.1055/s-0034-1367863] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Herrmann G, Knudsen L, Madershahian N, Mühlfeld C, Frank K, Rahmanian P, Wahlers T, Wittwer T, Ochs M. Effects of exogenous surfactant on the non-heart-beating donor lung graft in experimental lung transplantation - a stereological study. J Anat 2014; 224:594-602. [PMID: 24527871 DOI: 10.1111/joa.12167] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/21/2014] [Indexed: 11/29/2022] Open
Abstract
The use of non-heart-beating donor (NHBD) lungs may help to overcome the shortage of lung grafts in clinical lung transplantation, but warm ischaemia and ischaemia/reperfusion injury (I/R injury) resulting in primary graft dysfunction represent a considerable threat. Thus, better strategies for optimized preservation of lung grafts are urgently needed. Surfactant dysfunction has been shown to contribute to I/R injury, and surfactant replacement therapy is effective in enhancing lung function and structural integrity in related rat models. In the present study we hypothesize that surfactant replacement therapy reduces oedema formation in a pig model of NHBD lung transplantation. Oedema formation was quantified with (SF) and without (non-SF) surfactant replacement therapy in interstitial and alveolar compartments by means of design-based stereology in NHBD lungs 7 h after cardiac arrest, reperfusion and transplantation. A sham-operated group served as control. In both NHBD groups, nearly all animals died within the first hours after transplantation due to right heart failure. Both SF and non-SF developed an interstitial oedema of similar degree, as shown by an increase in septal wall volume and arithmetic mean thickness as well as an increase in the volume of peribron-chovascular connective tissue. Regarding intra-alveolar oedema, no statistically significant difference could be found between SF and non-SF. In conclusion, surfactant replacement therapy cannot prevent poor outcome after prolonged warm ischaemia of 7 h in this model. While the beneficial effects of surfactant replacement therapy have been observed in several experimental and clinical studies related to heart-beating donor lungs and cold ischaemia, it is unlikely that surfactant replacement therapy will overcome the shortage of organs in the context of prolonged warm ischaemia, for example, 7 h. Moreover, our data demonstrate that right heart function and dysfunctions of the pulmonary vascular bed are limiting factors that need to be addressed in NHBD.
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Mydlík M, Derzsiová K, Frank K. [Differential diagnosis and treatment of hyponatremia]. Vnitr Lek 2013; 59:478-481. [PMID: 23808743] [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
Hyponatremia is one of the most common metabolic disorders in clinical medicine. The value of Na+ in serum equalling 135 mmol/ l and lower is regarded as hyponatremia. Its clinical manifestations are the following: headaches, nausea, vomiting, seizures, numbness, coma and death. Hyponatremia caused by nonosmotic hypersecretion of vasopressin can be divided into: a) hypovolemic, b) normovolemic and c) hypervolemic. Hyponatremia which is not caused by the hypersecretion of vasopressin is the so called pseudohyponatremia, water intoxication, cerebral salt loss syndrome. Hypovolemic hyponatremia is caused by the loss of Na+ and fluid loss from the organism. It occurs, for example, after using thiazide diuretics, after recurrent diarrhoea, vomiting, after significant blood loss and other causes. Treatment of this disorder must focus on the producing cause and on the parenteral administration of 0.9% NaCl. Normovolemic hyponatremia can be with or without symptoms. Acute normovolemic hyponatremia is treated by the intravenous administration of 3% NaCl and with the simultaneous use of loop diuretics (20- 40 mg Furosemide/ 24 hrs) and restriction of fluid intake. In the case of chronic normovolemic hyponatremia, refractory to the previous treatment, caused by the inappropriate secretion of arginine vasopressin, it is recommended to use perorally its V2- receptor blocker, Tolvaptan. Hypervolemic hyponatremia occurs in the case of cardiovascular failure, with hepatic cirrhosis, nephrotic syndrome, renal failure, porphyric disease and other conditions. Symptoms occurring with it are swellings, ascites, distension of jugular veins and the presence of unaccented rales in the lungs, which can be detected during physical examination. For treatment it is recommended to restrict fluid intake and to administer NaCl as well as diuretic therapy. Recently it has been recommended to use Tolvaptan which increases excretion of free water (aquaresis), decreases osmolality in the urine, and leads to the increase in serum Na+. Apart from that, we present our three clinical laboratory observations in the paper: 1. Contrary to the data in the literature, after the Košice Marathon (42.125 km) the serum concentration of Na+ in the runners increased (from 144.4 ± 2.1 mmol/ l to 147 ± 2.8 mmol/ l, p < 0.01) in spite of a significant reduction in the body weight (from 73.2 ± 5.7 kg to 71.9 ± 5.2 kg, p < 0.05), intensive perspiration and dehydration (blood haemoglobin before the run: 150.4 ± 5.5 g/ l, after the run: 152.1 ± 4.8 g/ l, p < 0.05). Apart from that, we detected a significant decrease in the fractional excretion of sodium (FENa) from 1.16 ± 0.30% to 0.34 ± 0.10%, p < 0.01. 2. One patient with chronic intermittent porphyria displayed the syndrome of inappropriate antidiuretic hormone secretion, which had been positively influenced by the restriction of fluid intake in the long term and by peroral administration of 1- 3 g NaCl/ 24 hrs. 3. In 15 haemodialysed patients with chronic renal failure, who displayed recurrent hypervolemic hyponatremia, we achieved, by means of adequate ultrafiltration and a dialysis solution containing Na+ 145 mmol/ l, the serum concentration of Na+ 142 mmol/ l at the end of haemodialysis.
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Affiliation(s)
- M Mydlík
- Interná klinika Lekárskej fakulty UPJŠ a UN L. Pasteura Košice, Slovenská Republika.
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Cahoon JE, Eisenhauer DE, Elmore RW, Roeth FW, Doupnik B, Selley RA, Ferguson RB, Lorenz M, Frank K, Young LJ. Corn Yield Response to Tillage with Furrow Irrigation. ACTA ACUST UNITED AC 2013. [DOI: 10.2134/jpa1999.0269] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [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. E. Cahoon
- Civil Eng. Dep., 220 Cobleigh Hall; Montana State Univ.; Bozeman MT 59717
| | | | - R. W. Elmore
- South Central Res. and Ext. Cent.; Univ. of Nebraska; Box 66 Clay Center NE 68933
| | - F. W. Roeth
- South Central Res. and Ext. Cent.; Univ. of Nebraska; Box 66 Clay Center NE 68933
| | - B. Doupnik
- South Central Res. and Ext. Cent.; Univ. of Nebraska; Box 66 Clay Center NE 68933
| | - R. A. Selley
- South Central Res. and Ext. Cent.; Univ. of Nebraska; Box 66 Clay Center NE 68933
| | - R. B. Ferguson
- South Central Res. and Ext. Cent.; Univ. of Nebraska; Box 66 Clay Center NE 68933
| | - M. Lorenz
- South Central Res. and Ext. Cent.; Univ. of Nebraska; Box 66 Clay Center NE 68933
| | - K. Frank
- Agronomy Dep.; Univ. of Nebraska; Lincoln NE 68583
| | - L. J. Young
- Biometry Dep.; Univ. of Nebraska; Lincoln NE 68583
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Wittwer T, Madershahian N, Rahmanian P, Choi YH, Neef K, Frank K, Müller-Ehmsen J, Ochs M, Mühlfeld C, Wahlers T. Surfactant application in experimental lung transplantation. J Heart Lung Transplant 2013; 32:355-9. [DOI: 10.1016/j.healun.2012.11.025] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2012] [Revised: 11/19/2012] [Accepted: 11/29/2012] [Indexed: 12/17/2022] Open
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Grönke S, Hochgreef T, Frank K. Ungewöhnlicher Fall einer Tracheobronchialverkalkung - Tracheopathia osteochrondroplastica. Pneumologie 2013. [DOI: 10.1055/s-0033-1334586] [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: 10/27/2022]
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Hochgreef T, Boedecker S, Grönke S, Frank K. Bronchoskopische Lungenvolumenreduktion mit Lungenventilen bei fortgeschrittenen COPD-Patienten. Pneumologie 2013. [DOI: 10.1055/s-0033-1334699] [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: 10/27/2022]
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Daniel Z, Jolly B, Sarah N, Haruna M, Guilfoyle J, Frank K. O160 QUALITY REPRODUCTIVE HEALTH NEEDS SUSTAINED EFFORT AND POLITICAL WILL: ALARM FOR HEALTH ADMINISTRATORS. Int J Gynaecol Obstet 2012. [DOI: 10.1016/s0020-7292(12)60590-6] [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: 11/16/2022]
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Frank K, Jolly B, Murokora D, Namagembe I. O343 MATERNAL DEATH AUDIT REVIEWS AT THREE HOSPITALS IN UGANDA. Int J Gynaecol Obstet 2012. [DOI: 10.1016/s0020-7292(12)60773-5] [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: 10/27/2022]
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Muwanguzi S, Jolly B, Daniel Z, Frank K. W412 STIMULATING SUSTAINABLE SOCIAL CHANGE FOR SAFE MOTHERHOOD: COMMUNITY MOBILIZATION IN RURAL UGANDA. Int J Gynaecol Obstet 2012. [DOI: 10.1016/s0020-7292(12)62133-x] [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: 10/27/2022]
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Kiefer J, Zehentbauer F, Frank K, Schuchmann H. Spektroskopische Untersuchung der Stabilisierung von Emulsionen in der Lebensmittelverfahrenstechnik. CHEM-ING-TECH 2012. [DOI: 10.1002/cite.201250407] [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: 11/08/2022]
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